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13163471 | Left subclavian line tip is in the distal left brachiocephalic vein and is unchanged in position. NG tube enters into proximal stomach and is out of view. Mild improvement in low lung volumes with unchanged bilateral plate-like atelectasis in the lower lobes. Interval decrease in vascular congestion with normal heart size and no mediastinal vein dilatation, pleural effusion, or pulmonary edema. No pneumothorax. | 50082744 | HISTORY: ___-year-old male with psoriatic arthritis and multiorgan sepsis. Status post attempted subclavian line. Assess line placement. COMPARISON: Chest radiograph, ___, ___, ___. TECHNIQUE: Single portable supine frontal chest radiograph. | Interval improvement in vascular congestion and lung volumes. Stable bilateral lower lobe atelectasis. No pneumothorax. |
13163471 | Persistent enlargement of the pulmonary vessels and perihilar prominence is again seen suggesting continued failure. Patchy opacities again are noted within both lungs and a coexisting pneumonia cannot be excluded. | 55730421 | CLINICAL HISTORY: Severe psoriasis, now septic. CHEST, | Persistent failure. Concomitant pneumonia not excluded. |
13163471 | AP portable chest radiograph demonstrates interval removal of an enteric tube. There is a left internal jugular central line which terminates at the level of the mid superior vena cava in unchanged position when compared to chest radiograph dated ___. Mildly improved lung volumes with atelectatic changes bilaterally. Lungs are grossly clear with no focal consolidation. Cardiomediastinal and hilar contours are stable in appearance. There is no large pleural effusion or pneumothorax. | 55853686 | HISTORY: ___-year-old male with a left IJ and cough. COMPARISON: Chest radiograph dated ___. | Stable appearing left internal jugular line in unchanged position. No pneumonia. |
13163471 | Multiple images show final placement of new enteric tube with its tip terminating in the expected location of the stomach in the left upper quadrant. The terminal end is seen with its tip pointing upward. The lungs are not adequately visualized for interpretation. | 53996089 | HISTORY: ___-year-old male with psoriatic arthritis and newly placed nasogastric tube. Evaluate placement. COMPARISON: Chest radiographs dated through ___. | New enteric tube seen with tip in the expected location of the stomach. |
13163471 | Single supine portable view of the chest was obtained. There is a right internal jugular central venous catheter terminating in the low SVC without findings to suggest pneumothorax. Relatively low lung volumes. The cardiac and mediastinal silhouettes are stable. There is right basilar and right perihilar linear opacities which may be due to atelectasis/scarring. Additionally, there is also linear left basilar opacity, consistent with atelectasis/scarring. There is a chronic deformity of the proximal right humerus, not optimally evaluated on this study. | 52718739 | EXAM: Chest, single AP supine portable view. CLINICAL INFORMATION: Patient with IJ and hypotension. COMPARISON: ___. | Right internal jugular central venous catheter terminates in the low SVC without evidence of pneumothorax. Low lung volumes and areas of minor linear atelectasis/scarring. |
13163471 | Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Again seen is prominent right hilum, which is unchanged, and likely represents atelectasis versus pneumonia. A left-sided IJ central venous line is seen with the tip terminating in the mid SVC. | 58653718 | WET READ: ___ ___ 9:20 PM In comparison with prior, there is little change in the appearance of the left IJ catheter, with the tip terminating in the upper to mid portion of the SVC. Unchanged appearance of the prominent right hilum. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old man with gram-negative rod bacteremia and hypotension. Evaluate for pneumonia. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___. | Prominent right hilum, unchanged, likely represents atelectasis versus pneumonia. |
13163471 | The lung volumes are low, resulting in crowding of the bronchovascular structures and streaky subsegmental atelectasis. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation worrisome for pneumonia. The mediastinal contours are unchanged. The heart size is normal. The glenohumeral joints appear unchnaged with abnormal morphology of the humeral heads and with apparent dislocation. | 59471907 | HISTORY: Sepsis. Evaluate for pneumonia. COMPARISON: Chest radiographs ___ at ___. PORTABLE SEMI-ERECT CHEST | Low lung volumes without an acute cardiopulmonary process. Chronic bilateral glenohumeral dislocation. |
13757807 | The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 50163833 | INDICATION: ___F with recent PNA, presenting with retrosternal chest pain // Eval for PNA, PTX, acute process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13647235 | The cardiac, mediastinal and hilar contours appear unchanged, including an enlarged convex right lateral mediastinal contour suggesting dilatation of the ascending aorta although probably unchanged. Costophrenic sulci are not completely excluded, but there is no evidence for pleural effusion or pneumothorax, and the lungs appear clear. | 55879474 | CHEST RADIOGRAPH HISTORY: Altered mental status. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | Stable appearance of the chest. Suspected dilatation and possibly substantial aneurysm of the ascending aorta. If not already performed, evaluation with a chest CT could be considered when clinically appropriate. |
13647235 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with substantial widening of the mediastinum, presumed due to tortuous aorta. However, on this study, a dilated ascending aorta would not be excluded; however, findings are stable as compared to the prior study. | 54294878 | EXAM: CHEST FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: New oxygen requirement, crackles on exam, altered mental status. COMPARISON: ___. | No acute cardiopulmonary process. No significant interval change. Persistent widening of the mediastinum which may be related to a dilated tortuous aorta which can be further evaluated on CT. |
13686671 | The endotracheal tube terminates 5 cm above the carina. Nasogastric tube passes into the distended stomach, tip off the inferior margin of the film. Lung volumes are low. Even accounting for this, there is cardiomegaly that appears worsened from one day prior. Additionally, there is widening of the vascular pedicle, compatible with central vascular congestion, as well as small right and possible left pleural effusion. In this setting, and given the relative normal appearance of the lungs on recent comparison studies, diffuse parenchymal opacities most likely reflect pulmonary edema. There is no pneumothorax. There is no free air is seen in the upper abdomen. | 55188869 | INDICATION: ___-year-old male with alcohol withdrawal status post intubation. Evaluate endotracheal tube placement. COMPARISON: Chest CT and chest radiographs performed ___ and ___ at ___. SUPINE PORTABLE | Adequate positioning of endotracheal and nasogastric tubes. Cardiomegaly, small effusions, and moderate pulmonary edema are new from one day prior, all suggesting overhydration. Discussed with Dr. ___ at 11:30 a.m. on ___ by Dr. ___ ___ phone. |
13930807 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Compression deformities in the mid and lower thoracic spine likely chronic and secondary to osteoporosis. No free air below the right hemidiaphragm is seen. Surgical clips are noted in the right upper quadrant. | 57130454 | WET READ: ___ ___ ___ 11:23 AM 1. No acute intrapulmonary process. 2. Two age indeterminate anterior compression deformities, one of which results in greater than ___% loss of height in a mid-thoracic vertebrae. These are most likely related to underlying osteopenia. WET READ VERSION #1 ___ ___ ___ 9:41 AM 1. No acute intrapulmonary process. 2. Two age indeterminate anterior compression deformities, one of which results in greater than ___% loss of height in a mid-thoracic vertebrae. Best appreciated on lateral view. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough and weakness today // ? infiltrate COMPARISON: None available | No acute intrapulmonary process. Chronic appearing compression deformities in the thoracic spine. |
13863107 | The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Again noted is mild prominence of the right hilum, which is not significantly changed since the prior radiographs. There is no pleural effusion or pneumothorax. No definite consolidation is identified. | 55309737 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with productive cough // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___, CT chest dated ___ | No acute intrathoracic abnormality. Bilateral hilar prominence, not significantly changed radiographically since the prior chest radiograph examination,corresponding to moderate lymphadenopathy reported on ___ chest CT. |
13863107 | Subtle increase in right hilar density with normal hilar contours. Normal cardiomediastinal contours and pleural surfaces. Fully expanded, clear lungs. | 55748951 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with a history of asthma, now undergoing preoperative evaluation prior to abdominoplasty. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, and ___. | No acute cardiopulmonary process. Subtle increase in right hilar density warrants further evaluation with chest CT with IV contrast. |
13863107 | Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. Previously noted pulmonary nodules seen on prior chest CT are not well assessed on the current radiograph. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. | 55447156 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // Eval intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and CT chest ___ | No acute cardiopulmonary abnormality. Please note that previously noted pulmonary nodules on chest CT are not well assessed on the current radiograph. |
13863107 | The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. A metallic density projecting over the upper abdomen on the lateral view is likely external to the patient compatible with a cardiac monitor lead. | 56830665 | INDICATION: Asthma exacerbation, here to evaluate for pneumonia. COMPARISON: Chest radiographs dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
13863107 | No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. There is persistent slight prominence/subtle increase in right hilar density, similar to the prior study. The prior study recommended further evaluation with chest CT with IV contrast, and this recommendation remains. . | 52926006 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with asthma exacerbation and productive cough // Pneumonia? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. Persistent slight prominence/subtle increase in right hilar density, similar to the prior study. The prior study recommended further evaluation with chest CT with IV contrast, and this recommendation remains. |
13863107 | Lungs are clear and the lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar structures are unremarkable. | 55145293 | EXAMINATION: Chest radiograph INDICATION: Dizziness, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___ and ___. | No acute cardiopulmonary process. |
13863107 | PA and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is seen. | 58386055 | HISTORY: Cough and wheezing. Evaluate for pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
13863107 | Bibasilar opacities demonstrated on the next most recent chest radiograph are no longer appreciated. The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 56419986 | HISTORY: Evaluate for pneumonia. Cough, and shortness of breath x1 month. TECHNIQUE: Upright PA and lateral radiographs of the chest. COMPARISON: Multiple prior chest radiographs most recent ___. | No acute cardiopulmonary process. |
13863107 | Frontal and lateral chest radiographs demonstrate minimal bibasilar opacity without effusion or pneumothorax. The heart size is borderline enlarged, the mediastinal contours are normal. | 56385564 | CLINICAL INFORMATION: ___-year-old female with cough, question pneumonia. COMPARISON: ___. | No acute chest pathology; borderline cardiomegaly. |
13730587 | Supine radiograph of the chest demonstrates a normal cardiomediastinal silhouette. The pulmonary vasculature is unremarkable. No focal consolidation is seen. No definite fracture is identified. There is no large pleural effusion or pneumothorax. | 57218762 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with mcc // traumatic injury TECHNIQUE: Portable chest x-ray. COMPARISON: None. | No acute intrathoracic abnormality. |
13344591 | AP portable upright view of the chest. Overlying EKG leads are present. There is mild left basal atelectasis abutting the left heart border. Otherwise the lungs are clear. No signs of pneumonia, edema, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. | 53582526 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with chest pain // PTX? COMPARISON: None | Mild left basal atelectasis, otherwise unremarkable. |
13482799 | The heart size is normal. Note is made of mild elevation of the right hemidiaphragm. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. Note is made of a left-sided Port-A-Cath with the tip in the low SVC. The visualized osseous structures are unremarkable. | 53261952 | INDICATION: History of small cell lung cancer here with fatigue. Please evaluate for pneumonia. COMPARISON: CT chest from ___ and chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest. | No focal consolidations concerning for pneumonia identified. |
13029332 | The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is within normal limits. Hyperinflation of lungs is noted. Pleural parenchymal scarring within the lung apices appears relatively unchanged compared to the prior study. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is visualized. A focal left diaphragmatic hernia is unchanged, better assessed on the prior CT. There are no acute osseous abnormalities. | 51373839 | HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. CT abdomen and pelvis ___. | No acute cardiopulmonary process. |
13357451 | There is increased moderate elevation of the right hemidiaphragm, with adjacent atelectasis. Increased patchy opacities in the right lower lobe. Left lung is well expanded and clear. Left chest wall port again terminates in the distal SVC. There are no pleural effusions or pneumothorax. | 58139095 | INDICATION: ___-year-old male with pancreatic adenocarcinoma with innumerable liver metastases, left lower lobe pulmonary embolism on ___, now with delirium. COMPARISON: Chest radiograph from ___ and chest CTA from ___. CHEST, AP AND | Increased right lower lobe atelectasis and patchy opacities, most compatible with evolving pulmonary infarcts. However, superimposed infection cannot be excluded. |
13357451 | The lung volumes are low, with bibasal streaky opacities, likely atelectasis in both lower lobes. No consolidation, pleural effusion or pneumothorax is seen. A left chest wall Port-A-Cath ends in the mid SVC. | 56016481 | INDICATION: ___-year-old male with fever, now undergoing chemotherapy. COMPARISON: Chest radiograph ___ and CT torso ___. CHEST | No acute cardiopulmonary pathology. |
13789585 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. | 52415227 | INDICATION: Chest pain. COMPARISONS: ___. | No evidence of acute cardiopulmonary process. |
13579843 | Linear bibasilar opacities are most compatible with atelectasis. Rounded nodular opacity projecting over the right lung base is most likely a nipple shadow. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 54746509 | WET READ: ___ ___ ___ 10:08 AM Bibasilar linear opacities most compatible with atelectasis. Nodular opacity projecting over the right lung base, most likely a nipple shadow but this can be confirmed by repeat exam with nipple markers in place. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with mild hypoxia // r/o infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Bibasilar linear opacities most compatible with atelectasis. Nodular opacity projecting over the right lung base, most likely a nipple shadow but this can be confirmed by repeat exam with nipple markers in place. |
13738809 | Cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. | 52113021 | HISTORY: Low oxygen saturation. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13429471 | 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. | 53963622 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with new headache, left sided ptosis. // Please evaluate for intrathoracic cause for horner's syndrome TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13690019 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 56542470 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with CP // ptx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13415723 | A dual-lead pacemaker/ICD device with leads terminating in the right atrium and ventricle, respectively, appears unchanged. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. A diffuse mild-to-moderate interstitial abnormality appears more prominent than on the prior examination. There may be trace pleural effusions. Fissures are slightly thickened. The bones are probably demineralized. | 56625740 | CHEST RADIOGRAPHS HISTORY: Shortness of breath and hypoxia. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | Findings suggesting mild pulmonary edema but somewhat increased in severity. |
13415723 | Cardiac silhouette is mildly enlarged but has decreased in size compared to the prior study. Pulmonary vascular congestion has also improved, along with rapidly improving right upper juxtahilar opacity, with some residual predominantly linear opacities remaining in this region. Minimal linear areas of atelectasis are demonstrated in the lingula and left lower lobe, and note is also made of small bilateral pleural effusions. Permanent pacemaker remains in standard position with leads in right atrium and right ventricle. | 50353171 | PA AND LATERAL CHEST DATED ___ COMPARISON: ___ radiograph. | Improving pulmonary vascular congestion. Rapidly resolving right juxtahilar opacity, favoring either asymmetrical edema or acute aspiration over an infectious pneumonia. Continued radiographic followup may be helpful to document complete resolution. |
13415723 | The left-sided pacemaker leads are in the right atrium and apex of the right ventricle respectively. There is mild cardiomegaly, stable compared to multiple exams dated back to ___. No focal consolidations are identified. There is a small right pleural effusion. There is no pneumothorax. | 51208203 | INDICATION: ___-year-old female with a new pacemaker who presents for evaluation of lead position. COMPARISON: Chest radiographs from ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | Left-sided pacer leads in expected position. No evidence of pneumothorax. |
13415723 | Compared with chest radiograph on ___, there is new diffuse interstitial opacity and increased pulmonary vascular portion. There has been interval slight decrease in moderate right pleural effusion, and apparent decrease in left small pleural effusion. Right lower and middle lobe opacity is similar to prior. No pneumothorax. Severe cardiomegaly is similar to prior. A left chest wall pacemaker is stable in position, with leads terminating in the in the right atrium and right ventricle. | 50894104 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with RLL consolidation, chf exacerbation. // ?interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___ | Severe cardiomegaly with worsening pulmonary vascular congestion and new mild interstitial edema . Right lower and middle lobe opacity. |
13415723 | Single semi-supine view of the chest demonstrates a right mid lung opacity concerning for infection. Streaky opacities at the left lung base are likely atelectasis. There may be a small left pleural effusion. The right appears clear. No pneumothorax. Mild cardiomegaly. Pacemaker wires terminate in the atrium and ventricle respectively. No free air. | 55121065 | HISTORY: ___-year-old woman with shortness of breath and abdominal distention. COMPARISON: ___. | Right mid lung suprahilar opacities concerning for pneumonia. |
13415723 | PA and lateral views of the chest provided. Pacer device is unchanged. There has been no interval change from prior exam with persistent consolidation in the right lower lung with tiny bilateral pleural effusions. Cardiomediastinal silhouette is stable. Bony structures are intact. | 54861909 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with gradually worsening sob; hyponatremia COMPARISON: Prior exam from earlier today | Consolidation in the right lower lung unchanged. Small bilateral pleural effusions. Stable cardiomegaly. No significant change from prior. |
13415723 | When compared to prior exam, there has been no significant interval change. Right basilar opacity is compatible with pleural effusion with adjacent atelectasis noting that infection cannot be excluded. There is mild pulmonary edema. Left chest wall dual lead pacing device is again noted. Cardiac silhouette is difficult to assess but it appears at least moderately enlarged. Atherosclerotic calcifications seen at the arch. | 58973626 | INDICATION: ___F with h/o CHF and DOE pna?chf exacerbation TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Right basilar opacity due to effusion and atelectasis, infection not excluded. Mild pulmonary edema. |
13234023 | The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. There is bibasilar atelectasis. A left shoulder arthroplasty is noted. There are severe degenerative changes at the right glenohumeral joint. Cholecystectomy clips are noted. There are calcifications seen within the aortic arch. There is a hiatal hernia. | 51034690 | INDICATION: CLL, now with profound weakness and decreased breath sounds on the right side. Rule out pneumonia. COMPARISON: ___ and CT abdomen and pelvis ___. AP AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13234023 | Lung volumes are low with chronic elevation of the right hemidiaphragm. A rounded retrocardiac opacity could represent aspiration or pneumonia at the left base in this patient with history of aspiration pneumonia. Plate-like opacity at the right base likely reflects atelectasis. No pneumothorax or significant pleural effusion is present. The heart size is normal. There are calcifications of the aortic arch. The patient is status post left shoulder hemiarthroplasty. There are severe degenerative changes of the right shoulder. | 59273776 | INDICATION: Fever. History of lymphoma receiving Neulasta and Aranesp injections today. Vomiting. TECHNIQUE: Single frontal radiograph of the chest. COMPARISON: Multiple prior examinations, most recent dated ___. | Round left retrocardiac opacity, which may reflect aspiration or developing aspiration pneumonia. Recommend PA and lateral CXR for more complete assessment when the patient's condition permits. |
13826812 | The cardiomediastinal and hilar contours are within normal limits. The pulmonary vasculature is prominent; however, there is no evidence of pulmonary edema. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. | 50481805 | INDICATION: History: ___F with CP // eval for consolidation TECHNIQUE: AP and lateral views of the chest COMPARISON: ___ | Prominent pulmonary vasculature without evidence of pulmonary edema. No pneumonia. |
13590575 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 53234865 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sore throat, fever, n/v, intermittent cough, likely strep // ?cpd TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13704417 | PA and lateral views of the chest. The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable based on this nondedicated exam. | 55866676 | HISTORY: ___-year-old female with left-sided posterior rib pain. COMPARISON: ___. | No acute cardiopulmonary process. |
13755792 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contours are normal. Irregular contours of the posterior left eighth and ninth ribs are suspicious for possible non-displaced rib fractures. A similar abnormal contour in the posterior right seventh rib is also suspicious for a possible fracture. There is a mild compression deformity in the lower thoracic spine of indeterminate age. No other compression fractures are identified. | 57822353 | INDICATION: Fall. Evaluate for rib fractures. COMPARISONS: None. | Possible fractures of the left posterior eight and ninth ribs and right posterior seventh rib, but no pneumothorax of pleural effusion. Mild compression deformity in the lower thoracic spine of indeterminate age, though likely chronic. If there is high clinical suspicion for an acute compression fracture, could be evaluated with a non-contrast CT. |
13875136 | A single portable AP upright view of the chest was obtained. Heart is normal size and cardiomediastinal contour is notable for calcifications in the aortic arch. Hyperinflated and hyperlucent lungs are suggestive of emphysema. There is no consolidation, pleural effusion or pneumothorax. | 50405895 | INDICATION: ___-year-old woman with chest pain, evaluate for pneumonia. COMPARISON: None. | No evidence of pneumonia. Emphysema. |
13948751 | The heart is normal in size. The aorta is moderately tortuous. Patchy calcification is noted along the aorta. There is no pleural effusion or pneumothorax. Lungs appear clear. Surgical clips project over each upper quadrant. There is mild probably chronic loss in two adjacent vertebral body heights along the lower thoracic spine. | 54835354 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Depression. TECHNIQUE: Chest, AP and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. |
13174990 | Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. | 53179858 | HISTORY: Chest pain. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___. | No acute cardiopulmonary process. |
13174990 | Frontal and lateral views of the chest demonstrate increased opacity at the right medial lung base, raising question of an early consolidation. The left lung and right upper lung are clear. The cardiomediastinal silhouette is within normal limits. | 56656408 | INDICATION: ___-year-old female with cough. Question pneumonia. COMPARISON: ___. | Increased opacity at the medial right lung base which could represent an early pneumonia. Consider followup to resolution following treatment. |
13880519 | Cardiac silhouette is top-normal in size. There is mild vascular congestion. The thoracic aorta is tortuous. Lungs are grossly clear. There is no pneumothorax or pleural effusion. There is no acute osseous abnormality. There are degenerative changes of the bilateral acromioclavicular joints. | 53722534 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with confusion. TECHNIQUE: AP and lateral view of the chest. COMPARISON: None available. | No evidence of pneumonia. |
13764666 | Sternotomy. Postoperative changes aorta. Right IJ central line tip low SVC. Stable left basilar opacities, likely atelectasis. Worsened right basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting. Stable heart size, pulmonary vascularity. Small left pleural effusion. No pneumothorax. Surgical clips right axilla. | 59133283 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with dyspnea // ? pneumothorax, edema TECHNIQUE: Chest single view COMPARISON: ___ 11:40 | Mildly more prominent right basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting. |
13764666 | The patient is status post median sternotomy and ascending aorta replacement. The postoperative cardiomediastinal silhouette is unchanged since the ___ study . Right subpulmonic pleural effusion is stable in size from ___ study with new right lower lobe atelectasis. Left lower lobe is collapsed with a moderate left pleural effusion which is stable. There is no pneumothorax or pulmonary edema. The right jugular central venous catheter terminates in the cavoatrial junction and remains unchanged. | 55577758 | EXAMINATION: Portable upright chest INDICATION: ___ year old woman s/p asc ao replacement // interval change TECHNIQUE: Portable upright chest x-ray COMPARISON: Comparison is made to chest x-rays dating from ___ through ___. | Stable right pleural effusion with new right lower lobe atelectasis and stable left lower lobe collapse with moderate left pleural effusion. |
13764666 | The lung volumes are low. Increased opacification right lower lung may be exaggerated by lower lung volumes or may represent worsening atelectasis and/ or consolidation. The left lung volume is stable. Unchanged left pleural effusion with overlying atelectasis. Stable moderate to severe cardiomegaly. Stable widening of the mediastinum as expected postoperatively. No evidence of postprocedural pneumothorax. Median sternotomy wires are intact. The carina is not well visualized however the ETT appears to be in appropriate position approximately 5 cm from the carina. The right swans Ganz catheter terminates in the right pulmonary artery. The NG tube is in the stomach. | 55043936 | INDICATION: ___ year old woman with s/p Repair of Type A Dissection // cardiac surgery. eval for ptx, effusions. call ___ house officer at ___ if there is any concern with findings Contact name: ___ house officer, ___: ___ TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | Possible consolidation right lower lung however could be worsened atelectasis exaggerated by lower lung volumes. Unchanged left pleural effusion and atelectasis. |
13764666 | The patient is status post prior median sternotomy. The tip of the right internal jugular central venous catheter extends to the cavoatrial junction. Low bilateral lung volumes with unchanged moderate bilateral effusions and subjacent atelectasis. No pneumothorax identified. The size and appearance of the cardiomediastinal silhouette is unchanged. | 58300520 | INDICATION: ___ year old woman s/p ascending arch replacement // eval for pleural effusions in patient with increased WOB, O2 requirement TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | No significant interval change since the prior exam. |
13740705 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 51992242 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dizziness, s/p fall, now with expiratory rhonchi L > R // ?infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13740705 | The heart size is borderline enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 54045900 | HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13740705 | Frontal and lateral views of the chest are obtained. There are low lung volumes, which accentuate the bronchovascular markings, particularly at the lung bases. Mild bibasilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The aorta is calcified and tortuous. Degenerative changes are again seen along the spine. | 55924803 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of syncope. COMPARISON: ___. | No significant interval change. Low lung volumes with no focal consolidation seen. |
13598622 | Stable appearance of the lungs, with calcified 4 mm nodule in the left lung base. The lungs are otherwise clear. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 51347052 | INDICATION: ___ year old man with h/p prostate cancer and renal cell carcinoma s/p partial nx in ___ // pls evaluate for mets TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No chest radiograph evidence of active metastases in the thorax. |
13598622 | There is mild bibasilar atelectasis without evidence of focal consolidation. 4 mm calcified nodule projecting over the lateral left lung base is stable since at least ___ and likely a calcified granuloma. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 54475964 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with worsening gait and balance // pneumonia TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13598622 | PA and lateral views of the chest provided. Mild bibasilar atelectasis is noted. There is a nodular opacity at the left lateral lung base which is most suggestive of atelectasis. An adjacent smaller nodular opacities stable from multiple prior exams. There are tiny bilateral pleural effusions. No findings to suggest pneumonia or edema. No pneumothorax. The cardiomediastinal silhouette is stable. Bony structures are intact. | 52681029 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with R chest pain // r/o pneumothorax COMPARISON: ___. | Mild bibasilar atelectasis with more nodular opacity in the left lung base which may represent atelectasis though short interval radiographic followup is needed to ensure resolution. |
13777050 | Again seen is an endotracheal tube terminating 3.2 cm from the carina. There is no significant pneumothorax. Probable small left pleural effusion persists. There is improved aeration of the left lung, with residual lower lobe atelectasis. Right lung is clear. Heart size is top normal. Again seen are metallic stents in the left brachiocephalic and axillary veins. Chronic displaced right humeral neck fracture with dystrophic bridging callus. | 55458458 | INDICATION: ___-year-old female with pneumonia, intubated. COMPARISON: ___. CHEST, | ETT in appropriate position. Improved left lower lobe atelectasis. |
13650910 | PA and lateral chest radiograph demonstrates clear lungs bilaterally. No focal opacities identified convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. No pleural effusion is identified. There is no pneumothorax. Visualized osseous structures demonstrates no acute abnormality. | 54898740 | INDICATION: ___F with hx diabetes presenting with left flank pain. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute intrathoracic abnormality. |
13438253 | Lines and Tubes: Status post extubation and removal of mediastinal drains, chest tubes and Swan-Ganz catheter. EKG leads overlie the anterior chest wall. Lungs: Lung volumes remain low. Linear left lower lobe opacities and an unchanged dense right lower lobe opacity likely represent atelectasis. Pleura: Unchanged right pleural effusion. There is no pneumothorax. Mediastinum: Stable mild cardiomegaly. Prominent hilar vasculature also noted as before. Bony thorax: No significant interval change. Sternotomy sutures are noted in the midline. | 54252703 | WET READ: ___ ___ ___ 8:20 AM Status post extubation and removal of mediastinal drains, chest tubes, and Swan-Ganz catheter. There is unchanged moderate right and small left pleural effusions with bilateral perihilar atelectasis. No pneumothorax. WET READ VERSION #1 ___ ___ 9:50 PM Status post extubation and removal of mediastinal drains, chest tubes, and Swan-Ganz catheter. There is unchanged moderate right and small left pleural effusions with bilateral perihilar atelectasis. No pneumothorax. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with s/p CABG // eval ptx TECHNIQUE: Chest PA COMPARISON: ___ | Status post extubation, removal of mediastinal drains chest tubes and Swan-Ganz catheter. There is no pneumothorax. The lung volumes remain low with unchanged right pleural effusion and bibasilar atelectasis. |
13363704 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. | 52760117 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13692674 | Frontal and lateral views of the chest are obtained. Minimal left base atelectasis is seen. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 54744176 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of status post full-term pregnancy on ___ with chest pain, mild pleuritic component. COMPARISON: None. | Minimal left base atelectasis. Otherwise, no acute cardiopulmonary process. |
13686516 | Extremely low lung volumes noted with secondary bronchovascular crowding. There is no obvious consolidation, effusion, or overt edema. Cardiomediastinal silhouette is grossly unchanged. Enteric tube seen with tip projecting over the left upper quadrant with side-port past the GE junction. | 59401163 | INDICATION: ___M with shortness of breath // pneumonia? TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Limited exam due to extremely low lung volumes. No definite findings suggest pneumonia. |
13421240 | PA and lateral views of the chest are provided. The heart is mildly enlarged. Underpenetrated technique limits evaluation for mild pulmonary edema and therefore mild edema is difficult to exclude. No large effusion or pneumothorax is seen. The mediastinal contour is prominent, which could reflect vascular ectasia with slight leftward deviation of the trachea which is stable and may reflect thyroid enlargement. Bony structures are intact. No free air below the right hemidiaphragm. | 50057349 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain, minor shortness of breath, evaluate for pneumonia. | Mild cardiomegaly with possible mild pulmonary interstitial edema. Prominence of the mediastinum is stable and may reflect vascular ectasia or possible thyroid enlargement. |
13662681 | The lung and remain hyperinflated and there is biapical scarring and right suprahilar scarring. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Degenerative changes are again seen along the spine. | 54286728 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with vomiting, abd pain // eval PNA TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | No focal consolidation to suggest pneumonia. |
13662681 | AP and lateral chest radiograph demonstrate hyperinflated lungs with biapical scarring and right suprahilar scarring, similar in appearance to prior study dated ___. Lungs are otherwise clear with no focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are stable. No air under the diaphragm is identified. Osseous structures demonstrate no acute abnormality. | 52611370 | INDICATION: ___-year-old female with fatigue. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No acute intrathoracic abnormality. No focal consolidation convincing for pneumonia. |
13739747 | The heart size remains moderately enlarged. Mild pulmonary vascular congestion persists, perhaps slightly progressed compared to the previous exam. There are persistent small bilateral pleural effusions and bibasilar atelectasis. No pneumothorax is demonstrated. Clips are noted within the right upper abdomen likely related to prior cholecystectomy. There are multilevel degenerative changes in the thoracic spine. | 50187813 | HISTORY: Chest pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild congestive heart failure and small bilateral pleural effusions. Bibasilar atelectasis. |
13828233 | The lungs are clear without focal consolidation. No pleural effusion pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. There is no pulmonary edema. Scoliosis in the thoracolumbar region is incidentally noted. | 54954807 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13096682 | Frontal and lateral views of the chest were obtained. There is minimal elevation of the right hemidiaphragm. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no evidence of free air beneath the diaphragms. | 54502905 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with abdominal pain, evaluate for free air status post cholecystectomy four weeks ago. COMPARISON: None. | Minimal elevation of the right hemidiaphragm. No focal consolidation. No evidence of free air beneath the diaphragms. |
13966805 | 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. | 50861519 | INDICATION: History of new-onset diabetes, please evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral radiographs of the chest. | No acute intrathoracic abnormalities identified. |
13372717 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 53209468 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with malaise. cough. right gait deviation COMPARISON: ___ | No acute intrathoracic process. |
13860232 | The heart size, mediastinal, and hilar contours are normal. There is an opacity in the left lower lung, extending into the left retrocardiac region. Given the patient's clinical history, this is concerning for pneumonia. There is no pleural effusion or pneumothorax. | 53192464 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with fever, altered mental status. R/o pna. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Outside hospital CT chest from ___. | Opacity in the left lower lung and retrocardiac region this concerning for pneumonia, given the patient's clinical history. |
13417063 | The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 57799511 | INDICATION: Left-sided chest pain. Evaluate for infection. COMPARISONS: Rib radiographs ___. | No evidence of acute cardiopulmonary process. |
13108511 | A new heterogeneous areas of consolidation have developed in the mid and lower lungs bilaterally, most confluent at the left lung base. Heart is upper limits of normal in size and stable compared to the previous study. Mild pulmonary vascular congestion is new. No pleural effusion. Bones are diffusely demineralized. | 52799214 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough and rales at left base // Pneumonia vs CHF COMPARISON: ___ | New mid and lower pole lung consolidations, left greater than right, concerning for multifocal pneumonia. Consider follow up chest x-rays in ___ weeks after completion of antibiotic therapy to ensure resolution. |
13108511 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart is top-normal in size. The cardiomediastinal silhouette is normal. Imaged osseous structures are unremarkable. Lower ribs are incompletely evaluated due to underpenetration and technique. | 51711190 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with right chest pain, reproducible on palpation. Evaluate for right anterior lower rib fracture or pleural effusion. COMPARISON: None | No acute intrathoracic process. Lower ribs are incompletely evaluated due to underpenetration and technique. Dedicated rib series would be more sensitive for detection of rib fracture, if clinically indicated. |
13108511 | AP upright and lateral views of the chest provided.Evaluation is somewhat limited due to underpenetration. There is persistent left mid and lower lung opacity which remains concerning for pneumonia. There is associated left mid and lower lung atelectasis. No large effusion is seen. No pneumothorax. Hilar congestion is suspected. Cardiomediastinal silhouette appears grossly unchanged. Bony structures are intact peer | 59783274 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with recent diagnosis of pneumonia p/w pleuritic back pain and shortness of breath COMPARISON: ___. | Persistent opacity in a left middle lower lung remains concerning for pneumonia. Possible hilar congestion. |
13688547 | AP and lateral views of the chest. Left chest wall pacing device is identified with a single lead whose tip is at the right ventricular apex. The lungs are clear without consolidation, where not obscured by overlying pacing device. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 53778804 | CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with sudden syncope and history of HOCM with AICD. COMPARISON: None. | Left chest wall pacing device with single lead tip at the right ventricular apex. No acute cardiopulmonary process. |
13453412 | The heart is mild to moderately enlarged. The vascular pedicle appears widened. There is an increasing pleural effusion on the left and a new suspected but small right-sided pleural effusion. There is no pneumothorax. Upper zone redistribution of pulmonary vascularity and a moderate interstitial abnormality suggest mild to moderate pulmonary edema. The bones appear demineralized. | 59946240 | CHEST RADIOGRAPHS HISTORY: Shortness of breath, lower extremity edema. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Findings consistent with mild to moderate pulmonary edema. |
13755199 | Patient is status post right upper lobectomy. Persistent postoperative changes at the right hilum are unchanged since most recent examinations and smaller when compared to radiographs obtained ___, most probably a fluid collection. Lungs are otherwise clear with no focal opacity convincing for pneumonia. There is no pleural effusion or pneumothorax.The heart appears within normal limits. | 50148500 | INDICATION: ___-year-old male with fever status post surgery. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___ as well as CT dated ___. | Status post right upper lobectomy with persistent postoperative changes at the right hilum. Opacity at the right hilum is decreased since ___ examination, probably reflective of a fluid collection at the surgical site. No evidence to suggest pneumonia. |
13755199 | Patient is status post right upper lobe lobectomy, with stable postoperative changes in the right hemi-thorax. Compared to the prior radiograph on ___, there are no new focal consolidations or pneumothorax. The previously seen left pleural effusion has since resolved. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 57676916 | EXAMINATION: Chest radiographs PA and lateral INDICATION: ___ year old man with s/p lung surgery/resection @bi ; now withcough/congestion/ eval for infiltrate increase SOB/sx // ___ year old man with s/p lung surgery/resection @bi ; now withcough/congestion/ eval for infiltrate increase SOB/Sx TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute intrapulmonary process. Stable post-operative changes. |
13197940 | The Port can be followed at least as far as the cavoatrial junction although more distally the exact termination point is not clear due to underpenetration. A right-sided PICC line terminates in the right brachiocephalic vein. Lung volumes are low. Cardiac, mediastinal and hilar contours appear within normal limits. There is a small to moderate pleural effusion on the right. It is difficult to exclude a small pleural effusion on the left. Otherwise, aside from suspected coinciding atelectasis at the right lung base, the lungs appear clear within limitations of technique. | 54902461 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: PICC line and Port placement. TECHNIQUE: Chest, portable AP upright. COMPARISON: None. | Right pleural effusion with associated atelectasis. Port-A-Cath difficult to delineate but it can be followed at least as far as the cavoatrial junction. PICC line terminating in the right brachiocephalic vein. |
13559197 | Cardiac size is within the upper limits of normal. The lung fields are clear. There is no evidence of failure, aspiration, pneumonia. Costophrenic angles are clear. | 58610892 | CLINICAL HISTORY: Critical left foot ischemia status post angiography. Delirium. CHEST | No pneumonia. No aspiration. |
13559197 | AP single view of the chest has been obtained with patient in semi upright position. Comparison is made with the next preceding similar study dated ___. High positioned diaphragms indicate poor inspirational effort. Its size cannot be assessed with certainty as contours are obscured. No significant interval change has occurred in comparison with the next preceding study. The pulmonary vasculature again shows a moderate degree of perivascular haze consistent with the impression of congestion. The image does not cover entirely the lateral pleural sinuses but there is no suggestion of any increased pleural effusion in comparison with the previous study. No new infiltrates are seen. | 57462457 | DATE: ___. TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with acute desaturation. Evaluate for acute process - pneumonia, effusion, etc. | Stable chest findings as can be identified on portable single AP chest examination. |
13364239 | Small bilateral pleural effusions with low lung volumes and clear lungs. No pneumothorax. Stable moderatly enlarged heart with an enlarged tortuous aorta without pericardial effusion. Mediastinal contour and hila appear normal. | 52573629 | HISTORY: Male with pleural effusion on MRI ___. Assess lungs and effusion. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: MR thoracic ___, ___. Chest radiograph, ___, ___. | Small bilateral pleural effusions. Stable moderately enlarged heart with enlarged tortuous aorta. |
13364239 | There are a small-moderate bilateral pleural effusions and moderate pulmonary edema. Enlargement of cardiac silhouette is again seen. Tortuosity of the thoracic aorta is again noted. No acute osseous abnormalities. | 59956857 | INDICATION: ___M with sob // eval for pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Small-moderate bilateral pleural effusions and moderate pulmonary edema. |
13364239 | The cardiac silhouette continues to be enlarged. The lung volumes are mildly decreased with associated crowding of the central bronchovascular structures. No focal consolidation is noted. There is no pneumothorax. There may be trace bilateral pleural effusions. Calcification in the right paratracheal region may be from a calcified mediastinal lymph node. Right lateral rib fractures are again noted. | 59940458 | INDICATION: ___-year-old male with nausea and vomiting. Please evaluate for occult pneumonia. TECHNIQUE: AP and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___, ___, ___ and ___. | Enlarged cardiac silhouette, similar compared to prior. No consolidation to suggest pneumonia. Trace bilateral pleural effusions. |
13364239 | AP upright and lateral views. Cardiomegaly again noted, mild to moderate. Prominence of the mediastinum likely due to rotation and AP technique. Areas of calcification projecting over the mediastinum compatible with known calcified lymph nodes. Mild left basal atelectasis. No convincing signs of pneumonia or aspiration. No large effusion or pneumothorax. Bony structures appear intact. | 52722034 | EXAMINATION: AP and lateral chest radiographs. INDICATION: ___-year-old man with epistaxis. Evaluate for evidence of aspiration or another acute cardiopulmonary process. TECHNIQUE: AP and lateral chest radiographs. COMPARISON: Chest radiograph from ___. | No convincing signs of aspiration or pneumonia. Mild left basal atelectasis. Stable cardiomegaly. |
13364239 | Small bilateral pleural effusions, as well as persisting but slightly decreased extent of pulmonary edema. The cardiac silhouette is enlarged but unchanged. No pneumothorax identified. | 56960541 | INDICATION: ___ year old man with HF, CAD, CKD w/ worsening dyspnea // r/o any abnl TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Slightly improved pulmonary edema and small bilateral pleural effusions. |
13364239 | The study is somewhat limited by lordotic positioning. Moderate to severe cardiomegaly is unchanged. Mediastinal and hilar contours are grossly similar. Lungs are clear without focal consolidation. Diaphragms remain flattened raising the possibility of COPD. No large pleural effusion or pneumothorax is present. Chronic blunting of the costophrenic angles posteriorly on the lateral view may reflect chronic pleural thickening or trace bilateral pleural effusions. Pulmonary vasculature is not engorged. There are mild to moderate multilevel degenerative changes seen in the thoracic spine. | 59489410 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with hypoglycemia TECHNIQUE: Semi-upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. Chronic blunting of the costophrenic angles posteriorly may reflect chronic pleural thickening or trace bilateral pleural effusions aerated |
13047925 | PA and lateral views of the chest provided. Subtle opacity obscuring the inferior most left heart border is new from prior exam, possibly a prominent fat pad. No convincing signs of pneumonia, CHF, effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. | 59486604 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sickle trait, recent miscarraige p/w L CP // ?acute process COMPARISON: ___. | Probable epicardial fat pad accounting for subtle opacity obscuring the left heart border inferiorly. No convincing signs of pneumonia. |
13022280 | Single AP portable chest radiograph was obtained. The tip of the ET tube is situated at the carina with tip oriented towards the right main bronchus. A nasogastric tube has its tip terminating in the body of the stomach with the side port below the GE junction. There is patchy opacity projecting over the right lung base. The left lung is clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. | 57403115 | HISTORY: Status post intubation, evaluate for tube placement. COMPARISON: None available. | ET tube tip terminates at the carina with the tip oriented towards the right main bronchus. Recommend withdrawing by 2-3 cm. Patchy opacity in right lung base, likely due to atelectasis or aspiration. Pneumonia cannot be excluded in the appropriate clinical setting. Finding #1 discussed with Dr.___ by Dr. ___ ___ telephone at 5pm on ___. |
13022280 | Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. | 57638466 | HISTORY: ___-year-old female with right calcified cerebellar lesion and obstructive hydrocephalus, for preoperative evaluation. COMPARISON: None. | No acute cardiopulmonary process. |
13819211 | Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated which may suggest COPD. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 50281705 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13465703 | The heart size is top normal. The lung volumes are low, resulting in bronchovascular crowding. Bibasilar atelectasis is mild. What looks like a 2.5cm oval lung nodule or calcification on the lateral view, could be a pulmonary vein; oblique views would clarify that. There is no pneumothorax, focal consolidation, or pleural effusion. Moderate degenerative changes are seen within the glenohumeral joints bilaterally. | 50993889 | FINAL ADDENDUM The updated impression was discussed by Dr. ___ with Dr. ___ ___ telephone at 9:48 AM ___. ______________________________________________________________________________ FINAL REPORT INDICATION: Possible pneumonia. No comparison studies available. FRONTAL AND LATERAL CHEST | Very low lung volumes. No large consolidation or effusion detected. Oblique views would be required to exclude a pulmonary nodule. |
13689440 | When compared to most recent study dated same date 2 hr previously, the right internal jugular central line has been withdrawn, its tip terminating within the distal SVC. There is no pneumothorax. A right pectorally placed pacer is noted, lead tips in stable position. Lungs are clear bilaterally. Cardiomediastinal and hilar contours are stable. | 53623640 | INDICATION: ___ year old man with new onset chf vs sepsis // confirm central line placement TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph obtained approximately 2 hr prior. | Right internal jugular central venous catheter identified terminating within the distal at see in improved position, previously projecting over the right atrium. No pneumothorax. |
13689440 | Small to moderate bilateral pleural effusions have increased in size compared with the immediate prior study of ___. Mild pulmonary edema is slightly improved. The right chest wall dual-chamber pacemaker leads project in unchanged position. The right-sided PICC line ends in the lower SVC. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. | 53701738 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with recurrent SOB, CHF and endocarditis. // r/o pulmonary edema TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating from ___ to ___. | Increased bilateral pleural effusions, now small to moderate. Slightly improved mild pulmonary edema. |
13689440 | Lungs are well expanded and clear. Heart size is normal. Mild cephalization of pulmonary vessels and large hilar arteries may indicate early cardiac dysfunction. . There is no large pleural effusion. Transvenous leads from a left pectoral pacemaker follow their expected courses to the right atrium and ventricle. Surgical clips project over the left upper quadrant. | 58432858 | INDICATION: ___-year-old male with chest pain and shortness of breath. COMPARISON: None available. | No evidence of acute intrathoracic abnormality. |
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