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13902086
Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. The visualized osseous structures are grossly intact; however, cross-sectional imaging or bone scan would be more sensitive for detection of lytic lesions.
57136990
INDICATION: ___ year old woman with chest pain, musculoskeletal // lytic lesiosn? Hx of BC TECHNIQUE: Chest PA and lateral COMPARISON: ___
Normal chest x-ray. However, cross-sectional imaging or bone scan would be more sensitive for detection of lytic lesions.
13404891
Chest, PA and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. The pulmonary vascularity is normal.
55760077
HISTORY: And dyspnea in a patient with atrial fibrillation with RVR. COMPARISON: None.
No evidence of pneumonia or heart failure.
13482687
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable.
54936680
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever, r foot pain // PNA?osteo? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
13482687
Subtle opacity in the right lower lobe is consistent with early pneumonia or early aspiration pneumonitis. The cardiomediastinal silhouette is shifted to the right from an elevated left hemidiaphragm and is otherwise normal. The stomach is mildly distended and the splenic flexure demonstrates similar gaseous distention. There is no pneumothorax, pleural effusion, or pulmonary edema.
51713663
WET READ: ___ ___ 9:36 AM 1. Right lower lobe opacity is consistent with early pneumonia or early aspiration pneumonitis. 2. Gaseous distention of the splenic flexure. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever, heroin user, evaluate TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: None.
Right lower lobe opacity is consistent with early pneumonia or early aspiration pneumonitis. Gaseous distention of the splenic flexure.
13482687
Heart size is normal. The mediastinal and hilar contours are unremarkable with mild rightward shift of mediastinal structures appearing unchanged. The pulmonary vasculature is normal. Lungs are clear. No pneumothorax or pleural effusion is seen. There are no acute osseous abnormalities.
55641848
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with 2 wks crystal meth usage, agitated, now w/ sudden onset severe CP x ___ mins TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
13857873
Single portable view of the chest is compared to previous exam from ___. The lungs are hyperexpanded, but clear of consolidation or large effusion. The cardiomediastinal silhouette is unchanged and notable for an ectatic aorta. Probable calcified left hilar lymph nodes are again noted. Osseous and soft tissue structures are grossly unremarkable.
56991431
PORTABLE CHEST. HISTORY: ___-year-old female with chest heaviness.
No definite acute cardiopulmonary process.
13857873
The lungs are well-expanded. Oblique linear band in the right upper lobe with surgical clip is compatible with post treatment changes and prior resection of a mass. Streaky opacity in the left costophrenic angle likely reflects scarring or atelectasis. The heart is mildly enlarged. Mediastinal contours are unchanged. Left pectoral pacemaker device is unchanged. No pulmonary edema, effusion, or pneumothorax.
57690056
EXAMINATION: Chest radiograph INDICATION: History: ___F with recent pacemaker placement here with chest pain. Evaluate for effusion. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. CT chest dated ___.
No acute cardiopulmonary process of. No pulmonary edema.
13857873
Patient's right upper lobe lung mass in visualized with an adjacent fiducial seed. There are no focal consolidations, pleural effusions or evidence of pneumothorax. The hila, mediastinum, and heart are within normal limits. The saccular aneurysm in the descending thoracic aorta is again visualized, unchanged in appearance compared to the chest radiograph performed ___. No osseous abnormalities.
55142345
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with recent cyberknife radiation for lung cancer now has cough // ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs since ___, most recently performed ___; CT thorax ___; PET-CT ___
No acute pulmonary process.
13857873
Scarring and fiducial marker in the right upper lobe is from prior resection and treatment. There is increased interstitial opacities bilaterally, which may represent a combination of chronic scarring and/or pulmonary edema. Heart size is enlarged but stable. Mediastinal contours are enlarged representing venous congestion. No pleural effusion or pneumothorax.
54406661
WET READ: ___ ___ 6:20 PM 1. Mild pulmonary edema and central venous congestion. 2. No evidence of pneumonia. 3. Chronic scarring in the right upper lobe from prior treatment. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with back pain // eval for consolidation TECHNIQUE: Portable upright chest radiograph COMPARISON: CT chest from ___.
Increased interstitial markings potentially due to chronic changes and/or mild pulmonary edema. No evidence of pneumonia. Chronic scarring in the right upper lobe from prior treatment.
13857873
Post placement of a left chest wall pacemaker with leads terminating in the right ventricle and right atrium. Mediastinal contours and hila are stable. No pleural effusion or pneumothorax. Right upper lobe linear opacity adjacent to a fiducial marker is consistent with post radiation change. Moderate cardiomegaly, saccular descending thoracic aortic aneurysm, and thoracic levoscoliosis are stable.
58501069
EXAMINATION: Chest radiograph INDICATION: ___ year old woman s/p PPM // eval for post procedure complications TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___. CT of the chest from ___.
Post pacemaker placement without evidence of complication.
13989762
Lungs are well expanded and clear. No pleural effusion or pneumothorax is identified. The heart is normal in size with normal cardiomediastinal contours. Small quantity of air under the right hemidiaphragm is compatible with a history of laparoscopic procedure one day prior.
52982269
INDICATION: ___-year-old female with recent laparoscopic procedure with chest pain and shortness of breath. Assess for free air or pneumonia. COMPARISONS: None. TWO VIEWS OF THE
No acute intrathoracic process with the quantity of free intraperitoneal air compatible with recent laparoscopic procedure.
13845039
The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No effusion or pneumothorax is seen. There are no acute osseous abnormalities.
53010723
HISTORY: Cough and fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary abnormality.
13845039
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.
52989555
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob // sob TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
13194615
There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
53094129
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with loss of vision for 1 minute, 2 days ago, concerning for TIA // TIA work-up, per neuro TECHNIQUE: Chest PA and lateral COMPARISON: ___.
No acute cardiopulmonary process.
13194615
Heart size, mediastinal and hilar contours are normal. The lungs and pleural surfaces are clear. No acute skeletal findings.
53104085
PA AND LATERAL CHEST, ___. COMPARISON: ___ radiograph.
No evidence of acute pulmonary infection.
13194615
The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Dextroscoliosis of the thoracolumbar spine is re- demonstrated.
55611585
HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
13335223
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.
57911302
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with weakness // eval for pna COMPARISON: None
No acute intrathoracic process.
13250121
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are slightly low. Minimal streaky opacities in the lung bases may reflect areas of atelectasis though early aspiration cannot be completely excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
55065813
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with opioid overdose // Eval for aspiration TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.
Slightly low lung volumes. Mild streaky bibasilar opacities could reflect atelectasis, though early aspiration is not completely excluded. Consider repeat PA and lateral views with improved inspiratory effort for further assessment when the patient is able to do so.
13001581
The lungs are hyperinflated, without focal opacities. There is biapical pleural parenchymal scarring. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
53785391
INDICATION: Chest pain and palpitations. Evaluate for acute intrathoracic process. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs.
Hyperinflated lungs without focal opacities to suggest pneumonia.
13025966
The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present.
59034846
INDICATION: ___-year-old female with pleuritic chest pain, fevers to 100.2, myalgias. Please assess for pneumonia. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE
No acute intrathoracic process.
13277851
The lungs are well-expanded and clear. Mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
59332936
EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: ___-year-old male with tachycardia and fatigue. Evaluate for volume overload. . TECHNIQUE: Frontal upright chest radiograph COMPARISON: Chest radiograph from ___
No evidence of acute cardiopulmonary process.
13277851
The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
54708517
INDICATION: History: ___M with hx int. afib, now with afib for 3 hours // eval for pulm edema, consolidation TECHNIQUE: Single AP portable radiograph of the chest COMPARISON: None.
No acute intrathoracic abnormalities identified.
13277851
A punctate 3 mm nodular radio density projecting over the lateral right upper lung is stable since ___ and most likely represents a granuloma. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable as compared to ___. No pulmonary edema is seen.
52498933
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with a fib with RVR // Eval for CHF TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No acute cardiopulmonary process. 3 mm nodular radiopaque structure projecting over the lateral right upper lung most likely represents a granuloma.
13210157
Compared to the prior CXR on ___, there is a significant decrease in opacification of the right lung. However, there is increasing opacity of the left mid/lower lung. Developing pneumonia is a possibility. There is no pneumothorax. The endotracheal tube and right internal jugular catheter are unchanged in position. Stable cardiomegaly. No acute osseous abnormalities.
55423166
EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with ARDS with less o2 requirement // Evaluate for interval change TECHNIQUE: Portable chest radiograph COMPARISON: CXR from ___, ___ and ___
Improved opacification of right lung, likely resolving ARDS. However, interval worsening opacification of left mid/lower lung which may represent pneumonia. Correlate clinically with signs of infection.
13210157
ET tube terminates approximately 2.8 cm above the carina. There is a right-sided IJ which terminates in the low SVC. An NG tube extends below the diaphragm with the tip in the body of the stomach. Opacity in the right lower lobe may be secondary to atelectasis vs. effusion. The heart size is normal. The hilar and mediastinal contours aside from mild pulmonary vascular congestion are unremarkable. There is no evidence of a pneumothorax.
51744843
INDICATION: History of intubation, overdose. Please evaluate. COMPARISONS: None. TECHNIQUE: Portable supine radiograph of the chest.
Lines and tubes in appropriate position. Opacity in the right lower lobe may be secondary to a small pleural effusion or atelectasis.
13031031
The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
53166734
INDICATION: Patient with chest pain. Evaluate for acute process. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs.
Unremarkable chest radiographic examination.
13440565
An improved position of the endotracheal tube, with the tip now terminating approximately 5 cm above the carina. There is persistent opacification at the left lung base, since the earlier study on ___, likely reflecting a small left pleural effusion and atelectasis. There is a recurrent opacity at the right lung base, which is also most compatible with atelectasis. No large pleural effusion or pneumothorax is detected. There is increased mild pulmonary vascular congestion/interstitial edema. The cardiac silhouette is incompletely evaluated in the setting of left basilar opacification. The mediastinal and hilar contours are within normal limits and unchanged. There is mild calcification of the aortic knob.
52202899
INDICATION: Hypoxia on ventilator, here to evaluate for pneumonia or pulmonary edema. COMPARISON: Chest radiograph last performed on ___ at ___ p.m. and 07:48 a.m. TECHNIQUE: Portable semi-erect AP radiograph of the chest.
Improved ET tube position, terminating 5 cm above the carina. Persistent left pleural effusion and atelectasis and probable right basilar atelectasis. Mild pulmonary vascular congestion/interstitial edema is mildly increased.
13440565
AP and lateral radiographs of the chest. Again demonstrated are bilateral pleural effusions, which are unchanged on the left and slightly improved on the right. This may be due to patient positioning. The upper lobes are clear appearing. There is no change in the right-sided PICC line. Again seen is a right basilar atelectasis which is unchanged. No new consolidation or pneumothorax is identified.
54271092
HISTORY: Hypoxemia. Evaluate for pulmonary edema and/or infiltrate. COMPARISON: ___ at 21:06.
Minimal improvement in the right-sided pleural effusion with stable appearance of left pleural effusion. These changes may be due to patient positioning.
13440565
A single AP radiograph was reviewed. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There are low lung volumes causing bronchovascular crowding. A right basilar opacity partly silhouetting the right hemidiaphragm is noted. Left basilar atelectasis is also present. A high riding right humeral head with a top normal acromio-clavicular interval is noted, which may reflect a prior injury.
51649064
INDICATION: Tachypnea and hypoxia. COMPARISON: Chest radiograph, ___.
Low lung volumes with left basilar atelectasis and right basilar opacity concerning for pneumonia or aspiration. High riding right humeral head and top normal acromio-clavicular interval, which may reflect prior injury. Clinical correlation is recommended.
13440565
The patient has been intubated and the tip of the ET tube terminates in the right main stem bronchus and should be retracted approximately 5 cm for appropriate positioning. There is interval opacification of the left lung base compatible with atelectasis. A small left pleural effusion cannot be excluded. The right lung is relatively clear with interval improved opacity at the right lung base from the most recent prior study. No pneumothorax is detected. There is mild pulmonary vascular congestion/interstitial edema, which is unchanged. The cardiac silhouette is incompletely evaluated in the setting of left basilar opacification. Mediastinal and hilar contours are within normal limits and stable with tortuosity of the thoracic aorta and partial calcification of the aortic knob.
51714080
WET READ: ___ ___ 11:08 PM Since the prior study, there has been interval placement of an endotracheal tube, which terminates in the right mainstem bronchus, and should be retracted 5-6 cm. There is associated left lower lobe collapse. The above findings were communicated to Dr. ___ by Dr. ___ ___ telephone at 23:05, ___ min after discovery. ______________________________________________________________________________ FINAL REPORT INDICATION: Status post ERCP, here to evaluate for new pulmonary infiltrate. COMPARISON: Chest radiograph performed earlier the same day at 07:48 a.m. TECHNIQUE: Portable semi-erect AP radiograph of the chest.
Right mainstem intubation. The ET tube should be retracted approximately 5 cm. Interval left basilar collapse. Small left pleural effusion is likely present. Persistent mild pulmonary vascular congestion/interstitial edema.
13680239
Frontal and lateral chest radiographs demonstrate a some moderately well-aerated lungs in a normal cardiomediastinal silhouette. There is bibasilar linear atelectasis, left greater than right, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
51209014
INDICATION: Evaluate for pneumonia in a patient with GI bleed and confusion. TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary process. Bibasilar atelectasis, left greater than right.
13606683
The patient is status post median sternotomy and aortic valve replacement. Right-sided pacemaker/AICD device is again noted with leads terminating in the right atrium, right ventricle, and the region of the coronary sinus, unchanged. Enlargement of the cardiac silhouette is moderate, and similar compared to the previous study. The mediastinal and hilar contours are normal. There continues to be upper zone vascular redistribution, similar when compared to the previous study compatible with mild pulmonary vascular engorgement. Lungs remain hyperinflated compatible with COPD. Linear opacities in the lung bases are compatible with scarring. Small bilateral pleural effusions are relatively unchanged. There is no pneumothorax.
55832727
HISTORY: Congestive heart failure, pacer, on Coumadin with COPD and shortness of breath. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___.
Mild pulmonary vascular congestion, similar compared to the previous study with small bilateral pleural effusions. Scarring within the lung bases.
13606683
ICD with biventricular pacing lead remains in place. Stable cardiomegaly accompanied by pulmonary vascular congestion and new interstitial edema, superimposed upon chronic areas of linear scar in the mid and lower lungs. Lungs are overinflated, suggestive of COPD. Small pleural effusions are present bilaterally. Bones are diffusely demineralized.
53546263
PA AND LATERAL CHEST OF ___ COMPARISON: ___ radiograph.
Congestive heart failure with interstitial edema and small pleural effusions. Hyperinflated lungs, in keeping with known emphysema on prior CT chest of ___.
13606683
Frontal and lateral views of the chest. On the current exam, there is no evidence of confluent consolidation. Linear opacities at the left lung base most suggestive of scarring. Icreased interstitial markings are seen compatible chronic underlying lung disease, not significantly changed since ___. Trace bilateral effusions. Cardiac silhouette is enlarged and also notable for a prosthetic aortic valve. No acute osseous abnormality detected.
58568223
HISTORY: ___-year-old male with cough CHF versus infiltrate. COMPARISON: Film from earlier the same day and from ___.
Chronic lung disease without definite superimposed acute process.
13606683
The lungs remain hyperinflated, with multiple areas of hyperlucency and scarring in the left lung base. No focal consolidation. Chronic pleural thickening with blunting of the left costophrenic angle. No pneumothorax. Heart size is borderline enlarged. Prosthetic aortic valve and median sternotomy wires. The stomach is newly distended, with internal air-fluid level, and closely abuts the anterior left hemidiaphragm. Mild acromioclavicular arthropathy.
53053945
INDICATION: Chest pain and dyspnea. COMPARISON: ___. CHEST, AP AND
Chronic obstructive airways disease, without acute process. Distended stomach.
13606683
Chest PA and lateral radiograph demonstrates mild linear atelectasis and associated volume loss in the left lower lung base. No focal opacifications concerning for pneumonia identified.Stable blunting noted of the left costophrenic angle is likely due to pleural thickening and scarring. No definite pleural effusions evident. Interval development of a fracture of the most inferior sternotomy suture.
56272498
INDICATION: COPD, question dyspnea or pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___.
No acute process. Interval development sternotomy suture fracture without evidence of dehiscence.
13606683
Again seen, is enlargement of the cardiac silhouette. The hilar and mediastinal contours are stable. There has been interval improvement of the previously noted pulmonary edema. No new focal consolidation concerning for infection is identified. There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border. Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are unchanged in position. There is no pleural effusion or pneumothorax.
50447060
INDICATION: History of DVT and worsening shortness of breath, rule out acute process. COMPARISONS: Multiple chest radiographs dating back to ___. TECHNIQUE: PA and lateral radiographs of the chest.
Overall interval improvement of the previous noted pulmonary edema. No pneumonia.
13606683
PA and lateral chest radiographs demonstrate mild hyperinflation, consistent with known emphysema. Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___. Left basilar scarring and pleural thickening are chronic. Median sternotomy wires and aortic prosthesis are unchanged. There is no focal consolidation or pneumothorax.
55528477
HISTORY: Shortness of breath. COMPARISON: ___. CT-Chest, ___.
CHF with interstitial edema superimposed upon baseline emphysema.
13606683
An AP upright radiograph of the chest is provided. There is no significant change from the prior examination. Moderate cardiomegaly is stable. Chronic parenchymal opacities which are better demonstrated on the prior chest CT are also unchanged. There is no evidence of superimposed airspace opacification or pulmonary edema. There is no pneumothorax or pleural effusion. Median sternotomy cerclage wires are intact. The right pectoral AICD and its leads are unchanged.
53417168
INDICATION: ___-year-old man with history of COPD and CHF, presenting with wheezing and shortness of breath. COMPARISON: Chest radiograph from ___.
Stable moderate cardiomegaly Stable chronic parenchymal changes. No evidence of acute pulmonary edema.
13606683
AP portable view of the chest. The lungs are relatively hyperinflated. Linear opacities at the left lung base again suggestive of atelectasis versus scarring. Indistinct pulmonary vascular markings are seen particularly in the left upper and right lower lung. This could be due to asymmetric mild interstitial edema in the setting of the background of chronic lung disease noting that infection is also possible. The cardiac silhouette appears slightly enlarged. Median sternotomy wires again noted.
53357801
HISTORY: Seventeen no shortness of breath and history of CHF and COPD. COMPARISON: ___.
Asymmetric increased interstitial markings potentially due to edema superimposed on underlying chronic lung changes versus infection.
13606683
There has been previous median sternotomy and aortic valve replacement. ICD pacing device remains in place, with unchanged position of leads in the right atrium, right ventricle and an additional lead for biventricular pacing. Moderate cardiomegaly is stable in appearance, is accompanied by upper zone vascular redistribution and mild interstitial edema. The latter superimposed upon chronic pleural and parenchymal scarring within the mid and lower lungs bilaterally. Lung volumes are increased, in keeping with history of COPD. There are questionable small bilateral pleural effusions present.
57242265
PA AND LATERAL CHEST ___ ___ COMPARISON: ___.
Congestive heart failure with interstitial edema superimposed upon chronic changes of emphysema and pleural-parenchymal scarring.
13606683
Linear opacities within the left lung base appear unchanged compared to recent prior examination and are consistent with plate-like atelectasis or scarring. Flattened hemidiaphragms and hyperexpansion of the lungs suggest underlying obstructive pulmonary disease. No confluent consolidation is identified. There is no vascular congestion or pulmonary edema. A trace left pleural effusion is newly identified. Cardiomediastinal and hilar contours are within normal limits. A prosthetic cardiac valve is again noted. There is no pneumothorax. Median sternotomy wires appear grossly intact.
56883120
HISTORY: ___-year-old male with a presyncopal episode. COMPARISON: Chest radiograph from ___. PA AND LATERAL CHEST
Unchanged left lower lobe scarring/plate-like atelectasis. New trace left pleural effusion.
13884765
The patient is status post median sternotomy and CABG. Low lung volumes are present. The cardiac silhouette size remains moderately enlarged. There is crowding of the bronchovascular structures, with mild pulmonary vascular engorgement. No focal consolidation or pleural effusion is present. There is no pneumothorax. Diffuse calcification of the thoracic aorta is visualized, unchanged mediastinal and hilar contours. No acute osseous abnormality is seen, though degenerative changes of the right glenohumeral and acromioclavicular joint are noted.
59076341
INDICATION: Dyspnea. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE
Mild pulmonary vascular engorgement.
13884765
AP and lateral views of the chest demonstrate low lung volumes, with bibasilar atelectasis, as well as a more linear area of atelectasis in the posterior left lower lobe. A pleural effusion is present on the left. The heart size is top normal, with median sternotomy wires and mediastinal clips, unchanged from the prior study. Peribronchial cuffing and bilateral interstitial prominence is increased since the prior study, compatible with mild pulmonary edema. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax.
57564452
HISTORY: ___-year-old female with weakness. Evaluation for pneumonia. COMPARISON: Comparison is made to radiographs of the chest from ___, as well as CTA of the chest from ___.
Low lung volumes with mild pulmonary edema and left pleural effusion.
13884765
PA and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. The heart is moderately enlarged with an LV configuration. There is interstitial edema with scattered lower lung atelectasis. There is blunting of the left CP angle which could represent a small effusion. No pneumothorax. Bony structures appear grossly intact. Dense atherosclerosis of the abdominal and lower thoracic aorta noted.
58746886
CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Left scapular pain and shortness of breath, assess for pneumonia or CHF.
Cardiomegaly, interstitial edema, left lower lung atelectasis, and possible left effusion.
13884765
Frontal and lateral views of the chest were obtained. There are low lung volumes. There is prominence and indistinctness of the hila and prominent interstitial markings raising concern for mild edema. No pleural effusion or definite focal consolidation is seen. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. Patient is status post median sternotomy and CABG.
55777170
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___ year old female with history of fever and dry cough and congestion. COMPARISON: ___.
Low lung volumes and mild fluid overload.
13483003
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. There is no pulmonary edema.
59273468
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fevers // acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
13273626
The cardiac and mediastinal silhouettes are stable. The patient is rotated slightly to the left. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Chronic deformity of the right clavicle is again seen.
52192222
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with c/o CP/SOB with cough // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process. No significant interval change.
13273626
PA and lateral views of the chest provided. The lungs appear hyperinflated and hyperlucent with flattened diaphragms suggestive of underlying COPD/emphysema. The heart is top-normal in size. No focal consolidation, effusion or pneumothorax is present. There is subtle prominence of the main pulmonary arterial mobile along the left mediastinal border. Please correlate for pulmonary arterial hypertension. Bony structures are intact. No free air below the right hemidiaphragm.
59432033
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough prod of yellow sputum x 1 week // eval pna COMPARISON: None
Emphysema without convincing signs of pneumonia. Top-normal heart size. Apparent enlargement of the main pulmonary artery which could indicate pulmonary arterial hypertension. Please correlate clinically.
13273626
Heart size is moderately enlarged. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. There is no pulmonary edema. There is no pleural effusion or pneumothorax.
54136523
EXAMINATION: Chest radiograph INDICATION: Chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: ___.
Moderate cardiomegaly without pulmonary edema.
13273626
The heart appears globally enlarged, unchanged in appearance when compared to the prior study. Prominence of the bilateral hila is consistent with mild congestive heart failure. No frank pulmonary edema seen. No consolidation, pneumothorax or pleural effusion seen. No free air seen under the diaphragm. The visualized bony structures are unremarkable in appearance.
54691749
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with bilat leg sweling // r/o chf TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiograph ___ and CTA chest ___.
Findings consistent with mild congestive heart failure, no frank pulmonary edema. No significant interval change when compared to the prior study.
13543168
Study is limited due to low inspiratory lung volumes and patient rotation. The patient is status post median sternotomy and CABG. Low lung volumes accentuates the size of the cardiac silhouette which is likely borderline enlarged. Atherosclerotic calcifications of the aortic knob are present. There is crowding of the bronchovascular structures but no overt pulmonary edema is noted. Patchy opacities in the lung bases likely reflect atelectasis. No large pleural effusion or pneumothorax is identified. No acute osseous abnormality seen. Degenerative changes of both glenohumeral joint are noted.
54085085
HISTORY: Altered mental, fever. TECHNIQUE: Upright AP view of the chest. COMPARISON: Chest radiograph ___.
Limited study due to low lung volumes and patient rotation. Probable bibasilar atelectasis, but would recommend repeat PA and lateral radiographs with improved inspiratory effort when the patient is able to for further assessment of the lung bases.
13993123
There has been interval improvement of the bibasilar atelectasis and bilateral pulmonary edema. There is a moderate right and small left pleural effusion, both of which appear stable compared to the previous exam although definite comparison is difficult given differences in technique between the radiographs. No new focal consolidations are identified. There is no pneumothorax. The mild to moderate cardiomegaly is stable compared to multiple exams dating back to ___. The hilar and mediastinal contours are otherwise normal. There is a stable mid thoracic wedge-shaped deformity, better evaluated on the CT from ___.
52958390
INDICATION: ___-year-old man with recent TAVR, who presents for followup evaluation. COMPARISONS: Chest radiographs from ___, ___, ___, and CT chest from ___. TECHNIQUE: Single AP portable exam of the chest.
Interval improvement of the bilateral pulmonary edema. Stable moderate right and small left pleural effusions.
13993123
Moderate cardiomegaly is stable. Aortic stent is unchanged. Small to moderate right effusion is associated with adjacent atelectasis. There is mild vascular congestion. There is no pneumothorax. Left retrocardiac atelectasis are minimal
55676791
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CHF s/p TAVR now admitted with acute cholecystitis with signs of heart failure on physical exam. // Please evaluate for CHF TECHNIQUE: Single frontal view of the chest COMPARISON: ___.
Mild vascular congestion. Right effusion with adjacent atelectasis are mild to moderate
13247319
Frontal and lateral views of the chest were obtained. Lung volumes are low. Small bibasilar linear opacities are unchanged and consistent with scarring or atelectasis. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal. Thoracic spine degenerative changes are similar to prior.
55128748
HISTORY: ___-year-old female with chest pain. COMPARISON: Multiple prior chest radiographs, most recently of ___.
No acute cardiopulmonary process.
13247319
Upright PA and lateral radiographs of the chest. The lungs are normally expanded and clear, apart from minimal linear bibasilar opacities which reflect scarring or subsegmental atelectasis. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. Pulmonary vascularity is normal and symmetric. There is no pulmonary edema. The aorta is somewhat tortuous. There is no pleural effusion or pneumothorax. On the lateral view, there are degenerative changes of the thoracic spine with anterior and posterior osteophytes.
50381455
INDICATION: Chest pain, shortness of breath, cough, crackles at bases, left greater than right. Evaluate for pneumonia or pulmonary edema. COMPARISON: Chest radiographs, ___ and ___.
No evidence of acute cardiopulmonary abnormality by radiography.
13247319
The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Multiple calcific densities project over the soft tissues of the lateral chest wall bilaterally.
58122265
INDICATION: ___F with CP // eval for ptx, eeffusion, pna, ardiomeg TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
13247319
The lungs are normally expanded and clear. The heart is top-normal. The mediastinal and hilar contours are normal. There is no pleural effusion, pneumothorax or pulmonary edema. Rightward curvature of the thoracic spine is unchanged.
59106260
INDICATION: ___ year old woman with history of ILD, dCHF, now with hypoxia. // eval for infiltrate, effusion or pulm congestion TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiographs ___ through ___
No pulmonary edema or pneumonia.
13889673
PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
55312707
HISTORY: ___-year-old female with malaise and vomiting. Left basilar crackles. COMPARISON: None.
No acute cardiopulmonary process.
13457393
Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
59845932
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Substernal chest pain, fevers. COMPARISON: ___.
No acute cardiopulmonary process.
13779389
Lung volumes are low. Heart size is top normal and unchanged. Mediastinal and hilar contours are within normal limits. Eventration of the right hemidiaphragm appears similar compared to the prior study with minimal atelectasis demonstrated in the right lung base. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acutely displaced fractures are visualized.
59516004
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fall and head strike TECHNIQUE: Supine AP view of the chest COMPARISON: ___
No acute cardiopulmonary abnormality.
13637121
Patchy opacification at the right base, localized to the right lower lobe on the lateral, concerning for early or developing pneumonia. Possible subtle patchy opacity at the left base. No additional focal consolidations. No pulmonary edema. Allowing for lower inspiratory volumes, cardiomediastinal silhouette is probably unchanged compared with ___. No pleural effusion or pneumothorax.
55789031
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with presyncope and palpitations // eval ? edema, infiltrate . Review of prior x-ray reports indicates a history of MRSA abscess ease. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.
Patchy opacification within the right lower lobe concerning for early or developing pneumonia, new compared with ___. In the appropriate clinical setting, early aspiration pneumonitis could have a similar appearance. Possible subtle patchy opacity at the left base, also new.
13637121
There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
50928405
WET READ: ___ ___ ___ 5:56 AM No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with heart racing sensation several times in the past month evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___.
No evidence of acute cardiopulmonary process.
13686551
Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
57350266
HISTORY: Right upper quadrant pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___.
No acute cardiopulmonary abnormality.
13845600
As seen on the prior CT from ___, there is a mass-like opacity within the right middle lobe, measuring 3.9 x 2.9 cm, not significantly changed in size, allowing for differences in modality. This opacity is new compared to the most recent prior chest radiograph from ___. Of note, this lesion demonstrated central hypoenhancement on the recent CT from ___, suggestive of necrotic mass or abscess. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
54929858
INDICATION: Persistent cough with recent abdominal CT revealing a "mass-like consolidation" in the right lung. Assess for pneumonia. COMPARISON: Chest radiograph from ___. CT abdomen and pelvis from ___.
No significant change in 3.9 cm mass or abscess in the right middle lobe, seen on CT from ___. Findings were discussed with Dr. ___ by Dr. ___ at 8:20 a.m. via telephone on the day of the study.
13845600
The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
52869910
WET READ: ___ ___ 6:38 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest pain // acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary process.
13280055
PA and lateral views of the chest. Lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Well-circumscribed radiopacity projects over the lateral aspect of left first rib, thought to be external in nature. No acute osseous abnormality is identified. No free air below the diaphragm.
53036022
CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with epigastric pain status post ERCP. COMPARISON: ___.
No free intraperitoneal air nor acute cardiopulmonary process.
13217099
The endotracheal tube ends 5 cm above the carina. A nasogastric tube ends in the stomach. The cardiac and mediastinal contours are normal. The right lung is clear. Blunting of the left costophrenic angle may represent a small effusion or scarring. No pneumothorax.
50949690
INDICATION: ___-year-old woman with intracranial hemorrhage. Now intubated. Evaluate ET tube placement. TECHNIQUE: Chest PA and lateral COMPARISON: Outside hospital chest radiograph ___.
The endotracheal tube ends in appropriate position. Blunting of the left cauda costophrenic angle may represent a small effusion or scarring.
13217099
Since radiograph earlier this morning, the repositioned left PICC line ends in the low SVC. Right PICC line ends in the low SVC. There is no pneumothrorax. Moderate bilateral pleural effusions are unchanged. Mild pulmonary edema. Left retrocardiac opacity representing left lower lobe pneumonia versus atelectasis. ET tube in standard position and nasogastric tube projects below the diaphragm and out of view.
54893624
INDICATION: ___ year old woman with malpositioned PICC post power flush // post power flush for malpositioned PICC - ? tip ___ ___ TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 08:47
Since ___ 08:47, repositioned left PICC line terminates in lower SVC without evidence of pneumothorax. Otherwise, no significant change.
13217099
The ET tube, NG tube, left subclavian lines are unchanged. There is dense retrocardiac opacity that is increased compared to the study from the prior day and is a combination of volume loss and infiltrate. There continues to be right lower lobe volume loss/ infiltrate as well.
52134696
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with SAH, on vent // assess for pneumonia TECHNIQUE: Portable chest COMPARISON: ___ at 05:00
Slightly worse appearance to the left lower lobe
13217099
Pulmonary vasculature is engorged without evidence of pulmonary edema. There is mild blunting of the left costophrenic angle which may represent a minimal left effusion and is unchanged from ___. There is no consolidation or pneumonia. The ET tube ends approximately 5 cm from the carina. The tip of the left subclavian PICC line ends in the mid SVC. There is no pneumothorax. The esophageal drainage tube traverses into the stomach and out of view. The cardio mediastinal borders and hilar structures are normal. Top normal heart size with no pulmonary edema.
51384624
INDICATION: ___ year old woman with tachypnea. Concern for pulmonary etiology. Chest x-ray to evaluate for PNA, effusions, or other etiology of tachypnea. // Chest x-ray to evaluate for PNA, effusions, or other etiology of tachypnea. TECHNIQUE: Portable COMPARISON: Chest radiograph ___ 14:37
No interval change from ___. Persistent minimal left pleural effusion and top normal heart size without evidence of pulmonary edema.
13217099
n comparison with the study of ___, there has been no change in the tracheostomy performed. With no evidence of pneumomediastinum or pneumothorax. Cardiac silhouette remains enlarged and there is some elevation of pulmonary venous pressure. Bibasilar opacification most likely reflects atelectatic changes and pleural effusion are unchanged.
53301504
INDICATION: ___ year old woman with stroke, s/p bronchoscopy with BAL today ___. // Eval infiltrate or changes s/p bronchoscopy. TECHNIQUE: Chest PA and lateral
No pneumothorax. No significant change.
13217099
A tracheostomy is in-situ, unchanged in position. A left-sided PICC terminates in the mid SVC. There is moderate cardiomegaly, unchanged compared to the prior study. Bibasilar opacities have improved somewhat on the right. There is residual left basal opacity likely reflecting atelectasis. Infection cannot be excluded. No pneumothorax seen.
52811536
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with IPH s/p VP shunt; difficulty weaning from vent s/p trach. // Interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___.
Slight interval improvement in the right basal airspace opacity.
13112524
Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
55131868
WET READ: ___ ___ ___ 11:18 PM Normal chest radiograph. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Cardiomyopathy with chest pain. Assess for acute process. COMPARISON: Chest radiograph ___, ___.
No acute cardiopulmonary process.
13112524
The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
54826686
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with a history of cardiomyopathy presenting with chest pain. COMPARISON: Chest radiograph from ___.
Normal radiographs of the chest.
13977850
Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
54782364
HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality.
13977850
PA and lateral chest radiographs were obtained. The lungs are well expanded. A vague peribronchial opacity projects over the anterior ___ left rib. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
56492800
HISTORY: Fall 1 week ago. COMPARISON: None.
Vague peribronchial opacity projecting over the anterior ___ left rib. Follow-up radiographs suggested in 6 weeks. Findings were emailed to the ED QA nurses at ___ on ___
13661500
No new relevant findings in the chest. Multiple, bilateral rib fractures leading to deformity of the thoracic cage is similar. No lung opacities concerning for infection. Mild elevation of the left hemidiaphragm is unchanged. Cardiomediastinal silhouette is normal. Status post total left shoulder arthroplasty.
51433129
CHEST RADIOGRAPH TECHNIQUE: AP and lateral views of chest were reviewed in comparison with prior chest radiograph from ___.
No acute cardiopulmonary process.
13661500
The left hemidiaphragm is again elevated with stomach/colon beanth. Mild left base atelectasis is seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Again partially imaged is a left humeral prosthesis. Multiple old right-sided rib deformities are re- demonstrated with underlying right pleural thickening.
51310929
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, dyspnea, and chest pain // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No significant interval change. No new focal consolidation to suggest pneumonia.
13443421
Endotracheal tube tip is 3.8 cm from the carina. Enteric tube seen within the stomach, side-port past the GE junction.Lungs are grossly clear. There is no confluent consolidation, large effusion or pneumothorax based on this portable film. Cardiomediastinal silhouette is within normal limits.
59098639
INDICATION: ___F with intubation // eval tube position TECHNIQUE: Single portable view of the chest. COMPARISON: None.
ET tube in appropriate position.
13891044
Bibasilar atelectasis noted. Mid upper lungs appear clear. There is no large pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly is noted. Bony structures intact. No free air below the right hemidiaphragm.
51861267
EXAMINATION: Chest radiographs INDICATION: ___M with cirrhosis and new liver mass and fever // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: Outside hospital CT abdomen dated ___.
Mild cardiomegaly and bibasilar atelectasis.
13306609
The right PICC line terminates in mid SVC, unchanged. Enteric tube terminates in the stomach. Very slight increase in opacity in right lung base can represent early pneumonia in appropriate clinical setting. The hila are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unchanged.
50055134
INDICATION: ___ year old woman with chills, tachycardia // Please eval for infiltrate, effusion TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___.
Very slight increase in opacity in right lung base can represent early pneumonia in appropriate clinical setting.
13306609
Cardiac silhouette size is moderately enlarged, increased compared to the previous examination. Aortic knob is calcified. There is mild pulmonary vascular congestion. Patchy opacities are noted in the lung bases, likely areas of atelectasis. Trace left pleural effusion is likely present. No pneumothorax is identified. Moderate multilevel degenerative changes are seen in the thoracic spine. Patient is status post thyroidectomy with clips noted in the neck.
59886816
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with seizure TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: CT chest ___, chest radiograph ___.
Increased moderate cardiomegaly with mild pulmonary vascular congestion and bibasilar patchy opacities, likely atelectasis. Trace left pleural effusion.
13306609
The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the chest wall laterally on both sides. Surgical clips also seen at the neck base. Bilateral percutaneous nephrostomy tubes are noted. No acute osseous abnormalities.
52368762
INDICATION: ___ year old woman with left renal hilum obstruction s/p bilateral nephrostomy placement, multiple intra-abdominal surgeries, and known LLE DVT (on SC lovenox), who is presenting with acute renal failure and acute on chronic vaginal bleeding now with inc abd distension and somnolence // Eval for free air TECHNIQUE: Single portable view of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
13306609
No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is mild to moderately enlarged. The aorta remains calcified and tortuous. No pulmonary edema is seen.
54253878
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with AMS, dyspnea // acute process TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No acute cardiopulmonary process.
13552871
The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
59672415
INDICATION: History: ___M with nausea and feeling unwell for past 2 days. WBC elevated from yesterday // pna eval TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph from ___.
No focal consolidations concerning for pneumonia identified.
13442915
The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
52785520
INDICATION: ___F with chest tightness // eval for cp TECHNIQUE: PA and lateral views the chest. COMPARISON: None.
No acute cardiopulmonary process.
13728328
The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
53583185
HISTORY: ___-year-old female with cough and dyspnea. STUDY: PA and lateral chest radiograph. COMPARISON: ___.
No acute cardiopulmonary process.
13702399
Linear left lateral opacity is likely due to atelectasis versus scarring. The lungs are otherwise clear without focal consolidation, effusion, or overt pulmonary edema. Moderate cardiomegaly is similar compared to prior. Catheter projecting over the right side of the neck and central chest within the anterior subcutaneous tissues, likely a ventriculoperitoneal shunt.
58104605
INDICATION: ___M with CKD, HTN, CHF here with hypertension, has a cough x2 weeks that has persisted after a URI // eval for pna TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
Moderate cardiomegaly without superimposed cardiopulmonary process.
13702399
Right internal jugular central venous catheter tip terminates in the low SVC. Heart size is normal, and markedly decreased in size compared to the previous exam. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There appears to be eventration of the right hemidiaphragm, with the right hemidiaphragm contour on the frontal view appearing somewhat indistinct compared to the previous studies. No acute osseous abnormalities detected.
57883357
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with subjective fever and cough TECHNIQUE: Semi-upright AP and lateral views of the chest COMPARISON: ___ chest
No acute cardiopulmonary process. Probable eventration of the right hemidiaphragm.
13702399
A right internal jugular central venous catheter is present. The tip is difficult to visualize, though appears to be in the low SVC. Since the prior exam, the lung volumes are lower. Mild pulmonary edema seems similar allowing for the changes in the lung volumes. There is no new opacity, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is moderately enlarged.
52525883
INDICATION: Increasing creatinine. Evaluate for worsening edema. TECHNIQUE: PA and lateral views the chest. COMPARISON: Chest radiograph from ___.
Unchanged mild pulmonary edema and moderate cardiomegaly.
13702399
The heart is mildly enlarged, as before. A right internal jugular central venous catheter terminates in the mid SVC. Linear atelectasis is present in the left midlung. Indistinctness of pulmonary vasculature about the hilus, as well as mild peribronchial cuffing suggest mild pulmonary edema. There is no pleural effusion, pneumothorax, or focal consolidation.
51622984
EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___M with history of dCHF, HTN, CKD presenting with 3 days of DOE. has not been taking prescribed lasix // R/O CHF TECHNIQUE: Chest PA and lateral COMPARISON: ___.
Mild cardiomegaly and mild interstitial pulmonary edema.
13770510
Lungs are hyperinflated. There is significant apparent narrowing with rightward tracheal deviation secondary to a known thyroid nodule. Small left pleural effusion with moderate elevation of the left hemidiaphragm. Mild bibasilar atelectasis is unchanged. No pleural effusion on the right. No focal consolidation. No pneumothorax. No discrete lung lesions identified. Heart size is normal.
56190948
WET READ: ___ ___ ___ 11:08 AM 1. No evidence of pneumonia. No discrete lung lesions identified. 2. Unchanged tracheal narrowing and rightward tracheal deviation secondary to known thyroid goiter. 3. Small left pleural effusion with elevated left hemidiaphragm. 4. Mild bibasilar atelectasis. WET READ VERSION #1 ___ ___ ___ 10:43 AM 1. No evidence of pneumonia. No discrete lung lesions identified. 2. Probable trace left pleural effusion. 3. Mild bibasilar atelectasis, worse on the left compared to prior study. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with elevated WBC. DOE. // PNA? Malignancy? TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.
No evidence of pneumonia. No discrete lung lesions identified. Unchanged apparent tracheal narrowing and rightward tracheal deviation secondary to known left-sided thyroid enlargement. Small left pleural effusion with elevated left hemidiaphragm. Mild bibasilar atelectasis.
13389102
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.
51807721
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // ptx COMPARISON: ___
No acute intrathoracic process.
13389102
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
57328240
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: None.
No acute cardiopulmonary process.
13950056
Nasogastric tube curls at the level of the carina superiorly terminating at the level of larynx. Vascular congestion and right greater than left pleural effusions are unchanged along with basal atelectasis. Heart size remains mildly enlarged. The tracheostomy tube and right PICC are unchanged in position.
54424772
INDICATION: ___-year-old man with NG tube placement in the OR. Assess for position. COMPARISONS: Radiograph from 10 hours prior.
Nasogastric tube curled and terminating at the level of larynx. This finding was discussed with Dr. ___ by Dr. ___ at 14:30 on ___.
13950056
A tracheostomy tube appears properly positioned though partially obscured by the patient's O2 mask. There is no pneumothorax, focal consolidation, or pleural effusion. Mild bibasilar atelectasis is exaggerated by low lung volumes.
54618968
WET READ: ___ ___ ___ 5:24 PM Status post tracheostomy placement with trach seen in the midline. Patient's chin and external mask project over the upper chest somewhat limiting evaluation. No evidence of pneumothorax. Bibasilar atelectasis. The findings were discussed by Dr. ___ with Dr. ___ on the telephone on ___ at 11:03 AM, 2 minutes after discovery of the findings. WET READ VERSION #1 ___ ___ ___ 11:08 AM Status post tracheostomy placement with trach seen in the midline. Patient's chin and external mask project over the upper chest somewhat limiting evaluation. No evidence of pneumothorax. Bibasilar atelectasis. The findings were discussed by Dr. ___ with Dr. ___ on the telephone on ___ at 11:03 AM, 2 minutes after discovery of the findings. WET READ VERSION #2 ___ ___ ___ 5:22 PM Status post tracheostomy placement with trach seen in the midline. Patient's chin and external mask project over the upper chest somewhat limiting evaluation. No evidence of pneumothorax. Bibasilar atelectasis. The findings were discussed by Dr. ___ with Dr. ___ on the telephone on ___ at 11:03 AM, 2 minutes after discovery of the findings. ______________________________________________________________________________ FINAL REPORT INDICATION: COPD, post revision of tracheostomy. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal chest radiograph.
Tracheostomy appears appropriately positioned but partially obscured by an O2 mask. No pneumothorax.
13950056
The endotracheal tube is appropriately positioned, ending 5 cm above the level of the carina. An enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. Lung volumes remain low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Consolidative bibasilar opacities are not significantly changed, likely some combination of atelectasis, pleural effusions, and infection. There is pulmonary vascular congestion without frank interstitial edema. There is no pneumothorax. The heart size is top normal, as before.
57157814
INDICATION: COPD and pneumonia, status post intubation with laryngeal edema and swelling. Now with hypoxia and possible aspiration event. COMPARISON: Chest radiograph from ___.
No significant interval change in bibasilar consolidative opacities, likely some combination of atelectasis, pleural effusions, and infection. Pulmonary vascular congestion without frank interstitial pulmonary edema.
13950056
Bedside AP radiograph of the chest demonstrates interval improvement in the extent of pulmonary edema with stable small bilateral pleural effusions. The azygos vein and mediastinal vessels remain engorged, consistent with persistent hypervolemia. The lungs are clear. The cardiomediastinal contours are normal. There is no pneumothorax. The endotracheal tube terminates no less than 5 cm above the carina. An orogastric tube courses into the stomach and inferiorly out of field of view.
56467398
INDICATION: Prolonged intubation and airway edema. COMPARISON: A series of chest radiographs from ___ dating back to ___.
Decompensated congestive heart failure with interval improvement in pulmonary edema, but persistent bilateral pleural effusions and hypervolemia.
13950056
Single chest single supine portable chest radiograph was obtained. Endotracheal tube terminates 6.6 cm above the carina and should not be withdrawn any further. Bilateral pleural effusions, small to moderate on the right and small on the left, and mild pulmonary edema are both mildly increased. Cardiac size is stably enlarged.
59286921
INDICATION: ___-year-old man with respiratory failure requiring reintubation; assess for tube position. COMPARISONS: ___ earlier today.
Mildly increased bilateral effusions and edema with satisfactory ET tube position.