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13685288 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Streaky retrocardiac opacity suggests minor atelectasis or perhaps chronic scarring. Otherwise the lungs appear clear. There is no pleural effusion or pneumothorax. | 58363028 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Syncope. TECHNIQUE: Chest, PA and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. |
13875199 | 2 views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Heart size and mediastinal contours are unremarkable. | 55889466 | HISTORY: Fever with cellulitis/lymphangitis, assess for pneumonia. COMPARISON: None. | No acute intrathoracic process. |
13517478 | There is prominence of interstitial lung markings consistent with emphysema. Left pleural thickening is again noted with small left pleural effusion, new from prior. An irregular opacity in the left midlung is unchanged from ___. Fiducial markers are also noted along the right margin of the mediastinum as on prior. No new consolidation to suggest a superimposed pneumonia. A rounded density in the left humeral head is consistent with bone island seen on CT ___. A tortuous aorta is unchanged. | 58480227 | WET READ: ___ ___ ___ 11:41 PM No acute cardiopulmonary abnormality. A nodule in the lingula and extensive pleural thickening are unchanged and better evaluated on CT ___. WET READ VERSION #1 ___ ___ ___ 10:22 PM Small left effusion is unchanged from PET-CT ___, otherwise there is no acute cardiopulmonary abnormality. A nodule in the lingula and extensive pleural thickening are unchanged and better evaluated on CT ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___ year old woman with fever, decreased breath sounds and abd pain TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph ___, CT chest ___ | No signs of pneumonia. Left pleural thickening with small left effusion. |
13422277 | The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pneumothorax. There is minimal blunting of the posterior costophrenic sulcus although it is unclear on which side. | 51602789 | INDICATION: ___F with dyspnea // Please eval for infection TECHNIQUE: Upright PA and lateral chest COMPARISON: None available | No definite evidence of pneumonia. There is mild blunting of the posterior costophrenic sulcus suggesting small pleural effusion. |
13759374 | ET tube is 4.5 cm above the level of the carina and is in appropriate position. End of NG tube is in proximal stomach. Left IJ tip is in the upper SVC. Mild interval increase in moderate-sized bilateral pleural effusions, left greater than right, and may be partly related to patient positioning. Interval increase in severe pulmonary edema. Mediastinal vein dilatation, mild heart enlargement and engorged pulmonary hila noted. No pneumothorax. | 51833400 | HISTORY: ___-year-old male with HCV cirrhosis in ICU with septic shock, increasing ventilation requirements. Assess for interval change in ET tube placement. COMPARISON: Chest radiograph ___, ___, ___, ___. TECHNIQUE: Single portable semi-erect frontal chest radiograph. | Interval increase in severe pulmonary edema. Mild increase in moderate-sized bilateral pleural effusions, left greater than right. |
13724584 | Worsening multifocal areas of consolidation are present, including a dominant opacity in the right infrahilar region involving portions of the right lower and right middle lobes. Additionally, relatively symmetrical perihilar opacities have progressed in the interval as well as an area of opacity in the left retrocardiac region. Small pleural effusions have increased in size. | 50357332 | PORTABLE CHEST OF ___ COMPARISON: ___ radiograph. | Worsening multifocal pulmonary opacities, likely a combination of pulmonary edema and pneumonia. Bilateral small pleural effusions. |
13724584 | There is stable mild cardiomegaly. The hilar and mediastinal contours are stable, with moderate aortic calcification. Mild pulmonary edema is slightly worse since the earlier study done today at 11:52 a.m. There is increasing consolidation in the right lung base, consistent with pneumonia. Streaky opacities in the left lung base, likely represent atelectasis. No large pleural effusion or pneumothorax is seen. A left chest wall AICD device is seen with leads in expected position in the right atrium and right ventricle. | 54941633 | INDICATION: ___-year-old woman with known CHF, with weakness and malaise. COMPARISON: Chest radiograph done earlier today at 11:52 a.m. PORTABLE AP CHEST | Worsening right lower lobe pneumonia and mild pulmonary edema. |
13589996 | 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. | 53748558 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with productive cough + blood streaked, and fever x 3 days. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13000808 | In comparison to the prior study from earlier today, moderate pulmonary edema has improved. Moderate left pleural effusion is also smaller. There is no relevant change otherwise. | 58221272 | INDICATION: ___ year old woman with falsh pulmonary edema s/p diureseis // please eval for interval change TECHNIQUE: Portable AP Upright view of the chest COMPARISON: ___ at 08:37 | Improved appearance of diffuse moderate pulmonary edema and left pleural effusion. |
13000808 | PA and lateral views of the chest were provided. Port-A-Cath residing over the right chest wall is unchanged, with catheter tip extending to the region of the mid SVC. Lungs are clear. No signs of pneumonia or CHF. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm. | 50812800 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Fever to 103, on chemotherapy, question pneumonia. | No acute findings in the chest. |
13705668 | Lung volumes are low, which leads to bronchovascular crowding. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. A ventriculoperitoneal catheter is partially visualized. | 51693074 | INDICATION: ___-year-old man with altered mental status, evaluate for acute process. TECHNIQUE: AP and lateral views of the chest were obtained. COMPARISON: None available. | No acute cardiopulmonary process. |
13974941 | The heart size is mildly enlarged. The mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Streaky left basilar opacity likely reflects atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are identified. | 50953706 | HISTORY: Knee pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ at 12:09 from___. | Mild left basilar atelectasis. |
13028097 | The lung volumes are low. The heart is normal in size. Within the limitations of technique, the cardiac, mediastinal and hilar contours are probably unchanged. Tortuosity and calcification of the thoracic aorta appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear aside from streaky left basilar opacity suggesting minor atelectasis. | 51636878 | CHEST RADIOGRAPHS HISTORY: Pancreatic cancer, presenting with fever and weakness. COMPARISONS: ___ and ___. TECHNIQUE: Chest, AP upright and lateral views. | Suspected minor left basilar atelectasis, otherwise unremarkable. |
13028097 | A transesophageal tube ends in the stomach, however, the most proximal side port ends at the gastroesophageal junction. Abdominal drains, surgical clips and skin ___ are from prior surgery. Ill-defined opacity at the left lung base is not fully imaged. The right lung base is clear. The heart size is normal. There are marked degenerative changes within the lower lumbar spine. | 54197640 | INDICATION: ___ year old man s/p whipple // NGT palcement TECHNIQUE: Portable frontal view of the chest. COMPARISON: ___ | The proximal side port of the transesophageal tube ends at the gastroesophageal junction and could be advanced. Ill-defined opacity at the left lung base could be further evaluated with conventional chest radiographs. |
13322321 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are normal. | 53159427 | HISTORY: Increasing seizure activity. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13461364 | The lung volumes are reduced, with elevation of the right hemidiaphragm noted. Left-sided dual-chamber pacemaker device is present with leads terminating in right atrium and right ventricle. The heart is mildly enlarged. The aorta demonstrates calcifications of the aortic knob and appears mildly tortuous. There is no pulmonary vascular congestion. Mediastinal and hilar contours are otherwise unremarkable. Minimal atelectasis is seen within the right lung base. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected. | 59388491 | HISTORY: Chest pain. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: None. | Low lung volumes with elevation of the right hemidiaphragm and minor right basilar atelectasis. |
13979708 | The cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing mildly enlarged. There is no pulmonary edema. Left lower lateral pleural thickening appears relatively unchanged. Hazy opacification within the left lung base could reflect atelectasis though infection cannot be excluded. Right lung is grossly clear. No pneumothorax is seen. There are no acute osseous abnormalities. | 55842940 | HISTORY: Chest pain after VATS biopsy of the left lung 2 weeks previously. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. Chest CTA ___. | Left basilar opacification may reflect atelectasis though infection cannot be excluded. Unchanged degree of left inferior lateral pleural thickening. |
13979708 | The lungs are reasonably well expanded. A loculated left lower lateral chest pleural fluid collection or pleural thickening is seen with surrounding hazy parenchymal pulmonary opacities. Remainder of the lungs are clear. There is no pneumothorax. The heart is normal in size and cardiomediastinal contours. | 53098362 | HISTORY: Left pleuritic chest pain with recent pneumonia diagnosis. TECHNIQUE: 2 views of the chest. COMPARISON: ___. | Left lower lung pulmonary opacity with adjacent pleural thickening or loculated pleural effusion concerning for pneumonia with parapneumonic effusion though empyema cannot be excluded by imaging features. |
13979708 | Of note, images are provided for review 4 days after exam performed. Compared with most recent prior radiograph, there is little change in gastric distention; although, the stomach is incompletely imaged. Otherwise, no significant change in left pleural thickening and bibasilar atelectasis. No pneumothorax. Stable cardiomediastinal silhouette. | 59507317 | WET READ: ___ ___ 8:44 PM gastric distention appears similar to 14:59, though stomach is incompletely imaged. lung fields unchanged. ______________________________________________________________________________ FINAL REPORT HISTORY: Large stomach bubble noted on prior chest x-ray and status post pleural biopsy today. Please evaluate for stomach bubble. COMPARISON: ___ at S2 ___ 21:00. | No significant change in gastric distention; although, the stomach is incompletely imaged. |
13048446 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 54767748 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with pancreatitis // Eval for pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No evidence of acute cardiopulmonary process. |
13121342 | The lungs are mildly hyperinflated. The heart is not enlarged. There is possible mild prominence of the hila, but with a tapered appearance. No chf, focal infiltrate, or effusion identified.No pneumothorax is present. | 58802374 | INDICATION: ___-year-old male with productive cough, rule out infiltrate. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE | Possible mild hyperinflation. No acute pulmonary process. |
13670952 | The lungs are clear without consolidation or edema. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. The lung volumes are somewhat low. The osseous structures are unremarkable. | 59822333 | INDICATION: Chest pain. COMPARISONS: None. | No acute cardiopulmonary process. |
13491104 | The lungs are clear. Moderate cardiomegaly is not significantly changed. Massive enlargement of the pulmonary arteries is consistent with pulmonary hypertension. There are no pleural effusions. No pneumothorax is seen. Old right-sided rib deformities are redemonstrated. A 2.0 cm radiopaque structure projecting over the right upper abdominal quadrant is consistent with a gallstone, as seen on prior CT from ___. | 59030152 | INDICATION: Syncope. COMPARISON: Chest radiograph from ___. Chest CT from ___. | No acute cardiac or pulmonary process. Moderate cardiomegaly, not significantly changed. Massive enlargement of the pulmonary arteries, consistent with pulmonary arterial hypertension, not significantly changed. |
13459507 | The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. | 59394267 | WET READ: ___ ___ 10:03 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___M with chest pain // ? pna TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: None. | No evidence of acute cardiopulmonary process. |
13341316 | PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm. | 51157584 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Nonproductive cough, on isoniazid for positive PPD, assess for acute pulmonary process. | No acute intrathoracic process. |
13341316 | The cardiomediastinal and hilar contours are within normal limits. No focal infiltrate or consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 56627748 | INDICATION: ___M with chest pain, rule out acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___. | No acute pulmonary process identified. |
13477256 | The cardiac, mediastinal and hilar contours appear unchanged. Central pulmonary arteries are again prominent. The lungs are hyperinflated. There is a small unchanged eventration of the right hemidiaphragm. No pleural effusion or pneumothorax is seen. There are streaky opacities lung bases suggesting minor atelectasis. No focal consolidation is present. The bones are probably demineralized. Mild degenerative changes are similar along the thoracic spine. | 52506551 | WET READ: ___ ___ ___ 5:11 PM no acute process. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Increasing wheezing. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute process. |
13490603 | The lungs are well expanded and clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 58720277 | INDICATION: ___F with chest pain // eval for acute process TECHNIQUE: Frontal and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13988663 | Asymmetric opacification of the right lung base with respect to the left could be due to basilar pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is moderately engorged, but there is no overt pulmonary edema. The cardiac silhouette is moderately to severely enlarged with left atrial and ventricular enlargement particularly striking on the lateral view. The thoracic aorta is tortuous. The mediastinal and hilar contours are otherwise within normal limits. | 52095114 | INDICATION: Altered mental status, here to evaluate for pneumonia. COMPARISON: No prior studies available. TECHNIQUE: PA and lateral radiographs of the chest. | Probable right lower lobe pneumonia. Moderate to severe cardiomegaly chronic, vascular engorgement of uncertain chronicity; whether there is acute on chronic cardiac decompensation is radiographically indeterminate without prior imaging for comparison. |
13988663 | Study is somewhat limited due to patient rotation. The heart size remains moderately enlarged. The mediastinal and hilar contours are grossly unchanged allowing for patient rotation. There appears to be mild pulmonary vascular congestion, slightly improved from prior. Patchy opacity in the left lung base could reflect atelectasis. No large pleural effusion or pneumothorax is seen although the left extreme costophrenic angle is excluded from the field of view. | 52751631 | HISTORY: Dementia and fever. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___ | Limited exam. Mild pulmonary vascular congestion and left basilar atelectasis. |
13542893 | Situs inversus is again seen. Heart size is normal. Normal hilar contours. Lungs are clear. Pleural surfaces are normal. | 51034781 | EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old man with possible prior exposure to TB. TECHNIQUE: Chest PA and lateral. COMPARISON: Prior chest radiograph from ___. | No radiographic evidence of active tuberculosis. |
13542893 | Status inversus again seen.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59488642 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with cough fatigue x one week // pls eval pna or infectious process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process or evidence of pneumonia. |
13841714 | Surgical chain sutures with associated linear opacities are seen at the left lung base. There is no focal consolidation or effusion. Cardiomediastinal silhouette is stable. Abnormal soft tissue in the right paratracheal region with leftward deviation of the trachea was better characterized by recent CT scan. Increased soft tissue in the subcarinal region was also previously characterized by CT. No acute osseous abnormalities. High density material in the colon is likely from prior enteric contrast administration. | 58489710 | INDICATION: ___F with SOB // ?pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest CT from ___. | No acute cardiopulmonary process. Mediastinal adenopathy as characterized on prior CT. |
13858258 | PA and lateral views of the chest were obtained demonstrating no focal consolidation, effusion, pneumothorax. A rounded hyperdense nodular opacity in the left upper lung is likely a calcified granuloma. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 57721056 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Fever to 104, assess for pneumonia. | No acute intrathoracic process. |
13647340 | There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. Multiple rib anomalies are noted including ___ paired ribs, left sixth and seventh rib fusion, and multiple irregularly spaced rib interspaces. | 57597872 | WET READ: ___ ___ 2:55 AM 1. No acute cardiopulmonary process. 2. Multiple congenital rib anomalies. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with wheezing, SOB, evaluate for pneumonia or acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. Multiple congenital rib anomalies. |
13637248 | PA and lateral chest radiograph demonstrates symmetrically expanded and clear lungs. No focal opacity is identified convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality. | 58499626 | INDICATION: ___-year-old female with productive cough. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute intrathoracic abnormality. |
13871299 | The lungs are clear without focal consolidation. The cardiac silhouette is moderately enlarged. There may be trace pleural effusions. The patient's arm overlies the chest on the lateral view, partially obscuring the view. Single lead left-sided AICD is seen with lead extending to the expected position of the right ventricle. No overt pulmonary edema. | 53230429 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with CHF and a fib p/w SOB, worse when supine, pls eval for effusion and edema // History: ___M with CHF and a fib p/w SOB, worse when supine, pls eval for effusion and edema TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | Moderate cardiomegaly and trace pleural effusions. |
13723460 | The lungs are clear without focal consolidation, effusion, or edema. Incidentally noted is an azygos fissure. There is moderate enlargement of the cardiac silhouette. Atherosclerotic calcifications are noted at the arch. Median sternotomy wires are intact. Compression deformity of a lower thoracic vertebral body is seen. | 58778961 | INDICATION: ___M with dyspnea, abnormal ECG // Eval for acute process TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Enlarged cardiac silhouette which could be due to cardiomegaly although pericardial effusion is possible. No superimposed acute cardiopulmonary process. Age indeterminate compression deformity in the lower thoracic spine. |
13972095 | ET tube ends 6.7 cm above the carina. New OG tube tip is below the diaphragm; however, side port above the diaphragm. Compared with the 30 minutes prior, lung volumes have increased, but the pulmonary vasculature is now indistinct compatible with pulmonary vascular congestion and mild pulmonary edema. No pleural effusion or pneumothorax is present. Normal cardiomediastinal silhouette. | 53949772 | HISTORY: New ET tube and OG tube in, evaluate placement. COMPARISON: ___ at 00:43. | ET tube in satisfactory position. OG tube with the side port above the GE junction, should be repositioned (this radiograph was read after the subsequent radiograph at 6:40 in which the OG tube has been removed so no call was made). Mild pulmonary edema. No sufficient pulmonary abnormality to support a diagnosis of ARDS. |
13972095 | There is a dual-lead pacemaker/ICD device with leads again terminating in the right atrium and ventricle, respectively. The heart appears mildly enlarged. The mediastinal and hilar contours appear unchanged. The lungs appear clear. Moderate degenerative changes involve the right acromioclavicular joint. | 54116130 | CHEST RADIOGRAPH HISTORY: Lower extremity edema and pancreatic cancer. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | No evidence of acute disease. |
13972095 | The ET tube is 1.8 cm above the carina. The slight interval increase in hazy opacity projecting over the left lower lobe is probably from a layering pleural effusion which also has a fissural component. There is no pneumothorax. Again seen is a dual-lead pacemaker ICD device with leads terminating in the right atrium and ventricle, respectively, unchanged compared to prior exam. The heart appears mildly enlarged. The mediastinal and hilar contours are overall unchanged. | 51367526 | WET READ: ___ ___ ___ 3:41 AM ETT low lying, ending 1.8 cm above the carina. Recommend withdrawing by 2-cm. Haziness of the left lung is likley due to a layering small pleural effusion. ___ d/w Dr. ___ at 3:40 a.m. via telephone on the day of the study. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with a history of pancreatic cancer status post ET tube placement, presents for evaluation of ET tube position. COMPARISONS: Chest radiographs from ___, ___, ___ and ___. TECHNIQUE: Single supine AP portable chest radiograph. | ET tube terminates 1.8 cm above the carina. Increased left pleural effusion These findings were discussed by Dr. ___ with Dr. ___ at 3:40 a.m. via telephone on the day of the study. |
13972095 | Right internal jugular catheter ends at the cavoatrial junction. Right atrial and 2 right ventricular pacer leads are in place. Low lung volumes accentuate the interstitial markings; however, no focal consolidation is present. Bibasilar opacities likely represent atelectasis. No pleural effusion or pneumothorax. | 53076320 | HISTORY: Right IJ line placement. COMPARISON: No prior chest radiographs available, in conjunction with chest CT from ___. | Right internal jugular catheter ends at the cavoatrial junction. Bibasilar atelectasis and low lung volumes, but, otherwise, clear lungs. |
13273624 | PA and lateral views of the chest provided. Severe cardiomegaly is noted with mild pulmonary edema. There may be a component of underlying interstitial pulmonary fibrosis. No large effusion is seen. There is a retrocardiac opacity containing gas most likely a large hiatal hernia. No pneumothorax or large effusion is seen. Bony structures are intact. | 53453988 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob, hypoxia // infiltrate? COMPARISON: None | Severe cardiomegaly with mild edema. Probable pulmonary fibrosis. Large hiatal hernia. |
13916391 | Small apical right pneumothorax is unchanged measuring 3 mm. Left lower lobe density has slightly increased since this morning and the differential diagnosis still includes atelectasis or pneumonia. | 52979427 | WET READ: ___ ___ ___ 7:11 PM R sided pigtail has been removed. Otherwise no change since ___ at 12:20pm. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with alcoholic cirrhosis, hepatic encephalopathy, right hydrothorax with recently discontinued chest tube, fever, confusion, evaluation for change. COMPARISON: Chest x-ray of ___ at 12:20 and CT torso of ___. | Unchanged small apical pneumothorax. Left lower lobe consolidation which could represent atelectasis or pneumonia that has slightly worsened. |
13916391 | Single portable view of the chest compared to previous exam from ___. Lower lung volumes seen on the current exam. Given differences in positioning and technique, the lungs are clear, noting that the retrocardiac region is relatively dense which could be technical and positional. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are unremarkable. | 57072547 | PORTABLE CHEST, ___. HISTORY: ___-year-old male with altered mental status. Question pneumonia. | Retrocardiac opacity, potentially technical in nature; however, if concern, repeat exam with frontal and lateral views may help further characterize. |
13916391 | Two views of the chest were obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size. | 56660716 | INDICATION: Shortness of breath. Assess for pneumonia. COMPARISONS: ___. | No acute intrathoracic process. |
13916391 | Patient is somewhat rotated. There is a right retrocardiac opacity that corresponds to opacification along the lower thoracic spine on the lateral view. There are small bilateral pleural effusions. There is no pneumothorax. Patchy and linear opacities are seen within the left lung base and are likely due to atelectasis. The cardiomediastinal silhouette is stable. | 54750556 | INDICATION: ___-year-old male patient with past medical history of alcoholic cirrhosis and hepatic encephalopathy. Study requested for evaluation of pleural effusions and/or pneumothorax. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | Right retrocardiac opacity, representing either atelectasis or pneumonia. Short term followup CXR is recommended for evaluation of interval resolution. Small bilateral pleural effusions. |
13916391 | The heart size is within normal limits. The mediastinal and hilar contours are normal. The lung volumes are low and retrocardiac consolidation is improved. There is a small-to-moderate pleural effusion on the right, increased from prior exams. There is no pneumothorax. No chest tube is in place. Clips in the right upper abdominal quadrant represent prior cholecystectomy. | 53836554 | HISTORY: ___-year-old male with alcoholic cirrhosis and right-sided hydrothorax status post chest tube, now here with hospital-acquired pneumonia. STUDY: AP upright and lateral chest radiograph. COMPARISON: ___ and torso CT from ___. | Improving retrocardiac consolidation and increasing right pleural effusion. |
13916391 | The lowest part of the right costophrenic angle has not been included in this image. Accounting for this, there is no evidence of a substantial hydrothorax on the right. A small right apical pneumothorax is again demonstrated, measuring 3 mm. A basal opacity is noted on the left lung which is concerning for pneumonia. | 54476355 | INDICATION: ___-year-old male patient with alcoholic cirrhosis, chronic right hydrothorax with discontinuation of chest tube. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph. | Unchanged small apical right pneumothorax. New left lower lobe opacity, concerning for pneumonia. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ at 1:50 PM, at time of discovery. |
13662799 | The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. | 53686116 | HISTORY: Dyspnea, chest pain. COMPARISON: Comparison made with chest radiographs from ___. | No acute cardiopulmonary process. |
13594224 | Upright PA and lateral radiographs of the chest. There is an opacity at the left lower lung with meniscus on the lateral radiograph compatible with pleural effusion likely with a component of volume loss. Underlying infection is a concern. The right lung is clear. The heart is not enlarged. The cardiomediastinal silhouette and hilar contours are normal. Surgical clips project over the left axilla. The included upper abdomen is unremarkable. | 55335974 | INDICATION: Chest pain. Evaluate for pneumonia. COMPARISON: None. | Opacity at the left lower lung likely reflecting pleural effusion with a component of volume loss. Underlying infection should be considered. These results were telephoned to ___ by ___ at 11:30 a.m., ___, 5 minutes after discovery. |
13495882 | Low lung volumes are noted with secondary left basilar atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy. | 57026233 | WET READ: ___ ___ ___ 5:00 PM Left basilar opacity which is most likely atelectasis given low lung volumes. Infection is not entirely excluded. If desired repeat with PA and lateral can be performed with better inspiratory effort. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with ?seizure, undergoing infection workup // eval for pneumonia TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Left basilar opacity which is most likely atelectasis given low lung volumes. Infection is not entirely excluded. If desired repeat with PA and lateral can be performed with better inspiratory effort. |
13366940 | The heart is mildly enlarged. There is calcification of the aortic knob. There is mild pulmonary edema. There are no large pleural effusions. There are no definite focal consolidations concerning for pneumonia. There is no definite pneumothorax. | 50126828 | HISTORY: Chest pain. Rule out infiltrate, pneumothorax. COMPARISON: Outside chest x-ray from ___. TECHNIQUE: PA and lateral chest radiographs. | Mild pulmonary edema. No definite focal consolidations concerning for pneumonia. No pnemothorax. |
13666088 | The lungs are clear without consolidation, edema or pneumothorax. Small bilateral pleural effusions persist, slightly smaller when compared to prior. Cardiac silhouette is stable. No acute osseous abnormalities. | 54939929 | INDICATION: ___M with chest pain. h/o pericardial and pleural effusions // ?acute cardiopulmonary process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | Persistent residual but smaller bilateral pleural effusions. |
13666088 | There are small bilateral pleural effusions, stable on the right, similar or minimally improved on the left. Increased heart size, stable. Improved pulmonary vascularity. Bibasilar opacities have improved. No pneumothorax. | 59987993 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pericardial effusion s/p drainage and pleural effusion being diuresed remains slightly hypoxic compared to baseline // Evaluate pleural effusion after diuresis TECHNIQUE: Chest two views COMPARISON: ___ 07:49 | Small pleural effusions. Improved pulmonary vascularity. |
13666088 | Moderate cardiomegaly is present. The mediastinal and hilar contours are unremarkable. Mild pulmonary edema is demonstrated along with small bilateral pleural effusions. Patchy opacities within the lung bases may reflect atelectasis but aspiration or infection is not excluded. No pneumothorax is detected, though the medial aspects of the lung apices are slightly obscured by the patient's neck projecting over these regions. No acute osseous abnormalities seen. | 56045623 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath, tachycardia, tachypnea, chest pain // ? acute cardiopulmonary process TECHNIQUE: Portable upright AP view of the chest COMPARISON: None. | Mild pulmonary edema with small bilateral pleural effusions. Patchy bibasilar airspace opacities may reflect atelectasis, but infection or aspiration is not excluded. |
13432711 | The cardiac silhouette is enlarged. As compared to outside chest radiograph performed earlier today, there has been interval improvement of linear and hazy opacities involving the right hemi thorax. Given the this rapid interval change, findings could be secondary to improving pulmonary edema. There still remains pulmonary vascular congestion and mild to moderate pulmonary edema, right worse than left, and this can be seen in the setting of asymmetric pulmonary edema. No large pleural effusion or pneumothorax is identified. | 59087535 | EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with hypoxia // eval pulm edeam eval pulm edeam TECHNIQUE: PA and lateral views of the chest. COMPARISON: Prior outside chest radiograph from ___. | Rapid interval improvement of linear and hazy opacities involving the right hemithorax, as compared to outside chest radiograph performed earlier today, findings could be secondary to improving pulmonary edema. Pulmonary vascular congestion and mild to moderate pulmonary edema still remain, right worse than left, this can be seen in the setting of asymmetric pulmonary edema. |
13961236 | There is an apparent increase in soft tissue density in the left axilla compared with the prior study. The left chest single-lead pacemaker remains in place, with its lead positioned at the level of the ventricles. There is left basilar opacity. The remainder of the lungs are clear. There is no definite pleural effusion. There is no pneumothorax. The cardiac silhouette remains moderately enlarged. Note is made of mitral annular calcifications. The mediastinal contours are notable for calcification of the aortic arch. Pulmonary vasculature is normal. Surgical clips are noted in the right upper quadrant. | 50346094 | HISTORY: ___-year-old male status post pacer placement, now with elevated INR and swelling. COMPARISON: ___. | Left basal opacity, likely atelectasis, cannot exclude pneumonia. Apparent increase in soft tissue in the left axilla. |
13961236 | A single portable AP chest radiograph was obtained. Aeration of the left base has minimally improved since the prior exam two days ago. A left basilar retrocardiac opacity continues to obscure the left hemidiaphragm. No new consolidation, effusion, or pneumothorax is present. Soft tissue density surrounding a left chest pacer corresponds with the clinically noted pacer pocket hematoma. A single cardiac lead projects over the right ventricle. Cardiomegaly remains mild. The aortic arch and mitral valve anulus are calcified. | 54705714 | INDICATION: ___-year-old man with low-grade temperature, pacer pocket hematoma, left basilar consolidation. COMPARISONS: ___ to ___. | Minimal improvement in left basilar aeration. Persistant left lower lobe opacity can represent both atelectasis or pneumonia; this differentiation cannot be made on this exam. Left chest soft tissue density corresponds with known pacer pocket hematoma. |
13961236 | Lung volumes remain low. Severe cardiomegaly is re- demonstrated. The large left pleural is larger, layering along the left lateral chest wall. The moderate right pleural effusion is minimally increased. Bibasilar atelectasis is worse. Mild pulmonary congestion is not appreciably changed. A new right PICC line terminates in the mid SVC. A left pacer lead terminates in the right ventricle. There is no pneumothorax. | 52823730 | HISTORY: Hypoxia. Evaluate for worsening venous congestion or effusion. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Multiple prior radiographs of the chest most recent ___. | Large left pleural effusion is increased, and moderate right pleural effusion is minimally increased. Bibasilar atelectasis is worse and mild pulmonary edema is unchanged. |
13825250 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 50333153 | INDICATION: ___-year-old female with tachycardia and sinus pain. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE | No acute intrathoracic process. |
13326830 | The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Tortuosity of the descending thoracic aorta is unchanged. | 50557666 | INDICATION: Chest pain, fevers, chills, cough. COMPARISON: ___. | No acute cardiopulmonary process. |
13925935 | AP and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion or pneumothorax. Mild apical scarring is noted. Mild-to-moderate cardiomegaly appears progressed from prior exam. The left hemidiaphragm appears obscured. There is no focal consolidation. There is no pulmonary edema. Aortic arch calcifications are noted, otherwise hilar and mediastinal silhouettes are unchanged. Partially imaged upper abdomen is unremarkable. Multiple surgical clips project over left axilla. | 52362572 | INDICATION: Patient with CHF, aortic stenosis and atrial fibrillation, now presenting with dizziness and palpitations. COMPARISONS: Chest radiograph of ___. | No focal consolidation. Moderate cardiomegaly appears progressed from ___ exam. In the setting of clinical concern for pericardial effusion, cardiac echo may be obtained for further assessment. |
13085401 | 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. | 55001506 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with trauma status post being pushed down stairs TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13984946 | Lung volumes remain low with minimal bibasilar atelectasis. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. | 58329458 | INDICATION: History: ___M with chest pain // Evaluation of PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Low lung volumes with bibasilar atelectasis. |
13984946 | The cardiomediastinal contours within normal limits. Stable elevation of the right hemidiaphragm again noted. There is no free air or pneumothorax. Mild right basal atelectasis, otherwise clear lungs. There is no free air below the right hemidiaphragm. There is no fracture or dislocation. | 51243341 | WET READ: ___ ___ ___ 7:36 PM 1. No free air or pneumothorax. 2. Lungs are clear. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___M with chest pain and epigastric pain // r/o free air or pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Stable right hemidiaphragmatic elevation without evidence of pneumonia or free air. |
13984946 | The lungs are hypoinflated, and there is elevation of the right hemidiaphragm. Predominantly linear streaky airspace opacities noted at the right lung base, likely reflects atelectasis. The remainder the visualized lungs are grossly clear without lobar consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. | 53195174 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with c/f acute stroke, eval for infectious process // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None is readily available for comparison. | Hypoinflated lungs and right basilar linear atelectasis. |
13984946 | Heart size is normal. There is no pleural effusion or pneumothorax. Linear right basilar opacity, consistent with atelectasis. | 59099981 | EXAMINATION: Chest radiograph INDICATION: Fever and cough evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No evidence of pneumonia. |
13984946 | PA and lateral views of the chest are provided. The lung volumes are low, though allowing for this, lungs appear clear without focal consolidation, effusion, or pneumothorax. The heart size appears top normal. Mediastinal contour is unremarkable. No pneumothorax or large effusion is seen. Bony structures are intact. | 51078600 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Productive cough, question pneumonia. | Mild cardiomegaly. Otherwise, normal. |
13211200 | The lung volumes are low. There is a right Port-A-Cath terminating at the right atrium. The heart size is top-normal. The hilar and mediastinal contours are within normal limits. A left retrocardiac opacity may reflect atelectasis, difficult to differentiate from in early consolidation or effusion. There is no right-sided effusion. There is no pneumothorax. | 56746885 | WET READ: ___ ___ ___ 2:41 PM Examination limited by low lung volumes. A left basilar opacity may reflect atelectasis, early consolidation, or effusion. ______________________________________________________________________________ FINAL REPORT INDICATION: Shortness of breath. Known T1 compression fracture. Concern for pneumonia. TECHNIQUE: Frontal chest radiograph. COMPARISON: Chest radiograph from ___. | Examination limited by low lung volumes. A left basilar opacity may reflect atelectasis, early consolidation, or effusion. |
13398905 | The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. | 50841988 | HISTORY: ___-year-old male with cough. STUDY: PA and lateral chest radiograph. COMPARISON: ___. | No acute cardiopulmonary process. |
13033761 | There is moderate cardiomegaly with left-sided pacer leads in appropriate position. There is mild pulmonary vascular congestion; otherwise, the hilar and mediastinal contours are unremarkable. There is diffuse mild-to-moderate pulmonary edema as well as small bilateral pleural effusions. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable. | 58748307 | INDICATION: History of shortness of breath. Please evaluate. COMPARISONS: None. TECHNIQUE: Frontal and lateral radiographs of the chest. | Mild-to-moderate pulmonary edema. Small bilateral pleural effusions. |
13033761 | PA and lateral views of the chest were obtained. Cardiomediastinal silhouette including mild cardiomegaly is unchanged. Redemonstrated is a pacer/ICD device with appropriate placement of all three leads. Mild pulmonary edema and bilateral small effusions are stable. Lungs are clear. There is no pneumothorax. | 56985757 | INDICATION: ___-year-old man with syncope and shortness of breath, evaluate for pneumonia. COMPARISON: ___. | Persistent mild pulmonary edema and small bilateral effusions. No evidence of pneumonia. |
13033761 | Left-sided AICD/pacemaker device is re- demonstrated with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. Heart size is mildly enlarged but unchanged. The mediastinal contours are unremarkable with minimal atherosclerotic calcifications of the aortic knob. There is mild pulmonary vascular congestion, but this is improved compared to the previous study. No focal consolidation, pleural effusion or pneumothorax is seen. Diffuse degenerative changes are again noted in the thoracic spine with anterior osteophyte formation. | 53675505 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with increased SOB last night the resolved after about 30 minutes // Assess for pneumonia and pleural effusion. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild pulmonary vascular congestion, improved compared to the prior study. |
13856909 | The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Median sternotomy wires are intact. A prosthetic tricuspid valve is again noted. | 56257199 | WET READ: ___ ___ ___ 5:22 AM No acute cardiopulmonary process. Specifically no pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with CP/ SOB. Assess for etiology of chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___, ___. | No acute cardiopulmonary process. Specifically no pneumonia. |
13856909 | Sternotomy wires are intact. Prosthetic tricuspid valve is in unchanged position. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. | 58022438 | INDICATION: History: ___M with fever, ICDU // eval for PNA, evidence of septic emboli TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. |
13856909 | The lungs are well inflated and clear. There is mild interstitial edema. The cardiomediastinal silhouette is within normal limits. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm. | 54009317 | INDICATION: Fever, fall. Evaluate for pneumonia. TECHNIQUE: Single portable AP view of the chest. COMPARISON: None available. | Mild interstitial edema. No consolidation. |
13168445 | There is an irregularly-shaped calcific density projected to the left of the eighth thoracic vertebra. This is projected over the left lower lobe. The lungs appear otherwise clear. The heart and mediastinal structures are unremarkable in appearance. The bony thorax is grossly intact. | 55865901 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY ___ year old man with traumatic chest wall injury in ___. Had outside CXR which reportedly showed possible "blood vessel" in L lung field, details unclear, was advised to repeat film to r/o abnormality. // rule out lesion in L lung field rule out lesion in L lung field COMPARISON: None | Calcific density projects over the left lower lobe. This is likely a skeletal deformity related to skeletal trauma but the appearance is not specific. It may be helpful to compare with prior, outside x-rays. Alternatively, CT could be performed for further evaluation. |
13058887 | Lung volumes remain low. Large-to-moderate right-sided pleural effusion persists despite the presence of a pigtail catheter which appears unchanged in position, projecting over the right lower hemithorax. Adjacent platelike atelectasis and scarring is minimally worse. Probable small left pleural effusion as well as atelectasis is overall similar. No pneumothorax. Heart size and mediastinum are probably overall unchanged. The ICD is unchanged. | 56035224 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with complicated parapneumonic effusion and chest tube // interval change? COMPARISON: Chest radiograph dated ___. | Persistent moderate right pleural effusion despite presence of pigtail drain over the last several days. |
13257261 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is detected. No acute osseous abnormalities seen. | 53359821 | HISTORY: Right upper quadrant pain and point tenderness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13724316 | Compared to the prior radiograph, the NG tube has been removed. No OG tube is identified on the current study. Notably, the right PICC line tip is now in the left brachiocephalic vein, previously in the right atrium 1.5 hr prior. The degree of bilateral pulmonary edema and bibasilar atelectasis has worsened. Overlying pneumonia could be considered in the correct clinical setting. No pneumothorax. | 56314406 | EXAMINATION: Chest (portable AP). INDICATION: ___ year old woman with replaced OG tube. Assess OG tube position. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs from earlier on the same day, ___, ___, and ___. | No OG tube is identified. Right PICC line tip is now in the left brachiocephalic vein, previously in the right atrium. Interval worsening of bilateral pulmonary edema and bibasilar atelectasis. Superimposed pneumonia could be considered in the correct clinical setting. |
13724316 | Single view of the chest provided. The lung volumes are mildly improved. Mild to moderate pulmonary edema is mildly improved and moderate retrocardiac atelectasis is unchanged from the prior study on the same date. There is no pleural effusion, or pneumothorax. The hilar contours are normal. ET tube ends 4 cm above the carina. A feeding tube can only be visualized to the level of the diaphragm. | 56443780 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with DM2, left calcaneal polymicrobial wound including MRSA diabetes, hypertension, who presented with sepsis unclear source and developed hypoxemic respiratory failure while in house. // Please eval for OG tube location. COMPARISON: Chest radiograph ___ | A feeding tube can only be of the visualized to the level of the diaphragm. Recommend further evaluation with a KUB or aspiration gastric contents. ET tube in standard position. Mild to moderate pulmonary edema is mildly improved and moderate retrocardiac atelectasis is unchanged from the prior study on the same date. |
13724316 | A newly placed OG tube extends to the level of the lower esophagus. Right-sided PICC line terminates of the superior cavoatrial junction. The ET tube terminates at the level of the clavicles. Lung volumes are low. Bilateral layering pleural effusions are unchanged. Diffuse bilateral airspace opacities are stable. | 54353950 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure,unable to see OGT on prior xray // please assess feeding tube placement TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Newly placed NG tube is visualized to the level of the lower esophagus. Advancement is advised. No other significant interval change. |
13724316 | The ET tube terminates at the level of the clavicles, 3-4 cm above the carinal. A right-sided PICC line terminates in the low SVC. Lung volumes are low. Diffuse bilateral airspace opacities have slightly increased. Small bilateral pleural effusions are also stable. The heart and mediastinum are magnified by the projection. | 55283825 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure, ETT still appears high. Just advanced to 25cm. // What is position of ET tube? TECHNIQUE: AP radiograph of the chest. COMPARISON: ___. | Slightly increased diffuse bilateral airspace opacities which may be due to edema or infection. Stable small bilateral pleural effusions with bibasilar atelectasis. |
13724316 | An endotracheal tube terminates 6.2 cm above the carina. The right PICC line terminates in the mid SVC, unchanged from the last radiograph. Compared to the prior radiograph, bilateral parenchymal opacities have worsened, concerning for pulmonary edema versus ARDS. No pneumothorax. No larger pleural effusions. | 52300609 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with resp failure. Assess for change. TECHNIQUE: 2 portable AP views of the chest. COMPARISON: Chest radiographs from ___. | Interval worsening of bilateral parenchymal opacities may be due to pulmonary edema or ARDS, in the appropriate clinical setting. |
13821690 | Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is a subtle opacity at the left lung base, seen anteriorly on lateral view. There is a mild S-shaped scoliosis of the thoracic lumbar spine. | 51731689 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with weakness, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Left lower lobe pneumonia. |
13304076 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures appear within normal limits. | 52004184 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath and palpitations. TECHNIQUE: Chest, PA and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. |
13825885 | Frontal and lateral views of the chest were obtained. There is mild left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. | 54830016 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of chest pain, shortness of breath. COMPARISON: ___. | Mild left base atelectasis without definite focal consolidation. |
13825885 | The inspiratory lung volumes are decreased with streaky opacification at the bilateral lung bases compatible with atelectasis. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is accentuated in size, partially due to under-inflation of the lungs, but likely within normal limits. The thoracic aorta is unfolded with prominence of the mediastinum, but no change from the prior study. The trachea is midline. There is no free air beneath the right hemidiaphragm. | 51807950 | INDICATION: Dyspnea, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | Bibasilar atelectasis without focal consolidation concerning for pneumonia. |
13026799 | PA and lateral views of the chest provided. Vague left lung base opacity may represent atelectasis. No convincing evidence for pneumonia. No effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 56190474 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with L sided CP COMPARISON: None | Mild left basal atelectasis. Otherwise normal |
13624087 | The cardiac silhouette size is top normal. The aorta is mildly unfolded. There is a moderate size hiatal hernia. Fullness of the right hilum corresponds to a known mass seen on recent CT. Right lower lobe mass seen on recent CT is not completely seen on the current exam. Lungs are otherwise clear. Pulmonary vascularity is normal. Left hilar contour is normal. No pleural effusions or pneumothorax is identified. No acute osseous abnormality seen. | 57630487 | HISTORY: Hemoptysis. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: Reference chest CT dated ___ from 12:58. Chest radiograph ___. | Fullness of the right hilum compatible with known mass seen on the prior CT from earlier today. Known right lower lobe lesion is not clearly delineated on the current exam. Moderate size hiatal hernia. No pleural effusion identified. |
13624087 | The heart size is top normal. The aorta is tortuous. There is a moderate-sized hiatal hernia. There is fullness about the right hilum likely secondary to the known lesion seen on the recent CT. The right lower lobe mass is better evaluated on the CT from ___. There has also been an interval increase in pulmonary vascular congestion without evidence of frank interstitial edema. No focal consolidations are identified. There is no pneumothorax. No pleural effusions are seen. No acute osseous abnormality is identified. | 56550174 | INDICATION: ___-year-old female with a right hilar mass status post rigid bronchoscopy and tumor debridement, who presents for evaluation of pneumothorax. COMPARISON: Chest radiographs from ___ and ___ and chest CT from ___. TECHNIQUE: Single AP portable exam of the chest. | No evidence of a pneumothorax. Slight interval increase in pulmonary vascular congestion. |
13864953 | 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. | 56054967 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with 3 days of persistent n/v/d, epigastric pain; endorses shortness of breath. Evaluate for pneumonia. COMPARISON: Radiograph from ___ | No acute intrathoracic process. |
13864953 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 53793649 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough for 1 month // eval for PNA TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13448114 | Lung volumes are considerably lower than in ___. Opacity in the right lower lung projects over the spine on lateral view, new from ___. Mediastinal contours and hila are normal. Cardiac silhouette is accentuated by AP technique and low lung volumes. Small bilateral pleural effusions are new from ___. | 50541620 | WET READ: ___ ___ ___ 7:48 AM 1. Right lower lobe pneumonia. 2. Possible small bilateral effusions. WET READ VERSION #1 ___ ___ ___ 7:34 AM Possible right lower lobe pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with chest pain // eval for pna TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph from ___. | Right lower lobe pneumonia. Possible small bilateral effusions. |
13324082 | The cardiomediastinal silhouette is unchanged, with unfolding of the aorta again noted. The lungs are relatively well expanded. There is some focal opacity in the right cardiophrenic region and blunting of the right costophrenic angle. Opacity in the right cardiophrenic region may be accounted for by opacities seen abutting the lower chest wall posteriorly. No associated air bronchograms. Mild deformity of the right chest wall is compatible with known fractures. No CHF, other focal opacity or left-sided effusion is identified. No pneumothorax detected. The extensive subcutaneous is emphysema seen on the ___ radiographs has resolved. Again seen is the fracture of the distal right clavicle, with displacement. Incidental note made of gallstones. | 54607111 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with trauma and rib fractures, eval interval change (approx 2 weeks out) // eval interval change COMPARISON: Chest x-rays from ___ and ___ and targeted review of chest CT from ___ | Focal opacity in right cardiophrenic region and blunting of the right costophrenic angle, which may correspond to the opacity seen against the lower posterior chest wall. This is not fully characterized, but could represent residua from the effusion and consolidation that was seen at the right lung base posteriorly on the ___ CT scan. In the absence of new or worsening symptoms, which would argue for more full or evaluation at this time, followup chest x-ray in approximately 4 weeks could help to assess for continuing resolution. Lungs otherwise grossly clear. Multiple rib fractures again seen. No pneumothorax detected. Right clavicle fracture again noted. |
13324082 | Multiple acute right rib fractures are unchanged. Extensive right chest wall and cervical subcutaneous emphysema is not appreciably changed. There is no appreciable pneumothorax. Small pneumomediastinum is better seen on the prior CT scan. Right basilar airspace opacities have increased. Small right pleural effusion is stable. | 59550740 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with traumatic rib fractures. // ?interval change in pneumothorax. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Increased right basilar airspace opacities may be due to worsening bleeding, or developing pneumonia versus aspiration. Stable small right pleural effusion. Unchanged appearance of multiple acute right rib fractures. Extensive right chest wall and cervical subcutaneous emphysema. |
13090641 | Back board hardware projects over the midline. Tracheostomy appears to be in standard position. Left PICC tip appears to have been advanced with tip now in the low SVC; this could also reflect patient arm positioning. Left pleural effusion is unchanged. Bibasilar subsegmental atelectasis is seen. Subtle increased opacity in the right apex may represent a small amount of atelectasis. No pneumothorax is detected. Bilateral rib fractures are again noted. | 52061876 | INDICATION: ___-year-old male with T3 transection, tracheostomy, and respiratory distress, now with decrease in oxygen saturation. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in a semi-erect position. | Subsegmental atelectasis and persistent left pleural effusion. |
13090641 | The endotracheal tube terminates 8.5 cm above the carina. A nasogastric tube follows a normal course but the last side port is above the GE junction. A left-sided chest tube terminates in the medial left apex. A left subclavian central venous catheter terminates in the brachiocephalic vein. There is minimal left apical pleural fluid as before. Right apical atelectasis has improved. Newly apparent diffuse increased opacity in the right hemithorax is probably due to layering pleural effusion. Bilateral rib fractures are again seen. Cardiomediastinal silhouette is stable. | 59713925 | INDICATION: ___-year-old male status post MVC with hemothorax, now status post left chest tube placement. Assess for interval change. COMPARISON: ___. SUPINE AP VIEW OF THE | Left thoracostomy tube in unchanged position. Endotracheal tube terminates 8.5 cm above the carina and could be advanced. Nasogastric tube with last side port above the GE junction. Recommend advancing at least 3 cm. Increased opacity in the right hemithorax suggests layering pleural fluid. |
13090641 | A back brace overlies the patient. A left-sided PICC terminates within the mid SVC, with the tip now oriented superiorly. The patient is post-tracheostomy. A previously seen large left pleural effusion is decreased in size, with a trace amount of fluid remaining. There is persistent moderate left basilar atelectasis. No pneumothorax is detected. Multiple skin ___ overlying the lower neck denote recent cervical spine surgery. Multiple right rib fractures are again seen. | 52742242 | INDICATION: Left pleural effusion post-drainage. COMPARISON: Radiograph available from ___. FRONTAL CHEST | Interval decrease in size of a left pleural effusion. Left-sided PICC tip terminating within the mid SVC, but now with the tip oriented superiorly. No pneumothorax. |
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