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13031876 | The right-sided PICC has been repositioned and now ends in the mid SVC. The NG tube courses to the stomach, although the tip is excluded from view. Lung volumes remain low. Retrocardiac opacity persists and is consistent with atelectasis and a small pleural effusion as seen on ___ abdomen/pelvis CT. Pulmonary edema has resolved. | 53555445 | INDICATION: ___-year-old man with ETOH hepatitis, worsening leukocytosis, status post treatment for HCAP. Assess for new infiltrate. COMPARISON: Multiple prior chest radiographs, most recent ___. SINGLE FRONTAL PORTABLE VIEW OF THE | No evidence of pneumonia. Retrocardiac opacity is consistent with atelectasis and a small pleural effusion as seen on ___ abdomen/pelvis CT. |
13031876 | One portable AP upright view of the chest. The right apical opacity is stable and concerning for either a nodule or infection. There are low lung volumes which exaggerates the bibasilar atelectasis. Anterior fusion hardware is seen. The cardiac, mediastinal and hilar contours are normal. | 57045066 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 5:19 PM 1. Right apical opacity concerning for either infection or nodule. 2. Other than low lung volumes, no significant change compared to most recent study. ______________________________________________________________________________ FINAL REPORT INDICATION: Alcoholic cirrhosis, in withdrawal, and encephalopathy, interval change. COMPARISON: Chest radiographs from ___. | Right apical opacity concerning for either infection or nodule. Other than low lung volumes, no significant change compared to most recent study. |
13031876 | The tip of an endotracheal tube is 4.7 cm from the carina. There is stable moderate enlargement of the cardiac silhouette. The mediastinum is normal. A small left pleural effusion is unchanged. An adjacent persistent hazy opacification at the left base likely represents atelectasis. The right lung is clear. There is no pneumothorax. | 53831546 | INDICATION: Acute respiratory distress requiring intubation. COMPARISONS: Chest radiograph, ___. Chest radiograph, ___. CT chest, ___. | Persistent left basilar atelectasis and small left pleural effusion. |
13031876 | AP single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Position of previously described right-sided PICC line is unchanged, seen to terminate in mid portion of SVC. No pneumothorax is present. Pulmonary congestive pattern as before with perivascular haze and slightly more marked diffuse densities on the left base, similar as it was before. No significant interval change can be identified. No new abnormalities on the right base. | 58856677 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with tachypnea, liver disease, atelectasis and small effusions. Evaluate for pulmonary edema and new infiltrates. | Stable chest findings, no new abnormalities. |
13235051 | PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Surgical clips seen in the right upper quadrant. Osseous and soft tissue structures are otherwise unremarkable. | 54929360 | HISTORY: ___-year-old female with fever for 3 weeks and recent influenza. Question pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
13235051 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Partially imaged is surgical hardware along the cervical spine. | 56762902 | HISTORY: Persistent cough. TECHNIQUE: Frontal and lateral views at of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13446771 | There has been interval resolution of the left lower lobe pneumonia. There is a small residual area of linear atelectasis in the retrocardiac area. There is no pneumothorax or pleural effusion. The heart size, hilar and mediastinal contours are normal. The visualized osseous structures are unremarkable. | 54757433 | INDICATION: ___-year-old female with a history of left lower lobe pneumonia, who presents for evaluation. COMPARISON: Chest radiographs from ___; ___. TECHNIQUE: PA and lateral radiographs of the chest. | No current evidence of pneumonia. These findings were discussed with ___ at 1:20 p.m. by Dr. ___ ___ by telephone on the day of the exam. |
13446771 | PA and lateral chest radiograph demonstrate clear lungs bilaterally. No focal opacity convincing for pneumonia is identified. Cardiomediastinal and hilar contours are stable relative to examination dated ___. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema. | 59005285 | INDICATION: History: ___F with leukocytosis // Please evaluate for acute infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | No radiographic evidence of pneumonia. |
13446771 | PA and lateral views of the chest were reviewed and compared to the prior study. Increased opacity in the left lower lung and a tiny pleural effusion could represent an infectious process. Cardiac and mediastinal contours are normal. There is no pneumothorax. | 59937622 | INDICATION: Cough. COMPARISON: Chest radiograph ___. | Left lower lobe pneumonia. |
13367436 | The lungs are clear without focal consolidation effusion, or overt edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 50397764 | INDICATION: ___F with 2w CP // any cpd TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ at 14:23. | No acute cardiopulmonary process. |
13871345 | Lung volumes are noted to be mildly low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Mild bibasilar atelectasis is noted. The heart size is normal. Mediastinal contours are normal. Redemonstrated are multiple right-sided healed rib fractures. Surgical clips are noted within the left upper quadrant. | 58011532 | HISTORY: Chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___. | Low lung volumes and mild bibasilar atelectasis. No acute cardiopulmonary process. |
13148166 | Frontal and lateral views of the chest were obtained. There may be minimal left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Projecting over the posterior mid-to-lower thoracic vertebral body, again seen is a 0.9-cm density which appears minimally superior in relation to the vertebral body as compared to the prior study and could represent a calcified granuloma. Chest CT is pending and this can be confirmed on that study. | 59210161 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Fall with rib pain. COMPARISON: ___. | No acute cardiopulmonary process. |
13203908 | The heart is normal in size. There is a calcified lymph node along the aortopulmonary window. The mediastinal and hilar contours are otherwise unremarkable. There is mild elevation of the right hemidiaphragm. No pleural effusion or pneumothorax is visualized. The lungs appear clear. The lower thoracic spine curves slightly to the left. Vertebral body heights and interspaces appear essentially preserved in height. | 55123738 | CHEST RADIOGRAPHS HISTORY: Stroke symptoms. COMPARISONS: None. TECHNIQUE: Chest, AP and lateral. | No evidence of acute cardiopulmonary process. |
13165778 | Portable upright frontal view of the chest. The endotracheal tube has been removed. A transesophageal tube terminates off of the radiograph, but a side port is seen in the stomach. A right apical opacity is unchanged since ___ and represents pleural thickening. Prominence of the pulmonary arteries and borderline cardiomegaly are unchanged. There has been interval improvement in the bilateral pulmonary opacities since ___, consistent with improvement of pulmonary edema. There are small left greater than right pleural effusions and loculated fluid in the right oblique fissure. | 51292728 | CLINICAL INDICATION: Multiple cardiac and pulmonary issues. Evaluation for radiographic changes. COMPARISON: Multiple prior chest radiographs, the most recent of ___. Chest CT ___. | Improvmed mild pulmonary edema since ___. Loculated fluid in the right oblique fissure. |
13972513 | Moderate cardiomegaly has increased from ___. There increased interstitial markings bilaterally. There is no focal consolidation. There are small bilateral pleural effusions. | 59861477 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with past medical history significant for metastatic breast cancer, pulmonary embolism, peripheral neuropathy with history of bilateral lumbar radiculopathy and spinal stenosis, presenting for 1 week of bilateral lower extremity swelling and shortness of breath evaluate for pulmonary edema. TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiograph ___ and PET-CT ___. | Moderate cardiomegaly. Mild interstitial edema with probable small bilateral pleural effusions. |
13324998 | PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 52130779 | INDICATION: Chest pain and shortness of breath. COMPARISONS: ___ and ___. | No acute cardiopulmonary process. |
13324998 | The heart is at the upper limits of normal size. The aorta is mildly tortuous. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. | 53713014 | CHEST RADIOGRAPHS HISTORY: Chest pain and cough. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13324998 | The heart size is normal. There is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are normal. There is mild left basilar atelectasis. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. | 55498344 | INDICATION: History of chest pain. Please evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest. | Mild pulmonary vascular congestion. No focal consolidations concerning for pneumonia are identified. |
13324998 | The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. | 51565451 | INDICATION: ___-year-old male with altered mental status. Evaluate for acute process. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___, ___ and ___ and CT from ___. | No acute cardiopulmonary process. |
13398982 | The heart size is normal. The mediastinal and hilar contours are unchanged. Multiple mediastinal clips are again noted. The pulmonary vascularity is normal. Patchy retrocardiac opacity is re- demonstrated, and likely reflective of the patient's pneumonia, as demonstrated on the prior CT. Calcified granuloma in the right upper lobe is unchanged. Right lung is otherwise clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 51426952 | HISTORY: Recent pneumonia with medical noncompliance, fevers. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___. | Patchy opacity in the left lower lobe compatible with pneumonia as seen on the prior CT. |
13398982 | Frontal and lateral views of the chest were obtained. There has been interval removal of a left-sided PICC. 7 mm calcified right mid lung nodule is again seen, stable, likely representing a calcified granuloma. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Surgical clips are noted along the left mediastinum. | 59271546 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of chest pain. COMPARISON: ___. | No acute cardiopulmonary process. |
13356814 | Mild cardiomegaly is a stable. The aorta is tortuous. Small bilateral effusions larger on the right have increased. Bibasilar atelectasis have increased. There is no evident pneumothorax or pulmonary edema. The and moderate Degenerative changes in the thoracic spine | 52595455 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/ hx of HTN and vertigo p/w cough found to have RLL infiltrate and started on antibiotics. Course complicated by new afib, hyponatremia, and suspected iatrogenic volume overload. // assess interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Increasing bilateral effusions with adjacent atelectasis |
13356814 | The cardiomediastinal and hilar contours are stable. The aorta is tortuous. The lungs are mildly hyperexpanded suggestive of underlying emphysema. There has been interval development of a right lower lobe opacity which would be concerning for pneumonia or aspiration, less likely atelectasis. No pneumothorax or pulmonary edema. Note is made of severe degenerative change involving the right glenohumeral joint. | 52613722 | INDICATION: History: ___F with 5 of worsening cough, no fevers // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Interval development of probable right lower lobe pneumonia or aspiration. Clinical correlation is advised. |
13027516 | Multiple surgical clips are again noted at the GE junction. Opacity projecting over the right mid hemi thorax and extending along the abdomen is most consistent with a skin fold and only seen on frontal projection. The lungs are otherwise clear. Stable mild cardiomegaly. The right main pulmonary artery is again noted to be prominent, unchanged from ___. Mediastinal contour is within normal limits. A tortuous aorta is present. . Extensive degenerative disease of bilateral glenohumeral joints are again noted. No displaced rib fracture identified. Multiple wedge-shaped anterior compression fractures are stable from ___. | 54079937 | WET READ: ___ ___ ___ 2:56 AM Opacity projecting of the right mid hemi thorax is most consistent with skin fold. No definite evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F s/p fall, weakness. Assess for pneumonia, fracture or bleed TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest radiograph ___. | Opacity projecting of the right mid hemi thorax is most consistent with skin fold. No definite evidence of pneumonia. |
13580435 | Dual lead right-sided pacemaker is stable in position. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged hardware in the proximal right humerus. Anterior wedging of a mid thoracic vertebral body is similar in appearance compared to CT from ___. | 55412572 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // chest pain TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13848056 | There is no definite acute cardiopulmonary process. Increased opacity projecting over the first costochondral junctions bilaterally are unchanged over multiple prior exams. Enlarged pulmonary arteries suggesting pulmonary hypertension is also unchanged. Mild cardiac enlargement, unchanged. No new focal consolidation nor edema. There is tortuosity of the thoracic aorta with atherosclerotic calcifications. Thoracic and lumbar compression deformities are unchanged. | 53890514 | INDICATION: ___F with syncopal episode // Acute cardiopulmonary process TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. ___. | No acute cardiopulmonary process. |
13374841 | There is interval improvement in the previously demonstrated left pleural effusion. No focal pneumonia, pneumothorax, or pulmonary edema is seen. There is continued left lower lobe atelectasis which is unchanged since the prior study. Post-operative cardiac enlargement is also unchanged. | 58590072 | INDICATION: ___-year-old female status post mitral valve repair. Evaluation of pleural effusions. COMPARISON: Comparison is made to radiographs of the chest from ___ dating back to ___. | Improving left pleural effusion. Otherwise, no significant change since the prior study. |
13374841 | Patient had recent mitral valve repair. Mild pulmonary edema has worsened since ___. Left moderate pleural effusion is unchanged. Right lower lung opacity could be dependent edema or atelectasis. Mediastinal contour and mild cardiomegaly is stable. Degenerative changes are in the left shoulder. | 54442298 | PA AND LATERAL CHEST X-RAY INDICATION: Evaluate patient for pleural effusion. COMPARISON: ___. | Mild pulmonary edema has worsened. Left moderate pleural effusion is unchanged. |
13374841 | Sternotomy was recently done for mitral valve repair. Mild pulmonary edema has improved. Left moderate pleural effusion and small right pleural effusion has also decreased in size. Right jugular line has been removed. Moderate cardiac contour enlargement is unchanged since ___. There is no pneumothorax. | 58911904 | PORTABLE AP CHEST X-RAY INDICATION: Evaluation of pleural effusion. COMPARISON: Multiple chest x-rays from ___ through ___. | Mild pulmonary edema has improved. Moderate left pleural effusion and right small pleural effusion has also improved. |
13374841 | Single frontal view of the chest was obtained. Moderate cardiomegaly is similar to prior. Mild pulmonary edema is slightly increased since the prior exam. Moderate left pleural effusion and small right pleural effusions are similar to prior, allowing for difference in patient position. Sternotomy wires and aortic valve repair are similar to prior. | 57978832 | HISTORY: ___-year-old female with mitral valve repair presenting with hypoxia and dyspnea. Rule out CHF. COMPARISON: Multiple prior chest radiographs, most recently of ___. | Mild pulmonary edema, increased since ___, with moderate left and small right pleural effusions with adjacent atelectasis. |
13947746 | There is significant enlargement of the left atrium. There is no pneumothorax. There is pulmonary vascular congestion. The aorta is mildly tortuous. Moderate to severe compression deformities of multiple mid thoracic vertebral bodies are unchanged from ___. | 51504956 | WET READ: ___ ___ ___ 6:25 AM 1. Moderate left atrial enlargement with pulmonary vascular congestion mild edema. 2. Moderate to severe compression deformities of multiple mid thoracic vertebral bodies are unchanged from ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with a fib presenting with tachycardia // acute cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | Moderate left atrial enlargement with pulmonary vascular congestion. Moderate to severe compression deformities of multiple mid thoracic vertebral bodies are unchanged from ___. |
13947746 | Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Calcification is seen of the aortic knob. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax is seen. No radiopaque foreign bodies are present. The osseous structures are unremarkable. | 50359178 | INDICATION: ___-year-old female with headache and nausea. Evaluate for cardiopulmonary process. COMPARISONS: None. | No acute cardiopulmonary process. |
13947746 | The cardiomediastinal and hilar contours are stable. There is no displacement of prior noted rib fractures. The lungs are well expanded and clear. There is no pulmonary edema, pleural effusion, or pneumothorax. | 59186350 | STUDY: PA and lateral chest ___. COMPARISON EXAM: CTA chest, ___, PA and lateral chest ___, ___, and rib ___, ___. INDICATION: ___-year-old with multiple rib fractures. | No significant change compared to prior. |
13947746 | The cardiac silhouette is top normal. Tortuous aorta is noted. No pleural effusion or pneumothorax. Hyperdense nodule projecting over the left mid lung is a calcified granuloma, better evaluated on the same day CT. There is trace bibasilar atelectasis. | 55583983 | INDICATION: ___-year-old female with chest pain. Evaluate for congestive cardiac failure. COMPARISON: ___. AP AND LATERAL CHEST | Non-displaced fractures involving the left posterolateral seventh and eighth ribs are unchanged from ___. On the lateral view, an upper thoracic vertebra shows loss of vertebral body height of indeterminate chronicity. |
13442258 | 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. | 52092714 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with sob // pna? COMPARISON: ___ | No acute intrathoracic process. |
13790147 | There are slightly low lung volumes, which results in bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. A right-sided Port-A-Cath ends in the right atrium. There is no pneumothorax, pleural effusion, or focal consolidation. | 56605219 | WET READ: ___ ___ ___ 4:11 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with cholangiocarcinoma and new fever // eval acute process TECHNIQUE: Chest PA and lateral COMPARISON: CT of the chest dated ___. | No acute cardiopulmonary process. |
13790147 | A right chest wall Port-A-Cath ends in the proximal right atrium. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. | 52683136 | INDICATION: ___-year-old man with fever, right lower chest discomfort, evaluate for pneumonia. COMPARISON: Comparison is made to chest radiograph from ___. TECHNIQUE Frontal and lateral view of the chest. | No radiographic evidence of pneumonia. |
13596225 | Dilatation of the aortic knob and descending thoracic aorta is compatible with known aortic aneurysm, better assessed on the prior CT. The heart size is normal. Hilar contours are normal. Linear atelectasis in the left lower lobe is present. No focal consolidation is identified. Blunting of the left costophrenic angle on the lateral view is compatible with a small pleural effusion, seen on the prior CT. No pneumothorax is identified. No acute osseous abnormality is seen. Clips are seen within the neck. | 52237137 | INDICATION: Known thoracic aortic aneurysm with chest and back pain. COMPARISON: Chest radiograph ___ and reference chest CT ___ at 15:52. TECHNIQUE: PA and lateral views of the chest. | Thoracic aortic aneurysm, better assessed on the prior reference CT, with small left pleural effusion. Left basilar subsegmental atelectasis. |
13596225 | The heart size is normal. The hilar and mediastinal contours are within normal limits. An endovascular repair graft of the descending thoracic aorta is unchanged in position and orientation. There is no pneumothorax, focal consolidation, or pleural effusion. Previously seen left basilar opacities are resolved. | 51924183 | INDICATION: Chest pain. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | Post TEVAR. No superimposed acute process. |
13872553 | The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. There are surgical clips at the gastroesophageal junction. | 52805324 | WET READ: ___ ___ ___ 4:01 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with chest pain. Evaluate for pneumothorax. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___. | No acute cardiopulmonary process. |
13872553 | Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are hyperinflated but clear without focal consolidation, pleural effusion, or pneumothorax. | 57391455 | HISTORY: ___ pack-year smoking history, recent present stay, cough, night sweats, and decreased tactile femitus at the left posterior lung base. COMPARISON: None. | Hyperinflated lungs without focal consolidation. |
13092910 | A right IJ central venous catheter is unchanged in position. There is no pneumothorax. Left basilar linear atelectasis has cleared. The lungs are clear. The heart and mediastinum are within normal limits despite the projection. | 56832216 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with mvc with rle injury // hypoxia unclear source TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___. | Resolved left basilar linear atelectasis. Clear lungs. |
13500210 | 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. | 50708768 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ovarian cancer, fever chemothearpy // eval for pna COMPARISON: CT chest dated ___. | No acute intrathoracic process. |
13885501 | The lungs are fully expanded and clear. There is no pleural effusion or pneumothorax. There is no focal consolidation. | 51720924 | INDICATION: ___ year old woman with persistent cough despite antibiotics, evaluate for pneumonia. COMPARISON: None available. TECHNIQUE PA and lateral view of the chest. | No evidence of pneumonia. |
13419817 | Frontal and lateral views of the chest. Somewhat linear opacity is seen at the right lung base. Retrocardiac mixed lucency and density is most suggestive of a hiatal hernia. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Accentuated thoracic kyphosis is noted. Osseous and soft tissue structures are otherwise unremarkable. | 54488292 | HISTORY: ___-year-old female with dizziness. Question pneumonia COMPARISON: None listed. | Right basilar opacity potentially due to atelectasis however developing infection is not completely excluded. |
13319166 | PA and lateral views of the chest are provided. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 51449446 | INDICATION: Chest pain. COMPARISON: None available. | Normal radiograph of the chest. |
13597769 | The cardiac, mediastinal and hilar contours appear unchanged. There is a moderate new pleural effusion on the right. A small to moderate pleural effusion is new on the left. In each case, there are patchy associated opacities, not specific but compatible with atelectasis. Associated infection cannot be excluded, however, although pleural effusions are seen most likely to represent the primary abnormality. There is no pneumothorax. Bony structures are unremarkable. | 54059930 | CHEST RADIOGRAPHS HISTORY: Chest tightness and bilateral leg swelling. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Substantial bilateral pleural effusions with associated opacities, probably attributable atelectasis; an infectious process is difficult to completely exclude, however. |
13792612 | Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Mild curvature of the spine may be positional or may reflect mild scoliosis. | 57205314 | PA AND LATERAL CHEST X-RAY, ___ No prior studies for comparison. | No radiographic evidence of active or latent pulmonary tuberculosis infection. |
13501480 | Two PA and one lateral radiograph of the chest were obtained. The lungs are clear. No consolidation, effusion, or pneumothorax is present. Heart and mediastinal contours are normal. Lateral view of the spine demonstrates confluent anterior osteophytes consistent with DISH. | 51701547 | INDICATION: Hematemesis. | No acute cardiopulmonary process. |
13131177 | Frontal and lateral views of the chest were obtained. There are relatively low lung volumes, which accentuate the bronchovascular markings at the lung bases. 4-mm rounded calcified nodule projecting over the right upper lung most likely represents a calcified granuloma. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Mild degenerative changes are seen along the spine. | 59857103 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of palpitations. COMPARISON: ___. | No acute cardiopulmonary process. |
13996681 | 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. | 58983022 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with one-day history of myalgias, nasal congestion, chills // evaluate for consolidation, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13725781 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination of ___. The heart size remains within normal limits. No typical configurational abnormality is seen. Again the thoracic aorta is moderately widened and elongated and calcium deposits are seen in the wall, but no local contour abnormalities can be identified. 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. On previous examination, there is evidence of a previously performed cholecystectomy. Skeletal structures are characterized by a moderately accentuated kyphotic curvature in the thoracic spine but no evidence of local vertebral body compression. | 53276943 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with edema and shortness of breath, evaluate for possible CHF. | Stable chest findings, no significant cardiac enlargement, no pulmonary congestion in this elderly male patient. |
13725781 | PA and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion, or pneumothorax. Linear opacities in the lingula are likely atelectases. The cardiomediastinal silhouette is unchanged. There are no acute bony abnormalities. | 53216288 | INDICATION: ___-year-old man with shortness of breath on exertion, evaluate for pneumonia. COMPARISONS: ___. | No acute cardiopulmonary process. Atelectasis in the lingula. |
13725781 | Low lung volumes are present. The heart size is normal. The aorta remains tortuous and diffusely calcified. There is crowding of the bronchovascular structures, and an element of mild pulmonary vascular congestion cannot be completely excluded. Streaky opacities in the lung bases are similar compared to the prior study, and likely reflect atelectasis. No pleural effusion or pneumothorax is present, and no focal consolidation is demonstrated. Cholecystectomy clips are seen in the right upper quadrant of the abdomen. | 50783227 | HISTORY: Altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Low lung volumes with probable bibasilar atelectasis. Pneumonia in the lung bases, however, cannot be completely excluded. |
13878847 | In comparison to the chest radiograph obtained 2 hours prior, there is been interval placement of a left-sided IJ central venous catheter which terminates near the confluence of the left brachiocephalic vein and SVC. An enteric tube terminates within the gastric body. Bibasilar opacities likely reflect atelectasis, although there is some asymmetry with increased opacification at the left base and a small pleural effusion, possibly suggesting the presence of a pneumonia. Mild cardiomegaly is mildly increased, but without pulmonary vascular congestion or pulmonary edema. Cardiomediastinal hilar silhouettes are otherwise normal. | 53168638 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with GI bleed s/p CVL placement at ___. // confirm IJ placement TECHNIQUE: Chest portable AP COMPARISON: Portable AP chest radiograph dated in ___ at 00:00 | A left-sided central venous catheter terminates at the junction of the SVC and left brachiocephalic vein. Minimally increased bibasilar atelectasis or alternatively a developing pneumonia. |
13238954 | Mild cardiomegaly is re- demonstrated. The aorta is diffusely calcified and mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable without evidence of pulmonary vascular congestion. 10 mm nodular opacity is seen projecting over the right upper lobe not clearly seen on the previous exam. Lung volumes are low with mild bibasilar atelectasis, but no focal consolidation. No pleural effusion or pneumothorax is clearly evident. Dextroscoliosis of the thoracolumbar spine with associated degenerative changes are noted. Spiral tacks are seen in the left abdomen. | 54829626 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: ___ | Mild bibasilar atelectasis in the setting of low lung volumes. 10 mm nodular opacity projecting over the right upper lobe appears new and can be further assessed with a nonemergent chest CT if clinically indicated. |
13451838 | Subtle right upper lobe opacity may be due to overlap of structures versus a small pneumonia. No definite focal consolidation is seen elsewhere. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Nipple shadows are incidentally noted. | 58670833 | WET READ: ___ ___ ___ 2:02 PM Subtle right upper lobe opacity may be due to overlap of structures versus a small pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with shortness of breath // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Subtle right upper lobe opacity may be due to overlap of structures versus a small pneumonia. |
13758211 | There is bibasilar bronchiectasis and fibrosis, more so on the left than the right, which is better characterized on the recent CT, and consistent with post-radiation changes. At least one of the known pulmonary nodules is identified on the left measuring 9 mm. The other small pulmonary nodules are difficult to evaluate. There is no new opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous destruction and the soft tissue metastasis in T8 and T9 are unchanged. An expansile lucent lesion in the left sixth rib is unchanged. No new osseous lesions are identified. | 54639728 | INDICATION: Renal cell carcinoma. COMPARISONS: CT of the chest from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | Known pulmonary metastases are better evaluated on the CT, though at least one is identified in the left lung. If further evaluation for change is clinically indicated, a CT is recommended. Unchanged bronchiectasis and post radiation changes at the bases. No new opacity to suggest pneumonia. Unchanged osseous metastases in T8, T9, and the left sixth rib. |
13758211 | The new right internal jugular central venous catheter terminates in the mid SVC. Compared with the prior radiograph, mediastinal and hilar contours are unchanged, with continued minimal bibasilar atelectasis. No new focal consolidation, pleural effusion, or pneumothorax. The known left-sided chest wall mass with destruction of the left sixth anterior rib is better assessed on the recent chest CT. Incidental note again made of spinal fixation hardware and evidence of prior spinal artery embolization. | 53183792 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with central line placement. Evaluate line placement. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph of ___ and chest CT of ___. | The right IJ central venous catheter terminates in the mid SVC. No evidence of new focal consolidation or pneumothorax. The known left-sided chest wall mass was better characterized on the recent chest CT. |
13758211 | There is an ovoid nodular opacity along the major fissure on the left, better evaluated on the CT torso performed on the same date, and corresponding to a pulmonary nodule in this location. A more diffuse opacity in the right upper lobe actually corresponds to callus formation around an old right first rib fracture as seen on the CT. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 54232647 | INDICATION: Evaluate for pulmonary issues prior to new therapy in patient with metastatic renal carcinoma. COMPARISONS: CT of the torso performed on the same date, ___. | Left perifissural pulmonary nodule, better evaluated by the CT performed two hours earlier. Otherwise, no acute process. |
13758211 | The lungs are poorly inflated. There is no consolidation, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. As noted in prior study, the vertebral stabilization devices are grossly intact. | 59036969 | INDICATION: ___ year old man with metastatic RCC and cough/weakness // Evaluate for infection TECHNIQUE: Chest PA and lateral COMPARISON: ___ portable chest radiograph | Low lung volumes however this is a grossly normal chest x-ray. No acute cardiopulmonary process seen. |
13758211 | Lung volumes remain low. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal bibasilar atelectasis is demonstrated without focal consolidation. No pleural effusion or pneumothorax is present. Spinal fixation hardware is again noted along with evidence of prior spinal artery embolization. Degenerative changes are seen involving the acromioclavicular and glenohumeral joints bilaterally. Known left-sided chest wall mass with destruction of the left sixth anterior rib is better assessed on the recent CT. | 59458488 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with myalgias, rigor after flu shot, on chemo TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: CT chest ___ chest radiograph ___ | No acute cardiopulmonary abnormality. |
13056844 | There is mild cardiomegaly. The aorta is mildly tortuous. There is mild pulmonary vascular congestion, otherwise, the hilar and mediastinal contours are unremarkable. There is diffuse asymmetric opacities overlying the right lung with mild interstitial thickening. Overall, the left lung appears to be clear aside from mild interstitial thickening. There are small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. | 51861425 | INDICATION: History of AFib, on Coumadin with dyspnea. Please evaluate. COMPARISONS: None. TECHNIQUE: PA and lateral radiographs of the chest. | Asymmetric opacities overlying the right lung with mild bilateral interstitial thickening. This is likely secondary to asymmetric pulmonary edema; however, a superimposed infectious process cannot be excluded. Given patient's clinical history of hemoptysis and epistaxis, alveolar hemorrhage can also be considered in the differential. These findings were discussed with Dr. ___ by Dr. ___ by phone at 1:___ ___m. on the day of the exam. |
13042482 | PA and lateral views of the chest provided. Lung volumes are low. 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. | 53380699 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/ isolated episode of chest pain today eval for cardiopulm change COMPARISON: None | No acute intrathoracic process. |
13955206 | The cardiomediastinal, pleural and pulmonary structures are unremarkable. There is no pneumothorax or pleural effusion. No focal airspace opacity is seen to suggest pneumonia. Heart size is normal. Surgical material is seen overlying the right breast consistent with prior mastectomy and flap reconstruction. | 59847815 | INDICATION: Intermittent chest pain, evaluate for acute cardiopulmonary process. COMPARISONS: ___ chest radiograph. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13007002 | The medial head of the right clavicle, may obscure a parenchymal opacity in the right upper lobe. Lungs are otherwise clear. Cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 57145303 | FINAL ADDENDUM ADDENDUM Findings and recommendations were discussed with Dr. ___ by Dr.___ ___ phone at 3pm on ___. The patient has improved symptomatology and will return to the department for apical lordotic views at her next clinic visit. ______________________________________________________________________________ WET READ: ___ ___ 6:25 PM Normal chest radiograph. The findings were discussed with ___, M.D. by ___, M.D. on the telephone on ___ at 5:28 PM, 2 minutes after discovery of the findings. WET READ VERSION #1 ___ ___ ___ 5:31 PM Normal chest radiograph. The findings were discussed with ___, M.D. by ___, M.D. on the telephone on ___ at 5:28 PM, 2 minutes after discovery of the findings. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with CP and cough ongoing for 1 week, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral; this study was not available for formal review with an attending radiologist until 24 hours after an initial, preliminary interpretation was rendered. COMPARISON: Chest x-ray from ___ | Possible right apical lung infection or other lesion, obscured by the medial head of the clavicle. |
13007002 | The cardiomediastinal and hilar contours are normal. The lungs are clear without calcifications or cavitary lesions. There is no pleural effusion or pneumothorax. The visualized bones appear unremarkable. | 59747551 | HISTORY: ___-year-old female with positive PVD. STUDY: AP upright and lateral chest radiograph. COMPARISON: ___. | No evidence of active or latent TB. |
13007002 | The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 56330782 | INDICATION: Cough and crackles in the right lower base. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___. | No acute cardiac or pulmonary process. |
13007002 | Bilateral lung volume is low. In comparison to ___ chest radiograph, the suspected right apical lung opacity is not visualized in this study. There is no consolidation, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. No acute bony abnormalities nor evidence of acute fracture. . | 59634177 | INDICATION: ___ year old woman with cerebral palsy chronic cough and history of treated TB per notes presenting with cough for 1 week // rule out PNA, prior films recommend lordotic view TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph | No acute cardiopulmonary process seen in this study. No evidence of pneumonia. |
13499781 | A right chest wall Port-A-Cath is present, the tip extending to the right atrium. There are low bilateral lung volumes. Mildly increased opacities are noted in the right supra hilar region and at the right lung base. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is unchanged. | 52055884 | INDICATION: ___ year old man with MM, recent ___ surgery on ___, with rigors // Underlying pulmonary process? Pneumonia? TECHNIQUE: AP portable chest radiograph COMPARISON: ___ and CT scan of the chest dated ___ | Mildly increased opacities in the right lung may reflect underlying pneumonia. |
13499781 | The lungs are hyperinflated with increased AP diameter and flattening of the hemidiaphragms, however there is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is within normal limits. There is generalized osteopenia of the bones, with no compression deformity of the imaged thoracic spine. Calcified granulomas are noted in the upper lobes bilaterally. | 50362355 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with a history of malignancy now with generalized weakness, somnolence. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None | Hyperinflated lungs with no focal consolidation. |
13499781 | Small calcified granulomas in the upper lung fields are stable from ___ and ___. Port-a-Cath ends in the right atrium. Sclerotic lesion in the ___ anterior left rib is stable from ___. There is no consolidation, pleural effusion, or pneumothorax. | 53965040 | INDICATION: ___ year old man with multiple myeloma // pre bmt TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ Chest radiograph ___ | Small calcified granulomas in the upper lung fields. Port-a-cath ends in the right atrium. Left ___ anterior rib MM sclerotic lesion |
13499781 | Right Port-A-Cath tip terminates in the proximal right atrium. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. | 53871127 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with multiple myeloma. POC in place trouble with blood return. Please evaluate POC placement. // ___ year old man with multiple myeloma. POC in place trouble with blood return. Please evaluate POC placement. TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___. | Right Port-A-Cath tip terminates in the proximal right atrium. |
13499781 | Right-sided Port-A-Cath tip terminates in the right atrium, unchanged. Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Calcified granulomas are again scattered in both lungs, the largest in the left apex. No focal consolidation, pleural effusion or pneumothorax is identified, however the extreme right costophrenic angle is excluded from the field of view. Known myeloma involvement of the left fifth rib is better assessed on the previous chest CT. Degenerative changes are again noted within the thoracic spine. | 51293939 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with multiple myeloma complicated by neutropenia, HFpEF presents with cough and lower extremity edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ | No acute cardiopulmonary abnormality. |
13182702 | Moderate cardiomegaly is unchanged. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. There is no pulmonary edema. The central pulmonary arteries are enlarged. | 55706763 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with sepsis, evaluate for pulmonary edema. TECHNIQUE: Portable view of the chest. COMPARISON: Chest radiograph ___. | No evidence of pulmonary edema. Enlargement of the central pulmonary arteries, suggestive of pulmonary artery hypertension. Consider cardiac echo if warranted clinically. |
13080738 | Patient is status post median sternotomy and mitral valve replacement. Right-sided Port-A-Cath tip terminates in the low SVC. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are per similar. There is no pulmonary edema. Patchy airspace opacities are noted in the lung bases, new from the previous study, worrisome for multifocal pneumonia or aspiration. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 50657174 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever, infection workup // pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Bibasilar airspace opacities concerning for multifocal pneumonia or aspiration. |
13080738 | COMPARED TO ___ AT 08:07, THE IRREGULAR OPACITY AT THE RIGHT BASE APPEARS SOMEWHAT MORE EXTENSIVE, SUGGESTING INTERVAL WORSENING. THERE IS MINIMAL ATELECTASIS AT THE LEFT LUNG BASE, POSSIBLY WITH A SMALL EFFUSION, SIMILAR TO THE PRIOR EXAM. THERE IS UPPER ZONE REDISTRIBUTION AND MILD VASCULAR PLETHORA --___ DEGREE OF VASCULAR PLETHORA IS ALSO VERY SLIGHTLY MORE PRONOUNCED. NO OVERT CHF. NO GROSS RIGHT EFFUSION. THE INDWELLING RIGHT CATHETER, STERNOTOMY WIRES, AND PROSTHETIC VALVE ARE AGAIN NOTED. | 51883968 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with lymphoma s/p auto stem cell transplant with worsening SOB // assess for interval change COMPARISON: None. | INTERVAL WORSENING OF OPACITY AT RIGHT LUNG BASE. THE APPEARANCE IS COMPATIBLE WITH A PNEUMONIC INFILTRATE. IN THE APPROPRIATE CLINICAL SETTING, OTHER ALVEOLAR PROCESSES SUCH AS ALVEOLAR HEMORRHAGE ARE ALSO A POSSIBILITY. |
13080738 | Single AP view of the chest provided. Right central venous line ends at the cavoatrial junction. Patient is status post median sternotomy wires are intact and proper alignment. Patient is status post cardiac valve replacement. Significantly worsened right lower lobe opacity is concerning for pneumonia. A small, right pleural effusion is worsened. There is no pneumothorax. Hilar contours are normal. Moderate cardiomegaly is unchanged. | 56393473 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman lymphoma admitted for ASCT currently with neutropenic fever and PNA. Now with increasing oxygen requirement in setting of persistent fever. // Please evaluate for progressive infection. COMPARISON: CT chest ___ ; chest radiograph ___ | Significantly worsened right lower lobe focal opacity is concerning for pneumonia. |
13080738 | The patient is status post median sternotomy, and a prosthetic mitral valve is again noted. There is a right subclavian Port-A-Cath in stable position with its tip in the lower SVC. There continues to be persistent right middle lobe and bibasilar opacities, better assessed on the dedicated chest CT from ___. No new focal opacity, pleural effusion or pneumothorax is seen. There is no pulmonary edema. | 54070738 | INDICATION: ___-year-old female with fever. Evaluate for acute infectious process. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest CT from ___ and ___ and chest radiograph from ___. | Right middle lobe and bibasilar opacities, better assessed on the chest CT from ___. No new opacities. |
13080738 | Right-sided Port-A-Cath tip terminates in the low SVC. Patient is status post median sternotomy, CABG, and mitral valve repair. Heart size remains mildly enlarged. The mediastinal contour is similar. Bilateral hilar prominence is compatible with mildly enlarged pulmonary arteries, unchanged. Pulmonary vasculature is not engorged. There is continued right middle lobe focal opacity, not substantially changed since the prior examinations with associated bronchiectasis. Patchy bilateral lower lobe opacities also persists, without new focal area of consolidation identified. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities detected. | 59540926 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ yo woman with Grade IIIB follicular lymphoma, now second relapse as DLBCL on rituxan day 5 today presents with fever 102 and cough X 1 week with new chills and fever 102. Also reports myalgia. Recent contact with several relatives, unclear if anybody was sick. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___ | No new focal consolidation identified. Persistent right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, previously thought on prior CT to reflect a combination of infection and graft-versus-host disease. |
13080738 | A right Port-A-Cath terminates in the lower SVC. Bilateral hilar lymphadenopathy is noted, compatible with known lymphoma and similar to ___. The lungs themselves are grossly clear, without lobar consolidation, large pleural effusion, or pneumothorax. The patient is status post median sternotomy and mitral valve replacement. The cardiomediastinal silhouette is otherwise unremarkable. | 53147917 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with arm pain s/p chemo // ?pna TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___. | No evidence of acute cardiopulmonary process. |
13080738 | The cardiac silhouette is mildly enlarged. A prosthetic mitral valve is noted. Midline sternal wires are well aligned and intact. Surgical clips are seen in the lower neck. A right-sided catheter is again seen, with the tip terminating in the lower SVC. The right middle lobe opacity which was seen on recent comparisons appears progressed and more confluent than on prior examinations. Bibasilar opacities have remained stable. There is no pleural effusion or pneumothorax. | 59252783 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with h/o recurrent lymphoma, evolving pulmonary infiltrates and leukocytosis // ?interval change TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___, PA and lateral views of the chest dated ___, | Worsening right middle lobe opacity and persistent bibasilar opacities most consistent with multifocal pneumonia, with a component of coexisting atelectasis in the right middle lobe. |
13080738 | The right costophrenic angle is no longer blunted. There is minimal streaky density at the right base consistent with scarring or subsegmental atelectasis as before. The patient is status post median sternotomy and MVR. Mediastinal structures are unchanged. A right subclavian catheter remains in place. It terminates in the region of the lower superior vena cava. The bony thorax is grossly intact. | 54572957 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY ___ year old woman with right sided port-a-cath, not flushing // re-asses port placement re-asses port placement COMPARISON: ___ | No active pulmonary disease. Line placement as described. |
13080738 | Patient is status post median sternotomy and cardiac valve replacement. Right-sided Port-A-Cath is seen with catheter terminating in the low SVC/ cavoatrial junction. Patchy right base opacity is seen, which may be chronic, could be due to atelectasis, consolidation, but overall appears less extensive as compared to the chest radiograph from ___. There is also subtle left base opacity, pneumonia not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 53224345 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever s/p BMT for non-hodkgin's lymphoma // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Persistent right base opacity appears less extensive as compared to ___. Please see prior chest CT. Left base opacity could be due to pneumonia. |
13080738 | There is new small right apical pneumothorax. Right lung base opacity and mild left lung base atelectasis is similar to ___. Cardiomediastinal silhouette is unchanged. The right subclavian line and infusion port are unchanged in position. Prosthetic mitral valve is noted. | 52427367 | INDICATION: ___ year old woman with CT guided bx // r/o pneumo EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, AP view COMPARISON: Chest radiograph ___, CT chest ___ | There is new small right apical pneumothorax. Right lung base opacity is similar to prior. |
13080738 | Mild cardiomegaly is unchanged. Right IJ line terminates at the distal SVC. Port-A-Cath tip terminates at the distal SVC. Replaced mitral valve is unchanged in position. No pleural effusion or pneumothorax is seen. Bibasilar atelectasis is unchanged. | 50222016 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with DLBCL s/p allogenic SCT (today is day 8) // Pt has reported ongoing cough. Concern for effusions, infection, etc. TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No evidence of pneumonia or pleural effusions. No significant changes compared to prior study. |
13080738 | Low lung volumes are stable. The left-sided chest tube has been removed without appreciable pneumothorax. Right basilar atelectasis and small right pleural effusion are worse and left basilar atelectasis is improved from prior examination. Intact sternotomy wires and replaced mitral valve are unchanged in appearance. | 51503909 | EXAMINATION: Chest right INDICATION: ___ year old woman s/p L VATS wedge // R/O PTX post CT removal TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. | Interval removal of the left-sided chest tube without appreciable pneumothorax. |
13080738 | Compared to the prior film, the cardiomediastinal silhouette is unchanged. CHF findings are slightly improved. Focal opacity at the right lung base may be very slightly improved. Left lower lobe collapse and/or consolidation and small left effusion are similar to the prior film. Right IJ indwelling central line, with tip at SVC/RA junction is unchanged. | 56313025 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with DAH, aspiration PNA // clearance of opacification? COMPARISON: Chest x-rays from ___. | Slight interval improvement in CHF findings and in right greater left base consolidation compared with ___. |
13030149 | Frontal and lateral views of the chest were obtained. Patchy right lower lobe opacity is worrisome for pneumonia or aspiration. There is also subtle left base retrocardiac opacity as well. No pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable. | 50355229 | EXAM: Chest, single AP upright and lateral views. CLINICAL INFORMATION: Alcohol abuse and productive cough. COMPARISON: ___. | Patchy right lower lobe opacity and possible left retrocardiac opacity concerning for infection and/or aspiration. |
13953735 | Portable upright chest radiograph was obtained. The apically directed left chest tube has been withdrawn such that it now terminates in the superior left apex with at most minimal residual pneumothorax. Small left pleural effusion with persistent blunting of right costophrenic sulcus and right basilar atelectasis is unchanged. The heart and cardiomediastinal contours are unchanged. | 52096054 | HISTORY: Left-sided pneumothorax status post chest tube. COMPARISON: ___ from 40 minutes prior. | Chest tube now terminates in the left apex after slight withdrawal with at most minimal residual pneumothorax. |
13953735 | Portable AP upright chest radiograph was obtained. Large left pneumothorax is identified with rightward deviation of the mediastinum concerning for tension physiology. No acute rib fractures are identified although subtle fracture could be missed, with old right rib fractures and small right pleural effusion or pleural scarring noted. Cardiomediastinal contours aside from slight rightward shift are unremarkable. | 54601714 | HISTORY: Pneumothorax. COMPARISON: ___. | Large left tension pneumothorax. Findings discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone, 2 minutes after discovery. |
13997024 | AP portable upright view of the chest. A prominent retrocardiac opacity could represent a large hiatal hernia. No convincing sign of pneumonia or CHF. The heart size appears prominent though this is likely secondary to AP technique. No large effusion or pneumothorax. Bony structures appear intact. | 57616528 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with elevated lactate // eval for PNA COMPARISON: Prior CT of the chest dated ___. | Large hiatal hernia. Otherwise unremarkable. |
13558665 | Portable supine view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Endotracheal tube terminates 4 cm above the carina. The patient's known sternal and rib fractures are better seen on the CT exam of same date. | 59315283 | INDICATION: Pedestrian hit by car. COMPARISONS: CT torso of the same date. | No evidence of acute cardiopulmonary process. |
13812053 | The aortic arch appears somewhat prominent which may be due to a or tortuosity versus a mildly dilated aorta. No priors available for comparison. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. No overt pulmonary edema is seen. | 53261109 | WET READ: ___ ___ ___ 11:35 AM No focal consolidation to suggest pneumonia. The aortic arch appears somewhat prominent, which may be due to tortuosity versus a mildly dilated aorta. No prior available for comparison. Consider follow-up chest CT for further assessment or comparison with priors, if available. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with c/o SOB with cough // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No focal consolidation to suggest pneumonia. The aortic arch appears somewhat prominent, which may be due to tortuosity versus a mildly dilated aorta. No prior available for comparison. Consider follow-up chest CT for further assessment or comparison with priors, if available. |
13342293 | The heart size is mildly enlarged but unchanged. The thoracic aorta is diffusely calcified. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. Blunting of the posterior left costophrenic angle on the lateral view suggests a trace left pleural effusion versus pleural thickening. No pneumothorax is demonstrated. No acute osseous abnormality seen. Remote left sided rib fractures are noted. | 59122010 | HISTORY: Syncopal episodes. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No radiographic evidence for pneumonia. Possible trace left pleural effusion versus pleural thickening. |
13342293 | AP upright portable and lateral chest radiographs were obtained. The lungs are well inflated without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears stable. Atherosclerotic calcifications along the thoracic aorta are noted. Bony structures appear intact. | 55504105 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___ as well as a CT of the chest ___ ___. CLINICAL HISTORY: Near syncope, assess for pneumonia or CHF. | No acute intrathoracic process. |
13961294 | Patient is rotated somewhat to the left. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable,, with stable mild enlargement of the cardiac silhouette. No overt pulmonary edema is seen. | 59154069 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with history of NICM EF ___%, afib who presents with ___ edema, concerning for HF exacerbation // evidence of pulmonary edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13961294 | Lungs are clear without focal consolidation, edema, or effusion. Cardiac silhouette is enlarged but similar in configuration compared to prior. No acute osseous abnormalities identified. | 55186198 | INDICATION: ___F with diffuse edema // please eval for pulm edema TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13885617 | Sternotomy wires are intact. Prosthetic aortic valve appears in unchanged position. No consolidation, pleural effusion, or pneumothorax is identified. Previously seen pleural effusions have resolved. Cardiomediastinal silhouette is normal size. | 58504519 | INDICATION: History: ___F with recent open heart surgery 9 weeks ago for AS presenting with "pulling" chest pain. // ?acute cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. |
13885617 | Tip of the right IJ is not significantly changed in position, and likely terminates in the upper right atrium. Prostatic heart valve is unchanged. Streaky right perihilar opacities most likely represent subsegmental atelectasis, also noted at the lung bases. There is no focal consolidation to suggest pneumonia. Mild pulmonary vascular congestion. No overt pulmonary edema. Bilateral pleural effusions is larger on the left, which are not definitely appreciated on the prior supine portable radiograph. No pneumothorax. Mild cardiomegaly is stable. | 54186150 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p tiss AVR, ASD closure // predischarge TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest radiograph ___ | Left greater than right pleural effusions, not appreciated on the prior supine radiograph. Mild pulmonary vascular congestion. |
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