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13551252 | The lungs are clear without focal consolidation. Nodular opacities projecting over the lungs bilaterally are compatible with nipple shadows. The cardiomediastinal silhouette is within normal limits. There is marked thoracolumbar scoliosis as on prior. G-tube projecting over the upper abdomen on the lateral view. | 51260577 | INDICATION: ___F with cough and low temp // eval for PNA TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13551252 | Low lung volumes seen particularly on the right which is likely in part positional and due to scoliosis. There secondary crowding of the bronchovascular markings without confluent consolidation worrisome for pneumonia. Left lung is clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. PEG tube projects over the left upper quadrant. | 51019884 | INDICATION: ___F on levoquin for PNA now likely septic*** WARNING *** Multiple patients with same last name! // ? worsening pneumonia TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No definite acute cardiopulmonary process. |
13551252 | Assessment is limited by patient positioning and the patient's head and chin obscuring assessment of the lung apices, more so on the right. Heart size appears unchanged, and top-normal. Elevation of the right hemidiaphragm is chronic with streaky opacity in the right lung base compatible with atelectasis. No gross focal consolidation, pleural effusion or large pneumothorax is identified, but assessment again is limited. There is no pulmonary edema. Percutaneous gastrostomy catheter is seen in the left upper abdomen. Diffuse gaseous distension of bowel loops are seen in the upper abdomen. No acute osseous abnormalities detected. | 50874073 | EXAMINATION: CHEST (AP) INDICATION: History: ___F with distended abdomen, nausea, vomiting , no bowel movement, history of aspiration pneumonia TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ at 14:07 | Limited assessment due to patient positioning, particularly of the lung apices, more so on the right. Right basilar atelectasis with chronic right hemidiaphragmatic elevation. No other acute cardiopulmonary abnormality grossly identified. Diffuse gaseous distention of bowel loops in the upper abdomen. |
13551252 | Patient is with rotated somewhat to the right. There is thoracolumbar scoliosis. Minimal basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is persistent elevation or eventration of the right hemidiaphragm. | 55741712 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypoxia // acute process? TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. |
13551252 | As compared to chest radiograph from the same day, low lung volumes. Central opacities, slightly asymmetrically worse on the right, can be asymmetric edema or pneumonia given the history of aspiration. Mild cardiomegaly. No pleural effusions or pneumothorax. Severe S shaped scoliosis. | 57246651 | INDICATION: ___ year old woman with CP, aspiration, with new hypoxia // interval change TECHNIQUE: Portable | Central asymmetric opacities can be asymmetric edema or right-sided aspiration pneumonia with superimposed edema. This has slightly progressed. |
13551252 | In comparison to the prior study, bibasilar opacities have substantially improved. A small right pleural effusion appears smaller. No pleural effusion is appreciated on the left. There is no pneumothorax. Cardiomediastinal silhouette is stable. | 50451936 | INDICATION: ___ year old woman with cerebral palsy admitted with hypothermia and concern for aspiration pneumonia // please evaluate for any acute process TECHNIQUE: Portable AP upright view of the chest COMPARISON: Multiple prior radiographs, most recently ___ | Substantial improvement in bibasilar opacities Persistent small right pleural effusion. |
13665999 | 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. | 50329426 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with rib pain s/p fall COMPARISON: ___ | No acute intrathoracic process. |
13935737 | PA and lateral views of the chest are obtained. A pulse generator seen overlying the left chest with two leads in standard position, one terminating in the right atrium and the other terminating in the right ventricle. Mild cardiomegaly is noted. There is no pneumothorax, pleural effusion or pulmonary edema. | 59449114 | INDICATION: ___-year-old male status post dual-chamber pacemaker. Confirm lead position. COMPARISON: No prior chest radiographs are available for comparison. | Dual-lead pacemaker in standard position with leads ending in the right atrium and right ventricle. Mild cardiomegaly. |
13809888 | The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky opacities in the left mid lung are most consistent with minor atelectasis. The right hemidiaphragm is mildly elevated but unchanged. | 56796903 | CHEST RADIOGRAPHS HISTORY: Chest pain. History of coronary bypass surgery. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13809888 | The patient is status post coronary artery bypass graft surgery. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is similar mild-to-moderate relative elevation of the right hemidiaphragm with an anterior eventration, relative to the left side. There is no pleural effusion. No pneumothorax is demonstrated. | 54643852 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: Earlier on the same day. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease including no evidence for pneumothorax. |
13809888 | The patient is status post sternotomy and coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. Linear opacities projecting over the left mid lung suggests minor atelectasis or scarring. There is no evidence for pleural effusion. There is a pleural line projecting over the left lung apex, probably a rib edge or companion shadow rather than a pneumothorax but not well delineated. | 53356254 | CHEST RADIOGRAPH HISTORY: Rule out pneumothorax. COMPARISONS: ___. TECHNIQUE: Chest, AP view. | Linear opacity at the left apex, probably a rib edge or companion shadow but noting an overlapping EKG lead partly obscuring the area, short-term followup with radiographs including repositioning of the lead, and potentially PA and lateral technique if possible, are suggested. |
13609406 | Mild pulmonary edema has almost resolved, with a small residual on the left. Heart size is normal. Cardiomediastinal silhouette is stable. There is no focal consolidation or pleural effusion. No pneumothorax or hemothorax. | 59127300 | EXAMINATION: Portable AP chest INDICATION: ___ year old woman s/p subclavian attempt, unsuccessful, please eval for ptx // please eval for ptx TECHNIQUE: Chest PA and lateral COMPARISON: Same-day chest radiograph | No pneumothorax or hemothorax. |
13137052 | The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. | 53966640 | INDICATION: Chest tightness and dyspnea, evaluate for pneumonia or cardiomegaly TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
13736628 | The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. No free air seen below the diaphragm. | 57464972 | INDICATION: ___F with epigastric pain // r/o PNA, pneumothorax TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13386490 | A new right-sided nerve stimulator device is noted with lead coursing cephalad into the right neck, off the superior borders of the film. The heart size is normal. The mediastinal and hilar contours are normal. Lung volumes are low but the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected. | 53188023 | INDICATION: Altered mental status four days after nerve stimulator placement. COMPARISON: ___. TECHNIQUE: Upright AP and lateral views of the chest. | No acute cardiopulmonary abnormality. |
13685411 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 55755433 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and fever // eval pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13652979 | Borderline enlargement of the cardiac silhouette is present. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal patchy right basilar opacity is new in the interval. Left lung is clear. No pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are seen in the thoracic spine. | 53553692 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with weakness, left chest rhonchus TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Minimal patchy right basilar opacity is new in the interval, potentially atelectasis, though early infection is not excluded. |
13348068 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding single chest view of ___. Presently, the heart size is normal. No configurational abnormality is present. Thoracic aorta unremarkable. No mediastinal abnormalities are seen. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumomediastinum or pneumothorax. The, on previous examination identified, mediastinal air collections and tissue emphysema in the right lower neck area have normalized. | 51244718 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with esophageal perforation, evaluate for subcutaneous air. | Normalization of chest findings. No persistent pneumothorax, mediastinal or chest wall emphysema. |
13348068 | The heart size is normal. Mild pneumomediastinum and pneumoperitoneum is present. There is subcutaneous gas overlying the base of the neck. There is no pneumothorax, focal consolidation, or pleural effusion. | 58453936 | INDICATION: Esophageal perforation from outside hospital. No comparison studies available. FRONTAL CHEST | Mild pneumomediastinum and pneumopericardium with subcutaneous gas tracking along the neck base. |
13162904 | 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. | 52873515 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M s/p MVC with back pain. COMPARISON: Same-day thoracic spine CT. | No acute intrathoracic process. |
13065867 | A dual-chamber left-sided pacemaker is seen with leads in appropriate positions. 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 is DISH of the thoracic spine. | 52898795 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M s/p fall at ___ nursing facility last night // evaluate heart and lungs TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13262324 | PA and lateral radiographs demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Mild atherosclerotic plaques can be seen in the aortic arch. There are degenerative changes of the thoracic spine with kyphosis. | 53474828 | INDICATION: ___-year-old woman with abnormal EKG. Evaluate for acute process. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
13523180 | PA and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, the lungs are clear. Cardiomegaly is again seen. Mediastinal contour is normal. No large pneumothorax or effusion. The imaged bony structures appear grossly intact. No free air seen below the right hemidiaphragm. | 58778229 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with AMS and vomiting. COMPARISON: ___ | Cardiomegaly without definite signs of pneumonia or edema. |
13523180 | Within the limitations of technique, although the heart has a left ventricular configuration, it is probably normal in size. The aorta is mildly tortuous. There is a retrocardiac nodular density which is probably due to summation shadow of converging ribs and pulmonary markings; otherwise lung fields appear clear. There is no pleural effusion or pneumothorax. | 52224990 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Recent pneumonia and EKG changes. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. When clinically feasible repeat standard PA and lateral radiography is suggested in order to reassess the left lung base regarding artifact versus, less likely, nodular density. |
13325598 | 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. | 54306689 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Outside hospital chest radiograph ___ | No acute cardiopulmonary abnormality. |
13977966 | A portable frontal chest radiograph demonstrates a nasogastric tube in the stomach, with the tip pointing towards the fundus. The left jugular central catheter is unchanged in position, with the tip in the mid SVC. There is slightly increased right base atelectasis and mild engorgement of the pulmonary vasculature. The exam is otherwise unchanged. Please note that the apices are excluded and cannot be evaluated. | 51598205 | HISTORY: Possible prior left mainstem nasogastric tube placement, status post repositioning. COMPARISON: Chest radiograph from ___. | Nasogastric tube in the stomach, with the tip pointing towards the fundus. Slightly increased right base atelectasis and mild engorgement of pulmonary vessels. |
13977966 | Since ___, slightly increased opacity and size of the mass in the a right perihilar region. The right lower lung mass appears unchanged since ___. No new focal consolidation to suggest pneumonia. No pleural effusion, pneumothorax, or pulmonary edema. Stable cardiomediastinal silhouette and hila. The left Port-A-Cath appears intact and unchanged in position. Stable elevation of the left hemidiaphragm. | 50065842 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx metastatic breast canecr w/known pulmonary mets with temp up to 100.8 not neutropenic; evaluate for pneumonia. COMPARISON: Portable chest radiograph dated ___. Chest CT dated ___. | No pneumonia. Multiple right pulmonary masses consistent with metastases better demonstrated on prior CT. |
13977966 | PA and lateral radiographs of the chest demonstrate bilateral lower lobe atelectasis. The lungs are otherwise clear. The aorta is unfolded and the hilar and cardiomediastinal contours are otherwise normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 59147938 | INDICATION: Evaluate for mass or pneumonia in a patient with a breast lesion. COMPARISON: None available. | No acute cardiopulmonary process. |
13704182 | 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. No acute osseous abnormalities demonstrated. | 57455177 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with altered mental status// Eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13704182 | The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 53747047 | INDICATION: ___M with chest pain // PNA, volume overload? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13217869 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced rib fracture is identified. | 59331202 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F pedestrian struck by car onto hood, left sided rib pain // eval for acute injury TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. No displaced rib fracture seen. If clinical concern for fracture is high, dedicated rib series or CT is more sensitive. |
13157786 | Cardiac silhouette size is moderately enlarged. Retrocardiac density likely reflects a large hiatal hernia. Remainder of the mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. | 50116789 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | Large hiatal hernia. Otherwise, no acute cardiopulmonary abnormality. |
13134519 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Moderate cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 58894513 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with acute confusion, headache, chest pain. HTN emergency // Eval for acute neurologic abnormality, CV abnormality COMPARISON: Chest radiographs ___ | Moderate cardiomegaly is similar to prior. |
13134519 | PA and lateral views of the chest provided. Cardiomegaly is noted with a left ventricular configuration. There is no focal opacity concerning for pneumonia. No effusion or pneumothorax. No hilar congestion. Bony structures are intact. No free air below the right hemidiaphragm. | 54425811 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with edema, kidney failure, liver failure // evaluate for fluid overload, acute process COMPARISON: None | Cardiomegaly. No signs of pneumonia or edema. |
13134519 | There is mild to moderate pulmonary vascular congestion, new since the prior. Slight blunting of the posterior costophrenic angles could be due to trace pleural effusions. No pneumothorax is seen. The cardiac silhouette is moderate to markedly enlarged, possibly slightly increased in size compared to the prior study given differences in inspiration and technique. | 54621262 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with renal failure // chf TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | New pulmonary vascular congestion. Moderate to marked cardiomegaly similar to possibly mildly increased as compared to the prior study. Trace pleural effusions. |
13660630 | PA and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. The osseous structures are unremarkable. | 55844940 | INDICATION: Subjective fevers, cough, evaluate for pneumonia. COMPARISON: Chest radiographs on ___ and ___. | No acute cardiopulmonary abnormality. |
13660630 | There is patchy medial left upper lung opacity and mild elevation of the left hemidiaphragm, in combination may represent left upper lobe atelectasis. However, consolidation due to pneumonia may also be present. No pleural effusion or pneumothorax is seen. The cardiac silhouette is stable in size and unremarkable. | 55273804 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fevers, productive cough // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Concern for left upper lobe atelectasis/partial collapse ; however, left upper to mid lung opacity could also relate to pneumonia. Recommend followup to resolution. |
13660630 | Frontal and lateral radiographs demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | 57703466 | HISTORY: ___-year-old female with crackles in the right lower lobe. Evaluate for pneumonia. COMPARISON: Radiograph of the chest dated ___. | No evidence of pneumonia. Normal chest x-ray. |
13610194 | The lungs are low in volume but clear. The cardiomediastinal silhouette and pleural surfaces are normal. Prominence of both hila is unchanged. Note is made of elevation of the left hilus, likely related to left apical scarring. An ossific density is noted adjacent to the left coracoid process. A well-corticated osseous lesion is noted in the left mid humerus. | 51416499 | INDICATION: ___-year-old female with fall and left distal clavicle tenderness. Please evaluate for rib fractures. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE | No acute fractures or acute intrathoracic abnormalities noted. |
13610194 | No pleural effusion, pneumothorax or focal airspace consolidation. There is persistent elevation of left hemidiaphragm. Heart size is mildly enlarged and unchanged. Pulmonary vascularity is normal. The aorta is calcified and tortuous. A well corticated lesion is again seen in the left mid humerus and is unchanged. The well corticated ossification adjacent to the left coracoid is also unchanged. | 57966187 | HISTORY: Weakness evaluate for pneumonia. COMPARISON: Chest radiograph ___ and ___. FRONTAL AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13610194 | The cardiac silhouette is stably enlarged. The aorta is tortuous with calcification of the aortic narrowed. There is persistent dilatation of the left hemidiaphragm. No definite focal consolidation is identified. There is bibasilar scarring versus atelectasis. Mitral annular calcifications are noted. On the lateral view, density is seen in the region of the descending aorta, more prominent than on prior examination. This may represent fusiform dilatation of the descending aorta. Lucencies are noted in the region of the bilateral subcutaneous tissues, which may be related to overlying material. A possible fracture is seen of the left lateral fifth rib. Air-filled colon is seen in the left upper abdomen. | 56838484 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with s/p fall // r/o fx TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Possible left fifth rib fracture. Correlation with point tenderness is recommended. Please note that plain chest radiograph is inadequate to assess for traumatic injuries of the chest. If there is persistent concern, dedicated films of the ribs can be obtained for better evaluation. Possible aneurysmal dilatation of the descending aorta. |
13405890 | There appears to be a new left lower lobe focal opacity compared to the prior exam. This could be secondary to CHF exacerbation, or atelectasis, however an infiltrative process cannot be ruled out. The bilateral pleural effusions appear to be stable. The heart size is stable compared to the prior exam. There again appears to be mild cardiac congestion with mild cephalization of the pulmonary vessels. The aorta appears to be tortuous. | 52376214 | INDICATION: ___-year-old female with cough, wheezing and shortness of breath who presents for evaluation. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: Chest radiograph from ___. | New left lower lobe focal opacification. This could be consistent with a CHF exacerbation or atelectasis, however an infectious process cannot be ruled out. |
13405890 | Heart size remains moderate to severely enlarged. The aortic knob is heavily calcified. Mild to moderate pulmonary edema is worse in the interval with new bilateral pleural effusions, small to moderate on the left and small on the right. No large pneumothorax is demonstrated though assessment of the left apex is somewhat obscured by external devices. Bibasilar opacities likely reflect areas of compressive atelectasis. Superior subluxation of both humeral heads with narrowed acromiohumeral intervals indicate rotator cuff disease. | 54018046 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with syncope TECHNIQUE: Upright AP view of the chest COMPARISON: ___ | Mild to moderate pulmonary edema, worse in the interval with small to moderate left and small right pleural effusions, new in the interval. Bibasilar atelectasis. |
13405890 | The lungs are well expanded. Moderate pulmonary edema is new, with left lower lobe airspace opacity which obscures the left hemidiaphragm. Cardiomegaly is moderate to severe. Aortic arch calcifications are mild. Small bilateral pleural effusions are present. No pneumothorax is detected. | 51428518 | HISTORY: Chest pain COMPARISON: ___ | Moderate CHF with small bilateral pleural effusions and probable left basilar atelectasis, but infection is not excluded. |
13405890 | Since prior, there has been interval improvement in the bibasilar opacities which still partially persist. Degree of pulmonary edema has not significantly changed. Cardiomegaly and tortuosity of the thoracic aorta are noted. Atherosclerotic calcifications are noted at the aortic arch. Severe degenerative changes at the shoulders bilaterally. | 54710208 | INDICATION: ___F with fall // ? fx, PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Improving bibasilar opacities suggesting resolving effusions. Adjacent atelectasis is seen noting that infection cannot be excluded. Moderate pulmonary edema. |
13405890 | Bilateral pleural effusions are small. There is mild cardiac congestion with mild cephalization of the pulmonary vessels. The cardiac contour is moderately enlarged. The aorta is tortuous. Mild bibasilar atelectasis. The hyperinflation is also mild. | 50501914 | CHEST PA AND LATERAL INDICATION: Patient with anemia, diminished breath sound on the left, recent CT notes pleural effusion. Assess pleural effusion. COMPARISON: Abdominal CT from ___. There is no prior chest x-ray. | Patient has moderate cardiomegaly with mild cardiac congestion. Bilateral pleural effusions are small. |
13405890 | Small left pleural effusion appears to have resolved. Perhaps minimal pulmonary vascular congestion. Otherwise, no significant change from the prior exam. There may be trace persistent right pleural effusion. Bilateral atelectasis persists. No focal consolidation, pneumothorax, or overt pulmonary edema. Stable prominent cardiomegaly. Stable calcification of the aortic arch. Stable mediastinal and hilar contours. Bilateral narrowing of the AC joint and high-riding humerus as well as heterotopic ossification superolateral to the right humeral head, suggesting chronic rotator cuff tear and severe osteoarthritis/post-trauma changes, are overall similar to prior shoulder radiographs. | 57439534 | EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: ___-year-old woman with hypotension; evaluate for pneumonia or pulmonary edema. TECHNIQUE: Portable semierect AP chest radiograph views were obtained. COMPARISON: Chest radiograph dated ___. Right shoulder radiograph dated ___. Left shoulder radiograph dated ___. | Interval resolution of small left pleural effusion; persistent probable trace right pleural effusion. Minimal pulmonary vascular congestion and bilateral atelectasis. No focal consolidation or frank pulmonary edema. |
13405890 | There is stable moderate enlargement of the cardiac silhouette. Mild pulmonary edema is not significantly changed from 2 days prior. Continued interval improvement of pleural effusions now likely small bilaterally. Atherosclerotic calcification aortic arch is stable. Degenerative changes of both shoulders. No displaced rib fracture. | 57227071 | INDICATION: History: ___F with fall, abrasions over scapula and left elbow, pls eval for fx // TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild pulmonary edema with small bilateral pleural effusions slightly improved from 2 days prior. No displaced rib fracture |
13349054 | PA and lateral radiographs of the chest demonstrates clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected. | 53078453 | HISTORY: Chest pain. Evaluate for pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
13349054 | Cardiomediastinal silhouette is unchanged. There is no pneumothorax or pleural effusion. Linear left and right basilar opacities are most consistent with atelectasis. There is no displaced rib fracture. | 59763650 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old man with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiograph ___. | Basilar atelectasis. No radiographic explanation for chest pain. |
13349054 | Cardiac and mediastinal silhouettes are stable. There are low lung volumes which accentuate the bronchovascular markings. Given this, there appears to be mild pulmonary vascular congestion. Linear left base opacity most likely represents atelectasis, however, infection is not excluded in the appropriate clinical setting. No large pleural effusion or pneumothorax is seen. | 51840209 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M 2 wk postop from cervical spinal surgery w/ tachypnea, new O2 requirement // eval ? infiltrate, edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Low lung volumes, which accentuate the bronchovascular markings. Given this, possible mild pulmonary vascular congestion. Linear left base opacity most likely represents atelectasis, however infection not excluded in the appropriate clinical setting. |
13484611 | The lungs are clear of consolidation, effusion, or edema. There is a dense 6 mm nodule in the left mid lung compatible with a granuloma. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine. | 57880315 | INDICATION: ___F with syncope yesterday // eval for left sided rib fracture TECHNIQUE: PA and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13719437 | Frontal and lateral radiographs of the chest demonstrate normal but increased heart size compared to prior. Stable chronic bronchiectasis with traction on the left upper lobe with elevation of the left pulmonary hilus and tenting of the bilateral diaphragms. There is increased opacity at the left lower lobe consistent with atelectasis. Increased interstitial markings consistent pulmonary edema. No pleural effusion or pneumothorax. No displaced rib fracture identified. | 58478238 | HISTORY: Cough and vomiting. Evaluate for pneumonia. COMPARISON: ___ | Congestive heart failure on a background of chronic abnormality. Given all the abnormalities, acute pneumonia could be easily missed. Telephone notification to Dr ___ by Dr ___ at 9:05 ___. |
13719437 | Heart size is normal. Again seen is bilateral perihilar and paramediastinal opacity, possibly subtly increased since the most recent prior study, which may reflect superinfection at the site of known bronchiectasis as characterized on the prior chest CT. Additionally, a new right lower lung opacity is also present. Left apical capping is again seen. There is no pleural effusion or pneumothorax. | 57243430 | INDICATION: Productive cough. COMPARISON: Chest radiograph ___, ___, chest CT ___. | Subtle interval increase in opacity at sites of known bronchiectasis may indicate superinfection. |
13719437 | Partial clearing of left upper, right middle, and right lower lobe opacities on a scaffold of chronic bronchiectasis. Again seen is chronic interstitial change with traction bronchiectasis, most notable in the left upper lobe with elevation of the left pulmonary hilus and tenting of bilateral diaphragms. Heart size is normal and mediastinal and hilar contours are obscured by the pleural parenchymal process. No pneumothorax or pleural effusion. | 56807874 | TECHNIQUE: Frontal and lateral chest radiographs. HISTORY: ___-year-old female with known bronchiectasis and recent pneumonia. Assess for interval change. COMPARISON: Chest radiograph, ___, ___. | Partial clearing of the right middle, right lower, and left upper lobe opacities at sites of known bronchiectasis. |
13719437 | Frontal and lateral views of the chest are obtained. Diffuse coarsening of the pulmonary markings is increased. On CT from ___, the patient was noted to havebronchial wall thickening, mucoid impaction and areas of bronchiectasis, which appear increased/worsened on the current study. Around left base retrocardiac opacity could relate to atelectasis although underlying consolidation is not excluded. Additionally, there is a rounded opacification projecting over the right lung base at the level of the anterior right first rib which could relate to the first rib or could be an additional source of underlying consolidation. There is also increased bronchiectatic opacity projecting over the cardiac silhouette on the lateral view. No pleural effusion or pneumothorax is seen. There is persistent left apical thickening. | 50009672 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of generalized weakness. COMPARISON: Chest CT from ___ | Interval worsening of diffuse coarse and fibrotic pulmonary markings which could be due to worsening of bronchiectasis and mucus impaction, although overlying infection and possible mild volume overload may be present. Additionally, small rounded of focal opacification in the left retrocardiac region and in the right lung apex are nonspecific, could be due to atelectasis/scarring, although foci of infection is present. |
13719437 | A portable supine AP radiograph of the chest demonstrates an endotracheal tube terminating appropriately in the mid trachea, approximately 3.9 cm above the carina. The hila are elevated ?prior radiation therapy?. There is dense consolidation of the right middle lobe with air bronchograms. There are scattered less severe opacities throughout both lungs, worse on the right. There is a right upper rib fracture and a small right apical pneumothorax. There is no pleural effusion. | 54096987 | INDICATION: Evaluate endotracheal tube position in a patient status post intubation and cardiac arrest. COMPARISON: None available. | The endotracheal tube is appropriately positioned in the mid trachea. Right rib fracture with a small right pneumothorax. Dense consolidation of the right middle lobe may represent underlying lung disease, acute pneumonia or pulmonary contusion. |
13165085 | There are streaky bibasilar opacities. Superiorly the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air. | 51624544 | INDICATION: ___F with fever, tachycardia, recent pneumonia, recent liver biopsy, RUQ tenderness // evaluate for acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Streaky bibasilar opacities likely atelectasis noting that infection is possible in the proper clinical setting. |
13165085 | There is an opacity at the right lung base that silhouettes the right heart border, suggestive of right middle lobe pneumonia. No pleural effusions or pneumothorax. No evidence of pulmonary edema. No acute osseous abnormalities are identified. There is no free air under the right hemidiaphragm. | 54138980 | WET READ: ___ ___ ___ 11:11 AM Right middle lobe opacity, suspicious for pneumonia. WET READ VERSION #1 ___ ___ ___ 6:05 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with DOE // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None. | Right middle lobe opacity, suspicious for pneumonia. |
13518380 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 59928140 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Fever, assess for pneumonia. | No signs of pneumonia. |
13181923 | Similar appearing hyperinflated lungs with flattened diaphragms representing COPD-related changes. Emphysematous changes in the bilateral apices again noted. Cardiac, mediastinal and hilar contours are stable, with similar-appearing clips in the right hilum and atherosclerotic calcification of the aorta. Heterogeneous opacity in the right lower lobe likely represents area of chronic fibrosis or atelectasis. No pleural effusion. No pneumothorax. Limited assessment of the bones is unremarkable. | 52432039 | HISTORY: ___-year-old male with chest pain, fever. Assess for pneumonia. COMPARISON: Chest radiograph ___, ___. TECHNIQUE: Frontal and lateral chest radiographs. | Chronic changes related to COPD including hyperinflation, flattening of the diaphragms and emphysema in the lung apices. Heterogeneous opacity in the right lower lobe likely represents fibrosis or atelectasis. No definite lobar pneumonia. Results were conveyed via telephone by Dr. ___ to Dr. ___ at 9:05 a.m. on ___, within 10 minutes of observation of the findings. |
13406913 | The cardiomediastinal silhouette is unchanged, with heart size at the upper limits of normal. No CHF, focal infiltrate, or effusion is identified. No frank consolidation. Within the limits of plain film radiography, no hilar mediastinal lymphadenopathy is detected. Probable nipple shadow overlying the right lung base. Again seen is the right PICC line with tip over mid SVC. No pneumothorax detected. | 53531860 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with leukemia on first round of chemotherapy, neutropenic, with new fever. // Eval for infiltrate COMPARISON: Chest x-ray from ___ | No acute pulmonary process identified. No focal infiltrate to suggest pneumonia. |
13406913 | Right PICC line terminates in the upper SVC. Heart size is normal. Hilar and mediastinal contours are unremarkable. Lungs are clear with no consolidation, pleural effusion, or pneumothorax. | 53432132 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with AML, undergoing pre-transplant testing. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13406913 | 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. | 57031024 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ALL s/p allot transplant. // s/p allo transplant. TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13156444 | 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. The upper abdomen is unremarkable. | 51942020 | EXAMINATION: Chest radiograph. INDICATION: ___M current smoker with shortness of breath and diffuse wheezing TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
13156444 | Two PA and 1 lateral chest radiograph were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal. | 50735031 | HISTORY: Palpitations. COMPARISON: None | No acute cardiopulmonary process. |
13040858 | Slightly increased left lower lobe opacity is likely atelectasis. There is no pneumothorax or pleural effusion. Cardiac silhouette is top normal size. | 58103787 | INDICATION: History: ___M hx cirrhosis with fever // acute intrathoracic process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No radiographic evidence of pneumonia. |
13040858 | There is increased opacity projecting over the lung bases particularly on the lateral view in the retrocardiac region. Based on the frontal there is more retrocardiac opacity than right basilar opacity. Superiorly, the lungs are clear. The cardiac silhouette is within normal limits. Chronic left lateral fourth and fifth rib fractures are noted, in part creating opacity projecting over left upper lung laterally. No acute osseous abnormalities. | 53756045 | WET READ: ___ ___ ___ 9:59 PM Basilar opacities, left greater than right which could represent either atelectasis versus infection or aspiration.. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with cough // eval for pna TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Basilar opacities, left greater than right which could represent either atelectasis versus infection or aspiration.. |
13209155 | Mild blunting of the left costophrenic angle could be due to pleural thickening or small effusion. In addition, on the lateral view there is increased opacity projecting over the posterior costophrenic angles, potentially localizing to the left lower lobe on the frontal view. The lungs are otherwise clear. Cardiac silhouette is top-normal. Proximal right humerus fracture is as seen on recent shoulder x-rays. Compression deformities of several lower thoracic/upper lumbar vertebral bodies are noted. Surgical clips in the right upper quadrant suggest prior cholecystectomy. | 56912837 | WET READ: ___ ___ ___ 4:22 PM Blunting of the left lateral costophrenic angle, potentially atelectasis versus pleural scarring. Retrocardiac opacity which could potentially be infection in the proper clinical setting. Proximal right humerus fracture as seen on recent shoulder films. Lower thoracic and upper lumbar compression deformities. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with chest pain // ? mass, consolidation TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Correlation made to shoulder films from ___. | Blunting of the left lateral costophrenic angle, potentially atelectasis versus pleural scarring. Retrocardiac opacity which could potentially be infection in the proper clinical setting. Proximal right humerus fracture as seen on recent shoulder films. Lower thoracic and upper lumbar compression deformities. |
13209155 | AP upright and lateral views of the chest provided. There are streaky bibasilar opacities and patchy retrocardiac opacity. There is mild pulmonary vascular congestion and a trace left pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal. Compression deformity of T11 appears similar to ___. Compression deformity of L1 is age-indeterminate. No free air below the right hemidiaphragm is seen. Surgical clips are again seen in the right upper quadrant. | 59312657 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with productive cough (would cancel the prior pa/ lateral one but not available as option) // r/o pneumonia COMPARISON: CTA chest and chest radiographs ___ | Bilateral streaky and patchy opacities likely represent atelectasis, but in the appropriate clinical setting, patchy retrocardiac opacity could represent very early pneumonia. Compression deformity of L1 is age-indeterminate. |
13320407 | There is an area of increased opacification within the right middle lobe, concerning for pneumonia. Cardiomediastinal hilar contours are unremarkable. No pneumothorax or pleural effusion. | 50165036 | WET READ: ___ ___ ___ 6:46 AM Right middle lobe pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with subtle rll pna on OSH hospital CXR, ?increased infilitrate after fluid resuscitaiton // ?developing pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Right middle lobe pneumonia. |
13312109 | The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Aorta is mildly tortuous. Hilar contours are normal. | 58634387 | INDICATION: Pre-operative radiograph for surgery on abscess. COMPARISON: No relevant comparisons available. FRONTAL UPRIGHT PORTABLE | No pneumonia, edema, or effusion. |
13448948 | The lungs are hyper expanded without focal infiltrate or effusion. The cardiac and mediastinal silhouettes are normal. Normal there is no pneumothorax. | 59853423 | HISTORY: Substernal pain. COMPARISON: ___. | No infiltrate. COPD. |
13448948 | Heart size and mediastinal contours are within normal limits. Lungs are hyperinflated. There is no focal consolidation or pleural effusion. There is no pneumothorax. Contour deformity of the sternum is new and represents a subacute fracture. | 53805269 | INDICATION: ___ year old woman with sternal pain after car accident // fracture, change in heart. TECHNIQUE: PA and lateral views of the chest COMPARISON: ___ | New contour deformity of the body of the sternum is consistent with a subacute fracture |
13010395 | Frontal and lateral views of the chest demonstrate normal lung volumes. Right lung base opacities slightly more conspicuous since prior. No pleural effusions, or pneumothorax is seen. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Mild right-sided healing rib fractures are redemonstrated. | 50626265 | INDICATION: Altered mental status, assess for pneumonia. COMPARISONS: ___. | Right lung base opacity, is slightly more conspicuous since ___ exam and may represent atelectasis, aspiration or infection in the appropriate clinical setting. |
13010395 | The lungs are clear with no evidence of a consolidation, pleural effusion, or pneumothorax. Cardiac and mediastinal silhouettes are within normal limits. Evidence of multiple old right sided rib fractures are seen, at least of the right lateral ___ and 10th ribs, with callus formation seen. | 54559135 | HISTORY: Cough. COMPARISON: None available. | No acute cardiopulmonary process. |
13670865 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged right humeral head shows suggestion of a Hill-___ deformity, although not fully imaged, may be from prior trauma. | 57940571 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
13874942 | There is small bilateral pleural effusions, left larger than right. The opacification at the left lung base is possibly pneumonia in correct clinical setting. Compared to the prior radiograph from ___, left lung base opacification and pleural effusion is increased. There is no pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Right-sided dialysis catheter terminates in the right atrium, unchanged in position. | 59890637 | INDICATION: ___ year old man with LLL PNA // interval change EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: CT chest ___. Chest radiograph ___ | Mild left lower lobe opacification is increased compared to ___. This may represent progressive pneumonia in correct clinical setting. |
13874942 | A calcified granuloma in the left mid-to-upper lung is unchanged in appearance. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 56837084 | INDICATION: Fever, evaluate for infiltrate. COMPARISON: Chest radiograph from ___. | No acute cardiac or pulmonary process. |
13874942 | There is a new small left pleural effusion. There is a new irregular opacity at the left lung base laterally, which could be an infectious process or atelectasis. A calcified granuloma in the left mid to upper lung is unchanged. Cardiomediastinal silhouette is normal size. | 58970384 | INDICATION: ___ year old man with h/o of Alports, on immunosup, BK, elevated Cr, worsened dry cough overnight. // immunosup, eval acute process EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___ | New small left pleural effusion and left lung base opacity could be an infectious process or atelectasis. If clinically indicated, CT is recommended for further evaluation. |
13874942 | The cardiac, mediastinal and hilar contours are within normal limits and unchanged. Calcified granuloma in the left upper lung field is redemonstrated. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. The pulmonary vascularity is normal. No acute osseous abnormality is seen. | 58204505 | INDICATION: Alport's syndrome with crackles on exam and fever. COMPARISON: Chest radiograph, ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13874942 | Single portable frontal chest radiograph demonstrates well expanded lungs. 5 and 4 mm calcified granulomas in the left upper lobe are stable. 4 mm right pleural calcified lesion is most consistent with calcified granuloma. Lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. | 50876063 | EXAMINATION: Chest radiograph INDICATION: Kidney transplant with proteinuria. Complaining of cough. Assess for pneumonia or effusion. COMPARISON: Chest radiograph ___, ___, ___. | Calcified granulomas as described above. No acute cardiopulmonary process. No pneumonia or pleural effusion. |
13387485 | There is a dense left lower lobe consolidative opacity. There is no pneumothorax. There is a small left sided pleural effusion. Hilar contours are prominent. Cardiac silhouette is normal. | 50462159 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with hemoptysis, lives in shelter, evaluate for pneumonia or cavitary lesion. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Dense left lower lobe consolidative opacity concerning for pneumonia. Prominent hilar contour, likely enlarged lymph nodes. |
13515601 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. | 53519094 | EXAMINATION: Chest radiograph. INDICATION: ___ year old woman with LLL pna on previous CXR, now with recurring cough congestion and left basilar chest discomfort // please evaluate for persisting left lower lobe pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13515601 | Overall, interval increase in opacity with air bronchogram in the left lower lobe is consistent with infectious etiology appropriate clinical situation. No edema, effusion, or pneumothorax. The heart size is normal. Mild aortic knob calcifications are unchanged since at least ___. Multi-level mild to moderate degenerative changes of thoracic spine are grossly unchanged | 55785548 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with Persisting cough for 2 weeks with new onset fevers and mild left base egophony. Evaluate for LLL pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Left lower lobe pneumonia. Interval follow-up with chest radiograph after treatment to ensure resolution is recommended. |
13013082 | AP upright and lateral views of the chest provided. Nasogastric tube is in place with its tip outside of the imaged field. A left upper extremity PICC line is seen with its tip residing in the low SVC, unchanged. Bilateral pleural effusions are increased from the prior exam and are moderate in overall size with associated basilar atelectasis. Please note underlying infection/ aspiration cannot be excluded. Heart size cannot be assessed. Mediastinal contour stable. No pneumothorax is seen. Bony structures appear intact. | 59909424 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with stage IV colon ca w/ NGT for SBO w/ intractable N/V despite NGT suction, concern for aspiration pneumonia. COMPARISON: ___. | NG tube positioned appropriately. Moderate bilateral pleural effusions with probable compressive lower lobe atelectasis. PICC line unchanged in position. |
13013082 | Portable frontal radiograph of the chest demonstrates a right PICC in unchanged position ending in the mid SVC. An NG tube ends in the stomach. Normal heart size, mediastinal and hilar contours. New opacity at the right lung base and possible opacity in the left lung base consistent with pneumonia given the clinical scenario. | 54840828 | INDICATION: New fever and tachycardia. Evaluate for pneumonia. COMPARISON: ___. | New right lung base and possible left lung base opacities, given clinical scenario, consistent with pneumonia. |
13013082 | One enteric tube is in unchanged position with the tip in the stomach. A new Dobbhoff tube is present with the tip also in the stomach. There is an unchanged left pleural effusion. The lungs are otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is normal. | 56418611 | INDICATION: Evaluate Dobbhoff position. COMPARISONS: Chest radiograph from ___. TECHNIQUE: A single upright AP view of the chest was obtained. | New Dobbhoff tube with the tip in the stomach. |
13013082 | The heart size is normal. The hilar and mediastinal contours are normal. There is a left-sided PIC line which appears to terminate in the mid SVC. There is an enteric tube which extends below the diaphragm with the side port immediately distal to the gastroesophageal junction. There is no evidence of a pneumothorax. There is a small left pleural effusion. The visualized osseous structures are unremarkable. | 57315950 | INDICATION: History of NG tube placement. Please evaluate. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Single AP portable radiograph of the chest. | Enteric tube extends below the diaphragm with the tip in the body of the stomach and the side port immediately distal to the gastroesophageal junction. No acute intrathoracic abnormalities identified. |
13013082 | AP portable upright chest radiograph provided. A left arm PICC line is seen with its tip near the proximal SVC. The orogastric tube terminates in the left upper quadrant. There are bilateral lower lobe consolidations concerning for pneumonia. A left pleural effusion is likely present, small. Cardiomediastinal silhouette appears grossly stable, though the left heart border is partially lost. Bony structures appear grossly intact. | 56388084 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Fever and cough, assess for pneumonia. | Lower lobe consolidations, compatible with pneumonia with probable small left effusion. Endogastric tube and PICC line appear positioned appropriately. |
13013082 | ET tube, right IJ line, and NG tube are unchanged. There is increased pulmonary vascular redistribution, increased cardiomegaly, bilateral pleural effusions, and hazy alveolar infiltrate on the left. | 57788619 | HISTORY: Septic, intubated. COMPARISON: ___. | Fluid overload. An underlying infectious infiltrate in the left lower lobe is not excluded. |
13013082 | AP portable upright view of the chest. An orogastric tube terminates in the left upper quadrant. There is a left arm PICC line with its tip residing in the low SVC. Hazy lower lung opacities likely reflect layering effusions with probable subjacent atelectasis. There has been slight improvement in aeration compared with the prior exam with previously noted airspace consolidations appearing less conspicuous. The mid-upper lungs appear well-aerated. There is no pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. | 55079700 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with metastaic cancer. has left arm PICC. // please confirm location of PICC COMPARISON: ___. | PICC line and orogastric tubes in appropriate position. Improving aeration in the lower lungs with persistent layering effusions and adjacent lower lobe atelectasis. |
13013082 | The ET tube, right IJ line, and NG tube are unchanged. There is improved aeration at the bases with only a small amount of blunting of the CP angles. There is mild pulmonary vascular redistribution. The heart size is mildly enlarged. | 57576733 | HISTORY: Open abdomen, question effusions. COMPARISON: ___. | Compared to the prior exam aeration in the lower lobes is better. |
13959102 | The ETT is slightly low lying, terminating in the lower trachea 1.8 cm above the Carina. A nasogastric tube enters the stomach, however the side port sits at the GE junction. There is no pneumothorax. Aside from minimal left lower lobe subsegmental atelectasis, the lungs are clear. The heart and mediastinum are within normal limits despite the projection. | 57624264 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SDH, intubated // ETT position TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Slightly low lying ET tube may be withdrawn by 2 cm for more optimal ventilation. Side port of nasogastric tube the GE junction. Advancement by 3-4 cm is advised. |
13959102 | Endotracheal tube tip is seen approximately 1.5 cm from the carina. Enteric tube is seen with side-port at the GE junction and should be advanced. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified. | 54145930 | WET READ: ___ ___ 7:27 PM Endotracheal tube tip 1.5 cm from the carina. Enteric tube side port at the GE junction and should be advanced. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with intubated xfer // ET placement TECHNIQUE: Single portable view of the chest. COMPARISON: None. | Endotracheal tube tip 1.5 cm from the carina. Enteric tube side port at the GE junction and should be advanced. |
13863684 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. The bones appear relatively osteopenic. The mediastinum is stable compared to the prior study. | 56268172 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain, back pain, question aortic widening. COMPARISON: ___. | No acute cardiopulmonary process. Stable examination. |
13953455 | The lungs are clear of consolidation, effusion, or pneumothorax. Biapical scarring is noted as well as streaky right basilar opacity, likely atelectasis. The heart is mildly enlarged. Coronary artery stents are noted. Mediastinal contours are within normal limits. No acute osseous abnormalities. | 50713615 | INDICATION: ___F with AMS lethargy poor historian // r/o pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | Mild cardiomegaly. No focal consolidation worrisome for pneumonia |
13265444 | PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected. Surgical clips seen in the right upper quadrant. | 58441338 | HISTORY: ___-year-old female with syncopal episode and chest tightness. COMPARISON: None. | No acute cardiopulmonary process. |
13493660 | PA and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. | 50350430 | INDICATION: The patient with vomiting blood and coughing for two weeks. Assess for pneumonia. COMPARISONS: None available. | No evidence of acute cardiopulmonary process. |
13493660 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. | 55695475 | INDICATION: Left-sided pleuritic chest pain. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
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