subject_id
stringlengths 8
8
| findings
stringlengths 93
1.83k
| study_id
stringlengths 8
8
| background
stringlengths 10
2.5k
| impression
stringlengths 16
1.06k
|
|---|---|---|---|---|
13243522 | Right chest wall Port-A-Cath ends at the cavoatrial junction. Left-sided pacemaker device is again seed with leads ending in the right atrium, right ventricle, and left ventricle. Heart size remains moderately enlarged. Mediastinal contour is unchanged. There is extensive bronchiectasis and scarring in the upper lobes more so on the right with associated chronic right upper lobe volume loss. In addition, there is a chronic area of increased opacity in the lingula but appear similar to prior radiographs. . In comparison to the most recent prior chest radiograph there is increased opacification of the right lung base. There is no pleural effusion or pneumothorax. There is no acute osseous abnormality. | 58791719 | EXAMINATION: Chest radiograph INDICATION: ___M with cystic fibrosis and fever/cough, evaluate for pneumonia TECHNIQUE: Frontal and lateral view. COMPARISON: Comparison is made to multiple chest radiographs dating back to ___. | Chronic changes of cystic fibrosis as described above with focal increased opacity of the right lung base compared to ___, concerning for pneumonia. |
13243522 | Severe pulmonary abnormalities are long-standing, including marked bronchiectasis and scarring. Intermittently the right upper lobe has been and collapsed. Today it is aerated, but shows that it is severely bronchiectatic. Interstitial abnormality, most evident in the lingula and lung bases has been a relatively constant feature, but on at least 1 occasion, ___ ___, it was less abnormal, suggesting chronic recurrent congestive heart failure has recurred. Heart is obscured by pulmonary abnormality, probably not severely enlarged or changed since prior studies. Transvenous right atrial biventricular pacer leads are unchanged in their respective positions since ___. A right central venous infusion catheter ends in the mid SVC. | 57927235 | EXAMINATION: CHEST (PA AND LAT)CHEST (PA AND LAT)i INDICATION: ___ year old man with cystic fibosis and heart failure presents with shortness of breath // pneumonia, pulmonary edema COMPARISON: Chest radiographs since ___, most recently ___. | Severe chronic bronchiectasis due to cystic fibrosis. Recurrent mild chronic congestive heart failure. Pacer leads are unchanged in their positions. |
13243522 | Chronic consolidation in the right upper lobe with bronchiectasis and left upper lobe bronchiectasis is again seen. Consolidation in the lingula appears similar to prior. Right middle lobe and bibasilar bronchiectasis are better seen in prior CT's. Cardiac size cannot be evaluated. Loss of volume in the upper lobes is again seen. There is no effusion or pneumothorax. There are multiple healed right rib fractures. No free air below the right hemidiaphragm is seen. Right chest port tip is not seen, can be followed to the lower SVC then, obscured by the pacer leads. Left chest cardiac device is in normal position. Right lower lobe opacities have improved | 58024764 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with cf, hx of chf. // eval for pna, pulm edema COMPARISON: CTA chest ___ | No pulmonary edema. Multifocal consolidations are most likely chronic. If there is persistent concern for acute process, CT chest would be the next imaging study. |
13243522 | Frontal and lateral chest radiographs demonstrate a right port with the tip in the right atrium, as before, without obvious kink or obstruction. Chronic collapse of the right upper lobe and severe multifocal bronchiectasis and scarring is redemonstrated, but generally improved. Moderate cardiomegaly is unchanged. There is no pleural effusion or pneumothorax. | 57623250 | WET READ: ___ ___ 8:44 PM Right Port-A-Cath ends in the mid right atrium, unchanged. Extensive bilateral bronchiectasis, as seen on the prior radiograph from ___. Heterogeneous opacity in the upper aspect of the right lung has decreased, particularly when compared to the study from ___, likely improving atelectasis. ______________________________________________________________________________ FINAL REPORT HISTORY: Cystic fibrosis, now with nonfunctioning right chest port. COMPARISON: Multiple chest radiographs dating back to ___, the most recent on ___, as well as CTA chest from ___ and CT chest from ___. | Right port with the tip in the right atrium, as before, without obvious kink or obstruction. Redemonstration of chronic collapse of the right upper lobe and severe multifocal bronchiectasis/scarring, generally improved. |
13243522 | Right-sided Port-A-Cath tip terminates at the cavoatrial junction, unchanged. Left-sided pacemaker device is re- demonstrated with leads terminating in unchanged positions. Heart size remains moderately enlarged. Mediastinal contours are unchanged. Bilateral hilar enlargement compatible with underlying lymphadenopathy is re- demonstrated as well as superior retraction of the hila due to chronic collapse, extensive bronchiectasis and scarring in the upper lobes, more so on the right. Continued ill-defined patchy opacities with nodularity are seen throughout both lungs, most pronounced in the left lung base. No new focal consolidation is present. Deformity of the right rib cage is chronic. No pleural effusion or pneumothorax is present. | 58444502 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest CTA ___ chest radiograph ___ | Chronic changes compatible with known history of cystic fibrosis with extensive upper lobe predominant bronchiectasis and multifocal areas of parenchymal opacification, most pronounced in the right upper lobe and left lower lobe. |
13243522 | Left-sided the AICD/ pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Right Port-A-Cath tip terminates in the lower SVC, unchanged. Mild enlargement of the cardiac silhouette is again noted with left ventricular predominance. The mediastinal contour is unchanged with mild rightward deviation of the trachea again noted. Extensive, chronic parenchymal opacities with architectural distortion and bronchiectasis are noted bilaterally, most pronounced in the right upper and left lower lung fields, not substantially changed in the interval, with slight increased atelectasis in the right upper lobe. Remote right-sided rib fractures are again noted. No pneumothorax or pleural effusion is clearly evident. Mild degenerative changes are again noted in the thoracic spine. | 53638759 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cystic fibrosis here with productive sputum, increased shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Chronic diffuse parenchymal abnormality predominantly characterized by marked bronchiectasis and scarring, most pronounced in the right upper lobe and left lung base, compatible with cystic fibrosis, and not substantially changed in the interval. No new areas of parenchymal opacification clearly identified. |
13243522 | Lung fields are more inflated with subtle improvement of right lung opacity, in particular in the right upper lobe. The left base opacification are stable. Cardiac size is persistently enlarged. | 52981040 | PATIENT HISTORY: ___ years old man with CHF exacerbation and CF. INDICATION: Edema versus infiltrate. TECHNIQUE: Chest x-ray in two views. COMPARISON: Exam is compared to chest x-ray of ___. | Improved ventilation with mild reduced opacification of the right lung, especially in the RUL. Persistent cardiomegaly. |
13243522 | Support lines and tubes are unchanged in appearance when compared to the prior study. Multifocal airspace opacities with areas of bronchiectasis are similar when compared to the prior study. No pneumothorax seen. No definite pleural effusion. | 59302003 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with dyspnea and recent BAL // Assess lungs for opacification TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | No significant interval change when compared to the prior study. |
13243522 | Moderate to severe cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unchanged. Diffuse severe bronchiectasis, most pronounced within the upper lobes, with architectural distortion is compatible with the patient's known history of cystic fibrosis. There is persistent collapse and consolidation of the right upper lobe and lingula, findings which appear relatively unchanged compared to the previous exams. Slight rightward shift of the trachea likely reflects volume loss in the right lung. No pulmonary vascular congestion is demonstrated. Patchy opacities within the right lung base and left mid lung field appear slightly worse in the interval. There is a possible small left pleural effusion. No pneumothorax is identified. Remote right-sided rib fracture is noted. | 50480621 | HISTORY: Dyspnea. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___ chest radiograph, chest CTA ___. | Extensive bronchiectasis with chronic right upper lobe and lingular collapse and consolidation. Patchy opacities in the left mid and right lung base appear progressed in the interval, which is concerning for worsening airways infection or inflammation. Possible small left pleural effusion. |
13243522 | Right IJ catheter ends at approximately the mid SVC. Chronic changes of distortion and opacification in both lungs are again seen with increased opacity in the right upper lobe. | 55972189 | HISTORY: ___-year-old male with CF exacerbation on IV antibiotics. Placement of right IJ - concern for migration. TECHNIQUE: Portable AP frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | The right IJ catheter ends in the mid SVC. |
13243522 | There has been interval removal of the PICC. The heart size is enlarged. The mediastinal and hilar contours are within normal limits. The lungs demonstrate severe bronchiectatic changes with consolidation of the right upper lobe and lingula, progressed since prior study. Multiple areas of pulmonary opacification are present with a heterogeneous distribution. There is no large pleural effusion or pneumothorax. | 52264315 | HISTORY: ___-year-old male with cystic fibrosis and history of recurrent pneumonia. STUDY: Portable AP upright chest radiograph. COMPARISON: ___. | Bronchiectasis with consolidation of the right upper lobe and lingula. Cardiomegaly with findings suggestive of pulmonary edema in the appropriate setting although multifocal superimposed pneumonia is not excluded as a potential etiology by this study. |
13243522 | The masslike airspace opacity at the right hilum has improved slightly in appearance. Ring shadows in the right upper lobe are more prominent than on the prior study but similar in degree when compared to an earlier study from ___. These likely reflect background changes of cystic fibrosis. There is improved aeration of the left lung with consequent improved visualization of airspace opacity at the left lung base. No pneumothorax seen. | 53771660 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CF, MDR PNA // interval changes TECHNIQUE: Portable semi-erect chest radiograph COMPARISON: Multiple prior studies most recent dated ___ | Slight interval improvement in the right perihilar airspace opacity, otherwise no significant interval change when compared to the prior study. |
13243522 | As compared to prior chest radiograph from ___, there has been interval removal of a right-sided IJ central venous catheter. There is redemonstration of chronic changes of distortion and opacification of both lungs. Increased opacity in the right upper lobe is stable and likely relates to chronically collapsed right upper lobe and bronchiectasis as seen on prior chest CT. Opacities along the left mid lung field have slightly improved. There is no new focal consolidation. Cardiomediastinal and hilar contours are stable. There is no large pleural effusion or pneumothorax. | 51262201 | HISTORY: Shortness of breath. Evaluate for pneumonia, pulmonary edema. COMPARISON: Prior chest radiograph from ___, ___ and prior chest CT from ___. TECHNIQUE: PA and lateral chest radiographs. | Chronic changes of distortion and opacification of both lungs. No new focal consolidation. |
13243522 | PA and lateral images of the chest. Right port terminates in the right atrium. Diffuse bronchiectasis is seen, consistent with known CF. Opacity in the right upper lobe is unchanged from prior exam and likely reflects chronic right upper lobe collapse. Opacity in the left lower lobe is similar to prior exam and consistent with bronchiectasis. The cardiomediastinal silhouette is unchanged from prior exam. | 57633943 | HISTORY: History of CF, now with concern for pneumonia. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Opacity in the right upper lobe is unchanged from prior exam and likely reflects chronic right upper lobe collapse. Given that this is longstanding, evaluation of the right upper lobe bronchus such as with bronchoscopy is recommended. Opacity in the left lower lobe is similar to prior exam and consistent with bronchiectasis. |
13243522 | Single frontal view of the chest. Right port terminates in the right atrium. No kink or discontinuity is seen along the catheter of the port. Diffuse bronchiectasis, right upper lobe consolidation, and left lower lung opacities are similar to prior exams. The heart size and cardiomediastinal contours are stable. | 58194326 | HISTORY: Cystic fibrosis and CHF with recent port repositioning. COMPARISON: Multiple prior chest radiographs, most recently of ___. | Stable position of right chest wall port without kink or discontinuity seen along its catheter. |
13243522 | Support lines and tubes are unchanged in appearance when compared to the prior study. There are persistent multifocal airspace opacities throughout both lungs total relative sparing of the left apex. In addition there are ring shadows and tram-tracking suggests of bronchiectasis, consistent with the patient's known history of cystic fibrosis. No definite pleural effusions. No pneumothorax seen. | 59543799 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CF, intubated with recurrent fevers // please assess for interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Unchanged appearances of multifocal airspace opacities consistent with a multifocal pneumonia. Background changes of bronchiectasis. |
13243522 | The lungs remain hyperinflated. There is interval improved aeration of both lungs with persistent opacification of the right upper lung zone and bilateral hilar prominence. Extensive abnormal background interstitial lung markings are stable over multiple prior studies. There is no pleural effusion or pneumothorax. A right central venous catheter projects over the cavoatrial junction, unchanged. The cardiomediastinal silhouette is stable. There is exaggerated thoracic kyphosis. A tapered appearance of the left distal clavicle is redemonstrated. Healed right posterior rib fractures are again seen, likely sequela of prior trauma. | 51984767 | INDICATION: ___-year-old man with cystic fibrosis and atrial tachycardia, now with fever, here to evaluate for pneumonia. COMPARISON: Chest radiographs dated ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | Improved ventilation with persistent right upper lobe opacification and chronic interstitial changes. |
13243522 | PA and lateral chest views were obtained with patient in upright position, and analysis is made in direct comparison with the next preceding similar study of ___. The heart size remains unchanged. The widespread chronic pulmonary changes including fibrosis, bronchiectasis and overlying infiltrates have not changed significantly during the latest four days examination interval. Comparison is therefore extended to the PA and lateral chest examination of ___. It can be stated that some regress of hazy infiltrates in the right upper lobe area has occurred and also some scattered infiltrates in the right lower lobe area appear to have diminished. Left-sided changes again appear rather stable. Pulmonary congestive vascular pattern is difficult to assess in the presence of chronic interstitial disease and ectasia or it can be stated that no pleural effusion was present on examination of ___. Comparison with chest examination of ___, demonstrates the chronic pulmonary changes but markedly less extension of superimposed patchy parenchymal infiltrates. | 57027563 | TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient with chronic fibrosis and history of systolic congestive heart failure. Admitted with exacerbation of both, improving symptoms, evaluate for degree of improvement in pulmonary edema or focal consolidations. | Enlarged heart size but stable. Advanced chronic interstitial pulmonary changes including airway distortions of ectatic-type, superimposed lateral parenchymal infiltrates that have not changed significantly during the latest examination interval. There is no radiographic evidence for acute pulmonary edema. No pleural effusion was seen, and no pneumothorax is present. Comparison chest examination of ___, indicates that the patient has undergone a long-lasting episode of superimposed infectious processes. |
13891513 | Frontal and lateral chest radiograph demonstrate hyperinflated clear lungs with no focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. | 54264078 | HISTORY: ___-year-old female with CLL and increase disease. Chronic cough since ___. Evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. | No acute cardiopulmonary abnormality. Hyperinflated lungs. |
13046413 | PA and lateral chest radiographs demonstrate extreme, serpentine scoliosis, worst in the upper thoracic spine. However, the lungs are clear. There is no pleural effusion or pneumothorax. The heart size is normal. | 56341568 | INDICATION: Left-sided rib pain after chiropractic treatment. COMPARISON: None. | No rib fracture identified. |
13537870 | Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. | 52617633 | WET READ: ___ ___ 4:25 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with wheezing and sob // r/o infectious process TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
13351759 | There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Incidental note is made of resection of the anterior right first rib. | 52257715 | WET READ: ___ ___ ___ 10:42 AM No acute cardiopulmonary process ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, dyspnea, evaluate for acute cardiopulm disease. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___ and ___. | No acute cardiopulmonary process. |
13700980 | Low lung volumes cause bronchovascular crowding. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. | 57548569 | WET READ: ___ ___ ___ 1:59 PM Low lung volumes. No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with dyspnea on exertion, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None. Please note that comparison to old studies can be helpful to detect subtle interval change. | Low lung volumes. No acute cardiopulmonary process. |
13563024 | The cardiomediastinal and hilar contours are stable, with heart in the upper limits of normal. The lung volumes are low, but no consolidation, pleural effusion or pneumothorax is seen. | 50339164 | INDICATION: ___-year-old woman with altered mental status. COMPARISON: Chest radiograph, ___. FRONTAL AND LATERAL CHEST | No acute cardiopulmonary pathology. |
13612416 | Frontal lateral views of the chest. The lungs are clear and well expanded. Mild atelectasis or scarring in the left lung base is unchanged. The cardiomediastinal silhouette appears normal. There is no pneumothorax or pleural effusion. | 53093532 | HISTORY: ___ year old male with chest pain. COMPARISON: Multiple prior chest radiographs, the most recent of ___. | No focal opacity concerning for pneumonia. |
13612416 | The lungs are well expanded and clear. Mild atelectasis or scarring is seen in the left lung base, unchanged from prior exam. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. | 58220580 | HISTORY: History of and standing and status post DES in left circumflex who presents with chest pain. COMPARISON: Comparison is made with chest radiographs from ___. | No acute cardiopulmonary process. |
13612416 | PA and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. There is no pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. Surgical clips identified in the right upper quadrant. | 52472485 | HISTORY: ___-year-old male with chest pain and productive cough. COMPARISON: None. | No acute cardiopulmonary process. |
13612416 | Portable AP frontal image of the chest. The lungs are well expanded. Mild interstitial abnormality of unclear etiology is seen. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. | 59517745 | HISTORY: Central chest pain, history ACS. COMPARISON: Comparison is made chest radiograph ___ in ___. | Mild interstitial abnormality of unclear etiology. Conventional radiographs could be obtained for better assessment. |
13328114 | 3 vertical E oriented catheters are identified near the posterior spinal canal. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. | 51614578 | INDICATION: History: ___F with LLE pain // eval infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None available | No radiographic evidence of pneumonia. |
13734962 | The lungs are grossly clear. No confluent opacities identified. There is no pulmonary edema or pleural effusions. No pneumothorax is evident. Moderately severe enlargement of the pulmonary arteries is similar to prior and consistent with patient's underlying history of pulmonary arterial hypertension, better assessed on prior chest CT from ___. Additional rounded hyperdensities overlying the mediastinum likely correspond with known calcified mediastinal lymph nodes. vague opacity right midzone laterally is consistent with scarring seen on ___ CT scan. Known small calcificed granulomas not visualized. | 55617084 | HISTORY: ___-year-old male with history of cardiac disease, now presenting with chest pain and shortness of breath. COMPARISON: Chest radiograph from ___. Chest CT from ___. PORTABLE FRONTAL CHEST | No acute pulmonary process. |
13734962 | The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. Prominence of hilar vascular structures is unchanged. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. | 54856908 | HISTORY: Chest pain. COMPARISON: None. | No acute cardiopulmonary process. |
13734962 | The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No focal consolidation, pleural effusion or pneumothorax is seen. Mild right basilar atelectasis is again seen. | 58958706 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain, dyspnea // ? acute cardiopulmonary abnormailty TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No significant interval change. |
13846064 | Elevation of left hemidiaphragm and mild left lung base atelectasis is similar to ___. No consolidation, pleural effusion, or pneumothorax is identified. Cardiomediastinal silhouette is normal size. | 54576436 | INDICATION: ___M with left chest pain, constant, not pleuritic. // ___M with left chest pain, constant, not pleuritic. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. |
13894716 | There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable. | 50640883 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: interval change TECHNIQUE: AP chest x-ray COMPARISON: ___ | Bilateral interstitial infiltrates most consistent with edema. Continued evidence of left lower lobe atelectasis or consolidation. |
13894716 | A tracheostomy tube is present projecting over the thoracic inlet. The tip of a right central venous catheter projects over the cavoatrial junction. No focal consolidation or pneumothorax identified. A trace right pleural effusion is suspected. The size of the cardiac silhouette is enlarged but unchanged. | 53520081 | INDICATION: ___ year old man s/p tracheostomy exchange // trach placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Interval exchange of the tracheostomy tube. No pneumothorax identified. Suspected trace right pleural effusion. |
13894716 | A right internal jugular tunneled dialysis catheter is unchanged in position compared to the prior study. A right internal jugular vascular access catheter is also unchanged. In the interval since the prior study the tracheostomy has been removed in obtained for an endotracheal tube. The tip is positioned approximately 3.5 cm above the level the carina. There is a veil like opacity over the right lung likely representing a layering pleural effusion, this appears to have increased slightly in size compared to the prior study. Left lower lobe atelectasis persists. Mild to moderate pulmonary edema again noted. Moderate cardiomegaly. No pneumothorax seen. | 50814385 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with intubation // et tube placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___. | Probable mild increase in the right-sided pleural effusion. |
13894716 | The ET tube tip lies above the carina. The NG tube tip is poorly visualized lower mediastinum and beyond due to underpenetration. A right IJ central line tip overlies distal SVC. No pneumothorax is detected. There is cardiomegaly. There is CHF, with interstitial and alveolar edema. There is opacification of both lung bases, which could represent a combination of pleural fluid and underlying collapse and/or consolidation. Allowing for technical differences, the degree of CHF appears increased slightly compared with ___ at 02:48 | 55582331 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ s/p cardiac arrest with h/o DM, COPD, HTN presenting as transfer from OSH for post cardiac arrest care, shock, and respiratory failure. // interval change? COMPARISON: Chest x-ray from ___ at 02:48 | CHF with interstitial and alveolar edema. This appears slightly worse compared with ___ Opacity at both lung bases which likely represents combination of pleural effusions and underlying collapse and/or consolidation. NG tube not well visualized in lower esophagus and beyond due to underpenetration. |
13894716 | The tip of the endotracheal tube projects over the mid thoracic trachea. A gastric tube is present, the tip projecting over the stomach. A right internal jugular central venous catheter extends into the midportion of the SVC. Unchanged opacity in the right peritracheal region and around the right hilum. The right costophrenic angle is not included on these radiographs. No pneumothorax identified. Small left pleural effusion. The appearance of the cardiac silhouette is unchanged. | 58676331 | INDICATION: ___ year old man with COPD, s/p cardiac arrest, c/f PE, s/p bronchoscopy of RUL. // interval change, s/p bronchoscopy TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier today | No significant interval change since the radiograph from earlier today. |
13894716 | All enteric tube tip in the mid stomach. Endotracheal tube tip in good position. Right IJ central line, introducer sheath in place, similar. Increased heart size, pulmonary vascularity. Interstitial prominence, likely edema. Bilateral pleural effusions, stable. Bilateral lower lung opacities, likely atelectasis. | 58909423 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NGT s/p cardiac arrest with tube movement // evaluate NGT placement TECHNIQUE: Chest single view COMPARISON: ___ 04:51 | New enteric tube tip in the mid stomach. Otherwise stable |
13894716 | Allowing for differences in positioning, the ET tube NG tube and 2 right IJ lines are probably similar in position. Again seen is mild to moderate cardiomegaly and CHF with vascular plethora an interstitial edema. Small amount of alveolar edema would be difficult to exclude. Retrocardiac opacity consistent with left lower lobe collapse and/or consolidation is unchanged. There is increased hazy density over the right over lower half of the right lung and to some degree at the left base. I suspect this reflects layering pleural effusions. Presence of progressed collapse and/or consolidation at the right base laterally cannot be excluded. | 55925366 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p cardiac arrest, started on CRRT, remains intubated // Interval change? COMPARISON: None. | Lines and tubes essentially unchanged. No pneumothorax detected. Mild to moderate cardiomegaly without significant change. CHF with interstitial and probably some degree of alveolar edema. Persistent left lower lobe collapse and/or consolidation. Hazy density at right greater left bases is suggestive of layering pleural effusions, more pronounced than on the prior film. Possibility of new collapse and/or consolidation at the right base laterally cannot be excluded. |
13894716 | Large bilateral pleural effusions (right larger than left) shows interval increase in size. Suspected associated atelectasis. Transverse cardiomegaly. Dialysis catheter in situ at the cavoatrial junction. No new airspace consolidation. | 51334425 | INDICATION: ___ year old man with respiratory failure s/p trach with hypotension, abd distention, and fever // Pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Worsening large bilateral pleural effusions with associated atelectasis. No new airspace consolidation. |
13894716 | Lungs are relatively hyperinflated with the cardiac silhouette appearing slightly smaller as compared the prior study. Mediastinal contours unremarkable. No overt pulmonary edema. No focal consolidation, large pleural effusion or pneumothorax. Subtle streaky left base retrocardiac opacity is likely atelectasis and overlap of vascular structures. Right-sided central venous catheter terminates in the low SVC. Tracheostomy tube is re- demonstrated. | 55979282 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyspnea, trach // eval for acute process TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No definite acute cardiopulmonary process. |
13894716 | The tip of the endotracheal tube projects over the mid thoracic trachea. The gastric tube courses below the level the diaphragms but beyond the field of view of this radiograph. The tube right internal jugular central venous lines are unchanged in position. Please note the right costophrenic angle and right lateral hemithorax are not included on this x-ray. There are persistent bilateral layering pleural effusions with bibasilar atelectasis. No pneumothorax identified. The size the cardiomediastinal silhouette is enlarged but unchanged. | 50825078 | INDICATION: ___ year old man with intubation and esophageal monitoring placement. // esophageal monitoring placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | The right lateral aspect of the chest is not included on this radiograph. The visualized thorax demonstrates no significant interval change since the prior study. |
13894716 | Interval placement of an endotracheal tube which projects 1.9 cm from the carina. Two right internal jugular central venous lines are present, unchanged. The costophrenic angles are not included on this radiograph. Unchanged appearance of the visualized lung parenchyma including bilateral layering pleural effusions. The size of the cardiac silhouette is unchanged. | 59573688 | INDICATION: ___ year old man with trach, needed to be re-intubated // ETT tube placement? TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | Interval placement of an endotracheal tube which projects 1.9 cm from the carina. Findings were communicated to and acknowledged by ___ at ___h___ by ___, MD |
13894716 | Right IJ tunneled catheter ends in the right atrium. Two right IJ central venous catheters ending in the high and mid SVC are unchanged. A endotracheal tube is appropriately positioned ending approximately 7.0 cm above the carina with the patient's chin up. There bilateral layering pleural effusions, right greater than left. There is mild pulmonary edema. Lung bases are not imaged bilaterally. There is no pneumothorax. | 57803270 | EXAMINATION: Chest radiograph INDICATION: ___ year old man intubated volume overload VAP, evaluate for interval change. TECHNIQUE: Portable chest. COMPARISON: Chest radiograph dating back to ___. | Appropriate positioning of monitoring and support devices. Unchanged pulmonary edema and bilateral layering pleural effusions. |
13894716 | OG tube tip is not well visualized beyond gastroesophageal junction. Consider KUB to further evaluate course of NG tube. No significant interval change in bilateral pleural effusions and atelectasis and pulmonary edema compared to chest radiograph performed earlier on the same day. Cardiac size is enlarged. There is no pneumothorax. | 54449297 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with respiratory failure now with OG // eval for OG tube placement TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ | OG tube tip is not well visualized beyond the upper SVC level. Consider KUB to further evaluate course of NG tube |
13894716 | ET tube is approximately 8.4 cm above the carina. Right IJ central venous catheter terminates in mid SVC. The enteric tube loops around and terminates in the stomach. Moderate pulmonary venous congestion has slightly improved and no pulmonary edema. Left lower lobe atelectasis is unchanged. No new consolidation. No pleural effusions or pneumothorax. Heart size is top normal but unchanged. Mediastinal silhouette is unchanged. | 53160255 | INDICATION: ___ year old man s/p cardiac arrest, PNA, high PEEP requirement // interval line placement, pulmonary edema TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___. | ETT is 8.4 cm above the carina. Improved pulmonary venous congestion. |
13217652 | Mild cardiomegaly is new since ___. Mild pulmonary vasculature engorgement is unchanged. No edema, effusions, or pneumothorax. No focal consolidation concerning for pneumonia. | 56060875 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old woman with 4 weeks of episodic dyspnea. Assess for cardiopulmonary disease. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___. | New mild cardiomegaly since ___, without pulmonary edema or effusions. No evidence of pneumonia. |
13639506 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 59024064 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain COMPARISON: None | No acute intrathoracic process. |
13778039 | AP upright and lateral views of the chest provided. There is bibasilar atelectasis, left greater than right. There is no large effusion or pneumothorax. No overt edema or congestion. Cardiomediastinal silhouette is normal. Bony structures are intact. | 51831448 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with L tibial plateau fx, suspected tendon injury, hx COPD // preop CXR COMPARISON: None | Bibasilar atelectasis, otherwise unremarkable exam. |
13545158 | The lungs are clear. There is no pneumothorax or effusion. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. | 57679845 | INDICATION: ___F with SOB x2 mo, new chest pain // ? pneumothorax TECHNIQUE: PA and lateral views of the chest. COMPARISON: None | No acute cardiopulmonary process. |
13379136 | Cardiac silhouette size is normal. The aorta is tortuous. Mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51097867 | EXAMINATION: CHEST (PA AND LAT) INDICATION: Chest pain, shortness of breath and cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | Streaky bibasilar opacities, most reflective of atelectasis. |
13379136 | Lower lung volumes seen on the current exam with more conspicuous streaky bibasilar opacities, likely atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Right lateral electronic device with leads likely within posterior soft tissues of the back. | 51547962 | INDICATION: ___M with weakness, lightheadedness // Any pneumonia? TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___. | Bibasilar opacities likely atelectasis, no definite acute cardiopulmonary process. |
13293910 | The lungs are hyperinflated. Bibasilar opacities with blunting the lateral and posterior costophrenic angles are compatible with small effusions. Superimposed right basilar opacity may be due to atelectasis. Superiorly the lungs are clear. The cardiac silhouette is mild-to-moderately enlarged. Atherosclerotic calcifications are noted in the thoracic aorta, and its descending portion is tortuous. Mid thoracic compression deformities are unchanged from ___. | 56018585 | INDICATION: ___F with shortness of breath for 2 days and KNOWN copd // role pnumonia and volume overload TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest x-rays from ___ and ___. CTA chest from ___. | Hyperinflated lungs. Bibasilar opacities in part due to small effusions. Superimposed right basilar opacity, potentially atelectasis with infection not excluded. |
13293910 | Single portable view of the chest. The lungs are hyperinflated. Linear bibasilar opacities are seen most suggestive of atelectasis or scar. There is blunting of the costophrenic angles potentially due to technique and overlying soft tissues although small effusions are also possible. Superiorly, the lungs are clear of consolidation. There is no pulmonary vascular congestion. The cardiac silhouette is enlarged but stable in configuration. Calcifications along the left aspect of the mediastinum, atherosclerotic in nature. No acute osseous abnormalities detected. | 51146707 | HISTORY: ___-year-old female COPD with increased dyspnea. COMPARISON: ___. | Hyperinflation with linear bibasilar opacities thought to be scarring or atelectasis. Blunting of the costophrenic angles potentially technical or due to overlying soft tissues noting small effusions are also possible. If desired, a repeat with PA and lateral can be performed. |
13293910 | The lungs are hyperinflated. There is an opacity at the base of the right lung that could represent scarring or atelectasis, but could also represent pneumonia. The heart is enlarged and the aorta is mildly tortuous. The hilar contours are normal. There is no pleural effusion or pneumothorax. | 56789738 | HISTORY: COPD exacerbation. TECHNIQUE: Frontal views of the chest. COMPARISON: Multiple chest radius most recent on ___. | Severe emphysema and right base opacity concerning for possible pneumonia. These findings were communicated to Dr. ___ at 10:00 on ___ by Dr. ___. |
13323877 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 50107409 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever, cough*** WARNING *** Multiple patients with same last name! // fever, cough TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13370871 | Endotracheal to terminates approximately 3.8 cm from the carina. An enteric tube tip is within the stomach however side port is proximal to the gastroesophageal junction and should be advanced by approximately 8 cm for optimal positioning. The heart size is normal. The aorta is markedly tortuous. Mild pulmonary edema is demonstrated. Additionally, ill-defined alveolar opacities are seen predominant within the lung bases, potentially aspiration or infection. No pleural effusion or pneumothorax is clearly identified. No acute osseous abnormality is seen. | 55699717 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with intubated transfer, evaluate for ETT placement, pneumonia TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None. Patient is currently listed as EU critical. | Endotracheal tube in standard position. Enteric tube tip in the stomach, however the side port is proximal to the gastroesophageal junction. The enteric tube should be advanced by approximately 8 cm for optimal positioning. Ill-defined alveolar opacities in the lung bases may reflect infection or aspiration. Mild pulmonary edema. |
13370871 | A new left internal jugular central venous catheter tip terminates in the mid SVC. Endotracheal tube is in standard position. The enteric tube has been advanced with the side port now within the stomach. Heart size is normal. The aorta remains tortuous. Mild pulmonary edema persists. Diffuse alveolar opacities within the lung bases are not substantially changed in the interval, again concerning for infection or aspiration. No pneumothorax is identified. | 52671768 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with pneumonia/ sepsis TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: ___ at 12:40 | Interval placement of left internal jugular central venous catheter with tip in the mid SVC. No pneumothorax. Advancement of the enteric tube with side port now within the stomach. Remainder of the examination is otherwise without relevant change. |
13030173 | Lungs are fully expanded and clear. Heart size is at the upper limits of normal or minimally enlarged. The mediastinal silhouette is within normal limits. There is minimal upper zone redistribution, without overt CHF. No focal infiltrate or pleural effusion is detected. | 51474231 | WET READ: ___ ___ ___ 12:53 AM Mild cardiomegaly and apparent pulmonary vascular congestion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest radiographs INDICATION: ___M with COPD, CHF who presents w SOB, diaphoresis. TECHNIQUE: Chest PA and lateral COMPARISON: None. | Borderline cardiomegaly. Mild upper zone redistribution, without overt CHF. |
13992423 | Heart size is moderately enlarged. Aorta is tortuous. There is pulmonary vascular redistribution with some hazy ill-defined vasculature. There is volume loss at the bases. There is no definite infiltrate. | 59040401 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hypoxia, SOB, new onset AF // eval for fluid overload, PNA TECHNIQUE: Portable chest COMPARISON: ___. | Compared to the prior exam the vascular plethora has increased |
13904642 | The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 53789112 | INDICATION: ___-year-old man with hypertension presenting with fever, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___. | No acute cardiopulmonary process. |
13989300 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal silhouette is unremarkable. Hilar contours are stable. No displaced fracture is seen. Thoracolumbar scoliosis is partially imaged. | 51173922 | HISTORY: Chest pain x. TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13664951 | As compared to chest radiograph from the same day, slight increase in left basilar opacity, likely worsening atelectasis. Right lower lobe atelectasis has not substantially changed. Mild obscuration of the pulmonary vessels can be mild pulmonary edema. No large effusions. Mild moderate cardiomegaly unchanged. | 53174477 | INDICATION: This is a ___F w/hx of hypothyroidism and peripheral neuropathy, presenting to ___ ___ w/new onset SOB, found to have extensive bilateral PEs and residual left lower extremity DVT. // Interval change? pulmonary edema? | Mild obscuration of the pulmonary vessels can be mild pulmonary edema. Mild basilar atelectasis. |
13664951 | Previous device in the right internal jugular vein has been removed. Previous moderate cardiomegaly is improved now mild. There is no new focal airspace opacity. Mild bibasilar atelectasis is not significantly changed. There is no pneumothorax or large pleural effusion. The mediastinal and hilar contours are normal. Lobulated soft tissue obscuring the contour of the descending thoracic aorta and paraspinal line is likely a hiatal hernia. | 59971272 | INDICATION: ___ year old woman with PE w/EKOS catheter placement // s/p EKOS, interval change, pneumothorax? TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiograph ___ and ___ | Improved mild cardiomegaly. No pneumothorax. Lobulated soft tissue obscuring the descending thoracic aorta and paraspinal line is likely hiatal hernia. Recommend attention on followup. |
13162864 | The lungs are well expanded. There is bilateral diffuse increase in interstitial thickening, with indistinctness of both hila and a small right-sided pleural effusion in the setting of moderate cardiomegaly. No focal opacities are identified. There is no pneumothorax. | 58968783 | INDICATION: ___-year-old female with new stroke. Evaluate for acute cardiopulmonary process. COMPARISON: None available. TECHNIQUE: AP upright and lateral views of the chest were obtained. | Mild interstitial pulmonary edema, trace right pleural effusion, and moderate cardiomegaly. |
13138256 | There there are bilateral lower lobe airspace opacities. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal. | 53796371 | WET READ: ___ ___ ___ 12:24 PM Findings concerning for bilateral lower lobe pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with cough and fever. COMPARISON: None available. | Findings concerning for bilateral lower lobe pneumonia. |
13349882 | AP and lateral views of the chest are provided. They demonstrate lungs that are clear. There is no pneumothorax. There is no evidence of pneumonia. Trachea is midline. Cardiac silhouette is within normal limits. No pleural effusion. Below the abdomen several distended loops of bowel are noted, perhaps related to an ileus given that the patient is status post orthopedic neck surgery. | 51884101 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ? PNA TECHNIQUE: Chest AP and Lateral | No acute cardiopulmonary process. Dilated bowel loops likely related to ileus. |
13558272 | Patient is status post median sternotomy and CABG. No focal consolidation is seen no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema. | 58519040 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with palpitations, chest discomfort, hx CAD/CABG // Evidence of acute CP process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13139059 | The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 58456977 | INDICATION: Cough. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13139059 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59925397 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with history of pneumonia x 2, presenting with 3 weeks of cough // R/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13496169 | Frontal and lateral views of the chest demonstrate stable mild cardiomegaly. The mediastinal and hilar contours are within normal limits. The lungs are hyperexpanded with diaphragmatic flattening, consistent with emphysema. Moderate atherosclerotic calcifications are seen along the entire extent of thoracic aorta, involving the arch. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. There is no appreciable compression deformity in the thoracic spine. | 58654265 | INDICATION: ___-year-old female with right flank/back pain. Question pneumonia. COMPARISON: ___. | No evidence of pneumonia. Emphysema. |
13496169 | PA and lateral chest radiographs were provided. Compared to the prior radiograph there has been no significant change. There is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of pulmonary edema. Minimal atelectasis is present in the right lower lobe. The heart size is mildly prominent but stable. Calcification of the aortic arch is noted. The imaged upper abdomen is unremarkable. Bones are intact. | 50627096 | HISTORY: ___-year-old female with CHF, COPD cough and orthopnea. Question CHF versus pneumonia. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process or significant change since the prior study. |
13988356 | PA and lateral views of the chest provided. Airspace consolidation is noted in the left lower lobe concerning for pneumonia. Small left pleural effusion is also likely present. The right lung is clear. Cardiomediastinal silhouette appears grossly within normal limits. Bony structures appear intact. | 50182377 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever // pna? COMPARISON: Chest CT from ___ as well as a chest radiograph from ___. | Left lower lobe pneumonia. |
13988356 | Compared with the prior chest x-ray, hyperinflated lungs with flattened diaphragms are consistent with COPD. Cardiomediastinal and hilar silhouettes are unchanged. Increased opacification in the retrocardiac region could indicate developing consolidation. | 52961716 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with increased reticular marking in the left lung base on recent thoracic spine radiograph. Evaluate further. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph of ___. | Increased retrocardiac opacification could indicate developing consolidation or infection, particularly if the patient has the appropriate symptoms. |
13988356 | The lungs are hyperexpanded with changing appearance of right lower lobe opacification and focal nodular opacity at the level of the diaphragm. Mediastinal contours, hilar, and cardiac borders are normal. No pleural effusion or pneumothorax. | 56459643 | INDICATION: ___ year old woman with emphysema and prior pneumonias, including one in ___ // f/u film to assess for complete resolution TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. CT of the chest from ___ | Right lower lobe opacity has not improved. Focal nodular opacity could represent consolidated infection or pulmonary nodule. Emphysema. |
13988356 | There is been interval resolution of the bibasilar opacities, consistent with resolved pneumonia. The lungs are over-inflated with flattening of hemidiaphragms, consistent with COPD. The cardiomediastinal and hilar contours are stable. There is no new focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. Diffuse osteopenia is present the visualized osseous structures. | 55251512 | INDICATION: ___ year old woman with LLL pneumonia late ___ // assess for complete clearing TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | Resolution of pneumonia. No acute cardiopulmonary process. COPD. |
13988356 | PA and lateral views of the chest provided. Airspace consolidation is noted within the right lower lobe concerning for pneumonia. Findings are new from prior. Lungs appear hyperinflated likely 2 day emphysema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact. | 58299436 | WET READ: ___ ___ ___ 3:57 PM Emphysema with a right lower lobe pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever // R/O PNA COMPARISON: ___ | Emphysema with right lower lobe pneumonia. |
13988356 | New right internal jugular central venous line terminates in the upper right atrium and should be slightly retracted for better positioning. Again demonstrated are heterogeneous bibasilar opacities concerning for pneumonia, with blunting of the left costophrenic angle, likely representing a small pleural effusion. Heart size is normal. No pneumothorax. | 52559350 | WET READ: ___ ___ ___ 11:34 PM 1. Right internal jugular central venous line terminates in the upper right atrium and should be slightly retracted. 2. Heterogeneous bibasilar opacities concerning for pneumonia. 3. Small left pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shock, s/p R IJ placement // eval for R IJ placement TECHNIQUE: Upright chest radiograph COMPARISON: ___ at 16:37 | Right internal jugular central venous line terminates in the upper right atrium and should be slightly retracted. Heterogeneous bibasilar opacities concerning for pneumonia. Small left pleural effusion. |
13062374 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 56363878 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // CP TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13565066 | PA and lateral views of the chest were obtained. There is mild linear density in the left lung base which likely represents a small amount of atelectasis. Aside from this, lungs are well expanded. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm. | 51326005 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Left-sided chest pain, history of PE, on Coumadin, assess acute abnormalities. | Minimal linear atelectasis at the left lung base. Otherwise, normal. |
13546197 | The lung volumes are normal. There is no evidence of pleural effusions. No focal parenchymal opacity suggesting pneumonia, no pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. A 1-2 mm right medial basal calcified granuloma was present at the last examination and is unchanged. | 56496944 | CHEST RADIOGRAPH INDICATION: Recent history of pneumonia, shortness of breath. COMPARISON: ___. | No evidence of pneumonia. |
13082691 | Heart size, mediastinal and hilar contours are within normal limits. Lungs are clear except for minimal linear atelectasis at the bases. Small pleural effusions are present bilaterally. Anterior elevation of right hemidiaphragm is also noted. | 50220528 | PA AND LATERAL CHEST ___ No prior radiographs for comparison. | Small bilateral pleural effusions. |
13107306 | Lung volumes are low. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size remains mildly enlarged. Aortic knob calcifications are again noted. The aorta is somewhat unfolded. Pulmonary vascularity is normal, and the hilar contours are unremarkable. Minimal patchy bibasilar atelectasis is noted. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51351117 | HISTORY: New onset headache, refractory hypertension. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Low lung volumes with minimal bibasilar atelectasis. |
13030029 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 54573306 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ESRD on HD, pre-renal transplant eval code ___ // ___ year old woman with REASON FOR THIS EXAMINATION: assess for cardiopulmonary abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No acute cardiopulmonary abnormality. |
13030029 | Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. No focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is mild perihilar vascular congestion. Stable post-vertebroplasty changes of T11 vertebral body. Mild compression deformities of mid-to-lower thoracic vertebral bodies are slightly progressed since ___. | 58891263 | INDICATION: Patient with end-stage renal disease with new EKG changes. Assess for pulmonary edema or effusion. COMPARISONS: ___. | Low lung volumes and possible mild perihilar vascular congestion. No pleural effusion or pulmonary edema. |
13030029 | There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart is normal in size. Mediastinal contours are normal. A previously T11 compression fracture, now status post vertebroplasty, is identified and unchanged in appearance. | 54671069 | HISTORY: Preoperative examination prior to renal transplant. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to radiographs dated ___. | No radiographic evidence for acute cardiopulmonary process. |
13084641 | The lungs are hyperexpanded consistent with COPD. The diaphragms appear more flat and compared to the prior radiograph, which may be due to a better inspiration or small bilateral pleural effusions. The cardiomediastinal silhouette is normal. Pulmonary vasculature is normal. There is no pneumothorax. | 58231917 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with COPD, now with respiratory distress right after subclavian line removed // PTX? New acute process? TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___. | Interval flattening of the diaphragms, which may be due to hyperexpansion and a better inspiration, or small bilateral pleural effusions. |
13084641 | Endotracheal tube is in appropriate position. Left subclavian approach central venous catheter terminates in the mid SVC. Heart size is normal Calcifications are seen at the aortic knob. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. There are small bilateral pleural effusions. There is no pneumothorax. NG tube tip terminates in the stomach. | 51212819 | EXAMINATION: Chest radiograph INDICATION: Respiratory failure with intubation. TECHNIQUE: Portable frontal view of the chest. COMPARISON: None. | Appropriate position of the endotracheal tube. Small bilateral pleural effusions. |
13121870 | There are bilateral airspace opacities, left side greater than right, not significantly changed allowing for differences in patient positioning. There is improved left lower lung aeration. There is minimal right lower lung atelectasis. There is a small to moderate left pleural effusion, unchanged. There is no pneumothorax. The heart size is normal. A right-sided PICC ends in the mid SVC. | 54290747 | INDICATION: ___ year old man with chronic respiratory failure on vent, now with recent inc. wob // eval for interval change TECHNIQUE: Two AP radiographs of the chest were acquired. COMPARISON: Chest radiograph from ___. | Unchanged bilateral airspace opacities, left greater than right. Improved left lower lung aeration. Unchanged small to moderate left pleural effusion. |
13121870 | The ET tube terminates at the level of the clavicles. An esophageal temperature probe since in the mid esophagus. An enteric tube courses below the hemidiaphragm, tip not visualized. Faint bibasilar airspace opacities have slightly increased, particularly on the left. There is no pneumothorax. New blunting of the left costophrenic angle is likely due to a small pleural effusion. | 54435906 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with significant mucus plugging, now s/p cardiac arrest. // assess interval change. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | New or worsening bibasilar aspiration or infection. New small left pleural effusion. |
13121870 | The patient remains intubated. The endotracheal tube terminates approximately 6 cm above the carina, as before. An orogastric tube courses into the stomach, its distal course not imaged, below the inferior margin of the film. A left-sided PICC line terminates at the cavoatrial junction. There is persistent confluent retrocardiac opacification with a small or perhaps small-to-moderate layering pleural effusion. Allowing for small differences in technique, findings are probably unchanged. There is no pneumothorax. | 51589766 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Status post intubation with oxygen desaturation and decreased breath sounds of the left. TECHNIQUE: Chest, portable AP upright. COMPARISON: ___. | Persistent left lower lobe opacification, in a pattern which is very commonly due to atelectasis although an infectious process is not excluded, with pleural effusion. |
13121870 | Cardiac size is normal. Bilateral multifocal consolidations have increased in the right base. The small bilateral effusions larger on the left are stable. There is no pneumothorax. Right PICC tip is in the mid SVC in. Cervical spinal hardware is partially imaged | 55157783 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ___ and resp failure s/p trach // interval change TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Mild worsening of multifocal lung consolidations. |
13121870 | A right-sided PICC line terminates in the mid SVC. A left basilar pigtail catheter remains in place. The patient is slightly rotated. Bilateral airspace opacities have slightly increased. Left basilar retrocardiac airspace opacification most likely due to atelectasis is unchanged since the most recent prior exam, and recurrent. A small left pleural effusion is unchanged. | 55528067 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with trach/chronic hypercarbic respiratory failure here with suspected VAP s/p chest tube placement, now to water seal // chest tube evaluation TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Evolving multifocal pneumonia. Stable chronic recurrent left lower lobe atelectasis. Stable small left pleural effusion. |
13121870 | The feeding tube terminates in the stomach. Endotracheal tube terminates at the level of the clavicles. Aeration of the left lung has improved, and the left pleural effusion has substantially decreased. Mild persistent left basilar retrocardiac airspace opacification is likely due to resolving aspiration pneumonia. Mildly increased opacification at the medial right lung base may also be due to new or worsening aspiration. | 54476272 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with aspiration pneumonia, s/p bronch. // assess interval change s/p bronch TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___ and ___. | Substantial interval improvement in bilateral aspiration pneumonia as since ___. However, there may be new or worsening aspiration at the right base. |
13121870 | Tracheostomy tube projects over the midline of the upper thoracic trachea.Again seen is a moderate-sized left pleural effusion. Streaky left perihilar opacities while possibly representing atelectasis, could represent infection. Retrocardiac opacification likely represents left lower lobe collapse. The right lung is clear and slightly hyperinflated. Cardiomediastinal silhouette is normal. | 51235260 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chronic tracheostomy, with increased secretions. Evaluate for pneumonia. TECHNIQUE: Portable frontal chest radiograph COMPARISON: Chest radiograph from ___ | Persistent moderate left pleural effusion with left perihilar opacitites possibly representing atelectasis or infection. |
13944260 | PA and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is present. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly unremarkable. Our records do not include a previous chest examination available for comparison. | 51954051 | DATE: ___. TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient with cough for one month. Evaluate for infiltrate. | Normal chest findings, no evidence of pulmonary infiltrate in this ___-year-old male patient with history of cough. |
13432934 | Cardiac, mediastinal and hilar contours are within normal limits. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is not engorged. Hyperinflation of the lungs suggests underlying COPD. Lungs are clear without focal consolidation. Calcified granulomas in the periphery of the right mid lung field are unchanged. No pleural effusion or pneumothorax is present. Degenerative changes are seen within the imaged thoracic spine as well as within the right AC joint. | 57491819 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13031876 | There is a rounded opacity in the right upper lobe, approximately 1.8cm. There is no effusion or pneumothorax. The pulmonary vasculature is within normal limits. There is partial visualization of anterior fusion hardware of the cervical spine. The heart size is magnified by portable technique, the mediastinal contours are unremarkable. | 50882034 | CLINICAL INFORMATION: ___-year-old male with leukocytosis, and fever, question pneumonia. COMPARISON: None. | Right apical rounded opacity concerning for infection or malignancy. Recommend repeat dedicated AP and lateral chest radiograph, or CT for further evaluation. These recommendations were discussed with Dr. ___ ___ the MICU at 7:30AM by phone. |
13031876 | Since the prior study, an endotracheal tube has been placed. Its tip is 5.3 cm from the carina. A PICC ends in the mid SVC. A feeding tube overlies the stomach with the tip out of view. A pleural effusion on the left is small. A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis. There are no new opacities. There is no pneumothorax. Cervical hardware and right humeral soft tissue anchors are unchanged. | 54922650 | INDICATION: Aspiration event requiring intubation. COMPARISONS: Chest radiograph ___. Chest radiograph ___. Chest CT ___. | Endotracheal tube 5.3 cm from the carina. Persistent left pleural effusion and atelectasis. |
Subsets and Splits
No saved queries yet
Save your SQL queries to embed, download, and access them later. Queries will appear here once saved.