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11148901 | 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. | 58832226 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11648038 | Frontal and lateral views of the chest were obtained. Examination is limited by soft tissue attenuation. Lung volumes remain low. Mild cardiomegaly is similar to prior. There is congestion of the pulmonary vessels are the lung hila without overt pulmonary edema. There is asymmetric elevation of the apparent right hemidiaphragm, similar to prior. No pulmonary consolidation, pleural effusion, or pneumothorax is identified. No radiopaque foreign body. Osseous structures are unremarkable. | 52876267 | INDICATION: ___-year-old female with dyspnea. Evaluate for CHF or pneumonia. COMPARISONS: Multiple prior chest radiographs, most recently of ___. | Slight pulmonary vascular congestion without pulmonary edema or focal consolidation. Stable mild cardiomegaly. |
11179382 | The cardiac silhouette and pulmonary vasculature are unremarkable. There is mild obscuration of the left heart border. There are minimal bibasilar opacities likely atelectasis. No definite mass is identified. There is no pleural effusion or pneumothorax. | 50334688 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with brain mass // r/o mass TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No definite mass identified. Bibasilar opacities are likely atelectasis |
11759245 | ET tube terminates 29 mm above the carina. Transesophageal to courses below the diaphragm and out of view. There are increased bibasilar opacities, which could be due to aspiration or atelectasis. There are probably bilateral pleural effusions. | 56898500 | INDICATION: ___ year old woman with schizophrenia presenting with cardiac arrest and now undergoing hypothermic cooling. // concern for aspiration pna given secretions suctioned EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___ | Increased bibasilar opacities could be due to aspiration or atelectasis. |
11759245 | Right PICC ends in the lower SVC. NG tube terminates in the stomach. New, focal opacity at the right base likely reflects right lower lobe pneumonia. Normal cardiomediastinal and hilar contours. Normal pleural surfaces. Fully expanded lungs. | 58825745 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with a history of anoxic brain injury, now with hypoxia despite treatment of pneumonia. Evaluate for new consolidation. TECHNIQUE: Portable AP chest radiograph COMPARISON: Multiple prior chest radiographs, most recent from ___. | Probable, new right lower lobe pneumonia. |
11759245 | Endotracheal tube tip terminates 3 cm from the carina. Enteric tube terminates in the left upper quadrant. Left internal jugular central venous line terminates within the internal jugular vein. Heart size and mediastinal contours are normal. There is a small left pleural effusion, incompletely imaged. The right lung is essentially clear. | 50770286 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with endotracheal tube. TECHNIQUE: Portable chest radiograph COMPARISON: None | Satisfactory position of endotracheal and enteric tubes. The left internal jugular central venous line appears to be high in position and terminates in the internal jugular vein. Small left pleural effusion is partially imaged. |
11536727 | Costochondral calcifications are noted. No definite focal consolidation is seen. There is no large pleural effusion or evidence of pneumothorax. The lungs are relatively hyperinflated. The cardiac and mediastinal silhouettes are stable. There is diffuse osteopenia. The left humeral head is high riding, which can be seen in rotator cuff disease. | 58355471 | HISTORY: Hypoxia, hypotension. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___. | No significant interval change. |
11829995 | Chest PA and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. | 58988769 | INDICATION: Increasing myoclonic jerks, concern for infectious process. COMPARISON: Comparison is made to chest radiograph performed ___. | No acute cardiopulmonary process. |
11829995 | 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. Slight degenerative changes are similar along the lower thoracic spine. | 54195350 | CHEST RADIOGRAPHS HISTORY: Increasing myoclonic activity. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11886618 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 54082245 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with asthma exacerbation // evidence of infection TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of acute cardiopulmonary process. |
11097813 | Opacity at the right lung base has improved since prior exam. There is a new left lower lobe opacity in the retrocardiac area which is concerning for pneumonia or aspiration. There are small bilateral pleural effusions. Cardiomediastinal silhouette appears unchanged in size. | 50953048 | INDICATION: ___-year-old female with hypoxia and concern for consolidation or volume overload. COMPARISON: Comparison is made with chest radiographs from ___. | New left lower lobe opacity concerning for pneumonia or aspiration pneumonia. Improving right basal opacity. Bilateral pleural effusions. These findings were communicated via the radiology critical results dashboard at 12:57 p.m. |
11883330 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Streaky atelectasis is noted in the lung bases without focal consolidation. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 50319554 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever, chills TECHNIQUE: Chest PA and lateral COMPARISON: CT abdomen ___ | Streaky bibasilar atelectasis. No focal consolidation to suggest pneumonia. |
11988232 | The patient is somewhat rotated. No focal consolidation is seen. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. | 59683083 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F presenting with lethargy and fever concerning for sepsis. // ? pneumonia TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. |
11988232 | Lungs are fully expanded and clear without focal consolidations. There is a single, approximately 4 mm nodular opacity projecting over the posterior lungs only appreciated on lateral view. Heart size is normal and cardiomediastinal silhouettes are unremarkable. No pleural effusions or pneumothorax. | 56317058 | EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman with recent hospitalization at ___ for possible pneumonia // cough, f/u pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest radiograph dated ___ | No radiographic evidence of pneumonia or other acute cardiopulmonary abnormalities. Small nodular opacity described above is likely a spinous process tip in this projection, but cannot rule out a pulmonary nodule. Recommend oblique radiographs for further evaluation. |
11555222 | The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. There is thickening of the cortex and trabecula involving the left humerus, suggestive of Paget's disease. | 50772214 | INDICATION: Evaluation of patient with new atrial fibrillation. COMPARISON: None available. | No acute cardiopulmonary processes. Thickening of the cortex and trabecula of the left humerus, suggestive of Paget's disease. Dedicated humeral radiographs may be obtained for further evaluation. |
11164650 | The lungs are clear, no acute consolidation or pulmonary edema. Heart size is top normal. No pleural effusions or pneumothorax. Bilateral pleural effusions have resolved. Prior median sternotomy and CABG. | 50519500 | INDICATION: ___ year old man with chronic cough // r/o infiltrate or mass TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11164650 | Portable AP upright view of the chest provided. Midline sternotomy wires again noted. The previously noted right IJ central venous catheter has been removed. There are small bilateral pleural effusions with lower lung compressive atelectasis. Difficult to exclude a superimposed pneumonia. Cardiomediastinal silhouette is stable. Bony structures are intact. | 58365652 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with tachycardia status post coronary artery bypass. Evaluate for acute process. TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ | Bilateral small pleural effusions with lower lung atelectasis, less likely pneumonia. |
11164650 | Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. | 54827367 | HISTORY: Acute chills, severe cough and congestion. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: None available. | Normal chest radiograph; specifically, no evidence of pneumonia. |
11954282 | Lateral view is somewhat limited by motion artifact. The heart size is top normal. The mediastinal and hilar contours are normal. Lung volumes are low, however the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax. | 54689242 | WET READ: ___ ___ ___ 1:53 AM No focal consolidation, pneumothorax, or pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with new visual hallucinations, pressured speech, on chronic narcotics. Eval for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No focal consolidation, pneumothorax, or pleural effusion. |
11820189 | Since 2 days prior, a possible tiny left apical pneumothorax is newly appreciated. Bibasilar atelectasis is no worse. Moderate left and small right pleural effusions are probably unchanged. Mild cardiomegaly is unchanged. No pulmonary vascular congestion or pulmonary edema. A right-sided IJ central venous catheter terminates at the superior cavoatrial junction. Median sternotomy wires are well aligned and intact. | 53405765 | EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man with CABG // r/o inf, eff TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest radiograph dated ___ | Possible tiny, left apical pneumothorax. Bibasilar atelectasis, moderate left pleural effusion, and small right pleural effusion are essentially unchanged. |
11920993 | PA and lateral radiographs of the chest. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. The pulmonary vascularity is normal. | 55257442 | INDICATION: Hemoptysis. COMPARISON: CTA of the chest performed the same date, ___ at 2:05 p.m. | No acute cardiopulmonary process. |
11833668 | The cardiac, mediastinal, and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 55738432 | CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11490177 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | 55393887 | WET READ: ___ ___ ___ 5:06 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with 2 days chest tightness, cough, recent plane flight. Evaluate for focal consolidation or infarction. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
11449781 | The left-sided chest tube is in place. No obvious residual pneumothorax is present. The heart and mediastinal contours are within normal limits and exhibit no shift. There is no hemidiaphragmatic flattening. The lungs are clear. | 57606605 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 9:41 AM Left chest tube in place without evidence of residual pneumothorax. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with left-sided pneumothorax. STUDY: Portable supine AP chest radiograph. COMPARISON: ___. | Left chest tube in place without evidence of residual pneumothorax. |
11209039 | There is mild interstitial pulmonary edema. No confluent consolidation is identified. There is no pneumothorax or pleural effusion. Mediastinal and hilar contours are within normal limits. Moderate-to-severe cardiomegaly is unchanged from prior examinations. | 53009645 | HISTORY: ___-year-old female with history of cocaine use, now presenting with chest pain and cough. COMPARISON: Chest radiograph from ___ and ___ FRONTAL AND LATERAL CHEST | Mild interstitial pulmonary edema Unchanged moderate-to-severe cardiomegaly |
11209039 | The lungs are clear. No confluent opacity is identified. No pulmonary edema or large pleural effusion is evident. No pneumothorax is visualized. Mediastinal and hilar contours are within normal limits. Moderate-to-severe cardiomegaly is unchanged. There is new mild leftward tracheal deviation. Findings are concerning for extrinsic mass effect upon the trachea from a neck mass. Possibilities include lymphadenopathy, abscess or thyroid pathology. Correlation with clinical symptoms and physical exam is recommended. | 54308482 | HISTORY: ___-year-old female with shortness of breath. COMPARISON: Chest radiograph from ___ and chest CTA from ___. AP AND LATERAL CHEST | No pulmonary edema or confluent consolidation. Unchanged severe cardiomegaly. New mild left tracheal deviation concerning for lesion in the right neck causing laryngeal dispalacement Recommend correlation with symptoms and physical findings. Recommendations were emailed to the emergency department QA nurses who will contact the patient to arrange for follow-up. |
11209039 | AP single view of the chest has been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Marked cardiomegaly as before. No typical configurational abnormality is seen. Findings are therefore compatible with a diffuse enlargement of all heart chambers. No change in appearance of thoracic aorta. The pulmonary vasculature again demonstrates a typical upper zone re-distribution pattern and considerable perivascular haze in the lung bases. These findings may have regressed slightly. The previously identified and suspected density on the right base has resolved. On the other hand, one observes now a crowded pulmonary vasculature on the left base in the retrocardiac space, a finding which coincides with partial obliteration of the diaphragmatic contour and thus suggestive of an atelectasis in the left lower lobe posterior segment. As the lateral pleural sinus is still visible, the radiograph cannot make the diagnosis of pleural effusions. No pneumothorax is present in the apical area. | 59192355 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with CHF (ejection fraction ___%), presents with CHF exacerbation, now with increased bronchial sounds on lung examination. Pneumonia versus pulmonary edema? | Mild regression of pulmonary congestive pattern, appearance of left lower lobe atelectasis. If the atelectasis may ___ elements of pneumonia, this will be decided on clinical findings. |
11209039 | The heart remains moderately to severely enlarged. The mediastinal and hilar contours are stable. There is mild pulmonary vascular congestion without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are seen. | 59008295 | HISTORY: Shortness of breath. TECHNIQUE: Semi upright AP and lateral views of the chest. COMPARISON: ___. | Mild pulmonary vascular congestion. |
11209039 | Lungs are well expanded and show evidence of cephalization of the pulmonary vasculature. The cardiac silhouette is chronically enlarged. Rightward tracheal deviation in the neck is due to adenopathy present on CTA ___, but not noted in the report. The mediastinal silhouette and hilar contours are otherwise normal. No pleural effusion or pneumothorax is present. | 50322382 | INDICATION: ___-year-old female with cough and shortness of breath. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE | Unchanged severe cardiomegaly. Mild pulmonary vascular congestion. No edema. Likely cervicomediastinal adenopathy, should be evaluated electively. ___ resident ___ paged at the time of approval. |
11209039 | Severe cardiomegaly is unchanged compared to the prior exam. Aortic knob calcifications are re- demonstrated. The pulmonary vascularity is normal, and the hilar contours are stable. Lungs are clear without focal consolidation. No large pleural effusion or pneumothorax is detected,although a trace right pleural effusion may be present. There are no acute osseous abnormalities. | 57321688 | HISTORY: Cough, rhonchi, fever and diffuse abdominal pain with vomiting. TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest CTA ___. Chest radiograph ___. | Severe cardiomegaly. Possible trace right pleural effusion. |
11209039 | Marked cardiomegaly is unchanged. The mediastinal and hilar contours are stable. Previous pattern of pulmonary vascular congestion has improved. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 53437209 | HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Marked cardiomegaly with continued improvement in previous pattern of pulmonary vascular congestion. |
11209039 | PA and lateral radiographs were acquired. Marked cardiomegaly is not significantly changed. There is central pulmonary vascular engorgement without evidence of pulmonary edema. The lungs are clear aside from minimal left basilar linear atelectasis. No pleural effusions. No pneumothorax. The mediastinal contours are normal. | 57743576 | INDICATION: Fatigue and weakness with history of CHF (recently admitted). Now presenting with increased shortness of breath since discharge. Also with dry cough and orthopnea with PND. COMPARISON: Chest radiograph from ___. | Unchanged cardiomegaly and central pulmonary vascular congestion. |
11209039 | 1 portable AP upright view of the chest. There is marked enlargement of the cardiac silhouette. There has been an interval increase in pulmonary vascular engorgement and pulmonary edema. No definite pleural effusion however there may be a small left pleural effusion. No pneumothorax. More confluent opacity in the right lung base likely represents engorged pulmonary vasculature/edema however pneumonia cannot be completely ruled out. | 51313211 | HISTORY: Shortness of breath, CHF. COMPARISON: ___. | Marked enlargement of cardiac silhouette and moderate pulmonary edema. More confluent opacity in the right lower lobe likely represents engorged vessels/edema however pneumonia cannot be entirely ruled out. Possible small left pleural effusion. |
11209039 | The cardiomediastinal and hilar contours are stable. Severe cardiomegaly and pulmonary vascular re-distribution are chronic. No overt pulmonary edema is detected. There are no focal consolidations, pleural effusion or pneumothorax. | 54625620 | INDICATION: ___-year-old woman with cough and chest pain. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST | Stable marked cardiomegaly, without acute abnormality. |
11727807 | The lungs are well expanded and clear. Minimal atelectasis is seen in the left lung base. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Degenerative changes are seen in bilateral shoulders and acromioclavicular joints. | 53549590 | HISTORY: Dementia, worsening altered mental status, question fever home concerning for pneumonia. COMPARISON: None. | No acute cardiopulmonary process. |
11939156 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and relatively well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 50062458 | INDICATION: Evaluate for acute process in a patient with syncope and chest pain. COMPARISON: None available. | No acute cardiopulmonary process. |
11374532 | Following placement of a right pigtail pleural catheter, large partially loculated right pleural effusion has decreased in size, particularly in the lower right hemithorax near the catheter. In this same region, focal hyperlucency likely represents a loculated pneumothorax. Extensive right upper lobe consolidation has worsened in the interval. Right mid and lower lung atelectasis adjacent to the loculated effusion have improved with residual opacity which could reflect combination of resolving atelectasis and reexpansion edema, although additional site of infection is possible in the setting of right upper lobe pneumonia. Large left loculated pleural effusion and adjacent left mid and lower lung atelectasis are unchanged. | 50229413 | WET READ: ___ ___ 8:55 PM New pigtail drainage catheter projects over the right lower lung resulting in a significant decrease in the loculated right pleural effusion. Relative hyperlucency in this area reflects a small pneumothorax. Dense consolidation in the right upper lobe has worsened. Slight decrease in size of a left loculated pleural effusion. Bibasilar atelectasis persists. Findings discussed with Dr. ___ by Dr. ___ at 20:54 on ___ by telephone at the time of discovery. ______________________________________________________________________________ FINAL REPORT PORTABLE CHEST, ___ COMPARISON: ___ radiograph. | Decreased size of right pleural effusion following pigtail pleural catheter placement, with development of a small loculated pneumothorax. Worsening right upper lobe pneumonia. |
11374532 | Frontal and lateral radiographs of the chest demonstrate appropriate positioning of left chest wall pacemaker and leads. Compared to the prior radiograph, there has been interval removal of the right pleural catheter with redevelopment of loculated right and left pleural effusions. A small amount of residual air is present in the right pleural effusion, likely from prior catheter placement. The appearance of the lungs is almost identical to the radiograph from ___ at 10:17 a.m. The heart and mediastinal contours are normal. No areas of focal consolidation concerning for pneumonia are seen. No pneumothorax is appreciated. | 56291274 | HISTORY: Recurrent effusions. Interval assessment. COMPARISON: ___. | Redevelopment of large bilateral loculated pleural effusions, right greater than left. These findings were relayed to Dr. ___, by Dr. ___, at 11:20 a.m., on the day of the examination. |
11374532 | There has been interval increase in size of the moderate, multiloculated right pleural effusion. A smaller moderate-sized left pleural effusion is also again noted, but similar when compared to the prior study. Cardiac, mediastinal and hilar contours are unchanged. Atelectatic changes are noted in both lung bases. No pneumothorax is present. Bilateral nephroureteral stents are partially imaged within the upper abdomen. | 54941977 | INDICATION: Recent thoracentesis with diminished breath sounds on the right. COMPARISON: Chest radiograph, ___ and ___. PA AND LATERAL VIEWS OF THE | Interval increase in size of moderate, multiloculated right pleural effusion. Unchanged appearance of smaller, moderate-sized left pleural effusion. |
11374532 | Continued loculated pleural effusions are seen bilaterally, which are unchanged in size. An air-fluid level may be seen on the lateral chest radiograph view. Right upper lobe pneumonia is improving but continued opacification is seen. Left cardiac pacemaker is in stable position with leads ending appropriately in the right atrium and right ventricle. The cardiac silhouette is normal. | 58876220 | HISTORY: ___-year-old man with right upper lobe pneumonia, loculated pleural effusions status post right chest tube placement now with pneumothorax versus trapped lung. Assess for interval change. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___. | No significant change in loculated bilateral pleural effusions. Interval improvement in right upper lobe pneumonia. |
11374532 | There is stable appearance of left upper chest device with associated dual leads in unchanged position. The cardiomediastinal silhouettes are unchanged in appearance. There is again seen a calcified thoracic aorta. There is stable appearance of right greater than left biapical pleural scarring. There is a diffuse reticulonodular interstitial pattern in the upper lungs (right greater than left) which is unchanged in comparison to prior radiograph. There are no new focal lung consolidations. There is no evidence of pulmonary vascular congestion or pulmonary edema. Again seen are unchanged bilateral loculated pleural effusions. There is no evidence of pneumothorax. | 57559295 | EXAMINATION: PA and lateral chest x-ray. INDICATION: ___ year old man with high bmp, leg edema, ? chf // ? chf TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: PA and lateral chest x-ray obtained ___. | No evidence of pulmonary pulmonary edema. Stable large bilateral loculated pleural effusions and nonspecific parenchymal scarring/fibrosis. |
11374532 | Opacification of the right lung apex, a combination of known pneumonia and loculated pleural fluid appears increased since most recent prior. A chest tube remains in place within the right mid lung. Previously seen air adjacent to the chest tube site has decreased, likely due to improving loculated hydropneumothorax. Previously seen loculated fluid within the right basilar pleural space has decreased in the interval. However, within the adjacent right lower lobe, worsening consolidation is seen, which may be due to re-expansion pulmonary edema or progressiong of pneumonia. Aeration of the left lung with a large left loculated pleural effusion is unchanged. Cardiomediastinal and hilar contours are unchanged and within normal limits. Pacemaker leads are intact and in standard position. | 58058596 | INDICATION: ___-year-old male with history of recurrent loculated pleural effusions, now admitted with right upper lobe pneumonia and reaccumulation of fluid. Patient is status post chest tube placement (on suction). Assess for interval change. COMPARISON: Chest radiographs dating back to ___, most recent from ___ and chest CT from ___. PORTABLE AP FRONTAL CHEST | Worsening right upper lobe pneumonia. Decreased size of right basilar pleural effusion after chest tube drainage. Adjacent consolidation in right lower lobe may be due to re-expansion edema and/or pneumonia. |
11824624 | Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Again seen is blunting of the bilateral costophrenic angles, which may represent trace pleural effusion/pleural thickening, and is unchanged from the most recent prior study. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, or focal consolidation. | 57632640 | INDICATION: History: ___M with HIV not on HAART p/w N/V, wheezing/ rhoncorous BS on exam. // R/O pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ to ___. | No acute cardiopulmonary process. |
11824624 | The lungs are symmetrically well expanded and clear. There is no focal consolidation concerning for pneumonia. Mild blunting of the costophrenic angles may represent very trace pleural fluid or pleural parenchymal scarring, similar in appearance to the most recent prior study. No significant pleural effusion is detected and there is no pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. | 57929193 | HISTORY: Chills and weakness, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Upright PA and lateral radiographs of the chest. | No acute cardiopulmonary process. No change. |
11824624 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Heart size is unchanged and remains within normal limits. Unremarkable appearance of thoracic aorta. No mediastinal abnormalities are present. The pulmonary vasculature is not congested. Deep inspiration results in some flattening of the pleural sinuses, but there is no evidence of pleural effusion in the lateral or posterior sinuses as they are free. There is now a moderately sized poorly delineated parenchymal infiltrate on the left lung base obliterating partially the apical cardiac contour. The lateral view confirms the infiltrate to be located in the peripheral lingula of the left upper lobe located quite anterior and low which matches well the description of the positive findings on physical examination. | 59060894 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with cough and wheezes and rhonchi on lung examination. Evaluate for infiltrates ? left lower lobe. | Acute new infiltrates in left upper lobe lingula. No other new abnormalities. Followup examination after successful treatment in one to two weeks is recommended. |
11824624 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 54879839 | HISTORY: Past medical history of HIV, cough, back pain. Chest pain. Evaluate for pneumonia. TECHNIQUE: Upright PA and lateral radiographs of the chest. COMPARISON: Multiple prior radiographs of the chest most recent ___. | No evidence of acute cardiopulmonary process. |
11824624 | Frontal and lateral chest radiographdemonstrates mildly hyperinflated clear lungs. Blunting of costophrenic angles are stable and may represent trace pleural effusion/pleural thickening. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. | 50013386 | WET READ: ___ ___ 10:44 AM No acute cardiopulmonary process. No pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Abdominal pain. Assess for infection. COMPARISON: Chest radiograph ___, ___. | No acute cardiopulmonary process. No pneumonia. |
11560497 | ET tube is in appropriate position with its tip 3 cm above the carina. Retrocardiac opacity is seen. Diffuse opacity overlying the right hemi thorax is consistent with a layering effusion. No pneumothorax. Heart size is normal or mildly enlarged. | 54481721 | INDICATION: History: ___M with intubated // eval for ETT placement TECHNIQUE: AP view of the chest COMPARISON: None available | ET tube in appropriate position. Retrocardiac opacity may represent atelectasis or pneumonia. Small to moderate layering right pleural effusion. |
11863782 | There is hyperinflation, consistent with COPD. The cardiomediastinal silhouette is unchanged. Heart size is at the upper limits of normal or slightly enlarged. Aorta is unfolded. No CHF, focal consolidation, pleural effusion or pneumothorax is detected. Minimal blunting of the left costophrenic angle posteriorly is unchanged. Bibasilar atelectasis is present. Mild elevation and/or eventration of the right hemidiaphragm is unchanged. Apparent focal synostosis between the right fifth and sixth posterior ribs is unchanged. Degenerative changes about both shoulders noted. | 53159698 | EXAMINATION: Chest radiograph INDICATION: History: ___M with cough // pna? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute pulmonary process detected. Background COPD and borderline cardiomegaly noted. |
11125370 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. | 58963570 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11220334 | Again seen are opacities at the right base which appear chronic and stable from multiple prior examinations including the prior CT examination. No new focal parenchymal opacity is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. Mild cardiomegaly is unchanged. There is tortuosity of the aorta. The patient is status post median sternotomy, CABG, and mitral valve replacement. A left-sided dual-lead pacemaker is in standard position. Anchor within the right humerus is unchanged. | 58278524 | INDICATION: Dizziness and worsening shortness of breath. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___ and correlation with CT of the chest dated ___. | Chronic opacity at the right base stable over multiple prior examinations. No new focal parenchymal opacity. No evidence of pulmonary edema. |
11220334 | No definite consolidation is seen. Cardiomegaly is unchanged, however prominent lung vascularity has improved. There is no pleural effusion or pneumothorax. AICD is seen with associated right atrium and right ventricular leads. Median sternotomy clips are unchanged in position. A cardiac valve, likely mitral, is seen. | 52028731 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with SOB. Left Basilar crackles // R/O infiltrate R/O infiltrate TECHNIQUE: PA and lateral films COMPARISON: ___ | No consolidation is seen. Cardiomegaly is stable with mostly resolved prominent lung vascularity. |
11220334 | There low lung volumes resulting and bronchovascular crowding. Indistinctness of the hila bilaterally as well as cephalization of vessels is consistent with pulmonary vascular congestion. The heart remains enlarged. There is no pleural effusion, pneumothorax, or consolidation. The patient is status post median sternotomy, CABG, mitral valve replacement, and placement of left-sided dual-lead pacemaker which is in standard position. The anchor in the right humerus is in unchanged position. | 55099780 | INDICATION: History: ___F with Dizzy and concern for TIA // ICH? TECHNIQUE: Chest PA and lateral COMPARISON: Radiographs of the chest dated ___ through ___. | Indistinctness of the hila and cephalization of vessels is consistent with pulmonary vascular congestion. |
11015484 | As compared to prior chest radiograph from ___, lung volumes remain unchanged. A left subclavian central venous catheter crosses midline and its tip terminates in the expected location of the right brachiocephalic vein. An endotracheal tube terminates 1.1 cm above the carina. An enteric tube courses below the diaphragm, its tip is in the gastric fundus. The cardiomediastinal and hilar contours are stable. Lungs are essentially clear. There is no pneumothorax. | 52738960 | INDICATION: ___-year-old man status post near drowning, requiring reintubation for dislodged ET tube. Evaluate ET tube position. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable supine AP chest radiograph. | Endotracheal tube terminates 1.1 cm above the carina, withdrawal of at least 3 cm is recommended for appropriate positioning. Left subclavian central venous catheter crosses midline and its tip terminates in the right brachiocepahlic vein, repositioning is recommended. These findings were discussed with ___ by ___ via telephone on ___ at 10:48 a.m., at time of discovery. |
11015484 | Endotracheal tube is still slightly low, 2.4 cm above the carina. NGT tip is in the stomach. There is mild pulmonary vascular redistribution. There are bilateral lower lobe infiltrates left greater than right. There is a left pleural effusion. This volume loss in the left lower lobe. | 54984541 | HISTORY: Near drowning intubated with fever. COMPARISON: ___. | Compared to the prior study the appearance of the lungs is much worse, in particular with left greater than right lower lobe infiltrate |
11600211 | The cardiomediastinal and hilar contours are stable. There is increased retrocardiac density compared to the prior study which suggests atelectasis however infection should be considered. There are no large pleural effusions identified. Scattered pulmonary opacities are seen throughout the bilateral lungs which may be related to persistent edema or a chronic interstitial process. No pneumothorax is identified. Pleural calcifications are seen and are unchanged from the most recent prior study. | 57985855 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with history of dCHF, COPD, here with new ascites and ___. Also with new O2 requirement on 3L NC. // eval for pulmonary edema, effusions, consolidations TECHNIQUE: AP view of the chest. COMPARISON: Multiple priors the most recent on ___. | Increased retrocardiac opacity suggesting atelectasis or infection in the appropriate setting. Persistent bilateral airspace opacities likely reflect pulmonary edema however underlying interstitial process cannot be excluded. No pneumothorax. |
11600211 | The lung volumes are low. Again visualized is extensive pleural calcification bilaterally including along the diaphragmatic pleura. Bibasilar opacities likely atelectasis and/ consolidation unchanged compared to the prior radiograph. There is no pleural effusion. Stable mild cardiomegaly and aortic knuckle calcification. No interval change in bony thorax. | 50136593 | INDICATION: ___ year old man with tachypnea to the ___ and concern for pulmonary process. // Evaluate for infection/edema TECHNIQUE: Single AP radiograph of the chest COMPARISON: ___, CT chest dated ___ | Low lung volumes with bibasilar atelectasis and/or consolidation, unchanged compared to ___. Extensive pleural calcification is again identified. |
11600211 | PA and lateral images of the chest demonstrate well-expanded lungs which are clear. There is bilateral pleural calcification along pleural surfaces at the lung bases and along the mediastinum suggestive of asbestos-related disease. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Aortic knob is seen to be calcified. | 58454076 | INDICATION: ___-year-old male with dyspnea. COMPARISON: Comparison is made with chest radiographs from ___. | No acute abnormality in patient with evidence of asbestos-related pleural disease. |
11610947 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | 53247773 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with ppd positive, no symptoms. Evaluate for active for latent TB. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___. | No evidence of active or latent TB. |
11299279 | No comparison studies. Please note that comparison to old studies can be helpful to detect subtle interval change. PA and lateral chest radiograph demonstrates clear lungs bilaterally. No focal opacity convincing for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. | 57753779 | INDICATION: History: ___M with cough // R/O PNA TECHNIQUE: Chest PA and lateral | No opacity convincing for pneumonia. |
11975232 | 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. | 53061727 | WET READ: ___ ___ ___ 1:01 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with sore throat and hemoptysis // evaluate for pulmonary abnormality TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary abnormality. |
11119242 | Bibasilar opacities likely reflect atelectasis, and the heart size is unchanged in size. A Port-A-Cath terminates within the right atrium. Known pulmonary metastases are better evaluated on the prior CT. No focal consolidation is seen. | 54267369 | INDICATION: ___-year-old male with shortness of breath. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___, ___ and ___. | No acute cardiopulmonary process. Known pulmonary metastases are better assessed on the prior CT. |
11119242 | Right-sided Port-A-Cath is stable in position. The cardiomediastinal and hilar contours are within normal limits and stable from the prior exam. Small bilateral pleural effusions are minimally increased from the prior study. Thickening of the horizontal fissure on the right is seen in was consistent with trace fluid within the fissure. There is mild atelectasis involving the right lower lobe. No focal consolidation or pneumothorax is identified. No evidence of pulmonary edema. | 53181720 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with metastatic pancreatic cancer, SOB, and decreased breath sounds on right base. Please compare to ___ CXR done in ___. // any increase in effusion, signs of infection or fluid overload. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior comparisons the most recent done on ___ and chest CT from ___ | Small bilateral pleural effusions are minimally increased. No focal consolidation or pneumothorax. No edema. |
11119242 | No focal consolidation is identified. There is mild atelectasis at the left lung base. Numerous bilateral known pulmonary metastases are better evaluated on previous CT chest. The cardiomediastinal silhouette is normal. There are small bilateral pleural effusions. No pneumothorax is seen. A right chest Port-A-Cath terminates within the right atrium. Surgical clips are seen in the upper abdomen. Osseous structures are grossly intact. | 53400355 | INDICATION: History of afib, metastatic pancreatic ca, here with 1 day of chest pain. Evaluate for pneumonia or metastatic disease. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and CT chest ___. | No focal consolidation. Small bilateral pleural effusions. Numerous known bilateral pulmonary metastases are better evaluated on previous chest CT. |
11119242 | There is a small nodular opacity in the left lower lung suggestive of metastatic disease, better evaluated by the CT chest dated ___, which demonstrated multiple radiographically occult pulmonary metastases.There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The right chest wall port ends at the cavoatrial junction. | 55823924 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with crackles on b/l bases, right>left. metastatic pancreatic cancer to lungs. On gemcitabine chemotherapy. low grade temp. decreased BP // r/o pneumonia vs fluid overload. Wet ___ to NP ___ TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___. | No evidence of acute cardiopulmonary process. |
11119242 | Right-sided Port-A-Cath is seen, similar in position. The pneumothorax is seen. There are low lung volumes and probable small bilateral pleural effusions. Bilateral perihilar opacities suggests mild pulmonary edema. Patchy right base opacity may be due to combination of pleural effusion and pulmonary edema, although infectious process is not excluded in the appropriate clinical setting. Cardiac and mediastinal silhouettes are stable. | 54759054 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pancreatic ca p/w SOB // Pulmonary edema vs PNA TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Low lung volumes and probable small bilateral pleural effusions. Mild pulmonary edema. Patchy right base opacity may be due to combination of pleural effusion and pulmonary edema, although infectious process is not excluded in the appropriate clinical setting. |
11119242 | New right IJ catheter ends in the lower SVC. Right Port-A-Cath ends at the cavoatrial junction. Endotracheal tube ends 4.7 cm above the carina and NG tube extends into the stomach. New, mild to moderate pulmonary edema. Increased, moderate to large left pleural effusion and new, small right pleural effusion. Interval widening of the mediastinum suggests increased venous distention. Obscuration of the heart borders precludes assessment of heart size. | 53454319 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of CHF, now with sepsis secondary to cholangitis and net positive 14 L. Concern for volume overload. TECHNIQUE: Portable AP chest radiograph COMPARISON: Multiple prior chest radiographs, most recent from ___. | New, mild to moderate pulmonary edema and increasing, moderate left pleural effusion and new, moderate right pleural effusion indicate volume overload. |
11265066 | The heart remains moderately enlarged, unchanged compared to the prior exam. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present. There are mild degenerative changes in the thoracic spine. | 51269203 | HISTORY: Cough and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Unchanged moderate cardiomegaly. Otherwise, no acute cardiopulmonary abnormality. |
11873714 | The heart is mildly enlarged with a left ventricular configuration. There is mild unfolding around the thoracic aorta. There is perihilar fullness and haziness with predominantly perihilar opacification and upper zone redistribution of pulmonary vascularity suggesting mild-to-moderate pulmonary edema. There is no pleural effusion or pneumothorax. | 52969196 | CHEST RADIOGRAPHS HISTORY: Dyspnea. Question congestive heart failure. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Findings suggesting pulmonary edema. |
11676964 | Endotracheal tube tip is approximately 4.5 cm from the carina. Enteric tube seen with tip in the region just proximal to the gastroesophageal junction and should be advanced. Right chest wall port catheter tip in the right atrium. Low lung volumes are noted however the lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 57745168 | INDICATION: ___M with h/o GBM with new type of seizure and status epilepticus. intubated in the field TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | ET tube in appropriate position. Enteric tube tip just proximal to the GE junction and should be advanced. No acute cardiopulmonary process. |
11676964 | The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 59489227 | INDICATION: History of lesions in the brain. Please evaluate chest. COMPARISONS: None. TECHNIQUE: Frontal and lateral radiographs of the chest. | No acute intrathoracic abnormalities identified. |
11904144 | 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. | 54457973 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sharp chest pain // Eval for acute process, PTX TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11845452 | AP upright and lateral views of the chest provided. Cardiomegaly is again noted with a coronary stent projecting over the left heart border. No focal consolidation, large effusion or pneumothorax. Mild hilar congestion is noted. No frank edema. Mediastinal contours unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 56470409 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with chest pain // eval heart and lungs COMPARISON: ___ PA | Cardiomegaly with mild hilar congestion. |
11845452 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 59572864 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // eval for ptx TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process. |
11845452 | Four total views, including two AP and two lateral views of the chest were viewed. 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. | 59164456 | HISTORY: Chest pain. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
11845452 | The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The bony structures are unremarkable. | 51922777 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11845452 | 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 top normal. There is no pulmonary edema. | 54767309 | INDICATION: Shortness of breath. COMPARISONS: ___. | No evidence of acute cardiopulmonary process. |
11845452 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs which are clear. A coronary stent is again noted projecting over the left heart border. No focal consolidation, pleural effusion, or pneumothorax is identified. The visualized upper abdomen is unremarkable. | 59386053 | INDICATION: Chest pain. COMPARISON: Chest radiographs from ___, ___, ___, and ___. | No acute cardiopulmonary process. |
11845452 | Frontal and lateral views of the chest were obtained. The lungs are well expanded. Increased opacity in the right infrahilar region since ___, seen only on the frontal view, may represent focal pneumonia in the appropriate clinical setting. The remainder of the lungs are clear. No pleural effusion or pneumothorax. Heart size is within normal limits. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified. | 58114265 | WET READ: ___ ___ ___ 7:38 AM Increased right infrahilar opacity may represent focal pneumonia in the appropriate clinical setting. If the patient is going to be treated for pneumonia, recommend follow up radiograph in ___ weeks to ensure resolution. Updated findings after attending review discussed with Dr. ___ by phone at 7:35am ___. ______________________________________________________________________________ FINAL REPORT CLINICAL HISTORY: ___-year-old man with chest pain. COMPARISON: ___. | Subtle right infrahilar opacity may represent focal pneumonia in the appropriate clinical setting. Recommend follow up radiograph in ___ weeks to ensure resolution after antibiotics. If persistent, CT would be recommended. Updated findings after attending review discussed with Dr. ___ by phone at 7:35am ___. |
11845452 | Frontal and lateral chest radiographs demonstrate slightly low lung volumes which mildly exaggerates the cardiac silhouette. A coronary stent is again noted projecting over the left heart border. There is mild bronchial wall inflammation, with peribronchial cuffing in the upper left hilum. No definite focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable. | 56586088 | INDICATION: Evaluate for pulmonary process in a patient with chest pain. COMPARISON: Chest radiographs from ___, ___, ___, ___. | Mild bronchial wall inflammation. |
11845452 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 52615651 | INDICATION: ___-year-old male with recent cath and substernal chest pain. Please evaluate for acute process. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
11845452 | PA and lateral views of the chest were obtained. Heart size is within normal limits. A coronary stent is partially imaged over the left heart border. There is no overt edema, though mild pulmonary interstitial edema is difficult to exclude. No focal consolidation, effusion, or pneumothorax. Mediastinal contour is normal. Bony structures are intact. | 50619062 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain status post stent placement two weeks ago, assess for acute intrathoracic process. | Possible mild interstitial edema. Coronary stent visualized. |
11845452 | PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. There is slight flattening of the diaphragms which is suggestive of underlying COPD. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 54846639 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with prior study from ___. CLINICAL HISTORY: Short of breath and chest pain. | No acute intrathoracic process. |
11104857 | The patient is status post median sternotomy and CABG. There is fracture of the superior most median sternotomy wire. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. | 57950253 | HISTORY: Arm numbness, cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11192953 | AP view of the chest. There is a small to moderate left-sided pleural effusion. Mildly increased right basilar opacity raise the possibility of a small right effusion as well. Cardiac silhouette is enlarged but likely accentuated due to low lung volumes. The lungs are clear of consolidation. Left chest wall single lead pacing device is noted. No acute osseous abnormalities detected. | 52307110 | HISTORY: ___-year-old male with stroke and concern for recurrent pleural effusion. COMPARISON: None. | Small to moderate left and probable small right pleural effusion. |
11245751 | There is extensive opacification involving the right hemithorax new from ___. Opacification involving the left upper lung is similar in appearance to ___. Left basilar opacity is also noted and likely represents a combination of atelectasis and effusion. Opacity in the left medial mid lung may correspond to a large bony metastasis seen on prior thoracic spine CT. Cardiac silhouette is unchanged. No pneumothorax. Spinal fusion hardware is again seen. | 52835296 | INDICATION: ___M with dyspnea, hypoxia // Acute cardiopulmonary disease, history of metastatic lung cancer.. COMPARISON: T-spine CT ___ TECHNIQUE Portable view of the chest. | Large opacification involving the right hemithorax, new from prior as well as persistent left upper lung opacification could represent infection or spread of metastatic disease, edema is less likely given asymmetry. |
11245751 | Large expansile skeletal metastasis involving the posterior aspect of the left sixth rib seen on CT dated ___ is again seen overlying the left upper chest. Left PICC line is seen make an abrupt turn at the region of the azygos vein. Cardiomediastinum is unchanged compared to prior. There is mild increase in vascular congestion. No pleural abnormality is seen. | 53462517 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with metastatic NSCLC and asthma, now w/ HCAP // interval changes in pulm status interval changes in pulm status TECHNIQUE: Frontal chest radiograph COMPARISON: Radiographs dating back to ___. | Left PICC line makes an abrupt turn at the region of the azygos vein, repositioning is advised. |
11245751 | The mass in the medial aspect of the right lower lobe is again visualized but appears increased in size compared to prior imaging which may represent progression in the size of the mass or adjacent postobstructive pneumopathy. There is interval increase in ground-glass airspace opacification in the right middle and lower lung zones as well as in the left upper and lower lung zones. Associated small pleural effusions bilateral (new on the left). Expansile bony lesions involving the anterior aspect of the left first rib and posterior aspect of the left sixth rib is unchanged. Heart size is unchanged. Cervicothoracic spinal stabilization device in situ. | 58735520 | INDICATION: ___ year old man with Hemoptysis and acute hypoxia // acute decompensation, looking for any new pathology TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Interval progression of the mass in the medial aspect of the right lower lobe as described above. Multi focal ground-glass airspace opacification suggesting multi lobar pneumonia or in the setting of hemoptysis may represent pulmonary hemorrhage. |
11245751 | Left PICC line likely terminates at the brachiocephalic - superior vena caval junction. Cervical/thoracic hardware is seen. No change in appearance of the heart, lungs or expansile rib metastasis located at the posterior aspect of T6 (as seen on previous CT dated ___). | 54964943 | EXAMINATION: CHEST (PORTABLE AP) IN O.R. INDICATION: ___ year old man with malpositioned PICC. // PICC line pulled back 7cm per Radiology suggestion to get out of azygous and place in SVC. Please read for new placement. Thanks! ___ IV ___ #___ PICC line pulled back 7cm per Radiology suggestion to get ___ TECHNIQUE: Portable chest film. COMPARISON: Radiographs dating back to ___ | Left PICC line likely terminating at the brachiocephalic - superior vena caval junction. |
11245751 | Extensive bilateral opacities involving partially all lung fields again noted with no significant interval change. There appears to be increased left effusion. | 58207549 | EXAMINATION: Chest single view INDICATION: ___ year old man with hemoptysis and metastatic NSCLC to bones and brain // please evaluate for interval change TECHNIQUE: Portable AP COMPARISON: ___. | Increased left effusion. Otherwise no interval change to the extensive bilateral opacities. |
11686782 | Cardiac silhouette size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unchanged, and known bilateral hilar and mediastinal lymphadenopathy is better appreciated on the recent CT of the chest. Bilateral calcified pleural plaques are noted with mild superimposed opacities in the lung bases possibly reflective of atelectasis. Small bilateral pleural effusions are not substantially changed from the recent chest CT. Approximately 1 cm right apical nodule is re- demonstrated, better assessed on the recent CT. No pneumothorax or pulmonary vascular congestion is demonstrated. No acute osseous abnormality is present. | 56753545 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with possible stroke/ transient ischemic attack TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ | Patchy opacities in the lung bases superimposed on a background of calcified pleural plaques may reflect atelectasis. Small bilateral pleural effusions, unchanged. Right apical nodule and bilateral hilar and mediastinal lymphadenopathy are better assessed on recent chest CT. |
11400985 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. No bony abnormality is detected radiographically. | 57088067 | HISTORY: ___-year-old male with history of treated pulmonary tuberculosis. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | No radiographic evidence for active or latent pulmonary tuberculosis. |
11123125 | Lung volumes are slightly low. This accentuates the size of the cardiac silhouette which is borderline enlarged. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Atelectasis is noted in the lung bases without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities demonstrated. | 50570723 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with patellar tendon rupture // preop chest xray TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Low lung volumes with minimal bibasilar atelectasis. |
11913856 | Focal deformities are identified posterior right ninth and tenth ribs likely reflecting old healing fractures. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. | 53132590 | INDICATION: History: ___M with right back pain // Possible PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary process. Focal deformities of the posterior right ninth and tenth ribs likely reflect old healing fractures. |
11236990 | There is thoracic scoliosis. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite focal consolidation, pleural effusion, or pneumothorax is identified. | 50392519 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with CP // infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute intrathoracic abnormality. |
11305776 | 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. | 57990703 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob, cough and fever // ? pneumonia COMPARISON: ___ | No acute intrathoracic process. |
11305776 | The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. The heart size is normal. The mediastinal silhouette is unremarkable. | 59333610 | INDICATION: Cough and productive green sputum with history of COPD, evaluate for pneumonia. COMPARISONS: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
11305776 | The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. | 54542625 | INDICATION: ___F with asthma with 4 days dyspnea, wheezing, fevers // ? acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11677206 | The lungs are well expanded. The mass is again noted in the right upper lung laterally. There is no pleural effusion. The previously seen right apical pneumothorax has resolved. The cardiomediastinal silhouette is unremarkable. | 51825061 | INDICATION: ___ year old woman with tiny right apical pneumothorax. evaluate for stability. Please perform at 2pm on ___. thank you. // ? stable right pneumothorax. TECHNIQUE: PA and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___, and ___ and CT chest from ___. . | Resolved right apical pneumothorax. Mass in the right upper lung laterally, similar prior exam. |
11880864 | Mild enlargement of cardiac silhouette is demonstrated. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 58655601 | HISTORY: Chest pain. TECHNIQUE: Upright AP view of the chest. COMPARISON: None. | No acute cardiopulmonary process. |