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13689440 | When compared to prior radiograph obtained 2.5 hr previously, there is been little interval change in the appearance of bilateral lungs. Cardiomediastinal and hilar contours remain stable. There is been interval placement of a right internal jugular central line its tip which appears to project over the right atrium. There is no pneumothorax. No large pleural effusion is seen. | 56614395 | INDICATION: ___-year-old male with recent placement of central line. COMPARISON: Radiograph obtained same day ___ approximately 2.5 hr previously. | Interval placement of right internal jugular central line its tip which projects over the right atrium. For placement in the distal SVC, this should be withdrawn 4cm. No pneumothorax. |
13689440 | In apical thoracostomy tube is noted. Postsurgical ___ project over the right chest. Left pectoral transvenous pacer leads terminate in the right atrium and right ventricle. Postsurgical are noted in the mediastinum and abdomen. Patient has had aortic valve replacement. Median sternotomy wires are intact. Lung volumes are low. The cardiomediastinal silhouette is unremarkable. A focal opacity projects over the right hilar region likely representing postsurgical hematoma from recent wedge resection of the known right lower lobe pulmonary nodule. There is no a miniscule right apical pneumothorax as well as mild subcutaneous emphysema extending from the right side of the neck to the right lateral chest. There is no pleural effusion. | 56080076 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with RLL mass and pulmonary fibrosis status post right thoracotomy and right lower lobe wedge resection on ___. TECHNIQUE: Single frontal view of the chest COMPARISON: Chest CT from ___, ___. PET-CT from ___. Chest radiograph from ___ | Focal opacity projecting over the right hilar region likely represents postsurgical hematoma from recent right lower lobe wedge resection. Recommend follow-up chest radiograph assess resolution. Miniscule right apical pneumothorax, likely postsurgical. Mild subcutaneous emphysema extending from the the right side of the neck to the right lateral chest, likely postsurgical. |
13689440 | Single portable AP chest radiograph demonstrates he right pectorally placed pacer, its leads in unchanged position projecting over the right atrium and right ventricle. There appears to be improved aeration at the bilateral bases. Cardiomediastinal and hilar contours are stable in appearance. No appreciable change in degree of mild vascular congestion. | 51021800 | INDICATION: ___-year-old male with shortness of breath and endocarditis. COMPARISON: Radiograph dated 1 day prior, ___. | No appreciable change in degree of mild vascular congestion. |
13077337 | The lungs are clear without focal consolidation or edema. There are trace bilateral pleural effusions. Previously seen right-sided central venous catheter is no longer visualized. The cardiomediastinal silhouette is within normal limits. No free intraperitoneal air identified. | 58846353 | INDICATION: ___F with presyncope, 1 week s/p adrenalectomy // any pna or atelectasis TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Trace bilateral pleural effusions. Otherwise unremarkable chest x-ray. |
13899482 | PA and lateral views of the chest were provided. There is a Port-A-Cath residing in the left mid chest wall with catheter extending into the left subclavian vein with its tip at the level of the low SVC. There is no sign of catheter disruption. The pulmonary nodules are poorly seen on radiograph, though recent CT from ___ provides full detail. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No definite bony abnormalities are seen aside from mild compression deformity in the mid thoracic spine, better seen on prior CT. | 50658780 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ and torso CT from ___. CLINICAL HISTORY: Metastatic melanoma, port not functioning, assess position of port. | Port-A-Cath appears in good position. |
13123920 | Cardiac silhouette size is mildly to moderately enlarged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Streaky opacity within the left lung base likely reflects atelectasis, and no focal consolidation is present. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Surgical anchors are demonstrated overlying the left humeral head. | 56920616 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: None. | Patchy left basilar opacity, likely atelectasis. Infection however is not completely excluded in the correct clinical setting. |
13369944 | There has been interval placement of a right subclavian central venous catheter with distal tip projecting over the high right atrium versus cavoatrial junction. As on prior, there are low lung volumes. Re-identified are diffuse right lung airspace opacities concerning for pneumonia. The left lung is clear. No pneumothorax. No pleural effusion. | 56648574 | INDICATION: ___M with right subclavian placement, evaluate the line, rule out pneumothorax. TECHNIQUE: AP chest radiograph. COMPARISON: Earlier same-day chest x-ray ___ at 11:02. | Interval placement of a right subclavian central venous catheter with distal tip projecting over the high right atrium versus cavoatrial junction. No pneumothorax. Otherwise, no interval change. |
13369944 | There is significant rightward rotation of the patient on the current radiograph. Allowing for changes due to this, and low lung volumes, the cardiomediastinal silhouettes are within normal limits. The bilateral hila are within normal limits. There is mild elevation of the right hemidiaphragm. Diffuse increased opacity in the right lung, centered in the right mid and upper lung, is concerning for pneumonia or sequelae of aspiration pneumonitis in the appropriate clinical setting. The left lung is clear. There is no left pleural effusion. It would be difficult to exclude a trace right pleural effusion. There is no pneumothorax. | 59136721 | WET READ: ___ ___ ___ 11:39 AM Right mid and upper lung opacities are concerning for pneumonia or sequelae of aspiration pneumonitis. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with cough, hypoxia, hypotension, evaluate for pneumonia. TECHNIQUE: AP chest radiograph. COMPARISON: None. | Right mid- and upper lung opacities are concerning for pneumonia or sequelae of aspiration pneumonitis. |
13912482 | PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contour appears normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm. | 54670187 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: MVA, assess for traumatic injury. Patient has chest pain. | No acute sequelae of trauma. |
13473495 | A dialysis catheter terminates in the right atrium. There is a vascular stent projecting over the left chest apex which probably corresponds to a left subclavian venous stent. The heart is again moderately enlarged. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear. | 57447816 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Hemodialysis diabetes and congestive heart failure. Question acute cardiopulmonary disease. TECHNIQUE: Chest, portable AP upright. COMPARISON: ___. | No evidence of acute disease. |
13473495 | There is mild-to-moderate interstitial pulmonary edema. The heart is moderately enlarged but not significantly changed in size compared to ___. No definite pleural effusions are seen. There is no pneumothorax. | 55153576 | INDICATION: Chest pain. Evaluate for acute process. COMPARISON: Chest radiograph from ___. | Mild-to-moderate pulmonary edema, likely cardiogenic. |
13473495 | The ET tube terminates 3.9 cm above the carina. There is an enteric tube which extends well below the diaphragm. Again seen is severe cardiomegaly, stable since at least ___. The lung volumes continued to be low with evidence of elevated pulmonary venous pressure and moderate bilateral pleural effusions, left greater than right. There appears to be slight interval worsening of the bibasilar atelectasis. There is no evidence of a pneumothorax. Note is again made of stable elevation of the right hemidiaphragmatic contour. | 53351384 | INDICATION: History of Gram-negative rod bacteremia, intubated, please evaluate for interval change. COMPARISONS: Multiple chest radiographs dated back to ___ and CT from ___. TECHNIQUE: Single AP portable exam of the chest. | Slight interval worsening of atelectasis at the left lung base. Stable moderate bilateral pleural effusions, left greater than right. |
13473495 | Redemonstration of moderate-to-severe cardiomegaly is noted. There is pulmonary vascular congestion consistent with edema. There is vague increased opacity at the left costophrenic angle which may reflect atelectasis versus a small pleural effusion. Redemonstration of a left subclavian venous stent is again noted. There is no evidence of pneumoperitoneum. Osseous structures are unchanged. | 52412265 | PA AND LATERAL RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old male with chest pain. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: ___. | Opacity at left costophrenic angle likely reflects atelectasis vs. pleural fluid. Pulmonary edema. |
13473495 | There is similar moderate-to-severe cardiomegaly. The cardiac, mediastinal and hilar contours appear stable. The pulmonary vasculature is engorged and indistinct including upper zone redistribution. Fissures are thickened. A linear opacity in the left mid lung appears unchanged and suggests minor scarring or atelectasis. A left subclavian venous stent is again demonstrated. There has been no significant change. | 51168408 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | Findings suggesting mild pulmonary edema. Similar cardiomegaly. Stable mediastinal contours. |
13473495 | Two frontal images of the chest were obtained. This exam is limited by underpenetration due to patient's body habitus and by rotation of the patient. There is increased vascular congestion since previous imaging. The right IJ catheter is seen with the tip in the mid to low SVC. No pneumothorax or other complications are identified. The relative radiolucency of the left lung compared to the right lung is likely an artifact secondary to patient rotation. There is no clear evidence of pleural effusion on this exam. Cardiomediastinal silhouette is unchanged. | 55720395 | INDICATION: ___-year-old male with retroperitoneal bleed, anuria, and shortness of breath. COMPARISON: Comparison is made with chest radiograph from ___ and ___. | Worsening pulmonary vascular congestion. New right IJ line with tip in the mid to low SVC. |
13473495 | Low lung volumes are again noted. There are however persistently increased interstitial markings which appear slightly progressed compared to prior. There is no pleural effusion. The cardiac silhouette is enlarged, as on prior. Left subclavian stent is again seen. | 55610892 | INDICATION: ___M with chest pain // eval for ptx or infiltrate TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Pulmonary edema is slightly worse than on recent exam. |
13473495 | The inspiratory lung volumes are low. The cardiac silhouette is moderately enlarged, but stable from the prior study. The mediastinal and hilar contours are not significantly changed from the prior radiograph allowing for patient rotation on the current examination. No significant pleural effusion or pneumothorax is detected. A small amount of fluid is noted in the right minor fissure. Mild pulmonary edema is present. A right dual-chamber dialysis catheter is in position with the tip terminating at the cavoatrial junction or proximal right atrium. The visualized upper abdomen is gasless. | 56929753 | INDICATION: History of congestive heart failure and renal failure, now with chest pain during dialysis. COMPARISON: Chest radiograph, last performed on ___. TECHNIQUE: Upright AP and lateral radiographs of the chest. | Mild pulmonary edema. Moderate cardiomegaly. |
13473495 | A right subclavian approach dialysis catheter is again noted with tip terminating in the right atrium. A left subclavian vein stent is visualized projecting over the left lung apex. Moderate cardiomegaly is again visualized. The mediastinal and hilar contours are unremarkable. There is no pneumothorax or large pleural effusion. Lung volumes are slightly low without focal consolidation concerning for pneumonia. There is no overt pulmonary edema. | 58858468 | INDICATION: ___M with ESRD DM2 morbody Afib RVR crackles on lower lung field // evalu pulomonary edema vs pna TECHNIQUE: AP upright view of the chest. COMPARISON: Chest radiograph ___, ___. Fistulogram ___. | No acute cardiopulmonary process. |
13473495 | Frontal and lateral views of the chest. Severe cardiomegaly has increased since ___ with right and left atrial enlargement, consistent with right heart decompensation. Lung volumes are low with a possibly small left pleural effusion. No focal consolidation or pneumothorax. A left subclavian vascular stent is new since the prior exam. | 56817456 | HISTORY: Chest pain. COMPARISON: Multiple prior chest radiographs, most recently ___ and ___. | Increased cardiomegaly. No focal consolidation. |
13473495 | Severe cardiomegaly persists. A left subclavian vascular stent is re- demonstrated. Mediastinal contours are unchanged. There is pulmonary vascular congestion,slightly worse in the interval. A small amount of fluid is noted within the minor fissure. No focal consolidation, pleural effusion or pneumothorax is demonstrated. | 50319774 | HISTORY: Body pain and feeling hot. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Pulmonary vascular congestion, slightly worse in the interval. |
13473495 | Moderate cardiomegaly is all stable compared to the prior exams dated back to at least ___. There has been an interval increase in bilateral moderate pulmonary edema with interstitial thickening and perihilar vascular congestion compared to the prior exam from ___. There may be small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. Note is made of a left subclavian stent, overall unchanged in position compared to the prior exam. | 57333607 | INDICATION: History of end-stage renal disease. Please evaluate. COMPARISONS: Multiple prior chest radiographs dated back to ___, most recently from ___. TECHNIQUE: PA and lateral radiographs of the chest. | Moderate pulmonary edema, overall increased compared to the prior exam from ___. |
13473495 | AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___. Unchanged appearance of cardiac enlargement without typical configurational abnormality. Mediastinal structures also unchanged. The pulmonary vasculature is not congested anymore and there is no evidence of pleural effusion as the lateral pleural sinuses are free. No new pulmonary parenchymal infiltrates can be identified. No pneumothorax is seen in the apical area. As before, a right internal jugular approach central venous line is seen and terminates in the mid portion of the SVC. | 58228725 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with cough and elevated white blood count, evaluate for pneumonia. | No evidence of new acute pulmonary infiltrates. Observe that chest image quality is limited related to patient's morbid obesity. |
13473495 | AP and lateral views the chest were viewed. The cardiomediastinal and hilar contours are stable with severe cardiomegaly. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. A possible small nodule is the right mid lung zone could be evaluated electively with chest CT if indicated. | 57665537 | HISTORY: Nausea, malaise. COMPARISON: Chest radiographs ___, CT torso ___. | No acute process. Possible nodule in the right mid lung zone. Nonurgent chest CT may be obtained for further evaluation. Dr. ___ ___ this recommendation with Dr. ___ ___ telephone at 10:17 AM on ___. |
13473495 | A single AP radiograph of the chest was acquired. There is redemonstration of a right tunneled internal jugular central venous catheter, ending in the mid-to-low SVC. There is a small quantity of fluid within the minor fissure. There is minimal linear left mid lung atelectasis. There is also subsegmental bilateral lower lung atelectasis. The heart is moderately enlarged, as seen on the prior radiograph from ___. There are no definite pleural effusions. No pneumothorax is seen. | 53131726 | INDICATION: Abdominal pain, assess for pneumonia. COMPARISON: Chest radiograph from ___. | Minimal left mid and bibasilar atelectasis. No focal consolidation. Moderate cardiomegaly, as seen on the prior chest radiograph from ___. |
13473495 | Endotracheal tube tip terminates approximately 2.6 cm from the carina. Orogastric tube is seen coursing below the diaphragm, with the tip not well visualized. The heart remains severely enlarged. There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion. Persistent bibasilar airspace opacities again may reflect atelectasis, aspiration or infection. There is no large pneumothorax on this supine study. | 54861751 | HISTORY: Intubation. TECHNIQUE: Supine AP view of the chest. COMPARISON: ___. | Low lying endotracheal tube with tip terminating approximately 2.6 cm above the carina. Orogastric tube courses below the diaphragm. Worsening mild pulmonary edema with layering left pleural effusion. |
13473495 | Frontal and lateral views of the chest were slightly limited due to patient's body habitus. Lung volumes are low, which accentuate bronchovascular markings. Mild pulmonary edema is unchanged. There is mild thickening of the minor fissure. Bibasilar opacities are noted. There is no pleural effusion. Moderate cardiomegaly is stable. Hilar and mediastinal silhouettes are unchanged. A dual-chamber dialysis catheter tip projects over proximal right atrium. | 54050506 | INDICATION: Cough and positive blood cultures. Assess for pneumonia. COMPARISONS: Chest radiograph of ___ and CT chest of ___. | Stable mild pulmonary edema and moderate cardiomegaly. Bibasilar opacities may represent atelectasis or infection in the appropriate clinical setting. |
13473495 | The lateral radiograph is essentially nondiagnostic due to underpenetration likely due to patient body habitus. On frontal radiograph, lung volumes are low with bibasilar atelectasis. Evaluation is somewhat limited due to patient body habitus. The cardiac silhouette is enlarged. Double-lumen central venous catheter appears similarly positioned. Mild interstitial edema persists. No pneumothorax is seen. | 59702344 | HISTORY: ___-year-old male with positive blood culture. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | Limited study with persistent mild interstitial edema and cardiomegaly. Bibasilar opacities, atelectasis, can not exclude infection. |
13473495 | Severe cardiomegaly is unchanged. The mediastinal and hilar contours are similar. There is mild pulmonary vascular engorgement, also unchanged. Bibasilar airspace opacities could reflect atelectasis though infection or aspiration cannot be excluded. No large pleural effusion or pneumothorax is seen. | 58878473 | HISTORY: Shortness of breath, altered mental status. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___. | Mild pulmonary vascular engorgement and bibasilar opacities possibly reflecting atelectasis but infection or aspiration cannot be excluded. |
13671677 | There is a left-sided dual-lead pacemaker with leads terminating in appropriate position in the right ventricle and atrium. The heart size is normal. The lungs are clear. Hilar contours are normal. There is no pleural effusion or pulmonary edema. Descending thoracic aorta is tortuous with no suggestion of aneurysm. | 50457804 | HISTORY: Palpitations. Please evaluate pacemaker placement. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | No evidence of acute cardiopulmonary process. Appropriate lead positioning. |
13671677 | Left cardiac pacemaker with intact leads ending in the right atrium and right ventricle is seen. Heart size is upper limit of normal with no signs of pleural effusion or pulmonary congestion. No focal consolidation is seen, and no complications of the procedure including pneumothorax are seen. | 54728992 | HISTORY: ___-year-old man with new pacemaker, evaluate lead position. TECHNIQUE: PA and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available. | Pacemaker with leads ending in the right atrium and right ventricle seen. |
13671677 | Dual lead left-sided pacemaker is seen with lead extending the expected positions of the right atrium and right ventricle. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 59005527 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M w/chest pain, please eval for mediastinal widening // ___M w/chest pain, please eval for mediastinal widening TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13877234 | 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. | 54085740 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M w/sob, please eval for pna, pulm edema // ___M w/sob, please eval for pna, pulm edema TECHNIQUE: Single portable upright AP chest radiograph COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13877234 | Lung volumes are slightly decreased. The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. | 53267090 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Chest pain. Question pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
13877234 | Heart size is accentuated due to the presence of low lung volumes and appears top normal in size. Mediastinal contour appears slightly widened superiorly, likely due to low lung volumes and supine AP technique. There is crowding of bronchovascular structures likely due to low lung volumes without overt pulmonary edema. Patchy opacities in the lung bases may reflect areas of atelectasis. No pleural effusion or pneumothorax is clearly noted on this supine exam. No displaced fractures are seen. | 59426056 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with suicide attempt and altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Low lung volumes with probable bibasilar atelectasis. |
13877234 | Lung volumes are slightly low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal patchy opacities are seen in the lung bases, likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is clearly seen. Mild degenerative changes are noted in the lower thoracic spine. | 55634474 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with fever, cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Low lung volumes with probable bibasilar atelectasis. No focal consolidation to suggest pneumonia. |
13939722 | PA and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous or soft tissue abnormality noted. | 56531349 | HISTORY: ___-year-old male with syncope. COMPARISON: ___. | No acute cardiopulmonary process. |
13213077 | The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. There may be mild left basilar atelectasis. The upper abdomen is unremarkable in appearance. | 58781081 | EXAMINATION: Chest radiograph. . INDICATION: ___M with abd pain, cough and fevers. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No focal consolidation concerning for pneumonia. |
13980736 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are mild multilevel degenerative changes in the thoracic spine. 2 surgical anchors project over the right humeral head. | 54548669 | HISTORY: Chest pain for 1 week. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13980736 | Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Clips are seen within the left breast and left axillary region. There are moderate multilevel degenerative changes seen in the thoracic spine. Surgical anchors project over the right humeral head. | 55663902 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, CTA chest ___ | No acute cardiopulmonary abnormality. |
13012863 | The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, or pulmonary edema. S-shaped thoracolumbar scoliosis is noted, with the thoracic spine convexed to the right. | 55147918 | HISTORY: ___-year-old female with chest pain. Evaluation for pneumonia. COMPARISON: None available. | No acute cardiopulmonary process. |
13319005 | A left-sided pacemaker generator and 2 leads are seen in appropriate position. Heart size is normal. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. There is no pneumothorax. There are no pleural effusions. There are no acute osseous abnormalities. | 57081428 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with new pacemaker // evaluate for lead placement and pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___. | Dual lead left-sided pacemaker is in appropriate position. |
13670843 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or pneumothorax is seen. Blunting of the posterior right costophrenic angle is stable since ___; however, could be due to a trace pleural effusion versus pleural thickening. The cardiac silhouette is top normal to minimally enlarged. The aorta is slightly tortuous with small amount of calcification seen at the aortic knob. No overt pulmonary edema is seen. | 56092813 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain. COMPARISON: ___. | No significant interval change. |
13225378 | A tiny left apical pneumothorax is noted. Multiple rib fractures are better assessed on same day CT Torso. Heart size si mildly enlarged. The right lung is clear. No pulmonary edema, pleural effusions, or pneumonia. | 51272477 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with pneumothorax please do first thing in AM as patient needs prior to OR // increase in PTX? please do first thing in AM TECHNIQUE: Chest PA and lateral COMPARISON: Reference outside CT torso from ___ | Tiny left apical pneumothorax is unchanged since same-day CT Torso. Multiple rib fractures are better assessed on same day CT torso. |
13284345 | The heart is moderately enlarged but unchanged. The mediastinal contours are stable. Enlargement of the main pulmonary artery is again demonstrated compatible with pulmonary arterial hypertension. There is mild perihilar haziness and vascular indistinctness suggesting mild pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57889123 | HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph and ___ chest CTA. | Mild pulmonary edema, similar compared to the prior exam. |
13284345 | Moderate enlargement of cardiac silhouette persists. Mediastinal contours are unchanged, and enlargement of the hila bilaterally is compatible with lymphadenopathy as seen on the prior CT. Mild perihilar haziness suggests mild pulmonary edema, slightly improved from prior. No focal consolidation, pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine with bridging anterior osteophytes. | 56372240 | HISTORY: Ronchi, shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiology and CTA. | Mild pulmonary edema, slightly improved compared to the previous exam. |
13284345 | There is mild-to-moderate enlargement of the cardiac silhouette. The aorta is mildly ectatic. There is mild fullness of the hila, and mild perihilar and bibasilar hazy opacities are most suggestive of mild pulmonary edema. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine. | 55595722 | INDICATION: Cough. COMPARISON: None. PA AND LATERAL VIEWS OF THE | Probable mild pulmonary edema, though, an atypical infection cannot be excluded. |
13284345 | There is no evidence of focal consolidation, pleural effusion, or pneumothorax. Prominent pulmonary hilar vasculature is consistent with mild vascular congestion. The heart size continues to be mildly enlarged. | 53868506 | HISTORY: Patient with history of hypertension presenting with mid sternal chest pain. Evaluate for pneumonia. TECHNIQUE: Single AP upright chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | Mild pulmonary vascular congestion with continued cardiomegaly. No focal consolidation or pleural effusion. |
13284345 | PA lateral images of the chest. The lungs are well expanded. Peribronchial opacification is seen at the right lung base, which likely represents early pneumonia or possibly severe bronchitis. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is mild to moderately enlarged, unchanged from prior exam. | 57322239 | HISTORY: Shortness of breath. COMPARISON: Comparison made with chest radiographs from ___, ___, and ___. | Peribronchial opacification at the right lung base, which likely represents early pneumonia or possibly severe bronchitis. Mild to moderate cardiomegaly, stable from prior exam. |
13284345 | PA and lateral views of the chest were obtained. The heart is mildly enlarged and there is bilateral hilar engorgement. Diffuse mild ground-glass opacity could indicate mild pulmonary edema. No large pleural effusion is seen. No pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm. | 59663041 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: ___-year-old female with the nausea, vomiting, chills, assess for infection. | Mild pulmonary edema with stable mild cardiomegaly and hilar congestion. Please note, given the atypical symptoms, the possibility of pneumonia is not excluded and post-diuresis chest radiograph may be obtained to assess for underlying consolidation. |
13284345 | Bibasilar hazy opacities are again seen, seen over multiple prior studies and may relate to chronic lung disease with possible overlying component of pulmonary edema. Prominence of the hila is again seen in this patient with known history of lymphadenopathy. The cardiac silhouette is moderately enlarged. The mediastinal contours are stable. No large pleural effusion or pneumothorax is seen. | 56550009 | HISTORY: COPD and acute dyspnea. TECHNIQUE: Single AP frontal view of the chest. COMPARISON: ___. | Similar-appearing chest radiograph with persistent bibasilar hazy opacities and enlargement of the cardiac silhouette. Prominence of the hila is stable, previously seen hilar lymphadenopathy. |
13284345 | Frontal lateral chest radiographs demonstrate well expanded lungs. Mild interstital prominance likely represents underlying chronic underlying disease as seen on patient's prior studies without an acute superimposed process. The pleural surfaces are normal without pleural effusion or pneumothorax. Heart size is minimally enlarged however has improved from prior study. Mediastinal contour is normal. Slight hilar prominence is unchanged and is compatible with lymphadenopathy seen on CT from ___. Limited assessment of the upper abdomen is unremarkable without evidence of intraperitoneal air. | 55313116 | HISTORY: CHF exacerbation, nausea, vomiting. Assess for acute cardiopulmonary disease. COMPARISON: Chest radiographs ___, ___, ___. CTA ___ | No acute cardiopulmonary process to explain patient's symptoms. |
13284594 | The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 52967389 | INDICATION: ___-year-old male with cough. Evaluate for acute cardiopulmonary process. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph. | No evidence of acute cardiopulmonary process. |
13284594 | Frontal and lateral chest radiographs demonstrate a heart which is top-normal in size. There is no focal consolidation, pleural effusion, or pneumothorax. Con for loss over the left ventricle and anterior to the heart on lateral view is likely related to insufficient inspiration. The visualized upper abdomen is unremarkable. | 55546790 | INDICATION: Evaluate for infiltrate or pneumonia in a patient with chest pain. COMPARISON: Chest radiographs from ___ and ___. | No definite acute cardiopulmonary process. Contour loss over the left ventricle and anterior to the heart on lateral view is likely related to insufficient inspiration. If the patient's symptoms continue, repeat radiograph in 48 hours can be obtained. |
13149727 | 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. | 52988544 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13910886 | Frontal AP upright and lateral radiographs of the chest were obtained. The left hemidiaphragm and left hilus are markedly elevated due to collapse or prior resection of the left upper lobe.with left lung volume loss. A rim-calcified structure projecting over the left lung apex is most likely an artery. The right lung is hyperinflated due to emphysema. No definite consolidation is seen to suggest pneumonia. No significant pleural effusion or pneumothorax is detected. The cardiac silhouette is distorted by the left hemidiaphragmatic elevation. The thoracic aorta is calcified. | 54919175 | INDICATION: Status post fall with head strike, here to evaluate for infectious process. COMPARISON: No prior study is available. | No definite focal consolidation concerning for pneumonia. Left upper lobe collapse or prior lobectomy. Emphysema. |
13089492 | The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 53797589 | INDICATION: ___-year-old man with shortness of breath. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None available | No acute cardiopulmonary process. |
13918401 | The lungs are clear noting that the left costophrenic angle is excluded from the field of view. There is no pneumothorax based on this supine film. Cardiomediastinal silhouette is within normal limits. No displaced fractures identified. | 50516931 | INDICATION: ___M s/p 20foot fall c/o left chest pain TECHNIQUE: Single supine view of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13869522 | AP and lateral images of the chest. There are low lung volumes. There are increased interstitial lung markings throughout the lungs but more confluent at the bases. In conjunction with prior CT, these finding likely reflect a chronic interstitial process, but the lack of old prior studies for comparison precludeds evaluation for change and a superimposed component of edema or infection would be possible. The posterior costophrenic angles are excluded from this exam, but there is no evidence of large pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is top-normal is size, accentuated by low lung volumes There are right lateral rib fractures involving right ribs ___, which more clearly demonstrate callous formation on recent CT. A linear calcific density is noted in the retrosternal region on the lateral, raising the possibility of calcified pleural plaque. | 56561835 | HISTORY: History of dementia, now presenting from___ with nausea and vomiting, found to have acute on chronic subdural hematomas and also bibasilar consolidation on CT. COMPARISON: Comparison is made with OSH chest radiographs from earlier the same day, ___, and OSH CT abdomen/pelvis from earlier the same day, ___. | Increased interstitial lung markings throughout the lungs more confluent at the bases, likely reflecting at least some component chronic interstitial process. A superimposed component of edema or infection would be possible. Right lateral rib fractures involving ribs ___ which show some callous formation on recent CT indicated they are not acute. |
13573221 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are intact. | 57031584 | INDICATION: Left arm pain and chest discomfort, question pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral chest radiographs were provided. | No acute cardiopulmonary process. |
13625109 | Left central venous line terminates at the cavoatrial junction. Multiple bilateral pulmonary nodules are better characterized on recent CT chest examination. Bibasilar atelectasis is noted without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged. | 57040128 | EXAMINATION: Chest radiographs. INDICATION: ___M with increase confusion // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___, CT chest dated ___. | Bibasilar atelectasis without lobar consolidation. Numerous pulmonary nodules are better visualized on prior CT chest examination. |
13625109 | As compared to chest radiograph from 1 day prior multifocal opacification of the right lung, slightly more pronounced in the right lower lobe. Multifocalopacification of the left lung has also increased. As well as moderate right-sided effusion. Right-sided Port-A-Cath with the tip in the right atrium. Heart size is top-normal. | 55962004 | INDICATION: ___ year old man with RLL pna // developing new or recurrent effusion? | Worsening widespread opacification, asymmetric in the right lung. Likely reflects a combination of moderate pulmonary edema and right lower lobe pneumonia. Mild - moderate right pleural effusion has also increased. |
13625109 | Again there multifocal opacities overall unchanged corresponding to known metastatic disease. There is overall increased density of the right lung possibly reflecting increasing layering pleural effusion. There is a background of mild pulmonary edema. Left Port-A-Cath terminates in the low SVC. Heart size is normal. The mediastinal and hilar contours are unremarkable. | 52436248 | INDICATION: ___ year old man with PNA. Interval monitoring TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___, ___ and ___. CTA of the chest ___ | Increasing opacification of the right lung likely reflects enlarging pleural effusion. New mild pulmonary edema. Similar distribution of multifocal opacities corresponds to known metastatic disease. |
13625109 | As compared to ___, right-sided effusion and basilar opacities have improved. Moderate pulmonary edema persists. Numerous pulmonary metastases are again demonstrated. No pneumothorax. Right-sided port with the tip near the cavoatrial junction. | 53896888 | INDICATION: ___ year old man with hypoxia and metastatic cancer // effusion | Interval decrease in right-sided pleural effusion. Moderate pulmonary edema. |
13625109 | Single AP portable chest radiograph is compared to prior chest radiograph dated ___ and chest CT dated ___. Numerous pulmonary nodules are better appreciated on CT. There is however new consolidation within the right lower lung zone concerning for infectious process. Cardiomediastinal and hilar contours are stable in appearance. A left chest port is identified, its tip which projects over the anticipated location of the distal superior vena cava. There is no pneumothorax. No large pleural effusion. | 57596543 | WET READ: ___ ___ ___ 4:06 PM Multiple pulmonary nodules are better appreciated on recent chest CT dated ___. There is consolidation in the right lower lung zone new since chest radiograph dated ___ worrisome for pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with weakness TECHNIQUE: Portable chest radiograph COMPARISON: CT chest dated ___. | Multiple pulmonary nodules are better appreciated on recent chest CT dated ___. There is consolidation in the right lower lung zone new since chest radiograph dated ___ worrisome for pneumonia. |
13625109 | Left-sided Port-A-Cath terminates in the distal SVC. Heart size is mildly enlarged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. | 55750231 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with tachycardia // ? pna TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13668433 | AP and lateral views of the chest. Right chest wall pacing device is seen with lead tips in the right atrium and right ventricular apex. Where visualized lungs are clear. There is no effusion or consolidation or pulmonary vascular congestion. Mitral annular calcifications are again noted. Cardiac silhouette is stable. No acute osseous abnormality detected. Upper abdominal stent, potentially biliary, is partially visualized. | 58013589 | HISTORY: ___-year-old male with left foot infection, pre-op. COMPARISON: ___. | No acute cardiopulmonary process. |
13149331 | Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. Enteric tube tip is within the stomach, but the side port is at the level of the gastroesophageal junction. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No large pleural effusion or pneumothorax is seen, though the right costophrenic angle is excluded from the field of view. Multiple clips are noted in the right upper quadrant the abdomen. No subdiaphragmatic free air seen. | 58646227 | WET READ: ___ ___ 10:15 PM No acute cardiopulmonary abnormality. Enteric tube tip is within the stomach but the side port is at the level of the gastroesophageal junction and should be advanced. No subdiaphragmatic free air is visualized. ______________________________________________________________________________ FINAL REPORT HISTORY: Duodenal cancer with GI bleeding. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. Enteric tube tip is within the stomach but the side port is at the level of the gastroesophageal junction and should be advanced. No subdiaphragmatic free air is visualized. |
13496611 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 58931712 | CHEST RADIOGRAPHS HISTORY: Hematemesis and voice changes after profuse vomiting. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13716043 | A nasogastric tube enters the stomach where it makes a single coil. The heart is mildly enlarged. The lungs appear clear. There are no pleural effusions or pneumothorax. No free air is demonstrated. The mediastinal and hilar contours appear unchanged. | 50096147 | CHEST RADIOGRAPH HISTORY: Small-bowel obstruction with placement of new nasogastric tube. COMPARISONS: Chest CT from ___. TECHNIQUE: Chest, AP upright. | Nasogastric tube terminating in the stomach. |
13097394 | Lung volumes remain low with bibasilar atelectasis. There has been improvement in the pulmonary edema with only mild vascular congestion remaining. The cardiac silhouette is mildly enlarged. No focal consolidation is identified. There is no pleural effusion or pneumothorax. | 56833179 | INDICATION: ___ year old woman with GPC bacteremia. Evaluate for pneumonia. TECHNIQUE: Single AP view of the chest. COMPARISON: Chest x-ray from ___. | Mild atelectasis and pulmonary vascular congestion. No focal consolidation. |
13679737 | There are streaky bibasilar opacities, right greater than left. Superiorly, the lungs are clear. There is no effusion or edema. Cardiac silhouette is slightly enlarged and there is tortuosity of the thoracic aorta. No acute osseous abnormalities. | 53130663 | INDICATION: ___M with ___, referred to ED by PCP for concern for CHF // ?CHF TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | Bibasilar opacities likely atelectasis. Infection not entirely excluded. |
13494259 | Interval resolution of right lower lobe opacity as well as additional opacities that were present in the left mid and lower lung on the prior study. Heart size is normal, and the aorta is tortuous. A large hiatal hernia is again demonstrated. There is no pleural effusion. Degenerative changes are present within the spine, and multiple healed rib fractures are also noted. | 52397357 | PA AND LATERAL CHEST OF ___ COMPARISON: Study of ___. | Resolution of pneumonia. Large hiatal hernia. |
13494259 | The patient is somewhat rotated to the right. There is extensive airspace opacity projecting over the left lung, predominantly the mid to lower lung, with also some involvement of the upper lung. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable given differences in patient positioning. Evidence of hiatal hernia it is re- demonstrated. Left-sided chronic rib deformities in the upper left hemi thorax are redemonstrated. | 56210664 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with sob and fever // eval pneumonia TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Large area of opacity involving the left lung worrisome for pneumonia. Recommend followup to resolution to exclude underlying mass. . |
13494259 | Frontal and lateral images of the chest. There is an opacity in the right lung base concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. A large hiatal hernia is seen. | 53180324 | HISTORY: Productive cough and fever. COMPARISON: Comparison is made with chest radiographs from ___. | Opacity in the right lung base concerning for pneumonia. Large hiatal hernia. |
13514385 | The heart is mildly enlarged. There is unfolding of the thoracic aorta. Within the limitations of technique, including low lung volumes, the cardiac, mediastinal and hilar contours are likely within normal range. The upper mediastinum and medial lung apices are obscured by the chin flexion. A mild diffuse interstitial abnormality suggests minimal fluid overload. Patchy left basilar opacity is most compatible with atelectasis. There is no definite pleural effusion. There is no pneumothorax. The bones appear demineralized. There is a compression deformity along the lower thoracic spine, which is incompletely characterized. A surgical clip projects over the right upper quadrant. | 54855967 | CHEST RADIOGRAPHS HISTORY: Dementia. COMPARISONS: None. TECHNIQUE: Chest, portable AP upright and lateral views. | Findings suggestive of slight fluid overload and patchy left basilar atelectasis. Lower thoracic compression deformity, incompletely characterized. |
13514385 | A single portable semi-erect chest radiograph was obtained. Small bilateral pleural effusions have decreased since yesterday. Aeration of the lungs may be slightly improved, but central pulmonary vascular congestion and cephalization remain. The cardiomegaly is unchanged. There is no new consolidation, effusion, or pneumothorax. | 57054620 | INDICATION: ___-year-old woman with pulmonary edema. COMPARISONS: ___ to ___. | Slight interval improvement in small bilateral pleural effusions since yesterday. |
13514385 | When compared to the preoperative film, there is now some perihilar prominence and edema suggesting some fluid overload. There is loss of the left hemidiaphragm and some atelectasis, possibly aspiration pneumonia in this region could be present. | 52023742 | CLINICAL HISTORY: Cough, evaluate for pneumonia. | Possible left lower lobe pneumonia in addition to likely failure. |
13514385 | Two frontal images of the chest demonstrate moderate pulmonary edema, which has worsened since prior imaging. There is increased opacity in the right lung base, consistent with a moderate right pleural effusion. There is a small left basilar opacity again seen, consistent with a small left pleural effusion and atelectasis. Moderate cardiomegaly is again seen, stable. | 57837425 | INDICATION: ___-year-old female with pulmonary edema. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Moderate pulmonary edema, worse since previous imaging. Bilateral pleural effusions, right greater than left. |
13604521 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. S-shaped thoracic scoliosis is noted. | 58246299 | INDICATION: ___M with hypoxia, SOB // aspiration? PNA? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13604521 | Frontal and lateral views of the chest demonstrate clear lungs bilaterally. The mediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax identified. Visualized osseous structures are unremarkable. | 53357913 | HISTORY: ___-year-old male with chest pain. COMPARISON: Chest radiograph dated ___. | No acute intrathoracic process. |
13904865 | There is complete opacification of left lung with leftward mediastinal shift. Given the interval change in such a short time interval findings are likely consistent with mucous plugging causing obstruction. There is interval increase in aeration of the right lung however it is unclear if this is secondary to the shift of midline structures versus interval improvement of right lower lung collapse. | 55706741 | EXAMINATION: Portable semi supine chest x-ray INDICATION: ___ year old woman with acute respiratory failure // please eval infiltrates, edema TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating back to ___. | Complete opacification of the left lung with leftward mediastinal shift, likely consistent with obstructive mucous plugging given short time course. |
13648633 | Single frontal view of the chest. Orogastric tube passes into the stomach with its tip beyond the limits of the film. Endotracheal tube is in unchanged position with its tip at the level of the superior margin of the clavicles. Swan-Ganz catheter terminates in the distal right pulmonary artery, similar to prior. Right IJ central venous catheter terminates at the cavoatrial junction. Right subclavian catheter terminates in the mid SVC. Lung volumes remain low with bibasilar atelectasis. No pneumothorax. Heart size and cardiomediastinal contours are stable. | 52869591 | HISTORY: New orogastric tube. COMPARISON: Same day chest radiograph at 10:47 AM. | OG tube passes into the stomach with its tip beyond the limits of the film. ET tube and Swan-Ganz catheter are in unchanged position. Advancement of the ET tube by 2-3 cm and withdrawal of the Swan-___ catheter by 3-4 cm is again recommended. |
13648633 | PA and lateral views of the chest were obtained. Lungs appear clear and well expanded without focal consolidation, effusion, or pneumothorax. Several calcified lymph nodes are again noted projecting over the left pulmonary hilum. Cardiomediastinal silhouette is stable. Bony structures appear intact. No free air below the right hemidiaphragm. | 58740726 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a prior study from ___. CLINICAL HISTORY: Shortness of breath, question pneumonia. | No acute intrathoracic process. |
13648633 | The cardiac silhouette size is normal. Multiple calcified left hilar lymph nodes are re- demonstrated compatible with prior granulomatous disease. The mediastinal and hilar contours are otherwise are unchanged. Left-sided central venous catheter has been removed. No catheter fragments are visualized, and no radio-opaque foreign bodies are seen. The lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. There is diffuse demineralization of the osseous structures. Loss of height with endplate scalloping of multiple thoracic vertebral bodies is relatively unchanged compared to the prior chest CT from ___. | 50772746 | HISTORY: Dislodged the catheter. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. Chest CT ___ | No catheter fragment identified or radio-opaque foreign body seen. No acute cardiopulmonary abnormality. |
13648633 | Portable semi-upright radiograph of the chest demonstrates stable bibasilar atelectasis. Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or pleural effusion. Swan-Ganz catheter ends in the region of the pulmonary valve. A right-sided supraclavicular subclavian line is seen with the tip terminating in the distal SVC. A right internal jugular central venous line terminates at the origin of the right brachiocephalic vein. Nasogastric tube is seen with tip outside the borders of this image. Endotracheal tube is seen at the level of the thoracic inlet, but is more than 7 cm above the carina. | 51241482 | HISTORY: ___-year-old man status post liver transplant, status post bronchoscopy. Evaluate for pneumothorax. COMPARISON: Multiple prior radiographs of the chest dated ___ to ___. | No pneumothorax. Swan Ganz catheter ends in the region of the pulmonary valve; correlate with tracing for specific localization of position. Endotracheal tube is seen with the tip at the thoracic inlet, but is more than 7 cm from the carina. Advance 3-4 cm for a more secured seating. |
13648633 | Frontal view of the chest. Endotracheal tube terminates 6.6 cm above the carina. NG tube terminates in the stomach. Feeding tube passes into the stomach and beyond the borders of the film. Swan-Ganz catheter terminates in the region of the pulmonary artery valve. Right central venous catheter terminates in the lower SVC. Large-bore right IJ central catheter terminates in the the region of right brachiocephalic vein. Bibasilar atelectasis is similar to prior. No new consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are stable. Calcified hilar lymphadenopathy is unchanged. | 54919081 | HISTORY: Status post liver transplant. COMPARISON: Multiple prior chest radiographs, most recently of ___. | Bibasilar atelectasis without new consolidation. Swan-Ganz catheter terminates in the region of the pulmonary valve. Please correlate with catheter tracings. |
13648633 | There has been interval removal of the right-sided central line. No pneumothorax is detected. Prominent central pulmonary vasculature may be exaggerated by slightly low volumes. Heart and mediastinal contours are similar as compared to prior. No focal consolidation or pleural effusion is detected on this single view. | 57005914 | INDICATION: ___-year-old male with central line dislodgement. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position. | Interval removal of central line without radiographic evidence for pneumothorax. |
13648633 | A right central venous catheter is unchanged in position with the tip terminating at the cavoatrial junction. Again noted are bibasilar opacities on the left greater than the right. No significant pleural effusion or pneumothorax is detected. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. | 57429723 | INDICATION: Hypotension, here to evaluate for evidence of volume overload. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Portable upright AP radiograph of the chest. | Stable appearance of the chest with left greater than right bibasilar opacities. |
13648633 | AP and lateral views of the chest. The right central venous catheter is again seen with tip at the cavoatrial junction. Given differences in positioning and technique, there has been no significant interval change. Again seen are bibasilar left greater than right regions of consolidation. Cardiomediastinal silhouette is stable. Calcified left hilar nodes are again noted. Osseous structures are unremarkable. | 54148330 | HISTORY: ___-year-old male with shortness of breath and acute chest pain. COMPARISON: ___. | No significant interval change. |
13648633 | Enteric tube is seen coursing below the diaphragm, distal aspect not included on the image. There are bibasilar and right middle lobe patchy opacities. Patient has reported chronic lung disease. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. Mediastinal silhouette is unremarkable. Calcified left hilar nodes are seen. | 50789965 | FINAL ADDENDUM There is moderate compression of mid thoracic and mid to lower thoracic vertebral bodies grossly stable compared to CT torso from ___. Also, not well assessed loss of height of a upper lumbar vertebral body again seen. ______________________________________________________________________________ FINAL REPORT HISTORY: Shortness of breath after line placement. TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___. | No pneumothorax. Patchy basilar and right middle lobe opacities. Left basilar opacities may be chronic. Right middle lobe opacity appears increased, query acute (infection or aspiration) on chronic process or worsening of known chronic lung disease. |
13648633 | As compared to prior chest examination from ___, there has been no significant change. Scattered opacities in the lower lungs are unchanged and could reflect atelectasis, less likely pneumonia. There is no pneumothorax. The cardiomediastinal silhouette is stable. The right IJ central venous catheter terminates in the lower SVC. An enteric tube courses below the diaphragm, and likely terminates in the gastric fundus, its tip is not clearly visualized. | 50566812 | HISTORY: ___-year-old man with hematemesis, fever. Please evaluate for aspiration, widened mediastinum, pneumonia. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph. | Persistent lower lobe opacities unchanged from prior examinations could be atelectasis or pneumonia. |
13648633 | Again noted are bilateral lower lobe opacities, which have been present on multiple prior studies, including a CT from ___. These were characterized as multifocal pneumonia. The upper lobes are clear. There is no pneumothorax or pleural effusion. Heart size is normal, as is the pulmonary vasculature. There is a nasogastric tube terminating within the stomach and a tunneled central venous catheter terminating at the cavoatrial junction. | 51909728 | INDICATION: ___-year-old man with coarse breath sounds and fever. COMPARISONS: Multiple chest radiographs from ___, dating back to ___. | Bilateral lower lobe opacities in a pattern similar to multiple prior images, consistent in appearance with multifocal pneumonia. Consider non-emergent, outpatient evaluation with CT to further assess in the setting of nonresolving opacity. |
13648633 | Mild interval increase in vascular engorgement and bibasilar atelectasis. Heart is top normal in size. Hilar prominence with calcified lymph nodes are seen adjacent to left hilus. No pleural effusion, pneumothorax, or focal opacity. Mediastinal contour is normal. No bony abnormality. | 58677847 | WET READ: ___ ___ ___ 8:34 PM HISTORY: Male with cirrhosis and non-specific malaise. Assess for pneumonia. COMPARISON: Chest radiograph ___, ___. TECHNIQUE: Single frontal portable upright chest radiograph. | Mild interval increase in vascular congestion and bibasilar atelectasis. Calcified lymph nodes. Results conveyed via telephone to Dr.___ by Dr.___ on ___ at 4:50PM within 15 minutes of results. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT |
13648633 | AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. During the latest interval, a Dobbhoff line has been placed, seen to pass well below the diaphragm. The Dobbhoff line follows the curve of the stomach and apparently has passed the pylorus as its distal portion assumes the contours of the duodenal loop. The line escapes in the lower limit of the image and cannot be followed. It does not appear in the area of the proximal jejunal loops. Pulmonary appearance is unchanged. Right-sided PICC line as before. Other lines are apparently external overlying the chest. | 53976815 | TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old male patient with recent Dobbhoff line placement, check position. | Dobbhoff line reaching beyond pylorus. |
13648633 | The cardiomediastinal silhouette and hilar contour is stable. Again appreciated is a right central venous catheter unchanged in position with the tip terminating at the cavoatrial junction. Again noted are bibasilar and retrocardiac opacities greater on the right versus the left. There is no effusion or pneumothorax. No acute bony changes are identified. | 56210371 | HISTORY: Hypoxia. TECHNIQUE: Single chest radiograph. COMPARISON: Multiple chest radiographs dating back to ___. | Right greater than left bibasilar opacities worrisome for infection. |
13648633 | A right-sided PICC is in place terminating 2.3 cm caudal to the carina at the level of the lower SVC. A Dobbhoff tube is in place with the tip terminating at the mid portion of the ___ part of the duodenum. Other findings are not significantly changed with redemonstration of left basal atelectasis and unchanged right lung base opacities. There is no pleural effusion or pneumothorax. | 58425023 | HISTORY: PICC placement and possible worked up. TECHNIQUE: Portable frontal chest radiograph 3 views. COMPARISON: ___. | Right-sided PICC at the level of the low SVC. Dobbhoff tube in the mid ___ portion of the duodenum. Unchanged appearance of the lung parenchyma with a left base atelectasis and existing right lung base opacities which are likely to represent edema. |
13648633 | Portable AP upright chest radiograph was provided. An NG tube courses into the left upper quadrant. A right arm PICC line is seen with its tip poorly visualized. There is left ___ atelectasis. Vague opacity again seen in the right lower lung, a component of which may represent aspiration. No pneumothorax is seen. The cardiomediastinal silhouette appears grossly unremarkable. No large effusion is seen. Bony structures are intact. | 59575375 | HISTORY: ___-year-old man with loss of consciousness, had strike. COMPARISON: ___. | NG tube extends into the left upper quadrant. Tip of PICC line poorly visualized. . Basilar opacities most compatible with atelectasis and or aspiration. |
13648633 | Previous vascular congestion has improved. Multiple opacities in the mid to lower lung bilaterally, consistent with pneumonia. No pleural effusions or pneumothorax are seen. The cardiac and mediastinal contours are normal. Right-sided PICC line ends at the lower SVC and is in stable position. Previous Dobbhoff tube ends outside of the view of radiograph. | 53511466 | HISTORY: ___-year-old man with porto-pulmonary hypertension and new elevation in troponin. Please evaluate for pulmonary edema, pneumonia. TECHNIQUE: Portable AP supine frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | Bilateral multiple opacities consistent with pneumonia, possibly aspiration. |
13831108 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The bony structures appear within normal limits aside from slight narrowing of mid thoracic interspaces which appears unchanged. | 50805258 | CHEST RADIOGRAPHS HISTORY: Seizure. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13026004 | The lungs are hyperinflated, flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. Relative increase in opacity over the right hemi thorax as compared to the left may be due to decrease volume of the right lung as well as potentially overlying soft tissue. The left lung appears to contain greater volume than the right. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. | 54263294 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with confusion in the setting of copd // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Hyperinflated lungs, consistent with history of chronic obstructive pulmonary disease. Relative increase in opacity over the right hemi thorax as compared to the left may be due to decrease volume of the right lung as well as potentially overlying soft tissue. The left lung appears to contain greater volume than the right. No focal consolidation |
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