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13090641 | A left thoracostomy tube is unchanged in position. Since ___:36 a.m. examination, there has been interval restoration of the left diaphragmatic border, compatible with resolved pneumothorax. No residual pneumothorax is seen. Bilateral scapular fractures and multiple rib fractures are better appreciated on the CT examination from ___. The endotracheal tube terminates 7.4 cm above the carina. A left subclavian catheter terminates within the mid SVC. An orogastric tube extends into the stomach. Mild bibasilar opacities may reflect mild aspiration. | 53643658 | INDICATION: Polytrauma, post left chest tube placement. COMPARISON: CT torso available from ___ and radiograph from ___, at 12:36 a.m. FRONTAL CHEST | Interval resoluation of left pneumothorax. Unchanged position of a left thoracostomy tube. ET tube terminating 7.4 cm above the carina. Bilateral rib and scapular fractures. Mild bibasilar opacities, possibly reflecting mild aspiration. |
13753883 | Compared with prior radiographs on ___, there has been interval complete resolution of the right lower lobe pneumonia.The lungs are clear without focal consolidation. No pleural abdomen or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal. | 52195160 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with RLL pneumonia // Evaluate for resolution of infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___ | Interval complete resolution of right lower lobe pneumonia. |
13753883 | Confluent consolidation is present in the right lower lobe, predominantly in the superior segment and involving the posterior basilar segment to a lesser degree. The left lung is clear. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 55721983 | INDICATION: ___ year old man with fevers, cough // eval for intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: No prior | Right lower lobe pneumonia. |
13418100 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal. This is improved from the prior radiograph, at which time the heart was moderately enlarged. Mild degenerative changes are noted in the thoracic spine. | 54517192 | INDICATION: Cough. Evaluate for pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process; specifically, no evidence of pneumonia. |
13418100 | PA and lateral chest radiograph shows well-inflated lung without consolidation or nodules. Much larger heart shadow than in ___ might is due to pericardial effusion or cardiomyopathy. Pulmonary vasculature is engorged but mediastinal veins are not distended. There is no pleural effusion or pneumothorax. | 55760374 | PATIENT HISTORY: ___-year-old woman with prolonged cough. Assessment for pneumonia. The patient has also history of congestive heart failure and COPD. COMPARISON: Exam is compared to chest x-ray of ___. | New enlargement of the cardiac silhouette is due to pericardial effusion and/or cardiomyopathy. Findings were reported to Dr ___ at 12.___ by Dr ___ |
13418100 | The lungs are grossly clear besides mild bibasilar atelectasis. The cardiomediastinal silhouette is within normal limits. There is no effusion or pneumothorax. Proximal right humerus fracture is partially visualized. Posterior lumbar spine fixation hardware is partially seen. Compression deformity of a lower thoracic vertebral body is grossly unchanged since ___. | 52081148 | INDICATION: ___F with s/p fall WBC ___ // eval ? infection. Eval axillary shoulder view TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13470621 | The lungs are hyperinflated and the diaphragms are flattened, suggesting background COPD. The heart is at the upper limits of normal in size. Multiple mediastinal surgical clips are noted. Mild prominence of the pulmonary hila with a tapered appearance raises the question of background pulmonary hypertension. Prominence of the left paratracheal soft tissues is similar to the chest x-ray from ___ and likely accentuated by slight rotation. There is linear atelectasis and/or scarring at left greater than right lung bases. Minimal blunting of the costophrenic angles is noted. No CHF, focal infiltrate, gross effusion, or pneumothorax is detected. | 54822492 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with neck pain, h/o cad w/ cabg // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___. | Probable background COPD. Prominence of the hila raises the possibility of pulmonary hypertension. No CHF or focal infiltrate identified. No findings suggestive of an acute pulmonary process. Minimal linear bibasilar atelectasis/ scarring and minimal blunting of the costophrenic angles noted. This appearance is similar, but slightly improved, compared with a chest x-ray from ___ |
13749339 | The heart size is normal. The mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 58214375 | HISTORY: Lightheadedness. TECHNIQUE: Upright AP view of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13203329 | There has been interval removal of a right internal jugular transvenous pacer from ___ but a right IJ sheath is in place with the tip terminating in the upper SVC at its origin. A left pectoral pacemaker has been placed in the interval from the prior study with two leads, which appear to terminate in the right atrium and in the apex of the right ventricle on this single frontal view. The inspiratory lung volumes remain low, which accentuates the appearance of the cardiomediastinal silhouette. Allowing for this, the cardiac silhouette is enlarged but stable. Mild engorgement of the pulmonary vessels is unchanged. Mild diffuse opacification of the bilateral lungs, greater on the right than the left, likely reflects a combination of mild pulmonary edema and subsegmental atelectasis. Retrocardiac opacification at the left lung base is consistent with volume loss in the lower lobe. Small pleural effusions are present bilaterally. No pneumothorax is detected. There is significant S-shaped thoracolumbar scoliosis. | 51616470 | INDICATION: Status post dual-chamber pacemaker placement, here to confirm lead placement. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest. | Appropriate placement of dual pacemaker leads. Small bilateral pleural effusions in combination with mild pulmonary edema suggest congestive heart failure. Left lower lobe volume loss and subsegmental atelectasis. |
13434840 | The ET tube ends 1.2 cm above the level of the carina. There is a right-sided pacemaker with associated right atrial and right ventricular leads. A right internal jugular venous catheter is seen, containing an additional pacer wire that ends over the region of the right ventricle. There is minimal bibasilar atelectasis. There is likely a small left pleural effusion. The heart size is normal. The mediastinal contours are normal. Aortic knob calcifications are seen. There is no pneumothorax. | 50633258 | INDICATION: Evaluate tube placement. COMPARISON: None. | No acute cardiac or pulmonary process. ET tube ends 1.2 cm above the level of the carina and should be retracted by approximately 3 cm for more optimal position. Small left pleural effusion. Findings and recommendation were discussed with Dr. ___ by Dr. ___ ___ telephone at 5:00 p.m. on the day of the study. |
13748932 | 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. | 52178574 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with s/p fall multiple rib factures // eval for worsen PTX COMPARISON: None available | No acute intrathoracic process. |
13175081 | There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips in unchanged positions are incidentally noted. | 58295227 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fever, cough, IGG def // ? pna TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___ and ___. | No evidence of acute cardiopulmonary process. |
13240053 | Single AP upright portable view of the chest was obtained. There is obscuration of the bilateral diaphragms worrisome for pleural effusions with overlying atelectasis, underlying consolidation is not entirely excluded. The patient is status post median sternotomy and CABG. No definite evidence of pneumothorax is seen. There is central pulmonary vascular engorgement. The cardiac silhouette is not optimally assessed due to the bibasilar opacities, although appears mildly enlarged. The mediastinum is not widened. The aortic knob calcification is seen. Chronic deformity at the right shoulder/proximal humerus is again seen. | 57389812 | EXAM: AP view of the chest. CLINICAL INFORMATION: Leg swelling, chest pain, shortness of breath. COMPARISON: ___. | Mediastinum is not widened. Obscuration of the diaphragms, raising concern for pleural effusions with overlying atelectasis, underlying consolidation is difficult to exclude. Mild pulmonary vascular engorgement. |
13240053 | The patient is rotated and the lung volumes are low which limits evaluation. There are moderate bilateral pleural effusions with adjacent atelectasis which have increased in size from prior. The cardiac silhouette remains mildly enlarged. There certainly isn't evidence of severe pulmonary edema. No pneumothorax. There is no displaced rib fracture. | 55415882 | HISTORY: Significant coronary history having an acute chest discomfort and reproducible on the left side. Evaluate for a fracture. TECHNIQUE: Semi erect portable frontal view of the chest. COMPARISON: Chest radiographs ___, ___ and ___. | Increase in moderate bilateral pleural effusions. No displaced rib fracture. If further concern for a fracture persists, a dedicated rib series with markers would be useful. |
13240053 | The patient is status post sternotomy and coronary artery bypass graft surgery. The heart is mild to moderately enlarged. The cardiac, mediastinal and hilar contours appear unchanged. Pleural effusions have resolved. There is mildly exaggerated kyphotic curvature centered along the mid thoracic spine and suspected bony demineralization. Moderate flowing anterior osteophytes are visualized along the lower thoracic, mid thoracic and upper lumbar spines. | 51682846 | CHEST RADIOGRAPHS HISTORY: Atypical chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13240053 | The patient is status post sternotomy and coronary artery bypass graft surgery. The heart is again mild-to-moderately enlarged. There is no definite pleural effusion or pneumothorax. The lungs appear clear. There is no evidence for free air. This examination shows a prior fracture involving the right proximal humerus, incompletely characterized here but without evidence for change since prior dedicated radiographs from ___. | 51992561 | CHEST RADIOGRAPH HISTORY: Gastrointestinal bleeding. COMPARISONS: ___ and ___. TECHNIQUE: Chest, portable AP view. | No evidence of acute disease. |
13291805 | The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Left upper extremity PICC ends in the low SVC | 54365682 | WET READ: ___ ___ 5:32 PM Left upper extremity PICC ends in the low SVC. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with left arm picc // ck placemt of picc please TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___. | Left upper extremity PICC ends in the low SVC. |
13937874 | Frontal and lateral radiographs of the chest were acquired. There is minimal left lower lung atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Ovoid opacities overlying both lung bases on the frontal projection correspond to the patient's nipples and should not be confused with pulmonary nodules. | 52486486 | INDICATION: Fever. COMPARISON: Chest radiograph from ___. | No acute cardiac or pulmonary process. |
13937874 | Heart size is normal. Mediastinal and hilar contours are unremarkable with mild calcification of the aortic arch. Pulmonary vasculature is normal. Minimal patchy left basilar opacity likely reflects atelectasis. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine. | 58856780 | HISTORY: Abdominal pain, HCC with cirrhosis. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___ | Minimal patchy opacity in the left lung base, likely reflective of atelectasis. |
13817642 | The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 52457137 | HISTORY: Fever, cough. Question evidence of infection. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. |
13292364 | There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 56217377 | WET READ: ___ ___ ___ 1:41 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough, evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13177241 | AP upright and lateral views of the chest were provided. Lung volumes are somewhat low, though allowing for this, there is no focal consolidation, effusion or pneumothorax. There is probable mild atelectasis in the lower lungs. The cardiomediastinal silhouette appears normal. The bony structures appear intact. No definite signs of free air below the right hemidiaphragm. | 51310240 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Altered mental status, question pneumonia. | No acute findings. Low lung volumes limits evaluation. |
13216227 | 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. | 50317537 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with CKD that has new onset left pleuritic chest pain. Evaluate for pneumothorax, pleural effusion. COMPARISON: None | No acute intrathoracic process. |
13751933 | The lungs are clear but no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette remains at top normal and stable. Mild degenerative changes of the thoracic spine. | 54257930 | INDICATION: Fever and cough. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. These findings were discussed by Dr. ___ with Dr. ___ ___ telephone at 4:35 p.m. on ___. |
13261793 | The lungs are hyperexpanded with flattened hemidiaphragms. There is severe upper thoracic dextroscoliosis and mid to lower thoracic levoscoliosis. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is top normal. Incidental note is made of chronic appearing right upper rib deformities. | 55555722 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Hyperinflated lungs with flattened hemidiaphragms, as can be seen in patients with COPD. No focal consolidation concerning for pneumonia. |
13298952 | The lungs are hyperinflated compatible with known emphysema. Nodular opacities overlying the anterior 2nd ribs bilaterally may represent sclerotic foci in the ribs or lung nodules. No other focal opacities are seen. Cardiomediastinal and hilar contours are unremarkable. Atherosclerotic calcifications of the aortic knob are present. There is no pleural effusion or pneumothorax. | 59675340 | INDICATION: ___-year-old female with chest pain and nausea. Evaluate for evidence of pneumonia. COMPARISON: Chest radiograph from ___ and ___. A CT from ___ was also assessed for comparison. TECHNIQUE: Portable upright chest radiograph. | Two new, small rib or lung nodules, probably unrelated to acute complaints. Emphysema. |
13298952 | Frontal and lateral views of the chest were obtained. The lungs are hyperinflated, flattening the diaphragms, consistent with chronic obstructive pulmonary disease. The cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. | 58841069 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Altered mental status. COMPARISON: ___. | No acute cardiopulmonary process. COPD. |
13371327 | No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. The aorta is calcified and tortuous. External artifact projects over the right upper lung. Degenerative change at the partially imaged left shoulder. | 55385692 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypoxia pls eval for edema vs pna // History: ___M with hypoxia pls eval for edema vs pna TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. |
13587675 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. | 58004118 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Altered mental status. | No acute findings in the chest. |
13576871 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 50546461 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with R. flak pain now progression to worsening abdominal pain. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13764509 | A single portable AP chest radiograph was obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal. An endotracheal tube terminates appropriately above the carina. An enteric catheter extends inferiorly of the field of view. | 59251574 | HISTORY: Intubated patient. COMPARISON: None. | Endotracheal tube in appropriate position. |
13724767 | AP upright and lateral views of the chest provided. AICD unchanged. A Port-A-Cath resides over the right chest wall with catheter tip again noted extending into the lower SVC. There is interval decrease in bilateral pleural effusions with only minimal residual basilar atelectasis. No large pneumothorax. No signs of pneumonia. A coronary stent projects over the left heart border. The cardiomediastinal silhouette is stable. No acute bony abnormalities. A catheter projects over the left upper abdomen. | 51519690 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with weakness, FTT at rehab // Pneumonia COMPARISON: ___. | Improvement in bilateral pleural effusions with minimal residual lower lung atelectasis. |
13724767 | Left-sided AICD device is noted with single lead terminating in the region of the right ventricle, though not completely imaged on this study. Heart size is normal. Mediastinal contour is unchanged. The right PICC has been removed. Pulmonary vasculature is not engorged. New ill-defined opacity is seen within the right lung base. Retrocardiac opacity is also noted, as seen previously. No large pleural effusion is demonstrated though the costophrenic angles are not completely included in the field of view. There is no pneumothorax. No acute osseous abnormalities demonstrated. | 55139433 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: ___ | New focal opacity within the right lung base concerning for an area of pneumonia. Retrocardiac opacity could reflect atelectasis though additional site of infection is not excluded. No large pleural effusion is demonstrated although the costophrenic angles are not completely included in the field of view. |
13724767 | AP portable view of the chest. The right Port-A-Cath ends in the low SVC. A left-sided AICD leads are in appropriate position. There is a slight increase in size of the pulmonary vasculature which may indicate mild pulmonary vascular congestion. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. | 57622480 | INDICATION: Pancreatic cancer and pulmonary embolism, fevers and hypotension. COMPARISON: ___. | Mild pulmonary vascular congestion. No evidence of pneumonia. |
13724767 | Right PICC is in stable position near the superior cavoatrial junction. Left chest wall defibrillator has a single lead in the right ventricle. The lungs are normally expanded. There has been interval redistribution of moderate right and small left pleural effusions. Heart size is normal. There is mild vascular congestion. The mediastinal and hilar contours are normal. | 54574513 | INDICATION: ___M w/chf, cirrhosis, ___ w/low UOP and hypoxia // Interval changes in pulm edema, pleural effusions TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___ through ___ | Redistribution of moderate right and small left pleural effusions likely due to patient positioning. There is mild vascular congestion. |
13724767 | There is hazy opacity at the right lung base which correlates with a layering moderate sized pleural effusion. Blunting of the posterior costophrenic angle on the left suggests small left effusion as well. Superiorly, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Left chest wall single lead pacing device is again seen. No acute osseous abnormalities. | 51310451 | INDICATION: ___M with weakness, recent hospitalization // Eval for pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | New moderate right and small left pleural effusions. |
13724767 | Portable AP upright chest radiograph was provided. A Port-A-Cath resides over the right chest wall with catheter tip extending to the region of the mid SVC. An AICD is again seen over the left chest wall with lead extending into the region of the right ventricle. Subtle opacity in the medial right lung base likely reflects bronchovascular markings, though the possibility of a subtle pneumonia is difficult to exclude without a lateral view. Otherwise, the lungs are clear. No definite pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. No acute osseous abnormalities are seen. No free air below the right hemidiaphragm. Calcification adjacent to the left humeral head is unchanged from prior studies, likely reflective of chronic tendinopathy. | 54597893 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ and chest CT from ___. CLINICAL HISTORY: Pancreatic cancer with liver metastasis, presenting with fever and fatigue, question pneumonia. | Subtle opacity in the medial right lung base which could represent pneumonia. Consider lateral view to confirm. |
13724767 | There is now a right-sided central venous catheter with tip projecting over the mid SVC. There is no pneumothorax. Previously seen opacity in the right hemi thorax has resolved. Left chest wall single lead pacing device is again seen. | 52597779 | INDICATION: ___M with s/p cvl // ___;l for cvl TECHNIQUE: 2 portable views of the chest. COMPARISON: ___. | Right-sided central venous catheter tip projects over the mid SVC. |
13724767 | As seen on the prior chest CT and prior radiograph, there are layering bilateral pleural effusions, moderate in size, with continued collapse of the left and right lower lobe. The right chest wall port catheter, right internal jugular central venous line, and endotracheal tubes are standard in position. No new parenchymal opacity or pneumothorax. Stable cardiomegaly. | 59643339 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with respiratory failure. Evaluate interval change TECHNIQUE: Portable semi-upright chest radiograph COMPARISON: In ___ and CT of the chest ___. | Appropriate positioning of support lines and tubes. Moderate bilateral pleural effusions with continued left lower lobe atelectasis. |
13724767 | Heart size is top normal. Mediastinal and hilar contours are not significantly changed. The pulmonary vasculature is less congested. Bilateral effusions and retrocardiac atelectasis are similar to prior. No focal consolidation or pneumothorax. | 55710186 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with fever, sepsis // eval for PNA COMPARISON: Chest radiographs since ___ | No pneumonia. Pulmonary vasculature is less congested. |
13724767 | Port-A-Cath terminates in the lower SVC, unchanged. A single chamber pacemaker is appropriately positioned. In comparison to the prior study, there is increased diffuse bilateral hazy opacification with perihilar and lower lung predominance, consistent with moderate asymmetric pulmonary edema. Cardiomediastinal silhouette is stable. No large effusion or pneumothorax. | 50757865 | INDICATION: ___ year old man s/p Whipple GJ tube ___ now w/ failure to thrive // ? pulmonary edema TECHNIQUE: Portable AP semi-upright view of the chest COMPARISON: ___ | Increased moderate diffuse pulmonary edema. |
13724767 | Single frontal view of the chest obtained. Right-sided Port-A-Cath is seen, distal tip not well seen but likely terminating in the low SVC. A single-lead left-sided AICD is again seen with lead extending to the expected position of the right ventricle. No large pleural effusion is seen. There is no focal consolidation or pneumothorax. The cardiac silhouette is top normal. Mediastinal contours are stable. Overall, there are relatively low lung volumes. | 54995896 | EXAM: Chest single frontal view. CLINICAL INFORMATION: Fever, hypotension. COMPARISON: ___. | Relatively low lung volumes, but no evidence of acute cardiopulmonary process. |
13724767 | 2 views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Single lead ICD is noted. | 59408625 | HISTORY: Fever and hypotension. COMPARISON: ___. | No acute intrathoracic process. |
13724767 | AP upright and lateral views of the chest provided. Left chest wall AICD again seen with single lead extending into the right ventricle region. Cardiomegaly is mild. There is a left-sided coronary stent visualized. Lungs are clear. Right-sided pleural effusion is best seen on the lateral view which is slightly decreased from prior exam. Mediastinal contour is stable and normal. Bony structures are intact. | 50011703 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M s/p whipple for pancCA, p/w confusion. COMPARISON: ___ | Small right pleural effusion. |
13724767 | A nasogastric tube cannot be followed but presumably ends in the stomach. A left pectoral pacer defibrillator has leads ending in the right atrium. A right internal jugular line ends in the cavoatrial junction. A right subclavian Port-A-Cath ends in the mid SVC. Multiple other wires are presumably external. Compared to the prior chest radiograph of ___ the heart size has markedly increased and is now moderately to severely enlarged. Pulmonary vascular congestion and perihilar interstitial opacities consistent with moderate pulmonary edema are stable. There are no large pleural effusions or pneumothorax. | 59522366 | INDICATION: ___M w CHF s/p Whipple w increased resp distress, tachypnea, desaturation // ? fluid overload/effusions TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___. | Interval development of moderate to severe cardiomegaly since ___. Moderate pulmonary edema is stable since ___. The course of the nasogastric tube cannot be followed throughout of the mediastinum, but likely ends in the stomach. |
13724767 | Again seen is a Port-A-Cath projected over the right chest wall with its catheter tip in the mid SVC. An left sided ICD and single lead are both unchanged in position. The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax. | 56538469 | HISTORY: History of pancreatic cancer on chemotherapy. Evaluation for pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple chest radiographs the most recent on ___. | No evidence of acute cardiopulmonary process. |
13687364 | Single portable semi upright frontal image of the chest. The right PICC terminates in the area of the right brachiocephalic venous confluence, unchanged from prior exam. The ET tube is in adequate position. The NG tube is folded in the stomach. There are low lung volumes. Opacity at the left lung base likely represents atelectasis. Mild pulmonary edema has improved from prior exam. Cardiomediastinal silhouette is enlarged, unchanged from prior exam. There is a residual left pleural effusion. There is no right pleural effusion. No pneumothorax is seen. | 59898680 | HISTORY: Pneumonia, PICC may have been accidentally pulled out further. COMPARISON: Comparison made with chest radiographs from ___. | Right PICC terminates in the area of the brachiocephalic venous confluence, unchanged from prior exam. Mild pulmonary edema and left pleural effusion have improved from prior exam. Left lung base opacity, which may represent atelectasis. Cardiomegaly. Findings were communicated to Dr. ___ at 11:15 p.m. on ___ by phone. |
13687364 | Single AP supine portable view of the chest was obtained. Endotracheal tube terminates approximately 2.4 cm above the level of the carina. Enteric tube is seen coursing below the level of the diaphragm, coiled in what is likely the stomach. There is a left-sided internal jugular central venous catheter which terminates in the low SVC. There are relatively low lung volumes. Prominence of the hila is likely related to pulmonary edema. Patchy left basilar opacity could relate to pulmonary edema, although underlying aspiration is not excluded. No large pleural effusion or evidence of pneumothorax is seen. The cardiac silhouette is likely accentuated by AP, supine technique, but may be mildly enlarged. Also, there is mild prominence of the superior mediastinum which is also most likely accentuated by supine position and AP technique. If there is clinical concern for acute mediastinal injury, chest CTA is more sensitive. | 50024975 | EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: Cardiac arrest, status post intubation. COMPARISON: None. | Prominence of the hila likely due to pulmonary edema. Cardiomediastinal silhouette, likely accentuated by supine position, and AP portable technique. However, if there is clinical concern for acute mediastinal injury, chest CTA is more sensitive. |
13687364 | NG tube ends at 3 cm from carina bifurcation can be withdrawn 1 cm. The NG tube ends in proximal gastric cavity after looping, unchanged since ___. Lung volume is still low with persistent bilateral opacification due to mild pulmonary edema and bibasilar pleural effusion, left larger to the right, but overall unchanged since ___. Heart is still mildly enlarged. There is no pneumothorax. | 51447843 | REASON FOR EXAM: ___ years old woman status post cardiac arrest, monitor for interval change in pulmonary effusion. COMPARISON: Exam is compared to chest x-ray of ___. | Interval increase of bilateral pleural effusion larger to the left with persistent mild pulmonary edema and mild cardiomegaly. Tubes and lines are unchanged. |
13614139 | PA and lateral views of the chest provided. Hyperinflated lungs reflect known emphysema. There is airspace consolidation in the right lower lung concerning for pneumonia. Left lung is clear. Cardiomediastinal silhouette is unremarkable. No pneumothorax or effusion. Bony structures are intact. | 50313117 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with productive cough x 7 days, fever // ?pna COMPARISON: Chest CT from ___. | COPD with right lower lung consolidation concerning for pneumonia. |
13775787 | Relatively low lung volumes are seen with secondary crowding of the bronchovascular markings. No focal consolidation identified. Cardiac silhouette is enlarged but likely in part accentuated due to low lung volumes. Tortuous descending thoracic aorta is noted with atherosclerotic calcifications of the aortic arch. No acute osseous abnormality identified. | 53542153 | INDICATION: ___M with fever // evaluate for pneumonia, acute changes TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Cardiomegaly. No acute cardiopulmonary process. |
13807155 | Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable. | 52835718 | INDICATION: Shortness of breath, evaluate for an acute process. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13258233 | PA and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm. | 55749206 | HISTORY: ___F with RUQ pain COMPARISON: ___. | No acute intrathoracic process. |
13258233 | 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.Cholecystectomy clips are seen in the right upper quadrant of the abdomen. | 56497977 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with syncope, chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13258233 | The heart size is normal. There is mild pulmonary vascular congestion. There is no evidence of pulmonary edema. The lung volumes are low. No focal consolidations concerning for infection are identified. There is elevation of the right hemidiaphragm likely secondary to right lower lobe atelectasis. There is no evidence of a large pleural effusion or pneumothorax. | 50330467 | INDICATION: History of bile duct injury status post laparoscopic cholecystectomy, now status post ERCP. Please evaluate for fluid status. COMPARISON: Radiographs from ___. CT of the chest from ___. TECHNIQUE: Single portable exam of the chest. CT Abdomen/Pelvis from ___. | Elevation of the right hemidiaphragm, consistent with near-complete collapse of the right lower lobe, as seen on the recent CT of the abdomen/pelvis. Mild left basilar atelectasis. Mild pulmonary vascular engorgement. No evidence of interstitial edema. |
13258233 | 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. Clips from prior cholecystectomy are noted in the right upper abdomen. No subdiaphragmatic free air is demonstrated. | 55773553 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with abdominal pain after EGD TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ | No acute cardiopulmonary abnormality. No subdiaphragmatic free air. |
13258233 | 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. | 54217422 | EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with chest palpitations, chest tightness // Please eval for any pna TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13938622 | Increased opacity in the right upper lung with air bronchograms is concerning for pneumonia. The left lung is clear aside from left basilar atelecatsis. The known right upper lobe mass is again seen. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm. Sternotomy wires and mediastinal clips are noted. Radioopaque foreign bodies project over the right mid lung. | 51872243 | INDICATION: ___-year-old man with lung cancer and failure to thrive with leukocytosis. COMPARISON: CT ___ and chest radiograph ___. | Right upper lobe opacity is likely pneumonia, possibly post obstructive in the setting of known right upper lobe mass. |
13938622 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Status post sternotomy related to bypass surgery as before. Heart size remains normal. Thoracic aorta generally widened and elongated but no interval change is noted. The previously described right-sided mass in the right superior mediastinum occupying the right tracheobronchial angle remains unchanged. No pneumothorax has developed. As before, there are pulmonary findings compatible with COPD but the on previous examination identified left-sided basal infiltrates and linear atelectasis have clearly regressed. No new abnormalities are seen, and the lateral and posterior pleural sinuses are free from any fluid accumulation. | 58863895 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with rigors, leukocytosis, possible aspiration, evaluate for aspiration versus pneumonia. | Stable cardiovascular, pulmonary findings, however, previously identified density on left base has regressed suggesting that pulmonary event may have been caused by an aspiration. |
13312152 | There are low lung volumes, which accentuate the bronchovascular markings. There is elevation of the left hemidiaphragm with air distended stomach and bowel beneath. Bibasilar atelectasis is seen. No definite focal consolidation. No large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly unremarkable. | 51013964 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with doe // eval pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Low lung volumes accentuate the bronchovascular markings. Elevated left hemidiaphragm with gas distended stomach and bowel beneath. Bibasilar atelectasis. |
13312152 | There is persistent elevation of the left hemidiaphragm with left basilar atelectasis. Linear atelectasis of the right lung base also noted. No consolidation, pneumothorax or pleural effusion seen. A nasogastric tube is in-situ, this is close on itself in the stomach but the tip is positioned within the stomach. | 53800430 | EXAMINATION: DX CHEST PORT LINE/TUBE PLCMT 1 EXAM INDICATION: ___ year old woman with dysphagia // NG tube placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Nasogastric tube terminates in the stomach. |
13138475 | ET tube ends 4.7 cm above carina. Left jugular line is in mid SVC. Bilateral widespread opacities are unchanged with left lower lobe collapse. Small bilateral pleural effusions are also stable. There is no pneumothorax. NG tube is in the stomach. Cardiac contour is not enlarged. | 58162740 | WET READ: ___ ___ ___ 6:44 PM ETT now terminates 4.5 cm above the carina. Otherwise, no appreciable change since radiograph of 14:07pm with widespread opacities compatible with infection or vasculitis. - ___ p_________________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with Wegener, respiratory failure, ET tube. COMPARISON: Multiple chest x-rays from ___ to ___. | Tube and lines are in adequate position. The remainder of the exam is unchanged. |
13138475 | The OG tube extends below the diaphragm with the tip not seen on this image. Support devices are in unchanged position. No significant change compared with 1 hr prior. | 53796243 | WET READ: ___ ___ ___ 5:43 PM OGT terminates below the diaphragm. Otherwise, no significant change since study 1 hour prior. - EAhn p_________________________________________________________________________________ FINAL REPORT HISTORY: OG tube adjustment, evaluate OG tube. COMPARISON: ___ at 16:19. | OG tube extends below the diaphragm with tip not seen on this image. Otherwise, no significant change from 1 hr prior. |
13138475 | ET tube, OG tube and left internal jugular line are all in standard position. There is no significant change from the preceding study. The cardiomediastinal silhouette is stable. No pneumothorax is present. No new consolidations are seen. | 51087818 | HISTORY: Chronic respiratory failure. Question pneumonia. COMPARISON: ___ at 17:33. | No significant change from prior study. |
13138475 | Left upper lobe and right lower lobe opacities have improved over a short period of time. The other opacities are unchanged. Left lower lobe collapse is stable. Mild-to-moderate bilateral pleural effusions are stable. There is no pneumothorax. ET tube ends 5.3 cm above carina. Left jugular line is at mid SVC. NG tube is in the stomach. | 53307383 | PORTABLE AP CHEST X-RAY. INDICATION: Patient with respiratory failure, pneumonia cavity. COMPARISON: Multiple chest x-rays from ___ to ___, yesterday's CT scan. | Patient is known with complicated granulomatosis with polyangiitis. Considering the fast improvement of left upper lobe and right lower lobe opacities, this could have been due to hemorrhage or aspiration rather than pneumonia. Tubes and lines are in adequate position. |
13138475 | Frontal upright view of the chest was obtained. A left midline catheter, previously positioned within the left subclavian vein, now terminates at the junction of the left axillary and subclavian veins. Allowing for positional differences, there has been no interval change in multifocal basilar-predominant consolidations. Multiple superimposed bilateral ill-defined nodular opacities are similar to prior and may be related to known vasculitis. Small right and moderate left pleural effusions are unchanged. The heart size is normal. No pneumothorax. | 52186196 | INDICATION: ___-year-old female with Wegener's and history of post-obstructive pneumonia and now with increasing shortness of breath. Evaluate for pneumonia or edema. COMPARISONS: Multiple prior radiographs, most recently of ___. | Multifocal basilar-predominant consolidation and diffuse ill-defined nodular opacities, similar to prior study. Findings are compatible with multifocal pneumonia possibly coexisting with pulmonary hemorrhage in this patient with known vasculitis. Moderate left and small right pleural effusion are similar to prior. Left midline catheter now terminates at the junction of the axillary and subclavian veins. |
13138475 | Prior to the most recent prior radiograph, there are increased opacities in the right lower lobe which may be consistent with infectious etiology. Additionally, there are some increased opacities in the left mid lung which also may be concerning for infectious process. The lungs remain hyperinflated. Cardiomediastinal silhouette is unchanged. A stent is seen within the left main stem bronchus. No evidence of pneumothorax or pleural effusion. | 50274146 | INDICATION: ___-year-old man with low O2 sats, rule out pneumothorax. COMPARISONS: Portable AP radiograph from ___ and CT trachea from ___. PA and lateral chest radiographs from ___. | Increased opacities in the right lower lobe and left middle lung may represent infectious process. |
13138475 | The ET tube has been repositioned and is now 7.2 cm above the carina. The left jugular line is in unchanged position in the mid SVC. The NG tube extends below the diaphragm including the side port. Bilateral multifocal consolidation is unchanged from this morning. No change in left lower lobe collapse, and small bilateral pleural effusions. Cardiomediastinal silhouette is normal. No pneumothorax. | 59568800 | HISTORY: Patient with granulomatosis polyangitis and respiratory failure. Tube placement (discussed with Dr. ___, ___ tube had been pulled back). COMPARISON: ___ at 10:11. | ET tube tip now high, 7.2 cm above the carina. Otherwise no change from prior the exam this morning. Telephone notifaction of Dr ___ by Dr ___ at 16:05 ___. |
13138475 | The patient is known with granulomatosis with polyangiitis. Bilateral multifocal consolidation is unchanged since yesterday. Left lower lobe is still completely collapsed. Bilateral pleural effusions are small. ET tube ends 4.9 cm above carina. Left jugular line is in adequate position in mid SVC. There is no pneumothorax. Mediastinal and cardiac contours are normal. NG tube is in the stomach. | 58041517 | INDICATION: Patient with respiratory failure. COMPARISON: Multiple chest x-rays from ___ to ___ and chest CTs from ___ to ___. | Patient with known Wegener granulomatosis and stable bilateral widespread opacities. It could represent infection, opacities related to the vasculitis or hemorrhage. Tube and lines are in adequate position. |
13138475 | ET tube ends 6.1 cm above carina. Left jugular line is in adequate position in mid SVC. NG tube is in the stomach. Bilateral widespread opacities are unchanged with left lower lobe collapse. Small pleural effusions are stable. There is no pneumothorax. | 53199729 | PORTABLE AP CHEST X-RAY INDICATION: Patient with multifocal pneumonia, multiple intubations, currently intubated. Progression of multifocal pneumonia. COMPARISON: Multiple chest x-rays from ___ to ___. | Tubes and lines are in adequate position. Widespread bilateral opacities which could represent multifocal pneumonia but also opacities related to the vasculitis are unchanged. |
13181627 | New right IJ central line terminates in the mid SVC. ET tube and NG tube remain in adequate positions. The lungs are well expanded. Moderate pulmonary edema is similar to prior exam. There is no pneumothorax. Cardiomediastinal silhouette is unremarkable. | 59841491 | WET READ: ___ ___ ___ 7:30 AM 1. New right IJ central line terminates in the mid SVC. 2. Moderate pulmonary edema, similar prior exam. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with new line placement, right IJ // Eval for new line placement TECHNIQUE: Single portable semi upright AP image of the chest. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___. | New right IJ central line terminates in the mid SVC. Moderate pulmonary edema, similar prior exam. |
13230741 | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact. | 58168958 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // ? pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13354568 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 56255905 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with 4 hours of cp + sob // eval for cardiomegaly TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of acute cardiopulmonary process. |
13235974 | Heart size and pulmonary vascularity are normal. Lung volumes are low, but lungs are clear. Right hemidiaphragm is mildly elevated. | 57569595 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with new hepatitis and imaging suggestive of possible right heart failure // Baseline CXR ? Pulm edema COMPARISON: None available | No evidence of pulmonary edema. |
13418609 | The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax. | 57869971 | HISTORY: Chest pain and fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple chest radiographs the most recent on ___. | No evidence of acute cardiopulmonary process. |
13999646 | The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. Poor inspiratory effort on the lateral view limits evaluation. There is no pleural effusion or pneumothorax. | 55308164 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with ETOH, 2 wks of malaise, cough, crackles L lung TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute intrathoracic process. |
13329429 | The endotracheal tube terminates 2 cm above the level of the carina. Recommend proximal repositioning by at least 2 cm. A nasogastric tube courses below the diaphragm and is at least within the stomach, though the tip is incompletely imaged. Widening of the mediastinal contours corresponds with patient's known adenopathy. Known pulmonary masses within the right upper lobe and right lower lobe are not well characterized on this examination. There is no new consolidation or pneumothorax. There is no vascular congestion or pleural effusions. A moderate-sized hiatal hernia is stable. Compression deformity and vertebroplasty of the T11 vertebral body is stable. | 55040469 | WET READ: ___ ___ ___ 10:46 PM -Endotracheal tube low (2 cm from carina) - Recommend proximal repositioning -Stable wide mediastinum from known adenopathy -Known pulmonary masses in the RUL and RLL not well characterized -NG tube ok ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with history of lung adenocarcinoma presenting with CVA, now intubated. Evaluation for line placement. COMPARISON: CT from ___, and chest radiograph from ___. PORTABLE SEMI-ERECT AP CHEST | Endotracheal tube 2 cm from the carina. Proximal repositioning by at least 2 cm is recommended. Nasogastric tube at least within the stomach Known mediastinal adenopathy and pulmonary masses appear stable. Stable moderate hiatal hernia and compression deformity of T11. |
13372890 | Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. | 59075306 | INDICATION: ___-year-old woman with cough, shortness of breath. Assess for acute process. COMPARISONS: ___. | No acute intrathoracic process. |
13596963 | Heart size is borderline enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57912863 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and CT torso ___ | No acute cardiopulmonary abnormality. |
13640181 | Assessment is limited due to exaggerated lordotic view. Allowing for this limitation, there is no pulmonary opacity or consolidation concerning for pneumonia. Streaky bibasilar consolidations are likely atelectasis. Moderate cardiomegaly is present. There is no pleural effusion or pneumothorax. No rib fractures are identified. | 52841719 | EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: ___-year-old male with chest pain. . TECHNIQUE: Frontal upright chest radiograph COMPARISON: None available | No evidence of pneumonia. |
13360143 | A metallic ___ was placed over the area of clinical concern without appreciable associated radiographic abnormailty. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. | 51668094 | INDICATION: ___ year old woman with prominence of left lower ribs, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None. | Normal chest radiographs. No radiographic abnormality corresponding to the area of clinical concern. If there is persistent clinical concern consider targeted ultrasound or CT. |
13360143 | The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 57343415 | INDICATION: ___F with productive cough and fever // cough TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13032426 | 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. | 52746763 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with episodes of chest pain// eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13084630 | Previously seen left retrocardiac opacity has decreased in the interval, but is still clearly visible. Right PICC line ends at the distal SVC. There is mild cardiomegaly and mild vascular congestion. There is no large pleural effusion and no pneumothorax. Severe degenerative changes at the left glenohumeral joint are seen and spinal hardware in the lumbar spine. | 50606723 | INDICATION: ___-year-old with left shoulder pain. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___. | Interval decrease of a left retrocardiac opacity. |
13084630 | New consolidation seen in the left lower lobe, is concerning for pneumonia. There are no pleural effusion is present. There is no pneumothorax. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. Mild pulmonary edema is similar. | 54447022 | INDICATION: ___-year-old woman with fever and bibasilar rales on exam, to rule out pneumonia. COMPARISON: Chest radiograph ___ PA AND LATERAL CHEST | Left lower consolidation, concerning for pneumonia. Mild pulmonary edema, stable. |
13084630 | The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged including a widening of the vascular pedicle, tortuosity of the aorta and atherosclerotic calcifications. There is a mild diffuse interstitial abnormality which suggests background mild pulmonary vascular congestion that is newly prominent. Left basilar opacity has mostly resolved, however. It is difficult to exclude trace pleural effusions but none are explicitly demonstrated. Moderate anterior osteophytes are noted throughout the mid thoracic spine. | 56775168 | CHEST RADIOGRAPHS HISTORY: Altered mental status. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral views. | Findings suggesting mild interstitial pulmonary edema. |
13189021 | The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal. There is no focal consolidation, pneumothorax, or pleural effusion. | 51834171 | INDICATION: ___ year old woman with history of breast cancer s/p treatment, here with subacute weight loss. // Please eval for mass or lymphadenopathy, consolidation, or acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary abnormality. |
13941129 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. | 59925379 | INDICATION: ___-year-old female with pleuritic chest pain. Evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: None. | No acute cardiopulmonary process. |
13526113 | PA and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal opacity. The bony structures are intact. | 59942075 | HISTORY: ___-year-old man with left-sided mid back pain, worse with inspiration. Evaluation for pneumothorax. COMPARISON: None available. | No acute cardiopulmonary process. |
13748721 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 58029148 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/stroke symptoms similar to past, ?recrudescence, please eval for occult PNA COMPARISON: ___ | No acute intrathoracic process. |
13748721 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes are present along the thoracic spine. There has been no significant change. | 59952449 | CHEST RADIOGRAPHS HISTORY: Chest pain and headache. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13748721 | Borderline enlargement of the cardiac silhouette is unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine. | 56801785 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with left arm parasthesias/weakness and right headache TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13591182 | One portable AP upright view of the chest. There are no focal opacities concerning for pneumonia. Mild cardiomegaly is stable. No pleural effusion or pneumothorax. The mediastinal and hilar contours are normal. | 53535010 | INDICATION: Necrotizing fasciitis of right upper extremity, status post I&D, on antibiotics, fevers, evaluate for infectious respiratory process. COMPARISON: Chest radiograph on ___. | No evidence of pneumonia. |
13456784 | As compared to radiograph from 1 day prior, pulmonary edema has progressed which is now moderate. Moderate cardiomegaly. Probable small pleural effusions. Worsening bibasal opacities are likely atelectasis. Right-sided PICC line with the tip in the mid SVC. | 51413357 | EXAMINATION: Single frontal view of the chest, portable INDICATION: ___ year old woman with depressed EF, VT ablation, with new SOB // ?flash pulmonary edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Interval worsening of the moderate pulmonary edema. |
13456784 | There has been interval removal of the intra-aortic balloon pump. The Swan-Ganz catheter has been pulled back and currently resides in the region of the tricuspid valve. The NG tube resides in the stomach. The ET tube is appropriately positioned 2 cm above the carina. Moderate cardiomegaly and pulmonary vascular congestion persists. Mediastinal widening is secondary to right-sided heart failure. Pleural effusions persist. There is no pneumothorax. | 55593405 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with STEMI // Assess for interval changes and line placement TECHNIQUE: Single frontal view of the chest COMPARISON: Chest portable ___ | The intra-aortic balloon pump has been removed. Swan-Ganz catheter, NG tube, and ET tube are in appropriate position. Moderate cardiomegaly and pulmonary vascular congestion persist. Mediastinal widening is probably secondary to right-sided heart failure. |
13456784 | A right-sided PICC line is present, tip over distal SVC. Allowing for lordotic positioning. No pneumothorax is detected. There is moderate to moderately severe cardiomegaly, similar to the prior study. There is vascular plethora and vascular blurring, consistent with interstitial edema. Allowing for technical differences, this is not definitely changed. There is worsened retrocardiac density, now with obscuration of the left hemidiaphragm. The possibility of a small left effusion cannot be excluded. Again seen is patchy opacity at the right base, consistent with collapse and/or consolidation. A small right effusion is also again noted. | 55505113 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NSTEMI, flash pulm edema, VT ablation // interval changes COMPARISON: Chest x-ray from ___ at 13:12 | CHF, with interstitial edema. Allowing for technical differences, the overall appearance is similar to ___, possibly very slightly improved. Worsening opacification at the left lung base, consistent with left lower lobe collapse and/or consolidation and possible small left effusion. Small right effusion, with atelectasis at the right base. The right base atelectasis is very slightly improved. The possibility of an early infectious infiltrate at the right lung base is considered less likely, but cannot be entirely excluded. |
13456784 | A right-sided PICC terminates in the mid SVC. The trachea is central. The cardiomediastinal contour demonstrates moderate cardiomegaly with prominence of the bilateral hila and haziness of the pulmonary vasculature. There is prominence of the interstitial markings bilaterally, overall the appearances are consistent with pulmonary edema. This appears slightly worse than on the prior study. No pleural effusion appreciated. No pneumothorax seen. | 52513875 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SOB // Eval for pulmonary edema TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Findings consistent with pulmonary edema. This appears slightly worse than on the prior study. |
13456784 | There is unchanged moderate cardiomegaly. The extensive interstitial prominence is decreased when compared to the prior study however there is a new small right pleural effusion with associated atelectasis. Streaky retrocardiac opacities also likely reflect left lower lobe atelectasis. A right sided PICC terminates in the mid SVC. No pneumothorax seen. | 54733451 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with rising WBC and cough // Eval for interval change TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiographs ___ | Interval improvement in the interstitial pulmonary edema but with a new small right pleural effusion. Unchanged cardiomegaly. Bibasilar atelectasis. |
13456784 | Compared with the prior radiograph, mild to moderate cardiomegaly and a tortuous aorta are unchanged. The dual channel pacer with leads projecting to the right atrium and right ventricle is unchanged in appearance. There is minimal interstitial engorgement without frank edema. No focal consolidation, pleural effusion, or pneumothorax. | 57861584 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CHF, severe MR and increased weight. Evaluate for pulmonary edema. TECHNIQUE: Single portable AP view of the chest COMPARISON: Chest radiographs of ___ and ___. | Minimal interstitial engorgement, without frank pulmonary edema. No focal consolidation. |
13456784 | A portable frontal chest radiograph demonstrates moderate cardiomegaly. There is vascular congestion and mild pulmonary and interstitial edema. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable. | 59102568 | INDICATION: Shortness of breath and elevated BNP. COMPARISON: None. | Moderate cardiomegaly. Vascular congestion and mild pulmonary and interstitial edema. |
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