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11500928 | 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 cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. | 54699164 | HISTORY: Sudden chest pain and dyspnea, here to evaluate for a pneumothorax or pneumonia. COMPARISON: Chest radiograph dated ___. Technique: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
11500928 | 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. No acute osseous abnormality is seen. | 50749369 | INDICATION: ___F with CP // eval for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
11500928 | 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. | 56465084 | EXAMINATION: PA and lateral chest radiograph INDICATION: ___ year old woman with dyspnea on exertion // evaluate for intrapulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: ___, | No acute cardiopulmonary abnormality. |
11404988 | Low lung volumes with right basilar atelectasis. No definite focal consolidation. Heart is top-normal in size. Mediastinal contour is normal given AP technique. | 55668449 | EXAMINATION: Chest Radiograph INDICATION: ___-year-old woman with increased lethargy, worrisome for an infection with elevated WBC, evaluate for pneumonia TECHNIQUE: AP and lateral COMPARISON: None. | Low lung volumes without definite focal consolidation. |
11404988 | AP semi upright and lateral views of the chest provided. Lung volumes are low with right basal atelectasis noted. No convincing evidence for pneumonia edema, effusion or pneumothorax. Heart size is top-normal. Mediastinal contour is normal. Bony structures appear grossly intact. | 53435331 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with possible DKA, tachycardia, necrotic toes COMPARISON: ___ | Right basal atelectasis, top normal heart size, otherwise unremarkable. |
11884807 | 2 views of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal aside from a mildly tortuous aorta. No pleural abnormality is seen. | 58789249 | HISTORY: Chest pain. COMPARISON: CT of the chest in ___. | No acute cardiopulmonary process. |
11395792 | 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. | 55348661 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with s/p Fall +EOTH // eval for ICH eval for trauma COMPARISON: None | No acute intrathoracic process. |
11875731 | The lungs are clear. There is no effusion, consolidation, or edema. The cardiomediastinal silhouette is within normal limits. Previously seen right-sided central venous catheter is no longer visualized. No acute osseous abnormalities. | 53647319 | INDICATION: ___M with ESRD on HD, CHF, history of MI, who presents with difficulty accessing his left upper extremity AV fistula and also complained of pleuritic chest pain // eval for volume overload vs infectious process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11875731 | There is a right chest wall central venous catheter seen with tip projecting over the right clavicle. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 59090060 | INDICATION: ___M with HD line accidentally pulled partially out // ?line position TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Right-sided central venous catheter tip abnormally positioned, with tip overlying the clavicle. |
11875731 | Again seen is mild to moderate cardiomegaly, similar in configuration to the prior study. There is minimal upper zone redistribution, similar to the prior study. Doubt interstitial or alveolar edema. No effusions are identified. Probable subsegmental atelectasis at both lung bases. However, no focal consolidation is identified. | 50768469 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with orthopnea, here for CHF exacerbation // progression of pulmonary edema? COMPARISON: Chest x-ray from ___ | Cardiomegaly and upper zone redistribution, similar to the prior study. Doubt superimposed interstitial or alveolar edema. |
11875731 | Right-sided dual-lumen central venous catheter is now seen with distal tip at the RA SVC junction. There is no pneumothorax. The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 58930983 | INDICATION: ___M with new chest pain. dialysis catheter recently pulled partially out // eval for acute process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | New right-sided central venous catheter with distal tip at the RA SVC junction. |
11928692 | There is a left pacemaker with appropriately positioned right atrial and right ventricular leads. The heart is moderately enlarged, increased in size compared to ___. There is pulmonary venous congestion with cephalization and predominantly perihilar heterogeneous opacities, consistent with mild interstitial pulmonary edema. No pleural effusions or pneumothorax. Possible slight loss of height of a upper mid thoracic vertebral body would be unchanged compared to ___. | 54164323 | INDICATION: Increased leg edema, evaluate for acute cardiac or pulmonary process. COMPARISON: Chest radiograph from ___. | Mild interstitial pulmonary edema thought to be cardiogenic in etiology given increased moderate cardiomegaly. |
11928692 | Frontal and lateral radiographs of the chest is limited by underpenetration which is likely secondary to body habitus. The lungs appear clear, however it is not possible to exclude a consolidation in the lateral inferior costophrenic angles. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax. | 53222889 | INDICATION: ___ year old woman with persistent cough and bilateral crackles // rule out pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs the chest dated ___ to ___. | The lungs appear clear, however it is not possible to exclude a consolidation in the lateral inferior costophrenic angles. |
11928692 | Left ventricular pacemaker device is again noted with appropriately positioned right atrial and right ventricular leads. Mild cardiomegaly is unchanged from ___. Mild pulmonary venous congestion with cephalization and predominantly perihilar opacities consistent with mild interstitial pulmonary edema appears similar to chest radiograph of ___. There is no evidence of pleural effusion or pneumothorax. There is linear atelectasis at the left lung base, similar to the prior examination. Loss of height of a upper mid thoracic vertebral body is unchanged compared to ___. | 55947318 | INDICATION: ___-year-old female with chest pain, evaluate for pneumothorax or pneumonia. COMPARISONS: PA and lateral chest radiograph ___. PA AND LATERAL CHEST | Findings suggesting mild interstitial pulmonary edema along with mild cardiomegaly and linear atelectasis at the left lung base. No evidence of acute pneumonia or pneumothorax. |
11819152 | The heart is normal size. The hilar are mildly prominent. The mediastinal contours are unremarkable. There is no pneumothorax or pleural effusion. The lungs are well expanded. Subtle nodularity at the lung bases correspondS to findings on recent CT. There is no obvious radiographic correlate to the opacities in the upper lobes, which may have improved. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. | 51243367 | INDICATION: ___F with recent onset lupus and undergoing treatment for multifocal atypical pneumonia // Monitor pneumonia for interval progression vs resolution TECHNIQUE: Chest PA and lateral COMPARISON: Chest CTA ___. | Severe atypical pneumonia, may be improving. |
11226031 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable. Some degenerative changes are seen along the spine, although not well assessed on this study. | 53942385 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with infection // acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11350289 | Portable AP chest radiograph is a very kyphotic projection. The lung volumes are low and the left hemidiphragm is markedly elevated. Bilateral pleural effusions are moderate-sized at least, but cannot be completely described because the level of the diphragm is unknown. Right upper lobe consolidation raises concern for pneumonia. The cardiomediastinal silhouette is not well visualized. Surgical clips, presumably from prior CABG, are noted. There is no pneumothorax. | 53199559 | INDICATION: History of CHF, presenting with elevated troponin and shortness of breath. COMPARISON: None. | Right upper lobe pneumonia and bilateral pleural effusions. Technically limited study. Elevated left hemidiaphragm. Consider obtaining true AP view or PA and lateral if possible. |
11051581 | PA and lateral views of the chest provided. The lungs are well-inflated and grossly clear. There is no pleural effusion, or pneumothorax. The hilar and cardiomediastinal contours are normal. | 52343224 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with residual cough, sob. recent flu like illness // ?pna COMPARISON: Chest radiograph, ___. | Normal chest radiograph. No pneumonia. |
11184770 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Evaluation of the upper thoracic spine is limited by the overlying soft tissues on the lateral view. A lower thoracic vertebral body which is incompletely evaluated demonstrates a very mild loss of anterior vertebral body height. The remainder of the vertebral body heights are maintained. There is no evidence of malalignment. There is no evidence of a rib fracture. | 53644640 | INDICATION: Fall and head strike. Evaluate for fracture. COMPARISONS: None. TECHNIQUE: AP and lateral views of the chest were obtained. | No acute cardiopulmonary process. No definite fracture; mild loss of anterior vertebral body height in the lower thoracic vertebral body could be projectional or degenerative. If high clinical concern for a fracture at this level exists, consider further evaluation with a CT. Results were discussed with Dr. ___ at 6:00 AM on ___ via telephone by Dr. ___ at the time the findings were discovered. |
11786671 | The tip of the left PICC line extends to the upper to mid SVC. Minimal atelectasis in the right mid lung zone. Otherwise no focal consolidation, pleural effusion or pneumothorax identified. The a size of the cardiomediastinal silhouette is within normal limits. | 55206869 | INDICATION: ___ year old man with Hx of Appendiceal mucinous adenocarcinoma with PICC line. to verify PICC positioning // to verify PICC positioning TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | The tip of the left PICC line projects over the upper to mid SVC. |
11786671 | PA and lateral chest radiographs demonstrate a right PICC, its tip terminating within the lower superior vena cava. Lung volumes are low with resulting atelectasis. No opacity convincing for pneumonia is present. Cardiomediastinal and hilar contours are stable relative to prior examinations. There is no air under the right hemidiaphragm. There is no pneumothorax, pleural effusion, or pulmonary edema. | 56074274 | INDICATION: ___-year-old male with right arm PICC question placement. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph performed ___ | Right PICC terminating lower superior vena cava. |
11786671 | Low lung volumes are noted with secondary bibasilar atelectasis, left greater than right. The lungs are otherwise clear without large effusion or consolidation. Enteric tube is seen to pass below the diaphragm, tip at the gastric fundus, side-port past the GE junction. Cardiomediastinal silhouette is within normal limits. | 57145858 | INDICATION: ___M with new NGT // NGT position TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Appropriate positioning of enteric tube. |
11786671 | Extremely low lung volumes are again noted. Bibasilar opacities are therefore likely secondary to atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities. No free air seen below the diaphragm. | 52039375 | INDICATION: ___M with recent appendectomy now 3 days wound infection, recent chest pain, bronchospasm, bibasilar crackles, hx asthma. // eval ? compressive atelectesis, infiltrate, free air TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Limited exam with low lung volumes. Bibasilar opacities are likely atelectasis noting that infection cannot be excluded. |
11786671 | The lungs remain clear without consolidation, large effusion or edema. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is again noted. Right PICC tip seen in the region of the mid SVC. | 54349822 | WET READ: ___ ___ ___ 6:42 PM 1. No evidence of pneumonia. 2. Interval increase in mediastinal and hilar fullness, which could represent lymphadenopathy in the setting of known metastatic cancer. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with for T2DM, HTN, OSA and C2D9 of FOLFOX for appendiceal mucinous adenocarcinoma with visceral peritoneal extension including R rectus muscle and lymphovascular invasion with multiple prior admissions for malignant bowel obstruction and enterocutaneous fistula who presents from rehab with fever to T100.4 and GPCs in pairs and chains from peripheral blood cultures. // Febrile, GPC bacteremia, c/f for intra-abdominal source vs PNA for source of infection in patient on FOLFOX for appendiceal carcinoma TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiograph dated ___. CT chest with contrast ___. | No evidence of pneumonia. |
11792958 | A three-lead pacemaker/ICD device appears unchanged. The cardiac, mediastinal, and hilar contours are stable. There is again a moderate-to-large left-sided pleural effusion with presumed parenchymal opacification, probably attributable to atelectasis. There is also a suspected small right-sided pleural effusion. There is no pneumothorax. Compared to earlier radiographs of the same day, hazy opacification and vascular prominence seem similar to mildly decreased. | 59096029 | CHEST RADIOGRAPH HISTORY: Possible aspiration. COMPARISONS: Earlier in the same day. TECHNIQUE: Chest, portable AP upright. | Findings suggesting moderate vascular congestion, but similar to improved. Moderate left-sided pleural effusion with balanced mass effect. This appearance could be seen with pleural effusion and coinciding atelectasis, although it is difficult to exclude aspiration as a potential cause for left basilar opacification. |
11998037 | The right Port-A-Cath terminates in unchanged position in the lower right atrium or upper IVC. NG tube and epidural catheter are in unchanged position. There has been interval improvement in pulmonary vascular congestion. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is unchanged. | 51258468 | INDICATION: Found on PACU portable chest x-ray that tip of Port-A-Cath terminating in the IVC. Evaluate terminations of indwelling chemo port. COMPARISON: ___. | Right Port-A-Cath in unchanged position with tip in lower right atrium or upper IVC. |
11998037 | A right Port-A-Cath, NG tube and epidural catheter are in unchanged position. Bibasilar opacities are new from ___, worse on the left and could represent atelectasis or pneumonia in the correct clinical setting. Heart size is unchanged and the mediastinal contours are normal. Small bilateral pleural effusions are unchanged. Free air with air-fluid levels below the right hemidiaphragm consistent with recent abdominal surgery. | 52022716 | INDICATION: New postop fever, atelectasis versus pneumonia. COMPARISON: ___. | New bibasilar opacities, left greater than right, could represent atelectasis or pneumonia. |
11998037 | An NG tube extends below the diaphragm. An epidural catheter is in place. A right Port-A-Cath ends in the inferior vena cava, approximately 5 cm below the cavoatrial junction, which is changed from prior when it terminated in the right atrium. No pneumothorax or pleural effusion is present. Central vascular engorgement and indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion. | 57710758 | WET READ: ___ ___ ___ 12:31 AM no pneumothorax or pleeral effusion. prominence of central pulmonary vascualture and indistinct vessels suggests pulmoanry edema. Right sided portacath with tip in RA. epidural catheter noted. ___ ______________________________________________________________________________ FINAL REPORT INDICATION: Pancreatic cancer status post exploratory laparotomy, open cholecystectomy, pancreaticoduodenectomy. Status post central line removal in PACU; rule out pneumothorax. COMPARISON: ___. | No pneumothorax. Right Port-A-Cath ends in the IVC. Recommend pulling back by approximately 5 cm if desired location is cavoatrial junction. Mild pulmonary vascular congestion. |
11998037 | Right Port-A-Cath remains in unchanged position. Bibasilar opacities, likely representing a combination of effusion and atelectasis have worsened since ___. No change in cardiomediastinal silhouette. No pneumothorax. Loculated air fluid collection in the right upper quadrant persists, not significantly changed from ___, but unusual 8 days after surgery. | 59272231 | HISTORY: Status post gastrojejunostomy with new fever, evaluate for pneumonia versus. COMPARISON: Chest radiograph from ___ in conjunction with abdomen radiograph from ___. | Bibasilar opacities likely a combination of effusion and atelectasis; although, pneumonia is also possible in the right clinical setting. The recurrent air-fluid loculation in the right upper quadrant is unusual 8 days after surgery, correlate with clinical situation to guide further workup. |
11848412 | 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. | 58980205 | WET READ: ___ ___ ___ 5:56 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with cp // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary abnormality. |
11824883 | There is increased bibasilar opacification compared to ___ concerning for pneumonia. No pleural effusion or pneumothorax is noted. Cardiomediastinal silhouette and tortuous aortic contour is unchanged. There is calcification of the descending aorta and possibly aortic valve calcification. | 53184181 | INDICATION: ___ year old man with history ___ ___'s who presented to an OSH where he was treated for pneumonia but has continued to worsen at home. // evaluate for evidence of infection EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, AP and lateral views COMPARISON: Chest radiograph ___ | Increased bibasilar opacification compared to ___ is concerning for pneumonia, which could be due to aspiration. |
11824883 | Study is slightly limited by patient rotation. Mild enlargement of the cardiac silhouette is re- demonstrated. The aorta remains tortuous with dilatation of the ascending aortic contour again noted. Pulmonary vasculature is not engorged. Subsegmental atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. | 56897571 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with chest pain TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ | Tortuous thoracic aorta with dilated ascending aortic contour, as seen previously. Bibasilar subsegmental atelectasis. |
11824883 | The patient is rotated and bending to the right, severely distorting the thoracic cage and appearance of mediastinal structures. Visualized portions of the lungs are essentially clear other than lower lobe platelike atelectasis and are scarring bilaterally, similar to prior exam. The heart size appears normal. Thoracic aortic calcifications are unchanged. No pneumothorax or pleural effusion. No evidence of an acute osseous abnormality. | 56958408 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with Parkinsons with garbled speech and right sided facial droop. Evaluate for any acute process, please perform prior to transfer to the floor. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | The patient is rotated and bending to the right, severely distorting the thoracic cage. Within this limitation, no evidence to suggest focal pneumonia. |
11612731 | New left-sided pacemaker has two leads, one in the atrium and the other one in the right ventricle. There is no pneumothorax and no pleural effusion. Cardiac contour is top normal. The lungs are otherwise clear. | 51374885 | PORTABLE AP CHEST X-RAY INDICATION: Patient with tachybrady syndrome, dual-chamber pacemaker via left axillary approach. Rule out pneumothorax, lead positioning. COMPARISON: ___. | New left-sided pacemaker is in adequate position. There is no pneumothorax. |
11612731 | Left-sided pacemaker is again noted with leads terminating in the expected positions. There is no pneumothorax. There are small bilateral pleural effusions. The lungs are clear. The cardiac, mediastinal, and hilar contours remain normal. | 55275605 | STUDY: Portable AP chest radiograph. COMPARISON EXAM: Portable AP chest radiograph, ___. INDICATION: ___-year-old status post pacemaker placement. | No pneumothorax. Small bilateral pleural effusions. Left-sided pacemaker in expected position. |
11612731 | Left-sided pacemaker is noted with leads terminating in expected positions of the right atrium and right ventricle. There are small bilateral pleural effusions. There is no pneumothorax. The lungs are otherwise clear. The cardiac, mediastinal and hilar contours are stable. | 51401569 | STUDY: PA AND LATERAL CHEST X-RAY. COMPARISONS: Portable AP chest x-ray ___, portable AP chest x-ray ___. INDICATION: ___-year-old status post dual-chamber pacemaker placement. | No pneumothorax. Left-sided pacemaker is in adequate position. |
11612731 | Moderate cardiomegaly is unchanged. Cardiac conduction device is contiguous with leads which project over the right atrium and right ventricle. Lungs are clear. No pneumothorax. Mild pulmonary edema is noted, new compared to ___. | 55556568 | WET READ: ___ ___ ___ 5:29 AM No acute cardiopulmonary abnormality. Unchanged appearance to the cardiomediastinal silhouette. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M w/chest pain and sob, please eval for mediastinal widening, pulm edema // ___M w/chest pain and sob, please eval for mediastinal widening, pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | Mild pulmonary edema, new compared to ___. Unchanged appearance of the cardiomediastinal silhouette. |
11612731 | 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. | 56314560 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of tachycardia, question fever, question pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
11612731 | PA and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. Mild bibasilar atelectasis noted. There is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The overall heart and mediastinal contours appear unchanged. Bony structures are intact. No free air is seen below the right hemidiaphragm. There is a focal eventration again noted at the right hemidiaphragm. | 54086972 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with increased DOE and syncopal episode COMPARISON: ___ | Mild basal atelectasis, otherwise unremarkable exam. |
11951180 | There is probable mild left convex curvature. The heart is not enlarged. Mediastinal and hilar contours are within normal limits. No CHF, focal consolidation, pleural effusion, or pneumothorax is detected. Rounded density overlying the right neck and extreme upper medial right lung apex was discussed with the covering team and is thought to represent material related to a mask outside of the patient. | 56498527 | INDICATION: ___F with cough // EvAl pna COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest. | No acute pulmonary process identified. |
11254914 | The cardiac silhouette size is normal. Mediastinal contours are within normal limits. The hilar contours are unremarkable, and the pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51153777 | HISTORY: Tachypnea and tachycardia. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11972600 | 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. | 56460550 | INDICATION: Cough for nine days with shortness of breath and crackles at the right base. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___. | No acute cardiopulmonary process. |
11060948 | There is new opacity at the left upper lung, suspicious for pneumonia. There is bilateral moderate pleural effusions, increased from prior. There is mild pulmonary edema. Moderately enlarged cardiac silhouette is unchanged. Sternotomy wires are intact. | 56303781 | INDICATION: ___ year old woman with new hypoxia // PNA, pleural effusion? EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___ | There is new opacity at the left upper lung, suspicious for pneumonia. Bilateral moderate pleural effusions are increased from prior. |
11060948 | Patient is status post median sternotomy and mitral valve replacement. The lungs are hyperinflated, compatible with underlying COPD. The heart size is moderate to severely enlarged. There are ill-defined opacities at the lung bases. Small bilateral pleural effusions may be present. There is scarring within the lung apices. No pulmonary vascular engorgement is noted. There is diffuse calcification of the thoracic aorta. | 52130277 | INDICATION: Fever and shortness of breath. COMPARISON: None. PA AND LATERAL VIEWS OF THE | Ill-defined opacities at the lung bases may reflect infection or aspiration. There may be trace bilateral pleural effusions. COPD. |
11060948 | Frontal and lateral radiographs of the chest demonstrate normal heart size. Stable appearance of the mediastinum with a large hiatus hernia. No focal consolidation or pneumothorax. Unchanged small bilateral plerual effusions. New mild pulmonary edema on top of patient's baseline vascular congestion. | 57003457 | WET READ: ___ ___ ___ 8:05 AM Mild pulmonary edema on top of patient's baseline vascular congestion. No pneumonia ______________________________________________________________________________ FINAL REPORT HISTORY: Elevated lactate and leukocytosis, question pneumonia COMPARISON: The ___ | Mild pulmonary edema on top of patient's baseline vascular congestion. No pneumonia |
11125404 | The lungs are hyperexpanded. There is no focal consolidation. Blunting of the costophrenic angles may represent pleural thickening versus tiny pleural effusions. Mild cardiomegaly is stable. Aorta is tortuous and calcified. | 57157233 | INDICATION: COPD and severe hypoxemia, evaluate for pneumonia. COMPARISON: ___. CHEST, PA AND | COPD. No pneumonia. |
11411362 | The heart is moderately enlarged, and is slightly larger compared to the prior exam. There is dense retrocardiac opacity compatible with volume loss/infiltrate/ effusion on the left. In addition there is right lower lobe volume loss/ infiltrate. There is pulmonary vascular redistribution and increase in interstitial markings right greater than left | 53294492 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with a PMHx of CAD, COPD, PVD s/p fem-pop bypass on the right and chronic right heal ulcer, and recent pneumonia who presented with hypotension and septic shock likely ___ PNA, with MICU course c/b anuric ARF and transaminitis, now with possible osteomyelitis, tenuous respiratory status, and nonimproving renal function now dependent on HD. // Please evaluate for worsening pneumonia, pulmonary effusions, pulmonary edema. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | CHF. Underlying infectious infiltrates in the lower lobes cannot be excluded. Overall the appearance is worse compared to the study from 4 days ago |
11411362 | Right internal jugular approach central venous catheter is present with tip terminating near the cavoatrial junction. The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. There is no pneumothorax or right pleural effusion. Consolidation at the left lung base represents combination of small to moderate pleural effusion and atelectasis. Fluid in the right minor fissure is decreased. There is been interval mild improvement of pulmonary edema. There is no abnormality in the upper abdomen. | 54588874 | INDICATION: ___ year old man with hypoxia and tachypnea // Please assess for interval change TECHNIQUE: AP view of the chest. COMPARISON: Chest radiograph ___, ___, ___. | No significant change in left basal consolidation, representing a combination of small to moderate pleural effusion and atelectasis. Minimal improvement in mild to moderate pulmonary edema. |
11411362 | In comparison to the prior examination. There has been interval placement of an enteric tube, which descends below the field of view as well as a right internal jugular catheter which terminates in the mid SVC. An endotracheal tube is unchanged in position. There is no evidence of pneumothorax. Bilateral airspace opacities, right greater than left likely represent pulmonary edema, minimally increased from 00:16. | 53211863 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with central line // ? CVL placement TECHNIQUE: Portable AP view of the chest COMPARISON: ___ | Interval placement of an enteric tube and right internal jugular catheter as described above. Moderate pulmonary edema is minimally increased from the prior examination. |
11411362 | Endotracheal tube, enteric tube, and right IJ central line are unchanged in position. Heart size is enlarged, stable. Bilateral pulmonary opacities are increasing in density. Left pleural effusion is slightly larger than on the prior study. No pneumothorax. | 57875809 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with bilateral pneumonia, intubated. // Evaluate for interval change. TECHNIQUE: Portable semi upright chest radiograph COMPARISON: Multiple priors | Slight interval increase in density bibasilar pulmonary opacities, concerning for worsening pneumonia. |
11411362 | An endotracheal tube terminates 6.3 cm above the carina. The heart is significantly enlarged. The hilar and mediastinal contours are within normal limits. Bilateral airspace opacities seen predominantly at the bases likely represent mild to moderate pulmonary edema however infection should be considered in the appropriate clinical setting. There may be a small right pleural effusion. There is no evidence of pneumothorax. | 54774778 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with intubation // Eval tube placement TECHNIQUE: AP view of the chest COMPARISON: None. | Markedly enlarged heart with likely mild pulmonary edema and a small right pleural effusion. Right basal opacity could also represent infection in the appropriate clinical setting. |
11069516 | Right-sided dual lumen central venous catheter tip terminates in the proximal right atrium, unchanged. Heart remains mildly enlarged. Mediastinal and hilar contours are unchanged with unfolding of the thoracic aorta again noted. There are mild atherosclerotic calcifications of the aortic knob. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 52515056 | HISTORY: Fevers, fatigue. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11069516 | Right-sided dual lumen central venous catheter tip terminates in the proximal right atrium. The cardiac silhouette size is normal. The aorta is mildly unfolded, with aortic knob calcifications noted. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Marked left glenohumeral degenerative changes are seen. Surgical clips are noted within the upper abdomen. | 58847984 | HISTORY: New onset fever, shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
11038629 | The lungs are clear. Cardiomediastinal and hilar contours are normal. There are no pleural effusions or pneumothorax. Multilevel degenerative changes in the thoracolumbar spine, with anterior osteophyte formation. | 50833126 | INDICATION: ___-year-old female with shortness of breath. No prior examinations for comparison. CHEST, PA AND | No acute cardiopulmonary process. |
11336664 | Single portable chest radiograph demonstrates symmetric and well expanded lungs. The cardiomediastinal silhouette is stable in appearance when compared to prior study dated ___, including a right aortic arch and descending right aorta. No focal opacity convincing for no pneumonia is identified. No overt pulmonary edema is seen. Probable left small pleural effusion is present. No air under the right hemidiaphragm is identified. | 52754782 | INDICATION: ___-year-old female with abdominal pain. COMPARISON: Radiograph dated ___. | No acute abnormality detected. Right aortic arch |
11336664 | There is an ET tube which terminates 8 mm above the carina. This could be safely retracted 2 cm for proper positioning in the trachea. There is no OG tube seen. There is a widened appearance to the mediastinum, most prominently in the right paratracheal region. The differential includes lymphadenopathy, large mass, or hemorrhage emanating from a mediastinal great vessel. There are low lung volumes. There is retrocardiac opacification and obscuring of the left hemidiaphragm likely due to left lower lobe atelectasis. There is right basilar platelike atelectasis. There are no pneumothoraces or effusions seen. | 59100366 | EXAMINATION: AP portable chest x-ray. INDICATION: ___ year old woman with recent intubation for unresponsiveness and hypotension // please eval for ETT and OGT placement TECHNIQUE: AP projection. COMPARISON: No prior exams available for comparison. | Widened mediastinum. Differential includes lymphadenopathy, large mass, or hemorrhage emanating from a mediastinal great vessel. ET tube terminating 8 mm above the carina. This may be safely retracted 2 cm for repositioning in distal trachea. Bibasilar atelectasis. |
11336664 | The enteric tube, right IJ central line, and ET tube remain in satisfactory position. There is a stable degree of rightward deviation of the right IJ central line, which is presumed to be secondary to prominent vascularity. New blunting of the left costophrenic angle is likely due to a small pleural effusion. Bibasilar subsegmental atelectasis is also unchanged. There is no pneumothorax. Right shoulder degenerative changes are present. | 56550526 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with hypotension. Assess for interval change. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___. | No significant interval change in bibasilar subsegmental atelectasis. New small left pleural effusion. Lines and tubes remain in satisfactory position. |
11971799 | No pulmonary edema. Slightly decreased left lung volume with slight elevation left hemidiaphragm suggestive of mild basilar atelectasis. Small bilateral pleural effusions, left worse than right. The cardiomediastinal and hilar contours are normal. Stable calcification of the aortic arch. There is air beneath the diaphragms bilaterally as expected status post abdominal surgery. | 55437257 | INDICATION: ___ year old man with rectal cancer s/p colostomy, ___ ___ placement unable to wean O2 POD 1 // please evaluate for pulmonary edema or pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: CT chest from ___ | No pulmonary edema. Bilateral small pleural effusions, left worse than right. Pneumo peritoneum as expected postoperatively. |
11971799 | PA and lateral views of the chest provided. Midline sternotomy wires are again noted. The lungs appear clear. No signs of pneumonia or edema. There is a tiny residual left pleural effusion. No pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 52013453 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cirrhosis, rectal Ca with abd distention, oliguria COMPARISON: ___ | Small residual left pleural effusion. |
11367255 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. S-shaped thoracolumbar scoliosis is noted. | 53454735 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with chest pain midsternal since last night. // ___F with chest pain midsternal since last night. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
11809548 | PA and lateral images of the chest demonstrate a pacer in the left anterior axillary position with intact leads to the right atrium and right ventricle. The course of the lead to the right ventricle follows a slightly atypical path. The lungs are clear bilaterally. There is no pleural effusion or pneumothorax. Mild cardiomegaly is again seen. | 57630972 | INDICATION: ___-year-old male with a new pacemaker, now requiring assessment of lead placement. COMPARISON: Comparison is made with chest radiograph from ___ and ___. | Pacer seen with leads in good position with a slightly atypical course of the right ventricular lead. Otherwise, unremarkable chest radiograph. |
11434846 | No focal consolidation is seen. There is no evidence of large pleural effusions; however no lateral view obtained, which can be more sensitive to assess for posteriorly larynx pleural fluid. No pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. | 56849329 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with ?pleural effusion on OSH CT, pls eval for interval change // History: ___F with ?pleural effusion on OSH CT, pls eval for interval change TECHNIQUE: Single frontal view of the chest COMPARISON: None | No acute cardiopulmonary process. No evidence of pleural effusion on this single AP semi-erect portable view, however, no lateral view was obtained, which can be more sensitive in detecting pleural fluid. |
11644797 | Heart size is top-normal. Mediastinal contours are unremarkable. Pulmonary vasculature is engorged. Streaky left basilar opacity likely reflects area of atelectasis. No focal consolidation, pleural effusion, or pneumothorax is identified. Moderate multilevel degenerative changes are seen in the thoracic spine. | 58764061 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with fall, headstrike, atrial fibrillation with RVR TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Streaky left basilar opacity, likely atelectasis. No pulmonary edema. |
11056049 | PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen is unremarkable. | 57196738 | HISTORY: ___-year-old male with chest pain. Question pneumothorax. COMPARISON: None. | No acute cardiopulmonary process. |
11504334 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 53547531 | HISTORY: New onset seizure disorder. TECHNIQUE: AP upright portable view of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11659237 | The cardiac, mediastinal and hilar contours are unremarkable. Heart size is within normal limits. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are detected. | 56690735 | HISTORY: Shortness of breath and palpitations. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11659237 | Frontal and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected. | 53651630 | HISTORY: ___-year-old female with fever and cough. COMPARISON: ___. | No acute cardiopulmonary process. |
11659237 | The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidation, pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 53871673 | INDICATION: History of weakness. Please evaluate for pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral radiographs of the chest. | No acute abnormalities identified to suggest infection. |
11659237 | The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. | 55725379 | HISTORY: Cough, evaluate for pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
11062577 | The Dobbhoff tube terminates in the stomach. The left-sided PICC terminates in the superior-SVC. Unchanged appearance of surgical clips along the left lateral chest wall. Compared to the prior chest x-ray on ___, there are new bibasilar opacities, right greater than the left. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 58880973 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with COPD, now with tachypnea. // Eval for pleural effusions vs PNA. COMPARISON: Portable chest radiograph of ___ | New bibasilar opacities, right greater than left. This is likely due to atelectasis and a small pleural effusion, but pneumonia should be considered in the appropriate clinical context. |
11062577 | Endotracheal tube terminates approximately 6.3 cm above the carina with the head relatively extended. Enteric tube projects over the stomach, tip not imaged. Right PICC is in the lower SVC. The heart is normal size and cardiomediastinal silhouette is stable. Increased heterogeneous opacification along the right heart border on ___ at 13:21, new from ___ at 03:38, has not progressed. No large effusion or pneumothorax. | 59549037 | INDICATION: ___ year old woman intubated for airway protection // Please assess for interval change/infectius processes TECHNIQUE: Portable AP supine view of the chest COMPARISON: ___ | Subtle heterogeneous opacification along the right heart border has not progressed since the prior exam and may represent aspiration, infectious pneumonia is less likely. |
11062577 | The patient is status post endotracheal intubation. The endotracheal tube terminates about 5.5 cm above the carina. An orogastric tube courses into the stomach and terminates in the fundus. Surgical clips project over the left axillary region. The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 53021921 | CHEST RADIOGRAPH HISTORY: Found down, status post intubation. COMPARISONS: None. TECHNIQUE: Chest, portable AP supine view. | Status post endotracheal intubation. No evidence of acute cardiopulmonary disease. |
11062577 | The cardiomediastinal and hilar contours are stable. There is no pneumothorax or large pleural effusion. The lungs are well-expanded with increase in interstitial prominence at the lung bases, greater on the right. There are also small nodular opacities in the lateral aspect of the right upper lung, which may have been present on the exam from ___. The patient is status post left mastectomy and left axillary lymph node dissection. | 55306547 | EXAMINATION: AP supine portable chest INDICATION: ___F with sepsis // ?pulm edema TECHNIQUE: AP view of the chest. COMPARISON: Chest radiograph ___. | Bibasilar streaky opacities, greater on the right, with small nodular opacities in the right upper lung, most consistent with aspiration. An infectious process is also possible. |
11062577 | Since the prior study, there has been interval placement of an endotracheal tube, which terminates 4 cm above the carina being in appropriate position. Additionally, a nasogastric tube is in place, coursing into the stomach and terminating beyond the field of view. Bibasilar streaky opacities and right upper lobe nodular opacities are unchanged compared to the prior study, compatible with aspiration or infection. Left mastectomy and partially visualized left axillary lymph node dissection changes are again seen. | 58542854 | EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___ year old woman with new intubation // Evaluate ETT placement TECHNIQUE: Single portable ap view of the chest was obtained. COMPARISON: Comparison is made to chest radiograph obtained yesterday at 19:29. | Appropriate positioning of monitoring and support devices, as described above. Otherwise, unchanged appearance of the chest since the prior study. |
11014367 | Left internal jugular central venous line is unchanged in position, terminating in the mid SVC.Heart size is stable. Heterogeneous opacification in the right infrahilar region has slightly increased in density since the prior radiograph, and could represent developing infection. No pleural effusion or pneumothorax. Emphysema is moderate. | 54872912 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ESRD, atrial fibrillation here with pneumonia and now with worsening hypoxia. Evaluate interval change. TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ | Interval increase in density of heterogeneous right infrahilar opacity, possibly representing early infection. |
11014367 | Cardiomediastinal silhouette stable. Left internal jugular central venous catheter in stable position. Right basilar opacity has improved. There is no pleural effusion or pneumothorax. | 51003101 | INDICATION: ___ year old man with renal transplant. Has likely Nocardia skin infection and PNA. Please eval for cavitary lesions. // Any pulmonary cavitary lesions? TECHNIQUE: PA and lateral views of the chest COMPARISON: ___ | Improved right basilar consolidation. |
11826503 | Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Pulmonary vasculature is normal. Deformity of the right posterior eighth and ninth ribs are new from the prior study, but appear chronic. | 57645336 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with persistent right shoulder pain after fall 2 weeks ago TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. No acutely displaced rib fractures are noted. Chronic appearing deformities of the right posterior eighth and ninth ribs. |
11739395 | There is an indeterminate opacity in the left upper lobe lateral to the aortic arch. 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. | 50933680 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with confusion // ?pna COMPARISON: CTA head/neck ___ | No pneumonia. Indeterminate opacity in the left upper lobe may represent a nodule or superimposition of normal structures. |
11148709 | Single frontal view of the chest was obtained. No focal consolidation, large pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. | 50903418 | EXAM: CHEST, SINGLE AP UPRIGHT PORTABLE VIEW. CLINICAL INFORMATION: ___-year-old female with history of shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
11148709 | There is no new lung consolidation. Right upper lobe calcified nodule is consistent with prior granulomatous infection. Mild bronchiectasis with bronchiolar opacities seen on CT mostly compatible with atypical Mycobacterium infection is not well assessed on this chest x-ray. Mediastinal and cardiac contours are normal. The lungs are hyperinflated. There is no pneumothorax or pleural effusion. | 55370820 | WET READ: ___ ___ 5:52 PM Emphysema. No evidence of pneumonia. RUL calcified granuloma and bibasal scarring. ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough, bronchiectasis, bronchoscopy ___, admitted for asthma exacerbation, evaluation for pneumonia. COMPARISONS: Multiple chest x-rays from ___ to ___ and a recent chest CT ___. | There is no evidence of pneumonia. |
11466215 | Low lung volumes are noted. Patient is rotated to the left. Within these limitations, the lungs are grossly clear. The cardiomediastinal silhouette is unremarkable. Right sided central venous catheter seen within the mid to lower SVC although tip is not clearly delineated. The line is not seen extending to the region of the right atrium. There is no pneumothorax based on this supine film. Surgical clips noted in the right upper quadrant. | 53040393 | INDICATION: ___M with hypotension // confirm right subclavain cvl placement TECHNIQUE: Single supine view of the chest. COMPARISON: None. | Right central venous catheter identified with tip in the region of the lower SVC. |
11719664 | PA and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. There is mild prominence of the central pulmonary hilar vasculature, which could indicate mild congestion. Cardiomediastinal silhouette is stable. Bony structures are intact. | 58371202 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chest pain. | Possible mild central congestion. No signs of pneumonia. |
11619702 | Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Right lung base linear opacities and blunting of the right costophrenic angle are chronic and unchanged. The lungs are slightly hyperinflated, similar to prior. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. | 59251333 | HISTORY: Cough. COMPARISON: Chest radiographs of ___ and ___. | Hyperinflation without focal consolidation. |
11619702 | There is unchanged blunting of the right costophrenic angle. There is mild flattening of the diaphragms suggestive of hyperinflation. The cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. Lungs are clear without area of consolidation. There is no pneumothorax. Visualized osseous structures are unremarkable. | 54567643 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ yom c h/o asthma, cad, with wheezing x ___ mos // r/o pna r/o pna TECHNIQUE: Upright PA and lateral chest radiographs were obtained. COMPARISON: Two view chest radiograph ___. | Unchanged mild hyperinflation without evidence of pneumonia. |
11092187 | PA and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. A focal eventration of the right hemidiaphragm is noted. | 59731903 | HISTORY: ___-year-old man with shortness of breath, assess pleural effusion, known pancreatitis. COMPARISON: None. | No acute intrathoracic process. |
11917950 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 51446785 | INDICATION: ___-year-old female with cough and fever, rule out pneumonia. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE | No acute intrathoracic process. |
11724187 | The lungs are hyperexpanded. There is mild atelectasis in the right lower lobe atelectasis and volume loss. No pleural effusion or pneumothorax identified. The size and appearance of the cardiac silhouette is unchanged. | 50344631 | INDICATION: ___ year old woman with left temporal hemorrhage, productive cough. // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild atelectasis in the right lower lobe |
11176629 | The right lung and upper third of the left lung are clear. Heart size is indeterminate. Interval worsening of left lower lobe atelectasis with associated left mediastinal shift. left pleural effusion, however the interval change and amount is difficult to assess due to concurrent atelectasis. No focal consolidation suggesting pneumonia. No pneumothorax. The osseous structures are stable. | 51265973 | INDICATION: ___ year old woman with pleural effusion from BC // level of effusion, other consolidations, increased SOB TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ and ___ | Worsened left lower lobe atelectasis with left pleural effusion. . |
11176629 | Stable mild cardiomegaly. Lung volumes are slightly lower on this exam compared to the prior. A moderate left, loculated, pleural effusion may be slightly smaller. There is no evidence of pneumothorax. There is no evidence of focal consolidation in either lung. There are multiple loose bodies seen adjacent to the left glenohumeral joint. | 58681996 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with follow up film // f/u TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___. | Moderate, loculated left pleural effusion slightly decreased from the prior study. |
11176629 | Mild cardiomegaly is persistent. Moderate left pleural effusion is largely layering, overall stable to slightly improved compared to the prior exam. There is no evidence of pneumothorax. Opacity in the right. Opacity overlying the mid left lung is only seen on the frontal view, with no correlate on the lateral view, and is likely secondary to prominence of the anterior chest wall soft tissue overlying the mid left lung. The visualized osseous structures are unremarkable. | 51378111 | INDICATION: History of metastatic breast cancer, effusions. Please evaluate for interval change. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest. | Stable to slightly improved left-sided moderate pleural effusion compared to the exam from ___. |
11341217 | 2 right chest tubes end in the apical region, and a ___ chest tube curls towards the base of the right lung. ET tube is in appropriate position, and the gastric tube ends in the stomach. Mild cardiomegaly persists with mild pulmonary edema. Right pleural effusion is unchanged, and previously seen multifocal opacities have improved. | 53303982 | HISTORY: ___-year-old male with endocarditis and pneumonia status post chest tube placement. Evaluate effusions and pulmonary infiltrates. TECHNIQUE: Portable AP supine chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | Unchanged right pleural effusion with mild edema. Multi-focal opacities are improving. |
11341217 | Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Heterogeneous opacification of the lungs is consistent with edema without pulmonary vascular engorgement, and multifocal pneumonia. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax. The right-sided internal jugular central venous line ends in the mid SVC. The left-sided internal jugular central venous line ends in the distal SVC. The endotracheal tube ends 4.7 cm from thecarina. The nasogastric tube courses into the stomach and out of the field of view. | 50247829 | INDICATION: ___ year old man with respiratory failure and ARDS // eval for interval change TECHNIQUE: Portable chest x-ray. COMPARISON: Prior radiographs of the chest dated ___ through ___. | Heterogeneous opacification of the lungs is consistent with edema without pulmonary vascular engorgement, and multifocal pneumonia |
11341217 | The cardiac silhouette is top normal, overall stable compared to the prior exams. Again seen are two right pleural catheters seen ending in the medial right thoracic region, overall minimally changed in position compared to the CT from ___. Again seen is the left lingular and lower lobe consolidation, overall slightly worse compared to the chest radiograph from ___; however, better evaluated on the prior CT. There is an overall slightly worse appearance of the aeration of the parenchyma with multiple relatively diffuse multifocal parenchymal opacities and ongoing lung volumes that are low. Bilateral small pleural effusions are overall stable in size. There is no evidence of pneumothorax. The ET tube terminates approximately 5 cm from the carina. There is a right IJ which terminates in the low SVC. There is an enteric tube, which extends below the diaphragm and terminates within the body of the stomach. The visualized osseous structures are unremarkable. | 54556078 | INDICATION: History of endocarditis and prevertebral abscess with a right loculated pleural effusion status post two chest tube placements. Please evaluate for endotracheal tube placement. COMPARISONS: Chest radiographs dating back to ___ and CT of the chest from ___. TECHNIQUE: Single AP portable exam of the chest. | Overall stable position of the two drains. ET tube is in appropriate position. Slight interval worsening of the multifocal opacities compared to the exam from ___; however, better evaluated on the CT from ___. |
11341217 | The endotracheal tube terminates 4.6 cm above the carina. There is an enteric tube with the tip which terminates below the diaphragm. Right IJ catheter terminates in the SVC. The lung volumes are low. There is mild stable cardiomegaly. There has been interval improvement of the opacification overlying the right lower lung. Pulmonary vascular congestion persists. There is stable mild bilateral pulmonary edema. There does appear to be slight interval worsening of opacity overlying the mid left lung. | 50869745 | INDICATION: History of septic emboli to the lungs bilaterally. Status post removal of chest tubes. Please evaluate for interval change. COMPARISONS: Multiple chest radiographs dated back to ___. TECHNIQUE: Single AP portable exam of the chest. | Although there does appear to be slight interval worsening in the opacification overlying the mid left lung, there does appear to be overall interval improvement in aeration in the remainder of the lungs bilaterally. |
11341217 | The ET tube terminates approximately 38 mm above the carina in appropriate position. There is a right-sided IJ which terminates at the low SVC. There is an enteric tube, which extends below the diaphragm and the tip out of view from this film. Slightly lower lung volumes and interval increase in mild interstitial edema likely account for the increase in generalized opacification throughout the lungs bilaterally. Mild cardiomegaly is stable compared to prior exams dated back to at least ___. There are small stable bilateral pleural effusions. There is no evidence of pneumothorax. | 50851381 | INDICATION: History of endocarditis and septic emboli to the lungs with parapneumonic effusion. Please evaluate for interval change. COMPARISONS: Multiple chest radiographs dated back to ___ and chest CT from ___. TECHNIQUE: Single AP portable exam of the chest. | Slight interval worsening of mild bilateral pulmonary edema in the setting of extensive multifocal pneumonia. |
11341217 | A left internal central jugular venous catheter terminates in the lower superior vena cava. There is no pneumothorax. The patient remains intubated. The endotracheal tube terminates about 3 cm above the carina. An orogastric tube courses into the stomach, its termination point not imaged, however. Lung volumes are low and there is persistent retrocardiac opacification that is not specific, although typical for atelectasis. Etiologies such as pneumonia or aspiration are also possible in addition to probable coinciding pleural effusion. The pulmonary vascularity appears prominent along each hilum and indistinct suggesting vascular congestion that has somewhat worsened. | 53970660 | CHEST RADIOGRAPH HISTORY: Left internal jugular venous catheter. COMPARISONS: Earlier in the same day. TECHNIQUE: Chest, portable AP supine. | Status post left internal jugular venous line placement, terminating in the superior vena cava; no pneumothorax. Persistent opacification of the left lung base, probably including a pleural effusion. Findings suggesting vascular congestion, which has increased. |
11341217 | There is increased opacity of the left base with air bronchograms which is suspicious pneumonia. The atelectasis at the right base is stable. The pulmonary edema is mildly increased The monitoring devices are still in place and unchanged in position. | 58148527 | HISTORY: ___ year old man with concern for new pna COMPARISON: Some is compared with ___. | Left base consolidation is suspicious for LLL pneumonia. The pulmonary edema is increased |
11341217 | When compared to previous radiograph, there is no significant change. Two right chest tubes end in the apical region, and one other right chest tube curls towards the base of the lung. Low lung volumes continue to be seen with bilateral parenchymal opacification. Mild cardiomegaly continues to be seen. ET tube is in appropriate position, and a gastric tube ends in the stomach and outside the view of this radiograph. | 54207538 | HISTORY: ___-year-old man with chest tubes, please evaluate for interval change. TECHNIQUE: Portable semi-erect frontal chest radiograph was obtained. COMPARISON: Chest radiograph from ___. | Mild cardiomegaly with mild-to-moderate pulmonary edema. Multifocal parenchymal opacification continues to be seen and is constant in appearance. |
11898225 | The patient is status post sternotomy, with mild to moderate cardiomegaly. There is upper zone redistribution, without overt CHF. There is mild increased retrocardiac opacity, but the left hemidiaphragm remains visible. Otherwise, no focal opacities are identified. No effusion seen on either side. Right upper quadrant cholecystectomy clips noted. Compared with an outside chest x-ray on PACs from___ dated ___, the retrocardiac opacity has improved. CHF findings to probably also improved slightly. | 50444139 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with stroke, Eval for underlying asp PNA // ?PNA COMPARISON: No previous ___ radiographs on PACs record for comparison. | Upper zone redistribution, without overt CHF. Retrocardiac opacity, consistent with left lower lobe collapse and/ or consolidation. The possibility an infectious infiltrate in this area cannot be excluded, but the appearance is improved compared with the outside film from ___. |
11898225 | Compared to the film from earlier the same day and allowing for differences in technique, there is negligible interval change. Again seen is mild vascular plethora, increased retrocardiac density, and minimal patchy opacity in the right cardiophrenic region. | 56726231 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with fever // ? pneumonia COMPARISON: Chest x-ray from ___ at 06:28 | Doubt significant interval change. |