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13966539 | A newly placed endotracheal tube terminates at the level of the clavicles. A new OG tube coils in the larynx but enters a large hiatal hernia. A right IJ central venous catheter terminates in the low SVC. Lung volumes are low. Left basilar airspace opacities are most likely due to atelectasis adjacent to the hiatal hernia. The followup radiograph performed shortly thereafter shows further advancement of the OG tube into the intrathoracic stomach. | 56152636 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: prostate ca s/p robotic prostatectomy now s/p repeat laparatomy for bleeding, still intubated and on neosynephrine for hypotension // ?acute change, ET placement ; prostate ca s/p robotic prostatectomy now s/p repeat laparatomy for bleeding, still intubated now with OG tube replacement // OGT placement TECHNIQUE: Portable AP radiographs of the chest. COMPARISON: ___. | OG tube terminates in the intrathoracic stomach. ET tube terminates at the level of the clavicles. Left basilar airspace opacities are most likely atelectasis around the large hiatal hernia. |
13966539 | Newly placed NG tube terminates in the left main bronchus. Right internal jugular catheter terminates at the cavoatrial junction. EKG leads overlie the chest wall. There is left lower lobe opacity compatible with atelectasis. Lung volumes are low. Diffusely dilated loops of bowel are seen in the visualized portion of the upper abdomen. | 50215576 | WET ___: ___ ___ ___ 8:28 AM Multiple dilated loops of small bowel are seen in the upper abdomen. Nasogastric tube terminates in the left mainstem bronchus and should be replaced. Left lung base consolidation could represent pneumonia or atelectasis. Findings discussed with Nurse ___ by Dr. ___ ___ telephone immediately upon reviewing the images at 935pm on ___. The tube had been removed upon speaking with this nurse. WET ___ VERSION #1 ___ ___ 9:40 PM Multiple dilated loops of small bowel are seen in the upper abdomen. Nasogastric tube terminates in the left mainstem bronchus and should be replaced. Left lung base consolidation could represent pneumonia or atelectasis. Findings discussed with Nurse ___ by Dr. ___ ___ telephone immediately upon reviewing the images at 935pm on ___. The tube had been removed upon speaking with this nurse. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with NGT // please eval position of NGT TECHNIQUE: Lower chest and upper abdomen, supine portable radiograph AP view COMPARISON: Chest radiograph dated ___ at 13:41 | NG tube enters the trachea with tip terminating in the left main bronchus. Multiple dilated loops of bowel are seen in the upper abdomen. Left lung base opacification, atelectasis and/or consolidation. |
13865744 | The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 55391254 | INDICATION: History of fever. Please evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral radiographs of the chest. | No acute intrathoracic abnormalities identified. |
13600484 | The patient is status post median sternotomy, CABG, and aortic valve replacement. Heart size appears mildly enlarged. Pulmonary vasculature is normal. Lung volumes are slightly low, with minimal left basilar atelectasis. No focal consolidation, left pleural effusion or pneumothorax is clearly evident. There may be minimal pleural thickening or trace fluid at the right costophrenic angle. No acute osseous abnormality is detected. | 54435177 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None. | Minimal pleural thickening versus trace effusion on the right. Low lung volumes with left basilar atelectasis. No evidence of congestive heart failure. |
13600484 | Patient is status post median sternotomy, CABG, and aortic valve replacement. Mild cardiomegaly is re- demonstrated. The mediastinal contours are similar. Crowding of bronchovascular structures is due to low lung volumes. Patchy atelectasis is also noted without focal consolidation. No pleural effusion or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine. No displaced fractures are identified. | 55482077 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M status post fall with chest pain // ?rib fracture, pneumonia, cardiomegaly TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Mild cardiomegaly without congestive heart failure. Mild bibasilar atelectasis. No radiographic evidence for pneumonia. No displaced rib fracture identified. If there is continued concern for a rib fracture, consider a dedicated rib series |
13844820 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59187800 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with confusion // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13707062 | PA and lateral views of the chest provided demonstrating a left chest wall AICD with lead extending into the region of the right ventricle. Midline sternotomy wires, mediastinal clips are again noted. The inferior most sternotomy wire is fractured, which is unchanged. The heart remains mildly enlarged. There is no focal consolidation, effusion or pneumothorax. Lungs are hyperinflated with flattened diaphragms, compatible with underlying emphysema. No effusion is seen. There is no pneumothorax. Mediastinal contour is normal. Nipple shadows project over the lower lungs. No acute bony abnormalities are detected. | 58891658 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Shortness of breath. | Hyperinflated lungs without pneumonia, or edema. Stable mild cardiomegaly. |
13660695 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy opacity in the right lower lobe appears minimally changed from the previous study. No new focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities identified. | 59754389 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with worsening dyspnea/ chest pain, recent deep venous thrombosis TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and chest CTA___ | Persistent right lower lobe patchy opacity, likely atelectasis. No new focal consolidation. |
13660695 | The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, fracture or dislocation. There is a focal opacity the right and base, more fully evaluated by subsequent CTA of the chest. Lung volumes are low, and lungs are otherwise clear. . | 50636541 | WET READ: ___ ___ ___ 1:44 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with prior PE with decreased BS on Right // eval for hemorrhage, infarction TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Nonspecific right lower lobe opacity, more fully characterized on subsequent CTA of the chest, dictated separately. |
13660695 | Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are normal. Lungs are clear. Previously noted right lower lobe rounded opacity is not seen on the current radiograph. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present. | 54385851 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and chest CTA ___ | No acute cardiopulmonary abnormality. |
13660695 | The right costophrenic angle is obscured by overlying soft tissue, however there is probably a small right pleural effusion. Otherwise, the lungs are clear. There is mild bulging of the right heart border, which may represent right atrial enlargement and right heart strain. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 53609982 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PE and persistent pain // please eval for pulmonary infarct, pleural effusion TECHNIQUE: Chest PA and lateral COMPARISON: CTA chest dated ___. Chest radiograph dated ___. | No evidence of pulmonary infarct. Probable small right pleural effusion. Mild bulging of the right heart border, which may represent right heart strain. |
13660695 | PA and lateral chest radiograph demonstrate low lung volumes. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema. Opacity projecting over the right hilar region is likely summation artifact in this patient who is rotated. | 53664828 | INDICATION: History: ___F with h/o dvt/pe with chest pain // assess for PNA or other pathology TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ | No acute intrathoracic abnormality. |
13900298 | Cardiomediastinal contours are normal. There is a hazy area of increased opacity in the right lower lobe. Is unclear if this is due to overlapping shadows or if there is an early infiltrate present. Otherwise the lungs are clear. . There is no pneumothorax or pleural effusion. The osseous structures are unremarkable | 53789635 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with R-sided infective endocarditis ___ IVDU // r/o septic emboli TECHNIQUE: Chest PA and lateral COMPARISON: None. | Question small early infiltrate in the right lower lobe. |
13613806 | Sternotomy wires are intact. A right-sided Port-A-Cath tip terminates in the mid SVC. The heart size is within normal limits. The heart size and mediastinal contours are within normal limits. The lungs demonstrate bibasilar atelectasis, more prominent on the right than the left. A small pleural fluid is seen tracking up along the lateral aspect of the chest wall. There is a tiny right apical pneumothorax present without evidence of tension. | 55727973 | HISTORY: ___-year-old female status post radical thymectomy with neoadjuvant chemo and radiation, now status post thoracoabdominal approach for chest wall/diaphragm resection for right-sided thoracic mass; the chest tube was then removed at 10 a.m. STUDY: Portable AP upright chest radiograph. COMPARISON: ___ at 11:16 a.m. | Right pleural effusion and bibasilar atelectasis, with a tiny right apical pneumothorax, but no evidence of tension. |
13613806 | A large portion of the right hemidiaphragm and several right anterior ribs have been excised. Median sternotomy wires are well aligned. There is a small if any pneumothorax. Right mid lung atelectasis is minimal. The left lung is clear. The cardiomediastinal silhouette and hilar contours are normal. The left hemidiaphragm is somewhat elevated, possibly due to distention of the stomach. A right Port-A-Cath terminates in the mid SVC. Right apical and basal chest tubes are present. An epidural catheter projects over the left hemithorax with its tip projecting over the lower thoracic spine. There is no large pleural effusion. | 53715539 | INDICATION: Status post right chest tumor resection. Post-op day #1. COMPARISON: Multiple prior radiographs of the chest, most recent ___. TECHNIQUE: Portable AP chest. | Right mid lung atelectasis is minimal. A very small, if any, pneumothorax is present and there is no large pleural effusion. Stomach is distended. The above results were communicated via telephone by Dr. ___ to Dr. ___ at 5:40 p.m. on ___. |
13613806 | The patient is status post median sternotomy. There is elevation of the right hemidiaphragm with a right basilar opacity compatible with known pleural mass and adjacent atelectasis with a small pleural effusion. Right-sided Port-A-Cath terminates in the lower SVC. Left lung is essentially clear with no pleural effusion. No pneumothorax is noted. Bones are intact. | 54243232 | CLINICAL HISTORY: ___-year-old female status post median sternotomy. Now with right-sided pain. COMPARISON: ___ x-ray as well as CT from outside hospital from ___. SINGLE AP ERECT PORTABLE VIEW OF THE | Right basilar opacification compatible with the patient's known pleural based mass with adjacent atelectasis and small pleural effusion. |
13613806 | Residual right-sided pneumothorax is minimal, measuring 1 mm and is unchanged. Right moderate pleural effusion with atelectasis is unchanged. Left basilar atelectasis is improved. Mediastinal and cardiac contour is normal in this patient with prior sternotomy for thymectomy. Right-sided Port-A-Cath ends in mid-to-lower SVC. | 52650205 | PORTABLE AP CHEST X-RAY INDICATION: Patient with right chest tumor resection. COMPARISON: Multiple chest x-rays from ___ to ___. | The patient had surgery for removal of a pleural-based mass. Residual right-sided apical pneumothorax is minimal and unchanged. |
13620891 | The heart appears mildly enlarged. The aorta is slightly tortuous. Otherwise, the mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is a mild interstitial abnormality and fissural thickening, suggesting mild pulmonary edema. Kerley B lines are noted along lateral costophrenic angles. No focal opacities are visualized, however. Bony structures are unremarkable. | 57340206 | CHEST RADIOGRAPHS HISTORY: Dyspnea on exertion. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | Findings suggesting mild congestive heart failure. |
13620891 | Heart size remains mild to moderately enlarged, unchanged. Mediastinal and hilar contours are similar. Mild interstitial pulmonary edema is slightly worse in the interval. There may be trace bilateral pleural effusions posteriorly on the lateral view. No focal consolidation or pneumothorax is demonstrated. There are no acute osseous abnormalities. | 52853232 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea on exertion TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild interstitial pulmonary edema with trace bilateral pleural effusions |
13179092 | Lung volumes are low leading to crowding of the bronchovascular structures. There is moderate cardiomegaly with possible mild central pulmonary vascular congestion. No definitive pleural effusion, lobar consolidation, or pneumothorax identified. | 54325863 | EXAMINATION: Chest radiograph. INDICATION: History: ___M with fall, neck pain, shoulder pain, wrist deformity // s/p fall, neck pain, shoulder pain, wrist deformity TECHNIQUE: Supine AP portable view of the chest. COMPARISON: None available. | Low lung volumes and moderate cardiomegaly. |
13179092 | Left IJ catheter ends in the upper SVC. Visualized upper segment of the posterior spinal fusion hardware is intact, but study is not designed for adequate assessment of hardware. Interval removal of endotracheal and nasogastric tubes. Normal cardiomediastinal and hilar contours. Normal pleural surfaces. Lungs are clear. No pneumonia or pleural effusion. | 51203749 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of trauma now POD#2 status post posterior fusion with new fever. TECHNIQUE: Portable AP chest radiograph COMPARISON: Multiple prior chest radiographs, most recent from ___. | No acute cardiopulmonary process. |
13693200 | There is slight prominence of the interstitial markings and mild hyperinflation of the lungs, suggesting mild COPD. The cardiomediastinal silhouette and hila are normal. There is slight elevation of the left hemidiaphragm, nonspecific. | 51898103 | INDICATION: Woman with failure to thrive. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: There are no comparison studies available. | No acute cardiothoracic process including no evidence of pneumonia. Suggestion of mild COPD. |
13693200 | Aortic knob calcifications are unchanged. There are slightly low lung volumes. Heart size is top normal and stable. No focal consolidation is seen. There is no evidence of pleural effusion or pneumothorax. The mediastinal contours are normal. | 52902002 | INDICATION: ___-year-old female with dyspnea and hypoxia, evaluate for pneumonia. COMPARISON: Chest radiograph on ___. | No evidence of pneumonia. No evidence of acute cardiopulmonary process. |
13109578 | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality. Posterior left third and fourth rib fractures are chronic. | 52414023 | INDICATION: ___F with decrease po intake // eval for pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13109578 | There is increased retrocardiac opacity which projects over the spine on the lateral view, findings which may reflect atelectasis or early pneumonia. The remainder of the lungs are clear. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax. | 54349974 | HISTORY: ___-year-old female with fever and flu-like symptoms. COMPARISON: Chest radiograph from ___. FRONTAL AND LATERAL CHEST | Retrocardiac opacity may reflect atelectasis or early pneumonia in the appropriate clinical setting. |
13109578 | Low lung volumes are noted. Linear bibasilar opacities are most likely atelectasis. There is no focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Old healed posterior left rib fracture is noted. No acute osseous abnormalities. | 55411990 | INDICATION: ___F with confusion, infx r/o // pna? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Low lung volumes without definite superimposed acute cardiopulmonary process. |
13071917 | PA and lateral views of the chest were provided. The lungs are clear. Retrocardiac opacity again noted compatible with hiatal hernia. Cardiomediastinal silhouette is stable. Bony structures are intact. Eventration of the right hemidiaphragm noted. | 51465426 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Palpitations and chest pain, assess pneumonia. | Stable hiatal hernia. Otherwise, normal. |
13071917 | PA and lateral views of the chest provided. Retrocardiac opacity is compatible with known large hiatal hernia. There is also a focal eventration of the right hemidiaphragm anteriorly. No focal consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette appears stable. Bony structures are intact. | 54466247 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with Fever // Eval for pna COMPARISON: ___ and CT chest from ___. | Large hiatal hernia, otherwise unremarkable. |
13071917 | PA and lateral views of the chest provided. A retrocardiac opacity is again seen likely with representing known hiatal hernia. The lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear intact. Focal eventration of the right hemidiaphragm is noted. | 58975255 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with with cp and SOB pls pna vs edema. COMPARISON: Prior CT chest from ___, chest radiograph from ___. | Hiatal hernia re-demonstrated. No acute intrathoracic process. Please refer to subsequently performed CTA chest for further details. |
13750247 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 59566897 | INDICATION: ___-year-old female with syncopal episode and left knee pain. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE | No acute intrathoracic process. |
13382937 | Portable upright view of the chest demonstrates hyperexpanded lungs and flattening of hemidiaphragms, compatible with underlying emphysema. There are prominent interstitial markings. Superimposed, there are airspace opacities in the right upper and bilateral lower lung zones, which appear new since prior exam. There is no pleural effusion. No pneumothorax. Hilar and mediastinal silhouettes are unchanged. Again noted are prominent pulmonary arteries, which may reflect underlying pulmonary hypertension. Heart size is top normal. Mild dextroscoliosis of the thoracic spine is noted. | 54361877 | INDICATION: Fever, cough and hypoxia. Assess for pneumonia. COMPARISONS: ___ and ___. | Prominent interstitial markings suggestive of interstitial pulmonary edema. Subtle bilateral airspace opacities are new since prior and may reflect superimposed infection. Hyperextended lungs with flattened hemidiaphragms, compatible with known underlying emphysema. Prominent pulmonary arteries may reflect underlying pulmonary hypertension. |
13382937 | On the background of coarse interstitial markings there are multiple foci of patchy opacities, more prominently in the right upper and mid lung as well as in the retrocardiac region and the left lower lung. These opacities although are less conspicuous than in ___ are new from ___ which is considered this patient's baseline. The left-sided pleural effusion is also present. There is no pneumothorax. Moderate cardiomegaly stable. | 57097187 | EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: A ___-year-old female with hypoxia. Evaluate for pneumonia. . TECHNIQUE: Frontal upright chest radiograph COMPARISON: Multiple prior chest radiographs, most recent on ___. | Multi focal pneumonia on the background of coarse interstitial markings which may represent a combination of interstitial pulmonary edema and chronic interstitial pulmonary disease. |
13382937 | PA and lateral views of the chest were obtained. Lungs are hyperinflated with flattened diaphragms and coarsened reticular markings compatible with emphysema/COPD. There is no focal consolidation, pleural effusion or pneumothorax. There is prominence of the pulmonary hila, right greater than left, likely reflective of pulmonary hypertension. Heart size is top normal. Bony structures appear intact with dextroscoliosis of the T-spine. | 50442068 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Emphysema, lightheadedness, assess for acute abnormality. | Mild cardiomegaly with prominence of central pulmonary arteries, likely indicates pulmonary arterial hypertension given the underlying emphysema. Please correlate clinically. No evidence of pneumonia. |
13382937 | AP upright and lateral views of the chest are provided. There is patchy consolidation in the right lower lung. There is also mild prominence of reticular interstitial markings which could represent mild pulmonary edema. There is a small right pleural effusion. Cardiomediastinal silhouette is stable. Bony structures are intact. | 53517211 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: ___-year-old female with shortness of breath. | Findings compatible with pneumonia on the right lower lung with probable superimposed mild pulmonary edema. Small right pleural effusion. |
13992127 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is stable. No pulmonary edema is seen. | 51766595 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with left neck pain and facial numbness // ?consolidation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13494014 | Single frontal view of the chest demonstrates a right pectoral Port-A-Catheter with tip terminating in the lower SVC or upper atrium. Multiple pulmonary nodules are better appreciated on prior cross-sectional studies. A dominant left hilar mass has begun to grow after earlier remission. Worse left hemidiaphragm elevation is explained by phrenic nerve impingement. There is no confluent consolidation, pneumothorax, or large pleural effusion. Prominent epicardial fat pad likely contributes to slight blunting of the left costophrenic angle. | 50717254 | INDICATION: ___-year-old male with hypotension. Question infection. COMPARISON: Radiograph dated ___. CT dated ___ and ___. | No evidence for acute infection. Growing left suprahilar mass and growing right lung nodules due to progressive metastatic lung cancer; probable left phrenic nerve dysfunction. Right sided central infusion port ends at the superior cavoatrial junction as before. |
13802162 | Basilar opacities with pleural effusions, left greater than right, persist and are mild. However, there is slight improved aeration of the right lung base as compared to most recent prior examination. Upper lungs remain clear. Mild vascular engorgement is chronic. There is no pneumothorax. | 54249796 | INDICATION: ___-year-old female with respiratory distress COMPARISON: Chest radiographs dating back to ___, most recent from ___ PORTABLE FRONTAL CHEST | Slightly improved aeration of the right lung base. No other significant change. |
13802162 | Basilar atelectasis with associated moderate effusions appear similar compared to most recent prior examination, though a moderate right effusion is likely increased. Upper lungs remain clear. Mild edema is unchanged. There is no pneumothorax. | 58659926 | INDICATION: ___-year-old female with respiratory distress. COMPARISONS: Chest radiographs dating back to ___, most recent from ___. Chest CT from ___. PORTABLE FRONTAL CHEST | Ongoing basilar atelectasis and moderate effusions with chronic mild edema. Slight increase in a moderate right effusion. |
13802162 | There are persistent bibasilar opacities, likely a combination of atelectasis and small-to-moderate effusions, unchanged from most recent prior. The cardiomediastinal and hilar contours are unchanged and within normal limits. Mild pulmonary edema is unchanged. There is no pneumothorax. | 50339486 | INDICATION: ___-year-old female status post recent abdominal surgery with bilateral effusions. Assess for interval change. COMPARISON: Chest radiographs dating back to ___, most recent from ___ PORTABLE FRONTAL CHEST | Unchanged mild edema and basilar atelectasis with small-to-moderate effusions. |
13421348 | The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are well expanded and clear. There is no evidence of a pneumothorax or pleural effusion. The visualized osseous structures are unremarkable. | 58251542 | INDICATION: ___-year-old male from ___, with a positive PPD who presents for evaluation. COMPARISONS: None. TECHNIQUE: PA and lateral chest radiographs. | Normal chest x-ray. Specifically, no pulmonary evidence of TB. |
13152637 | The left-sided chest tube appears unchanged. The cardiac, mediastinal and hilar contours appear stable. Patchy bilateral upper lobe opacities are not significantly changed. There is a barely detectable left apical pneumothorax as well as a small persistent left-sided pleural effusion. The chest appears hyperinflated. | 52742142 | CHEST RADIOGRAPHS HISTORY: Question pneumothorax. COMPARISONS: Earlier on the same day. TECHNIQUE: Chest, PA and lateral. | Trace pneumothorax at the left apex with in situ chest tube in unchanged position. |
13152637 | The heart size is normal. There is deviation of the trachea to the right. There has been substantial interval improvement of the left apical pneumothorax. There are stable mild emphysematous changes throughout the lungs. No focal consolidations concerning for infection are identified. There are stable small bilateral pleural effusions. The visualized osseous structures are unremarkable. | 52480402 | INDICATION: History of chest tube. Please evaluate for pneumothorax. COMPARISON: Multiple chest radiographs dated back to ___ and chest CT from ___. TECHNIQUE: PA and lateral radiographs of the chest. | No evidence of a pneumothorax. Stable small bilateral pleural effusions. |
13566696 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 57740011 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain. | No acute findings in the chest. |
13971464 | The heart is borderline in size. The aorta is mild to moderately tortuous. A smooth convexity to the right upper lateral mediastinum is most commonly due to tortuosity of the great vessels. The lungs appear clear. There is no pleural effusion or pneumothorax. Air beneath the medial left hemidiaphragm is probably due to gastric air, but in addition, there are distended loops of small bowel that are partly visualized in the left upper quadrant that are nonspecific and not entirely evaluated. The partly visualized left shoulder shows a substantial degenerative change. Mild degenerative changes affect the thoracic spine. | 54634250 | CHEST RADIOGRAPHS HISTORY: Chest pain and shortness of breath. COMPARISONS: None. TECHNIQUE: Chest, AP and lateral. | No evidence of acute cardiopulmonary disease. Mild to moderately distended small bowel in the left upper quadrant. Clinical correlation is suggested. Further imaging could be considered if abdominal pathology is suspected. |
13126529 | There are bibasilar opacities, new since the prior study, raising concern for pneumonia or aspiration. Underlying interstitial lung disease is not excluded although no evidence of such was seen on chest CT from ___. No pleural effusion is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Relative lucency of the upper lung fields again suggests emphysema. | 55011381 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyspnea // ?pna TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Bibasilar opacities, new since the prior study, raising concern for pneumonia or aspiration. Underlying interstitial lung disease is not excluded although no definite evidence of such was reported on chest CT from ___. |
13126529 | The lungs are hyperinflated. There is diffuse interstitial thickening involving the bases bilaterally as well as the right upper and middle lobes, which has progressed significantly in comparison to the prior radiograph, and likely represents a multifocal pneumonia. Heart size is stable. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 55589655 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough and iron deficiency anemia and history COPD // ?abnormality TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Diffuse interstitial thickening bilaterally, worse on the right, which has progressed compared to ___, likely representing multifocal pneumonia. |
13126529 | Lung volumes are persistently low. Heart size is mildly enlarged. There are diffuse atherosclerotic calcifications. Mediastinal and hilar contours are unchanged. Focal opacity is seen within the right upper lobe concerning for pneumonia, and worse compared to the previous radiograph from ___. Patchy and interstitial opacities within the lung bases bilaterally also appear similar compared to the prior study. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There are mild multilevel degenerative changes in the thoracic spine. | 53651964 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with hypotension, hypoxia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and ___. | Worsening consolidative opacity in the right upper lobe as well as persistent patchy and interstitial opacities in both lung bases, findings concerning for progression of multifocal pneumonia. |
13747454 | Previously noted left subclavian catheter has been removed. Left axillary arterial line is again noted. Endotracheal tube terminates 5.4 cm above the carina. Curved tube projecting over the neck may reflect nasogastric tube coiled in the cervical esophagus. NG tube terminates in the stomach. Bilateral chest tubes are in place. The lungs are better aerated than on the prior study with decreased bibasilar atelectasis. Calcified and elongated thoracic aorta is noted with normal heart size. Mild pulmonary vascular congestion is noted. | 57536939 | INDICATION: Status post poly trauma, assess for interval change. TECHNIQUE: Portable semi-upright radiograph of the chest. COMPARISON: Multiple priors, most recently from ___. | Mild pulmonary vascular congestion NG tube may be coiled in the cervical esophagus before terminating in the stomach. This was discussed with Dr. ___ by Dr. ___ by phone at ___ on ___. |
13747454 | As compared with the prior study, the endotracheal tube is located 3 cm above the carina in satisfactory position. There has been interval placement of two chest tubes, without appreciable pneumothorax. There is elevation of the right hemidiaphragm, which is more pronounced than on the prior study. Lung volumes are low, without focal consolidation. Right basal atelectasis is appreciated. Bilateral rib fractures are again demonstrated, though poorly assessed due to rotation. What appears to be a left subclavian venous catheter terminates as before at the level of the confluence of brachiocephalic veins. What appears to be a left PICC or other small caliber catheter terminates at the level of the axilla. Calcified and unfolded tortuous aorta is noted. The heart is mildly enlarged. | 59422224 | INDICATION: Poly trauma s/p ex-lap, chest tubes and ETT assess for change. TECHNIQUE: Supine portable chest radiograph COMPARISONS: Trauma chest radiograph ___ | Interval placement of bilateral chest tubes without appreciable pneumothorax. Left subclavian catheter terminating in the left brachiocephalic vein just proximal to the confluence. Small bore catheter terminating at the level of the left axilla. These findings were discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone. |
13747454 | Endotracheal tube terminates 2.6 cm above the carina. Particularly as the head is extended, any further movement centrally could result in unilateral intubation. New orogastric tube terminates just beyond the GE junction and could be advanced 7 to 10 cm. Bilateral chest tubes are redemonstrated, without evidence of pneumothorax. Left subclavian central venous catheter appears to be located in the distal subclavian or proximal left brachiocephalic vein. Left sided arterial line terminates in the axilla. The lungs are low in volume with developing opacity in the left upper lobe. Tortuous and unfolded aorta is noted with calcification. The heart is normal in size. Normal cardiomediastinal silhouette. | 51550336 | INDICATION: Status post attempted OG placement, assess OG. TECHNIQUE: Portable supine radiograph of the chest. COMPARISON: Chest radiograph from ___. | Endotracheal tube 2.6cm above the carina should not be advanced any further to avoid unilateral intubation. Orogastric tube could be advanced 7 to 10 cm as tip is just beyond the GE junction. Left subclavian catheter terminates in the distal subclavian or proximal left brachiocephalic vein and may no longer be central. Left axillary arterial line terminates in the axilla. New left upper lobe opacity could reflect developing pneumonia or an aspiration event. Preliminary findings were discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone. Additional findings were conveyed to Dr. ___ by Dr. ___ by phone at ___ on ___. |
13042186 | The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no evidence of pneumonia. | 52011069 | INDICATION: ___F with chest pain, evaluate for pneumonia. COMPARISON: None Available. TECHNIQUE Frontal and lateral view of the chest. | No evidence of pneumonia. |
13958191 | The lungs are normally expanded. Numerous hyperdense rounded foci in both lobes are compatible with known calcified granulomas. No new focal airspace opacity is detected. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. | 54430856 | INDICATION: Abdominal pain and distention. COMPARISON: Chest radiograph ___. CT chest ___. TECHNIQUE: Upright AP and lateral radiographs of the chest. | No acute cardiopulmonary abnormality. |
13948317 | Mild lingular and left base atelectasis/scarring is again seen. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. No displaced fracture is identified. | 56420476 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13948317 | PA and lateral views of the chest provided. Faint linear density along the left heart border is unchanged likely representing scarring. Otherwise, the lungs remain clear. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50684761 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hx of asc. aortic aneurysm p/w chest pain // eval aortic diameter, pna, edema COMPARISON: Chest CT dated ___. | No acute intrathoracic process. |
13948317 | There is atelectasis at the left lung base, which is unchanged in appearance compared to ___. Otherwise no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 58663233 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with a history of kidney stones, now reporting left lower quadrant pain radiating to the heart. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute intrathoracic process. |
13326800 | There is persistent, perhaps somewhat increased opacification in the posterior left lower lobe indicating atelectasis superimposed on a large rounded mass in the left posterior costophrenic sulcus which is similar in size although hard to compare to the prior CT for small possible changes. Elsewhere, the lungs remain clear. Additional known nodules are not well seen on radiography for the most part. There is no definite pleural effusion. | 57116011 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea on exertion. Metastatic renal cell carcinoma. TECHNIQUE: Chest, PA and lateral. COMPARISON: Scout view from CT performed on ___. | Mild increase in opacification in the left lower lobe, probably associated with atelectasis in the vicinity of a large known metastasis. |
13518474 | Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. There is mild subsegmental atelectasis at the lung bases. The aorta is slightly tortuous. The hilar contours are normal allowing for lung volumes. Pulmonary vasculature is normal. Degenerative changes seen in the right shoulder girdle. Scattered calcifications in the subcutaneous tissues may be vascular. | 55719815 | INDICATION: ___-year-old woman with dyspnea. Evaluate for pneumonia. COMPARISON: Abdominal radiograph ___, CT abdomen ___. | No acute intrathoracic process. |
13176268 | Postoperative changes cervical spine. Endotracheal tube tip in good position. Enteric tube tip below diaphragm, not included on the radiograph. Subclavian central line tip not well seen, probably in the low SVC. Improved right suprahilar, left perihilar opacities since prior. Bibasilar opacities, more prominent on the left, likely atelectasis, consider infection, aspiration in the appropriate clinical setting. Tiny bilateral pleural effusions. No pneumothorax. | 55688272 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man intubated on minimal vent settings now suddenly hypoxemic // sudden hypoxemia TECHNIQUE: Chest single view COMPARISON: ___ 03:33 | Improved perihilar opacities. Mildly worsened basilar opacities, likely atelectasis, consider infection, aspiration in the appropriate clinical setting. |
13176268 | Compared to chest radiographs from ___, new opacification in the left mid and lower lung could represent aspiration or asymmetric pulmonary edema. Increasing retrocardiac opacity is most consistent with atelectasis, though aspiration cannot be excluded. The heart is moderately enlarged, increased from prior. No appreciable pleural effusions. No pneumothorax. Platelike atelectasis in the right mid-to-lower lung persists. | 52157549 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with post-op hypoxia // ?atelectasis vs PNA TECHNIQUE: Single frontal view of the chest. COMPARISON: Multiple prior chest radiographs dating back to ___, most recently ___. | Opacification in the left mid to lower lung could represent aspiration, though asymmetric pulmonary edema is possible, given new moderate cardiomegaly. Increasing retrocardiac opacity could represent atelectasis secondary to mucous plugging, though aspiration cannot be definitively excluded. Persistent platelike atelectasis in the right mid to lower lung. |
13176268 | Endotracheal tube terminates 5.6 cm above the carina, in appropriate position. An enteric tube terminates stomach side-port not well visualized, likely just proximal to gastroesophageal junction. Lung volumes are low. Linear opacities are present both upper lobes and the left lower lung. Air bronchograms and cephalization suggest vascular congestion without frank pulmonary edema. Cervical spinal fusion hardware is partially visualized. No pneumothorax or large pleural effusion. | 54813231 | INDICATION: ___M with intubation // s/p ETT TECHNIQUE: Portable supine AP chest radiograph. COMPARISON: None. | Endotracheal tube in appropriate position. Multiple opacities may represent vascular congestion and atelectasis although infectious process or aspiration could have this appearance. |
13219940 | The frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Mild multilevel degenerative changes of the thoracic spine are seen. | 57014152 | INDICATION: Left-sided chest pain with radiation to the left back for the past day. Evaluate for pneumothorax or evidence of mediastinal widening. COMPARISON: None. | No acute cardiac or pulmonary process. |
13453133 | There are bilateral pleural effusions, right greater than left. The right effusion is larger than the prior radiograph on ___. There is also opacification of the left lung base, which likely represents compression atelectasis, but pneumonia cannot be excluded in the appropriate clinical setting. No pneumothorax. There is minimal calcification of the aortic arch. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 58917692 | EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old man with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ | There are bilateral pleural effusions, right greater than left. Right effusion is worse compared to ___. |
13453133 | Lung volumes are low. Bibasilar atelectatic changes are stable. Bilateral pleural effusions, right greater than left, are unchanged since ___. There is no pneumothorax. The mediastinum and heart are within normal limits. No acute osseous abnormalities. | 51079737 | EXAMINATION: Chest radiograph PA and lateral. INDICATION: ___ year old man with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: Several chest radiographs since ___, most recently on ___. | No significant change in bilateral pleural effusions, right greater than left. |
13372373 | The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Surgical clips are noted in the right upper abdomen. | 53258120 | HISTORY: Right lower rib pain. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. Rib views can be obtained for further characterization if necessary. |
13372373 | The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Surgical clips are noted in the right upper quadrant. | 57033941 | INDICATION: Chest pain, evaluate for cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___. | No evidence of acute cardiopulmonary process. |
13556226 | PA and lateral views of the chest provided. Lung volumes are low. There is increased opacity in the base of the left upper and lower lung compared to prior, likely from atelectasis. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Numerous surgical clips are again seen none appear unchanged. Coronary artery stent is again noted. | 54565724 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with sob, DOE. // PNA? COMPARISON: None | Increased opacity of the left lung base, likely from atelectasis. |
13556226 | Frontal and lateral views of the chest. Scarring is identified at the left more so than right lung base is with prominent extrapleural fat on the left, similar to prior. Lung volumes are relatively low but clear of focal consolidation or effusion. Cardiomediastinal silhouette is unchanged noting a tortuous descending thoracic aorta. Numerous clips project over the left hemithorax and neck, similar to prior. No acute osseous abnormalities detected. | 53111477 | HISTORY: ___-year-old male with chest pain radiating to the jaw. Question pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
13556226 | No significant interval change. Bilateral lower lung volumes are overall unchanged. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Linear opacities in the bilateral lung bases are unchanged and reflects scarring. The heart size is normal. The mediastinum and hila are within normal limits and unchanged from the prior exam. Numerous surgical clips projecting over the thorax, abdomen, left neck, and left axilla/ lateral chest wall prior unchanged. Coronary artery stent appears patent and also unchanged. | 58042736 | EXAMINATION: PA and lateral chest radiograph INDICATION: ___ year old man with prior CABG and sternectomy, now some increased cough and new crackles at right base // eval for infiltrate at right base COMPARISON: Chest radiograph dated ___. | No acute intrathoracic abnormality including no focal consolidation to suggest pneumonia. The right lung base, the area of clinical concern, is clear. |
13166765 | PA and lateral chest radiograph demonstrate low lung volumes. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pneumothorax, or pleural effusion. No focal consolidation within the lungs is identified. Imaged upper abdomen is unremarkable. | 51687336 | INDICATION: ___-year-old male with pleuritic chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
13998698 | The lungs are clear without focal consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 51131920 | INDICATION: ___F with palpitations // Eval for acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13625846 | Lung volumes are slightly low with bibasilar atelectasis. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is difficult to evaluate in the setting of low lung volumes. Mediastinal contours are within normal limits. The stomach is markedly distended with an air-fluid level. | 59217529 | HISTORY: ___-year-old male with postoperative fever. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available. | Low lung volumes with bibasilar atelectasis; no radiographic evidence for acute cardiopulmonary process. Stomach distended with an air-fluid level. |
13156864 | PA and lateral views of the chest are compared to previous exam from ___. The lungs are clear. There is no evidence of pulmonary vascular congestion or effusion. Cardiomediastinal silhouette is within normal limits. Posterior left rib fracture is again seen. Mild degenerative changes of the thoracic spine again noted. Soft tissue structures are unremarkable. | 55921564 | CHEST, TWO VIEWS ___. HISTORY: ___-year-old man with nausea. | No acute cardiopulmonary process. |
13965801 | Patchy opacities in the right lower lung with corresponding linear opacities projecting over the lower thoracic spine are likely secondary to subsegmental atelectasis, although an infectious process cannot be excluded. The lungs are otherwise clear. The heart size is top normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen. | 52456244 | INDICATION: Fevers with history of sarcoidosis. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___. | Patchy right lower lung opacities, likely atelectasis, although an infectious process cannot be excluded. |
13965801 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with several previous chest examinations (___, ___ and ___). Presently, the heart size is normal. No configurational abnormality is present. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. Appearance of central pulmonary structures has not undergone any interval change in this patient with clinical history of sarcoidosis. When comparison is made with the next preceding chest examination of ___, at that time identified linear opacities on the lung bases suggestive of peripheral atelectasis cannot be identified anymore. No evidence of new infiltrates is presently found and the lateral and posterior pleural sinuses are free. Review of the chest examination of ___, identify multiple bilateral, but mostly right-sided patchy infiltrates which on simultaneously performed chest CT demonstrated multiple peribronchial and perivascular ground-glass densities. These changes had regressed markedly on examination of ___. On the present chest examination, no reoccurrence of such infiltrates can be observed. | 50261935 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with history of sarcoidosis and immunosuppressive treatment, who arrives with upper respiratory infection symptoms, worse shortness of breath and fevers to 100.8 for one week. Assess for possible pneumonia. | No evidence of new parenchymal infiltrates indicating acute pneumonia. Observed that the patient is very adipos, a factor, which reduces to some degree the ability of identifying hazy ground-glass densities. |
13965801 | There has been interval improvement of aeration throughout both lungs since the initial appearence of diffuse ground glass nodular opacities. Lung volumes are low. The lungs are clear with no focal consolidation, effusion, or pneumothorax. The cardiac and mediastinal contours are normal. | 51054543 | INDICATION: ___-year-old woman with diffuse ground-glass opacities, status post biopsy. COMPARISONS: ___ - ___. CT ___. | Improved aeration of the lungs. |
13965801 | There is no evidence of pneumothorax or pneumomediastinum. Cardiomediastinal contours are within normal limits. Multifocal lung opacities have substantially improved with residual faint ground-glass opacities remaining, affecting the right lung to a greater degree than the left. Some of these have a round or nodular configuration as demonstrated on prior CT. Known mediastinal lymphadenopathy in the subcarinal region is evidenced by fullness in the infrahilar region on the lateral view. | 58866163 | PA AND LATERAL CHEST COMPARISON: Chest x-ray of ___. | No evidence of pneumothorax. Markedly improving multifocal lung opacities. Although nonspecific, if the patient received recent antibiotic therapy, this may reflect a resolving infection. |
13965801 | The heart size is normal. Mediastinal and hilar contours are normal; specifically, no perihilar lymphadenopathy is detected. The lungs are clear. There is no pleural effusion or pneumothorax. | 57741480 | HISTORY: ___-year-old female with sarcoidosis. STUDY: PA and lateral chest radiograph. COMPARISON: Chest radiograph from ___ and chest CT from ___. | No radiographic evidence of sarcoidosis. |
13965801 | Evaluation is limited by low lung volumes and patient body habitus. The pulmonary vascular markings are exaggerated by low lung volumes but there is suggestion of pulmonary arterial prominence in comparison to the prior study. There are mild bibasilar atelectatic changes. Otherwise, the lungs are without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is otherwise within normal limits. No acute fractures are identified. | 51805121 | INDICATION: Dyspnea, tachycardia. COMPARISON: Chest radiograph from ___. | Limited study due to low lung volumes and patient body habitus demonstrates no evidence of acute cardiopulmonary process. However, a repeat radiograph would be helpful in further evaluation of the lower lobes. Pulmonary arteries appear slightly prominent and raise suspicion for early heart failure. Point 1 was discussed by Dr. ___ with Dr. ___ ___ telephone at 3:11 am on ___. |
13937831 | In comparison to the chest radiographs obtained 2 days prior, there has been minimal worsening in parenchymal opacities at the right lung base and minimal improvement at the left lung base mid and superior lungs are expanded and clear. Heart size is top normal with mild enlargement of the pulmonary vasculature, but no pulmonary edema. No pleural abnormalities. | 54359881 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with h/o lymphoma and admitted for fever hypoxia // f/u on exam TECHNIQUE: Portable chest COMPARISON: PA and lateral chest radiographs dated ___ | Bibasilar opacities may reflect underlying pneumonia. Recommend follow-up PA and lateral chest radiographs in ___ weeks to assess for resolution. |
13937831 | A new opacity is seen in the right lower lobe posteriorly that is likely a new focal pneumonia New metal clips are projected against the right breast tissue and right lower border of the mediastinum after mastectomy. The position of the right Port-A-Cath and spinal stimulator are unchanged There is no pleural fluid The cardiac size and mediastinum profile are unchanged. | 50346035 | HISTORY: ___ year old woman with prior lymphoma and recent bilat mastx for DCIS Story: Cough, bronchospasm and low grade fever. clinically asthmatic bronchitis, r/o pneumonia. has pulm nodules to be further clarified once acute respiratory sndrome has resolved. TECHNIQUE: Chest x-ray 2 projections. COMPARISON: Exam is compared with chest x-ray of ___. | New opacity in the right lower lobe, posteriorly, related to focal pneumonia. There is no pleural fluid. |
13937831 | 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. A catheter is visualized overlying the spine, unchanged from prior. There are surgical clips overlying the right breast. | 54363503 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fever, cough and SOB // pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No evidence of pneumonia. |
13937831 | Left greater than right bibasilar opacities are more conspicuous as compared to the prior study, while could are be due to progression of chronic change, infectious process is of concern. No large pleural effusion is seen although trace pleural effusion be difficult to exclude. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Thecal catheter is grossly stable in position. | 56435427 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with productive cough, new O2 requirement // acute process? pna? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Increased bibasilar opacities raise concern for infectious process. |
13937831 | There are new bibasilar opacifications, left greater than right. On the lateral view there is corresponding opacification projecting over the lower thoracic spine. The cardio mediastinal and hilar contours are stable. The pleural surfaces are stable. An epidural catheter is intact. | 58351596 | INDICATION: ___ year old woman with 2 days fever + cough; lung wheezy. non-smoker. has asthma and h/o pneumonia h/o lymphoma. // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___ | Left lower lobe pneumonia. There is a possibility of concurrent right lower lobe consolidation and multifocal pneumonia. |
13559069 | Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. | 59238875 | HISTORY: New onset seizure, headache, neck pain, tachycardia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13240424 | The heart is not enlarged. No CHF, focal consolidation, effusion, or pneumothorax is detected. Minimal patchy opacity at the right lung base most likely represents minimal atelectasis. An ovoid area of lucency is seen abutting the left side of the trachea, immediately above the aortic arch, measuring ___.7 x ___.6 mm. This is not fully characterized, but may represent a bulla or bleb in the medial portion of the left lung. A 5.6 mm focal density overlying the anterior left third and posterior left fifth ribs may represent artifact due to overlying rib shadows. No free air seen beneath the diaphragm. | 54297500 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with amphetamine use, dyspnea // eval for cause of dyspnea COMPARISON: None. | Patchy opacity right lung base, likely representing minimal atelectasis. An early pneumonic infiltrate area of aspiration is considered less likely. Vertical ovoid lucency along the left trachea--___ full or bleb in the medial left lung. 5.6 mm density overlying left lung laterally --? Artifact due to overlapping rib shadows. If clinically indicated, oblique views of the chest could help for further assessment. |
13006587 | The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. Linear opacity overlying the lower thoracic vertebral bodies on lateral view is most compatible with atelectasis, but pneumonia cannot be excluded in the correct clinical setting. No diffuse pulmonary abnormality is present. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body. | 56010928 | INDICATION: ___-year-old male with cough, fever, and knee pain. Evaluate for pneumonia. COMPARISONS: None. | Streaky linear opacity overlying the lower thoracic vertebral bodies, most compatible with atelectasis, although atypical pneumonia cannot be excluded in the correct clinical setting. |
13060009 | Patient's chest deformity and clinical condition required examination in sitting position using AP frontal and left lateral views. Comparison is made to the next preceding chest examination of ___. On frontal view, chest presentation resembles a deep left anterior oblique view, demonstrating cardiac contours that indicate mild enlargement. The thoracic aorta appears moderately widened and elongated and follows in its descending portion the markedly scoliosis-deformed thoracic spine. Lungs appear clear without pulmonary congestion and no evidence of acute infiltrates. The lateral pleural sinuses are free. Lateral view is helpful to disclose the posterior dependent area of the pleural sinuses and they appear to be clear from any pleural fluid accumulation on both sides. In comparison with the next previous portable chest examination of ___, the chest findings can be identified as stable. The previously existing marked gas-distended large and small bowel loops are less impressive now. | 51691414 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with chronic scoliosis, right-sided basilar crackles on examination, evaluate for fluid and atelectasis at the right base. | No evidence of pleural effusions or atelectasis. Right lung base is clear. |
13060009 | Given the patient's body habitus, evaluation is extremely limited. Frontal and lateral chest radiographs demonstrate chronic scoliosis and a mildly enlarged cardiac silhouette which is unchanged from prior radiographs. Low lung volumes make evaluation difficult, but a focal opacity in the left lower lung probably represents atelectasis. There is no pulmonary edema, pleural effusion, or pneumothorax. | 50912136 | HISTORY: Cough x 2 weeks with developing wheezing and decreased bibasilar breath sounds. COMPARISON: Chest radiographs from ___ and ___. | A left lower lung opacity probably represents atelectasis. |
13068090 | Lung volumes are low. Heart size is borderline enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Minimal patchy opacity in the left lung base likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Anterior bridging osteophytes are noted in the lower thoracic spine. | 53411495 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Low lung volumes with patchy opacity in the left lung base, likely atelectasis. |
13068090 | PA and lateral views of the chest were provided. Lung volumes are low. Allowing for this, no definite signs of focal consolidation, effusion, or pneumothorax. No overt CHF. Cardiomediastinal silhouette is normal. Bony structures appear intact. | 51523541 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain. | No acute intrathoracic process. Limited exam. |
13159395 | PA and lateral views of the chest provided. Lungs are well inflated and grossly clear. Apical pleural scarring seen on prior CT is not visualized. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal. Mild levoscoliosis of the upper thoracic spine. | 55124460 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, and Ct scna of neck mentioning b/l apical scarring // r/o any abnormality COMPARISON: None | Normal chest radiograph. Apical pleural scarring seen on the prior CT is not visualized. |
13877335 | Moderate enlargement of the cardiac silhouette is unchanged. There is mild interstitial pulmonary edema with perihilar haziness and vascular indistinctness. Small bilateral pleural effusions are present. There is no pneumothorax. Mild degenerative changes of the thoracic spine are visualized. | 53469137 | HISTORY: Shortness of breath, history of congestive heart failure. TECHNIQUE: AP and lateral views of the chest COMPARISON: ___ | Mild congestive heart failure with small bilateral pleural effusions and mild interstitial pulmonary edema. |
13573899 | The tip of the endotracheal tube is 2.7 cm above the carina. Left IJ line tip is unchanged in the lower SVC. Nodular opacities over the right lower lung have someone improved, but there is residual diffuse right lung opacity, concerning for persistent pneumonia. The presence of small pleural effusions is assumed. No pneumothorax. | 56426380 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pneumonia. Eval pneumonia. TECHNIQUE: Single portable AP view of the chest COMPARISON: Chest radiograph from ___, ___, ___, and ___. | Diffuse right lung opacities are concerning for persistent pneumonia, which has not worsened since the radiograph on ___. |
13573899 | The right hemidiaphragm is chronically elevated. Thoracolumbar fixation hardware is partially imaged however causes extreme kyphotic angulation at the thoracolumbar junction. Heart size is normal of mild unfolding of the thoracic aorta. Trace scarring in the lingula and right base atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. | 59101294 | EXAMINATION: Chest radiograph INDICATION: Vomiting, soft stools and right lower quadrant pain. TECHNIQUE: Chest PA and lateral Please note that the laterality on the frontal image is mislabeled. COMPARISON: None | No acute cardiopulmonary abnormality. |
13573899 | The endotracheal tube tip is 2.7 cm above the carina, unchanged. The NG tube and left IJ line tip in the lower SVC are unchanged. Since the prior radiograph, the right lung volume is lower, producing at least atelectasis. However, elevation of the right hemidiaphragm may be due to a subpulmonic effusion. Pneumonia cannot be ruled out. A skin fold projecting over the left apex should not be mistaken for a pneumothorax. There is no focal left lung consolidation concerning for pneumonia. | 55489710 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pneumonia. Eval pneumonia. TECHNIQUE: Two portable AP views of the chest COMPARISON: Chest radiograph from ___ common ___ ___, ___, and ___. | Interval decrease of the right lung volume, producing at least atelectasis. There may be a right pleural effusion, evidenced by a right hemidiaphragm elevation. Pneumonia cannot be excluded. |
13817276 | The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. 3 mm calcific nodule overlying the right mid lung field likely reflects a calcified granuloma. Lungs are otherwise clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated. | 56150223 | HISTORY: Preoperative exam for ankle fracture. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13163471 | Right PICC line has been repositioned and ends in the midclavicular region, not within the SVC. No complications including pneumothorax are seen. Continued low lung volumes are seen with atelectatic changes at the lung bases. No consolidation, pleural effusion or pulmonary edema is seen. | 50505193 | HISTORY: ___-year-old man with psoriatic arthritis and psoriasis with PICC placement. TECHNIQUE: Semi-erect frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | Malpositioned right PICC line ends within the midclavicular region, not within the SVC. No complications including pneumothorax are seen. Findings conveyed to Dr. ___ ___ telephone at approximately 2:30 p.m. on ___ by Dr. ___. |
13163471 | A left internal jugular catheter has been placed with the tip terminating in the upper SVC. There is no pneumothorax or pleural effusion. The lung volumes remain low, with subsegmental atelectasis. The heart size normal. | 51407716 | HISTORY: Central line placement. COMPARISON: Chest radiograph 10:44 today. PORTABLE FRONTAL CHEST | Uncomplicated left internal jugular venous line placement. |
13163471 | Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. Heart is top normal in size in the setting of low lung volumes. Persistent enlargement of the pulmonary vessels suggests ongoing pulmonary edema. Cardiomediastinal and hilar contours are unchanged. The right internal jugular central venous line ends at the cavoatrial junction. No pneumothorax. | 51236552 | HISTORY: ___-year-old male with severe psoriasis and sepsis. Evaluate for interval change. COMPARISON: Multiple prior radiographs the chest dated ___ through ___. | Persistent enlargement of the pulmonary vessels suggests ongoing pulmonary edema. |
13163471 | Right-sided PICC line has been moved, and the tip ends in the mid to upper SVC. No focal consolidation, pleural effusion or edema is seen. Bibasilar atelectasis continues to be seen, and the cardiac and mediastinal contours are normal. | 50551325 | HISTORY: ___-year-old man with MRSA bacteremia, PICC line moved. Evaluate placement. TECHNIQUE: Portable AP chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | Right PICC line tip is in the mid to upper SVC. |
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