[{"study_id": "51319575", "subject_id": "14895513", "findings": "Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Subsegmental atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "55445311", "subject_id": "12837356", "findings": "Semi-upright portable view of the chest demonstrates ET tube terminating approximately 2 cm above the carina. Limited evaluation due to portable technique and the patient's body habitus. Nasogastric tube is seen coursing through the esophagus and stomach, its tip out of field of view. Lung volumes are low. There is no pneumothorax. No pleural effusion. Prominent hilar and mediastinal silhouettes, most likely relate to the patient's body habitus. Bibasilar consolidations are better assessed on concurrent chest CT", "impression": "ET tube terminates 2 cm above the carina, retraction by several centimeters is recommended for more optimal placement. Bibasilar consolidations better assessed on concurrent chest CT.", "background": "INDICATION: Assess for ET tube placement. COMPARISONS: chest CT of the same date."}, {"study_id": "55362942", "subject_id": "10222191", "findings": "Stability of the severe bilateral pleural effusion with compressive atelectasis. There is no visible pneumothorax. The tracheostomy and left-sided subclavian line is unchanged. The mediastinal and cardiac contour are stable. The nasogastric tube and feeding tube has been removed since the previous exam.", "impression": "There is no significant change since the previous exam. The feeding tube and nasogastric tube have been removed.", "background": "PORTABLE AP CHEST X-RAY INDICATION: ___-year-old man with severe pancreatitis, tracheostomy. COMPARISON: ___."}, {"study_id": "54120968", "subject_id": "14898984", "findings": "In comparison to the chest radiograph obtained 4 hours prior, no significant changes are appreciated. Mild pulmonary edema is unchanged. Heart size top-normal. Pleural effusion small, if any. Extensive pleural calcifications somewhat limiting evaluation for pneumonia, though no focal consolidations are identified.", "impression": "Unchanged, mild pulmonary edema. No radiographic evidence pneumonia.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with SAH now with fevers and cough // please assess for pneumonia TECHNIQUE: Portable chest radiograph COMPARISON: Portable chest radiograph dated ___ at 00:16"}, {"study_id": "56757236", "subject_id": "18173974", "findings": "There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is a moderately large hiatal hernia.", "impression": "No evidence of acute pulmonary process. Moderately large size hiatal hernia.", "background": "WET READ: ___ ___ 2:52 AM 1. No evidence of acute cardiopulmonary process. 2. Large hiatal hernia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with L shoulder pain, evaluate for infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "58748642", "subject_id": "10184173", "findings": "Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A left sixth posterior rib deformity appears chronic.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: Chest radiograph INDICATION: ___F with sob // pna? TECHNIQUE: PA and lateral chest radiograph COMPARISON: None."}, {"study_id": "56982028", "subject_id": "11946685", "findings": "Dual lead left chest wall pacing device is again seen. There are patchy bibasilar opacities identified, left greater than right. Superiorly the lungs are clear. Cardiomediastinal silhouette is stable. Median mediastinal clips again noted.", "impression": "Bibasilar opacities more extensive on the left than on the right. Findings could be in part due to atelectasis given the low lung volumes although superimposed infection is possible.", "background": "INDICATION: ___M with hypoxia, dyspnea // acute cardiopulm disease TECHNIQUE: Single portable view of the chest. COMPARISON: ___."}, {"study_id": "53198682", "subject_id": "13547541", "findings": "The lungs are clear of consolidation or effusion. There is a small right upper lung nodule projecting over the anterior right first rib interspace which was likely present on prior and is unchanged. Cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.", "impression": "No acute cardiopulmonary process, no pneumonia.", "background": "INDICATION: ___F with one month of cough/congestion // r/o pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "52729102", "subject_id": "10921049", "findings": "The tip of the endotracheal tube projects over the mid thoracic trachea. A feeding tube is present but not well evaluated however likely courses below the level of the diaphragms. Persisting perihilar and infrahilar airspace opacities, not significantly changed. There is however further pulmonary edema with new haziness involving the upper lobes bilaterally. Layering right pleural effusion. No discrete pneumothorax identified. The size the cardiomediastinal silhouette is enlarged but unchanged.", "impression": "Worsening pulmonary edema. The tip of the endotracheal tube projects over the mid thoracic trachea. The tip of the gastric tube is not visualized however likely projects below the level of the diaphragms.", "background": "INDICATION: ___ year old man s/p cardiac arrest on cooling protocol with worsening ARDS physiology on vent. now s/p esophageal balloon placement. // please evaluate position of esophageal balloon. TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier today"}, {"study_id": "59209560", "subject_id": "19663491", "findings": "The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Multifocal opacities are bronchovascular and most prominent in the lower lungs, right greater than left, with lesser left upper lobe opacity. Vague opacity is less extensive in the right mid lung.", "impression": "Multi focal bronchovascular opacities suggesting an infectious process.", "background": "EXAMINATION: Chest radiographs. INDICATION: Shortness breath and mild cysts. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "58315421", "subject_id": "16232416", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No acute fracture is seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F in ___ with mild chest wall pain and mild neck pain. // Any fractures TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56395048", "subject_id": "14558830", "findings": "There has been interval removal of a left-sided PICC line. Cardiomediastinal and hilar contours are unchanged. The Pleurx catheter is seen extending posteriorly.There is a loculated pleural air inclusion on the right. There is no pneumothorax. Sternotomy wires are aligned.", "impression": "Loculated pleural air inclusion on the right. Pleurx catheter in good position.", "background": "STUDY: PA and lateral chest radiograph. COMPARISON EXAM: PA and lateral chest radiograph, ___. Portable AP chest ___, ___. INDICATION: ___-year-old with Pleurx catheter followup."}, {"study_id": "50688923", "subject_id": "13991891", "findings": "The patient is status post median sternotomy and CABG. The heart size is moderately enlarged. The aorta is tortuous. There is moderate pulmonary edema with a moderate size right pleural effusion and trace left pleural effusion. Scarring within the lung apices is noted. Fluid is noted to track within the minor fissure. No pneumothorax is identified. No acute osseous abnormality is visualized.", "impression": "Moderate congestive heart failure with moderate size right and trace left pleural effusions.", "background": "HISTORY: Coronary artery disease status post CABG and stent placement, shortness of breath, chest pressure. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "53865667", "subject_id": "13066975", "findings": "Right upper lobe consolidation is unchanged. Asymmetric pulmonary edema more prominent on the right is unchanged. There is likely a small right pleural effusion. Left hemidiaphragm is mildly elevated. Streaky opacities at the left base likely atelectasis versus edema however pneumonia cannot be excluded. Heart size is normal. Hilar and mediastinal contours are normal. The ET tube is in standard position. Right IJ catheter terminates in the mid SVC. Enteric tube enters into the stomach and out of view.", "impression": "No change in the right upper lobe pneumonia. Stable asymmetric pulmonary edema. The left hemidiaphragm is slightly elevated. Streaky opacities at the left lung base likely atelectasis versus edema however pneumonia cannot be excluded.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with HIV, p/w shock multisystem organ failure likely ___ pneumonia // Interval change lobar pneumonia TECHNIQUE: Single frontal view of the chest COMPARISON: Portable chest x-ray ___"}, {"study_id": "59693944", "subject_id": "18135875", "findings": "No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.. Mild elevation of the right hemidiaphragm is stable. No evidence of pneumomediastinum is seen.", "impression": "No acute cardiopulmonary process. No significant interval change. No evidence of pneumomediastinum.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest and abdominal pain // evaluate for pneumomediastinum TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56650185", "subject_id": "15502354", "findings": "Moderate to severe cardiomegaly and the mediastinal contours are unchanged. Compared to the prior chest radiograph of ___ mild interstitial pulmonary edema has resolved. No focal opacity, pleural effusion or pneumothorax.", "impression": "No acute intrathoracic process. Specifically, no pneumothorax.", "background": "INDICATION: ___-year-old woman with squeezing chest pain. Evaluate for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs most recent of ___."}, {"study_id": "52356623", "subject_id": "16578063", "findings": "PA and lateral views of the chest are obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no change since the prior exam.", "impression": "No acute cardiopulmonary disease. The above findings were communicated to Dr. ___ by Dr. ___ at ___ via telephone, ___ minutes after discovery was made.", "background": "INDICATION: ___-year-old female with cough, chills, rule out pneumonia. COMPARISON: Comparison is made with chest radiograph from ___."}, {"study_id": "53654520", "subject_id": "13488637", "findings": "As compared to the prior examination, there has been interval development of multifocal airspace opacities compatible with multifocal pneumonia versus pulmonary hemorrhage. Pulmonary edema is mild, is present. Mild cardiomegaly is stable. There is no appreciable pleural effusion or pneumothorax. The aortic arch is calcified. The visualized osseous structures are grossly unremarkable.", "impression": "Interval development of multifocal airspace opacities compatible with multifocal pneumonia or pulmonary hemorrhage.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___F with ams, did not finish dialysis hx aneurysms, pls ___ ___ pulm edema and pna, pls assess head for ruptured aneurysm // History: ___F with ams, did not finish dialysis hx aneurysms, pls ___ ___ pulm edema and pna, pls assess head for ruptured aneurysm TECHNIQUE: Chest PA and lateral COMPARISON: ___."}, {"study_id": "57486491", "subject_id": "15113309", "findings": "The cardiac silhouette is massively enlarged, substantially increased since the prior study concerning for a large pericardial effusion. There may be trace bilateral pleural effusions. Left lower lobe consolidation is difficult to exclude. Right-sided pacer device is again noted.", "impression": "Massive enlargement of the cardiac silhouette, substantially increased as compared to the prior study from ___, concerning for large pericardial effusion. Possible trace bilateral pleural effusions.", "background": "WET READ: ___ ___ ___ 5:12 PM Massive enlargement of the cardiac silhouette, substantially increased as compared to the prior study from ___, concerning for large pericardial effusion. Possible trace bilateral pleural effusions. WET READ VERSION #1 ___ ___ ___ 2:34 PM Left lower lobe consolidation worrisome for pneumonia. Possible trace bilateral pleural effusions. Mass with enlargement of the cardiac silhouette, substantially increased as compared to the prior study from ___ concerning for of large pericardial effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with increased dyspnea on exertion with increased edema, known CHF. // pleural effusions TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "57201485", "subject_id": "18103848", "findings": "Status post median sternotomy and cardiac valve replacement. The tip of the right PICC line in terminates in the mid SVC. There is persisting pulmonary edema with small bilateral pleural effusions. The size and appearance of the cardiac silhouette is unchanged.", "impression": "Persisting pulmonary edema and bilateral pleural effusions. No significant interval change.", "background": "INDICATION: ___ year old man s/p CABG, tiss AVR, ___ ligation, PVI // predischarge eval TECHNIQUE: Frontal and lateral chest radiographs COMPARISON: ___"}, {"study_id": "59881625", "subject_id": "15800439", "findings": "PA and lateral views of the chest were provided. Breast tissue overlying the lower chest, likely accounts for slight increased opacity. There is no definite sign of pneumonia or CHF. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax seen. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "Normal chest radiograph without signs of pneumonia.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain and palpitations. Assess pneumonia."}, {"study_id": "55510784", "subject_id": "15326723", "findings": "Heart size is normal. Normal mediastinum. Lung markings are within normal limits except for hyperinflation. Degenerative changes noted in the thoracic spine.", "impression": "Hyperinflation. No other abnormalities.", "background": "CXR, THREE IMAGES HISTORY: Amiodarone toxicity."}, {"study_id": "56899457", "subject_id": "18197005", "findings": "The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. The aorta is tortuous and calcified. There is no pleural effusion or pneumothorax. There are surgical clips in the abdomen.", "impression": "No acute intrathoracic abnormality identified.", "background": "HISTORY: Fever, cough, asthma. TECHNIQUE: Upright PA and lateral radiographs of the chest. COMPARISON: Multiple prior radiographs of the chest most recent ___."}, {"study_id": "55304736", "subject_id": "11928388", "findings": "There has been interval increase in the amount of left lower lobe volume loss and effusion. There is pulmonary vascular redistribution. There is a small right effusion. The heart is mildly enlarged. The ET tube and NG tube and right-sided PICC line are unchanged", "impression": "Increased fluid overload. An underlying infectious infiltrate, particularly on the left cannot be excluded", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with STEMI s/p MVA in persistent respiratory failure // Interval change TECHNIQUE: Portable chest COMPARISON: ___"}, {"study_id": "56181769", "subject_id": "13864100", "findings": "Endotracheal tube tip terminates 4.3 cm cephalad to the carinal. Right PICC tip projects over the right axilla, unchanged. Right IJ tip projects over the cavoatrial junction. Bilateral aeration is slightly improved with decreased patchy airspace opacities. Heart is mildly enlarged. Mediastinal silhouette is not widened. There is no pneumothorax.", "impression": "Mildly improved bibasilar aeration.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with intub // int change? int change? TECHNIQUE: Semi upright AP chest radiograph was obtained. COMPARISON: Frontal chest radiograph ___."}, {"study_id": "51719779", "subject_id": "14043633", "findings": "PA and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is present. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly within normal limits. Thus, there is no evidence of any acute hip fracture, nor are there existing deformities or callus formation. Preceding chest CT of ___ as well as trauma chest view of the same date is reviewed. Nowhere is there any conclusive evidence of any rib fracture. Should clinical suspicion of rib fracture persists, please identify patient's local symptoms and ask for dedicated skeletal examination with BB markers for location.", "impression": "The present PA and lateral chest views demonstrate normal findings.", "background": "TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with multiple rib fractures, evaluate rib fractures."}, {"study_id": "58661367", "subject_id": "11585206", "findings": "AP portable semi upright view of the chest. Endotracheal tube is seen with its tip located 5 cm above the carinal. The endogastric tube descends into the left upper abdomen. Lower lobe consolidations are extensive an concerning for aspiration. Small bilateral pleural effusions likely present. No large pneumothorax on this semi upright projection. Please note, if there is strong clinical concern for pneumothorax, CT advised. Chronic left rib deformities noted.", "impression": "Tubes positioned appropriately. Extensive lower lobe consolidations concerning for pneumonia. No large pneumothorax though if concern persists, CT advised.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with respiratory failure // pleave eval for tube placement COMPARISON: None"}, {"study_id": "51005183", "subject_id": "10373725", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is patchy left infrahilar opacity with peribronchial cuffing. Potentially, this may be at baseline but prior radiographs are not available for comparison. The possibility of lower airway infection or even early or mild bronchopneumonia should be considered. Slight scarring is present at each lung apex. The osseous structures are unremarkable.", "impression": "Vague left infrahilar density, possibly associated with lower airway inflammation or infection, or potentially early or mild bronchopneumonia, but not of definite significance.", "background": "WET READ: ___ ___ 3:54 PM Questionable left infrahilar opacity, possibly infectious (not prior studies available). WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Elevated white count and hypoxia. Question pneumonia. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "59968865", "subject_id": "18473677", "findings": "The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch and in the superior right paratracheal region likely due to calcifications of the great vessels. Incidentally noted is lack of fusion of posterior elements of the upper thoracic vertebrae. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with chest pain // r/o PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: None."}, {"study_id": "55089205", "subject_id": "12773454", "findings": "Frontal and lateral views of the chest demonstrate interval improvement in left lower lobe opacities. No new consolidation. No pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Thoracic aorta is tortuous. Heart is not enlarged. There is no pulmonary edema.", "impression": "Left lower lobe opacities have improved since ___ exam. Repeat evaluation is recommended to document resolution.", "background": "INDICATION: Patient with lower lobe opacities, assess for interval change. COMPARISONS: ___."}, {"study_id": "50682942", "subject_id": "10254837", "findings": "Compared to the prior study there has been interval increase in size of the cardiac silhouette. There is a small left pleural effusion. No focal consolidation, pulmonary edema or pneumothorax.", "impression": "Interval increase in size of the cardiac silhouette which may reflect cardiomegaly but a pericardial effusion could have a similar appearance.", "background": "WET READ: ___ ___ 6:31 AM Interval increase in size of the cardiac silhouette which may reflect cardiomegaly but a pericardial effusion could have a similar appearance and could be further evaluated with ECHO if clinically indicated. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with history of severe cardiomypothaty sob and cough // eval for pna and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "54902176", "subject_id": "13588195", "findings": "As compared to prior studies, the left lung demonstrates longstanding diffuse homogeneous opacities characterized as ground glass infiltrations on prior chest CT which appear stable and unchanged. Somewhat heterogeneous opacities on the right have evolved, with increased consolidations in the lateral aspect of the right lung. This process seems to fluctuate on day-to-day basis, based on concurrent cardiac function. These findings may be related to pneumonitis, less likely an infection, and raises the possibility of a drug reaction and/or toxic exposure.", "impression": "Stable diffuse homogeneous opacities in the left lung with heterogeneous right lung opacities and increased right peripheral consolidations which raise the possibility of pneumonitis as a result of a drug reaction and/or toxic exposure initiated in late ___.", "background": "INDICATION: ___-year-old male patient with increased oxygen requirement. Study requested for evaluation of interval change. COMPARISON: Prior chest radiograph from ___ through ___ and chest CT from ___. TECHNIQUE: Portable AP chest radiograph."}, {"study_id": "58057883", "subject_id": "10840861", "findings": "Supine portable frontal chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. No nondisplaced rib fracture or other sequela of acute trauma is identified. The visualized upper abdomen is unremarkable.", "impression": "No sequela of acute trauma visualized. If there is continued concern for rib fracture, dedicated radiographs can be obtained.", "background": "INDICATION: Evaluate for traumatic injury in a patient status post assault. COMPARISON: None."}, {"study_id": "52954041", "subject_id": "13294123", "findings": "Frontal and lateral views of the chest. Again seen are diffusely increased interstitial markings throughout the lungs bilaterally. There is no new confluent consolidation, effusion, or pneumothorax. Previously seen left basilar region of consolidation has essentially resolved. Lung volumes are appropriate. Cardiomediastinal silhouette is within normal limits. The anterior and posterior cervical spinal fixation hardware is partially visualized. No acute osseous abnormality identified.", "impression": "Persistent bilateral interstitial process without evidence of superimposed acute process.", "background": "HISTORY: ___-year-old male with shortness of breath. COMPARISON: ___."}, {"study_id": "53209795", "subject_id": "17065920", "findings": "No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.", "impression": "No acute cardiopulmonary disease including pneumonia.", "background": "HISTORY: ___-year-old woman with well-controlled HIV, and no history of AIDS. Now with 2 week cough consistent with viral bronchitis, subjective fevers. Treatment with amoxicillin. Evaluate for evidence of atypical pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___."}, {"study_id": "51609374", "subject_id": "18315945", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57137795", "subject_id": "18588334", "findings": "Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or vascular congestion. Cardiomediastinal silhouette is normal. No acute osseous abnormality seen.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with cough and wheeze. COMPARISON: None."}, {"study_id": "58955010", "subject_id": "18036964", "findings": "Endotracheal tube tip terminates approximately 3.9 cm from the carina. An enteric tube tip courses below the left hemidiaphragm, into the stomach, and off the inferior borders of the film. Left-sided Port-A-Cath tip terminates in the mid SVC, unchanged. Mild enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. Patchy opacity within the right mid lung field persists. No large pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.", "impression": "Standard positioning of the endotracheal and enteric tubes. Unchanged right mid lung field opacity concerning for pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with post endotracheal tube placement TECHNIQUE: Supine AP view of the chest COMPARISON: Chest radiograph ___ 12:___,, PET-CT ___"}, {"study_id": "54884014", "subject_id": "11060037", "findings": "The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. Minimal degenerative change is seen in the mid thoracic spine.", "impression": "No acute pulmonary process.", "background": "PA AND LATERAL CHEST, ___ AT 17:31 HOURS HISTORY: Hyperglycemia. COMPARISON: None."}, {"study_id": "58365579", "subject_id": "10536742", "findings": "The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no definite pleural effusion or pneumothorax. No focal consolidations are identified. Visualized ossesous structures are grossly unremarkable.", "impression": "No radiographic evidence of an acute cardiopulmonary process. These findings were discussed with ___ by Dr. ___ via telephone on ___ at 10:00 a.m., at the time of discovery.", "background": "INDICATION: ___-year-old man with shortness of breath. Rule out an acute process. COMPARISON: Prior CT torso from ___. TECHNIQUE: Portable AP chest radiograph."}, {"study_id": "56793478", "subject_id": "12938813", "findings": "Lung volumes remain low. Heart size is normal. The mediastinal contours are within normal limits. Crowding of bronchovascular structures is present without overt edema. Patchy left perihilar and bibasilar opacities may reflect atelectasis, but infection is not excluded in the correct clinical setting. No pneumothorax or pleural effusion is present. No displaced fractures are identified. Calcification within the left neck correlates to a calcified nodule in the thyroid gland on CT of the cervical spine.", "impression": "Low lung volumes. Patchy opacities in the left perihilar area and both lung bases are nonspecific, and may reflect areas of atelectasis, but infection in the left lung base cannot be completely in the correct clinical setting.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with recent fall, chest wall tenderness TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None."}, {"study_id": "58913790", "subject_id": "11012243", "findings": "Compared with the prior radiograph, moderate right-sided pleural effusion with adjacent atelectasis has slightly increased in size, with no evidence of left-sided effusion. Cardiomegaly is unchanged. No focal consolidation or pneumothorax.", "impression": "Slightly increased moderate right-sided pleural effusion, without new focal consolidation or pneumothorax.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with R osteomyelitis, acute delirium. Evaluate for interval change. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs of ___ and ___."}, {"study_id": "57177264", "subject_id": "19203652", "findings": "Cardiac silhouette size is mildly enlarged. The aorta is mildly tortuous. The pulmonary vasculature is normal. Hilar contours are unremarkable. Consolidative opacity in the left lower lobe is concerning for pneumonia. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.", "impression": "Left lower lobe pneumonia. Followup radiographs after treatment are recommended to ensure resolution of this finding.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever and cough // PNA TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57208029", "subject_id": "18426561", "findings": "The lung volumes are low. Allowing for that, the cardiac, mediastinal and hilar contours are likely within normal range. There is no pleural effusion or pneumothorax. The lungs appear clear.", "impression": "No evidence of acute cardiopulmonary disease. Low lung volumes.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Syncope. COMPARISON: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "55751960", "subject_id": "13435701", "findings": "There is increased opacity in the right mid and low lung, which could represent effusion or consolidation of the right middle lobe. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. There is atherosclerotic calcification of the aorta. Bony structures appear intact.", "impression": "Increased right mid and low lung opacity could represent consolidation or effusion.", "background": "HISTORY: Shortness of breath. Rule out acute process. TECHNIQUE: Portable AP upright view of the chest was obtained. COMPARISON: Chest radiograph from ___, and MR ___ ___.."}, {"study_id": "54730236", "subject_id": "14943437", "findings": "The lungs are clear, without focal airspace consolidation to suggest pneumonia. Linear atelectasis is seen at the left lung base. A right side IJ catheter tip terminates in the mid SVC. There is no pleural effusion or pneumothorax. Apical pleural thickening is seen. The heart size is normal. Calcifications are present within the aortic arch.", "impression": "Appropriately positioned central line and no evidence for acute infectious process.", "background": "INDICATION: Altered mental status, evaluate for pneumonia. COMPARISONS: None. SINGLE PORTABLE FRONTAL VIEW OF THE"}, {"study_id": "50496817", "subject_id": "12194254", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with syncope, dyspnea on exertion x several days, tachycardia TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "53792826", "subject_id": "11951880", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Unchanged are multiple nodules of moderate size throughout each lung.", "impression": "No evidence of acute process. Unchanged widespread appearance of nodules throughout each lung.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Diffuse lung nodule status post bronchoscopy and biopsy. TECHNIQUE: Chest, portable AP upright. COMPARISON: ___."}, {"study_id": "57889097", "subject_id": "17380809", "findings": "ET tube is in adequate position, ending 3 cm above the carina. Right subclavian line is in lower SVC and NG tube ends in the stomach but still has the side port at the gastroesophageal junction. An aspirated tooth is unchanged in the stomach. Right moderate apicolateral pneumothorax has worsened since previous exam, going from ___.7 to ___.1 mm. The lungs are otherwise clear. Mediastinal and cardiac contours are normal.", "impression": "ET tube is in standard position. Worsening of right moderate pneumothorax. This was discussed with the medical team.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient with recent 2-3cm advancement of ET tube. Assess tube positioning. COMPARISON: Multiple chest x-rays from ___ to ___. CT torso of ___."}, {"study_id": "51056634", "subject_id": "10656785", "findings": "Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The previously seen retrocardiac opacity has resolved. The cardiomediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax.", "impression": "Complete resolution of left lower lobe pneumonia.", "background": "INDICATION: ___ year old man with pneumonia in the fall, evaluate for resolution. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___."}, {"study_id": "51986684", "subject_id": "12544562", "findings": "There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History of chest pain, evaluate for acute process. COMPARISONS: None. TECHNIQUE: PA and lateral chest radiographs were provided."}, {"study_id": "56950170", "subject_id": "14342692", "findings": "Cardiomegaly is accompanied by vascular congestion and development of interstitial edema as well as small bilateral pleural effusions. A cluster of calcifications in the right upper lobe are similar in appearance to a prior chest x-ray of ___ and may be within the pleura or lung parenchyma. Diffuse vascular calcifications are present throughout the thoracic aorta and imaged portion of the abdominal aorta.", "impression": "Diffuse interstitial edema and small pleural effusions.", "background": "AP AND LATERAL CHEST, ___ COMPARISON: ___ radiograph."}, {"study_id": "54918070", "subject_id": "13458107", "findings": "Frontal and lateral views of the chest were obtained. Again seen along the right middle lobe is a large ovoid area of opacity, most likely representing right middle lobe pneumonia. Alternatively, this could represent expanded fluid in the minor fissure. There is persistent elevation of the anterior right hemidiaphragm. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "Persistent right middle lobe opacity, similar in appearance to chest radiographs two days prior, pneumonia versus less likely fluid in expanded fissure. Recommend followup to resolution.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Patient diagnosed two days ago with right middle lobe pneumonia, with severe right-sided chest pain, radiates to the neck. COMPARISON: ___."}, {"study_id": "58578275", "subject_id": "18826099", "findings": "Since prior, taking into account positioning, there is no significant change in moderate cardiomegaly, pulmonary vascular congestion, mild pulmonary edema, and bibasilar atelectasis. Monitoring and support devices are unchanged in position. There is no pneumothorax.", "impression": "No significant interval change in the degree of vascular congestion and mild pulmonary edema.", "background": "INDICATION: ___ year old woman with COPD, ESRD, pulm edema, PNA, intubated, evaluate for interval change. TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiographs from ___ through ___."}, {"study_id": "53080095", "subject_id": "18203391", "findings": "Single AP upright portable view of the chest was obtained. There are low lung volumes, which accentuate the bronchovascular markings. Left lower chest implanted neurostimulator is again seen and obscures the left costophrenic angle. There is bibasilar atelectasis. Patchy left base retrocardiac opacity could be due to atelectasis; however, underlying consolidation due to aspiration or infection not excluded. No large pleural effusion is seen but trace pleural effusions would be difficult to exclude. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "Low lung volumes, which accentuate the bronchovascular markings. Basilar atelectasis. Subtle patchy left base retrocardiac opacity may be due to atelectasis, although an early consolidation due to aspiration or infection is not excluded.", "background": "EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Seizure. COMPARISON: ___."}, {"study_id": "57995629", "subject_id": "15921856", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // Acute process TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57991093", "subject_id": "18148620", "findings": "Frontal and lateral views of the chest. Low lung volumes are noted. Exam is also somewhat limited also due to patient body habitus. There is a likely acute right lateral rib fracture with apparent displacement of a rib fracture fragment. There is associated small right sided effusion, potentially hemothorax given setting. No definite pneumothorax. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No other acute osseous abnormality detected.", "impression": "Right lateral rib fractures which appear displaced with small associated effusion, potentially hemothorax. No pneumothorax.", "background": "HISTORY: ___-year-old female status post ___. COMPARISON: None."}, {"study_id": "54210389", "subject_id": "11668755", "findings": "Frontal and lateral views of the chest were obtained. There has been no significant interval change. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac, mediastinal, and hilar contours are stable.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Altered mental status. COMPARISON: ___."}, {"study_id": "58013599", "subject_id": "16087436", "findings": "A tracheostomy has been inserted into to upper airway. A left-sided PICC line remains at ]the confluence of the left brachiocephalic and SVC. The lungs are well inflated. Bibasilar atelectasis is not significantly changed. No effusion or pneumothorax is present.", "impression": "Tracheostomy in expected position.", "background": "INDICATION: ___-year-old man with trach. COMPARISONS: ___ to ___."}, {"study_id": "59905387", "subject_id": "10721207", "findings": "There has been no significant interval change. The lungs are clear without focal consolidation or definite effusion. Cardiomediastinal silhouette is stable. Tortuosity of the thoracic aorta with atherosclerotic calcifications noted. Retrocardiac opacity is compatible with a moderate-sized hiatal hernia. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with s/p fall // eval for acute process TECHNIQUE: AP and lateral views the chest. COMPARISON: ___."}, {"study_id": "54998185", "subject_id": "17160734", "findings": "Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. No osseous injury is detected.", "impression": "No acute cardiopulmonary process. No evidence of rib fracture. In the setting of high clinical suspicion for a rib fracture, consider rib series for further assessment.", "background": "INDICATION: Patient status post motor vehicle accident. Assess for rib injury. COMPARISONS: None available."}, {"study_id": "55135720", "subject_id": "18682607", "findings": "The lungs appear clear; the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.", "impression": "No acute cardiothoracic process.", "background": "INDICATION: ___-year-old man with seizure. Please assess for aspiration. TECHNIQUE: Single AP semi-upright radiograph of the chest was obtained. COMPARISON: There are no comparison studies available."}, {"study_id": "58656590", "subject_id": "10099480", "findings": "Mild pulmonary edema has improved, however there is residual interstitial abnormality which may be appreciated on CT dated ___. Pacemaker is seen with leads terminating in the right atrium and right ventricle without signs of pneumothorax. Cardiomediastinal silhouette is unchanged from radiograph dated ___.", "impression": "Mild pulmonary edema has improved but residual interstitial abnormality remains. Consider repeating CT if patient starts to do poorly given the prior findings (CT dated ___) of multifocal peribronchial consolidation.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with SSS s/p pacemaker via L subclavian vein // lead position, pneumothorax lead position, pneumothorax TECHNIQUE: Comparison chest radiographs ___ through ___ PA and lateral chest views COMPARISON: Radiographs dating back to ___. CT dated ___"}, {"study_id": "52405909", "subject_id": "19818127", "findings": "New compared to prior older exam is hazy right midlung opacity seen on the frontal view. Increased opacity projecting over the hilar region on the lateral view is also new and may correspond a finding on the frontal view. Biapical scarring is grossly unchanged. The cardiac silhouette is enlarged but similar compared to prior. Markedly tortuous thoracic aorta is noted. Left chest wall dual lead pacing device is again noted. Right-sided dual lumen central venous catheter seen with tip projecting over the proximal right atrium. There is no pleural effusion. Compression deformity in the mid thoracic spine is new since ___ but is age indeterminate.", "impression": "Hazy right midlung opacity which could represent infection in the proper clinical setting. Severe mid thoracic compression deformity new since ___ but age indeterminate, to be correlated clinically.", "background": "WET READ: ___ ___ ___ 6:30 PM Hazy right midlung opacity which could represent infection in the proper clinical setting. Severe mid thoracic compression deformity new since ___ but age indeterminate, to be correlated clinically. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with tachypnea and hypoxia // PNA? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Film from earlier the same day at 15:32. Chest x-ray from ___."}, {"study_id": "56159415", "subject_id": "12017780", "findings": "Lung volumes are slightly low. There is no focal consolidation, effusion, or edema. Vague opacity projecting over the right mid to upper lung is compatible with a lipoma seen on remote prior CT. Cardiac silhouette is within normal limits. Atherosclerotic calcifications noted in the thoracic aorta. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with dementia, presents with AMS and stool incontinence // eval for pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___, ___ chest x-ray and chest CT. ."}, {"study_id": "52588218", "subject_id": "16977075", "findings": "PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A BB marks the site of maximal pain along the left lower chest wall. No definite fracture is seen. No free air below the right hemidiaphragm.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with intermittent left cp COMPARISON: None"}, {"study_id": "50278944", "subject_id": "19394918", "findings": "The cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing top normal. The pulmonary vascularity is normal. Linear opacities within both lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.", "impression": "Subsegmental atelectasis in both lung bases.", "background": "HISTORY: Palpitations for 2 weeks. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "51078071", "subject_id": "10800546", "findings": "AP and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. There are bibasilar opacities which most likely relate to atelectasis, underlying aspiration may be present. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top normal. There is mild anterolisthesis of a lower thoracic vertebral body and over the vertebral bodies inferior to it. Surgical clips in the upper abdomen.", "impression": "Flattening of the diaphragms suggests chronic obstructive pulmonary disease. Mild bibasilar opacities may be due to atelectasis or mild aspiration.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of hyperglycemia. COMPARISON: None."}, {"study_id": "51525892", "subject_id": "18386349", "findings": "There is no focal consolidation, pleural effusion or pneumothorax. No overt pulmonary edema. There is likely atelectasis at the left lung base. Heart size is moderately enlarged. Calcifications are noted at the aortic arch. No acute osseous abnormalities detected.", "impression": "Moderate cardiomegaly, without cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with AMS // Please eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "51560087", "subject_id": "15786954", "findings": "A new right-sided chest tube has been placed. A left-sided chest tube appears unchanged. A central venous catheter again terminates in the right atrium. There is a persistent widespread interstitial abnormality as well as at least one substantial nodule projecting over the right mid lung, as well as suspected additional ones. Streaky opacities at the left lung base are not specific but may be compatible with coinciding atelectasis. Fissures are thickened. There has been a large decrease in a right pleural effusion, now small to moderate in size. A small pleural effusion is difficult to exclude on the left. There is no pneumothorax.", "impression": "Marked decrease in right pleural effusion after chest tube placement; otherwise no definite change.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Status post placement of right pleural catheter. COMPARISON: Earlier on the same day. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "56958856", "subject_id": "16178757", "findings": "Single AP portable view of the chest. Compared to prior exams, there has been no significant interval change. The lungs are clear of confluent consolidation, large effusion, or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable in configuration. Densemitral annular calcifications are again noted. Multiple posterior right rib fractures are again noted. Known compression deformities in the thoracic spine are not well seen on this portable view.", "impression": "No significant change from earlier the same day.", "background": "HISTORY: ___-year-old female with complete heart block, pneumonia. COMPARISON: Multiple prior exams including most recent chest x-ray from earlier the same day."}, {"study_id": "57761248", "subject_id": "12840655", "findings": "Heart size is mildly enlarged. Upper mediastinal contours are normal. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax. Osseous structures appear intact. No free air below the right hemidiaphragm.", "impression": "Mild cardiomegaly, otherwise unremarkable.", "background": "INDICATION: ___F with dizziness // infiltrate? COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "52655341", "subject_id": "10827966", "findings": "PA and lateral images of the chest. The lungs are well expanded. There is mild pulmonary vascular congestion, improved from prior exam. Mild interstitial abnormality is again noted, unchanged from prior exam. Moderate to severe cardiomegaly is seen. No pleural effusion or pneumothorax is detected. Spine changes consistent with renal osteodystrophy are noted.", "impression": "Mild pulmonary vascular congestion, improved from prior exam. Moderate to severe cardiomegaly.", "background": "HISTORY: On hemodialysis with cough and crackles in lungs. COMPARISON: Comparison is made with chest radiographs from ___ and ___ appear"}, {"study_id": "51951718", "subject_id": "13081912", "findings": "The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.", "impression": "No evidence of pleural effusion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with gallstone pancreatitis. Pleural effusion? TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "52927866", "subject_id": "16875475", "findings": "There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No evidence of free air below the diaphragm.", "impression": "No evidence of pulmonary edema or acute cardiopulmonary process.", "background": "EXAMINATION: Frontal and lateral chest radiograph INDICATION: ___F with history of hypertension presents with chest discomfort, dyspnea, orthopnea and headache. Evaluate for pulmonary edema or other acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "59818064", "subject_id": "15066203", "findings": "Left pectoral pacemaker defibrillator device intact and unchanged. Bilateral lower lobe predominant opacities with air bronchograms are slightly worse even when accounting for interval decrease in lung volumes, likely reflecting development of moderate to severe edema in the setting of cardiomegaly and central pulmonary vascular prominence. Concurrent multifocal pneumonia cannot be excluded. No large pleural effusion. No pneumothorax.", "impression": "Volume overload, however concurrent multifocal pneumonia cannot be excluded.", "background": "EXAMINATION: Chest radiograph INDICATION: ___M w/CP and SOB // ___M w/CP and SOB TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ at 08:15."}, {"study_id": "54109821", "subject_id": "17460070", "findings": "Lung volumes are very low, exaggerating cardiomediastinal silhouette and pulmonary vascular markings. Linear density in the right lower lung field likely represents atelectasis. The patient's chin obscures the medial portions of the lung apices. On this limited study, no pleural effusion or pneumothorax is detected. Lower thoracic vertebra plana is chronic. Right humeral head hardware is noted. Diffuse bony mottling is likely secondary to myeloma.", "impression": "Markedly low lung volumes, limiting evaluation, with right lung atelectasis.", "background": "HISTORY: ___-year-old male with multiple myeloma and weakness. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position."}, {"study_id": "54249610", "subject_id": "10996711", "findings": "AP single view of the chest was obtained with patient in supine position. Comparison is made with the next preceding portable chest examination with patient in upright position dated ___. On this supine positioned patient, diaphragms are relatively high positioned obscuring partially the cardiac silhouettes. There is still no evidence of cardiac enlargement and no pulmonary congestive pattern is identified. No acute parenchymal infiltrates are seen and no pneumothorax can be identified in the apical area.The pleural sinuses remain free.", "impression": "Stable chest findings. No evidence of cardiac enlargement, pulmonary congestion or acute infiltrates as has been assessed on single view examination with patient in supine position.", "background": "TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with recent hip fracture, now with acute desaturation, presence of evolving infiltrate versus pulmonary edema."}, {"study_id": "55076013", "subject_id": "17979593", "findings": "The cardiomediastinal and hilar contours are within normal limits and stable. There is no focal consolidation or pleural effusion. No pneumothorax. There may be trace atelectasis the basal left lung. No free intraperitoneal air.", "impression": "No acute cardiopulmonary process. No free intraperitoneal air.", "background": "EXAMINATION: Chest radiograph INDICATION: ___F with epigastric pain, dyspnea // evaluate for free air, cardiomegaly TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs the most recent on ___"}, {"study_id": "58798919", "subject_id": "15345462", "findings": "Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with substernal CP // PNA? TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "53208210", "subject_id": "15630724", "findings": "Since ___, small left pleural effusion is increased, small right pleural effusion is new, moderate retrocardiac and right basilar atelectasis are unchanged. The left pacemaker is in the appropriate position. The heart size is mildly enlarged. No pneumothorax.", "impression": "Small left pleural effusions increase, small right pleural effusion is new, and moderate retrocardiac and right basilar atelectasis are unchanged since ___.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old man 1 day s/p chest tube pull // recurrence effusion? TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___"}, {"study_id": "51381146", "subject_id": "11011770", "findings": "Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. GJ a tube with tip projecting over the right abdomen. Surgical clips are seen in the right upper quadrant.", "impression": "No evidence of acute process.", "background": "INDICATION: History: ___M with cough // acute process TECHNIQUE: Chest PA and lateral COMPARISON: None"}, {"study_id": "57652932", "subject_id": "11383085", "findings": "Left PICC tip is seen in the mid SVC with tip 1 cm below the level of the carina. The lungs are fully expanded and clear. Pleural surfaces are normal without pneumothorax. Heart size, mediastinal contour and hila are normal. Visualized osseous structures are unremarkable.", "impression": "Left PICC tip is in mid SVC.", "background": "HISTORY: Clogged PICC line. Assess PICC placement. COMPARISON: Chest radiograph ___. TECHNIQUE: Single upright AP chest radiograph."}, {"study_id": "54350989", "subject_id": "18139977", "findings": "A large-bore dual-lumen dialysis catheter is in stable course and position from a right internal jugular approach. Lung volumes are diminished. No consolidation or edema is evident. There is hemidiaphragm flattening suggestive of underlying obstructive lung disease. Aortic tortuosity is again noted but stable. The cardiac silhouette remains within normal limits for size. There is subtle blunting of the right costophrenic angle posteriorly which may indicate a small effusion. No large effusion is noted. There is no pneumothorax. Mild degenerative disease is seen in the mid thoracic spine.", "impression": "Underlying COPD. No definite superimposed acute process. Stable dialysis catheter.", "background": "PA AND LATERAL CHEST, ___ AT ___ HOURS. HISTORY: Chronic kidney disease with new chest pain. COMPARISON: Multiple priors, the most recent dated ___."}, {"study_id": "55796898", "subject_id": "10767284", "findings": "PA and lateral chest radiographs were obtained. The lungs are well inflated and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Aortic arch calcifications are mild.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old woman with shortness of breath, chest pain, and productive cough. COMPARISONS: ___ to ___."}, {"study_id": "52310293", "subject_id": "16387509", "findings": "Pleural calcifications suggesting prior asbestos exposure are unchanged. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "No acute cardiopulmonary process. Unchanged asbestos related pleural plaques.", "background": "WET READ: ___ ___ ___ 2:18 PM 1. No acute cardiopulmonary process. 2. Unchanged asbestos related pleural plaques. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with hypotension follow evaluate for pneumonia TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___."}, {"study_id": "50250406", "subject_id": "10529502", "findings": "The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.", "impression": "No evidence of acute cardiopulmonary process.", "background": "HISTORY: Chest tightness TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___."}, {"study_id": "59298696", "subject_id": "14397935", "findings": "Portable frontal radiograph of the chest demonstrates low lung volumes. Heart size is normal with normal mediastinal and hilar contours. Focal opacity at the left lung base. No pleural effusion or pneumothorax.", "impression": "Focal opacity at the left lung base could reflect atelectasis, aspiration or pre-existing mass. Recommendation further evaluation with conventional PA and lateral radiographs.", "background": "INDICATION: History: ___M with chest pain. // acute process COMPARISON: Reference chest radiograph dated ___"}, {"study_id": "56032010", "subject_id": "14895934", "findings": "Right-sided central line is present, tip over mid SVC. The heart is not enlarged. The aorta is mildly tortuous, with slight prominence of the ascending aorta. No CHF, focal infiltrate or effusion is identified. Curvilinear density at the left lung base laterally is seen. This is similar to findings on a chest x-ray from ___ and therefore likely represents atelectasis and/or scarring. Incidental note is made of an orthopedic anchor in the left humeral head.", "impression": "Probable atelectasis/scarring at the left base. Doubt penumonia. Otherwise, no evidence of focal infiltrate. If symptoms worsen, consider repeat chest x-ray to assess for any evolution at the left lung base.", "background": "WET READ: ___ ___ ___ 10:01 PM No evidence of pneumonia. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: Myeloma, d+5 auto SCT, new neutropenic fever, question infection. CHEST, SINGLE AP PORTABLE"}, {"study_id": "59126297", "subject_id": "12772049", "findings": "The right pleural effusion is decreased in size status post thoracentesis with residual small amount of pleural fluid still obscuring the right hemidiaphragm. There is no definitive evidence of pneumothorax. Opacification at the right lung apex and volume loss in the right hemithorax is unchanged and represents stable postoperative appearance. The left lung is relatively clear. The cardiomediastinal silhouette is stable.", "impression": "Decreased right pleural effusion status post thoracentesis with residual small effusion. No definitive evidence of pneumothorax. Otherwise, stable appearance of the chest.", "background": "INDICATION: Right pleural effusion status post thoracentesis, here to evaluate for pneumothorax. COMPARISON: Chest radiograph performed earlier the same day at 12:08 p.m. TECHNIQUE: Portable upright AP radiograph of the chest."}, {"study_id": "55125513", "subject_id": "17126101", "findings": "The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. There is new subcutaneous emphysema in the left chest wall.", "impression": "New subcutaneous emphysema in the left chest wall of unclear etiology.No pneumothorax.", "background": "INDICATION: ___ year old man with new onset tachycardia // ? pneumothorax TECHNIQUE: Portable chest COMPARISON: ___"}, {"study_id": "54915605", "subject_id": "15021356", "findings": "The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Bibasilar consolidations seen on both the frontal and lateral views are concerning for multifocal pneumonia versus aspiration. Pulmonary vasculature is within normal limits.", "impression": "Bibasilar consolidations consistent with multifocal pneumonia versus aspiration. Pulmonary embolism is considered less likely given bilaterality of the findings. Dr. ___ ___ these results with Dr. ___ on ___ at 3:20 PM via telephone.", "background": "INDICATION: Chest pain. COMPARISON: None."}, {"study_id": "59518314", "subject_id": "10768869", "findings": "Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms and increased AP diameter, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen in the upper-to-mid thoracic spine.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Sinus tachycardia, cough. COMPARISON: None."}, {"study_id": "58312315", "subject_id": "14108973", "findings": "The heart size is normal. Small left pleural effusion has increased in size compared to the prior exam. The hilar and mediastinal contours are stable. The lungs are otherwise clear without evidence of focal consolidations concerning for pneumonia. There is mild left basilar atelectasis. Left-sided pacer leads are in appropriate position. The visualized osseous structures are unremarkable.", "impression": "Interval increase in a small left pleural effusion with adjacent atelectasis.", "background": "INDICATION: History of pleural effusions. Please evaluate. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest."}, {"study_id": "58193276", "subject_id": "10677118", "findings": "Endotracheal tube is 6.4 cm above the carina. An enteric tube terminates in the stomach. Right internal jugular is within the distal superior vena cava. The dense consolidation within the lingula appears unchanged. Further aeration of the left upper lobe likely reflects resolving edema and mild to moderate pulmonary edema persists. The bilateral small pleural effusions are unchanged. Moderate cardiomegaly is stable. Mediastinal contours are unremarkable.", "impression": "Improving aeration of the left upper lobe more likely reflects minimal improvement in pulmonary edema.", "background": "HISTORY: Pneumonia. TECHNIQUE: Portable supine frontal chest radiograph. COMPARISON: Chest radiographs ___ and ___. Chest CT ___."}, {"study_id": "56485916", "subject_id": "17116462", "findings": "The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluation of the patient status post trauma. COMPARISON: Shoulder radiographs from the same day."}, {"study_id": "50532869", "subject_id": "18835055", "findings": "Basilar predominant interstitial opacities may be related to chronic mild edema or interstitial lung disease. No superimposed confluent consolidation is identified. There is no acute pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. A thin hyperdense catheter/lead projects over the right upper lung. No chest mass is identified.", "impression": "No acute cardiopulmonary process. No chest mass.", "background": "HISTORY: ___-year-old male with CLL. Assess for mass in chest. COMPARISON: None available. PA AND LATERAL CHEST"}, {"study_id": "54332433", "subject_id": "14744538", "findings": "A left dual lead pacemaker is present with tips terminating in the right atrium and right ventricle as expected. Heart size is top normal. Mediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia. Mild bibasilar atelectasis is present. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.", "impression": "Mild bibasilar atelectasis. No pneumonia.", "background": "INDICATION: History: ___F with confusion // Eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "50198577", "subject_id": "16051354", "findings": "PA and lateral views of the chest. The lungs are clear of focal consolidation orsignificant effusion. The cardiomediastinal silhouette is within normal limits. Changes seen in the spine without acute osseous abnormality.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old male with left facial droop. Question stroke. COMPARISON: None."}, {"study_id": "58960501", "subject_id": "19996762", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with presyncope, chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "51046082", "subject_id": "13455616", "findings": "PA and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valves again noted. The lungs are clear. 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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, dyspnea COMPARISON: ___"}, {"study_id": "51036707", "subject_id": "12678882", "findings": "There is no pneumonia. Moderate cardiac enlargement is slowly progressing since ___ and slightly increased since ___ with right atrial enlargement. Pulmonary arteries are slightly more prominent due to mild cardiac decompensation without pulmonary edema. There is no pleural effusion or pneumothorax.", "impression": "There is no pneumonia. Progressive cardiac enlargement since ___.", "background": "PA AND LATERAL CHEST X-RAY INDICATION: Patient with multiple medical problems including end-stage renal disease, presenting with cough and chest pain, rule out pneumonia. COMPARISON: Chest x-ray from ___ through ___."}, {"study_id": "56679121", "subject_id": "18745306", "findings": "There is a dense round consolidation in the superior segment of the left lower lobe consistent with pneumonia. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.", "impression": "Left lower lobe pneumonia. Followup to resolution recommended to exclude underlying lesion.", "background": "INDICATION: Productive cough. TECHNIQUE: Two views of the chest. COMPARISON: None available."}, {"study_id": "57137102", "subject_id": "19066203", "findings": "There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough and feverpls eval pna // History: ___F with cough and feverpls eval pna TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "52384319", "subject_id": "17035507", "findings": "The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Chronic left lateral rib fractures are noted.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph INDICATION: ___M with chest pain // ? acute cardipulm process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___"}, {"study_id": "58577720", "subject_id": "10500801", "findings": "Large right-sided pneumothorax is demonstrated with leftward shift of mediastinal structures compatible with tension. The left lung is hyperinflated with evidence of emphysema. No pleural effusion or pulmonary vascular congestion is seen. The heart size is normal. The mediastinal contours are unremarkable. Streaky linear opacities within the visualized left lung likely reflect bronchiectasis. There are multilevel degenerative changes in the thoracic spine.", "impression": "Large right-sided pneumothorax with mild leftward shift of mediastinal structures indicative of tension. Findings discussed with Dr. ___ by Dr. ___ ___ phone on ___ at 2:31 p.m.", "background": "INDICATION: Shortness of breath on the right side. COMPARISON: Chest CTA ___ and chest radiograph ___. PA AND LATERAL VIEWS OF THE"}, {"study_id": "50562834", "subject_id": "11459626", "findings": "There is prominence of the interstitial markings. tcardiomegaly or pleural effusions. The mediastinal silhouette and hila are normal. There are moderate atherosclerotic calcifications of the aortic arch. There is no focal lung consolidation. There is no pneumothorax.", "impression": "Prominence of the interstitial markings, likely due to mild pulmonary edema. No acute cardiothoracic process.", "background": "INDICATION: ___-year-old with epigastric pain, please assess for acute process. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: No prior studies for comparison available."}, {"study_id": "52538826", "subject_id": "11951880", "findings": "AP view of the chest provided. The right-sided chest tube has been removed. There may be a tiny right apical pneumothorax. Diffuse bilateral nodular opacifications are unchanged.", "impression": "Probable tiny right apical pneumothorax.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p r vats wedge resection, had chest tube pulled COMPARISON: Chest radiograph from earlier today."}, {"study_id": "56815063", "subject_id": "19014190", "findings": "Small bilateral pleural effusions are not significantly changed compared to the prior chest radiograph from ___. Moderate left and mild-to-moderate right basilar atelectasis is also not significantly changed. Mild cardiomegaly is unchanged. The mediastinal contours are normal. There is no pneumothorax. A left PICC ends in the mid SVC, as before. There is evidence of prior mitral valve annuloplasty. Midline sternotomy wires and multiple mediastinal surgical clips are again noted. Skin ___ overlie the thoracic midline, unchanged.", "impression": "No significant interval change in small bilateral pleural effusions or left greater than right bibasilar atelectasis.", "background": "INDICATION: Status post revision of MVR/TVR, now with shortness of breath. Assess for interval change. COMPARISONS: Multiple prior chest radiographs dating back through ___, including the most recent study from ___."}, {"study_id": "56222149", "subject_id": "12518177", "findings": "Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Apart from subsegmental atelectasis in the left lung base, the lungs are clear. No large pleural effusion or pneumothorax is seen although the extreme right costophrenic angle is excluded from the field of view. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Syncope, recent ablation. COMPARISON: None available. TECHNIQUE: Portable AP upright chest radiograph."}, {"study_id": "56514709", "subject_id": "19686602", "findings": "2 views were obtained of the chest. A BB marker indicates the site of pain in the left upper quadrant. No focal consolidation, pleural effusion or pneumothorax is seen. The heart and mediastinal contours are unremarkable. No displaced rib fractures are identified. If there is a clinical basis to suspect chest cage trauma and the need to document that radiographically, detail views of marked regions of clinical findings should be requested.", "impression": "No acute intrathoracic process.", "background": "HISTORY: Rib pain, assess for fracture. COMPARISON: ___."}, {"study_id": "56496261", "subject_id": "11840556", "findings": "Chest tubes have been removed. Skin fold versus tiny left costophrenic angle pneumothorax. Worsened left basilar consolidation, right basilar opacities, may represent atelectasis, consider pneumonitis in the appropriate clinical setting. There are small pleural effusions, similar. Heart size is difficult to determine given basilar consolidation. Pulmonary vascularity has improved. Right PICC line tip in the upper right atrium.", "impression": "Tiny left costophrenic angle pneumothorax versus skin fold. Worsened bibasilar opacities, likely atelectasis, consider pneumonitis in the appropriate clinical setting. Small pleural effusions.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman POD#___ s/p L VATS decortication, now s/p CT pull // pls eval for interval change s/p chest tube D/CPlease perform at ___, 4hrs post-pull of CT TECHNIQUE: Chest two views COMPARISON: ___ 16:47"}, {"study_id": "59366591", "subject_id": "14715644", "findings": "New Dobbhoff tube ends in the mid esophagus past the level of the carina. There is no pleural effusion or pneumothorax. The lungs are otherwise clear in this patient with previous healed left rib fractures.", "impression": "New Dobbhoff tube ends in the mid esophagus. This was discussed with Dr. ___ at the time of the finding at 9:20 a.m.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient with recurrent cirrhosis, malnutrition and Dobhoff malfunction. COMPARISON: ___."}, {"study_id": "54671325", "subject_id": "11388341", "findings": "The patient is status post revision sternotomy. The tip of the endotracheal tube projects 3.4 cm from the carina. A gastric tube extends into the stomach. The tip of the left PICC line likely extends to the cavoatrial junction. A left internal jugular sheath is in situ. Multiple mediastinal drains and chest tubes are present. The size the cardiac silhouette is enlarged but unchanged. There is a retrocardiac opacity which likely reflects a combination of pleural fluid and atelectasis. No discrete pneumothorax identified. The right lung is grossly clear.", "impression": "Status post revision median sternotomy. No discrete pneumothorax identified. Retrocardiac opacities likely reflect a combination of pleural fluid and atelectasis.", "background": "INDICATION: ___ year old woman s/p chest closure/pec flaps // post-op TECHNIQUE: AP portable chest radiograph COMPARISON: ___"}, {"study_id": "56124278", "subject_id": "19193700", "findings": "Cardiomegaly is again noted with mild pulmonary edema and bilateral small pleural effusions. Mediastinal and hilar prominence due to known lymphadenopathy is grossly stable. There is diffuse sclerosis of the visible osseous structures.", "impression": "Cardiomegaly and mild edema with small effusions.", "background": "INDICATION: ___-year-old male with end-stage renal disease and weight gain, clogged hemodialysis line, question acute process. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE"}, {"study_id": "54501618", "subject_id": "15615259", "findings": "Bilateral hyperinflated lungs again noted consistent with patient's history of COPD. No focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Calcified aneurysm of the posterior left ventricle again noted. Stable cardiomegaly. Bibasilar reticular opacities are stable.", "impression": "No significant interval change since ___. No evidence of new opacities or new lesions", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with more prominent crackles bibasilar than on previous exam. does have history of smoking and chronic cough. // rule out new opacities or findings to explain new physical exam findings. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___."}, {"study_id": "51846649", "subject_id": "10664400", "findings": "No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.", "impression": "No acute cardiopulmonary process. No significant interval change.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with chest pain, s/p clean coronary cath // eval for new effusion or pneumo TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "51362634", "subject_id": "14027315", "findings": "PA and lateral views of chest demonstrate clear lungs. Cardiac size is normal. No pleural effusion or pneumothorax.", "impression": "No evidence of pneumonia.", "background": "HISTORY: Fever. COMPARISON: None."}, {"study_id": "53488013", "subject_id": "11853860", "findings": "There are no consolidations, pleural effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute intra-pulmonary process.", "background": "EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old man with cough // ___ year old man with cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "52287432", "subject_id": "19224716", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___"}, {"study_id": "52834272", "subject_id": "10677118", "findings": "Single portable view of the chest demonstrates a large left upper lobe partially ground-glass consolidation consistent with pneumonia. There is also a left pleural effusion. Cardiomegaly is stable. The patient is status post median sternotomy. The right lung is well aerated although there is a small right effusion as well. Endotracheal tube appears to terminate with its tip at the origin of the right mainstem and should be retracted for better positioning. NG tube reaches the stomach however the last port is above the GE junction.", "impression": "ET tube in the right mainstem bronchus. This should be retracted for better positioning. NG tube should be advanced. Findings discussed with ___ at 14:52. - ___ VIA TELEPHONE", "background": "HISTORY: Pneumonia. New ETT. COMPARISON: CT from ___ finding"}, {"study_id": "56732589", "subject_id": "12623657", "findings": "Lateral view is slightly suboptimal due to patient motion.There may be minimal pulmonary vascular congestion. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable.", "impression": "Possible minimal pulmonary vascular congestion. No focal consolidation to suggest pneumonia.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with increase seizure activity // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "51222089", "subject_id": "18222456", "findings": "Assessment of the chest is slightly limited by patient rotation. Heart size is within normal size limits. The aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic knob. The pulmonary vasculature is normal. Lung volumes are lower compared to the previous exam. Patchy opacities within the lung bases, more so on the left, may reflect areas of atelectasis, but infection cannot be completely excluded in the left lung base. There may be a trace right pleural effusion. No pneumothorax is demonstrated. Biapical pleural thickening and calcification are unchanged. The osseous structures are diffusely demineralized.", "impression": "Patchy opacities in the lung bases, more so on the left, may reflect areas of atelectasis but infection is difficult to exclude in the left lung base. Possible trace right pleural effusion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with right lower quadrant pain, but with transient radiation to chest TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "50379794", "subject_id": "11210936", "findings": "PA and lateral views of the chest provided. Cardiomegaly is mild. Hilar congestion and mild pulmonary edema noted. No large effusion or pneumothorax. No convincing evidence for pneumonia. Bony structures are intact. Clips in the upper abdomen noted.", "impression": "Cardiomegaly with mild pulmonary edema.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with AMS COMPARISON: None"}, {"study_id": "50762309", "subject_id": "19844485", "findings": "There is stable moderate cardiomegaly. The mediastinal contour is stable. There is a persistent right pleural effusion with associated atelectasis. There is also some mild left base atelectasis as well as mild interstitial edema.", "impression": "Persistent right pleural effusion and atelectasis.", "background": "WET READ: ___ ___ 7:32 PM Persistent moderate right pleural effusion and underlying consolidation. Possible mild interstitial edema, slightly increased compared to prior. Low lung volumes with bilateral perihilar atelectasis. Discussed with Dr. ___ ___ by phone at 7:30 p.m. on ___ at time of initial review of the study. ______________________________________________________________________________ FINAL REPORT STUDY: Portable AP chest radiograph. COMPARISON EXAM: Portable AP chest x-ray ___, PA and lateral chest x-ray ___. INDICATION: ___-year-old with wheezing and pleural effusions."}, {"study_id": "50874322", "subject_id": "12171843", "findings": "There is an opacity in the right posterior lung could be a pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "Right lower lobe opacity could be a pneumonia.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with bacteremia, rule out pneumonia. // consolidations? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest PA and lateral ___."}, {"study_id": "53172809", "subject_id": "10438541", "findings": "A new Dobbhoff tube is present, with the tip in the stomach. Otherwise, there is little change since the prior exam. There is a stable moderate left pleural effusion and left basilar atelectasis. Mild pulmonary edema is unchanged. There is no new opacity. No pneumothorax is identified. The mediastinal contours are normal. The heart is mildly enlarged.", "impression": "Dobbhoff tube with the tip in the stomach. Otherwise no change.", "background": "WET READ: ___ ___ ___ 9:50 AM NG tube courses into the stomach. The lungs are unchanged from 6 hr prior. WET READ VERSION #___ ___ ___ ___ 7:23 PM NG tube courses into the stomach. The lungs are unchanged from 6 hr prior. ______________________________________________________________________________ FINAL REPORT INDICATION: New NG tube. Evaluate placement TECHNIQUE: Single upright AP view of the chest. COMPARISON: Chest radiograph from ___ at 12:26."}, {"study_id": "52700332", "subject_id": "11084430", "findings": "Lung volumes are improved. Patchy right basilar opacities are similar to prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is top-normal. No free air below the right hemidiaphragm is seen. The left hilum is prominent, likely due to the enlarged main pulmonary artery seen on prior CT.", "impression": "Right basilar atelectasis. No pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with CP // eval for infiltrate, COMPARISON: CTA chest ___, chest radiographs ___"}, {"study_id": "58969667", "subject_id": "12239834", "findings": "Compared with the prior radiograph, the heart is enlarged with bilateral pleural effusions, and likely bibasilar atelectasis, with indistinctness of the pulmonary vessels, cephalization, and a widened vascular pedicle, suggesting pulmonary edema from congestive heart failure. There is no focal consolidation concerning for pneumonia or pneumothorax.", "impression": "Bilateral pleural effusions, cardiomegaly, and indistinct pulmonary vessels suggest pulmonary edema from congestive heart failure.", "background": "EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old woman with shortness of breath x 1 month. R/o consolidation, inflitrate. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, and ___."}, {"study_id": "55765928", "subject_id": "11037491", "findings": "PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No acute findings in the chest.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Dyspnea, cough, assess pneumonia."}, {"study_id": "56785924", "subject_id": "18661100", "findings": "The lungs are clear without consolidation, large effusion, or overt pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with DOE // PNA? Pulmonary edema? TECHNIQUE: Single supine view of the chest. COMPARISON: ___."}, {"study_id": "58035253", "subject_id": "15462932", "findings": "Mild cardiomegaly is stable overall compared to the prior exam from ___. There may be mild pulmonary vascular congestion; otherwise, the hilar and mediastinal contours are normal. There is no large pleural effusion or pneumothorax. Possible enlarged thyroid gland, for which a thyroid ultrasound is recommended for further evaluation.", "impression": "Mild pulmonary edema concerning for heart failure. Possible enlarged thyroid gland, for which a non-urgent thyroid ultrasound is recommended for further evaluation.", "background": "WET READ: ___ ___ ___ 10:45 AM 1. Mild pulmonary edema concerning for heart failure. 2. Possible enlarged thyroid gland, for which a non-urgent thyroid ultrasound is recommended for further evaluation. ______________________________________________________________________________ FINAL REPORT INDICATION: History of weakness, please evaluate for acute process. COMPARISONS: Chest radiograph from ___. TECHNIQUE: AP and lateral radiographs of the chest."}, {"study_id": "50486578", "subject_id": "14818787", "findings": "PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema, pleural effusion, or pneumothorax. Imaged upper abdomen osseous structures are without an acute abnormality.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "58430901", "subject_id": "12983186", "findings": "Semi-upright portable AP view of the chest was provided. Diffuse ground-glass opacity within the lungs could reflect the presence of atypical pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact.", "impression": "Diffuse ground-glass opacities within the lungs could reflect an atypical pneumonia. Please correlate clinically.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ Comparison made with a prior study from ___. CLINICAL HISTORY: HIV, hep C, presents with fever, question pneumonia."}, {"study_id": "51649494", "subject_id": "14530333", "findings": "NG tube is difficult to visualize; however, appears to be coursing below the diaphragm likely within the stomach. The patient is status post median sternotomy. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac size appears enlarged, but unchanged from the prior exam. Osseous structures are intact.", "impression": "NG tube tip likely within the stomach.", "background": "INDICATION: ___-year-old man with upper GI bleed. Evaluate for NG tube position. COMPARISON: PA and lateral chest radiograph from ___. TECHNIQUE: Two portable chest radiographs were provided."}, {"study_id": "55232353", "subject_id": "14936098", "findings": "AP, upright and lateral views of the chest were obtained. Dual-lead pacer is seen projecting over the left chest wall with pacer tips in the expected location of the right atrium and right ventricle. The cardiomediastinal silhouette appears normal. Lungs appear clear bilaterally. No signs of pneumonia or CHF. Bony structures are intact.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Chest pain, assess for acute process."}, {"study_id": "56457491", "subject_id": "15842401", "findings": "Lungs are well expanded multifocal opacities in the lower lobes and in the lingula largest in the lingular consistent with multifocal pneumonia. . Mediastinum and hila are normal. The heart is mildly enlarged in the left heart border is obscured. A left anterior fourth rib expansile deformity may represent an old fracture although is not seen on prior examinations.", "impression": "Multifocal pneumonia. Left fourth anterior rib deformity may represent a chronic fracture although CT chest is recommended to exclude osseous malignancy.", "background": "WET READ: ___ ___ 8:14 AM -Probable left lingula pneumonia. -Left fourth anterior rib deformity may represent a chronic fracture although CT chest is recommended to exclude osseous malignancy. *** ED URGENT ATTENTION *** WET READ VERSION #1 ___ ___ 7:37 AM -No pneumonia. -Left fourth anterior rib deformity may represent a chronic fracture although CT chest is recommended to exclude osseous malignancy. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough fever and left flank pain // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: CT from ___."}, {"study_id": "54065468", "subject_id": "18416037", "findings": "Frontal and lateral views of the chest were obtained. Nipple jewelry is noted. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain. COMPARISON: None."}, {"study_id": "58868008", "subject_id": "18948663", "findings": "Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 6:37 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest tightness now resolved // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "50778228", "subject_id": "16116913", "findings": "Heart size is normal. Mediastinal silhouette and hilar contours are unremarkable. Lungs are clear, albeit slightly hyperinflated. Pleural surfaces are clear without effusion or pneumothorax.", "impression": "No acute cardiopulmonary abnormality. Mild hyperinflation.", "background": "HISTORY: Shortness of breath for two weeks. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views."}, {"study_id": "59428844", "subject_id": "18447299", "findings": "Left Internal jugular venous catheter terminates in upper SVC. Linear opacity in left mid lung is likely atelectasis or scarring. No consolidation, pneumothorax, or large pleural effusion is identified. Cardiac silhouette is borderline enlarged.", "impression": "Left internal jugular venous catheter terminates in upper SVC.", "background": "INDICATION: History: ___F with s/p LIJ placement // eval LIJ placement TECHNIQUE: Frontal view of the chest COMPARISON: None"}, {"study_id": "52489765", "subject_id": "18251767", "findings": "The mediastinal contours are within normal limits. Heart size is top-normal. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with chest pain, evaluate for acute pathology. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None."}, {"study_id": "55059744", "subject_id": "14047315", "findings": "In comparison to the chest radiograph obtained 1 day prior, there is improved aeration at the right and left lung bases, persistent, mild pulmonary edema indicative of volume overload. Mid right lung opacities appear unchanged and may reflect pneumonia or hemorrhage as a complication of prior pigtail catheter placement. The right-sided pigtail catheter is unchanged in position, possibly within the minor fissure. Heart size is normal with normal cardiomediastinal silhouette. Pleural effusions small, if any. No pneumothorax. ET tube is appropriately positioned and a left-sided PICC terminates in the upper SVC. The side port of an enteric tube terminates in the stomach.", "impression": "Mild pulmonary edema. Lateral right lung opacities unchanged, consistent with persistent pneumonia or hemorrhage from pigtail catheter placement.", "background": "EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old woman SAH with ventricular extension, e/o L ACA and AComm aneurysms on CTA, s/p intubation and EVD placement // please evaluate for interval change TECHNIQUE: Chest portable AP COMPARISON: Portable AP chest radiograph dated ___"}, {"study_id": "52389520", "subject_id": "13470745", "findings": "Endotracheal tube tip is 5.5 cm from the carina. Enteric tube is seen to the level of the lower mediastinum although is not clearly seen to pass below the diaphragm and should be advanced. Bibasilar streaky opacities, left greater than right are noted, potentially atelectasis although infection is not excluded. Right humeral head hardware is identified as well as degenerative changes at the shoulders bilaterally.", "impression": "ET tube in appropriate position. Enteric tube not clearly seen below the diaphragm in and should be advanced. Bibasilar opacities left greater than right potentially due to infection or atelectasis.", "background": "INDICATION: ___M with intubation, s/p transfer// ? tube placement TECHNIQUE: Single portable view of the chest. COMPARISON: None."}, {"study_id": "50678946", "subject_id": "11287431", "findings": "The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified common degenerative changes noted at the acromioclavicular joints bilaterally.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with DM2, now with hyperglycemia > 500. // Any evidence of pneumonia, infection? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray"}, {"study_id": "50385464", "subject_id": "16809825", "findings": "Rounded homogeneous density measuring 0.5 cm x 0.5 cm in the left upper lobe is a calcified granuloma. On the lateral, there is a 1.5 cm x 1.5 cm rounded opacity projecting superior to the right hilus which may represent a nodule or lymph node. No additional focal opacity, pneumothorax, pleural effusion or pulmonary edema. Heart size, mediastinal contour and hila otherwise normal. No bony abnormality.", "impression": "Calcified granuloma with adjacent rounded opacity that may represent lymph node from a prior infection such as tuberculosis or histoplasmosis or a lung nodule. Compare with prior chest radiographs to ensure a stable appearance over ___ years and if none available, evaluation with chest CT should be considered. Results were conveyed via critical results by ___, MD on ___.", "background": "HISTORY: ___-year-old male admitted with cellulitis and spiking temperatures despite antibiotics. Assess for pneumonia. COMPARISON: None. TECHNIQUE: Frontal and lateral chest radiographs."}, {"study_id": "53171681", "subject_id": "13340770", "findings": "Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are fully expanded and clear without any atelectasis. No pleural effusion or pneumothorax is seen the diaphragms appear flattened, which suggests hyperinflation.", "impression": "Resolution of previous bibasilar atelectasis. Diaphragmatic flattening suggesting hyperinflation.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with COPD/asthma with CXR ___ showing some atelectasis vs. pneumonia, any change? // any infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "55352790", "subject_id": "12499374", "findings": "The lungs are moderately well inflated. There is a left pleural effusion with a dense left retrocardiac opacity likely underlying atelectasis. Linear atelectasis is seen in the right lower lobe. Cardiomediastinal silhouette otherwise unremarkable. Unchanged metallic hardware projecting over the lower cervical spine.", "impression": "Moderate left pleural effusion with underlying atelectasis. Linear atelectasis in right lower lobe.", "background": "INDICATION: ___F w/achalasia, HH s/p lap HH repair, ___ myotomy, Toupet fund ___ c/b early HH recurrence s/p reduction, gastropexy ___ p/w chest pain, vomiting, paraesophageal collection // interval cxr TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "53784546", "subject_id": "10160799", "findings": "AP and lateral radiographs of the chest were acquired. The lung volumes are slightly low, causing accentuation of the pulmonary vasculature. Ill-defined opacities thought to be in the lingula, but best seen on the lateral projection, are likely atelectasis, although an infectious process cannot be excluded. Otherwise, the lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted.", "impression": "Lingular atelectasis, less likely pneumonia. Low lung volumes.", "background": "INDICATION: Syncope, evaluate for acute process. COMPARISON: None."}, {"study_id": "53925263", "subject_id": "19290303", "findings": "There are persistent moderate to large bilateral pleural effusions, larger on the right than on the left. Moderate pulmonary edema has also progressed since prior. Enteric tube tip projects over in the stomach. Right PICC is in stable position, tip projecting over the lower SVC. Cardiac silhouette is difficult to assess but is likely enlarged.", "impression": "Pulmonary edema with moderate to large bilateral effusions, larger on the right. Superimposed infection particularly at the lung bases would be difficult to exclude.", "background": "INDICATION: ___F with resp distress // cause acute on chronic resp distress TECHNIQUE: Single portable view of the chest. COMPARISON: ___."}, {"study_id": "53634659", "subject_id": "11598746", "findings": "A chronic, displaced fracture of the right mid clavicle is unchanged in comparison to prior studies dating at least in ___. The cardiomediastinal silhouette is within normal limits. The hila are unremarkable. There is no focal lung consolidation. Postradiation fibrosis at the lung apices was better evaluated on prior CT. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. Surgical chain sutures seen in the lingula, as on prior CT. Surgical clips overlie the left hemidiaphragm and left hemi abdomen, also unchanged.", "impression": "No acute cardiopulmonary process. Unchanged chronic, displaced fracture of the right mid clavicle.", "background": "INDICATION: ___-year-old female with shortness breath, evaluate for consolidation or pleural effusion. TECHNIQUE: Frontal lateral chest radiographs. COMPARISON: CT chest ___."}, {"study_id": "56347850", "subject_id": "14496005", "findings": "Streaky linear opacities at the left lung base likely reflect atelectasis versus scar. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "Streaky left basilar atelectasis versus scar. No lobar consolidation.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___M with lightheadedness, nausea and dry heaves. // R/O CHF/pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "58543618", "subject_id": "19827113", "findings": "A chest tube has been placed into the left hemithorax since the prior study. A central venous catheter appears unchanged. The lung has mostly reexpanded with a suspected small residual pneumothorax primarily suggested by minimal lucency remaining at the left lung base. There is no shift of midline structures. There is patchy opacification in the left lower hemithorax, but suggesting atelectasis associated with a recent pneumothorax that has improved.", "impression": "Status post chest tube placement with small suspected residual pneumothorax. Continued radiographic followup suggested.", "background": "CHEST RADIOGRAPH HISTORY: Status post chest tube placement. COMPARISONS: Earlier on the same day. TECHNIQUE: Chest, portable AP view."}, {"study_id": "50208134", "subject_id": "15589519", "findings": "Bedside upright AP radiograph of the chest shows interval removal of the endotracheal tube and orogastric tube. The Swan-Ganz catheter has been advanced to further 1 cm and terminates low within the right pulmonary artery. This catheter needs to be withdrawn by at least 5 cm to be appropriately positioned in the right main pulmonary artery. Mild pulmonary edema as well as small bilateral pleural effusions persists, with fluid once again tracking in the minor fissure on the right. The postoperative appearance of the mediastinum and heart are unchanged. Surgical clips, artificial aortic valves, and intact sternal cerclage wires are noted. There is no pneumothorax.", "impression": "The Swan-___ catheter should be withdrawn by 5 cm. Findings regarding the malpositioned Swan-Ganz catheter were communicated to ___ by Dr. ___ by telephone on ___ at 11:20 a.m. Stable small bilateral pleural effusions. Stable mild pulmonary edema.", "background": "INDICATION: Post-extubation evaluation of patient status post AVR and MVR. COMPARISONS: Chest radiographs from ___ and ___."}, {"study_id": "51705875", "subject_id": "13563423", "findings": "The lungs are well inflated and clear. There is mild cardiomegaly, unchanged. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.", "impression": "Mild cardiomegaly without overt edema.", "background": "INDICATION: ___ year old man with dizziness and shortness of breath. Evaluation for CHF exacerbation with pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___."}, {"study_id": "53042418", "subject_id": "13306109", "findings": "Prominent interstitial markings and engorgement of the pulmonary vasculature are consistent with mild edema. Previously seen pleural effusions have decreased, now tiny. There is persistent bibasilar atelectasis. No pneumothorax. Heart size is mildly enlarged and upper mediastinal contours are stable. Left PICC has been removed.", "impression": "Mild pulmonary edema with stable mild cardiomegaly. Interval decrease in now small bilateral pleural effusions.", "background": "INDICATION: ___ year old man with dyspnea, tachypnea // r/o infiltrate COMPARISON: ___. TECHNIQUE: Frontal and lateral views of the chest."}, {"study_id": "59561274", "subject_id": "13665754", "findings": "The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Old left anterior rib fractures are present.", "impression": "No acute intrathoracic process.", "background": "INDICATION: ___-year-old male with chest pain. No comparison studies available. FRONTAL AND LATERAL CHEST"}, {"study_id": "54596118", "subject_id": "10207998", "findings": "Frontal and lateral radiographs of the chest demonstrate hyperinflation with blunting of the diaphragms and increase of the retrosternal clear space, consistent with chronic lung disease. Otherwise, the lungs are clear. The cardiac and mediastinal contours are normal. No pleural abnormality is seen.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Cough with congestion and sputum. Pneumonia six months ago. Evaluate for pneumonia. COMPARISON: ___."}, {"study_id": "51348505", "subject_id": "18157387", "findings": "The lungs are fully expanded and clear. No pleural effusion, pulmonary edema or pneumothorax is present. The heart, mediastinal and pleural surface contours are normal. No displaced fracture is seen. No free air beneath the diaphragm.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Status post motor vehicle collision. TECHNIQUE: Two views of the chest. COMPARISON: Radiographs dated ___."}, {"study_id": "58272253", "subject_id": "12416498", "findings": "Bilateral low lung volumes.There is significant improvement in the multifocal opacities bilaterally, particularly in the right upper lobe and in the left perihilar region though not completely resolved. Bilateral pulmonary edema also improved. Small left pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Left PICC unchanged in position.", "impression": "Significant improvement in multifocal opacities bilaterally particularly in the right upper lobe and the left perihilar region. Bilateral pulmonary edema improved. Small left pleural effusion.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p R hip hemi now w/ hip infection // Eval for PNA, consolidation TECHNIQUE: Chest: AP Frontal and Lateral COMPARISON: Portable Chest radiograph ___."}, {"study_id": "59420792", "subject_id": "12433999", "findings": "There is a faint opacity in the right lower lobe. Left lung is clear. Heart size is normal. There are no pleural effusions. Old healed fracture of the right seventh posterior rib. Hardware transfixes a remote fracture of the left humerus, with marked residual deformity and inferior subluxation of the humeral head.", "impression": "Right lower lobe aspiration or early pneumonia. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT", "background": "WET READ: ___ ___ ___ 10:00 PM INDICATION: ___ year old female with myoclonic jerks x 1 day, increasing confusion. No prior examinations for comparison. CHEST, PA AND"}, {"study_id": "50662909", "subject_id": "17561781", "findings": "Lung volume is low. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History: ___F with wheezing // ? Acute caridopulm process TECHNIQUE: Frontal view of the chest COMPARISON: None"}, {"study_id": "58968815", "subject_id": "19759233", "findings": "There is a left-sided pacemaker with two leads terminating in appropriate position at the right atrium and ventricle. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart size is top normal. Degenerative changes are noted in the thoracic spine, and lumbar posterior fusion hardware is partially visualized.", "impression": "Pacemaker with leads in appropriate position. Posterior lumbar fusion hardware.", "background": "INDICATION: ___ year old woman with recent permanent pacemaker placement. Screening radiograph prior to MRI. Evaluate pacemaker leads. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___ and ___."}, {"study_id": "50760601", "subject_id": "15325143", "findings": "The lungs are hypoinflated, accounting for bronchovascular crowding. No focal opacities are identified. An apparent spine sign on the lateral view is likely related to left hemidiaphragm eventration. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. No radiopaque foreign object is seen in the airways to suggest aspiration. Deformity of the left clavicle is related to old fracture.", "impression": "No evidence of acute cardiopulmonary process. No aspirated foreign body seen.", "background": "EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old male with trauma while intoxicated and lip laceration and missing teeth. Evaluate for tooth aspiration TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph from ___ and CT torso from ___."}, {"study_id": "53540779", "subject_id": "17654124", "findings": "Single portable view of the chest. There is superior traction of the left hilum. Subtle opacity projects over the left scapula in the region of the overlying cardiac lead. Findings are suggestive of underlying scarring. Elsewhere the lungs are clear. Cardiac silhouette is top-normal in size. For technique. No acute osseous abnormality seen, hypertrophic changes seen spine.", "impression": "No definite acute cardiopulmonary process. Findings suggestive of scarring in the left upper lung. Correlation with older films to document stability would be of use.", "background": "HISTORY: ___-year-old female status post fall with chronic subdural hematoma. Question pneumonia. COMPARISON: None."}, {"study_id": "54225810", "subject_id": "17189198", "findings": "There is hilar congestion and diffuse bilateral ground glass opacities, most predominant at the bases, slightly improved from prior exam, and most consistent with pulmonary edema. An underlying pneumonia cannot be fully excluded. There are trace bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette is moderately enlarged and unchanged from the prior exam. The mediastinal contours are normal.", "impression": "Bilateral ground glass opacities and small bilateral pleural effusions are consistent with moderate pulmonary edema. In the proper clinical setting, a pneumonia cannot be excluded. Can consider a repeat chest radiograph after diuresis.", "background": "INDICATION: Recent multifocal pneumonia. New concerns of recurrent infection. COMPARISONS: Chest radiograph, ___. Chest radiograph, ___."}, {"study_id": "54128100", "subject_id": "11738688", "findings": "Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Linear opacity within the right lung base likely reflects subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. Mild elevation of the right hemidiaphragm is unchanged.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Hypotension, dyspnea. TECHNIQUE: Semi-upright AP view of the chest. COMPARISON: ___."}, {"study_id": "56636233", "subject_id": "12837356", "findings": "Compared with the prior chest radiograph, severe cardiomegaly is unchanged, with slightly improved pulmonary edema. Widening of the mediastinal contour is due to low lung volumes and mediastinal lipomatosis is seen on the prior chest CT. The right lung appears slightly better aerated. Bibasilar airspace opacities could reflect atelectasis, infection, or aspiration.", "impression": "Compared with the prior study, interval improvement in the bilateral lung aeration, with persistent bibasilar airspace opacities and low lung volumes.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with OHS, OSA, COPD, CHF, here w/ respiratory distress s/p diuresis. Please eval for interval change. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs of ___ and ___. Chest CT of ___."}, {"study_id": "57970189", "subject_id": "14963478", "findings": "Mild cardiomegaly is a stable. The aorta is elongated could be minimally dilated. There is mild vascular congestion. Bibasilar opacities left greater than right could correspond to atelectasis or pneumonia in the appropriate clinical setting. There is no pneumothorax or pleural effusion", "impression": "Mild vascular congestion Bibasilar opacities left greater than right PICC could be atelectasis or pneumonia in the appropriate clinical setting", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with o2 requirement // r/o atelectasis vs. PNA TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "55562568", "subject_id": "18416284", "findings": "Single upright portable radiograph of the chest demonstrates a central venous catheter, terminating in the right ventricle, which should be retracted 9 to 10 cm for appropriate position just above the cavoatrial junction. There is elevation of theright hemidiaphragm. Right mid lung opacity may be due to atelectasis secondary to low lung volume on the right; however, infection cannot be excluded. The left lung is grossly clear. No large pleural effusion or pneumothorax is detected.", "impression": "Right mid lung opacity, possibly atelectasis given low lung volumes, however, infection is not excluded. Right internal jugular central venous line terminates in right ventricle and should be re-positioned. The above findings were communicated to Dr. ___ by Dr. ___ ___ telephone at ___, five minutes after discovery.", "background": "HISTORY: ___-year-old man with hypoxia. COMPARISON: No prior imaging is available for comparison."}, {"study_id": "59508808", "subject_id": "19454552", "findings": "Frontal and lateral radiographs of the chest. Lung volumes are low. There is stable appearance of mild enlargement of the cardiac silhouette which is new from older prior. Likely small left pleural effusion is unchanged with associated atelectasis. No significant right pleural effusion. Slighlyt increased interstitial markings seen without frank pulmonary edema. No focal consolidation or pneumothorax.", "impression": "Mild cardiomegaly, which is new since ___, and small left pleural effusion. Pulmonary vascular congestion.", "background": "HISTORY: Shortness of breath and leg swelling, evaluate for interval change of effusions or new signs of CHF. COMPARISON: ___. ___."}, {"study_id": "56195948", "subject_id": "12298456", "findings": "AP upright view of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Linear opacities at the left base likely represent scarring or subsegmental atelectasis. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Lungs are hyperinflated suggesting underlying emphysema.", "impression": "Left basilar linear opacity likely reflecting scarring or subsegmental atelectasis. Hyperinflation suggesting underlying emphysema. No evidence of focal pneumonia or pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with chest pain // effusion vs. pna COMPARISON: Chest radiographs ___"}, {"study_id": "55812627", "subject_id": "14190122", "findings": "Right basilar opacity persists compared to previous chest radiographs This is consistent with small layering pleural effusion and is unchanged. The left costophrenic angle remains blunted, which is consistent with previous history of left decortication. Otherwise, no focal consolidation, pulmonary edema, or pneumothorax is seen. The cardiomediastinal contours are unchanged. Median sternal wires are unchanged, and no bony abnormality is noted.", "impression": "Continued presence of small right pleural effusion.", "background": "HISTORY: ___-year-old male with pleural effusion, evaluate. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "58947234", "subject_id": "13417577", "findings": "Upright AP radiograph of the chest demonstrates interval placement of a pigtail pleural catheter in the left hemithorax, with associated reexpansion of the left lung. A small basilar pneumothorax remains, improved since the prior study. No other significant change is noted compared to the prior study from two hours ago.", "impression": "Left pleural pigtail catheter placement with reexpansion of the left lung. A small left basilar pneumothorax remains.", "background": "HISTORY: ___-year-old female with left pneumothorax, status post pigtail catheter placement. COMPARISON: Comparison is made to radiograph of the chest from two hours prior."}, {"study_id": "59799187", "subject_id": "10713800", "findings": "The cardiac, mediastinal and hilar contours are within normal limits. Right-sided PICC terminates in the upper SVC. Both lungs are clear with no focal consolidation, pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary process. Findings discussed with Dr. ___ at ___ by Dr. ___ on ___ via telephone.", "background": "INDICATION: ___-year-old woman with APML and pleuritic chest pain. COMPARISON: ___."}, {"study_id": "59145714", "subject_id": "13257277", "findings": "Frontal and lateral views of the chest are obtained. There has been interval removal of a right-sided PICC. The lung volumes are relatively low. There is minimal left base atelectasis. Mild elevation of the right hemidiaphragm is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Surgical clips are seen in the lateral right upper-to-mid abdomen.", "impression": "Minimal left base atelectasis. Mild elevation of the right hemidiaphragm which is similar to that seen on ___. Otherwise, no acute cardiopulmonary process.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of elevated white blood cell count, cough, shortness of breath. COMPARISON: ___."}, {"study_id": "53075557", "subject_id": "18989787", "findings": "The heart size is normal. Mediastinal and hilar contours appear unchanged. Small right pleural effusion appears slightly increased compared to the previous exam with worsening right basilar opacification. No left-sided pleural effusion or pneumothorax is identified. Scarring within the lung apices is re- demonstrated as are emphysematous changes. No pulmonary vascular congestion is noted. Remote left-sided rib fractures are present.", "impression": "Interval increase in size of small right pleural effusion with worsening right basilar opacification, likely reflective of compressive atelectasis, though infection cannot be completely excluded.", "background": "HISTORY: Shortness of breath, history of pleural effusion. TECHNIQUE: Portable semi-upright AP view of the chest. COMPARISON: ___ chest radiograph. ___ chest CT."}, {"study_id": "56016469", "subject_id": "12529223", "findings": "A portable frontal chest radiograph demonstrates low lung volumes and unchanged cardiomegaly. No definite focal consolidation or pneumothorax is identified, although evaluation is limited secondary to obscuration of the right apex. There is minimal, if any, pleural fluid on the left. The visualized upper abdomen is unremarkable.", "impression": "Limited exam secondary to patient positioning and low lung volumes. Within these limitations, no acute cardiopulmonary process.", "background": "INDICATION: Shortness of breath and fever. COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "50523669", "subject_id": "18916626", "findings": "Most evident on the lateral view is a hazy opacity seen in the retrocardiac space, which was not as evident on prior film. While this may represent atelectasis, pneumonia in the appropriate clinical setting should not be excluded. There is no pneumothorax or pleural effusion. The mediastinal and cardiac silhouette are unremarkable.", "impression": "Hazy opacity, best appreciated on the lateral view, may represent atelectasis, although pneumonia should not be excluded in the appropriate clinical setting.", "background": "INDICATION: HIV and cough with recent fevers, evaluate for pneumonia. COMPARISONS: ___ chest radiograph. PA AND LATERAL VIEWS OF THE"}, {"study_id": "58015017", "subject_id": "17991292", "findings": "The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with substernal chest pain, evaluate for acute process. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None."}, {"study_id": "57223871", "subject_id": "12855476", "findings": "Tracheostomy tube and right PICC line are appropriately positioned. Cervical fusion hardware noted. There is increased airspace opacification at both bases. No large effusion or pneumothorax", "impression": "Increased airspace opacification in bilateral lower lungs is consistent with multifocal pneumonia.", "background": "INDICATION: ___ year old woman with fevers, sputum, trach // ? aspiration pneumonia TECHNIQUE: Portable AP Upright view of the chest COMPARISON: ___"}, {"study_id": "59367531", "subject_id": "10525200", "findings": "The heart is mildly enlarged. The hila are enlarged and nodular suggesting that adenopathy may be present. Pulmonary vasculature is prominent. There increased lung markings lower lobe greater than upper lobe.", "impression": "Hilar adenopathy is likely present. Comparison with old films would be helpful to assess for chronicity of interstitial changes in the lungs.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hx sarcoid p/w NSTEMI s/p cath // Evaluating for pulmonary edema TECHNIQUE: Portable chest COMPARISON: None."}, {"study_id": "51119464", "subject_id": "14659770", "findings": "On the initial view of the chest, the right heart border appears to be obscured however on repeat imaging the right heart border is not obscured. There is however increase in the central bronchiovasculature which persists on both exposures. The lateral film is unremarkable. Cardiac size is normal. No pleural effusion or pneumothorax.", "impression": "No evidence of focal pneumonia. Central bronchiovascular prominence could represent reactive airways disease.", "background": "HISTORY: Cough. COMPARISON: None."}, {"study_id": "58565486", "subject_id": "11809299", "findings": "Two views were obtained of the chest. The lungs are well expanded and clear. Minimal apical pleural thickening is unchanged. Old left rib fractures are noted. The heart is normal in size with normal cardiomediastinal contours.", "impression": "No acute intrathoracic process.", "background": "HISTORY: Cough. COMPARISON: ___"}, {"study_id": "58335283", "subject_id": "10971699", "findings": "Left-sided dual-chamber AICD/ pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle, unchanged. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is present. Calcifications adjacent to the right superolateral humeral head may reflect calcific tendinopathy.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "58662994", "subject_id": "18052885", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is again a large hiatal hernia. There is no definite pleural effusion or pneumothorax. The lungs appear clear. There is again moderate elevation of the right hemidiaphragm. The bones appear demineralized. A probably unchanged compression deformity of L2 is partly visualized.", "impression": "No evidence of acute disease. Large hiatal hernia.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath and chest pain. TECHNIQUE: Chest, AP and lateral. COMPARISON: Chest radiographs and CT from ___."}, {"study_id": "58725363", "subject_id": "13580328", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with recent PE. Needs CXR prior to V/Q scan // Evaluation for intrathoracic abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___."}, {"study_id": "56020403", "subject_id": "17030279", "findings": "Frontal and lateral chest radiographs demonstrate intact sternal wires and mild cardiomegaly. The lungs are fairly well-aerated common without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process. Mild cardiomegaly.", "background": "INDICATION: Evaluate for pneumonia or other infection in a patient with weakness. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___."}, {"study_id": "55256083", "subject_id": "14760908", "findings": "Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multiple clips are again noted within the anterior chest wall bilaterally compatible with prior mastectomies. Mild degenerative changes are seen within the thoracic spine with minimal loss of height of a mid thoracic vertebral body, unchanged.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with altered mental status TECHNIQUE: PA and lateral views of the chest COMPARISON: ___"}, {"study_id": "51092988", "subject_id": "19635303", "findings": "A left upper extremity PICC terminates in the low SVC. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Cardiac lymphoma presenting with fatigue. Evaluate for acute cardiopulmonary process. COMPARISON: Chest radiographs ___ and ___. Chest CTA ___. FRONTAL AND LATERAL VIEWS OF THE"}, {"study_id": "52094558", "subject_id": "11036893", "findings": "The lungs are well expanded. There is overcrowding of the right cardiophrenic angle. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.", "impression": "Overcrowding overlying the right cardiphrenic angle suggests aspiration versus atelectasis.", "background": "INDICATION: ___-year-old male with opiate overdose. Evaluate for pneumonia. COMPARISONS: None available. TECHNIQUE: Semi-supine frontal portable chest radiograph."}, {"study_id": "54864834", "subject_id": "12190919", "findings": "The lungs are hyperinflated. There is no focal consolidation. The cardiac silhouette is normal. There is mild bulging of the right mediastinal contour for, likely secondary to the ascending aorta. There is no pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.", "impression": "No evidence of pneumonia. Lung hyperinflation.", "background": "INDICATION: ___M with cough, evaluate for pneumonia.. COMPARISON: None Available. TECHNIQUE Frontal and lateral view of the chest."}, {"study_id": "50295044", "subject_id": "19133401", "findings": "Frontal and lateral chest radiographdemonstrates well expanded lungs. Lateral to the left heart border is a heterogeneous patch which is more likely to represent residual of pneumonia rather than asymmetric pulmonary edema. No evidence of active infection. No pleural effusion or pneumothorax. Mild enlargement of the cardiomediastinal silhouette noted. Mediastinal contour and hila are unremarkable.", "impression": "Mild enlargement of cardiomediastinal silhouette. No pulmonary edema or pleural effusion Heterogeneous opacity lateral to the left heart border is more likely to represent residual of prior pneumonia than active infection.", "background": "WET READ: ___ ___ ___ 10:02 AM 1. Mild enlargement of cardiomediastinal silhouette. 2. No pulmonary edema or pleural effusion 3. Heterogeneous opacity lateral to the left heart border is more likely to represent residual of prior pneumonia rather than asymmetric pulmonary edema. WET READ VERSION #1 ___ ___ ___ 5:20 AM 1. Mild enlargement of cardiomediastinal silhouette. 2. No pulmonary edema or pleural effusion ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: AFib with RVR, dyspnea, troponin leak from outside hospital. Assess for pulmonary edema or effusion. COMPARISON: Chest radiograph ___, ___"}, {"study_id": "51598070", "subject_id": "11320106", "findings": "An ET tube is present. The carina is not well delineated, but the ET tube probably lies approximately 2.2 cm above the carina. An NG tube is present, tip beneath diaphragm, overlying gastric fundus. There are low inspiratory volumes. Heart size is borderline enlarged. There is upper zone redistribution, but doubt overt CHF. Compared with the prior film, however, there is new increased retrocardiac density and new blunting of the left costophrenic angle, consistent with left lower lobe collapse and/or consolidation. Some patchy opacity in the right infrahilar region is similar to the prior film.", "impression": "New left lower lobe collapse and/or consolidation.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cardiac arrest intubated // interval change COMPARISON: Chest x-ray from ___ at 13:20"}, {"study_id": "54057043", "subject_id": "18251610", "findings": "Relatively low lung volumes are noted. The lungs are clear without focal consolidation, effusion, or pneumothorax. Azygos fissure is incidentally noted. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F s/p fall down several stairs, ? confusion, + midline C5 pain, // eval for fx, / ICH TECHNIQUE: AP and lateral views of the chest. COMPARISON: None."}, {"study_id": "59456684", "subject_id": "17542654", "findings": "There is subtle opacification within the retrosternal clear space on the lateral, which may represent a subtle pneumonia. Linear opacities at the left lung base likely reflect atelectasis. No additional focal consolidations. No pulmonary edema. Normal appearance of the cardiomediastinal silhouette. No pneumothorax. No pleural effusion.", "impression": "Subtle opacification within the retrosternal clear space on the lateral, which may represent a subtle pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with hypoxia // ?pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT dated ___."}, {"study_id": "50380305", "subject_id": "14578610", "findings": "The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. The cardiac and mediastinal silhouettes are stable. Surgical clips are noted overlying both breasts.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea // evidence of infection or effusion TECHNIQUE: Chest PA and Lateral COMPARISON: ___"}, {"study_id": "52599937", "subject_id": "18946573", "findings": "Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. Elevation of the right hemidiaphragm remains chronic. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities detected.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "55686464", "subject_id": "12828571", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Streaky left basilar opacity suggests minor atelectasis or scarring. Otherwise, the lungs appear clear.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPH HISTORY: Altered mental status and rhonchi on the left. COMPARISONS: ___. TECHNIQUE: Chest, AP upright portable."}, {"study_id": "59480619", "subject_id": "10826396", "findings": "AP upright and lateral views of the chest provided. Lung volumes are low. The heart is mildly enlarged. The aorta is markedly unfolded with calcification noted. There is hilar congestion and mild interstitial pulmonary edema. No large effusion or pneumothorax. Bony structures are intact.", "impression": "Pulmonary edema, mild.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with SOB // ? PNA COMPARISON: Prior exam from ___"}, {"study_id": "56586118", "subject_id": "11423795", "findings": "Endotracheal tube terminates approximately 4 cm above the carina. Right jugular catheter terminates at the mid SVC. There is no pneumothorax. New bibasilar atelectasis since ___. Mild cardiomegaly unchanged since ___. . No pleural effusion. No pneumonia", "impression": "Endotracheal tube terminates 4 cm above carina. Since ___, new bibasilar atelectasis. Unchanged mild cardiomegaly", "background": "INDICATION: ___ year old man with massive GIB s/p R hemicolectomy, intubated for procedure // eval position of ETT TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "59576292", "subject_id": "18258847", "findings": "There is a dual lead pacemaker, with lead tips over right atrium right ventricle. The cardiac silhouette is prominent, but similar to prior. Of note, there is marked lucency at the right and left lung apices. While this could represent artifact in a the patient with attenuated vessels/COPD, on the left, the lung edge appears visible. However, the appearances similar to the ___ radiograph and targeted review of the chest CT from ___ is more suggestive of an area of apical pleural thickening with overlying calcification (series 11b: Image ___ from that study). . There is probable background hyperinflation, consistent with COPD., with background parenchymal scarring. Previously seen CHF appears markedly improved. Again seen is a small left effusion, with underlying collapse and/or consolidation, similar to the prior film. Minimal blunting of the right costophrenic angle and patchy opacity previously seen at the right lung base medially is improved.", "impression": "Cardiomegaly, but doubt overt CHF. Previously seen CHF findings are markedly improved. Small left effusion and underlying collapse and/or consolidation is similar to ___. Right base changes are also improved, with only a small residual pleural effusion. Marked lucency at both lung apices, of uncertain significance. This is probably artifactual due to a combination of apical pleural thickening and attenuated vessels. No definite pneumothorax. No displaced rib fracture identified on these lung technique films.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ with PMH of rheumatic heart disease, severe AS, mild MS, severe MR, severe TR, mod AI, PAH, hypothyroidism, CKD (Cr 1.2-1.6), valvular afib with RVR, SSS s/p pacemaker placement ___, who presented with fluid overload. On ___ developed pleuritic chest pain // please eval for infection, fracture, or other abnormality COMPARISON: Chest x-ray from ___"}, {"study_id": "54918664", "subject_id": "16760921", "findings": "AP portable upright view of the chest. Low lung volumes limits assessment as well as the patient's chin projecting over the lung apices and superior mediastinum. Airspace consolidation in the left lower lung is concerning for pneumonia or aspiration. There are likely small bilateral pleural effusions present. No large pneumothorax is seen. Hilar congestion is present. Heart size grossly within normal limits. No acute bony abnormalities.", "impression": "Hilar congestion, left basal opacity concerning for pneumonia or aspiration, small bilateral pleural effusions. Limited exam.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with dyspnea. COMPARISON: None"}, {"study_id": "54934696", "subject_id": "18676703", "findings": "The patient is slightly rotated. Right internal jugular central venous catheter tip terminates in the lower SVC. No pneumothorax is detected. The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Minimal right basilar atelectasis is seen. Remainder of the lungs are clear. No focal consolidation or pleural effusion is present. No acute osseous abnormalities are visualized.", "impression": "Right internal jugular central venous catheter tip in the lower SVC. No pneumothorax. Right basilar atelectasis.", "background": "HISTORY: Altered mental status. TECHNIQUE: Supine AP view of the. COMPARISON: ___."}, {"study_id": "52437639", "subject_id": "17886980", "findings": "Lung volumes continue to be low, and previous moderate pulmonary edema continues to improve. The right lung has multiple nodular opacities at the lung bases. Mild cardiomegaly continues with improving small bilateral pleural effusions. Opacity at the right cardiophrenic angle is unchanged compared to radiographs from ___.", "impression": "Mild cardiomegaly with continually improving mild pulmonary edema and small bilateral pleural effusions. Multiple right basilar opacities may represent resolving pneumonia.", "background": "HISTORY: ___-year-old woman fluid overload, pulmonary edema, evaluate for interval change. TECHNIQUE: Portable AP upright chest radiograph was obtained. COMPARISON: Chest radiograph from ___ and ___."}, {"study_id": "59399307", "subject_id": "11304959", "findings": "The right chest is not entirely included. The orogastric tube has been replaced and now terminates below the level of the diaphragm. The side hole appears to be below the level of the diaphragm as well. There is no other significant change.", "impression": "Orogastric tube is proper position.", "background": "WET READ: ___ ___ ___ 6:25 PM Intra-aortic balloon pump, endotracheal tube, right internal jugular venous line and mediastinal surgical clips are in similar position. Enteric tube terminates in the stomach. The continues to be a retrocardiac opacity. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) CLINICAL HISTORY ___ year old man with balloon pump and new OG placement // new OG placement new OG placement COMPARISON: ___ at ___ 58"}, {"study_id": "57920728", "subject_id": "14080963", "findings": "PA and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. Moderate cardiomegaly is unchanged. Again seen is prominence of the right mediastinum, unchanged, possibly from a distended innominate artery.", "impression": "No acute cardiopulmonary process. Stable cardiomegaly.", "background": "INDICATION: Cough and multiple myeloma, question infiltrate. COMPARISON: Chest radiograph from ___."}, {"study_id": "59989164", "subject_id": "12237086", "findings": "There has been interval placement of a right-sided pigtail catheter, there may be a small right pleural effusion. There may also be a small right apical pneumothorax. No focal consolidations concerning for pneumonia are identified. Heart size is normal. Visualized osseous structures are unremarkable.", "impression": "Interval placement of a right pigtail catheter. Small right apical pneumothorax.", "background": "INDICATION: History: ___F with pneumo R s/p pigtail // post pigtail TECHNIQUE: Portable supine radiograph of the chest COMPARISON: Radiograph from ___"}, {"study_id": "58537036", "subject_id": "12606543", "findings": "Tracheostomy tube is seen at midline. Cardiomegaly and pulmonary vascular congestion are again seen, likely the sequela of known diastolic heart failure, and these are the predominant findings. There is however a new focal opacity in the right lung base which is concerning for an infectious process. No large pleural effusion or pneumothorax identified.", "impression": "New focal consolidation in the right lung base concerning for pneumonia. Short interval followup recommended to document resolution. Sequela of known diastolic heart failure, including cardiomegaly and pulmonary vascular congestion.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: ___ year old woman with pulm. htn, obesity hypoventilation, diastolic heart failure, trach and ventilation at night presents with cough x 4 days, low grade fever and malaise. Poor air movement. // r/o pneumonia r/o pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___."}, {"study_id": "56180876", "subject_id": "15528228", "findings": "Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax present. The previous right PICC has been removed.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Epigastric pain. Evaluate for pleural effusions. COMPARISON: ___."}, {"study_id": "53669872", "subject_id": "18131108", "findings": "There are small bilateral pleural effusions, confined to dorsal aspects of the costophrenic sulcus, better seen on lateral than frontal view. The lungs are well expanded and clear. The heart size is top-normal. The mediastinal and hilar contours large unremarkable. There is stable placement of right PICC terminating in low SVC.", "impression": "New small bilateral pleural effusions.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with cough, fever // cause for fever? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiographs from ___."}, {"study_id": "55426198", "subject_id": "10955958", "findings": "As compared to prior chest radiograph from ___, there has been interval placement of an endotracheal tube, which terminates 1.6 cm above the carina. There is unchanged cardiomegaly. There is obscuration of the diaphragmatic contours, consistent with bilateral pleural effusions. There is no evidence of new pulmonary findings. There is no pneumothorax.", "impression": "Unchanged pulmonary findings with interval placement of endotracheal tube which terminates 1.6 cm above the carina. Findings were communicated to the team via telephone by Dr. ___ on ___ at 10:30 AM.", "background": "INDICATION: ___-year-old female patient with hypoxic respiratory distress, intubated. Study requested for evaluation of ET tube placement. COMPARISON: Prior portable chest radiograph from ___. TECHNIQUE: Portable supine AP chest radiograph."}, {"study_id": "57352136", "subject_id": "11974908", "findings": "PA and lateral views of the chest were provided. Subtle linear densities within the left lower lung may represent atelectasis, though an early pneumonia would be difficult to exclude in the correct clinical setting. The right lung is clear. No large effusion or pneumothorax. The bony structures appear intact. The cardiomediastinal silhouette appears normal.", "impression": "Densities in the left lower lung most compatible with atelectasis, though an early pneumonia cannot be excluded in the correct clinical setting.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Cough with possible pneumonia."}, {"study_id": "57110313", "subject_id": "17135687", "findings": "Biapical pneumothoraces, left greater than right are unchanged. A right subclavian central venous catheter terminates in the mid SVC. Left apical chest tube remains in place. Leftward deviation of the heart and mediastinum is unchanged. A focal airspace opacity in the right upper lobe may be due to focally edema versus hemorrhage. Increased retrocardiac opacification is likely due to worsening left lung atelectasis. Multiple metallic foreign bodies are in keeping with the stated history of gunshot wound.", "impression": "Stable biapical pneumothoraces, left greater than right. Increasing left lung atelectasis. Stable focal right upper lobe focally edema versus hemorrhage.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M w/ GSW x 4 to chest; intubated, s/p BL CT w/ initial output approx 1 L w/ severe T4 injury // respiratory distress in patient with CT; interval change; please eval for PTX change TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "52532534", "subject_id": "18003081", "findings": "The lungs are mildly underinflated, but largely clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.", "impression": "Mildly underinflated lungs, but no evidence of pneumonia.", "background": "WET READ: ___ ___ ___ 9:28 AM Mildly underinflated lungs, but no evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with fever, wbc count, non-verbal // eval for PNA TECHNIQUE: Portable supine chest radiograph COMPARISON: ___"}, {"study_id": "54479898", "subject_id": "17427308", "findings": "As compared to the prior examination dated ___, there has been no relevant interval change. The lungs appear well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Known left upper lobe pulmonary nodules are better seen on concurrent CT cervical spine. Scarring seen left midlung compatible with postradiation changes. The cardiomediastinal silhouette is unchanged appearance.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiographs. INDICATION: ___F with shoulder/humeral pain s/p fall // acute process TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiographs dated ___, CT chest dated ___."}, {"study_id": "54738083", "subject_id": "18786017", "findings": "Portable upright frontal view of the chest. The lung volumes are low which causes crowding of the bronchovascular structures. There is mild interstitial edema but no alveolar edema or focal consolidation. Bilateral lower lobe opacities most likely represent atelectasis. No significant pleural effusion or pneumothorax is seen. There is calcification within the aortic knob. There is slight widening of the mediastinum and the heart size is top normal.", "impression": "Mild interstitial edema. Low lung volumes and bilateral lower lobe opacities that most likely represent atelectasis.", "background": "HISTORY: Tachycardia to 150 beats per min. COMPARISON: None."}, {"study_id": "57714420", "subject_id": "16553607", "findings": "The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There is scarring within the lung apices. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Numbness and tingling on the left side. COMPARISON: ___ chest radiograph and ___ CT torso. TECHNIQUE: Upright PA and lateral views of the chest."}, {"study_id": "57893546", "subject_id": "10894956", "findings": "PA and lateral views of the chest were provided. The lungs are clear. No signs of pneumonia or CHF. Cardiomediastinal silhouette appears normal. Bony structures appear intact though demineralized.", "impression": "No acute findings in the chest. Please refer to subsequent CT chest for further details.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior PET-CT from ___. CLINICAL HISTORY: Chest pain, assess for cardiomegaly."}, {"study_id": "53422956", "subject_id": "10876550", "findings": "Previously described small anterior loculated pneumothorax on the lateral view is no longer detected. The patient is rotated on the table. Heart size is normal. No focal consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis is present. Intact median sternotomy wires.", "impression": "No new focal consolidation.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness and increasing number of falls. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph of ___."}, {"study_id": "52911923", "subject_id": "12544332", "findings": "The lungs are hyperinflated, likely due to chronic changes of COPD. There is no focal airspace opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.", "impression": "No acute cardiopulmonary process; specifically, no evidence of pneumonia. Stable chronic changes of COPD.", "background": "INDICATION: Tachycardia and vomiting. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: AP and lateral views of the chest were obtained."}, {"study_id": "52170682", "subject_id": "16185669", "findings": "Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with mild hypoxemia // ? aspiration, vs PNA TECHNIQUE: Portable AP view of the chest. COMPARISON: Multiple chest radiographs the most recent on ___"}, {"study_id": "51624429", "subject_id": "10336423", "findings": "Two frontal images of the chest demonstrate low lung volumes, likely related to poor inspiration. There has been interval removal of the Swan-Ganz catheter. Right IJ sheath is in place. There has been interval extubation. The NG tube has been removed. There is no pneumothorax or other complications seen. The chest exam is otherwise essentially unchanged from previous imaging. There is no evidence of acute pulmonary or cardiac pathology. There are no pleural effusions. The cardiomediastinal silhouette is unchanged.", "impression": "Multiple support and maintenance devices removed with no complication seen. Otherwise essentially unchanged exam with no evidence of acute pulmonary or cardiac process", "background": "INDICATION: ___-year-old male status post ascending aorta replacement and chest tube removal. COMPARISON: Comparison is made with chest radiograph from ___."}, {"study_id": "57095915", "subject_id": "16885450", "findings": "Frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is mild degenerative change of the visualized thoracic spine.", "impression": "No acute chest pathology.", "background": "HISTORY: ___-year-old male with epigastric pain, question free air. COMPARISON: None."}, {"study_id": "52642920", "subject_id": "18786017", "findings": "PA and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. There is mild elevation of the right hemidiaphragm", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest pain and a fib. COMPARISON: Comparison is made with chest radiographs from ___."}, {"study_id": "54304008", "subject_id": "19133405", "findings": "Left chest wall port seen with catheter tip at the RA SVC junction. Tracheostomy tube is in stable position. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with trachea, cough green sputum / eval for pna TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ chest x-ray and chest CT."}, {"study_id": "57405088", "subject_id": "15111725", "findings": "There are low lung volumes, which accentuate the bronchovascular markings. Given this, the there is linear left mid lung atelectasis/ scarring as well as likely atelectasis in the right mid lung zone. Perihilar opacities may relate to prominence of the pulmonary vasculature and low lung volumes although underlying infection is difficult to exclude in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. right glenohumeral joint degenerative change is incidentally noted.", "impression": "Low lung volumes which accentuate the bronchovascular markings. Left mid lung linear atelectasis/scarring. Bilateral perihilar opacities may relate to prominence of pulmonary vasculature and low lung volumes although underlying infection is difficult to exclude in the appropriate clinical setting.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever // Eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "58032295", "subject_id": "11369796", "findings": "Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p high speed bike accident/fall and significant facial trauma. // TECHNIQUE: Single frontal view of the chest COMPARISON: None"}, {"study_id": "53816282", "subject_id": "12932866", "findings": "Heart size is normal. The mediastinal and hilar contours are unremarkable with atherosclerotic calcification of the aortic arch again noted. A fudicial seed is again seen within a posterior left lower lobe lesion, compatible with known malignancy status post CyberKnife therapy. Minimal streaky bibasilar opacities likely reflect atelectasis, though infection is difficult to exclude. There is no new focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular congestion is present. Multiple clips are again seen within the upper abdomen. There are no acute osseous abnormalities.", "impression": "Left lower lobe lesion containing a fudicial marker, not significantly changed from the prior study. Probable bibasilar atelectasis though infection is difficult to exclude.", "background": "HISTORY: Fever and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___."}, {"study_id": "58815545", "subject_id": "14081532", "findings": "A single upright frontal chest radiograph was obtained. The exam is limited by low lung volumes. Opacity at the right base has been has progressed since the prior films. There is no effusion or pneumothorax. There is extensive gastric distention of the stomach.", "impression": "Worsening right lower lobe opacity concerning for infection.", "background": "HISTORY: Myasthenia ___ and worsening respiratory distress. COMPARISON: ___."}, {"study_id": "58236772", "subject_id": "10202018", "findings": "PA frontal and lateral chest radiographs demonstrate clear lungs bilaterally. The cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema. There is no pleural effusion or pneumothorax. The visualized osseous structures demonstrate no acute abnormality.", "impression": "No acute intrathoracic process.", "background": "HISTORY: ___-year-old male with chest pressure. COMPARISON: CT chest dated ___ as well as chest radiographs dated ___."}, {"study_id": "56572958", "subject_id": "11441201", "findings": "Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Apart from subsegmental atelectasis in the left lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with etoh intoxication, status post fall with swelling to right forehead. Crackles right lung base. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None."}, {"study_id": "51478334", "subject_id": "12907189", "findings": "The heart size is normal. The hilar and mediastinal contours are normal. There is a tracheostomy tube in place approximately 4.5 cm from the carina. A VP shunt catheter is seen overlying the left chest, overall unchanged compared to the prior exam from ___. The lung volumes are low; however, there appears to be a subtle increase in opacification at the lateral left lung base. Note is made of streaky band-like atelectasis in the lower right lung. There is no large pleural effusion or pneumothorax.", "impression": "Subtle increase in opacification over the lateral left lung base, likely secondary to overlapping structures, however mild consolidation secondary to effusion or aspiration/infection is not excluded.", "background": "INDICATION: History of tachypnea, hypoxia. Please evaluate for infiltrate. COMPARISON: Multiple chest radiographs dated back to ___, most recently from ___. TECHNIQUE: Single AP portable exam of the chest."}, {"study_id": "58211047", "subject_id": "14774100", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluate for pneumonia in a patient with shortness of breath and fever. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___."}, {"study_id": "50574495", "subject_id": "13665754", "findings": "There is mild bibasilar atelectasis. 2.2 cm ovoid opacity at the right base may reflect nipple shadow. The heart is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. Two adjacent linear opacities projecting over the right axillary soft tissues may reflect skin folds", "impression": "2.2 cm ovoid opacity at the right base may reflect a nipple shadow. Consider shallow oblique radiographs with nipple markers for confirmation. Linear opacities projecting over the right axillary soft tissues could be skin folds or less likely an unusual appearance for fracture of the humerus. Please correlate clinically.", "background": "WET READ: ___ ___ ___ 2:59 PM 2.2 cm ovoid opacity at the right base may reflect a nipple shadow. Consider shallow oblique radiographs with nipple markers for confirmation. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with ACS TnT 0.___ chest pain // eval ? acute chest process r/o additional abnormalities TECHNIQUE: Portable supine AP chest COMPARISON: Chest radiograph ___"}, {"study_id": "59890752", "subject_id": "15589519", "findings": "PA and lateral views of the chest provided and demonstrate midline sternotomy wires and prosthetic cardiac valve. Multiple mediastinal clips are again noted. There is right perihilar opacity with slight distortion of the fissural surfaces, stable, reflecting known changes from prior radiation treatment. There is no definite sign of pneumonia or overt CHF. Overall, cardiomediastinal silhouette is stable. No pneumothorax. No definite signs of pleural effusion. Bony structures are intact.", "impression": "Stable exam without acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Multiple prior chest radiographs, most recent dating ___ as well as a CT chest from ___. CLINICAL HISTORY: Dyspnea on exertion, assess for pleural effusion or pneumonia."}, {"study_id": "59044706", "subject_id": "11554988", "findings": "A single AP radiograph of the chest demonstrates a right subclavian dialysis catheter. A PEG tube and tracheostomy are in place. There are bibasilar opacities, likely representing atelectasis. No free air is visualized below the right hemidiaphragm.", "impression": "Bilateral basilar opacities likely representing atelectasis. No free air below the right hemidiaphragm.", "background": "PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 6:12 PM Bilateral basilar opacities likely representing atelectasis. No free air below the right hemidiaphragm. ______________________________________________________________________________ FINAL REPORT INDICATION: Feeding tube in place, now with upper GI bleed. Evaluate for free air. COMPARISON: Chest x-ray on ___."}, {"study_id": "50985206", "subject_id": "15301233", "findings": "Flattening of the hemidiaphragms and increased AP diameter of the thorax is consistent with chronic obstructive pulmonary disease. No consolidation or pulmonary edema is identified. There is no pleural effusion. Cardiomediastinal and hilar contours are within normal limits.", "impression": "Chronic, severe emphysema. No pneumonia or heart failure.", "background": "HISTORY: ___-year-old female with shortness of breath. COMPARISON: Chest radiographs dating back to ___, most recent from ___. PA AND LATERAL CHEST"}, {"study_id": "57930831", "subject_id": "13900911", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Minor chronic scarring is suspected in left lower lobe. The lungs appear otherwise clear. There has been no significant change.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Weakness and shortness of breath. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___."}, {"study_id": "58456184", "subject_id": "19133405", "findings": "Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is a midline tracheostomy. Left-sided Port-A-Cath is again seen, terminating at the cavoatrial junction/right atrium. Cardiac and mediastinal silhouettes are stable. Gaseous distention of the colon is again noted.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough, productive sputum. COMPARISON: ___."}, {"study_id": "53111089", "subject_id": "17914820", "findings": "Upright portable radiograph of the chest demonstrates unchanged position of dual-lead AICD, with leads terminating in the right atrium and right ventricle. The cardiac size is unchanged since the prior study, and there is a new pericardial drain in place. Increased retrocardiac opacification is likely due to atelectasis, and increased bilateral interstitial markings reflect mild underlying edema. Bilateral reticular opacities are unchanged due to interstitial pulmonary fibrosis, along with stable left apical scarring. There is no pneumothorax. The proximal esophagus is distended with air, possible due to dysmotility.", "impression": "Mild acute interstitial edema. Increased left retrocardiac opacity, likley atelectasis. Distended proximal esophagus, possibly due to dysmotility. Consider barium study if esophageal symptoms are present.", "background": "HISTORY: ___-year-old female with pericardial drain placement following right ventricular puncture during AICD placement. Now with worsening hypotension and hypoxemia. Evaluation for pneumonia. COMPARISON: Comparison is made to radiograph of the chest from ___."}, {"study_id": "57383152", "subject_id": "15006188", "findings": "Frontal and lateral views of the chest were obtained. There is minor basilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is not enlarged. Small rounded density projects laterally in the right lower lung, stable over multiple priors, may represent a calcified granuloma.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain and presyncope. COMPARISON: ___."}, {"study_id": "51220973", "subject_id": "10373833", "findings": "THE CARDIAC SILHOUETTE IS MILDLY ENLARGED. MEDIASTINAL CONTOURS ARE UNREMARKABLE. THERE IS NO PULMONARY EDEMA. NO DEFINITE FOCAL CONSOLIDATION IS SEEN. No pleural effusion or pneumothorax is seen.", "impression": "Mild cardiomegaly without pulmonary edema.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sob, new afib // ?pulm edema TECHNIQUE: Chest Frontal and Lateral COMPARISON: None."}, {"study_id": "56090736", "subject_id": "15760834", "findings": "Again seen is moderate stable cardiomegaly. Mild enlargement of both hila, could be secondary to enlarged pulmonary arteries. Bilateral small to moderate pleural effusions, right greater than left with atelectasis of the lung bases is noted. There is mild pulmonary edema. No pneumothorax is seen.", "impression": "Bilateral small-to-moderate pleural effusions with bibasal atelectasis and mild edema, not significantly changed since the earlier study of ___.", "background": "INDICATION: ___-year-old woman with shortness of breath and chest pain. COMPARISON: Chest radiograph ___ UPRIGHT PORTABLE AP CHEST"}, {"study_id": "58667188", "subject_id": "10878728", "findings": "Tracheostomy tube again terminates in the proximal trachea, and orogastric tube courses through the stomach. Lung volumes have decreased, but there is no focal consolidation. Mild cardiomegaly is unchanged. There are no significant pleural effusions or pneumothorax.", "impression": "Tracheostomy tube in standard position. Low lung volumes.", "background": "INDICATION: ___-year-old female with left parietal meningioma post-resection and tracheostomy placed ___. COMPARISON: ___. CHEST,"}, {"study_id": "56052498", "subject_id": "16526693", "findings": "In comparison to the most recent study, the heart is slightly larger and there are increased perihilar and bibasilar interstitial opacities, consistent with mild pulmonary edema. There is no focal consolidation. A small left pleural effusion is probably unchanged. No pneumothorax.", "impression": "Interval development of mild pulmonary edema. Stable small left pleural effusion.", "background": "INDICATION: History: ___M with SOB, hypoxia // ? pulmonary edema TECHNIQUE: Portable AP semi upright view of the chest COMPARISON: Multiple prior radiographs, most recently ___"}, {"study_id": "50275397", "subject_id": "15836874", "findings": "Frontal and lateral views of the chest. There is linear right mid-to-lower lung opacity most likely due to atelectasis versus scarring. Elsewhere, lungs are clear without consolidation or pulmonary vascular congestion. Mild blunting of the posterior costophrenic angles may be due to trace effusions or atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.", "impression": "No definite acute cardiopulmonary process.", "background": "CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with palpitations. COMPARISONS: None."}, {"study_id": "58682241", "subject_id": "14754762", "findings": "Moderate pulmonary edema is new. There is more bilateral pleural effusion with compressive atelectasis, moderate on the right side, small on the left side. Aspiration or pneumonia cannot be excluded in appropriate clinical setting. Cardiac contour is top normal and unchanged. Right-sided PICC line is in adequate position. There is no pneumothorax.", "impression": "Moderate pulmonary edema is new. Right moderate pleural effusion and small left pleural effusion has increased. Bibasilar consolidation is probably atelectasis; however, superimposed aspiration or infection cannot be excluded in appropriate clinical setting.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient with asthma, diabetes, hypertension, history of CVA, subdural evacuation, distress, breathing, high aspiration risk. COMPARISON: Multiple chest x-ray from ___ to ___."}, {"study_id": "51609177", "subject_id": "10549546", "findings": "The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with shortness of breath // eval for pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "53522468", "subject_id": "13943729", "findings": "AP upright and lateral views of the chest are provided. AICD noted with lead tips extending into the right atrium, right ventricle and likely within the coronary sinus. The lungs are clear, though hyperinflated, possibly reflecting underlying COPD. No focal consolidation, effusion, or pneumothorax is seen. The heart is within normal limits of size. Mediastinal contour is unremarkable. Bony structures appear intact.", "impression": "No acute findings in the chest.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: CAD, presents with dizziness, diaphoresis, question pneumonia."}, {"study_id": "53304221", "subject_id": "17847770", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process. No focal consolidation to suggest pneumonia.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with IgG deficiency with neuro complaints // cxr: eval for consolidation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "51312353", "subject_id": "12795830", "findings": "The patient is rotated. An NG tube terminates in the stomach with side port beyond expected location of the gastroesophageal junction. A right basilar opacity is new since ___, incompletely visualized on CT from ___. Blunting of the left costophrenic angle is new from ___. No pneumothorax or pulmonary edema.", "impression": "NG tube in appropriate position. Right basilar opacity is new since ___, concerning for acute aspiration or developing infectious pneumonia. Small left pleural effusion is new since ___.", "background": "INDICATION: ___ year old woman with MS, UC s/p subtotal col with end ileostomy, ileal conduit for neurogenic bladder, here with SBO. Going to surgery today PM. Pls verify placement of NGT. // NGT placement Surg: ___ (Ex-lap, LOA) TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph from ___. CT of the abdomen pelvis from ___."}, {"study_id": "51628923", "subject_id": "12989304", "findings": "The layering right pleural effusion is decreased in size, now moderate. The left lobe is clear. The heart size is normal. No pneumothorax. Markers over the right apex and another over the right lateral lung may be from prior biopsy.", "impression": "Improving, now moderate right pleural effusion.", "background": "EXAMINATION: PA and lateral chest radiograph INDICATION: ___ year old man with pleural effusion // eval COMPARISON: Chest radiograph dated ___."}, {"study_id": "54740065", "subject_id": "10827966", "findings": "Left internal jugular central venous catheter tip has been slightly withdrawn with tip projecting over in the region of the upper SVC however curved appearance of the distal aspect of the catheter may suggest that it is approaching the azygos vein. Lung volumes remain low. Heart size remains mildly enlarged. Bibasilar atelectasis is demonstrated. No pneumothorax or pleural effusion is present. Crowding of bronchovascular structures is re- demonstrated without overt pulmonary edema. Assessment of the medial lung apices is obscured by the patient's neck and chin.", "impression": "Tip of left internal jugular central venous catheter projects over the upper SVC however the curved configuration of the distal aspect of the catheter suggests that it may lie within the azygos vein. A lateral view may help confirm positioning of the line.", "background": "INDICATION: History: ___F with line readjustment TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ at 14:34"}, {"study_id": "50013581", "subject_id": "15077637", "findings": "NG tube is seen with tip in the fundus of the stomach and side port at the level of the GE junction. ET tube is in appropriate position with tip 3 cm above the level of the carina. The lungs are well expanded. Linear opacity in the left lower lobe likely represents atelectasis, however, may represent aspiration pneumonia in the appropriate clinical setting. The right pleural surface is clear. The left costophrenic angle is not fully imaged; however, no large pleural effusion seen. No pneumothorax. Mildly enlarged heart is likely attributed to AP technique and supine positioning. Mediastinal contour and hila are normal. Medialization of aortic arch calcifications without irregularity of the aortic knob contour or apical cap is of unclear significance.", "impression": "Consider advancing NG tube 3 cm for better seating in the stomach. ET tube in appropriate position. Medialization of the aortic arch calcifications may be positional in nature; however, if clinical concern for aortic pathology further evaluation with CT may be helpful. Left lower lobe linear opacity is likely atelectasis, however, may represent aspiration in the appropriate clinical setting.", "background": "HISTORY: Status post intubation. Assess tube placement. COMPARISON: None. TECHNIQUE: Single supine AP chest radiograph."}, {"study_id": "59072663", "subject_id": "11269024", "findings": "The lungs are clear. Blunting of the left lateral costophrenic angle is unchanged and due to a fat pad. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with metastatic melanoma and known intracranial mass presents with altered mental status and syncope // assess for interval change in mass, ich TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ chest x-ray and ___ chest CT."}, {"study_id": "51667676", "subject_id": "17731156", "findings": "There is no evidence of hilar or mediastinal lymphadenopathy. Heart is normal size. The lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation.", "impression": "No intrathoracic lymphadenopathy based on chest x-ray.", "background": "INDICATION: New petechial rash, evaluate for lymphoma. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "58551927", "subject_id": "13492348", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hx self reported prior rib fractures presents after fall during Spartan race, ttp right ribs pain COMPARISON: None"}, {"study_id": "59424894", "subject_id": "18203391", "findings": "Tracheostomy catheter and right approach PICC are in unchanged expected position. A generator overlies the left chest wall, unchanged from prior. There has been interval re-expansion of the right middle and bilateral lower lobes since most recent prior. Mild atelectasis persists at the right base, though overall aeration is much improved. Lung volumes remain low exaggerating bronchovascular markings, though there is probable mild pulmonary edema, though no large effusions. Cardiomediastinal and hilar contours are within normal limits given the portable supine technique of the film.", "impression": "Improved aeration right middle and lower lobes.", "background": "INDICATION: ___-year-old male presenting with low-grade fever and desaturation. COMPARISON: Chest radiograph from ___ PORTABLE SUPINE CHEST"}, {"study_id": "55750547", "subject_id": "10207998", "findings": "The previous right lung base airspace opacity has nearly completely resolved leaving minimal residual opacities, which may be due to mild scarring. This opacity is not definitely seen on the lateral radiograph. There are no new consolidations or pleural effusions. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.", "impression": "Substantially improved right basilar opacity, likely reflecting resolving pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough and abnormal cxr on ___ // eval for any remaining abnormality TECHNIQUE: PA and lateral radiograph of the chest from ___. COMPARISON: ___."}, {"study_id": "50321183", "subject_id": "18719447", "findings": "Right central venous catheter terminates in low SVC. Left jugular line terminates at left brachiocephalic vein. There is small bilateral atelectasis similar to prior. There is no appreciable pleural effusion. Cardiomediastinal silhouette is almost size.", "impression": "No notable interval change.", "background": "INDICATION: ___ year old man with with hypovolemia secondary to blood loss post-operatively now intubated requiring pressor support // compare to prior EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___"}, {"study_id": "50381612", "subject_id": "14512319", "findings": "Frontal and lateral radiographs of the chest were acquired. There is redemonstration of a left-sided pacemaker with associated right atrial and right ventricular leads, appropriately positioned. The lungs are clear. The heart size is within normal limits. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.", "impression": "No acute cardiac or pulmonary process.", "background": "INDICATION: Dyspnea. COMPARISON: Chest radiograph from ___."}, {"study_id": "55644102", "subject_id": "12465457", "findings": "Frontal and lateral chest radiograph demonstrates right port tip within the right atrium. The lungs are well inflated. New right middle lobe opacity most consistent with atelectasis. Right lung is otherwise clear. Triangular opacity within the left lung base best seen on lateral projection likely represents scarring from previous inflammatory disease. No left pleural effusion. No additional focal opacity. Heart size, mediastinal contour and hila are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 4:01 PM No acute cardiopulmonary process. WET READ VERSION #1 ___ ___ ___ 2:27 PM 1. New small left pleural effusion and right middle lobe opacity most consistent with atelectasis. However clinical correlation is recommend to assess for superimposed infection. 2. Persistent lingular atelectasis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with fever on chemo. Assess heart and lungs. COMPARISON: Chest radiograph ___, ___, ___."}, {"study_id": "54176961", "subject_id": "12660545", "findings": "There are low lung volumes. The heart size is moderately enlarged. Widening of the superior mediastinum is likely due to low lung volumes. Multifocal consolidative opacities within the right lung and left lung base are concerning for multifocal pneumonia. There is crowding of the bronchovascular structures with likely a element of mild pulmonary vascular congestion. No pleural effusion or pneumothorax is identified. There are multilevel degenerative changes in the imaged thoracic spine.", "impression": "Multifocal pneumonia. Mild pulmonary vascular congestion.", "background": "HISTORY: Hypoxia, shortness of breath, rhonchi in the right lung fields. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None."}, {"study_id": "59677225", "subject_id": "14600016", "findings": "Cardiomediastinal silhouette and hilar contours are unremarkable. The heart size and mediastinal width is exaggerated by AP technique and is not significantly changed to prior exam. There is some mild left base atelectasis. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. There is no subdiaphragmatic lucency to suggest pneumoperitoneum.", "impression": "No acute intrathoracic process. No evidence of pneumoperitoneum.", "background": "HISTORY: Abdominal pain with history of perforated ulcer, evaluate for free air. COMPARISON: ___. TECHNIQUE: Portable AP upright chest radiograph, single view."}, {"study_id": "54862949", "subject_id": "12436820", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dypnea // sob TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56106980", "subject_id": "14312580", "findings": "Cardiac silhouette size appears borderline enlarged, unchanged. Mediastinal and hilar contours are stable. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature is normal. No acute osseous abnormality is detected.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with crescendo left chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "58757139", "subject_id": "12934243", "findings": "PA and lateral views of the chest were provided. Lungs appear clear bilaterally. Prominent calcification along the costochondral junctions of the right rib cage is noted. The heart is mildly enlarged. No large pleural effusion is seen. Kyphotic angulation of the T-spine noted. No pneumothorax.", "impression": "No acute findings. Mild cardiomegaly.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: Lethargy, assess for infection."}, {"study_id": "51919491", "subject_id": "10695678", "findings": "The left-sided pneumothorax has resolved. The left lower lobe has re-expanded. The lungs are clear. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. Mild irregularity along the lateral aspect of the left fourth through sixth ribs are consistent with recent known rib fractures and are unchanged in appearance since the prior study. No displaced rib fractures are noted. Evaluation is limited without a dedicated rib series.", "impression": "Resolution of left-sided pneumothorax and reexpansion of the left lower lobe. Stable appearance of nondisplaced left rib fractures.", "background": "INDICATION: ___-year-old woman with left pneumothorax and left third and fourth rib nondisplaced fractures. Please reevaluate rib fractures. COMPARISON: Multiple prior chest radiographs, most recent from ___. FRONTAL AND LATERAL VIEWS OF THE"}, {"study_id": "56901771", "subject_id": "16706302", "findings": "Single AP portable radiograph of the chest demonstrates the nasogastric tube curled in the stomach. The right internal jugular catheter is unchanged in position. The endotracheal tube is also unchanged in position. The bilateral asymmetric opacities are seen, worse on the right, which likely represent pulmonary edema. The left lung appears to have increased in opacity compared to the prior radiograph. Marked cardiomegaly is noted. No pneumothorax is identified.", "impression": "Satisfactory position of nasogastric tube with otherwise increased opacity in the left lung compared to the prior radiograph.", "background": "HISTORY: Nasogastric tube was moved. Please assess location. COMPARISON: ___ at 12:27 p.m."}, {"study_id": "58064895", "subject_id": "19855099", "findings": "Single AP portable view of the chest was obtained. A large bore right-sided central catheter is seen terminating in the proximal right atrium/cavoatrial junction. The patient is status post median sternotomy and CABG. The cardiac silhouette is moderately enlarged. The mediastinal contours are unremarkable. Left base opacity is seen, with obscuration of the diaphragm concerning for a pleural effusion with overlying atelectasis. There is also hazy opacity at the right lung base, which could relate to layering effusion with atelectasis; however, consolidation is not excluded in the appropriate clinical setting in either lung base.", "impression": "Cardiomegaly. Bibasilar opacities on the left could be due to pleural effusion and atelectasis, although consolidation due to infection is not excluded at either lung base.", "background": "EXAM: Chest, single frontal view. CLINICAL INFORMATION: Hypoglycemia, fever, cough. COMPARISON: ___."}, {"study_id": "50334286", "subject_id": "16076182", "findings": "Moderate to severe cardiomegaly is re- demonstrated, unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar, and the pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Diffuse idiopathic skeletal hyperostosis is again noted.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with shortness of breath, dyspnea on exertion TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph and ___ chest CT"}, {"study_id": "58517803", "subject_id": "13172568", "findings": "Normal heart size, mediastinal and hilar contours. Mildly hyperinflated lungs with flattening of the diaphragms suggestive of COPD. No focal consolidation, pleural effusion or pneumothorax.", "impression": "No evidence of pneumonia.", "background": "INDICATION: History: ___M with histoyr of COPD elevated wbc // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "58286326", "subject_id": "18970536", "findings": "Frontal and lateral chest radiographs demonstrate sternotomy wires and a mitral valve annuloplasty ring. There has been interval removal of a right internal jugular central catheter. The cardiomediastinal silhouette appears unchanged. Again seen are bilateral pleural effusions with associated bibasilar atelectasis, the left effusion slightly increased versus redistributed due to differences in patient position. No focal opacity concerning for infectious is seen. There is no pneumothorax.", "impression": "Bilateral pleural effusions with associated bibasilar atelectasis, left effusion slightly increased versus redistributed due to differences in patient position. Interval removal of a right internal jugular central catheter.", "background": "HISTORY: Status post mitral valve repair and aortic arch replacement. COMPARISON: Chest radiographs from ___, ___, ___, and ___."}, {"study_id": "52638410", "subject_id": "16513279", "findings": "Compared with earlier the same day and allowing for technical differences, no gross change is identified. Diffuse bilateral opacities are similar in appearance and distribution. Subtle differences in the right mid and lower zones could be accounted for by differences in film technique. Mediastinum remains midline. No gross effusion is identified. No pneumothorax is detected. No free air seen beneath the diaphragm.", "impression": "Allowing for technical differences, doubt significant interval change. No gross effusions.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with multifocal PNA, ?lung CA, acutely worsened resp status concerning for pulm edema // Assess for pulm edema COMPARISON: Chest x-ray from ___ at 07:35"}, {"study_id": "54491592", "subject_id": "16339049", "findings": "The patient is status post coronary artery bypass graft surgery. A dialysis catheter again terminates in the upper atrium. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There are similar patchy linear opacities in the left mid lung as well as right lung opacities with a moderate pleural effusion in the right costophrenic angle that may be loculated to some degree. A posterior wedge-like opacity is nonspecific but suggests additional loculated fluid as a likely etiology or round atelectasis. This opacity seems to correspond to perhaps increased fluid associated with left lower lobe atelectasis or scarring seen on the prior CT. Comparing the right-sided pleural effusion directly to the most recent prior study, there has been no definite change allowing for differences in technique.", "impression": "Essentially stable appearance of the chest including moderate right-sided pleural effusion with suspected loculation and associated opacity, probably compatible with atelectasis.", "background": "CHEST RADIOGRAPHS HISTORY: Fever and cough. COMPARISONS: Radiographs from ___; CT from ___. TECHNIQUE: Chest, AP and lateral."}, {"study_id": "54147769", "subject_id": "15945590", "findings": "Streaky opacities at the right base are unchanged, most consistent with chronic atelectasis. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. Again noted is an azygous lobe. The mediastinal contours are normal. The heart size is mildly enlarged, and grossly unchanged from the prior exam.", "impression": "No acute cardiopulmonary process. Stable mild cardiomegaly.", "background": "INDICATION: History of CHF and atrial fibrillation, status post unwitnessed fall. Evaluate for worsening CHF. COMPARISONS: CT of the chest from ___. Chest radiograph from ___. Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained."}, {"study_id": "56960841", "subject_id": "11659626", "findings": "Heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. Focus of scarring within the right upper lobe is unchanged, and as noted on the prior CT may reflect radiation changes or sequelae of chronic infection. No new areas of focal consolidation are present. There is no pleural effusion or pneumothorax. There is diffuse demineralization of the osseous structures. Bilateral humeral prostheses are present. There are no acutely displaced rib fractures visualized. The patient is status post right mastectomy with a right breast implant and right axillary clips noted.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Motor vehicle collision, evaluate for rib fracture. COMPARISON: ___ chest radiograph and ___ chest CT. PA AND LATERAL VIEWS OF THE"}, {"study_id": "55713586", "subject_id": "15765403", "findings": "The tip of the left PICC now follows an abnormal opacities are essentially unchanged, but there is no evidence of midline shift. No new focal opacity. Increased and more conspicuous appearing left basilar opacities. Small left pleural effusion is plausible. Mild cardiomegaly and prominent pulmonary arteries are unchanged.", "impression": "Abnormal course of the left PICC, now terminating in the azygos or directly abutting the lateral wall of the SVC. Persistent left basilar opacities, now more conspicuous and concerning for pneumonia.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with hypoxemic respiratory failure s/p trach now with concern for left lower lobe atelectasis. // Please ensure proper positioning (as much as possible) to assess for left lower lobe collapse TECHNIQUE: Portable AP chest COMPARISON: Portable chest radiograph obtained 3 hours prior"}, {"study_id": "50277349", "subject_id": "12487096", "findings": "Heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected. Gaseous distention of the stomach is noted.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___"}, {"study_id": "57242816", "subject_id": "18131108", "findings": "AP and lateral views of the chest were viewed. The heart size is top normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well-expanded without focal consolidation. Pulmonary vasculature is within normal limits.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Fever, cough. COMPARISON: Chest radiograph ___."}, {"study_id": "56043234", "subject_id": "13807999", "findings": "The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old woman with cough, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___."}, {"study_id": "50384753", "subject_id": "18120578", "findings": "As compared to the prior examination there has been no relevant interval change. Blunting of the right costophrenic angle may represent chronic pleural thickening or a tiny effusion. There is no evidence of focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged.", "impression": "No evidence of focal pneumonia.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___F with lightheadedness // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___, CT abdomen and pelvis dated ___."}, {"study_id": "57811038", "subject_id": "17326223", "findings": "Consolidation with air bronchograms in the right lung base is accompanied by a moderate pleural effusion, which has apparently increased in size since the outside hospital radiograph, but positional differences limited comparison. .Cardiomediastinal silhouette is enlarged. Tracheostomy tube is in standard position. No pneumothorax.", "impression": "Right lower lobe consolidation, suspicious for pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with ?pneumonia and hemoptysis // evidence of pneumonia or effusion TECHNIQUE: Portable chest radiograph COMPARISON: Outside hospital CT of the torso from earlier same evening"}, {"study_id": "53852416", "subject_id": "15783916", "findings": "AP upright and lateral views of the chest are provided. There is diffuse pulmonary edema with trace pleural fluid tracking along the fissural surfaces. The heart is mildly enlarged and the pulmonary hila are engorged. There is no pneumothorax. Bony structures are intact.", "impression": "Findings compatible with CHF.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___ and CTA chest from ___. CLINICAL HISTORY: Shortness of breath, assess for pneumonia."}, {"study_id": "59038236", "subject_id": "15416392", "findings": "The lung volumes are low. The heart is borderline enlarged. There is moderate perihilar congestion and more generally edema in each lung of mild extent. There is no definite pleural effusion or pneumothorax.", "impression": "Findings consistent with mild congestive heart failure.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Hypoxia. History of congestive heart failure. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "53719461", "subject_id": "12717101", "findings": "There is an endotracheal tube seen with tip terminating at midpoint between the inferior aspect of the clavicle and the carina in adequate position. There is also an orogastric tube seen with tip coursing below the field of view of the image obtained. Mediastinal contours are within normal limits with the exception of pulmonary arterial enlargement. There is suture material projecting over the right lung. The bilateral pleural effusions and osseous sclerotic lesions are better assessed on the CT Torso examination. Overlying bowel gas pattern is nonspecific and no acute fractures are seen.", "impression": "Endotracheal tube in adequate position. Bilateral pleural effusions and osseous sclerotic lesions better assessed on subsequent CT Torso examination.", "background": "PORTABLE RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old male transferred from outside hospital, status post intubation. TECHNIQUE: Single portable AP radiograph of the chest was obtained. COMPARISON: None."}, {"study_id": "58697768", "subject_id": "16313615", "findings": "Considering the different positioning of the patient, bilateral pleural effusions, more predominant on the right side, are unchanged. Mild pulmonary edema is stable. Cardiac contour is mildly enlarged. There is no pneumothorax. The patient has been extubated and NG tube has been removed.", "impression": "Considering the re-distribution of pleural effusion in lower lung on this erect exam, there is no significant change since previous exam. Stable mild pulmonary edema.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient with pleural effusion. COMPARISON: Chest x-rays from ___ to ___."}, {"study_id": "54460033", "subject_id": "18013971", "findings": "AP upright and lateral views of the chest were obtained. A vague opacity projects over the right mid-to-upper lung on the frontal view only and is more conspicuous compared with the prior exam, differential considerations include pneumonia versus overlying artifact. Otherwise, no definite consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. Interposition of bowel accounts for the lucency below the right hemidiaphragm.", "impression": "Vague opacity in the right mid-to-upper lung, question early pneumonia. Recommend followup to resolution.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Lethargy, assess for pneumonia."}, {"study_id": "53412875", "subject_id": "12749637", "findings": "A retrocardiac opacity is present, best seen on the frontal view, and unchanged since the prior study. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no evidence of pulmonary edema.", "impression": "No evidence of pneumonia or CHF. Retrocardiac opacity for which further evaluation with routine oblique views is recommended. Findings were discussed with Dr. ___ at 3:15 pm on ___, via telephone.", "background": "INDICATION: ___-year-old woman with chest pain and cough. Evaluate for pneumonia or CHF. COMPARISON: ___. FRONTAL AND LATERAL VIEWS OF THE"}, {"study_id": "50481961", "subject_id": "15945590", "findings": "Single AP view of the chest was reviewed. Since the most recent prior study, there has been placement of a right internal jugular line with tip terminating in the mid SVC. There is no pneumothorax. Additionally there is an placement of an enteric tube with tip in the stomach but sideholes near the GE junction. The heart is moderately enlarged. Interstitial edema is mild. Focal opacities at the lung bases, left greater than right, is likely combination of edema, small pleural effusion and atelectasis, but opacities in the left midlung zone and increasing in the right apex over the past two hours could be due to recent aspiration, pneumonia, or pulmonary hemorrhage.", "impression": "Satisfactory placement of a right internal jugular line with tip terminating in the mid SVC. No pneumothorax. An enteric tube should be advanced several centimeters to guarantee positioning of the sideholes in the stomach. Moderate cardiomegaly, mild pulmonary edema, bibasilar atelectasis and increasing possible pneumonia/aspiration or pulmonary hemorrhage.", "background": "HISTORY: Central line placement. COMPARISON: Chest radiographs ___."}, {"study_id": "51913903", "subject_id": "16645602", "findings": "Interval placement of feeding tube which projects over the gastric body. Low bilateral lung volumes without focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is unchanged. A battery pack device projects over the lower left hemithorax with a lead extending up over the left neck.", "impression": "Interval placement of a feeding tube which extends into the gastric body. Low bilateral lung volumes.", "background": "INDICATION: ___ year old woman with epilepsy presenting with decreased responsiveness with displaced PEG // NG tube placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___"}, {"study_id": "56786891", "subject_id": "10469621", "findings": "Opacity at the right cardiophrenic angle somewhat more conspicuous on the current exam, in addition, there is more discrete opacity projecting over the heart on the lateral view. The lungs are hyperinflated but otherwise clear. There is no effusion or edema. Cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again noted. Sclerotic focus in the right humeral head is unchanged, likely enchondroma or prior infarct.", "impression": "Hyperinflated lungs with superimposed right middle lobe opacity, suspicious for pneumonia in the proper clinical setting.", "background": "WET READ: ___ ___ 6:43 PM Hyperinflated lungs with superimposed right middle lobe opacity, suspicious for pneumonia in the proper clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough // infiltrate? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ and ___."}, {"study_id": "50972338", "subject_id": "18916987", "findings": "Compared to the prior study from ___, there is new platelike atelectasis in the right mid lung field as well as new right perihilar and basilar opacities which are asymmetric and increased. There is no pleural effusion or pneumothorax, and the heart size is stable. Increased caliber of pulmonary arteries implies volume overload.", "impression": "Increasing opacities in the right perihilar and basilar lung concerning for pneumonia.", "background": "WET READ: ___ ___ ___ 8:45 PM Right lower lobe opacity, compatible with pneumonia. Findings discussed with Dr. ___ ___ ___) by Dr. ___ ___ telephone at 20:42 on ___, ___ min after discovery. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with decompensated cirrhosis. Evaluate for infiltrate. TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "58585135", "subject_id": "19369607", "findings": "There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Tortuous aortic contour is unchanged.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with chest pain and abdominal pain TTP in the LLQ // Please eval for LLQ pain, diverticulitis vs ischemia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "52898000", "subject_id": "17585916", "findings": "ET tube is seen, the tip is estimated 4.5 cm from the carina which is not clearly delineated on this exam. Extremely low lung volumes are noted with probable bibasilar atelectasis. Enteric tube seen in the region of the gastric body. Left chest wall dual lead pacing device is again identified.", "impression": "Limited exam with endotracheal tube tip approximately 4.5 cm from the carina which is not particularly well seen.", "background": "INDICATION: ___M with awake fiberoptic intubation ? ett placement TECHNIQUE: Single portable view of the chest. COMPARISON: Exam from earlier the same day at 14:59"}, {"study_id": "57586893", "subject_id": "12465457", "findings": "Right-sided Port-A-Cath is seen terminating in the low SVC/ cavoatrial junction without evidence of pneumothorax. Minimal left base atelectasis is seen. No focal consolidation or pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever and cough // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ at 11:45"}, {"study_id": "56002414", "subject_id": "12427757", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Metallic cervical surgical hardware is seen in the cervical spine but not optimally evaluated on this study. No displaced fracture is seen.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Motorcycle accident, pain, pre-surgical clearance. TECHNIQUE: AP frontal and lateral views of the chest. COMPARISON: None."}, {"study_id": "51904812", "subject_id": "12349353", "findings": "Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History: ___F with confusion, fatigue, recent hospitalization // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ through ___."}, {"study_id": "58791349", "subject_id": "13085916", "findings": "Single portable chest radiograph was provided. Lung volumes are low. There is prominence of the interstitial markings and of the hila bilaterally concerning for pulmonary edema. There is prominence of the aortic knob. Tracheostomy tube is in appropriate position. There are bilateral pleural effusions, right greater than left. The heart is mildly enlarged. Bones are intact.", "impression": "Pulmonary congestion with bilateral pleural effusions.", "background": "INDICATION: History of sepsis. Evaluate for cardiopulmonary disease. COMPARISONS: None."}, {"study_id": "51774836", "subject_id": "17585916", "findings": "Similar to multiple prior examinations, the exam is limited due to patient positioning. Given that, lung volumes are persistently low. Bilateral opacities are again demonstrated and may be increased from the prior examination raising the possibility of infection or aspiration. Cardiomediastinal contours cannot be evaluated due to patient positioning. .", "impression": "Low lung volumes. Bilateral pulmonary opacities appear increased from the prior examination could represent atelectasis, aspiration or infection.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new O2 requirement // eval for aspiration/pna TECHNIQUE: AP views of the chest COMPARISON: Multiple prior radiographs the most recent on ___"}, {"study_id": "50899339", "subject_id": "18166516", "findings": "PA and lateral views of the chest provided. Right chest wall Port-A-Cath is again seen with catheter tip in the low SVC likely at the cavoatrial junction. Bilateral pleural effusions appear unchanged. Basal opacity likely compressive atelectasis. No pneumothorax. No signs of congestion or edema. Overall cardiomediastinal silhouette is unchanged. Bony metastatic disease better assessed on prior CT chest.", "impression": "Stable appearance of bilateral pleural effusions and compressive lower lobe atelectasis. Known bony metastasis better assessed on prior CT.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob, metastatic breast cancer // ? infectious process COMPARISON: ___ and ___."}, {"study_id": "57191572", "subject_id": "15866635", "findings": "The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old with shortness of breath and cough. COMPARISON: Chest radiograph ___. TECHNIQUE: Frontal and lateral views of the chest were obtained."}, {"study_id": "56198299", "subject_id": "18292980", "findings": "Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. Mediastinal and hilar contours are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest tightness. COMPARISON: ___."}, {"study_id": "52372341", "subject_id": "16681170", "findings": "There are diffusely increased interstitial markings throughout the lungs. This is likely due to underlying fibrotic changes as seen on remote prior chest CT. There is no confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "Diffuse chronic interstitial markings in the lungs without superimposed acute cardiopulmonary process.", "background": "INDICATION: ___F with altered mental stauts, recent fall, anticoagulated, rales on exam, hx a-fib/CHF // TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray. Chest CT from ___."}, {"study_id": "52905999", "subject_id": "12550080", "findings": "Again seen are bilateral pleural effusions, right greater than left, similar to prior exam in ___. No new focal consolidation is identified. There is no pneumothorax. The heart size remains enlarged. Paucity of bowel gas is noted in the visualized abdomen.", "impression": "Stable appearance of bilateral pleural effusions, right greater than left, and cardiomegaly since prior exam in ___. No new focal consolidation identified.", "background": "EXAMINATION: Chest radiograph INDICATION: History: ___M with dyspnea, cough // Eval for pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___"}, {"study_id": "51217464", "subject_id": "15753793", "findings": "The tip of the ET tube terminates 3.5 cm above the carina in appropriate position. An enteric tube is partially visualized. There is mild pulmonary edema. Retrocardiac opacity is unchanged and may represent a combination of atelectasis and effusion, although developing consolidation cannot be excluded. Probable small right pleural effusion is also noted. A left chest single lead AICD is in unchanged position. No pneumothorax is seen.", "impression": "ET tube terminates 3.5 cm above the carina in satisfactory position. Persistent mild pulmonary edema. Unchanged retrocardiac opacity which may be a combination of atelectasis and effusion, although developing consolidation cannot be excluded.", "background": "INDICATION: ___-year-old female status post intubation. Evaluate for ET tube placement. TECHNIQUE: Portable AP view of the chest was obtained. COMPARISON: Chest radiograph from earlier on the same day at 12:25"}, {"study_id": "56680662", "subject_id": "17167982", "findings": "The monitoring and support devices are stable and in good position. No pneumothorax is visualized since clamping the chest tube. Chronic linear scarring and right pleural fluid has not significantly changed. The appearance of the left lung has also not significantly changed. The heart size is stable.", "impression": "No pneumothorax post chest tube clamping.", "background": "INDICATION: ___M s/p prior partial esophagogastrectomy presents 1wk after EUS/panc mass Bx c/b perf, mediastinitis/pancreatitis/ARDS now s/p R thoracotomy, mediastinal drainage/abd washout // apical chest tube is clamped, please evaluate for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "50041278", "subject_id": "13783588", "findings": "Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. No displaced fracture is seen. Hilar contours are stable.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain. COMPARISON: ___."}, {"study_id": "58667060", "subject_id": "10955958", "findings": "The heart is moderately enlarged with biatrial enlargement, right more than left. The aorta is tortuous and demonstrates diffuse calcifications. Hilar contours are stable. Lungs are hyperinflated but no focal consolidation is present. There is no pulmonary vascular congestion. There is minimal blunting of the costophrenic angles posteriorly, which could suggest trace bilateral pleural effusions. No pneumothorax is present. There are mild multilevel degenerative changes in the thoracic spine as well as within the right acromioclavicular joint. No acute osseous abnormality is seen.", "impression": "No definite radiographic evidence for pneumonia. Possible trace bilateral pleural effusions. Unchanged cardiomegaly with marked biatrial enlargement.", "background": "INDICATION: Weakness and clamminess. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "59350502", "subject_id": "19751571", "findings": "The endotracheal tube ends 3.2 cm above the carina. A left internal jugular catheter and a right supraclavicular catheter terminate in the upper superior vena cava. Bilateral small pleural effusions are slightly improved. There is persistent mild pulmonary edema which is markedly improved from ___. Persistent left lower lobe collapse is unchanged from ___. There is no pneumothorax.", "impression": "Unchanged left lower lobe collapse with continued improvement in mild pulmonary edema.", "background": "HISTORY: Status post mitral valve replacement, now with elevated white blood cell count. Evaluate for interval change. TECHNIQUE: Portable semi upright frontal chest radiograph. COMPARISON: Chest radiographs of ___ and ___. CT torso ___."}, {"study_id": "54638221", "subject_id": "16177830", "findings": "An abnormal right hilar contour associated with known malignancy appears not definitely changed, allowing for differences in technique. The heart is normal in size. The mediastinal and left hilar contours appear unremarkable. There is no pleural effusion or pneumothorax.", "impression": "Findings consistent with known malignancy, although without definite superimposed process.", "background": "CHEST RADIOGRAPHS HISTORY: Shortness of breath, chills, and fever. Patient with non-small cell lung cancer. COMPARISONS: Recent torso CT dated ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "58127273", "subject_id": "12957124", "findings": "A right-sided chest tube is in unchanged position. A right-sided Port-A-Cath terminates at the cavoatrial junction as before. An enteric tube terminates just past the GE junction. The cardiomediastinal and hilar contours are within normal limits. Previously seen perihilar edema has improved from the prior examination. A left basal opacity is decreased in size from the prior examination consistent with pleural effusion and left lower lobe collapsed. Mild right basal atelectasis.", "impression": "Lines and tubes as above. Left basal opacity is decreased in size from the prior examination consistent with left lower lobe collapse and effusion. Minimal right basal atelectasis. Postoperative pneumoperitoneum persists. Perihilar pulmonary vascular congestion appears improved from the prior exam.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M s/p minimally invasive three hole esophagectomy for lower SCC, T3N2M0,IIB, s/p neoadjuv chemoRT // Interval assesment TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior comparisons most recent on ___"}, {"study_id": "53185709", "subject_id": "17523078", "findings": "Endotracheal tube terminates 4.5 cm above the carina. Enteric tube courses below the diaphragm, terminating in the expected position of the stomach. There are low lung volumes. Moderate pulmonary vascular congestion is seen. Left base opacity may be due to vascular congestion, but consolidation due to pneumonia or aspiration is not excluded. No large pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable.", "impression": "Low lung volumes. Moderate pulmonary vascular congestion. Left base opacity may be due to vascular congestion, but consolidation due to pneumonia or aspiration not excluded.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fall and AMS // ?PNA TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "55996696", "subject_id": "17641228", "findings": "Cardiac silhouette size is normal. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated. Radiopaque densities projecting over the upper abdomen are external to the patient. Dextroscoliosis of the thoracic spine is re- demonstrated.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "53117639", "subject_id": "14089039", "findings": "No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.", "impression": "No acute findings. Routine chest radiography is insensitive for chest cage trauma.", "background": "HISTORY: ___-year-old female with weakness and falls. COMPARISON: Outside hospital chest radiograph dated ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained."}, {"study_id": "56920268", "subject_id": "10631674", "findings": "Moderate cardiomegaly is again noted as well as significant tortuosity of the aorta, particularly at its distal descending portion. The lungs are clear without consolidation, effusion, or edema. No acute osseous abnormalities.", "impression": "Cardiomegaly and significant tortuosity of the descending thoracic aorta. No acute cardiopulmonary process.", "background": "INDICATION: ___M with new onset exertional dyspnea, fatigue // eval for acute process, pulm edema TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58331218", "subject_id": "16681170", "findings": "An interstitial abnormality has improved substantially. There is suggestion of persistent reticulation in the lower lungs, however, which suggests underlying interstitial disease, as was reported previously. There is no focal opacification suggestive of pneumonia. The cardiac, mediastinal and hilar contours appear unchanged. Although difficult to exclude, there are no definite pleural effusions. There is no pneumothorax.", "impression": "No definite evidence of acute abnormality, although a persistent heterogeneous predominantly peripheral interstitial abnormality suggests underlying interstitial lung disease.", "background": "CHEST RADIOGRAPH HISTORY: Dyspnea. COMPARISONS: Radiographs from ___ and chest CT from ___. TECHNIQUE: Chest, AP semi-upright portable."}, {"study_id": "58874125", "subject_id": "13271149", "findings": "Mild a right lower lobe opacity is likely atelectasis. There is no pleural effusion or pneumothorax. Heart is top normal size.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History: ___F 3w s/p stent for MI, MVC today substernal cp // ?cpd TECHNIQUE: Chest PA and lateral COMPARISON: None"}, {"study_id": "57915729", "subject_id": "12055813", "findings": "Multiple small round artifacts are seen predominantly in the left hemithorax which are consistent with a previous gunshot wound. No consolidation, pleural effusion or pulmonary edema is seen. The cardiac silhouette is upper limits of normal in size.", "impression": "No acute cardiopulmonary disease.", "background": "HISTORY: ___-year-old man with new intracerebral hemorrhage. Decreased breath sounds at left base, evaluate for infection or chest abnormality. TECHNIQUE: Portable AP erect chest radiograph was obtained. COMPARISON: None available."}, {"study_id": "51391254", "subject_id": "15400287", "findings": "A balloon is partly visualized along the distal part of an endoscope which enters the stomach. The balloon is primarily in the stomach but partly inflated at the gastroesophageal junction. The patient remains intubated. There is new retrocardiac opacification with air bronchograms, probably atelectasis. There is no pleural effusion or pneumothorax.", "impression": "Balloon inflated largely in the stomach but also partly overlying the expected region of the gastroesophageal junction. New retrocardiac opacity probably atelectasis.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: ___ seal bleeding status post TIPS endplate more placement. ___ ___ ___ positioning requested. TECHNIQUE: Chest, AP supine portable. COMPARISON: Earlier on the same day."}, {"study_id": "51379395", "subject_id": "16706302", "findings": "Single supine AP portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately 5.3 cm above the level of the carina. Enteric tube is seen terminating in the distal esophagus with sideport also in the distal esophagus. There is a right internal jugular central venous catheter, which terminates at the cavoatrial junction. The cardiac silhouette is top normal to mildly enlarged. The aortic knob is calcified. There is consolidation projecting over the majority of the right lung, which could be due to pulmonary hemorrhage, massive aspiration, and/or extensive infection. Left perihilar opacities are also seen, which could be due to aspiration or infection or a component of pulmonary edema. Left base opacity is seen, which may be due to atelectasis with possible small underlying pleural effusion. No large pleural effusion is seen on the right. There are no findings to suggest pneumothorax. No definite rib fractures are seen.", "impression": "High positioned nasogastric tube, terminating in the distal esophagus. Recommend advancement so that it is well within the stomach. Large area of consolidation projecting over the majority of the right lung, which could be due to pulmonary hemorrhage, massive aspiration and/or infection with possible underlying pulmonary edema. Left perihilar opacity could be due to aspiration or infection versus pulmonary edema. Left base retrocardiac opacity may be due to atelectasis with possible small pleural effusion. The above findings were discussed with Dr. ___ at 2:20 p.m. on ___ via telephone.", "background": "EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: Intubated. COMPARISON: None."}, {"study_id": "55909926", "subject_id": "14785071", "findings": "Two views were obtained of the chest. Interstitial abnormality is likely unchanged and probably relates to extensive paraseptal emphysema seen on the prior chest CT. There is no right pleural effusion with perhaps trace left pleural effusion. The heart is normal in size and normal mediastinal and hilar contours. No pneumothorax is seen.", "impression": "Perhaps trace left pleural effusion without acute intrathoracic process.", "background": "INDICATION: Shortness of breath and new cough, assess for pneumonia. COMPARISON: ___."}, {"study_id": "55476836", "subject_id": "16346051", "findings": "The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified surgical clips in the right upper quadrant suggest prior cholecystectomy.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with s/p fall unclear AMS // r/o intracranial hemorrhager/o c spine fxr/o pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "51983403", "subject_id": "18059377", "findings": "The layering right pleural effusion has decreased, but the small left pleural effusion is stable. The lungs are clear. Cardiomegaly is stable. A left pectoral pacemaker remains in place. Bilateral shoulder and multilevel spinal degenerative changes are present. There is stable rightward curvature of the thoracolumbar spine. An IVC filter projects over the medial right upper quadrant.", "impression": "Decreased trace right and stable small left pleural effusions. Stable cardiomegaly. Clear lungs.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with COPD, sCHF, severe AS with tachypnea // volume overload, opacity. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___."}, {"study_id": "57868783", "subject_id": "15689523", "findings": "The cardiomediastinal and hilar contours are stable with moderate to severe enlargement of the cardiac silhouette in widening of the mediastinum. Calcified mediastinal lymph nodes are stable in appearance. Known calcified pericardium is not well visualized on the current study appear There is a small to moderate right pleural effusion and a small left pleural effusion, not significantly changed. Lung volumes are low, and diffuse airspace opacities are not slightly improved at the lung bases. These may represent combination edema, but superimposed infection is not excluded. ETT and right internal jugular line are in unchanged, standard positions.", "impression": "Mild improvement in mulifocal airspace opacities since the most recent prior study, which may reflect improvement in pulmonary edema.", "background": "INDICATION: ___ year old man intubated, diuresing for heart failure // please assess for change in pulmonary edema TECHNIQUE: Semi-erect AP view of the chest. COMPARISON: Multiple chest radiographs, the most recent from ___. Chest CT ___, ___."}, {"study_id": "56711833", "subject_id": "12602369", "findings": "PA and lateral views of the chest demonstrate unchanged left apical opacity with small calcifications, compatible with prior granulomatous disease. Associated fibrosis and slight leftward deviation of the trachea is unchanged since the prior study. There is no evidence of pleural effusion, pneumothorax or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is stable. Scoliotic curvature of the thoracic spine is unchanged.", "impression": "No acute cardiopulmonary process. Calcific changes and scarring in the left apex is consistent with prior granulomatous disease and underlying fibrosis, and is unchanged since ___.", "background": "HISTORY: ___-year-old female with weakness and cough. Evaluation for pneumonia. COMPARISON: Comparison is made to radiographs of the chest from ___ and ___."}, {"study_id": "50554883", "subject_id": "12239834", "findings": "There has been significant decrease but incomplete resolution of previously seen consolidation within the right lower lobe. There are no new areas of focal consolidation noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits and stable. The pleural surfaces are unremarkable.", "impression": "Significant improvement but incomplete resolution of previously seen pneumonia. Follow up study is recommended in ___ weeks to confirm resolution of findings.", "background": "INDICATION: ___-year-old female with a history of diabetes and tobacco use. Recent right lower lobe pneumonia. COMPARISON: PA and lateral chest radiograph, ___. TECHNIQUE: PA and lateral chest radiograph."}, {"study_id": "57478116", "subject_id": "12031068", "findings": "Compared with chest radiograph on ___, there is no significant change.Overall lung volumes are low, however the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with cough,back pain ,fever // r/o PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___"}, {"study_id": "55359161", "subject_id": "12148093", "findings": "Lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with one week cough right sided, hx HFpEF // cpd or pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "52238069", "subject_id": "12224734", "findings": "Severe, abnormal convexity of the right mediastinal border with visualization of the pulmonary vessels is consistent with the known anterior mediastinal mass. Interval change in the size of the right mediastinal mass cannot be adequately determined due to the differences in lung volume and technique compared to the prior exam from ___; however, the mass appears grossly larger on the lateral view. Recommend CT chest with contrast for better assessment. Interval improvement in bibasilar atelectasis. Stable, mild cardiomegaly. Left hilar contours are normal. No pneumothorax or pleural effusion.", "impression": "Right, prevascular mediastinal mass appears grossly larger on the lateral view. Recommend CT chest with contrast for more adequate assessment of size and vascular complications.", "background": "EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old woman with a mediastinal neuroendocrine tumor. Evaluate for interval growth of mediastinal mass. Clinical concern for early SVC syndrome. TECHNIQUE: Chest PA and lateral. COMPARISON: Prior chest radiograph from ___. CT chest from ___."}, {"study_id": "50253127", "subject_id": "11130122", "findings": "The lungs are clear. The mediastinal and cardiac contour are within normal limits. There is no pneumothorax and no pleural effusion.", "impression": "There is no radiographic evidence of cardiopulmonary abnormalities.", "background": "AP CHEST X-RAY. INDICATION: Patient with chronic appendicitis, preop for lap appy. New chest wall pain. COMPARISON: None."}, {"study_id": "53838422", "subject_id": "18175344", "findings": "Compared to the most recent prior exam, the heart size is significantly enlarged. There is central hilar engorgement and redistribution of vessels in the upper zones consistent with pulmonary edema. Dense retrocardiac opacity likely represents left lower lobe atelectasis. Rounded mass-like opacity in the right middle or lower lobe may represent atelectasis or infection. Calcifications in the right upper lobe are constant. Median sternotomy wires are intact.", "impression": "New moderate pulmonary edema and worsening cardiomegaly. Bilateral pleural effusions. Rounded mass like opacity in the right middle or lower lobe which may represent atelecasis or pneumonia. Recommend follow up radiograph after diuresis for further assessment. If there is no improvement, then consider CT.", "background": "INDICATION: ___-year-old woman with CHF, EF of 25% in ___, presents with dyspnea on exertion, increasing lower extremity edema and two weeks of cough, rule out pulmonary edema, pneumonia. COMPARISONS: Chest radiographs from ___ and dating back to ___. TECHNIQUE: PA and lateral chest radiographs were provided."}, {"study_id": "57403301", "subject_id": "16743897", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. A Port-A-Cath terminates in the superior vena cava.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS HISTORY: Fever. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "53504951", "subject_id": "14591152", "findings": "The inspiratory lung volumes are slightly decreased. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Lower abdominal pain and vomiting, here to evaluate for acute cardiopulmonary process. COMPARISON: No prior studies available. TECHNIQUE: Upright PA and lateral radiographs of the chest."}, {"study_id": "56845342", "subject_id": "16171758", "findings": "PA and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, the lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No definite lytic bony lesion is identified. No free air below the right hemidiaphragm. Tiny clips are seen in the right axilla.", "impression": "No evidence of pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hx multiple myeloma p/w fever and cough COMPARISON: Prior study dated ___."}, {"study_id": "51218616", "subject_id": "13223535", "findings": "Mild increased reticular opacities in the right middle lobe, possibly from atelectasis or scarring is persistent and unchanged ___. Otherwise, the lungs are well expanded and clear. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No pneumonia. Unchanged right middle lobe opacity, likely scarring or atelectasis.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___."}, {"study_id": "57810991", "subject_id": "14348068", "findings": "The cardiac and mediastinal silhouettes are stable with persistent, stable enlargement of the cardiac silhouette. Prominence of the hila is stable, consistent with prominence of the pulmonary vasculature. No pleural effusion or pneumothorax is seen. No definite focal consolidation is seen.", "impression": "Persistent prominence of the central pulmonary vasculature and cardiomegaly. No definite focal consolidation.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "50667454", "subject_id": "14995538", "findings": "Heart size remains mildly enlarged. Mediastinal and hilar contours are stable. There is no focal consolidation, pleural effusion or pneumothorax. No overt pulmonary edema is demonstrated. There are no acute osseous abnormalities. Clips are noted about the lower neck.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Right lower leg pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "57017757", "subject_id": "19862589", "findings": "PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Weakness and syncope, assess for pneumonia."}, {"study_id": "59848680", "subject_id": "19169557", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain and cough // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "57687380", "subject_id": "17949843", "findings": "Portable single frontal chest radiograph was obtained. A left chest tube is in place. The left PICC line terminates in the mid SVC. There is no pneumothorax. Unchanged mild bibasilar atelectasis. The heart size is top normal. Mediastinal and hilar contours are stable. There is no pleural effusion.", "impression": "Chest tube in place without pneumothorax.", "background": "HISTORY: Patient with chest tube to water seal, evaluate pneumothorax progression. COMPARISON: ___."}, {"study_id": "51283380", "subject_id": "17396346", "findings": "Since the prior exam, there is increased vascular congestion with mild pulmonary edema. Linear opacities at the right base are likely atelectasis. There is no definite pleural effusion or pneumothorax. The mediastinal contours are unchanged. The heart is severely enlarged, and stable. Surgical clips are noted in the left breast.", "impression": "Slight interval increase in mild pulmonary edema. Stable cardiomegaly.", "background": "INDICATION: Acute shortness of breath. COMPARISONS: Chest radiograph from ___. TECHNIQUE: A single frontal upright view of the chest was obtained."}, {"study_id": "57121643", "subject_id": "10469621", "findings": "The lungs are clear focal consolidation or effusion. The cardiac silhouette is enlarged but stable in configuration. Median sternotomy wires and mediastinal clips are again noted. Prior right IJ line line is no longer visualized. Calcifications in the proximal right humerus may be due to an enchondroma or bone infarct.", "impression": "Cardiomegaly without acute cardiopulmonary process.", "background": "INDICATION: ___F with CABG, here w/ SOB. // ?pulmonary edema TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___."}, {"study_id": "51274461", "subject_id": "16978607", "findings": "PA and lateral images of the chest were obtained. The lungs are clear bilaterally with no areas of focal consolidation or congestive heart failure. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Shortness of breath and chest pain. COMPARISON: Chest radiograph, ___."}, {"study_id": "54859547", "subject_id": "16233876", "findings": "The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History: ___M with fever, cough // ?pna TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available."}, {"study_id": "51596414", "subject_id": "10654063", "findings": "Cardiomediastinal contours are stable with cardiac size top normal and tortuous aorta. The lungs are hyperinflated. Faint increasing opacities in the right peripheral lower lobe and biapical pleural parenchymal scar are unchanged. There are no new lung abnormalities. there is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine", "impression": "COPD. No acute cardiopulmonary abnormalities", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough and rx with abx not totally resolved // r/o abn TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "56701415", "subject_id": "12979211", "findings": "The heart is moderately enlarged with a left ventricular configuration. There is mild unfolding along the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Small-to-moderate anterior osteophytes are noted along the thoracic spine.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "CHEST RADIOGRAPHS HISTORY: Substernal chest pressure. History of diabetes and hypertension. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "57871961", "subject_id": "11645931", "findings": "Single portable view of the chest. No prior. Low lung volumes are noted. Left chest wall port is seen with catheter tip at the RA/SVC junction. There is a rounded opacity projecting over the right lower lung. There is some adjacent consolidation in the right mid to lower lung as well. Left lung is grossly clear. The cardiomediastinal silhouette is within normal limits. Radiopaque densities projected over left right upper quadrant as well as a right upper quadrant surgical clips.", "impression": "Nodular/masslike opacity at the right lung base which may represent a combination of mass or consolidation secondary to infection. Correlation with older films would be useful. Alternatively, CT scan could be performed.", "background": "HISTORY: ___-year-old female with cancer, tachycardia and recent appendectomy now with abdominal pain and left lower chest pain. COMPARISON: None."}, {"study_id": "53059018", "subject_id": "17475607", "findings": "The lungs are again seen to be hyperinflated, with evidence of chronic obstructive pulmonary disease. Left mid lung linear scarring is again seen. There is slight increase in interstitial markings bilaterally in the perihilar regions which may relate to differences in technique versus minimal edema.No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "Slight interval increase in interstitial markings bilaterally in the perihilar regions, may relate to differences in technique versus minimal edema. COPD. No focal consolidation.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with increased sputum production, cough, dyspnea on exertion // copd exacerbation vs pneumonia vs pulm edema TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___"}, {"study_id": "52700366", "subject_id": "18527006", "findings": "Heart size is moderately enlarged, increased when compared to the previous radiograph, but similar in size compared to the previous CT, and likely reflects a combination of cardiomegaly and a small to moderate pericardial effusion given the globular configuration. Pulmonary vasculature is normal. Mediastinal and hilar contours are stable. Small bilateral pleural effusions are noted with retrocardiac opacity, possibly reflective of atelectasis. No pneumothorax is demonstrated. No acute osseous abnormalities seen.", "impression": "Moderate enlargement of the cardiac silhouette likely reflective of a combination of cardiomegaly and small to moderate pericardial effusion. Small bilateral pleural effusions with retrocardiac opacity, likely atelectasis. No evidence of pulmonary edema.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with history of congestive heart failure presenting with anasarca TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and torso CTA ___"}, {"study_id": "57903469", "subject_id": "13458905", "findings": "Sternotomy. Right IJ central line tip in the mid SVC. Chest tubes have been removed. No pneumothorax. There is mild right pleural effusion which is more prominent. More prominent bibasilar opacities, likely atelectasis. Probable tiny left pleural effusion, similar. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. Prominent upper abdominal bowel loops.", "impression": "No pneumothorax. Mild Worsening of bibasilar opacities, likely atelectasis. Worsened now mild right pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with removal of chest tubes // eval for PTX TECHNIQUE: Chest single view COMPARISON: ___ 12:26"}, {"study_id": "59786449", "subject_id": "13875890", "findings": "Poor inspiratory effort compared to the previous exam. Bilateral pulmonary vascular congestion with no interval change. The heart is not enlarged. ET tube above the carina. Left PICC line in the mid SVC. NG tube in the stomach.", "impression": "Persistent pulmonary vascular congestion.", "background": "INDICATION: ___ year old woman with PNA // interval scan TECHNIQUE: Chest portable AP upright at 05:38 COMPARISON: ___."}, {"study_id": "52038434", "subject_id": "16359884", "findings": "The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. There is a sub-optimal inspiratory effort. There is right mid lung and left lower lung atelectasis. Otherwise, the lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.", "impression": "No acute cardiopulmonary process. Low lung volumes.", "background": "EXAMINATION: PA and lateral chest x-ray. INDICATION: ___-year-old man with cough and dyspnea, evaluate for pneumonia. TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: Chest x-ray ___."}, {"study_id": "51944172", "subject_id": "14358566", "findings": "Lung volumes are low, possible at the prior exam. Stable moderate cardiomegaly. Stable prominence of the hila, perhaps secondary to prominent hilar lymph nodes as seen on chest CT. Retrocardiac opacity is most likely atelectasis, similar to the prior exam. No focal consolidation, pulmonary edema, pneumothorax, or pleural effusion.", "impression": "Low lung volumes and atelectasis. No definite pneumonia. Conventional PA and lateral chest radiograph could be a obtained to further evaluate.", "background": "EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old woman with worsening of baseline hypoxia, and hypocarbia on gas // PNA? COMPARISON: Chest radiograph dated ___. CT chest dated ___."}, {"study_id": "53259470", "subject_id": "11810275", "findings": "Upright PA and lateral views of the chest were reviewed and compared to the prior study. A left anterior axillary bielectrode pacemaker has intracavitary electrodes, the first in position compatible with the right atrial appendage and the second lead in position compatible with the apical portion of the right ventricle. Mild cardiomegaly is unchanged and the mediastinal contours are within normal limits. There is no vascular congestion, pulmonary edema, pleural effusion or pneumothorax. There are no concerning osseous or soft tissue lesions.", "impression": "New left axillary bielectrode pacemaker with the first lead in position compatible with the right atrial appendage and the second lead in position compatible with the apical portion of the right ventricle. Unchanged mild cardiomegaly. No pneumothorax.", "background": "INDICATION: Evaluation for percutaneous pacemaker lead position. COMPARISON: Chest radiograph performed ___."}, {"study_id": "59859235", "subject_id": "10150882", "findings": "Better inspiration bilaterally.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged and cardiac size likely exaggerated by low lung volumes. Severely distended stomach with air-fluid level and risk of aspiration", "impression": "Severely distended stomach with an air-fluid level and risk of aspiration.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with UTI, fever, initial CXR with poor inspiration // re-evaluate for acute processes with better study TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___."}, {"study_id": "57839460", "subject_id": "17552261", "findings": "The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The lung volumes are low. The pulmonary vascularity is normal. There minimal streaky opacities in lung bases likely reflective of atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "Low lung volumes with mild bibasilar atelectasis.", "background": "HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "50593554", "subject_id": "13940544", "findings": "Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. The right lung is clear. Stable-appearing small left-sided pleural effusion with adjacent atelectasis. Small amount of subcutaneous emphysema along the left chest wall. Persistent moderate cardiomegaly. Three chest tubes project over the left hemithorax.", "impression": "Persistent small left-sided pleural effusion with adjacent atelectasis.", "background": "HISTORY: ___-year-old man status post extubation. Evaluate for aeration of the left lung. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___."}, {"study_id": "54639819", "subject_id": "19813794", "findings": "There are decreased lung volumes bilaterally. The patient is status post CABG, with sternotomy wires prior noted to be well aligned. There is a single lead ICD overlying the left chest, with its lead extending into the right ventricle. There has been interval worsening of bibasilar opacities, suggesting of either aspiration or atelectasis. Redemonstrated is stable, pulmonary vascular congestion with interstitial edema. There are new, small, bilateral pleural effusions identified. The patient's known left lower lobe mass is obscured on this radiograph, and better characterized on the recent CT chest examination. There is stable enlargement of the cardiomediastinal silhouette.", "impression": "Worsening bibasilar opacities, suggestive of aspiration or atlectasis given rapid change from recent CT of ___. Stable pulmonary vascular congestion and interstitial edema. Small bilateral pleural effusions.", "background": "HISTORY: History of COPD and CHF, now with increasing O2 requirement. TECHNIQUE: Single, AP, portable view of the chest with the patient in an upright position. COMPARISON: Comparison is made to CT chest dated ___, and radiographs dated ___."}, {"study_id": "56279703", "subject_id": "11203575", "findings": "The lungs are clear without focal consolidation, effusion, or edema. Incidentally noted is an azygos fissure. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No acute cardiopulmonary process.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with cough and chest pain // evaluate for pneumonia TECHNIQUE: PA and lateral views the chest. COMPARISON: ___."}, {"study_id": "52287375", "subject_id": "18036964", "findings": "PA and lateral views of the chest were obtained. Lungs are hyperinflated with widened AP diameter of the chest as seen previously compatible with COPD. The heart is moderately enlarged. There is poorly defined opacity in the left lower lobe which is concerning for pneumonia. In addition, there is a second area of vague opacity in the left mid lung. Findings suggest multifocal pneumonia. No large pleural effusions are seen. No pneumothorax. Mediastinal contour is unremarkable. Bony structures are intact, though demineralized.", "impression": "Opacity in the left mid and lower lung concerning for pneumonia. Moderate cardiomegaly and COPD.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a CT chest from ___ and chest radiograph from ___. CLINICAL HISTORY: Fever, cough, hypoxia, assess for pneumonia."}, {"study_id": "54573386", "subject_id": "18339865", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dyspnea on exertion. Urinary tract infection. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "58385843", "subject_id": "16503587", "findings": "The cardiomediastinal and hilar contours are normal and stable. Increasing hilar fullness and increasing bilateral opacities suggest pulmonary vascular congestion and increasing pulmonary edema. A more confluent area of opacity at the left base may represent atelectasis or infection in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. Multiple granulomas are stable in the right lung.", "impression": "Mild pulmonary edema. Confluent area of opacity at the base of the left lung could represent infection in the appropriate setting.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with endocarditis, acute SOB, crackles on L side, new oxygen requirement // r/o pulm edema TECHNIQUE: Single AP upright view. COMPARISON: Radiograph on ___"}, {"study_id": "51161368", "subject_id": "15727523", "findings": "The lung volumes are low which limits evaluation. There is no large opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable accounting for differences in technique. There is no free air beneath the right hemidiaphragm.", "impression": "No overt signs signs of pneumonia or congestive heart failure.", "background": "CLINICAL INDICATION: Lupus nephritis status post kidney transplant, on immunosuppression, with fever. Evaluate for pneumonia. COMPARISON: Chest radiograph, ___. FRONTAL AND LATERAL VIEWS OF THE"}, {"study_id": "50142045", "subject_id": "19448760", "findings": "Of the is post median sternotomy and CABG. Dense mitral annular calcifications are again noted. Mild cardiomegaly with the left ventricular predominance is re- demonstrated. The aorta is unfolded with atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is mildly engorged, but improved compared to the previous radiograph. No focal consolidation, pleural effusion or pneumothorax is seen. The lungs are hyperinflated. Dense vascular calcifications are noted within the left upper quadrant of the abdomen. Extensive degenerative changes are noted involving both shoulders.", "impression": "Mild pulmonary vascular engorgement, improved compared to previous chest radiograph.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with tachypnea, history of congestive heart failure TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: ___ chest radiograph, CTA chest ___"}, {"study_id": "50945057", "subject_id": "12621660", "findings": "PA and lateral views of the chest are provided. The lungs are clear. A retrocardiac density containing air-fluid levels, compatible with a hiatal hernia, unchanged. The cardiomediastinal silhouette is stable. There is mild atherosclerotic calcification noted along the thoracic aortic knob. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "Stable hiatal hernia. No acute findings.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Confusion, question pneumonia."}, {"study_id": "56453397", "subject_id": "16097384", "findings": "PA and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Imaged upper abdomen demonstrates no air under the right hemidiaphragm.", "impression": "No acute intrathoracic abnormality.", "background": "INDICATION: ___F with cough,R shoulder pain // pna? R shoulder fx/dx? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___"}, {"study_id": "53522729", "subject_id": "19062044", "findings": "Left lower lobe consolidation has mildly worsened. Improved left perihilar infiltrate. Tiny left pleural effusion has improved. Thoracolumbar curve. Postoperative changes upper abdomen. Mild volume loss in the left chest stable. Right lung is clear. Normal pulmonary vascularity and heart size.", "impression": "Increase consolidation left lung base, with stable mild volume loss, possibly all from atelectasis, component of pneumonitis cannot be excluded. Improved now tiny left pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with AMS, increased WBC // r/o acute cardiopulmonary process TECHNIQUE: Chest single view COMPARISON: ___ at 18:27"}, {"study_id": "55844868", "subject_id": "11551927", "findings": "Cardiac size is top normal. Collapsed right lower lobe is unchanged. Mild vascular congestion has markedly improved. Left apical opacity is persistent. There is no pneumothorax or pleural effusion. Monitoring devices are in unchanged position.", "impression": "Persistent collapsed right lower lobe and probably pneumonic consolidation in the left upper lobe", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with acute pancreatitis // interval progression TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "59146391", "subject_id": "10257709", "findings": "Frontal and lateral views of the chest were obtained. Right-sided Port-A-Cath is again seen, terminating in the cavoatrial junction. The cardiac and mediastinal silhouettes are stable. Post-traumatic changes are again seen in the right paramediastinal upper lung. Minor left basilar atelectasis is again seen. There is persistent mild elevation of the anterior right hemidiaphragm. No new focal consolidation is seen. There is no large pleural effusion or evidence of pneumothorax.", "impression": "No acute cardiopulmonary process. No significant interval change.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Weakness and not feeling well with elevated white blood cell count. Patient with lung cancer. COMPARISON: ___."}, {"study_id": "52191636", "subject_id": "13811748", "findings": "Frontal and lateral views of the chest were obtained. The heart is of top normal size. Cardiomediastinal contours are stable. The patient's arm is in a sling and projects over the right lung base. The lungs are hyperinflated but clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body. A proximal right humerus fracture is incompletely imaged.", "impression": "No evidence for acute cardiopulmonary process. Proximal right humerus fracture. Please refer to subsequent shoulder radiographs for details.", "background": "INDICATION: ___-year-old female status post fall with head trauma. COMPARISONS: Multiple prior chest radiographs, most recently of ___."}, {"study_id": "50724809", "subject_id": "19814900", "findings": "The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion, or pneumothorax.", "impression": "No acute cardiopulmonary radiographic abnormality.", "background": "INDICATION: ___-year-old woman with cough and shortness of breath. COMPARISON: CT chest ___ and a chest radiograph ___. PA AND LATERAL CHEST"}, {"study_id": "54730501", "subject_id": "19133405", "findings": "A left chest wall port is again noted, and a tracheostomy is in stable position. Heart size is at the upper limits of normal. The mediastinal contours are otherwise within normal limits . No CHF, focal consolidation, pleural effusion or pneumothorax. Top-normal gas-filled colonic loops in the upper abdomen are again noted.", "impression": "No acute pulmonary process identified.", "background": "INDICATION: ___F with secretions // ? pna TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "54731255", "subject_id": "14489728", "findings": "There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Tortuous ascending aorta contour is unchanged.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History: ___F with fall, woke up on floor // r/o c spine fracture, chest trauma, intracranial hemorrhage TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "51595397", "subject_id": "16132910", "findings": "There is no evidence of pneumothorax. The lung volumes are low accentuating cardiovascular markings. The lungs are otherwise clear. No pleural effusions seen.", "impression": "No evidence of pneumothorax.", "background": "HISTORY: ___-year-old woman with lung mass, status post biopsy. COMPARISON: None. TECHNIQUE: Single portable view of the chest."}, {"study_id": "51242369", "subject_id": "14114252", "findings": "The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with history of pneumothorax presenting with dyspnea. Evaluate for pneumothorax. TECHNIQUE: Portable AP frontal chest radiograph was obtained. COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "50957877", "subject_id": "11773543", "findings": "Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Again seen are prominent interstitial markings and evidence of vascular engorgement, which have decreased slightly over the interval. There is a small left-sided pleural effusion with adjacent atelectasis. The left hemi-diaphragm is elevated. The cardiomediastinal contours are unchanged. There is no pneumothorax.", "impression": "Interval improvement in small left-sided pleural effusion with adjacent atelectasis and interstitial pulmonary edema.", "background": "INDICATION: ___ year old man with persistent O2 requirement, s/p diuresis (w/ significant UOP). w/ LLL consolidation on exam // interval improvement? lobar pneumonia? TECHNIQUE: Portable chest x-ray. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___."}, {"study_id": "55692220", "subject_id": "16313615", "findings": "Single supine AP portable view of the chest was obtained. Endotracheal tube is somewhat low in position, terminating approximately 1.4 cm above the level of the carina. Nasogastric tube is seen, extending below the level of the diaphragm, terminating in the expected location of the stomach, in appropriate position. There is diffuse increased opacity projecting over the right hemithorax which may be due to layering pleural effusion as well as blunting of the right costophrenic angle. There is increased lucency at the left costophrenic angle which may be due to overlying soft tissue/structure as a discrete line is seen extending external to the lung fields; however, a small underlying pneumothorax cannot be excluded and can be further evaluated on pending CT. The cardiac silhouette is top normal. The aortic knob is calcified. The mediastinum is not widened. No displaced fracture is seen.", "impression": "Endotracheal tube slightly low in position, terminating approximately 1.4 cm above level of the carina, recommend withdrawal by approximately 2 cm. Increased opacity projecting over the right lung; may be due to layering pleural effusion; underlying consolidation due to aspiration and/or consolidation cannot be excluded and can be further evaluated on pending CT. Increased lucency at the left costophrenic angle most likely artifactual, as above. However, small underlying pneumothorax is not excluded and can be further evaluated on pending CT.", "background": "EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: Pedestrian struck by car, injury. COMPARISON: None."}, {"study_id": "57373305", "subject_id": "12200987", "findings": "Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: Chest radiograph INDICATION: ___F with confusion // infiltrate? TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "54537577", "subject_id": "17284025", "findings": "No previous studies available for direct comparison. The heart size is enlarged. There is prominence of the pulmonary interstitial markings suggestive of fluid overload. There are several mildly displaced rib fractures along the right lower chest. No pneumothoraces are identified. Small bilateral pleural effusions are seen.", "impression": "Cardiomegaly. Several mildly displaced right lower rib fractures. Moderate pulmonary edema. Small bilateral pleural effusions.", "background": "STUDY: AP chest, ___. CLINICAL HISTORY: ___-year-old woman with history of pancreatic mass and right upper quadrant pain. Patient with leukocytosis."}, {"study_id": "55625323", "subject_id": "13070964", "findings": "There is been interval placement of the right IJ central venous catheter with the tip terminating in the mid SVC. An endotracheal tube is unchanged in position with the tip terminating 5 cm above the carina. A nasogastric tube is seen coursing below the diaphragm and out of few on this image. The inspiratory lung volumes are improved from the most recent prior study. Bilateral perihilar opacities are redemonstrated. No significant pleural effusion or pneumothorax is detected. The heart is top normal in size with calcification of the mitral valve annulus again noted. The mediastinal contours are within normal limits and unchanged. There multilevel degenerative changes of the thoracic spine are noted.", "impression": "Right IJ central venous catheter with tip in the mid SVC. Bilateral perihilar opacities may represent centralized pulmonary edema or, less likely, bilateral pneumonia.", "background": "HISTORY: Right IJ central venous line placement, here to evaluate line positioning. COMPARISON: Chest radiograph last performed earlier the same day at 10:51. Technique: Portable supine frontal radiograph of the chest."}, {"study_id": "50424509", "subject_id": "16810289", "findings": "The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. There are no acute osseous abnormalities.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: Chest radiograph INDICATION: ___M w/SOB, please eval for occult PNA. TECHNIQUE: Chest AP upright and lateral COMPARISON: None."}, {"study_id": "51719934", "subject_id": "17152319", "findings": "There is mild vascular congestion and pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is moderately enlarged.", "impression": "Moderate cardiomegaly and mild pulmonary edema.", "background": "INDICATION: Fever and heart murmur. COMPARISONS: None. TECHNIQUE: AP upright views of the chest were obtained with a total of two exposures."}, {"study_id": "53096211", "subject_id": "13061530", "findings": "Cardiomediastinal silhouette is stably enlarged. Right-sided pleural effusion is improved. There has been interval development of mild pulmonary edema with a perihilar opacities and peribronchial cuffing. There is no pneumothorax.", "impression": "Interval development of mild pulmonary edema. Improvement of right pleural effusion.", "background": "HISTORY: Status post thyroidectomy with shortness of breath and oxygen requirement. TECHNIQUE: Portable frontal chest radiograph. COMPARISON: ___."}, {"study_id": "54213708", "subject_id": "16077365", "findings": "There relatively low lung volumes. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with ankle fracture // pre-op CXR TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "52872682", "subject_id": "11982898", "findings": "There is no parenchymal consolidation. There is no pleural effusion or pneumothorax. The heart is top-normal in size. A right chest wall deep brain similar has leads extending superiorly, excluded from view. A cortical deformity of posterior 9th rib fracture is likely chronic.", "impression": "There is no concerning parenchymal consolidation.", "background": "WET READ: ___ ___ ___:___ PM There is no concerning parenchymal consolidation. WET READ VERSION #1 ___ ___:___ PM Bibasilar opacities likely representing atelectasis, however infection and/or aspiration cannot be excluded. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with tachycardia and deep brain stimulator dysfunction, eval for pna. TECHNIQUE: AP view of the chest. COMPARISON: None available for comparison."}, {"study_id": "51342668", "subject_id": "11603563", "findings": "Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy. The cardiac and mediastinal silhouettes are grossly stable. There has been significant interval decrease in previously seen bilateral pleural effusions which have essentially resolved with only possible very trace remaining. No focal consolidation is seen. There is no pneumothorax. No overt pulmonary edema is seen. Known biapical pleural thickening/scarring is stable.", "impression": "Significant interval decrease in previously seen bilateral pleural effusions which have essentially resolved with possible only very trace remaining. Otherwise, no acute cardiopulmonary process.", "background": "EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Palpitations, status post aortic repair. COMPARISON: ___."}, {"study_id": "52449648", "subject_id": "15500612", "findings": "Left-sided PICC is likely in the right atrium. Moderate left-sided pleural effusion and adjacent atelectasis is stable in appearance. New linear opacity in the right lower lobe in slightly subsegmental atelectasis. Stable right-sided pleural effusion. No pneumothorax.", "impression": "No significant interval in the moderate left effusion and adjacent atelectasis. New subsegmental atelectasis in the right lower lobe.", "background": "INDICATION: ___ year old man with hypotension and tachycardia. diminished aeration on left lower ___ field // evaluate for any evolution of pleural effusions COMPARISON: ___"}, {"study_id": "58650647", "subject_id": "11738518", "findings": "Single portable AP supine chest radiograph demonstrates stable cardiomediastinal silhouette. The cardiac silhouette remains enlarged. Interval placement of enteric tube seen descending along the expected course of the esophagus, terminating within the stomach. The side port appears 1.7 cm from the gastroesophageal junction. An endotracheal tube is seen terminating 1.4 cm from the level of the carina. Lung fields demonstrate no focal consolidation. No overt pulmonary edema is seen. Mild vascular congestion persists.", "impression": "Endotracheal tube 1.4 cm from the level of the carina. Recommend pulling back approximately 2-3 cm for better placement. Enteric tube seen termianting at the level of the stomach, but side port appears at the GE junction. Advancement 2 cm for better placement is additionally recommended. Stable enlargement of the cardiac silhouette with mild vascular congestion, no overt pulmonary edema is identified.", "background": "INDICATION: ___-year-old female with dyspnea. COMPARISON: Chest radiograph dated same day ___, approximately 3 hr prior."}, {"study_id": "57370125", "subject_id": "15687638", "findings": "Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There may be minimal pulmonary vascular congestion. The cardiac silhouette is top normal. The aortic knob is calcified.", "impression": "No focal consolidation. Possible minimal pulmonary vascular congestion. Top normal cardiac silhouette.", "background": "EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: ___-year-old female with history of asthma and complains of inability to stop shivering. COMPARISON: None."}, {"study_id": "54677171", "subject_id": "15636663", "findings": "The lungs are grossly clear. Mild cardiomegaly is unchanged. There is no pleural effusion or pneumothorax. There are degenerative changes of the bilateral glenohumeral joints. There is no acute osseous abnormality.", "impression": "No focal lung consolidation.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with cough, evaluate for pneumonia. TECHNIQUE: Portable view of the chest. COMPARISON: Comparison is made to chest radiograph ___ and chest CTA ___."}, {"study_id": "51169589", "subject_id": "11607177", "findings": "The heart is moderately enlarged. Lung volumes are low. Central pulmonary vascular congestion and moderate interstitial edema has worsened since the ___ examination. There is no pneumothorax. Trace pleural effusions are present.", "impression": "Cardiomegaly with central pulmonary vascular congestion with moderate interstitial edema.", "background": "INDICATION: Cough. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST"}, {"study_id": "58328960", "subject_id": "12990153", "findings": "Right chest wall Port-A-Cath is seen with tip in the right atrium. Left chest wall dual lead pacing device is noted. Large right greater than left pleural effusions are noted. Catheter projects over the right lung base with tip projecting adjacent to the spine. Reported left-sided chest tube is faintly visualized but its course cannot be delineated. Suspected tiny biapical pneumothoraces. Cardiac silhouette cannot be assessed. Superiorly the lungs are clear. Osseous structures are unremarkable.", "impression": "Bilateral chest tubes are not particularly well assessed but vaguely visualized on the right. Large bilateral effusions. Trace bilateral pneumothoraces are noted.", "background": "WET READ: ___ ___ 9:26 PM Bilateral chest tubes are not particularly well assessed but vaguely visualized on the right. Large bilateral effusions. Trace bilateral pneumothoraces are noted. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with new bilat chest tubes // eval chest tube placement TECHNIQUE: AP view of the chest. COMPARISON: Chest CT from ___."}, {"study_id": "55343579", "subject_id": "18563244", "findings": "Chest, AP and lateral. There is minimal linear atelectasis in the left lower lobe. The lungs are otherwise clear. The heart size is top-normal. Minimal pulmonary vascular engorgement is seen. There is no pneumothorax. A small right pleural effusion is present. The sternal wires are intact. Healed right rib fractures, are new since ___.", "impression": "Left lower lobe atelectasis and mild pulmonary vascular engorgement. Small right pleural effusion.", "background": "HISTORY: ___-year-old woman with chest pain. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___."}, {"study_id": "50938570", "subject_id": "10445007", "findings": "Frontal and lateral views of the chest are obtained. There is patchy left lower lung opacity, not well localized on the lateral view; however, concerning for pneumonia. The right lung is clear. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.", "impression": "Patchy left lower lung opacities concerning for infectious process. Recommend followup to resolution.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of cough and shortness of breath. COMPARISON: None."}, {"study_id": "52721439", "subject_id": "19997293", "findings": "A PICC line terminates in the superior vena cava. The patient is status post fusion of the lumbar spine and sternotomy. The base of the chest is not completely included, but cardiac, mediastinal and hilar contours appear unchanged. Hazy opacification projecting over the lower lungs suggests persistent pleural effusions. Otherwise, the lungs appear clear, however. There is no pneumothorax.", "impression": "Findings consistent with persistent substantial pleural effusions on limited examination.", "background": "CHEST RADIOGRAPH HISTORY: Altered mental status; question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, portable AP supine."}, {"study_id": "51832007", "subject_id": "13683698", "findings": "The right Port-A-Cath catheter tip ends within the right mid atrium. Changes related to esophagectomy with pull-through are stable. There is no neo-esophageal distension. The lungs remain clear. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are unchanged. Heart size is normal. Pulmonary vascularity is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male status post minimally invasive esophagectomy. Evaluate for interval change or disease recurrence. EXAMINATION: PA and lateral chest radiographs. COMPARISONS: ___."}, {"study_id": "51656797", "subject_id": "14328379", "findings": "The left lower lobe opacification is overall unchanged compared to ___. Based on the chronicity, pneumonia is unlikely. The lungs are otherwise clear. No pleural effusions. No pneumothorax. The cardiomediastinal silhouette is unchanged. The sternotomy wires are intact without evidence of dehiscence.", "impression": "Stable chest radiograph since ___. The left lower lobe opacity is unlikely pneumonia.", "background": "INDICATION: ___ year old man with cough, sputum // is there LLL pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ and ___. ."}, {"study_id": "54621051", "subject_id": "12016108", "findings": "A new right internal jugular central venous catheter terminates in the superior vena cava. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. An increased interstitial abnormality suggests pulmonary vascular congestion including Kerley B lines, upper zone redistribution of pulmonary vascularity, and bilateral perihilar fullness. In addition, however, there is increasing confluent right perihilar opacification which is asymmetric and may indicate a superimposed additional process such as pneumonia.", "impression": "Worsening interstitial abnormality suggesting mild-to-moderate pulmonary vascular congestion. More confluent right perihilar opacity. Although an asymmetric pattern of pulmonary congestion could be considered particularly given rapid onset in the same timeframe, coinciding pneumonia should also be considered. Satisfactory placement of central venous catheter.", "background": "CHEST RADIOGRAPH HISTORY: Central line placement. COMPARISONS: Earlier in the same day. TECHNIQUE: Chest, semi-upright AP portable."}, {"study_id": "57855895", "subject_id": "17752411", "findings": "Lung volumes are slightly low. There is slightly increased pulmonary vascular prominence compared to prior. No focal consolidation, pleural effusion, or pneumothorax is detected on this study; of note, the left costophrenic angle is incompletely imaged on lateral view. Right suprahilar and right upper lobe masses are again seen. Aortic tortuosity is again noted. Heart size is top normal.", "impression": "New mild pulmonary vascular congestion. Right lung masses as previously noted. These findings were discussed with Dr. ___ by Dr. ___ by telephone at 12:25 p.m. on ___.", "background": "INDICATION: ___-year-old female with shortness of breath. COMPARISON: ___ at approximately 8:15 a.m. and CTA chest dated ___ at approximately 10:00 a.m. TECHNIQUE: Frontal and lateral chest radiographs were obtained."}, {"study_id": "55863672", "subject_id": "17989578", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged is plate and screw fixation of the left clavicle. No displaced rib fracture seen", "impression": "No acute cardiopulmonary process. No displaced rib fracture identified, however, if clinical concern for rib fracture is high, dedicated rib series or CT is more sensitive.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with rib pain s/p bike accident // ? rib fx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "55987756", "subject_id": "12623657", "findings": "PA and lateral views of the chest were obtained. The lungs are clear bilaterally. The heart is normal in size. Mediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion.", "impression": "No acute intrathoracic abnormality.", "background": "HISTORY: ___-year-old male with chest pain and shortness of breath. COMPARISON: Radiograph dated ___."}, {"study_id": "56766121", "subject_id": "18413600", "findings": "Mild enlargement of the cardiac silhouette is relatively unchanged from the previous study. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is clearly visualized.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with motor vehicle collision. chest pain, right anterior TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "59778335", "subject_id": "19576610", "findings": "The lungs remain hyperinflated. There is mild right base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.", "impression": "No focal consolidation to suggest pneumonia. Mild right base atelectasis.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, fever // ? pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "57080150", "subject_id": "12934243", "findings": "Previously noted right mid lower lung opacities have improved in comparison to the prior study. There is however new increased opacification of the left lower lung suggesting a combination of pleural effusion as well as likely parenchymal opacity. Cardiac silhouette appears unchanged otherwise. A right PICC is noted with its tip in the upper SVC", "impression": "Interval improvement in right mid and lower lung opacities with interval worsening of left lower lung opacities suggesting a combination of pleural effusion as well as parenchymal left lower lobe opacity.", "background": "HISTORY: Aspiration pneumonia with continued hypoxia. COMPARISON: Chest radiograph from ___."}, {"study_id": "56361725", "subject_id": "14126682", "findings": "The lungs are mildly hyperinflated but clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.", "impression": "Mildly hyperinflated but clear lungs.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old male with increasing shortness of breath, cough and COPD; evaluate for new pathology. TECHNIQUE: PA and lateral radiograph of the chest from ___. COMPARISON: No prior chest radiograph available for comparison."}, {"study_id": "59865483", "subject_id": "17551146", "findings": "Allowing for differences in positioning, no definite change in the position of the left-sided pacemaker. The single pacemaker lead is unchanged in position, overlying the right ventricle. No pneumothorax detected. Inspiratory volumes are relatively low, more so on the per than on the prior film. Allowing for this, there is increased perihilar opacity and atelectasis at both lung bases. Possible vascular plethora. Increased retrocardiac density is again noted. Otherwise, no frank consolidation is identified. Possible trace fluid at the right cardiophrenic angle. No gross left-sided effusion. The cardiac silhouette is difficult to compare due to lower lung volumes, but is grossly similar. Incidental note is made of a partially imaged left shoulder hemiarthroplasty.", "impression": "Pacemaker lead overlies the right ventricle, unchanged in position. Slight difference in the position of the pacemaker itself is noted, but may be accounted for by differences in patient positioning. Interval increase in bilateral perihilar opacities. This may be accentuated by low lung volumes resulting in increased atelectasis, but the possibility of increased perihilar vascular plethora/ early CHF cannot be excluded. Increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation, unchanged. Possible small right-sided pleural effusion, new or more pronounced.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with recent ppm // evaluate for pneumothorax and lead placement COMPARISON: Chest x-ray from ___ at 15:05"}, {"study_id": "53685908", "subject_id": "16043614", "findings": "Single AP view of the chest was reviewed. Cardiomediastinal and hilar contours remain stable. There is no pleural effusion or pneumothorax. Lung volumes remain low. Atelectasis is again seen at the left lung base. Focal opacity in the right mid lung zone is in the area of previously noted atelectasis. Chronic deformity of the right distal clavicle is post-traumatic.", "impression": "Low lung volumes and bibasilar atelectasis. No focal consolidation concerning for pneumonia.", "background": "INDICATION: DKA, query pneumonia. COMPARISON: Chest radiograph ___, chest CT ___, chest radiograph ___."}, {"study_id": "51810656", "subject_id": "18650767", "findings": "The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascular is normal. Focal patchy opacity within the right lower lobe is unchanged compared to the prior study. No new areas of focal consolidation are demonstrated. No pleural effusion or pneumothorax is present. There is no acute osseous abnormality.", "impression": "Persistent ill-defined opacity within the right lower lobe. This finding should be further investigated with a chest CT given its continued presence.", "background": "WET READ: ___ ___ 8:12 PM Persistent ill-defined opacity within the right lower lobe. This finding should be further investigated with a chest CT given its continued presence. ______________________________________________________________________________ FINAL REPORT HISTORY: Weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "54028435", "subject_id": "19042464", "findings": "Severe cardiomegaly is unchanged. Right chest wall AICD device is seen with leads in expected position of the right atrium and right ventricle. Lungs are mildly hyperinflated, without consolidation, pulmonary edema, pleural effusion or pneumothorax. Rugger ___ spine indicates renal osteodystrophy.", "impression": "Severe cardiomegaly, without evidence of pneumonia.", "background": "INDICATION: ___-year-old man with cardiomyopathy, asthma, and chronic kidney disease, now presents with fever, chills, and productive cough. COMPARISON: Chest radiograph, ___ PA AND LATERAL CHEST"}, {"study_id": "59540103", "subject_id": "19212152", "findings": "There are bilateral diffuse interstitial opacities with foci of more patchy consolidation along the right lung base, which is significantly worsened compared with ___. There are bilateral pleural effusions, right worse than left, also significantly worsened from prior. Assessment of the cardiac size cannot be performed due to obscuration of the lateral margins. There is a large combined hiatal/left diaphragmatic hernia with the contents extending to the left lateral thoracic wall, unchanged from ___. There is no evidence of pneumothorax.", "impression": "Pulmonary edema with associated pleural effusions. Superimposed infection cannot be excluded given patchy opacities in the right lower lobe. Large combined hiatal and left diaphragmatic hernia, unchanged from ___.", "background": "INDICATION: ___-year-old female with dyspnea. Evaluate for evidence of pneumonia. COMPARISON: Chest radiograph from ___ and CT abdomen and pelvis from ___. TECHNIQUE: Frontal upright and lateral chest radiographs."}, {"study_id": "54278870", "subject_id": "14351746", "findings": "Low lung volumes are present. There is bibasilar atelectasis. No focal consolidations are seen. There is no evidence of pneumothorax or pleural effusions. The heart is normal in size. There is no pneumoperitoneum. Visualized osseous structures are grossly intact.", "impression": "No acute intrathoracic process.", "background": "PA AND LATERAL RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old male with leukocytosis and hepatomegaly. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: None."}, {"study_id": "58532102", "subject_id": "11182021", "findings": "A new bulge projecting over the right cardiophrenic angle is suggestive of a hiatus hernia. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.", "impression": "No acute cardiopulmonary abnormality. A new mediastinal bulge could be a hiatus hernia. If the diagnosis is not known, the patient should have a contrast swallow or oral contrast and a repeat lateral view.", "background": "WET READ: ___ ___ ___ 8:09 AM No acute cardiopulmonary abnormality. A new bulge at the right cardiophrenic angle is suggestive of a hiatus hernia. If indicated, the patient could be administered contrast and a repeat lateral view could be obtained. WET READ VERSION #1 ___ ___ ___ 6:19 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with sensation of lump in chest // ? infectious process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "56106704", "subject_id": "12298456", "findings": "The lungs are hyperinflated but clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact. AC joint arthropathy is moderate on the right.", "impression": "Hyperinflated, clear lungs.", "background": "EXAMINATION: Chest radiograph INDICATION: ___M with PMH AMI s/p LAD stent (___), CAD, CHF who presents today with chest pain // etiology of chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___."}, {"study_id": "53889739", "subject_id": "10198395", "findings": "PA and lateral views of the chest. There is no evidence of intraperitoneal free air. Mild cardiomegaly is stable. There is no focal consolidation, pleural effusion, or pneumothorax.", "impression": "No intraperitoneal free air. No acute cardiopulmonary abnormality. Mild cardiomegaly is stable.", "background": "INDICATION: ___-year-old female with abdominal pain status post endoscopy, evaluate for free air. COMPARISON: Chest radiograph on ___."}, {"study_id": "57958749", "subject_id": "13384632", "findings": "The lung volumes are low. There is mild pulmonary edema with small bilateral pleural effusions. Heart is mildly enlarged but unchanged. There is no focal consolidation worrisome for pneumonia though a nodular opacity projecting over the left lower lung is again noted which is thought to represent a focus of rounded atelectasis as stated on prior CT chest. No pneumothorax. Sternotomy wires and mediastinal clips are again noted.", "impression": "Mild pulmonary edema with small bilateral pleural effusions.", "background": "INDICATION: End-stage renal disease with dyspnea. Evaluate for fluid overload. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: CTA chest ___ and chest radiograph ___."}, {"study_id": "56546768", "subject_id": "18335994", "findings": "No consolidation or edema is evident. Median sternotomy and CABG again noted. There is aortic tortuosity similar to prior exams. The cardiac silhouette remains borderline enlarged. No effusion or pneumothorax is noted. The osseous structures are otherwise grossly unremarkable. Long segment and multiple coronary stents are evident as on prior studies.", "impression": "No acute pulmonary process.", "background": "PA AND LATERAL CHEST, ___ AT ___ HOURS HISTORY: Significant coronary history with productive cough and lower extremity edema. COMPARISON: Multiple priors, the most recent dated ___."}, {"study_id": "51348374", "subject_id": "18427137", "findings": "The lungs are clear without focal consolidation, effusion, or pulmonary edema. Enlargement of the cardiac silhouette is stable and in part due to prominent mediastinal fat although mild underlying cardiomegaly is also possible. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with cough, malaise // ? pneumonia TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ chest x-ray and ___ chest CT."}, {"study_id": "56001014", "subject_id": "12200987", "findings": "Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Hypertrophic changes are again noted in the spine.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 10:38 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest pain, headache // Please eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ through ___."}, {"study_id": "53334250", "subject_id": "14538265", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with rib fx 2 days ago // eval for atelectasis/pneumonia TECHNIQUE: Chest Frontal and Lateral COMPARISON: None."}, {"study_id": "55743016", "subject_id": "11012243", "findings": "The enteric tube extends into the stomach and terminates in the antrum. The monitoring and support devices are otherwise unchanged. The visualized lung parenchyma is unchanged from prior. The cardiomediastinal silhouette is unchanged.", "impression": "The enteric tube terminates in the gastric antrum.", "background": "INDICATION: ___ year old man with recent extubation // ?NGT placement TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___ at 04:38."}, {"study_id": "58591518", "subject_id": "17102495", "findings": "PA and lateral views of the chest were provided. There is mild basal atelectasis in the setting of low lung volumes. No signs of pneumonia or CHF. No effusion or pneumothorax. Cardiomediastinal silhouette is normal and stable. No bony abnormalities.", "impression": "No definite signs of pneumonia. Lung volumes are low.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Elevated WBC with hypotension, assess for pneumonia."}, {"study_id": "52485678", "subject_id": "17664279", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with s/p mvc with midline neck pain, chest pain, and back pain // ?fracture TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "57947551", "subject_id": "14540590", "findings": "Underinflation of the lungs makes it difficult to say whether interstitial abnormality is present. There is no mediastinal venous engorgement, cardiomegaly, or pleural effusion so I doubt that pulmonary edema is present. The mediastinal, and hilar contours are normal.", "impression": "Suggest repeat radiographs it deeper inspiration to determine if the mild interstitial pulmonary abnormality is present. This is unlikely to be pulmonary edema and its chronicity is indeterminate.", "background": "WET READ: ___ ___ ___ 2:39 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // eval ptx/pna, aortic contour TECHNIQUE: Chest PA and lateral COMPARISON: None"}, {"study_id": "55991128", "subject_id": "17182076", "findings": "Non-displaced fracture of the right anterolateral 6th rib in close proximity to the skin marker and point of tenderness. There is no pneumothorax. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.", "impression": "Non-displaced fracture of the anterolateral right 6th rib.", "background": "WET READ: ___ ___ 10:07 AM Non-displaced fracture of the right anterolateral 6th rib in close proximity to the skin marker and point of tenderness. No pneumothorax WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with right-sided rib pain. Please assess for fracture. TECHIQUE: Two views of the chest were obtained. COMPARISON: Chest radiograph from ___ and from ___."}, {"study_id": "52304343", "subject_id": "12298456", "findings": "Minimal bibasilar subsegmental atelectasis/scarring is unchanged from multiple prior exams. There is no new consolidation, pleural effusion, pulmonary edema or pneumothorax identified. The lungs are hyperinflated, but unchanged in appearance. The cardiomediastinal and hilar contours are within normal limits.", "impression": "No acute cardiopulmonary process. There is Minimal subsegmental atelectasis/scarring in the bases.", "background": "INDICATION: History: ___M with chest pain, recent imaging c/f COPD not diagnosed, rhonchi R base > L base // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs the most recent on ___"}, {"study_id": "54860383", "subject_id": "16741854", "findings": "A loculated left pleural effusion appears similar compared to prior. Unchanged left apical density may represent pleural fluid and/or thickening. Left lower lobe atelectasis persists. Calcified pleural plaques are likely related to prior asbestos exposure. No pneumothorax is seen. Heart and mediastinal contours are stable with aortic calcifications.", "impression": "Stable appearing left pleural effusion.", "background": "HISTORY: ___-year-old male with pleural effusion. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___."}, {"study_id": "58579613", "subject_id": "17434263", "findings": "There are bilateral mid to lower lung opacities which may reflect aspiration, infection or hemorrhage. The lungs appear hyperinflated which may reflect emphysema, and bilateral small pleural effusions are noted. The cardiac and mediastinal silhouette are unremarkable. A NG tube is seen terminating within the proximal stomach, and the side port appears to be at the GE junction. The ET tube is in appropriate position.", "impression": "Bilateral mid to lower lung opacities could reflect infection, aspiration or hemorrhage. Small bilateral pleural effusions. NG tube terminates within the proximal stomach, and the side port appears approximately at the level of the GE junction. Recommend advancement so that it is well within the stomach.", "background": "HISTORY: Intubated transfer, evaluate ET tube. TECHNIQUE: Portable frontal chest radiograph was obtained. COMPARISON: None available."}, {"study_id": "54019600", "subject_id": "11888962", "findings": "ET tube has been removed. NG tube in the stomach. Prostatic mitral valve annulus again seen. Mild cardiomegaly. Increased right lower lobe opacity noted. No pleural effusion or pneumothorax.", "impression": "New right lower lobe opacity. In the removal of ET tube. Sign rib", "background": "EXAMINATION: Chest single view INDICATION: ___ year old man with SOB // assess for interval change TECHNIQUE: Portable AP COMPARISON: ___."}, {"study_id": "56861353", "subject_id": "17014465", "findings": "The lungs are clear. No confluent opacities are identified. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are generally within normal limits. Mediastinal clips and median sternotomy wires appear unchanged from prior but the lateral view shows a larger than usual postoperative retrosternal hematoma. It contains no gas and there is no accompanying pleural effusion to suggest infection. If the source of the chest pain does not become clear it is possible that an organizing hematoma is responsible.", "impression": "No obvious acute cardiopulmonary process. Retrosternal hematoma as unlikely cause of pain was discussed with Dr ___ telephone at the time of dictation.", "background": "HISTORY: ___-year-old male with recent CABG, now presenting with chest pain. COMPARISON: Chest radiograph from ___ FRONTAL AND LATERAL CHEST"}, {"study_id": "53766394", "subject_id": "18556017", "findings": "The lungs are well-expanded and clear. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardial mediastinal silhouette, hila, and pleura are normal. There is no acute osseous abnormality.", "impression": "Normal chest radiograph. No focal consolidation to suggest pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with persistent cough and congestion; evaluate for new infiltrate. COMPARISON: Chest radiograph dated ___."}, {"study_id": "56665830", "subject_id": "13224377", "findings": "AP portable upright view of the chest. A transesophageal catheter extends into the stomach, and beyond the scope of this examination. A right-sided tunneled line is present. Again seen are widespread bilateral pulmonary opacities, worse along the right base, better visualized on the chest CT from ___. The overall radiographic appearance is minimally changed since ___.", "impression": "Multi focal pneumonia, with radiographic appearance minimally changed since ___.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pnuemonia // assess for interval change COMPARISON: Chest CT from ___. Chest radiograph from ___."}, {"study_id": "54861782", "subject_id": "11308104", "findings": "PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. An azygous fissure is noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with CP // R/O acute process COMPARISON: No priors"}, {"study_id": "52235721", "subject_id": "13303843", "findings": "AP single view of the chest has been obtained with patient in semi-erect position. Comparison is made with the next preceding similar study of ___. Volume loss of the left hemithorax including extensive pleural and pulmonary parenchymal densities in the left upper lobe area appears unchanged. Congestive pattern in the right hemithorax. No evidence of new pulmonary abnormalities and no pneumothorax has developed. The position of right-sided Port-A-Cath system and right-sided PICC line unaltered.", "impression": "No evidence of significant interval change in latest one day interval as can be identified on one view chest examination.", "background": "TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old female patient with metastatic lung cancer, evaluate for interval change."}, {"study_id": "56539509", "subject_id": "18362372", "findings": "Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are normal. Subtle nodular opacity in the left mid lung is at the intersection between an anterior and posterior rib and likely represents overlap of bony structures and vasculature. Lungs are clear. There is no pleural effusion or pneumothorax.", "impression": "Normal chest radiograph; specifically, no evidence of pneumonia.", "background": "HISTORY: History of asthma with low-grade fever and cough. TECHNIQUE: PA and lateral chest radiograph, 3 views. COMPARISON: ___."}, {"study_id": "54820346", "subject_id": "19127789", "findings": "Severe cardiac enlargement is again demonstrated. A left-sided AICD is again noted with leads terminating in the regions of the right atrium and right ventricle, unchanged. Mediastinal and hilar contours are similar and there is no pulmonary vascular congestion. Linear opacity in the right lung base likely reflects atelectasis. Linear opacities within the right mid lung field are chronic, and likely reflect areas of scarring. No focal consolidation, pleural effusion or pneumothorax is present. Chronic deformity of the right first rib is again noted.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "53828919", "subject_id": "12101142", "findings": "There is no consolidation, pleural effusion or pneumothorax. Borderline cardiomegaly is unchanged. There is old healed displaced right clavicular fracture.", "impression": "No notable interval change. No pulmonary edema.", "background": "INDICATION: ___ year old man with ongoing tachypnea, hypoxia post op // r/o CHF, pneumonia EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, AP view COMPARISON: Chest radiograph ___"}, {"study_id": "58807504", "subject_id": "13899540", "findings": "Bilateral airspace opacities persist or. They appear slightly less dense than before. Mediastinal structures are unchanged. Lines, tubes and an ICD are in place as on the previous study. A tube, likely the oral gastric tube, is coiled proximal worse projected over in the cervical spine.", "impression": "As noted in the preliminary report, a tube is coiled wears projected over the neck and may be malpositioned.", "background": "WET READ: ___ ___ 9:54 PM Extensive heterogeneous bilateral airspace opacities, have slightly decreased in density compared to the prior examination. An enteric tube remains in the stomach similar to the prior examination. In comparison to the prior study, a new tube projects over the cervical spine which appears to make a loop at the level of C7 with both ends directed towards the patient's head and excluded from the image. This may represent a malpositioned OG tube and clinical correlation is recommended. D/w Dr. ___ at 9:50 pm on ___, ___ min after discovery. --___ ___ ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) CLINICAL HISTORY ___ year old man with OGT, ARDS // eval for OGT placement eval for OGT placement COMPARISON: 237 am"}, {"study_id": "55468912", "subject_id": "15855449", "findings": "ET tube and enteric tube are in standard unchanged positions. Cardiomediastinal and hilar contours are stable. There is a new small right pleural effusion. There is no pneumothorax. Bilateral parenchymal opacities appear stable compared to the most recent prior study.", "impression": "Stable residua of pulmonary hemorrhage.", "background": "INDICATION: ANCA vasculitis with alveolar hemorrhage. COMPARISON: Chest radiographs dating back to ___."}, {"study_id": "52608348", "subject_id": "14421594", "findings": "PA and lateral chest radiographs dated ___, no significant changes appreciated. Hazy opacification at the lower left lung is likely a pericardial fat pad or scarring. No obvious pleural effusion. Lungs are otherwise fully expanded and clear without focal consolidation or suspicious pulmonary nodules. Heart size and cardiomediastinal silhouette are unchanged. Small, rounded opacity projecting over the anterolateral seventh rib appears unchanged since ___ and may represent a small bone island.", "impression": "Previously identified hazy opacification of the left lower lung is likely scarring or pericardial fat pad.", "background": "EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with prolonged cough , minimal sputum. See prior CXR report // evaluate atalectasis and effusion. Full inspiration needed TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral chest radiographs dated ___"}, {"study_id": "58521130", "subject_id": "15738954", "findings": "PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. Heart size appears normal. Mediastinal contour is normal. Bony structures appear intact. No free air below the right hemidiaphragm.", "impression": "No acute findings in the chest.", "background": "HISTORY: ___-year-old man with sudden onset left-sided chest pain. Evaluate for cardiomegaly, pneumothorax. COMPARISON: None."}, {"study_id": "57024404", "subject_id": "19448760", "findings": "Portable AP upright radiograph is obtained. Multiple pulmonary nodules are better assessed on previously obtained chest CT. The patient is status post transbronchial biopsy of one of these nodules without pneumothorax. No focal consolidation or pleural effusion. The heart is top normal in size with post-surgical changes and coronary bypass graft. Dual-lead pacer is in unchanged position. Extensive degenerative changes are seen at the shoulders as before.", "impression": "No evidence of pneumothorax. Pulmonary nodules better assessed on previous chest CT.", "background": "INDICATION: ___-year-old woman with lung nodule status post transbronchial biopsy, assess for pneumothorax. COMPARISONS: Chest radiograph ___."}, {"study_id": "50802470", "subject_id": "11923653", "findings": "PA and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with chest discomfort and cough. COMPARISON: None."}, {"study_id": "51186966", "subject_id": "18111516", "findings": "The lungs are well expanded. Aeration of the lungs has dramatically improved since ___ with near complete resolution of the bibasilar pulmonary opacities. There is no evidence of CHF. No consolidation, effusion or pneumothorax. A nasogastric tube is in the appropriate position in the stomach. There are no abnormal cardiac and mediastinal contours.", "impression": "NG tube in the stomach. Resolution of prior bibasilar pulmonary opacities.", "background": "INDICATION: ___-year-old woman with new NG tube placement. COMPARISON: ___."}, {"study_id": "55186280", "subject_id": "10124807", "findings": "Compared with prior radiographs on ___, there is increased bibasilar atelectasis, right greater than left, and increased small bilateral pleural effusions, right greater than left. There is no vascular congestion or edema. No new focal consolidation or pneumothorax. There has been interval removal of a esophageal drainage tube. The right pleural drain is stable in position. Cardiomediastinal silhouette is unchanged.", "impression": "Increased bibasilar atelectasis and small bilateral pleural effusions, right greater than left.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man s/p ___ esophagectomy // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___"}, {"study_id": "52256076", "subject_id": "13654781", "findings": "Again seen is hyperinflation consistent of background COPD. Cardiomediastinal silhouette is prominent, but unchanged. Also again seen is upper zone redistribution, without overt CHF. At the left base, there is subsegmental atelectasis and/or scarring, but no frank consolidation. There is a small amount of left pleural fluid and/or thickening. The appearance is probably not significantly from earlier the same day, changed allowing for technical differences. No pneumothorax detected. Biapical pleural scarring is is unchanged. Mild thoracic -spine degenerative changes noted. No displaced rib fracture or obvious thoracic compression fracture identified. Appearance of the right IJ central line is unchanged.", "impression": "COPD. Upper zone redistribution without overt CHF. Subsegmental atelectasis and/or scarring at the left base and possible small amount of pleural fluid versus thickening, unchanged. No focal pneumonic infiltrate detected. No pneumothorax. Right IJ line unchanged in configuration. As noted, the course of the line raises the possibility of an arterial position, but this appearance could also be artifactual due to patient rotation and possible left-sided volume loss. As before, if there is ongoing clinical concern for the course of the central line, then a lateral chest x-ray and/or targeted CT images could help to confirm position.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chest pain // evaluation for etiology of chest pain and interval evaluation of central line COMPARISON: Chest x-ray from earlier the same day."}, {"study_id": "51259367", "subject_id": "12235941", "findings": "Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours otherwise are unremarkable. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Dizziness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "53854975", "subject_id": "13089607", "findings": "The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. The imaged upper abdomen is normal. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Persistent cough, rule out infiltrate. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None."}, {"study_id": "52996474", "subject_id": "12521904", "findings": "Heart size is top normal. Mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vasculature normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph and CTA."}, {"study_id": "54630742", "subject_id": "18650767", "findings": "The heart is mild to moderately enlarged. There is again a perihilar opacification, and a mild interstitial abnormality is present, worse in the right lung than left, but diffuse. Vascularity is also indistinct, suggestive of mild vascular congestion on this examination, similar to improved, but apparent differences may be largely due to technique. A focal right lower lung opacity, apparently in the right lower lobe, persists, worrisome for pneumonia without definite change. There is no pleural effusion or pneumothorax. Mild degenerative changes are present along the lower thoracic spine. In addition, there is an irregular appearance along the course of the right anterolateral fifth and possibly sixth ribs, suggestive of possible remote prior rib fractures.", "impression": "Findings suggesting mild pulmonary vascular congestion. Focal right lower lung opacity, possibly pneumonia (atelectasis could also be considered). Correlation with clinical symptoms is recommended and consideration of followup imaging is suggested if clinically indicated.", "background": "CHEST RADIOGRAPH HISTORY: Productive cough and tachycardia. COMPARISONS: Earlier in the same day. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "50696540", "subject_id": "19465941", "findings": "PA and lateral views of the chest are compared to previous exam from ___. Again, low lung volumes are seen. Linear opacity in the right mid lung suggestive of atelectasis. There is no consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Anterior wedge deformities of the mid-to-lower thoracic vertebral bodies is unchanged from T-spine films from ___. Osseous and soft tissue structures are otherwise unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "CHEST, TWO VIEWS. HISTORY: ___-year-old female with hypertension and low back pain presents with increasing back pain. Question pneumonia."}, {"study_id": "51654772", "subject_id": "13984508", "findings": "Dense irregular opacity within the right upper lobe is re- demonstrated with somewhat improved aeration compared to the prior study from ___. The quantity of opacity which reflects scar versus active infection is somewhat difficult to determine. No additional opacities are seen with near complete clearing of the left lung opacities. Trace right pleural effusion is noted. The cardiomediastinal contour is unremarkable aside from upward traction of the right hilum. Left PICC terminates in the distal SVC. Feeding tube terminates in the upper stomach. Of note, the weighted dense tip is not identified on the current examination. It is uncertain if it is fractured or if the tube was unchanged to one without a weighted tip.", "impression": "Irregular right upper lung opacity with intervally improved peripheral aeration. It is difficult to assess how much of this is scarring versus active infection, though in total there is interval improvement from the prior study. Trace to small right effusion is also improved. Near complete resolution of left lung opacities. Nasogastric tube does not project with the weighted tip as was seen on the prior study. Correlate with history of changed tube to determine whether tube is fractured.", "background": "HISTORY: Cough and recent necrotizing pneumonia. COMPARISON: ___."}, {"study_id": "53918792", "subject_id": "19632296", "findings": "There is a left chest wall pacemaker with the leads terminating in the right atrium and likely in the coronary sinus. Patient is status post MVR with valvular placement in the appropriate positioning. Opacity at the right base has improved. There is slight blunting of the left costophrenic angle. There is no pneumothorax. The cardiomediastinal silhouette is enlarged but unchanged in appearance. There are median sternotomy wires that are intact. Osseous structures are unremarkable.", "impression": "New dual-chamber dual-lead pacemaker with leads in the right atrium and coronary sinus. Improved opacity at the right base.", "background": "INDICATION: ___-year-old woman with tachybrady status post new dual-chamber pacemaker, evaluate new dual-chamber pacemaker. COMPARISONS: Multiple prior radiographs, most recently PA and lateral from ___."}, {"study_id": "54309649", "subject_id": "15389668", "findings": "Prosthetic aortic valve in situ. Left axillary stent in situ. The heart size is unchanged. Small bilateral pleural effusions. Suspected associated partial right lower lobe atelectasis. No airspace consolidation. No pneumothorax. No pneumomediastinum. No florid pulmonary edema.", "impression": "Post TAVR changes as described above.", "background": "INDICATION: ___ year old man POST TAVR // POST TAVRrequesting AM CXR for post TAVR TECHNIQUE: Chest PA and lateral COMPARISON: ___."}, {"study_id": "56447178", "subject_id": "15266061", "findings": "The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.", "impression": "No acute cardiac or pulmonary findings.", "background": "INDICATION: Chest pain. Assess for pneumonia. COMPARISON: None."}, {"study_id": "58652489", "subject_id": "18388859", "findings": "Monitoring and support devices are in standard position and unchanged from the prior examination. Again seen is a large retrocardiac opacity which obscures the left heart border and likely represents left lower lobe collapse and moderate left pleural effusion. Additionally, there is a new leftward mediastinal shift. The right lung is clear. The cardiomediastinal and hilar contours are unchanged. There is no evidence of pneumothorax.", "impression": "Left lower lobe collapse and moderate left pleural effusion with leftward mediastinal shift. Findings communicated to Dr. ___ by telephone at 3:22 on ___ by Dr. ___.", "background": "HISTORY: Status post liver transplant, followup chest x-ray. COMPARISON: Multiple chest x-rays, the most recent on ___ at 4:38 a.m. TECHNIQUE: Frontal view of the chest."}, {"study_id": "52154251", "subject_id": "17135687", "findings": "A tracheostomy is in place. Bullet fracture fragments are again noted bilaterally. Bilateral chest tubes are unchanged in positions. A right-sided pneumothorax has increased and is now small to moderate in size. There is no definite pleural effusion on the left. Vague retrocardiac opacity is similar and suggests atelectasis, but improved substantially.", "impression": "Increase in right-sided pneumothorax, now small to moderate, with mild recurrent leftward shift. Discussed with ___ by telephone.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: HISTORY OF RECENT GUNSHOT WOUNDS WITH BILATERAL CHEST TUBES. TACHYPNEIC WITH DESATURATION. TECHNIQUE: Chest, portable AP upright. COMPARISON: Earlier on the same day."}, {"study_id": "59830151", "subject_id": "14450831", "findings": "PA and lateral images of the chest demonstrate well-expanded lungs. Left lower lobe opacity again seen, which is essentially unchanged from previous imaging. Slight improvement of atelectasis at the left base is seen. There are no pleural effusions or pneumothorax. Cardiomediastinal silhouette is unremarkable.", "impression": "Persistent left lower lobe opacity suspicious for malignancy. Improving left base atelectasis.", "background": "INDICATION: ___-year-old male with back pain and probable lung cancer, now with cough. COMPARISON: Comparison is made with CT chest from ___ and chest radiographs from ___ and ___."}, {"study_id": "58937986", "subject_id": "14136828", "findings": "Sternotomy wires are intact and aligned. A right IJ central venous catheter terminates in the low SVC. There is no pneumothorax. Right midlung linear atelectasis is unchanged. An asymmetric nodular opacity adjacent to the aortic knob is slightly more prominent today, and may be due to a confluence of shadows. Moderate cardiomegaly is unchanged. There is no pleural effusion.", "impression": "No significant interval change.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ M with PMH of diverticulosis and a bleeding duodenal ulcer who presented with bloody bowel movements. He was found to have active extravastion on CTA abdomen. He is s/p left colectomy on ___. // please evaluate placement of RIJ TECHNIQUE: Portable AP radiograph of the child. COMPARISON: ___."}, {"study_id": "56430259", "subject_id": "15874904", "findings": "An endotracheal tube has been placed and terminates in the mid portion of the trachea. An orogastric tube terminates in the stomach. A Port-A-Cath terminates in the right atrium. Although the left lung base is much better aerated than before, there is, if anything, more extensive diffuse but heterogeneous bilateral lung opacification elsewhere, worrisome for a rapidly developing infectious process or perhaps pulmonary edema. There is no definite pleural effusion or pneumothorax. Bilateral ureteral stents are present. Diffuse bony sclerosis suggests metastatic disease.", "impression": "Status post endotracheal intubation. Increasing multifocal bilateral lung opacification, although with better aeration specifically at the left lung base.", "background": "CHEST RADIOGRAPH HISTORY: Status post endotracheal intubation. COMPARISONS: Earlier on the same day. TECHNIQUE: Chest, supine AP portable."}, {"study_id": "58889396", "subject_id": "10260234", "findings": "The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, focal consolidation, or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 2:09 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with chest pain // r/o intrathoracic pathology TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "58640755", "subject_id": "16457297", "findings": "Frontal and lateral views of the chest were obtained. The cardiac silhouette is moderately enlarged, which may be due to underlying cardiomyopathy and/or pericardial effusion. There is bibasilar atelectasis. Minimal blunting of the left costophrenic angle may be due to small pleural effusion. There is minimal pulmonary vascular congestion without overt pulmonary edema. Mediastinal contours are stable. There is no pneumothorax.", "impression": "Moderate enlargement of the cardiac silhouette which may be due to cardiomyopathy and/or pericardial effusion. Mild pulmonary vascular congestion without overt pulmonary edema. Bibasilar atelectasis.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dyspnea. COMPARISON: ___."}, {"study_id": "53912806", "subject_id": "18563244", "findings": "2 views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with calcified and tortuous aortic contour. Postsurgical changes are noted. High riding right humeral head may reflect rotator cuff pathology.", "impression": "No acute intrathoracic process.", "background": "HISTORY: New onset delirium. COMPARISON: ___."}, {"study_id": "58544541", "subject_id": "19883311", "findings": "There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old female with increasing tachycardia. Normal WBC, afebrile. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "54787712", "subject_id": "11198939", "findings": "The ET tube terminates approximately 5.6 cm above the carina. There is mild thickening of the right minor fissure which may be secondary to a tiny right-sided effusion. Left-sided rib deformities may be secondary to prior surgery. There is no evidence of a pneumothorax or large pleural effusion. There is no evidence of significant pulmonary edema.", "impression": "ET tube terminates approximately 5.6 cm above the carina.", "background": "INDICATION: History of respiratory arrest, now intubated. Please evaluate for intrapulmonary process or ET tube placement. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Portable supine AP radiograph of the chest."}, {"study_id": "54958077", "subject_id": "10828701", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is top-normal. Mediastinal contours unremarkable. There is no pulmonary edema.", "impression": "No acute cardiopulmonary process. COPD.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CVA, R sided weakness. // Please eval for acute cardiopulmonary process. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease."}, {"study_id": "56310607", "subject_id": "15637323", "findings": "THERE ARE CONTINUED DIFFUSE INTERSTITIAL ALVEOLAR OPACITIES IN BOTH LUNGS. THE OVERALL APPEARANCE IS SIMILAR, POSSIBLY SLIGHTLY WORSE, COMPARED WITH ___ AT 03:38. THE RIGHT COSTOPHRENIC ANGLE IS OBSCURED, SUGGESTIVE OF A SMALL RIGHT PLEURAL EFFUSION. THE LEFT COSTOPHRENIC ANGLE REMAINS CLEAR. FINDINGS HAVE CLEARLY PROGRESSED, WITH PROGRESSION OF ALVEOLAR OPACIFICATION, COMPARED WITH ___ AT 18:22.", "impression": "DIFFUSE INTERSTITIAL ALVEOLAR OPACITIES, POSSIBLY SLIGHTLY WORSE COMPARED WITH 1 DAY EARLIER. RIGHT PLEURAL EFFUSION AGAIN SEEN. THE DIFFERENTIAL DIAGNOSIS INCLUDES PULMONARY EDEMA, BUT UNDERLYING INFECTION CANNOT BE EXCLUDED.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pulmonary edema // Evaluate for interval change COMPARISON: CHEST X-RAY FROM ___ AT 03:38"}, {"study_id": "50085153", "subject_id": "15420465", "findings": "Frontal and lateral chest radiographs demonstrate clear lungs, without effusion or pneumothorax. The cardiac size is normal, the mediastinal contours are normal. The pulmonary vasculature is normal.", "impression": "No acute chest abnormality.", "background": "HISTORY: ___-year-old female with normal exam though with cough for three months. COMPARISON: ___."}, {"study_id": "58775823", "subject_id": "17826023", "findings": "There has been increase in size and lytic bone lesion involving the right posterior ___ lateral rib . There is no focal airspace consolidation. The cardiac and mediastinal silhouettes are normal.", "impression": "No infiltrate. Increased lytic lesion in the right posterior 9th rib.", "background": "WET READ: ___ ___ 5:50 PM No focal airspace consolidation worrisome for pneumonia. These findings were discussed with ___, NP by Dr. ___ at 17:45 on ___ by telephone at time of discovery. ______________________________________________________________________________ FINAL REPORT HISTORY: Multiple myeloma with low-grade fever. COMPARISON: PET-CT on ___ and chest x-ray on ___."}, {"study_id": "55960271", "subject_id": "18339865", "findings": "Frontal and lateral views of the chest were obtained. There has been interval decrease in previously seen right middle lobe pneumonia with possible minimal residual remaining. The left lung is clear. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable and unremarkable.", "impression": "Interval decrease in previously seen right middle lobe consolidation with likely mild/minimal residual remaining.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough, productive. COMPARISON: ___."}, {"study_id": "50006578", "subject_id": "18164811", "findings": "There are small bilateral pleural effusions, which may be new since ___. No evidence of pneumonia or pulmonary edema. No pneumothorax. The mediastinum and hila are normal. There are atherosclerotic calcifications of the aortic arch. Moderate to severe cardiomegaly, better demonstrated on CT chest dated ___. Transvenous pacer-defibrillator is unchanged in position with leads terminating in the right atrium and right ventricle.", "impression": "Small bilateral pleural effusions, likely new since ___. Chronic moderate to severe cardiomegaly.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with hypotension // ?lung fields and cardiac shadow TECHNIQUE: Portable chest radiograph COMPARISON: Multiple chest x-rays between ___ and ___"}, {"study_id": "52494980", "subject_id": "10426650", "findings": "ET tube tip is seen with tip 5.5 cm from the carina. Enteric tube tip in the stomach with side port likely proximal to the GE junction. Of note the stomach is significantly distended. Left chest tube is again noted with tip projecting over the left apex. Perhaps trace pneumothorax is seen laterally. Left lung consolidation is unchanged. Left rib fractures as previously described.", "impression": "No significant change noting enteric tube side port proximal to the GE junction and should be advanced. Gastric distention. Small left pneumothorax faintly visualized.", "background": "WET READ: ___ ___ 9:08 AM No significant change noting enteric tube side port proximal to the GE junction and should be advanced. Gastric distention. Small left pneumothorax faintly visualized. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with mvc left chest tube. // recheck tubes TECHNIQUE: Single supine view of the chest. COMPARISON: Previous exam from earlier the same day at 07:27."}, {"study_id": "59324993", "subject_id": "18557437", "findings": "Endotracheal tube ends in the upper thoracic trachea. An enteric tube courses below the level the diaphragm and terminates in the region of the stomach. Cardiomegaly is severe. Air bronchograms are noted at the right lung base.", "impression": "An endotracheal tube ends in the upper thoracic trachea. Compared with the subsequent neck CT there is collapse of the right lower lobe and a possible pericardial effusion.", "background": "WET READ: ___ ___ ___ 7:14 AM An endotracheal tube ends in the upper thoracic trachea. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with s/p intubated // eval for ett TECHNIQUE: Single AP view COMPARISON: None"}, {"study_id": "59915510", "subject_id": "15201551", "findings": "A frontal chest radiograph demonstrates multiple sternal wires. The cardiomediastinal silhouette is within normal limits. The lungs are clear, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Baseline evaluation in a patient with an intracranial bleed. COMPARISON: Outside hospital chest radiograph from ___."}, {"study_id": "58611650", "subject_id": "15907529", "findings": "In comparison to the examination from 2 hours prior, there has been placement of an endotracheal tube which ends in the mid thoracic trachea. A left central venous line which ends in the mid SVC is new. An enteric tube courses below the level of the diaphragm and terminates in the region of the stomach. Deformities of the right chest wall are unchanged. Bilateral pleural effusions are small to moderate. Volume loss at the right lung base is mildly worsened.", "impression": "Interval placement of a left central venous line which ends in the mid SVC. Bilateral pleural effusions are small to moderate. Volume loss at the right lung base is mildly worsened.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___M with ICH // Central line placement TECHNIQUE: Single AP view COMPARISON: Chest radiograph from 2 hours prior."}, {"study_id": "54977408", "subject_id": "12722916", "findings": "The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. The lungs are clear without consolidation, pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary pathology.", "background": "INDICATION: ___-year-old woman with chest pain, to evaluate for pneumonia. COMPARISON: None available. COMPARISON: ___."}, {"study_id": "52729116", "subject_id": "11388341", "findings": "There has been no significant change to the previous exam with an pulmonary vascular congestion interstitial edema and there left lower lobe retrocardiac opacity, compatible with atelectasis. Bilateral effusions, larger on the left. There has been no significant change to the position of the various tubes. In particular, the ETT is above the carina. The left PICC line is in the left axilla. There a left central line is in the right atrium. The enteric tube is in the stomach. Anterior ribcage hardware have not changed", "impression": "Persistent pulmonary vascular congestion interstitial edema. Cardiomegaly. Probable left lower lobe atelectasis and bilateral effusions. Overall no significant change since ___.", "background": "INDICATION: ___ year old woman with CAD s/p CABG MVR Avr INTUBATED s/p fluid resuscitation // interval change? TECHNIQUE: Chest portable AP supine 04:33 COMPARISON: ___."}, {"study_id": "56835010", "subject_id": "17304343", "findings": "There is new elevation of the left hemidiaphragm. There is adjacent atelectasis around here. The right lung is essentially clear. Cardiac size is normal. There are no focal opacities concerning for infection.", "impression": "Elevation of the left hemidiaphragm of unclear etiology with adjacent atelectasis.", "background": "HISTORY: ___-year-old man with below-knee amputation. Question infection prior to operation. COMPARISON: ___"}, {"study_id": "56247619", "subject_id": "13767422", "findings": "Left-sided pacemaker is visualized in place. Median sternotomy wires are again identified. There is stable moderate cardiomegaly. There is mild haziness and prominence of central venous pressure, suggestive of mild-to-moderate pulmonary edema. The lungs are without a focal consolidation, effusion, or pneumothorax.", "impression": "Moderate cardiomegaly with mild pulmonary edema.", "background": "INDICATION: Evaluation of patient with defibrillator firing. COMPARISON: Chest radiograph from ___."}, {"study_id": "54314565", "subject_id": "11990968", "findings": "PA and lateral views of the chest were provided. The heart remains moderately enlarged. Trace pleural effusion is again noted. There is no evidence of pneumonia or pneumothorax. Bony structures are intact.", "impression": "Stable cardiomegaly with a trace pleural effusion. Please refer to subsequent CTA chest for further details.", "background": "WET READ: ___ ___ ___ 7:00 PM Cardiomegaly. Please ___ with subseq CTA chest WET READ VERSION #1 WET READ VERSION #2 ___ ___ ___ 6:56 PM Large pericardial effusion concerning for tamponade. Unknown etiology. Recommend pericardial window. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with chest pain, palpitations. COMPARISON: Comparison is made with a prior study from ___."}, {"study_id": "56350216", "subject_id": "19021087", "findings": "ng tube tip is in the stomach. multiple dilated loops of small bowel are again visualized. the appearance of the lungs are unchanged", "impression": "NG TUBE TIP IN THE STOMACH", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NGT // check NGT position TECHNIQUE: Portable chest COMPARISON: . ___ AT 08:00"}, {"study_id": "52850064", "subject_id": "11198939", "findings": "The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. There is chronic deformity of the posterior left seventh and ninth ribs.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with fever // ?pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58549842", "subject_id": "19073526", "findings": "Overall, appearances are very similar when compared to the prior study. Lung volumes remain low with a moderate left pleural effusion and left basal airspace opacity. This is likely due to atelectasis but infection cannot be excluded. The right lung appears grossly clear. A right chest wall pacemaker is unchanged in appearance. Leads from a previously removed pacemaker also seen. No pneumothorax seen. Mild prominence of the bilateral hila and pulmonary vasculature is similar in degree when compared to the prior study and consistent with a degree of congestive heart failure. Moderate cardiomegaly.", "impression": "No significant interval change when compared to the prior study.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with shortness of breath, pulmonary edema // ___ year old man with shortness of breath, pulmonary edema TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___."}, {"study_id": "55577936", "subject_id": "11597474", "findings": "The heart size is normal. The mediastinal and hilar contours demonstrate clips about the bilateral hila. Perihilar consolidation/scarring is present on the right and the hemidiaphragm is chronically elevated, likely reflecting components of post-resection and radiation changes. There is no pneumothorax. Best seen on lateral view is pleural fluid tracking along the anterior and posterior pleural spaces on the right. The degree of pleural effusion has decreased from prior PET-CT, but is more than on prior chest x-ray.", "impression": "Improvement in right pleural effusion.", "background": "HISTORY: ___-year-old male with pleural effusion, needs evaluation. STUDY: PA and lateral chest radiograph. COMPARISON: PET-CT from ___ and chest radiograph from ___."}, {"study_id": "59163402", "subject_id": "17908288", "findings": "Mild to moderate right pleural effusion appears increased since the prior study. Right base opacity is likely due to pleural effusion and atelectasis although underlying consolidation is not excluded. There may be minimal pulmonary vascular congestion. No pneumothorax is seen. There is minor biapical pleural thickening. The cardiac and mediastinal silhouettes are stable.", "impression": "Right pleural effusion, which appears mildly increased compared to the prior study. Right basilar opacity likely represents combination of pleural effusion and atelectasis although underlying consolidation is not excluded. Possible minimal pulmonary vascular congestion.", "background": "HISTORY: CHF, pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "53840701", "subject_id": "10276139", "findings": "Lung volumes are within normal limits. The heart is not enlarged. The mediastinal contours are within normal limits. No CHF, consolidation, pleural effusion or pneumothorax. No subdiaphragmatic free air identified. Osseous structures are grossly unremarkable.", "impression": "No acute pulmonary process identified.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest tightness after palpitations today // ___F with chest tightness after palpitations today TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57661874", "subject_id": "10901772", "findings": "AP portable upright view of the chest. Midline sternotomy wires, AICD and prosthetic cardiac valve again noted. There has been interval removal of the right IJ central venous catheter. A short metallic stent projects over the mediastinum which corresponds to a stent within the proximal left subclavian artery. Patient's chin obscures the superior mediastinum. There is suboptimal inspiratory effort which limits assessment. There is mild pulmonary edema with hilar congestion noted. No large effusion can be seen. No large pneumothorax. No convincing signs of pneumonia. Heart size cannot be assessed. Mediastinal contour appears grossly unchanged. Bony structures are intact.", "impression": "Mild pulmonary edema. Limited exam.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with dyspnea, fluid overload COMPARISON: Prior exam from ___."}, {"study_id": "56079236", "subject_id": "19835232", "findings": "Frontal and lateral radiographs of the chest demonstrate moderate to severe pulmonary edema with stable moderate cardiomegaly. Smal bilateral pleural effusions are present. No pneumothorax.", "impression": "Moderate to to severe pulmonary edema.", "background": "INDICATION: ___ year old woman with CHF and new O2 requirement // acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___."}, {"study_id": "56671201", "subject_id": "12331452", "findings": "The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest pain. COMPARISON: None available."}, {"study_id": "51589938", "subject_id": "10601565", "findings": "No pleural effusion, pneumothorax or focal airspace consolidation. Cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is no free air under the diaphragm.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Right upper quadrant pain and fever. Rule out pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None."}, {"study_id": "55806414", "subject_id": "15944121", "findings": "There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.", "impression": "No evidence of acute pulmonary process.", "background": "WET READ: ___ ___ 6:12 AM No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with chest pain and SOB, evaluate for infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "55400690", "subject_id": "13419130", "findings": "Frontal and lateral chest radiograph demonstrates moderately well inflated lungs with mild right lower lobe atelectasis. No pleural effusion or pneumothorax. Mild elevation of the right hemidiaphragm is stable. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.", "impression": "No acute cardiopulmonary process. No definite pneumonia. No pleural effusion.", "background": "WET READ: ___ ___ ___ 10:34 PM No acute cardiopulmonary process. No definite pneumonia. No pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Recent fever, cough, decreased breath sounds at right base. Assess for pneumonia or effusion. COMPARISON: Chest radiograph ___, ___."}, {"study_id": "50820775", "subject_id": "10374990", "findings": "Compared with the prior radiograph, the right-sided pigtail catheter has been moved more superiorly, with interval decrease in the size of the right pleural effusion. Patient is post aortic graft placement, with unchanged left subclavian line. The left lung continues to be essentially clear. Cardiomediastinal silhouette is unchanged. No evidence of pneumothorax. Surgical fixation hardware is unchanged.", "impression": "Interval decrease in the right-sided pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with R loculated pleural effusion of unknown etiology, s/p chest tube placement. Please eval for chest tube positioning, interval change in effusion size. TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiograph of the prior day."}, {"study_id": "57882600", "subject_id": "19818127", "findings": "A left sided pacemaker is seen with intact leads in appropriate position. A right sided central line is noted, in adequate position. Median sternotomy wires are similar to prior exam. The lungs are well expanded. Scarring is seen at the bilateral lung apices, similar to prior exam. Part of the left lung base obscured pacemaker. There is a hazy right midlung opacity. The cardiomediastinal silhouette mildly enlarged, similar prior exam.", "impression": "There is hazy right midlung opacity, the which could represent infection in the proper clinical setting. Part of left lung base is obscured by pacemaker.", "background": "WET READ: ___ ___ ___ 5:30 PM There is hazy right midlung opacity, the which could represent infection in the proper clinical setting. Part of left lung base is obscured by pacemaker. WET READ VERSION #___ ___ ___ ___ 4:13 PM Mild retrocardiac opacity may reflect atelectasis, but cannot exclude aspiration or pneumonia in the clinical setting. Part of left lung base is obscured by pacemaker. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: ___F with tachypnea. // PNA? TECHNIQUE: Single portable semi upright frontal image of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___."}, {"study_id": "53516794", "subject_id": "12210749", "findings": "The prominence to the pleura on the right is decreased on the current study likely representing decreased pleural effusion. There is no focal infiltrate.", "impression": "Decreased size of right effusion.", "background": "CHEST TWO VIEWS ON ___ HISTORY: CHF, followup after diuresis."}, {"study_id": "59570418", "subject_id": "17918100", "findings": "Cardiac silhouette is normal in size and appears decreased compared to ___. Tortuosity of the thoracic aorta is unchanged. Lungs are clear except for minimal linear scar at the periphery of the right lung base. Small left pleural effusion is new compared to ___ radiograph. No acute skeletal findings.", "impression": "Small left pleural effusion. No evidence of pneumonia.", "background": "PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph."}, {"study_id": "55303466", "subject_id": "18512566", "findings": "Single AP view of the chest provided. A right chest tube terminates at the right lung apex and a right chest tube terminates at the right lung base. Patient is status post median sternotomy. The wires are intact and properly aligned. Residual pleural opacities are unchanged. Interval resolution of the right subpulmonic pneumothorax. Mild bibasilar atelectasis is unchanged. A small right pleural effusion is unchanged. Hilar and cardiomediastinal contours are normal.", "impression": "Interval resolution of the right subpulmonic pneumothorax from ___. Unchanged diffuse, right lung postoperative consolidations. Residual pleural opacities and a small right pleural effusion are unchanged.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with empyema s/p right VATS decortication and 2x CT placement. // Eval interval change, s/p R VATS decortication. COMPARISON: Chest radiograph ___"}, {"study_id": "57727806", "subject_id": "16771136", "findings": "Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Moderate enlargement of cardiac silhouette with left ventricular predominance is noted. The aorta is diffusely calcified. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Multilevel degenerative changes are present within the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with altered mental status , dementia, diabetes , hypertension TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None."}, {"study_id": "56019688", "subject_id": "12407578", "findings": "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. A gastric band projects over the upper abdomen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: : ___F with PMH cluster/migraine headaches, anxiety, previous PE who presents with n/v/d and chest pain and dyspnea COMPARISON: ___"}, {"study_id": "55347919", "subject_id": "14276345", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with lightheadedness // ? infectious process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "54653963", "subject_id": "16514111", "findings": "There is mild cardiomegaly. The previously seen pulmonary edema is slightly improved on the current study, now mild. There is persistent small right pleural effusion with adjacent atelectasis. There is no focal consolidation.", "impression": "Slight improvement in pulmonary edema with persistent right pleural effusion. No pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with s/p liver transplant and h/o CHF with cough // r/o pna or effusion TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___."}, {"study_id": "53958957", "subject_id": "17081089", "findings": "There is no focal consolidation or pneumothorax. Interstitial markings are prominent, likely due to mild pulmonary edema. There is a small amount of fluid within the fissures and trace bilateral pleural effusions. The heart is mildly enlarged. The imaged upper abdomen is unremarkable.", "impression": "Mild pulmonary edema and cardiomegaly. Small bilateral pleural effusions.", "background": "HISTORY: History of dyspnea on exertion and chest pain. Evaluate for pneumonia or pneumothorax. TECHNIQUE: PA and lateral chest radiographs were provided. COMPARISON: None."}, {"study_id": "52092944", "subject_id": "16283999", "findings": "The lungs are clear without focal consolidation, effusion, or edema. There is a somewhat nodular opacity projecting over the left lung base and the anterior left sixth rib. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process. Somewhat nodular opacity projecting over the left lung base. This could represent superimposed shadows including nipple shadow however dedicated, repeat exam with nipple markers is suggested to further characterize.", "background": "WET READ: ___ ___ ___ 1:48 PM No acute cardiopulmonary process. Somewhat nodular opacity projecting over the left lung base. This could represent superimposed shadows including a nipple shadow however dedicated, repeat exam with nipple markers is suggested to further characterize. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with dyspnea // , eval pna, cardiomegaly TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "51270076", "subject_id": "10444265", "findings": "Unchanged mild cardiomegaly. Normal mediastinal and hilar contours. Unchanged thoracic scoliosis. Blunting of the left costophrenic angle suggests a small left pleural effusion with underlying atelectasis and possible superimposed pneumonia. No definite soft tissue abnormalities.", "impression": "Given the clinical history, there is concern for left lower lobe pneumonia.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of sickle-cell disease admitted for back pain, now febrile with decreased breath sounds at the bases bilaterally. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___."}, {"study_id": "53219331", "subject_id": "19011598", "findings": "Upright PA and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of large pleural effusion, pneumothorax, overt pulmonary edema, or focal airspace opacity. The heart is chronically mildly enlarged, stable compared to prior studies. A dual-lead pacemaker device is unchanged in position, with leads terminating in the right atrium and right ventricle. The heart is mildly enlarged. Aortic arch calcifications are again noted. Multilevel degenerative changes are present in the thoracic spine.", "impression": "Chronic mild cardiomegaly is stable. Otherwise, no acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with shortness of breath. Evaluation for infiltrate or CHF. COMPARISON: Comparison is made to radiograph of the chest from ___. This study is read in conjunction with CT of the chest from ___."}, {"study_id": "55441338", "subject_id": "14080963", "findings": "Since the most recent prior radiographs, there has been no significant change. No focal consolidation, pleural effusion, or pneumothorax. There is marked cardiac enlargement, unchanged. There is prominence of the mediastinum, particularly on the right side, which is unchanged from prior radiographs and probably related to a distended innominate artery. Compared to the most recent prior radiograph, upper zone redistribution of pulmonary vasculature has resolved. There is dextroscoliosis of the spine with moderate-to-severe degenerative changes of the thoracic spine.", "impression": "Stable cardiomegaly. No infiltrate or vascular congestion.", "background": "INDICATION: ___-year-old woman with myeloma, evaluate for infiltrate. COMPARISONS: PA and lateral chest radiographs from ___. CTA chest, ___."}, {"study_id": "56992413", "subject_id": "18135965", "findings": "The Port-A-Cath has its tip ending at the lower SVC. The heart silhouette is upper limits of normal. Bilateral healed rib fractures are seen, and the lungs are clear of focal consolidation or effusions. Multiple round lesions are not well characterized without comparison imaging.", "impression": "No focal consolidation or pleural effusion.", "background": "HISTORY: ___-year-old woman with metastatic breast cancer presenting with shortness of breath, fatigue. Evaluate for focal consolidation or effusions. TECHNIQUE: Portable AP upright chest radiograph was obtained. COMPARISON: None available."}, {"study_id": "52342474", "subject_id": "18071815", "findings": "Linear bibasilar opacities most likely represent atelectasis. No new opacity concerning for pneumonia. No, pulmonary edema, pleural effusion or pneumothorax identified. The heart is enlarged and there is evidence of prior surgery. The aorta is ectatic.", "impression": "No acute intrathoracic process.", "background": "WET READ: ___ ___ ___ 6:16 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with cough*** WARNING *** Multiple patients with same last name! // cough TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple prior chest radiographs the most recent of ___."}, {"study_id": "55655456", "subject_id": "11151862", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. No fracture is identified.", "impression": "No evidence of injury.", "background": "CHEST RADIOGRAPHS HISTORY: Chest wall injury after motor vehicle collision. Question sternal or rib injury. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "54811755", "subject_id": "16987914", "findings": "AP view of the chest provided. There is still persistent loculated air in the right lung base. Compared to prior study, there is less subcutaneous air. Pigtail pleural drainage tube has been advanced. There is a horizontal cylindrical opacity that this pleural cathter passes into, which could reflect a tract into the lung parenchyma. Left lung is still clear other than basilar atelectasis. Heart size is normal. There is no appreciable layering effusion.", "impression": "Persistent multi-loculated right pneumothorax despite repositioning to the right pigtail pleural drainage catheter. Drainage catheter may be cannulating an intrapulmonary tube tract. No appreciable effusion", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with recurrent r loculated ptx, ct replaced by ir after falling out **PLEASE DO AT 5AM** // eval of r ptx COMPARISON: Chest radiograph from ___, chest CT from ___."}, {"study_id": "57011612", "subject_id": "10826396", "findings": "Heart size is upper limits of normal. The patient is status post previous median sternotomy and coronary bypass surgery. The mediastinal and hilar contours are remarkable for a tortuous and calcified thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Oval shaped calcification in the right breast anteriorly is unchanged.", "impression": "No acute cardiopulmonary abnormality. Please see separately dictated right rib series for assessment of the ribs.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with SOB // r/o CHF TECHNIQUE: Chest PA and lateral COMPARISON: ___."}, {"study_id": "56638975", "subject_id": "14795148", "findings": "There is a moderate right pleural effusion. Right rib fractures are healed. There is mild chronic cardiomegaly. The mediastinal silhouette and hila are normal. There is no pneumothorax.", "impression": "Moderate right pleural effusion, new since ___. Additional lateral view should be obtained to assess the right lung for abnormalities exceeding relaxation atelectasis, such as infection or malignancy.", "background": "INDICATION: ___-year-old with cough. TECHNIQUE: Single portable frontal radiograph of the chest was obtained. COMPARISON: Chest radiograph from ___ and ___."}, {"study_id": "59662370", "subject_id": "13127894", "findings": "Single portable view of the chest. There is moderate pulmonary vascular congestion. Blunting of the right costophrenic angle may be due to superimposed soft tissues with component of effusion is also possible. More dense left basilar no prior study is seen which silhouettes the hemidiaphragm, similar to prior compatible with effusion with possible superimposed atelectasis or consolidation.", "impression": "Overall, no significant interval change noting pulmonary vascular congestion, small to moderate left and possible small right pleural effusions. Left base atelectasis suspected with infection not excluded.", "background": "HISTORY: ___-year-old female with altered mental status. COMPARISON: ___."}, {"study_id": "51761315", "subject_id": "11845541", "findings": "There are less vascular markings when compared to the previous chest radiograph, and the heart size continues to be mildly enlarged. No pleural effusions, focal consolidation or pneumothorax is seen, and the mediastinal and hilar contours are normal.", "impression": "Improvement in pulmonary edema.", "background": "HISTORY: ___-year-old man with congestive heart failure pulmonary edema, shortness breath. Compare pulmonary edema to previous chest x-ray. TECHNIQUE: PA and lateral chest radiographs obtained of the patient upright position. COMPARISON: Chest radiograph from ___."}, {"study_id": "51840500", "subject_id": "15765403", "findings": "Bibasilar nodular airspace opacities and moderate cardiomegaly are suggestive of mild pulmonary edema, worse compared with ___ but improved compared with ___. Prominence of bilateral hila is consistent with underlying pulmonary arterial hypertension. The thoracic aorta is tortuous and likely mildly dilated. There is no pleural effusion, pneumothorax, or focal consolidation.", "impression": "Mild pulmonary edema and moderate cardiomegaly.", "background": "WET READ: ___ ___ ___ 2:39 PM Mild pulmonary edema and moderate cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with shortness of breath, evaluate for fluid or pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___."}, {"study_id": "55289777", "subject_id": "18738805", "findings": "Frontal and lateral views of the chest provided with low lung volumes limiting evaluation. There is subtle opacity in the right mid-to-low lung which given the history of vomiting could represent a small amount of aspiration. Aside from this, the lungs appear clear allowing for technique. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures intact.", "impression": "Subtle opacity in the right mid-to-lower lung which in the setting of vomiting could reflect mild aspiration.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: Vomiting with concern for aspiration."}, {"study_id": "57865385", "subject_id": "18373515", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___."}, {"study_id": "50844565", "subject_id": "17630174", "findings": "The lungs are clear. There is no effusion, consolidation, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with chest pain // eval for CHF/pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "52594195", "subject_id": "14331422", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "56173625", "subject_id": "15006048", "findings": "The lungs are well inflated with no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal contours are within normal limits. No acute osseous abnormality is identified.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough. Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "52962431", "subject_id": "17081383", "findings": "PA and lateral views of the chest demonstrates the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema or focal consolidation. No rib fractures are seen.", "impression": "No acute cardiopulmonary process. No evidence of rib fractures.", "background": "HISTORY: Fall from bicycle, landing on right side. Pain to the right shoulder and right chest wall. Evaluation for fracture. COMPARISON: Comparison is made to concurrent radiographs of the right shoulder."}, {"study_id": "51018315", "subject_id": "14937006", "findings": "A worsening opacity in the right lower lung is likely a pneumonia.There is persistent leftward mediastinal shift consistent with left lower lobe collapsed. Mild bilateral pulmonary edema is unchanged. Small bilateral pleural effusions are unchanged. Cardiac size is unchanged. There is no pneumothorax. Left PICC terminates in the mid SVC.", "impression": "Worsening right lower lung opacity likely a pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with COPD, ___, being treated for HCAP and recurrent aspiration, now with persistent dyspnea worsening hypoxia // r/o pulmonary edema, worsening infiltrate TECHNIQUE: Single frontal view of the chest COMPARISON: Portable chest x-ray ___"}, {"study_id": "57156860", "subject_id": "14176431", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough and fever TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "54470222", "subject_id": "14777603", "findings": "Sternotomy wires and mediastinal clips are compatible with prior CABG surgery. The heart size is within normal limits. Marked dextroscoliosis of the thoracic spine limits fine assessment of the mediastinal and hilar contours, which appear to be grossly normal. The lung volumes are low, but clear of consolidation. There is no large pleural effusion or pneumothorax. There is no subdiaphragmatic free air; gas projecting over the right upper quadrant of the abdomen is within the hepatic flexure of the colon. A compression deformity of the lower thoracic spine is at least a year old.", "impression": "Post-CABG changes and scoliosis, but no evidence of acute cardiopulmonary process or subdiaphragmatic free air.", "background": "HISTORY: ___-year-old female with abdominal pain. STUDY: PA and lateral upright chest radiograph. COMPARISON: ___."}, {"study_id": "51692704", "subject_id": "19133405", "findings": "Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. Left-sided Port-A-Cath terminates in the upper right atrium/cavoatrial junction. Stable right upper chest deformity possibly prior trauma. Tracheostomy noted. Stable gaseous distention of the visualized portions of the colon.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Shortness of breath, evaluate for pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___."}, {"study_id": "50504643", "subject_id": "16336430", "findings": "There is a focal opacity at the left mid lung peripherally which corresponds to area of infarction previously seen on study from ___. No other focal consolidation is identified. There is a small left pleural effusion. Cardiomediastinal silhouette and hilar contours are within normal limits. There is no pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.", "impression": "Focal opacity at the left mid lung peripherally which corresponds to area of pulmonary infarction seen on previous study. Small left pleural effusion.", "background": "INDICATION: History: ___F with hemoptysis status post pulmonary infarction.She is pregnant. Evaluate for interval change. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and CTA chest from ___."}, {"study_id": "56902431", "subject_id": "15592784", "findings": "Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Mild atherosclerotic calcifications are seen in the aortic knob. The pulmonary vasculature is normal. Linear opacities within the left lung base likely reflect subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Vertebra plana of the T11 vertebral body is re- demonstrated. Remote fracture of the distal right clavicle is also noted.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: History of cancer, dyspnea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58684763", "subject_id": "16793263", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Thoracic scoliosis is again seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with c/o chest pain and sob // ? pna/ TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "54612435", "subject_id": "14754762", "findings": "The heart is normal in size. The aortic arch is partly calcified. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Several mild-to-moderate compression deformities are noted along the thoracic spine, probably chronic, although new since the prior radiographs.", "impression": "No evidence of acute disease. Several chronic-appearing mild-to-moderate compression deformities along the thoracic spine, suggesting a sequela of bony demineralization.", "background": "CHEST RADIOGRAPHS HISTORY: Productive cough and wheezing. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "53919897", "subject_id": "11847817", "findings": "The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are unremarkable. No displaced rib fracture.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Radiograph. INDICATION: ___M with CP, assess etiology. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57726381", "subject_id": "12924907", "findings": "The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Mild loss of height anteriorly of two contiguous low thoracic vertebral bodies is noted, of indeterminate age.", "impression": "No acute cardiopulmonary process. Mild anterior wedging of two contiguous lower thoracic vertebral bodies.", "background": "HISTORY: Malaise, dyspnea, nausea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "51244261", "subject_id": "12702423", "findings": "Portable AP upright chest radiograph was obtained. Compared to the scout radiograph from a torso CT from ___, there is increased opacity in the left lower lung, concerning for worsening effusion and consolidation. Extensive nodularity in the lungs is compatible with known metastatic disease. Heart size cannot be assessed. Bony structures appear unchanged.", "impression": "Increasing opacity in the left lower lung, concerning for worsening consolidation and effusion. Extensive metastatic disease within the chest. Refer to subsequent CT for further details.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___ as well as a CT torso from ___. CLINICAL HISTORY: Short of breath, fevers, question interval change in pneumonia. The patient has known metastatic disease secondary to ___."}, {"study_id": "55937922", "subject_id": "19187816", "findings": "Tracheal stent in situ. Endotracheal tube in situ in a high position with the tip above the level of the thoracic inlet (just above the tracheal stent) 10 cm proximal to the carina. The cardiomediastinal shadow is unchanged. There is interval progression of the left lower lobe atelectasis. No pneumothorax.", "impression": "ET tube position as described above. Interval progression of the left lower lobe atelectasis.", "background": "INDICATION: ___ year old man with laryngeal CA s/p resection and XRT now with new tracheal mass s/p ___ transferred to ICU now s/p fiber optic intubation // Eval ET tube placement post intubation TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "50207522", "subject_id": "13590165", "findings": "Cardiomediastinal silhouette is unchanged. The thoracic aorta is tortuous. Linear bibasilar opacities are most consistent with atelectasis. There is no pleural effusion or pneumothorax. A right chest wall Port-A-Cath ends in the right atrium. Multilevel compression deformities in the thoracic spine have not changed compared to prior radiographs.", "impression": "Unchanged linear bibasilar opacities most consistent with atelectasis. No definite pneumonia.", "background": "EXAMINATION: Chest radiograph INDICATION: ___M with sore throat in weakness evaluate for pneumonia TECHNIQUE: AP and lateral COMPARISON: Comparison is made to chest radiographs dating back to ___"}, {"study_id": "55183694", "subject_id": "10802870", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M s/p tonic-clonic sz with R shoulder pain and R posterior pain on ribcage // Rib fx? shoulder dislocation? COMPARISON: None"}, {"study_id": "55205515", "subject_id": "16960625", "findings": "AP and lateral views of the chest. Left pacemaker with leads are in place in appropriate position. Sternotomy wires are seen intact. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Bacteremia, evaluate for pneumonia. COMPARISON: ___."}, {"study_id": "54440686", "subject_id": "11012243", "findings": "The enteric tube has been repositioned with tip terminating in the gastric body. The left PICC terminates approximately 3 cm below the cavoatrial junction. The lung parenchyma is otherwise unchanged. Bilateral lower lobe atelectasis and pleural effusions are unchanged. No new consolidation. No pneumothorax. Heart size enlarged but unchanged. The mediastinum is unchanged.", "impression": "NG tube terminates at the gastric body. The left PICC terminates approximately 3 cm below the cavoatrial junction. Unchanged bilateral lower lobe atelectasis and pleural effusion.", "background": "INDICATION: :___ year old male with PMHx IDDM, HTN, HF with preserved EF, CKD stage III, AFib on Coumadin, VRE bacteremia and citrobacter UTI on Linezolid, C-diff on PO vanco, initially admitted to the MICU with hypotension. Concern for septic shock of unknown origin, presumed typhlitis now being treated with meropenem. // NG tube in place, patient pulled. Please eval location TECHNIQUE: Rule chest radiograph. COMPARISON: Chest radiograph dated ___."}, {"study_id": "59442797", "subject_id": "13899540", "findings": "Patchy bilateral pulmonary opacities persist. Mediastinal structures are unchanged. The endotracheal tube and right internal jugular catheter remain in place. An ICD is present as before. A feeding tube is present. Coiled tubing is projected in the cervical region as described previously.", "impression": "No definite change. The tube coiled in the cervical region may be malpositioned, as reported previously.", "background": "EXAMINATION: CHEST (PORTABLE AP) CLINICAL HISTORY ___ year old man with respiratory failure, multifocal PNA, ARDS, on MV. // Please assess for interval change Please assess for interval change COMPARISON: ___"}, {"study_id": "52196115", "subject_id": "19187816", "findings": "A tracheal stent projects over the the thoracic inlet, higher in position than on the prior radiograph. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is within normal limits.", "impression": "Interval trachea stent revision, now positioned at the level of the thoracic inlet, higher than on the prior examination.", "background": "INDICATION: ___ year old man with esophageal mass, s/p stent revision and external fixation // tracheal placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___"}, {"study_id": "52631418", "subject_id": "19379892", "findings": "Mild elevation of the right hemidiaphragm is unchanged from the prior study and causes mild bronchovascular crowding of the right hilum. Allowing for differences in technique, appearance is similar to ___.", "impression": "No definite evidence of pneumonia. Unchanged mild elevation of the right hemidiaphragm.", "background": "WET READ: ___ ___ ___ 5:22 PM 1. No definite evidence of pneumonia. 2. Unchanged mild elevation of the right hemidiaphragm. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough evaluate for pneumonia. TECHNIQUE: AP and lateral chest radiographs. COMPARISON: Prior chest radiographs dated ___."}, {"study_id": "53777263", "subject_id": "11340757", "findings": "PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph dated ___. CLINICAL HISTORY: Chest pain, question pneumonia."}, {"study_id": "57856855", "subject_id": "11763591", "findings": "The heart is probably enlarged. The mediastinal and hilar contours appear unchanged. There is slight unfolding of the thoracic aorta. A small epicardial fat pad is noted along the cardiac apex. Streaky right medial basilar atelectasis has mostly resolved. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS HISTORY: Fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "57699949", "subject_id": "14215236", "findings": "Single portable view of the chest. Interval placement of right-sided central venous catheter is seen with tip in the upper-to-mid SVC. Endotracheal tube is approximately 6.5 cm from the carina. Enteric tube passes below the diaphragm with tip in the gastric fundus. Lower lung volumes seen on the current exam without pneumothorax. Rounded opacity in the left mid lung is again noted.", "impression": "New right IJ central venous catheter without pneumothorax.", "background": "HISTORY: ___-year-old female with central venous line. COMPARISON: Film from earlier the same day at 8:11 p.m."}, {"study_id": "57148804", "subject_id": "11036853", "findings": "Frontal and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with multiple recent falls. Altered mental status. COMPARISON: None."}, {"study_id": "55035352", "subject_id": "10259270", "findings": "There is again a mild interstitial abnormality suggesting very mild pulmonary vascular congestion, although the lungs appear otherwise clear. There is no pleural effusion or pneumothorax. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Mild degenerative changes are noted along the thoracic spine.", "impression": "Findings suggesting slight pulmonary vascular congestion, although improved with resolution of pleural effusions.", "background": "CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral."}, {"study_id": "52970387", "subject_id": "12199299", "findings": "No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is enlarged, similar compared to prior. Right posterior third rib deformity appears similar compared to prior.", "impression": "Persistent cardiomegaly without radiographic evidence for acute change.", "background": "INDICATION: ___-year-old female with cough. COMPARISON: ___ and ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained."}, {"study_id": "53260264", "subject_id": "14761789", "findings": "PA and lateral views of the chest provided. Right lower lobe consolidation is new since prior study and is concerning for pneumonia. Cardiomediastinal silhouette is normal. There is no pleural effusion.", "impression": "Right lower lobe pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with abnormal lung exam cough x 1 week, evaluate for PNA COMPARISON: Chest radiograph from ___."}, {"study_id": "56989530", "subject_id": "19133405", "findings": "Left chest wall port catheter terminates in the upper right atrium. Lungs are clear. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is normal.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea. Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "59966284", "subject_id": "12678882", "findings": "Single AP portable view of the chest was obtained. The patient is rotated to the right. Central pulmonary vasculature remains engorged. The cardiac silhouette remains moderate to markedly enlarged. There is mild bibasilar atelectasis. A trace right pleural effusion would be difficult to exclude. No definite focal consolidation is seen.", "impression": "Patient is rotated to the right. Moderate-to-marked enlargement of the cardiac silhouette. Central pulmonary vascular engorgement. Areas of linear patchy bibasilar opacity most likely represent atelectasis.", "background": "EXAM: Chest, semi-erect AP portable view. CLINICAL INFORMATION: ___-year-old female with history of altered mental status. COMPARISON: ___."}, {"study_id": "56192816", "subject_id": "17396346", "findings": "As compared to prior chest radiograph from ___, there is resolved acute CHF in the setting of chronic cardiomegaly. There are no pleural effusions. There is no pneumothorax. A right internal jugular venous catheter terminates at the level of the mid SVC. There are surgical clips in the left axilla.", "impression": "Resolved acute CHF in the setting of chronic cardiomegaly.", "background": "INDICATION: ___-year-old female patient with chronic hypoxemia and dCHF, presenting with hypoxia and cough. Study requested for evaluation of interval change. COMPARISON: Prior chest radiograph from ___ through ___. TECHNIQUE: PA and lateral chest radiographs."}, {"study_id": "54799024", "subject_id": "10165672", "findings": "Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is stable cardiomegaly. There is no pneumothorax, pleural effusion, or consolidation.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old man with end-stage renal disease and right upper lobe pneumonia. Evaluate for interval change. COMPARISON: Prior radiographs of the chest dated ___ through ___."}, {"study_id": "55282470", "subject_id": "19771110", "findings": "Low lung volumes are again noted. Superimposed on atelectasis and bronchovascular crowding are diffuse bilateral parenchymal opacities throughout the lungs which given differences in technique have not significantly changed since yesterday's exam. The cardiomediastinal silhouette is grossly within normal limits. No acute osseous abnormalities.", "impression": "Bilateral parenchymal opacities which could be seen in the setting of pneumonia, potentially atypical, versus edema.", "background": "INDICATION: ___M with PNA failing levofloxacin, dyspnea to 40s, hypoxia // eval ? ptx, persistent PNA TECHNIQUE: Single portable view of the chest. COMPARISON: ___."}, {"study_id": "59406225", "subject_id": "13630480", "findings": "A rounded retrocardiac opacity likely represents a small hiatal hernia. Atelectasis is noted at the left lung base. The right lung and left upper lung appear clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged appearance.", "impression": "Small retrocardiac hiatal hernia with adjacent atelectasis. Otherwise, no evidence of acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiographs. INDICATION: History: ___F with chest pain // further evaluation of prior abnormality seen on PA TECHNIQUE: Chest PA and lateral COMPARISON: AP chest film performed on ___."}, {"study_id": "51211292", "subject_id": "15597269", "findings": "The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Fevers. Evaluate for pneumonia. COMPARISON: None."}, {"study_id": "56620613", "subject_id": "13736311", "findings": "AP upright and lateral views of the chest are provided. There is a band-like opacity in the right lower lung which could represent pneumonia or possibly sequelae of aspiration. There is severe underlying emphysema as clearly seen on same-day CT cervical spine as well as a prior chest CT from ___. No pleural effusion or pneumothorax is seen. The heart is mildly enlarged, though appears stable. Bony structures appear intact. There are old right rib deformities noted.", "impression": "Emphysema with band-like opacity in the right lower lung which could represent pneumonia or aspiration. No sequelae of trauma.", "background": "CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: Prior exam from ___. CLINICAL HISTORY: Disorientation and delirium, confusion, question traumatic injury."}, {"study_id": "50778350", "subject_id": "16116099", "findings": "The lungs are clear. The cardiac silhouette is normal. No pleural effusion or pneumothorax. Left port terminates in the mid SVC.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___ year old woman with SVT // evaluate for acute process //___ year old woman with SVT TECHNIQUE: Single portable view of the chest COMPARISON: ___"}, {"study_id": "58131712", "subject_id": "19020002", "findings": "The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Scarring is seen at the lung apices. There is no pleural effusion or pneumothorax. At the left lung base, there is vague opacity, which likely represents atelectasis.", "impression": "No acute intrathoracic abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea, chest pain // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "55462579", "subject_id": "10309648", "findings": "PA and lateral chest radiographs were provided. There is no focal consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is unremarkable. There are no concerning osseous lesions.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old woman with bandemia and left lower quadrant pain, evaluate for pneumonia. COMPARISONS: None."}, {"study_id": "53746348", "subject_id": "12927984", "findings": "Small amount of air is seen under the diaphragm, consistent with resolving pneumoperitoneum. Bilateral predominantly perihilar opacities are largely unchanged since ___. Small bilateral pleural effusions and moderate compressive atelectasis persists. The heart size is unchanged. The right PICC line is again seen close to the caval atrial junction. Median sternotomy wires are intact and aligned. Multiple pleural plaques are again seen.", "impression": "Resolving pneumoperitoneum. Bilateral plaque dominant perihilar opacities are largely unchanged since ___.", "background": "EXAMINATION: Chest Radiograph INDICATION: ___ year old man with s/p cabg // eval ptx rt basilar vs free air TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___, ___, ___"}, {"study_id": "50518551", "subject_id": "17722165", "findings": "The IABP terminates approximately 1.5 cm from the arch of aorta. The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are unchanged. The heart is top normal. There is no focal airspace opacity.", "impression": "IABP at the arch of the aorta should be withdrawn 2-3 cm to place it in the proximal descending aorta. Results were telephoned to Dr. ___ By Dr. ___ at 11:55 on ___, ___ min after discovery.", "background": "HISTORY: NSTEMI, congestive heart failure, intra-aortic balloon pump. Evaluate intra-aortic balloon pump placement. TECHNIQUE: Single AP portable radiograph of the chest. COMPARISON: Prior radiographs of the chest most recent ___."}, {"study_id": "56890175", "subject_id": "18663039", "findings": "Lung volumes are low. There is moderate cardiomegaly which is relatively unchanged. The aorta is mildly tortuous and diffusely calcified. There is crowding of the bronchovascular structures, with probable mild pulmonary vascular congestion. Streaky right basilar opacity may reflect atelectasis. There is mild attenuation of the pulmonary vascular markings towards the apices suggests underlying emphysema. No large pleural effusion or pneumothorax is seen, with chronic mild pleural thickening at the right costophrenic angle likely indicative of pleural thickening.", "impression": "Low lung volumes with probable mild pulmonary vascular congestion. Right basilar streaky opacity likely reflects atelectasis.", "background": "HISTORY: Shortness of breath. TECHNIQUE: AP view of the chest. COMPARISON: Chest radiograph ___."}, {"study_id": "54966062", "subject_id": "12149966", "findings": "Moderate cardiomegaly and pulmonary vascular congestion without associated pulmonary edema appear similar to prior studies. There is no pleural effusion, focal consolidation, or pneumothorax. The cardiomediastinal silhouette is stable.", "impression": "Unchanged moderate cardiomegaly and pulmonary vascular congestion without frank edema.", "background": "INDICATION: ___ year old man with erosion of PEG, evaluate prior surgery. TECHNIQUE: Single portable upright frontal view of the chest. COMPARISON: Multiple prior chest radiographs dating back to ___."}, {"study_id": "53425640", "subject_id": "12623657", "findings": "The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for lobar pneumonia. However, increased interstitial markings within the lung bases may be compatible with atypical pneumonia in the correct clinical setting.", "impression": "Increased bibasilar interstitial markings concerning for atypical pneumonia.", "background": "HISTORY: Cough. COMPARISON: Chest radiograph ___."}, {"study_id": "51003583", "subject_id": "12279260", "findings": "Since the prior radiograph performed approximately ___ min earlier, the Dobbhoff tube has been repositioned and now terminates in the stomach. Otherwise, there are no significant changes. Persistent mild interstitial edema. There is opacification of the left lung base, attributable to a small to moderate pleural effusion as well as adjacent atelectasis. No pneumothorax. Stable cardiomegaly.", "impression": "The Dobbhoff tube has been repositioned, and now terminates in the stomach. Mild interstitial edema.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with HCAP/aspiration s/p dobhoff placement // Assess dobhoff placement TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___ at 08:31"}, {"study_id": "52217997", "subject_id": "13417577", "findings": "There has been interval removal of a left-sided pigtail catheter. There is decrease in a small left pneumothorax. Small left pleural effusion is decreased in size from the prior study. There is evidence of emphysema. Cardiomediastinal and hilar contours are unchanged. The right lung is clear. Hiatal hernia is unchanged", "impression": "Small, stable left apical pneumothorax. Decreased small left pleural effusion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with L PTX // R/O PTX post CT removal TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs the most recent on ___ at 00:38"}, {"study_id": "52765262", "subject_id": "11331918", "findings": "Comparison is made to the previous study from ___. There is stable cardiomegaly. Median sternotomy wires are seen. There is no focal consolidation, pleural effusions, or signs for pulmonary edema. The bony structures are intact.", "impression": "No acute cardiopulmonary process.", "background": "STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man with mitral valve disease and fever up to 102."}, {"study_id": "57748768", "subject_id": "14707155", "findings": "Again seen is atelectasis of the left lung base and chronic elevation of left hemidiaphragm which is unchanged. The right lung is clear. There is mild cardiomegaly that is state. Is no evidence of pneumothorax. There is a right jugular catheter that terminates in the upper SVC. There is interval placement of a dobhoff tube that terminates in the right bronchus.", "impression": "In comparison to same-day chest x-ray there is been interval placement of a dobhoff tube that terminates in the right bronchus.", "background": "EXAMINATION: Portable upright chest x-ray INDICATION: ___ year old man with VT arrest. Placing dobhoff tube for feeding. // Placement of Dobhoff tube. TECHNIQUE: Portable upright chest x-ray COMPARISON: Comparison is made to chest x-rays dated ___"}, {"study_id": "54311832", "subject_id": "13527340", "findings": "AP semi-upright and lateral views of the chest were provided. Lung volumes are low. There is no convincing evidence of pneumonia or effusion. The heart size appears stable. The upper lungs are poorly assessed. Patient is slightly rotated to the right. The imaged osseous structures appear intact, though somewhat demineralized.", "impression": "No definite signs of pneumonia on this limited exam.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest CTA from ___ as well as a chest radiograph also from ___. CLINICAL HISTORY: Post-op, fever."}, {"study_id": "53077542", "subject_id": "14895934", "findings": "Previously noted right internal jugular line and left PICC have been removed. Heart is normal size and cardiomediastinal contour is notable for a tortuous thoracic aorta, unchanged. Lungs are clear. There is no pleural effusion or pneumothorax.", "impression": "No evidence of pneumonia.", "background": "INDICATION: ___ year old man with MM s/p autolgous stem cell transplant, cough and low grade fevers // Pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "53492339", "subject_id": "16184680", "findings": "The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen, though the right costophrenic angle is excluded from the field of view. No acute osseous abnormalities are detected.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: History of esophageal stricture, now with chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "54300800", "subject_id": "16087436", "findings": "Tip of the endotracheal ends 6.2 cm above the carina, left-sided PICC line tip is at mid SVC. The orogastric tube and a feeding tube courses below the diaphragm, however, the distal end is off the radiographic view. A repeat radiograph is suggested for further evaluation covering the upper abdomen to assess further position of the orogastric and feeding tube. Mild and diffuse bilateral opacities, more on the right side, reflecting asymmetric pulmonary edema is very insignificantly changed since last 10 hours. Heart size is normal. Mediastinal and hilar contours are unremarkable.", "impression": "Feeding tube and orogastric tube can be traced just below the diaphragm but beyond that, they are off the radiograph view and hence their position could not be reliably assessed. Repeat radiograph including the upper abdomen is recommended for further evaluation.", "background": "CHEST RADIOGRAPH INDICATION: To look for the position of Dobbhoff tube. TECHNIQUE: Single portable upright chest view was read in comparison with prior chest radiograph from ___, done approximately 10 hours apart."}, {"study_id": "54418774", "subject_id": "11204623", "findings": "As compared to ___, right-sided pleural effusion has substantial decreased with minimal blunting of the costophrenic angle. There remains elevation of the right hemidiaphragm. The lungs are clear. No pneumothorax. Multiple healing rib fractures on the right.", "impression": "Right-sided pleural effusion has substantial decreased with minimal blunting of the costophrenic angle. No pneumothorax.", "background": "INDICATION: ___ year old woman s/p R pleural effusion/hemothorax post MVA, S/P R ct placement and drainage // check interval change TECHNIQUE: Chest PA and lateral"}, {"study_id": "55644089", "subject_id": "17783669", "findings": "The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.", "impression": "Unremarkable chest radiographic examination.", "background": "INDICATION: ___-year-old female with fever and signs of infection. Evaluate for acute cardiopulmonary process. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs."}, {"study_id": "53889998", "subject_id": "17328610", "findings": "PA and lateral chest radiographs. Moderate cardiomegaly is stable, but there is no evidence of pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Chest pain. COMPARISON: ___."}, {"study_id": "57488729", "subject_id": "11687219", "findings": "The right-sided PICC line is within the right atrium approximately 4 cm from the expected cavoatrial junction. The endotracheal tube is in good position. There is improved aeration with decreasing bibasal atelectatic changes. No interstitial edema. No significant pleural effusions. The cardiomediastinal silhouette is nonenlarged.", "impression": "A right-sided PICC line is within the right atrium.", "background": "INDICATION: ___ year old man with intubated // new pathology TECHNIQUE: Portable erect"}, {"study_id": "50862169", "subject_id": "17237809", "findings": "PA and lateral views of the chest provided. Moderate cardiomegaly is noted with mild central congestion. Hilar fullness is noted. There are small bilateral pleural effusions. No convincing sign of pneumonia. Mediastinal contour stable. No pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "Mild central congestion, small effusions.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with doe // sob COMPARISON: ___."}, {"study_id": "59927548", "subject_id": "19977310", "findings": "PA and lateral views of the chest were obtained. A right IJ dialysis catheter is seen with its tip in the expected location of the cavoatrial junction. There is mild pulmonary venous congestion with probable mild pulmonary edema. No large pleural effusions are seen. In the presence of pulmonary edema the possibility of a superimposed mild/early pneumonia is impossible to exclude, though none is clearly seen. No pneumothorax. Heart size is top normal though stable. Aortic calcifications are noted. Bony structures appear intact though there are degenerative spurs along the mid thoracic spine.", "impression": "Mild pulmonary edema without definite signs of pneumonia though post-diuresis films may be obtained to further assess if clinically warranted.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Productive cough, fevers, assess for pneumonia."}, {"study_id": "57279935", "subject_id": "11356031", "findings": "AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained seven hours earlier during the same day. During the interval, one of the left-sided basal chest tubes has been removed. The second lower position tube remains. There is no evidence of pneumothorax in the left hemithorax after tube removal and no new pulmonary abnormalities are seen. No mediastinal shift can be identified.", "impression": "Uncomplicated removal of one left-sided chest tube.", "background": "DATE: ___. TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient status post chest tube removal, evaluate."}, {"study_id": "54740156", "subject_id": "17135687", "findings": "There is a right pigtail chest tube. No pneumothorax is appreciated. The lines and tubes 's appear unchanged in position. There is decreased left sided retrocardiac atelectasis and effusion. Bullet fragments are again noted.", "impression": "No pneumothorax. Improved aeration of the left lung base.", "background": "WET READ: ___ ___ ___ 8:56 AM No evidence of pneumothorax. Unchanged position of supporting lines and tubes. Improved aeration of the left lung base. WET READ VERSION #1 ___ ___ 7:07 PM No evidence of pneumothorax. Unchanged position of supporting lines and tubes. Improved aeration of the left lung base. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with R pigtail, now clamped // evidence of pneumothorax? Please obtain at ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "55287511", "subject_id": "19650702", "findings": "Cardiomediastinal contours are stable with moderate cardiomegaly and widening of the mediastinum. Peripheral opacity in the right apex and apical pleural cap are persistent, could be loculated fluid with adjacent atelectasis. Bibasilar atelectasis have improved. There is no evident pneumothorax. .", "impression": "Peripheral opacity in the right apex and apical pleural cap are persistent, could be loculated fluid with adjacent atelectasis. Bibasilar atelectasis have improved.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with s/p tracheobronchoplasty w/ leukocytosis // perform at 5:30am on ___. r/o interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "52766517", "subject_id": "10652583", "findings": "Left-sided ICD is stable in position.Patient is status post median sternotomy and CABG. The cardiac and mediastinal silhouettes are stable. There has been interval increase in moderate to large right pleural effusion with overlying atelectasis. No large left pleural effusion is seen. No definite left focal consolidation. There is no pneumothorax. Central pulmonary vascular engorgement is seen.", "impression": "Interval increase in now moderate to large right pleural effusion with overlying atelectasis. Central pulmonary vascular engorgement.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sob, hx of cad, chf, dmII, htn, s/p cardiac arrest // eval for pleural effusion, volume overload TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56169364", "subject_id": "17749416", "findings": "Persistent bibasilar opacities, unchanged since prior examination. Moderate right parapneumonic effusion has slightly decreased in size. No left pleural effusion. No pneumothorax. Partially visualized heart is top-normal in size and obscured due to overlying parenchymal abnormality. Mediastinal contour and hila are unremarkable. A right chest tube is coiled within the effusion.", "impression": "Mild decrease in size of moderate right parapneumonic effusion.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___ year old man with R parapneumonic effusion s/p chest tube. Assess for interval change in effusion. TECHNIQUE: Single portable semi upright frontal chest radiograph. COMPARISON: Chest radiographs from ___, ___, ___, ___."}, {"study_id": "51437923", "subject_id": "17876274", "findings": "The heart is normal in size. The aorta is minimally tortuous as before. The left hemidiaphragm is minimally elevated, but not significantly changed in extent from ___. A left suprahilar opacity is stable. No new focal consolidation, pleural effusion or pneumothorax. There is likely an ingested hyperdense object in the area of the hepatic flexure.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old man with mediastinal hematoma. f/u elevated left hemidiaphragm TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs the most recent on ___."}, {"study_id": "56199877", "subject_id": "10803114", "findings": "The cardiac, mediastinal and hilar contours appear unchanged. There is no shift of mediastinal structures. There is a large right-sided pleural effusion, which has increased since the earlier radiographs and perhaps slightly since the more recent CT. There is no pneumothorax. The left lung remains clear.", "impression": "Similar to increased right-sided pleural effusion, large in size. No evidence of pneumothorax.", "background": "CHEST RADIOGRAPHS HISTORY: Fatigue and recurrent pleural effusion. Status post recent thoracentesis. COMPARISONS: Radiographs from ___, and chest CT from ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "56260335", "subject_id": "17009014", "findings": "Left-sided AICD device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. Moderate cardiomegaly is re- demonstrated. The aorta is diffusely calcified. Widening of the mediastinum superiorly is unchanged. There is mild pulmonary vascular congestion, which may be accentuated by supine positioning, low lung volumes and AP technique. Low lung volumes are noted. Patchy opacities in the lung bases may reflect atelectasis though infection or aspiration cannot be excluded in the correct clinical setting. No focal consolidation, pleural effusion or pneumothorax is otherwise demonstrated. There are no acute osseous abnormalities.", "impression": "Low lung volumes. Possible mild pulmonary vascular congestion and bibasilar patchy opacities which may reflect atelectasis. Infection or aspiration cannot be excluded in the correct clinical setting.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with ___'s status post fall. TECHNIQUE: Chest PA and lateral COMPARISON: ___ ___ chest radiograph"}, {"study_id": "55640806", "subject_id": "18151496", "findings": "The left pectoral pacemaker is again seen unchanged in position. Pacemaker leads are seen terminating adjacent to the right atrium and right ventricle. There is no evidence of lead fracture. A right subclavian vein stent is unchanged in position. Finally, sternotomy wires and mediastinal clips are unchanged. The heart is enlarged but unchanged in size from the prior study. The aorta is tortuous and diffusely calcified. Compared to prior, there are new diffuse alveolar opacities and septal thickening, suggestive of new mild pulmonary edema. Bibasilar opacities most likely reflect atelectasis or possibly chronic aspiration.", "impression": "Mild pulmonary edema with bibasilar opacities, which may represent atelectasis or chronic aspiration.", "background": "HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple chest radiographs the most recent on ___"}, {"study_id": "52293030", "subject_id": "13919890", "findings": "There has been prior stent graft repair of the aortic arch and proximal descending thoracic aorta. Bilateral pleural effusions are unchanged from the prior radiograph. Opacification of the left lung base is likely a function of atelectasis and pleural fluid. No new focal consolidation to suggest pneumonia.", "impression": "Unchanged small bilateral pleural effusions and left lower lobe atelectasis noting that infection would be difficult to exclude in the proper clinical setting.", "background": "WET READ: ___ ___ ___ 5:51 PM Unchanged small bilateral pleural effusions and left lower lobe atelectasis, noting that infection would be difficult to exclude in the proper clinical setting. WET READ VERSION #1 ___ ___ ___ 4:47 PM Unchanged small bilateral pleural effusions and left lower lobe atelectasis. No evidence pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M w/recent CABG presenting with chest pain. TECHNIQUE: Portable semi upright chest radiograph COMPARISON: ___"}, {"study_id": "51046843", "subject_id": "16233087", "findings": "Compared with the prior film, the ET tube and NG tube have been removed. The left chest tube has also been removed. Additional linear densities are seen over the upper abdomen, but the mediastinal drain and right chest tube may very well have been removed. No pneumothorax is detected. The right IJ Swan-Ganz catheter is again seen. The tip as been retracted and now overlies the proximal right main pulmonary artery. The patient is status post sternotomy, with cardiomegaly, which appears unchanged. The possibility of pericardial fluid cannot be excluded. There is persistent increased retrocardiac density with obscuration left hemidiaphragm, consistent with left lower lobe collapse and/or consolidation. There is also persistent hazy opacity in the right cardiophrenic region. No right side no significant right-sided pleural effusion. The possibility of a small left effusion cannot be excluded. Minimal upper zone redistribution, but no overt CHF. Note is again made of a normal variant azygos fissure . Much of the detail visible on the ___ chest CT is not apparent radiographically.", "impression": "Cardiomediastinal silhouette is enlarged, but unchanged. No pneumothorax detected. No gross effusion. A small left effusion would be difficult to exclude. Persistent left lower lobe collapse and/or consolidation. Persistent patchy right cardiophrenic opacity. No overt CHF. No pneumothorax detected status post removal of chest tube.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p MVR s/p CT removal // eval for pneumo COMPARISON: Chest x-ray from ___ at 06:42"}, {"study_id": "52893045", "subject_id": "13832019", "findings": "Cardiac silhouette size remains mildly enlarged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Chronic interstitial opacities with fibrotic change is most pronounced within the lung bases, similar to the previous CT. Calcified pleural parenchymal scarring is re- demonstrated in both lung apices. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "Chronic interstitial lung disease, better characterized on the previous CT. No new focal consolidation.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dysphagia TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, CT chest ___"}, {"study_id": "57691686", "subject_id": "13736311", "findings": "Lungs are hyperinflated with severe emphysematous changes. There is scarring more pronounced at the right apex. There is bibasilar atelectasis. A 2 cm rounded opacity in the right lower lung appears new since prior study. No large consolidation is identified. The cardiac silhouette is within normal limits. There is no pleural effusion or pneumothorax.", "impression": "Hyperinflated lungs with emphysema. No focal consolidation. 2 cm rounded opacity in the right lower lung, new since prior study. Although this could represent nipple shadow, in the absence of recent cross-sectional imaging and underlying parenchymal abnormalities, a CT chest is recommended for further evaluation.", "background": "WET READ: ___ ___ ___ 6:02 AM 1. Hyperinflated lungs with emphysema. No focal consolidation. 2. 2 cm rounded opacity in the right lower lung, new since prior study. Although this could represent nipple shadow, in the absence of recent cross-sectional imaging and underlying parenchymal abnormalities, a CT chest is recommended for further evaluation. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with syncope, evaluate for pneumonia. TECHNIQUE: AP and lateral views of the chest were obtained. COMPARISON: Chest x-ray from ___"}, {"study_id": "50359711", "subject_id": "11345335", "findings": "Lungs are well expanded. Streaky left lower lobe opacities are likely atelectasis. There is no pneumothorax or pleural effusions. Cardiomediastinal silhouette is top normal. The imaged upper abdomen is unremarkable.", "impression": "Left basilar opacity, likely atelectasis.", "background": "INDICATION: Chronic alcoholic hepatitis, presenting with worsening confusion, evaluate for infiltration. COMPARISONS: ___. TECHNIQUE: PA and lateral chest radiograph."}, {"study_id": "53040978", "subject_id": "18871635", "findings": "Left-sided chest tubes are unchanged. There is increased left effusion and hazy alveolar infiltrate projecting over the left lower lung. There is some subsegmental atelectasis in the right mid lung", "impression": "Worsened appearance to the left lower lung.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p R VATS decortication // Assess inteval change TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "52365556", "subject_id": "15219568", "findings": "Since the prior exam, the heart size has decreased. It is still moderately enlarged. The mediastinal contours are normal. An implantable cardiac device is present with the wire in appropriate position. There is mild interstitial prominence and vascular engorgement consistent with very mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax.", "impression": "Mild pulmonary edema. Moderate cardiomegaly; since the prior exam, the size of the heart has slightly decreased.", "background": "INDICATION: Chest pain. COMPARISON: Chest radiograph ___."}, {"study_id": "55098881", "subject_id": "11941410", "findings": "Compare to ___, bilateral atelectasis are mildly progressed are lower and mild to moderate bilateral pleural effusions are new. Perihilar opacities, right worse than left, likely reflect pulmonary edema. Left midlung opacities are not significantly changed. Right chest tube is unchanged in position. No pneumothorax is seen.", "impression": "Worsened bilateral atelectasis and new bilateral pleural effusion. Worse pulmonary edema. Similar appearance of left lung pneumonia.", "background": "INDICATION: ___ year old woman with myeloma. Evaluate pneumonia seen on prior CXR. TECHNIQUE: Upright AP portable chest radiograph. COMPARISON: Chest radiographs from ___, ___, ___, ___."}, {"study_id": "53769613", "subject_id": "19600784", "findings": "There is diffuse airspace opacification seen involving the majority of the left lower lobe, most notable at the left base. There is also small focal region of consolidation in the mid right lung. The left lung apex and remaining right lung are clear. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "Left lower lobar pneumonia. Additional smaller focus in the right midlung as well.", "background": "WET READ: ___ ___ ___ 3:38 PM Left lower lobar pneumonia. Additional smaller focus in the right midlung as well. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs. INDICATION: ___F with cough, fever // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "56409215", "subject_id": "11130435", "findings": "The lungs are grossly clear noting that the left costophrenic angle is excluded from the field of view. There is relative elevation of the right hemidiaphragm. Left chest wall port is noted with catheter tip at the RA SVC junction. No acute osseous abnormalities identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with seizure // ? infectious process TECHNIQUE: Single portable view of the chest. COMPARISON: None."}, {"study_id": "53249403", "subject_id": "11036893", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ yoM with chest pain x 2 days. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "57520779", "subject_id": "17465215", "findings": "The lungs are well expanded and clear. There is no pleural abnormality. The heart size is normal. The hilar and mediastinal silhouette are normal. There is a small hiatal hernia, minimally increased in size since ___.", "impression": "No acute cardiopulmonary process. Hiatal hernia.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F w/sob, please eval for pna // ___F w/sob, please eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Radiographs from ___."}, {"study_id": "57370900", "subject_id": "14306557", "findings": "There has been interval removal of a right internal jugular central venous line, as well as interval placement of a right tunneled central line which terminates in the mid SVC. A retained fragment of a left central venous line is in unchanged position, terminating in the lower SVC. There is no associated pneumothorax. A stable right lower lobe linear opacity is stable and better characterized on prior CT examination. There are no additional acute findings of consolidation, pleural effusion, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are stable.", "impression": "Right tunneled central venous catheter terminating in the mid SVC. No pneumothorax. No radiologic evidence for acute cardiopulmonary process or chronic granulomatous disease.", "background": "HISTORY: History of breast cancer, on chemotherapy. Recent BAL returned positive for AFB. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___, and CT chest examination is dated ___, ___, ___."}, {"study_id": "50600901", "subject_id": "12416498", "findings": "PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The lungs are hyper-inflated. Cardiomediastinal silhouette is normal. Bones are intact.", "impression": "No acute cardiopulmonary process. Hyperinflation of the lungs.", "background": "INDICATION: ___-year-old female with fall and confusion, question pneumonia. COMPARISONS: Chest radiograph from ___."}, {"study_id": "58790802", "subject_id": "15731747", "findings": "The right costophrenic angle is excluded from the field of view. Exam is limited by lordotic positioning. Patient is status post median sternotomy. A left-sided pacer device is noted with leads terminating in the regions of the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette is present. There is mild pulmonary vascular congestion. Patchy opacities the lung bases likely reflect areas of atelectasis, without focal consolidation. No large left pleural effusion is present. There is no pneumothorax. No acute osseous abnormality is seen.", "impression": "Slightly limited exam with bibasilar atelectasis and mild pulmonary vascular congestion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None."}, {"study_id": "58140827", "subject_id": "17536303", "findings": "Single portable view of the chest was compared to previous exam from ___. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Triple-lead pacing device is again noted with three leads seen in similar position compared to prior. Osseous and soft tissue structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "CHEST SINGLE VIEW, ___. HISTORY: ___-year-old male with chest pain and back pain, unstable vital signs. Question aortic dissection."}, {"study_id": "58397731", "subject_id": "10213275", "findings": "AP view of the chest. A tracheostomy tube and right internal jugular central venous line are stable. Mild cardiomegaly is unchanged. Mild interstitial pulmonary edema and pulmonary congestion are increased since ___. New right basilar opacity likely representing atelectasis are slightly increased. No pneumothorax. No pleural effusions.", "impression": "Mild pulmonary edema has increased since ___, and right basilar atelectasis is slightly increased from prior study.", "background": "INDICATION: Chronic respiratory failure and tracheostomy. Evaluate for interval change. COMPARISON: ___."}, {"study_id": "54070114", "subject_id": "18987082", "findings": "The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.", "impression": "Within the limitations of plain radiography, no evidence of active intrathoracic malignancy.", "background": "EXAMINATION: Enters study INDICATION: ___ year old man with h/o melanoma. Evaluate for intrathoracic disease. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___."}, {"study_id": "58618875", "subject_id": "19211948", "findings": "Heart size is normal. The aorta is mildly tortuous. Mild atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Moderate degenerative changes are noted in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with acute cholecystitis. // pre-op TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "50837013", "subject_id": "19058762", "findings": "Cardiac and mediastinal contours are within normal limits. Apparent enlargement of the left hilum is likely due to mild enlargement of the left lower lobe pulmonary artery due to pulmonary embolism as demonstrated on CT. Focal opacity within the left lower lobe is compatible with infarction. Streaky opacity in the right lower lobe may reflect an additional site of developing infarction or atelectasis. Small left pleural effusion is noted. No pneumothorax is identified. Mild degenerative changes are present in the thoracic spine.", "impression": "Apparent left hilar enlargement likely reflects mild enlargement of the left lower lobes pulmonary artery due to known embolism. Left lower lobe opacity compatible with infarction. Small left pleural effusion. Streaky right lower lobe opacity may reflect atelectasis or additional site of developing infarction.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with pulmonary emboli and question of left pulmonary artery erosion on CT TECHNIQUE: Chest PA and lateral COMPARISON: Chest CTA ___ at 10:00"}, {"study_id": "50094109", "subject_id": "11848711", "findings": "The lungs are clear without focal consolidation or edema. There is no large effusion visualized. The cardiomediastinal silhouette is within normal limits. Changes partially visualized at the left shoulder may be degenerative or posttraumatic.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F w/failure to thrive // ___F w/failure to thrive TECHNIQUE: Single portable view of the chest. COMPARISON: None."}, {"study_id": "51942406", "subject_id": "13428695", "findings": "The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. There are no displaced rib fractures.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old male status post motor vehicle crash with left shoulder pain. Evaluate for fracture. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___, ___, ___ and ___."}, {"study_id": "51374953", "subject_id": "15663222", "findings": "Single AP view of the chest provided. Stable prominence of the bilateral pulmonary arteries, however the heart is normal in size, although slightly larger from ___. There is no pleural effusion or pulmonary edema. Lungs are grossly clear. No pneumothorax.", "impression": "Pulmonary arteries are prominent, unchanged from ___. However, the heart is normal in size, although mildly larger from ___, and there is no evidence of pulmonary edema or pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with tachypnea to ___, clear lungs, afeb, no leucocytosis, h/o PE - INR 2.4 // eval for interval change COMPARISON: Chest radiograph ___"}, {"study_id": "55877322", "subject_id": "19210266", "findings": "AP upright and lateral views of the chest provided. Hyperinflation with prominent retrosternal clear space suggests COPD. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No overt signs of edema. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.", "impression": "COPD without superimposed pneumonia.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with cough, copd // eval for pna COMPARISON: None"}, {"study_id": "51817298", "subject_id": "18339865", "findings": "Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Patchy opacities are noted in the lung bases, present on the previous examinations, perhaps worse when compared to the most recent chest radiograph. These findings may reflect atelectasis and/or recurrent aspiration pneumonia. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is seen.", "impression": "Patchy bibasilar airspace opacities may be perhaps worse when compared to the most recent chest radiograph. These findings may reflect atelectasis and/ or recurrent aspiration pneumonia.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with desaturations to 40s. // Any acute cardiopulmonary process? TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ line ___, CT chest ___"}, {"study_id": "57365738", "subject_id": "12018901", "findings": "Single frontal of the chest. Endotracheal tube terminates 4.9 cm above the carina. Left IJ central venous catheter terminates at the origin of the SVC. A NG tube passes into the stomach and terminates beyond the limits of the film. The heart remains severely enlarged. Upper mediastinal contours are stable. Widespread bilateral pulmonary opacities are consistent with severe pulmonary edema. Bibasilar consolidations are unchanged.", "impression": "Stable severe cardiomegaly, pulmonary edema, and bibasilar consolidations.", "background": "HISTORY: Intubation. COMPARISON: Multiple prior chest radiographs, most recently ___."}, {"study_id": "59909635", "subject_id": "13605377", "findings": "Heart size is top-normal with mild tortuosity of the thoracic aorta. Aortic knob calcifications are noted. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: Chest radiograph INDICATION: Symptomatic anemia with lightheadedness and dyspnea. 2 weeks of bronchitis like illness. TECHNIQUE: Portable frontal view of the chest. COMPARISON: ___."}, {"study_id": "50324461", "subject_id": "13956237", "findings": "The lungs are clear. Again noted is stable flattening of the left hemidiaphragm dating back to ___ but new from ___. Cardiac and mediastinal silhouettes are normal. No pneumothorax. No acute fractures are identified.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest pain. COMPARISON: Multiple prior chest radiographs, the most recent from ___."}, {"study_id": "53595464", "subject_id": "10819468", "findings": "As compared to the previous examination, there is no relevant change. Moderate to severe right pleural effusion with unchanged distribution, better appreciated on the lateral than on the frontal radiograph. Minimal left pleural effusion. Subsequent areas of atelectasis at the right lung base is that are unchanged in extent. Unchanged moderate cardiomegaly, without current signs of overt pulmonary edema. The left lung appears unremarkable. There is no evidence of acute lung parenchymal disease such as pneumonia. The mediastinal contours are constant.", "impression": "Unchanged right pleural effusion with subsequent areas of atelectasis, unchanged cardiomegaly without overt pulmonary edema. Minimal left pleural effusion.", "background": "HISTORY: ___-year-old man with a chronic cirrhosis here for consideration, now with ambulatory desats. Evaluation for infiltrate and edema. COMPARISON: ___, 8:49."}, {"study_id": "59235253", "subject_id": "11192888", "findings": "There is a dual-lead pacemaker/ICD device, which appears unchanged. The cardiac, mediastinal and hilar contours appear stable. Calcified pleural plaques along the left mid to upper left hemithorax appear similar. The degree of pleural thickening and a possible small effusion of the left appear unchanged since the more recent of the two prior radiographs. A left basilar opacity has continued to improve, however.", "impression": "No evidence of acute disease. Better aeration at the left lung base.", "background": "EXAMINATION: Chest radiographs. INDICATION: Chest pain and hypotension. COMPARISON: ___. TECHNIQUE: Chest, portable AP upright."}, {"study_id": "52656542", "subject_id": "16233087", "findings": "Since the prior radiograph of earlier today, a moderate left pleural effusion has slightly has not significantly changed. No pneumothorax. No other relevant change.", "impression": "No pneumothorax. Stable moderate left pleural effusion.", "background": "INDICATION: ___ year old man with s/p (L)thoracentesis // eval ptx TECHNIQUE: Chest PA and lateral"}, {"study_id": "53155028", "subject_id": "15712374", "findings": "There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. There is loss of height of lower thoracic vertebral bodies, of unclear age; no prior for comparison.", "impression": "No acute cardiopulmonary process. Loss of height of lower thoracic vertebral bodies, of unclear age; no prior for comparison.", "background": "WET READ: ___ ___ ___ 4:33 PM No acute cardiopulmonary process ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with hyperglycemia, getting infectious workup // Please eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available"}, {"study_id": "51727163", "subject_id": "19019488", "findings": "Frontal and lateral views of the chest were obtained. The heart is mildly enlarged, exaggerated by low lung volumes. A fluid level is seen within the dilated appearing distal esophagus, which may be due to distal stricture or dysmotility. There is increased opacity at the bilateral lung bases. No pneumothorax or pleural effusion is seen. There is a compression deformity of mid thoracic vertebral body, of unknown chronicity. No radiopaque foreign bodies are seen.", "impression": "Fluid level in the dilated esophagus, concerning for distal stricture or dysmotility. Consider esophagram or chest CT to further assess. Bibasilar pulmonary opacities concerning for aspiration.", "background": "INDICATION: ___-year-old female with shortness of breath and cough. Evaluate for pneumonia. COMPARISON: None."}, {"study_id": "57020307", "subject_id": "10502403", "findings": "The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. Old left-sided rib fractures are again noted. Oral contrast material is seen within the colon.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Post-op fever. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "55456982", "subject_id": "19048729", "findings": "A semi upright portable frontal chest radiograph demonstrates a endotracheal tube terminating in the mid thoracic trachea and an enteric tube which terminates just distal to the GE junction. There are low lung volumes, as before. The heart is likely normal in size, allowing for exaggeration due to low lung volumes. Bilateral pulmonary opacities are increased compared to the most recent chest radiograph. The visualized upper abdomen is unremarkable.", "impression": "Increased bilateral pulmonary opacities, possibly flash pulmonary edema. However, in the right clinical setting, ARDS or multifocal pneumonia can also be a consideration. Endotracheal tube in appropriate position. Enteric tube terminating just distal to the GE junction. On subsequent chest radiograph, this tube is advanced.", "background": "INDICATION: ___ year old man with rapidly worsening inability to ventilate, severe shock s/p arrest. // ? ETT placement, ? ARDS COMPARISON: Chest radiographs from approximately 2.5 and 6 hours prior on the same day."}, {"study_id": "57776029", "subject_id": "11307149", "findings": "There are low lung volumes, which accentuate the bronchovascular markings and the cardiomediastinal silhouette. Given this, the cardiac silhouette is enlarged. There is blunting of the posterior costophrenic angles worrisome for small pleural effusions and/or basilar infiltrate. Moderate pulmonary edema is seen. The aortic knob is calcified and the aorta is likely tortuous.", "impression": "Low lung volumes with moderate pulmonary edema. Bibasilar opacities the, best seen on the lateral view, may be due to pleural effusions and/or consolidation.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with hypoxia // acute process? TECHNIQUE: Chest Frontal and Lateral COMPARISON: None."}, {"study_id": "50660928", "subject_id": "19011598", "findings": "The patient has been intubated since the prior examination, the endotracheal tube terminates about 2.5 cm above the carina. A dual-lead pacemaker/ICD device has leads terminating in the right atrium and ventricle, respectively. An orogastric tube terminates near the gastroesophageal junction. The stomach is mild to moderately distended. An interstitial abnormality with indistinct pulmonary vessels and peribronchial cuffing has increased since the prior study. Although somewhat asymmetric, more prominent on the right than left, pulmonary edema is the most likely reason. Widespread pneumonia could be considered, however. There is no definite pleural effusion or pneumothorax. Cholecystectomy clips project over the right upper quadrant.", "impression": "Status post endotracheal intubation. Orogastric tube terminating short of the stomach, which appears mildly distended. Advancing the tube somewhat may be helpful if clinically indicated. Increasing opacities in both lungs, greater on the right than left, for which a somewhat asymmetric form of pulmonary edema, pneumonia, or even aspiration could be considered clinically.", "background": "CHEST RADIOGRAPH HISTORY: Endotracheal intubation. COMPARISONS: Earlier in the same day. TECHNIQUE: Chest, supine AP portable."}, {"study_id": "56582235", "subject_id": "13091164", "findings": "Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low. There is linear left mid-to-lower lung atelectasis as well as left retrocardiac subsegmental atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. Trace bilateral pleural effusions are not excluded on the basis of blunting of the posterior costophrenic angles, seen on the lateral projection. There is no pneumothorax.", "impression": "Mild left mid-to-lower lung atelectasis. No focal consolidation. Possible trace bilateral pleural effusions.", "background": "INDICATION: Shortness of breath. Assess for acute cardiac or pulmonary process. COMPARISON: None."}, {"study_id": "57607955", "subject_id": "13919529", "findings": "Subtle right basilar opacity may be due to atelectasis although infectious process is not excluded in the appropriate clinical setting. The left lung is clear. No pleural effusion or pneumothorax is seen. Subtle lucency along the mediastinum including along the upper left cardiac border and upper mediastinum is concerning for pneumomediastinum. Mediastinal lucency also seen on the lateral view. The cardiac silhouette is not enlarged.", "impression": "Findings worrisome for pneumomediastinum. Findings could be further assessed on CT.", "background": "WET READ: ___ ___:___ AM Findings worrisome for pneumomediastinum. Findings could be further assessed on CT. D/w Dr. ___ ___ right basilar opacity may be due to atelectasis although infectious process is not excluded in the appropriate clinical setting. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with psychotic break // eval for pna or infection TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "55147952", "subject_id": "14546527", "findings": "PA and lateral chest radiographs demonstrate median sternotomy wires which appear intact. Surgical ___ project over the left cardiac border. Lungs are clear with linear opacity at the left lung base laterally which corresponds to subsegmental atelectasis as better appreciated on CT torso performed ___. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. No air under the right hemidiaphragm is present.", "impression": "No evidence of pneumonia. Subsegmental atelectasis of the lingula best appreciated on CT torso performed ___ at outside hospital.", "background": "INDICATION: History: ___M with hx of renal transplant presenting with febrile neutropenia. // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. ___ CT torso performed at outside hospital dated ___"}, {"study_id": "55123332", "subject_id": "13134704", "findings": "In comparison to the chest radiograph obtained 4 days prior, there has been substantial improvement in pulmonary vascular congestion and resolution of pulmonary edema. Large, bilateral pleural effusions are essentially unchanged. Heart size is indeterminate given silhouetting by adjacent pleural effusions.", "impression": "Substantial improvement in pulmonary vascular congestion with resolution of pulmonary edema. Large, bilateral pleural effusions are unchanged.", "background": "EXAMINATION: AP and lateral chest radiographs INDICATION: ___ year old man with ATN, fluid overload // evaluate for fluid overload TECHNIQUE: Chest AP and lateral COMPARISON: Portable chest radiograph dated ___"}, {"study_id": "53831685", "subject_id": "19341738", "findings": "Frontal lateral views of the chest demonstrates a left-sided chest tube with left pleural effusion that is best visualized apical a. There is a small left effusion that is increased in size.", "impression": "Left apical pneumothorax with chest tube in place.", "background": "EXAMINATION: Chest INDICATION: ___ year old man with ptx // ?ptx TECHNIQUE: Chest PA and lateral COMPARISON: ___. At 01:45"}, {"study_id": "56566950", "subject_id": "19642544", "findings": "Frontal and lateral views of the chest were obtained. The small right apical pneumothorax is slightly improved. Small right pleural effusion and right basilar and right upper lung atelectasis are similar. Linear opacity at the left base is likely atelectasis. Cardiac and mediastinal silhouettes are stable. An right clavicular fracture is again noted. The right rib fractures are not well seen.", "impression": "Right apical pneumothorax is slightly improved from ___.", "background": "HISTORY: Right rib fractures and right clavicle fracture with right pneumothorax. COMPARISON: Chest radiographs ___ through ___; CT chest ___."}, {"study_id": "56577556", "subject_id": "13539771", "findings": "Severe lung hyperinflation is again noted, consistent with known emphysema. Indistinct opacities in the lateral segment of the right middle lobe are new. No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal hilar silhouettes are unremarkable. Mild thoracic scoliosis unchanged.", "impression": "Lateral segment right middle lobe pneumonia.", "background": "EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with prod cough, sob x weeks. no fever. smoker // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: ___ PA and lateral chest radiographs"}, {"study_id": "59076775", "subject_id": "10972958", "findings": "A single upright portable frontal view was obtained. There is a linear opacity with volume loss and elevation of the left hemidiaphragm at the left base, most likely due to atelectasis. There is mild interstitial prominence bilaterally, although no overt pulmonary edema. There is no definite pleural effusion. There is no pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged.", "impression": "Linear opacity at the left base with associated volume loss is most likely atelectasis. No pulmonary edema.", "background": "INDICATION: New myocardial infarction and bilateral crackles. Evaluate for CHF. COMPARISONS: None available."}, {"study_id": "59450423", "subject_id": "13054680", "findings": "Left mid and lower lung field airspace opacities appear almost entirely resolved with a mild residual left lower lobe opacity. The ET tube ends 4.5 cm from the carina, the left subclavian line ends in the right atrium, and the enteric tube lies within the stomach. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "Interval improvement of left mid and lower lung field airspace opacities. ET tube, left subclavian line, and enteric tube are well positioned.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ett, pneumonia // eval interval changes TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___."}, {"study_id": "50862177", "subject_id": "18052931", "findings": "Heart is upper limits of normal in size. Widening of right paratracheal striate an asymmetrical enlargement of right hilum are concerning for lymphadenopathy. Multifocal bilateral pulmonary opacities are present, with dominant rounded lesions in the juxtahilar regions bilaterally (left greater than right), as well as within the lingula. Additional scattered reticular opacities are present as well as an apparent cluster of poorly defined nodules in the right apex.", "impression": "Bilateral multifocal parenchymal opacities, some of which have a rounded or nodular configuration. In the setting of neutropenic fever, findings are highly concerning for fungal pneumonia such as Aspergillus infection. Probable right paratracheal and right hilar lymphadenopathy.", "background": "WET READ: ___ ___ ___ 8:08 AM Patchy opacities, most notable in the right apex, left midlung and left lung base are concerning for multifocal pneumonia. Atypical infections including fungi, mycobacteria and Nocardia should be considered in this patient with neutropenia. No pleural effusion or pneumothorax. Mild cardiomegaly. Wet reading was discussed with ___ ___, M.D. by ___, M.D. on the telephone on ___ at 7:46 PM, 1 minutes after discovery of the findings. WET READ VERSION #1 ___ ___ ___ 7:49 PM Patchy opacities, most notable in the right apex, left midlung and left lung base are concerning for multifocal pneumonia. No pleural effusion or pneumothorax. Mild cardiomegaly. Wet reading was discussed with ___, M.D. by ___, M.D. on the telephone on ___ at 7:46 PM, 1 minutes after discovery of the findings. WET READ VERSION #2 ___ ___ ___ 7:53 PM Patchy opacities, most notable in the right apex, left midlung and left lung base are concerning for multifocal pneumonia. Atypical infections including fungi, mycobacteria and Nocardia should be considered in this patient with neutropenia. No pleural effusion or pneumothorax. Mild cardiomegaly. Wet reading was discussed with ___, M.D. by ___, M.D. on the telephone on ___ at 7:46 PM, 1 minutes after discovery of the findings. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with neutropenic fevers // eval for pulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "56305617", "subject_id": "17640354", "findings": "The enteric tube terminates in proximal stomach. Tracheostomy tube is in unchanged position. Left PICC line terminates in mid SVC. Left lower lobe atelectasis is unchanged. Otherwise no new consolidation. Small left pleural effusion is unchanged. Cardiomediastinal silhouette is unchanged.", "impression": "No significant interval changes with persistent left lower lobe atelectasis and small left pleural effusion.", "background": "INDICATION: ___ year old man with SAH // Interval changes TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___."}, {"study_id": "52492529", "subject_id": "15142804", "findings": "Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Cough. COMPARISONS: None available."}, {"study_id": "53526182", "subject_id": "12606543", "findings": "Frontal radiograph of the chest demonstrates interval worsening of pulmonary edema since the prior study eight hours earlier. The left mid lung opacity is unchanged acutely and could be atelectasis or scarring, but appears to have grown over the past several months, and could therefore be a mass. There is no pneumothorax or large pleural effusion. Marked cardiomegaly is unchanged. A face mask rests over the tracheostomy.", "impression": "Interval worsening of pulmonary interstitial edema. Left mid lung opacity and marked cardiomegaly unchanged. The above findings were communicated to Dr. ___ by Dr. ___ ___ telephone at 10:00, at the time the discovery was made.", "background": "INDICATION: ___-year-old female with pulmonary hypertension and worsening hypoxia. Evaluation for pulmonary edema. COMPARISON: Comparison is made to radiograph of the chest from ___ at 00:08."}, {"study_id": "58354599", "subject_id": "16892632", "findings": "The lungs are clear without evidence of consolidation or pulmonary edema. There is no definite pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal. A dual-chamber pacemaker is present with leads in the appropriate position and unchanged from the prior exams.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Fatigue and low back pain. Evaluate for pneumonia. COMPARISONS: Chest radiograph, ___. Chest radiograph, ___."}, {"study_id": "51716367", "subject_id": "11356031", "findings": "Again seen is a small-to-moderate left apical pneumothorax, unchanged from the most recent prior radiograph. A left chest tube has been removed. There is now a small left pleural effusion with associated compressive atelectasis. A tiny right pleural effusion is present. No focal consolidation. Cardiomediastinal silhouette is unremarkable.", "impression": "Persistent small-to-moderate left apical pneumothorax. Small bilateral pleural effusions.", "background": "INDICATION: ___-year-old woman, status post left thoracotomy, rule out pneumothorax post-chest tube removal. COMPARISONS: Portable AP radiograph from ___."}, {"study_id": "59974189", "subject_id": "15634383", "findings": "The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.", "impression": "Normal chest x-ray. Specifically, no evidence cardiomegaly and no pleural effusions.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // eval cardiomegaly or effusion TECHNIQUE: Chest PA and Lateral COMPARISON: None"}, {"study_id": "54330603", "subject_id": "13159535", "findings": "The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with 4 days history of productive cough, subjective chills/fever. Travel from ___ in ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: None available."}, {"study_id": "58046382", "subject_id": "17396346", "findings": "Frontal and lateral views of the chest were obtained. There are areas of linear atelectasis/scarring in the right middle and lower lobes. Subtle blunting of the posterior costophrenic angle on the lateral view may be artifactual, although trace pleural effusions are not excluded. The cardiac silhouette remains enlarged. Mild pulmonary edema is again seen, similar to prior. Surgical clips are again seen projecting over the left axilla.", "impression": "Persistent mild cardiomegaly and mild pulmonary edema. Areas of atelectasis/scarring.", "background": "EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Upper abdominal pain, cough and fever. COMPARISON: ___."}, {"study_id": "58922574", "subject_id": "10009049", "findings": "PA and lateral images of the chest. There has been interval development of bibasilar opacities, which are concerning for a rapidly developing pneumonia versus alveolar hemorrhage. There appears to be a small left pleural effusion. There is no right pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.", "impression": "Short interval development of bibasilar opacities, which are concerning for a rapidly developing pneumonia versus alveolar hemorrhage.", "background": "HISTORY: Cough and tachypnea. COMPARISON: Comparison is made with chest radiographs from ___."}, {"study_id": "57694031", "subject_id": "12349353", "findings": "Lung volumes are low on the frontal view. Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Altered mental status. Evaluate for infiltrate. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___."}, {"study_id": "58616912", "subject_id": "17812760", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with viral syndrome, tactile fevers, please eval for occult pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "53225911", "subject_id": "11607453", "findings": "There is a left sided pacemaker, with lead tips over right atrium and right ventricle. The cardiomediastinal silhouette is enlarged, but unchanged. There is probable background COPD. There is a small to moderate right effusion with underlying collapse and/or consolidation and minimal atelectasis at the left base. The hila are both prominent, which may reflect pulmonary hypertension, but probably unchanged. There is probable mild vascular plethora, though the appearance is likely accentuated by underpenetration. .", "impression": "Stable cardiomegaly. Pacemaker noted. Small right effusion with underlying collapse and/ or consolidation. , improved compared with ___. Minimal atelectasis left base, considerably improved compared with ___ Possible mild CHF. Bilateral hilar enlargement which may relate to pulmonary hypertension. No displaced rib fracture detected on these lung technique films.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with hx of cad, sss, s/p fall // ?intra cranial bleed ? left hip pain COMPARISON: Chest x-ray ___"}, {"study_id": "56033271", "subject_id": "18873891", "findings": "There is no evidence of focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with left-sided chest pain, question pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "57379357", "subject_id": "10046166", "findings": "Frontal and lateral views of the chest were obtained. Rounded calcified nodule in the region of the posterior right lung base is seen and represents calcified granuloma on CTs dating back to ___, likely secondary to prior granulomatous disease. Previously seen pretracheal lymph node conglomerate and right hilar lymph nodes are better seen/evaluated on CT. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable with possible slight decrease in right paratracheal prominence.", "impression": "No radiographic findings to suggest pneumonia.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of hypoglycemia. COMPARISON: ___."}, {"study_id": "57969985", "subject_id": "10500002", "findings": "Portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Streaky atelectasis is again noted in the bilateral lung bases without definitive opacity concerning for pneumonia. Nodular projection over the posterior right fifth rib correlates with deformity due to prior trauma, better depicted on the ___ chest CT. A second opacity projects in the right upper lung adjacent to the overlying lead and may relate to the medical device though cannot definitively separate from the lung parenchyma. Please correlate with direct visualization of lead. No pleural effusion or pneumothorax evident. Stable thoracic spine fusion hardware.", "impression": "No focal opacification concerning for pneumonia. Nodular opacity over the fifth right posterior rib correlates with deformity due to fracture seen on chest CT. Second nodular focus in the right upper lung likely relates to overlying medical device/EKG lead though cannot definitively separate from lung parenchyma. Please correlate with visual inspection. No definite correlate seen in the lung on subsequent chest CT from this same date, ___.", "background": "INDICATION: Cough, fever. Please evaluate for pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___."}, {"study_id": "55403472", "subject_id": "14873105", "findings": "A right internal jugular approach Port-A-Cath tip terminates in the right atrium. Lung volumes are low. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Linear atelectasis is noted in the right upper lobe. There are small bilateral pleural effusions with adjacent bibasilar atelectasis. The lung apices are clear. There is no pneumothorax.", "impression": "Small bilateral pleural effusions with adjacent bibasilar atelectasis.", "background": "EXAMINATION: Chest radiograph INDICATION: Liver cancer presenting with abdominal distention. Infectious workup. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58117560", "subject_id": "17001577", "findings": "The lungs are hyperinflated. Biapical right greater than left scarring is noted. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with trauma // Eval for infiltrate TECHNIQUE: 2 portable views of the chest. COMPARISON: None."}, {"study_id": "57748178", "subject_id": "11752817", "findings": "The known moderate empyema and right lung volume loss are unchanged. Mild left pulmonary edema is unchanged. There is no pneumothorax. The feeding tube has been advanced into the stomach. The heart and mediastinum cannot be accurately assessed on this projection.", "impression": "Feeding tube now ends in stomach. Otherwise no significant interval change.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cirrhosis and empyema s/p chest tube placement; interval change in empyema TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: Plain chest radiograph dated ___. Correlation made to chest CT dated ___."}, {"study_id": "51494910", "subject_id": "14358566", "findings": "Lines and Tubes: None. EKG leads overlie the anterior chest wall. Lungs: The lung volumes are low. Again identified are linear opacities in the right lower lobe, likely atelectasis. There is no definite consolidation. Pleura: There is no pleural effusion or pneumothorax Mediastinum: There is persistent cardiomegaly. Aortic knuckle calcification is again identified. Bony thorax: There is an old healed fracture involving the posterior right seventh rib. Otherwise bony thorax demonstrates no significant interval change.", "impression": "Low lung volumes with no definite consolidation. Linear atelectasis in the right lower lobe. Stable cardiomegaly. No pleural effusions.", "background": "WET READ: ___ ___ ___ 8:39 AM Enlarged cardiac silhouette with unchanged left pleural effusion and heterogeneous right infrahilar opacity, likely atelectasis. No strong evidence for pneumonia. No pneumothorax. WET READ VERSION #1 ___ ___ 9:32 PM Enlarged cardiac silhouette with unchanged left pleural effusion and heterogeneous right infrahilar opacity, likely atelectasis. No strong evidence for pneumonia. No pneumothorax. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with new SOB // Any interval change? TECHNIQUE: Chest PA COMPARISON: ___"}, {"study_id": "51109606", "subject_id": "10153623", "findings": "No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with c/o dyspnea // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "58527401", "subject_id": "11651571", "findings": "The left chest tube is been removed. There is a small left apical lateral pneumothorax. There is a small left pleural effusion.There continues to be subcutaneous emphysema, a similar amount compared to prior", "impression": "Small left apical lateral pneumothorax", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with LUL wedge resection // PLease evaluate for changes following CT pull. TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "53009837", "subject_id": "17379999", "findings": "Frontal and lateral views of the chest. Endotracheal tube is no longer visualized. There is some blunting of the left lateral costophrenic angle potentially due to pleural thickening or atelectasis/scar. There is no blunting of the posterior costophrenic angle suggests layering effusion. The lungs are otherwise clear and there is no pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. There is tortuosity of the descending thoracic aorta. No acute osseous abnormality is detected.", "impression": "No definite acute cardiopulmonary process.", "background": "HISTORY: ___-year-old male with dyspnea and new atrial fibrillation. COMPARISON: ___."}, {"study_id": "56611635", "subject_id": "14976423", "findings": "There is no new consolidation. Right middle lung atelectatic band is chronic. Left small pleural effusion has completely resolved. There is no pneumothorax. Right jugular line is unchanged and ends in upper atrium. Mediastinal and cardiac contours are normal.", "impression": "There is no evidence of pneumonia. Left small pleural effusion has completely resolved since prior exam.", "background": "WET READ: ___ ___ ___ 9:25 PM No acute process. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST X-RAY INDICATION: Patient with AML, allo stem cell transplant, now with orthostatic hypotension, evaluation for pneumonia. COMPARISON: ___."}, {"study_id": "54982847", "subject_id": "17618022", "findings": "Patient is status post CABG. Median sternotomy wires appear intact. There is stable mild cardiomegaly. The mediastinal and hilar contours are normal. Grossly unchanged soft tissue fills the retrosternal clear space reflecting a known ascending aortic aneurysm. The lungs are normally expanded and clear. There is no pleural effusion or pneumothorax.", "impression": "Stable mild cardiomegaly. Ascending aortic aneurysm.", "background": "INDICATION: ___ year old man with right kidney mass // please evaluate for any abnormaliities TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiographs ___, ___, and ___"}, {"study_id": "54891401", "subject_id": "15506972", "findings": "The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear. A gastric band projects over the left upper quadrant of the abdomen in an unchanged orientation.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "CHEST RADIOGRAPHS HISTORY: Left arm numbness. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "56298707", "subject_id": "13358539", "findings": "Postoperative changes related to left upper lobe resection are similar. Cardiomediastinal contours are stable. Worsening opacity at the right lung base is predominantly linearly oriented and accompanied by volume loss. However, more subtle areas of opacity in the left mid and lower lung are unaccompanied by volume loss and could potentially represent a developing infection. Left-sided pleural thickening and/or effusion is unchanged. There is no visible pneumothorax.", "impression": "Left mid and lower lung opacities, which could potentially represent a developing pneumonia given the clinical suspicion for infection. Right lower lobe opacities favor atelectasis given their predominantly linear orientation and accompanying volume loss. Small right pleural effusion and moderate left loculated pleural fluid and/or thickening.", "background": "PA AND LATERAL CHEST OF ___ COMPARISON: ___ radiograph."}, {"study_id": "53607964", "subject_id": "18240716", "findings": "There are low lung volumes. Again, there is apparent elevation of the right diaphragm along with small right pleural effusion and overlying atelectasis. Right mid lung atelectasis is again seen. Tiny right-sided pneumothorax seen on CT 1 day prior better assessed on CT. The cardiac and mediastinal silhouettes are stable. Surgical clips are again noted overlying the lateral left hemi thorax.", "impression": "Given differences in lung volumes and technique, no significant interval change.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman s/p sgement 6 hepatectomy with atelectasis a small ptx and pneumomediastinum, p/w some SOB // interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "53416284", "subject_id": "16103537", "findings": "There are bibasilar opacities, likely some combination of layering effusions and atelectasis with possible superimposed consolidation. Superiorly, the lungs are clear. The cardiomediastinal silhouette is enlarged particularly on the left in the region of the AP window. While some of this may be technical due to patient rotation and AP positioning, followup will be necessary. Left chest wall dual lead pacing device seen with lead tips projecting over the right atrium and right ventricle. Old healed right lateral rib fractures are seen.", "impression": "Bibasilar opacities likely in part due to effusions with possible superimposed atelectasis and/or infection. Enlarged cardiomediastinal silhouette as above, potentially accentuated by patient positioning and technique however repeat will be necessary when patient is amenable, preferably with PA and lateral.", "background": "INDICATION: History: ___F with AMS, hypoxia // eval for PNA TECHNIQUE: Single portable view of the chest. COMPARISON: None."}, {"study_id": "50564318", "subject_id": "15929245", "findings": "Frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiomediastinal silhouette and bronchovascular crowding. A right chest wall port catheter terminates at the cavoatrial junction. There is no obvious catheter kink or disconnection. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "Right chest wall port catheter terminating at the cavoatrial junction, without obvious catheter kink or disconnection.", "background": "INDICATION: Evaluate line placement in a patient with a history of lymphoma, unable to draw blood from the port catheter. COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "55857642", "subject_id": "15270331", "findings": "There are bilateral pulmonary masses scattered throughout the lungs. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No free intraperitoneal air.", "impression": "Bilateral pulmonary masses most concerning for metastases in the setting of a known primary malignancy.", "background": "INDICATION: ___F with dyspnea, abd pain, N/V // dyspnea, known cancer with concern for mets TECHNIQUE: PA and lateral views the chest. COMPARISON: ___."}, {"study_id": "54818547", "subject_id": "11350326", "findings": "The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with sudden onset of sharp chest pain. STUDY: PA and lateral chest radiograph. COMPARISON: None."}, {"study_id": "57478830", "subject_id": "15637323", "findings": "AP upright and lateral views of the chest were provided. There is pulmonary vascular congestion which is increased from prior exam. Lung volumes are low. No effusion is seen. The heart size is stable. Mediastinal contour is unremarkable. There is no pneumothorax. Bony structures are intact.", "impression": "Perihilar opacities most compatible with pulmonary vascular congestion.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: Altered mental status, question pneumonia."}, {"study_id": "57604928", "subject_id": "19237156", "findings": "Single portable frontal chest radiograph demonstrates enteric feeding tube coursing mid line with tip in stomach and side ports above the gastroesophageal junction. Right IJ tip is in mid SVC. Intact median sternotomy wires, mediastinal clips, and chain suture material projecting over the right mid lung. The lungs are moderately well inflated. Elevation of the left hemidiaphragm with retrocardiac opacity is most consistent with atelectasis. Right lung is clear. No pleural effusion or pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. Limited assessment of the upper abdomen demonstrates 3 stacked mildly dilated loops of bowel within the left upper quadrant.", "impression": "Findings concerning for small-bowel obstruction have been more fully evaluated by dedicated abdominal CT. Enteric feeding tube in stomach with side port above the gastroesophageal junction. Consider advancing 10 cm for better positioning. Bibasilar patchy and linear atelectasis; elevation of the left hemidiaphragm. Right IJ tip in mid SVC. Stable mild cardiomegaly.", "background": "WET READ: ___ ___ ___ 4:01 AM 1. 3 partially imaged stacked mildly dilated loops of bowel with the left upper quadrant is concerning for small-bowel obstruction. 2. Enteric feeding tube in stomach with side port above the gastroesophageal junction. Consider advancing 10 cm for better positioning. 3. Left lower lobe atelectasis with elevation of the left hemidiaphragm. 4. Right IJ tip in mid SVC. 5. Stable mild cardiomegaly. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Right IJ. Assess right IJ placement. COMPARISON: Chest radiograph ___, ___."}, {"study_id": "50023304", "subject_id": "15170707", "findings": "PA and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormalities identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable. When comparison is made with the next preceding chest examination of ___, the at that time existing sizeable parenchymal infiltrate in the right lower lobe posterior area has disappeared. The present chest examination is compared with the more remote similar study of ___. The chest findings are identical and within normal limits.", "impression": "No evidence of acute infiltrates or pleural effusion in this ___-year-old male patient with history of myeloma and pleuritic pain.", "background": "TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old man with myeloma and pleuritic pain, evaluate for infiltrates or effusion."}, {"study_id": "52944909", "subject_id": "12645334", "findings": "Cardiomediastinal contours are within normal limits and demonstrate left ventricular configuration and tortuosity of the thoracic aorta. Linear opacities are present in the right lower lobe peripherally adjacent to healed right rib fracture and probably represent a combination of linear atelectasis and scarring. New small right pleural effusion, likely accounts for lateral blunting of right costophrenic sulcus. Left pleural surfaces are clear.", "impression": "Right basilar atelectasis and adjacent small pleural effusion.", "background": "WET READ: ___ ___ ___ 8:25 PM Tenting of the right hemidiaphragm suggestive of subpulmonic effusion. No evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST X-___ ___ ___ COMPARISON: Prior radiograph ___ ___ and CT abdomen ___ ___."}, {"study_id": "57962449", "subject_id": "18293453", "findings": "A left axillary dual lead pacemaker defibrillator is present with leads terminating in the right atrial appendage and distal right ventricle as expected. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.", "impression": "Left axillary pacemaker leads terminate in the expected positions. No complications.", "background": "INDICATION: New pacemaker placement. COMPARISON: None."}, {"study_id": "53081976", "subject_id": "19727619", "findings": "Single portable chest radiograph is provided. Patchy opacities in the right lower lung and left mid lung are present that are consistent with pneumonia. Lung volumes are low. Cardiomediastinal silhouette is notable for a tortuous aorta. Median sternotomy wires are intact.", "impression": "Patchy opacities in the right and left lower lobes are most likely pneumonia.", "background": "INDICATION: Tachypnea and wheezing. Question pulmonary edema. COMPARISONS: None."}, {"study_id": "56948851", "subject_id": "10579198", "findings": "There lungs are hyperinflated consistent with COPD. There is mild to moderate cardiomegaly. The aortais calcified and slightly unfolded. Possible mild prominence of hila raising quesiton of pulmonary arterial hypertension. Slight upper zone redistribution, but no overt CHF. Increased opacities at the right lung base are seen. Streaky opacities at the left lung base are also seen, but are s omewhat more likely secondary to atelectasis. There is a probable small right pleural effusion. There is no large pneumothorax. Suspect old healed fxs of the left ___ and 8th ribs. Degenerative changes noted in the cervical and thoracic spine.", "impression": "1) COPD. 2) Mild to moderate cardiomegally. 3) Increased opacity at the right lung base is concerning for pneumonia. Changes at the left base could be due to atelectasis, but could also represent an early pneumonic infiltrate. Probable small right effusion.", "background": "INDICATION: History of bladder cancer with temperature. Please evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: Frontal and lateral radiograph of the chest."}, {"study_id": "55581275", "subject_id": "10930322", "findings": "There are small to moderate bilateral pleural effusions with overlying atelectasis. Underlying consolidation is difficult to exclude. There is mild central pulmonary vascular engorgement without overt pulmonary edema. The cardiac silhouette is mildly enlarged. The aorta is tortuous and calcified. There is mild biapical pleural thickening. No pneumothorax is seen.", "impression": "Small to moderate bilateral pleural effusions with overlying atelectasis. Mild central pulmonary vascular engorgement.", "background": "EXAM: Chest frontal and lateral views. HISTORY: ___-year-old male with fever and some altered mental status. COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest."}, {"study_id": "52412496", "subject_id": "13209983", "findings": "There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Heart is mildly enlarged. The cardiomediastinal silhouette is otherwise within normal limits.", "impression": "Mild cardiomegaly. Otherwise, no evidence for acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___F with a fib // Eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___."}, {"study_id": "51875550", "subject_id": "17685708", "findings": "Portable chest radiograph demonstrates persistent severe known pneumoperitoneum. There is unchanged appearing bilateral atelectasis of the lower lobes with small bilateral pleural effusions. There is decreased aeration of the left lower lobe which may represent worsening atelectasis versus infectious pneumonia in the appropriate clinical setting. There are no findings to suggest vascular congestion on this radiograph. There has been interval removal of a right-sided internal jugular catheter. No pneumothorax. There is a left sided PICC seen terminating at the mid to low SVC in constant position.", "impression": "Bibasilar opacities and adjacent pleural effusions. Unchanged appearance of known massive free intra-abdominal air.", "background": "HISTORY: ___-year-old male with volume or overload and pneumonia. Evaluate for change in vascular congestion. COMPARISON: Chest radiograph dated ___."}, {"study_id": "58952070", "subject_id": "12574098", "findings": "There is no pneumothorax or pneumomediastinum after biopsy. Bibasilar atelectasis is minimal. Mediastinal and cardiac contours are normal. The upper lobes nodules are hard to assess in this chest x-ray.", "impression": "There is no complication after biopsy.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient with brain metastasis post EBIS. COMPARISON: Chest x-rays from ___ to ___. Chest CT of ___."}, {"study_id": "56371636", "subject_id": "17362440", "findings": "The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is unremarkable. The mediastinum is slightly widened above the aortic knob, with an equal right and left distribution and no displacement of the trachea, most consistent with fat deposition.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 12:40 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with hepatitis // r/o infitrate TECHNIQUE: PA and lateral images of the chest. COMPARISON: None."}, {"study_id": "58262259", "subject_id": "12298456", "findings": "PA and lateral views of the chest provided. Lungs appear hyperinflated. 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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain COMPARISON: ___"}, {"study_id": "55382396", "subject_id": "15874904", "findings": "Study is somewhat limited by low lung volumes and lordotic positioning. Indistinct consolidations in the left lower lobe worrisome for infection and perhaps a small effusion. There is no pneumothorax. Heart size appears normal. There is a left-sided Port-A-Cath and the tip is in appropriate location. Surgical clips are seen projecting over the right axilla. Diffuse sclerotic lesions are seen throughout the bony structures and is compatible with known osseous metastases.", "impression": "Left lower lobe consolidations with probable effusion worrisome for infection. Diffuse sclerotic bone lesions compatible with known metastases.", "background": "HISTORY: Neutropenic fever with elevated bilirubin. TECHNIQUE: Single frontal chest radiograph. COMPARISON: CT torso ___, bone scan ___, chest radiograph ___."}, {"study_id": "53053123", "subject_id": "11345335", "findings": "The feeding tube tip is off the film, based in the stomach. There is volume loss in both lower lungs with ill definition of both hemidiaphragms compatible with infiltrates in both lower lobes. There is mild pulmonary vascular redistribution. The heart is slightly larger than on the prior exam.", "impression": "Bilateral lower lobe infiltrates.", "background": "HISTORY: New cough. COMPARISON: ___."}, {"study_id": "55741160", "subject_id": "12281725", "findings": "Frontal and lateral chest radiographs again demonstrate sternal wires. The cardiomediastinal silhouette is normal and the lungs are well-aerated and clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: New right chest pain and cough x1 month. Evaluate for pneumonia. COMPARISON: Chest radiographs from ___, ___, and ___."}, {"study_id": "55464062", "subject_id": "14258993", "findings": "Portable semi-upright frontal view chest. A cardiac pacer with leads in the right atrium and right ventricle is noted. Bilateral patchy airspace opacities likely represent pulmonary edema. A hand overlies the left lung. Blunting of the right costophrenic angle may represent a small pleural effusion. There is no pneumothorax. Moderate to severe cardiomegaly is unchanged since ___. The aortic knob is calcified.", "impression": "Airspace opacities predominantly in the right lung most likely represent pulmonary edema. Small right pleural effusion.", "background": "HISTORY: ___ year old woman with shortness of breath. COMPARISON: Chest radiograph ___."}, {"study_id": "56063566", "subject_id": "13462065", "findings": "A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette. Increasing opacity of the left lower lung is likely a combination of increased pleural effusion and atelectasis, but superimposed pneumonia cannot be excluded. A right pleural effusion is better seen on CT from ___. The remainder of the exam is unchanged.", "impression": "Increasing opacity of the left lower lung is likely a combination of increased pleural effusion and atelectasis, but superimposed pneumonia cannot be excluded. These findings were communicated via telephone by Dr. ___ to Dr. ___ at ___ on ___.", "background": "HISTORY: Evaluate for resolution of recent pneumonia. COMPARISON: Chest radiograph from every ___ and CTA abdomen/pelvis from ___."}, {"study_id": "58864248", "subject_id": "12016108", "findings": "A new right internal jugular catheter terminates in the mid-to-lower SVC. No significant pneumothorax. Small right pleural effusion is unchanged. Lungs are clear. Heart size is normal. Mild left acromioclavicular arthropathy.", "impression": "Right internal jugular catheter in mid-to-lower SVC.", "background": "INDICATION: Right internal jugular line placement. COMPARISON: ___ at 17:17. CHEST, AP"}, {"study_id": "57455727", "subject_id": "13470788", "findings": "Single AP view of the chest provided. Lung volumes are low, but grossly clear. Minimal retrocardiac scarring versus atelectasis is unchanged. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.", "impression": "Lung volumes are low, but there is no evidence of pneumonia or aspiration.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with AMS, desat to ___% // PNA? aspiration? COMPARISON: Chest radiograph ___"}, {"study_id": "54649982", "subject_id": "17112656", "findings": "Lung volumes are extremely low, limiting evaluation. A juxtahilar opacity could represent prominent pulmonary vasculature or a potential pneumonia or hilar mass. No pneumothorax or significant pleural effusion is identified. The heart size is not well evaluated due to positioning and low lung volumes.", "impression": "Recommend PA and lateral radiograph when the patient is able for further evaluation of the left juxtahilar region. Findings discussed by telephone by Dr. ___ with Dr. ___ at 8:05 am ___.", "background": "INDICATION: Shortness of breath. History of muscular dystrophy. TECHNIQUE: Single frontal radiograph of the chest. COMPARISON: None available."}, {"study_id": "56760453", "subject_id": "15135065", "findings": "Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. There are no pleural effusions. No pneumothorax is seen. Fullness of the right hilar contour is asymmetric raising the possibility for lymphadenopathy, although this may just represent vascular confluence. Note is made of elevation of the left hemidiaphragm.", "impression": "No acute cardiac or pulmonary findings. Asymmetric enlargement of the right hilum could be due to vascular structures, although lymphadenopathy cannot be excluded. Further evaluation could be performed with CT or comparison to old films is recommended.", "background": "WET READ: ___ ___ ___ 7:30 AM Asymmetric enlargement of the right hilum could be due to vascular structures, although lymphadenopathy cannot be excluded. Further evaluation could be performed with CT or comparison to old films. ______________________________________________________________________________ FINAL REPORT INDICATION: Left-sided pleuritic chest pain. Assess for infiltrate. COMPARISON: None."}, {"study_id": "59435309", "subject_id": "12839549", "findings": "Lungs are well expanded. Slight increased in infrahilar airspace opacities with more indistinctness of the lateral border of the descending aorta and right heart border could indicate early bronchopneumonia in the appropriate clinical context. No edema, pleural effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The descending thoracic aorta is slightly tortuous, unchanged.", "impression": "Bilateral increased infrahilar opacities can be seen with early bronchopneumonia in the appropriate clinical situation. Follow-up radiograph in ___ weeks after treatment to ensure resolution is recommended.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old man presenting with shortness of breath and cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "58094956", "subject_id": "11388341", "findings": "The tip of the left internal jugular Swan-Ganz catheter extends to the left lower lobe of pulmonary artery. The endotracheal tube projects over the mid thoracic trachea and a gastric tube extends into the gastric body. The tip of the left PICC line projects over the cavoatrial junction. There is a retrocardiac opacity which likely reflects a combination of atelectasis and pleural fluid. No definitive right pleural effusion is identified. No pneumothorax. The size and appearance of the cardiomediastinal silhouette is unchanged.", "impression": "The tip of the left transjugular Swan-Ganz catheter projects over the left lower lobe pulmonary artery. A retrocardiac opacity is again present likely reflecting combination of atelectasis and pleural fluid.", "background": "INDICATION: ___ year old woman with open chest // eval Swan line placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___"}, {"study_id": "57218624", "subject_id": "19921471", "findings": "Heart size is normal. Mediastinal and hilar contours are unchanged with rightward shift of mediastinal structures again noted. There is similar elevation of the left hemidiaphragm with mesh material projecting over the diaphragmatic contour. Post thoracotomy changes are again noted on the left with chain sutures seen in both lung apices. The pulmonary vasculature is not engorged. Bullous emphysematous changes are re- demonstrated, with the largest bulla seen at in the right lung base. Unchanged linear opacities in both upper lobes likely reflect areas of scarring. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "No interval change from the previous exam without new acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough and mucous TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "59405663", "subject_id": "14832062", "findings": "The heart is borderline enlarged. Allowing for technique, the mediastinal contours are within normal limits. There is a moderate interstitial abnormality suggesting pulmonary edema with small suspected pleural effusions, better suggested on the lateral view. There is no pneumothorax. Superimposed are streaky opacities in the left mid lung, possibly coinciding atelectasis. Fissures are mildly thickened.", "impression": "Findings most consistent with a mild-to-moderate pulmonary edema.", "background": "CHEST RADIOGRAPHS HISTORY: Renal insufficiency, shortness of breath, hyponatremia and worsening renal failure. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "58805760", "subject_id": "14443991", "findings": "Moderate pulmonary edema has improved. Moderate layering bilateral pleural effusions have increased. The heart and mediastinum cannot be accurately assessed. The patient has been extubated. There is no pneumothorax.", "impression": "Improved pulmonary edema. Increased moderate layering bilateral pleural effusions.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man POD3 with ongoing O2 requirement ? aspiration // ? interval change TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___."}, {"study_id": "52037943", "subject_id": "18498678", "findings": "An ET tube terminates 4.3 cm above the carina. Moderate cardiomegaly is again seen. The lungs are underinflated, resulting in bronchovascular crowding. Mild pulmonary vascular congestion and mild interstitial edema are improved since ___. There is improved aeration of the upper zones in comparison to the 5:18 a.m. study performed today. There is no pneumothorax. A persistent left lower lobe opacity may represent pleural effusion and/or atelectasis.", "impression": "Improved mild interstitial edema and central pulmonary vascular congestion. Improved upper zone aeration. Appropriately positioned ET tube.", "background": "INDICATION: Flash pulmonary edema. COMPARISON: Radiographs available from ___. FRONTAL CHEST"}, {"study_id": "52953373", "subject_id": "14925997", "findings": "The cardiomediastinal and hilar contours are within normal limits. Subtle bibasilar opacities most likely reflect subsegmental atelectasis. There is mild vascular congestion without frank edema. No focal consolidation, pleural effusion or pneumothorax is identified.", "impression": "Subtle bibasilar opacities most likely represent minimal subsegmental atelectasis however infection should be considered in the appropriate setting. Mild vascular congestion without frank edema.", "background": "EXAMINATION: Chest radiograph INDICATION: History: ___M with subjective fever and sob. // ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: CT abdomen and pelvis on ___"}, {"study_id": "57902614", "subject_id": "12298456", "findings": "Heart size is normal. The cardiomediastinal silhouette and hilar contours are unchanged. Lungs are hyperinflated. Mild bibasilar atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: Chest radiograph INDICATION: Chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: Several chest radiographs dating from ___ through ___."}, {"study_id": "58564639", "subject_id": "18356860", "findings": "Heart is upper limits of normal in size. Lower left heart border and a small portion of the left hemidiaphragm adjacent to this region are obscured, possibly due to a prominent pericardial fat pad. No definite areas of corresponding consolidation are observed on the lateral view. Lungs are otherwise clear, and there are no pleural effusions or acute skeletal findings.", "impression": "Subtle opacity at left cardiophrenic angle likely reflects a prominent pericardial fat pad. A focal pneumonia in this region is less likely but followup radiographs may be helpful if warranted clinically, particularly in the absence of older radiographs for comparison.", "background": "PA AND LATERAL CHEST OF ___ No prior studies for comparison."}, {"study_id": "51708303", "subject_id": "14233331", "findings": "There is no focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.", "impression": "No radiographic evidence of acute cardiopulmonary disease.", "background": "INDICATION: ___ year old woman with L3/L4 discitis, unknown source, no pulmonary symptoms // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "56345225", "subject_id": "19663491", "findings": "The patient is rotated to the right. There are persistent opacities in both lung bases, somewhat more conspicuous in the right mid lung on the frontal radiograph although not confirmed on the lateral radiograph. The small anterior loculated collection seen ___ has resolved. The small pleural effusion has resolved. The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax.", "impression": "Persistent bilateral lower lung opacities are somewhat more conspicuous in the right mid lung and may represent atelectasis however, infection is not excluded. The small anterior loculated fluid collection, and small pleural effusion have resolved.", "background": "HISTORY: ___-year-old male, hypoxia, shortness of breath. Evaluate for pneumonia. TECHNIQUE: Upright PA and lateral radiographs of the chest. COMPARISON: Multiple prior radiographs of the chest, most recent ___."}, {"study_id": "57886040", "subject_id": "17007708", "findings": "Lung volumes are low and the lungs are clear. Mediastinal contours, hila, and cardiac borders are normal. No pleural effusion.", "impression": "No evidence of pneumonia.", "background": "INDICATION: ___ year old woman with cough, fevers. // ?infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___. CT of the chest from ___."}, {"study_id": "59265517", "subject_id": "11348441", "findings": "Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is notable for mild cardiomegaly.", "impression": "Low lung volumes. No evidence of acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 5:56 AM Low lung volumes. No evidence acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with n/v Poor historian evaluate for pna TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___."}, {"study_id": "56673371", "subject_id": "18871844", "findings": "The patient is status post previous median sternotomy and coronary artery bypass surgery and recent cervical spine surgery. Heart is upper limits of normal in size with left ventricular configuration, and mediastinal and hilar contours are within normal limits. Within the lungs, there are no focal areas of consolidation to suggest pneumonia. Small rounded density in right lung base may reflect a calcified granuloma or a vessel viewed end on.", "impression": "No radiographic evidence of pneumonia.", "background": "PORTABLE CHEST ___, ___ No prior radiographs for comparison."}, {"study_id": "55658816", "subject_id": "11006886", "findings": "Interval increase in retrocardiac airspace opacification may represent atelectasis, aspiration, or early pneumonia, depending upon the clinical setting. Multiple large rounded pulmonary nodules are similar to prior studies from ___ and consistent with patient's known pulmonary amyloid. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "New retrocardiac airspace opacity may represent early pneumonia, atelectasis, or aspiration, depending upon the clinical setting. Unchanged extensive pulmonary amyloid.", "background": "INDICATION: ___ year old woman with productive cough, bloody sputum x 1 week, fatigue, tachycardia, sob, bilateral crackles, evaluate for pneumonia or congestive heart TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___ and chest CT dated ___."}, {"study_id": "58141497", "subject_id": "11185743", "findings": "AP and lateral views of the chest. Right-sided pacemaker with wires are seen in unchanged position. Clips are seen in the left axilla region. There is no focal consolidation. No pleural effusion or pneumothorax. There is calcification of the aorta. Heart size is moderate. Compression deformities of multiple lower thoracic and lumbar vertebral bodies are unchanged.", "impression": "Moderate cardiomegaly. No acute cardiopulmonary process.", "background": "INDICATION: Shortness of breath and wheezing, abdominal pain and constipation. COMPARISON: ___."}, {"study_id": "50024695", "subject_id": "17845221", "findings": "Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. There is mild cardiomegaly, which is unchanged. The mediastinum is unchanged in appearance. Tere is no pneumothorax, pleural effusion, or consolidation.", "impression": "No evidence of enlarged mediastinal lymph nodes or lung lesions.", "background": "HISTORY: ___-year-old female enlarged tender left supraclavicular lymph node. Evaluate for enlarged mediastinal lymph nodes or lung lesions. COMPARISON: Multiple prior radiographs of chest dated ___ through ___."}, {"study_id": "57794659", "subject_id": "12656773", "findings": "Lung volumes are low. The heart size is moderately enlarged. The mediastinal and hilar contours are unchanged, and there is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Mild blunting of the costophrenic angles posteriorly is likely due to pleural thickening. Degenerative changes of the right glenohumeral joint are present.", "impression": "Low lung volumes with no acute cardiopulmonary process.", "background": "HISTORY: Asthma with shortness of breath and wheezing. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___ chest radiograph and CT trachea ___."}, {"study_id": "53996561", "subject_id": "18587297", "findings": "The heart appears mildly enlarged. The aorta is moderately tortuous and, along the arch, calcified. There is no pleural effusion or pneumothorax. Effacement of the right posterior lateral costophrenic angle suggests a small diaphragmatic hernia. The lungs appear clear.", "impression": "Moderately tortuous aorta. No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Hypertension and dyspnea on exertion. TECHNIQUE: Chest, PA and lateral. COMPARISON: None."}, {"study_id": "58170168", "subject_id": "15433155", "findings": "An endotracheal tube terminates just above the level of the carina, therefore, proximal reposition by 1.5 cm is recommended. The tip of a nasoenteric catheter is at the same level as the endotracheal tube, findings concerning for a coiled tube in the nasopharynx. A right internal jugular central venous catheter terminates in the mid SVC. A left approach AICD/pacemaker has leads terminating in the right atrium and right ventricle, unchanged from prior. There is no pneumothorax. There is probable bibasilar atelectasis and mild vascular congestion. No overt interstitial edema is identified. There is no large pleural effusion.", "impression": "Endotracheal tube at level of carina, proximal repositioning by at least 1.5 cm is recommended. Malpositioned nasoenteric catheter, likely coiled in the nasopharynx. Repositioning recommended. Probable bibasilar atelectasis and mild vascular congestion. Dr. ___ communicated the above findings (#1 and #2) and recommendations regarding the tube positions to Dr. ___ at 8:17 am on ___ by telephone, ___ minutes after discovery.", "background": "HISTORY: ___-year-old male with multiple lines and intubation. Assess for position. COMPARISON: Chest radiograph from ___ at 16:22. SUPINE PORTABLE CHEST"}, {"study_id": "51337869", "subject_id": "19017770", "findings": "The lungs are clear without focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. Posterolateral right 8th rib fracture.", "impression": "Acute right ___ posterolateral rib fracture. No pneumothorax.", "background": "WET READ: ___ ___ ___ 1:56 PM Acute right ___ lateral rib fracture. No pneumothorax. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest radiographs clear INDICATION: ___-year-old male with pain status post assault. Evaluate for fractures. TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "59373479", "subject_id": "18916987", "findings": "The feeding tube has been withdrawn and is now terminating in the distal esophagus. Large right pleural effusion is new. Cardiomediastinal silhouette is unchanged. The left lung is clear.", "impression": "Feeding tube has been pulled back, ending in the distal esophagus. Large right pleural effusion.", "background": "INDICATION: ___ year old man with Childs C cirrhosis, hep B/D who pulled his NGT // reconfirm NGT placement TECHNIQUE: A single portable AP supine view of the chest was obtained. COMPARISON: ___"}, {"study_id": "53048818", "subject_id": "10449408", "findings": "Continued and unchanged bilateral pulmonary opacification consistent with pulmonary edema. Bibasilar opacities may represent coinciding pneumonia in the proper clinical setting. Small pleural effusions are again seen. Right central venous line, gastric tube, and ET tube are unchanged and are in appropriate position.", "impression": "Unchanged pulmonary edema. Basilar opacities may represent pneumonia in the proper clinical setting.", "background": "HISTORY: ___-year-old woman with cirrhosis and upper GI bleed, now status post massive resuscitation, increased oxygen requirement. Evaluate pulmonary infiltrates. TECHNIQUE: Portable AP semi-erect chest radiograph was obtained. COMPARISON: Chest radiographs from ___."}, {"study_id": "50529223", "subject_id": "13535349", "findings": "AP portable view of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. No free air.", "impression": "No acute cardiopulmonary process. No free air. Conventional radiographs are not useful for evaluation of subtle trauma.", "background": "INDICATION: Trauma. COMPARISON: ___."}, {"study_id": "56955118", "subject_id": "13139714", "findings": "Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Small right pleural effusion persists. Lungs are otherwise clear. No new focal consolidation is identified. There is no pneumothorax. Clips are noted within the right upper quadrant of the abdomen. There are no acute osseous abnormalities.", "impression": "Small right pleural effusion, not significantly changed compared to the prior study.", "background": "INDICATION: Cough, fever. COMPARISON: ___. PA AND LATERAL VIEWS OF THE"}, {"study_id": "55336419", "subject_id": "19706404", "findings": "There is no focal consolidation, pneumothorax or evidence of pulmonary vascular congestion. There is a very small left pleural effusion. There is marked cardiac enlargement with tortuous and calcified aorta. Median sternotomy wires are present and intact.", "impression": "No pulmonary edema. Tiny left pleural effusion.", "background": "INDICATION: ___-year-old woman with CHF, status post procedure today with crackles to both lungs, evaluate pulmonary edema. COMPARISONS: PA and lateral chest radiographs from ___."}, {"study_id": "53862372", "subject_id": "19132022", "findings": "The heart is markedly enlarged. The aorta is tortuous. There is a dual-lead pacer with leads terminating in expected position in the right atrium and right ventricle. There is nonspecific pleural and parenchymal scarring at the left lung base. Otherwise, the lungs are clear. There is no pleural effusion or pneumothorax.", "impression": "Nonspecific pleural and parenchymal scarring at the left base. No findings specific for past or active TB infection.", "background": "STUDY: PA and lateral chest x-ray. COMPARISON EXAM: None. INDICATION: ___-year-old with positive PPD, but no symptoms."}, {"study_id": "59049002", "subject_id": "18454049", "findings": "The lungs are well-expanded. There are bilateral heterogeneous bibasilar opacities, right more prominent than left. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.", "impression": "Bibasilar pneumonia or aspiration pneumonia.", "background": "WET READ: ___ ___ ___ 5:28 AM Left lower lobe pneumonia or aspiration pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with cough. Assess for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest and rib radiograph ___."}, {"study_id": "58611542", "subject_id": "16294972", "findings": "Plates and screws are present in the right lateral fifth, sixth, and seventh ribs. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Cough since starting hepatitis C therapy. History of smoking. COMPARISONS: None."}, {"study_id": "51310490", "subject_id": "11201842", "findings": "Compared to the prior study, the chest tube is been removed. A small right apical pneumothorax is visible. In retrospect, this is probably unchanged. A bleb like lucency is also now visible along the edge of the elevated right hemidiaphragm, of uncertain significance. This does not clearly represent a a portion of the pneumothorax. Extensive subcutaneous emphysema along the right neck and right chest and abdominal wall is again noted, relatively similar. Elevation of the right hemidiaphragm is similar to the prior study. The cardiomediastinal silhouette including the right paratracheal/pericarinal opacity is unchanged. Vascular plethora in both upper zones is similar to the prior study. There has been slight interval increase in patchy opacity immediately above the right hemidiaphragm slightly. Atelectasis at the left base and minimal blunting of left costophrenic angle is similar to the prior study.", "impression": "Small right apical pneumothorax. In retrospect, this is probably unchanged. Small bleb like lucency at the right lung base is of uncertain etiology, not clearly part of the pneumothorax. Attention to this area on followup films is requested. Slight interval increase in patchy opacity at the right lung base, question atelectasis.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p right upper lobectomy and right middle lobe wedge resection - please take at 16:00 // chest tube removal - interval change/ptx - please take at 16:00 COMPARISON: Chest x-ray from ___ at 10:38"}, {"study_id": "54354804", "subject_id": "18239313", "findings": "Single AP portable view of the chest was obtained. A right-sided PICC has migrated in proximal position as compared to the prior study and appears to terminate in the right subclavian vein. The patient is status post median sternotomy and CABG. There is a moderate-to-large left pleural effusion with overlying atelectasis, though underlying consolidation cannot be excluded. Otherwise, cardiac and mediastinal silhouettes are stable.", "impression": "Right PICC has migrated proximally since the prior study from ___, and is now in the expected location of the right subclavian vein, in appropriate position. Moderate-to-large left pleural effusion with overlying atelectasis, underlying consolidation is not excluded. The above findings were discussed with Dr. ___ on ___ at 1:55 p.m via telephone.", "background": "FINAL ADDENDUM ADDENDUM: The above findings of the inappropriately positioned right-sided PICC were discussed with Dr. ___ on ___ at 1:50 p.m. via telephone. ______________________________________________________________________________ WET READ: ___ ___ ___ 1:49 PM Right PICC has migrated proximally since the prior exam, now terminates in region of right subclavian vein, in inappropriate position. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAM: Chest, single semi-erect AP portable view. HISTORY: ___-year-old male with history of hypoxia and altered mental status. COMPARISON: ___."}, {"study_id": "54273305", "subject_id": "10890696", "findings": "Single portable supine chest radiograph is provided. The endotracheal tube is in the mid trachea, 4.5 cm above the carina. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. There is streaky atelectasis at the left lower lobe. Cardiomediastinal silhouette is normal. The bones are intact.", "impression": "No acute cardiopulmonary process. ET tube in appropriate position.", "background": "INDICATION: Intubated. Question ET tube placement. COMPARISONS: None."}, {"study_id": "50326975", "subject_id": "13930547", "findings": "Single frontal view of the chest. Lung volumes are low. There is an increased large right pleural effusion and a new small left pleural effusion with adjacent atelectasis. Underlying consolidation cannot be excluded. Background interstitial lung disease is not markedly changed. The cardiac silhouette is obscured by effusions and is difficult to assess.", "impression": "Increased large right and new small left pleural effusion with chronic background interstial lung disease. An underlying infectious process cannot be excluded.", "background": "HISTORY: ___-year-old female with weakness, atrial fibrillation with RVR, and shortness of breath. COMPARISON: ___."}, {"study_id": "50294620", "subject_id": "14380164", "findings": "The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluation of patient with hyponatremia. COMPARISON: None available."}, {"study_id": "56335532", "subject_id": "12051380", "findings": "Mild improvement in moderate right pleural effusion. Right basilar opacification likely atelectasis is stable. Left basilar atelectasis is unchanged. No significant change in the anterior right pneumothorax since ___. The cardiac and mediastinal silhouettes are unchanged.", "impression": "Mild improvement in moderate right pleural effusion. Otherwise no significant interval change since ___.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man s/p R VATS decortication // check interval change TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___ through ___, CT chest ___."}, {"study_id": "50053035", "subject_id": "10053611", "findings": "Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: History of asthma who presents with shortness of breath. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "56124016", "subject_id": "14906180", "findings": "There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Bibasilar atelectasis is similar to the prior study of ___. The cardiomediastinal silhouette is stable. Hyperexpansion is unchanged.", "impression": "Hyperexpansion. No evidence of acute cardiopulmonary process.", "background": "WET READ: ___ ___ 7:51 AM Hyperexpansion. No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with decreasing o2 and gib evaluate for free air or pulmonary edema. TECHNIQUE: Single upright AP chest radiograph COMPARISON: Prior chest radiographs dated ___."}, {"study_id": "59253654", "subject_id": "11936095", "findings": "Compared to chest radiograph from 2 hr prior, there is no significant change in the appearance of the lines and tubes. Lung volumes are low with increased perihilar and hazy opacities, compatible with pulmonary edema. Small bilateral pleural effusions again seen. There is no evidence of pneumothorax. No displaced rib fractures identified. Severe levoconvex scoliosis of the lumbar spine.", "impression": "No displaced rib fractures seen, but if there is high clinical concern further imaging can be obtained. Worsening pulmonary edema.", "background": "INDICATION: ___F s/p chest compressions, intubated, evaluate for rib fractures.. COMPARISON: Chest radiograph ___ at 00:00. TECHNIQUE Portable view of the chest."}, {"study_id": "51038394", "subject_id": "12006266", "findings": "PA and lateral views of the chest were obtained. Since the prior exam, there is interval increase in the left pleural effusion. A small right pleural effusion is redemonstrated. Bibasilar consolidations are likely attributable to compressive atelectasis. Overall, heart and mediastinal contours appear stable. Degenerative changes at the right shoulder are redemonstrated. Degenerative changes in the T-spine also again seen.", "impression": "Increasing left effusion. Persistent smaller right effusion. Compressive lower lobe atelectasis.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ and a torso from ___. CLINICAL HISTORY: Not feeling well with low O2 saturation, question pneumonia."}, {"study_id": "52641447", "subject_id": "11070296", "findings": "The lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted with fracture of the third highest wire. Mediastinal clips are seen. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with palpitations // eval for cardiomegaly TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "53058995", "subject_id": "11932181", "findings": "PA and lateral radiographs were acquired of the chest. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Bilateral degenerative changes of the acromioclavicular joints are noted.", "impression": "No acute cardiac or pulmonary process.", "background": "INDICATION: Lower back pain, pre-operative radiograph. COMPARISON: None."}, {"study_id": "56452422", "subject_id": "12465457", "findings": "Cardiomediastinal contours are stable in appearance. Lungs are clear except for a focal linear opacity at the left lung base suggestive of atelectasis or scarring. No definite pleural effusion.", "impression": "No radiographic evidence of pneumonia.", "background": "PA AND LATERAL CHEST RADIOGRAPH, ___ COMPARISON: Radiographs of one day earlier."}, {"study_id": "57767930", "subject_id": "17506285", "findings": "Heart size is top normal. There is bilateral pulmonary vascular congestion and peribronchial cuffing compatible with pulmonary edema. No pleural effusion or pneumothorax. No strong evidence for pneumonia.", "impression": "Findings are compatible with pulmonary edema, with no pleural effusion. Infection could potentially be obscured by edema, thus re-assessment after diuresis is recommended.", "background": "WET READ: ___ ___ ___ 5:49 AM Findings are compatible with pulmonary edema, with no pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None"}, {"study_id": "53567398", "subject_id": "14531295", "findings": "PA and lateral chest radiographs demonstrate clear lungs bilaterally. There is no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are stable in appearance relative to prior study dated ___. The heart is mildly enlarged. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Mild anterior wedging of the lower thoracic vertebral body is unchanged.", "impression": "No evidence of pneumonia.", "background": "INDICATION: ___F w/total body aches, please eval for occult PNA // ___F w/total body aches, please eval for occult PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___"}, {"study_id": "54808722", "subject_id": "17856343", "findings": "Due to poor beam penetration and patient's body habitus, the PICC catheter is not well visualized on either PA or standard lateral views. Of note, the catheter is partially visualized on a partial lateral view which excludes the distal tip of the catheter; however, the catheter is at least to the level of the mid right atrium. There is otherwise no short-term interval change compared to exam from two hours prior.", "impression": "Non-visualization of the catheter tip due to body habitus and technique on standard views; however, the catheter is located at least to the level of the mid right atrium on partial lateral view. Recommend withdrawal of the catheter by 5 cm with a repeat radiograph. Results were discussed over the telephone with ___ at 1:51 p.m. and ___ at 2:39 p.m. by ___ on ___ at time of initial review.", "background": "INDICATION: Right PICC placed but difficulty visualizing on portable. COMPARISON: ___, 11:46 a.m. TECHNIQUE: PA and lateral chest radiograph, three views."}, {"study_id": "58682206", "subject_id": "19789057", "findings": "The lungs are clear besides right basilar atelectasis. The cardiomediastinal silhouette is stable. Thoracic dextroscoliosis and multiple vertebroplasty changes are again noted.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with 2 days of cough // eval pneumonia TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "56740872", "subject_id": "18339460", "findings": "Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear besides scarring at the right lung base, unchanged from prior CT. No pleural effusion or pneumothorax is seen.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with left sided pain // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest x-ray and CT abdomen from ___."}, {"study_id": "50642902", "subject_id": "13328050", "findings": "There is minimal left lower lung scarring. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions, although tiny effusions cannot be excluded as the posterior costophrenic angles are not included on the lateral projection. There is no pneumothorax.", "impression": "No acute cardiac or pulmonary findings.", "background": "INDICATION: Chest pain. Evaluate for acute process. COMPARISON: None."}, {"study_id": "57324184", "subject_id": "17854225", "findings": "The lungs are well expanded. There is some vascular upper redistribution, and perihilar haziness as well as increased interstitial markings suggesting interstitial edema and vascular congestion. Bilateral pleural effusions, right worse than left are seen. Cardiac size cannot be properly assessed due to projection as well as obscuration of the cardiac margins by the pleural effusions and bibasilar atelectasis, but there is no evidence of cardiomegaly. There is no pneumothorax.", "impression": "Findings compatible with acute interstitial pulmonary edema with associated bilateral pleural effusions slightly improved compared to recent radiograph performed at___ hospital.", "background": "INDICATION: ___-year-old female with shortness of breath and effusions. Evaluate for evidence of pneumonia. COMPARISON: Chest radiograph performed at___ approximately one hour prior to this exam. TECHNIQUE: Frontal upright and lateral chest radiograph."}, {"study_id": "51883373", "subject_id": "11434180", "findings": "The lungs are clear without focal consolidation. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. The bony metastases seen on prior CT are not well assessed on this study.", "impression": "No acute intrathoracic process.", "background": "INDICATION: ___-year-old male with fever, assess for pneumonia. TECHNIQUE: Two views of the chest. COMPARISON: ___."}, {"study_id": "51639281", "subject_id": "15684838", "findings": "Left IJ catheter is in unchanged position, terminating in the mid SVC. Interval removal of a right IJ catheter, endotracheal tube, and nasogastric tube. Stable low lung volumes bilaterally. Stable, small, bilateral pleural effusions with adjacent relaxation atelectasis appears unchanged compared to the prior chest CT from ___. Stable, borderline engorgement of the mediastinal veins. No pulmonary edema.", "impression": "Stable, small bilateral pleural effusions with adjacent relaxation atelectasis.", "background": "EXAMINATION: Portable AP chest radiograph. INDICATION: ___-year-old woman with pneumonia. Evaluate for pulmonary edema. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Multiple prior chest radiographs, most recent from ___.Chest CT from ___."}, {"study_id": "50666747", "subject_id": "18880483", "findings": "Cardiac silhouette size is mildly enlarged. The mediastinal hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "55688057", "subject_id": "13843083", "findings": "There is moderate pleural effusion on the right and small pleural effusion on the left. There remains mild pulmonary edema. Slight improvement in bibasilar atelectasis. Pacemaker leads terminate in the right atrium and right ventricle. Hiatal hernia is noted.", "impression": "Mild pulmonary edema, moderate right pleural effusion and small left pleural effusion are similar to ___. Slight improvement in adjacent bibasilar atelectasis.", "background": "INDICATION: ___ year old man with dementia, hypoxemia, HCAP, triggered for RR 44 // Please eval for acute pulmonary process EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___"}, {"study_id": "52049811", "subject_id": "11531303", "findings": "The lungs are clear. There is mild cardiomegaly and surgical changes from prior cardiac operation. There is an aortic arch stent and an artificial aortic valve. There is dense calcification of the ascending aorta. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: Hypoglycemia. Evaluate for acute process. COMPARISON: None available."}, {"study_id": "59947539", "subject_id": "14841168", "findings": "Portable semi-upright radiograph of the chest demonstrates a stable cardiomediastinal silhouette as seen on prior examinations, with mediastinal widening. An elevated right hemidiaphragm is again seen. The left lung base is not visualized. No focal consolidation is identified in the visualized lung fields. Given supine technique, it is difficult assess for pleural effusion or pneumothorax.", "impression": "No significant change since recent prior.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with sepsis of unknown etiology, worsening respiratory acidosis // pulmonary edema? TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___, ___, CTA chest dated ___"}, {"study_id": "52399397", "subject_id": "14593006", "findings": "Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. There is an area of increased opacification of the right base, which partially obscures the right heart border, concerning for right middle lobe pneumonia. The cardiomediastinal contour is unremarkable. There is no pneumothorax or pleural effusion.", "impression": "Opacification the right base which partially obscures the right heart border, concerning for right middle lobe pneumonia.", "background": "HISTORY: Cough for 2 weeks. Evaluate for pneumonia. COMPARISON: Prior radiographs of the chest dated ___ and ___."}, {"study_id": "52014629", "subject_id": "10872930", "findings": "Single frontal view of the chest. Mild cardiomegaly is unchanged. Prominent interstitial markings predominantly involving the left lung is nonspecific and could represent chronic scarring. No focal consolidation, pleural effusion, or pneumothorax. No pneumoperitoneum is identified. Sternotomy wires and multiple mediastinal clips are unchanged. Severe left shoulder degenerative changes are similar to prior.", "impression": "No pneumoperitoneum. Mild cardiomegaly with chronic interstitial scarring.", "background": "HISTORY: Abdominal pain. COMPARISON: ___."}, {"study_id": "58903753", "subject_id": "12377245", "findings": "There is no evidence of a pneumothorax. Atelectasis of both the right and left base is present. The right chest tube has been removed.", "impression": "No pneumothorax. Bilateral atelectasis; otherwise lung fields clear.", "background": "CLINICAL HISTORY: Endometrioid carcinoma with right middle lobe lung nodule, status post VATS."}, {"study_id": "52189661", "subject_id": "19546918", "findings": "There are relatively low lung volumes. Given this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal to mildly enlarged. Mediastinal and hilar contours are unremarkable. There is no overt pulmonary edema.", "impression": "Relatively low lung volumes. Otherwise, no acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Viral meningitis. COMPARISON: None."}, {"study_id": "54485736", "subject_id": "18111516", "findings": "AP and lateral views of the chest. Prior right PICC and left internal jugular central line are no longer visualized. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality noted. Surgical clips in the right upper quadrant suggest prior cholecystectomy. No free air seen below the diaphragm.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with vomiting. Question pneumonia. COMPARISON: ___."}, {"study_id": "51480123", "subject_id": "13033872", "findings": "Left-sided Port-A-Cath terminates in the right atrium. Endotracheal tube is 4.6 cm above the carina. An enteric tube terminates in the stomach with side port not visualized. Peribronchial opacities on the left upper lobe is noted. The azygos vein is mildly dilated may be secondary to volume overload. Cardiac size is normal. There is no pneumothorax or pleural effusion.", "impression": "Endotracheal tube terminates 4.6 cm above the carina. Left-sided Port-A-Cath terminates in the right atrium. Mildly dilated azygos patent likely secondary to volume overload.", "background": "EXAMINATION: DX CHEST PORT LINE/TUBE PLCMT 1 EXAM INDICATION: ___F s/p ETT // tube placement TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "58847210", "subject_id": "19065274", "findings": "Portable upright chest radiograph is obtained. In comparison to the prior study, the lungs are better expanded and numerous bilateral metastases are better demarcated. The diffuse pattern of opacification caused by extensive metastatic disease makes it very difficult to appreciate any overlying consolidation; therefore pneumonia should be diagnosed clinically. Cardiomediastinal silhouette is unchanged. No pleural effusions and no pneumothorax.", "impression": "No significant changes compared to the prior study.", "background": "INDICATION: ___-year-old woman with renal cell carcinoma, metastatic to the lung, evaluate for pulmonary edema or pneumonia. COMPARISON: ___."}, {"study_id": "51928177", "subject_id": "18989787", "findings": "The appearance is very similar to the prior examination with marked lobular circumferential pleural thickening in the right hemithorax. Aeration of the right lung appears perhaps mildly decreased, probably corresponding to increased volume loss, although a superimposed process or rapid progression of disease may explain the small change. The left lung remains clear.", "impression": "Worsening of opacification of the right lung, otherwise no significant change.", "background": "WET READ: ___ ___ ___ 8:29 PM No significant change compared to ___ chest radiograph. Evaluation of the right hemithorax severely limited by known abnormalities. More subtle changes could be further evaluated with CT chest. ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH HISTORY: Malignant melanoma and history of recurrent pleural effusion, now presenting with leukocytosis and dyspnea. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright."}, {"study_id": "57466598", "subject_id": "12298456", "findings": "Single portable view of the chest. There is an opacity identified at the left lung base which is more conspicuous on today's exam. Elsewhere, the lungs are clear without large effusion, consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Degenerative changes seen at the shoulders without acute osseous abnormality.", "impression": "Somewhat linear left basilar opacity potentially atelectasis or scar however repeat suggested when the patient is amenable with PA and lateral films. Otherwise unremarkable exam without acute cardiopulmonary process.", "background": "WET READ: ___ ___ 5:13 PM Somewhat linear left basilar opacity potentially atelectasis or scar however repeat suggested when the patient is amenable with PA and lateral films. Otherwise unremarkable exam without acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with chest pain. COMPARISON: ___."}, {"study_id": "51868700", "subject_id": "10330554", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath and cough. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "59389815", "subject_id": "17819260", "findings": "Frontal and lateral views of the chest. Compared to prior there has been no significant interval change. Again seen is a large hiatal hernia. The lungs are clear of new consolidation or effusion. Vague opacity projecting over the right lung apex is again noted. Trachea is deviated to the left at the thoracic inlet suggestive of right thyroid enlargement. No acute osseous abnormalities detected.", "impression": "No acute cardiopulmonary process. Other details as above.", "background": "HISTORY: ___-year-old female with recent presyncopal episode. COMPARISON: ___."}, {"study_id": "53047439", "subject_id": "10872930", "findings": "Mild cardiomegaly is unchanged. Prominent interstitial markings involving the left lung is nonspecific, however, could represent chronic scarring. There is mild pulmonary vascular engorgement and interstitial edema. No definite focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. Sternotomy wires and multiple mediastinal clips are unchanged. Severe left shoulder degenerative changes are similar to the prior exam.", "impression": "Stable mild cardiomegaly with chronic interstitial scarring. Mild interstitial pulmonary edema.", "background": "INDICATION: History of abdominal pain, vomiting and hypotension. Please evaluate. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: Single frontal radiograph of the chest."}, {"study_id": "51859268", "subject_id": "10873223", "findings": "No pulmonary edema is seen. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with 2wk h/o intermittent palpitations, SOB, and chest pain // eval pneumonia, edema TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___"}, {"study_id": "51147993", "subject_id": "18724720", "findings": "Portable semi-upright radiograph of the chest demonstrates moderate to severe cardiomegaly. Diffusely increased interstitial markings may represent pulmonary edema or interstitial lung disease. There is moderate to severe cardiomegaly. The aorta is tortuous. No pleural effusion, consolidation or pneumothorax.", "impression": "Diffusely increased interstitial markings may represent pulmonary edema or interstitial lung disease. Cardiomegaly.", "background": "WET READ: ___ ___ 7:59 AM 1. Diffusely increased interstitial markings may represent pulmonary edema or interstitial lung disease. 2. Cardiomegaly. WET READ VERSION #1 ___ ___ 5:07 AM 1. No acute cardiopulmonary process. 2. Cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with left elbow dislocation // preop eval Surg: ___ (orif left elbow) TECHNIQUE: Portable chest x-ray. COMPARISON: None available."}, {"study_id": "59310727", "subject_id": "15436018", "findings": "Heart size is mildly enlarged, increased since ___. Mediastinal silhouette and hilar contours are unremarkable. The lungs are clear. The pleural surfaces are clear without effusion or pneumothorax.", "impression": "No acute cardiopulmonary abnormality. Mild enlargement of the cardiac silhouette as compared to ___, but without evidence of fluid overload. Mild hyperinflation.", "background": "HISTORY: Cough. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views."}, {"study_id": "57142064", "subject_id": "14610274", "findings": "The patient had recent redo of sternotomy for aortic valve repair. Right lower lung atelectasis has completely resolved. Left residual basal atelectatic bands are unchanged. There are no new lung consolidations. Moderate mediastinal and cardiac contours widening is unchanged. The sternal wires are also in the same position. Left elevation of hemidiaphragm is chronic and was already present prior to the redo. There is no pneumothorax and no pleural effusion.", "impression": "There are no acute cardiopulmonary findings.", "background": "PA AND LATERAL CHEST X-RAY INDICATION: Patient with right-sided chest pain, evaluation for effusion and infection. COMPARISON: Multiple chest x-rays from ___ to ___."}, {"study_id": "54172167", "subject_id": "13663782", "findings": "There has been interval placement of an endotracheal tube which terminates 2.7 cm above the level of the carina. An enteric tube terminates below the of view of this radiograph. A mildly displaced superiorly angulated fracture of the right midclavicle is again seen. The lungs are clear, and the heart is normal in size. There is no pneumothorax, pleural effusion or pulmonary edema.", "impression": "Appropriate position of endotracheal tube and enteric tube. Mildly displaced angulated right midclavicular fracture.", "background": "INDICATION: ___-year-old female intubated. Evaluate endotracheal tube placement. TECHNIQUE: AP frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___ at 22:39."}, {"study_id": "54701640", "subject_id": "16826267", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is slightly tortuous. The cardiac silhouette is top-normal. There is no overt pulmonary edema.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Left shoulder pain. TECHNIQUE: Chest: Frontal and lateral views. COMPARISON: ___."}, {"study_id": "52440513", "subject_id": "10827966", "findings": "There has been interval removal in previously seen left-sided central venous catheter.There are low lung volumes. Left lower lobe opacity could be due to pneumonia and/ or atelectasis. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.", "impression": "Left lower lobe opacity could be due to pneumonia and/ or atelectasis.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pressure and sob beginning while walking in the mall. // consolidation or other acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "58778322", "subject_id": "13811748", "findings": "Single AP upright portable view of the chest was obtained. Mild cardiomegaly persists. The aorta is calcified and tortuous. Hilar contours are stable. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Slight blunting of the right costophrenic angle is likely due to overlying soft tissue, though very trace effusion would be difficult to exclude.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest AP upright portable view. CLINICAL INFORMATION: ___-year-old female with history of dizziness. COMPARISON: ___."}, {"study_id": "51333820", "subject_id": "14066794", "findings": "PA and lateral chest radiographs. There is no focal consolidation, pleural effusion or pneumothorax. The pulmonary arteries are prominent, similar to prior radiograph. The cardiac size is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Possible right lower lobe pneumonia. COMPARISONS: ___."}, {"study_id": "57211891", "subject_id": "13398212", "findings": "Mild enlargement of cardiac silhouette with a left ventricular predominance is again noted. The aorta remains mildly tortuous. Pulmonary vasculature is normal. Lungs are hyperinflated. Mildly increased interstitial markings diffusely remain, compatible with a mild chronic interstitial abnormality. No focal consolidation, pleural effusion or pneumothorax is seen. There are moderate multilevel degenerative changes noted in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with syncope TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___, chest radiograph ___"}, {"study_id": "54368477", "subject_id": "14686777", "findings": "Mild cardiomegaly is noted. The hilar and mediastinal contours are normal. The lungs are well expanded and clear, without focal consolidation, pleural effusion or pneumothorax. There is no evidence of pulmonary edema. A left chest wall AICD device is seen, with single lead in the right ventricle.", "impression": "Mild cardiomegaly. No other acute abnormality.", "background": "INDICATION: ___-year-old man with AICD fired, evaluate for fluid overload or pneumonia. COMPARISON: None available. PORTABLE AP CHEST"}, {"study_id": "52266092", "subject_id": "16171605", "findings": "Heart size is normal. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcifications. Mediastinal contours are otherwise unchanged. Hilar contours are normal. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Streaky opacities within the left lung base may reflect areas of atelectasis or scarring. T7 through T11 fusion hardware is unchanged with similar appearance of the compression fracture of the T9 vertebral body.", "impression": "Streaky left basilar opacity, likely atelectasis or scarring.", "background": "INDICATION: New atrial fibrillation TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "51933337", "subject_id": "12587707", "findings": "Left-sided chest wall pacer and dual leads are in expected position. Sternotomy wires are re- demonstrated. The heart is enlarged but stable in size from the prior examination. Multifocal opacities in the right upper lobe and right lower lobe suggests pneumonia. There is no pneumothorax. Small bilateral effusions are demonstrated.", "impression": "Multifocal opacities in the right upper lobe and right lower lobe consistent with pneumonia. Small bilateral effusions. Cardiomegaly is stable.", "background": "INDICATION: History: ___F with sob and cough // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___"}, {"study_id": "59235951", "subject_id": "18469116", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with syncopal episode // ?cpd TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "58147702", "subject_id": "10303081", "findings": "The cardiomediastinal and hilar contours are normal. The lungs are clear, without focal consolidation, pleural effusion or pneumothorax. A linear opacity in the right lung base, is unchanged and likely represents scarring. The cardiomediastinal and hilar contours are stable, with a mildly tortuous thoracic aorta. No pleural effusions or pneumothorax is identified. Cervical spine fusion hardware is partially imaged in this study.", "impression": "No acute cardiopulmonary pathology.", "background": "INDICATION: ___-year-old woman with chest pain and dyspnea on exertion, to evaluate for acute pathology. COMPARISON: ___. PA AND LATERAL CHEST"}, {"study_id": "52038519", "subject_id": "14037785", "findings": "A new left subclavian central venous catheter terminates at the mid SVC. The tip of the endotracheal tube remains situated 2.5 cm above the carina. An enteric tube is again seen with the side port canal above the GE junction and should be advanced by at least 9 cm to place the side port below the GE junction. Lung volumes are slightly improved although there is persistent moderate pulmonary edema. No large pleural effusion or pneumothorax is seen.", "impression": "Left subclavian central venous catheter terminates at the mid SVC. Moderate pulmonary edema has improved since the prior study. Side port of the enteric tube situated above the GE junction and should be advanced by at least 9 cm to place it into the gastric body.", "background": "WET READ: ___ ___ ___ 9:31 AM Interval placement of a left subclavian central venous catheter, terminating in the mid SVC. No pneumothorax. Improved expansion of the lungs with persistent pulmonary edema. Again recommend advancement of NG tube by approximately 9 cm. WET READ VERSION #1 ___ ___ ___ 7:47 AM Interval placement of a left subclavian central venous catheter, terminating in the mid SVC. No pneumothorax. Improved expansion of the lungs with persistent pulmonary edema. Again recommend advancement of NG tube by approximately 9 cm. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with left subclavian, evaluate for line placement. TECHNIQUE: Single supine view of the chest was obtained. COMPARISON: Chest x-ray performed 1 hour prior."}, {"study_id": "58268562", "subject_id": "15752118", "findings": "Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinal and hilar contours are unremarkable. No pulmonary edema is seen. No displaced fracture is seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: History of pneumothorax, here with tachycardic episodes. COMPARISON: None."}, {"study_id": "52129248", "subject_id": "11138357", "findings": "Upright AP and lateral views of the chest provided. Cardiomegaly is again noted with mild central hilar congestion. The lungs appear clear without effusion or pneumothorax. Mediastinal contours stable. Atherosclerotic calcifications along the aortic knob noted. Degenerative changes of the right shoulder noted.", "impression": "Cardiomegaly with central congestion.", "background": "EXAMINATION: CHEST (upright AP AND LAT) INDICATION: ___F with syncope // eval for fracture, bleed COMPARISON: ___."}, {"study_id": "57300529", "subject_id": "10351739", "findings": "Lung volumes are slightly low, accentuating the cardiomediastinal silhouette. Bibasilar atelectasis is noted, right greater than left, confirmed on the outside hospital CT. No focal consolidation or pneumothorax. Pleural effusions are trace, if any.", "impression": "Low lung volumes with bibasilar atelectasis. No pneumothorax or focal consolidation. Mild pulmonary edema.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with new oxygen requirement. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Outside hospital CT abdomen of ___."}, {"study_id": "52362946", "subject_id": "13135651", "findings": "Single portable view of the chest. Left chest wall port is seen with tip in the upper SVC. There is a right internal jugular central venous catheter whose tip is in the mid SVC. There is no visualized pneumothorax based on a supine film. Multifocal regions of consolidation are seen throughout the right lung. The left lung is grossly clear noting costophrenic angle is excluded from the field of view. The cardiomediastinal silhouette is within normal limits.", "impression": "Right IJ central venous catheter with tip in the mid SVC. Multi focal regions of consolidation in the right lung which may represent infection in the proper clinical setting, follow up will be necessary.", "background": "HISTORY: ___-year-old male with new right IJ central venous line. COMPARISON: None."}, {"study_id": "59174562", "subject_id": "11348441", "findings": "There are low lung volumes with associated lower lobe bronchovascular crowding. Allowing for this, no focal opacities concerning for pneumonia identified. A prominent epicardial fat pad obscuring the left heart apex is unchanged from ___. Cardiac size cannot be properly assessed due to the low lung volumes and AP projection. The aorta is tortuous. Otherwise, there are no cardiomediastinal or hilar contour abnormalities. There is no pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Patient with cough but no local findings on exam. Evaluate for interstitial or other abnormalities. COMPARISON: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: Frontal AP and lateral chest radiographs."}, {"study_id": "53615665", "subject_id": "18251740", "findings": "The heart is normal in size. There is mild unfolding of the upper thoracic aorta. The mediastinal and hilar contours appear unchanged. There are streaky band-like opacities in the medial right lower and in the right upper lung, most compatible with mild atelectasis, while a more generalized interstitial abnormality has resolved. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.", "impression": "No evidence of acute disease. Resolution of interstitial abnormality. Band-like opacities compatible with minor atelectasis in the right lung.", "background": "CHEST RADIOGRAPHS HISTORY: Weakness and orthostasis. COMPARISONS: ___. TECHNIQUE: Chest, PA upright and lateral views."}, {"study_id": "50711683", "subject_id": "15777665", "findings": "No focal consolidation, edema, effusion, or pneumothorax. The heart is moderately enlarged, unchanged. Retrocardiac opacity with air-fluid level projecting just to the left of midline is consistent with a moderate hiatal hernia, unchanged. Mild left lower lobe opacity is likely atelectasis. The mediastinum is not widened. Aortic knob calcifications are minimal.", "impression": "No focal pneumonia or edema. Moderate cardiomegaly, unchanged. Moderate hiatal hernia.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old man with bradycardia and dyspnea. Evaluate for acute process. TECHNIQUE: Upright single AP lateral radiograph view of the chest. COMPARISON: Chest radiograph dated ___."}, {"study_id": "59853294", "subject_id": "15606311", "findings": "There is no significant interval change. The ET tube, bilateral IJ lines, NG tube. There has been interval partial clearing of the dense right-sided alveolar infiltrate but there still continues to be a diffuse right alveolar infiltrate with pulmonary vascular redistribution and perihilar haze compatible with asymmetric pulmonary edema versus infection.", "impression": "Slight improvement in right-sided infiltrate.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with legionella pneumonia and intubated // confirm tube placement and eval for interval change in PNA TECHNIQUE: Portable chest COMPARISON: ___"}, {"study_id": "51025741", "subject_id": "18754895", "findings": "PA and lateral views of the chest provided. There is stable mild right hemidiaphragmatic elevation with right basal atelectasis again noted. Minimal atelectasis in the left lower lung also noted. There is no convincing sign of pneumonia. No effusion or pneumothorax. No signs of pulmonary edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "Mild bibasilar atelectasis. Stable mild elevation of the right hemidiaphragm. Otherwise normal.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with Code stroke, right sided weakness // CVA? COMPARISON: ___."}, {"study_id": "50430342", "subject_id": "11868766", "findings": "There is an ET tube, which is advanced too far and terminates at the origin of the left mainstem bronchus, with opacification of the left lung, which may represent atelectasis. Alternatively, the left lung opacification may represent pulmonary edema or layering pleural effusion. The right PICC line terminates in the distal SVC. There is a PA catheter and left chest tube, which appear in appropriate positioning. Although the image is severely rotated, the cardiomediastinal silhouette appears stable.", "impression": "ET tube which terminates at the origin of the left mainstem bronchus, and should be retracted. New left lung opacification, which may represent atelectasis, edema, or layering pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with thoracic aneurysm s/p open repair // eval post-op baseline TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___."}, {"study_id": "50476716", "subject_id": "12232434", "findings": "PA and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. The aortic arch appears enlarged up to 4.7cm in diameter. The size is similar to the appearance on chest x-ray ___. The subsequently acquired chest CTA on ___ showed a normal caliber aorta. There are no other abnormal cardiac and mediastinal contours.", "impression": "No acute cardiopulmonary process. Stable apparent dilation of the aortic arch is likely artifactual. Chest CTA may be considered if symptoms persist.", "background": "HISTORY: Chest pain. COMPARISON: Chest radiographs ___ through ___. Chest CT ___."}, {"study_id": "56837754", "subject_id": "13299965", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Prominence of the inferior right hila is similar to prior.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with hypoxia // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___"}, {"study_id": "52194969", "subject_id": "17722165", "findings": "There has been interval removal of the endotracheal tube, enteric catheter and Swan-Ganz catheter with remaining right-sided central venous sheath terminating likely at the confluence of the right internal jugular and subclavian veins. Left-sided mediastinal and chest tube drains have been removed without development of pneumothorax. There is persistent but notably improved pulmonary edema with residual bibasilar opacifications likely representing atelectasis. No pleural effusions identified.", "impression": "No pneumothorax. Improved pulmonary edema.", "background": "INDICATION: Status post CABG, evaluate for pneumothorax. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___."}, {"study_id": "51728482", "subject_id": "10592002", "findings": "Heart size is normal. The mediastinal and hilar contours are normal. Mild atherosclerotic calcifications are noted at the aortic knob. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.", "impression": "No acute cardiopulmonary abnormality. No subdiaphragmatic free air identified.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with hypotension after scopes TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "56420933", "subject_id": "15539803", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky basilar opacity, seen posteriorly on the lateral view, suggests minor atelectasis. Otherwise, the lungs appear clear.", "impression": "Patchy lingular and left lower lobe opacities, which could be seen with atelectasis, although a mild component of aspiration is difficult to exclude.", "background": "CHEST RADIOGRAPHS HISTORY: Motor vehicle collision and possible seizure. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "55348942", "subject_id": "19643415", "findings": "Left dual lumen chest wall Port-A-Cath is seen with catheter tip in the mid SVC. Opacity at the left lung base is compatible with prominent fat pad. The lungs are otherwise clear without consolidation, effusion, or edema. Known pulmonary nodules are better seen on prior dedicated chest CT. The cardiomediastinal silhouette is within normal limits. Multiple healed right lateral rib fractures are noted as well as hypertrophic changes in the spine.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with chest pain // r/o acute CPD TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. CT chest from ___."}, {"study_id": "51234517", "subject_id": "15188929", "findings": "Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unremarkable. There is mild peribronchial cuffing without overt pulmonary edema, which could suggest mild pulmonary vascular congestion. Minimal blunting of the right costophrenic angle suggests a trace right pleural effusion. No focal consolidation or pneumothorax is identified. The osseous structures are diffusely demineralized. 2 screws are project over the right glenohumeral joint.", "impression": "Mild cardiomegaly with possible mild pulmonary vascular congestion and trace right pleural effusion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with question of bronchitis and new onset atrial fibrillation. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "54047608", "subject_id": "11068484", "findings": "Lung volumes remain low. Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is new compared to the prior exam and suggest presence of small pleural effusion. Is probably also atelectasis. There is moderate pulmonary edema. Heart size is probably a moderate to severely enlarged, even in the setting of low lung volumes and portable technique. Elevation of the right hemidiaphragm is unchanged. Severe pulmonary vascular engorgement is overall unchanged. Right infrahilar opacity may reflect combination of atelectasis, edema. Concurrent infection cannot be excluded. No pneumothorax. Extensive aortic knob calcifications are unchanged.", "impression": "Low lung volumes. Findings most consistent with volume overload. However, concurrent infection cannot be excluded. This patient could benefit from a chest CT non-emergently.", "background": "EXAMINATION: Chest radiograph INDICATION: History: ___F with COPD, dCHF, w/ dyspnea, wheezing this AM, resp distress, wheezing on exam diffusely w R lower posterior ronchi // eval ? edema, infiltrate TECHNIQUE: Portable upright AP radiograph view of the chest. COMPARISON: Chest radiograph dated ___ PE"}, {"study_id": "50799795", "subject_id": "10010150", "findings": "PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures appear intact. No free air is seen below the right hemidiaphragm.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Shortness of breath."}, {"study_id": "55593839", "subject_id": "16260163", "findings": "The lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. No pulmonary edema is seen. The heart size is normal. The mediastinal and hilar contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with chest pain. Evaluate for congestive heart failure or pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ at 14:09."}, {"study_id": "59199089", "subject_id": "15311917", "findings": "PA and lateral views of the chest. The lungs are clear. There is no evidence of pneumonia. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old man presents with dizziness and right-sided numbness, question pneumonia. COMPARISON: None available."}, {"study_id": "59729878", "subject_id": "12049932", "findings": "There has been interval removal of a right internal jugular central venous catheter, left PICC, endotracheal tube and enteric tube. There has been interval reduction in large area of opacification projecting over the right lung with scattered patchy opacities remaining on the right and to a lesser extent on the left. There is blunting of the right costophrenic angle and a small right pleural effusion is present. No definite overt pulmonary edema is seen. The cardiac and mediastinal silhouettes are unremarkable, although there is slight prominence of the hila which may be due to underlying adenopathy.", "impression": "Interval decrease in pulmonary opacities as compared to the prior study with persistent scattered patchy opacities in the lungs, right side greater than left, worrisome for multifocal infection. Small right pleural effusion.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: IV drug use, MRSA bacteremia and dyspnea. COMPARISON: ___."}, {"study_id": "53062274", "subject_id": "17372569", "findings": "Portable frontal radiograph of the chest demonstrates ET tube ending 2 cm above the carina. A Swan-Ganz catheter ends in the pulmonary outflow tract. The enteric tube passes below the diaphragm with the tip out of view at the inferior aspect of the image. An inferior approach catheter ends in the region of the mid SVC. There is persistent mild pulmonary edema slightly improved from prior with small bilateral pleural effusions. No pneumothorax.", "impression": "Venous limb of the ECMO catheter ends in the mid SVC ET tube ends 2 cm above the carina OG tube and Swan-Ganz catheter in satisfactory position.", "background": "INDICATION: On ECMO with OG tube, confirm placement. COMPARISON: ___."}, {"study_id": "58690770", "subject_id": "10070311", "findings": "Dual lead left-sided pacemaker is seen with leads stable in position. Patient is status post median sternotomy. There is mild basilar atelectasis without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M w/chest pain, please eval for mediastinal widening // ___M w/chest pain, please eval for mediastinal widening TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "52953752", "subject_id": "14932641", "findings": "A PICC line terminates in the upper superior vena cava. A tracheostomy appears unchanged. Otherwise, there is been no short-term interval change in the appearance of the chest, which was better evaluated with CT imaging.", "impression": "PICC line terminating in the superior vena cava; otherwise no definite change.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: PICC line placement. COMPARISON: Chest radiographs from ___, and scout view from chest CT performed earlier on the same day. TECHNIQUE: Chest, AP upright portable."}, {"study_id": "53677875", "subject_id": "12046197", "findings": "A left-sided PICC is identified and terminates in appropriate position. Median sternotomy wires are again demonstrated. Lung volumes are low which accentuates bronchovascular markings. There is patchy right basilar opacification adjacent to a small right pleural effusion. No pneumothorax is identified.", "impression": "Low lung volumes. Small right pleural effusion with adjacent right basilar atelectasis or consolidation.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough and dyspnea s/p CABG // eval PNA, CHF TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57959535", "subject_id": "16285428", "findings": "Evaluation of the chest is limited due to patient rotation. The inspiratory lung volumes are decreased with resultant bronchovascular crowding and accentuation of the cardiomediastinal silhouette. An airspace opacity in the right lung base is new from the prior study and may represent a focus of infection. No large pleural effusion or pneumothorax is detected. There is moderate levoconvex curvature of the thoracolumbar spine.", "impression": "A new airspace opacity in the right lung base may represent a focus of infection.", "background": "WET READ: ___ ___ 4:48 AM A new airspace opacity in the right lung base may represent a focus of infection. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with AMS // evidence of pneumonia evidence of pneumonia TECHNIQUE: Frontal view of the chest was obtained. COMPARISON: ___."}, {"study_id": "58706385", "subject_id": "14405281", "findings": "Portable semi-upright radiograph of the chest demonstrates moderate-sized right pleural effusion which may have possible loculated component, with adjacent atelectasis of the right lower lung. The cardiomediastinal and hilar contours are unremarkable. The left lung is clear. There is no pneumothorax.", "impression": "Moderate right-sided pleural effusion with possible loculated component and adjacent atelectasis. Recommend lateral radiograph of the chest for additional evaluation of possible loculation of pleural effusion if patient's condition permits.", "background": "HISTORY: ___-year-old female with right pleural effusion status post thoracentesis. Evaluate for pneumothorax. COMPARISON: Multiple prior radiographs dated ___ through ___."}, {"study_id": "57565885", "subject_id": "15306507", "findings": "Single portable view of the chest. Relatively lower lung volumes seen on the current exam. The lungs however are clear of consolidation, large effusion, or pulmonary vascular congestion. Linear bibasilar opacities may be due to atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with new onset of atrial fibrillation. COMPARISON: ___."}, {"study_id": "50993372", "subject_id": "19810411", "findings": "Lung volumes are slightly decreased. Streaky in bibasilar atelectasis is more notable on the left. There is a small left effusion. There is no evidence of focal consolidation,pneumothorax, or pulmonary edema. Allowing for patient rotation, the cardiomediastinal silhouette is within normal limits. A moderate hiatal hernia is noted.", "impression": "Bibasilar atelectasis and small left pleural effusion.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___M postop from prostate procedure w/ high fever // eval ? infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: CT abdomen and pelvis dated ___."}, {"study_id": "57438716", "subject_id": "13935961", "findings": "PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion and the pulmonary vascularity is normal.", "impression": "Normal radiograph of the chest.", "background": "INDICATION: Evaluate for interval change in patient status post laparoscopic hiatal hernia repair. COMPARISON: Most recent radiograph from ___."}, {"study_id": "57685728", "subject_id": "15124496", "findings": "PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Two days of cough and sore throat with post-tussive emesis, question acute process in the chest."}, {"study_id": "54531985", "subject_id": "15653759", "findings": "Compared with the prior radiograph, the right pigtail catheter in the lower right hemithorax is unchanged in position with improvement in the large right-sided pleural effusion and improved aeration of the right lung. Bilateral pleural effusions are still present however. Consolidation of the right lower lobe and opacification of the left lower lobe are concerning for pneumonia. Left Port-A-Cath is unchanged and terminates in the right atrium.", "impression": "Improvement in large right pleural effusion after right pigtail placement, with bilateral residual effusions. Consolidation of the right lower lobe and opacification of the left lower lobe are concerning for pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pleural effusion and pigtail cath. Resolution of effusion? TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph from ___ and ___."}, {"study_id": "54525238", "subject_id": "10930322", "findings": "Abnormal appearance of the bilateral lower lobes is unchanged compared to ___, likely due to superimposed loculated pleural effusions better evaluated on CT. Loculated effusions are unchanged. Mild cardiomegaly is unchanged. No pulmonary edema. Cardiomediastinal and hilar silhouettes, though abnormal, are unchanged.", "impression": "No evidence of an acute cardiopulmonary abnormality.", "background": "EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with cardiac amyloid and acute heart failure on exam // eval CHF and pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: ___ PA and lateral chest radiographs ___ CT abdomen/pelvis"}, {"study_id": "51461519", "subject_id": "19368870", "findings": "PA and lateral views of the chest provided. Subtle linear density in the right lower lung is likely indicative of scarring. A retrocardiac bulbous opacity is most compatible with a small hiatal hernia. Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "Small retrocardiac density is compatible with hiatal hernia. No signs of pneumonia or edema.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea/ cough // r/o pna COMPARISON: ___"}, {"study_id": "54571623", "subject_id": "13428695", "findings": "The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs demonstrate streaky opacities in the retrocardiac space, compatible with atelectasis or bronchiectasis. There is no pleural effusion or pneumothorax. Lateral view shows progression of heavy coronary atherosclerosis in the left anterior descending artery.", "impression": "Retrocardiac atelectasis or bronchiectasis, but no pneumonia. Coronary atherosclerosis.", "background": "HISTORY: ___-year-old male with low-grade fever. STUDY: PA and lateral chest radiograph. COMPARISON: ___ and chest CTA from ___. ___ abdomen and pelvis CT."}, {"study_id": "59986453", "subject_id": "17693798", "findings": "Endotracheal tube terminates 5.6 cm above the carina. An orogastric tube courses below the diaphragm, tip is not included in this examination. An SVC stent is again seen. The heart is mildly enlarged. No focal consolidation or large pleural effusion identified.", "impression": "Endotracheal tube terminates 5.6 cm above the carina Orogastric tube courses below diaphragm, tip not included in this examination.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: ___ year old woman with ETT // Placement? Placement? TECHNIQUE: Portable frontal view of the chest. COMPARISON: Chest radiograph from ___ at 08:17."}, {"study_id": "58917885", "subject_id": "15573438", "findings": "Subtle opacity projecting over the lateral right lower chest, between the posterior right eith and ninth ribs may be artifactual, although a pulmonary nodule is not excluded. Suggest oblique views for further evaluation or outpatient chest CT. The patient is status post median sternotomy with the superior most wire again seen to be fractured in three places. The patient is status post CABG. The cardiac silhouette is mildly enlarged. No large pleural effusion is seen. There is no pneumothorax.", "impression": "A subtle opacity projecting in the right lower lateral chest between the posterior right eighth and ninth rib may be artifactual. However, underlying pulmonary nodule is not excluded. Recommend oblique views or non-emergent chest CT for further evaluation.", "background": "EXAM: Chest, single frontal view. CLINICAL INFORMATION: Chest pain. COMPARISON: ___."}, {"study_id": "51789425", "subject_id": "14832062", "findings": "Moderate interstitial edema has worsened and is now moderate to severe. There is one focal area more confluent in right upper lobe. It could still be asymmetric edema, but close followup to this area is suggested to rule out developing pneumonia. Bilateral small pleural effusions with atelectasis have either worsened or are new. Cardiac contour is moderately enlarged.", "impression": "Worsening of moderate to severe pulmonary edema. Right upper lobe confluent opacification could still represent asymmetric pulmonary edema; however, close attention to this area in followup is suggested to rule out developing pneumonia.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient with pulmonary edema, interval change. COMPARISON: ___."}, {"study_id": "52881146", "subject_id": "12108342", "findings": "Following removal of a right-sided chest tube, a very small right apical lateral pneumothorax is unchanged in appearance. Slightly improved aeration in the right lower lobe is noted with decreased elevation and improved visualization of the right hemidiaphragm compared to the prior study. Opacities at the operative site have minimally improved as well. Widespread ground-glass and reticular opacities persist and may be related to the patient's known diffuse interstitial lung disease process. Subcutaneous emphysema is again demonstrated in the right chest wall.", "impression": "Unchanged very small right apicolateral pneumothorax following chest tube removal.", "background": "PA AND LATERAL CHEST OF ___ COMPARISON: Study of earlier the same date."}, {"study_id": "53405358", "subject_id": "12629934", "findings": "There has been interval removal of a left-sided chest tube with a persistent tiny left apical pneumothorax. . The cardiomediastinal and hilar contours are stable from the prior exam. Streaky bibasilar opacities are most consistent with atelectasis. In a oval lucent area seen at the base of the left lung likely represents an area of focal, loculated gas status post chest tube removal. There are small bilateral pleural effusions.", "impression": "Persistent Small left pneumothorax following chest tube removal. Small bilateral pleural effusions.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man L VATS blebectomy and pleurodesis // eval pneumothorax after CT removed.Please complete test by 8:30pm TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs the most recent on ___ and ___"}, {"study_id": "50292750", "subject_id": "14470268", "findings": "The lungs are somewhat low in volume. Retrocardiac opacity is not well located on the lateral view but is concerning for left lower lobe pneumonia or aspiration. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours.", "impression": "Left lower lobe opacity concerning for aspiration or pneumonia.", "background": "HISTORY: Altered mental status, assess for pneumonia. TECHNIQUE: 2 views of the chest. COMPARISON: ___"}, {"study_id": "53891298", "subject_id": "12567919", "findings": "Relatively low lung volumes are noted. There is no focal consolidation, large effusion or vascular congestion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.", "impression": "No visualized acute cardiopulmonary process.", "background": "INDICATION: ___F with confusion, hypoxia and LLL ronchi // eval for pna TECHNIQUE: Single portable view of the chest. COMPARISON: ___."}, {"study_id": "58606402", "subject_id": "13786404", "findings": "The lungs are clear. Cardiomediastinal silhouette is within normal limits. Surgical clips again seen in the upper abdomen.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with ECG changes // evaluate for acute abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "57290729", "subject_id": "18229881", "findings": "Lung volumes are low but the lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Altered mental status. COMPARISON: Chest radiograph from ___."}, {"study_id": "50805733", "subject_id": "19526851", "findings": "Frontal and lateral views of the chest were obtained. Dual-lumen right-sided central venous dialysis catheter is seen, terminating at the cavoatrial junction. The cardiac silhouette remains markedly enlarged. There is right base plate-like atelectasis. Previously seen left lower lobe consolidation has essentially resolved in the interval. Mild linear left mid lung atelectasis/scarring is seen. The aorta is calcified and tortuous. Hilar contours are stable to possibly mildly engorged. No pleural effusion or evidence of pneumothorax is seen.", "impression": "Right-sided central venous dialysis catheter terminates at the cavoatrial junction. If atrial position is desired, should be advanced approximately 2 cm. Persistent marked enlargement of the cardiac silhouette. Right base plate-like atelectasis and mild left mid lung linear atelectasis/scarring. Previously seen left lower lobe consolidation has essentially resolved in the interval.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of right upper extremity swelling on side with tunneled hemodialysis catheter. COMPARISON: ___."}, {"study_id": "51380512", "subject_id": "16852221", "findings": "There is mild interstitial pulmonary edema, which has improved slightly since yesterday evening. Bilateral moderate pleural effusions with adjacent atelectasis are also slightly decreased in size. No pneumothorax. Stable cardiomediastinal silhouette. The endotracheal tube, enteric tube, right pectoral pacemaker and left IJ catheter are unchanged in position.", "impression": "Slight improvement in mild interstitial pulmonary edema and bilateral pleural effusions.", "background": "EXAMINATION: Portable chest x-ray INDICATION: ___ year old man with pulmonary edema // Interval change? TECHNIQUE: Portable chest x-ray COMPARISON: Chest x-ray ___"}, {"study_id": "52102220", "subject_id": "16235760", "findings": "The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Bilateral clavicle fixation hardware is noted. Multiple compression deformities of the mid thoracic spine are noted, chronicity indeterminate.", "impression": "No acute cardiopulmonary process. Age indeterminate compression deformities of the mid thoracic spine. Correlate with site of focal tenderness.", "background": "WET READ: ___ ___ ___ 6:38 PM 1. No acute cardiopulmonary process. 2. Age indeterminate compression deformities of the mid thoracic spine. Correlate with site of focal tenderness. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with mandibular fracture, preop chest radiograph. TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "50436304", "subject_id": "17793701", "findings": "Lung volumes remain low. The heart size remains mildly enlarged, but accentuated by the presence of low lung volumes. Mediastinal and hilar contours are unchanged and within normal limits. There is no pulmonary edema. Streaky bibasilar opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. A clips is seen projecting over the left mediastinum. No acute osseous abnormalities identified.", "impression": "Low lung volumes with mild bibasilar atelectasis.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest discomfort, tachycardia // Eval for cardiopulmonary process TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___"}, {"study_id": "59202016", "subject_id": "19128767", "findings": "Multifocal areas of consolidation are present, mostly in the right lower lobe, with a lesser degree of involvement in the right middle lobe and posterior segment left lower lobe. Heart size, mediastinal and hilar contours are normal. There are questionable small pleural effusions on the lateral view.", "impression": "Multifocal pneumonia. Recommend followup chest x-ray 4 weeks after completion of antibiotic therapy. Findings entered in radiology communications dashboard on date of study.", "background": "PA AND LATERAL CHEST, ___ No prior studies for comparison."}, {"study_id": "51655234", "subject_id": "18771067", "findings": "New NG tube curls in the stomach anf ends in the fundus near the gastroesophageal junction. Dilation of small bowel has improved. The lung volumes are low with bibasilar atelectasis. A right-sided PICC line is at cavoatrial junction or upper atrium. There is no pneumothorax or pleural effusion.", "impression": "New NG tube curls in the stomach backup to the fundus near the gastroesophageal junction. There is improvement of small bowel dilation.", "background": "WET READ: ___ ___ ___ 7:25 PM NG tube ends in gastric cardia. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with new NG tube placement, evaluation for placement. COMPARISON: ___."}, {"study_id": "54589678", "subject_id": "12550080", "findings": "Moderate enlargement of the cardiac silhouette is re- demonstrated. The aorta is tortuous and diffusely calcified. There is mild pulmonary vascular congestion without overt pulmonary edema. A moderate size right pleural effusion is noted along with a small left pleural effusion. Patchy opacities in lung bases likely reflect areas of atelectasis. No pneumothorax is identified. Mild to moderate degenerative changes are noted in the imaged thoracolumbar spine.", "impression": "Mild pulmonary vascular engorgement with moderate size right and small left bilateral pleural effusions. Bibasilar atelectasis.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with history of CAD, ___ presents with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT heart ___"}, {"study_id": "59567267", "subject_id": "13446700", "findings": "There is a retrocardiac lucency with a thick wall. Question if this is related to a hiatal hernia, but none seen on prior barium swallow study. Does not appear to correspond to known epiphrenic diverticula. Cannot exclude a pulmonary process. Linear atelectasis is seen in the left mid lung. There is no effusion or pneumothorax. The there is mild cardiomegaly. There are old right sided rib deformites.", "impression": "Retrocardiac lucency with a thick wall. Question whether this is related to a hiatal hernia, but given that none was seen on the prior barium swallow, pulmonary process not excluded. PA and lateral views or CT scan of the chest may be helpful to further evaluate.", "background": "HISTORY: Patient with epiphrenic diverticula, rule out free air or infiltrate. TECHNIQUE: Portable AP upright views of the chest were obtained. COMPARISON: Barium esophagram from ___."}, {"study_id": "56589302", "subject_id": "18388060", "findings": "Airspace opacities at the right suprahilar are slightly less prominent on today's exam. However, new post procedural changes in the right upper lobe have developed. There is no pneumothorax. There is a decreased small layering right pleural effusion. The heart and mediastinum are within normal limits despite the projection. There is no obvious left pleural effusion.", "impression": "No pneumothorax following recent bronchoscopic procedure. Worsening right upper lobe opacity could be related to lavage fluid and or hemorrhage. Short-term followup radiographs would be helpful to assess for resolution.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with RUL nodule s/p bronch with biopsy andBAL // Eval for ptx TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___ and ___. Correlation made to PET-CT dated ___."}, {"study_id": "56597449", "subject_id": "10476869", "findings": "Stable left pleural effusion. New consolidation in the right cardiophrenic region likely reflects pneumonia. Increased, small right pleural effusion. Normal cardiomediastinal and hilar contours. No appreciable pneumothorax. No pulmonary vascular congestion.", "impression": "New right basilar pneumonia.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old man with acute hypoxia. Evaluate for pulmonary edema or pneumonia. TECHNIQUE: Portable AP chest radiograph COMPARISON: Multiple prior chest radiographs, most recent from ___ at 08:54."}, {"study_id": "53321505", "subject_id": "11557030", "findings": "The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with R lower chest pain // ?consolidation TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "53831168", "subject_id": "15917539", "findings": "AP single view of the chest has been obtained with patient in sitting semi-upright position. A very high positioned diaphragms is present in this patient with evidence of massive ascites. Heart size cannot be determined as contours are concealed. On the right side, the lateral pleural sinus is free, but there is a diffuse haze on the left base consistent with some pleural effusion probably layering posteriorly in the semi-upright positioned patient. Both lungs are aerated and there is no evidence of any apical pneumothorax.", "impression": "Evidence of some pleural effusion in the left base. Quantitation is impossible on this single view portable chest examination in a patient with high standing diaphragms. No pneumothorax can be identified. Multiple left-sided traumatic rib fractures cannot be identified on this portable chest examination.", "background": "DATE: ___. TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with rib fractures and hydropneumothorax. Evaluate pneumo for interval change."}, {"study_id": "57999875", "subject_id": "18632133", "findings": "There is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits. There is no change from ___.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Preop evaluation for knee surgery. Cough for four weeks. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___."}, {"study_id": "56668021", "subject_id": "13364829", "findings": "Cardiac size is moderately enlarged and stable compared to ___. Mild bilateral interstitial pulmonary edema slightly worse compared to ___. No large pleural effusions. No pneumothorax. Feeding tube traverses past the diaphragm beyond the inferior margins of this film. Left PICC tip terminates in the upper SVC.", "impression": "Mild bilateral interstitial edema slightly worse compared to ___. No large pleural effusions. There may be more risk than benefit in diuresis in setting of suspected ATN. Left PICC tip terminates in the upper SVC.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with alcoholic hepatitis and renal failure. Now with fluid overload. // CXR to eval for pulm edema/pleural effusion to weight risk/benefit of diuresis in suspected ATN. TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___"}, {"study_id": "56592036", "subject_id": "19706404", "findings": "Frontal and lateral views of the chest demonstrate moderate cardiomegaly with a tortuous aorta with dense mural calcifications. Patient is status post aortic valve replacement with intact median sternotomy wires. The lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. There is diffuse osteopenia and multilevel compression, age indeterminate. Moderate right acromioclavicular osteoarthritis is present.", "impression": "No evidence of pneumonia.", "background": "INDICATION: ___-year-old female with epigastric pain and possible pneumonia. COMPARISON: ___ reference exam from ___."}, {"study_id": "56905762", "subject_id": "10752102", "findings": "A new right-sided PICC line terminates in the upper to mid SVC. The line demonstrates an unremarkable course with no complications, particularly no pneumothorax. As compared to prior chest radiograph, lung volumes have decreased. Lungs however are essentially clear. The heart is mildly enlarged but stable. Left central venous access catheter is in unchanged position.", "impression": "Right PICC line terminates in the upper to mid SVC. No definite pneumothorax. Findings discussed with the IV team by ___ via telephone on ___ at 2:30 PM, time of discovery.", "background": "INDICATION: ___-year-old woman with MDS, status post left port placement on ___, complicated by postoperative hematoma requiring readmission to BI, transfusion and local wound care. PICC placement. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable upright AP chest radiograph."}, {"study_id": "58407089", "subject_id": "12224100", "findings": "The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: Fever, unknown source. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___."}, {"study_id": "59899765", "subject_id": "15106904", "findings": "Bilateral low lung volumes are noted with crowding of bronchovascular markings, but no evidence of focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette is accentuated by low lung volumes.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old with altered mental status. COMPARISON: None. PORTABLE AP CHEST"}, {"study_id": "55872577", "subject_id": "11936095", "findings": "The lung volumes have decreased. No acute focal consolidation. No pleural effusions or pneumothorax. Severe scoliosis that is S-shaped with multilevel degenerative changes and marked kyphosis of the lower thoracic spine.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___ year old woman with shortness of breath // shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "51249262", "subject_id": "15746568", "findings": "Severe cardiomegaly is unchanged. There aorta remains tortuous. There is mild pulmonary vascular congestion, similar when compared to the prior exam. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax. No acute osseous abnormalities.", "impression": "Mild pulmonary vascular congestion.", "background": "HISTORY: Syncope. TECHNIQUE: Semi-upright AP view of the chest. COMPARISON: ___."}, {"study_id": "57005051", "subject_id": "16020220", "findings": "The lungs remain clear. The cardiomediastinal silhouette is stable. Tortuosity of the thoracic aorta is again noted. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with incidental recent fever presents after syncopal episode // infection r/o TECHNIQUE: PA and lateral views the chest COMPARISON: ___."}, {"study_id": "51026024", "subject_id": "12465457", "findings": "PA and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Sore throat and leukocytosis. Recently started chemotherapy for lymphoma. COMPARISON: Chest radiograph, ___. PET-CT ___."}, {"study_id": "57634432", "subject_id": "19952477", "findings": "Heart size is normal. Small hiatal hernia is re- demonstrated. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Extensive bronchiectasis is re- demonstrated predominantly involving both lung bases with bronchial wall thickening and mucous plugging. No pleural effusion or pneumothorax is present. Scarring is noted at the lung apices. No acute osseous abnormalities present.", "impression": "Extensive bibasilar bronchiectasis with mucous plugging. Superimposed infection is difficult to exclude.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with tachycardia, cough TECHNIQUE: Chest PA and lateral COMPARISON: CT abdomen and pelvis ___"}, {"study_id": "55503919", "subject_id": "18895551", "findings": "PA and lateral views of the chest provided. Prominent nipple shadows noted bilaterally. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mild pectus excavatum deformity of the sternum noted. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, chest pain, fever COMPARISON: ___."}, {"study_id": "54238081", "subject_id": "19949706", "findings": "Heart size is normal. Calcifications are noted at the aortic knob. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs appear hyperexpanded with flattening of the diaphragm. Lungs are grossly clear. Pleural surfaces are clear without effusion or pneumothorax. Bones are diffusely demineralized with mild to moderate anterior wedging of multiple thoracic vertebral bodies.", "impression": "No acute cardiopulmonary abnormality. Lungs are hyperexpanded. Multiple mild to moderate anterior wedge compression deformities of the thoracic vertebral bodies, age indeterminate.", "background": "EXAMINATION: Chest radiograph INDICATION: Cough and crackles of bilateral lung bases. TECHNIQUE: AP and lateral views of the chest COMPARISON: None."}, {"study_id": "57401813", "subject_id": "17928433", "findings": "There is mild cardiomegaly with calcification of the aortic knob and mitral annulus. The mediastinal and hilar contours are otherwise unremarkable. There is no pneumothorax or large pleural effusion. There is a large opacity in the right lower lung zone concerning for pneumonia. Mild pulmonary edema is also present.", "impression": "Findings suggesting right lower lobe pneumonia with superimposed mild pulmonary edema.", "background": "INDICATION: ___-year-old female with shortness of breath, query CHF versus pneumonia. COMPARISON: Chest radiograph, ___. TECHNIQUE: Single frontal upright view of the chest was obtained."}, {"study_id": "59769420", "subject_id": "10977846", "findings": "Single AP upright portable view of the chest was obtained. The patient's chin obscures the lung apices, particularly the right lung apex, obscuring the view. There are low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The bones are diffusely osteopenic, making evaluation for subtle fracture suboptimal.", "impression": "No definite acute fracture is seen, although if concern for rib fracture is high, suggest rib series.", "background": "EXAM: CHEST, SINGLE AP UPRIGHT PORTABLE VIEW. CLINICAL INFORMATION: ___-year-old female with history of fall with hematoma at the back of head. COMPARISON: ___."}, {"study_id": "55854900", "subject_id": "15070972", "findings": "AP and lateral radiographs of the chest demonstrate interval improvement in right lower lobe aeration. Heart size is stable and the hilar and mediastinal contours are normal. The lungs are otherwise clear and there is no pleural abnormality. The osseous structures are normal.", "impression": "Interval improvement of right lower lobe opacity with no acute cardiopulmonary process.", "background": "HISTORY: Low temperature. Evaluate for infiltrate. COMPARISON : ___"}, {"study_id": "53096482", "subject_id": "18052885", "findings": "There are low lung volumes. Evidence of large hiatal hernia is seen with retrocardiac lucency. Prominence and indistinctness of the hila and slight increase interstitial markings bilaterally suggest fluid overload. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Aortic calcifications are seen.", "impression": "Low lung volumes which accentuate the bronchovascular markings. Given this, there may be mild fluid overload. Evidence of large hiatal hernia is seen.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56345425", "subject_id": "18311173", "findings": "AP and lateral views of the chest were obtained. There is mild left basilar atelectasis with slight associated volume loss. Otherwise, no focal consolidation is seen. No effusion or pneumothorax. No signs of CHF. Heart and mediastinal contour appears normal. Bony structures appear intact.", "impression": "Mild left lung base atelectasis. Otherwise, normal study.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Status post fall, assess for injury in the chest."}, {"study_id": "50343013", "subject_id": "19349174", "findings": "There is subtle opacification at the right medial base, which may represent overlapping vessels, however a pneumonia cannot be excluded. The lungs are otherwise clear. The pulmonary vascular is normal. The heart is not enlarged. There are no pleural effusions. There is no pneumothorax.", "impression": "Subtle opacification at the right medial base, which may represent overlapping vessels, however a pneumonia cannot be excluded.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with alcoholic hepatitis // r/o PNA TECHNIQUE: Single AP radiograph of the chest. COMPARISON: None."}, {"study_id": "58547454", "subject_id": "14865076", "findings": "Single portable frontal upright chest radiograph was obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are well expanded and symmetric bilaterally without focal areas of consolidation. There is no pleural effusion or pneumothorax. Bony structures are grossly intact.", "impression": "No acute intrathoracic abnormality.", "background": "INDICATION: History of syncopal episode and decreased oxygen saturation, evaluate for pneumonia. COMPARISON: None."}, {"study_id": "51799126", "subject_id": "12719632", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain this afternoon TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57951408", "subject_id": "18273344", "findings": "Lungs are well-expanded and clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.", "impression": "No evidence of pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, dyspnea // any e/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "51432243", "subject_id": "16553607", "findings": "Heart size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Scarring within the lung apices is again noted. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Fever and nausea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "51677032", "subject_id": "19358609", "findings": "Superimposed on chronic volume loss, parenchymal scarring, and pleural thickening in the left hemithorax, there is a persistent superimposed opacification in the left lung, which has worsened somewhat between over two days including increased volume loss. Findings in the right lung appear more chronic.", "impression": "Worsening volume loss and opacification of the left lung suggesting pneumonia superimposed on chronic findings.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: Pneumonia and hypoxia and intravenous antibiotics. TECHNIQUE: Chest, portable AP upright view. COMPARISON: ___, ___, and ___."}, {"study_id": "51265922", "subject_id": "16864432", "findings": "Frontal and lateral views of the chest. Left basilar opacity seen laterally compatible scarring as seen on prior CT. Elsewhere the lungs are clear without effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Dual lead pacing device again seen. No acute osseous abnormality detected.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old male with chest pain. COMPARISON: Chest x-ray from ___. CT abdomen pelvis from ___."}, {"study_id": "58136975", "subject_id": "11109225", "findings": "The cardiac and mediastinal silhouettes are stable. There is left base linear atelectasis/scarring. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen.", "impression": "No acute cardiopulmonary process. No significant interval change.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "54659397", "subject_id": "10878728", "findings": "Status post removal of tracheostomy tube. The subglottic and proximal tracheal air columns are not well visualized, possibly related to the known history of subglottic stenosis, with possible component of edema or granulation tissue following removal of the tracheostomy tube. This would be more fully evaluated by dedicated airway CT. Cardiomediastinal contours are within normal limits. Lungs are clear except for linear left basilar atelectasis. No pleural effusion.", "impression": "Limited visualization of subglottic and proximal tracheal air columns as described above. Linear left basilar atelectasis.", "background": "PORTABLE CHEST X-RAY OF ___ COMPARISON: ___ chest radiograph."}, {"study_id": "58943979", "subject_id": "15699938", "findings": "The lungs are well inflated and clear. Calcifications are seen anterior to the catheter in the right upper lobe of uncertain significance. The cardiomediastinal silhouette and hilar contour are normal. There is no pleural effusion or pneumothorax. A right chest Port-A-Cath terminates at the upper right atrium, as before.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with hx met melanoma, p/w frequent vomiting. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___"}, {"study_id": "51578726", "subject_id": "16741854", "findings": "Left chest tube has been removed. There is slightly more fluid at the left lung base, which is minimal and loculated also at the left apex. Multiple calcified plaques are related to previous asbestos exposure.", "impression": "There is no pneumothorax after chest tube removal. Small residual pleural effusion has slightly reaccumulated.", "background": "PA AND LATERAL CHEST X-RAY INDICATION: The patient with end-stage renal disease on hemodialysis, systolic heart failure, evaluation of pleural effusion after chest tube removal. COMPARISON: Chest CT of ___, chest x-ray of ___."}, {"study_id": "55277706", "subject_id": "18920032", "findings": "The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is similar mild rightward convex curvature along the lower thoracic spine.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS HISTORY: Leukocytosis and hyponatremia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "57836890", "subject_id": "17155082", "findings": "The left-sided PIC line again takes a sharp turn as it projects over the right mediastinum, consistent with azygous placement. This must be pulled back approximately 4 cm. Redemonstrated are bibasilar atelectasis as well as elevation of the right hemidiaphragm. Small left pleural effusion is persistent. There is no evidence for pneumothorax. The visualized osseous structures are unremarkable.", "impression": "Left-sided PIC line terminates in the azygous vein and can be pulled back approximately 4 cm. These findings were discussed with ___ by Dr. ___ by phone at 3:___ ___m. on the day of the exam.", "background": "INDICATION: History of fevers, new PICC placement. Please evaluate. COMPARISONS: Chest radiographs dated back to ___; most recently from ___, performed on the same day. TECHNIQUE: AP and lateral radiographs of the chest."}, {"study_id": "52313210", "subject_id": "13586947", "findings": "AP upright and lateral views of the chest provided. Left chest wall pacer device with dual leads extending to the region the right atrium and right ventricle noted. There is cardiomegaly with mitral annular calcification noted. Opacity at the right apex likely scarring though in the absence of prior imaging, clinical correlation is advised. Background emphysema is noted. No large effusion. No convincing signs of pneumonia. Bony structures appear intact.", "impression": "Cardiomegaly. Right apical opacity may represent scarring though in the absence of prior imaging to establish stability, clinical correlation and if needed correlation with nonemergent CT is advised.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with chest tightness, recently had PNA // pna? COMPARISON: None"}, {"study_id": "54806113", "subject_id": "14600016", "findings": "Portable AP upright chest radiograph provided. No free air below the right hemidiaphragm is seen. There is mild left basilar atelectasis. The heart and mediastinal contour appears normal. Bony structures are intact.", "impression": "Mild left basal atelectasis. No signs of pneumoperitoneum.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ chest radiograph and chest CT. CLINICAL HISTORY: Sudden onset abdominal pain with history of perforated ulcer, assess free air."}, {"study_id": "57909910", "subject_id": "16479007", "findings": "The lungs are clear. There is no effusion, consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with right chest pain after a fall // eval for pneumothorax, rib fracture TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "54851122", "subject_id": "10150882", "findings": "The lung volumes are low in expiratory phase. Evaluation of the lung parenchyma and the cardiomediastinal silhouette is limited due to artifacts created by increased interstitial markings. No large pleural effusion is seen.", "impression": "Expiratory phase exam limiting evaluation for pulmonary edema or consolidation. Repeat chest radiograph in full inspiration is recommended.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever and headache // ?cpd TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph from ___"}, {"study_id": "52137680", "subject_id": "18614569", "findings": "Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.", "impression": "No acute cardiopulmonary abnormality.", "background": "WET READ: ___ ___ ___ 2:30 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Portable chest radiograph INDICATION: ___-year-old man with chest pain. TECHNIQUE: Portable AP chest COMPARISON: ___ portable chest radiograph"}, {"study_id": "51443112", "subject_id": "12519472", "findings": "Frontal and lateral views of the chest demonstrate low lung volumes. Heart is moderately enlarged. Trace bilateral pleural effusions are likely. There is no pneumothorax. There are prominent interstitial markings bilaterally, which may reflect interstitial pulmonary edema or chronic interstitial lung disease. Intrathoracic aorta appears tortuous. Aortic arch calcifications are noted. Partially imaged upper abdomen is unremarkable. Bones are diffusely demineralized.", "impression": "Low lung volumes. Moderate cardiomegaly. Prominent interstitial markings, which may reflect interstitial edema or chronic interstitial lung disease. Trace pleural effusions.", "background": "INDICATION: Patient with femoral fracture. Study obtained for pre-operative planning. COMPARISONS: ___."}, {"study_id": "59210643", "subject_id": "17865750", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild loss in height of two mid thoracic vertebral bodies appears unchanged.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___."}, {"study_id": "50789223", "subject_id": "17460070", "findings": "Cardiomediastinal contours are within normal limits and unchanged. Multifocal areas of linear atelectasis or scarring are again demonstrated in the mid and lower lungs, but there are no focal areas of consolidation to suggest the presence of pneumonia. Bones are diffusely demineralized, and multilevel compression deformities are again visualized throughout the spine as well as numerous rib abnormalities that are likely related to history of myeloma.", "impression": "No radiographic evidence of pneumonia.", "background": "PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph."}, {"study_id": "57782651", "subject_id": "19073526", "findings": "There is moderate cardiomegaly. The small left pleural effusion is unchanged compared to the prior exam. There appears to be mild interstitial edema. No new focal consolidations are identified. There is no pneumothorax. The transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads are unchanged in position compared to the prior exam.", "impression": "No acute abnormalities identified to explain patients abnormal left base breath sounds.", "background": "INDICATION: ___-year-old male with a history of CHF, who presents for evaluation of abnormal left base breath sounds. COMPARISON: Chest radiograph from ___, ___, ___. TECHNIQUE: PA and lateral radiographs of the chest."}, {"study_id": "58877143", "subject_id": "14748677", "findings": ". Cardiomegaly is moderate, unchanged. Subtle opacity in the right lung base partially obscures the peripheral right hemidiaphragm and a small portion of the right heart border. There is no pneumothorax or pleural effusion. Mild elevation of left hemidiaphragm is unchanged.", "impression": "Subtle right basilar opacity, which could potentially represent an early focus pneumonia in the appropriate clinical setting. Aspiration is an additional consideration in the setting of altered mental status. Short-term followup radiographs may be helpful. .", "background": "WET READ: ___ ___ ___ 2:47 AM A retrocardiac opacity in the appropriate clinical setting could represent pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with altered mental status? // eval for ICH/AMS NCHCTeval for pna CXR TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "55186583", "subject_id": "15347460", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "51137098", "subject_id": "10827966", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. LINEAR ATELECTASIS OR SCARRING HAS NOT CHANGED SINCE AT LEAST ___. BORDERLINE CARDIOMEGALY AND MEDIASTINAL VASCULAR ENGORGEMENT ARE ___-___. THERE IS NO PLEURAL EFFUSION. LOSS OF HEIGHT IN MULTIPLE THORACIC VERTEBRAL BODIES IS CHRONIC, THE RESULT OF RENAL OSTEODYSTROPHY. .", "impression": "NO EVIDENCE OF PNEUMONIA. BORDERLINE CARDIAC ENLARGEMENT. RENAL OSTEODYSTROPHY, RESPONSIBLE FOR CHRONIC THORACIC VERTEBRAL COMPRESSIONS.", "background": "INDICATION: Cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___."}, {"study_id": "52314647", "subject_id": "12603299", "findings": "The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Sudden onset chest pain. COMPARISONS: None."}, {"study_id": "53181381", "subject_id": "13146468", "findings": "Subtle retrocardiac opacity may be due to atelectasis, though pneumonia is possible. Follow-up chest radiograph is recommended. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits for this portable examination. There is no pneumothorax.", "impression": "Small retrocardiac opacity, possible atelectasis or pneumonia. Follow-up chest radiograph recommended.", "background": "INDICATION: ___-year-old female admitted with subdural hematoma, now with fever. COMPARISON: None available in the ___ system PORTABLE SEMI-ERECT FRONTAL CHEST"}, {"study_id": "55351903", "subject_id": "16394649", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain. COMPARISON: None"}, {"study_id": "56265982", "subject_id": "15889560", "findings": "The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.", "impression": "No acute intrathoracic process.", "background": "WET READ: ___ ___ ___ 11:58 AM No focal consolidations. ______________________________________________________________________________ FINAL REPORT INDICATION: Cough. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: None."}, {"study_id": "56564714", "subject_id": "12851972", "findings": "Heart size is moderately enlarged. The aorta is tortuous and calcified. Mild pulmonary vascular engorgement is demonstrated with small bilateral pleural effusions. No focal consolidation or pneumothorax is identified. There is diffuse demineralization of the osseous structures with multiple compression deformities re- demonstrated within the low thoracic spine.", "impression": "Mild pulmonary vascular congestion and small bilateral pleural effusions.", "background": "INDICATION: History: ___F with altered mental status TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "51945147", "subject_id": "17961065", "findings": "PA and lateral views of the chest provided. VP shunt tubing courses along the right neck and chest and is seen in the right upper quadrant. 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.", "impression": "No acute intrathoracic process. VP shunt noted.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with psuedotumor cerebri s/p VP shunt and h/a now with difficulty breathing // r/o pna COMPARISON: ___."}, {"study_id": "51158008", "subject_id": "15041265", "findings": "There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. A S-shaped scoliosis of the thoracolumbar spine is again seen. The imaged upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: 2 weeks of upper respiratory infections symptoms. Rule out infiltrate. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___ and chest ___ ___."}, {"study_id": "58713028", "subject_id": "13384632", "findings": "Lung volumes are low. Heart is mildly enlarged. There is mild pulmonary edema. There are small to moderate bilateral pleural effusions, left greater than right. Superimposed consolidation is seen in the left lung base and could reflect atelectasis or pneumonia. A more nodular focal opacity overlying the left eighth rib may relate to the same process. Sternotomy wires and mediastinal clips are noted.", "impression": "Mild pulmonary edema with small to moderate bilateral pleural effusions. Opacity at the left lung base may represent atelectasis or infection. Followup after diuresis is recommended.", "background": "INDICATION: Asymptomatic hypoxia after AV fistula thrombectomy. Evaluate for pleural effusion. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "52890690", "subject_id": "15573438", "findings": "The patient is status post median sternotomy and CABG. Fracture of the superior most sternotomy wire is re- demonstrated. Heart size is mildly enlarged but unchanged. The aortic knob is calcified. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. There is no focal consolidation or pneumothorax. No definite pleural effusion is seen. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Fever and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58287899", "subject_id": "16952127", "findings": "Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal contour is unchanged with atherosclerotic calcifications noted at the aortic knob. Moderate to severe pulmonary edema appears minimally worse compared to the previous study with continued small bilateral pleural effusions. More focal opacities at the lung bases may reflect areas of atelectasis. No pneumothorax is present. There are no acute osseous abnormalities.", "impression": "Slight interval worsening of moderate to severe pulmonary edema and continued small bilateral pleural effusions.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyspnea, hypoxia, aortic stenosis TECHNIQUE: Portable supine AP view of the chest COMPARISON: ___ at 05:18"}, {"study_id": "51951893", "subject_id": "14161952", "findings": "Evaluation is limited due to underpenetration of the film. Compared to the prior radiograph, mild cardiomegaly is unchanged. No evidence of focal consolidation, pleural effusion, or pneumothorax. Unchanged appearance of the known thoracic the lumbar spinal hardware.", "impression": "Limited evaluation due to under penetration of the film. Within this limitation, no acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 4:48 PM Limited evaluation due to under penetration of the film. Within this limitation, no acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph of ___."}, {"study_id": "56726749", "subject_id": "12186636", "findings": "Frontal and lateral views of the chest were obtained. There is minimal left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The mediastinum and hilar contours are unremarkable. Focal calcification is seen at the aortic arch.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of intermittent left arm/leg weakness for one month, febrile to 100.4 today, evaluate for infiltrate. COMPARISON: None."}, {"study_id": "52475275", "subject_id": "18968396", "findings": "There is haziness of the pulmonary vasculature and perihilar opacities suggestive of mild pulmonary edema. Cardiomediastinal silhouette is normal. Additionally, there is an increased opacity overlying the right upper lobe. No acute fractures are identified. There is a small right pleural effusion. No other consolidations or pneumothoraces.", "impression": "Mild pulmonary edema and a small right pleural effusion. Increased opacity of right upper lobe suggestive of early developing right upper lobe pneumonia or assymetric edema..", "background": "INDICATION: Evaluation of patient with shortness of breath. COMPARISON: None available."}, {"study_id": "55546187", "subject_id": "15727523", "findings": "No consolidation. Minimal residual left pleural effusion is unchanged. No pleural effusion on the right. The cardiomediastinal silhouette is unchanged. No pneumothorax.", "impression": "Stable chest radiograph. No interval re-accumulation of pleural fluid.", "background": "INDICATION: ___ year old woman with h/o pleural effusion s/p thoracentesis // assess for interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "53493616", "subject_id": "12715345", "findings": "Cardiac silhouette size is normal. The patient is status post median sternotomy and CABG. Mediastinal and hilar contours are normal. The lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "52271442", "subject_id": "19421045", "findings": "No focal consolidation is seen and there is no pleural effusion or pneumothorax. Cardiac silhouette is top-normal. Mediastinal contours unremarkable. No pulmonary edema is seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain relieved with ntg, recent long flight // Chest pain with recent long flight TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "55889517", "subject_id": "18775105", "findings": "A nasogastric tube passes into the stomach, its distal course not imaged. There is again a right subclavian central venous catheter terminating at the cavoatrial junction. The catheter again passes through a right brachiocephalic stent. The heart is moderately enlarged. A moderate interstitial abnormality has worsened including perihilar fullness suggesting moderate interstitial pulmonary edema. There is no evidence for pleural effusion on the right. Vague density in the left lower lung suggests patchy atelectasis and a very small pleural effusion is possible on of the left.", "impression": "Findings suggesting moderate, increased interstitial pulmonary edema. No evidence for substantial pleural effusions.", "background": "CHEST RADIOGRAPH HISTORY: Status post aortic valve replacement. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright."}, {"study_id": "58545638", "subject_id": "17805594", "findings": "Frontal and lateral views of the chest. No displaced rib fractures seen. Deformity of the a left 9th rib is unchanged. No pleural effusion or pneumothorax. No focal airspace consolidation worrisome for pneumonia. Bibasilar atelectasis is present. Cardiac size is top normal. The mediastinal and hilar structures are unchanged with a tortuous aorta.", "impression": "No acute rib fracture.", "background": "HISTORY: Fall with left-sided chest pain. Evaluate for rib fracture. COMPARISON: Chest radiograph ___."}, {"study_id": "58942384", "subject_id": "12894060", "findings": "Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Bilateral posterior fixation rods with multiple pedicle screws and interlaminar hooks are seen spanning the thoracolumbar spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "54038796", "subject_id": "13917228", "findings": "The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free intraperitoneal air is identified below the hemidiaphragms.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Nausea and vomiting. COMPARISONS: None. TECHNIQUE: A single AP upright view of the chest was obtained."}, {"study_id": "55700152", "subject_id": "19529371", "findings": "Right-sided Port-A-Cath tip terminates the mid SVC. Patient is status post esophagectomy and gastric pull-through, with the mediastinal contour appearing unchanged. Cardiac and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Clips are seen in the right upper quadrant of the abdomen.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with history of esophageal cancer presents with with chest discomfort and difficulty swallowing TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "53886138", "subject_id": "19454978", "findings": "Single portable supine AP image of the chest. The right IJ central line has been pulled back in the interval, but still terminates in the right atrium. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.", "impression": "Right IJ central line terminates in the right atrium. Pullback of 5 cm could be performed to have the tip located in the superior cavoatrial junction, if desired. No acute cardiopulmonary process.", "background": "HISTORY: Sepsis, line pulled back 4 cm. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___."}, {"study_id": "55303376", "subject_id": "12706059", "findings": "There is pulmonary edema, worse at the right lower lung. The patient is post right upper lobectomy, no pneumothorax is seen. A drain is seen likely draped over the lungs apex. Cardiomediastinal silhouette is largely unchanged.", "impression": "New pulmonary edema, worse at the right lower lung", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with RUL lobectomy // ? ptx ? ptx TECHNIQUE: Frontal chest radiograph COMPARISON: ___"}, {"study_id": "59342036", "subject_id": "18070825", "findings": "PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No acute osseous abnormality is detected.", "impression": "No acute intra thoracic abnormality.", "background": "INDICATION: ___-year-old male with acute chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "50179138", "subject_id": "12298456", "findings": "The cardiomediastinal hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well hyperexpanded and clear without focal consolidation concerning for pneumonia. Linear atelectasis at the left lung base is present. There is no pulmonary edema.", "impression": "No acute cardiopulmonary process. Hyperinflation", "background": "INDICATION: History: ___M with chest pain // eval for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___."}, {"study_id": "57451592", "subject_id": "11551927", "findings": "ET tube terminates 4.1 cm from the Carina. The cuff is slightly hyper inflated. Right IJ terminates in the upper right atrium. Enteric tube courses below the left hemidiaphragm and beyond the field of view. Lung volumes are very low. There is worsening atelectasis at the right base. Worsening opacity at the left base likely reflects layering pleural effusion.", "impression": "ET tube terminates 4.1 cm from the Carina. The ET tube cuff may be slightly hyperinflated. Lung volumes are lower and there may be minimal worsening of layering left pleural effusion.", "background": "INDICATION: ___ year old man, newly intubated // assess ETT placement TECHNIQUE: Semi-upright AP chest COMPARISON: Chest radiograph ___, ___."}, {"study_id": "54482554", "subject_id": "10268464", "findings": "The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pleural effusion, pulmonary edema, or pneumonia.", "impression": "No acute cardiopulmonary process. No evidence of rib fractures.", "background": "EXAMINATION: The chest radiograph INDICATION: ___ year old woman with 2 months of cough and R rib pain, eval for infiltrate and/or rib fracture // ___ year old woman with 2 months of cough and R rib pain, eval for infiltrate and/or rib fracture TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "59300133", "subject_id": "10713800", "findings": "The heart size is normal. The hilar and mediastinal contours are within normal limits. Since ___, there has been interval removal of a right-sided subclavian central venous catheter. There is no pneumothorax, focal consolidation, or pleural effusion. Surgical clips are noted within the neck.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Fever, on chemotherapy. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST"}, {"study_id": "56009412", "subject_id": "12132996", "findings": "The heart appears mildly enlarged. There is a dense retrocardiac opacity with air bronchograms, suggesting pneumonia. There are also more patchy streaky right basilar opacities. In addition, central pulmonary arteries are mildly prominent with upper zone redistribution, suggestive of mild fluid overload. Small pleural effusions are difficult to exclude. There is no pneumothorax. The bones are probably demineralized. There is mild leftward convex curvature centered along the mid lumbar spine.", "impression": "Dense retrocardiac opacity in the left lower lobe, worrisome for pneumonia.", "background": "CHEST RADIOGRAPH HISTORY: Pancytopenia and possible pneumonia. COMPARISONS: None. TECHNIQUE: Chest, portable AP upright."}, {"study_id": "51328929", "subject_id": "15573438", "findings": "Frontal radiograph of the chest demonstrates unchanged mild-to-moderate cardiomegaly. The superior most sternotomy wire is fractured, as it was dating back to ___. The previously seen right upper and lower lung opacities appear improved since the prior study. No new parenchymal opacities are identified. There is no pleural effusion, pulmonary edema or pneumothorax.", "impression": "Improved right upper and lower lung opacity likely represents resolving infection or asymmetric edema.", "background": "HISTORY: ___-year-old man with ESRD status post transplant with fever. Evaluation for cardiopulmonary process. COMPARISON: Comparison is made to multiple prior studies, most recent from ___."}, {"study_id": "54894817", "subject_id": "11530425", "findings": "The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Right upper quadrant surgical clips are intact.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___ year old woman with cough for a week, fever during the first few days, pansinusitis. lung exam shows wheezing bilataerally. non-smoker. // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___."}, {"study_id": "55766235", "subject_id": "16574411", "findings": "PA and lateral views of the chest provided. Since the prior CT exam, there is significant improvement in the lower lobe consolidations with a small residual right pleural effusion and subjacent consolidation noted. The thoracic aorta is markedly unfolded. Heart size difficult to assess. A nodular opacity projects over the right upper lobe which is indeterminate. Left lung is clear. Chronic right shoulder deformity with numerous surgical anchor is noted. A CBD stent is seen in the upper abdomen.", "impression": "Persistent small left pleural effusion with subjacent consolidation, likely atelectasis though difficult to exclude pneumonia. Nodular opacity in the right upper lung, indeterminate. Recommend nonemergent CT of the chest to further assess.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fatigue, hyperglycemia, feeling unwell, crackles @ R lung base COMPARISON: ___ and ___."}, {"study_id": "50397221", "subject_id": "13916274", "findings": "An endotracheal tube has been placed with the tip terminating in the lower trachea. A nasogastric tube is also in position with the tip extending below the diaphragm with the tip projecting over the gastric bubble in the left upper abdomen. There is an unrecognized helical metallic device projecting over the descending thoracic aorta. The patient is status post aortic valve replacement. Multiple mediastinal and right lateral hemithorax surgical clips are unchanged in appearance from the prior study. The inspiratory lung volumes are decreased compared to ___. There is no significant change in the dilatation at the aorta. The mediastinal and hilar contours appear stable. The heart is top normal in size, which is accentuated by the patient's low lung volumes. Within these limitations, the lungs appear clear with no significant focal consolidation, pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "Endotracheal and NG tubes in standard placements. Low lung volumes.", "background": "INDICATION: Elective intubation, here to evaluate endotracheal tube placement. COMPARISON: Chest radiograph, last performed on ___. TECHNIQUE: Portable supine frontal radiograph of the chest."}, {"study_id": "58342269", "subject_id": "19792993", "findings": "The lungs are clear. The cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricle. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with CP, cough green sput // r/o pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "54847455", "subject_id": "15549393", "findings": "The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. The lungs appear clear. There are no pleural effusions or pneumothorax. Degenerative changes are moderate along lower thoracic spinal levels.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Epigastric pain, dyspnea on exertion, and presyncope. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "57895148", "subject_id": "18255016", "findings": "Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. Lungs are hyperinflated, but otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No rib fractures are identified. No radiopaque foreign body.", "impression": "No acute cardiopulmonary process. No fracture or pneumothorax.", "background": "INDICATION: ___-year-old female with shortness of breath and pain. Evaluate for fracture or pneumothorax. COMPARISONS: None."}, {"study_id": "55323257", "subject_id": "14306557", "findings": "There is mild bibasilar atelectasis. Small nodular opacities seen on the prior CT are not well evaluated on today's exam. There is no pulmonary edema, pleural effusion, or pneumothorax. Right and left internal jugular central venous catheters are unchanged in position and terminate in the low SVC.", "impression": "Bibasilar atelectasis. No evidence of new consolidation. No pulmonary edema or pleural effusions.", "background": "INDICATION: Status post stem cell transplant with wet cough and mild respiratory distress. COMPARISONS: Chest radiograph ___. CT chest ___."}, {"study_id": "50025948", "subject_id": "13229207", "findings": "An endotracheal tube terminates 7.3 cm superior to the carina, just above the clavicular heads. A right-sided PICC terminates in the lower SVC. The distal end of an enteric tube projects over the gastric body, though the proximal portion is coiled in the hypopharynx. Lungs are fully expanded and clear. Heart size is top-normal. Cardiomediastinal hilar silhouettes are normal. No pleural abnormality.", "impression": "An endotracheal tube terminates 7.3 cm above the carina, just above the clavicular heads. Recommend advancing by 2-3 cm for optimal positioning. Though the distal end of an enteric tube projects over the gastric body, the proximal portion is coiled in the hypopharynx.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ year old man s/p intubation // tube placement TECHNIQUE: Portable AP chest COMPARISON: Earlier same day portable chest radiograph ___ portable chest radiograph"}, {"study_id": "50736896", "subject_id": "17956863", "findings": "PA and lateral views of the chest provided. An epicardial fat pad likely accounts for the subtle opacity abutting the left heart border. The lung volumes are somewhat low. There is no convincing evidence for pneumonia or overt CHF. There is mild blunting of the right CP angle which could represent a tiny effusion. There is no pneumothorax. No acute osseous abnormalities are detected.", "impression": "Possible tiny right pleural effusion. Otherwise unremarkable.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with dyspnea // eval for pleural effusions, pna COMPARISON: ___."}, {"study_id": "51357595", "subject_id": "19670384", "findings": "The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Bilateral glenohumeral prosthesis are redemonstrated and unchanged in appearance in these limited views.", "impression": "No evidence of acute cardiopulmonary process.", "background": "EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: Patient with chest pain. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Multiple prior chest radiographs, most recent on ___ and ___."}, {"study_id": "55368953", "subject_id": "14931360", "findings": "Heart size remains mildly enlarged. The mediastinal contours are unchanged, with a descending thoracic aortic stent graft re- demonstrated. The aorta is diffusely calcified and dilated, but similar in appearance compared to the previous exam. Rightward deviation of the upper trachea is due to the presence of a thyroid goiter. There is no pulmonary vascular congestion. Right upper lobe paramediastinal opacity compatible with radiation changes is unchanged. Moderate size right pleural effusion is re- demonstrated. Mild atelectatic changes are noted in the lung bases. There is no pneumothorax. No acute osseous abnormalities demonstrated.", "impression": "Little interval change compared to the previous exam. Persistent moderate size right pleural effusion with bibasilar atelectasis. Post radiation changes in the medial right upper lobe. Dilated and tortuous aorta status post descending thoracic aortic stent graft.", "background": "HISTORY: Shortness of breath and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CTA ___ and chest radiograph ___."}, {"study_id": "57170876", "subject_id": "19374927", "findings": "The left hemidiaphragm is somewhat obscured, which may be due to overlying body habitus, although atelectasis or small pleural effusion is not excluded. The right lung is clear. The cardiac and mediastinal silhouettes are unremarkable. No pneumothorax is seen. There is no overt pulmonary edema.", "impression": "Obscuration of the left hemidiaphragm which may be due to overlying soft tissue, however, a small pleural effusion is not excluded. Dedicated PA and lateral views would likely be helpful for further evaluation if patient able.", "background": "EXAM: Chest, single frontal portable view. CLINICAL INFORMATION: Chest pain. COMPARISON: None."}, {"study_id": "57426587", "subject_id": "18914461", "findings": "No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart, mediastinal and pleural surface contours are normal.", "impression": "Normal radiographs of the chest.", "background": "INDICATION: Presyncope and palpitations. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___."}, {"study_id": "51429120", "subject_id": "17934334", "findings": "The patient is intubated, the endotracheal tube terminates approximately 2.6 cm above the level the carina. There has been a prior median sternotomy. Several of the a median sternotomy sutures appear to be broken, this is similar in appearance when compared to the prior study. Persistent left lower lobe atelectasis. Prominence of the right hilum is likely vascular.", "impression": "No significant interval change when compared to the prior study.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman intubated // ET placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___"}, {"study_id": "57544841", "subject_id": "14439892", "findings": "There is focal opacity silhouetting the left ventricular apex localizing to the region of the fissure on the lateral view. This is felt most likely to represent a prominent fat pad. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No definite acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 10:34 PM No definite acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with weakness // PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "58220013", "subject_id": "16140109", "findings": "Heart size is normal. Mediastinal and hilar contours are within normal limits. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormalities are visualized.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with shortness of breath and fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "56365551", "subject_id": "15245864", "findings": "Single portable chest radiograph was provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. The cardiomediastinal silhouette is enlarged, likely due to tortuous aorta. The bones are intact.", "impression": "No acute cardiopulmonary process. Tortuous aorta with unchanged appearance of the cardiomediastinal silhouette.", "background": "INDICATION: ___-year-old with chest pain, evaluate for infiltrate. COMPARISONS: Chest radiograph from ___."}, {"study_id": "56622581", "subject_id": "15807983", "findings": "Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are hyperinflated suggestive of COPD. Scarring within the lung apices is unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. Mild degenerative changes are noted in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "59778148", "subject_id": "10411115", "findings": "Heart size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are hyperinflated. Minimal atelectasis is noted in the left base. No focal consolidation, pleural effusion or pneumothorax is present. Calcified granuloma within the periphery of the right upper lobe is unchanged. Moderate multilevel degenerative changes are again seen in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath, cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and chest CT ___"}, {"study_id": "52467264", "subject_id": "12091892", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "59169197", "subject_id": "16793521", "findings": "PA and lateral chest radiographs. Lung volumes are low with small bilateral pleural effusions. However, there is no evidence of pulmonary edema. Moderate cardiomegaly is unchanged from prior study. Median sternotomy wires are intact.", "impression": "Small bilateral pleural effusions and bibasilar atelectasis.", "background": "INDICATION: Dyspnea. Evaluation for pleural effusions. COMPARISON: ___."}, {"study_id": "57268351", "subject_id": "16743897", "findings": "Bibasilar atelectatic changes. Otherwise, the lungs are clear. The cardiomediastinal silhouette and hila are normal. There is a right Port-A-Cath ending at the cavoatrial junction. There is no pneumothorax. No pleural effusion.", "impression": "Bibasilar atelectatic changes, unchanged from ___.", "background": "INDICATION: ___-year-old with fever. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___, and CT of the chest from ___."}, {"study_id": "57071528", "subject_id": "16401482", "findings": "Layering bilateral pleural effusions are small to moderate in size. Lower lobe compressive atelectasis likely present, cannot exclude a component of aspiration/ pneumonia. Hilar congestion is noted. No pneumothorax. Heart size is mildly enlarged. Bony structures intact.", "impression": "Bilateral pleural effusions, lower lobe compressive atelectasis, cannot exclude aspiration/pneumonia. Mild hilar congestion. Mild cardiomegaly.", "background": "EXAMINATION: AP chest x-ray. INDICATION: An ___-year-old woman with a subarachnoid hemorrhage, wheezing, hypoxia, evaluate for pneumonia. TECHNIQUE: AP upright chest radiograph. COMPARISON: None."}, {"study_id": "51061630", "subject_id": "18525488", "findings": "The right costophrenic angle is not completely captured on this exam. Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M s/p pedestrian stuck by car yesterday. ambulatory to triage. complaining of right sided neck pain and right arm weakness, numbness and right shoulder pain // R/O ICH, cspine fracture, pneumothorax, shoulder fracture, dislocation TECHNIQUE: AP view of the chest. COMPARISON: None."}, {"study_id": "51534952", "subject_id": "10844378", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with seizures // r/o occult process COMPARISON: ___"}, {"study_id": "53775102", "subject_id": "13957884", "findings": "There are slightly prominent bilateral interstitial markings, decreased compared to ___. No focal consolidation is seen, pleural effusion or pulmonary edema. The heart is top-normal in size. The thoracic aorta is tortuous, and degenerative changes of the thoracic spine are noted.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with head strike status post fall. Evaluate for fracture. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ and ___."}, {"study_id": "55219954", "subject_id": "18870530", "findings": "PA and lateral views of the chest. There is increased opacity, best seen on the lateral view, localizing to the right upper lobe. There is no effusion or pulmonary vascular congestion. Subcutaneous gas projects over the left axilla compatible with patient's history of recent partial mastectomy. Osseous structures are unremarkable.", "impression": "Increased opacity projecting over the right upper lobe, best seen on the lateral view could represent pneumonia in the proper clinical setting.", "background": "WET READ: ___ ___ ___ 4:32 PM Increased opacity projecting over the right upper lobe, best seen on the lateral view could represent pneumonia in the proper clinical setting. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with fever postop. COMPARISON: None."}, {"study_id": "58214501", "subject_id": "17190208", "findings": "Since the chest radiograph obtained 1 day prior, no significant changes are appreciated. Support devices are appropriately positioned. Lung volumes are low. There are probably left greater than right small pleural effusions with adjacent atelectasis. Moderate cardiomegaly is unchanged. No obvious pulmonary vascular congestion. No pulmonary edema. Calcified mediastinal and hilar lymph nodes are unchanged.", "impression": "No significant changes since radiograph 1 day prior.", "background": "EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with long hospital course due to SDH, PE's, RP bleed, intubated for inability to protect airway // Any evidence of PNA? TECHNIQUE: Chest portable ___ COMPARISON: Portable AP chest radiograph dated ___"}, {"study_id": "55455640", "subject_id": "12237086", "findings": "There has been interval placement of a new chest tube which terminates in the medial lower right lung. There has been slight interval increase in a right apical pneumothorax. There is no pleural effusion. The visualized osseous structures are unremarkable.", "impression": "Interval placement of a new chest tube. Slight interval increase in the size of the right apical pneumothorax.", "background": "INDICATION: History: ___F with new chest tube. Please evaluate chest tube. TECHNIQUE: Supine portable radiograph of the chest. COMPARISON: Radiograph from ___."}, {"study_id": "51784315", "subject_id": "13520071", "findings": "Single upright AP image of the chest. The lung volumes are slightly with associated bronchovascular crowding. The lungs are otherwise clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Fever on chemotherapy with low WBC. COMPARISON: Comparison made chest radiograph from ___ in ___."}, {"study_id": "53661067", "subject_id": "16796135", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPH HISTORY: Pleuritic popping chest pain. COMPARISONS: None. TECHNIQUE: Chest, AP upright portable."}, {"study_id": "50333138", "subject_id": "12423400", "findings": "Frontal and lateral views of the chest correlated to images from PET-CT from ___. Slightly increased interstitial markings within the lungs compatible with patient's history of pulmonary fibrosis, not significantly changed from prior CT scan. There is no evidence of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous structures are notable for shortening of the right clavicle with an incompletely visualized and likely widened acromioclavicular distance.", "impression": "Evidence of patient's known pulmonary fibrosis without definite superimposed acute cardiopulmonary process.", "background": "CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with pulmonary fibrosis, recent COPD exacerbation with tenderness to the right side and shortness of breath."}, {"study_id": "59281407", "subject_id": "10521730", "findings": "A right chest tube is present, the tip projecting over the lower right hemithorax. A left chest wall power injectable Port-A-Cath is present, the tip extending to the right atrium. Low bilateral lung volumes. No focal consolidation, pleural effusion or pneumothorax identified. The size of the the cardiomediastinal silhouette borderline enlarged.", "impression": "A right chest tube is present, the tip projecting over the lower right hemithorax. No pneumothorax is identified.", "background": "INDICATION: ___ year old woman s/p R VATS mediastinal mass biopsy // evaluate tube position TECHNIQUE: AP portable chest radiograph COMPARISON: No prior radiographs are available for comparison."}, {"study_id": "51456538", "subject_id": "13127894", "findings": "The heart size remains moderately enlarged. There is mild pulmonary edema with small bilateral pleural effusions. Left basilar opacity may reflect pneumonia or atelectasis. No pneumothorax is detected. The mediastinal contours appear relatively unchanged. A wedge compression deformity within the mid thoracic spine is unchanged compared to the prior CT.", "impression": "Mild congestive heart failure with small bilateral pleural effusions. Left basilar opacification may reflect pneumonia or atelectasis.", "background": "HISTORY: Dyspnea. TECHNIQUE: Upright AP view and lateral view of the chest. COMPARISON: ___ chest radiograph and ___ chest CTA."}, {"study_id": "57070921", "subject_id": "14470268", "findings": "Minimal retrocardiac opacity these left lower lobe is likely from atelectasis due to volume loss. There is mild increased pulmonary venous pressure. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "Minimal retrocardiac opacity, likely atelectasis. However, difficult to unequivocally exclude superimposed pneumonia.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with cough, chills, sweats // Please evaluate for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Radiograph from ___."}, {"study_id": "54545086", "subject_id": "14911593", "findings": "AP and lateral views of the chest. The lungs are clear. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities detected.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with weakness. COMPARISON: ___."}, {"study_id": "50837461", "subject_id": "14945784", "findings": "Chest, PA and lateral. The lungs are clear. The hilar cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.", "impression": "Normal radiographs of the chest.", "background": "HISTORY: Hemoptysis. COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "50776982", "subject_id": "14581374", "findings": "PA and lateral views of the chest. The lung remain clear of consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is unchanged and is mildly enlarged. There is no visualized acute osseous abnormality.", "impression": "Mild cardiomegaly without acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with intermittent chest pain. COMPARISON: ___."}, {"study_id": "53157491", "subject_id": "11655773", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with palps and cp // ? process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "51104327", "subject_id": "19643415", "findings": "Chronic appearing right rib deformity or pleural thickening is unchanged from prior studies. A left pectoral port catheter tip terminates in the mid SVC. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ 11:13 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with sob, wheezing, fever on chemo, please evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to ___."}, {"study_id": "50544192", "subject_id": "19107948", "findings": "Lung volumes are low with secondary crowding of the bronchovascular markings. There is no consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No definite acute cardiopulmonary process.", "background": "INDICATION: ___M s/p ___ foot fall c/o right shoulder pain // eval for fx TECHNIQUE: Single supine view of the chest. COMPARISON: None."}, {"study_id": "55641550", "subject_id": "16679893", "findings": "The large right lower lobe consolidation with right lower lobe collapse is unchanged. The dense right hilum and thickened right paratracheal stripe correspond to known central adenopathy. A moderate right pleural effusion has developed. The left lung is clear. There is no pneumothorax. The heart and mediastinum are within normal limits despite the projection. Bilateral axillary surgical clips and left breast prosthesis are incidentally noted.", "impression": "New moderate right pleural effusion. No other significant interval change.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with collapsed R lung/ being worked up for malignancy now with tachypnea // interval change TECHNIQUE: Portable AP radiograph of the chest COMPARISON: ___."}, {"study_id": "58251908", "subject_id": "19193700", "findings": "Chest, PA and lateral radiographs demonstrate stable mediastinal and hilar prominence due to known lymphadenopathy. Heart size is top normal. On a background of mild pulmonary edema, there is increased opacification noted in the left upper and lower lung, concerning for infectious process. Stable small left pleural effusion. Large bore catheter terminates at the cavoatrial junction. Minimal rightward deviation of catheter may be due to lymphadenopathy.", "impression": "Likely left upper and lower lobe pneumonia superimposed on mild pulmonary edema. Small left pleural effusion.", "background": "INDICATION: Cough, shortness of breath for two days, history of pneumonia. Please evaluate for pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___."}, {"study_id": "50216873", "subject_id": "15044047", "findings": "No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No definite focal consolidation is seen. A couple opacities on the lateral view in a relatively linear configuration may be due to atelectasis or vascular structures.", "impression": "No definite focal consolidation.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with seizures // Eval for infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "50439891", "subject_id": "15335912", "findings": "Mild cardiomegaly is unchanged along with tortuosity of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Right PICC terminates in the upper SVC. Linear atelectasis in the right mid lung as well as mild eft base atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax. Prominent thoracic kyphosis.", "impression": "No acute cardiopulmonary abnormality. Appropriate position of the right PICC.", "background": "EXAMINATION: Chest radiograph INDICATION: Malfunctioning right PICC. TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest CT ___. Chest radiograph ___."}, {"study_id": "50678123", "subject_id": "15373413", "findings": "Frontal and lateral views of the chest were obtained. Mild cardiomegaly is stable. The aorta is tortuous with focal dilatation of the descending thoracic aorta, similar to ___. Mild emphysema is present with hyperinflation of lungs and flattening of the diaphragms. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.", "impression": "No evidence for acute cardiopulmonary process. Stable emphysema and mild cardiomegaly. Focal dilatation of the descending thoracic aorta is similar to ___.", "background": "INDICATION: ___-year-old female with shortness of breath. Evaluate for edema or CHF. COMPARISONS: Chest CTA ___ ___. Chest radiograph ___ ___."}, {"study_id": "51673226", "subject_id": "16206719", "findings": "There is an increased opacity overlying the right lower lobe. Otherwise, cardiomediastinal silhouette is normal. There is no evidence of pneumothorax or pleural effusion. Hemidiaphragm remains chronically elevated. No acute fractures are identified.", "impression": "Increased opacity overlying the right lower lobe is suggestive of a developing pneumonia.", "background": "INDICATION: Evaluation of patient with chest pain. COMPARISON: Chest radiograph from ___."}, {"study_id": "57621704", "subject_id": "14577815", "findings": "Lung volumes are low, exaggerating the cardiomediastinal structures; however, there is mild cardiomegaly, overall unchanged compared to the prior exam. The aorta is tortuous. Otherwise, the hilar and 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.", "impression": "No focal consolidations concerning for pneumonia identified.", "background": "INDICATION: History of fevers. Please evaluate for acute process. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: AP and lateral radiographs of the chest."}, {"study_id": "54040386", "subject_id": "19191528", "findings": "Lung volumes are slightly diminished. Cardiac silhouette remains mildly enlarged but unchanged. Hilar prominence is compatible with known central lymphadenopathy. The known, numerous nodular metastases are better evaluated on the recent chest CT. No pleural effusion, pneumothorax or focal airspace consolidation. Rib deformities from prior fractures are again seen.", "impression": "No acute cardiopulmonary process. Known metastatic disease is better evaluated on the CT chest from 10 days prior.", "background": "EXAMINATION: Chest x-ray INDICATION: Vascular disease and recent the diagnosed pancreatic adenocarcinoma now presenting with weakness and confusion. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and chest CT ___."}, {"study_id": "54956439", "subject_id": "12840655", "findings": "There is no focal consolidation, pleural effusion or pneumothorax.There is a nodular opacity projecting on the lateral view on the lowest thoracic vertebral body adjacent to one of the hemidiaphragms that was not clearly present on the prior exam and may represent a vessel on end. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.", "impression": "No acute cardiopulmonary process. Nodular opacity projecting on the lateral view that was not clearly seen on prior studies. This should be further evaluated with lateral shallow oblique views.", "background": "INDICATION: History: ___F with SOB and prducive cough // R/O infectios process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___"}, {"study_id": "53564319", "subject_id": "16873651", "findings": "Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with recent DES to LAD, now with acute onset dyspnea // r/o effusion, pna TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "55718805", "subject_id": "13637250", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.", "impression": "No evidence of acute disease.", "background": "EXAMINATION: Chest radiographs. INDICATION: Chest tightness, nausea, vomiting and upper back pain. TECHNIQUE: Chest, PA and lateral. COMPARISON: None."}, {"study_id": "55351334", "subject_id": "15341255", "findings": "There has been interval extubation of the patient. Patient is status post CABG with intact midline sternotomy wires. Right IJ catheter terminates in the mid SVC. Left-sided chest tube is in similar position terminating in the lateral aspect of the left lung. There is mild bibasilar atelectasis. There may be a small right pleural effusion. The left costophrenic angle is not visualized on this exam. There is mild pulmonary vascular congestion with minimal pulmonary edema, similar to the prior exam. There is a small left apical pneumothorax. The visualized osseous structures are unremarkable.", "impression": "Small left apical pneumothorax. Mild pulmonary edema, unchanged compared to the prior exam. Persistent bibasilar atelectasis. These findings were discussed with Dr. ___ by Dr. ___ by phone at 9:___ a.m. on the day of the exam.", "background": "INDICATION: History of CABG and chest tube clamped. Please evaluate for pneumothorax. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: Portable semi-upright radiograph of the chest."}, {"study_id": "51101968", "subject_id": "10581759", "findings": "Single frontal view of the chest was obtained. Mild-to-moderate cardiomegaly is similar to prior with stable cardiomediastinal contours. Lungs remain clear albeit with lower lung volumes on this exam. No pleural effusion or pneumothorax. No radiopaque foreign body. Old right inferior, lateral rib fracture seen.", "impression": "No evidence for acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with possible CVA. Evaluate for infiltrate. COMPARISONS: Same day radiograph of ___ at ___."}, {"study_id": "51346771", "subject_id": "13258755", "findings": "A left internal jugular double-lumen hemodialysis catheter ends in the right atrium. Sternal wires and a replaced valve are intact. The cardiomediastinal silhouette is stably enlarged. There is calcification of the aortic arch. There has been resolution of the bilateral pleural effusions and a decrease in the pulmonary edema. Mild edema persists. There is no consolidation or pneumothorax.", "impression": "Improvement in pulmonary edema. Resolution of bilateral pleural effusions.", "background": "INDICATION: Evaluate for CHF. COMPARISONS: Chest radiograph ___. Chest radiograph ___."}, {"study_id": "57965316", "subject_id": "18470914", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Chest pain. COMPARISON: None."}, {"study_id": "59443887", "subject_id": "17190208", "findings": "A left-sided PICC terminates in the mid to distal SVC. A left-sided internal jugular catheter terminates in the proximal SVC. Endotracheal tube terminates 5.5 cm above the carina. A nasoenteric tube terminates in the left upper quadrant in the expected location of the stomach. Unchanged elevation of the right hemidiaphragm. No pneumothorax seen. Moderate cardiomegaly.", "impression": "An nasoenteric tube terminates in the stomach.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new OGT // OGT placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___."}, {"study_id": "50285599", "subject_id": "17916199", "findings": "No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "No definite focal consolidation to suggest pneumonia.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever // ?PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "57164757", "subject_id": "12370975", "findings": "The ET tube is 5.0 cm above the carina. NG tube tip is in the stomach. There is new patchy infiltrate most marked in the right lower lobe. But also affecting the right upper lobe and left lower lobe. This is much worse than on the study from 1 hr prior. The heart is upper limits normal in size. There is pulmonary vascular redistribution. There is no effusion.", "impression": "Rapid progression of bilateral infiltrates", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ovarian cancer here w FTT and esophagitis now with hypotension and intubated for airway protection // s.p intubation TECHNIQUE: Portable chest COMPARISON: ___ at 03:00"}, {"study_id": "57235165", "subject_id": "16804571", "findings": "Again seen are changes of median sternotomy and aortic valve replacement. Small bilateral pleural effusions persist, left greater than right. Increased pulmonary aeration, with mild residual left lower lobe atelectasis. Heart size is top normal.", "impression": "Improved left lower lobe atelectasis. Persistent small pleural effusion.", "background": "INDICATION: ___-year-old male post-aortic valve replacement. COMPARISON: ___. CHEST, PA AND"}, {"study_id": "54908988", "subject_id": "18910060", "findings": "The right-sided moderate pleural effusion and linear right basilar atelectasis is comparable to multiple prior studies dating back to ___. There is no pneumothorax or focal consolidations. There is mild cardiomegaly, stable at least since ___. The hilar and mediastinal contours are otherwise normal.", "impression": "Stable right moderate pleural effusion and basilar atelectasis.", "background": "INDICATION: ___-year-old man with dyspnea who presents for evaluation of pleural effusion. COMPARISON: Chest radiograph from ___, ___, ___, ___ and chest CT from ___. TECHNIQUE: PA and lateral radiographs of the chest."}, {"study_id": "56160320", "subject_id": "15987550", "findings": "Single portable view of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old male with chest pain. COMPARISON: ___."}, {"study_id": "58064604", "subject_id": "13389895", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There has been no significant change. The osseous structures are unremarkable.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "52799489", "subject_id": "12370145", "findings": "PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination of ___. Heart size within normal limits. No typical configurational abnormality is seen. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on frontal view. Skeletal structures of the thorax grossly unremarkable. In comparison with the previous examination, no significant interval change has occurred.", "impression": "Stable findings, no evidence of acute infiltrates or mass lesion within the thorax.", "background": "TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with weight loss, evaluate for mass."}, {"study_id": "55106220", "subject_id": "10502016", "findings": "The lungs are hyperinflated. Surgical chain sutures seen in the right upper lung new since prior. There is no consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with cough, immunocompromised by xplant // ? pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "53549613", "subject_id": "12279690", "findings": "Supine portable AP view of the chest was provided. Underlying trauma board in place limits evaluation. The endotracheal tube is positioned approximately 2.1 cm above the carina. The lungs appear clear bilaterally without definite signs of focal consolidation or supine evidence for effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures appear intact.", "impression": "No acute findings. Please refer to subsequent CT for further details.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Motor vehicle collision with concern for rib fractures."}, {"study_id": "55338619", "subject_id": "18308680", "findings": "No prior studies are available for comparison. There is mild cardiomegaly, likely accentuated by the AP projection and low lung volumes. Opacification in the medial right lower lobe is of unclear etiology, but may be due to a prominent epicardial fat pad, cardiac enlargement, a pericardial cyst, or hernia. No large focal consolidation. Median sternotomy wires are intact. Incidental note is made of old fractures of the posterior left fourth and fifth ribs, with bony callus.", "impression": "Opacity in the medial right lower lung is of unclear etiology of the may be due to cardiomegaly, a prominent epicardial fat pad, pericardial cyst, or possibly a hernia. Correlation with old films, if obtainable, is recommended. No large focal consolidation.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new O2 requirement. ? Volume overload. TECHNIQUE: Single portable view of the chest. COMPARISON: None."}, {"study_id": "58007601", "subject_id": "15863154", "findings": "New right lower lobe opacity is compatible with aspiration pneumonia. Lung is otherwise clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Wedge deformities of the lower thoracic spine.", "impression": "New right lower lobe opacity is suspicious for aspiration pneumonia.", "background": "PATIENT HISTORY: ___-year-old woman with new onset fevers and reflux, assess for pneumonia or aspiration. COMPARISON: Chest x-ray ___."}, {"study_id": "53723497", "subject_id": "18676703", "findings": "AP upright and lateral views of the chest were obtained. Lung volumes are low on the frontal projection. Though allowing for this, the lungs are clear without focal consolidation, effusion, pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No signs of pneumonia.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Hypoglycemic episode, question infection."}, {"study_id": "57174892", "subject_id": "17037515", "findings": "Basilar interstitial opacities appear increased from prior. Findings likely reflect superimposed mild edema on underlying interstitial lung disease or possibly simply progression of the chronic lung disease. No confluent opacity is identified to suggest pneumonia. There is no large pleural effusion. Mediastinal and hilar contours are within normal limits. Cardiac contours remain mildly enlarged.", "impression": "Increased interstitial basilar opacities which likely reflects progression of underlying chronic lung disease and some mild superimposed pulmonary edema.", "background": "HISTORY: ___-year-old male with shortness of breath. COMPARISON: Chest radiograph from ___. FRONTAL AND LATERAL CHEST"}, {"study_id": "54547456", "subject_id": "18284792", "findings": "Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG. No focal consolidation is seen. There is slight blunting of the posterior right costophrenic angle which may be due to a very trace pleural effusion or pleural thickening. No pneumothorax is seen. The cardiac silhouette remains mildly enlarged. Mediastinal contours are stable, with the aorta calcified and tortuous. Mild left basilar atelectasis is seen.", "impression": "Mild left basilar atelectasis. Possible slight blunting of the posterior right costophrenic angle on the lateral view may be due to trace pleural effusion or pleural thickening.", "background": "EXAM: Chest x-ray, frontal and lateral views. CLINICAL INFORMATION: Vertebrobasilar insufficiency, presenting with episode of slurred speech, facial droop and unresponsiveness. COMPARISON: ___."}, {"study_id": "55633338", "subject_id": "11845541", "findings": "The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.", "impression": "Unremarkable chest radiographic examination.", "background": "HISTORY: ___ M with CHF and acute kidney injury. Evaluate for effusion, pneumonia. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: None available."}, {"study_id": "56996133", "subject_id": "11307376", "findings": "Compared to the prior study there is a more confluent infiltrate in the left mid lung there continues to be underlying pulmonary vascular redistribution an underlying reticulonodular opacities", "impression": "Bilateral diffuse infiltrate that has worsened on the left.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cryptococcal pneumonia as well as COP. // Please evaluate for interval change, evaluate for evidence of edema TECHNIQUE: Portable chest COMPARISON: ___ CT"}, {"study_id": "53495917", "subject_id": "10830115", "findings": "A portable view of the chest shows a tiny left apical pneumothorax. A pleural tube ends in the medial left chest. There is mild bibasilar atelectasis and minimal, if any pleural effusion. Slight cardiomediastinal enlargement reflects low lung volumes.", "impression": "Tiny left apical pneumothorax.", "background": "INDICATION: ___ year old woman s/p Left VATS Wedge Resection. TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph ___."}, {"study_id": "53800001", "subject_id": "11924919", "findings": "Subtle opacity projecting over the right mid to lower lung is similar as compared to the prior study and may be artifactual. Mild left base atelectasis is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "No significant interval change.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M w/ CP // ___M w/ CP TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "52509387", "subject_id": "16574411", "findings": "Since the prior radiograph on ___, there has been no significant change. The right Port-A-Cath terminates in the cavoatrial junction. There are no focal consolidations, large pleural effusions or pneumothorax. Metallic clips noted in the mid-abdomen. Several metallic densities are demonstrated over the right humeral head, unchanged since prior examination.", "impression": "No acute intrapulmonary process.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with AMS // e/o new focal opacity TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest radiograph ___"}, {"study_id": "50691028", "subject_id": "10005001", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with RUQ pain TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57689035", "subject_id": "14195052", "findings": "The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is no evidence of a displaced rib fracture or other osseous abnormality.", "impression": "No acute cardiopulmonary process. No evidence of displaced rib fracture. Note, if there is strong clinical concern for a rib fracture, decicated rib radiographs could be obtained for detecting a subtle rib fracture.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with motor vehicle collision, evaluate for fracture. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___."}, {"study_id": "52861227", "subject_id": "18131108", "findings": "There are persistent small bilateral pleural effusions. Retrocardiac opacity could be secondary to atelectasis. The lungs are otherwise clear. There is no edema. Mild cardiac enlargement is accentuated by low lung volumes but similar to prior. No acute osseous abnormalities.", "impression": "Persistent small bilateral pleural effusions. Associated left basilar opacity which may be atelectasis although superimposed infection cannot be excluded.", "background": "INDICATION: ___M with Fevers and pos BCx // Eval for PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "56548157", "subject_id": "17898589", "findings": "There is no evidence of focal consolidation,pleural effusion,pneumothorax,or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "No evidence of acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough x 2 months // ? any abnormality TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___."}, {"study_id": "53387954", "subject_id": "14995538", "findings": "Portable AP upright chest radiograph provided. Cardiomegaly is noted with diffuse pulmonary edema. Bilateral pleural effusions also noted which are small in overall volume. No pneumothorax is seen. Mediastinal contour is grossly unremarkable. Bony structures are intact.", "impression": "Cardiomegaly, pulmonary edema with small bilateral pleural effusions.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam dated ___. CLINICAL HISTORY: Hypoxemia, shortness of breath, question pneumonia."}, {"study_id": "58236452", "subject_id": "16793521", "findings": "Frontal and lateral views of the chest. Sternotomy wires are intact. Lung volumes are low, exaggerating bronchovascular markings. Top-normal heart size and cardiomediastinal contours are stable. Calcification of the aortic knob is stable. Bibasilar opacities, larger on the right, are consistent with atelectasis although infection is not excluded. Tiny right pleural effusion. No lobar consolidation or pneumothorax.", "impression": "Bibasilar opacities consistent with atelectasis. Infection could be considered in the appropriate clinical setting.", "background": "HISTORY: Generalized fatigue. COMPARISON: ___."}, {"study_id": "56165870", "subject_id": "15651483", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with tachycardia // eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "56380402", "subject_id": "10799337", "findings": "2 views were obtained of the chest. The lungs are hyperexpanded but clear without pleural effusion or pneumothorax. A rounded nodular density projecting over the right lower lung reflects the nipple. The heart is normal in size with normal cardiomediastinal contours.", "impression": "No acute intrathoracic process.", "background": "HISTORY: Dyspnea, assess for pneumonia or pneumothorax. COMPARISON: ___."}, {"study_id": "53762508", "subject_id": "11212873", "findings": "There are low lung volumes. This accentuates the size of the cardiac silhouette which is likely top normal. There is crowding of the bronchovascular structures but no evidence of pulmonary edema. The mediastinal and hilar contours are otherwise within normal limits. Previously described subpleural left lower lobe opacity seen on prior chest radiograph which corresponds to an area of pleural fat on CT appears more prominent on the current exam. Bilateral patchy opacities in the lung bases may reflect areas of infection or atelectasis. There are small bilateral pleural effusions. No pneumothorax is identified, and there are no acute osseous abnormalities.", "impression": "Ill-defined patchy opacities in lung bases which may represent areas of infection or atelectasis. Small bilateral pleural effusions are present. Subpleural opacity in the left lower lobe appears more prominent on the current exam, and corresponds to an area of pleural fat as noted on the prior chest CT.", "background": "INDICATION: Left-sided pleuritic chest pain. COMPARISON: Chest radiograph ___ and chest CT ___. PA AND LATERAL VIEWS OF THE"}, {"study_id": "58367725", "subject_id": "17030279", "findings": "Low lung volumes. The patient is status post median sternotomy. Unchanged cardiomegaly. 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.", "impression": "Mild cardiomegaly. No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with syncope. Evaluate for pneumonia. TECHNIQUE: Chest AP and lateral COMPARISON: ___"}, {"study_id": "52537539", "subject_id": "12027392", "findings": "PA and lateral views of the chest provided. Clips are noted projecting over the left axilla. Lungs are clear. 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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // eval for pna COMPARISON: ___"}, {"study_id": "53031979", "subject_id": "17547554", "findings": "There is mild elevation of left hemidiaphragm. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. Pulmonary vascularity is normal.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old woman with fall and head strike. COMPARISON: Chest radiograph from ___."}, {"study_id": "57321195", "subject_id": "17079153", "findings": "Dual lumen central venous catheter is seen entering from the inferior aspect of the image, presumed coursing in the IVC from a femoral approach, terminating in the cavoatrial junction and distal SVC. No pneumothorax is seen. Mild left base atelectasis is seen. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiac size is normal. Mediastinal contours are grossly unremarkable. No pulmonary edema is seen.", "impression": "Mild left base atelectasis without focal consolidation or overt pulmonary edema. Dual lumen central venous catheter seen entering from inferior approach, terminating in the distal SVC and cavoatrial junction.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with sob, fever // chf? pna? TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "50500626", "subject_id": "19515223", "findings": "Low lung volumes are seen with crowding of the bronchovascular markings. Within the limitation, there is no confluent consolidation or effusion. Cardiac silhouette is accentuated by low lung volumes but is likely within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F chest pressure, dyspnea, nausea, hx of pericardial effusion in the past- please eval for any cardiopulmonary change // ___F chest pressure, dyspnea, nausea, hx of pericardial effusion in the past- please eval for any cardiopulmonary change TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "54968657", "subject_id": "15593172", "findings": "Cardiomediastinal and hilar contours are stable. Again seen is a left Port-A-Cath with tip terminating in the mid SVC. Post radiation changes in the right lung are stable. There has been interval development of bilateral interstitial pulmonary edema.", "impression": "New bilateral interstitial pulmonary edema.", "background": "INDICATION: History of non-small-cell lung cancer, query flash pulmonary edema. COMPARISON: Chest radiograph ___, CT torso ___."}, {"study_id": "53093096", "subject_id": "19657904", "findings": "The lungs are clear. The heart is stably enlarged with tortuous aortic contour. Hilar and mediastinal contours are stable with stable mild prominence of the pulmonary arteries. There is no pleural effusion or pneumothorax.", "impression": "No acute intrathoracic process. Stable cardiomegaly.", "background": "HISTORY: Asthma with increasing shortness of breath, assess for pneumonia. TECHNIQUE: 2 views of the chest. COMPARISON: ___."}, {"study_id": "53799637", "subject_id": "18339865", "findings": "No definite focal consolidation is seen. Relative increase in opacity projecting over the left lung base as compared to the right is felt to be due to overlying soft tissue rather than actual consolidation. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.", "impression": "No definite focal consolidation. Relative increase in opacity projecting over the left lung base as compared to the right is felt to be due to overlying soft tissue rather than actual consolidation.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with cp and cough // PNA? TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "55215435", "subject_id": "12896524", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever and cough // r/o pnx COMPARISON: None"}, {"study_id": "59954411", "subject_id": "13468796", "findings": "Portable semiupright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. There is a small left-sided pleural effusion with adjacent atelectasis which is unchanged from the prior study. Again seen is some engorgement of the pulmonary vasculature, consistent with pulmonary edema. Cardiomediastinal and hilar contours are unchanged. A right-sided internal jugular central venous line ends at the cavoatrial junction.", "impression": "Small left-sided pleural effusion with adjacent atelectasis, not significantly changed. Engorgement of pulmonary vasculature consistent with pulmonary edema.", "background": "HISTORY: ___-year-old female with hypoxia. Evaluate for pulmonary edema, atelectasis, or pneumonia. COMPARISON: Proir radiographs of the chest dated ___ through ___."}, {"study_id": "58985629", "subject_id": "19542877", "findings": "There is rotated positioning. Probable background COPD. Mild cardiomegaly, with calcified slightly unfolded aorta. There is slight upper zone redistribution, but I doubt overt CHF. There is atelectasis the left lung base, without definite consolidation. No gross left effusion. There is hazy obscuration of the right lung base raising the question of a small effusion and/or atelectasis. No definite consolidation. Due to patient rotation, the previously seen large right-sided thyroid mass, possibly a goiter, which compresses and displaces the trachea, is less well delineated, but probably similar to the prior study. Known recent fracture of the left anterior second rib is not well depicted radiographically.", "impression": "Hazy opacity at the right lung base may represent a combination of a small amount of pleural fluid and/or atelectasis. Some patchy retrocardiac opacity is also present. No definite consolidation is identified at either lung base, though an early infiltrate would be difficult to completely exclude in either location. Doubt focal consolidation in the mid or upper zones. Hazy opacity in the right paratracheal . Region is from double with the previously demonstrated large right thyroid mass, question goiter. Mild cardiomegaly and and COPD. Mild vascular plethora, but doubt overt CHF. Known left anterior second rib fracture not well visualized.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with advanced dementia now with new fever. Concern for aspiration PNA. // Pls evaluate for consolidation COMPARISON: Chest x-ray from ___ targeted review of chest CT from ___"}, {"study_id": "54988913", "subject_id": "18906866", "findings": "Interval resolution of pulmonary edema. Stable bilateral lower lung volumes. No focal consolidation, pleural effusion, or pneumothorax. Stable cardiomegaly and mediastinal contours.", "impression": "Pulmonary edema resolved. No focal consolidation to suggest pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man s/p ORIF left ankle with sats in low 90s and mild fever. Evaluate for pneumonia. COMPARISON: Chest radiograph dated ___."}, {"study_id": "54536162", "subject_id": "15813164", "findings": "AP upright and lateral views of the chest were obtained. The patient is rotated to the right. The patient is status post median sternotomy. There is slight blunting of the left posterior costophrenic angle which may be due to a trace pleural effusion. There is perihilar opacity, right greater than left which could be due to asymmetric edema or infection. No pneumothorax seen. The cardiac silhouette is top normal. The aorta is somewhat tortuous.", "impression": "Left greater than right perihilar opacities could be due to asymmetric edema or infection.", "background": "EXAM: Chest AP upright and lateral views. CLINICAL INFORMATION: Four days of shortness of breath and cough, 102 fever. COMPARISON: ___."}, {"study_id": "55943919", "subject_id": "17475607", "findings": "Semiupright portable chest radiograph was obtained. The lungs are slightly hyperexpanded but clear. There is no pleural effusion or pneumothorax. Linear left mid lung scarring is unchanged. The heart is normal in size with tortuous ascending aortic contour.", "impression": "No acute intrathoracic process.", "background": "HISTORY: Dyspnea, assess for pneumonia. COMPARISON: ___"}, {"study_id": "59854446", "subject_id": "11941410", "findings": "Left pectoral pacer leads terminate in the right atrium and right ventricle. A linear opacity along the lingula is likely atelectasis, improved compared to the prior study. Bibasilar atelectasis, more prominent at the left lung base, is improved. Small bilateral pleural effusions are likely present. Prominence of the right and left pulmonary arterial branches consistent with pulmonary arterial enlargement better evaluated on chest CT from ___. No pneumothorax is seen. Cardiac silhouette stable.", "impression": "No focal consolidation. Bibasilar atelectasis and along the lingula is not, improved compared to the prior study. Small bilateral pleural effusions. Pulmonary arterial enlargement consistent with pulmonary arterial hypertension.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and body/aches pains // ? PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "51889454", "subject_id": "19237156", "findings": "Right IJ line has been removed. Right mid and lower lung surgical chain sutures again noted. Streaky retrocardiac opacity is again identified. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again seen.", "impression": "Streaky retrocardiac opacity potentially atelectasis although clinical correlation regarding possibility of infection is suggested.", "background": "INDICATION: ___F with hypotension // Infiltrate? TECHNIQUE: Single portable view of the chest. COMPARISON: ___."}, {"study_id": "57981864", "subject_id": "14241862", "findings": "There are new bilateral lower lobe infiltrates right greater than left. Heart size is mildly enlarged. There is pulmonary vascular redistribution. There small bilateral effusions left-sided porta cath with tip in the SVC is unchanged", "impression": "New bilateral infiltrates right greater than left concerning for pneumonia", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with metastatic colon cancer now with severe c. diff with recurring fevers. // eval for pneumonia TECHNIQUE: Portable chest COMPARISON: ___"}, {"study_id": "57613782", "subject_id": "14898984", "findings": "The cardiac silhouette is minimally enlarged and stable since the prior examinations. Indistinctness of the pulmonary vasculature remains. Again noted are right-sided mid and lower lung opacities less conspicuous on the current examination than on priors. Again noted is stable retrocardiac and left midlung opacity, not significantly changed. A small left pleural effusion is persistent. Again noted is a transesophageal tube, with the tip terminating in the proximal stomach.", "impression": "Decreased conspicuity of bilateral opacities on current examination in comparison to priors.", "background": "EXAMINATION: CR - CHEST (PORTABLE AP) INDICATION: ___ year old man with dementia and recent stroke, now w/ fever // evaluate for infectious process TECHNIQUE: Single portable AP view of the chest was obtained. COMPARISON: ___, ___"}, {"study_id": "55870589", "subject_id": "15653759", "findings": "An accessed left pectoral MediPort extends into the right atrium. The large right pleural effusion has increased despite the presence of a pigtail catheter at the right base. Bibasilar airspace opacities are grossly stable on the left, but difficult to assess on the right due to pleural fluid. The small left pleural effusion is stable. The heart and mediastinum are within normal limits despite the projection. Upper lung fields remain clear.", "impression": "Increased large right pleural effusion despite the presence of a right basilar pigtail catheter. Stable small left pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with metastatic gastric cancer, new pleural effusion s/p chest tube placement // eval for persistence of fluid TECHNIQUE: AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "50298364", "subject_id": "14941747", "findings": "The lungs are clear. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours demonstrate mild tortuosity of thoracic aorta and a mild cardiomegaly. Pulmonary vascularity is within normal limits.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with cough. EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS. COMPARISONS: None available."}, {"study_id": "59198476", "subject_id": "17161603", "findings": "A endotracheal tube terminates in appropriate position. A nasogastric tube terminates within the stomach. There is a right upper lobe opacity, and there are no pleural effusions or pneumothorax. An enlarged aorta is noted.", "impression": "Appropriate positioning of the endotracheal tube. Right upper lobe opacity compatible with pneumonia.", "background": "INDICATION: ___-year-old female status post intubation TECHNIQUE: Frontal chest radiographs were obtained with the patient in the supine position. COMPARISON: None available."}, {"study_id": "51761543", "subject_id": "15373413", "findings": "The heart size is at the upper limits of normal. The mediastinal and hilar contours are within normal limits. The lungs are clear of consolidation, although they exhibit low lung volumes which exaggerates the vascular and parenchymal markings. There is no pleural effusion or pneumothorax.", "impression": "Low lung volumes but no evidence of pneumonia.", "background": "HISTORY: ___-year-old female with shortness of breath. STUDY: PA and lateral chest radiograph. COMPARISON: ___."}, {"study_id": "51597018", "subject_id": "16227804", "findings": "PA and lateral chest radiographs demonstrate no definite focal consolidation. The lateral view also demonstrates subtle opacification at the left base which is probably representative of scarring. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Prominent anterior osteophytes of the thoracic spine are noted.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History of lymphoma presenting with fever and sore throat. COMPARISON: None."}, {"study_id": "54651631", "subject_id": "12262068", "findings": "ET tube and NG tube has been removed since the previous exam. Mild bibasilar opacities, which is mostly atelectasis, are unchanged since ___, but worse than ___. A superimposed infection cannot be excluded in appropriate clinical setting. Moderate cardiac enlargement is unchanged. There is no pneumothorax. There is mild cardiac congestion without pulmonary edema.", "impression": "Tubes and lines have been removed. Bibasilar opacities are unchanged since ___, but worse than ___. They are probably atelectasis; however, superimposed infection cannot be excluded.", "background": "WET READ: ___ ___ ___ 10:31 PM interval removal of medical support devices. heart size decreased. persistent though improved pulmonary edema. bibasilar opacities, L>R, are likley atelectasis iwth possible small effusion on the left. cant exclude infection. ___ ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with fever, ex-lap, infiltrate? COMPARISON: Chest x-rays from ___ through ___, CT torso of ___ and abdominal CT of ___."}, {"study_id": "51858947", "subject_id": "17830290", "findings": "A known large hiatal hernia is smaller in size compared to most recent prior. Adjacent left lower lobe atelectasis is noted. There are bilateral small pleural effusions, similar to prior chest CT. A subcentimeter pulmonary nodule within the right lung base, seen on recent prior chest CT, is similar. There is no pulmonary vascular congestion or interstitial edema. No pneumothorax is evident. Cardiomediastinal and hilar contours are within normal limits and unchanged.", "impression": "Large hiatal hernia is slightly smaller. Adjacent left lower lobe atelectasis is unchanged. Small bilateral pleural effusions, unchanged. Unchanged subcentimeter right lower lobe pulmonary nodule. No acute findings.", "background": "INDICATION: ___-year-old male with new diagnosis of metastatic colon cancer and history of atrial fibrillation, now presenting with persistent cough. COMPARISON: Chest radiograph from ___ and chest CT from ___. PA AND LATERAL CHEST"}, {"study_id": "57044715", "subject_id": "19133405", "findings": "A tracheostomy tube and left-sided Port-A-Cath are unchanged in position. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with trach c/o greenish sputum // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "57351263", "subject_id": "12061464", "findings": "PA and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Shortness of breath. Productive cough. COMPARISON: ___."}, {"study_id": "59574645", "subject_id": "13455616", "findings": "Increased opacity in the right lower lobe compared to the left. No pleural effusion. No pulmonary edema. Stable cardiomegaly. Stable mediastinal contours. Hila and pleura are unremarkable. Sternotomy wires and cardiac valve devices are intact and unchanged. Left PICC line terminates in the right atrium, approximately 2 cm distal to the cavoatrial junction. No pneumothorax.", "impression": "Right lower lung pneumonia. Left PICC line terminates in the right atrium. Recommend pulling back 2 cm to position it at the cavoatrial junction.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with s/p mech AVR/MVr/TVr readmit for SOB. COMPARISON: Chest radiograph dated ___."}, {"study_id": "57289014", "subject_id": "17337033", "findings": "Heart size is normal. Mediastinal widening is unchanged compatible with mediastinal lipomatosis with a tortuous aorta again noted. The hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacity within the lingula is compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with confusion TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, CT chest ___"}, {"study_id": "52388520", "subject_id": "13141357", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Subtle anterior wedging of a lower thoracic vertebral body is grossly stable as compared to ___.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cirrhosis with confusion // eval pna TECHNIQUE: Chest Frontal and Lateral COMPARISON: Outside hospital (___) chest radiographs from earlier today, ___ at 16:17"}, {"study_id": "50704518", "subject_id": "10800175", "findings": "Compared to the most recent prior dura has been no significant interval change. Again seen is a spiculated left lower lobe mass. Prominent background interstitial markings as well as complete collapse of the right lower lobe and right apical consolidation are all unchanged. There is likely a small right pleural effusion. No pneumothorax is seen.", "impression": "No significant interval change since prior study. No pneumothorax.", "background": "INDICATION: ___-year-old female with sudden dyspnea. Evaluate for pneumothorax. TECHNIQUE: Portable frontal chest radiograph was obtained. COMPARISON: Same day chest radiograph performed at 16:28."}, {"study_id": "50921709", "subject_id": "14888762", "findings": "Since the prior exam, there is a new chest tube entering the left chest wall with associated subcutaneous air. The tip is at the left base. New surgical chain sutures are noted in the right mid and lower lung zones. There is a tiny right apical pneumothorax. Widespread interstitial abnormalities are unchanged. There is new mild asymmetric left-sided pulmonary edema, likely a consequence of the surgical technique and positioning. There is no pleural effusion. The cardiomediastinal silhouette is normal.", "impression": "Satisfactory position of the right chest tube. Tiny right apical pneumothorax. New mild left-sided pulmonary edema. Stable diffuse interstitial abnormalities. Results were discussed with Dr. ___ ___ resident) at 4 PM on ___ via telephone by Dr. ___ at the time the findings were discovered.", "background": "INDICATION: Status post VATS wedge biopsy. Evaluate chest tube placement. COMPARISONS: Chest radiograph from ___. CT of the chest from ___. TECHNIQUE: A single AP upright view of the chest was obtained."}, {"study_id": "58430060", "subject_id": "16863940", "findings": "The heart size is large but stable. The mediastinal and hilar contours are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.", "impression": "No radiographic evidence of pneumonia.", "background": "HISTORY: ___-year-old male with chills and right lower lung rales. STUDY: PA and lateral chest radiograph. COMPARISON: ___."}, {"study_id": "56286729", "subject_id": "13364910", "findings": "Upright AP and lateral views of the chest demonstrate more confluent appearance of previously identified right upper, right lower, and left lower lobe opacities, compatible with multifocal pneumonia. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. No large pleural effusion is identified.", "impression": "More conspicuous consolidations compatible with multifocal pneumonia since the recent prior study from 10:26 a.m. this morning. IV hydration may contribute to radiographic changes.", "background": "HISTORY: ___-year-old female with pneumonia and hypoxia. COMPARISON: Comparison is made to radiograph of the chest obtained earlier this morning."}, {"study_id": "59577176", "subject_id": "13224377", "findings": "Portable frontal chest radiographs demonstrate an endotracheal tube terminating 3.4 cm above the level of the carina in appropriate position. A left subclavian line terminates in the low SVC. An enteric tube descends in an uncomplicated course, its terminal end outside the field of view. Mild cardiomegaly is unchanged. Improved pulmonary edema is demonstrated by narrower vascular pedicle and dramatically improved transient pulmonary artery dilatation seen previously. Bibasilar consolidations are apparent, left worse than right, likely atelectasis but infection cannot be excluded.", "impression": "Improved pulmonary edema. Bibasilar consolidations, left worse than right, likely atelectasis although infection cannot be excluded.", "background": "HISTORY: ___-year-old female with increased secretions. Intubated. COMPARISON: Chest radiograph dated through ___."}, {"study_id": "58296861", "subject_id": "16952127", "findings": "Mild to moderate cardiomegaly is unchanged. The aorta remains tortuous and diffusely calcified. Mild pulmonary edema appears slightly worse in the interval with perihilar haziness and vascular indistinctness. Patchy bibasilar opacities may reflect areas of atelectasis. There are likely trace bilateral pleural effusions. Elevation of the left hemidiaphragm is unchanged. No pneumothorax is present. Multilevel degenerative changes are noted in the thoracic spine.", "impression": "Mild pulmonary edema, slightly worse in the interval with probable trace bilateral pleural effusions and bibasilar atelectasis.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with bradycardia, shortness of breath, weakness TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "56311908", "subject_id": "11832591", "findings": "There is right middle lobe opacity. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "Right middle lobe pneumonia.", "background": "WET READ: ___ ___ ___ 9:06 PM Right middle lobe pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with fever/chills and cough // Any pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___."}, {"study_id": "54605008", "subject_id": "13953606", "findings": "A frontal semi upright view of the chest was obtained portably. The nasogastric tube ends in the stomach. Low lung volumes results in bronchovascular crowding. Again seen is a large right upper lobe mass, larger than on ___, with mediastinal involvement, better evaluated on the prior chest CT and PET-CT. There is no pneumothorax or pleural effusion. Heart size is upper limits of normal, unchanged.", "impression": "Nasogastric tube ends in the stomach.", "background": "HISTORY: Recently placed nasogastric tube. Evaluate position. COMPARISON: Chest radiograph ___, CT chest ___."}, {"study_id": "58645858", "subject_id": "13774741", "findings": "The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. There is tortuosity of the thoracic aorta. Left chest wall dual lead pacing device seen with right atrial right ventricular leads. Hypertrophic changes noted in the spine. Surgical clips in the right upper quadrant suggest prior cholecystectomy.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with ICD firing // Eval for intrathoracic process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "56150490", "subject_id": "15348168", "findings": "Biapical pleural scarring is noted. There is a subtle retrocardiac airspace opacity, best appreciated on the lateral radiograph. Trace left pleural effusion with adjacent atelectasis is noted. The lungs are otherwise grossly clear without evidence of pneumothorax or overt pulmonary edema. The heart is normal in size. Calcifications are seen within the aortic knob.", "impression": "Subtle, retrocardiac airspace opacity which may represent pneumonia in the appropriate clinical setting. Trace left pleural effusion with adjacent atelectasis.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___M with fever // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "53731025", "subject_id": "10129359", "findings": "Ill-defined airspace opacity in the right lower lung on the frontal view may represent atelectasis in the setting of low lung volumes or developing consolidation. There is no lobar consolidation. There are small bilateral pleural effusions and bibasilar atelectasis. There is no pneumothorax, noting at the lung apices are obscured by patient's chin. There is no pulmonary edema. The cardiomediastinal silhouette is normal. The descending aorta is tortuous. There is diffuse demineralization. Partially evaluated posterior spinal fusion hardware appears intact.", "impression": "Ill-defined right lower lung airspace opacity may represent atelectasis in the setting of low lung volumes or developing consolidation. Small bilateral pleural effusions without pulmonary edema.", "background": "WET READ: ___ ___ 10:51 PM 1. Ill-defined right lower lung airspace opacity may represent atelectasis in the setting of low lung volumes or developing consolidation. 2. Small bilateral pleural effusions without pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with chest pain, evaluate for acute cardiopulm process TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57834172", "subject_id": "16203012", "findings": "The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, or pulmonary edema. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.", "impression": "No acute cardiopulmonary pathology.", "background": "INDICATION: ___-year-old male with nausea and weakness. COMPARISON: None. PA AND LATERAL CHEST"}, {"study_id": "56711950", "subject_id": "18200435", "findings": "There is streaky atelectasis at the left lung base. No focal consolidation is seen. There is mild central vascular congestion but no overt edema. The cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax. Eventration of the right hemidiaphragm anteriorly is again noted. Degenerative changes are seen in the thoracic spine.", "impression": "Mild vascular congestion and streaky atelectasis. No consolidation.", "background": "INDICATION: ___F with syncope and palpitations, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___"}, {"study_id": "54158939", "subject_id": "10930322", "findings": "Mild cardiomegaly is present. The mediastinal and hilar contours are stable. Small bilateral pleural effusions are improved compared to the most recent prior study. There is no overwhelming evidence for pulmonary edema. There is no focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.", "impression": "Improvement in bilateral pleural effusions, now small, without convincing evidence for pulmonary edema.", "background": "INDICATION: ___ year old man with niCMP (EF ___%) here with hematuria, given IV fluids, now with b/l crackles // pulmonary volume overload? TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs, the most recent prior from ___."}, {"study_id": "53757256", "subject_id": "10476869", "findings": "Frontal and lateral views of the chest were obtained. The patient is status post left upper lobectomy with an unchanged postoperative appearance of the left lung with mild left hemidiaphragmatic elevation. Small left pleural fluid is similar to the prior study. There is no focal consolidation or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are unchanged.", "impression": "No pneumonia or edema. No change from ___. The preliminary findings were conveyed to ___ by phone at 1:30pm on ___.", "background": "HISTORY: Lymphoma, cough and shortness of breath. COMPARISON: Chest radiograph ___, CT ___, PET-CT ___."}, {"study_id": "50682327", "subject_id": "13852497", "findings": "Subtle left base retrocardiac opacity is seen which while could be due to atelectasis, underlying pneumonia is not excluded in the appropriate clinical setting. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.", "impression": "Subtle left base retrocardiac opacity, while could be due to atelectasis, infection or aspiration not excluded in the appropriate clinical setting.", "background": "HISTORY: Vertigo, question pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "59239538", "subject_id": "16569715", "findings": "The lungs are well expanded and clear. Mild cardiac enlargement. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.", "impression": "No evidence of acute cardiopulmonary process. Mild cardiac enlargement.", "background": "EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with left-sided pleuritic chest pain. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Multiple prior chest radiographs, most recent on ___."}, {"study_id": "58280874", "subject_id": "15945590", "findings": "There is new white-out of the left hemithorax, with only minimal remaining aeration of the left upper lobe. In the absence of mediastinal shift, this is likely a combination of increasing pleural effusion and collapse. The moderate layering right pleural effusion is stable. The endotracheal tube ends 5.3 cm necrotic, the enteric tube extends outside of the field of view in a decompressed stomach. The right-sided PICC line ends in the mid SVC.", "impression": "New white-out of the left hemithorax, likely a combination of pleural effusion and collapse. Stable moderate right pleural effusion. All tubes and lines in satisfactory position.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with resp distress // intubation TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___."}, {"study_id": "59317536", "subject_id": "12279260", "findings": "Heart size is normal. Calcified left hilar lymph node and calcified nodule in the left mid lung field are unchanged, compatible with prior granulomatous disease. Aortic knob calcifications are present. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Right basilar and left lateral pleural calcifications are present suggestive of prior asbestos exposure. No focal consolidation, pleural effusion or pneumothorax is seen. Patchy opacities in the lung bases likely reflect atelectasis. There are mild degenerative changes in the thoracic spine.", "impression": "Mild atelectasis at the lung bases. No focal consolidation to suggest pneumonia.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with weakness, fever // Eval for PNA TECHNIQUE: Chest AP and lateral COMPARISON: ___"}, {"study_id": "53257838", "subject_id": "14350516", "findings": "Frontal and lateral chest radiographs demonstrate bilateral interstitial abnormalities which have been slowly progressive on chest radiographs since ___ and CT chest in ___. The azygos vein and pulmonary vessels are more prominent and mild cardiomegaly is slightly increased, suggestive of superimposed heart failure. There is no focal opacity suggestive of pneumonia. No effusion or pneumothorax is seen.", "impression": "Interstitial abnormality which has been slowly progressive on chest radiographs since ___ and CT chest in ___. Likely superimposed heart failure. The findings were entered into the critical communications dashboard by Dr. ___ at ___ on ___.", "background": "HISTORY: History of breast cancer status post right partial mastectomy, now with fever, chronic cough, and right greater than left crackles. COMPARISON: Chest radiographs dating back to ___ and CT chest from ___."}, {"study_id": "57209448", "subject_id": "17505019", "findings": "The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.", "impression": "No acute intrathoracic process.", "background": "WET READ: ___ ___ ___ 11:45 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fall and chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "52079626", "subject_id": "15421775", "findings": "PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone at 1:24 p.m.", "background": "INDICATION: ___-year-old man with chest pain. Treated for squamous cell carcinoma of the tonsil. Question pulmonary disease. COMPARISON: Chest radiograph from ___."}, {"study_id": "56979516", "subject_id": "10960817", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no definite focal consolidation. Streaky opacities in the lingula are most suggestive of minor atelectasis. There are small bilateral pleural effusions, new since the prior study. There is no pneumothorax. Bony structures are unremarkable.", "impression": "Small pleural effusions. No focal consolidation. Streaky opacities in the left upper lobe, most suggestive of minor atelectasis.", "background": "CHEST RADIOGRAPHS HISTORY: Confusion. History of hepatitis C cirrhosis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "54635476", "subject_id": "19133405", "findings": "Tracheostomy tube is in unchanged position. Left pectoral infusion port terminates at the cavoatrial junction. No evidence of cardiomegaly, vascular congestion, pleural effusion, or acute focal pneumonia.", "impression": "No radiographic evidence of pneumonia.", "background": "INDICATION: History: ___F with fever, dyspnea, h/o tracheitis // ? acute cardiopulm process TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "51793314", "subject_id": "11941410", "findings": "As compared to chest radiograph from the same day, right-sided pleural drain has a similar medial course.Moderate pleural effusions with bibasilar opacities has not substantially changed. Moderate cardiomegaly. No pneumothorax.", "impression": "Stable appearance of moderate pleural effusions, and lower lobe opacities, better assessed on recent CT thorax.", "background": "WET READ: ___ ___ ___ 10:44 AM No notable interval change compared to 7 hr ago. No pulmonary edema. WET READ VERSION #1 ___ ___ ___ 1:01 AM No notable interval change compared to 7 hr ago. No pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with hypoxia. // Pulmonary edema? TECHNIQUE: Portable"}, {"study_id": "53779972", "subject_id": "12287689", "findings": "A left-sided cardiac pacemaker projects leads into the right atrium and ventricle. The heart size is normal. There is mild calcification of the aorta. There is no pneumothorax, focal consolidation, or pleural effusion.", "impression": "No acute intrathoracic process. The initial findings were discussed by Dr. ___ with Dr. ___ ___ telephone at 4:20PM on ___.", "background": "INDICATION: Persistent cough. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST"}, {"study_id": "51697707", "subject_id": "19076862", "findings": "There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The aorta is partially calcified.", "impression": "No evidence of acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with sob, smoking history // r/o chf, mass TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___."}, {"study_id": "57389261", "subject_id": "11717234", "findings": "Perihilar distribution of opacities consistent with pulmonary edema. Opacities somewhat obscure mediastinal and hilar contours, though there are no gross contour abnormalities evident. Bilateral large pleural effusions with dense opacification in the lung bases likely reflecting adjacent compressive atelectasis, though cannot exclude pneumonia in the appropriate clinical setting. Minimally displaced rib fractures evident in the right posterior sixth and seventh ribs as well as possible non-displaced fractures in the eighth and ninth ribs. Rib fractures were better evaluated on concurrent CT. The patient is status post CABG with sternotomy sutures midline and intact. There is dense mitral annular calcification identified as well as aortic valve replacement. Pacemaker leads tips are positioned in the right atrium and right ventricle.", "impression": "Moderate to severe pulmonary edema and bilateral pleural effusions. Multiple right posterior fractures as described above.", "background": "INDICATION: Fall with right rib pain and hypoxia; evaluate for pneumothorax, fracture. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___, as well as a chest CT performed ___."}, {"study_id": "52918324", "subject_id": "14004436", "findings": "Lung volumes are low. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with acute chest pain, shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "53269256", "subject_id": "15013876", "findings": "The lungs are clear except for nonspecific, relatively symmetrical biapical pleural and parenchymal scarring. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.", "impression": "No evidence of acute cardiopulmonary process.", "background": "INDICATION: ___M with ams // eval for pna TECHNIQUE: Chest AP and lateral COMPARISON: None available."}, {"study_id": "59819303", "subject_id": "18676703", "findings": "AP upright and lateral views of the chest provided.There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with mild cardiomegaly again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "Mild cardiomegaly unchanged. No signs of pneumonia or edema.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with hypoglycemia, recent pna // ? infectious process COMPARISON: Prior exam dated ___."}, {"study_id": "55245732", "subject_id": "16341994", "findings": "The patient is status post median sternotomy and CABG. Heart size remains moderately enlarged. Fiducial marker with adjacent opacity within the right middle lobe appears relatively unchanged. Previous pattern of mild pulmonary edema has improved. No new focal consolidation, pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.", "impression": "Interval improvement of previously noted mild pulmonary edema. Right middle lobe opacity with fiducial marker, relatively unchanged compared to the previous exam and compatible with known malignancy.", "background": "HISTORY: Left anterior chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: PET-CT ___ chest radiograph ___."}, {"study_id": "51539300", "subject_id": "16233087", "findings": "Lung volumes are low leading to crowding of the bronchovascular structures. Streaky left retrocardiac airspace opacities are noted. There is blunting of the left costophrenic angle, which likely represents a combination of atelectasis and trace pleural effusion. Allowing for AP projection, the heart may be mildly enlarged.", "impression": "Mild cardiomegaly, probable trace left pleural effusion, and left retrocardiac airspace opacities which may reflect atelectasis although superimposed infection is not excluded. Additional considerations include asymmetric pulmonary edema.", "background": "EXAMINATION: Chest radiographs. INDICATION: History: ___M with PMH sCHF, atrial fibrillation, presented with dyspnea. // please eval for vascular congestion, edema, or other abnormality TECHNIQUE: Single AP portable view of the chest. COMPARISON: Chest radiographs dated ___, CT chest dated ___."}, {"study_id": "52156388", "subject_id": "14801029", "findings": "There is no focal consolidation, pleural effusion, or pneumothorax. There is prominence of the pericardial fat pads, but the cardiac silhouette is otherwise unremarkable. The osseous structures are intact.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Left neck pain and left upper extremity numbness for six hours, evaluate for intrathoracic mass. COMPARISONS: None. TECHNIQUE: PA and lateral chest radiographs provided."}, {"study_id": "56183397", "subject_id": "13558097", "findings": "Patient is status post mean sternotomy and CABG. Left-sided Port-A-Cath tip terminates in the proximal right atrium. Heart size is normal. The mediastinal and hilar contours are unchanged with mild calcified atherosclerotic disease noted throughout the aorta. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is visualized.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with metastatic pancreatic cancer presents with fever TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and ___ CT chest"}, {"study_id": "54228824", "subject_id": "10573256", "findings": "The lungs are well expanded and clear. The pleural surfaces are normal without pleural effusion or pneumothorax. The heart size, mediastinal contour, and hila are normal. Visualized bones are unremarkable.", "impression": "No acute cardiopulmonary process. Specifically, no pneumonia.", "background": "HISTORY: ___-year-old female with fever and cough. Assess for pneumonia. COMPARISON: Chest radiograph, ___. TECHNIQUE: Frontal and lateral chest radiographs."}, {"study_id": "53933316", "subject_id": "19078379", "findings": "AP upright and lateral views of the chest were provided demonstrating no focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No acute findings in the chest.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ Comparison was made with a prior study from ___. CLINICAL HISTORY: Productive cough and fever, dyspnea, question pneumonia."}, {"study_id": "50627292", "subject_id": "11317055", "findings": "PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "No acute findings in the chest.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Fever and chest pain."}, {"study_id": "54196253", "subject_id": "11489099", "findings": "The nasogastric tip projects over the gastric fundus. The sidehole is not definitely seen, although likely beyond the gastroesophageal junction. Cardiomediastinal silhouette is unchanged. Lungs are well-expanded and clear. There are no focal consolidations. There are no pleural effusions or pneumothorax.", "impression": "Nasogastric tube tip terminates at the level of the gastric fundus.", "background": "INDICATION: ___-year-old male patient with NG tube. Study requested for assessment of placement. COMPARISON: Prior outside chest radiograph from ___. TECHNIQUE: Portable chest radiograph."}, {"study_id": "59328629", "subject_id": "16565296", "findings": "Single frontal view of the chest was obtained. The lungs are hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. There is linear right basilar atelectasis/scarring. Relative lucency of the upper lungs also suggests presence of pulmonary emphysema. Skinfold is noted overlying the left upper hemithorax. No pneumothorax is seen. There is no pleural effusion. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. There is no pulmonary edema.", "impression": "COPD with likely pulmonary emphysema. No definite focal consolidation. Please note that bronchoscopy or CT is more sensitive for pulmonary/endobronchial lesions.", "background": "EXAM: Single frontal view of the chest. CLINICAL INFORMATION: ___-year-old with hemoptysis. COMPARISON: None."}, {"study_id": "55538891", "subject_id": "13470788", "findings": "The lungs are clear of airspace or interstitial opacity. The cardiac silhouette is top-normal. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.", "impression": "No acute radiographic intrathoracic pulmonary disease.", "background": "INDICATION: ___ year old woman with new DOE on an MTOR inhibitor // Evidence of pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "59148482", "subject_id": "19454512", "findings": "Persistent elevation of the right hemidiaphragm is again noted. Subtle left midlung opacity is unchanged dating back to ___ and may be due to scarring. There is no effusion or new consolidation. Cardiomediastinal silhouette is stable. Atherosclerotic calcifications are seen at the arch. Surgical clips noted in the right upper quadrant as well as an IVC filter seen on the lateral view.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with hx of b/l PE, DVT s/p IVC filter, with chest pain // please evaluate for and pulmonary edema or acute findings in patient with chest pain TECHNIQUE: AP and lateral views the chest. COMPARISON: ___. ___. Chest CT from ___."}, {"study_id": "53794111", "subject_id": "10250707", "findings": "Cardiomegaly. Dual lead pacemaker in situ with the lead tips seen in the right atrium and right ventricle. No left-sided pneumothorax. No airspace consolidation. Spondylotic changes of the thoracic spine.", "impression": "Appropriate position of the dual lead pacemaker. No pneumothorax.", "background": "INDICATION: ___ year old woman with high degree AV block, got dual chamber pacemaker on ___ // eval for lead position TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "52006794", "subject_id": "10496294", "findings": "Lungs are hyperinflated without focal consolidation. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No acute osseous abnormalities seen.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with hypoxia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "58762071", "subject_id": "11756467", "findings": "A right IJ central venous catheter ends at the mid SVC. There is no evidence of pneumothorax. There is a subtle left basilar opacity which may represent atelectasis. There is no pleural effusion. Cardiomediastinal silhouette is normal. There are degenerative changes of the bilateral glenohumeral joints.", "impression": "No evidence of pneumothorax after right IJ central venous catheter insertion. Left basilar opacity may represent atelectasis, pneumonia not excluded in the appropriate clinical setting.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___F with s/p central line placement, evaluate for pneumothorax. TECHNIQUE: Portable view of the chest. COMPARISON: Comparison is made to chest radiograph ___."}, {"study_id": "53481230", "subject_id": "18431965", "findings": "A portable supine frontal chest radiograph demonstrates interval placement of an endotracheal tube, which terminates at the carina. A nasogastric tube courses below the diaphragm and off the inferior edge of the image. The remainder of the exam is similar, with patchy opacity at the right base is concerning for pneumonia.", "impression": "Interval intubation, with the endotracheal tube terminating at the carinal. The tube can be pulled back approximately 3 cm to terminate in the mid thoracic trachea.", "background": "INDICATION: Status post intubation. COMPARISON: Chest radiographs from approximately 3 hours prior, as well as ___, ___, and ___."}, {"study_id": "54968406", "subject_id": "16892632", "findings": "Single portable view of the chest. Right PICC is no longer visualized. Left chest wall dual lead pacing device is again seen. Left-sided pleural effusion is essentially unchanged. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. Degenerative changes again seen at the right shoulder as well as old healed right rib fractures.", "impression": "Persistent left-sided pleural effusion without superimposed acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with syncope. COMPARISON: ___."}, {"study_id": "58855485", "subject_id": "13288188", "findings": "Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Chest pain, shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "53080622", "subject_id": "13919890", "findings": "An aortic stent graft is unchanged in position. The heart is moderately enlarged. There is no focal consolidation. There is mild dependent pulmonary edema vascular congestion and a likely small right pleural effusion. .", "impression": "Retrocardiac opacity, similar in appearance to prior chest radiograph, most consistent with atelectasis or scarring. Mild heart failure.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___-year-old man, preop for CABG, evaluate for pneumonia. TECHNIQUE: Portable view of the chest. COMPARISON: Comparison is made to chest radiograph ___."}, {"study_id": "54590099", "subject_id": "18180846", "findings": "PA and lateral views of the chest were obtained. There is no free air below the right hemidiaphragm. Clips in the right upper quadrant noted. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact.", "impression": "No acute intrathoracic process. Please refer to subsequent CT abdomen and pelvis for further details.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___. CLINICAL HISTORY: SBO, vomiting, assess for acute pathology, free air."}, {"study_id": "57830636", "subject_id": "16425412", "findings": "Bilateral lower lobe peribronchial linear opacities have not significantly changed stent ___. In comparison to abdominal CT from ___, there is a most in keeping with lower lobe bronchiectasis. No acute focal consolidation, or interstitial edema. The cardiomediastinal contours are stable. No pneumothorax.", "impression": "No acute pneumonia. Bilateral lower lobe mild traction bronchiectasis documented on prior abdominal CT from ___.", "background": "INDICATION: ___ year old woman with ESRD s/p transplant on prednisone, ___ presenting with 2 days of nasal congestion and DOE // Please evaluate for evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "59169969", "subject_id": "19529446", "findings": "PA and lateral views were reviewed. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded. Vague density in the lateral left mid lung field without a clear correlate on the lateral view may be due to overlapping structures, but evolving consolidation is not excluded.", "impression": "Vague left mid lung zone opacity only appreciated on the frontal view which may be due to overlapping structures, but evolving consolidation is not excluded.", "background": "INDICATION: Right upper quadrant pain. COMPARISON: None."}, {"study_id": "56542709", "subject_id": "13515390", "findings": "Frontal and lateral views of the chest demonstrate interval improvement of pulmonary edema. Small pleural effusions remain. Hilar and mediastinal silhouettes are unchanged. The heart is mildly enlarged. Remote right-sided rib fracture is demonstrated. A subcentimeter calcified granuloma in the left lung base is present. No pneumothorax. Partially imaged upper abdomen is unremarkable.", "impression": "In comparison to ___ exam, there is significant interval improvement of pulmonary edema.", "background": "INDICATION: Patient with reported history of pulmonary edema, assess for interval change. COMPARISONS: ___."}, {"study_id": "58915054", "subject_id": "10591828", "findings": "The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Free air is noted under the right hemi-diaphragm, likely from recent surgery.", "impression": "No acute cardiopulmonary process. Free air is noted under the right hemi-diaphragm, likely from recent surgery.", "background": "HISTORY: Recent abdominal surgery with shortness of breath. COMPARISON: None available."}, {"study_id": "54565600", "subject_id": "17804385", "findings": "Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. Central venous catheter tip is approximately at the cavoatrial junction. Dextroscoliosis of the thoracic spine is mild.", "impression": "No pneumonia or other acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with Mantle cell lymphoma, s/p auto stem cell transplant ___. Recent neutropenia which improved but still with low CD4 count // r/o pneumonia COMPARISON: Chest radiographs from___ and ___"}, {"study_id": "57604575", "subject_id": "11697323", "findings": "A nasogastric tube enters the stomach, tip not visualized. The endotracheal tube terminates at the level of the clavicles. The right IJ central venous catheter terminates at the superior cavoatrial junction. The previous large right pleural effusion is substantially smaller, and is now trace at best. There is no pneumothorax. Aeration of the right lung has substantially improved, but there are new extensive right lung airspace opacities. Left perihilar airspace opacities have increased. The heart and mediastinum are magnified by the projection.", "impression": "Substantial interval decrease in right pleural effusion, which is now trace at best. Re-expansion of the right lung with extensive airspace opacities, which are most likely due to re-expansion pulmonary edema.", "background": "FINAL ADDENDUM ADDENDUM A short interval followup is suggested to determine whether this represents re-expansion pulmonary edema (which should rapidly improve) or possible superimposed pneumonia. The findings were discussed by Dr. ___ with Dr. ___ on the telephone on ___ at 4:43 PM, 1 minutes after discovery of the findings. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with intubated // fluid, opacity TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "56955396", "subject_id": "15491552", "findings": "PA and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATIONS: Fever, chills. COMPARISONS: None."}, {"study_id": "53226980", "subject_id": "14565211", "findings": "Heart size is mildly enlarged. Tortuosity of the thoracic aorta and aortic knob calcifications are again demonstrated. The pulmonary vasculature is mildly engorged, new compared to the previous study. Lungs are hyperinflated with emphysematous changes again noted within the upper lobes. Patchy opacities are noted in the lung bases, likely atelectasis. No focal consolidation or pleural effusion is present. There are mild to moderate multilevel degenerative changes noted in the thoracic spine along with and S-shaped thoracolumbar scoliosis.", "impression": "Mild pulmonary vascular congestion, new in the interval. Emphysema.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph and ___ chest CTA"}, {"study_id": "53015201", "subject_id": "17190208", "findings": "In comparison to the chest radiograph obtained 14 hours prior, there is attempted placement of a Dobhoff tube. Subsequent images show advancement of a Dobhoff tube into the right mainstem bronchus. Additional subsequent images available at the time of this review demonstrate removal of the Dobhoff with coiling in the hypopharynx, then successful insertion into the esophagus and subdiaphragmatically into the mid stomach. Aside from Dobhoff tube placement, no substantial changes are appreciated.", "impression": "Advancement of a Dobhoff tube into the right mainstem bronchus. Subsequent radiographs available at the time of this review demonstrate eventual successful advancement of a Dobhoff tube into the mid stomach.", "background": "EXAMINATION: Portable chest radiographs INDICATION: ___ year old man with new NGT. // Pleas eval for tube placement. TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ at 00:41"}, {"study_id": "53256107", "subject_id": "15791078", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, fever to 103 and wheezing // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs most recent on ___."}, {"study_id": "52707104", "subject_id": "18806584", "findings": "Lung volumes are extremely low. Postoperative mediastinum is widened the cardiac silhouette is enlarged, increased from ___. Extensive bilateral airspace opacities are consistent with severe pulmonary edema. Large right and moderate left pleural effusions. Left chest ICD device noted.", "impression": "Severe pulmonary edema, likely cardiogenic. Large right and moderate left pleural effusions.", "background": "WET READ: ___ ___ 8:10 AM 1. Severe pulmonary edema, likely cardiogenic. 2. Large right and moderate left pleural effusions. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with stroke // eval for pna TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph from ___"}, {"study_id": "51183349", "subject_id": "10987724", "findings": "Cardiac silhouette size is normal. The aorta remains mildly tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Two masses in the right lung, one within the right middle lobe, and a second within the right lower lobe appear grossly unchanged compared to the previous examinations. Severe emphysema seen in the left upper lobe unchanged. Subsegmental atelectasis is noted in the left lung base. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "Re- demonstration of two right lung masses, grossly unchanged from the previous CT. Left upper lobe severe emphysema. No new focal consolidation to indicate pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with weakness, history of cancer // eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and CT chest ___"}, {"study_id": "51082869", "subject_id": "19164077", "findings": "There is a large left tension pneumothorax with shift of the mediastinum to the right and flattening of the hemidiaphragm. The right lung is clear. No pleural effusion or pneumonia.", "impression": "Large left tension pneumothorax. The findings were discussed by Dr. ___ with Dr. ___ on the telephone on ___ at 10:09 PM, ___ upon discovery of the findings.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with L pneumo // ___M with spont. L pneumo. no outside imaging TECHNIQUE: Chest PA and Lateral COMPARISON: None"}, {"study_id": "54006945", "subject_id": "17176962", "findings": "The heart size is normal. The hilar and mediastinal contours demonstrate vascular congestion, There is mild pulmonary edema. There is a moderate right pneumothorax that is new compared to the prior exam. There is a small left pleural effusion, new compared to the prior exam. Note is made of intra-abdominal catheters.", "impression": "New moderate right pneumothorax. ___ were d/w Dr. ___ by Dr. ___ by telephone at 3:___p on the day of the exam.", "background": "INDICATION: History of right nephrectomy. Please evaluate for pneumothorax. COMPARISON: Chest radiograph from ___ and ___. TECHNIQUE: Single AP supine portable exam of the chest."}, {"study_id": "54646376", "subject_id": "13899540", "findings": "Endotracheal tube tip terminates 4 cm from the carina. Enteric tube terminates in the stomach. Right chest wall port catheter terminates in the right atrium. Left chest wall pacemaker leads terminating in the right atrium and right ventricle, appropriately. Right subclavian central venous catheter terminates in the lower SVC. Multifocal bilateral airspace opacities are in keeping with multifocal pneumonia, however have acutely worsened since the outside hospital chest radiograph. Cardiac and mediastinal contours are normal.No large pleural effusion or pneumothorax.", "impression": "Appropriate position of support lines and tubes. Rapid worsening of pulmonary opacities since the prior outside hospital chest radiograph is indicative of pulmonary edema or hemorrhage. Preceding pneumonia may be present, particularly in the left lower lobe.", "background": "WET READ: ___ ___ ___ 3:17 AM 1. Appropriate position of support lines and tubes. 2. Multifocal parenchymal opacities compatible with multifocal pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M intubated, PNA. Evaluate endotracheal tube and central line positioning. TECHNIQUE: Portable semi upright chest radiograph COMPARISON: Outside hospital chest radiograph from ___."}, {"study_id": "58827884", "subject_id": "12298456", "findings": "Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. The pulmonary vasculature is not engorged. Lungs are hyperinflated, as seen previously, with minimal left basilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There mild degenerative changes noted in the lower thoracic spine.", "impression": "Minimal left basilar atelectasis. Otherwise, no acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with tachycardia and chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "55999806", "subject_id": "12602512", "findings": "The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.", "impression": "There is no evidence of intrathoracic malignancy.", "background": "PA AND LATERAL CHEST X-RAY INDICATION: Patient with orchiectomy, testicular cancer, evaluate for abnormalities. COMPARISON: ___ to ___."}, {"study_id": "51165553", "subject_id": "18676703", "findings": "The endotracheal tube and feeding tube have been removed in the interim. Lungs are clear. Cardiac silhouette and mediastinum are normal. There are no pneumothoraces.", "impression": "No signs for acute cardiopulmonary process.", "background": "STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old woman with DKA, gastroparesis, epigastric pain and cough."}, {"study_id": "53619247", "subject_id": "16262919", "findings": "The lungs are well inflated, with no parenchymal opacity identified. The pleural and hilar surfaces are unremarkable. There is no pneumothorax. The aorta is quite tortuous, but the cardiomediastinal silhouette is unchanged compared to the prior study, with a top-normal sized heart.", "impression": "No radiographic evidence of underlying pulmonary drug toxicity. Tortuous aorta.", "background": "EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___ year old woman with atrial fibrillation on amiodarone // eval for pulmonary toxicity from amiodarone TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiographs from ___."}, {"study_id": "55403452", "subject_id": "11045286", "findings": "The patient is status post coronary artery bypass graft surgery and aortic valve replacement. The lungs appear clear. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Widening and irregularity of the left acromioclavicular joint appears unchanged. The acromiohumeral interval is also narrowed on the left. Small osteophytes are present throughout the thoracic spine, and the bones are likely demineralized to some degree.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPH HISTORY: Lower extremity swelling. History of congestive heart failure. COMPARISONS: CT and radiographs from ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "53220328", "subject_id": "17912487", "findings": "All lines, tubes, and support devices are unchanged in positioning. There is no evidence of pneumothorax. There is increasing opacification within the right upper lung, which likely represents pneumonia, although this area is difficult to evaluate due to overlying devices. The size of the bilateral pleural effusions is essentially unchanged. Pulmonary vasculature is normal. Cardiomediastinal silhouette is stable.", "impression": "Appropriate positioning of all lines and tubes. Increasing parenchymal opacification within the right upper lung, likely representing pneumonia, however this area is difficult to evaluate, and warrants attention on follow-up radiographs. Stable bilateral pleural effusions.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with restrictive lung physiology, intubated, rv failure // Evaluation of ET tube and volume status, e/o infection TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___."}, {"study_id": "59591095", "subject_id": "14577815", "findings": "AP portable view of the chest. The left PICC ends in the upper SVC. There is no focal consolidation, pleural effusion or pneumothorax. Mild cardiomegaly is again seen. Mediastinal and hilar contours are normal.", "impression": "Left PICC ends in the upper SVC. Otherwise, unchanged compared to ___ at 3:17 a.m.", "background": "WET READ: ___ ___ ___ 4:59 PM Left PICC ends in the upper SVC. Otherwise, unchanged compared to ___ at 3:17 a.m. ______________________________________________________________________________ FINAL REPORT INDICATION: Gram-negative rod bacteremia, evaluate PICC placement. COMPARISON: ___."}, {"study_id": "51046186", "subject_id": "18870530", "findings": "Frontal and lateral views of the chest were obtained. There may be trace pleural effusions. The cardiac silhouette is moderately enlarged. There is slight increase in interstitial markings bilaterally suggesting mild interstitial edema. No pneumothorax is seen.", "impression": "The cardiac silhouette has substantially increased in size since the prior study. Mildly increased interstitial markings bilaterally suggests mild interstitial edema.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Shortness of breath, ECHO with ejection fraction of 15%. COMPARISON: ___."}, {"study_id": "58300778", "subject_id": "16574411", "findings": "The lungs are hypoinflated with crowding of vasculature and retrocardiac atelectasis. New cephalization of vasculature with septal thickening, mild cardiomegaly and small bilateral pleural effusions is most consistent with moderate pulmonary edema. Heterogeneous right lower lobe opacity noted. The aorta is tortuous. Mediastinal contour and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Metallic anchors at the right humeral head are consistent with prior rotator cuff repair.", "impression": "Interval increase in moderate pulmonary edema with mild cardiomegaly and small bilateral pleural effusions. Heterogeneous right lower lobe opacity is most consistent with asymmetric pulmonary edema however differential includes pneumonia in the appropriate clinical setting.", "background": "WET READ: ___ ___ ___ 4:07 AM 1. Interval increase in moderate pulmonary edema with mild cardiomegaly and small bilateral pleural effusions. 2. Heterogeneous right lower lobe opacity is most consistent with asymmetric pulmonary edema however differential includes pneumonia in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Hypoxia, tachypnea. Assess for pneumonia. INDICATION: ___F with hypoxia, tachypnea. Assess for pneumonia. TECHNIQUE: Single portable frontal chest radiograph. COMPARISON: Chest radiograph ___, ___, ___, ___."}, {"study_id": "54172903", "subject_id": "15637323", "findings": "The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is a mild interstitial abnormality including horizontal reticular lines in the right costophrenic sulcus suggesting mild vascular congestion, but much less striking than on the prior radiographs. There is no pleural effusion or pneumothorax. A vertebroplasty has been performed in a thoracolumbar vertebral body, probably L1.", "impression": "Findings suggesting mild vascular congestion, but much less severe than on prior presentation.", "background": "CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "59601975", "subject_id": "19663491", "findings": "There is widespread opacification of the right lower hemithorax including a suspected large pleural effusion on the right with an expansile appearance. There may be a corresponding consolidation or extensive atelectasis involving the right lower lobe and possibly parts of the right middle and upper lobe. The lenticular shape of right mid lung opacity could potentially be seen with a loculated pleural effusion, but a mass could also be considered. The cardiac, mediastinal and hilar contours appear within normal limits. The left costophrenic sulcus is excluded, but there is no evidence of abnormality in the left hemithorax. Mild mass effect with leftward shift of midline structures is noted. There is no pneumothorax. No bone destruction is appreciated.", "impression": "Widespread opacification of the right mid-to-lower hemithorax with mass effect, suspected to represent a pleural effusion at least in part, including a possible large loculated component; a mass could also be considered, in addition to widespread atelectasis or pneumonic consolidation.", "background": "CHEST RADIOGRAPH HISTORY: Acute shortness of breath. COMPARISONS: None. TECHNIQUE: Chest, semi-upright AP portable."}, {"study_id": "55478492", "subject_id": "18747087", "findings": "Heart size is moderately enlarged, but similar in size compared to the previous radiograph. The aorta is tortuous and demonstrates diffuse atherosclerotic calcifications, unchanged. There is mild pulmonary edema. No pneumothorax is detected. A trace right pleural effusion is likely present. Patchy atelectasis is seen in the lung bases. There are no acute osseous abnormalities.", "impression": "Mild pulmonary edema and trace right pleural effusion. Bibasilar atelectasis.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with cardioversion yesterday. History of atrial fibrillation on CPAP. TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ chest radiograph and CT torso ___"}, {"study_id": "54186542", "subject_id": "10439570", "findings": "The patient is status post median sternotomy as well as extensive cardiac surgery. There does not appear to be any evidence of pneumonia, pulmonary edema, pleural effusion or pneumothorax. Cardiac size is slightly enlarged.", "impression": "No evidence of acute cardiopulmonary process.", "background": "HISTORY: Syncopal episode. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "59734217", "subject_id": "14690931", "findings": "Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms and increased AP diameter, suggesting chronic obstructive pulmonary disease. Right biapical pleural thickening/scarring is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is diffuse osteopenia.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Congestion and cough since yesterday with fever to 101 today. COMPARISON: None."}, {"study_id": "51020281", "subject_id": "19921471", "findings": "Heart size is normal. Mediastinal and hilar contours are similar with mild enlargement of the pulmonary arteries suggestive of pulmonary arterial hypertension. Lungs remain hyperinflated with bullous emphysematous changes most pronounced at the lung bases compatible with panlobular emphysema. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multiple spiral tacks are seen along the left diaphragm contour with chronic elevation of the left hemidiaphragm compatible with previous diaphragmatic hernia repair. Multiple old left-sided rib fractures are also noted.", "impression": "Panlobular emphysema and evidence of pulmonary arterial hypertension. No focal consolidation to suggest pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain, shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "56803078", "subject_id": "19596777", "findings": "The heart is not enlarged. Mild prominence the main pulmonary artery is within normal limits. There is slight upper zone redistribution, but no overt CHF. No focal infiltrate, effusion, or gross pneumothorax is detected. Lateral view suggest possible minimal blunting of both costophrenic angles. No free air seen beneath the diaphragm.", "impression": "No focal infiltrate to suggest pneumonia. No overt CHF. Possible minimal blunting of the costophrenic angles posteriorly.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with pancreatitis, now with hypoxia // please eval for PNA, effusion, edema COMPARISON: None."}, {"study_id": "52202871", "subject_id": "14210233", "findings": "The right lung is well expanded clear. Extensive opacification of the left lung obscures the left heart border and demonstrates air bronchograms with only mild ipsilateral shift of mediastinal structures. No pneumothorax or right pleural effusion.", "impression": "Left lung opacification is concerning for lingular and left lower lobe pneumonia, with some element of collapse. Chest CT would be helpful to evaluate extent of consolidation and exclude central obstruction as a cause.", "background": "WET READ: ___ ___ ___ 11:09 AM Left lung opacification is concerning for lingular and left lower lobe collapse, less likely pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with hypoxia, tachypnea // eval pnas TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "52292453", "subject_id": "10065383", "findings": "Portable supine radiograph of the chest demonstrates interval development of large left pneumothorax with no significant mediastinal shift or signs of tension. An endotracheal tube terminates 6.8 cm above the level of the carina. An esophageal tube courses below the diaphragm and out of view. Widespread right lung parenchymal opacities persist, consistent with ARDS. Cystic and linear lucencies in the right lung are likely due to pulmonary interstitial emphysema (PIE). There is gaseous distension of the stomach.", "impression": "New large left pneumothorax with no evidence of tension. The above findings were communicated to Dr. ___ by Dr. ___ ___ telephone at 8:51 a.m., at the time of review.", "background": "HISTORY: ___-year-old man with ARDS due to pulmonary blastomycosis. COMPARISON: Comparison is made to multiple prior exams including most recent from ___ at 8:00 a.m."}, {"study_id": "56357396", "subject_id": "16235004", "findings": "Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Gastric stimulator leads are identified in the upper abdomen. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with leg weakness, recent treatment for asthma exacerbation // Eval for acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "54062940", "subject_id": "14841168", "findings": "There is moderate cardiomegaly which is unchanged compared to previous studies. The left hilum is enlarged but stable. No pleural effusion or pneumothorax are seen. There is an opacity of left lower lobe that likely reflects developing pneumonia versus atelectasis.", "impression": "Left lower lobe opacification that represents developing pneumonia versus atelectasis.", "background": "EXAMINATION: Portable supine chest x-ray INDICATION: ___ year old woman with worsened PCO2 // please eval intrathoracic process TECHNIQUE: Portable supine chest x-ray COMPARISON: Comparison is made to chest x-rays dating from ___ through ___."}, {"study_id": "58474138", "subject_id": "17529622", "findings": "Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.", "impression": "No acute intrathoracic process.", "background": "WET READ: ___ ___ ___ 12:05 AM No acute intrathoracic process. No nodule- prior wet read entered in error. WET READ VERSION #1 ___ ___ ___ 12:04 AM No acute intrathoracic process. Nodular opacity at right lung base for which repeat frontal with shallow obliques can be performed to assess if this may be superimposed shadows vs a parenchymal nodule. ______________________________________________________________________________ FINAL REPORT HISTORY: Cough and wheezing. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views."}, {"study_id": "56728975", "subject_id": "18863639", "findings": "There is a small right apical pneumothorax, increased from ___. Right pleural drain is in unchanged position. Bilateral lungs are clear. Cardiomediastinal and hilar silhouette are normal size.", "impression": "Small right apical pneumothorax is slightly increased from ___.", "background": "INDICATION: ___ year old man with R pneumothorax, CT to WS // please assess for pneumo EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, the and lateral views COMPARISON: Chest radiograph ___"}, {"study_id": "53989440", "subject_id": "10994152", "findings": "The heart size normal. No pulmonary edema. No airspace consolidation. No pneumothorax. No pleural effusion.", "impression": "No congestive heart failure. No pneumonia.", "background": "INDICATION: ___ year old woman with SOB // eval for CHF TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "58054514", "subject_id": "16254738", "findings": "Supine portable AP view of the chest was provided. Tracheostomy tube projects over the upper thoracic midline. Lung volumes are low. There is improved aeration within the lungs. Minimal residual opacity is noted in the right upper lobe abutting the minor fissure which could represent atelectasis or residual pulmonary edema. The lower lungs are well aerated. No effusion or pneumothorax. The cardiomediastinal silhouette is stable. PEG tube projects over the upper abdomen. Bony structures are intact.", "impression": "Overall improvement in pulmonary edema. Minimal residual opacity persists in the right upper lobe abutting the minor fissure.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Worsening pulmonary edema, preop lumbar fusion."}, {"study_id": "59349150", "subject_id": "17074257", "findings": "The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air is identified below the hemidiaphragms.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Left upper quadrant pain. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained."}, {"study_id": "50867565", "subject_id": "16456098", "findings": "Lung volumes are low. Heart size is top-normal. Mediastinal and hilar contours are unremarkable. Linear opacity in the left lung base likely reflects an area of subsegmental atelectasis. No focal consolidation, pleural effusion, or definite pneumothorax is detected, however the right apex is somewhat obscured by the patient's neck and chin projecting over this area. Left axillary clips are noted. There appear to be mildly displaced fractures of the right lateral fifth through seventh ribs.", "impression": "Mildly displaced right lateral fifth through seventh rib fractures. No definite pneumothorax or pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with unwitnessed fall, right rib pain // hemothorax? fracture? TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___"}, {"study_id": "54907052", "subject_id": "19375822", "findings": "ETT tip ends the 5.5 cm from the carina, which is too high with the patient's chin flexed. Enteric tube traverses the diaphragm with its tip is not seen. The stomach is nondistended. Lung volumes remain low. The lungs are clear. The heart size is normal. No pneumothorax, focal consolidation, or pleural effusion. Mediastinum and hila are within normal limits.", "impression": "No acute intrathoracic process. ETT tip is too high - should be advanced 2.5-3 cm to avoid inadvertant extubation. Note that chest radiograph is sub optimal for evaluation of chest wall trauma / rib fractures.", "background": "EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old woman with seizures // Assess for cardiopulmonary process COMPARISON: Chest radiograph dated ___."}, {"study_id": "51575554", "subject_id": "14572685", "findings": "Right PICC terminates in the mid SVC. There is no significant pneumothorax or pleural effusion. Pulmonary aeration is improved, with residual discoid atelectasis in the lingula, left lower lobe, and right middle lobe. There is no focal consolidation. Heart size is top normal.", "impression": "No acute cardiopulmonary process. Improved pulmonary aeration.", "background": "INDICATION: ___-year-old female with a metastatic renal cell carcinoma and recent pneumonia, now with new leukocytosis and cough. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___ and CT torso from ___. CHEST,"}, {"study_id": "59813159", "subject_id": "15070972", "findings": "The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion, pneumothorax or pulmonary edema.", "impression": "No acute cardiopulmonary pathology.", "background": "INDICATION: ___-year-old male with hypotension and cough. COMPARISON: Chest radiograph ___. SEMI-ERECT PORTABLE CHEST"}, {"study_id": "50051862", "subject_id": "14770157", "findings": "The cardiomediastinal and hilar contours are within normal limits. A density overlying the heart on the lateral view is concerning for a lingular pneumonia. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.", "impression": "A density overlying the heart on the lateral view is concerning for a lingular pneumonia.", "background": "WET READ: ___ ___ ___:___ AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with cough fever x 1 week*** WARNING *** Multiple patients with same last name! // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "55691624", "subject_id": "17729489", "findings": "Frontal and lateral views of the chest were obtained. There is moderate pulmonary edema. Superimposed infectious process is not entirely excluded. Trace blunting of the costophrenic angle suggests trace bilateral pleural effusions. The cardiac and mediastinal silhouettes are grossly stable. There is no pneumothorax.", "impression": "Pulmonary edema and small bilateral pleural effusions.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dyspnea. COMPARISON: ___."}, {"study_id": "58301917", "subject_id": "17471486", "findings": "The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No displaced rib fractures identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with s/p fall onto ribs, c/o L rib pain // r/o fx TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "59874837", "subject_id": "10813665", "findings": "Diffuse bilateral reticular opacities are slightly improved from prior examination. As before, these are slightly more prominent in the right upper lobe. Probable small right pleural effusion is unchanged. Coronary artery bypass grafting changes, with median sternotomy wires and mediastinal clips. There is persistent mild cardiomegaly and calcification at the aortic arch.", "impression": "Slight improvement in diffuse pulmonary opacities, suggesting decrease in edema, with probable superimposed pneumonia.", "background": "INDICATION: ___-year-old male with cough and dyspnea. COMPARISON: ___. CHEST,"}, {"study_id": "57253488", "subject_id": "18676703", "findings": "AP upright and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.", "impression": "No evidence of pneumonia or other acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Hypoglycemia with complaint of cough, question pneumonia."}, {"study_id": "59987987", "subject_id": "12018901", "findings": "Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. Mild pulmonary edema is similar to the prior study. There are bilateral pleural effusions. Supervening infection cannot be excluded. Marked cardiomegaly is unchanged from ___. Mediastinal silhouette is stable with aortic knob calcifications. No pneumothorax.", "impression": "Pulmonary edema with bilateral pleural effusions. Supervening infection cannot be excluded.", "background": "HISTORY: Dyspnea. COMPARISON: ___."}, {"study_id": "53245399", "subject_id": "17105647", "findings": "Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain, cough, post-nasal drip symptoms. COMPARISON: ___."}, {"study_id": "56272392", "subject_id": "13718686", "findings": "No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hila are slightly less prominent as compared to the prior study. The patient has reported history of sarcoidosis.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dizziness and weakness // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56280343", "subject_id": "15345462", "findings": "Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Intermittent chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "50779726", "subject_id": "10585347", "findings": "Heart size is normal. Mediastinal hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are demonstrated.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Lightheadedness, chest discomfort. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "55939566", "subject_id": "17059606", "findings": "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 stable and unremarkable. There is stable prominence of the right hilum, stable at least since ___ in this patient with known diagnosis of sarcoidosis. Calcified lymph nodes were seen in the right hilum on CT from ___.", "impression": "No acute cardiopulmonary process. Stable prominence of the right hilum in this patient with known history of sarcoidosis.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Wheezing, hypoxia. COMPARISON: ___, chest CT from ___ and chest x-ray from ___."}, {"study_id": "50121589", "subject_id": "16585037", "findings": "The median sternotomy wires are well aligned. The lungs are well expanded. Mild pulmonary edema is somewhat improved. A new right pleural effusion is small. The cardiomediastinal silhouette is unchanged with mild cardiomegaly. There is no pneumothorax.", "impression": "Mild pulmonary edema is partially improved. A new right pleural effusion is small. There are no new focal opacities concerning for pneumonia.", "background": "WET READ: ___ ___ 11:53 PM Interval decrease in mild edema. ___ d/w ___ ___ WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: Critical aortic stenosis and CHF presents with worsening shortness of breath. Evaluate for edema, infection, interval change. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Multiple prior radiographs of the chest most recent ___."}, {"study_id": "56540404", "subject_id": "15558780", "findings": "Right PICC tip is in mid SVC. Stable bilateral diffuse reticular opacities and heterogeneous opacities with peribronchial cuffing and focal areas of luceny, suggesting a stable acute interstitial and alveolar process on a scaffolding of severe emphysema. Emphysema is better characterized on CT. No pneumothorax or pleural effusion. Heart size, mediastinal and hilar contour are normal. Unchanged diffuse sclerotic lesions from known metastatic disease.", "impression": "No interval change in multifocal pneumonia and mild pulmonary edema on a scaffolding of known severe emphysema.", "background": "HISTORY: ___-year-old male with shortness of breath. Assess for acute process. COMPARISON: Chest radiograph ___, ___, CT chest ___. TECHNIQUE: Single Portable frontal chest radiograph."}, {"study_id": "56432435", "subject_id": "16396627", "findings": "The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Mediastinal contours normal. There is no focal consolidation.", "impression": "No evidence of pneumonia or pneumothorax.", "background": "INDICATION: ___M with chest pain, evaluate for pneumonia or pneumothorax.. COMPARISON: Comparison is made to chest radiograph from ___. TECHNIQUE Frontal and lateral view of the chest."}, {"study_id": "50764074", "subject_id": "11919347", "findings": "There is stable severe cardiomegaly with a new large right-sided pleural effusion. The left lung is well inflated, without focal opacities but vascular cephalization is apparent - although improved from prior. A pacemaker is noted in the left axilla with leads ending in the right atrium and right ventricle, unchanged.", "impression": "Large right-sided pleural effusion. Mild interstitial edema in the setting of chronic congestive heart failure and severe cardiomegaly.", "background": "INDICATION: ___-year-old male with hypoxia and elevated jugular venous distention. Evaluate for evidence of CHF. COMPARISON: Multiple chest radiographs, latest on ___ and ___. TECHNIQUE: AP and lateral chest radiograph."}, {"study_id": "50172001", "subject_id": "12018901", "findings": "There has been interval placement of an endotracheal tube; the tip is located 4.9 cm above the level of the carina. Overall aeration of the lungs appears similar to prior examination and is compatible with severe pulmonary edema. Dense aortic knob calcifications are again noted.", "impression": "Interval intubation with endotracheal tube in appropriate position. No other significant change.", "background": "INDICATION: ___-year-old female with dyspnea and pulmonary edema, now status post endotracheal tube placement. COMPARISON: Chest radiograph from ___ at 2:12 a.m. PORTABLE AP CHEST"}, {"study_id": "54328722", "subject_id": "16089740", "findings": "Lower lung opacity from moderate posteriorly layering pleural effusion and left lower lung atelectasis reflected by increased retrocardiac density is unchanged. Pulmonary vascular congestion has improved. Heart size, mediastinal and hilar contours are normal.", "impression": "Left sided moderate, posteriorly layering pleural effusion and left lower lung atelectasis is unchanged since yesterday. Pulmonary vascular congestion has significantly improved.", "background": "CHEST RADIOGRAPH INDICATION: To look for the interval changes in the lungs. TECHNIQUE: Semi-erect portable chest view was read in comparison with the most recent study from ___."}, {"study_id": "53227432", "subject_id": "10827966", "findings": "Kyphosis due to renal osteodystrophy simulates increased AP diameter of the chest. In the recurrently collapsed left lower lobe there is only mild subsegmental atelectasis. There is no consolidation of pleural effusion. Heart size is top normal. There is no pulmonary edema.", "impression": "No evidence of acute cardiopulmonary process.", "background": "INDICATION: Cough and fever. COMPARISONS: ___, ___."}, {"study_id": "50807082", "subject_id": "17721420", "findings": "The ETT is unchanged and terminates 2.5 cm above the carina with neck flexion. There is a left subclavian, which has changed in orientation and now is at the level of the brachiocephalic confluence. There is an NG tube seen curling in the left upper quadrant, however the tip is not visualized on this image. The perihilar opacities have resolved. There is left basilar atelectasis. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.", "impression": "Appropriate positioning of ETT, left subclavian, and NG tube. Left basilar atelectasis, but no other focal consolidation.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with large right IPH with IVH and hydrocephalus; increased WBC cell count and worsening ABGs // assess for focal consolidation TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiograph dated ___."}, {"study_id": "51119590", "subject_id": "14785071", "findings": "There is a small to moderate-sized left pleural effusion which has decreased from the most recent prior study. There is no pneumothorax, right pleural effusion or focal airspace consolidation. There has been improvement in mild pulmonary edema and vascular engorgement. The cardiac silhouette is normal in slightly decreased from prior. Evidence of chronic lung disease and emphysema are again noted.", "impression": "Decrease in small to moderate left pleural effusion.", "background": "HISTORY: Cirrhosis, left pleural effusion now status post a recent thoracentesis. Evaluate for the presence of a left effusion. COMPARISON: Chest radiographs ___ and ___. CTA chest ___. TECHNIQUE: Frontal and lateral views of the chest"}, {"study_id": "55762916", "subject_id": "13959042", "findings": "Lungs are hyperinflated, compatible with chronic lung disease. There are small bilateral pleural effusions, unchanged from ___. Heart is moderately enlarged, also unchanged. There is no strong evidence for pulmonary edema. No pneumothorax or focal airspace consolidation. A right paratracheal opacity with leftward deviation of the trachea is known to be secondary to a tortuous brachiocephalic artery and subclavian vein. A left pectoral pacemaker is constant, with leads in standard position.", "impression": "Unchanged, small bilateral pleural effusions.", "background": "WET READ: ___ ___ ___ 3:24 PM Unchanged, small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT INDICATION: Crackles. Evaluate for edema or effusion. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___. Chest CT ___."}, {"study_id": "52782451", "subject_id": "11304959", "findings": "Single portable AP chest radiograph is compared to radiograph obtained on the same day approximately 3 hr prior. The left costophrenic angle is incompletely imaged. The heart is enlarged with perihilar opacity and prominent interstitial markings thought to reflect pulmonary edema. There is no large pleural effusion. There is no pneumothorax. A central line terminates within the mid SVC. Clips are noted adjacent to the midline at the level of the diaphragm. Osseous structures demonstrates no acute abnormality. No focal opacity is identified concerning for pneumonia.", "impression": "Cardiomegaly and hyperinflated lungs with mild pulmonary edema.", "background": "INDICATION: ___-year-old male with shortness of breath and hypotension. COMPARISON: Radiograph dated ___, approximately 3 hr prior."}, {"study_id": "55594119", "subject_id": "10039272", "findings": "Right middle lobe pneumonia continues to improve, when compared to the ___ and ___ CXR's. There are no new areas of consolidation, pleural effusion or pneumothorax. A small area of scarring in the right apex is again noted. Small left pleural effusion is unchanged from prior. There is no pneumothorax. Calcified granuloma is in the right mid and right lower lung are stable. No pneumothorax. The heart is enlarged, which was noted as far back as ___. No acute osseous abnormalities.", "impression": "Right middle lobe pneumonia continues to improve. Could consider repeating CXR in ___ weeks to document complete resolution.", "background": "EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old man for f/up on RML pneumonia // Please re-assess lungs for complete resolution compared with prior CXRs showing only partial resolution of RML pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___"}, {"study_id": "56101611", "subject_id": "13857788", "findings": "The lungs are grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Asymmetric apical pleural opacites more marked on the right. When correlated with selected images from the recent cervical spine CT dated ___, this corresponds to postinflammatory change, bullae and prominent vessels. The cardiomediastinal silhouette is within normal limits. Calcifications are noted at the aortic arch. There is no acute, displaced rib fracture identified. No free, subdiaphragmatic air.", "impression": "No acute cardiopulmonary process. Biapical pleural opacities consistent with postinflammatory scarring and prominent right vasculature.", "background": "EXAMINATION: Chest radiographs. INDICATION: History: ___M with syncope and fall // acute injuries? TECHNIQUE: Chest AP and lateral COMPARISON: None available. Please note that comparison to old studies can be helpful to detect subtle interval change."}, {"study_id": "55603948", "subject_id": "11752723", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with 10 days of cough with shortness of breath and chest pain // Rule out pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "52307473", "subject_id": "15653759", "findings": "Low lung volumes bilaterally. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Bilateral small to moderate effusions, increased from prior. Worsening bibasilar opacities. No pneumothorax.Diffuse haziness in the upper abdomen.", "impression": "Worsening bibasilar opacities may be due to atelectasis, aspiration, or developing pneumonia. Bilateral small to moderate effusions are increased from prior. Diffuse haziness in the upper abdomen may suggest ascites.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hx of pT3N2 stage IIIA gastric adenocarcinoma s/p gastrectomy with Roux-en-Y reconstruction, who presents with increased nausea/vomiting, poor po intake, and increase weight loss and now new cough // New cough.? Pneumonia COMPARISON: Chest radiographs from___"}, {"study_id": "59010963", "subject_id": "14713330", "findings": "Lower lung volumes. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Small to moderate right pleural effusion has increased. Worsening atelectasis at the bases and in the right middle lobe. No pneumothorax. Multiple drains in the abdomen with one additional drain since prior.", "impression": "No new pulmonary consolidation. Small to moderate right pleural effusion has increased. Worsening atelectasis at the bases and in the right middle lobe.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ yo M w/ PMHx of HepC and Alcoholic cirrhosis c/b hepatocellular carcinoma s/p TACE ___ with recent month long admission for management of hepatic abscess now presents from rehab with fevers and gram negative rod bacteremia continuing to spike fevers // new pulmonary consolidation or evidence of infection COMPARISON: Chest radiographs from___ and CT chest from ___"}, {"study_id": "51209362", "subject_id": "18066180", "findings": "The cardiomediastinal silhouette is mildly enlarged. The pulmonary vasculature is unremarkable. A stent is seen in the trachea. There is no pleural effusion or pneumothorax. No focal consolidation is seen.", "impression": "Tracheal stent without pneumothorax.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p bronchoscopy and stent placement // ptx TECHNIQUE: Single portable AP view of the chest was obtained. COMPARISON: CT chest dated ___, PA and lateral views of the chest dated ___ and ___"}, {"study_id": "59543570", "subject_id": "19281042", "findings": "Increased interstitial opacity and upper zone redistribution compatible with pulmonary edema. No large pleural effusion or focal consolidation. Heart size is mildly enlarged, as before. No pneumothorax. Osseous structures are unremarkable.", "impression": "Mild-to-moderate pulmonary edema, not significantly changed from ___. Mild cardiomegaly. No large pleural effusion or focal consolidation.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath. Evaluate for pneumonia or heart failure. TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "57412200", "subject_id": "13978368", "findings": "The heart size appears mildly enlarged. The mediastinal contour appears unchanged, with tortuosity of the thoracic aorta again noted. Volume loss in the right lung with surgical chain sutures are again seen within the right upper lobe. Right-sided pleural thickening, along with right hilar enlargement and hazy opacification in the right lung, particularly the superior segment of the right lower lobe are re- demonstrated, compatible with known malignancy. Overall, the degree of opacification within the right hemithorax, particularly the right perihilar region appears slightly increased compared to the previous exam. Left lung is clear. There is no pneumothorax. Partially imaged is an inferior vena cava filter within the upper abdomen.", "impression": "Slight interval increase in vague right perihilar opacification, possibly reflecting disease progression, infection, or asymmetric pulmonary edema. Right hilar mass, right pleural thickening and hazy opacification within the right lung are otherwise compatible with known malignancy.", "background": "HISTORY: Shortness of breath, prior pulmonary embolism with stage IV non-small cell lung cancer. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest CTA ___ and chest radiograph ___."}, {"study_id": "57564782", "subject_id": "14701798", "findings": "The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Severe right glenohumeral osteoarthritis is partially imaged.", "impression": "No acute intrathoracic process.", "background": "INDICATION: ___-year-old male with chest pain. Evaluate for an acute process. COMPARISON: No relevant comparisons available. ONE VIEW OF THE"}, {"study_id": "58622942", "subject_id": "11928388", "findings": "Endotracheal tube is in appropriate position. A nasoenteric tube is present with its side port at the GE junction. If the desired location of a side port is within the stomach, it can be advanced approximately 5 cm. The mediastinal contour remains widened with a new left juxtahilar opacity, likely representing atelectasis. There is no large pneumothorax. Relative opacity of the left lung likely represents dense layering pleural fluid.", "impression": "Left juxtahilar opacity, likely represents atelectasis, as demonstrated on yesterday's chest CT. Persistent widening of the mediastinum. Mild increased opacity involving the left hemithorax likely represents layering pleural fluid.", "background": "INDICATION: ___ year old woman with STEMI presenting after MVA. // Interval change; pulmonary edema vs consolidation . COMPARISON: Comparison is made to chest radiograph from ___ and chest CT from ___. TECHNIQUE Portable view of the chest."}, {"study_id": "55576421", "subject_id": "18004941", "findings": "The lung volumes are stable. The cardiomediastinal and hilar contours are normal. The pleural surfaces are normal. The ET tube terminates approximately 1.8 cm from the carina. The NG tube appears to be near the esophagogastric junction or barely in the proximal stomach and the side ports are approximately 12 cm from the mid stomach.", "impression": "ET tube is approximately 2 cm from the carina and should be withdrawn approximately 3 cm. NG tube is malpositioned and should be advanced approximately 12 cm.", "background": "INDICATION: ___ year old woman with SAH, intubated // serial exam TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___"}, {"study_id": "54105337", "subject_id": "17914820", "findings": "Interval improvement in heterogeneous lung opacities, which may have represented acute pulmonary edema superimposed upon more chronic lung disease. A focal opacity in the left retrocardiac region has slightly improved, and a small left pleural effusion is unchanged. Asymmetrical biapical thickening is again demonstrated, left greater than right, similar in appearance to ___ radiograph. Calcifications along the right hemidiaphragm pleural surface are also unchanged. Within the imaged portion of the upper abdomen, incompletely imaged distended loops of bowel are present, and could be more fully assessed by dedicated abdominal radiographs if warranted clinically.", "impression": "Rapid improvement in heterogeneous lung opacities, which may have represented acute pulmonary edema superimposed upon chronic lung disease. Improving left retrocardiac opacity, possibly due to atelectasis, but continued followup is suggested to document complete resolution and to exclude a lung nodule or mass in this area.", "background": "WET READ: ___ ___ ___ 7:38 PM Decrease in pulmonary edema. No focal consolidation. Interstitial lung abnormality persists. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph."}, {"study_id": "51245448", "subject_id": "17396346", "findings": "Severe cardiac enlargement is unchanged. The mediastinal and hilar contours are similar with enlargement of the pulmonary artery compatible with chronic pulmonary arterial hypertension. Mild pulmonary edema is slightly improved compared to the prior study. Patchy opacities in lung bases may reflect areas of atelectasis. Blunting of the right costophrenic sulcus is suggestive of a trace pleural effusion. No pneumothorax is identified. Multiple left axillary clips are re- demonstrated.", "impression": "Slightly improved mild pulmonary edema with persistent severe cardiomegaly. Chronic enlargement of the pulmonary artery compatible with pulmonary arterial hypertension. Small right pleural effusion. Bibasilar patchy opacities, likely atelectasis.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dyspnea TECHNIQUE: Upright AP view of the chest COMPARISON: Chest CT ___, chest radiograph ___"}, {"study_id": "50288719", "subject_id": "11280315", "findings": "The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with history of diabetes mellitus, rectal pain and dyspnea. Evaluate for reason for dyspnea. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: None."}, {"study_id": "54186312", "subject_id": "10194132", "findings": "Since the prior study there are new interstitial opacities in the mid lung fields bilaterally, right greater than left. Lung volumes are low, as before. Heart size is moderately enlarged, as before. No large pleural effusion.", "impression": "Increased interstitial opacities bilaterally, right greater than left, representing pulmonary edema. Moderate stable cardiomegaly.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CHF exacerbation and increasing dyspnea. // Signs of pulmonary edema vs. other pulmonary process TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ at 01:50"}, {"study_id": "53072415", "subject_id": "10188275", "findings": "A right thoracostomy tube is unchanged in position. Subcutaneous gas across the right chest and neck has slightly improved since ___. The cardiac and mediastinal borders remain minimally changed. Lucency about the right cardiophrenic border is unchanged and remains difficult to differntiate between subcutaneous emphysema and pneumothorax. Central pulmonary vascular congestion and mild interstitial edema are stable. A persistent left retrocardiac opacity likely reflects atelectasis.", "impression": "Persistent right cardiophrenic lucency may reflect pneumothorax or overlying subcutaneous emphysema, and remains unchanged since ___. Lateral right neck and chest wall subcutaneous emphysema appear slightly improved. Unchanged moderate left basilar atelectasis.", "background": "INDICATION: Tracheomalacia: Radiograph available from ___ through ___. FRONTAL CHEST"}, {"study_id": "59744938", "subject_id": "12007928", "findings": "Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with shortness of breath. COMPARISON: ___."}, {"study_id": "59670092", "subject_id": "12336653", "findings": "Increased opacity overlying lower thoracic spine on lateral view likely corresponds to a site of subtle retrocardiac opacification on the PA view. The lungs are otherwise clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.", "impression": "Subtle retrocardiac opacification likely representing an early developing left lower lobe pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with rhonchi at the right base with worsening cough // pls eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "50116754", "subject_id": "11008656", "findings": "The ETT terminates 7.1 cm above the carina with the neck extended. Enteric tube extends to the stomach, but the tip is not visualized. There are no significant changes since the prior CXR. No evidence of pneumonia. No pulmonary edema, large pleural effusions or pneumothorax. The mediastinum, hila and heart are within normal limits.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with increasing pressure support requirements, tidal volumes improved with albuterol. ? pulm edema -> bronchospasm // eval for infiltrate TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___"}, {"study_id": "55380110", "subject_id": "16168046", "findings": "The cardiomediastinal silhouette is unremarkable. Lung volumes are low and an opacity at the left lung base likely represents platelike atelectasis. The thoracic aorta is mildly tortuous. There is no pneumothorax or pleural effusion. Osseous structures are unremarkable.", "impression": "No acute cardiopulmonary abnormality.", "background": "WET READ: ___ ___ ___ 6:19 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with chest pain // acute process TECHNIQUE: Single AP view COMPARISON: None."}, {"study_id": "50267602", "subject_id": "11567158", "findings": "Frontal and lateral views of the chest were obtained. No focal consolidation or pneumothorax is seen. The cardiac silhouette is top normal. The mediastinum and hilar contours are stable and unremarkable. Slight blunting of the right costophrenic angle on the frontal view, stable since the prior study and not substantiated on the lateral view. No large pleural effusion is seen. There is minimal right base linear atelectasis/scarring.", "impression": "No focal consolidation to suggest pneumonia. No CHF.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of dizziness. COMPARISON: ___."}, {"study_id": "53865684", "subject_id": "15772294", "findings": "A right PICC line can be traced to the level of the low SVC. Lung volumes are low. A small left pleural effusion has slightly increased. Stable left basilar retrocardiac airspace opacification is most likely due to atelectasis. The upper lung fields are clear. There is no pneumothorax. The heart mediastinum cannot be accurately assessed on this projection.", "impression": "Slightly increased small left pleural effusion and left basilar atelectasis.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with altered mental status and s/p pna treatment now with worsening mental status and tachypnea // evaluate for infiltrate or pulm edema TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "58196108", "subject_id": "15772294", "findings": "A right-sided PICC terminates at the cavoatrial junction as before. Lung volumes are markedly low which accentuates bronchovascular markings. A small left pleural effusion persists and is not significantly increased in size from the prior examination. A left retrocardiac opacity is again demonstrated in could represent an area of atelectasis or consolidation. Additional opacity involving the left upper lobe could represent another foci of infection. The cardiac silhouette is stable from the prior exam. There is mild pulmonary vascular congestion.", "impression": "Persistent retrocardiac opacity is again seen and could represent atelectasis or persistent infection. Left upper lobe opacity could represent another foci of consolidation. A left pleural effusion is stable. Mild congestion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with epilepsy and AMS, treated for HCAP, with new fever // evaluate for aspiration pneumonia TECHNIQUE: AP view of the chest COMPARISON: Multiple prior radiographs most recent on ___."}, {"study_id": "56834864", "subject_id": "10839034", "findings": "New ET tube ends 2.9 cm above carina. Minimal bibasilar atelectasis has slightly increased. There is no pneumothorax or pleural effusion. 3 mm right upper lobe dense nodule is compatible with a calcified granuloma as shown in chest CTA of ___.", "impression": "ET tube is in adequate position. Minimal bibasilar atelectasis has slightly increased.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient with right colectomy, interval change? COMPARISON: ___."}, {"study_id": "52261720", "subject_id": "15786954", "findings": "PA and lateral views of the chest provided. Right chest wall Port-A-Cath is seen with its tip extending to the right atrium. Bilateral chest tubes arm place. Diffuse reticular nodular opacities again seen which is consistent with known metastatic disease with mild to moderate pulmonary edema. Superimposed on this and new from prior exam, is airspace consolidation in the right mid lung which is concerning for a pneumonia. Tiny bilateral pleural effusion is likely present. Cardiomediastinal silhouette is stable. No pneumothorax.", "impression": "Diffuse metastatic disease with pulmonary edema and right mid lung pneumonia. PleurX catheters in place. Probable small bilateral pleural effusion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with clogged pleurex cath, metastatic colon cancer, pulmonary metastatic disease, worsening SOB COMPARISON: CT chest from ___."}, {"study_id": "52790102", "subject_id": "14791686", "findings": "Frontal and lateral views of the chest were obtained. The cardiac silhouette is mildly enlarged. There is no pleural effusion. Mild right base atelectasis is seen without definite focal consolidation. Mediastinal contours are stable. No overt pulmonary edema is seen.", "impression": "Mild enlargement of the cardiac silhouette without overt pulmonary edema or pleural effusion.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___."}, {"study_id": "54192415", "subject_id": "15416872", "findings": "There are relatively low lung volumes and mild elevation of the right hemidiaphragm. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.", "impression": "Low lung volumes with mild elevation of the right hemidiaphragm. Otherwise, no acute cardiopulmonary process.", "background": "HISTORY: Upper abdominal pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "54142370", "subject_id": "19524140", "findings": "Frontal and lateral views of the chest were obtained. The heart is of normal size with stable cardiomediastinal contours. Scattered parenchymal opacities are better characterized on CT likely reflect atypical infection. Bilateral pleural effusions are moderate in size, similar to ___, though increased since ___. No pneumothorax. Sternotomy wires are intact. Mediastinal clips and coronary artery stents are similar to prior.", "impression": "Moderate-sized bilateral pleural effusions, similar to ___. Scattered opacities, better characterized on same-day CT, likely represent pneumonia.", "background": "INDICATION: ___-year-old female with shortness of breath. Evaluate for pneumonia. COMPARISONS: Multiple prior chest radiographs, most recently of ___."}, {"study_id": "53905511", "subject_id": "18569084", "findings": "The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Chest pain and shortness of breath. COMPARISON: Radiographs available from ___. FRONTAL AND LATERAL CHEST"}, {"study_id": "53988536", "subject_id": "13470788", "findings": "Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No pneumoperitoneum. Cholecystectomy clips are present in the right upper quadrant.", "impression": "No evidence of pneumoperitoneum.", "background": "INDICATION: History: ___F with diffuse abd pain // ? portable- ? free air? ct- perf, sbo COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Single frontal view of the chest."}, {"study_id": "58426581", "subject_id": "17124401", "findings": "The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with productive cough and night sweats. Evaluate for pneumonia. COMPARISON: None available."}, {"study_id": "59451404", "subject_id": "12565255", "findings": "Since prior, there has been persistence of a left retrocardiac opacity with obscuration of the left hemidiaphragm. The right lung is unchanged and grossly clear. There is a probable small left pleural effusion. There is no pneumothorax. Hemodialysis catheter and left PICC are unchanged in position.", "impression": "Persistent retrocardiac opacity with obscuration of the left hemidiaphragm, most likely represents progressive left lower lobe atelectasis.", "background": "INDICATION: ___ year old woman with new cough, evaluate for pneumonia. TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiographs from ___ through ___."}, {"study_id": "59889881", "subject_id": "12283705", "findings": "Right-sided Port-A-Cath terminates in the mid SVC. The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___ year old man with HL // pre bmt eval TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "56385606", "subject_id": "17804464", "findings": "Hazy perihilar and bibasilar increased interstitial markings are noted. There is no confluent consolidation. Minimal blunting of the posterior costophrenic angles could represent trace effusions. Cardiac silhouette is top-normal in size. Median sternotomy wires are intact. No acute osseous abnormalities.", "impression": "Perihilar and bibasilar hazy opacity suggestive of mild edema. Alternatively, atypical infection would be possible.", "background": "INDICATION: ___M with dypnea // r/o acute process TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "54589950", "subject_id": "14695209", "findings": "Endotracheal tube tip is 4.4 cm from the carina. Enteric tube passes below the inferior field of view. There is increased opacity projecting over the left lung. While some of this can be accounted for by overlying breast tissue, there is superimpose underlying opacity in the hemithorax which could represent of layering fluid and/or parenchymal consolidation.", "impression": "Appropriate position of the ET and enteric tubes. Hazy left mid lung opacity, likely consolidation and/or layering effusion", "background": "INDICATION: ___F with s/p intubation // eval ETT placement TECHNIQUE: Single portable view of the chest. COMPARISON: None."}, {"study_id": "51162921", "subject_id": "18373515", "findings": "Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality. Normal heart size.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with syncope, ekg abnormality TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "55845385", "subject_id": "16401626", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lung volumes which are slightly lower compared to prior exam. Again seen is consolidation in the lingula with associated lucency. A right cardiophrenic angle opacity is not as well appreciated on this exam. A nodular opacity in the left mid lung is unchanged. There is no new focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No new focal consolidation. Lingular consolidation with associated lucency is unchanged. Unchanged nodular opacity in the left mid lung.", "background": "INDICATION: Evaluate for acute process in a patient with anxiety, tremor, nausea/vomiting. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, CT chest from ___."}, {"study_id": "54367552", "subject_id": "13807999", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chills, weakness // r/o PNA COMPARISON: ___."}, {"study_id": "52203070", "subject_id": "13443402", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Large hiatal hernia. Mild scoliosis.", "impression": "No acute cardiopulmonary process or evidence of pneumonia. Large hiatal hernia.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with persistent cough and SOB // r/o PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___."}, {"study_id": "56617746", "subject_id": "17906374", "findings": "Suboptimal patient positioning and low lung volumes. Blunting of the left costophrenic angle may reflect pleural thickeing or small effusion. No localized consolidation. Mild cardiomegaly. No pneumothorax. No pulmonary", "impression": "Blunting of the left costophrenic angle may reflect pleural thickeing or small effusion.", "background": "INDICATION: ___ year old man with unknown PMH who presents with ___ infection, c/o persistent cough, concern for PNA // Evidence of PNA TECHNIQUE: Chest PA and lateral COMPARISON: No prior"}, {"study_id": "53278041", "subject_id": "11934522", "findings": "The heart is mildly enlarged. The pulmonary artery contour is mildly prominent. In addition to upper zone redistribution of pulmonary vessels, there is a mild interstitial abnormality suggesting slight pulmonary vascular congestion or fluid overload. Small pleural effusions are suspected in addition to minor basilar atelectasis and thickening of fissures. The bones appear demineralized.", "impression": "Findings suggesting mild vascular congestion and small pleural effusions with minor basilar atelectasis.", "background": "CHEST RADIOGRAPHS HISTORY: Weight loss. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral."}, {"study_id": "57806790", "subject_id": "12750646", "findings": "The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. Bones are intact. No pleural effusions or pneumothorax.", "impression": "No acute intrathoracic process.", "background": "CLINICAL HISTORY: ___-year-old man status post motor bike accident, chest pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE"}, {"study_id": "50384423", "subject_id": "10039272", "findings": "There is vague opacity projecting over the left lung which has increased since ___. Given findings on prior PET, this may be due known underlying mesothelioma. Elsewhere, lungs are grossly clear besides right basilar calcified granulomas and biapical scarring cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormalities.", "impression": "Vague opacity projecting over the left mid lung which is new since prior but may be due to known underlying mesothelioma as opposed to new underlying parenchymal process although this would be difficult to exclude entirely.", "background": "INDICATION: ___M with dyspnea and chest pain // Pneumonia? Effusion? TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___ chest x-ray and PET-CT from ___."}, {"study_id": "53776880", "subject_id": "16738690", "findings": "There is no evidence of pneumothorax. The pulmonary opacities extending from the suprahilar region on the right corresponding to the mass and associated parenchymal abnormalities on the recent CT are again present. The left lung is essentially clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion.", "impression": "Continued parenchymal opacities in the right upper lobe and mediastinal mass, but no evidence of pneumothorax.", "background": "HISTORY: ___-year-old woman status post rigid bronchoscopy and tumor destruction. Rule out pneumothorax. COMPARISON: CT of the chest from ___."}, {"study_id": "57662395", "subject_id": "11779216", "findings": "AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___. The AP single chest view demonstrates cardiac enlargement of similar magnitude as observed on the previous study. Cardiac configuration and appearance of thoracic aorta unchanged. The pulmonary vasculature is still congested, but has undergone significant improvement of the previously detectable perivascular haze in the pulmonary vasculature. Also, the previously described mild blunting of the lateral pleural sinuses has decreased and almost disappeared completely. There is no evidence of new pulmonary parenchymal infiltrates of pneumonic appearance. No pneumothorax can be identified in the apical area.", "impression": "Regression of previously existing significant pulmonary vascular congestive pattern two days ago. Significant cardiac enlargement persists. No new additional inflammatory parenchymal infiltrates can be identified on this single view chest examination.", "background": "TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with new onset of CHF. Evaluate for pulmonary edema."}, {"study_id": "54159114", "subject_id": "11941410", "findings": "Mild enlargement of the cardiac silhouette persists. Mediastinal and hilar contours are unchanged. There continues to be mild pulmonary vascular congestion, perhaps slightly worse in the interval. Patchy opacities in the lung bases are increased compared to the prior study, with small bilateral pleural effusions, also increased from prior. No pneumothorax is present. There are no acute osseous abnormalities.", "impression": "Slight interval worsening of mild pulmonary vascular congestion with increased size of small bilateral pleural effusions and worsening bibasilar opacities, possibly atelectasis, but infection cannot be excluded.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea, congestive heart failure TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "59116081", "subject_id": "14385332", "findings": "The lungs are clear. Endotracheal tube tip is 4.8 cm from the carina. Enteric tube tip seen within the stomach. Cardiomediastinal silhouettes within normal limits. No displaced fractures identified.", "impression": "ET and enteric tubes as above. No acute cardiopulmonary process.", "background": "INDICATION: ___F with ICH, being intubated // tube placement TECHNIQUE: Single portable view of the chest. COMPARISON: None."}, {"study_id": "52890430", "subject_id": "19477853", "findings": "Again there is a large right hydropneumothorax, which in comparison with prior exam is similar or just slightly improved. There is persistent collapse of the right lung. The chest tube is in unchanged position. The left lung is clear. The cardiomediastinal silhouette is normal.", "impression": "Similar or very slightly improved appearance of the large right hydropneumothorax with persistent collapse of the right lung.", "background": "INDICATION: Followup pneumothorax. COMPARISONS: Chest radiograph from ___. PET-CT from ___. TECHNIQUE: PA and lateral views of the chest were obtained."}, {"study_id": "54141242", "subject_id": "16685470", "findings": "Left perihilar airspace opacity is worrisome for pneumonia. There is a small to moderate left pleural effusion with overlying atelectasis. A trace right pleural effusion is also present. Minimal interstitial edema is noted. The cardiac and mediastinal silhouettes are grossly stable. No pneumothorax is seen.", "impression": "Small to moderate left and trace to small right bilateral pleural effusions with overlying atelectasis. Left perihilar airspace opacity worrisome for pneumonia. Recommend followup to resolution. Possible minimal interstitial edema.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with SOB, chest heaviness // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "50322582", "subject_id": "17135687", "findings": "The chest radiograph dated ___ shows a slight change in the position of the left apical chest tube, which now terminates at the superior border of the left clavicle. The right subclavian central venous line is unchanged, terminating in low SVC. The slightly bent appearance of the line where it enters the chest wall is unchanged. Aeration of the left lung has substantially improved with re-expansion of the lung and resultant rightward shift of the heart and mediastinum. The right lung remains clear. There is a small residual left pneumothorax. Metallic foreign bodies are again noted. The followup radiograph dated ___ shows increased left lung atelectasis, and a persistent moderate left pneumothorax. There is no other significant interval change.", "impression": "Initial re-expansion of the left lung with associated left lung atelectasis improved on the ___ radiograph, but worsened on the initial ___ radiograph. There is still substantial left lung atelectasis and a moderate size left pneumothorax.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pneumothorax and new o2 requirement // pneumothorax and ?reason for new O2 requirement TECHNIQUE: Portable AP radiograph chest COMPARISON: ___."}, {"study_id": "56718840", "subject_id": "14760908", "findings": "Single frontal view of the chest demonstrates ET tube with tip extending to 3.4 cm above the carina. An enteric tube extends to the stomach, although the tip could be further distally placed by 4-5 cm to secure better seating. The cardiomediastinal silhouette is within normal limits. Allowing for mildly decreased lung volumes, the lungs are clear. There is no pneumothorax, pleural effusion, or pulmonary vascular congestion.", "impression": "Normal ET tube position. Consider placing NG tube more distally by 4-5 cm. No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with left frontal intracranial hemorrhage. Question ET tube positioning. COMPARISON: ___."}, {"study_id": "52442443", "subject_id": "12126715", "findings": "The cardiomediastinal contours continue to demonstrate marked widening which has been stable over multiple prior exams and appears to be lipomatous deposition as confirmed on prior chest CT. There is increasing wedge-shaped opacity involving the left lower lung, or possibly the lingula. This may represent a consolidation, infarct, or area of small pleural effusion. There is no pneumothorax.", "impression": "Wedge-shaped left lower lung or lingular opacity; consider upright chest radiograph to delineate pleural effusion from consolidation or infarct; findings discussed with ___ at 11:17 am on ___ by ___ over the phone.", "background": "HISTORY: ___-year-old male with catatonia and hypoxia. STUDY: Supine portable AP chest radiograph. COMPARISON: Multiple chest radiographs from ___ through ___. Chest CTA from ___."}, {"study_id": "59755283", "subject_id": "11775460", "findings": "The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiomediastinal and hilar contours are within normal limits.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with cough. COMPARISON: None available in the ___ system. PA AND LATERAL CHEST"}, {"study_id": "50534993", "subject_id": "17963990", "findings": "Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Elevation of the right hemidiaphragm is chronic. Lungs are clear. No pleural effusion or pneumothorax is seen. Remote right-sided rib fractures are re- demonstrated.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Fever, productive cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "56571821", "subject_id": "18584796", "findings": "Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is not engorged, though there is crowding of the bronchovascular structures. No pleural effusion or pneumothorax is identified. Clips are seen within the left breast and axilla. No acute osseous abnormalities are identified.", "impression": "Low lung volumes without acute cardiopulmonary abnormality.", "background": "HISTORY: Palpitations, shortness of breath. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___."}, {"study_id": "58000491", "subject_id": "13906745", "findings": "The lungs are clear bilaterally. Tiny nodular hyperdense foci scattered throughout may represent calcified granulomas. Cardiomediastinal and hilar contours are stable in appearance and within normal limits. There is no pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality.", "impression": "No focal opacification to suggest pneumonia.", "background": "HISTORY: ___-year-old male with altered mental status. COMPARISON: Chest radiograph dated ___."}, {"study_id": "55764005", "subject_id": "14895513", "findings": "Lung volumes remain low with areas of atelectasis at the lung bases. No focal consolidation is seen. The cardiomediastinal silhouette and hilar contours are stable. Coronary artery stent is noted. There is no pleural effusion or pneumothorax.", "impression": "Low lung volumes with bibasilar atelectasis. No focal consolidation.", "background": "INDICATION: ___-year-old man with chest pain. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___"}, {"study_id": "52764367", "subject_id": "19015552", "findings": "PA and lateral views of the chest. In the right lower lobe, there is a vague opacity concerning for pneumonia. There is no pleural effusion or pneumothorax. The remainder of the lungs is clear. The cardiomediastinal silhouette is normal.", "impression": "Vague opacity in the right lower lobe is concerning for pneumonia.", "background": "INDICATION: Fever and sore throat, evaluate for acute infectious process. COMPARISON: None available."}, {"study_id": "58665412", "subject_id": "11667361", "findings": "The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A left-sided PICC line is seen with the tip ending 2.7 cm below the cavoatrial junction deep into the right atrium. This finding is confirmed in the lateral view.", "impression": "No evidence of acute cardiopulmonary process. Left-sided PICC line ends 2.7 cm below the cavoatrial junction. This appears to be lower than the position of the PICC line on ___. Discussed personally with IV access team on ___ after completion of study.", "background": "INDICATION: ___-year-old female with a PICC line that appears to be advanced too deep. Evaluate for location of the PICC line tip. COMPARISON: Chest radiographs on ___. TECHNIQUE: PA and lateral chest radiograph."}, {"study_id": "57658819", "subject_id": "19831538", "findings": "No pleural effusions. Known fibrotic changes are again noted in the right upper lung. There is suggestion of borderline prominent pulmonary vascular markings. Otherwise, the lungs are without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at the upper limits of normal.", "impression": "No acute cardiopulmonary process. Fibrotic changes in the right upper lung appear relatively stable.", "background": "INDICATION: Fall. COMPARISON: Chest radiograph from ___."}, {"study_id": "54131110", "subject_id": "10473223", "findings": "AP upright and lateral views of the chest provided. Lung volumes to low. Allowing for this, 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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with fever // eval for PNA COMPARISON: None"}, {"study_id": "54764482", "subject_id": "17160384", "findings": "Frontal and lateral radiographs of the chest demonstrate increased peribronchial markings, which could be consistent with a viral respiratory infection. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.", "impression": "Increased peribronchial markings could be consistent with a viral respiratory infection. No focal consolidation.", "background": "WET READ: ___ ___ ___ 8:35 AM Increased peribronchial markings could be consistent with a viral respiratory infection. No focal consolidation. WET READ VERSION #1 ___ ___ ___ 4:25 AM Increased peribronchial markings could be consistent with a viral infection. No focal consolidation. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with fever, cough // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "57147097", "subject_id": "10003400", "findings": "A chest tube in similar position. Interval decrease in the right-sided pleural effusion which is now small. There is still fluid along the minor fissure and right lower lobe opacification. Moderate to large left pleural effusion and significant opacification of the left lung is unchanged. Feeding tube has been removed. Nasogastric tube is coiled in the stomach region. .", "impression": "Interval decrease in the right-sided. Stable appearance of the left lung.", "background": "INDICATION: ___ year old woman with known pleural effusion drained by CT, now draining more this morning than last 24 hrs // interval change, pleural effusion"}, {"study_id": "50730449", "subject_id": "10309415", "findings": "Since ___, substantial pulmonary edema is mildly improved. Bilateral pleural effusions, moderate on the right and small to moderate on the left, persist. Moderate bibasilar atelectasis is increased with continued low lung volumes. The heart size is difficult to assess as it is obscured by effusions and volume loss. The pacemaker positioning is unchanged. No pneumothorax.", "impression": "Mild improvement of substantial pulmonary edema with persistence of bilateral pleural effusions and compressive atelectasis since ___.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old man with CHF, pulm edema, effusions - please assess for change // change from prior xray? TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___, ___"}, {"study_id": "57243646", "subject_id": "18020721", "findings": "There is no displaced rib fracture. There is no pleural effusion or pneumothorax. Vague opacities in the left low lung are likely from atelectasis or aspiration. Bronchiectasis is better seen on the chest CT. Heart is mildly enlarged. The mediastinal and hilar structures are unremarkable.", "impression": "No rib fracture or pneumothorax.", "background": "INDICATION: Fall. Evaluate for pneumothorax or rib fracture. TECHNIQUE: Frontal chest radiograph. COMPARISON: None."}, {"study_id": "50540260", "subject_id": "11407769", "findings": "The ETT ends 1.8 cm above the carina. The NG tube has the tip within the stomach but the side hole at level the GE junction. The stomach is distended with air. There is opacification of the left upper lung as well as retrocardiac with air bronchograms and a triangular opacity in the right lower lung all of which could reflect multifocal aspiration. The heart is normal in size. There may be a small right pleural effusion.", "impression": "ETT ends 1.8 cm above the carina and can be withdrawn a few cm for standard positioning. NG tube with side hole at the level of the GE junction. Multifocal opacities likely reflecting aspiration, most severe in the left upper lobe", "background": "INDICATION: History: ___F with ett psl eval // History: ___F with ett psl eval TECHNIQUE: Portable supine frontal radiograph of the chest COMPARISON: None"}, {"study_id": "52840405", "subject_id": "15471281", "findings": "PA and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. No signs of edema or congestion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with new ___, hyponatremia COMPARISON: ___"}, {"study_id": "56087770", "subject_id": "12499374", "findings": "The moderate left pleural effusion and left lower lobe collapse are not appreciably changed. There is no pneumothorax. The heart and mediastinum are within normal limits.", "impression": "No significant interval change in left lower lobe collapse and moderate left pleural effusion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/achalasia, HH s/p lap HH repair, ___ myotomy, Toupet fund ___ c/b early HH recurrence s/p reduction, gastropexy ___ p/w chest pain, vomiting, paraesophageal collection // Interval assesment TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___ and dating back to ___."}, {"study_id": "51068710", "subject_id": "10791554", "findings": "PA and lateral views of the chest. There is no pulmonary edema. There is borderline cardiomegaly with prominence of the left ventricle. There are aortic arch calcifications consistent with systemic hypertension. Mild widening and elongation of the aorta is stable. The lungs are clear without evidence of consolidation, pleural effusion, or pneumothorax. Pleural surfaces are normal.", "impression": "No evidence of pulmonary vascular congestion. No infiltrate. Mild calcification of the aortic arch. Findings were reported to the ___ emergency line at 12:40 p.m. on ___, by telephone.", "background": "INDICATION: Hypertension, shortness of breath, faint basilar rales on exam, rule out CHF. COMPARISON: Chest radiographs from ___."}, {"study_id": "57406116", "subject_id": "10752102", "findings": "Cardiac silhouette remains enlarged with upper zone vascular redistribution, peribronchial cuffing, and overall worsening of diffuse reticular and nodular opacities bilaterally. Additionally, there are a few larger poorly defined nodular opacities in the mid and lower lungs which appear slightly more pronounced than on the prior study. There are no segmental or lobar areas of confluent consolidation. Small bilateral pleural effusions are present, with some extension of fluid into the fissures. Unchanged compression deformity in the lower thoracic spine.", "impression": "Overall worsening of interstitial pattern, likely due to atypical pneumonia, although coexisting hydrostatic edema is possible in the setting of cardiomegaly and pulmonary vascular redistribution.", "background": "PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph."}, {"study_id": "52682761", "subject_id": "14218678", "findings": "The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with chest pain starting ___ as well as shortness of breath today // acute cardiopulmonary process TECHNIQUE: PA and lateral views the chest. COMPARISON: None."}, {"study_id": "57311909", "subject_id": "16337794", "findings": "Compared with prior radiographs on ___, there are new right upper ___ and left lower ___ opacities. The left lower ___ opacity ___ be interstitial. A previously seen right lower ___ opacity is improved.No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The tracheostomy cannula is less than ___ the caliber of the trachea, smaller than is generally seen. Intestinal distention is unchanged.", "impression": "New opacities in the right upper ___ and left lower ___, ___ represent pneumonia. Previously seen Right lower ___ consolidation is improved. Tracheostomy cannula is smaller than generally seen for the caliber of the patient's trachea.", "background": "EXAMINATION: PA and lateral views of the chest INDICATION: ___ year old man with inc shortness of breath and now fever 100.4 (history of myasthenia ___, critical illness myopathy, bronchiectasis, status:post trach, and status:post J tube (used for flushes only) // evaluate for new pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___"}, {"study_id": "53170051", "subject_id": "17759124", "findings": "There are mildly increased bilateral increased interstitial markings and small pleural effusions. Bilateral apical thickening is unchanged. The cardiopericardial silhouette is mildly enlarged. A pacemaker is seen with 2 leads in appropriate positions. No acute fractures.", "impression": "Increased interstitial markings and small pleural effusions in keeping with mild pulmonary edema. Reviewed with Dr. ___.", "background": "EXAMINATION: Chest x-ray INDICATION: ___ year old woman with a. fib, b/l carotid stenosis, CHF with dyspnea + chest pain. // ? pulmonary edema, consolidation, aortic dissection TECHNIQUE: Portable AP chest COMPARISON: X-ray from ___"}, {"study_id": "52154443", "subject_id": "16836346", "findings": "Assessment of the lung apices is limited due to obscuration from the patient's chin and neck soft tissues projecting over this region. Heart size appears top normal. The aorta is mildly unfolded. The lungs are hyperinflated. Consolidative opacities are noted within the left lung base with patchy opacities seen in the right mid and lower lung fields. No pleural effusion or pneumothorax is clearly seen. There is mild scarring within the lung apices. No pulmonary edema is present. Osseous structures demonstrate no acute abnormalities.", "impression": "Multifocal opacities most pronounced in the left lower lobe concerning for multifocal pneumonia. COPD.", "background": "HISTORY: Dyspnea, hypoxia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "58918894", "subject_id": "18339301", "findings": "The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Productive cough, myalgias. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "59689119", "subject_id": "16358341", "findings": "Again seen are multiple right lateral rib fractures with mild pleural thickening, not significantly changed from ___. Known old left rib fractures are not well visualized radiographically. Deformity of the manubrium is consistent with the fracture identified on the ___ chest CT. There is minimal degenerative spurring along the t-spine. Review of ___ chest CT raises the question of minimal concavity along superior endplate of an upper thoracic vertebral body, ? T3 (s602b:im ___), of indeterminate acuity, without frank loss of vertebral body height. No pneumothorax is detected. The lungs are well expanded, except for possible trace atelectasis at the right lung base. No chf, focal infiltrate or gross pleural effusion is identified. Minimal blunting of the posterior right costophrenic angle could reflect a small right effusion. Mild cardiomegaly is unchanged from prior.", "impression": "1) Right lateral rib fractures are re-identified, with associated stable mild pleural thickening. No pneumothorax detected. 2) Known manubrial fracture appears grossly unchanged. 3) Possible minimal superior endplate deformity of an upper thoracic vertebral body, of indeterminate acuity. Please see comment above. 4) Stable mild cardiomegaly.", "background": "INDICATION: Known rib fractures and worsening pain. Evaluate for evidence of pneumothorax. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph."}, {"study_id": "50583758", "subject_id": "19621207", "findings": "Heart size is normal. The aorta demonstrates diffuse atherosclerotic calcifications and unchanged mild tortuosity. Mediastinal and hilar contours are otherwise within normal limits. Lungs remain hyperinflated with mild emphysematous changes again demonstrated. Small left pleural effusion appears not substantially changed in the interval with left basilar opacity likely reflective of compressive atelectasis. No large right pleural effusion is demonstrated, and no pneumothorax is detected. Dextroscoliosis of the thoracolumbar spine is again noted. Marked degenerative changes of both glenohumeral joints as well as a narrowed right acromiohumeral interval is suggestive of rotator cuff disease. Remote right-sided tenth rib fracture is again noted.", "impression": "Unchanged small left pleural effusion with left basilar opacity, likely compressive atelectasis. Infection cannot be completely excluded in the correct clinical setting.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with leukocytosis concerning for occult infection TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ chest radiograph and chest CT"}, {"study_id": "51027833", "subject_id": "19781176", "findings": "The lungs are well expanded and clear bilaterally with increased opacity in the lower lung fields most likely secondary to breast tissue attenuation. The previously seen right-sided PICC has been removed. Cardiomediastinal silhouette is unchanged and within normal limits. The pleural surfaces are unremarkable. No osseous abnormalities are identified.", "impression": "No evidence of infection or malignancy.", "background": "WET READ: ___ ___ ___ 12:08 AM Interval removal of right PICC line. No focal consolidation to suggest pneumonia. No acute cardiopulmonary process. ___ p_________________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old female with febrile neutropenia. COMPARISON: PA and lateral chest radiograph ___. TECHNIQUE: PA and lateral chest radiograph."}, {"study_id": "50116499", "subject_id": "10374990", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. A tiny right pleural effusion persists. There is no pneumothorax.", "impression": "No evidence of pneumonia. Persistent tiny right pleural effusion. These findings were discussed with Dr. ___ at ___ on ___.", "background": "HISTORY: History of Hodgkin lymphoma, breast cancer status post surgery and radiation therapy with subsequent fibrosis and chronic changes, and aspergillosis, now with fever and cough. Evaluate for pneumonia. COMPARISON: Multiple chest radiographs dating back to ___, the most recent on ___, and CT chest from ___."}, {"study_id": "58804220", "subject_id": "12370975", "findings": "No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // Pneumonia? Rib fx? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Reference mid chest CT from ___"}, {"study_id": "57967563", "subject_id": "17396346", "findings": "Lung volumes are low with increased bibasilar opacities. Cardiomegaly is unchanged. There is no pneumothorax or large pleural effusion. Multiple clips are seen in the left axilla.", "impression": "Low lung volumes with cardiomegaly and bibasilar opacities, findings favor pulmonary edema over pneumonia.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with crackles and desaturations, evaluate for CHF or pneumonia. TECHNIQUE: Portable chest radiograph. COMPARISON: Comparison is made to chest radiograph ___."}, {"study_id": "58976702", "subject_id": "13898953", "findings": "Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. There is no subdiaphragmatic free air.", "impression": "No acute cardiopulmonary abnormality. No subdiaphragmatic free air identified.", "background": "HISTORY: Abdominal pain. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: None."}, {"study_id": "50620666", "subject_id": "12655910", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. The lungs are fairly well aerated, with persistent mild left base atelectasis. No appreciable pleural effusion is seen. There is no pneumothorax. The visualized upper abdomen is unremarkable. The left hemidiaphragm is elevated, as before.", "impression": "Mild left base atelectasis. No appreciable pleural effusion or focal consolidation.", "background": "INDICATION: Intermittent chest pain x1 week and syncopal episode, in a patient with a history of parapneumonic effusion. COMPARISON: Chest radiographs from ___, ___, ___, and ___."}, {"study_id": "57771329", "subject_id": "13570028", "findings": "Frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Multiple metastatic pulmonary nodules and are better evaluated on recent CT chest. Nodules visualized on chest radiograph include 2 left lower lobe nodules measuring 2.9 x 3.2 cm and 1.4 x 1.5 cm, seen on frontal view, and a posterior nodule measuring 1.7 x 1.3 cm on lateral view which likely corresponds with a nodule posterior to the right hilus on CT chest. There is no focal consolidation, pleural effusion, or pneumothorax.", "impression": "Multiple bilateral pulmonary nodules, better evaluated on recent CT chest.", "background": "HISTORY: Metastatic renal cell cancer. Baseline assessment prior to start of therapy. COMPARISON: Chest radiograph from ___ and CT chest from ___."}, {"study_id": "58550427", "subject_id": "14995538", "findings": "Chest, AP and lateral. The lungs are clear. Mild upper mediastinal enlargement is chronic. Otherwise, the hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Weakness. COMPARISON: Multiple chest radiographs, the most recent from ___."}, {"study_id": "57375630", "subject_id": "13185880", "findings": "Scarring and atelectasis is present at both lung bases. No consolidation is identified. No effusions or pneumothoraces are seen. The aorta is tortuous. Cardiomediastinal contours are otherwise unremarkable.", "impression": "Bibasilar atelectasis and scarring. No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old man with syncope, fall, traumatic injury. COMPARISONS: None at this institution."}, {"study_id": "58454092", "subject_id": "17562969", "findings": "A single AP portable radiograph of the chest was acquired. There has been interval placement of a left internal jugular central venous catheter with its tip in the mid-to-upper SVC. No pneumothorax is seen. The exam is otherwise unchanged compared to the radiograph from earlier today, approximately hours ago.", "impression": "Left internal jugular central venous catheter ends in the mid SVC. No pneumothorax.", "background": "INDICATION: Status post left internal jugular central venous catheter placement. Evaluate position and assess for pneumothorax. COMPARISON: Chest radiograph from ___ at 9:29 a.m.; CT abd/pelvis from ___."}, {"study_id": "55287439", "subject_id": "17684356", "findings": "Moderate to severe pulmonary edema has slightly increased. There is no pneumothorax. A left pectoral pacemaker sends leads to the right atrium and right ventricle. Marked cardiomegaly despite the projection is unchanged. Dense mitral annular calcifications are present. Moderate bilateral pleural effusions with bibasilar atelectasis are unchanged.", "impression": "Slightly worsened moderate to severe pulmonary edema. No appreciable change in moderate bilateral pleural effusions. Stable marked cardiomegaly.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CHF exacerbation. // please evaluate for interval change in pulmonary edema TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "52615423", "subject_id": "16828503", "findings": "There is retrocardiac opacity silhouetting the descending thoracic aorta with spine sign on lateral view compatible with a left lower lobe pneumonia. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "Left lower lobe pneumonia.", "background": "WET READ: ___ ___ 4:31 PM Left lower lobe pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with cough and fever // eval for pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "52203661", "subject_id": "18873095", "findings": "No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with diffsue pain, bruises over R axilla and R medial knee // Eval for acute trauma TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "54439139", "subject_id": "14760908", "findings": "A Dobbhoff tube terminates at the stomach. The heart size is top-normal. The lung volumes are low. A left retrocardiac opacity worsened from ___ to ___ but has improved since ___, compatible with atelectasis. There is no pneumothorax or pleural effusion. There is decreased prominence of the central pulmonary vessels. No interstitial edema.", "impression": "Improved central pulmonary vascular congestion. No pulmonary edema. Improved left basilar atelectasis.", "background": "HISTORY: Fever. COMPARISON: radiographs available from ___. FRONTAL CHEST"}, {"study_id": "58466237", "subject_id": "19096530", "findings": "Patient is status post CABG with median sternotomy wires in place. Lung volumes are normal. Minimal bibasilar streaky opacities, slightly improved from prior study, are consistent with atelectasis. There is no focal consolidation, effusion, or pneumothorax. Incidentally noted is an azygos fissure. There is mild unfolding of the descending thoracic aorta. Otherwise, mediastinal and hilar contours are normal. Heart size is normal.", "impression": "No acute intrathoracic process.", "background": "WET READ: ___ ___ ___ 10:06 PM No acute intrathoracic process. WET READ VERSION #1 ___ ___ ___ 6:49 PM No acute intrathoracic process. Specifically, no mediastinal widening or other findings findings on conventional radiography concerning for dissection. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain // concern for aortic dissection TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___. CTA chest dated ___."}, {"study_id": "58878598", "subject_id": "13637250", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with concern for endocarditis // Cardiomegaly, effusion, edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___."}, {"study_id": "58231900", "subject_id": "17752503", "findings": "There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. No definite hiatal hernia is identified.", "impression": "No evidence of acute pulmonary process. No definite hiatal hernia. A small or sliding hiatal hernia is not entirely excluded.", "background": "WET READ: ___ ___ 6:07 AM No evidence of acute cardiopulmonary process. No definite hiatal hernia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with abdominal pain, h/o hiatal hernia, evaluate for hiatal hernia TECHNIQUE: Chest PA and lateral COMPARISON: Outside hospital CT of the abdomen and pelvis dated ___."}, {"study_id": "57569597", "subject_id": "16278554", "findings": "Right PICC ends in the right axilla. Lungs are hyperinflated due to emphysema or small airway obstruction, consistent with a history of COPD. Lungs are clear of focal consolidation or other evidence of infection. Heart is normal size and mediastinal silhouette is normal. There is no pleural abnormality.", "impression": "Right PICC ends in the axilla. COPD. No pneumonia.", "background": "CHEST X-RAY INDICATION: ___-year-old lady with PICC from outside hospital. Also, has COPD on steroids but with leukocytosis, so please evaluate for any infiltrates to suggest pneumonia. COMPARISON: ___. TECHNIQUE: Portable upright chest radiograph."}, {"study_id": "51104656", "subject_id": "11468570", "findings": "Increased lucency is noted around the aortic knob, possibly due to left upper lobe collapse. The left perihilar opacity is enlarged and extends superiorly, concerning for possible hematoma. The right lung is clear. Abnormal right paramedian stripe is again seen, reflecting known mediastinal lymphadenopathy, better assessed on recent CT Chest. The heart size is stable. No pulmonary edema.", "impression": "Increased lucency surrounding the aortic knob, concerning for left upper lobe collapse, with possible hematoma around the known left perihilar mass.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old woman with HTN, COPD, CKDIII, with likely small cell carcinoma, with increased SOB and work of breathing // change from prior for increased SOB TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___ CT chest with contrast and ___"}, {"study_id": "59893258", "subject_id": "19286049", "findings": "PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. There are no acute skeletal abnormalities or free air under the diaphragm.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old with right upper quadrant pain, pneumonia, question acute process. COMPARISONS: PA and lateral chest radiograph from ___."}, {"study_id": "52477261", "subject_id": "15130765", "findings": "AP upright and lateral views of the chest provided. Pacemaker again seen projecting over the left chest wall with pacemaker leads extending into the right heart. The heart appears markedly enlarged with moderate pulmonary edema. Tiny effusions likely present. No pneumothorax. Mediastinal contour is stable with atherosclerotic calcification of the thoracic aorta. Diffuse spurring in the T-spine noted.", "impression": "Moderate pulmonary edema with small pleural effusions and cardiomegaly.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with SOB and hx of CHF. COMPARISON: ___"}, {"study_id": "57537286", "subject_id": "17309286", "findings": "Lung volumes are low leading to crowding of the bronchovascular structures. Left retrocardiac atelectasis versus aspiration has improved as compared to the prior examination. There is no lobar consolidation, large pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged.", "impression": "Low lung volumes and improving left retrocardiac atelectasis versus aspiration.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___M with hypotension // Eval for acute process TECHNIQUE: Portable AP upright view of the chest. COMPARISON: Chest radiographs dated ___, CT chest dated ___."}, {"study_id": "57331282", "subject_id": "10827966", "findings": "Lung volumes are low. The heart size is mildly enlarged. Aortic knob is calcified. The aorta appears tortuous but unchanged. Mediastinal and hilar contours are stable. There is crowding of the bronchovascular structures but no pulmonary edema is present. Streaky bibasilar airspace opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax thorax is seen. Clips are demonstrated overlying the left lung apex medially. There is no free air under the diaphragms.", "impression": "Low lung volumes with probable bibasilar atelectasis.", "background": "HISTORY: Diffuse abdominal pain, tenderness, nausea, vomiting, diarrhea. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___."}, {"study_id": "50894069", "subject_id": "16365899", "findings": "There is a residual small right pneumothorax and small right pleural effusion. Assessment for change is difficult given the differences in modalites, though no large change in the size is identified. An opacity at the right base likely represents atelectasis and has increased since the initial radiograph. Superimposed infection/aspiration is difficult to exclude. There is minimal left basilar atelectasis. The cardiomediastinal silhouette is normal. The known right rib fractures are better assessed on the prior CT.", "impression": "Small right pneumothorax and small right pleural effusion. Assessment for change is difficult given the differences in modality, though no significant change is appreciated. Increasing right basilar consolidation, likely contusion and atelectasis. Superimposed infection or aspiration cannot be completely excluded.", "background": "INDICATION: Known pneumothorax after motor vehicle crash. Evaluate for change. TECHNIQUE: PA and lateral views of the chest. COMPARISON: CT of the torso from ___."}, {"study_id": "52172311", "subject_id": "11372885", "findings": "The heart is of normal size with stable cardiomediastinal contours. Interstitial changes of paramediastinal upper lung zones are similar to prior and compatible with fibrosis from prior radiation for lymphoma. The lungs are otherwise clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.", "impression": "No evidence for acute cardiopulmonary process. Stable paramediastinal radiation fibrosis.", "background": "HISTORY: Cough and fever. COMPARISON: ___ chest radiograph. CT chest of ___. TECHNIQUE: Frontal and lateral views of the chest."}, {"study_id": "52485570", "subject_id": "19454552", "findings": "PA and lateral views of the chest. The lungs are clear. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures demonstrate no acute abnormality.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old male with acute kidney injury, cough. COMPARISON: None."}, {"study_id": "51642684", "subject_id": "17458726", "findings": "The lungs to not demonstrate focal opacity, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bony structures are grossly intact.", "impression": "No acute intrathoracic process.", "background": "HISTORY: Chest pain. Question acute cardiopulmonary process. TECHNIQUE: PA and lateral views of the chest were obtained. COMPARISON: chest radiograph from ___."}, {"study_id": "54696038", "subject_id": "19095472", "findings": "No focal consolidation, pleural effusion or pneumothorax identified. In the size the cardiomediastinal silhouette is within normal limits. Interval removal of the left PICC line.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "INDICATION: ___ year old woman with recurrent endocarditis septic emboli // PNA or abscess TECHNIQUE: AP portable chest radiograph COMPARISON: ___"}, {"study_id": "54242376", "subject_id": "15113309", "findings": "Right BiV-ICD device and leads are in appropriate position. Linear bibasilar opacities are compatible with atelectasis. Cardiomediastinal silhouette is unremarkable.", "impression": "Appropriate bi-ventricular ICD lead placement. No pneumothorax.", "background": "INDICATION: ___ year old woman with new right sided BiV ICD // lead position. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray dated ___."}, {"study_id": "54926007", "subject_id": "11938224", "findings": "Inspiratory volumes are slightly low. The cardiomediastinal silhouette is not significantly changed, allowing for differences in technique. Right paratracheal soft tissues are again noted to be prominent. There is minimal atelectasis at both bases. No CHF, focal consolidation, or effusion is identified. Probable background hyperinflation/COPD.", "impression": "Minimal bibasilar atelectasis. No definite infectious infiltrate.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fever, concern for possible pneumonia. // ? of pneumonia? COMPARISON: Chest x-ray from ___ at 17 16"}, {"study_id": "51226307", "subject_id": "12927984", "findings": "Lungs are hyperinflated, compatible with is history of COPD. Moderate rounded bibasilar atelectasis, left greater than right, is increased since ___. Multiple bilateral pleural calcifications are again seen, possibly from prior asbestos exposure. Asymmetric thickening of the apical pleural margin, left worse than right, is again noted. The cardiomediastinal silhouette and hilar contours are normal. No pneumothorax or pleural effusion.", "impression": "Hyperinflated lungs, compatible with patient history of COPD. No evidence of pneumonia or pulmonary edema. Increased rounded bibasilar atelectasis, left greater than right, since ___. Multiple bilateral pleural calcifications. Please correlate with patient history of exposure.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old man with COPD, dCHF presenting with SOB. // eval pulm edema vs. COPD vs. PNA TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___"}, {"study_id": "50618907", "subject_id": "19111424", "findings": "An endotracheal tube, enteric catheter, and bilateral chest tubes x3 are in unchanged position. Median sternotomy wires appear intact. A metallic aortic stent and prosthetic aortic valve are again noted. Mediastinal widening secondary to recent cardiac surgery is unchanged in severity. Overall, aeration of the lungs is similar compared to most recent prior. There is ongoing atelectasis and probable small effusion on the left. No large fluid collection is identified. There is no pneumothorax.", "impression": "No significant change compared to recent prior. No enlarging effusion.", "background": "INDICATION: ___-year-old male status post aortic stent placement due to pseudoaneurysm, now with blood coming from the chest tube. Assess for hemothorax. COMPARISON: Chest radiographs dating back to ___, most recent from ___. PORTABLE SUPINE AND SEMI-ERECT CHEST"}, {"study_id": "56110720", "subject_id": "10977414", "findings": "The left upper lobe alveolar opacities are better today. They were compatible with contusion. Stability of the mild apical and axillary left pleural effusion. There is no visible pneumothorax. The left lower lobe atelectasis is still present; however, there seems to be a slight left mediastinal shift since the previous exam, possibly because of the rotation of the patient, but a progression of the atelectasis can also be considered. The radiolucencies that were adjacent to the left cardiac border are better: they are possibly compatible with laceration. The right lung is normal. Stability of the undisplaced left scapular fracture.", "impression": "Amelioration of the left lung contusions. The radiolucencies in the left lower lung that were described yesterday possibly compatible with lacerations are better today. No pneumothorax. The mild left pleural effusion is unchanged. Possible slight mediastinal shift on the left secondary to a progression of the left lower lobe atelectasis versus displacement only due to the position and rotation of the patient.", "background": "AP CHEST X-RAY INDICATION: MVC with pulmonary contusion. COMPARISON: ___."}, {"study_id": "53423969", "subject_id": "12722916", "findings": "Free peritoneal air, likely related to recent gastrostomy tube placement. Minimal left basilar atelectasis stable. Increased heart size. Tortuous ascending aorta stable. Normal pulmonary vascularity. No effusion. No edema. No pneumothorax.", "impression": "Pneumoperitoneum, likely from recent gastrostomy tube placement. Stable left basilar atelectasis.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with fever, post op from gastrostomy tube // eval for pneumonia TECHNIQUE: Chest single view COMPARISON: ___"}, {"study_id": "59091437", "subject_id": "19011082", "findings": "PA and lateral views of the chest provided. Coarsened reticular interstitial markings noted which could reflect underlying emphysema or fibrotic lung disease. Perihilar linear densities could represent scarring as these appear stable from prior exam. No large effusion or pneumothorax. The heart size is normal. The mediastinal contour is unremarkable. Bony structures are intact.", "impression": "Coarsened interstitial markings could reflect emphysema/fibrosis. Areas of perihilar scarring unchanged. No acute findings.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with RUQ pain, Worse with deep inspiration // Any pneumnia COMPARISON: Prior exam dated ___."}, {"study_id": "58325609", "subject_id": "16960625", "findings": "New left cardiac pacemaker has been placed with leads ending in the right atrium and right ventricle appropriately. No pneumothorax is seen. Previous pleural effusions have resolved, and no consolidation or pulmonary edema is seen. The cardiac and mediastinal contours are normal.", "impression": "Left cardiac pacemaker with leads appropriately ending in the right atrium and right ventricle. No complications including pneumothorax.", "background": "HISTORY: ___-year-old woman status post pacemaker placement. TECHNIQUE: PA and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___."}, {"study_id": "51098376", "subject_id": "10667727", "findings": "Compared with the prior radiograph, the NG tube, right PICC line, and right pleural drain are unchanged in position. Residual small right pleural effusion is unchanged. No left pleural effusion, pneumothorax, or new focal consolidation. Moderate cardiomegaly is stable.", "impression": "Small residual right pleural effusion, with unchanged right pleural drain placement. No left pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with hx of sCHF (EF ___%), SSS s/p PPM, HTN, HLD, DM who presents with worsening orthopnea, DOE found to be in decompensated heart failure refractory to her home diuretic regimen, with new evidence of RV failure, with course c/b anuric renal failure with bilateral pleural effusions. Evaluate pleural effusions. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph from ___, ___, ___, and ___. CT chest from ___ 3"}, {"study_id": "56236082", "subject_id": "14342692", "findings": "The left internal jugular catheter is unchanged. Calcified nodules in the right upper lobe are also unchanged in appearance. Lung volumes are slightly increased compared to the prior study, although the cardiac and mediastinal contours are unchanged, top normal. There is prominence of the pulmonary vasculature with increased interstitial markings. There are no pleural effusions. No pneumothorax is seen.", "impression": "Increased pulmonary vascular prominence with no pleural effusions.", "background": "HISTORY: ESRD on HD, presenting with chest pain and hypotension. Evaluate for vascular congestion. COMPARISON: ___."}, {"study_id": "59771036", "subject_id": "12127877", "findings": "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 evidence of pneumomediastinum or pneumothorax. There is no pleural effusion. The visualized osseous structures are unremarkable.", "impression": "No evidence of pneumomediastinum.", "background": "HISTORY: History of foreign body in the esophagus. Please evaluate for perforation. COMPARISON: None. TECHNIQUE: Frontal radiograph of the chest."}, {"study_id": "52813918", "subject_id": "19758044", "findings": "Loculated posterior right apical pleural fluid is seen now with likely associated air-fluid level, which may relate to recent drainage. There is persistent blunting of the right costophrenic angle overlying atelectasis there may be a trace right pleural effusion. The left lung is clear. Cardiac and mediastinal silhouettes are stable. There has been interval removal of a right-sided PICC.", "impression": "Persistent posterior right apical loculated pleural fluid of with probable air-fluid level, air-fluid level more conspicuous as compared to the prior study, fluid component appear similar. Chest CT would provide further assessment.", "background": "WET READ: ___ ___ 10:15 AM Persistent posterior right apical loculated pleural fluid of with possible air-fluid level, air-fluid level more conspicuous as compared to the prior study, fluid component appear similar. Chest CT would provide further assessment. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever, chest pain // eval for worsening lung abscess/empyema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ in ___"}, {"study_id": "59224510", "subject_id": "13234161", "findings": "Frontal and lateral views of the chest were obtained. In the left upper to mid lung, there is a 0.5 cm calcified nodule most likely representing a calcified granuloma. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.", "impression": "No evidence of pneumonia.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Altered mental status, evaluate for pneumonia. COMPARISON: None."}, {"study_id": "51541129", "subject_id": "16425412", "findings": "Left PICC is seen with tip in the lower SVC. When compared to prior, there has been interval progression of the right basilar opacity which is in part due to underlying effusion with superimposed consolidation. Superiorly the lungs are clear the cardiomediastinal silhouette is stable. No acute osseous abnormalities.", "impression": "New right basilar opacity in part due to small effusion with superimposed consolidation which could represent infection or aspiration.", "background": "WET READ: ___ ___ 11:51 PM New right basilar opacity in part due to small effusion with superimposed consolidation which could represent infection or aspiration. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with bibasilar crackles, recent seizure. // please eval for pna TECHNIQUE: AP and lateral views the chest. COMPARISON: ___."}, {"study_id": "57983646", "subject_id": "16927031", "findings": "PA and lateral views of the chest provided. No focal consolidation, large effusion or pneumothorax is seen. There is mild prominence of the hilar markings which likely reflect prominent bronchovascular markings given findings on prior CT, though comparison with a prior chest x-ray would be helpful. Please note, Heart size is stable. Mediastinal contour is normal. Bony structures are intact.", "impression": "Mild prominence of the pulmonary hila, likely stable when compared with prior CT chest. Please correlate clinically. No convincing evidence for pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with palpitations // eval for acute process COMPARISON: Chest CT from ___."}, {"study_id": "59399898", "subject_id": "10826396", "findings": "Frontal and lateral radiographs of the chest were acquired. There is redemonstration of intact sternotomy wires and mediastinal surgical clips, consistent with prior CABG. Lung volumes are low, resulting in bronchovascular crowding. There is mild pulmonary vascular congestion, without frank interstitial edema. There is no focal consolidation. The heart is mildly enlarged, not significantly changed. The descending thoracic aorta is tortuous, as before. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted. A large right breast calcification is unchanged. A surgical clip projects over the upper abdomen on the lateral projection, likely related to prior cholecystectomy given its infrahepatic location on the comparison radiograph.", "impression": "Mild pulmonary vascular congesion, without frank interstitial edema. No focal consolidation. Unchanged mild cardiomegaly.", "background": "INDICATION: Shortness of breath, assess for infiltrate. COMPARISON: Chest radiograph from ___."}, {"study_id": "57564088", "subject_id": "18569623", "findings": "Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is identified. Mild degenerative changes are seen in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain, shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "55462208", "subject_id": "18692222", "findings": "Dual lead left-sided AICD is stable in position, with leads extending to the expected positions of the right atrium and right ventricle. The cardiac and mediastinal silhouettes are stable. Overall, there has been no significant interval change. No new focal consolidation is seen. There is no pleural effusion or pneumothorax.", "impression": "No significant interval change. No acute cardiopulmonary process.", "background": "HISTORY: Fatigue, cough. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "55958636", "subject_id": "16602148", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette size is normal. Mediastinal contours are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with worsening SOB // ?infectious process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "52456276", "subject_id": "11176370", "findings": "The lung volumes are decreased compared to prior. Interval development of mild interstitial edema. The cardiomediastinal silhouette is slightly increased in size. Slight interval improvement of right pleural effusion. Interval worsening of left pleural effusion and lower lung atelectasis. The Swan-Ganz catheter is in stable position terminating in the right pulmonary artery.", "impression": "Interval increase in cardiac size with development of mild interstitial edema. Interval worsening of left pleural effusion and lower lung atelectasis.", "background": "INDICATION: ___-year-old male with a past medical history significant for insulin-dependent diabetes mellitus presents from___ with new onset acute systolic heart failure and cardiogenic shock // pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___"}, {"study_id": "58694596", "subject_id": "14767213", "findings": "The patient is status post CABG and aortic valve replacement. Sternotomy wires are intact. The lungs are well expanded, with no focal opacities. Mild vascular congestion with upper redistribution is seen. Moderate cardiomegaly is unchanged. There is no pleural effusion or pneumothorax.", "impression": "Mild vascular congestion on the background of stable moderate cardiomegaly. No evidence of pneumonia.", "background": "EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with dizziness. Evaluate for acute cardiopulmonary process. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Multiple prior chest radiographs, most recent on ___."}, {"study_id": "58232524", "subject_id": "19621207", "findings": "PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with two previous chest examinations dated ___ and ___. The heart size remains within normal limits. No typical configurational abnormality is identified. Mild degree of general widening of the thoracic aorta is again noted as well as mild elongation of the descending aorta following the left-sided convex scoliotic curvature of the thoracic spine. The pulmonary vasculature is not congested. No evidence of new acute parenchymal infiltrates are present. As before, the generally, irregular pulmonary vascular peripheral distribution in this elderly woman appears to represent some form of emphysema/COPD, but no new acute parenchymal infiltrates can be identified. No pleural effusions are seen. As before, diffuse demineralization of the vertebral bodies of the thoracic spine is noted with some mild compression deformities in the mid and lower portion, but no significant interval changes since the previous studies can be identified.", "impression": "Stable chest findings, no evidence of cardiac enlargement, CHF or acute infiltrates in this elderly female patient.", "background": "TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with exertional shortness of breath, desaturates with ambulation, mild rhonchi on left base, evaluate for infiltrates versus CHF."}, {"study_id": "58086744", "subject_id": "12535940", "findings": "Frontal and lateral views of the chest were obtained. Subtle opacity projecting over the right lung apex is felt to represent a prominent anterior right first rib, symmetric with the left. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The aorta is tortuous. No overt pulmonary edema is seen. No displaced fracture is identified. There are degenerative changes at the right acromioclavicular and shoulder joints.", "impression": "No acute cardiopulmonary process. No displaced fracture seen.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of fall. COMPARISON: None."}, {"study_id": "56233827", "subject_id": "19623970", "findings": "Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "52024045", "subject_id": "16540581", "findings": "Lungs are low in volume but appear clear aside from basal atelectasis. The heart is normal in size. Normal cardiomediastinal silhouette. No pneumothorax or pleural effusion is seen.", "impression": "Bibasilar atelectasis without acute intrathoracic process.", "background": "INDICATION: ___-year-old man with elevated white blood cell count, assess for pneumonia. COMPARISONS: None. TECHNIQUE: Portable upright radiograph of the chest."}, {"study_id": "59526591", "subject_id": "19111424", "findings": "There is tortuosity of the aorta. There is no pleural effusion and no pneumothorax. The cardiomediastinal silhouette and hila are normal. Patient is status post median sternotomy. There is no evidence of pneumonia.", "impression": "No acute cardiothoracic process.", "background": "INDICATION: ___-year-old with subarachnoid hemorrhage. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___."}, {"study_id": "59869661", "subject_id": "12961917", "findings": "A left PICC line and a left pectoral Infuse-A-Port both end in the mid SVC. Right apical loculated fluid with adjacent right apical scarring are unchanged. There is stable elevation of the right hemidiaphragm with presence of a small subpulmonic effusion. The left lung is clear. There is no pneumothorax. A rounded lucency in the right upper paratracheal location is indeterminate, and may be due to air in the esophagus or a small diverticulum. The heart and mediastinum are within normal limits despite the projection", "impression": "Left PICC line and left pectoral Infuse-A-Port both end in the mid SVC. Stable loculated right pleural effusion with a small subpulmonic component.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with PICC. // PICC placement. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: Plain chest radiograph dated ___. Correlation made to chest CT dated ___."}, {"study_id": "54714845", "subject_id": "17371303", "findings": "Single portable semi upright frontal chest radiograph demonstrates new left subclavian CVL tip within the mid SVC. Mildly hypoinflated lungs with perihilar interstitial prominence consistent with vascular crowding. Stable reticular opacities within the lungs. No pleural effusion or pneumothorax. Calcification of the left apical pleural surface again noted. No focal opacity. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are unremarkable and upper abdomen is within normal limits.", "impression": "Left subclavian CVL tip within mid SVC. No pneumothorax. Hypoinflated lungs with persistent bilateral reticular opacities suggestive of mild interstitial fibrosis.", "background": "WET READ: ___ ___ ___ 7:55 AM 1. Left subclavian CVL tip within mid SVC. No pneumothorax. 2. Hypoinflated lungs with persistent bilateral reticular opacities suggestive of mild interstitial fibrosis. WET READ VERSION #1 ___ ___ ___ 4:27 AM 1. Left IJ CVL tip within mid SVC. No pneumothorax. 2. Hypoinflated lungs with persistent bilateral reticular opacities suggestive of fibrosis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with central line placement- subbclavian. Assess for pneumothorax. COMPARISON: Chest radiograph ___."}, {"study_id": "56234366", "subject_id": "16912036", "findings": "There are low lung volumes. There is bronchovascular crowding vs. mild pulmomary edema without signs of overt pulmonary edema. The lungs are otherwise clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with altered mental status concerning for infection. COMPARISON: Comparison is made with chest radiographs from ___ and ___."}, {"study_id": "53765730", "subject_id": "10060204", "findings": "Dual lead left-sided AICD is stable in position. There is prominence of the central pulmonary vasculature. Subtle prominence of the interstitial markings could relate to mild fluid overload, although atypical infection is not excluded. No lobar consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "There is prominence of the central pulmonary vasculature. Subtle prominence of the interstitial markings could relate to mild fluid overload, although atypical infection is not excluded. No lobar consolidation is seen", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with fever after zpak // check pna TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___"}, {"study_id": "53279691", "subject_id": "13616762", "findings": "Heart size appears mildly enlarged but unchanged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Subsegmental atelectasis is demonstrated in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Deformity of a right-sided rib appears chronic. No acute osseous abnormality is otherwise demonstrated. Moderate degenerative changes are noted in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with low back pain sudden onset // ? obvious fracture TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "54063356", "subject_id": "12568193", "findings": "Minimal bibasilar atelectasis is again noted. The lungs are otherwise clear. There is no focal consolidation worrisome for pneumonia. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.", "impression": "No focal consolidation worrisome for pneumonia.", "background": "INDICATION: ___F with WBC ___.9; infectious work-up for pneumonia // please eval for PNA TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "53375551", "subject_id": "16739274", "findings": "There is hyperexpansion of both lungs with severe underlying emphysema. Minimal blunting of the right costophrenic angle may reflect underlying atelectasis. No pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.", "impression": "No radiographic evidence of acute cardiopulmonary disease. Hyperexpanded lungs with severe underlying emphysema.", "background": "INDICATION: ___ year old woman with COPD exacerbation // evaluate lung sizes, look for PNA TECHNIQUE: AP portable chest radiograph COMPARISON: No prior radiographs available. Comparison is made to the CT torso from ___"}, {"study_id": "51449007", "subject_id": "19125100", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with productive cough, sob // pneumonia? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56677093", "subject_id": "18571541", "findings": "Single supine AP portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately 3.9 cm above the level of the carina. Nasogastric tube is seen, coiling in the expected location of the stomach, inferior aspect not included on the image. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.", "impression": "No acute intrathoracic process. Endotracheal and nasogastric tubes in appropriate position.", "background": "EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: ___-year-old female with history of motorcycle accident. COMPARISON: None."}, {"study_id": "55344137", "subject_id": "10820804", "findings": "Lung volumes are low bilaterally. There is mild pulmonary venous hypertension. There is bilateral basilar atelectasis and left mid lung atelectasis. The heart is mildly enlarged. The hila are unremarkable. No focal consolidation, pulmonary in edema, pleural effusion, or pneumothorax. Median sternotomy wires appear intact and prior CABG.", "impression": "Mild cardiomegaly and pulmonary venous hypertension. Atelectasis.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___-year-old man presenting with chest pain and AV block; evaluate for structural process. TECHNIQUE: AP radiograph view of the chest was obtained. COMPARISON: No prior chest imaging is available."}, {"study_id": "50398172", "subject_id": "11801344", "findings": "The cardiac, mediastinal and hilar contours are within normal limits. The lungs are clear and the pulmonary vasculature normal. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are demonstrated.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Cough and fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "54675858", "subject_id": "13455616", "findings": "Median sternotomy wires and prosthetic cardiac valves are re- demonstrated. Clear lungs. No pneumothorax or pleural effusion. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph INDICATION: History: ___F with h/o CHF, no diuretics for 2 days, coughing, has URI // ? pulmonary edema or other acute cardiopulm process TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "55954448", "subject_id": "13774492", "findings": "The lungs are hyperinflated but clear. Cardiomediastinal silhouette is normal. There is no pneumothorax or pleural effusion.", "impression": "Hyperinflated but clear lungs.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old woman with COPD exacerbation, evaluate for interval change TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph ___ and ___"}, {"study_id": "58347248", "subject_id": "13439794", "findings": "Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "55446851", "subject_id": "16526693", "findings": "Hazy opacities over the lung bases are likely due to gynecomastia. For focal nodular density of the left lung base may be a nipple shadow however repeat with nipple markers suggested to confirm. Small left pleural effusion is noted. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "Small left pleural effusion. Nodular opacity projecting over the left lung base, likely nipple shadow however repeat with nipple markers suggested to confirm.", "background": "WET READ: ___ ___ ___ 5:39 PM Small left pleural effusion. Nodular opacity projecting over the left lung base, likely nipple shadow however repeat with nipple markers suggested to confirm. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with cirrhosis, low back pain, fever // evaluate for pneumonia, has known L rib fx TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None."}, {"study_id": "54383452", "subject_id": "16574411", "findings": "PA and lateral views of the chest provided. The lungs are well-aerated and grossly clear. A moderate right pleural effusion is mildly increased in size. A stent and surgical clips in the right upper quadrant are noted. A prominent right hilus is concerning for a possible right hilar mass.", "impression": "A prominent right hilus, which was not well seen on the prior examination is concerning for a possible right hilar mass. A chest CT is recommended for further evaluation, ideally with contrast. A moderate right pleural effusion is mildly increased in size since ___. No focal consolidation is seen.", "background": "WET READ: ___ ___ ___ 5:46 PM Slight interval increase in size of the small-to-moderate right pleural effusion with associated atelectasis. No other consolidation to suggest pneumonia. No pulmonary edema. Cardiomediastinal silhouette is unchanged. WET READ VERSION #1 ___ ___ 7:11 PM Slight interval increase in size of the small-to-moderate right pleural effusion with associated atelectasis. No other consolidation to suggest pneumonia. No pulmonary edema. Cardiomediastinal silhouette is unchanged. WET READ VERSION #2 ___ ___ ___ 11:30 AM Slight interval increase in size of the small-to-moderate right pleural effusion with associated atelectasis. No other consolidation to suggest pneumonia. No pulmonary edema. Cardiomediastinal silhouette is unchanged. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with worsening cough // eval for consolidation, suspected pneumonia COMPARISON: Chest radiograph, ___"}, {"study_id": "53867634", "subject_id": "13595620", "findings": "AP upright and lateral chest radiographs were obtained. The lungs appear well expanded and clear without pleural effusion or pneumothorax. No overt edema is seen. The heart is stably and severely enlarged with unchanged tortuous aortic contour. The width of the mediastinum appears grossly unchanged from prior AP chest radiograph. Right neck plastic cannula is presumed to be for IV access.", "impression": "Stable cardiomegaly without acute process.", "background": "HISTORY: Chest pain. COMPARISON: ___."}, {"study_id": "57421350", "subject_id": "17475607", "findings": "Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms and increased AP diameter, suggesting chronic obstructive pulmonary disease. Linear areas of atelectasis/scarring are seen in the left mid-to-lower lung field. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen along the spine.", "impression": "No acute cardiopulmonary process. No overt pulmonary edema.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Pitting edema. COMPARISON: ___."}, {"study_id": "52205390", "subject_id": "13845401", "findings": "The lungs are well expanded and clear bilaterally with no areas of focal consolidation, masses, lesions, or pleural effusions. There is no pneumothorax. The aorta is moderately tortuous. Otherwise, the cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable. There are mild stable degenerative changes seen in the thoracic spine.", "impression": "Complete resolution of previously seen pneumonia. No evidence of recurrent infection or malignancy. These findings were reported to Dr. ___ ___ phone at 3:37 pm by ___ ___.", "background": "INDICATION: ___-year-old female with previous history of pneumonia, now presents with cough. COMPARISON: PA and lateral chest radiograph ___. TECHNIQUE: PA and lateral chest radiographs."}, {"study_id": "51307695", "subject_id": "11649876", "findings": "PA and lateral views of the chest are provided. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart is normal in size. The mediastinal contour is minimally prominent, likely reflecting a slightly unfolded thoracic aorta. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with prior study from ___. CLINICAL HISTORY: Mid chest pain."}, {"study_id": "55898969", "subject_id": "17427308", "findings": "Since the prior chest radiograph on ___, there has been interval placement of a left-sided pigtail catheter. A small left apical pneumothorax has resulted. No pneumothorax on the right. Left pleural effusion has essentially resolved. No pleural effusion on the right. Patchy opacities in the right lung apex and right lung base appear slightly more dense and concerning for evolving infection. Cardiomediastinal contours are unchanged. Right pectoral pacer leads terminate in the right atrium and right ventricle, as expected.", "impression": "New small left apical pneumothorax status post chest tube placement. Slight interval worsening of right apical and right lung base opacities, concerning for evolving infection.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with right chest tube // r/o ptx TECHNIQUE: Portable chest right COMPARISON: Chest radiograph ___, and chest CT ___"}, {"study_id": "55742435", "subject_id": "15632977", "findings": "Left perihilar opacities may be due to aspiration. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Endotracheal tube tip is approximately 1 cm above the carina. Side port of the NG tube is below the GE junction.", "impression": "Left perihilar opacities may be due to aspiration. Endotracheal tube tip is approximately 1 cm above the carina. Withdrawal by 1-2 cm may provide more optimal placement.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with altered mental status // eval for pneumonia COMPARISON: None"}, {"study_id": "52410025", "subject_id": "19670384", "findings": "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. Bilateral shoulder arthroplasty is again noted. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with PMH CAD, NSTEMI, renal tx and CHF presenting with 1 day substernal CP COMPARISON: ___"}, {"study_id": "51076103", "subject_id": "18513879", "findings": "There is a vague opacity projecting over the right middle lobe on the frontal view not clearly visualized on the lateral view concerning for an early pneumonia. Normal heart size, mediastinal and hilar contours. No pleural effusion or pneumothorax.", "impression": "Subtle right middle lobe opacity concerning for early pneumonia.", "background": "INDICATION: History: ___F with cough // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available"}, {"study_id": "59058085", "subject_id": "17228108", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "WET READ: ___ ___ ___ 6:52 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with fever // ?pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "57221730", "subject_id": "10876550", "findings": "Patient is status post median sternotomy and CABG. Heart size is normal. The aorta remains tortuous. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with dementia, recent falls, headstrike fall today TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___"}, {"study_id": "58531505", "subject_id": "18230098", "findings": "The heart is mildly enlarged. There is prominence of the pulmonary vasculature with peribronchial cuffing, suggestive of mild pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax.", "impression": "No evidence of pneumonia.", "background": "INDICATION: History: ___F with cp. L arm pain // PNA? Clotted fistula? TECHNIQUE: Chest AP and lateral COMPARISON: ___"}, {"study_id": "57705002", "subject_id": "16881590", "findings": "PA and lateral chest radiographs demonstrate mild cardiomegaly, unchanged from ___. There is no pulmonary vascular congestion, pleural effusion, or dilation of the azygos. There is no focal consolidation or pneumothorax. An old right posterior rib fracture is stable from ___.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Dry cough for several months. COMPARISONS: ___ and ___."}, {"study_id": "56827974", "subject_id": "14172776", "findings": "Frontal and lateral chest radiograph demonstrates well expaned clear lungs with no focal consolidation conerning for pneumonia. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.", "impression": "No pneumonia. These results were communicated to the ordering physician's secretary by Dr. ___ ___ telephone immediately upon review of the radiographs.", "background": "HISTORY: ___-year-old male with question of pneumonia in the right lower lobe. COMPARISON: Chest radiograph dated ___."}, {"study_id": "51149474", "subject_id": "15835529", "findings": "The heart size remains moderately enlarged. Mild aortic knob calcifications are demonstrated. No overt pulmonary edema is present. There are bilateral pleural effusions, moderate to large on the right and moderate on the left with bibasilar airspace opacities compatible with compressive atelectasis. No pneumothorax is present. There are no acute osseous abnormalities. Calcified lymph nodes are noted in the left axilla.", "impression": "Bilateral pleural effusions, moderate to large on the right and moderate on the left with bibasilar compressive atelectasis.", "background": "HISTORY: Thyroid storm. TECHNIQUE: Upright AP view of the chest. COMPARISON: Reference CT abdomen and chest radiograph ___."}, {"study_id": "50235780", "subject_id": "11738518", "findings": "PA and lateral views of the chest provided. Aortic stent is partially imaged. There is interstitial pulmonary edema with small bilateral pleural effusions. Heart size appears mildly enlarged. There is mild central hilar engorgement. Mediastinal contour is stable with atherosclerotic calcifications noted. The bony structures are intact. No pneumothorax. Free air below the right hemidiaphragm.", "impression": "Interstitial pulmonary edema with small bilateral pleural effusions and mild cardiomegaly.", "background": "FINAL ADDENDUM There is NO free air below the right hemidiaphragm. ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Recent pneumonia with cough and fever, question pneumonia."}, {"study_id": "53275255", "subject_id": "19133405", "findings": "Frontal dance lateral views of the chest. Tracheostomy and left chest wall port are in stable positions. There is no evidence of a new consolidation nor effusion. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable. Prominent gaseous distention of the colon and stomach is again noted.", "impression": "No evidence of pneumonia.", "background": "HISTORY: ___-year-old female tracheostomy and Pseudomonas. COMPARISON: ___."}, {"study_id": "54438459", "subject_id": "15172022", "findings": "Portable semi-upright radiograph of the chest demonstrates marked dextroscoliosis of the thoracic spine. The cardiac silhouette may be slightly enlarged. No definite pneumothorax is identified. The tip of the endotracheal tube appears to terminate approximately 5 cm above the carina. There is biapical pleural thickening. Retrocardiac opacities are a combination of small to moderate effusion and adjacent atelectasis. Faint opacity in the right base could also represent small pleural effusion and adjacent atelectasis. Left perihilar opacities are worrisome for aspiration", "impression": "ET tube terminates approximately 5 cm above the carina. A small right and moderate left pleural effusion with adjacent atelectasis Left perihilar opacities worrisome for aspiration", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with ett // eval for ett TECHNIQUE: Portable chest x-ray. COMPARISON: None."}, {"study_id": "54138242", "subject_id": "13725152", "findings": "The cardiac silhouette is normal. The aorta is tortuous otherwise the mediastinal contours are normal. The hila and pleura are unremarkable. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.", "impression": "No evidence of pneumonia.", "background": "EXAMINATION: Chest x-ray PA and Lat INDICATION: ___ year old woman with productive cough x 10 days. // Any evidence for pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ through ___."}, {"study_id": "54410594", "subject_id": "12287689", "findings": "There is a focal opacity within the right midlung, within the upper lobe and potentially component in the right middle lobe new since prior. Lower lung volumes seen on the current exam. Elsewhere the lungs are clear where not obscured by the left chest wall pacing device. The 2 leads are in stable position. Cardiomediastinal silhouette is stable, atherosclerotic calcifications again noted at the aortic arch. No acute osseous abnormalities identified.", "impression": "Right upper lobe and likely right middle lobe consolidation compatible with pneumonia in the proper clinical setting. Recommend repeat after treatment to document resolution.", "background": "WET READ: ___ ___ ___ 7:57 PM Right upper lobe and likely right middle lobe consolidation compatible with pneumonia in the proper clinical setting. Recommend repeat after treatment to document resolution. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with fevers, dyspnea, chronic cough // Any pneumonia? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "53995042", "subject_id": "12462675", "findings": "Frontal portable radiograph of the chest demonstrates the endotracheal tube tip approximately 8.5 cm from the carina. This should be advanced by roughly ___ to 20 mm for more appropriate positioning. The right internal jugular central venous line tip is at the mid portion of the SVC. The enteric tube tip is past the diaphragm and out of the field of view. As compared to the prior study, there is improvement in the pulmonary edema and right pleural effusion. Concurrent pneumonia is a possibility. The cardiomediastinal contour is unchanged.", "impression": "Malpositioned endotracheal tube, should be advanced by roughly 2 cm for more appropriate positioning. Interval improvement in pulmonary edema and right pleural effusion. These findings were relayed to the ___ nurse taking care of the patient, by Dr. ___, at 10:12 a.m. on ___.", "background": "HISTORY: Subarachnoid hemorrhage, status post clipping. Evaluate for pulmonary edema. COMPARISON: ___."}, {"study_id": "52298692", "subject_id": "11626816", "findings": "Sequential images of a nasoenteric tube placement demonstrate gastric positioning of a Dobbhoff tube, with tip directed cranially on the final image. An endotracheal tube is unchanged in position. The bilateral lungs are well-inflated and grossly clear. There is no pleural effusion, pneumothorax, or focal airspace consolidation.", "impression": "Cranially directed Dobbhoff tube is present in the stomach.", "background": "EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___ year old man with ICH s/p NG tube placement // Dobhoff placement TECHNIQUE: 2 frontal views of the chest and upper abdomen were obtained. COMPARISON: Comparison is made to chest radiograph from earlier this morning."}, {"study_id": "54638371", "subject_id": "13470788", "findings": "Compared to the prior study, there is indistinctness of the lung bases, likely due to pleural fluid at the posterior pleural surface. The visualized lung parenchyma is clear and the cardiac and mediastinal contours are normal.", "impression": "Indistinctness of the lung bases may be due to pleural fluid in the posterior sulcus. A lateral view would be helpful to exclude a small pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute hypoxemia, basilar rales, stridor - eval for acute pathology. TECHNIQUE: Portable upright chest radiograph COMPARISON: ___"}, {"study_id": "53198145", "subject_id": "13620341", "findings": "The heart size is normal. The hilar and mediastinal contours are unremarkable. There is a new vague opacification at the left lung base posteriorly, which may be from an infectious etiology in the correct clinical setting. There is no pneumothorax or pleural effusion. No other focal consolidations are identified. The visualized osseous structures are normal.", "impression": "Probable left lower lung pneumonia in the appropriate clinical setting. These findings were discussed with Dr. ___ by Dr. ___, by telephone, on the day of the exam at 5:15 pm.", "background": "INDICATION: ___-year-old male with a history of APML and lymphoma, who presents for evaluation of a few-day history of chest congestion. COMPARISONS: Chest radiographs from ___ and ___ and CT chest from ___. TECHNIQUE: PA and lateral radiographs of the chest."}, {"study_id": "55343611", "subject_id": "19133405", "findings": "Midline tracheostomy is again noted. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Left Port-A-Cath terminates at the cavoatrial junction.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea, w/ history of bronchopulm dysplasia, increased productive cough // acute cardiopulm disease TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "53041815", "subject_id": "13789527", "findings": "Right-sided PICC line terminates at the cavoatrial jucntion. Port-A-Cath resides in the left chest wall with catheter in unchanged position, terminating in the lower SVC. The cardiomediastinal and hilar contours are stable. Lung volumes are decreased. There are trace bilateral pleural effusions. There is no pneumothorax. No focal consolidation concerning for pneumonia. Nodular opacities within the right upper lobe are redemonstrated and are better assessed on recent chest CT. Note is made of a PEG tube in the left upper quadrant.", "impression": "Trace bilateral pleural effusions. No focal consolidation concerning for pneumonia.", "background": "HISTORY: Liver cancer and chemo with fever and lethargy. Rule out pneumonia. COMPARISON: Prior chest radiograph from ___, chest CT from ___ and chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs."}, {"study_id": "57377858", "subject_id": "15007710", "findings": "The aorta has calcifications and is mildly tortuous. There is stable cardiomegaly. There is no pulmonary congestion, pleural effusion, or pneumothorax. There are no pulmonary nodules.", "impression": "No pulmonary nodules or other evidence of malignancy.", "background": "STUDY: PA and lateral chest x-ray. COMPARISON EXAM: AP chest film, ___. INDICATION: ___-year-old with unexplained weight loss and history of breast cancer."}, {"study_id": "55420120", "subject_id": "13595620", "findings": "Moderate-to-severe cardiomegaly is unchanged. Mediastinal and hilar contours are stable. Left axillary pacemaker is present with tips terminating in the right atrium and right ventricle as expected. There is no pleural effusion or pneumothorax. Left basilar scarring or atelectasis is again noted. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Shortness of breath. COMPARISON: Chest radiograph, ___, ___."}, {"study_id": "51630604", "subject_id": "14931360", "findings": "As compared to chest radiograph from earlier today, significant interval decrease in right-sided pleural effusion with PleurX catheter in good position. Right upper lobe and mediastinal contours are stable. Mild pulmonary vascular congestion has improved. Mild cardiomegaly with mitral annular calcification. Endovascular stent in similar configuration. No pneumothorax.", "impression": "Significant interval decrease in right-sided pleural effusion. No pneumothorax.", "background": "INDICATION: ___ year old woman with hx NSCLC s/p pleurex catheter // post pleurex catheter drain, eval size of pleural effusion"}, {"study_id": "53231086", "subject_id": "12742571", "findings": "Heart size, mediastinal and hilar contours are normal. There has been slight worsening of right basilar atelectasis with persistent small adjacent pleural effusion. Improved aeration at the left lung base but apparent slight increase in a small left pleural effusion. Note is made of bulla at the right apex, but there are no evident pneumothoraces. Small amount of subcutaneous emphysema persists in the right chest wall.", "impression": "Small bilateral pleural effusions and adjacent basilar atelectasis, right greater than left.", "background": "PA AND LATERAL CHEST OF ___ COMPARISON: ___ radiograph."}, {"study_id": "55320216", "subject_id": "10772636", "findings": "The left-sided PICC line tip is curved back on itself in the proximal SVC. A power flash might be helpful for repositioning. Lung volumes are low but there is no definite infiltrate or effusion.", "impression": "Abnormal position of the PICC line tip", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with DRESS and renal failure, now with hypervolemia on exam // Please assess for pulmonary edema TECHNIQUE: Portable chest COMPARISON: ___."}, {"study_id": "57710088", "subject_id": "18992807", "findings": "Small right pleural effusion that is significantly decreased in size from the pleural effusion noted on the reference CT from ___ at 01:17 with re-expansion of the right lung following thoracentesis. No pneumothorax is seen. There is extensive consolidation of the left lung concerning for pneumonia. Numerous pulmonary nodules are again seen and better assessed on the recent chest CT. The heart size is normal. A right Port-A-Cath terminates in the lower SVC.", "impression": "Decrease in right pleural effusion with re-expansion of the right lung Left lung consolidation concerning for pneumonia. Multiple pulmonary nodules better seen on the recent chest CT.", "background": "INDICATION: ___-year-old female status post thoracentesis, evaluate for improvement and pleural effusion. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the upright position. COMPARISON: Reference CT from ___ and radiograph from ___ and CT for ___."}, {"study_id": "50084088", "subject_id": "18599762", "findings": "Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No obvious fracture is identified. No radiopaque foreign body projects over the airways.", "impression": "Normal chest radiograph. No radiopaque foreign bodies projecting over the airway.", "background": "EXAMINATION: Chest radiograph INDICATION: Broken teeth after motor vehicle collision. Evaluate for aspirated tooth fragments. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "53537165", "subject_id": "11052273", "findings": "Mild cardiomegaly is unchanged compared to the prior study. Aortic knob calcifications are again noted. The mediastinal and hilar contours are stable. Previously noted pattern of mild pulmonary vascular congestion has essentially resolved. Streaky opacity in the right lung base likely reflects atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormality is seen.", "impression": "No definite evidence for congestive heart failure. Patchy streaky opacity in the right lung base likely reflects atelectasis though infection is difficult to exclude.", "background": "INDICATION: Dyspnea on exertion. COMPARISON: ___. PA AND LATERAL VIEWS OF THE"}, {"study_id": "59293648", "subject_id": "16952127", "findings": "The lungs are well expanded without focal opacities. Moderate-to-severe cardiomegaly is unchanged from prior. There is no pleural effusion or pneumothorax. There is stable elevation of the left hemidiaphragm. No evidence of subdiaphragmatic free air.", "impression": "Moderate-to-severe cardiomegaly. No evidence of subdiaphragmatic free air.", "background": "INDICATION: ___-year-old male with abdominal pain and weakness. Evaluate for free air. COMPARISON: ___. TECHNIQUE: Frontal upright chest radiograph."}, {"study_id": "58776179", "subject_id": "13869899", "findings": "The lungs are well expanded and clear. The rounded calcification projecting over the aortic arch is stable from prior exams. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History: ___M with hx of CVA who presents w/ confusion // eval for PNA TECHNIQUE: AP and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___ and ___."}, {"study_id": "58867644", "subject_id": "16843636", "findings": "The lungs are hypoinflated with crowding of vasculature and mild pulmonary edema. Heterogeneous opacity within the right lower lobe noted. No left pleural effusion. Small right pleural effusion. No pneumothorax. Persistent severe cardiomegaly is accentuated due to low lung volumes. Mediastinal contour and hila are otherwise unremarkable.", "impression": "Mild pulmonary edema. More focal opacity at the right lung base may reflect asymmetric edema although superimposed pneumonia cannot be entirely excluded.", "background": "WET READ: ___ ___ ___ 1:08 PM 1. Heterogeneous opacity within right lower lobe with small right pleural effusion likely represents component of asymmetric pulmonary edema however superimposed infection cannot be excluded. 2. Persistent severe cardiomegaly is accentuated due to low lung volumes. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with resp distress. Assess for pneumonia or pulmonary edema. TECHNIQUE: Single portable frontal chest radiograph. COMPARISON: Chest radiograph ___, ___."}, {"study_id": "56620693", "subject_id": "12525702", "findings": "The lungs are clear without focal consolidation, effusion, or edema. Opacity at the left costophrenic angle is compatible with a fat hernia. Left chest wall triple lead pacing device is again seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with CHF, CAD, asthma, s/p pacer w/ dypnea, nausea x 3 days // eval ? infiltrate, edema TECHNIQUE: PA and lateral views the chest. COMPARISON: ___."}, {"study_id": "58761623", "subject_id": "18642923", "findings": "The heart is at the upper limits of normal size. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS HISTORY: Cough and chills. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "52346216", "subject_id": "11824833", "findings": "The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluation of patient with hemoptysis. COMPARISON: None available."}, {"study_id": "58717213", "subject_id": "12567919", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There similar mild relative elevation of the right hemidiaphragm.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: Tachycardia and altered mental status. COMPARISON: ___. TECHNIQUE: Chest, portable AP upright."}, {"study_id": "51179853", "subject_id": "13782031", "findings": "The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. There may be slight atelectasis in the right lower lung. Otherwise, the lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with midsternal pain, dysphagia, evaluate for pneumomediastinum, food bolus. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None."}, {"study_id": "50406214", "subject_id": "15416392", "findings": "Lung volumes are low which results in limited evaluation of the lung bases. Bibasilar airspace opacities likely reflect atelectasis. Heart size is unchanged and within normal limits. The mediastinal and hilar contours are similar, with prominence of the pulmonary artery suggestive of underlying pulmonary arterial hypertension as noted previously. There is crowding of the bronchovascular structures. No pleural effusion or pneumothorax is detected.", "impression": "Limited study due to low lung volumes. Bibasilar airspace opacities likely reflect atelectasis. Consider follow up radiographs with improved inspiratory effort when the patient is able to.", "background": "HISTORY: Dyspnea. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___ chest radiograph, ___ chest CT."}, {"study_id": "56317711", "subject_id": "14660168", "findings": "The lungs are well expanded. A flask shaped opacity in the right lower lobe is compatible with a large hiatal hernia. There is no consolidation, effusion, or pneumothorax. Cardiomegaly is mild. Aortic arch calcifications are mild. Diffuse demineralization of the osseous structures is noted with mild loss of height of multiple thoracic vertebral bodies. Heterotopic ossifications vs. loose bodies are noted in the left shoulder.", "impression": "Large hiatal hernia. No acute cardiopulmonary abnormality.", "background": "HISTORY: Poor oral intake and functional decline COMPARISON: None at this institution"}, {"study_id": "58146005", "subject_id": "12964757", "findings": "Single portable view of the chest is compared to previous exam from ___. When compared to prior, there has been near complete interval resolution of the patchy opacities projecting over the right upper lung as well as the left upper lung. There is, however, new patchy opacity at the left lung base with blunting of the left costophrenic angle. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.", "impression": "Overall improvement of the bilateral opacities identified on prior. However, there has been progression of disease at the left lung base suggesting possible new pneumonia and small effusion. Two-view chest x-ray may help further characterize.", "background": "PORTABLE CHEST ___. HISTORY: ___-year-old with altered mental status. Question pneumonia."}, {"study_id": "53139793", "subject_id": "10275886", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with persistent pleuritic chest pain COMPARISON: ___"}, {"study_id": "53293925", "subject_id": "17725086", "findings": "The lungs are normally expanded and clear. The heart is not enlarged. Apparent widening of the mediastinum is likely projectional. The hilar contours are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Fever. Evaluate for pneumonia. COMPARISON: Chest radiograph ___. TECHNIQUE: Upright AP and lateral radiographs of the chest."}, {"study_id": "54208663", "subject_id": "17168033", "findings": "Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Lung volumes are low bilaterally but clear. No pleural effusion or pneumothorax evident. A right-sided Port-A-___ tip terminating at the cavoatrial junction.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Pancytopenia. COMPARISON: Comparison is made to chest radiograph performed ___."}, {"study_id": "52257624", "subject_id": "18693655", "findings": "Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with right upper quadrant and elevated liver function tests, also cough TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "51607315", "subject_id": "18439659", "findings": "No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough x 10 days with subjective fever and now right lateral rib discomfort // ? pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56900163", "subject_id": "12916803", "findings": "The heart is mildly enlarged. There is mild unfolding of the thoracic aorta. Surgical clips project along the left anterior chest wall. There is no pleural effusion or pneumothorax. There is a patchy left lower lobe opacity and atelectasis in the left lower lobe, probably unchanged and chronic. Bony structures are unremarkable.", "impression": "Patchy persistent left lower lobe opacity, likely correlating with airway inflammation and mucus impaction on prior studies, without definite evidence for acute superimposed disease.", "background": "CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: Chest CTs available from ___ as well as a more recent PET-CT from ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "50861865", "subject_id": "12457334", "findings": "PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Marked cardiomegaly appears stable. Moderate enlargement of the left atrium and the pulmonary vasculature demonstrates an upper zone redistribution pattern. Some haze exists in the basal vascularity with some interstitial increased structures, all consistent with mild degree of chronic left-sided CHF. Thoracic aorta has not changed in size and configuration and calcium deposits exist in the wall at the level of the arch as before. There presently no signs of acute discrete pulmonary parenchymal infiltrates and the on previous examination identified scattered patchy parenchymal densities have disappeared.", "impression": "Stable significant cardiac enlargement with evidence of chronic pulmonary congestion but no evidence of acute edema or pleural effusions. The on previous examinations identified suspected pneumonic infiltrates on the right lung base have disappeared.", "background": "TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with history of right middle lobe pneumonia, here for interval study, status post antibiotic treatment, evaluate abnormalities."}, {"study_id": "52212946", "subject_id": "15354649", "findings": "Cardiomediastinal silhouette is stable. The lungs are symmetrically expanded and clear. There is no pleural effusion or pneumothorax. No pulmonary edema.", "impression": "No evidence of pneumonia.", "background": "INDICATION: History: ___M with sob/cough // ?pna TECHNIQUE: PA and lateral views of the chest COMPARISON: ___"}, {"study_id": "51320376", "subject_id": "16337794", "findings": "Tracheostomy tube ends approximately 4 cm above the carina. Sternotomy wires are appropriately aligned. Since ___, a new focal area of consolidation is seen bordering the left heart border most likely representing pneumonia in the left lingula. Mild opacity in RUL consistent with improving RUL pneumonia since ___. Diffuse interstitial thickening is unchanged, consistent with patient's known history of bronchiectasis. Mild cardiomegaly is stable. There is no pleural effusion pneumothorax. Cardiomediastinal borders and hilar structures are normal.", "impression": "Probable new pneumonia in left lingula. Improving right upper lobe pneumonia. Stable interstitial thickening consistent with history of bronchiectasis.", "background": "INDICATION: ___ year old man with ongoing low oxygen saturations, recent right sided pneumonia, myasthenia ___ and history of bronchiectasis // eval for worsening pneumonia , ?mucous plugging TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 12:54 PM"}, {"study_id": "53148126", "subject_id": "19663491", "findings": "Patchy opacities in bilateral lung bases are similar compared to 1 day prior and may represent aspirated blood. Left lung base atelectasis is increased. There is no new consolidation. No pneumothorax or large pleural effusion is identified. Bibasilar bronchiectasis is again noted. Cardiomediastinal silhouette is normal size.", "impression": "Persistent bibasilar opacities, which may represent aspirated blood, and right lower lobe pneumonia. Minimally increased left lower lobe atelectasis.", "background": "INDICATION: ___ year old man with HIV, klebsiella PNA, bronchiectasis, s/p repeat bronchial artery embolization for massive hemoptysis // interval change EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable chest radiograph, frontal view COMPARISON: Chest radiograph ___"}, {"study_id": "58354807", "subject_id": "10836135", "findings": "PA and lateral views of the chest were provided. There is consolidation with air bronchograms in the right lower lobe compatible with pneumonia. A small right pleural effusion is also noted. The left lung is clear. The heart size appears normal. Mediastinal contours are unremarkable. Bony structures are intact.", "impression": "Right lower lobe pneumonia. Small right pleural effusion.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Uterine cancer status post hysterectomy with decreased breath sounds at the right base, assess for right lung base abnormality."}, {"study_id": "58894974", "subject_id": "14286042", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. Other than surgical clips projecting over the midline, visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluate for active disease in a patient with a positive PPD. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "59948503", "subject_id": "18676703", "findings": "Heart size is top 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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with headache, abdominal pain, renal insufficiency TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "50240143", "subject_id": "13978368", "findings": "Frontal and lateral views of the chest were obtained. The heart is of normal size with stable cardiomediastinal contours. Right perihilar and right perifissural opacities are consistent with the patient's known lung cancer and similar to ___. Left apical opacity is also stable and compatible with known apical neoplasm. Blunting of the right costophrenic angle is compatible with a moderate-sized pleural effusion, similar to ___. No radiopaque foreign body. Osseous structures are unremarkable.", "impression": "Right perihilar, right mid lung, and left apical opacities, similar to ___. No obvious superimposed pneumonia or significant interval disease progression, allowing for differences in technique. Moderate-sized right pleural effusion.", "background": "INDICATION: ___-year-old female with history of lung cancer presenting with dyspnea on exertion and cough. Rule out acute process. COMPARISONS: Chest radiograph ___ ___. Multiple prior chest CTs, most recently ___ ___."}, {"study_id": "51828119", "subject_id": "17396346", "findings": "As compared to ___, improved inspiration and less of a lordotic view. Mild interstitial pulmonary edema with moderate severe cardiomegaly. Small to moderate bilateral pleural effusions with stable bibasal opacities. No pneumothorax. Surgical clips in the left axilla.", "impression": "No significant interval change in mild interstitial edema and moderate bilateral effusions.", "background": "INDICATION: ___ year old woman with CHF and ? aspiration // eval pulm edema and aspiration"}, {"study_id": "53913526", "subject_id": "18920032", "findings": "Single frontal view of the chest was obtained. The cardiac silhouette is mild to moderately enlarged. The mediastinal and hilar contours are stable. There is a subtle patchy opacity at the right lung base, which could be due to aspiration or infection. No pleural effusion or pneumothorax.", "impression": "Subtle patchy opacity at the right lung base, which could be due to infection or aspiration. Enlarged cardiac silhouette.", "background": "EXAM: Chest single frontal view. CLINICAL INFORMATION: Altered mental status. COMPARISON: ___."}, {"study_id": "51189738", "subject_id": "12084001", "findings": "Portable AP chest radiograph. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Preoperative evaluation prior to ileostomy reversal. COMPARISON: ___."}, {"study_id": "56459276", "subject_id": "17769322", "findings": "Heart size is normal. Right-sided aortic arch is again noted. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear periportal vasculature is normal. No pleural effusion or pneumothorax is detected. Rounded sclerotic focus projecting over a mid thoracic vertebral body appears unchanged from ___, likely a bone island. No acute osseous abnormalities seen.", "impression": "No acute cardiopulmonary abnormality. Right-sided aortic arch.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever, chills TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___"}, {"study_id": "59421763", "subject_id": "17767649", "findings": "There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal.", "impression": "No radiographic evidence for acute cardiopulmonary process. Dr. ___ was paged about the findings at 11:50am on ___, 5 minutes after discovery.", "background": "HISTORY: Cough, fatigue, and wheezing. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None."}, {"study_id": "51526477", "subject_id": "10497346", "findings": "ETT tip projects approximately 2 cm from the carina. Enteric tube traverses the diaphragm into the left upper quadrant and its tip is beyond the scope of the images. The lungs appear hyperinflated. There 2 possible nodules projecting over the right midlung. There may be pleural plaques projecting over the right lower hemi thorax. No acute osseous abnormality. No pneumothorax, pleural effusion, or focal consolidation. The heart is normal in size. The mediastinum is not widened. Hilar contours are within normal limits.", "impression": "ETT tip projects 2 cm from the carina. Possible pleural plaques. Possible right pulmonary nodules which can be further assessed with CT non-emergently as clinically indicated.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old woman after intubation. Evaluate ETT. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "52518676", "subject_id": "16514111", "findings": "Lung volumes are low. This causes accentuation of the cardiac silhouette size which is likely within normal limits. The aorta is mildly unfolded. Crowding of the bronchovascular structures is noted, but no overt pulmonary edema is seen. Patchy bibasilar airspace opacities could reflect atelectasis in the setting of low lung volumes, but infection cannot be excluded. No pleural effusion or pneumothorax is present. ___ fudicial seeds are seen within the right upper quadrant of the abdomen, within the liver. Emphysematous changes are re- demonstrated.", "impression": "Low lung volumes limit assessment of the lung bases. Patchy bibasilar airspace opacities could reflect atelectasis but infection is not excluded. Repeat radiographs with improved inspiratory effort is suggested for improved assessment of the lung bases.", "background": "HISTORY: Difficulty walking, facial sensation changes, difficulty speaking. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph and ___ chest CT."}, {"study_id": "51888508", "subject_id": "12606543", "findings": "The patient is status post tracheostomy. Since the most recent prior radiograph, there is no significant interval change. Again seen is diffuse bilateral patchy opacities and engorgement of pulmonary vasculature consistent with pulmonary edema. Moderate cardiomegaly is stable. There is no definite focal consolidation, pleural effusion or pneumothorax.", "impression": "Stable moderate pulmonary vascular congestion and unchanged cardiomegaly.", "background": "INDICATION: ___-year-old woman with hypoxemia and volume overload, evaluate for interval change. COMPARISONS: Portable chest radiograph from ___."}, {"study_id": "57308954", "subject_id": "14852007", "findings": "ET tube terminates 1.7 cm above the carina and is directed towards the right mainstem bronchus. There is no consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is normal size.", "impression": "ET tube terminates 1.7 cm above the carina and is directed towards the right mainstem bronchus. Consider pulling back by 2 cm for optimal positioning.", "background": "INDICATION: History: ___F with post intubation // post intubation TECHNIQUE: Frontal view of the chest COMPARISON: None"}, {"study_id": "58235336", "subject_id": "17886980", "findings": "On todays exam, the lungs appear clear. Cardiac silhouette is normal in size. A additional well defined density projecting medial right lower hemithorax is compatible with a Morgani hernia as seen on the prior CTs. No evidence of pneumonia. No pleural effusion. No pneumothorax. Rib fractures of be posterior seventh, eighth and right ribs are new since prior setting, but subacute in appearance.", "impression": "No evidence of pneumonia or pulmonary edema,.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // eval for PNA, CHF TECHNIQUE: Chest PA and Lateral COMPARISON: Multiple prior exams including a CT from ___ clinically present ___ avid most recent chest radiograph from ___ date of 14"}, {"study_id": "57081466", "subject_id": "17124301", "findings": "The heart is probably at the upper limits of normal size but somewhat prominent when young age is considered. The lung volumes are low. The lungs appear clear. There no pleural effusions or pneumothorax.", "impression": "Mildly prominent heart size for age. No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. COMPARISON: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "53217930", "subject_id": "12656773", "findings": "Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is left basilar atelectasis, as demonstrated on prior CT. There is no focal lung consolidation concerning for pneumonia.", "impression": "No evidence of pneumonia.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with asthma presenting with worsening shortness of breath, evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and CT ___"}, {"study_id": "51026699", "subject_id": "18834582", "findings": "Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. The nodular opacity seen on the prior study is not visualized today.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Flu-like symptoms. COMPARISON: ___."}, {"study_id": "56993256", "subject_id": "12303877", "findings": "Interval placement of a Dobhoff feeding tube which extends into the body of the stomach. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.", "impression": "The Dobhoff feeding tube extends into the body of the stomach. Clear lungs.", "background": "INDICATION: ___ year old woman with malnutrition. S/p Dobhoff tube placement // Please evaluate placement of Dobhoff. Thank you TECHNIQUE: AP portable chest radiograph COMPARISON: ___"}, {"study_id": "59753879", "subject_id": "13205603", "findings": "There are new mild interstitial changes at the medial right lung base, as well as the lateral left base. There is no consolidation. There is no pneumothorax. The upper lung fields are clear.", "impression": "New minimal interstitial changes at both lung bases may be further characterized with dedicated chest CT if clinically warranted. .", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with atrial fibrillation on amiodarone with SOB and cough. // Amiodarone toxicity (RLL crackles) TECHNIQUE: PA and lateral radiographs of the chest COMPARISON: ___."}, {"study_id": "58921322", "subject_id": "12139383", "findings": "There are low lung volumes without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is stable and normal in size. The mediastinal contours are normal. Compared with ___, there is increase in thoracic kyphosis.", "impression": "Low lung volumes, without evidence of pneumonia.", "background": "CLINICAL INFORMATION: ___-year-old female with weakness, evaluate for pneumonia. COMPARISON: ___."}, {"study_id": "59173490", "subject_id": "15363966", "findings": "Low lung volumes contribute to crowding of vascular structures. With this in mind, there is no evidence of focal consolidation concerning for pneumonia. There is no pleural effusion. There is known pneumothorax. There is no pulmonary edema. The heart size is normal.", "impression": "No evidence of acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with difficulty breathing // acute pulm patholgy TECHNIQUE: Chest PA and Lateral COMPARISON: None"}, {"study_id": "54136979", "subject_id": "13208880", "findings": "Heart size remains mildly enlarged. The aorta is diffusely calcified. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Minimal patchy bibasilar airspace opacities are similar on the right, and slightly worse on the left, and may reflect areas of atelectasis, though infection or aspiration in the left lung base is not excluded. No pleural effusion or pneumothorax is seen. There is no focal consolidation. Moderate multilevel degenerative changes are noted in the thoracic spine. No subdiaphragmatic free air is present.", "impression": "Patchy bibasilar airspace opacities, slightly worse on the left compared to the prior study, which may reflect atelectasis though infection or aspiration cannot be excluded.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall, headstrike. Recently treated for pneumonia last week, crackles bilateral lung bases. Constipation worsening for several days. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "55877917", "subject_id": "13306109", "findings": "A right PICC is unchanged with the tip terminating in the mid SVC. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits.", "impression": "Right PICC ending in the mid SVC. No acute cardiopulmonary process.", "background": "INDICATION: History of CML now with concern for acute leukemic crisis. PICC line placed during previous admission, here to evaluate PICC position. Evaluate for acute cardiopulmonary process. COMPARISON: ___. TECHNIQUE: PA and lateral radiographs of the chest."}, {"study_id": "59170525", "subject_id": "19605624", "findings": "There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain with inspiration, s/p trauma TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "51255004", "subject_id": "10631674", "findings": "Cardiac and mediastinal silhouettes are stable with significant tortuosity of the descending thoracic aorta and with mild to moderate cardiomegaly. The appearance of the descending aorta is stable as compared to prior radiograph from ___. No new focal consolidation is seen. There is no pleural effusion or pneumothorax.No pulmonary edema is seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with b/l plantar foot pain and MTP pain pls eval b/l feet for fx and ___ joint dz // History: ___M with b/l plantar foot pain and MTP pain pls eval b/l feet for fx and ___ joint dz TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "52500368", "subject_id": "11129409", "findings": "AP view of the chest provided. Again seen is left apical pneumothorax, unchanged since prior study. There is no right pneumothorax. There is mild left base atelectasis. Left-sided chest tube is in unchanged position.", "impression": "Unchanged small left apical pneumothorax.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with left pneumothorax COMPARISON: Chest radiographs from earlier today"}, {"study_id": "54423779", "subject_id": "13978368", "findings": "AP view of the chest. There is increased opacity projecting over the right hemithorax some of which is pleural-based and compatible with known pleural metastases. Postoperative changes in the right suprahilar region are again seen. There is blunting of the right costophrenic angle potentially due to pleural mets versus underlying effusion, not significantly changed. On the left, there is persistent opacity projecting over the left 1st rib compatible with region of consolidation on prior CT. There is definite no definite new region of consolidation. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality detected. Osseous metastases better seen on prior CT involving the right ribs.", "impression": "Findings again compatible with the right pleural based metastatic disease and left apical region of consolidation. No definite superimposed acute process noting limitation of plain film for detection of subtle change.", "background": "HISTORY: ___-year-old female with shortness of breath. Additional history of lung cancer from prior radiology reports. COMPARISON: CT chest ___. Chest x-ray from ___."}, {"study_id": "51994188", "subject_id": "10836135", "findings": "Large hiatal hernia is mildly increased in size from ___. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.", "impression": "Since ___, mildly enlarging large hiatal hernia. Otherwise normal chest radiograph.", "background": "INDICATION: ___ year old woman with history of endometrial ca // new shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "55783379", "subject_id": "13692794", "findings": "Compared to the prior study from ___, there has been interval resolution of extensive bilateral mid lung and right upper lung opacities. Linear atelectasis/scarring is seen in the right mid-to-lower lung. There is also minimal left lower lung atelectasis. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Surgical clips overlie the cervical region, as before.", "impression": "Interval resolution of previously seen bilateral mid lung and right upper lung opacities, consistent with resolved pneumonia. Linear right mid-to-lower lung opacities, likely scarring versus atelectasis. Minimal left lower lung atelectasis.", "background": "INDICATION: Multifocal pneumonia in ___. Assess for interval change. COMPARISON: Chest radiograph from ___."}, {"study_id": "58924962", "subject_id": "17328613", "findings": "The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.", "impression": "No acute abnormalities identified to explain patient's hypoxemia and cough.", "background": "INDICATION: ___-year-old female with rheumatoid arthritis, on methotrexate, with one month of cough, congestion and hypoxemia. COMPARISONS: Chest radiographs from ___, ___, ___ and ___. TECHNIQUE: PA and lateral chest radiographs."}, {"study_id": "52921803", "subject_id": "18846134", "findings": "Inspiratory and expiratory PA and lateral radiographs of the chest demonstrate a small right apical pneumothorax which slightly increases in size on the expiratory images. There is no evidence of tension. Bilateral lower lobe atelectasis and small right pleural effusion persists. The heart size is stably enlarged. The lungs are otherwise clear.", "impression": "Small right apical pneumothorax after removal of chest tube.", "background": "HISTORY: Evaluate for pneumothorax after removal of right-sided chest tube. COMPARISON: Chest radiograph from ___."}, {"study_id": "50922542", "subject_id": "12785654", "findings": "AP portable upright view of the chest. Overlying EKG leads are present. There is upper lung lucency with splaying of bronchovascular markings compatible with emphysema. There is mild linear atelectasis versus scarring in the mid to lower lungs. No convincing signs of pneumonia. No large effusion or pneumothorax. No worrisome nodule or mass. Cardiomediastinal silhouette is stable. Atherosclerotic calcification of the aortic knob noted. Bony structures are intact.", "impression": "Linear densities in the mid to lower lungs likely represent atelectasis versus scarring. Emphysema.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with hx of colon ca and COPD here for hemopytsis. / COMPARISON: Prior study from ___."}, {"study_id": "51358541", "subject_id": "12907189", "findings": "A tracheostomy tube terminates 4.1 cm above the carina. The lungs are underinflated, resulting in bronchovascular crowding. There is no pneumothorax, focal consolidation, or pleural effusion. Bibasilar linear opacities denote atelectasis. A left-sided ventriculo-peritoneal shunt is present.", "impression": "No acute intrathoracic process. Low lung volumes.", "background": "HISTORY: ___-year-old female, nonverbal. COMPARISON: Radiograph available from ___ and ___. FRONTAL AND LATERAL CHEST"}, {"study_id": "55570618", "subject_id": "16793521", "findings": "The small bilateral pleural effusions are better evaluated on the abdominal CT and not definitely visualized on today's radiograph. There is no large pleural effusion. The lungs are otherwise clear without consolidation or edema. There is no pneumothorax. The mediastinal contours are unremarkable. The cardiac size is minimally enlarged. Sternal wires are intact.", "impression": "Small bilateral pleural effusions are better evaluated on the recent CT of the abdomen. No large effusions. No pulmonary edema. Mild cardiomegaly.", "background": "INDICATION: History of GI bleed with new EKG changes and basilar crackles. COMPARISONS: CTA abdomen ___."}, {"study_id": "53739451", "subject_id": "18203391", "findings": "Single supine view of the chest. Low lung volumes again seen although somewhat improved from prior. Persistent bibasilar streaky opacities are identified. The cardiomediastinal silhouette is stable. Left chest wall vagal nerve stimulator is identified. Chronic changes centered at the right lateral aspect of the clavicle.", "impression": "Streaky bibasilar opacities her potentially due to atelectasis given the low lung volumes however underlying aspiration or infection are possible.", "background": "HISTORY: ___-year-old with seizure. COMPARISON: ___."}, {"study_id": "57513980", "subject_id": "18853762", "findings": "Heart size is top normal. The aorta is moderately tortuous but unchanged. Mediastinal and hilar contours are stable. Lungs remain hyperinflated with mild increased interstitial markings at the lung bases compatible with chronic interstitial abnormality, as seen on the prior CT. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.", "impression": "No radiographic evidence for pneumonia. Chronic interstitial abnormality, similar to the prior exam.", "background": "HISTORY: Hypoxia and tachypnea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph. ___ CT torso."}, {"study_id": "58327506", "subject_id": "14439892", "findings": "Left lung volume has decreased in the interim, now with increased collapse in left lower lobe. Increased opacity in left lower lobe, reflecting atelectasis and pneumonia have progressed. A left pleural effusion is small. Right lung volume remains overall unchanged. Right lower lobe horizontal opacity similar in appearance, again likely reflecting atelectasis. Heart size is top normal, unchanged. No pneumothorax or edema. Enteric tube tip enters into the left upper quadrant and its tip is not seen.", "impression": "Left lower lobe pneumonia with progressive volume loss and small left effusion. Right lower lobe atelectasis, unchanged.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old man with ?pneumonia // ?worsening infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "53906119", "subject_id": "18059377", "findings": "In comparison to the prior study there is no relevant change. The patient has a left-sided pacemaker battery of leads terminating the right atrium and right ventricle respectively. There is bibasilar atelectasis in addition to the probable small bilateral pleural effusions. The heart size is top-normal to mildly enlarged. There are no focal consolidations concerning for pneumonia. The upper lungs are clear without vascular congestion. There are bilateral chronic glenohumeral deformities. IVC filter is identified.", "impression": "Relatively stable exam with small bilateral pleural effusions and bibasilar atelectasis but without overt pulmonary edema.", "background": "INDICATION: ___F with confusion, chf // Chf, acute cardiopulm disease // TECHNIQUE: AP portable view of the chest. COMPARISON: ___."}, {"study_id": "51271143", "subject_id": "19939526", "findings": "Frontal and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation, effusion or pneumothorax. Cardiac silhouette is mildly enlarged. The thoracic aorta is tortuous. Moderate-sized hiatal hernia is identified. No definite displaced fracture is identified.", "impression": "Hyperinflation without acute cardiopulmonary process. Mild cardiomegaly. Moderate hiatal hernia. No displaced fractures identified on this nondedicated examination.", "background": "HISTORY: ___-year-old female with left shoulder pain status post fall. COMPARISON: None."}, {"study_id": "51507283", "subject_id": "18043576", "findings": "Upright AP view of the chest provided. Compared to prior studies, there is interval improvement of bibasilar opacities. There is possible mild residual opacity in the left lung base. Otherwise, there are no new areas of focal consolidation. There is no large pleural effusion. No pneumothorax is seen. There is mild cardiomegaly. The cardiomediastinal silhouette is normal. Mural calcifications are seen along the aorta. Imaged osseous structures are intact. Post-sternotomy wires and mediastinal clips are noted. Supporting lines and tubes have been intervally removed. No free air below the right hemidiaphragm is seen.", "impression": "Interval improvement of bibasilar opacities with possible mild residual opacity in the left lung base. Otherwise, there is no new acute intrathoracic process.", "background": "WET READ: ___ ___ ___ 2:14 PM Interval improvement of bibasilar opacities with possible mild residual opacity in the left lung base. Otherwise, there is no new acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with cough COMPARISON: Chest radiograph study from ___."}, {"study_id": "57531729", "subject_id": "15957213", "findings": "Overlying trauma board slightly limits assessment. Lung volumes are reduced. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is identified on this supine study. No displaced fractures are visualized.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Fall, trauma. COMPARISON: None. TECHNIQUE: Supine AP view of the chest."}, {"study_id": "54280691", "subject_id": "13541333", "findings": "The heart size is top normal. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion, focal consolidation or pneumothorax is visualized. Clips from prior cholecystectomy are seen in the right upper quadrant. No acute osseous abnormalities are present.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Confusion. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "52371912", "subject_id": "11583321", "findings": "The lungs are normally slightly hyperexpanded. Streaky bibasilar opacities likely reflect atelectasis. There is no definite evidence of pneumonia. The heart is exaggerated by AP technique and likely top normal. The mediastinal and hilar contours are unremarkable. There is no large pleural effusion or pneumothorax. Median sternotomy wires appear intact. Anterior cervical fusion hardware is incompletely evaluated on this study.", "impression": "Bibasilar atelectasis, but no convincing evidence of pneumonia. Mild hyperexpansion of the lung may reflect COPD.", "background": "INDICATION: Chills, headache today. Evaluate for pneumonia. COMPARISON: Chest radiograph ___. TECHNIQUE: Portable AP chest."}, {"study_id": "56392492", "subject_id": "18859997", "findings": "The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with cough // PNA? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___."}, {"study_id": "51557468", "subject_id": "16679893", "findings": "A portable frontal chest radiograph again demonstrates an endotracheal tube terminating in the mid thoracic trachea, left PICC terminating in the mid SVC, and enteric tube terminating within the stomach. Cardiac size remains normal. A right pleural effusion is likely unchanged, allowing for differences in patient position. The right lower lobe remains collapsed, but the right upper lobe is clear. Heterogeneous consolidation of the left lower lobe is worse compared to ___. There is no pneumothorax.", "impression": "Heterogeneous consolidation of the left lower lobe is worse compared to ___, unclear if this is pneumonia or atelectasis. Continued monitoring which chest radiograph is recommended. Likely unchanged right lower lobe collapse and right pleural effusion, allowing for differences in patient positioning. Improved mild pulmonary edema.", "background": "INDICATION: Evaluate for pneumonia or bleeding in a patient status post bronchoscopy and arterial embolization. COMPARISON: Chest radiographs from ___, ___."}, {"study_id": "56497306", "subject_id": "12170076", "findings": "Heart size is normal. The ascending aorta remains tortuous and the descending thoracic aorta is unfolded. Pulmonary vasculature is not engorged. Emphysema is re- demonstrated with hyperinflation of the lungs. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with COPD, cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "54136965", "subject_id": "15898350", "findings": "Heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are unremarkable. Low lung volumes are present with patchy opacities demonstrated in the lung bases, likely atelectasis. Crowding of bronchovascular structures without overt pulmonary edema is present. There is no focal consolidation, pleural effusion or pneumothorax identified. Marked gaseous distension of bowel loops within the upper abdomen are noted. Remote fracture of the right seventh posterolateral rib is noted.", "impression": "Bibasilar patchy opacities, likely atelectasis in the setting of low lung volumes. Please note that aspiration or infection cannot be completely excluded in the correct clinical setting. Marked gaseous distention of bowel loops within the upper abdomen.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fall // pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "50132842", "subject_id": "13315613", "findings": "The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with SOB s/p smoke inhalation over weekend. Evaluate for pneumonitis or cause of shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___."}, {"study_id": "59009398", "subject_id": "11372885", "findings": "Lungs: The lungs are well inflated. Minimal patchy density seen in the right base. The right hilus in suprahilar region is not well delineated and there is increased density when compared to the previous study. Pleura: No pleural effusion is seen. Heart: The heart is not enlarged. Mediastinum and hila: There is no mediastinal mass. Osseous structures: The osseous structures are normal for age. Other findings: None", "impression": "Right does suprahilar parahilar infiltrate is well as minimal patchy density in the right base.", "background": "INDICATION: History: ___F with sob, cough // ? pneumonia TECHNIQUE: Two views COMPARISON: ___"}, {"study_id": "57641256", "subject_id": "18708137", "findings": "Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hilar contours are stable. Cardiac and mediastinal silhouettes are stable.", "impression": "No significant interval change.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL HISTORY: Cough. COMPARISON: ___."}, {"study_id": "52741205", "subject_id": "12177522", "findings": "A right approach Port-A-Cath terminates at the cavoatrial junction. There is a triangular opacity within the right middle lobe which corresponds to progressive right middle lobe collapse, better characterized on concurrent CT of the chest. A known infiltrative right middle lobe mass is obscured by the progressive lobar atelectasis. Paramediastinal density in the region of the right hilum is partly related to post-radiation change, though is increased secondary to probable superimposed consolidation. The left lung appears clear. There is no pneumothorax. There is a small right pleural effusion.", "impression": "Progressive right middle lobe collapse in a patient with a known infiltrative right middle lobe lung carcinoma Increasing right hilar opacity secondary to probable superimposed infection, better characterized on concurrent CT. Small right pleural effusion", "background": "HISTORY: ___-year-old male with history of metastatic lung carcinoma, now presenting with worsening shortness of breath. COMPARISON: CT torso from ___, chest radiograph from ___ and concurrent CTA of the chest from ___ at 16:30. FRONTAL AND LATERAL CHEST"}, {"study_id": "51674642", "subject_id": "14004436", "findings": "PA and lateral chest radiographs are provided. Exam is slightly limited due to low lung volumes; however, there is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. Imaged osseous structures are intact. There is no free air below the right hemidiaphragm.", "impression": "No acute intrathoracic process.", "background": "INDICATION: ___-year-old man with HIV and shortness of breath, question pneumonia. COMPARISONS: PA and lateral chest radiographs from ___"}, {"study_id": "54909017", "subject_id": "19237156", "findings": "Single portable view of the chest. Linear bibasilar opacities may be due to atelectasis or scarring. Right mid lung surgical chain sutures are again identified. Superiorly, the lungs are grossly clear. The cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. No acute osseous abnormalities.", "impression": "Linear bibasilar opacities suggestive of atelectasis. Otherwise, unremarkable portable chest x-ray.", "background": "PORTABLE CHEST. HISTORY: ___-year-old female with hypertension and confusion. COMPARISON: ___."}, {"study_id": "58966501", "subject_id": "10427568", "findings": "Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. The stomach is very distended with an air-fluid level.", "impression": "No acute process. Stomach distended with air-fluid level.", "background": "INDICATION: History: ___M with chest pain sob // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "54913801", "subject_id": "10646211", "findings": "The lungs are normally expanded and clear. There is no focal airspace opacity. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.", "impression": "No evidence of acute cardiopulmonary abnormality.", "background": "INDICATION: History of chronic kidney disease, on transplant list, presents with dyspnea, productive cough, myalgias, pleuritic chest pain. Evaluate for infiltrate. COMPARISON: Chest radiograph ___, ___, ___ and ___. TECHNIQUE: Upright PA and lateral radiographs of the chest."}, {"study_id": "50221251", "subject_id": "14045504", "findings": "Frontal and lateral views of the chest were obtained. A left hilar opacity which is new from ___ with hazy opacification and volume loss of the left upper lobe is concerning for a left hilar mass with distal obstruction. Elevation of the left hemidiaphragm and visualization of the left juxtaphrenic peak is suspicious for extensive left upper lobe volume loss. The right lung is clear. There is no pleural effusion or pneumothorax. Heart size is normal. The right hilar contours are normal. No upper abdominal or acute osseous abnormality is identified.", "impression": "Left hilar opacity with findings suggesting extensive left upper lobe atelectasis associated with an obstructing mass. CT is recommended for further evaluation, preferably with intravenous contrast if possible, to assess further when clinically appropriate. Discussed with Dr. ___ by phone at the time of study interpretation on ___.", "background": "CLINICAL HISTORY: ___-year-old man with cough for one month. COMPARISON: CT ___."}, {"study_id": "51131389", "subject_id": "18215390", "findings": "Patient is status post median sternotomy and CABG. Left-sided AICD device is noted with leads terminating in the right atrium and right ventricle, unchanged. Heart size is mildly enlarged but similar. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Moderate degenerative changes are re- demonstrated in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ICD firing x2 TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "55073359", "subject_id": "14361972", "findings": "PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination of ___. The heart size remains within normal limits. No typical configurational abnormality is seen. The thoracic aorta is mildly widened and elongated but no local contour abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Moderately accentuated kyphotic curvature in the thoracic spine coincides with mild degree of degenerative changes mostly in the form of osteophytic reactions at the anterior vertebral body edges. No vertebral body compression is seen. Similar as on the preceding examination, a right-sided Port-A-Cath catheter with subclavian approach is identified, seen to terminate in the lower SVC. Mildly gas-distended large bowel loop under left-sided hemidiaphragm but no significant elevation of the left-sided hemidiaphragm.", "impression": "Stable chest findings. No evidence of cardiac enlargement, pulmonary congestion, or acute infiltrates.", "background": "TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with coughing. Evaluate for infiltrates."}, {"study_id": "53855601", "subject_id": "18933015", "findings": "Central pulmonary vascular engorgement and mild pulmonary edema appears increased slightly since ___ examination, particularly along the lower zones. There is no pneumothorax or pleural effusion. The heart size is unchanged. The hilar and mediastinal contours remain stable. Severe emphysema is again seen.", "impression": "Slightly worsened central pulmonary vascular congestion and mild edema since ___.", "background": "INDICATION: Pulmonary hypertension with increasing hypoxia. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal chest radiograph."}, {"study_id": "51741279", "subject_id": "16358341", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with intoxication, decreased breath sounds R base // Eval for PNA, aspiration TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs the most recent on ___."}, {"study_id": "51506738", "subject_id": "19599211", "findings": "Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Chain sutures are seen within the left lung apex. Mild degenerative changes are noted in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath, history of pneumothorax. TECHNIQUE: Upright AP view of the chest COMPARISON: None."}, {"study_id": "51110683", "subject_id": "17963990", "findings": "Elevation of the right hemidiaphragm is chronic, with similar blunting of the right costophrenic angle likely reflective of chronic pleural thickening. Thickening along the right minor fissure however suggests the possibility of a trace right pleural effusion as well. Apart from minimal right basilar atelectasis, the lungs are clear without focal consolidation. Cardiac and mediastinal contours are on remarkable. Hilar contours are normal. Pulmonary vasculature is not engorged. There is no pneumothorax. Mild degenerative changes are noted in the imaged thoracolumbar spine. No acute osseous abnormality is clearly noted. Remote fracture deformities of several right-sided ribs are unchanged. No acute osseous abnormality is detected.", "impression": "Thickening of the right minor fissure with blunting of the right costophrenic angle may suggest the presence of a trace right pleural effusion. Chronic elevation of the right hemidiaphragm. No acute osseous abnormality identified. Chronic right-sided rib fractures.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with past medical history of psychosis presents with fever to 100.9 and right \"rib pain\" TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "56336924", "subject_id": "15432819", "findings": "Moderate enlargement of cardiac silhouette is unchanged. The mediastinal contours are stable. Atherosclerotic calcifications of the thoracic aorta are again noted. There is no pulmonary vascular congestion. Enlargement of the hila bilaterally reflects dilated pulmonary arteries, suggestive of pulmonary arterial hypertension. Small right pleural effusion persists. Bibasilar atelectasis is noted and elevation of the right hemidiaphragm is again seen. There is no pneumothorax. Multilevel degenerative changes in the thoracic spine are again present. Cholecystectomy clip in the right upper quadrant the abdomen is again noted.", "impression": "Unchanged small right pleural effusion and bibasilar atelectasis. Bilateral hilar enlargement suggestive of underlying pulmonary arterial hypertension.", "background": "HISTORY: Shortness of breath, hypoxia, rales. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph and CT torso ___."}, {"study_id": "54033983", "subject_id": "15614588", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with constitutional sxs x 3 days, L sided flank and back \"bloating\", parasthesia COMPARISON: None"}, {"study_id": "53240950", "subject_id": "13488637", "findings": "Heart size remains moderately enlarged. Dense atherosclerotic calcifications are noted at the aortic knob. Mild pulmonary edema has improved compared to the previous study. There are small bilateral pleural effusions. Patchy bibasilar airspace opacities likely reflect atelectasis. No pneumothorax is demonstrated. There are no acute osseous abnormalities.", "impression": "Mild pulmonary edema, slightly improved compared to the prior study, with small bilateral pleural effusions and probable bibasilar atelectasis.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___"}, {"study_id": "51125895", "subject_id": "17609702", "findings": "The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There is no acute osseous abnormality.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Dyspnea, cough, back pain. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "52011027", "subject_id": "13141357", "findings": "PA and lateral views of the chest demonstrates the lungs are well expanded with no evidence of pneumothorax, focal consolidation or pulmonary edema. Bilateral apical pleural thickening is again seen. The cardiomediastinal silhouette is stable in appearance.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Difficulty breathing with abdominal distention. COMPARISON: Comparison is made to chest radiographs from ___ and ___."}, {"study_id": "51526655", "subject_id": "17704774", "findings": "Consistent with the given history, a chest tube is noted and is directed medially in the upper mediastinum with a location that is highly suggestive of intrafissural placement. There is increased lucency at the lung base, particularly outlining the right hemidiaphragm, which likely indicates a residual component of the pneumothorax. Diffuse bilateral pulmonary nodules consistent with widespread metastatic disease are again present. There is air noted around a ray cage device in the lower thoracic spine, surrounded by posterior spinal stabilization rods. Extensive surgical clips are noted within the medial left upper quadrant. It is difficult to discern the left hemidiaphragm. There is increased retrocardiac opacity, although similar to the prior exam. A Port-A-Cath is evident in stable and standard course and position. The osseous structures are difficult to assess, but are grossly stable.", "impression": "The course of the chest tube projecting over the right chest suggests an intrafissural position, which may limit the ability to evacuate the pneumothorax. A visceral pleural line remains evident and most apparent at the lung base with an extension of the air to the spinal hardware as noted on the CT earlier today. Widespread metastatic disease of the lungs is again seen. There is no radiographic evidence currently of tension physiology.", "background": "AP SEMI-ERECT PORTABLE CHEST, ___ AT ___ HOURS. HISTORY: Pneumothorax post chest tube placement. COMPARISON: Multiple priors, the most recent dated ___. Please note the patient also had a chest CT earlier same day."}, {"study_id": "58120912", "subject_id": "10176494", "findings": "Accounting for differences in technique compared to the prior study, the cardiomediastinal and hilar contours are stable with unfolding the thoracic aorta. There is no pleural effusion or pneumothorax. Lungs are mildly underinflated but clear. Pulmonary vasculature is within normal limits.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Acute mental status change. COMPARISON: Chest radiograph ___."}, {"study_id": "59720638", "subject_id": "19612309", "findings": "Compared with ___ at ___:47, there is opacity along the right chest wall, slightly increased. On today's exam, there is equivocal irregularity involving at least 1 rib along the lower right chest, as well as a defect in the posterior sixth rib that likely relates to the recent surgery. Otherwise, I doubt significant interval change. Again seen is the NG type tube extending along the right mediastinum. Additional linear density likely reflects an epidural catheter. A right-sided chest tube is also present, unchanged. There is mild vascular plethora without frank CHF. Patchy opacity at the left base medially is again noted, possibly slightly increased. Patchy opacity at the right base is similar to the prior film. No gross effusion. No pneumothorax detected.", "impression": "NG tube extending along right mediastinum in this the patient with a history of esophageal surgery . Tip poorly visualized, but probably lies at the level of the right cardiophrenic angle. Mild vascular plethora, without frank CHF. Patchy bibasilar opacities, possibly slightly increased on the left side, but without significant change on the right. Opacity along the right chest wall slightly increased, question pleural fluid and/or thickening. Possible irregularity of a lower right chest wall rib raising the question of a nondisplaced rib fracture. Does the the patient have focal tenderness in this location? This is in addition to the postsurgical defect of the right sixth rib posteriorly.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with esophageal ca s/p ___. Extubated. Please perform on morning rounds. Patient may transfer to floor this evening. // NG tube placement. COMPARISON: None."}, {"study_id": "59998062", "subject_id": "19069963", "findings": "There is moderate amount of free air below the right hemidiaphragm, new since ___. The cardiomediastinal silhouette and hila are normal. There is a small left pleural effusion and associated basilar atelectasis. There is moderate osteopenia and kyphosis.", "impression": "Moderate amount of pneumonperitoneum. Discussed with Dr. ___ by phone at 3.___ pm, ___ by Dr. ___.", "background": "WET READ: ___ ___ ___ 3:23 PM Moderate amount of free intraperitoneal air. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with diffuse abdominal pain, please evaluate for free air. COMPARISON: Chest radiograph from ___."}, {"study_id": "53378012", "subject_id": "15636979", "findings": "Frontal and lateral radiographs of the chest demonstrate clear and hyperinflated lungs. The cardiac and mediastinal contours are within normal limits. No pleural abnormality is detected.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Status post right radical nephrectomy. Evaluate for abnormalities. COMPARISON: ___."}, {"study_id": "53747478", "subject_id": "16742247", "findings": "PA and lateral views of the chest. Again seen is consolidation in the lingula which on the lateral view appears minimally improved. There is however more conspicuous opacity in the right mid to lower lung, likely localizing to the lower lobe on the lateral exam. Cardiomediastinal silhouette is within normal limits noting calcified mediastinal nodes. No acute osseous abnormality detected.", "impression": "Persistent lingular pneumonia with perhaps developing right lower lobe infection on the current exam as well. Recommend repeat after treatment to document resolution.", "background": "HISTORY: ___-year-old male with shortness of breath. COMPARISON: ___."}, {"study_id": "54558272", "subject_id": "13306109", "findings": "Frontal and lateral views of the chest show no pleural effusion, pneumothorax, or focal airspace consolidation. Cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The pulmonary vasculature shows no evidence for pulmonary edema. Bilateral nipple shadows are again noted. A coronary stent is present.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Syncope and leukocytosis. Evaluate for pneumonia. COMPARISON: Chest radiographs, ___ and ___."}, {"study_id": "53556656", "subject_id": "10901772", "findings": "Endotracheal tube is 2.8 cm from the carina. Enteric tube seen below the diaphragm, tip and side-port in the stomach. Bilateral perihilar opacifications are new since ___. The heart size is mildly enlarged. These findings may indicate new pulmonary edema. Small bilateral pleural effusions are possible versus pleural thickening. No pneumothorax.", "impression": "New bilateral perihilar opacities since ___, concerning for pulmonary edema.", "background": "WET READ: ___ ___ ___ 11:29 AM New bilateral perihilar opacities since ___, concerning for pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F with new ETT tube // eval ETT placement TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___"}, {"study_id": "50231046", "subject_id": "18023211", "findings": "AP view of the chest provided. Again seen is right lung base pneumonia, not significantly changed since prior study. The left retrocardiac opacity is more clear. However, the left hilus is not less distinct and there is more interstitial prominence, concerning for mild volume overload. Endotracheal tube is in appropriate position. Nasogastric tube is seen coursing into the stomach and out of review. Multiple right sided rib fracture and substantial scoliosis are again noted.", "impression": "New mild volume overload since prior study 1 day ago. No significant change with respect to right lower lobe pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pneumonia, intubated. // Evaluate for interval change. COMPARISON: Chest radiograph from ___."}, {"study_id": "54235111", "subject_id": "13428042", "findings": "There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Dyspnea on exertion. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "53494345", "subject_id": "16664016", "findings": "PA and lateral views of the chest. The lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with chest pain. COMPARISON: None."}, {"study_id": "54912314", "subject_id": "19656279", "findings": "Bedside AP radiograph of the chest demonstrates that the left PICC has been retracted and now lies in the upper segment of the SVC. The study is otherwise unchanged, including atelectasis of the right lower lobe and left lingula, as well as chronic left lower lobe collapse. There is no pneumothorax or effusion.", "impression": "Repositioned left PICC now terminates in the upper SVC. The study is otherwise unchanged.", "background": "INDICATION: Slightly repositioned left PICC. COMPARISON: Chest radiograph from earlier the same day, ___ at 03:31."}, {"study_id": "55883655", "subject_id": "16065369", "findings": "PA and lateral views of the chest provided. There has been interval removal of a implanted device previously noted within the anterior chest wall. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. Lungs are clear. 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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob/doe x 3 days, chest heaviness // ? CHF COMPARISON: ___. ___."}, {"study_id": "59830776", "subject_id": "18853762", "findings": "2 views were obtained of the chest. The lungs are mildly hyperexpanded without focal consolidation, pleural effusion or pneumothorax. Mild interstitial abnormality is unchanged, likely chronic or recurrent, mild edema. The heart is normal in size with tortuous aortic contour.", "impression": "Interstial lung abnormality, more likely chronic than mild edema.", "background": "HISTORY: Recent pneumonia, new weakness. COMPARISON: ___."}, {"study_id": "51975042", "subject_id": "19324169", "findings": "PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.", "impression": "Normal radiographs of the chest.", "background": "HISTORY: Evaluate for cardiopulmonary process contributing to patient's one-month history of weight loss, palpitations, chest pain. The patient has a history of Grave's disease, status post thyroid ablation. The patient has recently restarted her synthroid after a period of not taking it. COMPARISON: None."}, {"study_id": "52815408", "subject_id": "10207998", "findings": "Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are mildly hyperexpanded but clear. No pleural effusion or pneumothorax is seen.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with wheezing right lower lung // pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs from ___ through ___"}, {"study_id": "54621208", "subject_id": "18898192", "findings": "Relatively low lung volumes are noted particularly on the frontal view. Lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. Small hiatal hernia is noted. Median sternotomy wires are noted. No acute osseous abnormalities. Vascular stent noted within the upper abdomen.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with recent AAA repair, now with fever // assess for infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: Correlation made to CT abdomen pelvis from ___."}, {"study_id": "54063046", "subject_id": "14004436", "findings": "The inspiratory lung volumes are decreased with resultant crowding of bronchovascular structures. Within this limitation, there is no significant focal consolidation, pleural effusion or pneumothorax. There is resultant prominence of the cardiac mediastinal silhouette due to low lung volumes which is likely within limits. No acute osseous abnormality is detected.", "impression": "Decreased lung volumes without acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 2:02 PM Decreased lung volumes without acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: ___-year-old man with chest pain, here to evaluate for pneumothorax or pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: ___."}, {"study_id": "52892057", "subject_id": "14923390", "findings": "The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with cough, asthma, fever // eval for PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: None."}, {"study_id": "51149327", "subject_id": "11426492", "findings": "Assessment is limited by patient rotation. Right-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Patient is status post median sternotomy, CABG, and coronary artery stenting. Heart size appears moderately enlarged with a left ventricular predominance. The aorta is diffusely calcified. Mild pulmonary vascular congestion is demonstrated with small right pleural effusion, not substantially changed. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax is identified. No acute osseous abnormality is detected.", "impression": "Mild pulmonary vascular congestion with small right pleural effusion.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with abdominal pain and nausea TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "53517740", "subject_id": "18819572", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cp // ?pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs on ___ and ___."}, {"study_id": "53711405", "subject_id": "11941410", "findings": "Right pleural catheter in similar positioning. Minimal reaccumulation of trace right-sided pleural effusion and tiny left effusion. Mild pulmonary vascular congestion has increased since the prior examination. Mild cardiomegaly. No pneumothorax.", "impression": "Minimal reaccumulation of right effusion and mild pulmonary vascular congestion.", "background": "INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "52206347", "subject_id": "12007928", "findings": "Heart size is enlarged but probably stable from ___ given differences in technique. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with dyspnea, chest pain, hx of PE w/? infarct // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs the most recent on ___"}, {"study_id": "54586952", "subject_id": "12016108", "findings": "Single AP Portable view of the chest was obtained. There has been interval resolution of previously seen pleural effusions, given that a lateral view was not obtained. Subtle patchy left base opacity most likely relates to atelectasis or vascular structures, although an early/mild consolidation in the appropriate clinical setting is difficult to exclude. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The aorta is calcified and tortuous.", "impression": "Subtle patchy left base opacity most likely relates to atelectasis or vascular structures, although in the appropriate clinical setting, early consolidation is difficult to exclude.", "background": "EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: ___-year-old female with history of shortness of breath. COMPARISON: ___."}, {"study_id": "50096351", "subject_id": "15202542", "findings": "An endotracheal tube terminates 5.0 cm above the carina. An orogastric tube terminates within the stomach. A left IJ central venous catheter terminates at the mid SVC. Small bilateral pleural effusions are minimally changed since ___. Bilateral ill-defined pulmonary opacities appear slightly improved since ___.", "impression": "Slight interval improvement of bilateral pulmonary opacities. Trace bilateral pleural effusions are minimally changed.", "background": "INDICATION: Strep pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal chest radiograph."}, {"study_id": "58337093", "subject_id": "11941410", "findings": "Lung volumes are low. There are bibasilar opacities which may represent atelectasis or aspiration in the appropriate clinical setting. Background mild pulmonary vascular congestion is also noted. Bilateral pleural effusions are stable to minimally improved. No pneumothorax. Heart size is moderately enlarged. Pacer leads terminate in the right atrium and right ventricle, as expected. Right chest tube appears unchanged in position.", "impression": "Stable pulmonary vascular congestion. Small bilateral pleural effusions, stable to minimally improved. Bibasilar opacities, atelectasis or aspiration.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with blood pleurex output // ? hemothorax TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___ at 11:00"}, {"study_id": "54381114", "subject_id": "15500612", "findings": "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. This a left perihilar opacity seen on prior chest x-ray is not visualized on the current exam. A right PICC is with tip terminating in the proximal right atrium, near the cavoatrial junction. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process. No pleural effusion", "background": "INDICATION: ___ year old man with diffuse B cell lymphoma s/p methotrexate therapy now w/ persistent mtx levels. Eval effusion. // Eval pleural effusions. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___."}, {"study_id": "55520453", "subject_id": "10827966", "findings": "Again noted is mild pulmonary vascular congestion, similar to that seen previously. Mild interstitial abnormality is also again noted. Moderate cardiomegaly remains stable. The lungs are without any new focal opacity. No acute fractures are identified. Spinal changes consistent with renal osteodystrophy are again noted.", "impression": "Mild vascular congestion with mild cardiomegaly again noted.", "background": "HISTORY: Chest pain and shortness of breath. COMPARISON: Chest radiograph from ___."}, {"study_id": "55715742", "subject_id": "15874317", "findings": "A right-sided PICC tip terminates in the mid SVC. No pneumothorax. Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated. The aorta is diffusely calcified. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. Osseous structures are diffusely demineralized.", "impression": "Right sided PICC tip in the mid SVC. No pneumothorax.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with PICC placement. TECHNIQUE: Portable AP view of the chest COMPARISON: Chest radiograph ___"}, {"study_id": "52845055", "subject_id": "17343455", "findings": "The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Small opacity at the left lung base is likely a prominent mediastinal fat pad. Heart size is normal. Mediastinal silhouette and hilar contours are stable.", "impression": "No pneumonia, edema or effusion. Dr. ___ ___ the findings with Dr. ___ by phone at 11:49 p.m. on ___.", "background": "INDICATION: Cough. COMPARISON: ___. FRONTAL AND LATERAL"}, {"study_id": "58000619", "subject_id": "19237156", "findings": "Frontal radiograph of the chest demonstrates interval placement of a right pleural tube and presence of very small right apical pneumothorax status post VATS and wedge biopsy. There is a hematoma in the mid lung and an adjacent suture line is seen, presumably at the site of wedge biopsy. There is bibasilar atelectasis with no evidence of significant pleural effusion or pulmonary edema. The heart size is normal. Median sternotomy wires are unchanged in position compared to prior study.", "impression": "Small right apical pneumothorax and right mid lung hematoma status post right VATS and wedge biopsy. Bibasilar atelectasis. No significant pleural effusion. The above findings were communicated to Dr. ___ by Dr. ___ ___ page at 11:00, five minutes finding was discovered.", "background": "INDICATION: ___-year-old female with ILD, status post right VATS and wedge biopsy. Postoperative evaluation for pneumothorax or effusion. COMPARISON: Comparison is made to radiograph of the chest from ___. The study is read in conjunction with chest CT from ___."}, {"study_id": "57576285", "subject_id": "18829312", "findings": "Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.", "impression": "No radiographic evidence for acute cardiopulmonary process.", "background": "HISTORY: Patient with history of AML and increased congestion, assess for abnormalities. COMPARISON: ___."}, {"study_id": "56963960", "subject_id": "12934243", "findings": "Endotracheal tube appears in place with the tip in the lower trachea. Right PICC line is unchanged with the tip in the mid SVC. Enteric tube tip traverses to the stomach. The lungs appear hyperinflated consistent with patient's underlying emphysema. Volume loss is again noted, particularly on the right with rightward shift of the mediastinum. Since the prior study, there has been increased vascular congestion suggestive of heart failure. Additionally, there is increased right basilar atelectasis. Bilateral small pleural effusions appear stable. Cardiac and mediastinal silhouette appears stable. Levoscoliosis of the mid thoracic spine is again noted.", "impression": "Interval increased right basilar atelectasis. Interval increased vascular congestion suggestive of heart failure. Bilateral small pleural effusions appear stable. Satisfactory position of supporting structures.", "background": "HISTORY: Aspiration pneumonia, for interval change. COMPARISON: Multiple prior studies with the most recent chest radiograph from ___."}, {"study_id": "58544718", "subject_id": "18498678", "findings": "There has been interval removal of a previously seen right-sided PICC. The cardiac silhouette is mild to markedly enlarged. Mediastinal contours are stable. There are the small bilateral pleural effusions. Mild pulmonary vascular congestion is seen. No frank focal consolidation. No pneumothorax is seen.", "impression": "Moderate to marked enlargement of the cardiac silhouette with mild pulmonary vascular congestion. Small bilateral pleural effusions.", "background": "HISTORY: Shortness of breath, crackles. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "59695306", "subject_id": "18175344", "findings": "Patient is status post median sternotomy and CABG. Moderate cardiomegaly persists. The mediastinal contours are stable, with calcification of the aorta redemonstrated. Right basilar calcified nodules and calcified mediastinal and hilar lymph nodes are redemonstrated, compatible with prior granulomatous disease. There is perihilar haziness and vascular indistinctness, compatible with mild pulmonary edema, which has worsened in the interval. A small pleural effusion on the right demonstrates a component which is loculated laterally. The size of this effusion is similar compared to the prior study. Patchy opacities at lung bases likely reflect atelectasis. There is no pneumothorax.", "impression": "Mild congestive heart failure, slightly worse in the interval, with small right pleural effusion which is partially loculated laterally.", "background": "INDICATION: Low hematocrit, ischemic EKG changes. COMPARISON: ___. UPRIGHT AP VIEW OF THE"}, {"study_id": "59534763", "subject_id": "13956237", "findings": "There is no focal consolidation or pneumothorax. Stable appearance of flattening along the left hemidiaphragm on the lateral radiograph may represent a stable small left pleural effusion or elevation of the left hemidiaphragm which is stable dating back to ___ but new from ___. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Mild calcification of the aortic knob is redemonstrated. The trachea is midline. No acute osseous abnormality is detected.", "impression": "No acute cardiopulmonary process. Stable flattening along the left hemidiaphragm may represent a stable small left pleural effusion or elevation of left hemidiaphragm, unchanged dating back to ___ but new from ___. A lateral decubitus chest radiograph could be considered for further evaluation.", "background": "HISTORY: Chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: Prior chest radiographs dated ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest."}, {"study_id": "55776450", "subject_id": "11192888", "findings": "There is again seen in stable position left upper chest device with associated dual leads in unchanged position. At the superior aspect of film, there is evidence of prior known left-sided subcutaneous air in the soft tissues of the neck. There is no evidence of pneumomediastinum. There is no pneumothorax seen. There is again seen evidence of left-sided pleural plaque, unchanged in appearance. There are multiple areas of platelike atelectasis in the right lower and left lower lung, increased in comparison to prior study. Otherwise, there are no new focal lung consolidations.", "impression": "No evidence of pneumomediastinum or pneumothorax. Increased areas of platelike atelectasis bilateral lower lung zones. Otherwise stable chest x-ray.", "background": "EXAMINATION: Portable AP chest x-ray INDICATION: ___ year old man with subcutaneous emphysema, // compare with the previous X ray, ?leak, evaluate for pneumomediastinum TECHNIQUE: AP projection. COMPARISON: Portable AP chest x-ray obtained ___."}, {"study_id": "54524709", "subject_id": "15154898", "findings": "Mild progression of pulmonary edema with cephalization, mediastinal vein dilatation, mild heart enlargement, small bilateral pleural effusions and Kerley B lines. Increase in mild bibasilar atelectasis. Tortuous aorta and scoliosis without additional bony abnormality. No pneumothorax.", "impression": "Mild interval increase in pulmonary edema, bilateral pleural effusions and bibasilar atelectasis.", "background": "HISTORY: Female with shortness of breath and likely pneumonia. Assess for pneumonia or pulmonary edema. COMPARISON: Chest radiograph, ___, 12:30 a.m., ___, CT chest ___."}, {"study_id": "56960244", "subject_id": "16164193", "findings": "The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is a streaky opacity in the right mid lung, suggesting minor atelectasis or scarring. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS HISTORY: Right-sided pleuritic chest pain; question pneumonia. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "51971514", "subject_id": "10351179", "findings": "PA and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. No pleural effusion or pneumothorax is detected. Osseous structures are without an acute abnormality. No air to the right hemidiaphragm is seen.", "impression": "No acute intrathoracic abnormality.", "background": "INDICATION: ___-year-old male with altered mental status. TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "55465295", "subject_id": "13442722", "findings": "The heart size remains mild to moderately enlarged. The aorta is unfolded with mild atherosclerotic calcifications visualized. Pulmonary vascularity is normal. The hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Hypertension to a systolic pressure of 200's, low oxygen saturation. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "55488757", "subject_id": "10569231", "findings": "AP upright and lateral views of the chest provided. Large body habitus and underpenetrated technique limits assessment. Allowing for technical limitations, the lungs are clear. Heart is mildly enlarged. Mediastinal contour is normal. No large effusion or pneumothorax. Bony structures are intact.", "impression": "Mild cardiomegaly. No overt signs of edema or pneumonia.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with seizure // eval for pna COMPARISON: ___."}, {"study_id": "56093289", "subject_id": "11607177", "findings": "Since the prior chest radiograph performed earlier this morning, there has been no significant interval changes. The pulmonary artery catheter and transvenous pacemaker are unchanged in position. There is no evidence of pneumonia or pulmonary edema. Bronchovascular markings are accentuated by low lung volumes. Stable cardiomegaly.", "impression": "No acute intrapulmonary process. Stable cardiomegaly.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ ___speaking man with chronic sHF (EF ___%), 3+ MR who underwent AVJ ablation BiV/ICD upgrade on ___ and has since been having increasing SOB over several weeks despite uptitration of home torsemide p/w dyspnea, orthopnea, ___ transferred to us s/p PAC placement with CI of 1.3 with need for tailored therapy. // any acute changes TECHNIQUE: Portable chest radiograph COMPARISON: Multiple chest x-ray since ___, most recent bony performed ___ at 07:51"}, {"study_id": "53349935", "subject_id": "12423759", "findings": "The heart size is moderately enlarged with worsening pulmonary edema and moderate venous engorgement that appears to have progressed. A large right pleural effusion has a decreased fluid component that has been replaced with air. There is a mild rightward mediastinal shift secondary to right lung volume loss. A feeding tube is seen which terminates in the upper stomach.", "impression": "Moderately enlarged heart with worsening pulmonary edema and increased moderate venous engorgement. Large right pleural effusion with decreased fluid and increased air components.", "background": "EXAMINATION: Portable upright chest x-ray INDICATION: ___ year old man with cryptogenic cirrhosis, enterobacter empyema w/ hepatic hydrothorax, now w/ worsening SOB, weight up // progression of effusion/loculation TECHNIQUE: Portable upright chest x-ray COMPARISON: Comparison is made to chest x-rays dating from ___ through ___."}, {"study_id": "58897820", "subject_id": "15902186", "findings": "The lungs are clear. The cardiomediastinal silhouette is within normal limits. Old healed left lateral rib fractures are noted. No free intraperitoneal air.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with abd pain // eval infiltrate TECHNIQUE: PA and lateral views the chest. COMPARISON: ___."}, {"study_id": "56503640", "subject_id": "11779764", "findings": "The cardiac, mediastinal and hilar contours appear unchanged including tortuosity and calcification along the aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. Severe degenerative changes involve the right shoulder.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPH HISTORY: Abdominal pain and hypotension. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright."}, {"study_id": "56548310", "subject_id": "10752102", "findings": "Since the prior radiograph, there has been removal of the left chest wall port and catheter. The right PICC line terminates in the low SVC. The airway is midline and the cardiac and mediastinal contours are normal aside from a mildly tortuous descending aorta. There is mild increase in interstitial markings bilaterally, possibly indicating mild pulmonary edema or an atypical infectious process. No pleural effusion or pneumothorax is seen.", "impression": "Right PICC terminating in the lower SVC and increased interstitial markings bilaterally possibly indicating atypical infectious process or mild pulmonary edema.", "background": "WET READ: ___ ___ ___ 9:15 PM Increased interstitial prominence particularly peripherally in the lower lungs could reflect mild pulmonary edema or given the clinical concern an atypical infectious process. PICC terminates in the lower SVC. ______________________________________________________________________________ FINAL REPORT HISTORY: Patient with AML and MDS, presenting with cough and hematuria. Evaluate for atypical pneumonia. COMPARISON: ___."}, {"study_id": "51297734", "subject_id": "13787286", "findings": "Slightly increased elevation of the right hemidiaphragm as compared to the most recent CT scan, could be due to true elevation or a subpulmonic effusion. Bibasilar atelectasis and small bilateral pleural effusions are unchanged. A nodular density projecting over the periphery of the left mid lung was present on the prior radiograph of ___, but does not have a correlate on the CT from ___ and may represent a high nipple shadow or something external to the patient. Pulmonary vasculature is within normal limits. Cardiomediastinal silhouette is stable. No pneumothorax.", "impression": "Persistent small left pleural effusion. Apparent worsened elevation of right hemidiaphragm could potentially reflect a subpulmonic component of the right effusion. Consider a right lateral decubitus CXR for further evaluation.", "background": "INDICATION: ___ year old man with cough post-op r/o PNA // ? PNA atelectasis TECHNIQUE: PA and lateral views of the chest COMPARISON: Chest radiograph from ___ and chest CT from ___"}, {"study_id": "59739656", "subject_id": "13880645", "findings": "Persistent mild pulmonary edema. No focal consolidations to suggest pneumonia. Stable mild enlargement of the cardiomediastinal silhouette. No pneumothorax. No large pleural effusions.", "impression": "Mild pulmonary edema, but no focal consolidations to suggest pneumonia. Stable mild cardiac enlargement.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with MM, bilateral edema, DOE. // ?pulmonary edema ?pleural effusions ?pneumonia TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___."}, {"study_id": "54597805", "subject_id": "15929245", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F w/mediastinal widening on scout CT C-spine, please eval for mediastinal widening of CXR COMPARISON: ___"}, {"study_id": "57454387", "subject_id": "11760205", "findings": "Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema. Compression deformity of mid thoracic vertebral body is stable.", "impression": "No evidence of acute cardiopulmonary process.", "background": "INDICATION: Elevated lactate level. Assess for pneumonia. COMPARISONS: ___."}, {"study_id": "58396965", "subject_id": "10738049", "findings": "Again noted is subtle pectus excavatum causing apparent increased density at the right lung base. This is unchanged since the prior examination. Lung volumes are slightly lower than on prior examination. No definite new consolidation is identified. The thoracic aorta is tortuous. There is no pleural effusion or pneumothorax.", "impression": "No acute intrathoracic abnormality.", "background": "WET READ: ___ ___ 7:55 AM No acute intrathoracic abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with leg swelling // evidence of DVT or pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "53396526", "subject_id": "17475607", "findings": "AP and lateral chest radiograph demonstrate hyperinflated lungs. Linear opacity projecting over the left mid and lower lung fields likely reflects scarring, present on prior examination. No focal opacity convincing for pneumonia is present. Cardiomediastinal and hilar contours are stable. No evidence of pulmonary edema. There is no pleural effusion or pneumothorax. There is no air under the right hemidiaphragm.", "impression": "Hyperinflated lungs without evidence of an acute intrathoracic abnormality.", "background": "INDICATION: ___M with chest pain, dyspnea/wheezing // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___"}, {"study_id": "58290608", "subject_id": "15633246", "findings": "No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. Surgical clips are seen in the upper abdomen on the lateral view. No displaced fracture is seen.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest the past 2 days and shortness of breath. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "59782742", "subject_id": "18326595", "findings": "Linear opacities within the right middle and lower lobes likely represent areas of subsegmental atelectasis. The remainder of the lungs are clear. There is no pneumothorax. No vascular congestion or overt pulmonary edema is identified. There is no large pleural effusion. The right hemidiaphragm is elevated. Cardiomediastinal and hilar contours are within normal limits.", "impression": "Probable sugsegmental atelectasis in the right lung base. No pleural effusion.", "background": "HISTORY: A ___-year-old female with UTI and chills. Evaluation for pneumonia. COMPARISON: None available in the ___ system. AP AND LATERAL CHEST"}, {"study_id": "52811335", "subject_id": "19670384", "findings": "PA and lateral views of the chest are provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Bilateral shoulder replacement hardware is noted. No free air below the right hemidiaphragm. No acute bony abnormality.", "impression": "No signs of pneumonia or other acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Cough, malaise, question pneumonia."}, {"study_id": "52897641", "subject_id": "16136826", "findings": "Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged. Mediastinal contours are unremarkable.", "impression": "Clear lungs. Top normal-to-mildly enlarged cardiac silhouette.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Thalassemia and fleeting episode of chest pain and shortness of breath. COMPARISON: None."}, {"study_id": "57159224", "subject_id": "12471831", "findings": "Frontal and lateral views of the chest. The heart is mildly enlarged, similar to prior, with stable cardiomediastinal contours. Left apical scarring is similar to prior. Lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax is visualized. The pulmonary vasculature is unremarkable. Left humeral head screws are incompletely imaged.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with cough and subjective fever. COMPARISONS: Multiple prior chest radiographs, most recently of ___."}, {"study_id": "53631691", "subject_id": "14816035", "findings": "In comparison to the chest radiograph obtained 1 day prior, the right pleural pigtail catheter has a shorter excursion and projects more laterally. No pneumothorax. Small, right greater than left pleural effusions and adjacent atelectasis are otherwise unchanged. Moderate cardiomegaly is unchanged. Mild pulmonary vascular congestion is unchanged. Lungs otherwise clear without focal consolidation.", "impression": "Left-sided pigtail catheter projects more laterally over the lower left chest. No pneumothorax or other acute complication.", "background": "EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with Chest tube placement ___/ Evidence of migration, PTX TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___"}, {"study_id": "50252479", "subject_id": "15075297", "findings": "Frontal and lateral views of the chest were obtained. Again, there is blunting of the posterior bilateral costophrenic angles suggesting trace bilateral pleural effusion with overlying atelectasis. Additional left base consolidation is not excluded. Scattered calcified nodules are again seen bilaterally suggesting prior granulomatous disease. The cardiac silhouette is not enlarged. The aortic knob is calcified. No pneumothorax seen.", "impression": "Small bilateral pleural effusions with overlying atelectasis, additional left base consolidation not excluded.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Hypoxia and fever. COMPARISON: ___."}, {"study_id": "54721339", "subject_id": "16909909", "findings": "AP portable upright view of the chest. Right IJ dialysis catheter is noted with its tip extending into the SVC as well as the right atrium. The heart is mildly enlarged. There is pulmonary vascular congestion and mild pulmonary edema. No large pleural effusion or pneumothorax is seen. Difficult to exclude a superimposed pneumonia. Bony structures appear intact. No free air below the right hemidiaphragm.", "impression": "Mild cardiomegaly, pulmonary vascular congestion with mild pulmonary edema.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with altered mental status, eval for infection COMPARISON: No priors"}, {"study_id": "56151039", "subject_id": "10827966", "findings": "AP upright and lateral views of the chest were provided. The heart remains top normal in size. There is persistent retrocardiac linear density which is most compatible with atelectasis or scarring. Mild hilar engorgement appears stable from prior exam. No frank signs of pulmonary edema or pneumonia. No large effusions or pneumothorax is seen. Kyphotic angulation of the thoracic spine is again noted with rugger ___ appearance which is compatible with renal osteodystrophy. Clips are noted in the upper abdomen.", "impression": "Top normal heart size with mild hilar engorgement and retrocardiac atelectasis or scarring.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: End-stage renal disease on hemodialysis with cough for two weeks, question pneumonia."}, {"study_id": "59484629", "subject_id": "17001497", "findings": "Mild to moderate cardiomegaly is unchanged. The aorta is diffusely calcified and tortuous, similar compared to the prior exam. Mediastinal and hilar contours are unchanged. Evaluation of the lung apices is limited due to the patient's chin and soft tissues of the neck projecting over this region. Lung volumes are low. There is crowding of the bronchovascular structures but no overt pulmonary edema is present. No focal consolidation, pleural effusion or pneumothorax is clearly identified. Mild interstitial abnormality within the lung bases as well as within the right upper lung field is similar compared to the prior exam and may reflect chronic changes. No acute osseous abnormalities seen.", "impression": "Low lung volumes. No acute cardiopulmonary abnormality.", "background": "HISTORY: Cough and dyspnea. History of stroke. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___."}, {"study_id": "57726573", "subject_id": "19591762", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Cough, shortness of breath for 2 weeks. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "52831487", "subject_id": "16347969", "findings": "PA and lateral views of the chest provided. Rib deformities of the left seventh and eighth lateral rib arches noted which appear new from the prior exam. There is subtle underlying opacity which could represent pleural thickening. Otherwise the lungs appear clear. No pneumothorax or effusion. Cardiomediastinal silhouette appears normal.", "impression": "Rib deformities, left seventh and eighth lateral arch, new from prior with adjacent opacity suggestive of pleural thickening. No pneumothorax.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with alcohol intoxication. Cough, head trauma. COMPARISON: ___"}, {"study_id": "58558688", "subject_id": "13961565", "findings": "Frontal and lateral radiographs of the chest when compared to the prior study demonstrates resolution of left basilar opacity from the prior study. No focal areas of increased opacity are identified. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.", "impression": "Resolution of left lower lobe pneumonia.", "background": "HISTORY: Follow up pneumonia from ___. COMPARISON: ___."}, {"study_id": "52963297", "subject_id": "11599104", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with TIA vs stroke // neuro w/u TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "58469457", "subject_id": "16313615", "findings": "Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Hazy pulmonary vasculature suggests mild pulmonary edema. Bibasilar opacifications may be a combination of atelectasis and bilateral pleural effusions, right greater than left. However, cannot exclude an infectious process in the appropriate clinical setting.", "impression": "Bibasilar opacifications likely represent combination of effusions and possibly atelectasis versus pneumonia. Background mild pulmonary edema.", "background": "INDICATION: Shortness of breath. Please evaluate for CHF or pneumonia. COMPARISON: Comparison made to chest radiograph performed ___."}, {"study_id": "57861339", "subject_id": "10611071", "findings": "Cardiomediastinal contours are within normal limits and without change. Lungs are overexpanded, but without areas of a lobar or segmental consolidation or atelectasis. A linear focus of scar within the lingula is unchanged. There are no pleural effusions. Note is made of previous right mastectomy.", "impression": "Known CT findings suggestive of pulmonary MAC infection are not well demonstrated radiographically. If warranted clinically, CT could be performed as it is more sensitive than radiographs for detecting bronchiectasis and centrilobular nodules.", "background": "PA AND LATERAL CHEST OF ___ COMPARISON: ___ radiograph."}, {"study_id": "51037397", "subject_id": "18528269", "findings": "The lungs are hyperinflated consistent with the given history of asthma. There is no evidence of focal consolidation worrisome for pneumonia. No pleural effusion or pneumothorax. The cardiac size is normal. The hilar contours are unremarkable. There is slight loss of height anteriorly of a mid thoracic vertebral body seen on the lateral views.", "impression": "No evidence of pneumonia. Hyperinflation consistent with asthma. Slight height loss anteriorly (~___%) of a mid thoracic vertebral body of unknown chronicity.", "background": "HISTORY: Asthma and cough. Question acute process. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "55318406", "subject_id": "10144424", "findings": "The lung volumes are slightly low. The lungs are clear. The heart size is normal. The descending thoracic aorta is slightly tortuous. Aortic calcifications are noted. The mediastinal contours are otherwise unremarkable. There are no pleural effusions. No pneumothorax is seen. There has been interval removal of the right IJ catheter and right PICC.", "impression": "No acute cardiac or pulmonary process.", "background": "INDICATION: Feculent emesis, from nursing home. Diffuse abdominal pain. Evaluate for acute intrathoracic process. COMPARISON: Chest radiograph from ___."}, {"study_id": "57861150", "subject_id": "10000980", "findings": "Heart size remains mild to moderately enlarged. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unchanged. Previous pattern of mild pulmonary edema has essentially resolved. Mild atelectasis is seen in the lung bases without focal consolidation. Blunting of the costophrenic angles bilaterally suggests trace bilateral pleural effusions, not substantially changed in the interval. No pneumothorax is present.", "impression": "Interval resolution of previously seen mild pulmonary edema with trace bilateral pleural effusions.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "51090692", "subject_id": "13761602", "findings": "Lung volumes are low, there is no evidence of pneumonia, pleural effusion, or pneumothorax. The cardiomediastinal silhouette and hila are normal.", "impression": "No acute cardiothoracic process.", "background": "INDICATION: ___-year-old with hyponatremia, please assess for aspiration pneumonia. TECHNIQUE: Single portable radiograph of the chest was obtained. COMPARISON: No comparison studies available."}, {"study_id": "57173983", "subject_id": "16911004", "findings": "Lungs are hyperinflated. Moderate to large right and small to moderate left pleural effusions are noted. There is right basilar opacity which is likely at least in part due to atelectasis given adjacent effusion. There is additional opacity projecting over the right upper lung, on the lateral view localized posteriorly. There is moderate enlargement of the cardiac silhouette. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.", "impression": "Bilateral pleural effusions, right greater than left with associated atelectasis particularly at the right lung base noting that infection is difficult to exclude. Superimposed asymmetric right upper lung opacity, potentially pulmonary edema or infection. Followup will be necessary after treatment.", "background": "INDICATION: ___M with chest pain // eval for pna, cardiomegaly TECHNIQUE: AP and lateral views of the chest. COMPARISON: None."}, {"study_id": "53928270", "subject_id": "14703315", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with left side chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "52852902", "subject_id": "11551927", "findings": "A series of two radiographs are provided from 2:15 and 2:24 am. In the interval, the endotracheal tube was advanced. In the later radiograph, the endotracheal tube is appropriately positioned 3.2 cm above the carina. A right internal jugular central venous line terminates in the right atrium. An orogastric tube traverses the esophagus, into the stomach, and terminates inferiorly out of the field of view. There are unchanged bilateral pleural effusions. Aeration of the right lung has improved, which may reflect more upright positioning. Low lung volumes cause crowding of the pulmonary vasculature. Bilateral lower lobe airspace opacities are unchanged and may reflect atelectasis or aspiration. There is no pneumothorax. The heart size is normal and unchanged.", "impression": "Appropriately positioned endotracheal tube. Unchanged bilateral pleural effusions with improved aeration of right lung which may be secondary to more upright positioning. Bibasilar opacities consistent with atelectasis but aspiration cannot be excluded.", "background": "EXAMINATION: Chest, portable semi upright. INDICATION: Evaluate endotracheal tube position following re-intubation. COMPARISON: A series of prior chest radiographs, most recently from ___ at 5:55."}, {"study_id": "57367127", "subject_id": "12121483", "findings": "The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ 8:10 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___M with fever, cough, headache // pna? TECHNIQUE: Upright PA and lateral images of the chest. COMPARISON: None."}, {"study_id": "50018447", "subject_id": "17048458", "findings": "The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___M with symptomatic bradycardia, HR 30s-40s, presyncope, dizziness. Assess for cardiomegaly or edema. TECHNIQUE: Single portable semi upright frontal chest radiograph. COMPARISON: None."}, {"study_id": "52106366", "subject_id": "15980434", "findings": "Mild cardiomegaly and aortic tortuosity are unchanged. There is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. There is no significant change from ___.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Shortness of breath. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___."}, {"study_id": "56369175", "subject_id": "15686026", "findings": "The inspiratory lung volumes are decreased with resultant accentuation of bronchovascular and cardiomediastinal structures. There is a small left pleural effusion with associated left basilar opacification. There is no significant pulmonary vascular engorgement. The mediastinum is prominent in part due to unfolding of the thoracic aorta. There is minimal calcification of the aortic knob. No acute osseous abnormalities detected.", "impression": "Small left pleural effusion with associated left basilar opacification, which in the setting of low lung volumes may represent atelectasis.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: ___ year old man with liver failure, s/p albumin, now becming slightly more hypoxic // eval for worsening edema TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___."}, {"study_id": "57479493", "subject_id": "13224377", "findings": "Since prior, with there has been development of opacities in the left mid lung as well as the right base, findings could represent aspiration. The heart and mediastinal contours are unchanged. There is no pleural effusion or pneumothorax. A right PICC ends in the distal SVC.", "impression": "Developing opacities in the left mid lung and right base could represent aspiration in the correct clinical setting.", "background": "INDICATION: ___ year old woman with AML post ERCP now with increased cough, assess for pneumonia. And TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiographs from ___ through ___."}, {"study_id": "51308209", "subject_id": "10913892", "findings": "There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal and unremarkable. Osseous structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old man with Waldenstrom's macroglobulinemia, evaluate for lung abnormality. COMPARISONS: PA and lateral chest radiographs from ___."}, {"study_id": "55908865", "subject_id": "10980029", "findings": "Top-normal heart size is unchanged compared to the exam from ___. Aside from a mildly tortuous aorta, the hilar and mediastinal contours are unremarkable. Mild bibasilar atelectasis is stable. No definite focal consolidations concerning for pneumonia are identified. There may be minimal vascular congestion, however there is no evidence of pulmonary edema. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.", "impression": "No evidence of pulmonary edema.", "background": "HISTORY: History of elevated BNP and a fib. Please evaluate for pulmonary edema. COMPARISON: Chest radiograph from ___ and CTA aorta from ___. TECHNIQUE: Portable radiograph of the chest."}, {"study_id": "57465334", "subject_id": "13364910", "findings": "AP and lateral views of the chest demonstrate consolidations in the right upper and bilateral lower lobes, compatible with multifocal pneumonia. There is no pneumothorax or large pleural effusion. The cardiomediastinal silhouette is stable in appearance, with persistent mild cardiomegaly.", "impression": "Multifocal pneumonia. Followup radiographs after treatment is recommended to ensure resolution.", "background": "HISTORY: ___-year-old female with cough for one month, with shortness of breath and chest pain. COMPARISON: Comparison is made to chest radiographs from ___."}, {"study_id": "57836265", "subject_id": "18573443", "findings": "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.", "impression": "No evidence of rib fracture or pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with 6 weeks of ongoing productive cough and treatment with abx for bronchitis with no resolve, right anterior rib pain // please eval for infection/pna/as well as right anterior rib fx TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "59737916", "subject_id": "11752817", "findings": "When compared to prior, the right-sided pigtail catheter is no longer visualized. Size of the right pleural effusion seen laterally and superiorly is not significantly changed given differences in technique. Underlying parenchymal opacities are also unchanged. Rightward mediastinal shift is again noted. Left lung remains clear. No acute osseous abnormalities.", "impression": "Interval removal of right-sided chest tube since ___ without other change.", "background": "INDICATION: ___M with shortness of breath // eval for pleural effusion TECHNIQUE: Frontal lateral views the chest. COMPARISON: ___."}, {"study_id": "53397299", "subject_id": "10549546", "findings": "The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: History: ___M with diabetes and history of cellulitis presents with sepsis , hyperglycemia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "59936742", "subject_id": "14295739", "findings": "AP upright and lateral views of the chest were provided. Patient is slightly rotated to the left. Previously noted PICC line has been removed. There is no evidence of pneumonia or CHF. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette appears stable with atherosclerotic calcification noted along the thoracic aorta. Bony structures appear intact.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Lethargy. Assess for pneumonia."}, {"study_id": "55221321", "subject_id": "18065565", "findings": "PA and lateral views of the chest are provided. The lungs appear clear bilaterally. Slightly elevated right hemidiaphragm noted. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. A CBD stent is seen in the right upper quadrant.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH Comparison is made with prior study from ___. CLINICAL HISTORY: Lightheaded, on chemotherapy, assess for pneumonia."}, {"study_id": "58461370", "subject_id": "13633584", "findings": "Lung volumes are low. The heart size is mildly enlarged but unchanged. The mediastinal contours are similar with tortuosity of the thoracic aorta and diffuse atherosclerotic calcifications again noted. There is no pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Numerous remote fractures of the left-sided ribs and left distal third clavicle are re- demonstrated.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Weakness. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58964524", "subject_id": "11206553", "findings": "The lungs are hypoinflated with bibasilar atelectasis. There is elevation of the left hemidiaphragm. Apparent mild cephalization is accentuated by low lung volumes. Trace right pleural effusion is present. No left pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures are notable for thoracolumbar degenerative changes with anterior osteophytes and endplate sclerosis.", "impression": "Trace right pleural effusion. Elevation of left hemidiaphragm may be related to diaphragmatic eventration, or diaphragmatic paralysis. Low lung volumes with bibasilar atelectasis.", "background": "WET READ: ___ ___ ___ 4:51 AM 1. Mild vascular congestion with trace right pleural effusion. 2. Elevation of left hemidiaphragm may be related to diaphragmatic eventration, diaphragmatic paralysis or in the setting of trauma diaphragmatic rupture. 3. Low lung volumes with bibasilar atelectasis. WET READ VERSION #1 ___ ___ ___ 4:49 AM 1. Mild vascular congestion with trace right pleural effusion. 2. Elevation of left hemidiaphragm may be related to diaphragmatic eventration or in the setting of trauma diaphragmatic rupture. 3. Low lung volumes with bibasilar atelectasis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with dyspnea on exertion. Assess for pulmonary edema. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "51318736", "subject_id": "12401548", "findings": "The lungs are hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.", "impression": "Hyperinflated, but clear lungs.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cough, dyspnea, N/V after exposure to fumes of oil-based spray paint. // Evaluate for signs of chemical pneumonitis TECHNIQUE: Single frontal view of the chest COMPARISON: None"}, {"study_id": "52025697", "subject_id": "18040783", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and SOB x2 days // ?PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "55481818", "subject_id": "11213613", "findings": "Linear opacities of the lung bases bilaterally likely reflect atelectasis. Hyperlucency of the upper zones is reflective of emphysema. No focal consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Osseous structures are demineralized diffusely with a compression deformity in the mid thoracic spine which is unchanged from ___.", "impression": "Emphysema and bibasilar atelectasis. No evidence of pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fevers/chills and cough, has h/o emphysema // ? pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "56588230", "subject_id": "18335994", "findings": "PA and lateral views of the chest were provided. Midline sternotomy wires and coronary stents are in place as well as mediastinal clips. No focal consolidation is seen. There is no overt pulmonary edema. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No acute intrathoracic process.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam is dated ___. CLINICAL HISTORY: Cough and hypoxia. Assess for pneumonia."}, {"study_id": "57725002", "subject_id": "19133405", "findings": "Mild pulmonary vascular congestion is stable to possibly minimally increased. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Left Port-A-Cath is again seen, terminating at the cavoatrial junction.", "impression": "No focal consolidation. Minimal pulmonary vascular congestion stable to possibly minimally increased.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with h/o asthma, trach, green/bloody sputum, cough. // r/o infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "50766564", "subject_id": "10449408", "findings": "A new endotracheal tube terminates 3.5 cm above the carina. The lung volumes have increased and parenchymal opacities have improved since 2 hours prior. The size of the pulmonary arteries has decreased. Mediastinal widening and mild cardiomegaly is stable. Bilateral lower lobe atelectasis has improved.", "impression": "Interval placement of an endotracheal tube. Improved lung expansion, decreased airspace opacities and decreased size of the pulmonary arteries.", "background": "CLINICAL INDICATION: Respiratory failure and recent intubation. COMPARISON: ___, performed 2 hours prior. PORTABLE SUPINE FRONTAL VIEW OF THE"}, {"study_id": "51739939", "subject_id": "18308713", "findings": "Single portable view of the chest. When compared to previous exam, there has been no significant interval change. The lungs are clear of confluent consolidation. Calcific densities projecting over the lung apices bilaterally suggestive of calcifications, potentially pleural-based. There is no evidence of overt pulmonary edema or large effusion. Cardiac silhouette is enlarged. Right chest wall pacer is seen with multiple leads. Leads from a previously removed left chest wall pacer is also seen. Enteric tube tip seen projecting over the gastric fundus. Cardiac silhouette is enlarged. No acute osseous abnormality detected noting hypoplastic 1st ribs bilaterally.", "impression": "Cardiomegaly without evidence of overt pulmonary edema.", "background": "HISTORY: ___-year-old female with heart failure and hypotension. Receiving fluid. Question pulmonary edema. COMPARISON: ___ at 14:33."}, {"study_id": "51614107", "subject_id": "19133405", "findings": "Lung volumes are relatively low but the lungs are clear. There is no consolidation, effusion, or edema. Left chest wall port with catheter tip is seen at the cavoatrial junction. Tracheostomy tube remains in place. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with green sputum production from trache for the last week. // ? pneumonia TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "56446495", "subject_id": "13831972", "findings": "The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Subtle patchy opacity is noted within the left lung base laterally. The right lung is clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.", "impression": "Subtle patchy opacity within the left lateral left lung base, which could reflect an area of infection.", "background": "WET READ: ___ ___ ___ 6:41 PM Subtle patchy opacity within the left lateral left lung base, which could reflect an area of infection. ______________________________________________________________________________ FINAL REPORT HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "59635840", "subject_id": "13522297", "findings": "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.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough and sputum production, question pneumonia. COMPARISON: ___."}, {"study_id": "56516406", "subject_id": "13725152", "findings": "The cardiomediastinal shadow is normal. The hila are normal. No airspace consolidation. No pulmonary edema. No pleural effusions. Spondylotic changes of the thoracic spine.", "impression": "No features of pneumonia.", "background": "INDICATION: ___ year old woman with multiple medical problems now with cough for two weeks and exertional dyspnea. // R/O pneumonia--___ superior segment RLL pneumonia based on exam. TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "58499300", "subject_id": "12656608", "findings": "Heart size is normal. Mediastinal and hilar contours are within normal limits. Minimal atherosclerotic calcification is noted at the aortic knob. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is normal no acute osseous abnormality is detected.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever and shortness of breath, history of COPD TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57322909", "subject_id": "13271045", "findings": "The lungs are clear. There is no pleural effusion, pneumothorax focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There are no acute osseous abnormalities. Specifically, there is no displaced rib fracture identified.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Status post fall, rule out acute process. TECHNIQUE: Frontal lateral views chest. COMPARISON: Chest radiograph ___."}, {"study_id": "50150796", "subject_id": "19650702", "findings": "Patient is status post tracheobronchoplasty. Since ___, the previously noted right upper lung opacities are improved. There is mild pulmonary congestion, left worse than right. A small left pleural effusion is probable. Mild bibasilar atelectasis is increased. A right chest tube is in unchanged positioning. The heart size is stable. Widening of the mediastinum is expected postsurgically. An apical right pneumothorax is tiny, if any.", "impression": "Improvement in previously noted right upper lung opacities, likely from atelectasis or hematoma. Mild pulmonary congestion, left worse than right, with a small probable left pleural effusion. An apical right pneumothorax is tiny, if any.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old woman with tbm // effusion ptx TECHNIQUE: Portable AP chest. COMPARISON: Prior chest radiographs from ___, ___, ___ CT trachea without contrast from ___"}, {"study_id": "50927234", "subject_id": "18066180", "findings": "Frontal and lateral radiographs of the chest show interval resolution of linear atelectasis previously seen in the left lung base on ___ with improved visualization of the left hemidiaphragm. Blunting of the right costophrenic angle without evidence of pleural effusion on the corresponding lateral radiograph is likely due to pleural thickening or atelectasis. The lungs are otherwise clear without focal consolidation or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged from the preceding radiograph. The pulmonary vasculature is not engorged. Partial resection of the right posterior fourth rib is unchanged. Segmental narrowing of the lower trachea may be related to prior surgery.", "impression": "No acute cardiopulmonary process. Resolved atelectasis of the left lung base from ___.", "background": "INDICATION: ___-year-old female status post Nissen procedure on ___ with remote tracheoplasty, here to reevaluate for interval changes. COMPARISON: Chest radiograph, last performed on ___."}, {"study_id": "50819653", "subject_id": "10924565", "findings": "Patient with known left lower lobe mass, as better seen on recent prior CT. Mild right base atelectasis is seen without definite focal consolidation. No large pleural effusion. No evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.", "impression": "Known left lower lobe pulmonary mass, better assessed on recent prior CT. No definite new focal consolidation seen.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough immune compromise // Acute cardiopulm disease TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___"}, {"study_id": "51079346", "subject_id": "18523103", "findings": "The cardiac silhouette size is likely top normal. The mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion. Moderate sized left pleural effusion, partially loculated laterally, is noted. Left basilar opacification may represent known tumor with infection or atelectasis. Trace right pleural effusion is also demonstrated. There is no pneumothorax. Mild S-shaped scoliosis is seen with multilevel degenerative changes.", "impression": "Moderate left pleural effusion, partially loculated laterally, with left basilar opacification which may reflect known malignancy with atelectasis or infection. Trace right pleural effusion. Mild pulmonary vascular congestion.", "background": "HISTORY: Recently diagnosed lung cancer with weakness and malaise. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None."}, {"study_id": "53652160", "subject_id": "10500792", "findings": "The heart size is mildly enlarged. The mediastinal and hilar contours are unchanged with convexity at the right cardiophrenic angle compatible with known lymph nodes, unchanged. There is no pulmonary edema. Moderate to large left and small right pleural effusions have increased in size compared to the previous exam. Left basilar opacification may reflect compressive atelectasis though infection or aspiration cannot be excluded. Multiple nodules are demonstrated throughout the right lung, the largest within the right lower lobe measures 1.9 cm and is unchanged. There is no pneumothorax.", "impression": "Moderate to large left and small right pleural effusions, increased in size compared to the previous exam. Left basilar opacification could reflect atelectasis though infection or aspiration cannot be excluded. Multiple right lung pulmonary nodules are unchanged.", "background": "HISTORY: Shortness of breath and history of pleural and pericardial effusion. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___ chest radiograph. ___ chest CT."}, {"study_id": "58133535", "subject_id": "12118394", "findings": "Tip of the left PICC line ends at left subclavian. Bilateral, diffuse, airspace opacities representing moderate pulmonary edema are new since ___. Heart size, mediastinal and hilar contours are unchanged in appearance. There is no pleural effusion.", "impression": "Bilateral moderate pulmonary edema, new since ___. The tip of the left PICC line ends at left subclavian. Findings were discussed with Dr. ___ on ___ at 9:45 a.m.", "background": "CHEST RADIOGRAPH TECHNIQUE: Semi-erect portable radiograph of the chest was compared with prior chest radiographs through ___, with the most recent from ___."}, {"study_id": "55377088", "subject_id": "12463286", "findings": "The lungs are hyperexpanded. There are increased predominantly central and perihilar patchy airspace opacities consistent with worsening pulmonary edema, although multifocal pneumonia remains a possibility in the proper clinical context. Unchanged biapical pleuroparenchymal thickening. No pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits. The thoracic aorta appears tortuous. The tip of the endotracheal tube projects at the level of the clavicular heads, 6.4 cm from the carina.", "impression": "Increasing mid perihilar and central airspace opacities consistent with worsening pulmonary edema, although multifocal pneumonia remains a possibility. The tip of a new endotracheal tube projects at the level of the clavicular heads, 6.4 cm from the carina.", "background": "INDICATION: ___ year old man with shock and hypoxemic respiratory failure. // R/O pulmonary edema, R/O pneumonia TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day"}, {"study_id": "57415353", "subject_id": "17347185", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPH HISTORY: Hypotension and syncope. COMPARISONS: None. TECHNIQUE: Chest, portable AP upright."}, {"study_id": "56374966", "subject_id": "14358566", "findings": "The retrocardiac opacity has resolved, and was presumably due to atelectasis. The lungs are clear. There is no pneumothorax. Moderate cardiomegaly despite the projection is unchanged. Unchanged prominence of the hilar contours are likely due to stable mild lymph node enlargement.", "impression": "Clear lungs. Stable moderate cardiomegaly.", "background": "WET READ: ___ ___ ___ 12:52 AM Pulmonary vascular engorgement, without evidence of frank edema. Persistent retrocardiac opacity may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone at 00:50 on ___, at the time of discovery. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with acute hypoxia // Please evaluate for flash pulmonary edema vs other intrapulmonary process TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "57514513", "subject_id": "15557023", "findings": "Cardiac size is mildly enlarged. The hilar and mediastinal contours are normal. An area of atelectasis is seen in the left lower lung base. There are lower lung volumes. There are no pleural effusions or pneumothorax. The right PICC line tip is at the level of the mid SVC. Visualized osseous structures are grossly unremarkable.", "impression": "Right PICC line tip at level of mid SVC. Atelectasis of the left lower lobe. In the appropriate clinical setting, this may represent pneumonia.", "background": "INDICATION: ___-year-old male patient with cough and CHF. Study requested for confirmation of PICC line placement. COMPARISON: Prior outside chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "59199928", "subject_id": "13166275", "findings": "PA and lateral views of the chest provided demonstrate no acute findings with no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. A hyperdensity in the left upper lung is stable and likely represents a calcified granuloma or a prominent vessel en face. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No acute findings in the chest.", "background": "CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Sternal chest pain for 15 minutes, question acute intrathoracic process."}, {"study_id": "51205961", "subject_id": "15671242", "findings": "The patient is now intubated. The endotracheal tube terminates approximately 4.5 cm above the carina. There is again a single-lead pacemaker device terminating in the right ventricle. The cardiac, mediastinal, and hilar contours appear within normal limits. The lungs appear clear. Pulmonary congestion has resolved. There are no pleural effusions or pneumothorax.", "impression": "Status post endotracheal intubation. Resolution of pulmonary vascular congestion.", "background": "CHEST RADIOGRAPH HISTORY: Intracranial hemorrhage status post intubation. COMPARISONS: Earlier radiograph from the same day. TECHNIQUE: Chest, AP portable."}, {"study_id": "53729646", "subject_id": "13176838", "findings": "The left-sided Port-A-Cath terminates in the cavoatrial junction. The cardiomediastinal silhouette is unremarkable. The previously seen retrocardiac opacity has nearly resolved. There are no new focal consolidations. There is no pulmonary edema, pneumothorax, or pleural effusions.", "impression": "Nearly resolved left lower lobe pneumonia.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old man with recent admission for febrile neutropenia and presumed taxol reaction/hypersensitivity pneumonitis. BAL + for AFB // Eval progression of pneumonitis. Eval evidence of mycobacterial disease TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___."}, {"study_id": "55445109", "subject_id": "12697173", "findings": "Compared with the prior study, no change in the left-sided pacemaker, with leads projecting to the right atrium and right ventricle. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouettes are unchanged. Nodular opacity in the right lower lung corresponds with a calcified granuloma identified on the recent chest CT.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with fever and cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and chest CT of ___."}, {"study_id": "56404360", "subject_id": "15481731", "findings": "ET tube tip approximately 4.4 cm above the carina, at the level of the mid clavicular heads . NG tube not well seen through the lower mediastinum, though it appears to extend beneath the diaphragm, off the film. Right IJ central line is unchanged, with tip at cavoatrial junction. No pneumothorax detected. Again seen are extensive nodular and confluent opacities in both lungs, most pronounced along the periphery of the right lung. Right and left costophrenic angles are both obscured, suggesting bilateral pleural effusions. The cardiomediastinal silhouette is unchanged.", "impression": "Compared with 1 day earlier, I doubt significant interval change. Extensive bilateral opacities consistent with ARDS again seen.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ARDS // Any interval change? COMPARISON: Chest x-ray from ___"}, {"study_id": "58385577", "subject_id": "10188275", "findings": "There are low lung volumes with crowding of the bronchovascular structures. There is a hazy opacity in the right lung base, unchanged from prior exam, which likely represents atelectasis with probable pleural effusion. The cardiomediastinal silhouette is mildly enlarged, stable from prior exam. There is no pneumothorax or large pleural effusion.", "impression": "No acute cardiopulmonary process. Persistent right base atelectasis with probable right pleural effusion.", "background": "HISTORY: Shortness of breath. COMPARISON: Comparison is made with chest radiographs from ___ on ___."}, {"study_id": "50809617", "subject_id": "15860896", "findings": "The lungs are clear besides mild bibasilar atelectasis. There is no effusion or consolidation worrisome for pneumonia. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with RUQ pain, recent CCY, ?CBD stone // Eval for acute process, pleural effusion, free airEval for CBD dilation TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "57118446", "subject_id": "19658917", "findings": "Lung volumes are low. There is opacity in the bilateral lung bases, likely reflecting atelectasis. Bilateral pleural effusions are seen, right greater than left. Mild hilar prominence is again noted, right greater than left, similar to prior exam. There is no pneumothorax. The cardiomediastinal silhouette is mildly enlarged. No pulmonary edema or pneumothorax.", "impression": "Bilateral pleural effusions with associated bibasilar atelectasis, right greater than left, similar to prior exam. Mild prominence of the hila is unchanged.", "background": "EXAMINATION: AP and lateral images of the chest. INDICATION: History: ___M with low O2 sat // eval for volume overload TECHNIQUE: AP and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___."}, {"study_id": "59140854", "subject_id": "17059606", "findings": "Portable upright chest radiograph was obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable with unchanged enlargement of right hilar consistent with known calcified lymph nodes. Amorphic density along the right humeral head suggests calcific tendinitis.", "impression": "No acute intrathoracic process.", "background": "HISTORY: COPD and wheezing. COMPARISON: ___."}, {"study_id": "57217552", "subject_id": "16786147", "findings": "Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Patchy opacities are noted at the lung bases. Small right pleural effusion is noted with blunting of the posterior costophrenic sulcus on the lateral view. No pneumothorax is present. No acute osseous abnormality is visualized.", "impression": "Low lung volumes with patchy opacities at the lung bases, potentially atelectasis but infection cannot be completely excluded in the correct clinical setting. Small right pleural effusion.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with chest pain, intermittent weakness TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None."}, {"study_id": "52859254", "subject_id": "11651096", "findings": "The lungs are grossly clear without consolidation, large effusion or edema. There is relative elevation of left hemidiaphragm which is new since ___, but not dramatically different from ___ given differences in projection. Cardiomediastinal silhouette is within normal limits for technique.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with new onset aflutter history of DVT // eval for palpitations pna?CTA r/o PE TECHNIQUE: Single portable view of the chest. COMPARISON: Chest CT from ___. Scout from CT abdomen pelvis from ___."}, {"study_id": "50440814", "subject_id": "13743156", "findings": "AP upright and lateral views of the chest provided. Overlying EKG leads noted. 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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with syncope, unresponsive episode COMPARISON: Prior exam from ___."}, {"study_id": "58300464", "subject_id": "16570780", "findings": "The left chest tube has been removed. There is no pneumothorax. There is atelectasis in the left lower lobe. There is no focal opacity or pleural effusion. The cardiac and mediastinal contours are stable.", "impression": "Removal of a left chest tube. No pneumothorax.", "background": "INDICATION: ___ year old man with s/p CABG/AVR evaluate for pneumothorax. TECHNIQUE: Frontal view of the chest. COMPARISON: ___."}, {"study_id": "54012067", "subject_id": "13978368", "findings": "The lungs are well expanded. Multiple patchy opacities throughout the right lung are compatible with known pleural metastasis. Chain sutures in the right upper lung are re-demonstrated, consistent with prior wedge resection. A focal nodularity seen in the left apex was compared with prior CT and corresponds to a focus of fibrosis/scarring. No focal opacities are seen in the right lung concerning for pneumonia. Cardiac size is normal. There is a tortuous aorta with atherosclerotic calcifications of the aortic wall, unchanged. There is no pleural effusion or pneumothorax. An IVC filter is partially imaged.", "impression": "Findings compatible with pleural-based right lung metastasis have not significantly changed compared with prior exam. No new focal opacities suggestive of pneumonia.", "background": "INDICATION: ___-year-old female with lung cancer and respiratory distress. Evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs, most recent on ___. Chest CT from ___. TECHNIQUE: Portable upright chest radiograph."}, {"study_id": "51976195", "subject_id": "16736890", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with dizziness and ataxia // eval for CHF/pneumonia COMPARISON: ___"}, {"study_id": "58895594", "subject_id": "18992807", "findings": "Heart size is probably normal. Full mediastinal contours difficult to evaluate as is the left hilus. The right hilar contour is grossly unremarkable. Left greater than right pulmonary opacities are redemonstrated corresponding to areas of loculated pleural effusion and metastatic lesions. There appears to be increased loculated pleural effusion component in the left upper lobe with compressive atelectasis of the adjacent lung parenchyma. There is no pneumothorax.", "impression": "Redemonstration of left greater than right opacities representing combination of loculated pleural effusion and metastatic lesions. Increased loculated fluid component in the left upper lobe. Concurrent pneumonia cannot be excluded providing the appropriate clinical context.", "background": "EXAMINATION: Chest radiograph INDICATION: Shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: ___, CT chest ___"}, {"study_id": "52776733", "subject_id": "13935961", "findings": "2 views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.", "impression": "No acute intrathoracic process.", "background": "HISTORY: Tachycardia. COMPARISON: ___."}, {"study_id": "55591796", "subject_id": "12181546", "findings": "In comparison to the previous examination there has been interval placement of an endotracheal tube which ends in the lower thoracic trachea. An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. Stable appearance of the cardiomediastinal silhouette and lung fields.", "impression": "Interval placement of an endotracheal tube which ends in the lower thoracic trachea. An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film.", "background": "WET READ: ___ ___ ___ 1:05 PM Interval placement of an endotracheal tube which ends in the lower thoracic trachea. An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with s/p intubation, resp distress // ett and ngt location TECHNIQUE: Single AP view COMPARISON: Chest radiograph from the same date."}, {"study_id": "51169705", "subject_id": "19275991", "findings": "Cardiac silhouette size is. The mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.", "impression": "No acute cardiopulmonary abnormality. No acute osseous abnormality visualized. If there is continued concern for a rib fracture, consider a dedicated rib series.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall, right sided chest wall pain TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "53232084", "subject_id": "16057886", "findings": "The ET tube has been withdrawn now ending 2.4 cm above the carina. No pneumothorax or pneumomediastinum is present. The there is interval improvement in pulmonary vascular congestion. The cardiomediastinal silhouette is stable. Possible trace left pleural effusion. Aeration of the left lower lung is improved; however, persistent basilar opacification is likely related to atelectasis.", "impression": "ET tube tip now 2.4 cm above the carina. No evidence of pneumomediastinum. Improving pulmonary vascular congestion.", "background": "HISTORY: Hypoxic respiratory arrest status post failed intubation with emergent cric then PEA arrest. Assess positioning of ET tube, rule out pneumomediastinum. COMPARISON: ___ at 321."}, {"study_id": "50222379", "subject_id": "11948261", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluate for pneumonia, pneumothorax, pleural effusion, in a patient with intermittent chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "54521224", "subject_id": "11192888", "findings": "A right upper extremity PICC has been slightly retracted in the interim, now terminating within the mid SVC. A left pectoral pacemaker is unchanged. There is improved aeration of the left lung base with residual streaky opacities, reflecting atelectasis. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. There is no pneumomediastinum or subcutaneous air. The heart is normal size. The mediastinal structures and hilar contours are unremarkable.", "impression": "Satisfactory position of a right upper extremity PICC. No pneumomediastinum.", "background": "INDICATION: Open esophageal repair, neck exploration and esophagoscopy, now coughing up blood. COMPARISON: Chest radiograph ___. TECHNIQUE: Chest PA and lateral"}, {"study_id": "54903514", "subject_id": "17405743", "findings": "PA and lateral views of the chest were obtained. Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax.", "impression": "No acute intrathoracic abnormality.", "background": "INDICATION: ___-year-old woman, status post fall, evaluate for fracture. COMPARISON: None."}, {"study_id": "54477528", "subject_id": "19623096", "findings": "PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with shortness of breath and fever. COMPARISON: ___."}, {"study_id": "55760287", "subject_id": "11129409", "findings": "There is a left-sided basilar chest tube. There is a trace left-sided apical pneumothorax. This is stable in size. Linear basilar atelectasis is appreciated. The lungs are otherwise clear. The heart is mildly enlarged.", "impression": "Stable trace left apical pneumothorax.", "background": "INDICATION: Pneumothorax. TECHNIQUE: Frontal chest radiograph COMPARISON: ___"}, {"study_id": "56831634", "subject_id": "12018901", "findings": "The heart is severely enlarged but unchanged. Dialysis catheter has been removed. Mediastinal and hilar contours are similar, with calcification of the aortic knob again demonstrated. There is mild pulmonary vascular congestion. Assessment of the lung bases is somewhat limited due to underpenetration, though there is likely left basilar atelectasis. No large pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.", "impression": "Limited assessment of the lung bases. Mild pulmonary vascular congestion and left basilar atelectasis.", "background": "HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph. Chest CT ___."}, {"study_id": "58029833", "subject_id": "17556194", "findings": "Large, calcific opacity in the right lower lung involving the pleura and parenchyma may reflect remote infection, possibly tuberculosis, or prior hemothorax. Superimposed pneumonia cannot be excluded. Heart size is at the upper limits of normal and thoracic aorta is enlarged.", "impression": "Calcific opacity in the right lower lung may reflect remote infection or hemothorax. Recommend CT chest to evaluate for superimposed, acute pneumonia.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with hyponatremia. Evaluate for pneumonia. TECHNIQUE: Portable AP chest radiograph COMPARISON: No prior chest radiographs."}, {"study_id": "55639668", "subject_id": "12481586", "findings": "There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "No evidence of acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___M with bilateral rib pain worse with inspiration and movement. // r/o ACUTE PROCESS TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "52315277", "subject_id": "17380809", "findings": "ET tube ends 3.9 cm above the carina. NG tube is in the stomach but side port of the NG tube is at the gastroesophageal junction and could be advanced. A tooth is stable in the stomach. Right apical pneumothorax is small, measuring at most 12mm. The comparison is hard due to different positioning of the patient. The lungs are otherwise clear. Previous bilateral lung opacities have cleared rapidly and were mostly consistent with aspiration. There is no pleural effusion. Mediastinal and cardiac contours are normal. Right subclavian line ends in lower SVC.", "impression": "Side port of NG tube is at the gastroesophageal junction and could be advanced a few centimeters. Small right pneumothorax. This was discussed with the medical team.", "background": "PORTABLE AP CHEST X-RAY INDICATION: MVA small right pneumothorax, intubated. Assess for interval change. COMPARISON: ___ and CT torso of ___."}, {"study_id": "51074951", "subject_id": "17337033", "findings": "The heart is of normal size with stable cardiomediastinal contours. Prominence of the superior mediastinum is compatible with mediastinal lipomatosis seen on ___ chest CT. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is visualized. No radiopaque foreign body.", "impression": "No evidence for acute cardiopulmonary process.", "background": "HISTORY: Chest pain and associated shortness of breath. Evaluate for infiltrate. COMPARISON: Multiple prior chest radiographs, most recently of ___. TECHNIQUE: Single frontal view of the chest."}, {"study_id": "51639218", "subject_id": "15633246", "findings": "Frontal and lateral chest radiographs demonstrate clear lungs without focal consolidation. There is improved bilateral pulmonary edema with bilateral small pleural effusion. The right lung bases is better aerated. The cardiomediastinal contour or is unchanged. There is a right internal jugular central line with its tip terminating at the mid SVC. Sternotomy wires are intact. No pneumothorax.", "impression": "Improved aeration and pulmonary edema. Persistent small bilateral pleural effusions.", "background": "HISTORY: ___-year-old female status post CABG. Evaluate for pleural effusions a pneumothorax. COMPARISON: Chest radiograph dated ___."}, {"study_id": "59605552", "subject_id": "16069646", "findings": "This radiograph demonstrates markedly improved aeration compared to the study from 6 hr previously. While the right hemidiaphragm continues to be elevated, there is improved aeration in the retrocardiac region with only minimal volume loss in the left lower lobe. There is a new small area of atelectasis/ infiltrate in the right mid lung laterally.", "impression": "Improved aeration of the left lower lobe without left lower lobe infiltrate. New area of increased opacity in the right mid lung laterally.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fevers Afib RVR, unclear source, new L pleural effusion // ? LLL infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___ at 03:30"}, {"study_id": "50377497", "subject_id": "16254738", "findings": "Since ___, neurogenic pulmonary edema has significantly improved and there is only minimal residual congestion. More focal right upper lobe opacity is presumed to be either aspiration or atelectasis has also resolved. There is no new focal consolidation. No pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal.", "impression": "There is no evidence of pneumonia. Residual edema is mild.", "background": "WET READ: ___ ___ 7:52 PM Decrease in RUL opacity. RLL atelectasis also decreased. Left lung remains grossly clear given low lung volumes. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with fever, increased sputum, rule out pneumonia, acute cardiopulmonary process. COMPARISON: ___ to ___. CT torso of ___."}, {"study_id": "52706758", "subject_id": "16952127", "findings": "ET tube terminates approximately 4 cm from the carina. Compared to chest radiograph from ___ at 09:53, there is mild increase in bilateral pleural effusion. There is left perihilar opacity that is slightly more confluent today compared to prior, possibly from atelectasis and worsening edema. The moderate to severe pulmonary edema is possibly worsening. The right upper lobe is clear. Cardiomegaly is likely unchanged. The aortic knob calcification is unchanged.", "impression": "New ETT in standard position. Moderate to severe pulmonary edema, worsening. Mild increase in bilateral pleural effusion.", "background": "WET READ: ___ ___ 3:55 PM Moderate to severe pulmonary edema is unchanged or mildly worsened. Mild cardiomegaly is stable. There has been interval placement of an endotracheal tube which ends in the mid thoracic trachea. WET READ VERSION #1 ___ ___ 8:25 PM Moderate to severe pulmonary edema is unchanged or mildly worsened. Mild cardiomegaly is stable. There has been interval placement of an endotracheal tube which ends in the mid thoracic trachea. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with CHF and severe AS, intubated prior to cath. Please evaluate ET tube place TECHNIQUE: Portable AP chest radiograph COMPARISON: Chest radiographs from ___, ___, ___."}, {"study_id": "52034890", "subject_id": "19452577", "findings": "There is a slightly tortuous thoracic aorta. The cardiac silhouette is within normal limits. The bilateral hila are normal. There is an elevated right hemidiaphragm, with slight interval increase in comparison to scout view from ___ CT, likely secondary to hepatomegaly. There are no focal lung consolidations. There is no pulmonary vascular congestion. There are no pneumothoraces or effusions.", "impression": "Slight interval increase in moderate elevation of right diaphragm in comparison to prior CT, likely secondary to hepatic enlargement.", "background": "EXAMINATION: PA and lateral chest x-ray INDICATION: ___ year old man with met pancreatic neuroendocrine tumor now with worsening SOB and lower ext edema. Pls eval for effusions and call with results. // ___ year old man with met pancreatic neuroendocrine tumor now with worsening SOB and lower ext edema. Pls eval for effusions. TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: No prior radiographs, however correlation is performed with ___ CT examination."}, {"study_id": "57475394", "subject_id": "10827966", "findings": "There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact. There is a \"rugger ___\" appearance of the spine, consistent with renal osteodystrophy.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Chest pain, worse with cough, question infection. COMPARISONS: Chest radiograph from ___, CT chest from ___. TECHNIQUE: PA and lateral chest radiographs were provided."}, {"study_id": "54362315", "subject_id": "19454978", "findings": "The heart appears borderline in size. The aorta is tortuous with patchy calcification. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax. A mild compression deformity of the T6 vertebral body appears unchanged. A severe compression deformity of L1 (vertebra plana) appears unchanged with stable alignment abnormality. The bones appear demineralized.", "impression": "No evidence of acute disease. Stable compression fractures.", "background": "CHEST RADIOGRAPHS HISTORY: Fever. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral."}, {"study_id": "58800200", "subject_id": "17973546", "findings": "There is a tracheostomy tube in appropriate position. The size of the cardiac silhouette remains enlarged with retrocardiac atelectasis. The lung volumes are low. There has been an interval increase in bilateral pulmonary vascular engorgement and pulmonary edema. There is a stable small left pleural effusion. There is no pneumothorax. The feeding tube extends below the diaphragm with its tip likely in the body of the stomach.", "impression": "Enteric tube extends below the diaphragm with the tip in the body of stomach.", "background": "INDICATION: ___-year-old male with SBO status post exploratory laparotomy and tracheostomy, who presents for evaluation of position of the feeding tube. COMPARISONS: Chest radiograph from ___ at 4:00 a.m. TECHNIQUE: Single AP portable exam of the chest."}, {"study_id": "53353512", "subject_id": "10449408", "findings": "Lung volumes continue to be low without any focal consolidation. Cardiomegaly is unchanged with stable moderate pulmonary edema and small bilateral effusions. ET tube, right central venous line, and gastric tube are in appropriate position.", "impression": "Unchanged moderate pulmonary edema and small bilateral effusions.", "background": "HISTORY: ___-year-old woman with alcoholic cirrhosis, upper GI bleed, now with fever, evaluate for infection. Evaluate for edema, effusions or improvement of infiltrates. TECHNIQUE: Portable AP supine chest radiograph was obtained. COMPARISON: Chest radiograph from ___."}, {"study_id": "51985780", "subject_id": "18339865", "findings": "Portable AP chest radiograph. There are new consolidations throughout the right long with some sparing of the apex and air bronchograms. There is no pleural effusion or pneumothorax. The left lung is clear. The heart size is normal.", "impression": "New right lung consolidations, likely infectious. Findings are concerning for aspiration given the history of achalasia. Hemorrhage is possible, but less likely.", "background": "INDICATION: ___ year old woman with MELAs syndrome and achalasia who is dyspnic, more hypoxic and small volume hemoptysis. // eval for pna, other etiology of hemoptysis COMPARISON: Multiple priors, most recently on ___."}, {"study_id": "57842475", "subject_id": "17280274", "findings": "The lungs are hyperexpanded, with biapical hyperlucency, flattening of the diaphragms, and widening of the retrosternal clear space. There is no focal consolidation. No pleural effusions, pneumothorax, or pneumomediastinum. Heart size is normal. Aorta is tortuous and unfolded.", "impression": "Hyperexpanded lungs. No acute process.", "background": "INDICATION: ___-year-old female with history of asthma, dyspnea. No prior examinations for comparison. CHEST, PA AND"}, {"study_id": "51188364", "subject_id": "14073891", "findings": "Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Postop fever. COMPARISON: ___"}, {"study_id": "52639662", "subject_id": "15554486", "findings": "The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "58320205", "subject_id": "11558244", "findings": "PA and lateral views of the chest demonstrate no focal consolidation, effusion, or pneumothorax. Clips in the right upper quadrant noted. Cardiomediastinal silhouette is normal. Bony structures are intact.", "impression": "No acute findings in the chest.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Cough and shortness of breath for eight days."}, {"study_id": "53863021", "subject_id": "17685971", "findings": "Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. There is stable leftward tracheal deviation, unchanged from prior study. The heart size is normal. The mediastinal and hilar contours are within normal limits.", "impression": "No radiographic evidence for acute cardiopulmonary process. Stable leftward tracheal deviation, likely reflective of right thyroid lobe enlargement.", "background": "HISTORY: Patient with asthma, assess for evidence of right or left heart failure. COMPARISON: ___"}, {"study_id": "50470879", "subject_id": "17117562", "findings": "ETT tip ends 5 cm from the carina. Enteric tube traverses the diaphragm into the left upper quadrant expected region of the stomach which appears distended. Lung volumes are low. Retrocardiac opacity could be atelectasis. No pleural effusion, edema, or pneumothorax. The heart size is normal. The mediastinum is not widened. No evidence of acute osseous abnormality.", "impression": "ETT tip ends 5 cm from the carina. Retrocardiac opacity could be atelectasis. Low lung volumes.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old man status post fall who is intubated with ETT. TECHNIQUE: Portable supine radiograph view of the chest. COMPARISON: No prior imaging is available on PACS at the time of this dictation."}, {"study_id": "52626336", "subject_id": "19419287", "findings": "Again seen is moderate cardiomegaly, with prominence of the cardiomediastinal silhouette. The dual lead pacemaker is again noted, with lead tips over the right atrium and right ventricle. Mild interstitial edema is again seen, slightly more pronounced. There is new hazy opacity at the right lung base, which could represent a combination of pleural fluid and/or underlying collapse and/or consolidation. The left costophrenic sulcus is clear.", "impression": "Cardiomegaly. Interstitial edema, possibly slightly more pronounced than on ___. New hazy opacity at right lung base. This is not fully characterized, but could represent a combination of pleural fluid and underlying collapse and/or consolidation.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman history of DM2, afib on Coumadin, SSS s/p pacer, stage IV CKD with left intertrochanteric hip fracture and SAH now with new oxygen requirement. // Please assess for volume overload COMPARISON: Chest x-ray from ___ at 16:40"}, {"study_id": "53685960", "subject_id": "19362609", "findings": "Heart size is normal with moderate unfolding of the thoracic aorta. Surgical clip projecting over the right hilus is unchanged, as are post-surgical changes in right lung. Cardiomediastinal silhouette and hilar contours are otherwise normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.", "impression": "No acute cardiopulmonary abnormality. Specifically no cardiomegaly.", "background": "EXAMINATION: Chest radiograph INDICATION: Chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "54629839", "subject_id": "18978682", "findings": "There are low lung volumes. The heart size is normal. The aorta remains slightly tortuous with vascular calcifications noted. There is crowding of the bronchovascular structures, but no overt pulmonary edema is present. Patchy opacities in the lower lobes may reflect areas of developing infection or atelectasis. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes of the thoracic spine. Multiple clips are again noted within the left axilla. Degenerative changes of both acromioclavicular joints are noted. Old right-sided rib deformities are visualized.", "impression": "Low lung volumes with mild patchy opacities in the lung bases. This could reflect atelectasis, but infection cannot be completely excluded.", "background": "INDICATION: Cough and shortness of breath. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE"}, {"study_id": "59445796", "subject_id": "14791686", "findings": "Mild cardiomegaly is unchanged from the most recent radiograph. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is no displaced rib fracture.", "impression": "Unchanged mild cardiomegaly, otherwise normal radiographs. No displaced rib fracture.", "background": "WET READ: ___ ___ ___ 2:43 PM 1. Unchanged mild cardiomegaly, otherwise normal radiographs. 2. No displaced rib fracture. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with CP, R shoulder pain, evaluate for fracture. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Branches radiographs dating back to ___."}, {"study_id": "58466027", "subject_id": "11452018", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with epigastric pain and cough // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "59548425", "subject_id": "18591383", "findings": "Cardiac silhouette size is mildly enlarged. The aorta remains tortuous. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.", "impression": "No evidence of congestive heart failure.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with history of sCHF presents with shortness of breath/wheezes from___ clinic. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "50548755", "subject_id": "18556017", "findings": "PA and lateral chest radiograph is compared to prior radiograph dated ___. The appearance of the thorax is not significantly changed. No focal opacity convincing for pneumonia is identified. Cardiomediastinal and hilar contours remain within normal limits. Patchy opacities within the left upper lobe and lingula are thought to reflect radiation changes. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.", "impression": "No evidence of pneumonia.", "background": "INDICATION: ___-year-old female with history of renal transplant presents with cough and fever. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___."}, {"study_id": "50708216", "subject_id": "14795148", "findings": "PA and lateral views of the chest. There is a moderate right pleural effusion which apepars slightly decreased in size compared to ___. There is adjacent right mid lung opacities which are likely atelectasis however pneumonia in this area cannot be ruled out. There is no left pleural effusion. There is no pneumothorax. Difficult to accurately assess cardiac size due to right base opacity. Mediastinal contours are grossly stable.", "impression": "Moderate right pleural effusion is slightly smaller compared to ___. Right mid lung opacities likely represent atelectasis however pneumonia cannot be ruled out.", "background": "HISTORY: Shortness of breath, hypoxia, cough, question pneumonia. COMPARISON: Chest radiograph on ___."}, {"study_id": "51835119", "subject_id": "17905339", "findings": "Frontal and lateral chest radiograph demonstrates clear lungs without focal consolidation. There are no pleural effusions. There is no pneumothorax. The heart is top-normal in size. Mediastinal and hilar contours are otherwise unremarkable. Visualized osseous structures are unremarkable.", "impression": "No acute cardiopulmonary findings.", "background": "HISTORY: ___-year-old male with CML. COMPARISON: Chest radiograph dated ___."}, {"study_id": "55266815", "subject_id": "18136887", "findings": "Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Confusion. TECHNIQUE: Single upright frontal view of the chest. COMPARISON: ___."}, {"study_id": "58681922", "subject_id": "14458637", "findings": "Lungs are fully expanded and clear. No pleural effusions or pneumothorax. Heart size is normal. No pulmonary vascular congestion or pulmonary edema. Cardiomediastinal and hilar silhouettes are normal.", "impression": "No radiographic evidence of heart failure or other significant cardiopulmonary abnormalities.", "background": "EXAMINATION: PA and lateral chest radiographs INDICATION: Bilateral edema dyspnea // r/o chf TECHNIQUE: Chest PA and lateral COMPARISON: None"}, {"study_id": "54395317", "subject_id": "16810756", "findings": "Frontal view of the chest was obtained. Dobbhoff tube is coiled within the stomach. The heart is of normal size with stable widening of the vascular pedicle. Right lung volumes remain low with small basilar atelectasis. No pleural effusion or pneumothorax.", "impression": "Dobbhoff tube remains coiled in the stomach.", "background": "INDICATION: ___-year-old male with altered mental status. Evaluate Dobbhoff position. COMPARISONS: Multiple prior chest radiographs, most recently of ___."}, {"study_id": "59531823", "subject_id": "16077418", "findings": "Frontal and lateral radiographs of the chest demonstrate hyperexpansion of the lungs. No focal opacity is seen. The cardiac and mediastinal contours are normal. No pleural abnormalities detected.", "impression": "Hyperexpansion but no evidence of pneumonia.", "background": "HISTORY: Desaturation. COMPARISON: ___."}, {"study_id": "56258680", "subject_id": "19863368", "findings": "The radiograph obtained at 00:52 hours shows new small bilateral pleural effusions, left greater than right. Lung volumes remain low. However, there is evidence of new mild pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is stable. The known right ___ thoracic rib fracture is not seen on this exam. The followup radiograph of 05:29 hours shows increased elevation of the right hemidiaphragm, likely due to a combination of worsening atelectasis and pleural effusion. An endotracheal tube has also been placed, terminating at the level of the clavicles. There is increased opacification along the right paratracheal location, which could be due to a developing hematoma. The left lung is clear. There is no pneumothorax.", "impression": "Increased opacification along the right paratracheal location may be due to a developing hematoma. A repeat CTA chest is recommended when clinically feasible.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with rib fractures on R after scooter vs. truck accident, resp failure, now intubated // Interval change, tube position ___ year old man with multi trauma, likely pulm contustions on cxr, abdominal bleeding, now with increasing O2 req. // Any new consolidation or effusion? TECHNIQUE: Two portable AP radiographs of the chest from ___ at 00:52 and 05:29. COMPARISON: ___."}, {"study_id": "57938759", "subject_id": "10099269", "findings": "The lung is low in volume and show ultifocal air space opacities with a more confluent opacity in the right lower lobe. A 13 mm nodule overlies the ___ right rib anteriorly and a 12 mm nodule overlies the ___ left rib anteriorly. The mediastinal silhouette appears widened, likely secondary to mediastinal fat and vessels. The cardiac silhouette is normal. No pleural effusion or pneumothorax is present.", "impression": "Mild pulmonary edema. Bilateral pulmonary nodules need further evaluation with a chest CT. Indentation of the trachea on the right is concerning for thyroid enlargement. A thyroid ultrasound is recommended for further evaluation. These findings were communicated to ___ MD via telephone at 9:27 am on ___.", "background": "INDICATION: ___-year-old male with DKA, question infiltrate. COMPARISON: No relevant comparisons available. ONE VIEW OF THE"}, {"study_id": "59373833", "subject_id": "11184688", "findings": "AP portable upright view of the chest. Multiple overlying EKG leads limit the assessment. The heart is markedly enlarged as on prior. Bilateral ground-glass opacities likely reflect pulmonary edema though superimposed pneumonia difficult to exclude. No large effusions or pneumothorax seen. Bony structures appear intact.", "impression": "Marked cardiomegaly with mild-to-moderate pulmonary edema. Difficult to exclude a superimposed pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with cough, tachycardia // Eval for pneumonia COMPARISON: ___"}, {"study_id": "58054010", "subject_id": "15898350", "findings": "Low lung volumes accentuate the prominence of the interstitial markings. There is scarring at the right base. Thickening of the minor fissures is unchanged. Mild cardiomegaly and aortic tortuosity are unchanged. Air-filled loops of bowel remain directly under the hemidiaphragms bilaterally. Greater than normal air is seen within the esophagus. The upper airway is mildly deviated towards the right.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Right upper quadrant pain. COMPARISON: ___. Findings PA and lateral chest radiographs were obtained."}, {"study_id": "56201647", "subject_id": "14290495", "findings": "The cardiac silhouette is normal in size. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___M with cough, dyspnea, fever // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___."}, {"study_id": "53417795", "subject_id": "13919890", "findings": "There has been prior stent graft repair of the aortic arch and proximal descending thoracic aorta. Bilateral pleural effusions have marginally increased. Opacification of the left lung base is likely a function of atelectasis and pleural fluid. Peripheral, lobe lung opacity in the left upper lobe new since the prior is likely loculated pleural fluid. No new focal consolidation to suggest pneumonia.", "impression": "Slight interval increase small bilateral pleural effusions and new left upper lobe loculated pleural fluid.", "background": "INDICATION: ___ year old man with readmitted s/p CABG/MVR/TVr with leukocytosis // eval pleural effusions TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "52177530", "subject_id": "15753793", "findings": "The ETT is in standard position. The single lead left chest AICD appears intact and unchanged in position. The lung volumes remain low. Compared to the prior exam, increased opacities in the bilateral lung bases may be secondary to dependent bilateral pleural effusions on a semi-erect exam today compared to an upright exam on the prior and are slightly worse. Retrocardiac opacity persists and may reflect underlying atelectasis or underlying pneumonia. Moderate cardiomegaly is overall unchanged. Mild moderate pulmonary vascular congestion is likely. No mediastinal widening. No pneumothorax. Mild Levoconvex scoliosis of the lower thoracic spine is unchanged. The enteric tube traverses the diaphragm but the tip is not seen. The stomach is distended.", "impression": "Slight interval increase in pulmonary edema and right pleural effusion and atelectasis.", "background": "EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old woman with septic shock, CHF exacerbation, marked effusions on CT ?RLL atelectasis vs PNA, ?retrocardiac opacity, please evaluate for change. COMPARISON: Chest radiographs dated ___."}, {"study_id": "51074400", "subject_id": "14635803", "findings": "Heart size is mildly enlarged. Mediastinal contours are unremarkable. There is mild pulmonary edema with perihilar haziness and vascular indistinctness. Furthermore, small bilateral pleural effusions are present. No pneumothorax is identified. Patchy right basilar opacity likely reflects atelectasis. Multiple clips are noted within the left upper abdomen. No acute osseous abnormalities are detected.", "impression": "Mild pulmonary edema and small bilateral pleural effusions.", "background": "HISTORY: Renal failure, crackles on exam. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "56782340", "subject_id": "12568193", "findings": "Mildly hypoinflated lungs with crowding of vasculature and bibasilar atelectasis. New heterogeneous right lower lobe opacity best seen on lateral projection. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are remarkable and upper abdomen is within normal limits.", "impression": "New right lower lobe opacity in a patient with sickle cell disease is concerning for acute chest syndrome. Differential includes pneumonia and atelectasis. Clinical correlation is recommended.", "background": "WET READ: ___ ___ ___ 7:10 AM New lower lobe opacity in a patient with sickle cell disease is concerning for acute chest syndrome. Differential includes pneumonia. Clinical correlation is recommended. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with ? sickle cell crisis, known sickle cell disease. Assess for acute chest. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___."}, {"study_id": "55565877", "subject_id": "17135687", "findings": "The chest radiograph dated ___ shows a slight change in the position of the left apical chest tube, which now terminates at the superior border of the left clavicle. The right subclavian central venous line is unchanged, terminating in low SVC. The slightly bent appearance of the line where it enters the chest wall is unchanged. Aeration of the left lung has substantially improved with re-expansion of the lung and resultant rightward shift of the heart and mediastinum. The right lung remains clear. There is a small residual left pneumothorax. Metallic foreign bodies are again noted. The followup radiograph dated ___ shows increased left lung atelectasis, and a persistent moderate left pneumothorax. There is no other significant interval change.", "impression": "Initial re-expansion of the left lung with associated left lung atelectasis improved on the ___ radiograph, but worsened on the initial ___ radiograph. There is still substantial left lung atelectasis and a moderate size left pneumothorax.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pneumothorax and new o2 requirement // pneumothorax and ?reason for new O2 requirement TECHNIQUE: Portable AP radiograph chest COMPARISON: ___."}, {"study_id": "58080349", "subject_id": "10921049", "findings": "Endotracheal tube has been removed. Enteric tube tip below diaphragm, not included on the radiograph. Central line tip in the upper SVC. Pulmonary vascularity has increased, and there is more prominent interstitial markings, suggesting edema. Stable opacity in the lingula, left lower lobe. Increased right basilar opacity, may represent atelectasis. New small right pleural effusion. Increased heart size is stable.", "impression": "Interval increase in pulmonary vascularity. More prominent interstitial markings, likely edema. New small right pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man admitted s/p cardiac arrest w/hypoxemic respiratory failure, now s/p extubation and desatting. // ?interval change TECHNIQUE: Chest single view COMPARISON: ___ 07:32"}, {"study_id": "52614280", "subject_id": "11804414", "findings": "Two views of the chest demonstrate unchanged sternal wires and an aortic valve prosthesis. The mediastinum is normal in contour. The heart is top-normal in size, unchanged compared to ___. There is minimal, if any, central vascular congestion without frank pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable.", "impression": "No focal consolidation. Unchanged heart size, top-normal. Minimal, if any, central vascular congestion without frank pulmonary edema.", "background": "INDICATION: Evaluate for pneumonia in an ___-year-old female with altered mental status. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "56460497", "subject_id": "15689523", "findings": "A right internal jugular loss catheter is unchanged in appearance compared to the prior study. Interval removal right-sided chest tube. There is a small right pleural effusion with a true atelectasis. No pneumothorax seen. Airspace opacity in the left mid lung likely reflects pulmonary edema but infection cannot be excluded. Calcified lymph nodes and in the mediastinum. ___ tube noted in the stomach.", "impression": "No pneumothorax seen. Increased opacity in the left mid lung likely reflect pulmonary edema but infection cannot be excluded.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with previous chest tube now s/p removal // PTX TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___"}, {"study_id": "58175457", "subject_id": "11378357", "findings": "Cardiac silhouette size is normal. The aorta remains tortuous and diffusely calcified. Mediastinal and hilar contours are unchanged. Lungs are hyperinflated with emphysematous changes re- demonstrated. Pulmonary vasculature is not engorged. There is interval improvement in aeration of the right lung base with decreased right lower lobe opacity compatible with improving pneumonia. Left lung is clear. No new areas of focal consolidation are demonstrated. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the imaged thoracic spine.", "impression": "Right lower lobe patchy opacity, improved from prior examination, compatible with improving pneumonia. Emphysema.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___"}, {"study_id": "57316109", "subject_id": "13358539", "findings": "Frontal and lateral radiographs of the chest demonstrate post-operative changes related to left upper lobe resection, which are similar in appearance to the prior study. Slight interval improvement in the previously described linear opacity at the right lung base, likely atelectasis. Small left-sided pleural effusion versus pleural thickening, unchanged from the prior study. Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or consolidation. A tube projects over the left upper quadrant and lower left hemithorax, which is likely external to the patient.", "impression": "Interval decrease in linear atelectasis at the right lung base. Stable left-sided pleural effusion versus pleural thickening.", "background": "HISTORY: ___-year-old male status post left thoracotomy and left upper lobectomy for adenocarcinoma. Evaluate for interval change. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___."}, {"study_id": "57810239", "subject_id": "15398539", "findings": "The lung volumes are normal. There is a vague opacity in the right lower lobe which could reflect atelectasis or pneumonia, depending on the clinical setting. No pleural effusion or pneumothorax. The heart is normal size. The mediastinal and hilar structures are unremarkable. Cholecystectomy clips are noted.", "impression": "Vague right lower lobe opacity could reflect increased atelectasis or pneumonia in the correct clinical setting.", "background": "WET READ: ___ ___ ___ 9:06 AM Vague right lower lobe opacity, which could reflect pneumonia in the correct clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: Asthma presenting with dyspnea. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___ and ___."}, {"study_id": "51436209", "subject_id": "12666107", "findings": "The lung volumes are low. Within the limitations of technique, the cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post posterior the thoracolumbar fusion. Fracture and displacement of pedicle screws is noted at the uppermost level with increased degree of retraction since the prior study.", "impression": "No evidence of acute cardiopulmonary disease. Some interval retraction of pedicle screws at the uppermost level of prior posterior thoracolumbar fusion, although already fractured previously.", "background": "EXAMINATION: Chest radiographs. INDICATION: Left tibia fracture with paraplegia. COMPARISON: No prior chest radiographs; prior lumbar spine radiographs are available from ___. TECHNIQUE: Chest, AP upright and lateral views."}, {"study_id": "58630043", "subject_id": "18649599", "findings": "Rather small bilateral pleural effusions and volume loss in both lower lungs. However, this is improved in appearance compared to the study from 1 week ago. Dual lead pacemaker is again seen. Her continues to be moderately enlarged. There is mild pulmonary vascular redistribution.", "impression": "Slight improvement in fluid overload.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CHF, CAD admitted for volume overload and possible pneumonia. // evaluate for interval change re pulmonary edema and infection TECHNIQUE: Portable chest COMPARISON: ___."}, {"study_id": "55075910", "subject_id": "19692527", "findings": "The lungs are normally expanded. There is mild linear atelectasis at the left base. A trace left pleural effusion has slightly enlarged. Heart size is exaggerated by AP technique and likely top normal. There is no pulmonary edema.", "impression": "Trace left pleural effusion has enlarged. Mild atelectasis at the left base. No focal consolidation.", "background": "WET READ: ___ ___ ___ 1:01 PM Small left pleural effusion is increased. There is no convincing evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with tachycardia // eval for PNA TECHNIQUE: Portable supine AP chest COMPARISON: Chest radiographs ___ through ___"}, {"study_id": "52104575", "subject_id": "10374990", "findings": "The lungs are clear. Stable small right pleural effusion and no left pleural effusion. Heart size, mediastinal contour and hila are normal without lymphadenopathy. Old healed rib fracture of the left sixth posterior rib.", "impression": "No interval change in small right pleural effusion.", "background": "HISTORY: ___-year-old female with pleural effusions. COMPARISON: Chest radiograph ___, ___, CT chest ___. TECHNIQUE: Frontal and lateral chest radiographs."}, {"study_id": "57324334", "subject_id": "19921471", "findings": "Patient is status post left diaphragmatic hernia repair with elevation of the left hemidiaphragm and shift of the cardiac silhouette to the right, similar in appearance as compared to the prior study. The right lung is hyperinflated and there is chronic blunting of the right costophrenic angle. Chain sutures in the lungs bilaterally are compatible with prior wedge resections. Panlobular and centrilobular emphysema are again seen with chronic interstitial nodular abnormality, most pronounced in the upper lobes, similar in appearance as compared to the recent prior study. The cardiac and mediastinal silhouettes are stable. Multiple old left-sided rib deformities are re- demonstrated.", "impression": "No significant interval change as compared to ___", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with COPD, SOB // ? infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "55590041", "subject_id": "12722916", "findings": "Feeding tube tip is in the mid stomach. Heart is enlarged, stable. Borderline pulmonary vascularity, stable. No pulmonary edema. Minimal left basilar opacity, likely atelectasis.", "impression": "Feeding tube tip is in the mid stomach.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with multiple brainstem and cerebellar infarcts. // eval dobhoff tube placement. TECHNIQUE: Chest single view COMPARISON: ___"}, {"study_id": "57817104", "subject_id": "14405281", "findings": "Right-sided Port-A-Cath tip terminates within the proximal right atrium. No pneumothorax is present. Heart size is normal. Mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is seen. Pulmonary vasculature is not engorged. Compression deformities and sclerotic lesions throughout the thoracic spine are compatible with known metastatic disease and appear unchanged.", "impression": "Right-sided Port-A-Cath tip within the proximal right atrium. No pneumothorax", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with port placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "56776639", "subject_id": "12132246", "findings": "ET tube is ends 4.8 cm above the carina. Right-sided Swan-Ganz is in right pulmonary artery. NG tube ends in the stomach. There is no pneumothorax and no pulmonary edema. Increase in obscuration of the left hemidiaphragm is due to worsening of atelectasis and small pleural effusion.", "impression": "Tube and lines are in adequate position. Increase in left hemidiaphragm obscuration is due to atelectasis and small pleural effusion.", "background": "WET READ: ___ ___ 7:52 PM Stable enlargement of the cardiac silhouette. Blunting of left costophrenic angle may represent small pleural effusion. Unchanged position of ET tube, NG tube, Swan-Ganz catheter and mediastinal drain. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY. INDICATION: Patient with valve-sparing root repair, increased chest tube output. Rule out effusion. COMPARISON: ___ at 1:50 p.m."}, {"study_id": "55459399", "subject_id": "16390294", "findings": "The cardiac, mediastinal and hilar contours are normal. Right basilar opacification has progressed compared to the previous exam. Patchy left basilar opacity persists, similar to the prior study There is a small right pleural effusion which is new. No overt pulmonary edema is noted. There is no pneumothorax. No acute osseous abnormalities are present.", "impression": "Worsening right basilar opacification concerning for pneumonia or aspiration. Patchy left basilar opacity appears similar compared to the previous exam, which could also reflect an additional area of infection, aspiration, or atelectasis.", "background": "HISTORY: Hypoxia, nausea and vomiting. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___."}, {"study_id": "55743226", "subject_id": "11378150", "findings": "Single portable chest radiograph demonstrates a large rounded opacity in the left lower lung, correlating with known left lung mass, better visualized on the ___ PET-CT. No focal opacification concerning for pneumonia. Bibasilar atelectasis is evident. Coarse linear interstitial markings in left upper lobe may reflect emphysematous change. There is no pneumothorax or pleural effusion. Prominent pericardial fat pads are evident; otherwise, cardiomediastinal contours are normal.", "impression": "No pneumothorax. Large left lower lobe mass, better evaluated on prior CT.", "background": "INDICATION: Hypoxia during left transbronchial biopsy. Please evaluate for pneumothorax. COMPARISON: Comparison is made to portable chest radiograph performed ___ and PET-CT performed ___."}, {"study_id": "59037897", "subject_id": "16800274", "findings": "Prior left-sided central venous catheter is no longer visualized. Streaky left basilar opacity is likely atelectasis. The lungs are otherwise clear. There is no effusion, consolidation, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with liver transplant, infectious w/u // any cpd TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58310897", "subject_id": "17665011", "findings": "There is a moderate left and a small right pleural effusion. There is also bilateral compensatory atelectasis at the bases. There is no focal consolidation suggestive of pneumonia. There is no evidence of pneumothorax. The hilar and mediastinal structures are normal. The left-sided heart border is obscured by the left pleural effusion.", "impression": "Moderate left and small right pleural effusion, with compensatory atelectasis at the bases. No focal consolidation suggestive of pneumonia.", "background": "INDICATION: ___-year-old female with dullness to percussion and decreased breath sounds at the bases, who presents for evaluation for pneumonia. COMPARISONS: CT abdomen and pelvis from ___. TECHNIQUE: AP and lateral radiographs of the chest."}, {"study_id": "58805557", "subject_id": "16597662", "findings": "PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.", "impression": "No signs of pneumonia.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Infection, fever, assess for pneumonia."}, {"study_id": "51616176", "subject_id": "10532466", "findings": "There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Prominence of the pulmonary arteries bilaterally is unchanged suggesting underlying pulmonary hypertension. Moderate to severe cardiomegaly with calcification of the aortic arch is also unchanged.", "impression": "No evidence of acute cardiopulmonary process. Prominent pulmonary vasculature bilaterally suggesting underlying pulmonary hypertension, unchanged. Unchanged moderate to severe cardiomegaly.", "background": "INDICATION: ___ year old woman with COPD and cough, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___."}, {"study_id": "51219821", "subject_id": "18459480", "findings": "PA and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old male with chest pain. COMPARISON: ___."}, {"study_id": "57164513", "subject_id": "14707155", "findings": "The tip of the endotracheal tube projects 7.2 cm from the carina and can be advanced. The tip of the right internal jugular central venous catheter projects over the upper SVC. The tip of the gastric tube likely extends into the gastric body. There is known elevation of the left hemidiaphragm as compared to the prior CT scan. Increased opacities in the left mid to lower lung zone likely reflect intra-abdominal contents with associated atelectasis. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.", "impression": "The tip of the endotracheal tube projects 7.2 cm from the carina and can be advanced. The tip of the right internal jugular central venous line projects over the upper SVC. Known elevation of the left hemidiaphragm with the tip of the feeding tube projecting over the gastric body.", "background": "INDICATION: ___ year old man s/p cardiac arrest // Evaluate ETT placement, OGT TECHNIQUE: AP portable chest radiograph COMPARISON: No prior radiographs are available. Comparison is made to CT of the chest dated ___"}, {"study_id": "51407650", "subject_id": "15796335", "findings": "Right-sided chest tube is again seen. There is a small right apical lateral pneumothorax increased compared to the study from earlier the same day. Right IJ line tip is in the SVC. There is a small left effusion. There is mild pulmonary vascular redistribution and perihilar haze compatible with an element of fluid overload.", "impression": "Increased small right apical pneumothorax.", "background": "CHEST ON ___ HISTORY: Right pneumothorax, intubated, chest tube on waterseal."}, {"study_id": "52399620", "subject_id": "14189406", "findings": "Portable frontal chest radiograph was obtained with the patient in supine position. The ET tube has been advanced and the tip now terminates 3.4 cm above the carina. The remaining support and monitoring devices are unchanged in position. Lung volumes remain low. An area of increased opacity is present in the right lung base. The cardiomediastinal silhouette and hilar contours are unchanged.", "impression": "ET tube in appropriate position with the tip at 3.5 cm above the carina. Increased opacity in the right lung base, likely reflective of atelectasis and bronchovascular crowding, but will require attention on followup radiographs.", "background": "HISTORY: Patient intubated, eval ET tube position. COMPARISON: ___."}, {"study_id": "58538646", "subject_id": "11951880", "findings": "AP view of the chest provided. Again seen are diffuse nodular opacities in bilateral lungs, little change compared to prior study. There is minimal right-sided subcutaneous emphysema, likely from recent biopsy. No pneumothorax seen.", "impression": "Diffuse nodular opacities, little change from prior study.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with diffuse pulmonary nodules status post VATS wedge biopsy COMPARISON: Chest radiographs since ___, most recently ___."}, {"study_id": "51829437", "subject_id": "15037117", "findings": "The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: History: ___F with cough asthma vs ili // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs most recent on ___"}, {"study_id": "58983613", "subject_id": "10003400", "findings": "A Port-A-Cath again terminates in the right atrium. The cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly and mild unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Confusion. Question pneumonia. COMPARISON: ___. TECHNIQUE: Chest, AP and lateral."}, {"study_id": "51128935", "subject_id": "14348068", "findings": "There is moderate enlargement of the cardiac silhouette. Mediastinal contours are unremarkable. There is central pulmonary vascular engorgement. No definite focal consolidation is seen to suggest pneumonia. There is no large pleural effusion or pneumothorax.", "impression": "Cardiomegaly with central pulmonary vascular engorgement.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with worsening respiratory status // ? acute cardipulm process TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "58375523", "subject_id": "15360733", "findings": "The cardiomediastinal silhouettes are stable and within normal limits. There are low lung volumes. The bilateral hila are unremarkable. There is basilar atelectasis; otherwise, the lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.", "impression": "Low lung volumes due to ascites. No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with chest pain and shortness breath, evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: Chest x-ray ___."}, {"study_id": "51947491", "subject_id": "12224514", "findings": "A single portable chest radiograph was obtained. Lung volumes are low but clear. The hila appear mildly enlarged. No effusion or pneumothorax is present. There are degenerative changes of the left shoulder.", "impression": "No acute cardiopulmonary process. The hila should be re-evaluated on follow-up imaging.", "background": "INDICATION: ___-year-old woman with elevated white blood cell count and nausea, rule out pneumonia. COMPARISONS: None."}, {"study_id": "55225072", "subject_id": "15229370", "findings": "Both lungs are well expanded and clear. There are no lung findings to suggest active or latent tuberculosis. Heart size, mediastinal and hilar contours are normal. There is no pleural effusion.", "impression": "No radiographic evidence of active or latent tuberculosis.", "background": "TECHNIQUE: PA and lateral radiographs of chest. Comparison was made with prior chest radiograph from ___."}, {"study_id": "51193452", "subject_id": "15156662", "findings": "Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 5:49 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with SOB and wheezing // Eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ through ___.."}, {"study_id": "51473113", "subject_id": "18734362", "findings": "Subtle heterogeneous opacity in the right lower lobe is only seen on frontal projection. The lungs are otherwise well inflated with bibasilar atelectasis. A 1.9 cm well-circumscribed circular lesion projecting over the right heart border has mildly increased since ___. No pleural effusion or pneumothorax. Stable mild cardiomegaly is noted. Mediastinal contour and hila are unremarkable.", "impression": "Subtle right lower lobe opacity only seen on frontal projection is most consistent with atelectasis. Clinical correlation recommended to assess for pneumonia in the appropriate clinical setting. 1.9 cm right lower lobe nodule has mildly increased since ___.", "background": "WET READ: ___ ___ ___ 12:31 PM 1. Subtle right lower lobe opacity only seen on frontal projection is most consistent with atelectasis. Clinical correlation recommended to assess for pneumonia in the appropriate clinical setting. 2. 1.9 cm right lower lobe nodule has mildly increased since ___. WET READ VERSION #1 ___ ___ ___ 11:00 AM 1. Subtle right lower lobe opacity only seen on frontal projection is most consistent with atelectasis. 2. 1.9 cm right lower lobe nodule has mildly increased since ___ and has previously been characterized as an indolent benign neoplasm. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F with nonproductive cough and exacerbation of her COPD. Assess for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest with contrast ___, chest radiograph ___."}, {"study_id": "52316715", "subject_id": "12627619", "findings": "The heart size is normal. The hilar and mediastinal contours are within normal limits. The central pulmonary vessels appear more prominent in comparison to the prior radiograph, however, this most likely represents bronchovascular crowding in the setting of relatively lower lung volumes. No focal consolidation, pneumothorax, or pleural effusion is detected.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Chest pain. Comparison radiograph available from ___. FRONTAL AND LATERAL CHEST"}, {"study_id": "55569946", "subject_id": "13864100", "findings": "Cardiac silhouette is enlarged with mild vascular congestion without frank edema. Lungs are clear. There is no large pleural effusion or pneumothorax. Endotracheal tube is in place, 4 cm cranial to the carina; however, the endotracheal cuff is inflated to a greater diameter in the trachea. A right internal jugular sheath is in place.", "impression": "Endotracheal tube appropriately positioned but with overinflated cuff. Mild vascular congestion without frank edema. Results were discussed over the telephone with Dr. ___ by ___ at 4:27 p.m. on ___ at the time of initial review.", "background": "INDICATION: Bright red blood per rectum, status post emergent extended right hemicolectomy. Assess position of endotracheal tube. COMPARISON: None available. TECHNIQUE: Portable frontal chest radiograph."}, {"study_id": "50021036", "subject_id": "19607985", "findings": "The endotracheal tube terminates 5 cm above the carina. The NG tube terminating in the stomach and the right PICC line terminating at the cavoatrial junction are unchanged. No change in the bilateral pleural effusions or known bilateral rib fractures.", "impression": "Endotracheal tube terminates 5 cm above the carina. No change in the bilateral pleural effusions.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with SDH s/p craniotomy for SDH evacuation. Eval ETT status. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs from ___, ___, ___, and ___."}, {"study_id": "54846784", "subject_id": "15270331", "findings": "PA and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta mildly widened and elongated with few calcium deposits at the level of the arch. No local contour abnormality is present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures demonstrate mildly demineralized vertebral bodies in the thoracic spine with mildly accentuated kyphotic curvature, but no evidence of vertebral body compression. There are no pulmonary abnormalities suggestive of secondary metastatic deposits. Comparison is with a previous chest examination of ___.", "impression": "Grossly stable chest findings.", "background": "TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with history of uterine cancer, evaluate for metastatic disease."}, {"study_id": "59894978", "subject_id": "12959210", "findings": "Persistent cardiomegaly is accompanied by unchanged tortuosity of the thoracic aorta. Lung volumes remain low. Lungs and pleural surfaces are clear.", "impression": "Stable radiographic appearance of the chest, with no evidence of acute pulmonary infection.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old ___ woman with cough for 3 weeks, history of positive ppd, chills and sweats // pneumonia, tuberculosis, other cause for chronic cough COMPARISON: ___"}, {"study_id": "56896386", "subject_id": "10374990", "findings": "New left IJ central line terminates in the mid SVC. Aortic stent and spinal hardware are unchanged from prior exam. There is no pneumothorax. Bilateral pleural effusions are unchanged from prior exam. Pulmonary vascular engorgement is noted, similar to prior exam. No definite focal consolidation is seen. The cardiomediastinal silhouette is unchanged from prior exam. Left-sided rib fractures are again seen, better characterized on recent prior CT.", "impression": "Left IJ central line terminates in the mid SVC. No evidence of pneumothorax.", "background": "WET READ: ___ ___ ___ 5:54 PM Left IJ central line terminates in the mid SVC. No evidence of pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___F with new left IJ central line. // Central line placement TECHNIQUE: Semi erect AP image of the chest. COMPARISON: Comparison is made with chest radiographs from ___, ___, and ___ and CTA chest from ___."}, {"study_id": "53575102", "subject_id": "13417577", "findings": "PA and lateral views of the chest provided. Airspace consolidation within the left lower lobe is concerning for pneumonia. The previously noted right pleural effusion has resolved. A cavitary structure in the left lung apex measures 2.6 x 2.6 cm with peripheral/apical opacity could reflect prior infection or malignancy. A retrocardiac opacity better assessed on previous imaging is consistent with a known hiatal hernia. Please correlate clinically. Cardiomediastinal silhouette is stable. Bony structures appear intact.", "impression": "Left lower lobe pneumonia. Cavitary lesion in the left apex with apical opacity, question sequelae of old infection/malignancy. Consider CT to further assess once the acute symptoms resolve. Hiatal hernia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea // eval for acute process COMPARISON: ___."}, {"study_id": "51486636", "subject_id": "11805396", "findings": "PA and lateral chest radiographs are provided. Lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History of palpitations and left arm pain, evaluate for cardiopulmonary process. COMPARISONS: None."}, {"study_id": "52911993", "subject_id": "13428588", "findings": "AP upright portable chest radiograph is obtained. The lung volumes are low. There is perihilar mid and lower lung streaky opacity which could represent atelectasis and/or atypical pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.", "impression": "Streaky lower lung opacities could represent an atypical pneumonia or atelectasis.", "background": "CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: ___-year-old female with tachycardia and URI symptoms, question pneumonia."}, {"study_id": "58178996", "subject_id": "18311490", "findings": "2 views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is mildly enlarged with tortuous aortic contour. Multiple contours along the left heart border are seen, the medial most of which is of uncertain significance.", "impression": "No acute intrathoracic process. Given multiple contours along the left heart border, consider oblique radiographs for further assessment. Findings discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone.", "background": "HISTORY: Chest pain and abnormal labs. Assess for pneumonia. COMPARISON: None."}, {"study_id": "56479210", "subject_id": "18738805", "findings": "Lung volumes are low. There are medial right middle lobe and retrocardiac opacities. Mild pulmonary vascular congestion appears similar to the prior examination. There is no definite pleural effusion. There is no evidence of a pneumothorax. Apparent increase in heart size may be due to patient positioning and low lung volumes. The aortic knob is densely calcified.", "impression": "Right middle lobe and retrocardiac opacities may reflect underlying infection or aspiration.", "background": "WET READ: ___ ___ ___ 10:45 AM Right middle lobe and retrocardiac opacities may reflect underlying infection or aspiration. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Portable chest radiograph INDICATION: ___M with AMS // Eval for infection TECHNIQUE: Portable chest COMPARISON: ___ chest radiographs"}, {"study_id": "56000982", "subject_id": "14798598", "findings": "A small to moderate right pleural effusion is unchanged. The left lung remains clear. Previous mild pulmonary edema has resolved. There is no pneumothorax. Mild cardiomegaly has improved. Regional bones and soft tissues are unremarkable.", "impression": "Clear lungs. Stable small to moderate right pleural effusion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pleural effusion // eval TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___."}, {"study_id": "50511556", "subject_id": "18754895", "findings": "Elevation of the right hemidiaphragm is. The cardiac mediastinal contours are limits. Pulmonary vasculature is normal. Streaky atelectasis is seen in the right lung base. No focal consolidation, pleural effusion or pneumothorax is present. No subdiaphragmatic free air is identified. There are no acute osseous abnormalities.", "impression": "Chronic elevation of the right hemidiaphragm with adjacent right basilar atelectasis. No acute cardiopulmonary abnormality otherwise demonstrated and no subdiaphragmatic free air is seen.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with at the gastric and right upper quadrant pain since last night. tenderness to palpation. TECHNIQUE: Portable upright AP view the chest COMPARISON: Chest radiograph ___"}, {"study_id": "54622067", "subject_id": "16612232", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain/SOB on chemo. // pneumonia? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "58832894", "subject_id": "17460568", "findings": "There is now a right-sided Port-A-Cath with catheter tip projecting over the lower SVC. Increased opacity projecting over the right lung apex is felt to represent something external to the patient given sharp margins and extension to the subcutaneous tissues superior to the clavicle. The lungs are otherwise clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with cough, hx of MDS on ___ // assess for pna TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "50424418", "subject_id": "10627464", "findings": "AP portable semi upright view of the chest. NG tube courses into the left upper quadrant of the distal side port resides at the GE junction. Advancement is advised. The endotracheal tube is seen within the lower trachea with its tip 3 cm above the carina. No large consolidation or effusion is seen. Cardiomediastinal silhouette appears normal. No definite pneumothorax. Bony structures are intact.", "impression": "NG tube tip just beyond the GE junction. Advancement is advised. Endotracheal tube positioned appropriately.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with s.p intubation // tube position COMPARISON: Prior exam from several hr earlier."}, {"study_id": "59785556", "subject_id": "13148913", "findings": "PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pulmonary edema, or pneumothorax. Imaged osseous structures and upper abdomen are without an acute abnormality.", "impression": "No acute intrathoracic abnormality.", "background": "INDICATION: History: ___F with chest pain, abdominal pain. Here with suicidal ideation. // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___"}, {"study_id": "58870284", "subject_id": "17547554", "findings": "Left chest tube has been removed. There is no pneumothorax. Residual mild-to-moderate bibasilar atelectasis and pleural effusions are unchanged. Biapical opacities, some of them due to pneumonia are stable.", "impression": "There is no significant change since previous exam. There is no pneumothorax after chest tube removal. Residual basilar pleural effusion and atelectasis are unchanged. Stable upper lobe opacities.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient 103, left pleural effusion, tapped them with chest tube, interval change. COMPARISON: ___ at 1:00 a.m."}, {"study_id": "53002991", "subject_id": "13458107", "findings": "There is a right middle lobe consolidation seen which is highly suggestive of a right middle lobe pneumonia. The left lung is unremarkable. There is focal elevation of the right hemidiaphragm, most likely an eventration, and unrelated to the other findings. Cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable. Minimal degenerative changes are seen along the thoracic spine.", "impression": "Right middle lobe pneumonia. Follow up in ___ weeks after treatment is recommended. These findings were reported to Dr. ___ at 1:05 p.m. via phone by Dr. ___.", "background": "INDICATION: ___-year-old male with cough and sputum production. COMPARISON: None. TECHNIQUE: AP and lateral radiographs of the chest."}, {"study_id": "55554855", "subject_id": "16868592", "findings": "There is no focal consolidation, pleural effusion or pneumothorax. Left retrocardiac opacity most likely represents atelectasis. There is central bronchial wall thickening which is a nonspecific finding but raises the possibility of small airways disease. Cardiomediastinal contours are within normal limits. No pulmonary edema or pneumothorax. No pleural effusions. No acute osseous abnormalities identified. Specifically, no displaced rib fractures seen. However, if this is of clinical concern, a dedicated rib series should be considered.", "impression": "No acute cardiopulmonary process. Central bronchial wall thickening which may reflect small airways disease. Clinical correlation is recommended.", "background": "WET READ: ___ ___ ___ 1:12 PM 1. No acute cardiopulmonary process. 2. Marked bronchial wall thickening, which can be seen in the setting of small airways disease. Recommend correlation with prior studies and clinical symptoms. 3. No acute fracture identified. If there is persistent clinical concern for a rib fracture, dedicated rib series should be obtained in the area of focal tenderness. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M s/p assault, main problem is L orbital fracture but has some tenderness // acute intrathoracic process? TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "56873668", "subject_id": "15400287", "findings": "The endotracheal tube is low lying, entering the right mainstem bronchus. The right IJ central venous catheter terminates in the low SVC. A ___ tube enters the stomach. A metallic stent traverses the medial aspect of the liver. The lungs are clear. There is no pneumothorax. There is likely a new small layering left pleural effusion. New retrocardiac opacification at the left lung base is may be due to atelectasis or aspiration.", "impression": "New left basilar retrocardiac airspace opacification may be due to atelectasis or aspiration. New layering small left pleural effusion. Low-lying ET tube should be withdrawn by to 3 cm to position its tip in the lower trachea.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with massive upper GI bleed, intubated. // assess interval change TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "52969317", "subject_id": "14586958", "findings": "Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough and fever. COMPARISON: ___."}, {"study_id": "56877386", "subject_id": "10450519", "findings": "PA and lateral views of the chest. Mild cardiomegaly, compared with ___, the heart size has increased and the left atrium and left ventricle are more prominent. Previously seen mild interstitial pulmonary edema has decreased compared with ___. Aortic valve calcifications. No pleural effusion. No pneumothorax. No infiltration. The mediastinal and hilar contours are normal.", "impression": "Decrease in pulmonary edema compared with ___. No infiltrate. Mild cardiomegaly, compared with ___, the heart size has increased and the left atrium and left ventricle are more prominent.", "background": "WET READ: ___ ___ ___ 11:55 AM Decreased pulmonary edema. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Significant valvular abnormalities and CHF and COPD exacerbation, status post two liters of diuresis, question of pulmonary edema. COMPARISON: Chest radiographs on ___ and ___."}, {"study_id": "50240301", "subject_id": "15683514", "findings": "Mild improvement in known right hydropneumothorax with improved aeration of the right lung base. The right pigtail pleural catheter appears to be slightly moved in positioning. The left lung is essentially clear. The heart size is unchanged. No pulmonary edema.", "impression": "Improvement in known right hydro pneumothorax with improved aeration of the right lung base.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old woman with hydropneumothorax s/p CT placement ___. Please perform at 6am on ___. // ? resolution of hydropneumothorax TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___, ___, ___ CT chest without contrast very ___"}, {"study_id": "56208544", "subject_id": "12547073", "findings": "Mitral valve prosthesis is noted. The sternotomy wires are unchanged. The lungs are clear, but hyperinflated, compatible with known emphysema. Cardiomediastinal silhouette is mildly enlarged, unchanged. There is no evidence of pneumonia or congestive heart failure. A small hiatal hernia is present.", "impression": "No evidence of acute intrathoracic process.", "background": "CLINICAL HISTORY: ___-year-old woman with hemoptysis. Question infiltrate. COMPARISON: ___ examination."}, {"study_id": "50487297", "subject_id": "18299781", "findings": "Frontal portable radiograph of the chest demonstrates bibasilar atelectasis. There is mild cardiomegaly. The hilar contours are unremarkable. There is no pneumothorax, consolidation, or pleural effusion.", "impression": "Bibasilar atelectasis and mild cardiomegaly.", "background": "INDICATION: History: ___F with chest pain x1 day // Chest pain TECHNIQUE: Frontal portable radiograph of the chest. COMPARISON: Unavailable."}, {"study_id": "57391182", "subject_id": "11883932", "findings": "The lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air in the abdomen.", "impression": "No acute intrathoracic process.", "background": "CLINICAL INDICATION: Chest pain. Evaluate for pneumonia and congestive heart failure. COMPARISON: None. FRONTAL AND LATERAL VIEWS OF THE"}, {"study_id": "57439287", "subject_id": "15473766", "findings": "As compared to ___ right-sided chest tube has been removed with interval increase in the right apical pneumothorax which is small to moderate. No signs of tension. Right lower lobe nodular opacities have slightly increased. Left pleural effusion and atelectasis have slightly improved. Extensive subcutaneous emphysema has slightly improved.", "impression": "Interval increase in the right apical pneumothorax post chest tube removal.", "background": "INDICATION: ___ year old woman s/p right middle lobectomy now s/p chest tube removal. Please schedule for 13:00 // chest tube removed - interval change? please schedule for 13:00 TECHNIQUE: Chest PA and lateral"}, {"study_id": "52821402", "subject_id": "10277901", "findings": "There is a new moderate sized left pleural effusion with obscuration of the left hemidiaphragm and left heart border, likely representing underlying atelectasis or consolidation. The right lung is relatively clear without focal consolidation concerning for pneumonia or pleural effusion. No pneumothorax is present. The pulmonary vasculature is indistinct suggesting mild vascular congestion, increased in comparison to the most recent prior chest radiograph. Hazy opacification of the right lung suggests mild edema. The trachea is deviated to the left and narrowed, corresponding to the patient's known multinodular thyroid goiter. The cardiac silhouette is incompletely evaluated but likely remains mildly enlarged. The mediastinal contours are prominent with a widened and tortuous thoracic aorta, unchanged from the prior chest radiograph with calcification of the aortic arch.", "impression": "New moderate left pleural effusion with underlying atelectasis or consolidation. Mild pulmonary edema increased from ___. Stable leftward deviation and narrowing of the trachea are related to the patient's known multinodular thyroid goiter.", "background": "HISTORY: Dyspnea and respiratory distress, here to evaluate for pneumonia or pleural effusion. COMPARISON: Chest radiograph dated ___. Technique: Portable upright AP radiograph of the chest. CT chest dated ___."}, {"study_id": "57757589", "subject_id": "11055512", "findings": "Since prior, there has been a slight decrease in the size of a right apical pneumothorax, which now measures 1.9 cm. There is no evidence of tension. The lungs, heart, and mediastinum are normal.", "impression": "Slight decrease in size of right apical pneumothorax", "background": "INDICATION: ___ year old man with post-pull had small PTX, evaluate interval change. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___."}, {"study_id": "50121997", "subject_id": "12298456", "findings": "Lungs are hyperinflated. Bibasilar atelectasis is similar to before. No new consolidation is identified. Cardiomediastinal silhouette is normal size.", "impression": "No acute cardiopulmonary process. Hyperinflated lungs.", "background": "INDICATION: History: ___M with chest pain // ? chf, pna TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "52370976", "subject_id": "12373301", "findings": "There is new hazy opacity projecting over the right lung with moderate right effusion and pulmonary vascular redistribution right greater than left there is also volume loss/infiltrate/effusion on the left with dense consolidation in the retrocardiac region. The heart is moderately enlarged. Sign rib", "impression": "Worsened fluid overload with asymmetric pulmonary edema. An underlying infectious infiltrate cannot be excluded", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new SOB // ?fluid status TECHNIQUE: Portable chest COMPARISON: ___"}, {"study_id": "54064468", "subject_id": "13378239", "findings": "Heart remains enlarged. Mitral valve replacement and median sternotomy wires are unchanged. The lungs are clear without focal consolidation, effusion, or edema. No acute osseous abnormalities identified.", "impression": "Cardiomegaly without acute cardiopulmonary process.", "background": "INDICATION: ___F with CHF and dyspnea // pulmonary edema? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "57961442", "subject_id": "19230135", "findings": "The cardiac, mediastinal and hilar contours are normal. Both lungs are clear with no focal consolidation, pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with epigastric pain. Evaluate for acute cardiopulmonary process. COMPARISON: PA and lateral chest radiograph ___. PA AND LATERAL CHEST"}, {"study_id": "58784279", "subject_id": "16645602", "findings": "Lung volumes are low. Heart size is accentuated as result appearing mildly enlarged. Mediastinal and hilar contours are unchanged with prominence of the hila again noted bilaterally. A moderate size hiatal hernia is again noted. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy atelectasis is present in the lung bases. No focal consolidation, pleural effusion or pneumothorax is identified. A left-sided nerve stimulator device is noted with lead coursing cephalad into the neck. No acute osseous abnormality is visualized.", "impression": "Low lung volumes with bibasilar atelectasis.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with altered mental status TECHNIQUE: Semi-upright AP and lateral views of the chest COMPARISON: Chest radiograph ___, chest CT ___"}, {"study_id": "52628166", "subject_id": "17353894", "findings": "PA and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are normal. There is no pleural effusion, pulmonary edema, or pneumothorax. No air under the right hemidiaphragm is present.", "impression": "No acute intrathoracic abnormality. No evidence of pneumonia.", "background": "INDICATION: ___M with DMI p/w hyperglycemia, polyuria, polydipsia, eval for infection as source // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "59063223", "subject_id": "19836795", "findings": "A tracheostomy is in place. Sternotomy wires appear intact and appropriately aligned. A left PICC terminates in the low SVC. There are extensive multifocal opacities throughout the lungs bilaterally. Heart size is normal. The mediastinal and hilar contours are normal. There may be small bilateral pleural effusions. No pneumothorax.", "impression": "Appropriate position of lines and tubes. Extensive multifocal opacities throughout the lungs bilaterally, for which the differential includes multifocal pneumonia, extensive aspiration, alveolar pulmonary edema, or ARDS.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with resp failure and hemoptysis // eval for pna TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___."}, {"study_id": "56137916", "subject_id": "17749416", "findings": "Assessment of the cardiac silhouette size is difficult given the presence of a moderate size right pleural effusion, new in the interval, and a small left pleural effusion. Bibasilar airspace opacities may reflect atelectasis, but infection is not excluded. The mediastinal and hilar contours are relatively similar. There appears to be mild pulmonary vascular congestion. No pneumothorax is identified. Multilevel mild to moderate degenerative changes are noted in the thoracic spine.", "impression": "New bilateral pleural effusions, moderate on the right and small on the left, with bibasilar airspace opacities potentially reflecting compressive atelectasis, but infection is not excluded. Possible mild pulmonary vascular congestion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___, chest radiograph ___"}, {"study_id": "55115901", "subject_id": "12658056", "findings": "PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are intact.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with left-sided pain, evaluate for pneumonia. COMPARISONS: Preop chest radiograph from ___."}, {"study_id": "59140693", "subject_id": "13198542", "findings": "Compared with prior radiographs of ___, there is no significant change. Low lung volumes, with left lower lobe atelectasis are unchanged. There is no pneumothorax. There is no new focal consolidation or pleural effusion. There is stable mediastinal widening due to a combination of fat and moderate cardiomegaly. A left PICC line terminates in the upper right atrium. An NG tube is below the level of the diaphragm.", "impression": "Stable low lung volumes and left basilar atelectasis. No pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ALL and GVHD with uptrending thrombocytosis // ?PNA TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___"}, {"study_id": "57373912", "subject_id": "15593172", "findings": "A frontal upright view of the chest was obtained portably. A chest tube overlies the right hemithorax. There is a tiny right basilar pneumothorax. Subcutaneous air in the right chest wall is expected after pleuroscopy and chest tube insertion. Volume loss and fibrosis in the right upper lobe are unchanged. The hyperexpanded right lower lobe and left lung are clear. No pleural effusion. Cardiac silhouette and mediastinal silhouettes are stable.", "impression": "Tiny right basilar pneumothorax.", "background": "INDICATION: ___-year-old man with right pleuroscopy and chest tube insertion. Evaluate position of chest tubes and pneumothorax. COMPARISON: ___, ___ and CT ___."}, {"study_id": "56860462", "subject_id": "13417577", "findings": "Bilateral pleural effusions have resolved. There is continued partial atelectasis of the right middle lobe. Postoperative findings are seen in the left upper lobe. There is no focal consolidation or pneumothorax. The heart is normal in size. The aorta is tortuous, unchanged.", "impression": "Resolved bilateral pleural effusions. Persistent partial atelectasis of the right middle lobe deserves additional followup.", "background": "INDICATION: Left upper lung resection for adenocarcinoma on ___. Evaluation for interval change. TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Multiple priors, most recently on ___."}, {"study_id": "54559739", "subject_id": "19522954", "findings": "AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained 7 hours earlier during the same day. On this single frontal view examination the imaged field was directed more to the lower chest apparently requested. This was the major concern of a localized small pneumothorax. The apical area of the thorax is not included in the image field. Thus, it is unclear whether the patient has been extubated or if the EGT has been pulled back to the neck region. Previously described NG tube remains in position. The upper left-sided chest tube again points towards the apical area, but the ultimate tip is cut off. The lower positioned chest tube terminating at the level of the diaphragm remains in unchanged position and the low loculated small pneumothorax cavity has not changed in size significantly. The right hemithorax remains unchanged.", "impression": "Stable chest findings, no evidence of major pneumothorax.", "background": "DATE: ___. TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: Patient with left chest tube changed to waterseal, evaluate for pneumothorax."}, {"study_id": "59767421", "subject_id": "18240093", "findings": "The cardiac silhouette size is markedly enlarged but unchanged. The mediastinal and hilar contours are also stable. There is no pulmonary vascular congestion, definite focal consolidation, or pleural effusion. The study is somewhat limited due to underpenetration. No pneumothorax is seen. There are no acute osseous abnormalities.", "impression": "Unchanged cardiomegaly without evidence of congestive heart failure or pneumonia.", "background": "INDICATION: Syncope. COMPARISON: ___. SEMI-UPRIGHT AP VIEW OF THE"}, {"study_id": "57285475", "subject_id": "15894430", "findings": "The heart is at the upper limits of normal size with a left ventricular configuration. The aorta is mildly tortuous with calcifications seen along the arch. There is no widening of the mediastinum. The lungs appear clear. There is no pleural effusion or pneumothorax. Mild degenerative changes are noted along the thoracic spine. Slight biconcave configuration is noted among the lower thoracic vertebral bodies, coinciding with suspected demineralization.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPHS HISTORY: Unclear baseline mental status. Right shoulder pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "58647509", "subject_id": "11981211", "findings": "There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac, mediastinal and hilar structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Weakness. Evaluate for infiltrate. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None."}, {"study_id": "51744328", "subject_id": "13593769", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with anxiety and chest pain // infection TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "53282637", "subject_id": "18187193", "findings": "AP and lateral views of the chest. Low lung volumes are seen with secondary crowding of the bronchovascular markings. There is limitation due to this and due to overlying soft tissues. The lungs are grossly clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits.", "impression": "Limited exam without definite acute cardiopulmonary process.", "background": "CHEST TWO VIEWS, ___ HISTORY: ___-year-old female status post fall. Poor historian. COMPARISON: ___."}, {"study_id": "58568069", "subject_id": "18194027", "findings": "Portable supine chest radiograph demonstrates clear lungs bilaterally. No focal consolidation is identified. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pneumothorax, pleural effusion, or pulmonary edema. There is no air under the right hemidiaphragm.", "impression": "No acute intra thoracic abnormality.", "background": "INDICATION: History: ___M with fall*** WARNING *** Multiple patients with same last name! // eval for trauma TECHNIQUE: Portable supine COMPARISON: None available"}, {"study_id": "57083008", "subject_id": "15335962", "findings": "Feeding tube is coiled over upper abdomen, tip is likely in the proximal jejunum. Normal bowel gas pattern. Portion of the chest is seen. Very shallow inspiration accentuates heart size, pulmonary vascularity. Findings are new since prior exam", "impression": "Feeding tube coiled over upper abdomen, tip likely in the proximal jejunum.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with recently placed Dobhoff tube, NASH cirrhosis. // Please evaluate for placement of Dobhoff tube TECHNIQUE: Chest single view COMPARISON: ___ at 13:12"}, {"study_id": "59867337", "subject_id": "11009860", "findings": "Lung volumes are low. There is new venous congestion and diffusely increased interstitial markings, with evidence ___ ___ B lines. More focal opacity is noted in the left lower lobe. There are probable small bilateral pleural effusions. Heart size is normal. The aorta is tortuous and calcified. Pacemaker leads are seen, tip in the right atrium and one in the right ventricle.", "impression": "Congestive heart failure. Possible left lower lobe pneumonia.", "background": "INDICATION: ___-year-old male with sick sinus syndrome post-pacemaker placement, hypertension and chest pain x6 hours. COMPARISON: ___. CHEST, AP AND"}, {"study_id": "56470767", "subject_id": "12632853", "findings": "Low lung volumes are noted particular on the frontal view with crowding of the bronchovascular markings. Possible superimposed pulmonary vascular congestion is noted without overt edema. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen at the aortic arch. No acute osseous abnormalities. Surgical clips seen in the abdomen. Compression deformity of a lower thoracic/ upper lumbar vertebral body is unchanged.", "impression": "Low lung volumes with possible superimposed pulmonary vascular congestion. No overt edema or consolidation.", "background": "INDICATION: ___F with left sided exertional chest pain, also pleuritic // Evaluate for acute cardiopulmonary process TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ and ___."}, {"study_id": "54179109", "subject_id": "12259899", "findings": "The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.", "impression": "No acute cardiopulmonary process. If high clinical concern, dedicated rib series could be considered.", "background": "INDICATION: ___M with s/p mvc, chest wall tenderness // bony injury? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None."}, {"study_id": "53658478", "subject_id": "18747087", "findings": "The patient is status post TVAR for aortic stenosis. Bilateral interstitial opacities, worse on the right, with enlarged cardiomediastinal silhouette and central pulmonary vascular congestion suggest asymmetric edema. However, an early right lower lobe pneumonia cannot be excluded. Bilateral pleural effusion are small. Linear streak like opacities in the retrocardiac region with resultant blurring of the left medial hemidiaphragm is new and most likely secondary to atelectasis postoperatively. No pneumothorax.", "impression": "Congestive heart failure pattern with probable asymmetrical edema.However, early right lower lobe pneumonia cannot be excluded. This could be further assessed by repeat chest radiographs after diuresis following diuresis.", "background": "EXAMINATION: Chest radiograph INDICATION: History: ___M with dyspnea // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "59071941", "subject_id": "15432819", "findings": "The previously seen interstitial opacity in the left upper lobe has since resolved, compatible with treated pneumonia. Septal lines are no longer seen. Additionally, the previously noted suggestion of left hilar lymphadenopathy is no longer apparent. There is persistent elevation the right hemidiaphragm. There are no new areas of focal consolidation. The cardiac silhouette remains mildly enlarged, though, there is no evidence for pulmonary edema. Dense calcifications are seen within the aortic valve.", "impression": "Resolution of left upper lobe pneumonia. These findings were discussed with Dr. ___ by Dr. ___ at 10:15 on ___ by telephone at the time of interpretation.", "background": "HISTORY: Follow up pneumonia. TECHNIQUE: Frontal and lateral views chest. COMPARISON: Chest radiograph ___."}, {"study_id": "57905297", "subject_id": "16731888", "findings": "The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no definite evidence for aspiration. There is no pleural effusion or pneumothorax.", "impression": "No acute intrathoracic abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with tracheobronchomalacia and worsening cough // ? aspiration TECHNIQUE: Chest PA and lateral COMPARISON: ___, ___"}, {"study_id": "58145284", "subject_id": "16076182", "findings": "Heart size is severely enlarged, similar compared to the previous radiograph. The aorta is tortuous. Mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion. Patchy opacities within the left lung base may reflect areas of atelectasis. No pleural effusion or pneumothorax is present. Multilevel moderate degenerative changes are again noted in the thoracic spine.", "impression": "Mild pulmonary vascular congestion and left basilar atelectasis.", "background": "EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with status post fall TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph and ___ chest CT"}, {"study_id": "52390426", "subject_id": "16387509", "findings": "The cardiomediastinal and hilar contours are stable and within normal limits. Pleural calcifications are again demonstrated suggesting prior asbestos exposure. There is no focal consolidation, pleural effusion or pneumothorax.", "impression": "No evidence of pneumonia. Chronic asbestos related pleural plaques. No progressive pleural or pulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with sebaceous carcinoma involving head and neck, receiving weekly chemotx and radiation to L side of his neck. Reporting worsening cough productive of brown sputum. // Assess for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs most recent on ___"}, {"study_id": "58533862", "subject_id": "11167924", "findings": "A new consolidation in the left lower lobe obscuring the left hemidiaphragm is consistent with a pneumonia. There is a small left pleural effusion which is better seen on prior CT chest. Again seen is right basal atelectasis. There is mild pulmonary vascular congestion. Severe cardiomegaly is stable. There is no pneumothorax.", "impression": "Left lower lobe pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with hx AFib on___ transferred from OSH s/p fall, found to have intracranial hemorrhage (SAH/SDH), L acetabular/pelvic fracture, and temporal bone fracture. Now with unclear source of fever. // ? PNA. unclear source of fever TECHNIQUE: Single frontal view of the chest COMPARISON: CT abdomen pelvis ___. Portable chest x-ray ___."}, {"study_id": "59064768", "subject_id": "12175031", "findings": "PA and lateral chest radiographs demonstrate a heart which is mildly enlarged. There is no evidence of overt pulmonary edema. There is a small right and likely left pleural effusion. There is no pneumothorax. Mediastinal and hilar contours are within normal limits.", "impression": "Heart is mildly enlarged. No evidence of overt pulmonary edema or focal consolidation. Bilateral pleural effusions.", "background": "INDICATION: ___-year-old male with shortness of breath and chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None available."}, {"study_id": "56303735", "subject_id": "14415637", "findings": "Patient is status post median sternotomy and CABG. Heart size is normal. Prominence of the right paratracheal stripe may be due to prominent vasculature. Low lung volumes are present with crowding of bronchovascular structures. No overt pulmonary edema is present. Elevation of the right hemidiaphragm is of unknown chronicity. No focal consolidation, pleural effusion or pneumothorax is present. Clips are noted at the gastroesophageal junction.", "impression": "Low lung volumes without acute cardiopulmonary process. Elevation of the right hemidiaphragm of unknown chronicity.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with right toe pain with possible amputation pending // preop TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "51880679", "subject_id": "16217465", "findings": "Cardiomediastinal contours are normal. The lungs are hyperexpanded and clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine", "impression": "No acute cardiopulmonary abnormalities hyperexpanded lungs.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with COPD, smoker, increased SOB // eval for resolution of opacity noted in ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "58204482", "subject_id": "13610988", "findings": "There are small bilateral pleural effusions with concurrent opacities suggesting atelectasis, right worse than left. There is also coarsening of the vascular and interstitial markings more conspicuous in the right lower lung field. There is moderate aortic tortuosity and cardiomegaly. There is no evidence of pneumothorax. Moderate degenerative changes of the left shoulder are incompletely evaluated.", "impression": "Coarse interstitial markings more prominent in the right lower lung field, associated with small bilateral pleural effusions with concurrent bibasilar atelectasis, right worse than left; findings suggest mild vascular congestion.", "background": "INDICATION: ___-year-old female with altered mental status. Evaluate for evidence of pneumonia. COMPARISONS: None available. TECHNIQUE: Frontal AP and lateral chest radiographs were obtained."}, {"study_id": "57999093", "subject_id": "11614016", "findings": "An endotracheal tube terminates 3.8 cm above the carina. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Assessment for organ donation. COMPARISON: None."}, {"study_id": "51385604", "subject_id": "11370555", "findings": "The patient is intubated. The endotracheal tube terminates approximately 5 cm above the carina. An orogastric tube terminates in the stomach. The heart is normal in size. The aortic arch is calcified. The mediastinal and hilar contours are otherwise unremarkable. The extreme left costophrenic sulcus is partly excluded, but there is no evidence for pneumothorax or pleural effusion. There is patchy left basilar opacity which is most likely to represent minor atelectasis. Two small apparent nodular densities project over the left mid lung and may be artifactual or potentially could represent true lung nodules, however. There is no pleural effusion or pneumothorax. Gallstones project over the right upper quadrant of the abdomen.", "impression": "Satisfactory positioning of endotracheal tube. Questionable small nodular densities projecting over the left mid lung. Short-term repeat radiographs are recommended to see whether these may persist. Cholelithiasis.", "background": "CHEST RADIOGRAPH COMPARISONS: None. TECHNIQUE: Chest, supine AP portable."}, {"study_id": "51317108", "subject_id": "15999575", "findings": "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. Remote left-sided rib fractures are again demonstrated.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___M with chest pain TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "51417913", "subject_id": "11378357", "findings": "Heart size is normal. The hilar contours are normal. The pulmonary vasculature is normal. Right lower lobe opacity is significantly improved from ___, but not significantly changed from ___. No pleural effusion or pneumothorax. Tortuous aorta and calcified aortic arch are again seen.", "impression": "Right lower lobe pneumonia does not appear significantly different from ___.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pneumonia last month. // Evaluate resolution pneumonia COMPARISON: Chest radiographs since ___"}, {"study_id": "58169601", "subject_id": "12287689", "findings": "A left-sided pacer device is noted with leads terminating in the right atrium and right ventricle, unchanged. Heart size is mildly enlarged. Atherosclerotic calcifications are noted at the aortic knob. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. New heterogeneous consolidative opacity is demonstrated within the periphery of the left upper lung and left mid lung fields concerning for pneumonia. No pleural effusion or pneumothorax is seen. There is diffuse demineralization of the osseous structures.", "impression": "New heterogeneous consolidative opacity in the left upper and mid lung fields concerning for pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "56868600", "subject_id": "16318619", "findings": "Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Dizziness and hypotension. Evaluate for consolidation. COMPARISON: ___."}, {"study_id": "51865072", "subject_id": "11002268", "findings": "The lungs are well expanded and show a right lower lobe opacity with an associated moderate effusion. The cardiac silhouette is normal. The mediastinal silhouette and hilar contour show fullness consistent with extensive lymphadenopathy. No pneumothorax is present.", "impression": "Right lower lobe opacity with an associated effusion, likely represents a moderate effusion with associated atelectasis; however, superinfection cannot be excluded. Mediastinal and hilar lymphadenopathy better seen on recent PET-CT.", "background": "INDICATION: ___-year-old woman with lymphoma status post CPOC now with fevers. Assess for acute cardiopulmonary process. COMPARISON: PET-CT from ___. TWO VIEWS OF THE"}, {"study_id": "59905781", "subject_id": "19111424", "findings": "Moderate-to-severe pulmonary edema has increased. Left lower lung collapse is unchanged. Right lower lung new opacity could be compatible with dependent edema. Superimposed infection or aspiration could not be excluded in the appropriate clinical setting. Sternotomy was done for AVR. Moderate cardiomegaly is unchanged. NG tube is in the stomach. Right-sided PICC line ends in cavoatrial junction. Small-to-moderate bilateral pleural effusions have increased.", "impression": "Moderate-to-severe pulmonary edema has increased. Right lower lung increased opacity could be compatible with dependent edema. Aspiration or pneumonia cannot be excluded in appropriate clinical settings. Dr. ___ has been verbally contacted for the results.", "background": "CHEST PA AND LATERAL. INDICATION: Patient with new oxygen requirement. Pneumonia, atelectasis? COMPARISON: ___."}, {"study_id": "50656742", "subject_id": "18400907", "findings": "Right PICC terminates in low SVC. A transesophageal tube terminates in the stomach. There is no consolidation, pneumothorax, or large pleural effusion. Cardiomediastinal silhouette is normal size.", "impression": "No radiographic evidence of pneumonia.", "background": "INDICATION: ___ year old woman with fevers, tachycardia // Evaluate for infection EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable chest radiograph, frontal view COMPARISON: Chest radiograph ___"}, {"study_id": "59900662", "subject_id": "18734362", "findings": "PA and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Lucency of the lung apices is suggestive of emphysema. Healed left lateral rib fractures are again noted.", "impression": "No acute cardiopulmonary process. Findings were communicated by Dr. ___ to ___, NP by phone at 10:02 a.m. on ___.", "background": "HISTORY: Fluid since ___. COPD and asthma. Decreased breath sounds concern for pneumonia. COMPARISON: Chest radiograph, ___. CT chest, ___."}, {"study_id": "54757977", "subject_id": "16902504", "findings": "Heart size is normal. Bilateral healed rib fractures have developed since the prior radiograph with a marked callus formation at the fracture sites. A focal opacity overlying the right tenth posterior rib level could also potentially be due to healed fracture, but it is difficult to distinguish from a focal area of pneumonic consolidation. Lungs are otherwise clear, and there are no pleural effusions.", "impression": "Focal opacity at right tenth posterior rib level, which could be due to callus from a healed fracture or an early focus of pneumonia. Short-term followup chest radiographs may be helpful in this regard.", "background": "PA AND LATERAL CHEST X-RAY OF ___ COMPARISON: Chest x-ray ___."}, {"study_id": "56083964", "subject_id": "12838095", "findings": "The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.", "impression": "No acute cardiac or pulmonary findings.", "background": "INDICATION: Left-sided pleuritic chest pain. Assess for pneumonia or pneumothorax. COMPARISON: None."}, {"study_id": "52835949", "subject_id": "10752102", "findings": "Frontal and lateral views of the chest demonstrate increased lung volumes. Right PIC catheter and Port-A-Cath tips project over mid SVC. No pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart is mildly enlarged. Descending aorta is tortuous. Right lower lobe opacity persists, which is also apprecited on the lateral view. No pneumothorax or pleural effusion. There is no pulmonary edema.", "impression": "Right lower lung opacity seen on ___ exam persists, follow up exam to resolution is recommended. Moderate cardiomegaly, stable.", "background": "INDICATION: Worsening cough and difficulty breathing. COMPARISONS: ___."}, {"study_id": "57565350", "subject_id": "16459944", "findings": "Enlargement of the right hilus could be a mass. Additionally, there are persistent bilateral pleural effusions with bibasilar consolidation. The lungs are otherwise clear. There is no pneumothorax.", "impression": "Possible right hilar mass. Recommend CT scan for further evaluation. Bibasilar pleural effusions and consolidation concerning for atelectasis or pneumonia.", "background": "STUDY: PA and lateral chest radiograph. COMPARISON EXAM: PA and lateral chest radiograph ___. Portable AP chest radiograph ___. INDICATION: Followup right hilar opacity."}, {"study_id": "52260235", "subject_id": "18175344", "findings": "Linear opacities are again identified within the lung bases. Findings appear similar to recent chest radiograph from ___, though worse compared to preoperative chest examination from ___. Findings may be consistent with mild pulmonary edema. A chronic small right-sided pleural effusion and ovoid opacity along the right minor fissure which may represent fluid within the right minor fissure appear unchanged compared to prior examination. Calcified plaques along the right inferior pleural margin and calcified hilar lymph nodes appear unchanged suggesting prior granulomatous disease. No new confluent consolidation is identified. There is no pneumothorax. Mild enlargement of the hilar contours and indistinctness appear similar to prior examination corresponding with mild edema. Moderate cardiomegaly is unchanged from prior. There is no significant interval change compared to prior examination from ___. Median sternotomy wires appear intact.", "impression": "Stable linear basilar opacities, which may reflect mild pulmonary edema, though unchanged since ___. Unchanged chronic loculated small right pleural effusion. No new focal consolidation or pneumothorax. Stable moderate cardiomegaly.", "background": "HISTORY: ___-year-old female with dyspnea. COMPARISON: Portable chest radiograph from ___ and PA and lateral chest radiograph from ___ and CT chest from ___. PA AND LATERAL CHEST"}, {"study_id": "50853641", "subject_id": "16819734", "findings": "Heart size is normal. The cardiomediastinal silhouette and hilar contours are unchanged and unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. Healed left lateral rib fractures are noted.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Liver failure status post transplant ___ years ago. Renal failure on dialysis. Weakness for four days and crackles on the left lung. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, three views."}, {"study_id": "57599899", "subject_id": "18898820", "findings": "ET tube is approximately 3.3 cm above the carina. The nasogastric tube passes below the diaphragm with tip not in the field of view. Cardiac, mediastinal and hilar contours are unchanged from the prior exam. Mild pulmonary edema is slightly increased from the prior examination. No focal consolidation or pneumothorax", "impression": "Mild pulmonary edema slightly increased from the prior examination. Nasogastric tube passes below the diaphragm with tip not in the field of view.", "background": "HISTORY: Evaluate for NG tube placement. COMPARISON: Portable chest radiograph ___"}, {"study_id": "53890473", "subject_id": "17744732", "findings": "An endotracheal tube is present with the tip 6 cm from the carina. The lung volumes are low. The left costophrenic angle is not included in the field of view. A large dense retrocardiac opacity is most likely atelectasis. The lungs are otherwise clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The apparent widening of the mediastinum is due to prominent mediastinal fat.", "impression": "Satisfactory positioning of the endotracheal tube, 6 cm from the carina. Dense retrocardiac opacity, which is most likely atelectasis.", "background": "INDICATION: New intracranial hemorrhage, status post intubation. Evaluate endotracheal tube. TECHNIQUE: Single supine AP view of the chest. COMPARISON: Chest radiograph from ___ at 00:35."}, {"study_id": "59524920", "subject_id": "13864991", "findings": "The lungs are hyperinflated with flattening of the bilateral hemidiaphragms, compatible with COPD. There is no focal airspace opacity to suggest pneumonia. No pleural effusion or pneumothorax is detected. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is no free air beneath the right hemidiaphragm. The trachea is midline. No acute osseous abnormality is detected.", "impression": "No acute cardiopulmonary process in the setting of COPD.", "background": "INDICATION: Chest discomfort, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest."}, {"study_id": "55527340", "subject_id": "19107011", "findings": "PA and lateral views of the chest provided. Lungs are clear. Pulmonary hilar vascular markings appear prominent. No pleural effusion or pneumothorax. No convincing evidence for pneumonia or edema. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact.", "impression": "Hilar vascular prominence. Please correlate with subsequent CT chest for further details.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea // PNA? COMPARISON: Prior study from ___"}, {"study_id": "50665565", "subject_id": "15672432", "findings": "Portable semi-upright radiograph of the chest demonstrates a borderline enlarged cardiac silhouette. The central pulmonary vasculature is indistinct. There is no focal consolidation. There is no definite pleural effusion or pneumothorax. Midline sternal wires are well aligned and intact.", "impression": "Mild pulmonary vascular congestion without evidence of pulmonary edema. .", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with tachycardia // ?pulm edema TECHNIQUE: Portable chest x-ray. COMPARISON: ___, ___"}, {"study_id": "59647230", "subject_id": "12535940", "findings": "The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. No focal consolidations, pulmonary edema, or pneumothorax are seen. Previously seen interstitial edema has improved.", "impression": "Interval improvement of interstitial edema and no evidence of pneumonia.", "background": "EXAMINATION: Chest x-ray PA and INDICATION: ___ year old woman with question of mild interstitial edema noted on CXR of ___. No dyspnea. Lungs clear on exam // Evaluate for interstitial edema TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made chest x-rays dating from ___ through ___"}, {"study_id": "57183880", "subject_id": "15528228", "findings": "The lungs are clear without focal consolidation. The lungs are relatively hyperinflated, suggesting underlying chronic obstructive pulmonary disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process. If high clinical concern for pulmonary lesion, chest CT is more sensitive in detecting subtle lesions.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with failure to thrive and weight loss, history of smoking // Evaluate for mass TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "54336605", "subject_id": "10040602", "findings": "The lungs are hyperinflated, though the diaphragms are not flattened. The heart is not enlarged. Blunting of the right heart border seen only on frontal radiograph likely reflects a mediastinal fat pad. The patient's known mediastinal mass, seen on multiple prior CT scans, is not well delineated radiographically. The aorta is mildly unfolded. There is minimal subsegmental atelectasis and/or scarring. No frank consolidation or gross effusion identified. Possible trace right pleural effusion. Small calcified and noncalcified nodules seen on prior CTs are not well delineated radiographically. Old healed right-sided rib fractures noted. Degenerative changes in the thoracic spine noted.", "impression": "Equivocal trace right pleural effusion and minimal atelectasis. Otherwise, no acute pulmonary process identified.", "background": "WET READ: ___ ___ ___ 6:12 AM 1. Hypoinflated lungs with retrocardiac atelectasis. No pneumonia. 2. Possible trace right pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph frontal and lateral views. INDICATION: Chest pain and shortness of breath. Assess for pneumonia or cardiomegaly. COMPARISON: Chest radiograph ___."}, {"study_id": "51507097", "subject_id": "13660993", "findings": "A right subclavian central catheter is in unchanged position ending in the lower SVC. No focal consolidation, pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is normal. There is no evidence of pulmonary vascular congestion.", "impression": "No acute intrathoracic process.", "background": "INDICATION: Patient with lymphoma, shortness of breath. Assess for effusion or abnormality. COMPARISON: ___."}, {"study_id": "58992976", "subject_id": "10344465", "findings": "PA and lateral views of the chest are provided. The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusions or pneumothorax. No displaced fracture is seen.", "impression": "No acute cardiopulmonary process.", "background": "CLINICAL HISTORY: ___-year-old man with chest pain status post motor vehicle accident. Rule out cardiopulmonary process. COMPARISON: None."}, {"study_id": "59751080", "subject_id": "11549552", "findings": "There are diffusely increased interstitial markings with peribronchial coughing, suggestive of atypical pneumonia. A more focal area of heterogeneous opacity is present in the left mid lung. No pneumothorax or pleural effusion. Heart size and cardiomediastinal contours are normal.", "impression": "Bilateral peribronchial coughing and subtle interstitial opacity, suggestive of atypical pneumonia. Followup chest radiographs in ___ weeks is recommended to evaluate a more focal area of heterogeneous opacity in the left mid lung.", "background": "INDICATION: History: ___F with cough fever // ? pneumonia COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest."}, {"study_id": "51147749", "subject_id": "14080963", "findings": "There are low lung volumes. The cardiac and mediastinal silhouettes are stable. Minimal bibasilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. Degenerative changes at the right shoulder are noted.", "impression": "Overall, there has been no significant interval change since the prior study. No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with multiple myeloma and recent hypercalemia, now here with altered mental status. NO IV CONTRAST! // 1. Head CT - r/o bleed2. Abd CT - r/o acute process3. CXR - r/o CHF, occult infection TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "58284822", "subject_id": "13358539", "findings": "The frontal and lateral chest radiograph demonstrates well-expanded lungs without new focal consolidations. Patient is status post left upper lobe lobectomy with clip projecting over the left hilus. There is volume loss at the left upper lung level. No overt pulmonary edema, pleural effusion, or pneumothorax. Cardiac silhouette unchanged. No chest tube is identified.", "impression": "No significant clinical change.", "background": "HISTORY: ___-year-old male status post mediastinoscopy, left thoracotomy, and left upper lobe lobectomy. Increased drainage from chest tube site. COMPARISON: Chest radiograph dated ___."}, {"study_id": "56442196", "subject_id": "14282968", "findings": "Left-sided Port-A-Cath is seen with terminating in the low SVC without evidence of pneumothorax. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of a hiatal hernia is again seen. Mild prominence of the left hilum is similar to scout radiograph from chest CT from ___ and may be due to overlapping structures. No definite lymphadenopathy was seen on that study, although it is noncontrast. .", "impression": "The Portacatheter appears to have migrated slightly proximally, now terminating in the low SVC instead of the cavoatrial junction previously. Clear lungs. Hiatal hernia.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fatigue // Eval for infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___"}, {"study_id": "59514152", "subject_id": "18989787", "findings": "The position of the right pigtail pleural drain is unchanged; also the second right pleural tube is unchanged with tip projected in midthoracic field The consolidation of the right base is increased with persist small pleural effusion There is no pneumothorax. The left lung is mostly clear, except for a small linear atelectasis at the base Heart is moderately enlarged", "impression": "The chest tubes position is unchanged Increased consolidation of the right base", "background": "HISTORY: ___ year old man with right chest tubes. Chest tube placement. COMPARISON: Exam is compared to ___."}, {"study_id": "50930503", "subject_id": "16574411", "findings": "A portable semi-erect frontal chest radiograph was obtained. The patient is rotated, limiting evaluation of the cardiomediastinal silhouette. Mild to moderate pulmonary edema and small bilateral pleural effusions are likely unchanged, perhaps slightly worse on the left. No definite new focal consolidation is identified, although the right lower lobe opacity previously noted would be obscured by the patient's current positioning. The visualized upper abdomen is remarkable for a stent projecting over the right upper quadrant, unchanged compared to prior exam.", "impression": "Persistent mild pulmonary edema and bilateral small pleural effusions are similar to slightly increased on the left. No definite new focal consolidation, although patient rotation makes evaluation, including of the previously noted right lower lobe opacity, difficult.", "background": "INDICATION: Evaluate for interval change in a patient with a CHF exacerbation. COMPARISON: Chest radiographs from ___, ___, ___, ___."}, {"study_id": "59462759", "subject_id": "18676703", "findings": "Right internal jugular venous catheter terminates at mid SVC. Mild bibasilar opacities are similar to before which may reflect atelectasis. There is no pneumothorax or large pleural effusion. Cardiac silhouette is exaggerated by low lung volumes. Mediastinal silhouette is normal size.", "impression": "Right internal jugular venous catheter terminates at mid SVC.", "background": "INDICATION: History: ___F with right IJ placement*** WARNING *** Multiple patients with same last name! // eval for PTX, central line placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "59334901", "subject_id": "17910433", "findings": "There is pulmonary vascular congestion, without frank edema, and mild distention of mediastinal veins compared to ___. The heart is moderately enlarged. Mediastinal contours are unchanged. No pneumothorax, pleural effusion, or consolidation.", "impression": "Pulmonary vascular congestion, suggesting volume overload or early cardiac decompensation.", "background": "WET READ: ___ ___ 4:57 AM Pulmonary vascular congestion without frank edema. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with b/l rales, hx of CHF, recent fall // ?pleural effusion, pna TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph dated ___."}, {"study_id": "56417780", "subject_id": "17096606", "findings": "AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding portable chest examination obtained six and a half hours earlier during the same day. Status post sternotomy, marked cardiac enlargement and aortic valve replacement (metallic structures of porcine valve) unchanged. Pulmonary congestive pattern encountered earlier during the day has regressed slightly. Patient remains intubated, the ETT in unchanged position. Previously suspected small left apical pneumothorax cannot be identified with certainty now on portable film and a special high contrast copy. No new pulmonary abnormalities are seen.", "impression": "No significant pneumothorax remaining. No new pulmonary abnormalities. Slight regression of pulmonary congestion.", "background": "TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient, intubated, follow up tiny left apical pneumothorax. Evaluate for interval change of pneumothorax."}, {"study_id": "57074444", "subject_id": "12147613", "findings": "New interstitial opacities in the left mid lung and lower lobe are suspicious for pneumonia. A nodular opacity in the left retrocardiac region was more fully characterized on the recent CT of ___. Pleural thickening and calcified pleural plaques are again noted. Basilar predominant interstitial lung disease has progressed since ___ and has been more fully characterized on recent chest CT of ___ The interstitial lung disease have progressed since ___. Lungs are hyperinflated. There is no pleural effusion. Cardiomediastinal silhouette is normal size.", "impression": "New heterogeneous opacities in the left mid and lower lung are highly suspicious for pneumonia. Followup radiograph is recommended ___ weeks after the completion of treatment to ensure and resolution. Pleural thickening and calcified pleural plaques suggest history of asbestos exposure. Chronic interstitial lung disease is suggestive of asbestosis in the setting of calcified pleural plaques.", "background": "INDICATION: History: ___M with fever, cough // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___"}, {"study_id": "59881848", "subject_id": "13224377", "findings": "Compared to the prior study and allowing for differences in positioning and technique, I doubt significant interval change. Again seen are patchy opacities, relatively diffusely throughout both lungs, more pronounced on the right side. Tracheostomy tube, nasoenteric tube, and right IJ line are grossly unchanged. Possible minimal blunting at the right costophrenic angle. No left pleural effusion identify ..", "impression": "No substantial interval change.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with PNA, aspiration // interval imaging, aspiration COMPARISON: Chest x-ray from ___. 6:18 am"}, {"study_id": "54613857", "subject_id": "16319601", "findings": "AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study obtained 12 hours earlier during the same day. There is marked improvement of the previously identified massive pleural effusion occupying major portions of the right hemithorax. New pigtail end small caliber catheter is now seen on the right base and explains the evacuation of the pleural effusion that occurred during the interval. No pneumothorax has developed. The lung parenchyma on the right side appears free as this can be identified by the single AP chest view. On the left side, there is also a small caliber pigtail end catheter in the basal space of the pleura but no evidence of pleural effusion is seen. A previously described left-sided advanced PICC line remain in unchanged appropriate position and terminating just 2 cm below the level of the carina. An NG tube remains and is seen to point with the Dobbhoff tip towards the pylorus.", "impression": "Bilateral small caliber pigtail and pleural drainage lines in place. Pleural effusions have practically been eliminated. No pneumothorax.", "background": "TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with air leak on right pigtail catheter. Evaluate for residual pneumothorax."}, {"study_id": "51938047", "subject_id": "17729489", "findings": "PA and lateral views of the chest provided. The lungs are clear. 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.", "impression": "No convincing evidence for pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever unknown origin// eval for pna COMPARISON: ___."}, {"study_id": "54062690", "subject_id": "12658542", "findings": "As compared to the prior examination dated ___, there has been no relevant interval change. Streaky bibasilar atelectasis is again noted. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged. Stable appearance of a compression deformity involving a vertebral body at the thoracolumbar junction.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiographs. INDICATION: History: ___F with elevated wbc, slightly elevated lactate 2.3. Rule out for infection. // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___."}, {"study_id": "55794075", "subject_id": "16477447", "findings": "Frontal and lateral views of the chest are obtained. A left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction. In the interval since the prior study, there has been development of left base opacity seen to represent combination of pleural effusion and atelectasis on subsequent CT along with worsening metastatic disease. At the lateral left lung base, there is a rounded 2.3 x 1.7 cm opacity concerning for additional pulmonary metastasis. Minimal right base opacity most likely represents atelectasis. There are multiple bilateral pulmonary nodules, better assessed on CT. Cardiac and mediastinal silhouettes are stable.", "impression": "Left base opacity corresponds to moderate left pleural effusion with overlying atelectasis seen on subsequent chest CT. Rounded opacity at the lateral left base is worrisome for worsening metastasis. Bilateral pulmonary nodules, better assessed on CT.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of metastatic cancer with pleuritic chest pain for the past one to two weeks. COMPARISON: ___."}, {"study_id": "51403053", "subject_id": "16448755", "findings": "AP of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. Pulmonary edema is new since prior. Heart is mildly enlarged. There is no large pleural effusion. No pneumothorax. Left lung base consolidation is also noted, more conspicuous since prior.", "impression": "Pulmonary edema, new since ___. Mild cardiomegaly. Left lung base consolidation, may represent atelectasis or infection in the appropriate clinical setting. Follow-up to resolution.", "background": "INDICATION: Hypotension and fever. COMPARISONS: ___."}, {"study_id": "53966163", "subject_id": "14080963", "findings": "PA and lateral views of the chest. There are new diffuse increased interstitial opacities which can be seen in atypical pneumonia. No evidence of edema, pleural effusion, or focal consolidation. Mild cardiomegaly is stable.", "impression": "Findings most consistent with mild interstitial pulmonary edema however in the corect clinical scenario atypical pneumonia can be considered.", "background": "INDICATION: Multiple myeloma, now with cough, congestion, and elevated white count, evaluate for infection. COMPARISON: ___."}, {"study_id": "54071903", "subject_id": "13422599", "findings": "No radiopaque foreign body is seen within the esophagus and imaged portion of the stomach. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.", "impression": "No radiopaque foreign body seen within the chest. Please refer to the report for the abdominal radiograph for description of the foreign body.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman who reports swallowing a razor. Evaluate for foreign body. COMPARISON: Abdominal radiograph and CT from ___ dated ___."}, {"study_id": "50505009", "subject_id": "18013971", "findings": "The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. The lungs show improvement of the previously described retrocardiac consolidation. There is no large pleural effusion or pneumothorax. A prominent gas and stool distended loop of colon is present in the region of the splenic flexure.", "impression": "Near-complete improvement of previous left lower lobe pneumonia.", "background": "HISTORY: ___-year-old male with altered mental status. STUDY: AP and lateral upright chest radiographs. COMPARISON: ___."}, {"study_id": "55591136", "subject_id": "14791686", "findings": "PA and lateral views of the chest provided. The heart is mildly enlarged, new in the interval. Mediastinal contour is normal. There is no focal consolidation, effusion or pneumothorax. No convincing signs of edema. Bony structures are intact.", "impression": "Mild cardiomegaly, new from prior. No pneumonia or edema.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with neck pain, chest pain, cough x several wks COMPARISON: ___."}, {"study_id": "54694855", "subject_id": "13070964", "findings": "AP, upright, and lateral views of the chest were obtained. There is no evidence of free air beneath the diaphragms. No definite pneumomediastinum is seen. There is no evidence of pneumothorax. No focal consolidation or pleural effusion is seen. The patient is rotated to the left. The lateral view is optimal due to obliquity. There is mitral annulus calcification.", "impression": "No evidence of free air beneath the diaphragms. No definite pneumothorax.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: An ___-year-old male with history of accidental lysol ingestion, sore throat, stomach ache, question free air. COMPARISON: ___."}, {"study_id": "57361661", "subject_id": "17438670", "findings": "Since prior, there has been removal of a right chest tube without evidence of pneumothorax. The cardiomediastinal silhouette is unchanged. Linear atelectasis most pronounced in the right mid lung is stable. There is no pleural effusion.", "impression": "No pneumothorax after chest tube removal.", "background": "INDICATION: ___ year old woman status post right chest tube removal, evaluate for pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___."}, {"study_id": "52109318", "subject_id": "12934243", "findings": "In comparison to prior study, there is new bilateral pleural effusion, widening of the mediastinal vascular pedicle, and worsened cardiomegaly, now moderate. A component of pulmonary edema may be present. Findings are all suggestive of decompensated cardiac failure. No superimposed opacity to suggest pneumonia. No pneumothorax.", "impression": "Congestive heart failure, with increased cardiomegaly, worsening vascular congestion, and new moderate bilateral pleural effusions.", "background": "INDICATION: ___-year-old female with known history of aspiration, presenting with tachypnea and low oxygen saturation. COMPARISON: ___."}, {"study_id": "58427010", "subject_id": "14342692", "findings": "PA and lateral views of the chest show resolution of pulmonary edema, right upper lung opacity is likely due to scarring. There is no pleural effusion or pneumothorax. Heart size is top normal. Aortosclerosis severe.", "impression": "Interval improvement of mild interstitial pulmonary edema.", "background": "PATIENT HISTORY: ___-year-old woman with left foot ulceration, cause of fever. COMPARISON: Exam is compared to chest x-ray ___."}, {"study_id": "50967971", "subject_id": "11697323", "findings": "Pulmonary vessel congestion, and bilateral pleural effusions are slightly improved compared to ___. The left upper lung aeration is improved. Cardiomediastinal silhouette is mildly enlarged, but improved from ___. Right chest tube is unchanged in position.", "impression": "Possible left lung base aspiration is improved. Pulmonary vessel congestion, and bilateral pleural effusions are improved compared to ___.", "background": "INDICATION: This is a ___, admitted for ___ 7 days ago to___, secondary to dehydration which was resolving, and during hospitalization suffered massive GI bleeding ___ bleeding ulcer transferred to ___ for further management with pleural effusion // eval pleural effusion EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___"}, {"study_id": "57584688", "subject_id": "18912484", "findings": "The patient has been extubated and the NGT removed in the interim since the most recent prior study. A left pectoral pacemaker is unchanged with two leads terminating in the right atrium and apex of the right ventricle, unchanged from the preceding study. A right internal jugular Swan-Ganz catheter is unchanged in position with the tip in the main pulmonary artery. A right apical chest tube is in place. There is no pneumothorax. There is patchy opacification of the right lung compared to the left and a small right pleural effusion is present. The right hemidiaphragm is elevated compared to the left. The cardiac silhouette remains enlarged but stable. The patient is status post median sternotomy with multiple mediastinal surgical clips, compatible with prior coronary artery bypass graft surgery. A CoreValve stent projects over the aorta, unchanged.", "impression": "Unchanged position of dual-channel pacer leads. Interval removal of ET and NG tubes with otherwise stable placement of support devices. Opacification of the right lung with elevated right hemidiaphragm likely reflects a combination of pleural fluid, atelectasis and possible asymmetric pulmonary edema.", "background": "INDICATION: Status post dual-chamber pacemaker placement, here to confirm lead placement. COMPARISON: Chest radiograph dated ___ at 13:42. TECHNIQUE: frontal radiographs of the chest. Positioning of the patient is not stipulated."}, {"study_id": "51159652", "subject_id": "12317288", "findings": "Diffusely increased reticulonodular interstitial densities likely represent chronic interstitial lung disease. Diffusely increased densities could hide a small pulmonary metastases. Chest CT is recommended for further characterization of interstitial lung disease and evaluation for possible metastases. The right chest wall port ends in the mid SVC. There is no appreciable pleural effusion or focal consolidation. Heart size is normal and pulmonary vessels are not congested.", "impression": "Increased interstitial densities compatible with chronic interstitial lung disease, a chest CT is recommended for further characterization and evaluation for possible pulmonary metastases.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pancreatic cancer and mets // baseline chest xray. Lungs sound consolidated TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: None."}, {"study_id": "55250890", "subject_id": "10032409", "findings": "Lungs are hyperexpanded but grossly clear. Heart is upper limits of normal in size and demonstrates left ventricular configuration, and the aorta is tortuous, without change. No pleural effusion or pneumothorax.", "impression": "No evidence of pneumonia.", "background": "PA AND LATERAL CHEST, ___ COMPARISON: Chest radiograph, ___."}, {"study_id": "51415114", "subject_id": "16337794", "findings": "Compared to chest radiographs from ___, bilateral peribronchial opacities in the right middle and lower lobes and left lower lobe have resolved. Lung volumes remain low, as on multiple priors. Right apical pleural thickening is unchanged. There is no new focal consolidation or pleural effusion. No pneumothorax. Mediastinal and hilar contours are stable. Heart size is normal.", "impression": "No evidence of pneumonia. Resolution of previously visualized bilateral peribronchial opacities.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with new shortness of breath // r/o pneumonia TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___."}, {"study_id": "50760492", "subject_id": "17977928", "findings": "The lungs are clear with no evidence of a consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Cough. COMPARISON: Chest radiograph from ___."}, {"study_id": "57242718", "subject_id": "16892632", "findings": "The patient is status post median sternotomy and CABG. Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is unchanged. The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. There is no pulmonary edema. There is are likely small bilateral pleural effusions posteriorly. No focal consolidation or pneumothorax is present. The lungs are hyperinflated. There are no acute osseous abnormalities.", "impression": "Probable trace bilateral pleural effusions. No pulmonary edema.", "background": "HISTORY: Coronary artery disease status post CABG and dyspnea on exertion. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "50501826", "subject_id": "14075584", "findings": "Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is noted within the lingula and both lower lobes. Small bilateral pleural effusions are noted. There is no focal consolidation or pneumothorax. No acute osseous abnormality is detected.", "impression": "Small bilateral pleural effusions and bibasilar atelectasis. No intrathoracic malignancy identified.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with new ovarian masses concerning for cancer with malignant ascites TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "56062348", "subject_id": "12720642", "findings": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. There is mild rightward mid thoracic spinal curvature.", "impression": "No evidence of acute disease.", "background": "CHEST RADIOGRAPH HISTORY: Question acute process. COMPARISONS: None. TECHNIQUE: Chest, AP portable upright."}, {"study_id": "53372164", "subject_id": "18255086", "findings": "There has been interval decrease in interstitial pulmonary edema which is now minimal to mild. No large pleural effusion is seen. There is no pneumothorax. Biapical pleural thickening is re- demonstrated. Cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous.", "impression": "Interval decrease in interstitial pulmonary edema, which is now minimal to mild.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with low oxygen saturation please eval. // concerns of low oxygen saturation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56650385", "subject_id": "17460070", "findings": "Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. A wedge deformity of a mid thoracic vertebral body is unchanged across multiple prior examinations. There is no radiographic evidence of a sternal lesion. An chronic fracture of right clavicular head is again seen. Metallic densities overlie the right humeral head.", "impression": "No acute cardiopulmonary process. No radiographic evidence of new sternal or clavicular lesion.", "background": "INDICATION: ___-year-old male with history of multiple myeloma complaining of rib pain and sternal pain and clavicular pain. Evaluate for cardiopulmonary process. COMPARISONS: Multiple prior chest radiographs, most recently ___ ___. Chest CT of ___."}, {"study_id": "57142539", "subject_id": "17755234", "findings": "PA and lateral radiographs of the chest demonstrate bilateral perihilar opacities, consistent with mild pulmonary edema. This is coupled with pulmonary vascular engorgement in the upper lobes as well as blunting of the left costophrenic angle, consistent with small pleural effusion. However, the heart and mediastinum are not enlarged. Aside from bibasilar atelectasis, the lungs are clear. There is no pneumothorax.", "impression": "Mild pulmonary edema, small left pleural effusion, and pulmonary vascular redistribution. Because the heart and mediastinum are not widened, non-cardiac causes of pulmonary edema should be explored. The patient could be empirically treated via diuresis, but if the clinical picture is not in agreement, CT of the chest may be obtained for further characterization.", "background": "INDICATION: Fever and cough. COMPARISON: None available."}, {"study_id": "55510795", "subject_id": "15509769", "findings": "Cardiomediastinal contour is unchanged. There is no pneumothorax or pleural effusion. Left lower lobe linear atelectasis and elevation of the left hemidiaphragm is noted. There is a right lower lobe opacity present dating back to ___ but more apparent on the current study.", "impression": "Right lower lobe opacity, concerning for pneumonia in the correct clinical setting.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with cough, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiograph ___ and ___."}, {"study_id": "52582047", "subject_id": "18061812", "findings": "Support lines and tubes are unchanged in appearance when compared to the prior study. The cardiomediastinal contour is unchanged with persistent prominence of the bilateral hila. No consolidation, pneumothorax or pleural effusion seen. A focal airspace opacity in the left lower lung is likely due to atelectasis but continued attention on followup.", "impression": "Focal airspace opacity in the left lower lung likely due to atelectasis but continued attention on followup is recommended.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with prolonged intubation for AMS s/p brain biopsy // ? interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___"}, {"study_id": "54690781", "subject_id": "19288645", "findings": "Moderate to severe cardiomegaly is a stable. Moderate pulmonary edema has improved. There is no pneumothorax or enlarging pleural effusions. Sternal wires are aligned. Patient is status post CABG.", "impression": "Improved pulmonary edema. COPD", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with CAD and SOB // eval for pulm edema TECHNIQUE: Single frontal view of the chest COMPARISON: ___"}, {"study_id": "55599294", "subject_id": "11746934", "findings": "The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.", "impression": "Normal radiograph of the chest.", "background": "INDICATION: Chest pain and right-sided shoulder pain. COMPARISON: Chest radiograph from ___. UPRIGHT AP AND LATERAL VIEWS OF THE"}, {"study_id": "55181964", "subject_id": "12509775", "findings": "PA and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: History of PE. COMPARISON: ___."}, {"study_id": "53269371", "subject_id": "13130429", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Left back pain and dyspnea. COMPARISON: ___."}, {"study_id": "51423496", "subject_id": "12668281", "findings": "There is mild left base linear atelectasis/scarring. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. Evidence of DISH is again seen along the thoracic spine.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Syncope. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "56962961", "subject_id": "17135687", "findings": "In addition to existing bilateral chest tubes, a new pigtail catheter has been placed into the right hemithorax. There is a persistent small right-sided pneumothorax, but somewhat decreased.", "impression": "Decrease in right-sided pneumothorax following placement of additional chest tube.", "background": "EXAMINATION: CHEST RADIOGRAPH INDICATION: Follow-up of right-sided pneumothorax after pigtail placement. TECHNIQUE: Chest, portable AP upright. COMPARISON: Earlier on the same afternoon."}, {"study_id": "59760330", "subject_id": "15520884", "findings": "The lung volumes are low. Allowing for that, there is no definite change in cardiac, mediastinal or hilar contours. A right basilar opacity has probably cleared. However, mild new opacification is present at the left lung base partly obscuring the left hemidiaphragm. Small pleural effusions are difficult to exclude.", "impression": "Suspected left basilar opacity, with a pattern commonly associated with atelectasis. If developing infection is a clinical concern then short-term follow-up radiographs may be helpful, preferably with PA and lateral technique if feasible.", "background": "EXAMINATION: Chest radiograph. INDICATION: Chest pain and dyspnea. COMPARISON: ___. TECHNIQUE: Chest, portable AP upright."}, {"study_id": "59581091", "subject_id": "11228049", "findings": "Single supine portable view of the chest. There has been interval placement of a right IJ central venous catheter whose tip is likely in the right atrium. Retraction by 3 cm would be ideal for placement within the mid-to-distal SVC. Given lower lung volumes, the appearance of the lungs has not changed. There is no pneumothorax.", "impression": "New right-sided central venous catheter with tip likely in the right atrium and retraction of 3 cm would be ideal. This was conveyed to Dr. ___.", "background": "PORTABLE CHEST; ___ HISTORY: ___-year-old male status post right central venous line placement. COMPARISON: Film from earlier the same day at 7:13 p.m."}, {"study_id": "59331594", "subject_id": "16502979", "findings": "Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.", "impression": "No significant interval change. Low lung volumes with otherwise no acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Confusion. COMPARISON: ___."}, {"study_id": "57368568", "subject_id": "16358341", "findings": "PA and lateral chest radiographs provided. Lung volumes are slightly low. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is mildly enlarged since the prior exam. Old healed rib fractures are noted on the right.", "impression": "Development of mild cardiomegaly.", "background": "INDICATION: History of physical assault, loss of consciousness and intoxicated. Question malalignment. COMPARISONS: ___."}, {"study_id": "54446963", "subject_id": "12934243", "findings": "This compared to the previous radiograph, the a large left effusion with subsequent atelectasis is unchanged. On the right, the area of pleural thickening along the chest wall has substantially decreased. The monitoring and support devices are unchanged. No new parenchymal opacities. Unchanged appearance of the cardiac silhouette.", "impression": "Decrease in extent a region of pleural thickening, likely a combination of pleural thickening and pleural fluid.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure, intubated, being diuresed // Evaluate for progression of effusions TECHNIQUE: Portable chest radiograph COMPARISON: ___."}, {"study_id": "58867727", "subject_id": "12298456", "findings": "The lungs are hyperinflated. Left base atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.", "impression": "Left base atelectasis without focal consolidation seen.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain and cough // acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "57576868", "subject_id": "14720638", "findings": "PA and lateral views of the chest provided. Mild cardiomegaly is again noted. There is mild interstitial pulmonary edema. No evidence of pneumonia. No pneumothorax or effusion. Mediastinal contour is unchanged. Hila appear slightly congested. Bony structures are intact.", "impression": "Cardiomegaly and mild interstitial pulmonary edema.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with left sided headache, left sided pain and weakness, subsequent fall. Pt had Cr. of 0.___ yesterday COMPARISON: ___."}, {"study_id": "54151185", "subject_id": "10222191", "findings": "A new upper enteric feeding tube passes from the gastroesophageal junction back up to the neck and out of view, presumably ending in the hypopharynx, possibly higher. Another NG tube is in adequate position. Right PICC ends in lower SVC. The tracheostomy is in adequate position. Mediastinal contour is normal . The heart size is mildly enlarged and possibly bigger than it was yesterday. The large right pleural effusion has not changed. Left lower lobe collapse is new. Left pleural effusion is minimal, if any.", "impression": "Inappropriate placement, upper enteric eeding tube New left lower lobe atelectasis. Large right pleural effusion, unchanged. Dr. ___ ___ the findings, including malpositioned feeding tube, by telephone with the medical trauma resident in the ICU, ___, at 10:13 a.m., 20 minutes after they were recognized.", "background": "PORTABLE AP X-RAY INDICATION: Large right pleural effusion drainage, interval change. COMPARISON: ___."}, {"study_id": "58305073", "subject_id": "17716522", "findings": "Heart size is top normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected. There are mild degenerative changes in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "53849698", "subject_id": "13234429", "findings": "Cardiomediastinal contours are stable with widening of the mediastinum and moderate to severe cardiomegaly. Pulmonary edema has markedly improved. There is no pneumothorax. Bilateral effusions have decreased now very small. Sternal wires are aligned", "impression": "Marked improvement of vascular congestion", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with s/p MVR/TVr/ASD closure // eval post op changes TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "57326587", "subject_id": "19135637", "findings": "Compared with prior radiographs on ___, there has been interval removal of a right-sided chest tube, with a very tiny right-sided pneumothorax. There is no evidence of tension. Lung volumes are low with bibasilar atelectasis, similar to prior. There is vascular congestion . The cardiac and mediastinal silhouettes are slightly decreased in size from prior.", "impression": "Very tiny right-sided pneumothorax status post chest tube removal.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man s/p R VATS wedge // R/O PTX post CT removal TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___"}, {"study_id": "56348027", "subject_id": "10754184", "findings": "The lungs are clear of consolidation, effusion, or pneumothorax. Left chest wall dual lead pacing device is again seen. Moderate cardiomegaly is again noted. Upper thoracic dextroscoliosis is seen. No acute fracture identified based on this nondedicated exam. Surgical clips seen in the upper abdomen.", "impression": "Cardiomegaly without acute cardiopulmonary process.", "background": "INDICATION: ___F with pancreatic CA, afib with left flank pain after fall from standing // R/O rib fracture TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58119820", "subject_id": "16262919", "findings": "The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable noting moderate cardiac enlargement. There is tortuosity of descending thoracic aorta. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with shortness of breath, crackles on lung exam // Evaluate for pulmonary congestion TECHNIQUE: AP and lateral views the chest. COMPARISON: ___."}, {"study_id": "50826764", "subject_id": "16218350", "findings": "Following LUL resection, there is persistent volume loss in the left hemithorax with expected leftward shift of the mediastinum and elevation of the left hemidiaphragm, similar to prior exam. Interval improvement in left retrocardiac opacity. There is a loculated anterior hydropneumothorax on the left. Significant subcutaneous emphysema along the left chest wall and left neck are similar to prior exam. Persistent small pleural effusions bilaterally. There are no acute osseous abnormalities.", "impression": "Loculated left anterior hydropneumothorax. Significant subcutaneous emphysema along the left chest wall and left neck are similar to prior exam. Persistent small pleural effusions bilaterally.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p open LUL lobectomy // interval change COMPARISON: Chest radiographs from ___ and ___, as well as PET-CT from ___"}, {"study_id": "57405848", "subject_id": "15168417", "findings": "Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are hyperinflated. Interstitial lung markings are increased at the lung bases. No focal consolidation, pleural effusion, or pneumothorax.", "impression": "Lower lobe predominant interstitial lung disease.", "background": "HISTORY: ___-year-old male with chest pain. COMPARISON: None."}, {"study_id": "55522638", "subject_id": "10620405", "findings": "PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. Dextroconvex scoliosis of the spine is noted. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old woman with fever. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___."}, {"study_id": "52660908", "subject_id": "15809646", "findings": "There is a 3-cm irregularly marginated mass in the lingula, which has grown since prior studies. Other previous findings including the right lower lobe round atelectasis and bilateral pleural plaques/pleural thickening appear similar to prior studies. The cardiac silhouette is stable and top normal in size. The aorta is slightly tortuous but stable in appearance. Linear vertically oriented opacity seen in previous chest radiographs appears unchanged, most likely represent scarring adjacent to pleural plaques. Lungs are hyperinflated suggesting COPD. There is stable persistent blunting of the right costophrenic angle and stable interstitial opacities within the lower lungs. Stable multilevel degenerative changes of the thoracic spine are noted. There are scattered areas of focal pleural thickening noted.", "impression": "Irregularly marginated 3-cm mass in the lingula has grown since prior studies. Although previously attributed to round atelectasis, its growth and margins raise the potential concern for a slowly growing lung adenocarcinoma. CT of the chest is recommended for further evaluation of this finding. These findings were discussed with Dr. ___ via phone at 3:05 p.m. by ___.", "background": "INDICATION: ___-year-old male with COPD, increasing dyspnea and cough, evaluate for pneumonia. COMPARISON: Multiple chest CTs dating back to ___, most recently ___, and chest radiograph most recent ___. TECHNIQUE: PA and lateral chest radiographs."}, {"study_id": "57522246", "subject_id": "19809023", "findings": "Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. No acute osseous abnormality is seen.", "impression": "No radiographic explanation for chest pain.", "background": "INDICATION: ___M with chest pain, evaluate for acute process.. COMPARISON: Comparison is made to chest radiograph from ___. TECHNIQUE Frontal and lateral view of the chest."}, {"study_id": "56657485", "subject_id": "16112699", "findings": "The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. A nondisplaced fracture with subtle periosteal reaction is seen laterally involving the left seventh rib. There is no evidence of a pleural effusion or pneumothorax.", "impression": "Acute nondisplaced fracture seen laterally involving the left seventh rib. No evidence of a pneumothorax.", "background": "INDICATION: History: ___M with left sided chest pain s/p fall. Please evaluate for fracture. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___."}, {"study_id": "58365813", "subject_id": "12101142", "findings": "AP upright and lateral views of the chest provided. Lateral view is limited due to underpenetration. Lung volumes are low limiting assessment. Basilar atelectasis is noted without convincing evidence for pneumonia, edema, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A chronic right clavicular deformity is noted. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with recent admit for hypoxia, now with leg stiffness. COMPARISON: ___"}, {"study_id": "59402231", "subject_id": "12387217", "findings": "Low lung volumes are seen with clear left lung. In the right hemithorax, the lobulated apical pleural contour likely reflects a loculated pleural effusion with accompanying moderate-to-large right dependent pleural effusion and associated atelectasis. Supervening pneumonia cannot be fully excluded.", "impression": "Large right pleural effusion with apical loculated component. Cannot exclude underlying pneumonia. Please refer to subsequent Chest CT for further evaluation.", "background": "INDICATION: Question pneumonia, assess for infiltrate. TECHNIQUE: Single AP upright radiograph of the chest. COMPARISONS: None available."}, {"study_id": "56792891", "subject_id": "19237156", "findings": "Frontal and lateral views of the chest were obtained. Patient is status post median sternotomy. Chain sutures overlie the right mid lung. There is underlying streaky opacity, similar compared to ___ at outside institution. Mild basilar atelectasis is seen. No definite new focal consolidation is seen. The cardiac and mediastinal silhouettes are grossly stable. No overt pulmonary edema is seen.", "impression": "Post-procedural changes again seen. Right-sided chain sutures seen. Mild basilar atelectasis. No definite acute cardiopulmonary process.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Thoracic pain. COMPARISON: ___."}, {"study_id": "59203275", "subject_id": "19118025", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without pleural effusion or pneumothorax. There is left base atelectasis.", "impression": "No acute cardiopulmonary process. Left base atelectasis.", "background": "INDICATION: ___F with dyspnea, chest/flank discomfort // ? acute cardipum process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___."}, {"study_id": "56191757", "subject_id": "15838283", "findings": "Heart size is normal. The mediastinal contours are unchanged with diffuse atherosclerotic calcification of the thoracic aorta noted. Hilar contours are similar with enlargement of the pulmonary arteries bilaterally suggestive of underlying pulmonary arterial hypertension. Severe bullous emphysema is seen with large bulla noted most pronounced in the right lung base. Patchy opacity within the left upper lobe is new in the interval which may reflect an area of infection though underlying neoplasm cannot be excluded. Patchy opacity in the left lung base may also reflect an additional area of infection or atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Surgical anchor is noted in the right humeral head.", "impression": "Marked bullous emphysema. Patchy left upper lobe opacity, new in the interval, may reflect infection, however underlying neoplasm cannot be excluded. Additional patchy left lower lobe opacity may reflect additional site of infection or atelectasis. Followup radiographs after treatment are recommended, and if the finding in the left upper lobe persists, dedicated chest CT is suggested. Pulmonary arterial hypertension.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with dyspnea TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph and ___ chest CT"}, {"study_id": "57696706", "subject_id": "18233606", "findings": "The lungs are clear without focal consolidation, effusion, or edema. There is an 8mm nodular opacity projecting over the left posterior sixth rib. There is also biapical, left greater than right pleural based scarring. Cardiomediastinal silhouette is within normal limits. There is tortuosity of the descending thoracic aorta. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process, no focal consolidation. A 8 mm nodule projecting over left posterior sixth rib. This could be within the bone due to underlying bone island although pulmonary nodules possible. Shallow obliques suggested to further characterize.", "background": "WET READ: ___ ___ ___ 1:48 PM No acute cardiopulmonary process, no focal consolidation. A 8 mm nodule projecting over left posterior sixth rib. This could be within the bone due to underlying bone island although pulmonary nodules possible. Shallow obliques suggested to further characterize. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with cough // evaluate for pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "51460916", "subject_id": "19687577", "findings": "Frontal and lateral views of the chest were obtained. The cardiac silhouette is mildly enlarged. The aorta is calcified. There is eventration of the anterior right hemidiaphragm. Otherwise, there is flattening of the diaphragms, which may be due to chronic obstructive pulmonary disease. No definite focal consolidation is seen. There is right basilar atelectasis. Minimal pulmonary vascular congestion is noted.", "impression": "Enlarged cardiac silhouette with minimal pulmonary vascular congestion. Eventration of the anterior right hemidiaphragm with overlying atelectasis, no definite focal consolidation.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Confusion. COMPARISON: None."}, {"study_id": "59526127", "subject_id": "17343455", "findings": "Frontal and lateral views of the chest were obtained. Subtle opacity along the left heart border is stable as compared to the prior study and may represent atelectasis/scarring or fat pad. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Old fracture deformity of the posterior right eighth rib is again seen, unchanged.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: MS exacerbation. COMPARISON: ___."}, {"study_id": "54697182", "subject_id": "17435854", "findings": "Frontal 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.", "impression": "No evidence of acute cardiopulmonary process.", "background": "INDICATION: Patient with shortness of breath, who is a smoker. COMPARISONS: Chest radiograph ___ ___."}, {"study_id": "59779476", "subject_id": "18203081", "findings": "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.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, left lower low ronchi TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "56751126", "subject_id": "19750498", "findings": "Right moderate pleural effusion have significantly improved and is now minimal. Tiny pneumothorax in right apex measures less than 2 mm. The right-sided PICC line ends at the cavoatrial junction. Left basal atelectasis and small pleural effusion is unchanged. Cardiac contour is normal.", "impression": "Right pleural effusion has significantly improved after thoracocentesis and is now minimal. Right apical pneumothorax is less than 2 mm. Dr. ___ has been verbally contacted for the results.", "background": "PORTABLE AP CHEST X-RAY INDICATION: Patient with bilateral pleural effusions, right thoracocentesis 500 cc out, rule out pneumothorax. COMPARISON: Multiple chest x-rays from ___ to ___."}, {"study_id": "55397287", "subject_id": "17744732", "findings": "Since the prior exam, an orogastric tube has been placed. The tip is in the stomach. An endotracheal tube is in satisfactory position 5.8 cm from the carina. Unchanged retrocardiac and left basilar opacities are most consistent with atelectasis. The lung volumes are low. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The apparent widening of the mediastinum is due to prominent mediastinal fat.", "impression": "New orogastric tube with the tip in the stomach. Otherwise no change.", "background": "INDICATION: New OG-tube. Evaluate placement. TECHNIQUE: Single semi-upright AP view of the chest. COMPARISON: Chest radiograph from ___ at 02:48."}, {"study_id": "50549185", "subject_id": "14489728", "findings": "The lungs are otherwise clear. The heart size is normal. No pneumothorax, pleural effusions, or pulmonary edema. Currently, no pneumonia is seen on this exam.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old woman with low grade fever; patchy density on recent ___ cxr // ? pna TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___, ___"}, {"study_id": "56223911", "subject_id": "19725983", "findings": "The cardiac, mediastinal and hilar contours are unchanged, with the heart size top normal. The pulmonary vascularity is normal. 7 mm calcified granuloma in the left lower lobe is stable. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Arrhythmia. COMPARISON: Chest radiograph ___. CT chest, ___. PORTABLE UPRIGHT AP VIEW OF THE"}, {"study_id": "57212612", "subject_id": "13392263", "findings": "The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Aortic calcifications are noted. Orthopedic hardware seen in the proximal left humerus.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with chest discomfort // eval for ptx or infiltrate TECHNIQUE: PA and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___ per"}, {"study_id": "52101866", "subject_id": "14175615", "findings": "AP view of the chest. Two right-sided chest tubes are unchanged in position. No focal consolidation or pleural effusion. The cardiomediastinal and hilar contours are normal. Small amount of subcutaneous emphysema involving the right chest, also unchanged. No evidence of pneumothorax.", "impression": "No evidence of pneumothorax.", "background": "INDICATION: Spontaneous pneumothorax, status post day 2 of right VATS blebectomy, mechanical and chemical pleurodesis. COMPARISON: ___ at 10:55."}, {"study_id": "50438896", "subject_id": "18166516", "findings": "Patient ___ history of metastatic breast cancer with right mastectomy and local chest wall recurrence, projecting over the right midlung. Volume loss in the left hemi thorax is long-standing, attributable to chronic restrictive pleural thickening in the left lower hemi thorax producing lower lobe atelectasis, accompanied by small volume of persistent pleural effusion. The smaller right pleural effusion and pleural thickening due in part to previous pleurodesis are also unchanged. Chronic peribronchial opacification or consolidation in the right lower lobe improved between ___ and ___ and ___ substantially cleared subsequent. Upper lungs are clear. There is no pneumothorax. Normal cardiomediastinal silhouette is stable. . Right chest port catheter terminates in the right atrium. Metastatic osseous lesions are better seen on CT ___. seen on CT.", "impression": "Continued clearing chronic consolidative abnormality right lower lobe. No pneumonia or evidence of cardiac decompensation. No increase in small bilateral pleural effusions since ___. Bilateral pleural thickening is chronic, unchanged.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with met breast cancer w/ bilateral pleural effusions s/p pleurodesis on R. L effusion with increased SOB/DOE. // evaluate pleural effusion TECHNIQUE: Chest: PA Frontal and Lateral COMPARISON: Chest radiograph ___ through ___. CT chest ___"}, {"study_id": "56098407", "subject_id": "18433119", "findings": "There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "No acute intrathoracic process.", "background": "WET READ: ___ ___ ___ 12:06 PM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with Cough and SOB, evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___."}, {"study_id": "54965874", "subject_id": "12126715", "findings": "One portable AP supine view of the chest. Slight mediastinal widening is due to fat deposition as was seen on prior radiographs and chest CT ___. The previously seen left lower lobe lingular consolidation has resolved. The right lung is clear. There are no new areas of consolidation. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal and hilar contours are normal. No pulmonary vascular congestion.", "impression": "Left lower lobe consolidation has resolved. No new areas of consolidation.", "background": "INDICATION: Psychosis and worsening mental status, elevated white blood cell count, history of pneumonia. Evaluate for aspiration or infection. COMPARISON: Chest radiograph on ___."}, {"study_id": "52554323", "subject_id": "18454049", "findings": "Cardiac silhouette size remains normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Persistent ill-defined opacities within both lung bases are perhaps minimally worse in the interval with probable trace bilateral pleural effusions. No pneumothorax is detected. There are no acute osseous abnormalities. Mild degenerative changes are noted in the lower thoracic spine.", "impression": "Perhaps slight interval worsening of bibasilar ill-defined opacities concerning for aspiration or pneumonia. Trace bilateral pleural effusions.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with recent pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "50440410", "subject_id": "14004292", "findings": "The patient is status post median sternotomy and CABG. The cardiac silhouette is mildly enlarged. The aorta is tortuous. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen.", "impression": "Mild cardiomegaly and tortuous aorta with otherwise no acute cardiopulmonary process.", "background": "HISTORY: Right hip fracture, preop chest radiograph. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None."}, {"study_id": "55920308", "subject_id": "12282606", "findings": "Patient is status post median sternotomy and CABG.No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged cervical spine surgical hardware is noted.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with pleuritic chest pain s/p aflutter ablation // Evaluate for infection TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "54284884", "subject_id": "18263674", "findings": "PA and lateral views of the chest were provided. A right IJ central venous catheter is seen with its tip residing at the level of the low SVC. No pneumothorax, effusion, or signs of pneumonia. Cardiomediastinal silhouette is normal. Bony structures are intact.", "impression": "No acute findings in the chest. Right IJ central venous catheter tip in the low SVC.", "background": "AP UPRIGHT AND LATERAL VIEW OF THE CHEST PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Nausea, question pneumonia."}, {"study_id": "54046435", "subject_id": "16289299", "findings": "There is atelectasis at the right lung base. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.", "impression": "Atelectasis at the right lung base. No focal consolidation.", "background": "INDICATION: ___F with chills/fevers 2 weeks s/p L-spine surgery. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___"}, {"study_id": "59503743", "subject_id": "14169242", "findings": "The lung volumes are low. Atelectasis at both bases. There is no focus of consolidation, large effusion or pneumothorax. The mild cardiomegaly is accentuated by low lung volumes.", "impression": "Low lung volumes and bibasilar atelectasis.", "background": "INDICATION: ___-year-old man with hypoxia, evaluate for right lower lobe infiltrate. COMPARISON: ___."}, {"study_id": "51942374", "subject_id": "11251476", "findings": "Re- demonstrated is mild enlargement of cardiac silhouette. The aortic knob is densely calcified. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. There is hyperinflation of lungs with flattening of the diaphragms is compatible with COPD. Linear opacities at the lung bases are compatible with scarring and bronchiectatic changes, similar compared to the previous exam. No pleural effusion or pneumothorax is present.", "impression": "No acute cardiopulmonary abnormality. Unchanged bronchiectasis within the lung bases.", "background": "HISTORY: Hypoxia. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___ and ___."}, {"study_id": "50450832", "subject_id": "13793458", "findings": "Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is demonstrated without overt pulmonary edema. Minimal streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are seen in the thoracic spine.", "impression": "Low lung volumes with mild bibasilar atelectasis.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with ALS UMN restrictive disease now with hypoxia, dyspnea, tachypnea, cough x several days TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ at 12:50"}, {"study_id": "58546051", "subject_id": "14702147", "findings": "PA and lateral views of the chest provided. Low lung volumes limits assessment. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No evidence of congestion or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cp // ? infectious process, ptx COMPARISON: None"}, {"study_id": "51731789", "subject_id": "13109707", "findings": "Frontal and lateral views of the chest were obtained. Linear atelectasis or scarring in the left lung base and inferior lingula is unchanged from ___. No new opacity is seen. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest pain, history of HIV. COMPARISON: CXR ___."}, {"study_id": "55768935", "subject_id": "13244322", "findings": "Lung volumes are low. The patient's chin obscures the lung apices. Lordotic positioning of the patient slightly limits assessment. Heart size is moderately enlarged, and accentuated due to low lung volumes. The aorta is calcified and tortuous. Mediastinal contours are unchanged with re- demonstration of rightward deviation of the upper trachea. There is crowding of the bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema. Streaky bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. The patient is status post vertebroplasty of a lumbar vertebral body. Multilevel degenerative changes are noted in the imaged spine.", "impression": "Low lung volumes with bibasilar atelectasis and possible mild pulmonary vascular congestion.", "background": "HISTORY: Chest pain, bilateral crackles. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___."}, {"study_id": "59557889", "subject_id": "10536742", "findings": "Heart size, mediastinal and hilar contours are normal. Lungs are clear except for unchanged minimal biapical scarring. Small pleural effusions are present bilaterally.", "impression": "No radiographic evidence of pneumonia. Small bilateral pleural effusions, also present on recent abdominal CT.", "background": "PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph."}, {"study_id": "52402402", "subject_id": "13852361", "findings": "Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no acute osseous abnormality.", "impression": "No evidence of pneumonia.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___ -year-old woman with productive cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___."}, {"study_id": "54139215", "subject_id": "17722165", "findings": "A frontal chest radiograph demonstrates unremarkable cardiomediastinal contours. There is a prominence of the bilateral pulmonary arteries suggesting underlying pulmonary arterial hypertension. No focal opacification concerning for pneumonia identified. No pulmonary edema present. No pleural effusions noted. No osseous abnormality present. Aortic balloon pump terminates in the aorta.", "impression": "Possible pulmonary arterial hypertension. No pulmonary edema.", "background": "INDICATION: NSTEMI, shortness of breath. Evaluate for pulmonary edema. COMPARISON: No prior studies available for comparison."}, {"study_id": "56771002", "subject_id": "15246174", "findings": "Single supine AP portable view of the chest was obtained. Endotracheal tube is seen terminating approximately 1.8 cm above the level of the carina; recommend withdrawal by approximately 2 cm. Nasogastric tube is seen coursing below the level of the diaphragm, distal aspect not included on the image. Patchy left infrahilar opacity is seen, more confluent compared to the prior study which could relate to underlying aspiration. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The aorta is calcified and tortuous. No evidence of displaced fracture is seen.", "impression": "Endotracheal tube terminates approximately 1.8 cm below the level of the carina, recommend withdrawal by approximately 2 cm for more optimal positioning. Nasogastric tube is seen coursing below the level of the diaphragm, distal aspect not included on the image. Left infrahilar and left retrocardiac patchy opacity not well defined on the prior study earlier this same date, query aspiration. A page was placed to ___ on 9:15 p.m. at time of image interpretation without callback currently at 9:21PM. Wet read was then placed at 9:22 p.m. on ___.", "background": "WET READ: ___ ___ ___ 9:23 PM ETT 1.8 cm above carina, rec withdrawal by ~ 2 cm. on prior OSH CXR, ETT terminated in right mainstem bronchus. NGT courses below diaphragm, distal aspect not included on image. -Left infrahilar + retrocardiac patchy opacity, not clearly defined on OSH CXR, possible aspiration. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAM: Single supine AP portable view. CLINICAL INFORMATION: ___-year-old female with history of intracranial hemorrhage, intubated. COMPARISON: None. No prior study is available for comparison. Reference made to outside hospital radiographs from ___ performed earlier the same date, ___ at 17:42."}, {"study_id": "57985730", "subject_id": "15672432", "findings": "When compared to ___ chest radiograph, the pulmonary vascular congestion, cephalization of pulmonary vessels, diffuse bilateral interstitial edema, and moderate size left pleural effusion have improved. Bilateral small pleural effusions persist (left greater than right.). There is interval worsening of the right basal atelectasis and severe persistent left basilar atelectasis. Post-cardiothoracic surgery mediastinal changes are stable. The tip of the right IJ terminates in the upper right atrium.", "impression": "Interval improvement of left moderate size pleural effusion however bilateral small pleural effusions persist (left greater than right). Interval worsening of right basal atelectasis and persistent severe left lower lung atelectasis. Stable cardiomegaly, pulmonary vascular congestion, and cephalization of pulmonary vessels without overt pulmonary edema.", "background": "INDICATION: ___ year old man with s/p CABG // f/u effusions, atx TECHNIQUE: Chest PA and lateral COMPARISON: ___ AP upright chest radiograph."}, {"study_id": "58750139", "subject_id": "19837032", "findings": "Frontal and lateral chest radiographs demonstrate interval development of a large predominantly gas-containing hydropneumothorax. No right-sided effusion or pneumothorax evident. Lungs are clear. Cardiomediastinal and hilar contours are unremarkable. New ICD lines are well positioned and continuous.", "impression": "New large left hydropneumothorax, predominantly gas. Well-positioned lines. ___ discussed these findings with interventional pulmonary fellow, at 10:30 a.m. on ___ at time of interpretation.", "background": "INDICATION: Status post ICD right ventricle lead implant. Please assess lead positions. COMPARISON: Comparison is made to chest radiograph performed ___."}, {"study_id": "53889705", "subject_id": "19529371", "findings": "Single AP view of the chest provided. Right chest tube is in stable position. No pneumothorax. Moderate right pleural effusion and moderate atelectasis of the right middle and lower lobe is unchanged. Mild platelike atelectasis at the left lung base is unchanged. Postsurgical changes are stable.", "impression": "Postsurgical changes are stable. Moderate atelectasis at the right lung base and midlung are unchanged. No significant changes from the previous examination.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/ worsening dysphagia from 3cm GE junction mass s/p MIE(abdominothoracic exposure, cervical anastomosis) and JT // Interval change. Eval for pneumonia/source of fever. COMPARISON: Chest radiograph ___"}, {"study_id": "59627445", "subject_id": "11752817", "findings": "Since ___, the large right pleural effusion and adjacent atelectasis is increased. The vasculature in the left lung appears more congested with mild edema. Left basilar atelectasis is increased. A small left pleural effusion is probable. Rightward midline shift is again appreciated. Moderate cardiomegaly is worse. No pneumothorax.", "impression": "Large right pleural effusion with adjacent atelectasis is increased, mild edema is new in the left lung, and moderate cardiomegaly is worse, compatible with volume overload.", "background": "EXAMINATION: Chest radiograph INDICATION: ___ year old man with cirrhosis, volume overload, chronic right empyema (s/p rib resection ___ // Please assess for interval change TECHNIQUE: Portable AP chest radiograph COMPARISON: prior chest radiographs from ___, ___, ___, ___ CT chest with contrast from ___"}, {"study_id": "50873003", "subject_id": "14646636", "findings": "Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with foreign body sensation. Evaluate for foreign body. COMPARISON: Chest radiograph of ___."}, {"study_id": "56436088", "subject_id": "19921471", "findings": "Elevation of left hemidiaphragm is as seen on prior. Right basilar and right apical surgical chain sutures are again seen. Lucency at the right lung base and coarsened interstitial markings are compatible with emphysema. Scattered nodular opacities again seen throughout the lungs not significantly changed since recent chest x-ray but progressed since ___. No new confluent consolidation or large effusion. The cardiomediastinal silhouette is unchanged. Posterior left rib fractures are old.", "impression": "No acute cardiopulmonary process. Nonurgent chest CT is suggested to evaluate the bilateral nodular opacities present on recent chest x-ray but new since ___.", "background": "INDICATION: ___M with COPD, CAD p/w suddent onset chest pressure, dyspnea on exertion (h/p right partial lobectomy in past) // evaluate for PNA, PTX TECHNIQUE: Single portable view of the chest COMPARISON: ___. ___."}, {"study_id": "52521454", "subject_id": "10895149", "findings": "Diffuse increased pulmonary vascular caliber and cephalization compared to the prior exam. Cardiomegaly, new since ___. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. Stable appearance of the tortuous descending aorta. Normal mediastinal contours. Diffuse bony demineralization.", "impression": "Mild congestive heart failure. No pneumonia.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with COPD, remote tobacco (quit ___ years ago), afib, with recent increase in shortness of breath. Evaluate for any infiltrate or edema? COMPARISON: Chest radiograph dated ___."}, {"study_id": "53244919", "subject_id": "13246084", "findings": "There is been interval placement of a pigtail pleural catheter. Unchanged marked lucent lung on the right, worse compared to the prior study with even a fewer lung marking. Severe emphysema in the left lung. Cardiomediastinal silhouette and hilar contours are unchanged. There is no large pleural effusion.", "impression": "Interval placement of a right pigtail pleural catheter with even fewer lung markings and no improvement in the right pneumothorax.", "background": "INDICATION: History: ___M with post chest tube placement for R PTX // Eval for PTX TECHNIQUE: Single AP view of the chest. COMPARISON: Same day chest x-ray performed at 00:33"}, {"study_id": "50381424", "subject_id": "17819260", "findings": "PA and lateral chest radiographs were obtained. The lungs are well expanded. There is no focal consolidation, effusion, or pneumothorax. A vague 1.5 nodule projects over the right clavicle, not seen on the ___ exam. Moderate cardiomegaly is unchanged. A large hiatal hernia contains multiple loops of bowel and air fluid level. On prior CT this hernia containing both stomach and colon.", "impression": "No acute cardiopulmonary process Large hiatal hernia. Possible right apical lung nodule. An AP lordotic view is suggested for further evaluation. This recommendation was discussed with Dr ___ ___ phone at ___ on ___.", "background": "HISTORY: Syncope. COMPARISON: CT ___, radiograph ___."}, {"study_id": "56936492", "subject_id": "12298456", "findings": "AP chest radiograph. The lungs are hyperinflated. However, there is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Acute abdominal pain. COMPARISON: ___."}, {"study_id": "54892027", "subject_id": "12471831", "findings": "Heart size is top normal, exaggerated by low lung volumes. Cardiomediastinal contours are stable. Increased retrocardiac opacity may represent atelectasis, but is compatible with infection in the appropriate clinical setting. No substantial pleural effusion or pneumothorax. Right PICC terminates in the upper SVC. Left humeral head screws are in stable position.", "impression": "New retrocardiac opacity may represent atelectasis but could represent infection in the appropriate clinical setting.", "background": "HISTORY: Altered mental status. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___ chest radiograph."}, {"study_id": "56820799", "subject_id": "10065383", "findings": "Frontal radiograph of the chest again demonstrates appropriate positioning of endotracheal tube, enteric tube, internal jugular line, and left pleural catheter. Compared to the prior study, there is no interval change in the left pneumothorax. Diffuse bilateral alveolar opacities continue.", "impression": "No interval change in left pneumothorax.", "background": "HISTORY: Refractory hypoxemic respiratory failure secondary to ARDS. Status post chest tube placement. Evaluate for interval change in pneumothorax. COMPARISON: ___ at 8:22 a.m."}, {"study_id": "55460202", "subject_id": "11390565", "findings": "Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy opacities are noted in the lung bases, which could reflect atelectasis or pneumonia. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.", "impression": "Patchy bibasilar airspace opacities, potentially atelectasis but infection cannot be excluded in the correct clinical setting.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "51992781", "subject_id": "11424467", "findings": "No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Subtle opacity projecting over the lateral right upper chest has been present since at least ___.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sob and cough // r/o infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Multiple priors including ___, ___"}, {"study_id": "51238017", "subject_id": "15573438", "findings": "Patient is status post median sternotomy. Mild to moderate cardiomegaly persists. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mediastinal contours are stable. Hilar contours are stable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with CP, DOE // acute process for CP, DOE TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "56280236", "subject_id": "18921221", "findings": "The lungs are clear. Cardiac silhouette is normal. Hilar contours unremarkable. No pleural effusion, pneumothorax pneumonia, pulmonary edema.", "impression": "No evidence of acute cardiopulmonary process.", "background": "HISTORY: Chest pain. TECHNIQUE: PA and lateral views of chest. COMPARISON: ___."}, {"study_id": "58778357", "subject_id": "12567919", "findings": "The heart size is mildly enlarged, similar compared to the prior study. There is mild pulmonary vascular congestion. Mediastinal and hilar contours are unchanged. No pleural effusion or pneumothorax is seen. No focal consolidation is identified. No acute osseous abnormalities demonstrated. Degenerative changes are seen involving both shoulders.", "impression": "Mild pulmonary vascular congestion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with altered mental status TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___"}, {"study_id": "54740250", "subject_id": "19352450", "findings": "As compared to the prior examination dated ___, there has been no significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.", "impression": "No evidence of acute cardiopulmonary process.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___F with h/o asthma, p/w SOB // eval for acute cardiopulmonary pathology, pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___, CT chest dated ___."}, {"study_id": "53121161", "subject_id": "11044665", "findings": "Low lung volumes are low. The cardiac silhouette size remains borderline enlarged, unchanged. Mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Left-sided chest pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___."}, {"study_id": "59239762", "subject_id": "15874317", "findings": "Left-sided dual-chamber pacemaker device is noted with leads projecting in the right atrium and ventricle, unchanged. The cardiac silhouette size is normal. The aortic knob is markedly calcified. The mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is identified. Pulmonary vascularity is normal. Minimal biapical pleural scarring is seen. There are no acute osseous abnormalities. Remote right-sided rib fractures are noted.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Fall with complaint of right thoracic pain. COMPARISON: ___. PA AND LATERAL VIEWS OF THE"}, {"study_id": "51959696", "subject_id": "17574863", "findings": "Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Small right lung base consolidation is better assessed on the CT exam of the same date. Dual-chamber dialysis catheter terminates in the right atrium. Right-sided PIC catheter has been removed.", "impression": "Small right lung base consolidation is better demonstrated on CT exam of the same date, concerning for aspiration or infection in the appropriate clinical setting, although alternatively the residual of larger atelectasis when subphrenic infection was present.", "background": "INDICATION: Four-day history of hiccups. Assess for pneumonia. COMPARISONS: CT abdomen and pelvis of the same date. Chest radiograph of ___."}, {"study_id": "53005870", "subject_id": "14976423", "findings": "Small right apical pneumothorax is no longer apparent. Small right pleural effusion has slightly increased. Bilateral lower lung air bronchograms developed abruptly on ___ and have not cleared. Heart and mediastinal contours are stable. Right pleural catheter and right central venous catheter appear similarly positioned. An enteric catheter courses below the diaphragm with tip out of view.", "impression": "Right apical pneumothorax no longer apparent; if present, it is very small. Bilateral lower lung consolidations, persistent since ___, concerning for pneumonia. Increased right pleural effusion. Findings discussed with ___ by ___ by telephone at 11:11 a.m. on ___ after attending radiologist review.", "background": "INDICATION: ___-year-old male with pneumothorax status post chest tube placement, now to waterseal. COMPARISON: ___. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in a semi-upright position."}, {"study_id": "58166926", "subject_id": "14690931", "findings": "AP upright and lateral views of the chest were provided. Lungs are hyperinflated, compatible with COPD. A vague nodular opacity projects over the right lower lung which could represent suprasternal overlying density, though a true nodule is not excluded. No signs of pneumonia or CHF. No effusion or pneumothorax. Prominent retrosternal clear space is also noted, compatible with COPD. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.", "impression": "COPD with tiny nodular opacity in the right lower lung, for which non-emergent CT of the chest is recommended for further evaluation.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Cough and shortness of breath."}, {"study_id": "53183554", "subject_id": "19343878", "findings": "There is some mild improvement with decreased central vascular engorgement and slight decrease in cardiac silhouette. There is a small left pleural effusion and mild pulmonary vascular redistribution.", "impression": "Changing appearance of mild CHF.", "background": "WET READ: ___ ___ ___ 6:07 PM Mild improvement of interstitial pulmonary edema. No other significant interval change. ______________________________________________________________________________ FINAL REPORT CHEST ON ___ HISTORY: Pulmonary edema with fever."}, {"study_id": "57477344", "subject_id": "11717901", "findings": "Lung volumes are lower since the prior study, however the lungs are clear. Heart size is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: History: ___F with SOB, fever // eval for PNA TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiographs ___"}, {"study_id": "56318795", "subject_id": "13053520", "findings": "The lungs are clear with no evidence of a consolidation, effusion, or pnemothorax. Cardiomediastinal silhouette is within normal limits. No acute fractures are identified.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Postoperative fever. COMPARISON: None available."}, {"study_id": "59902138", "subject_id": "12656773", "findings": "Heart size is upper limits of normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are remarkable for a subtle area of increased opacity in left retrocardiac region, projecting over the lower thoracic spine on the lateral view. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.", "impression": "Left lower lobe posterior basilar opacity, concerning for pneumonia in the setting of a COPD exacerbation.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with COPD/asthma being treated for exacerbation that is resistant to conventional therapy. // please evaluate for infectious process TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "57260336", "subject_id": "13944280", "findings": "PA and lateral views of the chest were obtained. There is no focal consolidation, large effusion, or pneumothorax. There is interstitial prominence which could reflect interstitial edema or an atypical infection. Cardiomediastinal silhouette is stable. Bony structures are intact.", "impression": "Interstitial prominence which could reflect edema or atypical infection. Correlate clinically.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Fever, assess for pneumonia."}, {"study_id": "53397107", "subject_id": "17547554", "findings": "There is an ill-defined rounded opacity in the left upper lobe, which measures 19 mm. This mass was previously characterized on the CT of the chest. There is a second ill-defined rounded lesion in the right upper lobe, which measures 12 mm, and may be a second nodule or a fibrotic conglomerate. This is stable also stable. There is new mild pulmonary edema. There are small bilateral pleural effusions, larger on the left than the right, which are stable. The aorta is tortuous, and unchanged. The heart size is normal. The bones are diffusely dimineralized and difficult to evaluate.", "impression": "New mild pulmonary edema. Stable small bilateral pleural effusions, slightly greater on the left than the right. Stable left upper lobe nodule and ill-defined right upper lobe opacity which may be a second nodule or a fibrotic conglomerate.", "background": "INDICATION: UTI. Evaluate for pneumonia. COMPARISONS: Chest radiograph ___. CT chest ___."}, {"study_id": "56668894", "subject_id": "10993119", "findings": "The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The thoracic aorta remains moderately tortuous. The cardiomediastinal silhouette is otherwise within normal limits and unchanged. No acute osseous abnormality is detected. There is generalized mild loss of height of several mid-to-lower vertebral bodies without compression fracture deformity.", "impression": "No focal consolidation concerning for pneumonia.", "background": "INDICATION: ___-year-old woman with two-week history of productive cough and fatigue, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest."}, {"study_id": "55317175", "subject_id": "16422482", "findings": "Frontal and lateral views of the chest were obtained. Dual-lead left-sided pacemaker is again seen, unchanged in position. Diffuse prominence of the hila and bilateral interstitial markings consistent with pulmonary edema. Left greater than right small bilateral pleural effusions are seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged and the aorta calcified. Left base retrocardiac opacity may relate to prominent vasculature and pleural effusions, although underlying consolidation from infection cannot be entirely excluded.", "impression": "Pulmonary edema and small left greater than right bilateral pleural effusions. Subtle left retrocardiac opacity may relate to edema and pleural effusions, although underlying consolidation from infection cannot be excluded in the appropriate clinical setting. Additionally, on the lateral view, more focal opacity projecting over the anterior cardiac silhouette, not well localized on the frontal view, consolidation from infection not excluded.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of increased tiredness, clear on exam. COMPARISON: ___."}, {"study_id": "55473478", "subject_id": "11607518", "findings": "PA and lateral views of the chest. Again seen is a region of consolidation in the left lower lobe compatible with pneumonia as previously described. There is no new region of consolidation nor effusion. Cardiomediastinal silhouette is unchanged noting cardiac enlargement and a prosthetic mitral valve. No acute osseous abnormalities detected.", "impression": "Persistent left lower lobe consolidation compatible with pneumonia. No new region of consolidation. As previously advised, follow up is recommended after treatment to document resolution.", "background": "HISTORY: ___-year-old female with pneumonia now with continued fever cough and chills. COMPARISON: ___."}, {"study_id": "55940834", "subject_id": "19643415", "findings": "A left Port-A-Cath is stable in position, terminating in the SVC. The cardiac silhouette is stable in size. There are coarse bronchovascular markings without focal consolidation, pleural effusion or pneumothorax. No overt pulmonary edema is seen. Chronic bilateral rib deformities are noted, and degenerative changes of the thoracic spine are seen.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with fall, loss of conscious, right shoulder and rib pain. Evaluate for injury. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___."}, {"study_id": "50727667", "subject_id": "17961065", "findings": "Frontal and lateral views of the chest were obtained. Lingular atelectasis/scarring is seen. There is no focal consolidation, pleural effusion or evidence of pneumothorax. A right-sided VP shunt is seen coursing over the right thorax into the right upper quadrant. The cardiac and mediastinal silhouettes are stable and unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Altered mental status, headache. COMPARISON: ___."}, {"study_id": "59148830", "subject_id": "17065920", "findings": "Frontal and lateral chest radiographs Cardiomediastinal silhouette is not enlarged. Aorta is minimally unfolded. The lungs are well-aerated, without CHF, focal consolidation, pleural effusion, or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluate for acute process in a patient with cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___."}, {"study_id": "56350910", "subject_id": "17946856", "findings": "The lateral view is somewhat suboptimal as the patient is somewhat oblique. Otherwise, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No definite acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, fever, reported RML pneumonia at rehab // presence of infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___"}, {"study_id": "51044620", "subject_id": "17302319", "findings": "Small right apical pneumothorax and a small right pleural effusion, are stable since ___. Right-sided chest tube is unchanged in position terminating in the right basal pleural space. Heterogeneous areas of consolidation in both lungs, predominantly seen in the lower lobes, have not significantly changed and likely represent asymmetric pulmonary edema, less likely infection. The cardiomediastinal and hilar contours are stable. Small left pleural effusion and moderate left basal atelectasis are unchanged. A right upper extremity PICC terminates at the level of the upper SVC.", "impression": "Small right apical pneumothorax, stable since ___. Bilateral pulmonary consolidations, predominant in the lower lobes, likely represent asymmetric pulmonary edema, less likely infection.", "background": "INDICATION: ___-year-old man with right-sided pneumothorax, to assess interval change. COMPARISON: Chest radiograph, ___. PORTABLE AP CHEST"}, {"study_id": "58355816", "subject_id": "13930547", "findings": "Increased interstitial markings bilaterally are re- demonstrated in this patient with chronic interstitial lung disease. Superimposed mild edema not excluded. No focal consolidation is seen. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "impression": "Re- demonstrated increased interstitial markings bilaterally in this patient with chronic interstitial lung disease, superimposed mild edema not excluded.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/tachycardia, afib, please eval for pna // ___F w/tachycardia, afib, please eval for pna TECHNIQUE: Single frontal view of the chest COMPARISON: ___ and ___"}, {"study_id": "57236334", "subject_id": "13919890", "findings": "There are persistent bilateral pleural effusions however the right-sided effusion has decreased and is now small. No pneumothorax seen. Bibasilar atelectasis persists. A right-sided dialysis catheter and thoracic he prior stents are unchanged in appearance. Previous median sternotomy noted.", "impression": "Interval decrease in size of the right pleural effusion. Otherwise, no change", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p right sided thoracentesis // r/o R PTX TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph obtained earlier on the same date."}, {"study_id": "51767190", "subject_id": "13843083", "findings": "There is increased opacity at right lung base which could be due to atelectasis, however pneumonia is possible in correct clinical setting. There is mild pulmonary edema. Mildly enlarged cardiomediastinal silhouette is similar to prior. Large hiatal hernia is again noted. Left pectoral pacemaker leads terminate at the right ventricle and right atrium.", "impression": "Increased opacity at right lung base could be due to atelectasis, however pneumonia cannot be ruled out.", "background": "INDICATION: ___ y/o male with a PMH of dementia, recurrent aspiration s/p J-tube placement, recurrent UTIs and PNA, now with fever // evaluate for pneumonia EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___"}, {"study_id": "53320690", "subject_id": "19358609", "findings": "The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.", "impression": "Interval resolution of pneumonia.", "background": "EXAMINATION: PA and lateral chest radiograph INDICATION: ___ year old man with history of lung cancer status post left upper lobectomy and recent multifocal pneumonia. Evaluate for resolution of pneumonia. COMPARISON: Chest radiograph dated ___ and ___. CT chest dated ___."}, {"study_id": "52024001", "subject_id": "15993654", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with non productive persistent cough x 3 days. // pna? COMPARISON: None"}, {"study_id": "54240463", "subject_id": "10803114", "findings": "A large subpulmonic effusion is present on the right with associated atelectasis. The heart size is at the upper limits of normal and the visualized mediastinal and hilar contours are within normal limits. The left lung is clear. There is no pneumothorax. Two locules of gas in the left upper abdomen represent the gastric bubble and splenic flexure of the colon.", "impression": "Large right pleural effusion with associated atelectasis.", "background": "HISTORY: ___-year-old male with decreased breath sounds in the right lower lobe. STUDY: PA and lateral chest radiograph. COMPARISON: ___."}, {"study_id": "52827086", "subject_id": "15533068", "findings": "There is a small linear opacity at the left base, which likely represents atelectasis. The lungs are otherwise clear. There is no consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.", "impression": "No acute cardiopulmonary process; specifically, no evidence of pneumonia.", "background": "INDICATION: New neurologic symptoms. Evaluate for pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "58550896", "subject_id": "18591280", "findings": "The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: LOW-GRADE FEVER. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: None."}, {"study_id": "57533453", "subject_id": "16657198", "findings": "Mild cardiomegaly is re-demonstrated. There is central pulmonary vascular congestion with mild interstitial pulmonary edema. Lungs are otherwise without focal consolidation. Pleural surfaces are clear without effusion or pneumothorax. Right shoulder arthroplasty is partially visualized. Right PICC no longer seen.", "impression": "Mild cardiomegaly with mild interstitial pulmonary edema.", "background": "HISTORY: Dyspnea on exertion. COMPARISON: ___. TECHNIQUE: AP and lateral chest radiograph, two views."}, {"study_id": "56708241", "subject_id": "10016832", "findings": "Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion and no pneumothorax. Lap band is seen within the abdomen in similar angle and position to ___ study.", "impression": "No acute cardiopulmonary process. Lap band noted to be in similar angle and position to the ___ study.", "background": "HISTORY: ___-year-old woman status post lap band, now with vomiting and regurgitation. Please evaluate lap band migration. COMPARISON: Upper GI series from ___ and chest x-ray from ___. PA AND LATERAL VIEWS OF THE"}, {"study_id": "50641498", "subject_id": "18200435", "findings": "Frontal and lateral radiographs of the chest show appropriate inspiratory lung volumes. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is eventration of the anterior right hemidiaphragm.", "impression": "No acute cardiopulmonary process. Findings were communicated by Dr. ___ to Dr. ___ by phone at 12:20 p.m. on ___.", "background": "INDICATION: ___-year-old female with ___ week history of cough and diffuse wheezing, here to evaluate for pneumonia. COMPARISON: No prior studies available."}, {"study_id": "59521336", "subject_id": "17135687", "findings": "2 right-sided chest tubes with moderate right pneumothorax are again visualized. Left-sided chest tube is seen with dramatic decrease in the left pleural effusion. There is still small residual pleural effusion layering posteriorly. There is volume loss in the left lower lung. There is volume loss/ infiltrate in the right lower lung. The tracheostomy tube is unchanged. NG tube tip is in the stomach. 2 bullets are seen 1 on each side of the chest it is a bullet fragments in the midline", "impression": "Interval marked decrease in the pleural effusion on the left", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with GSWs, b/l CT (R to H2O seal this PM), now s/p bronch // interval change TECHNIQUE: Portable chest COMPARISON: ___"}, {"study_id": "58967919", "subject_id": "10995645", "findings": "PA and lateral views of the chest were obtained. Port-A-Cath resides over the right chest wall with catheter tip extending into the superior vena cava. Linear densities within both lungs are most compatible with atelectasis, though the possibility of early pneumonia is difficult to exclude. No large pleural effusion is seen. No free air below the right hemidiaphragm. The cardiomediastinal silhouette is stable. Bony structures are intact.", "impression": "Bilateral linear streaky opacities most compatible with atelectasis, though cannot exclude an early pneumonia. No free air below the right hemidiaphragm.", "background": "CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Metastatic prostate cancer, chemotherapy, cough and temperature to ___.3, assess for pneumonia."}, {"study_id": "54460463", "subject_id": "10749429", "findings": "Portable supine frontal view of the chest. The study is limited due to patient positioning. A nasogastric tube terminates in the stomach. The endotracheal tube terminates 5.5 cm above the carina. There are midline sternotomy wires. There is a left pleural effusion above a severely elevated left hemidiaphragm. A right internal jugular line ends in the mid SVC. Left posterior rib fractures are healed; the nondisplaced lateral fractures shown on the subsequent torso CT are not visible on this conventional . The heart size is normal.", "impression": "Moderate left pleural effusion, left lower lobe atelectasis, elevated left hemidiaphragm, chronicity indeterminate.", "background": "___ ___ M ___ [E] Date: ___ Ref Dr: ___ CHEST (PORTABLE AP) Final: HISTORY: Cardiac arrest and metastatic lung cancer. Evaluation of ET tube placement. COMPARISON: Outside hospital chest radiograph performed ___."}, {"study_id": "54266653", "subject_id": "19366541", "findings": "Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.", "impression": "No radiographic explanation for chest pain.", "background": "INDICATION: ___M with left anterior chest pain, evaluate for pneumothorax.. COMPARISON: None Available. TECHNIQUE Frontal and lateral view of the chest."}, {"study_id": "53109482", "subject_id": "12535940", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with epigastric pain // ? pna COMPARISON: ___ and PET-CT from ___."}, {"study_id": "57237712", "subject_id": "18136887", "findings": "The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. \\", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with sob // ? ptx TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "59156463", "subject_id": "12724628", "findings": "Portable chest radiograph demonstrates unremarkable mediastinal and hilar contours. Rounded opacity projecting over the right heart border likely represents combination of rounded atelectasis and prominent pericardial fat pad evident on the ___ CT. Bibasilar atelectasis is evident. Minimal blunting of the bilateral costophrenic angles likely due to small pleural effusions. The sideport of the NGT is at the GE junction.", "impression": "Small bilateral pleural effusions. No overt pulmonary edema or evidence of pneumonia. NGT with sideport at GE junction. Recommend advancing 3-4 cm.", "background": "INDICATION: Patient with subtotal gastrectomy, now with hypoxia. Please assess for interval change. COMPARISON: Comparison is made to CT torso performed ___ and chest radiograph performed ___."}, {"study_id": "53324418", "subject_id": "12645334", "findings": "Frontal and lateral views of the chest were obtained. There are low lung volumes, which accentuate the bronchovascular markings. There is minimal interstitial edema. Basilar opacities are seen on the frontal view, not substantiated on the lateral view and may relate to bibasilar atelectasis with prominent vascular structures, although underlying infection or aspiration is not excluded, although felt less likely. The cardiac silhouette is top normal to mildly enlarged. The aorta is tortuous and calcified. Evidence of DISH is seen along the thoracic spine.", "impression": "Low lung volumes accentuate the bronchovascular markings. Mild prominence of the interstitial markings raises concern for mild interstitial edema. Bibasilar, right greater than left opacities seen on the frontal view may be due to combination of overlying vascular structures; however, underlying consolidation from infection or aspiration is not excluded.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Patient with altered mental status, likely hepatic encephalopathy. COMPARISON: ___."}, {"study_id": "57666354", "subject_id": "11798500", "findings": "There is persistent, severe pneumomediastinum and diffuse subcutaneous emphysema, minimally changed from the prior examination. Mild-moderate cardiomegaly is unchanged. Possible, small, bilateral pleural effusions are noted. A right pigtail drainage catheter is unchanged in location. Minimal, interval progression of a diffuse, mixed airspace and interstitial and airspace abnormality.", "impression": "Persistent, minimally changed, severe pneumomediastinum and diffuse subcutaneous emphysema. Moderately-severe of a diffuse, mixed airspace and interstitial abnormality.", "background": "EXAMINATION: Chest radiograph. INDICATION: ___ year old man with AML s/p allo intubated for resp failure // Assess for PTX and worsening SC air TECHNIQUE: Chest PA and lateral COMPARISON: ___."}, {"study_id": "52766537", "subject_id": "10321763", "findings": "The heart size is normal. The hila and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.", "impression": "No acute intrathoracic abnormalities identified.", "background": "INDICATION: History: ___F s/p fall yesterday // eval for fracture or dislocation TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "50765736", "subject_id": "11378357", "findings": "Right lower lobe pneumonia has substantially improved. However, there is a new right upper lobe airspace opacity which may be due to infection in the appropriate clinical setting. Symmetric biapical pleural scarring is unchanged. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Mild spinal degenerative changes are present.", "impression": "New right upper lobe airspace opacity which is worrisome for pneumonia or focal aspiration.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with h/o RLL pneumonia in ___, returns with dry cough and feeling cold. Evaluate for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___."}, {"study_id": "57076046", "subject_id": "14642114", "findings": "Moderate cardiomegaly is unchanged since the prior study. The hilar and mediastinal contours are stable, with multiple mediastinal surgical clips indicating CABG. A right internal jugular approach dialysis catheter ends in the right atrium. A right chest wall pacer ICD device is seen with the leads in expected position of the right atrium and right ventricle. The right lower lung fields are obscured by the pacer. Mild pulmonary edema is present. No consolidation, pleural effusion or pneumothorax is seen.", "impression": "Moderate cardiomegaly and mild pulmonary edema. No evidence of pneumonia.", "background": "INDICATION: ___-year-old woman with congestive heart failure, CAD and CKD, now presents with lethargy and fever, to rule out pneumonia. COMPARISON: Chest radiograph, ___. PORTABLE AP CHEST"}, {"study_id": "56037454", "subject_id": "16076182", "findings": "PA and lateral views of the chest are obtained. The previously identified cardiomegaly and elongated and tortuous aorta are again demonstrated and are unchanged since the prior study. There is no evidence of focal consolidation, pleural effusion or significant pulmonary edema.", "impression": "No acute cardiopulmonary disease.", "background": "INDICATION: ___-year-old female with left anterior chest wall discomfort. Evaluation for pulmonary pathology. COMPARISON: Comparison is made to radiographs of the chest from ___."}, {"study_id": "54814774", "subject_id": "13181123", "findings": "There are low lung volumes and elevation of the right hemidiaphragm with overlying right basilar atelectasis. No definite focal consolidation is seen. No large pleural effusion or pneumothorax is seen. The cardiac mediastinal silhouettes are stable. Chronic healed lateral left-sided rib fractures again noted.", "impression": "Right base atelectasis. Anterior eventration/ elevation of the right hemidiaphragm.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // ?cause for chest pain TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___"}, {"study_id": "51143420", "subject_id": "17825043", "findings": "Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Minimal degenerative spurring is seen in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with hypertension, diabetes mellitus 2 with 2 days of sudden onset substernal chest pain that started at rest, non reproducible, non positional, but aggravated with exertion. TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph"}, {"study_id": "52583061", "subject_id": "11831106", "findings": "Compared with prior radiographs of ___, there is continued volume loss in the right lung, with subsegmental atelectasis at the right lung base, and increased aeration in the left lower lung with improved visualization of the left hemidiaphragm. There is no new focal consolidation. Cardiomegaly is unchanged.", "impression": "Right sided volume loss with subsegmental atelectasis, and improved aeration at the left lung base. No pneumonia.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with leukocytosis s/p lumbar fusion // eval pna TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___"}, {"study_id": "52221247", "subject_id": "16686301", "findings": "There has been interval appearance of a 5.5-6cm right perihilar opacity which which is concerning for malignancy or lymphadenopathy, less likely an infectious process. Further imaging evaluation with dedicated chest CT is recommended. The heart is normal in size. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.", "impression": "Right perihilar opacity for which further imaging with dedicated chest CT is recommended at this time.", "background": "INDICATION: History: ___M with fever, cough // ? pna TECHNIQUE: SINGLE AP RADIOGRAPH OF THE CHEST COMPARISON: Radiographs dated back to ___."}, {"study_id": "58404881", "subject_id": "18308713", "findings": "Frontal and lateral radiographs of the chest were acquired. A right-sided pacemaker with associated biventricular leads is not significantly changed. Abandoned leads from a previous left-sided pacemaker are re-demonstrated. Lung volumes are low, decreased compared to the prior study from ___. Bibasilar consolidative opacities are slightly increased, possibly due to atelectasis, although infection could have an identical appearance. There are moderate bilateral layering pleural effusions. The heart size is not significantly changed. There is no pneumothorax. A severe compression deformity of a lower thoracic vertebral body is noted.", "impression": "Slight increase in bibasilar consolidative opacities, likely atelectasis, although infection could be present in the appropriate clinical setting. Moderate bilateral layering pleural effusions. Marked compression deformity of a lower thoracic vertebral body, age indeterminant.", "background": "INDICATION: Rising white blood cell count with slight increased O2 requirement. Assess for pneumonia. COMPARISON: Chest radiograph from ___."}, {"study_id": "52268766", "subject_id": "15051358", "findings": "PA and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest pain. Evaluate for acute process. COMPARISON: Chest radiograph from ___."}, {"study_id": "56352545", "subject_id": "10562894", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fevers, cough // pna? TECHNIQUE: Chest Frontal and Lateral COMPARISON: None."}, {"study_id": "54535025", "subject_id": "13270995", "findings": "Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "58950826", "subject_id": "18586624", "findings": "There is no pneumonia. The lungs are clear. The aorta is tortuous and stable. The cardiac contour is within normal limits. There is no pneumothorax. There is no pleural effusion.", "impression": "There is no radiographic evidence of pneumonia.", "background": "INDICATION: Patient with cough, rule out pneumonia. COMPARISON: ___."}, {"study_id": "58490792", "subject_id": "19663491", "findings": "There are extensive bilateral regions of consolidation most notable at the right lung base but also at the left lung base. These are seen on previous exam. There is also new focal opacity in the left mid lung as well. Blunting of the posterior costophrenic angles suggests small effusions. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "Diffuse bilateral parenchymal opacities mostly similar compared to prior with new region in the left mid lung worrisome for active infection superimposed on patient's known bronchiectasis.", "background": "WET READ: ___ ___ ___ 11:46 AM Diffuse bilateral parenchymal opacities mostly similar compared to prior with new region in the left mid lung worrisome for active infection superimposed on patient's known bronchiectasis. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with sob, hemoptysis // eval for pna TECHNIQUE: PA and lateral views the chest. COMPARISON: ___ chest x-ray and chest CT from ___."}, {"study_id": "57619858", "subject_id": "16741854", "findings": "There has been slight interval withdrawal and rotation of a left base pigtail pleural catheter with interval resolution of a small loculated air pocket surrounding the pig tail. There is no recurrent pleural effusion or pneumothorax. Heart size is moderately enlarged. There is redemonstration of scattered calcified plaques, likely from asbestosis. Subtle hazy alveolar opacities in the left lung are unchanged and difficult to discern from pleural plaques.", "impression": "Interval resolution of loculated pneumothorax associated with a left base chest tube. No recurrent pleural effusion or pneumothorax.", "background": "HISTORY: Pleural effusion status post chest tube placement. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph."}, {"study_id": "54747209", "subject_id": "14884535", "findings": "Small pleural effusion in the posterior of two sulci, best seen on lateral and of indeterminate side. Mild left lower lobe atelectasis. No additional focal opacity, pneumothorax or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality.", "impression": "Small pleural effusion, side indeterminant. Mild left lower lobe atelectasis. No pneumonia.", "background": "INDICATION: ___-year-old female with cirrhosis and SIADH. Assess for pneumonia or mass. COMPARISONS: None. TECHNIQUE: Frontal and lateral chest radiographs. Technical limitation of one costophrenic angle not seen on lateral."}, {"study_id": "55497009", "subject_id": "11158861", "findings": "Hypoinflated lungs with bibasilar atelectasis and crowding of vasculature. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.", "impression": "Hypoinflated lungs with bibasilar atelectasis. No focal opacity to suggest pneumonia.", "background": "WET READ: ___ ___ 6:45 AM 1. Hypoinflated lungs with bibasilar atelectasis. 2. No focal opacity to suggest pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___ year old woman with chest pain, leukocytosis. Assess for source of infection. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___."}, {"study_id": "54014774", "subject_id": "12046197", "findings": "The patient is status post median sternotomy and CABG. Mild enlargement of cardiac silhouette is unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Lung volumes are low. Streaky opacity in the right lung base likely reflects subsegmental atelectasis. Small right pleural effusion is unchanged. No pneumothorax is demonstrated. Left-sided PICC tip terminates in the low SVC. No acute osseous abnormality is detected.", "impression": "Unchanged right basilar opacity, likely atelectasis, with small right pleural effusion.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "55763285", "subject_id": "18688236", "findings": "PA and lateral views of the chest. Mild cardiomegaly. Cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.", "impression": "Mild cardiomegaly, new since ___. No acute cardiopulmonary process.", "background": "INDICATION: Wheezing with exertion, PFTs reveal mild restrictive lung disease. COMPARISON: ___."}, {"study_id": "53103358", "subject_id": "10608802", "findings": "Moderate cardiomegaly is unchanged. Mediastinal and hilar contours are similar with mild pulmonary edema noted. There is no large pleural effusion or pneumothorax with scarring seen in the lung apices, unchanged. Minimal atelectasis is noted at the lung bases. Multiple chronic left-sided rib fractures and left scapular fracture are again noted, without acute osseous abnormality.", "impression": "Mild pulmonary edema and bibasilar atelectasis.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with fever, hypoxia TECHNIQUE: Upright AP view of the chest COMPARISON: CT chest ___, PET-CT ___, chest radiograph ___"}, {"study_id": "54267149", "subject_id": "11266580", "findings": "The cardiac, mediastinal and hilar contours appear unchanged. There is no evidence of mediastinal air. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.", "impression": "No evidence of acute cardiopulmonary disease.", "background": "EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dysphagia and retching. COMPARISON: ___, in ___ 3. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "50759250", "subject_id": "18358187", "findings": "The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___F with chest pain, pneumonia ___. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "50152890", "subject_id": "10375099", "findings": "The lungs are mildly hyperexpanded, as on prior. Hazy retrocardiac opacity projects over the spine on lateral view. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Surgical clips are seen projecting over the left upper chest.", "impression": "Hazy retrocardiac opacity likely reflecting pneumonia in the appropriate clinical setting. Follow-up chest radiograph to ensure resolution is recommended.", "background": "WET READ: ___ ___ ___ 11:33 AM Hazy retrocardiac opacity could represent pneumonia in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough fevers // r/o infiltrate COMPARISON: CT chest ___, chest radiographs ___"}, {"study_id": "58108087", "subject_id": "13437934", "findings": "There is diffuse increased interstitial markings, most consistent with mild pulmonary edema. At the right base, there is an ill-defined opacity, which may be related the edema, though a superimposed infection is difficult to exclude. There are small bilateral pleural effusions. There is no pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged, and unchanged from the prior exam.", "impression": "Mild pulmonary edema. More focal opacity at the right base may be related to the edema, though an infection cannot be excluded in the proper clinical setting. Small bilateral pleural effusions. Mild cardiomegaly.", "background": "INDICATION: Cough and hypoglycemia. Evaluate for infection. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained."}, {"study_id": "57034404", "subject_id": "15727523", "findings": "Right internal jugular central venous catheter remains in the right atrium. Moderate cardiomegaly is unchanged. Lung volumes are slightly improved. There is a new small right pleural effusion. Worsening left lower lobe opacity is most likely atelectasis. New widening of the mediastinum likely reflects vascular engorgement. There is no large pneumothorax.", "impression": "New small right pleural effusion. Worsening left lower lobe opacity, presumed atelectasis. Worsening vascular congestion.", "background": "INDICATION: ___ year old woman with worsening tachypnea // please evaluate for acute change TECHNIQUE: Portable AP chest COMPARISON: Chest radiographs ___, ___ and ___."}, {"study_id": "55833245", "subject_id": "13906745", "findings": "PA and lateral views of the chest were provided. Lungs remain clear. Tiny nodular hyperdense foci scattered in the lungs may represent calcified granuloma. No effusion or pneumothorax. Cardiomediastinal silhouette is normal.", "impression": "No acute bony abnormalities.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Altered mental status, assess for pneumonia."}, {"study_id": "55860571", "subject_id": "18904344", "findings": "PA and lateral views of the chest provided. Lung volumes are slightly low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with an unfolded thoracic aorta. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with lightheadedness, hypotension COMPARISON: ___"}, {"study_id": "58986668", "subject_id": "13198542", "findings": "A left PICC terminates in the right atrium. Low lung volumes limits assessment. Bibasilar atelectasis noted. Hilar congestion difficult to exclude. No overt edema. Left upper extremity access PICC line is seen with its tip in the mid SVC region. No large pneumothorax.", "impression": "Limited. Bibasilar atelectasis. PICC line positioned appropriately.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with respiratory failure and dyspnea. Evaluate for edema. TECHNIQUE: Single upright portable AP chest radiograph COMPARISON: ___"}, {"study_id": "50451467", "subject_id": "19997293", "findings": "The lungs are well expanded and show right lower lobe opacity, with a small right pleural effusion. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. Sternal wires are intact. Thoracic spinal fusion device is partially imaged.", "impression": "Right lower lobe opacity with an associated effusion could represent atelectasis or pneumonia.", "background": "INDICATION: ___-year-old male with shortness of breath and bradycardia. COMPARISON: Multiple chest radiographs, the latest from ___. ONE VIEW OF THE"}, {"study_id": "50349387", "subject_id": "19349312", "findings": "The cardiac silhouette is prominent. The mediastinum and is not particularly enlarged. There has been removal of the right IJ central line. There is improved aeration at the lung bases. There is a small persistent left-sided pleural effusion. Calcification of the anterior longitudinal ligament of the thoracic spine is consistent with DISH. No focal consolidation or pneumothoraces are seen.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___ year old man with hypotension // eval for widened mediastinum COMPARISON: Radiographs from ___."}, {"study_id": "54677963", "subject_id": "11230056", "findings": "There is a right pectoral Port-A-Cath with its tip terminating at the cavoatrial junction. Bilateral surgical clips reflect prior breast surgery. Lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. There is no pulmonary edema.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with dyspnea. Evaluate for infiltrate. TECHNIQUE: Portable AP frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___."}, {"study_id": "57045176", "subject_id": "11880923", "findings": "The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is a tiny right pleural effusion. There is right hemidiaphragm eventration. Nodular, rounded opacity at the left lung base likely represents nipple shadow.", "impression": "Tiny right pleural effusion.", "background": "INDICATION: ___-year-old man with cirrhosis. Please assess for effusions. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___, and CT of the chest from ___, as well as chest radiograph from ___."}, {"study_id": "57376883", "subject_id": "12366059", "findings": "Heart size is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation. The upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process. Top normal heart size.", "background": "INDICATION: History: ___F with fever, cough, elevated white count. // pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "58386290", "subject_id": "13417577", "findings": "The NG tube terminates in the distal esophagus and needs to be advanced significant background lung disease is identified including postoperative changes in the left apex. ET tube remains in unchanged position. The appearances in the right base suggests a sharp demarcation with the heart border and attention on followup to exclude a developing basilar pneumothorax suggested", "impression": "NGT be knees. Advanced further.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman post- NG tube placement // NG tube placement TECHNIQUE: Single film COMPARISON: ___ timed at 05:06"}, {"study_id": "54230480", "subject_id": "15799257", "findings": "Right power injectable chest wall port is present, the tip projecting over the right atrium. There are low bilateral lung volumes with a right midlung linear atelectasis. A small left pleural effusion is present as is a retrocardiac opacity, suspicious for pneumonia. No pneumothorax identified. The size of the cardiac silhouette is within normal limits.", "impression": "Left lower lobe consolidation suspicious for pneumonia. Small left pleural effusion.", "background": "INDICATION: ___ year old man with gastric cancer on chemotherapy, now with fevers // please evaluate for pneumonia TECHNIQUE: PA and lateral chest radiographs COMPARISON: ___"}, {"study_id": "51632717", "subject_id": "15556998", "findings": "The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with chest pain. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral radiographs were obtained. COMPARISON: Chest radiograph from ___."}, {"study_id": "53340472", "subject_id": "11201441", "findings": "Pneumoperitoneum persists, more readily evident on upright images. The tracheostomy tube tip is approximately 3.7 cm from the carina and abuts the tracheal wall. A right internal jugular central venous catheter ends in the mid SVC. Two right chest tubes are unchanged in appearance. There is no pneumothorax. Persistent right basilar atelectasis is unchanged. A left pleural effusion and associated atelectasisare stable but accentuated by low lung volumes and positioning. Mild vascular congestion and interstitial edema persist. Moderate enlargement of the cardiomediastinal silhouette is unchanged.", "impression": "No pneumothorax. Tracheostomy tube tip abuts the tracheal wall. Persistent pneumoperitoneum. Stable left pleural effusion and bilateral atelectasis. Stable mild pulmonary edema", "background": "WET READ: ___ ___ ___ 10:58 PM Right IJ line and tracheostomy tube appropriate. No pneumothorax. Mild right lower lobe atelectasis persists. Right CT appropriate. ______________________________________________________________________________ FINAL REPORT INDICATION: Chest tube placed on water seal. Evaluate for reaccumulation of pneumothorax. COMPARISONS: Chest radiograph ___. Chest radiograph ___. Chest radiograph ___."}, {"study_id": "51118737", "subject_id": "11052060", "findings": "The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. Stable appearance of the cardiomediastinal silhouette, hila, and pleura. Stable mild tortuosity of the descending aorta. Healed right pleural fractures. Surgical clips in the right upper quadrant, probably from cholecystectomy. Stable degenerative changes of the visualized thoracic spine.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man presenting with cough and chest discomfort; evaluate for pneumonia. COMPARISON: Chest radiograph dated ___."}, {"study_id": "50118120", "subject_id": "19937419", "findings": "Compared to the prior chest radiograph of ___, the previously seen right upper lobe opacity persists and is relatively unchanged. The lung volumes have slightly improved; however, a left pleural effusion is new or increased since ___. There is no pneumothorax. Median sternotomy wires and clips projecting over the left heart are again noted.", "impression": "Relatively unchanged right upper lobe pneumonia. New or increased left pleural effusion.", "background": "CLINICAL INDICATION: Recent pneumonia. Evaluation for pneumonia. COMPARISON: Chest radiograph ___. FRONTAL AND LATERAL VIEWS OF THE"}, {"study_id": "50942107", "subject_id": "16983462", "findings": "Heart size is at the upper limits of normal, but unchanged. Mild calcification and unfolding of the aorta is present, similar in configuration to the prior study. No CHF, focal infiltrate or effusion is detected. Rounded density measuring approximately ___.7 mm, at the right base is probably artifact related to the anterior rib end or possibly a calcified granuloma. Incidental note is made of mild curvature of the thoracic spine and background degenerative changes. Slight pleural parenchymal scarring at the right lung apex is unchanged.", "impression": "No acute pulmonary process identified. Question artifact versus calcified granuloma at right lung base.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with weakness, numbness // ICH COMPARISON: Chest x-ray from ___"}, {"study_id": "59824711", "subject_id": "15549843", "findings": "There are multiple nodular opacities in the lungs specifically on the left projecting over the posterior left seventh rib and over the posterior right eighth rib. Linear opacity at the lung bases suggestive atelectasis. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities are identified although the bones are diffusely osteopenic limiting detailed evaluation. There is tortuosity of the descending thoracic aorta.", "impression": "No definite acute cardiopulmonary process. Nodular opacities in the lungs which have persisted and a dedicated chest CT is suggested", "background": "WET READ: ___ ___ ___ 5:41 PM No definite acute cardiopulmonary process. Nodular opacities in the lungs which have persisted and a dedicated chest CT is suggested ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with new mental status changes/hx of PNA // r/o PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: Multiple prior chest x-rays dating back to ___ with most recent from ___."}, {"study_id": "51798605", "subject_id": "18207750", "findings": "Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Apart from minimal atelectasis in the left lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with exertional angina for 6 days, positive troponin at outside hospital TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "51725344", "subject_id": "11551927", "findings": "Left PICC tip terminates in the mid SVC. No pneumothorax is demonstrated. Cardiac, mediastinal and hilar contours are normal. Lungs are clear, though the right costophrenic angle is excluded from the field of view. No left-sided pleural effusion is demonstrated. No acute osseous abnormality is seen.", "impression": "Left PICC tip terminates in the mid SVC.", "background": "WET READ: ___ ___ ___ 7:13 PM Left-sided PICC line terminates at the mid to lower SVC. Discussed with ___ via phone on ___ at 18:57, ___ min after discovery. WET READ VERSION #1 ___ ___ ___ 6:59 PM Left-sided PICC line terminates at the mid to lower SVC. Discussed with ___ via phone on ___ at 18:57, ___ min after discovery. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with left picc placement TECHNIQUE: Upright AP view of the chest COMPARISON: ___ at 15:33"}, {"study_id": "56075526", "subject_id": "11257609", "findings": "Portable AP upright views the chest provided. A metallic rod projecting over the right axilla and right shoulder region likely represents a foreign body (part of a golf club). Lungs appear clear. Bony structures appear intact. Cardiomediastinal silhouette is normal.", "impression": "Metallic rod projecting over the right shoulder and axilla represents penetrating object. Otherwise, no acute findings.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with entry and exit impaling wound to supraclav region. Evaluate for acute changes from penetrating trauma. TECHNIQUE: Chest AP portable upright COMPARISON: None."}, {"study_id": "51587311", "subject_id": "10668617", "findings": "The patient is status post median sternotomy and aortic valve replacement. Heart size remains mildly enlarged. Hilar and mediastinal contours are normal. Previously demonstrated tiny right apical pneumothorax is not appreciated on the current exam. Patchy opacity in the left lung base appears slightly worse in the interval, with continued small bilateral pleural effusions. No pulmonary vascular congestion is present. There are no acute osseous abnormalities.", "impression": "Patchy retrocardiac opacity appears slightly worse in the interval, suggestive of worsening atelectasis, though infection is not excluded. Small bilateral pleural effusions, not substantially changed. Previously noted tiny right apical pneumothorax appears resolved.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with recent cardiac surgery, cough TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "54887957", "subject_id": "13852361", "findings": "Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with chills, cough, and shortness of breath for 4 days. COMPARISON: Multiple prior chest radiographs, most recently of ___."}, {"study_id": "56708459", "subject_id": "15835529", "findings": "The previously questioned air-fluid level adjacent to the trachea is not present on this view, and may have been artifactual. Posterior indentation of the tracheal air column could be due to thyroid enlargement. Moderate cardiomegaly is stable. A right-sided PICC line ends in the upper SVC is noted. The lungs are clear, and there is no pleural effusion or pneumothorax. The vascular pattern suggests emphysema. Dystrophic calcifications in the left axilla are chronic, probably nodal.", "impression": "Previously seen paratracheal air-fluid collection not seen on this study, probably artifactual. Thyroid enlargement probably indenting the posterior trachea. Moderate cardiomegaly, unchanged.", "background": "INDICATION: New-onset AFib, cirrhosis, thyrotoxicosis and question tracheal deviation and air-fluid level seen on previous chest x-ray. Investigate air-fluid level seen on prior chest x-ray. TECHNIQUE: PA and lateral views of the chest were obtained. COMPARISON: Chest radiograph from ___."}, {"study_id": "53546444", "subject_id": "11536399", "findings": "No focal consolidation is present. The left PICC line is in unchanged position in the low SVC. No pleural effusion or pneumothorax is present. There is no evidence of pulmonary vascular congestion.", "impression": "No pneumonia. Telephone notification to Dr. ___ by Dr. ___ at 13:15 on ___.", "background": "HISTORY: History of acute leukemia with history of fungal pneumonia now with increased left-sided chest pain and decreased breath sounds on the left. Evaluate for infiltrate. COMPARISON: ___."}, {"study_id": "59985899", "subject_id": "18835055", "findings": "Again seen is opacification of the posterior segments of the left lower lobe and the basilar segments of the left lower lobe compatible with known post-obstructive pneumonia. The right lung is clear. There may be a small left pleural effusion. There is no pneumothorax. A right Port-A-Cath catheter terminates in the SVC. The cardiomediastinal silhouette is unchanged. The bones are intact.", "impression": "Post-obstructive left lower lobe pneumonia, unchanged from previous exams.", "background": "INDICATION: ___-year-old male with recent left lower lobe post-obstructive pneumonia with increasing dyspnea question pneumonia. Evaluate for interval change. COMPARISONS: Chest radiograph from ___ and CT of the chest from ___."}, {"study_id": "57964151", "subject_id": "18225729", "findings": "Right-sided hemodialysis catheter in-situ with the tip at the cavoatrial junction. Mild interval decrease in heart size. Opacification in medial bilateral lower lung zones appears slightly more prominent and may represent atelectasis or pneumonia. Small residual effusions bilateral.", "impression": "Mild interval progression of the airspace opacification in the medial aspects of the lower lung zones bilateral may represent atelectasis or pneumonia.", "background": "INDICATION: ___ year old woman with o2 requirement, fever, dyspnea. // Pulmonary infiltrates concerning for PNA? Pt just finished HD session, so now lungs would be more clear TECHNIQUE: Chest PA and lateral COMPARISON: ___"}, {"study_id": "50772507", "subject_id": "15637323", "findings": "The ETT is in standard position. Enteric tube traverses the diaphragm and its tip is not seen. The right internal jugular venous catheter ends in the distal SVC, unchanged. Lung volumes remain low. Compared to the exam only 8 hours prior, interstitial prominence has improved, although still present, suggesting resolving edema. The heart is now normal in size. The mediastinum is widened. No pneumothorax or pleural effusion.", "impression": "Interval improvement in pulmonary edema and cardiomegaly.", "background": "EXAMINATION: Portable AP chest radiograph. INDICATION: ___ year old man with liver failure, on HD for AIN, stable ventilator settings x48hrs, in last hour inc tachypnea, dyssynchrony, ?new aspiration event or other acute change // please evaluate for interval change COMPARISON: Chest radiograph dated ___, earlier on the same day at 04:30."}, {"study_id": "59256869", "subject_id": "15637323", "findings": "A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluate for pneumonia in a patient with cirrhosis, undergoing RFA today. COMPARISON: Chest radiographs from ___, ___, ___, ___."}, {"study_id": "56977125", "subject_id": "16984939", "findings": "PA and lateral views of the chest provided. The lungs are slightly hyperexpanded. 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. Surgical clips projecting over the left chest are likely related to prior left breast procedure.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with pleuretic right posterior chest wall pain // ? acute cardiouplm process COMPARISON: ___"}, {"study_id": "55298336", "subject_id": "10374990", "findings": "A right IJ catheter is unchanged in positioning. There is improved aeration of the right upper lobe compared to prior. Again visualized is a large right pleural effusion, which appears to have increasing loculated components. The left lung essentially clear. Pulmonary vasculature is normal. Cardiomediastinal silhouette is stable. There is no pneumothorax. Cervical fixation hardware is partially visualized, unchanged compared to prior. Surgical clips are seen projecting over the upper abdomen.", "impression": "Unchanged positioning of the right IJ catheter. Improved aeration within the right upper lobe. Increasing loculated components of the large right pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p thoracic fusion now with increasing sob and desating with activity // r/o infectious process vs increasing pl effusions TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___."}, {"study_id": "58244732", "subject_id": "11052737", "findings": "Cardiac silhouette size is borderline enlarged but similar. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. Slight loss of height of the vertebral body anteriorly at the thoracolumbar junction is unchanged.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with syncope fall head strike with lateral hip and pelvic pain, altered mental status, elbow pain TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___"}, {"study_id": "56343843", "subject_id": "13655179", "findings": "On the frontal view, the lungs are clear; however, on the lateral view, there are subtle linear opacities overlying the heart which were not present on the previous exam. This could only represent a rib, but beginning of pneumonia cannot be excluded. There is no pneumothorax or pleural effusion. Cardiac contour is normal.", "impression": "Subtle linear opacities overlying the heart seen only on the lateral view could be an artifact from the rib, however, infection cannot be excluded in appropriate clinical settings. The results were posted to the radiology dashboard for direct notification of the referring physician.", "background": "PA AND LATERAL CHEST X-RAY. INDICATION: Patient with asthma, new respiratory infection, subjective fever. Evaluate for pneumonia. COMPARISON: ___."}, {"study_id": "52850249", "subject_id": "13916274", "findings": "The patient is status post aortic valve replacement. Dilatation of the aortic knob is again seen, grossly similar to ___. There are surgical clips overlying the right upper outer hemithorax. Mild left base atelectasis. Overall, the lung volumes are relatively low. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are similar to ___.", "impression": "No acute cardiopulmonary process. Similar appearance of the aorta.", "background": "EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Shortness of breath. COMPARISON: ___ and ___."}, {"study_id": "53915291", "subject_id": "17596014", "findings": "Patient is status post median sternotomy and CABG. Coronary artery stenting/calcification is seen. The cardiac silhouette is top-normal to mildly enlarged. No focal consolidation is seen. There is perihilar, peribronchial wall thickening which can be seen in small airways disease. No pleural effusion or pneumothorax is seen. Degenerative changes are seen along the spine.", "impression": "No focal consolidation to suggest pneumonia. Perihilar peribronchial wall thickening.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain and cough // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "56866620", "subject_id": "13557910", "findings": "A portable upright frontal chest radiograph demonstrates normal cardiac size and a tortuous thoracic aorta, with clips along the left mediastinum. The lungs are hyperinflated with chronic appearing changes particularly in the right. There is no pneumothorax. Blunting of the lateral costophrenic angles suggests small pleural effusions, left greater than right.", "impression": "No pneumothorax identified. Hyperinflated lungs with chronic appearing changes suggesting COPD. Possible small pleural effusions, left greater than right.", "background": "INDICATION: Evaluate for pneumothorax, in a patient with a foreign body in the neck. COMPARISON: None available."}, {"study_id": "53893423", "subject_id": "17079153", "findings": "Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Fever. COMPARISON: ___."}, {"study_id": "50179591", "subject_id": "19324169", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Cough. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "51875494", "subject_id": "18605337", "findings": "The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A mild wedge compression deformity within a mid thoracic vertebral body appears slightly worse since the ___ examination. No overt malalignment is detected.", "impression": "No acute intrathoracic process. Mild wedge compression deformity within a mid thoracic vertebral body appears slightly worse since ___.", "background": "INDICATION: Chest pain. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral chest radiographs."}, {"study_id": "59622815", "subject_id": "17477807", "findings": "Semi-upright frontal view of the chest. As compared to the prior chest radiograph, the lung volumes remain low. Cardiomegaly and mild tortuosity of the descending aorta is stable. The mediastinal contours appear normal. Atelectasis of the right lung base persists; otherwise, there are no focal opacities or overt pulmonary edema. No significant pleural effusion or pneumothorax.", "impression": "Relatively unchanged appearance of the heart and lungs since ___. Cardiomegaly, low lung volumes and atelectasis of the right lung base.", "background": "CLINICAL INDICATION: Congestive heart failure. Evaluation of fluid status. COMPARISON: Chest radiograph ___."}, {"study_id": "55011670", "subject_id": "11407769", "findings": "An endotracheal tube is in-situ, the tip is positioned 4 cm above the carina. A right internal jugular catheter terminates in the mid SVC. A nasoenteric tube terminates in the left upper quadrant. There has been slight interval improvement in the right pleural effusion. The degree of aeration of the right lower lobe is similar. No pneumothorax seen.", "impression": "Slight interval decrease in the right pleural effusion. Otherwise, no significant interval change.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old F s/p neurological death pronouncement being worked up for organ transplant. // Change in infiltrate TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___."}, {"study_id": "52771839", "subject_id": "19771110", "findings": "Of note this dictation was lost in the system and is being Re dictated on ___ As compared to ___, no relevant change is seen. No pneumothorax. Extensive air collection in the soft tissues remain constant. Constant appearance of the widespread opacity in the lung parenchyma. Unchanged appearance of the cardiac silhouette.", "impression": "No significant interval change.", "background": "INDICATION: ___ year old man with bilateral mutlifocal ASD concerning for ARDS // Hypoxia TECHNIQUE: Chest PA and lateral COMPARISON: Study performed the same day earlier in the morning"}, {"study_id": "56552932", "subject_id": "14004436", "findings": "There is no significant change since the prior study. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The mediastinum is not widened. No displaced fracture is seen.", "impression": "No significant interval change.", "background": "HISTORY: Chest pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "52451700", "subject_id": "19704592", "findings": "The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated suggestive of COPD. Blunting of the right costophrenic angle is unchanged, and could suggest chronic pleural thickening. No large pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58198245", "subject_id": "16817048", "findings": "Normal cardiomediastinal and hilar contours. There is linear atelectasis at the left base. There is no focal consolidation to suggest acute pneumonia. Normal pleural surfaces.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old man with presyncope. Evaluate for evidence of pneumonia. TECHNIQUE: Chest PA and lateral. COMPARISON: Chest radiograph from ___."}, {"study_id": "57339020", "subject_id": "13590165", "findings": "PA and lateral views of the chest are obtained. There is some right basilar atelectasis. The lungs are clear and there is no evidence of focal consolidation, pleural effusion or pulmonary edema. There is no pneumothorax. The aorta is elongated and tortuous, unchanged since the prior study.", "impression": "No acute cardiopulmonary disease.", "background": "INDICATION: ___-year-old male with cough and shortness of breath. Evaluation for pneumonia. COMPARISON: Comparison is made to radiograph of the chest from ___."}, {"study_id": "50697361", "subject_id": "11363157", "findings": "Lungs are essentially clear without consolidation or edema. Moderate cardiac enlargement is similar compared to prior. Tortuosity of the descending thoracic aorta is again noted with atherosclerotic calcifications again seen at the arch. No acute osseous abnormalities, deformities of the proximal left humerus and the lateral left fifth rib suggest prior fractures.", "impression": "Cardiomegaly without acute cardiopulmonary process.", "background": "INDICATION: ___F with hx afib, CVA p/w supratherapeutic INR // Eval for infection TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___."}, {"study_id": "56846747", "subject_id": "12714390", "findings": "The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a reticular abnormality in the right lower lung, particularly in the right lower lobe. Although interstitial opacification appears very similar on the lateral view, opacification in the right cardiophrenic angle appears somewhat increased, possibly due to a worsening underlying interstitial process. Other possibilities include increasing atelectasis associated both with an eventration of the hemidiaphragm and a prominent pericardial fat pad, developing bronchopneumonia is also a possibility. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.", "impression": "Patchy right infrahilar opacity superimposed on previously seen interstitial lung disease. Differential considerations for this appearance include worsening interstitial lung disease with or without superimposed developing pneumonia versus atelectasis associated with elevation of the right hemidiaphragm. Correlation with clinical symptoms and laboratory data is recommended. Short-term followup radiographs may be helpful to evaluate further if clinically indicated and if a potential source for infection is not otherwise identified.", "background": "CHEST RADIOGRAPHS HISTORY: Elevated white cell count and psychosis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral."}, {"study_id": "58588582", "subject_id": "11697323", "findings": "There is interval worsening with near complete opacification of the right hemi thorax and worsening hazy opacities in the left hemi thorax with air bronchograms. This likely represents worsening pulmonary edema, ARDS is a consideration. No interval change in bony thorax. Bilateral pleural effusions right more than left. ET tube terminates 3.8 cm above the Carina. Right-sided central venous catheter terminates in the right atrium. Enteric tube courses below the diaphragm, distal tip not visualized. Multiple EKG leads overlie the chest wall.", "impression": "Interval worsening of diffuse pulmonary edema, ARDS is a consideration. Bilateral pleural effusions right more than left. Lines and tubes as above.", "background": "INDICATION: ___ year old woman with pna, pulm edema // acute process TECHNIQUE: Single semi supine portable radiograph of the chest. COMPARISON: ___"}, {"study_id": "58767740", "subject_id": "18388859", "findings": "An endotracheal tube is seen in standard position. A left-sided central venous catheter is seen terminating in the mid SVC. The feeding tube is seen passing into the stomach and below the field of view. No significant change from the prior exam. Again seen is a significant left lower lobe atelectasis. There is no evidence of pneumonia or pulmonary edema. The cardiomediastinal and hilar contours are grossly unchanged. There is no evidence of pneumothorax.", "impression": "No evidence of pneumonia or pulmonary edema.", "background": "HISTORY: Evaluation for pulmonary edema and pneumonia. TECHNIQUE: Frontal view of the chest. COMPARISON: Multiple chest radiographs, most recent on ___."}, {"study_id": "59123732", "subject_id": "19466801", "findings": "The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is calcification of the aortic knob. No acute osseous abnormality is detected. The patient is status post median sternotomy with multiple intact appearing wires and mediastinal surgical clips consistent with CABG surgery.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 6:45 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___M with DM and CHF with dyspnea and abd bloating // pneumonia TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___."}, {"study_id": "57063157", "subject_id": "13315613", "findings": "The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Seizure. COMPARISON: ___. PA AND LATERAL VIEWS OF THE"}, {"study_id": "53061278", "subject_id": "10706560", "findings": "Pleurx projects at right lung base. There is no pneumothorax. Fluid loculation in right major fissure has significantly improved. Right lung base loculated pleural effusion is unchanged. Left minimal pleural effusion has improved. The rest of the exam is stable in this patient with known lung cancer with right hilar mass.", "impression": "Patient is known with right hilar mass and right basal Pleurx. Loculated portion of the pleural effusion in major fissure has significantly improved. Left pleural effusion is minimal and improved.", "background": "PA AND LATERAL CHEST X-RAY INDICATION: Patient with pleural effusion, Pleurx catheter. Assess pleural effusion. COMPARISON: ___ and CT torso of ___."}, {"study_id": "52923686", "subject_id": "17760788", "findings": "AP and lateral views of the chest. Lower lung volumes seen on the current exam. Bibasilar opacities are likely secondary to atelectasis. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips are identified in the right upper quadrant suggesting prior cholecystectomy.", "impression": "No acute cardiopulmonary process.", "background": "CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female who presents with syncope. COMPARISON: ___."}, {"study_id": "58056600", "subject_id": "16257239", "findings": "Frontal and lateral chest radiographs demonstrate persistent small left apical pneumothorax with stable appearing left apical opacity consistent with pulmonary contusion. The right lung is clear. Re-demonstration of left ___ and 6th rib fractures, better appreciated on CT torso. There is no pleural effusion. Cardiomediastinal and hilar contours are unremarkable.", "impression": "Small left apical pneumothorax with stable left apical opacity consistent with pulmonary contusion.", "background": "WET READ: ___ ___ 8:17 PM Small left apical pneumothorax. Though subtle changes would be difficult to detect given the different modalities, there is no significant change. A left apical opacity is stable, and consistent with a contusion. The left sided rib fractures and scapular fracture are redemonstrated, though better appreciated by CT. Clear right lung. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with a known small left apical pneumothorax status post motor vehicle accident. Evaluate for worsening pneumothorax. COMPARISON: Portable chest radiograph and CT torso same day, ___."}, {"study_id": "59384384", "subject_id": "11347615", "findings": "The lungs are well inflated and clear bilaterally with no evidence of focal consolidation, pleural effusion, masses, lesions, or evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.", "impression": "No evidence of malignancy or infection.", "background": "INDICATION: ___-year-old male, HIV positive with CD4 count of 270, presents with three to four months of cough, mild shortness of breath, and increasing dyspnea on exertion. COMPARISON: Chest, PA and lateral, ___ and CT chest, ___. TECHNIQUE: PA and lateral chest radiographs."}, {"study_id": "56194312", "subject_id": "14931320", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of pneumomediastinum is seen.", "impression": "No acute cardiopulmonary process.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with etoh withdrawal, vomiting // evaluate for esophageal trauma, rupture TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None."}, {"study_id": "54347539", "subject_id": "16711022", "findings": "Bibasilar atelectasis, particularly on the left, is new compared to ___. This is due to low lung volumes. Given low lung volumes, no evidence of focal pneumonia is present. No pneumothorax. Cardiac size is normal.", "impression": "Left lobe lower lobe atelectasis without evidence of pneumonia.", "background": "HISTORY: Cough COMPARISON: ___."}, {"study_id": "58652294", "subject_id": "17080913", "findings": "The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, mediastinal, hilar contours are unremarkable.", "impression": "No focal consolidation to suggest pneumonia.", "background": "HISTORY: Cough, malaise. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None."}, {"study_id": "55495169", "subject_id": "17037515", "findings": "AP and lateral radiographs of the chest were obtained. Lungs are slightly lower in volume than on the previous examination with interval increase in its interstitial opacity which suggests mild pulmonary edema. In this context, subtle pneumonia could be obscured. The heart remains mildly enlarged with tortuous aorta.", "impression": "Changes of emphysema with mild superimposed pulmonary edema. If continued concern for pneumonia, consider diuresis and repeat imaging.", "background": "INDICATION: ___-year-old gentleman with shortness of breath and abdominal pain, assess for pneumonia or edema. COMPARISONS: ___."}, {"study_id": "54213946", "subject_id": "17983054", "findings": "PA and lateral views of the chest provided. Lung volumes are somewhat low. There is bronchovascular crowding likely accounting for subtle opacity at the right medial lung base. No convincing evidence for pneumonia. No large effusion or pneumothorax. No pulmonary edema or signs of congestion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever, cough // pna? COMPARISON: None."}, {"study_id": "52474646", "subject_id": "17005298", "findings": "Cardiac mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion pneumothorax is present. No acute osseous abnormalities detected. Clips in the right upper quadrant indicate prior cholecystectomy.", "impression": "No acute cardiopulmonary abnormality.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with no significant PMH who presents with upper back pain, tenderness to palpation over upper thoracic spine and perhaps C7 TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___"}, {"study_id": "53475171", "subject_id": "17410868", "findings": "Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.", "impression": "No acute cardiopulmonary process.", "background": "WET READ: ___ ___ ___ 2:24 PM No focal consolidation or other significant abnormalities. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest radiographs INDICATION: History: ___M with chest pain // Please eval for infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: None"}, {"study_id": "53532478", "subject_id": "17201840", "findings": "Cardiomediastinal contours are unchanged with moderate cardiomegaly and multiple calcified mediastinal and hilar lymph nodes. Vascular congestion has resolved. Small left effusion with adjacent atelectasis has improved. There is no pneumothorax. There are no new lung abnormalities..", "impression": "Resolved vascular congestion. Decrease in size in left effusion and adjacent atelectasis", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with pulmonary edema ?PNA // persistance of possible LLL opacity after diuresis consistent with PNA or improved? TECHNIQUE: Chest PA and lateral COMPARISON: Study performed 11 hours earlier."}, {"study_id": "55736574", "subject_id": "16098381", "findings": "The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta with atherosclerotic calcifications again noted. Median sternotomy wires with fracture of the superior most wire is unchanged. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with hx cutaneous t-cell lymphoma w/ worsening rash, concern for systemic infection // eval ? infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray and ___ PET-CT."}, {"study_id": "54800922", "subject_id": "12568193", "findings": "Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal. Serpiginous sclerosis in the humeral heads bilaterally may represent bone infarcts, similar to CT ___.", "impression": "No pneumonia, edema, or effusion. Bibasilar atelectasis.", "background": "HISTORY: Chest pain. COMPARISON: CT ___, CXR ___"}, {"study_id": "56886687", "subject_id": "14602471", "findings": "Veil like opacity overlying the right lung is consistent with known moderate right hemothorax. No pneumothorax is seen on this supine radiograph. The cardiac and mediastinal silhouettes are unremarkable.", "impression": "Layering right hemothorax. No definite pneumothorax. Please refer to subsequent CT torso for further details.", "background": "EXAMINATION: Chest radiograph INDICATION: ___M with stab wound // trauma TECHNIQUE: Supine portable chest radiograph COMPARISON: CT torso from ___."}, {"study_id": "51712456", "subject_id": "14912045", "findings": "Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Right apical pneumothorax is slightly improved. Allowing for differences in patient positioning, the right-sided effusion is probably similar in volume. No focal consolidation. Mitral valve ring appears in similar location. Left shoulder calcific tendonitis appears similar to prior exam.", "impression": "Right apical pneumothorax is slightly improved. Allowing for differences in patient positioning, the right-sided effusion is probably similar in volume. Mitral valve ring appears in similar location.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p MVR // post-op changes COMPARISON: Chest radiographs from___"}, {"study_id": "53226313", "subject_id": "15189776", "findings": "Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Numerous bilateral small pulmonary nodules are seen, but better characterized by recent CT scan. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. Surgical clips project over the right upper quadrant.", "impression": "No acute cardiopulmonary process. Pulmonary nodules better characterized by recent CT scan.", "background": "CHEST, TWO VIEWS. HISTORY: ___-year-old male with ongoing shortness of breath. COMPARISON: CT chest from ___ and chest x-ray from ___."}, {"study_id": "55446602", "subject_id": "18904260", "findings": "PA and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are unremarkable.", "impression": "No acute cardiopulmonary process. Preliminary findings were communicated by Dr. ___ to Dr. ___ by phone at 16:21 on ___.", "background": "HISTORY: Cough and scant hemoptysis. Evaluation for pneumonia. COMPARISON: ___."}, {"study_id": "54199854", "subject_id": "12574098", "findings": "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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever cough // repeat for eval COMPARISON: Prior exam performed earlier today."}, {"study_id": "57185142", "subject_id": "11853860", "findings": "The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary abnormality.", "background": "INDICATION: Slurred speech. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest."}, {"study_id": "56431482", "subject_id": "15809646", "findings": "As compared to prior chest radiograph from ___, there has been interval placement of a Swan-Ganz catheter with the tip slightly beyond the mediastinum. Mild cardiomegaly is unchanged. Irregular bilateral lung opacities are stable. Chronic pleural thickening is unchanged. There are no pleural effusions or pneumothorax.", "impression": "Interval placement of Swan-Ganz catheter with tip slightly beyond the mediastinum, for which consideration of withdrawing a few centimeters is recommended. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ at 4:30 PM, at time of discovery.", "background": "INDICATION: ___-year-old male patient with history of pulmonary fibrosis, COPD, sepsis. Study requested for evaluation of pulmonary edema and/or pneumothorax. COMPARISON: Prior chest radiograph from ___, 8:13. TECHNIQUE: Portable AP chest radiograph."}, {"study_id": "55513499", "subject_id": "11545787", "findings": "PA and lateral views of the chest provided. Midline sternotomy wires and thoracic spinal fusion hardware is again noted. Under penetrated technique somewhat limits evaluation. Allowing for this, there is congestion at the hila with mild edema. No large effusion or pneumothorax. Heart size difficult to assess given underpenetration. Mediastinal contour is stable. Bony structures appear relatively intact.", "impression": "Congestion and mild edema. Limited exam.", "background": "EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with h/o CAD and recent left pleural effusion s/p thoracentesis p/w 4d of dyspnea, fatigue, confusion with LLL dullness on exam COMPARISON: None"}, {"study_id": "58378313", "subject_id": "12606543", "findings": "Frontal portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. Moderate pulmonary edema appears progressed from prior exam. Left costophrenic angle is obscured, suggestive of a small pleural effusion. Left hemidiaphragm is poorly visualized due to a lung base opacity. Hilar and mediastinal silhouettes are unchanged. Moderate cardiomegaly is slightly increased from the prior study. Partially imaged upper abdomen is unremarkable.", "impression": "In comparison to ___ exam, there is worsening congestive heart failure with moderate pulmonary edema, small left pleural effusion, and increased size of the cardiac silhouette. Left lung base opacity obscuring left hemidiaphragm likely represents atelectasis or infection in appropriate clinical setting.", "background": "INDICATION: Patient with shortness of breath and hypoxia. COMPARISONS: Chest radiograph of ___."}, {"study_id": "54611135", "subject_id": "11567158", "findings": "PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart size remains unchanged and is within normal limits. Also unchanged appearance of mildly widened and elongated thoracic aorta. No pulmonary vascular congestion is present. Mildly elevated right-sided diaphragm is unchanged and there appears a mild blunting of the right lateral pleural sinus. This very mild thickening of the lateral pleural space along the right lateral chest wall reaches up to the minor fissure which also appears to be mildly thickened. The finding is completely unchanged in comparison with the previous study. The same holds for the appearance of the right-sided posterior pleural sinus as seen on the lateral view. Again, these findings are completely unaltered. Comparison is also extended to chest PA and lateral view of ___ where bilateral mild blunting of the pleural sinuses was identified. The left-sided pleural findings had normalized on ___. Present unchanged appearance of some pleural residuals suggests the possibility of scar formations. No new acute abnormalities are seen. The chest CT examination of ___ is also reviewed. It demonstrated absence of any pulmonary embolism but small pleural effusions on the left side and minimal pleural effusion on the right.", "impression": "Stable appearance of pleural residuals on the right side, most likely representing scar formations.", "background": "TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with history of carbon monoxide exposure and recent right pleural effusion, crackles on right base. Assess previous pleural effusion."}, {"study_id": "51659764", "subject_id": "18853762", "findings": "The heart size is normal with tortuosity of the thoracic aorta. The hilar contours are unchanged. The lungs are mildly hyperexpanded. Again appreciated are diffuse increased interstitial lung markings suggestive of chronic interstitial abnormality. There is no focal consolidation worrisome for pneumonia. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.", "impression": "No significant change compared to prior study with redemonstration of mild hyperinflation and global increased interstitial markings most compatible with emphysema.", "background": "HISTORY: Delirium, status post fall. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, four views."}, {"study_id": "51720015", "subject_id": "11607177", "findings": "Interval removal of a Swan-Ganz catheter. Left pectoral pacemaker is noted with acute intact leads seen terminating in unchanged locations. Interval increase in the degree of bilateral hilar prominence, pulmonary edema, and small bilateral pleural effusions, compatible with volume overload. There is no pneumothorax. Moderate-severe cardiomegaly is unchanged from prior examination.", "impression": "Interval worsening of now moderate-severe diffuse pulmonary edema. Small, bilateral pleural effusions. Stable, moderate-severe cardiomegaly.", "background": "EXAMINATION: Chest radiograph. INDICATION: History: ___M with syncope, cardiac history // eval heart and lungs TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiographs dated ___."}, {"study_id": "52912524", "subject_id": "10310588", "findings": "AP and lateral views of the chest. Dual-lumen right chest wall port is seen with catheter tip at the RA SVC junction. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: ___-year-old female with weakness. COMPARISON: None."}, {"study_id": "55105526", "subject_id": "14868639", "findings": "Right-sided Port-A-Cath is seen with catheter tip in the mid to lower SVC. The lungs remain clear of focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with Hodgkins lymphoma with new cough and dyspnea // any PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___."}, {"study_id": "53044059", "subject_id": "17876274", "findings": "PA and lateral views of the chest provided. Re- demonstrated central left upper lobe pulmonary mass with probable left hilar and mediastinal nodes. There is no focal consolidation or effusion. Equivocal left pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "impression": "Re-demonstrated central left upper lobe pulmonary mass with left hilar and mediastinal lymphadenopathy. Equivocal left pneumothorax. Consider follow-up radiograph to assess for resolution.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with lung cancer presents for recent hospitalization follow-up. Pt receives his care in ___, recently underwent a CT guided needle biopsy of the left upper lung with an accidental puncture of the lung itself. Pt developed a 'bubble' in the left upper lung that remained stable during his hospitalization, he is now due for repeat chest x-ray. Awaiting medical records from ___. // eval (as below) COMPARISON: CT chest with contrast ___"}, {"study_id": "55901937", "subject_id": "19643838", "findings": "Lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. There is a slight irregularity to the right hemidiaphragm, likely from a small diaphragmatic eventration. The size of the cardiac silhouette is at the upper limits of normal. The mediastinal silhouette is normal.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Metastatic prostate cancer, on chemotherapy with weakness. Complains of difficulty eating. COMPARISONS: None."}, {"study_id": "57452155", "subject_id": "16617031", "findings": "Low lung volumes and mild elevation of the right hemidiaphragm persist. The very inferior right costophrenic angle is not fully included on the image. There is right basilar atelectasis. Right mid lung scarring/chronic change again seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.", "impression": "No significant interval change. Persistent low lung volumes and basilar and right middle lobe atelectasis/ scarring.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with dizzy and weak // acute process? TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___"}, {"study_id": "57171995", "subject_id": "16205579", "findings": "Patchy areas of opacity projecting over the left mid to lower hemithorax are concerning for infection and/or malignant involvement. The osseous structures are heterogeneous, including areas of bilateral ribs (is for example the anterior right 8th rib. The anterior ribs on the lateral seen. Increased sclerosis projecting over a lower thoracic vertebral body also raises concern for metastatic involvement. No large pleural effusion is seen although trace pleural effusion be difficult to exclude. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.", "impression": "Osseous metastatic disease. Patchy opacities projecting over the left mid to lower hemi thorax, while in part may relate to osseous metastatic disease, raise concern for infection and/or pulmonary metastatic disease.", "background": "HISTORY: Chest pain and shortness of breath, history of breast cancer. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: No prior chest radiographs available for comparison."}, {"study_id": "55543783", "subject_id": "18136887", "findings": "PA and lateral views of the chest provided. Lungs are clear without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. No displaced rib fracture is seen. Other osseous structures appear intact.", "impression": "No acute intrathoracic process. If there is strong clinical concern for rib fracture, dedicated rib series is advised.", "background": "CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Right rib pain status post fall, assess fracture."}, {"study_id": "55244750", "subject_id": "15771672", "findings": "Progression of right lower lung consolidation is compatible with pneumonia or aspiration. Moderate bilateral interstitial edema has also increased. There are small pleural effusions. The cardiac contour is mildly enlarged with left pectoral atrioventricular pacemaker. There is no pneumothorax.", "impression": "Right lower lung pneumonia or aspiration has worsen. Moderate interstitial pulmonary edema has slightly increased. Dr. ___ has been verbally contacted for the results.", "background": "WET READ: ___ ___ ___:___ PM Mild edema is unchanged. No superimposed new consolidation or effusion detected. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with history of HTN, ___'s, Alzheimer's, chronic prednisone, temporal arteritis, presenting with fatigue, suspicion for pulmonary edema or pneumonia. COMPARISON: ___."}, {"study_id": "59401651", "subject_id": "19107321", "findings": "Endotracheal tube and nasogastric tube remain in standard position. Persistent cardiomegaly and bilateral pleural effusions. The moderate-to-large left pleural effusion is unchanged, moderate right pleural effusion has increased in size. Bibasilar lung opacities are likely due to atelectasis. Multiple acute left rib fractures are again demonstrated.", "impression": "Persistent left and enlarging right pleural effusions.", "background": "PORTABLE CHEST X-RAY, ___ COMPARISON: ___ radiograph."}, {"study_id": "58130781", "subject_id": "12571434", "findings": "AP portable supine view of the chest. Dual lead pacer is noted with pacer pack projecting over the left chest wall and leads extending to the region of the right atrium and right ventricle. Predominately left-sided calcified pleural plaque is noted likely accounting for the opacity projecting over the lateral aspect of the left lower lung. Evaluation for a subtle pneumonia in this area is therefore limited. Otherwise, no signs of pneumonia. No supine evidence for effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Chronic right rib deformities are noted involving the fourth, fifth, sixth, seventh, eighth, and ninth ribs.", "impression": "Chronic right rib cage deformities. Calcified pleural plaque. Pacemaker in appropriate position. If there is strong clinical concern for an acute fracture, recommend dedicated rib series with a BB marking the site of maximal pain.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with fall and seizure // Eval for rib fracture COMPARISON: None"}, {"study_id": "54908328", "subject_id": "15180409", "findings": "Single semi-erect AP portable view of the chest was obtained. There are low lung volumes. Cardiac silhouette remains top normal to mildly enlarged. There is a subtle right upper lobe opacity projecting where the medial upper right scapula and the posterior right fourth rib overlap. Recommend AP lordotic views or oblique views to assess for underlying pulmonary nodule. No additional evidence of consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.", "impression": "Right upper lobe opacity where the medial upper right scapula and the posterior right fourth rib overlap, could be artifactual, however, not well seen on the prior study. Recommend further evaluation with AP lordotic views and/or oblique views to assess for underlying pulmonary nodule. If finding persists on the followup radiographs, chest CT would be indicated.", "background": "EXAM: Chest, single semi-erect AP portable view. CLINICAL INFORMATION: Seizure, altered mental status. COMPARISON: ___."}, {"study_id": "53683300", "subject_id": "13353252", "findings": "Frontal and lateral views of the chest were obtained. Streaky left base retrocardiac opacity is seen, which may be due to atelectasis. No definite new focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable, as are the hilar contours. No overt pulmonary edema is seen.", "impression": "No significant interval change. Streaky retrocardiac opacities may be due to atelectasis.", "background": "EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___."}, {"study_id": "53427107", "subject_id": "19720861", "findings": "There is prominent convexity of the lower right mediastinal contour which is nonspecific but may represent a tortuous ascending aorta or lymphadenopathy. The heart size is normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.", "impression": "No evidence of pneumonia. Prominence of the lower right mediastinal contour, for which non-emergent chest CT is recommended to distinguish a tortuous or dilated ascending aorta from a low lying anterior mediastinal mass such as a thymoma.", "background": "INDICATION: History: ___F with cough, wheezing // ? PNA COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest."}, {"study_id": "56737765", "subject_id": "13763635", "findings": "PA and lateral chest radiographs demonstrate no focal consolidation, pulmonary nodule, hilar lymphadenopathy or pneumothorax. The heart size is top normal. The cardiac, hilar, mediastinal contours are within normal limits. There is a probable calcified granuloma in the left lower hilum.", "impression": "No radiographic evidence of active pulmonary tuberculosis.", "background": "INDICATION: Ulcerative colitis, staring biologics. Positive PPD. Evaluation for evidence of tuberculosis. COMPARISONS: None."}, {"study_id": "53563545", "subject_id": "13543137", "findings": "PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with mildly unfolded thoracic aorta. Imaged osseous structures are intact. Mild anterior spurring in the mid T-spine noted. No free air below the right hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // pneumothorax or infiltrate? COMPARISON: ___"}, {"study_id": "53889715", "subject_id": "15230748", "findings": "The heart is normal. The hilar and mediastinal contours are normal. Again seen is an opacification within the left lower lobe which has not changed since most recent study from ___. No other focal opacities are seen and the lungs are otherwise unremarkable. There is no evidence of pleural effusion or pneumothorax. Mild degenerative changes are noted in the mid thoracic spine.", "impression": "Opacification of the left lower lobe, could reflect pneumonia and is unchanged from prior examination. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ at 2:10 PM, time of discovery.", "background": "HISTORY: ___-year-old male patient with recent history of pneumonia and COPD exacerbation presenting with recurrent shortness of breath and cough. Study requested to rule out PNA. TECHNIQUE: AP and lateral radiographs of the chest. COMPARISON: Prior radiographs from ___ and ___."}, {"study_id": "51319439", "subject_id": "15813307", "findings": "The patient is status post median sternotomy with mediastinal surgical clips noted. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is top-normal in size.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old male with dyspnea. Evaluate for acute process. TECHNIQUE: AP frontal chest radiographs were obtained. COMPARISON: Chest radiograph from ___ at 17:___."}, {"study_id": "55861026", "subject_id": "13707073", "findings": "Opacities projecting over the right upper lung zone, which are not present on the prior radiograph of ___, is consistent with pneumonia. There is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac mediastinal contours are within normal limits. No acute osseous abnormalities detected.", "impression": "Right upper lobe pneumonia. Recommend followup to resolution.", "background": "WET READ: ___ ___ 4:52 PM Right upper lobe pneumonia. Recommend followup to resolution. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: ___-year-old man substernal chest pressure, severe dyspnea, here to evaluate for pneumonia. TECHNIQUE: Portable upright AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "57325345", "subject_id": "12063160", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. No fracture is identified.", "impression": "No fracture identified. However, if there is continued clinical concern, dedicated rib films can be obtained.", "background": "INDICATION: Evaluate for fracture or trauma in a patient status post motor vehicle collision with chest pain. COMPARISON: None available."}, {"study_id": "59416413", "subject_id": "14618856", "findings": "The lungs are clear. There is no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is stable noting tortuosity of the thoracic aorta. There is no pneumomediastinum. Osseous structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with acute shortness of breath after choking on food, now back to baseline // eval for foreign body TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "51845967", "subject_id": "12655910", "findings": "There is a persistent opacity at the left base, similar to the prior exam. This likely represents a pneumonia, and less likely reexpansion edema given that it has now persisted for two days. There is a small residual left pleural effusion, which is not significantly changed since one day ago. Overall, the volume of fluid is significantly decreased since the patient's initial presentation. There is a new tiny left apical pneumothorax. The right lung is clear. A tiny right pleural effusion is unchanged. There is no right pneumothorax. The cardiomediastinal silhouette is normal.", "impression": "New tiny left apical pneumothorax. Unchanged small residual left pleural effusion and left basilar opacity. Unchanged tiny right pleural effusion.", "background": "INDICATION: Status post drainage of a left parapneumonic effusion. An 8 chest tube was removed yesterday evening. Evaluate for reaccumulation. TECHNIQUE: Chest PA and lateral. COMPARISON: Chest radiographs from ___ and ___."}, {"study_id": "54669621", "subject_id": "10387381", "findings": "Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: Evaluate for pneumonia in a patient with right-sided upper back pain consistent with prior pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None."}, {"study_id": "59948109", "subject_id": "11144826", "findings": "No significant interval change. The lungs are clear. No focal consolidation, pneumothorax, pleural effusion, or pulmonary edema. Stable appearance of the cardiomediastinal silhouette, hila, and pleura. Stable top-normal heart size.", "impression": "No evidence of acute intrathoracic abnormality.", "background": "EXAMINATION: CHEST (PA and Lateral) INDICATION: ___-year-old woman presenting with productive cough, weakness, and fatigue; evaluate for pneumonia. TECHNIQUE: PA and lateral radiograph views of the chest. COMPARISON: Chest radiograph dated ___."}, {"study_id": "55285409", "subject_id": "17543503", "findings": "ET tube ends in the lower trachea. Left IJ central venous catheter ends in the mid to lower SVC. Nasogastric tube courses below the hemidiaphragm, tip not visualized. The left costophrenic angle has been excluded from the field of view. Left-sided chest tube is unchanged in position. A partially imaged VP shunt catheter has no kinks or discontinuities along its imaged course. There is no pneumothorax. Small subcutaneous emphysema is unchanged. The previous left basilar airspace opacity has cleared, and may have been due to atelectasis. Mild vascular engorgement without frank edema is unchanged. The cardiomediastinal silhouette is normal despite the projection.", "impression": "Interval resolution of left basilar airspace opacity, which may have been due to atelectasis.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with PTX // eval chest tube and PTX TECHNIQUE: AP radiograph of the chest. COMPARISON: ___."}, {"study_id": "55365540", "subject_id": "11137177", "findings": "Streaky horizontal opacity in the right lower lung is most consistent with atelectasis. Otherwise, no focal consolidation, effusion, edema, or pneumothorax. No evidence of mediastinal free air. No evidence of subdiaphragmatic free air. The heart is normal in size. The descending thoracic aorta is slightly tortuous or ectatic. No mediastinal widening. No acute osseous abnormality.", "impression": "No acute cardiopulmonary process. Right lower lobe atelectasis. No pneumoperitoneum.", "background": "EXAMINATION: Chest radiograph INDICATION: ___-year-old man presenting with 18 hrs severe midline abd pain, + peritonitic signs on exam. Evaluate for free air. TECHNIQUE: Portable AP upright radiograph view of the chest. COMPARISON: No prior imaging is available on PACS at time as dictation appearing"}, {"study_id": "55414372", "subject_id": "10696506", "findings": "No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no overt pulmonary edema. The cardiac and mediastinal silhouettes are stable.", "impression": "No acute cardiopulmonary process.", "background": "HISTORY: Cough, shortness of breath. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___."}, {"study_id": "58057148", "subject_id": "13590165", "findings": "Bibasilar opacities are most suggestive of atelectasis. Right-sided Port-A-Cath is again noted. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormalities identified.", "impression": "Bibasilar opacities, most suggestive of atelectasis. No focal consolidation worrisome for pneumonia.", "background": "INDICATION: ___M with cough, productive // ?pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "50576392", "subject_id": "15617379", "findings": "AP portable upright view of the chest. The heart remains moderately enlarged. Lung volumes are low. Unchanged right mid lung linear density could represent scarring versus fluid in the fissure. Other this the lungs appear clear. Mediastinal contours stable with the unfolded thoracic aorta again noted. Bony structures appear intact. No free air below the right hemidiaphragm is seen.", "impression": "Cardiomegaly, no acute findings.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with AMS // Assess for possible pneumonia COMPARISON: Prior exam is dated ___."}, {"study_id": "55655777", "subject_id": "19528443", "findings": "No definite focal consolidation is seen. There is minor left base atelectasis. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Re- demonstrated is partially imaged cervical spine hardware. No evidence of free air is seen beneath the diaphragm.", "impression": "No acute cardiopulmonary process. No evidence of free air beneath the diaphragm.", "background": "EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recent endoscopy presenting with worsening abdominal pain diffusely. // Please assess for consolidation, effusion or free air under the diaphragm TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___"}, {"study_id": "51458908", "subject_id": "18557437", "findings": "Right lower lobe atelectasis is unchanged. Left lower lobe is airless and more likely collapsed than pneumonia. Severe cardiomegaly has not changed. Left subclavian line is new and terminates at the cavoatrial junction. No pneumothorax, pleural effusion is seen. Mediastinal widening is likely due to supine positioning and increased intravascular volume. ETT terminates 2.5 cm from the carina, unchanged from prior. The enteric tube is in mid stomach, unchanged.", "impression": "NG tube in mid stomach, unchanged from prior. Left subclavian line terminates at the cavoatrial junction.", "background": "INDICATION: ___M w/ severe HTN, unclear etiology, p/w IPH, left basal ganglia. Check NG position. thanks TECHNIQUE: Portable supine AP chest radiograph. COMPARISON: Chest radiographs from ___ through ___."}, {"study_id": "54660707", "subject_id": "11911440", "findings": "PA and lateral chest radiographs are obtained. The heart is normal size and cardiomediastinal contours are unremarkable. Lungs are well expanded and clear bilaterally with no parenchymal abnormalities. No pleural effusions and no pneumothorax.", "impression": "Normal radiographic study of the chest.", "background": "INDICATION: ___-year-old woman with night sweats, intermittent cough, evaluate for evidence of TB or lung nodules. COMPARISON: No prior studies available."}, {"study_id": "57962525", "subject_id": "10015931", "findings": "Moderate to large left and small right pleural effusions are increased from ___. No evidence of pulmonary edema. Aortic valve replacement and calcified aortic bulb are unchanged.", "impression": "Moderate to large left and small right pleural effusions are increased from ___.", "background": "INDICATION: ___M with CHF, s/p TAVR. // pulm edema, effusions? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___"}, {"study_id": "54373335", "subject_id": "17556194", "findings": "Again seen is a peripherally calcified right lower lung lesion. When compared to prior, it does not appear increased in size. There is no new consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Metallic surgical clips project over the supraclavicular regions bilaterally.", "impression": "Right lower lung partially calcified mass lesion does not appear to have progressed since PET-CT from ___, based on single frontal chest x-ray. No superimposed acute cardiopulmonary process.", "background": "INDICATION: ___F with weakness // PNA? TECHNIQUE: AP view of the chest. COMPARISON: PET-CT from ___."}, {"study_id": "56920356", "subject_id": "13181123", "findings": "PA and lateral views of the chest provided. Mild elevation of the right hemidiaphragm is again noted. The lungs appear clear bilaterally. 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.", "impression": "No acute intrathoracic process.", "background": "EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with DM, HTN presenting w chest pain // cp process COMPARISON: ___"}, {"study_id": "54351331", "subject_id": "19656279", "findings": "A bedside AP radiograph of the chest demonstrates continued opacification of the lingula, superimposed on chronic left lower lobe collapse. Heterogeneous left perihilar opacities are unchanged from ___, but slightly increased from ___. Right lower lobe atelectasis is unchanged, as is mild pulmonary edema and cardiomegaly. Engorgement of the mediastinal vessels is also unchanged and suggestive of elevated central venous pressure. There is no pneumothorax. A left-sided pleural effusion cannot be excluded. A left PICC has been advanced slightly, and now no longer abuts the lateral wall of the SVC, terminating in the mid portion of the SVC.", "impression": "Compared to yesterday's study, there is overall interval stability of mild acute-on-chronic congestive heart failure, right lower lobe atelectasis, and opacification of the lingula. This may represent atelectasis, or given the patient's clinical history, consolidation from pneumonia. This is stable from yesterday's study, but slightly increased since ___.", "background": "INDICATION: Pseudomonal pneumonia in comatose patient with tracheostomy and quadriparesis. COMPARISONS: Most recent radiograph from ___ and a series of older studies dating back to ___."}, {"study_id": "55058160", "subject_id": "16578063", "findings": "The cardiac silhouette size is normal. The aorta is mildly tortuous and demonstrates minimal aortic knob calcification, unchanged. The mediastinal and hilar contours are stable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. The pulmonary vascularity is not engorged. The lungs are hyperinflated with flattening of the diaphragms. There are multilevel degenerative changes in the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "background": "HISTORY: Palpitations for 1 hour. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___."}, {"study_id": "51118387", "subject_id": "10053918", "findings": "The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___M with RLE pain, frequent travel // r/o dvt TECHNIQUE: PA and lateral views of the chest. COMPARISON: None."}, {"study_id": "53706588", "subject_id": "11209060", "findings": "Frontal and lateral views of the chest were obtained. The heart is of top normal size, exaggerated by low lung volumes and AP technique. Pulmonary vasculature is unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.", "impression": "No acute cardiopulmonary process.", "background": "INDICATION: ___-year-old female with seizures. Evaluate for infiltrate. COMPARISONS: None."}, {"study_id": "53987789", "subject_id": "12645334", "findings": "No change in the position of the bilateral pigtail catheters. Compared with the prior radiograph, increased opacification at the left lower lung may be due to developing pneumonia in the correct clinical setting or a larger left pleural effusion. No larger right pleural effusion. Moderate cardiomegaly is unchanged. No pneumothorax.", "impression": "Increased opacification of the left lower lung may be due to developing pneumonia, in the correct clinical setting, or a larger left pleural effusion. No larger right pleural effusion.", "background": "EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with bilateral pleural effusion s/p bilateral chest tubes. Eval for interval change. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph from ___ and ___. PA lateral chest radiograph from ___. CT chest from ___."}, {"study_id": "52230820", "subject_id": "12632853", "findings": "One portable AP upright view of the chest. Moderate right pleural effusion has increased. Right lower lobe atelectasis is unchanged. Mild pulmonary vascular engorgement has increased. Low lung volumes. Mild interstitial edema is slightly increased. Mild-to-moderate cardiomegaly is stable. No evidence of pneumonia.", "impression": "Increased right pleural effusion and mild interstitial edema. No evidence of pneumonia.", "background": "INDICATION: Cough, assess for pneumonia or atelectasis. COMPARISON: Chest grafts on ___."}, {"study_id": "57609804", "subject_id": "13791337", "findings": "Upright portable AP view of the chest was obtained. The patient is rotated to the right. The lung volumes are low. There has been interval increase in right pleural effusion with overlying atelectasis and possible partial collapse of the right lower lobe. Left base opacity with likely pleural effusion persists. There is no pneumothorax. The cardiomediastinal silhouette is partially obscured by overlying opacification caused by the pleural effusion and patient rotation. Possible minimal inferior subluxation of the left humeral head may be positional.", "impression": "Patient rotated to the right and low lung volumes make the exam slightly suboptimal. Interval increase in right sided pleural effusion and atelectasis. Persistent left base opacity, likely pleural effusion.", "background": "INDICATION: Oxygen saturations in the low 80s and absent breath sounds on physical exam. COMPARISON: Chest radiograph ___."}]