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11188695 | PA and lateral views of the chest demonstrate unchanged position of left chest wall Port-A-Cath, terminating in the low SVC. The left hemidiaphragm is elevated, as before, and the lung volumes are low. There is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. Exaggerated thoracic kyphosis is unchanged. Colonic loops in the left upper quadrant are similar in appearance compared to prior studies. | 57268383 | HISTORY: ___-year-old female with diarrhea for two weeks. Evaluation for infectious etiology. COMPARISON: Comparison is made to radiographs of the chest from ___ and ___. | No acute cardiopulmonary process. |
11188695 | Left chest wall port terminates in the lower SVC. No pleural effusion or pneumothorax. Lung volumes remain low, with chronic moderate elevation of the left hemidiaphragm. Prominent loop of splenic flexure. Heart size is top normal. Mild degenerative changes throughout the thoracic spine. | 50438367 | INDICATION: Fall and loss of consciousness. COMPARISON: ___. CHEST, PA AND | No acute process. Low lung volumes and chronic elevation of the left hemidiaphragm. |
11188695 | Low lung volumes are again noted, with persistent elevation of the left hemidiaphragm. The cardiac, mediastinal and hilar contours are unchanged, and the pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. No displaced rib fractures are noted, though the right lateral chest is not completely included within the field of view. Mild anterior loss of height of a low thoracic vertebral body is unchanged. | 51022688 | INDICATION: Fall. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary abnormality. |
11188695 | The lungs are low in volume but clear. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. Mild narrowing of the mid thoracic vertebral body is unchanged compared to the previous examination. | 57260274 | INDICATION: ___-year-old woman with nausea and vomiting, question acute process. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
11188695 | The left chest wall port terminates in the lower SVC. The lung volumes are low, with chronic, moderate elevation of the left hemidiaphragm. The prominent loop of colon at the splenic flexure has a very similar appearance from ___. The heart size is top normal. There is no pneumothorax or pleural effusion. | 51017849 | HISTORY: ___-year-old woman with bilateral lower extremity swelling and diffuse abdominal pain and tenderness. Evaluate for cardiomegaly or pulmonary congestion. COMPARISON: Chest radiograph from ___. CHEST, PA AND | No acute change from the patient's baseline radiographic appearance. |
11055094 | Frontal and lateral views of the chest. Low lung volumes. Left costophrenic angle is obscured compatible with moderate pleural effusion. Retrocardiac consolidation likely represents atelectasis. There is no right pleural effusion. Moderate pulmonary edema is unchanged. Hilar and mediastinal silhouettes are stable. Moderate cardiomegaly is noted. There is no pneumothorax. Small amount of loculated fluid within the fissure is best seen on the lateral view. Partially imaged abdominal organs are unremarkable. The visualized osseous structures are intact. | 51013748 | INDICATION: Shortness of breath. COMPARISONS: ___. | Moderate pulmonary edema. Moderate left pleural effusion is new since ___ exam. Retrocardiac consolidation, may represent atelectasis or infection in the appropriate clinical setting. |
11055094 | Ovoid opacity projecting over the right mid lung likely represents fissural fluid and appears similar compared to prior. No new consolidation or pneumothorax is seen. Heart and mediastinal contours are stable. There is mildly increased interstitial prominence compared to prior. Aortic calcification is noted. | 59651421 | HISTORY: ___-year-old male with shortness of breath and cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | New mild interstitial prominence, which could represent mild edema or viral process. |
11055094 | Compared to ___, there has been interval resolution of intrafissural right-sided pleural effusion. No new focal opacity, pneumothorax or pleural effusion. The lungs are well expanded and clear bilaterally. Heart size, mediastinal contour and hila are normal. Aortic arch calcifications again noted. Limited assessment of the bones are unremarkable. | 50006841 | HISTORY: ___-year-old male with shortness of breath. Assess for CHF. COMPARISON: Chest radiograph ___, ___. TECHNIQUE: Frontal and lateral chest radiographs. | No evidence of pulmonary edema. |
11055094 | AP portable upright view of the chest. A vascular stent in the left subclavian region is noted. Lung volumes are low limiting assessment. Allowing for this the lungs are clear aside from mild left basal atelectasis. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. | 59087593 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with shortness of breath, fever COMPARISON: ___ | Mild left basal atelectasis. No convincing evidence for pneumonia. |
11055094 | Heart size is mildly enlarged. The aorta remains tortuous and diffusely calcified. Mild pulmonary vascular congestion is present, however this is improved compared to the previous radiograph. There is mild elevation of the right hemidiaphragm, unchanged, with no focal consolidation, pleural effusion or pneumothorax identified. No acute osseous abnormalities seen. A vascular stent is noted within the region of the left axillary and subclavian vessels. | 59425739 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with neck pain, ESRD on dialysis here with new oxygen requirement TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Mild pulmonary vascular congestion, improved from the previous study. |
11055094 | Heart size is mildly enlarged. Aorta is unfolded with calcifications noted diffusely. The previous pattern of moderate pulmonary edema has improved slightly. Ovoid hazy opacity within the right mid lung field likely reflects fluid within the minor fissure. Small right pleural effusion is also unchanged. The previously noted small left pleural effusion appears decreased in size. There is no pneumothorax. No acute osseous abnormalities are detected. | 56071886 | HISTORY: Shortness of breath, history of congestive heart failure. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___. | Mild pulmonary edema, improved from the prior exam. Small bilateral pleural effusions, with decreased size of the left pleural effusion and increased fluid within the right minor fissure. |
11619572 | Comparison is also made to the CT scan from ___. Cardiac silhouette and mediastinum are within normal limits. There is no focal consolidation. There are small bilateral pleural effusions. No overt pulmonary edema is seen. There is increased sclerosis seen of the right sternoclavicular joint which is better assessed on the outside hospital CT scan. There is also some widening and irregularity of the right lateral clavicle suggestive of prior old trauma or surgery. A single metallic anchor is seen in the right humeral head. On the lateral view, there is calcification in the anterior longitudinal ligament consistent with DISH. | 57012123 | STUDY: PA and lateral chest radiograph, ___. CLINICAL HISTORY: ___-year-old man with right sternoclavicular joint septic arthritis. Preop chest radiograph. | Small bilateral pleural effusions without signs for cardiopulmonary process. |
11619572 | There has been interval placement of new left-sided PICC with its tip terminating in mid SVC. There is no pneumothorax. There has been interval resolution of bilateral pleural effusion and no new effusion is seen. The heart is mildly enlarged. The hilar and mediastinal contour appear normal. | 59279131 | INDICATION: ___-year-old male with follicular lymphoma. Evaluate for PICC placement. TECHNIQUE: Portable upright AP chest radiograph. COMPARISON: Chest radiograph from ___ and ___. | New left-sided PICC terminating in the mid SVC. No complications. |
11133211 | Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG. Again seen is a moderate right pleural effusion with overlying atelectasis, underlying consolidation cannot be excluded. There is left base atelectasis without left pleural effusion seen. The cardiac silhouette is top normal, although the right aspect of the cardiac silhouette is not well assessed due to the right base opacity. The aorta is calcified and tortuous. There may be minimal pulmonary vascular congestion without overt interstitial edema. | 50900590 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Increasing shortness of breath, bilateral pitting edema, question CHF. COMPARISON: ___. | Moderate right pleural effusion with overlying atelectasis, underlying consolidation is not excluded. Possible minimal pulmonary vascular congestion without overt pulmonary edema. |
11133211 | There is a moderate-to-large right pleural effusion, layering on today's study given supine technique, likely not significantly changed compared to the prior radiograph from ___. Moderate right and mild left lower lung atelectasis is noted. Mild-to-moderate cardiomegaly is not significantly changed. There is no pneumothorax. Note is made of midline sternotomy and CABG, as before. Old left rib fractures are noted. | 57904064 | INDICATION: Status post fall with right-sided effusion seen on FAST. Assess for acute intrathoracic process. COMPARISON: Chest radiograph from ___. | Moderate-to-large right pleural effusion, likely not significantly changed allowing for differences in technique. Bibasilar atelectasis, right greater than left. Mild-to-moderate cardiomegaly, not significantly changed. |
11133211 | Patient is status post median sternotomy and CABG. Heart size is difficult to assess due to the presence of a moderate sized right pleural effusion which has slightly increased in size compared to the prior study. There is mild pulmonary edema. Aortic knob is calcified. No pneumothorax is detected. Old left-sided rib fractures are again noted. A compression fracture of an upper thoracic vertebral body is unchanged. | 52760303 | HISTORY: Altered mental status and increased urination. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Mild congestive heart failure with slight interval increase in size of moderate right pleural effusion. |
11821055 | A nasogastric tube in terminates in the stomach. The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There has been improvement in left perihilar opacification. There is no pleural effusion or pneumothorax. | 54757396 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Intracranial hemorrhage. Nasogastric tube placement. TECHNIQUE: Earlier on the same day. COMPARISON: Chest, AP portable semi-upright. | Nasogastric tube terminating in the stomach. Reduced left perihilar opacification. |
11821055 | An endotracheal tube ends approximately 3.0 cm above the carina. A nasoenteric tube ends in the stomach. Lung volumes are low, with improvement of a left perihilar and infrahilar opacity. A left basilar opacity persists. Cardiomegaly is increased likely secondary to low lung volumes. There is no pleural effusion or pneumothorax. | 59634870 | INDICATION: ___ year old woman with intubation, interval change in ETT position.. COMPARISON: Comparison is made to chest radiograph dating back to ___. TECHNIQUE Portable view of the chest. | Appropriate positioning of monitoring and support devices. Improved left perihilar opacification, possibly secondary to improving aspiration. |
11821055 | Single supine AP radiograph demonstrates an endotracheal tube which appears to terminate 2.8 cm above the level of the carina. An enteric tube descends the thorax in an uncomplicated course, its tip projecting over the right upper quadrant in appropriate position. Relative to prior study, enteric tube has been advanced. Subtle left perihilar and lower lobe opacity could reflect aspiration. There is no pleural effusion identified. There is no pneumothorax. | 58781108 | INDICATION: ___-year-old female with subarachnoid hemorrhage, intubated. TECHNIQUE: Single portable supine radiograph. COMPARISON: Radiograph performed on the same date, ___, a proximal 3 hours prior. | Supportive devices in appropriate position. No pneumothorax. Possible aspiration in the left lower lung. |
11769389 | Single portable AP upright chest radiograph was obtained. The cardiac silhouette appears normal and unchanged compared to the prior examination. Mild mediastinal prominence is likely related to differences in patient positioning and technique. The lungs demonstrate low volumes as before, but are otherwise clear without focal consolidation. There is no pleural effusion and no pneumothorax. | 52655475 | INDICATION: Chest pain, pleuritic in nature. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. If high clinical concern, CT would confirm. |
11769389 | 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 aside from minimal leftward convex curvature centered along the lower thoracic spine. | 50185006 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
11197360 | Frontal and lateral radiographs of the chest demonstrate an area of increased opacification in the right middle lobe obscuring the right heart border, consistent with right middle lobe pneumonia. A second focus of pneumonia is seen in the left upper lobe. There is no pleural effusion or pneumothorax. The heart is not enlarged. | 56363385 | INDICATION: ___ year old woman with right sided pleuritic chest pain x two months. // r/o small effusion. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Right middle lobe and left upper lobe pneumonia. |
11615015 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified. There is no free air below the hemi-diaphragms. | 55622527 | INDICATION: Kick to the right chest. Evaluate for injury. COMPARISONS: None. | No acute cardiopulmonary process. |
11668779 | Frontal and lateral views of the chest were obtained. There is subtle nodular increased interstitial markings bilaterally which could be due to an atypical infection. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. | 54269812 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Flank pain and dysuria. COMPARISON: None. | Subtle nodular opacities, right more so than left lung, could be due to atypical infection. Suggest comparison with any prior studies, follow-up chest radiograph when acute symptoms subside. |
11003698 | The lungs are clear without focal consolidation, large effusion or edema. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits for technique. Atherosclerotic calcifications noted at the aortic arch. Anterolateral left fourth, sixth and seventh rib fractures are noted. | 53717609 | WET READ: ___ ___ ___ 9:01 PM No acute cardiopulmonary process. Anterolateral left rib fractures are noted but are age indeterminate based on these views. Consider dedicated rib series. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with recent fall // Evaluate for fractures TECHNIQUE: Single portable view of the chest. COMPARISON: None. | No acute cardiopulmonary process. Anterolateral left rib fractures are noted but are age indeterminate based on these views. Consider dedicated rib series. |
11722653 | Frontal and lateral views of the chest were obtained. Per the radiology technologist, the patient's neck is ___, ___ is projecting over chest, patient is not able to raise either arm which project over the lateral view. As compared to the prior study, there is decreased volume of the left hemithorax with diffuse calcifications seen, finding consistent with fibrothorax, similar in appearance compared to the prior study. The patient's ___ overlies the medial lung apices, partially obscuring the view. No definite consolidation is seen in the right lung. No left pleural effusion is seen. Cardiac and mediastinal silhouettes are grossly stable given the patient's ___ partially obscuring the superior mediastinum. | 55904176 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of poor p.o. intake for several days. COMPARISON: ___. | No significant interval change given limitation by patient positioning, patient's ___ obscures the medial lung apices. |
11321200 | Heart size is normal. The mediastinal and hilar contours are unremarkable without evidence of pneumomediastinum. Minimal atherosclerotic calcifications are noted at the aortic knob. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. Fusion hardware within the lumbar spine is partially imaged. No acute osseous abnormalities detected. | 50483088 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with food bolus - preprocedure film TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. Hyperinflated lungs suggestive of COPD. |
11849275 | The cardiac silhouette size is normal. Aorta is mildly unfolded. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. | 56100874 | HISTORY: Cough, elevated blood pressure with acute onset back and chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11317529 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 50009063 | INDICATION: Seizure. Evaluate for infection. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11317529 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen; however, if clinical concern for rib fracture persists, suggest dedicated rib series. | 50720164 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain after seizure. Please evaluate for pneumothorax or rib fractures. COMPARISON: ___. | No acute cardiopulmonary process. No displaced rib fracture is seen; however, if clinical concern for rib fracture persists, recommend dedicated rib series with BB marker overlying site of pain, which is more sensitive. |
11331509 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. | 55442601 | INDICATION: ___-year-old male with pleuritic left-sided chest pain and dyspnea. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for acute cardiopulmonary process. |
11675468 | PA and lateral chest radiographs demonstrate mild to moderate cardiomegaly, increased compared to ___. The lungs are moderately well-aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 58028636 | INDICATION: Evaluate for acute process in a patient with chest pain. COMPARISON: Chest radiographs from ___, ___, ___, ___. | No acute cardiopulmonary process. Mild to moderate cardiomegaly, increased compared to ___. |
11673799 | The heart size is normal. The mediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen. | 59031010 | INDICATION: Chest pain, fever, lymphadenopathy. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
11673799 | There is no significant interval change compared to the immediate prior exam.Heart size is within normal limits.Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. | 53828598 | INDICATION: ___ year old woman with history of sarcoid, new chest/arm pain with negative cardiac workup. Evaluate for lymphadenopathy. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph from ___ and ___. | No acute intrathoracic abnormality, including no evidence of intrathoracic lymphadenopathy. |
11939591 | Again seen are infiltrates in the right mid lung and right lower lobe is increased pulmonary vascular redistribution and a small left effusion. There is also new retrocardiac opacity that could be due to volume loss or infiltrate. The heart size continues to be mildly enlarged sternal wires and mediastinal clips and pacemaker are unchanged. | 57577123 | HISTORY: Normal dark sputum. COMPARISON: ___. | Right midlung and right lower lobe infiltrates, unchanged. New opacity in retrocardiac region. |
11939591 | The patient is status post median sternotomy and CABG. Left-sided AICD device is noted with leads terminating in the right atrium and right ventricle. Heart size is mildly enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. There is atherosclerotic calcifications of the aortic knob. Patchy opacity within the right lung base is nonspecific but could reflect an area of atelectasis or infection. Minimal atelectasis is also noted within the left lower lobe. There is a trace right pleural effusion. No pulmonary edema or pneumothorax is present. There are mild degenerative changes in the thoracic spine. | 50699382 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Patchy right basilar opacity is nonspecific, potentially atelectasis though infection is not completely excluded. Trace right pleural effusion. Minimal left basilar atelectasis. |
11939591 | Patient's clinical condition required examination in sitting upright position using AP frontal and left lateral views. Comparison is made with the next preceding portable single view chest examination of ___. The patient is now extubated. Status post sternotomy and bypass surgery as before. A new permanent pacer has been placed in left anterior axillary position seen to be connected to two intravascular electrodes terminating in right atrial appendage position and apical portion of the right ventricle correspondingly. Apparently, the previously existing temporary pacer wire advanced from below has been removed. In comparison with the previous examination, the at that time existing marked pulmonary congestive pattern with central pulmonary edema has markedly improved. On the other hand, the patient has now developed bilateral pleural effusions, blunt the lateral and posterior pleural sinuses. The amount is considered to be moderate. | 57299506 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with new ICD via left side approach. | Successful placement of permanent pacer,no evidence of pulmonary vascular congestive pattern but development of some small amount bilateral pleural effusion. |
11939591 | ET tube ends 4.4 cm above the carina. The NG tube is in the stomach. Swan-Ganz coming from a femoral venous access ends in the proximal pulmonary artery. Widespread right lung opacification which could be related to aspiration or asymmetric edema has improved. However, left lower lobe consolidation with small adjacent pleural effusion is new, which could reflect atelectasis or new aspiration. Prior sternotomy was done for CABG. Mild cardiac congestion is unchanged. There is no pneumothorax. Intra-aortic balloon pump is in adequate position. | 57151703 | PORTABLE AP CHEST X-RAY INDICATION: Patient with STEMI, arrest cardiac cath, now undergoing cooling protocol. COMPARISON: ___. | Tube and lines are in adequate position. Improvement of widespread right lung opacification, which could be related to aspiration or asymmetric pulmonary edema. New left lower lobe atelectasis or aspiration. |
11585485 | Mild cardiomegaly is is a stable. Right pleural effusion has markedly decreased now small. There is a right basal chest tube. Right pneumothorax is moderate. Right middle lobe atelectasis has worsened. Left central catheter tip is in the lower SVC | 53576192 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with medical thoracoscopy // pleurodesis s/p TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Moderate right pneumothorax. Marked decrease in right pleural effusion. Increased in right middle lobe atelectasis |
11585485 | The right pleural effusion with pleural thickening is mildly improved. There has been interval removal of a right pleural catheter.No pneumothorax is seen. Mild cardiomegaly is stable. There is 15 mm rounded opacity overlying the right anterior sixth rib not well visualized on prior chest x-ray or seen on most recent chest CT. A follow-up chest x-ray is recommended at 3 months. If the lesion persists, then chest CT is recommended to further characterize. | 56139937 | EXAMINATION: Chest PA and lateral INDICATION: ___ yo man with lymphoma, with h/o pleural effusions s/p pleurodesis, need re-eval of pleural effusion // ___ yo man with lymphoma, with h/o pleural effusions s/p pleurodesis, need re-eval of pleural effusion. Compare to prior TECHNIQUE: Chest PA and lateral COMPARISON: Chest PA and lateral ___. CT chest with contrast ___ | Mildly improved right pleural effusion. There is a 15 mm rounded opacity overlying the right anterior sixth rib. A follow-up chest x-ray is recommended at 3 months. If the lesion persists, then chest CT is recommended to further characterize. |
11585485 | PA and lateral views of the chest provided. Cardiomegaly is again noted unchanged. There is a small right pleural effusion with blunted CP angle on the right. Otherwise the lungs are clear. Dextroscoliosis T-spine again noted. | 53471308 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ yo old man with lymphoma in remission, known right pleural effusion s/p pleurodesis. Now with increased SOB/DOE and fever. Evaluate for PNA. evaluate pleural effusion COMPARISON: Prior exam from ___ and PET-CT from ___. | Mild cardiomegaly and small right pleural effusion, unchanged. |
11585485 | Left-sided Port-A-Cath remains in good position in the low SVC. Chronic right-sided pleural effusion and basal atelectasis are stable. The right upper lobe and left lung remain clear. Trace left effusion is also unchanged. The cardiac silhouette is mildly enlarged. The hila do not appear enlarged. No pneumothorax | 53993170 | INDICATION: ___ yo male with lymphoma and chronic pleural effusion s/p fluid removal ___. Pt with new SOB and need re-eval of pleural effusions as well as r/o infection // ___ yo male with lymphoma and chronic pleural effusion s/p fluid removal ___. Pt with new SOB and need re-eval of pleural effusions as well as r/o infection TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Right--___ small pleural effusion is stable. |
11585485 | A left-sided Port-A-Cath is in stable position. There is a moderate right pleural effusion, slightly decreased in size from the most recent prior CT in ___. Additionally, there is adjacent pulmonary opacity involving the right lower lobe and right middle lobe, which could represent areas of collapse or infection. There is streaky opacity at the base of the left lung, most consistent with atelectasis. No left pleural effusion or pneumothorax is seen. | 54491673 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with lymphoma, now with fevers, malaise // ___ year old man with lymphoma, now with fevers, malaise TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs most recent on ___. CT on ___. | Moderate right pleural effusion and adjacent pulmonary opacity are minimally decreased in size from CT in ___. Pulmonary opacity likely reflects right lower lobe collapse however underlying infection should be considered in the appropriate setting. Left basal atelectasis. |
11585485 | Small right pleural effusion is re- demonstrated. Basilar atelectasis is seen. No new focal consolidation is seen. There is no pneumothorax. Mild to moderate enlargement of the cardiac silhouette is re- demonstrated. Cardiac and mediastinal contours are stable. No overt pulmonary edema is seen. | 57743481 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever, neutropenia // cxr: eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Again seen small right pleural effusion with overlying atelectasis. No definite focal consolidation. Cardiomegaly without pulmonary edema. |
11585485 | Compared with prior radiographs on ___, there has been interval resolution several right-sided pleural fluid collections, including a right paramediastinal fluid collection. There is a loculated right pleural effusion at the costophrenic angle, with fluid in the minor fissure. The trans pleural catheter is seen in the right costophrenic angle. There is no focal consolidation or pneumothorax. There is borderline cardiomegaly. | 52020937 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man s/p TPC placement // r/o right sided pleff TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___ | Interval resolution of several right-sided loculated pleural fluid collections, with persistent loculated right pleural effusion. |
11543398 | Lung volumes are low. Apparent mediastinal widening is likely due to patient rotation. There is mild to moderate bibasilar atelectasis. Small bilateral pleural effusions are probable. The cardiac size is stable and there is mild pulmonary vascular congestion, without frank pulmonary edema. There is no pneumothorax. Chronic rib and pleural deformities are again noted. | 59898247 | EXAMINATION: Chest radio INDICATION: ___ year old woman s/p ureteroscopy; now unable to wean off O2 // Unable to wean off O2 TECHNIQUE: Portable chest radiograph COMPARISON: CT chest without contrast from ___ | Mild to moderate bibasilar atelectasis and probable small bilateral pleural effusions. |
11543398 | There are increasing bilateral pulmonary opacities with relative sparing of the left apex, which is partially obscured by an overlying tube. There is no pneumothorax. There is widening of the pleural space bilaterally and blunting of the costophrenic sulci most likely representing pleural fluid. The heart appears enlarged. The aorta is tortuous and calcified. | 55716411 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: PNA, consolidation, volume overload TECHNIQUE: AP chest x-ray COMPARISON: ___ | Increasing bilateral pulmonary opacities most likely due to edema. Evidence of small pleural effusions. Underlying pneumonia is also possible and clinical correlation is recommended. |
11543398 | The patient is rotated to the right. There are probable bilateral pleural effusions. Degree of pulmonary edema, likely moderate is grossly unchanged for perhaps minimally improved. Cardiac silhouette is enlarged. Chronic changes noted at the shoulders. Included image of the distal left humerus is also notable for likely chronic appearing deformity, similar to scout from CT scan from ___. Left upper extremity vascular access line seen terminating at the left brachial/ lower axillary level. | 50695120 | INDICATION: ___F with hx of CHF and dyspnea // ?pneumonia or pulmonary edema TECHNIQUE: Portable view of the chest. COMPARISON: ___. | No significant interval change. Likely moderate pulmonary edema and suspected pleural effusions with cardiomegaly. Catheter projecting over the left upper extremity as above. |
11543398 | Lower lungs though poorly assessed due to underpenetration. A retrocardiac opacity on the lateral projection raises potential concern for an early left lower lobe pneumonia. Otherwise lungs appear clear. No large effusion or pneumothorax. There may be mild hilar congestion though there is no frank edema. Cardiomediastinal silhouette is stable. Previously noted left IJ central venous catheter is been removed. Bony structures are intact. Chronic rib deformities again noted. | 57311355 | EXAMINATION: Chest radiograph INDICATION: ___F with ureteral stent and hypotension // PNA? TECHNIQUE: Chest AP and lateral COMPARISON: Multiple prior radiographs dated back to ___, most recently from ___. | Retrocardiac opacity, question early left lower lobe pneumonia. Possible mild hilar congestion. |
11543398 | Heart size is moderate to severely enlarged but unchanged. The mediastinal contour remains widened superiorly, which based on the prior CT of the thoracic spine appears attributable to mediastinal fat and vascular structures. There is mild pulmonary vascular engorgement. Streaky opacities within the lung bases, more so on the left ,could reflect areas of atelectasis though infection is difficult to exclude. No large pleural effusion or pneumothorax is seen. Multiple old rib fractures are re- demonstrated bilaterally. Degenerative changes of the right glenohumeral joint are also noted. | 53718677 | HISTORY: Cough. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___ at 04:58. CT thoracic spine ___. | Mild pulmonary vascular engorgement and bibasilar patchy opacities, possibly reflecting atelectasis though infection is difficult to exclude. |
11427406 | The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 53277709 | INDICATION: ___F with cp and SOB. // ? ptx TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process, no pneumothorax. |
11418896 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. There is mild prominence of the main pulmonary artery which may be due to a component of pulmonary hypertension. | 50972898 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // infiltrate? pneumothorax? TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | Clear lungs. Slight prominence of the main pulmonary artery may relate to a component of pulmonary hypertension. |
11862577 | 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. | 54363394 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with new seizure // eval for infiltrate COMPARISON: None | No acute intrathoracic process. |
11490051 | Lungs are well-expanded. There is new, severe pulmonary edema. No pleural effusion. At least moderate cardiomegaly is unchanged. Cardiomediastinal and hilar silhouettes are not well evaluated due to severe adjacent pulmonary edema. | 56756119 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with desat into high ___% after ECT earlier today // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ PA and lateral chest radiographs | New, severe pulmonary edema. |
11490051 | Direct comparison to the prior chest radiograph is somewhat limited due to obliquity of patient positioning. However, the left lower lung opacity appears to be improved, particularly on lateral view. The heart size is stable. No pulmonary edema or pneumothorax. | 57455404 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with chest pain, prior opacity on CXR // Please eval for interval worsening of LLL opacity TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___ | Direct comparison is somewhat limited due to patient positioning. However, left lower lung opacity appears improved. |
11490051 | Diffuse extensive interstitial opacities bilaterally representing severe pulmonary edema. The cardiac silhouette is top-normal in size. The mediastinal contours are not well evaluated due to background of pulmonary edema. Small bilateral pleural effusions. | 56775631 | INDICATION: Desaturation in PACU TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | New, severe pulmonary edema. Small bilateral pleural effusions. |
11490051 | Lung volumes remain low. Focal airspace opacities noted at the left lung base appear to have increased from ___, and appear similar to ___. The left upper lung and right lung appear grossly clear. There is no pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is unchanged from the prior examination. | 50593764 | EXAMINATION: Chest radiographs. INDICATION: ___M with aMS // eval for pna TECHNIQUE: Chest AP and lateral COMPARISON: ___, ___. | Interval increased focal airspace opacity at the left lung base, which may represent recurrent infection or potentially aspiration. |
11396263 | A left-sided PICC line is unchanged in position, ending in the low SVC. There is no pneumothorax. Mild pulmonary edema is unchanged. There are no new consolidations or pleural effusions. Cardiomegaly despite the projection is unchanged. | 52774671 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with increased secretions, coarse breathing // pneumonia? TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___. | No significant interval change. |
11115587 | There is increased opacity in the left lower lobe, best seen on the lateral. There is also a new small left-sided pleural effusion. The right lung is relatively unchanged in appearance. Stable left rib metastases. | 52851061 | INDICATION: ___ year old man with h/o COPD and new finding of L hilar mass c/f lung cancer, now with decreased breath sounds in L lung and increasing O2 requirement. // Evaluate for pleural effusion or other acute pulmonary process in L lung. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | There is increased opacity in the left lower lobe, best seen on the lateral view, can represent early pneumonia in this clinical setting. |
11449055 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Nodules seen on prior chest CT are not well seen on the current radiograph. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51400523 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with wheezing, tachypnea, hypoxia TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___, chest CT ___ | No acute cardiopulmonary abnormality. |
11841526 | The tip of a right PICC line projects over the lower SVC. Status post prior median sternotomy. Persisting vascular congestion as well as small bilateral pleural effusions and adjacent atelectasis. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged. | 59696834 | INDICATION: ___ year old man s/p CABG // eval for pleural effusions TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | No pneumothorax identified. Otherwise no significant interval change since the prior study. |
11841526 | Right IJ central line tip overlies the cavoatrial junction. Compared with the prior study, a left-sided chest tube has been removed. Possible tiny left apical pneumothorax. As before, there are sternotomy wires with mild prominence of the cardiomediastinal silhouette. There is upper zone redistribution and diffuse vascular blurring, compatible with mild CHF. Platelike at atelectasis the right midzone again noted. Compared to the prior film, inspiratory volumes are lower and there is more pronounced increased retrocardiac opacity and atelectasis at the right base. There is obscuration of both costophrenic angles which is new or more pronounced on the current study. Incidental note is made of marked narrowing of the right acromial humeral distance, consistent with chronic rotator cuff tear. | 51614534 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p CABG // eval for pneumothorax s/p chest tube removal COMPARISON: Chest x-ray from ___ at 07:57 | Interval removal of left chest tube. Suspect tiny left apical pneumothorax. Mild vascular plethora and vascular blurring, consistent with mild CHF. This appears slightly worse compared with the prior film. Lower inspiratory volumes with bibasilar collapse and/or consolidation and possible small effusions. The opacity is more pronounced at the left base. Findings compatible with chronic right rotator cuff tear. |
11841526 | Low inspiratory volumes. ET and NG tube have been removed. Right IJ central line with tip at cavoatrial junction. Mediastinal drain and left chest tube again noted. No pneumothorax is detected. Mild prominence of the cardiomediastinal is unchanged. Sternotomy wires again noted. Patchy opacity at the left lung base is similar prior, though there is new partial obscuration of left hemidiaphragm. Platelike atelectasis in the right mid zone is also new. Minimal blunting of the right costophrenic angle is grossly unchanged. No overt CHF. Upper zone redistribution has improved. | 50538277 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with O2 requirement // interval chnage COMPARISON: Chest x-ray from ___ at 15 41 | Mild patchy opacity left base is increased in terms of partial obscuration left hemidiaphragm. Improvement in upper zone redistribution. No overt CHF. No pneumothorax detected. |
11841526 | Patient is status post median sternotomy and CABG. Heart size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Apart from atelectasis in the lung bases, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 55225813 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with progressive dyspnea for 4 days // ?pneumonia, fluid overload? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
11306032 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.The aorta is calcified and tortuous. | 51059649 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with persistent cough. Evaluate for pneumonia or mass. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No focal consolidation concerning for pneumonia. |
11560443 | Mild cardiomegaly is unchanged. The cardiomediastinal contours are unremarkable. Again seen are bilateral focal areas of apical thickening, likely secondary to pleuroparenchymal thickening/scarring. The appearance of the perihilar region is unchanged. There is no evidence of acute consolidation. No pleural effusions or pneumothorax is identified. The visualized osseous structures are unremarkable. There has been interval decrease in the amount of subcutaneous gas. | 55207004 | INDICATION: ___-year-old female with a history of right-sided pneumothorax with subsequent reexpansion, who now presents with shortness of breath. COMPARISONS: Chest radiographs from ___, ___, ___, ___, and ___. TECHNIQUE: PA and lateral chest radiographs. | No acute changes compared to the prior exam to explain patient's new onset of shortness of breath. |
11560443 | Mild cardiomegaly is unchanged. Cardiomediastinal contours are unremarkable. Bilateral focal areas of apical opacity which appear to be unchanged compared to the prior study. No signs of acute consolidation to suggest pneumonia. No pleural effusions and no pneumothorax. | 57661483 | INDICATION: ___-year-old woman with cough, malaise x1 week. Decreased breath sounds over left upper lobe with egophony, evaluate for abnormalities or pneumonia. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs. | No acute changes compared to the prior study. No evidence of acute pneumonia. |
11560443 | There has been interval removal of a right pigtail catheter and placement of a right pleural tube, ending near the right lung apex. A previously seen moderate to large lateral and inferior right pneumothorax has resolved. There is minimal bibasilar atelectasis, as before. Mild enlargement of the cardiac silhouette is not significantly changed. Mediastinal contours are normal. There is biapical, right greater than left, pleuroparenchymal thickening/scarring. No definite pleural effusion. | 50782568 | INDICATION: Persistent pneumothorax, status post chest tube placement in place of a pigtail catheter. Evaluate for re-expansion of the lung. COMPARISON: Prior chest radiographs from ___. | No definite residual pneumothorax, status post replacement of a pleural catheter with a larger bore pleural tube. Unchanged mild cardiomegaly. |
11560443 | AP single view of the chest has been obtained with patient in upright position. Comparison is made with the frontal view of the next preceding chest examination obtained two hours earlier during the same day. Chest tube is now on suction. The volume of the basal right-sided pneumothorax cavity has markedly decreased indicating effective suction accomplished through the tube. On this single AP chest view, there is no evidence of remaining pleural effusion in the lateral pleural sinus. If the volume of the small pleural fluid residual as noted on the lateral view of the preceding examination has been changed can of course not be decided. | 55376404 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with right-sided pneumothorax after biopsy, check pneumothorax with chest tube on suction. | Effective suction reducing size of residual basal pneumothorax. |
11079418 | 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. | 51541728 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, influenza-like illness // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11039088 | The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm. | 56885126 | INDICATION: ___ year old man with CP w/L arm radiation, some crackles @ base of R hemithorax // eval for pulmonary edema vs pna TECHNIQUE: Portable AP upright view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent dated ___. | No acute cardiopulmonary process. |
11002435 | PA and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. The thoracic portion of a ventriculoperitoneal shunt is intact. A single lead cardiac device lead is in appropriate position. | 53792203 | HISTORY: Altered mental status COMPARISON: ___. | No acute cardiopulmonary process. |
11002435 | A single-lead pacemaker device is noted with lead terminating in the right ventricle. Interval removal of IJ, ET tube, and nasogastric tube. Bilateral moderate pleural effusions are noted with adjacent atelectasis which appear to be increased compared to the prior examination, however this may reflect the first true upright study that the patient has had. Cardiac silhouette cannot be assessed in the presence of bilateral pleural effusions and should be followed with echo. There has been interval removal of the pericardial drain. No pneumothorax is identified. | 54093394 | INDICATION: Patient with new valvular disease and effusion. COMPARISON: Portable chest radiograph, ___. PA AND LATERAL CHEST | Bilateral moderate pleural effusions are noted with adjacent atelectasis which appear to be increased compared to the prior examination, however this may reflect first true upright study. |
11002435 | Left pectoral pacer and pericardial drain are unchanged in position. Endotracheal tube is in appropriate position with tip projecting 5.5 cm cranial to the carina. NG tube is within the stomach although the tip is excluded on imaging. Although objectively the heart size is normal, there has been mild interval increase in the size of the cardiac silhouette with mildly increased prominence of the mediastinal veins. The moderate to large right pleural effusion is unchanged and the large left effusion is improved. Pulmonary edema has resolved. There is no pneumothorax. | 55094243 | HISTORY: Status post intubation and electrophysiologic procedure complicated by right ventricular microperforation, pericardial effusion and tamponade status post pericardial drain placement. TECHNIQUE: Portable frontal chest radiograph. COMPARISON: ___ through ___. | Mild interval increase in the cardiac silhouette with mildly dilated mediastinal veins warrant clinical evaluation of effective pericardial drainage. Right pleural effusion is unchanged and left effusion is improved. Left pacer, endotracheal tube, pericardial drain and NG tube are appropriately placed. Results were discussed over the telephone with Dr. ___ by ___ ___ at 20:05 on ___ at time of initial review. |
11002435 | A right PICC is unchanged in position with the tip terminating in the proximal right atrium, which should be retracted 3 cm to place in the low SVC. A left pectoral pacemaker with a single lead terminating in the right ventricle is again seen. A right ventriculoperitoneal shunt is seen coursing across the right neck and right hemi thorax into the abdomen. A large left pleural effusion is slightly decreased in size from ___ with associated underlying atelectasis or consolidation. A moderate right pleural effusion is unchanged with associated atelectasis of the right lung base. The cardiac silhouette is incompletely evaluated. The mediastinal contours are within normal limits. There pleuro parenchymal scarring in the bilateral lung apices appears relatively symmetrical. | 54053535 | HISTORY: Re-evaluate pleural effusion. COMPARISON: Chest radiograph dated ___. Technique: PA and lateral chest radiographs. | Right PICC with tip in proximal right atrium should be retracted 3 cm to place in the low SVC. Decreased size of large left pleural effusion from ___. Unchanged moderate right pleural effusion and atelectasis. |
11002435 | AP upright and lateral views of the chest demonstrate well-expanded symmetric lungs. There is no focal consolidation or pleural effusion. A single-lead pacer projects over the left anterior chest. VP shunt lead traverses across the mid right chest and extends below the diaphragm, tip not visualized. Heart is normal in size, and cardiomediastinal contour is unremarkable. There is no pneumothorax. No displaced rib fracture detected. | 51772358 | INDICATION: ___-year-old female with a history of NPH and VP shunt, pleural effusions who presents status post fall, evaluate for rib fractures or interval change in pleural effusion. COMPARISON: ___. | No acute intrathoracic abnormality. No displaced rib fractures; however, please note that a conventional chest radiograph is not sensitive for detecting rib fractures. |
11002435 | AP and lateral chest radiographs were obtained. Small right effusion and right basilar opacity is similar to prior. Left retrocardiac opacity is slightly improved, but there is a new airspace consolidation in the lingula, partly obscuring the left heart border. Cardiomegaly is mild. The tip of a right PICC line terminates at the cavoatrial junction. A single pacing lead is in the expected position. | 56007907 | HISTORY: CHF or pleural effusions hepatic hypodensities patent. COMPARISON: Chest radiographs ___ Chest CT ___. | New lingular opacity is concerning for developing pneumonia in the appropriate clinical setting. |
11002435 | There is a new moderate right-sided pleural effusion with underlying atelectasis. Lungs are otherwise clear, there is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Left chest wall single lead pacing device is seen with the tip at the right ventricular apex. Tubing projecting over the anterior right chest wall likely ventriculoperitoneal catheter. | 50371309 | INDICATION: ___F with mech fall // r/o fx or bkleed TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Moderate right-sided pleural effusion, new since prior. |
11002435 | Mild pulmonary edema including right basal reexpansion edema is continuing to improve. Residual focal opacities in the right lower lung is concerning for pneumonia. Left severe pleural effusion is unchanged. There is no pneumothorax. Left-sided pacemaker has one lead in the right ventricle. Moderate cardiomegaly is stable. | 52203201 | WET READ: ___ ___ ___ 7:42 PM Mild interstitial pulmonary edema continues to decrease. Heterogeneous right mid to lower lung opacities remain, however, possibly due to an infectious process, which if present would be new compared to the first of two chest radiographs from ___. Alternatively, these opacities could be residual areas of asymmetric edema, although their lobulated morphology would be unusual. A moderate left pleural effusion is not significantly changed. A tiny right pleural effusion is decreased. Findings were discussed with Dr. ___ by Dr. ___ at 19:40 via telephone on the day of the study. ______________________________________________________________________________ FINAL REPORT CHEST PA AND LATERAL INDICATION: Patient with pacemaker placement for heart block, micro perforation of RV causing tamponade, pulmonary edema versus pneumonia. COMPARISON: Multiple chest x-rays from ___ to ___. | Mild pulmonary edema including right sided reexpansion edema is continuing to improve. Residual focal consolidation in right lower lung is worrisome for pneumonia. This was discussed with the referring physician by resident, Dr. ___. |
11002435 | Severe left pleural effusion has significantly improved after chest tube placement and is now minimal. There is no pneumothorax. Right small pleural effusion with basilar atelectasis is unchanged. Right-sided PICC line has been repositioned and now ends in the left innominate vein and has to be repositioned. Moderate cardiomegaly is unchanged in this patient with a single-lead pacemaker in the right ventricle. | 57333500 | PORTABLE AP CHEST X-RAY INDICATION: Patient with left effusion. Rule out pneumothorax after thoracocentesis. COMPARISON: Multiple chest x-rays from ___ to ___. | There is no pneumothorax after left chest tube placement. Left pleural effusion has significantly improved. Right-sided PICC line is malpositioned, terminating in the left brachiocephalic vein. The medical team has been verbally contacted for the results. |
11002435 | A left pectoral cardiac pacer has single lead terminating in the right ventricle. Moderate cardiomegaly is unchanged. The patient is status post interval thoracentesis on the right with a marked decrease in extent of right pleural effusion, with minimal residual fluid at the base. A moderate left pleural effusion on the left persists, with associated atelectasis. There is no pneumothorax. | 54280583 | HISTORY: ___-year-old female pleural effusion status post tapped on the right. COMPARISON: ___. | Marked decrease in right pleural effusion status post thoracentesis. |
11002435 | AP and lateral views of the chest. VP shunt is again seen overlying the right hemithorax. Left-sided pacemaker with wire is unchanged in position. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. There is indistinctness of a posterior lower rib on the right which appears new from prior study, may represent overlapping mildly displaced fracture, less likely a lytic lesion of the bone. | 52095152 | INDICATION: Syncope and fall. COMPARISON: Chest radiograph on ___. | No acute cardiopulmonary process. Indistinctness of a posterior lower rib may represent a mildly displaced overlapping fracture or less likely a lytic lesion of the bone. If this is the patient's area of pain, recommend chest CT for further evaluation. These findings were discussed with Dr. ___ by Dr. ___ at 803am on ___ by phone. |
11002435 | Left-sided pacer device is noted with single lead terminating in the right ventricle. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are similar. There is mild upper zone vascular redistribution likely due to supine positioning. No large pleural effusion or pneumothorax is seen. There is no focal consolidation. A VP shunt catheter courses along the right aspect of the chest and into the right upper abdomen. | 58113161 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with pain in right hand status post fall TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and CT chest ___ | No acute cardiopulmonary abnormality. |
11002435 | Left-sided cardiac device ends with lead in appropriate position. A VP shunt is seen. There are small bilateral pleural effusions, left greater than right. The right pleural effusion has decreased in size compared to prior study, the left has increased. No focal consolidation or pneumothorax. Mild apical lung scarring. Cardiomediastinal and hilar contours are normal. | 58072216 | INDICATION: Evaluate bilateral pleural effusions. COMPARISON: Chest CT on ___ and chest radiograph on ___. | Bilateral small pleural effusions, left greater than right. The right pleural effusion has decreased in size, the left pleural effusion has increased in size. |
11164411 | Again noted is chronic elevation of left hemidiaphragm. A prosthetic aortic valve is in stable position. Sternal closure hardware is intact. Obscuration of the right heart border is likely a function of the pectus deformity. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. Lungs are hyperinflated. Moderate cardiomegaly is stable. | 59283030 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with palpitations, atrial fibrillation. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Hyperinflated lungs with stable pectus deformity, moderate cardiomegaly, but no evidence of pneumonia or pulmonary edema. |
11164411 | Atelectasis and scarring in the right lower lobe is unchanged since at least ___. Elevation of the left hemidiaphragm is also stable. Pleural thickening at the right costophrenic angle is also unchanged. Left ventricular hypertrophy is stable. Mediastinal wires are intact. Mitral valve prosthesis appears in unchanged position. Pectus deformity of the sternum is also stable. | 58733387 | INDICATION: ___-year-old man with chest pain, CHF. COMPARISONS: ___, ___, CT ___. | No acute cardiopulmonary process. |
11164411 | Portable AP upright chest radiograph was obtained. Midline sternotomy wires and prosthetic cardiac valve are again noted. The heart is enlarged with a LV configuration. Mild atelectasis is noted at the lung bases, not significantly changed from prior. There is no definite sign of pneumonia or overt CHF. The overall cardiomediastinal contour appears stable. Bony structures are intact. No free air below the right hemidiaphragm is seen. | 55865732 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior CTA chest from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: Rapid AFib, assess for CHF. | Cardiomegaly again noted without overt signs of CHF or pneumonia. Bibasilar opacities likely reflect atelectasis. |
11164411 | Frontal and lateral views of the chest were obtained. Sternotomy cerclage wires and prosthetic cardiac valve are intact and in stable position. Left ventricular configuration of the heart is unchanged. Atelectasis and scarring in the lower lobes is similar to prior. Left hemidiaphragm remains mildly elevated. No focal consolidation, pleural effusion, or pneumothorax. Thoracic levoscoliosis is unchanged. | 50295939 | HISTORY: Cough and fever. COMPARISON: Multiple prior examinations, most recently ___. | No acute cardiopulmonary process. |
11823491 | The previously visualized lingular pneumonia has almost entirely resolved. The rounded opacity over the right lower lung likely represents a nipple shadow, however a repeat chest radiograph with nipple markers is required. There are no new focal consolidations. The pulmonary vasculature is normal. Heart size is normal. There is no pleural effusion. There is no pneumothorax. | 53542910 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with h/o pneumonia in ___. Now with persistent cough. // Ensure resolution of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Almost complete resolution of the previously visualized lingular pneumonia. Round opacity over the right lower lung likely represents an nipple shadow, however a repeat chest radiograph with nipple markers is required. |
11863654 | AP portable upright and lateral views of the chest provided. There is again noted to be a right arm PICC line with its tip in the high SVC. There are tiny bilateral pleural effusions with linear density in the left mid and lower lung most compatible with atelectasis. There is no overt evidence for pulmonary edema or convincing signs of pneumonia. The patient is rotated which somewhat limits evaluation of the mediastinum. The heart size appears grossly preserved. No acute bony abnormalities are seen. | 57140113 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Fever, question pneumonia. | Tiny bilateral pleural effusions with left mid-to-lower lung atelectasis. No convincing signs of pulmonary edema or pneumonia. |
11863654 | The cardiac silhouette size remains moderately enlarged. The aorta is tortuous. There are atherosclerotic calcifications noted at the aortic arch. There is mild pulmonary vascular congestion and small bilateral pleural effusions. Minimal atelectasis is noted in the left lung base. No pneumothorax is identified. No acute osseous abnormalities are demonstrated. | 52373809 | HISTORY: Pleural effusion noted on recent cervical spine CT. TECHNIQUE: Upright AP views of the chest. COMPARISON: Chest radiograph ___ and CT cervical spine obtained earlier the same day. | Mild pulmonary vascular congestion and small bilateral pleural effusions. |
11863654 | AP portable semi upright view of the chest. Lung volumes markedly low limiting assessment. Overlying EKG leads are present. There is mild scattered subsegmental atelectasis. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly unchanged allowing for differences in technique. Bony structures are intact. | 54027128 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with hypoxia, tachypnea // eval for acute process COMPARISON: ___ | Scattered subsegmental atelectasis. Otherwise no acute findings. Limited exam. |
11863654 | Heart size remains moderately enlarged. Aortic knob atherosclerotic calcifications are again demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky and patchy opacities are again noted bilaterally, most pronounced within the mid lung fields and lung bases, not substantially changed from the previous radiograph, and likely chronic. No new areas of focal consolidation are demonstrated. Blunting of the costophrenic angles bilaterally may indicate chronic pleural thickening or trace bilateral pleural effusions. No pneumothorax is identified. | 50251421 | EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with altered mental status TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | Patchy and streaky opacities in both lungs, most pronounced in the mid lung fields and lung bases, findings which appear chronic. No new areas of focal consolidation demonstrated. Small bilateral pleural effusions versus pleural thickening. |
11863654 | PA and lateral views of the chest are provided. The heart is top normal in size. The mediastinal contour is stable. Mild interstitial prominence is noted which likely represents interstitial edema. No large effusions or pneumothorax seen. Bony structures are intact. | 59249799 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Right leg edema, cough, question infection. | Probable mild interstitial edema. |
11863654 | PA and lateral chest radiographs were provided. This exam is technically limited due to a poor exposure. A right PICC terminates in the upper SVC. Mild interstitial edema has improved. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomegaly is stable. | 58014011 | INDICATION: Rule out pneumonia. Fevers and cough. COMPARISONS: Chest radiograph ___. | Technically suboptimal exam but no definite pneumonia. Right PICC in the upper SVC, just past the confluence. |
11753351 | Lung volumes are low bilaterally. No focal consolidation, pleural effusion, or pneumothorax. The heart is probably top-normal in size. The descending thoracic aorta appears slightly tortuous. The hila and pleura are grossly unremarkable. No acute osseous abnormality. | 53973175 | EXAMINATION: Chest (PA lateral) INDICATION: ___-year-old woman presenting with cough and fever; evaluate for pneumonia. TECHNIQUE: PA and lateral radiograph views of the chest were obtained. COMPARISON: No prior relevant imaging is available. | Low lung volumes. No pneumonia. |
11654378 | The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. Vertebroplasty of T12 vertebral body unchanged since thoracic x-ray dated ___. | 55204495 | INDICATION: ___ year old woman with MGUS // Cough and increased white count. R/O pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11804839 | Bibasilar atelectasis is similar to prior. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is similar to prior. The mediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Right lower lobe pulmonary nodule is similar to prior. | 52230018 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with pre-op XR COMPARISON: Outside CT chest ___ | No acute intrathoracic process. Right lower lobe pulmonary nodule is similar to prior. |
11733600 | Technically suboptimal AP form. The heart size is increased but unchanged compared to prior. Moderate sized right-sided pleural effusion unchanged to minimally decreased in size compared to prior. Fluid again noted in the right oblique fissure. Interval improvement in the right hemithoracic opacification. No left lung airspace consolidation. Enostosis seen in the left humerus. | 55334039 | INDICATION: ___ year old woman with ___'s, pneumonia with loculated pleural effusions s/p R VATS decort // interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Interval decrease in the right hemithoracic opacification (which may be either airspace opacification or pleural fluid) over serial radiographs. |
11733600 | Right pigtail pleural catheter is in unchanged position. Lung volume is lower than before, possibly due to less suboptimal inspiration during image acquisition. There is persistent right lung opacity and moderate loculated pleural effusion. Small left lung base opacity and pleural effusion is noted. Enlarged cardiac silhouette is similar to before. | 52478788 | INDICATION: ___ year old woman with ___'s disease presenting with loculated pleural effusion s/p chest tube // please eval fluid collection change, chest tube placement TECHNIQUE: Frontal view of the chest COMPARISON: ___ | Bilateral lung aeration is decreased than before, which may be due to differences in inspiration between the studies. There is persistent right lung opacity and moderate pleural effusion as well as small left lung base opacity and small left pleural effusion. |