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13950056 | The lung volumes are low. Hazy opacities overly the lower lung fields bilaterally possibly representing a combination of effusion and consolidation. The cardiomediastinal silhouette and hilar contours are unremarkable. There is no pneumothorax. The ET tube terminates 4 cm from the carina. The NG tube is seen below the diaphragm but the tip is beyond the imaged field. | 59854782 | HISTORY: ET tube placement. Evaluate for pneumonia. TECHNIQUE: Portable semi-upright AP radiograph of the chest. COMPARISON: None. | Bilateral lower lung hazy opacities possibly combination of pleural effusion and consolidation. Infection cannot be excluded. ET tube terminating 4 cm from the carina. NG tube tip below the diaphragm but beyond the visualized field. |
13262041 | Chronic appearing bilateral rib deformities are noted. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. There may be a hiatal hernia. | 51204974 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with s/p fall // acute process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No focal consolidation. Chronic appearing bilateral rib deformities. Top-normal to mildly enlarged cardiac silhouette. |
13575070 | The cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. The lungs are clear. There is hyperinflation of lungs with flattening of the diaphragms which may suggest underlying COPD. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. | 51875592 | HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13575070 | Single portable semi upright frontal image of the chest. The lungs are well hyperinflated, consistent with COPD. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 51158537 | HISTORY: Leukocytosis and back pain. COMPARISON: Comparison is made with chest radiographs from ___ at ___. | No acute cardiopulmonary process. Hyperinflation consistent with COPD. |
13575070 | Lungs remain hyperinflated with flattening of the diaphragms. Cardiac, mediastinal and hilar contours are normal. No pulmonary vascular congestion is demonstrated. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities seen. | 53971951 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13575070 | A single portable AP upright view of the chest demonstrates hyperinflated lungs. There is no focal consolidation. Heart is normal in size and cardiomediastinal contour is stable. There is no pleural effusion or pneumothorax. | 52476127 | INDICATION: ___-year-old female with hypoxia, evaluate for pneumonia. COMPARISON: ___. | No evidence of pneumonia. Severe COPD |
13021556 | 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. | 54419070 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with MVC,pain today // eval for f x COMPARISON: ___ | No acute intrathoracic process. |
13507998 | Lungs are remarkable for mild pulmonary vascular congestion; however, there is no pulmonary edema. Heart size is normal. Mediastinal and hilar contours have been stable. There is no pleural effusion or pneumothorax. Mild biapical pleural thickening is present. | 52321700 | CHEST RADIOGRAPH TECHNIQUE: Single AP upright chest view was read in comparison with prior chest radiograph from ___. | Mild pulmonary vascular congestion, no pulmonary edema. |
13507998 | Left-sided Port-A-Cath tip terminates in the lower SVC. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Multiple bilateral nodular opacities compatible with metastases are re- demonstrated, not substantially changed from the previous CT. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Multiple clips are noted in the right upper quadrant of the abdomen. | 56931495 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___, chest radiograph ___ | Re- demonstration of multiple metastases within the lungs. No radiographic evidence for pneumonia. |
13507998 | Frontal and lateral chest radiographs again demonstrate a left chest port. The cardiomediastinal silhouette is normal and the lungs are well aerated and clear. There is no pleural effusion or pneumothorax. | 55440842 | HISTORY: Metastatic rectal cancer with fevers and chills. Evaluate for pneumonia. COMPARISON: Chest radiographs from ___ and ___. | Clear lungs without focal consolidation. The preliminary read was provided via telephone by Dr. ___ to Dr. ___ at ___ on ___. |
13507998 | There is no focal consolidation or edema. Faint atelectasis is present at the left base. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A pigtail catheter is overlying the mid abdomen. No free air is visualized below the hemidiaphragms. | 55035694 | INDICATION: Fevers. Evaluate for infiltrate. COMPARISONS: Chest radiograph ___. Chest radiograph ___. | No acute cardiopulmonary process. |
13507998 | There is a new subtle left upper lobe and right lower lung ground-glass opacities which are worrisome for an infectious process. Left fissure is displaced upward which means that there is an atelectatic component. The mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. | 59777031 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with respiratory infection, on chemotherapy, evaluate for infiltration. COMPARISON: ___. | Subtle left upper lobe and right lower lung opacities are new. They are worrisome for an infectious process. This was discussed directly with Dr. ___. |
13369794 | The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette appears mildly enlarged but likely accentuated by AP technique. Atherosclerotic calcifications noted at the aortic arch. Hypertrophic changes are noted in the spine. | 54606359 | INDICATION: ___M w/hypercalcemia, weightloss, weakness, please eval for lung CA // ___M w/hypercalcemia, weightloss, weakness, please eval for lung CA TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13842908 | The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen at the aortic arch. No acute osseous abnormalities. | 59203285 | INDICATION: ___F with pres-syncope and episode of SOB // ?pneumonia TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. No focal consolidation. |
13379775 | The patient status post median sternotomy wires intact. The patient is status post aortic valve replacement. Vascular calcifications of the coronary arteries are noted. A surgical clip is in stable position projecting over the upper abdomen. The lung fields are clear. | 51714850 | WET READ: ___ ___ ___ 7:15 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with left leg weakness // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13131078 | The pacemaker leads appear appropriate and unchanged in positioning. There is no evidence of pneumothorax. Mild pulmonary edema is unchanged. Low lung volumes with bibasilar atelectasis and probable small bilateral pleural effusions. No focal consolidations. Stable severe cardiomegaly. | 54745489 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with pacemaker // eval for lead position TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Appropriate positioning of the pacemaker leads without evidence of pneumothorax. Mild pulmonary edema. Probable small bilateral pleural effusions. |
13131078 | There is severe cardiomegaly with central pulmonary vascular congestion. There is unfolding of the thoracic aorta with calcifications along the knob. Lung volumes are low. There is mild interstitial edema. Lungs are grossly clear. Bilateral pleural effusions are small. There is no pneumothorax. | 52073144 | EXAMINATION: Chest radiograph INDICATION: Chest pain. TECHNIQUE: Portable frontal view of the chest. COMPARISON: None. | Severe cardiomegaly with central pulmonary vascular congestion, mild interstitial edema and small bilateral pleural effusions. |
13131078 | Patient is somewhat rotated.Left mid lung and left base atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. Previously seen vascular congestion has essentially resolved in the interval with possible only minimal remaining. | 54153862 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with weakness, syncope // ?infectious process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Left mid lung and left base atelectasis without definite focal consolidation. Persistent cardiomegaly. |
13972415 | The heart size is normal. The hilar and mediastinal contours are within normal limits. Consolidations are seen within the bilateral lower lobes, right middle lobe, and lingula. There is no pneumothorax or effusion. | 51292856 | INDICATION: Crackles. COMPARISON: Chest radiograph available from ___. FRONTAL AND LATERAL CHEST | Multifocal pneumonia. The findings were communicated by Dr. ___ to Dr. ___ at the time of interpretation, 2:51 p.m. on ___, via telephone. |
13972415 | Heart is upper limits of normal in size. Mid and lower lung predominant peribronchovascular and peripheral lung opacities appear relatively similar to the recent study and have been more fully characterized on CT. | 55931134 | PA AND LATERAL CHEST ___ COMPARISON: Study of one day earlier. | Persistent peribronchovascular and peripheral mid and lower lung opacities. Although findings are unchanged since the most recent study, there has been slight improvement when compared to earlier study of ___. |
13972415 | PA and lateral views of the chest. The previously seen patchy opacities in the bilateral lower lobes, right middle lobe, and lingula are not significantly changed. There is no evidence of pleural effusion or pneumothorax. The heart size is normal. Mediastinal contours are normal. | 51896808 | WET READ: ___ ___ ___ 4:39 PM Bilateral patchy opacities, unchanged compared to ___. Given the lack of improvement, can consider CT to better characterize. WET READ VERSION #1 WET READ VERSION #2 ___ ___ ___ 4:35 PM Multifocal pneumonia, unchanged compared to ___. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old female with history of pneumonia, presenting with cough and yellow sputum, question of pneumonia. COMPARISON: Chest radiograph on ___. | Multifocal pneumonia, unchanged compared to study done on ___. Given the lack of improvement with treatment, consider CT to better characterize. |
13972415 | There is patchy opacification of the right base, which may reflect atelectasis, but is concerning for pneumonia. Linear opacities within the left mid to lower lung likely reflect atelectasis. No additional focal consolidations. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No large pleural effusion. No pneumothorax. | 56925478 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnjea // eval for PTX TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT dated ___. | No evidence of pneumothorax. Patchy opacities at the right base, which may reflect atelectasis, however an underlying pneumonia cannot be excluded. |
13675581 | The heart size is top normal. The aorta is mildly tortuous. The pulmonary vascularity is normal and the hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is present. There is diffuse demineralization of the osseous structures. Mild S-shaped scoliosis of the thoracolumbar spine is visualized. | 56307137 | INDICATION: Supraventricular tachycardia. COMPARISON: None. SEMI-UPRIGHT AP AND LATERAL VIEWS OF THE | No acute cardiopulmonary abnormality. |
13568530 | A portable frontal semi supine chest radiograph demonstrates a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, effusion, or pneumothorax. There is prominent pulmonary vasculature. The visualized upper abdomen is unremarkable. | 53065782 | INDICATION: Evaluate for pneumonia in a patient with cyanosis and shortness of breath. COMPARISON: None. | No acute cardiopulmonary process. Prominent upper lobe pulmonary vasculature is noted, which could in part be due to patient positioning. |
13438050 | There is a moderate size left pleural effusion with adjacent compressive collapse. The right lung is clear. Cardiomediastinal and hilar contours are normal. No pneumothorax. | 55925944 | WET READ: ___ ___ ___ 12:51 AM Moderate left pleural effusion with adjacent compressive collapse. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with R hand weakness/numbness for 2 days. new seizure today. has been having headaches as well. new left sided pleural effusion. // please do with CTV. evaluate for venous thrombus. TECHNIQUE: Chest PA and lateral COMPARISON: CT abdomen pelvis dated ___. | Moderate left pleural effusion with adjacent compressive collapse. |
13689707 | PA and lateral views of the chest were obtained. Lung volumes are low, though allowing for this there is no focal consolidation, effusion, pneumothorax. A calcified granuloma is again seen projecting over the left upper lung posteriorly. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. | 54409584 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Fever, chills, cough, assess pneumonia. | No acute intrathoracic process. |
13013799 | A large pad projects over the left mid and lower lung fields, limiting evaluation. Within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size is mildly enlarged. Aortic knob calcifications are noted. | 54752341 | HISTORY: ___-year-old female with syncope and arrhythmia. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in a semi upright position. COMPARISON: None available. | Limited study demonstrating mild cardiomegaly without radiographic evidence for acute pulmonary process. |
13013799 | Again seen is free intraperitoneal air under the right hemidiaphragm, likely due to recent PEG placement. Pacemaker leads are appropriately in place. The cardiomediastinal and hilar contours are normal. There is an interval increase in left retrocardiac opacity, likely related to a moderate left pleural effusion and worsening atelectasis. There is no evidence of pneumothorax. | 53228608 | HISTORY: Status post dual chamber pacemaker placement. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple chest radiographs the most recent on ___. | Pacemaker leads appropriately in place. Worsening left retrocardiac opacity, likely related to pleural effusion and worsening atelectasis. |
13284469 | PA and lateral images of the chest demonstrate improvement in the left lower lobe pneumonia on both the frontal and lateral views. Followup chest radiograph is recommended in two weeks following continued treatment of the pneumonia. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. | 54680040 | INDICATION: ___-year-old female with community-acquired pneumonia. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Resolving left lower lobe pneumonia. Recommend followup chest radiograph in two weeks following treatment. |
13284469 | The cardiac silhouette size is normal. The aortic knob is calcified. The mediastinal and hilar contours are within normal limits. Patchy ill-defined opacity is noted within the periphery of the left lower lobe. There is no pleural effusion or pneumothorax. Multilevel degenerative changes are seen in the thoracic spine. Partially imaged is a inferior vena cava filter. | 51542247 | HISTORY: Fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Peripheral left lower lobe opacity is concerning for pneumonia. Follow up radiographs are recommended to ensure resolution of this finding. |
13194394 | The lungs are well-expanded and clear. The cardiac silhouette is unchanged. The heart remains enlarged. There is no pneumothorax, pleural effusion, or consolidation. | 56743755 | WET READ: ___ ___ 3:23 AM 1. No acute cardiopulmonary process. 2. Stable cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with chest pain // eval cardiomegaly, infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___. | No acute cardiopulmonary process. Stable cardiomegaly. |
13194394 | The patient is status post median sternotomy and CABG. The heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is demonstrated in the lingula. The remainder the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are mild degenerative changes noted in the thoracic spine. | 54228221 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea on exertion and chest pressure status post myocardial infarction TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13194394 | The patient is status post sternotomy and probably coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change. | 50055613 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13091973 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 54098223 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Acute renal insufficiency with cough, question pneumonia. | No acute intrathoracic process. |
13614778 | PA and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. | 57594957 | HISTORY: ___-year-old male with chest tightness. COMPARISON: None. | No acute cardiopulmonary process. |
13713452 | The lungs are clear, without focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. The heart size is normal. Pectus excavatum and old left side rib fractures are again noted. | 55448926 | INDICATION: Syncope, evaluate. COMPARISONS: ___. AP AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13932553 | The heart is normal in size. There is a prominent epicardial fat pad. The lungs appear clear. There is an expansile lytic area along the suspected along the anterior lateral fourth rib, which is incompletely characterized. There are streaky opacities in the adjacent parenchyma. There is no pleural effusion or pneumothorax. | 57240176 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Thalamic bleed. Fever. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: None. | No evidence of acute cardiopulmonary disease. Possible lytic lesion in the left fourth rib with adjacent pulmonary parenchymal reaction which may indicate that the lesion is posttraumatic but the possibility of soft tissue mass should be considered. Initial further evaluation with dedicated left rib radiographs is suggested. |
13404626 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are normal. | 57597946 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of pneumonia treated months ago with antibiotic, cough. COMPARISON: ___. | No acute cardiopulmonary process. No significant interval change since the prior study. |
13404626 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A vague right lower zone opacity appears less distinct, and likely reflects chronic change from prior infection. There are no new consolidations seen. | 56210506 | INDICATION: Pneumonia three months ago requiring two courses of antibiotics. COMPARISON: Radiographs available from ___. FRONTAL AND LATERAL CHEST | No evidence for acute pneumonia. A previously seen vague right lower zone dense opacity is unchanged and most likely chronic. |
13422114 | Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 52723722 | HISTORY: Chest pressure, palpitations, arrhythmia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13236973 | Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present. | 50274100 | HISTORY: Fever and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13859753 | The lungs are clear. There is no pneumothorax or pleural effusion. Mild cardiomegaly is stable in this patient with prior sternotomy for CABG and AVR. The aortic valve prosthesis is difficult to see on this chest x-ray. Mild pulmonary artery dilatation is also stable. | 51186861 | PA AND LATERAL CHEST X-RAY INDICATION: Woman with increasing dyspnea, cause of dyspnea. COMPARISON: Multiple chest x-rays from ___ to ___. | There is no significant change since ___. There are no acute cardiopulmonary findings. |
13859753 | The lungs are clear. There is no pneumothorax or pleural effusion. Mild to moderate cardiomegaly has increased in this patient with prior sternotomy for CABG and AVR. The aortic valve prosthesis is difficult to see on this chest x-ray. Mild pulmonary artery dilatation is also stable. | 51254585 | INDICATION: ___ year old woman with COPD, CHF, s/p AVR, who now has increased SOB of unclear cause // assess for any tell tale evidence of CHF TECHNIQUE: Chest PA and lateral | No acute cardiopulmonary findings. Mild to moderate cardiomegaly has increased since ___ |
13202740 | The lungs are clear without focal consolidation. No pulmonary edema. No pleural effusion or pneumothorax is seen. The cardiac silhouette is unremarkable. Widened mediastinum has improved since ___. Symmetric extrapleural fat bilaterally. Previous left seventh rib fracture is noted | 56347126 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with AMS and wheeze // evaluation for consolidation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___, ___, ___. | No consolidation or acute cardiopulmonary process. Improved mediastinal widening compared to ___. Previous left seventh rib fracture noted. |
13065105 | Two views of the chest demonstrate mild interstitial abnormality and prominence of the pulmonary vasculature, but no overt pulmonary edema. The cardiac silhouette is moderately enlarged, and coronary artery calcifications and stents are noted. Median sternotomy wires are noted from prior CABG, and there is a single-lead pacemaker superimposed over the left chest with lead terminating in the right ventricle. The left pulmonary artery appears enlarged. There is no pleural effusion or pneumothorax. No focal consolidation is noted. No definite displaced rib fracture is seen. | 56675054 | HISTORY: ___-year-old female status post fall. COMPARISON: None. | Moderate cardiomegaly and mild pulmonary vascular congestion. Left pulmonary arterial enlargement, suggestive of pulmonary hypertension. No definite displaced rib fracture. If there is continued clinical concern, then a dedicated rib series is recommended. |
13208852 | There is a vague opacity at the left lung base overlying the rib. The right lung is clear. The cardiomediastinal contour is normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. There is no pulmonary edema. Visualized osseous structures are normal. | 56153610 | INDICATION: ___F with chest pain, sweats today, evaluate for pulmonary edema or pneumonia.. COMPARISON: Multiple chest radiographs dating back to ___. TECHNIQUE AP and lateral view of the chest. | Vague opacity at the left lung base, not seen previously, given AP portable technique this could represent technique, though a very early pneumonia is difficult to exclude. |
13745545 | The cardiomediastinal and hilar contours are normal. Subtle opacity in the right lower lobe, likely represents post-biopsy changes. Known right lower lobe consolidation is not visualized in the current study. Again seen is heterogeneous opacification of the retrocardiac left lower lobe, slightly improved since the prior study, suggestive of improving edema. A stable small right pleural effusion and mild increase in a small left pleural effusion is noted. No new consolidation or pneumothorax is detected. Dense calcifications of the pericardium are noted. Left chest wall AICD device is seen with leads in the expected position of the right atrium and right ventricle. | 59152994 | INDICATION: ___-year-old male status post history of COPD, DCHF and interstitial lung disease, status post recent biopsy of right lower lobe lesion. COMPARISON: Chest radiograph ___ and a chest CT ___. PA AND LATERAL CHEST | Improving left lower lobe changes, likely represent improving edema. Hazy opacity in the right lower lobe, likely represents post-biopsy changes. Emphysema and bilateral small pleural effusions. |
13745545 | Portable AP upright chest radiograph is obtained. Patient is known to have extensive underlying emphysema. Opacity in the left lung base is most likely reflective of a pleural effusion and possibly subjacent atelectasis, though pneumonia cannot be entirely excluded. There is also a small right pleural effusion. Overall findings appear slightly progressed at the left lung base compared with prior study. The heart remains mildly enlarged. No pneumothorax is seen. Bony structures are intact. Left chest wall pacer device is again seen with lead tips extending into the right atrium and right ventricle. | 56609110 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a chest radiograph from ___ as well as a chest CT from ___. CLINICAL HISTORY: Respiratory distress, evaluate for pulmonary edema. | Increased opacity at the left lung base which could reflect increasing consolidation or effusion. Small right pleural effusion is stable. Severe underlying emphysema with mild cardiomegaly. |
13745545 | Left dual-lead pacer is unchanged in appearance. Trace left greater than right pleural effusions are similar in appearance to the previous examination without evidence of pneumothorax. Changes of emphysema are noted. The heart is moderately enlarged with pericardial calcifications again seen. Rounded opacity projecting over the cardiac apex is likely due to pericardial calcficiations though a loculation of fluid or rounded atelectasis could have a similar appearance. | 57852306 | INDICATION: ___-year-old man with chest pain after thoracentesis, assess for pneumothorax. COMPARISONS: Chest radiograph, ___. | Trace effusions without evidence of pneumothorax after thoracentesis. |
13745545 | A pacemaker is present, with leads overlying the right atrium and right ventricle. There is cardiomegaly. There is a small-to-moderate left effusion with underlying collapse and/or consolidation. There is a small right effusion, likely with atelectasis and/or consolidation at the right base. There is upper zone redistribution. There are diffusely increased interstitial markings, more than on ___. The left effusion and left base opacities are increased. The right base opacities are not clearly changed. Heart size is similar. | 59761632 | HISTORY: Cocaine-induced cardiomyopathy, now increasing dyspnea, worsening pulmonary edema. CHEST, SINGLE AP PORTABLE | Increased interstitial markings could reflect an element of CHF. Other interstitial processes cannot be entirely excluded. Interval increase in left pleural effusion with underlying collapse and/or consolidation. The differential diagnosis includes a pneumonic infiltrate. Stable small right effusion with right basilar opacities. |
13745545 | Since most recent prior radiographs, again seen are small bilateral pleural effusions. Prominence of interstitial markings and hyperexpansion may be consistent with emphysema; however, mild pulmonary edema cannot be excluded. Again seen is opacity overlying the left base as well as the left mid lung zone which is slightly more conspicuous on today's exam. Known underlying left basilar nodular opacities are also partially visualized. This may represent infection or aspiration. Left chest wall pacemaker is seen with leads in the right atrium and right ventricle. Cardiomediastinal silhouette is unchanged. Bony structures are intact. | 52542311 | INDICATION: ___-year-old male with shortness of breath, question pneumonia. COMPARISONS: Multiple prior radiographs, most recently from ___. EXAMINATION: PA and lateral chest radiograph was provided. | Unchanged small bilateral pleural effusions. Possible mild pulmonary edema on background of emphysema. Slight increase in left basilar opacity may indicate a superimposed infectious process. |
13705376 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. The hila are also unremarkable. | 54712650 | HISTORY: Cough. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13831510 | There is worsened interstitial opacification, consistent with worsening moderate pulmonary edema. Bilateral small pleural effusions and multifocal basilar pneumonia are unchanged. New increased airspace opacification within the upper lobes. There is no pneumothorax. The cardiomediastinal contours are unchanged. A right jugular catheter terminates in the distal SVC. | 56059094 | HISTORY: AAA repair with pulmonary edema. TECHNIQUE: Frontal view of the chest. COMPARISON: Chest radiographs of ___, ___ and a ___. | Worsened moderate pulmonary edema with small bilateral pleural effusions. New bilateral upper lobe airspace opacities may reflect asymmetric pulmonary edema or developing pneumonia. Unchanged multifocal pneumonia at the lung bases. |
13831510 | There has been near resolution of the small bilateral pleural effusions with residual mild pulmonary edema. Increased opacity is again seen in the right upper lobe, although, appears improved from prior. The left apex appears better aerated as well. There is no pneumothorax. The cardiac and mediastinal contours are unchanged. Hilar structures are unremarkable. A right internal jugular central line terminates in the mid SVC. | 52083658 | HISTORY: Oxygen requirement, evaluate. TECHNIQUE: Portable frontal view of the chest. COMPARISON: Chest radiographs on ___ commonly ___ ___. | Near resolution of small bilateral pleural effusions Improving pulmonary edema. Improving confluent right upper lobe opacity may reflect improving asymmetric edema or a secondary process such as an infection. |
13831510 | Chest, AP and lateral. The lungs are clear and hyperinflated. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 51330756 | HISTORY: ___-year-old man with weakness. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
13831510 | A right internal jugular catheter has been removed. There is persistent opacification in the right upper lobe with an underlying increase in mild pulmonary edema. The cardiac and mediastinal contours are unchanged. There is no hilar or pleural abnormality. | 55684163 | HISTORY: Elevated white blood cell count, cough and altered mental status. Evaluate for pneumonia. TECHNIQUE: Frontal view of the chest. COMPARISON: Chest radiographs of ___, ___ and ___. CT torso ___. | Worsening mild pulmonary edema with resultant worsened appearance of the right upper lobe consolidation. |
13550722 | The lungs are moderately well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. There is a right IJ CVL tip in the lower SVC. Limited evaluation of the osseous structures are unremarkable. Spinal stimulator is noted overlying T8 -T12. Clips are seen in the right upper quadrant. | 59985275 | WET READ: ___ ___ 3:29 PM 1. Right IJ CVL tip in lower SVC. 2. No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with s/p RIJ placement. Assess line placemeent TECHNIQUE: Single portable upright frontal chest radiograph. COMPARISON: None. | Right IJ CVL tip in lower SVC. No acute cardiopulmonary process. |
13227140 | Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. | 59778301 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath and chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13585638 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified. | 57369204 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13585638 | Heart size is normal. The mediastinal and hilar contours are remarkable for stable mild tortuosity of the thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51550751 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with shortness of breath // evaluate for any pathology TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13760947 | Eventration of the anterior right diaphragm is re- demonstrated. No pleural effusion is seen. Patchy right base opacity is seen which could be due to atelectasis or pneumonia in the appropriate clinical setting. Left apical pleural thickening is re- demonstrated. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. | 52024888 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough x 5 days and low grade fever upon arrival to ED. // r/o acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Right lower lobe consolidation worrisome for pneumonia in the appropriate clinical setting versus atelectasis. |
13934331 | Lungs are hyperinflated with flattened diaphragms and increased AP diameter, consistent with COPD. Left greater than right apical pleural thickening is unchanged. No new focal consolidation concerning for pneumonia. Small bilateral effusions are new, as well as pleural fluid thickening the right major fissure. The cardiomediastinal silhouette is stable. | 59814145 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old woman with HCC post TACE, new fevers and cough. Eval for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Chronic changes of COPD without evidence of new pneumonia. |
13170313 | The cardiac silhouette is borderline enlarged. The pulmonary vasculature is unremarkable. There is no pleural effusion or pneumothorax. No definite consolidation is identified. | 55752787 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with exertional chest pain, generalized symptoms of fever chills // Evidence of acute cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute intrathoracic process. |
13325773 | 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. | 58808317 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with hyperglycemia and diffuse wheezing in lower lung fields TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13838346 | Chest: Lungs are clear. Cardiac size is normal. No free air is seen below the right hemidiaphragm. No large pleural effusion. No pneumothorax. No pneumonia. Abdomen: No secondary signs of free air. There appears to be a large amount of fecal loading. Clips are noted in the pelvis. Underlying bones are unremarkable. | 53097609 | EXAMINATION: Chest and abdominal radiographs INDICATION: ___F with severe abdominal pain. TECHNIQUE: Single portable supine view the abdomen and single portable upright view of the chest. COMPARISON: ___. | No free air. Large amount of fecal loading. No acute cardiopulmonary process. |
13838346 | 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. | 52885726 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with T1DM status post pancreas transplant with lower extremity edema, dyspnea on exertion, and JVP 8cm TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13838346 | Previously seen right IJ central line and enteric tube are no longer visualized. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the upper abdomen. | 50927092 | INDICATION: ___F with s/p pancreatic transplant one week of fever no cough // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13838346 | The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. There appears to be mild separation of the left AC joint, which is chronic. | 54434408 | EXAMINATION: PA AND LATERAL VIEWS OF THE CHEST INDICATION: History: ___F with fever, recent pancreas transplant // eval heart and lungs TECHNIQUE: PA and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___, ___, and ___. | No acute cardiopulmonary process. |
13838346 | There has been interval placement of a right IJ central line whose tip projects over the cavoatrial junction. A newly placed enteric tube coils within the stomach. There is no pneumothorax. The lungs are clear. The left costophrenic angle has been excluded from the field of view. The heart and mediastinum are within normal limits despite the projection. No bony or soft tissue abnormality is identified. | 53955838 | INDICATION: ___ year old woman with DM s/p pancreas transplant // eval for effusions, position of RIJ CVL TECHNIQUE: Portable AP COMPARISON: ___ and dating back to ___. | Status post right IJ central line placement with no evidence of pneumothorax. Enteric tube in satisfactory position. Clear lungs. |
13838346 | No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. | 54318208 | HISTORY: ___-year-old woman with type 1 diabetes, pre pancreas transplant. Evaluate for cardiopulmonary abnormalities. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary disease to preclude surgery. |
13838346 | Heart size is borderline enlarged, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine. Several clips are noted within the upper abdomen. | 54521362 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea, history of pancreas transplant TECHNIQUE: Chest PA and lateral COMPARISON: CT torso ___ and chest radiograph ___ | No acute cardiopulmonary abnormality. |
13835430 | The lungs are clear. The cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax. The bones are intact. | 59636074 | HISTORY: ___-year-old female with recurrent UTIs, question pneumonia. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest. | No evidence of acute intrathoracic process. |
13021036 | Portable frontal radiograph of the chest demonstrates normal heart size and mediastinal contours. No focal consolidation, pleural effusion or pneumothorax. On the prior study a faint ovoid density projected over the right second anterior rib. It is not visualized on our study but could be masked by the difference in projection. | 51420746 | HISTORY: Elevated lactate question pneumonia. COMPARISON: Outside hospital chest radiograph dated ___. | No pneumonia. Ovoid density projection over right upper chest seen on prior study, not seen today, but could be masked by difference in projection. Recommend repeat PA and lateral. Telephone notification regarding change in wet read and recommednation to Dr ___ by Dr ___ at 8:45 on ___ |
13125622 | Lung volumes are low. Opacity with silhouetting of the right heart border and the right medial hemidiaphragm are new since ___ consistent with right middle and lower lobe pneumonia or infarcts in the appropriate clinical situation. No pleural effusion or in pneumothorax. More streaky opacities at the left base likely reflect atelectasis. The heart is top-normal in size. No pulmonary edema. | 52231612 | WET READ: ___ ___ ___ 7:40 AM Right middle and lower lobe opacities could be pneumonia in the appropriate clinical situation. Infarct cannot be excluded given clinical history. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with history of right lower lobe pulmonary embolus with possible pulmonary infarct at ___ on ___, now presenting with worsening chest pain. Evaluate for pneumonia, pneumothorax, infarct. TECHNIQUE: Chest PA and lateral COMPARISON: No prior chest radiograph is available. Reference is made to the chest CT and scout images from ___. | Right middle and lower lobe opacities are non-specific and can be seen with pneumonia in the appropriate clinical situation, but pulmonary infarct cannot be excluded given the provided clinical history. No pneumothorax. |
13786783 | PA and lateral views of the chest are obtained. Several clips below the left hemidiaphragm are again noted. There is no focal consolidation, effusion, pneumothorax. There is no sign of CHF. Hardware is noted in the lower cervical spine. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 55230062 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Cough, assess pneumonia. | No acute intrathoracic process. |
13786783 | There is minor basilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. | 52857984 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with SOB // Eval for pneumonia TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | No acute cardiopulmonary process. |
13786783 | PA and lateral views of the chest provided. Partially imaged C-spine fusion hardware. 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. | 59903424 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cp // eval for ptx COMPARISON: ___ and ___ | No acute intrathoracic process. |
13786783 | Compared with the prior study, the heart has enlarged. Patchy opacities at the bilateral lung bases may be due to atelectasis or scarring, as it is unchanged since ___. No evidence of overt pulmonary edema. No focal consolidation concerning for pneumonia is identified. No pleural effusions or pneumothorax. | 54920269 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with increasing shortness of breath and cough. Eval for PNA, CHF. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph of ___. Chest radiograph of ___. | Patchy opacities at the bilateral lung bases likely due to atelectasis or scarring, unchanged since ___. No evidence of overt pulmonary edema. |
13786783 | The heart is at the upper limits of normal size with dextra positioning. The mediastinal and hilar contours appear unchanged. Patchy vague opacities are present at the lung bases, but similar to prior studies, suggesting minor scarring. Mild relative elevation of the left hemidiaphragm appears similar. There is no pleural effusion or pneumothorax. An air-fluid level is present in the stomach. Surgical clips project beneath the left hemidiaphragm. Bony structures are unremarkable. | 59790025 | CHEST RADIOGRAPHS HISTORY: Non-specific neurological findings. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral. | Mild gastric distention with an air-fluid level. Patchy basilar opacities most suggestive of minor scarring, little if at all changed. |
13786783 | Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. Multiple clips are re-demonstrated in the left upper quadrant of the abdomen. | 57663521 | INDICATION: COPD with cough and shortness of breath. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary abnormality. |
13786783 | AP upright and lateral views of the chest provided. The heart appears top-normal in size. Streaky lower lung opacities likely represent atelectasis and bronchovascular crowding. The hila appear slightly prominent though there is no overt edema. No large effusion or pneumothorax. Mediastinal contour is unchanged. Bony structures are intact. Cervical fusion hardware is partially visualized in the lower C-spine. | 59519892 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with dyspnea, cough COMPARISON: ___ | Streaky lower lung opacities likely atelectasis. Top-normal heart size. Mildly prominent pulmonary hila may reflects mild pulmonary vascular congestion. |
13786783 | The inspiratory lung volumes are appropriate. The lungs are clear without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Multiple surgical clips are again noted in the left upper quadrant of the abdomen, with mild elevation of the left hemidiaphragm which is unchanged from multiple priors. Anterior cervical fixation hardware is also unchanged. | 55449878 | INDICATION: ___-year-old male with history of COPD, now with cough, here to evaluate for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: Multiple prior chest radiographs, most recent of which is dated ___. | No acute cardiopulmonary process. |
13786783 | Heart size is top normal, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Cervical spinal fusion hardware is incompletely imaged. | 55872864 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, sore throat TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and CT chest ___ | No acute cardiopulmonary abnormality. |
13420842 | Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs with flattened diaphragm consistent with emphysema. Chronic left pleural effusion is essentially unchanged. Linear scarring in the left mid lung zone is a consequence of pleurodesis. Biapical pleural thickening is unchanged. No pneumothorax is identified. Cardiac and mediastinal contours are within normal limits. | 57791612 | HISTORY: Lung cancer and recurrent left pneumothorax status post talc pleurodesis. Evaluate for interval change. COMPARISON: ___. | Unchanged left pleural effusion and linear scarring in the left mid lung zone with no evidence of pneumothorax. |
13420842 | Stable small left apical pneumothorax. Left pigtail catheter is unchanged in position and is in the lateral left chest. Left mid lung linear scarring is unchanged. Lungs are clear bilaterally and no large pleural effusion. Heart size, mediastinal contour and hila are normal. No bony abnormality. | 58731966 | HISTORY: Male with left lower lobe lung cancer treated with radiation, now presents with left pneumothorax and pigtail. Assess left apical pneumothorax. COMPARISON: Chest radiograph ___ at 11:15 a.m., ___. TECHNIQUE: Single frontal expiratory chest radiograph. | Stable small left apical pneumothorax. Results were conveyed via telephone to Dr. ___ by Dr. ___ on ___ at 2:15 p.m. 15 minutes after observation of findings. |
13420842 | There has been interval placement of a left-sided pigtail catheter in the chest with reduction in the left-sided pneumothorax, now with in size and mostly seen in the left apical region. There is no evidence of tension. The cardiac silhouette remains mildly enlarged. The aorta is calcified. No large pleural effusion is seen. Left hilar prominence and perihilar scarring/retraction again seen, likely related to patient's history of lung malignancy and chronic. Mild bibasilar atelectasis is seen. The right costophrenic angle is not fully included on the image. No definite focal consolidation is seen. | 55491564 | HISTORY: Pneumothorax. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___ at 18:23, earlier today. | Interval placement of a pigtail left-sided chest catheter with reduction in size in the left pneumothorax, now small. No definite pleural effusion seen. The right costophrenic angle not fully included on the image. |
13420842 | Mild interval increase in left apical pneumothorax. Left pigtail catheter is unchanged in position and is in the lateral left chest. Left mid lung linear scarring is unchanged and there is a new small right pleural effusion. No new focal opacity or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality. | 53668704 | HISTORY: Male with pigtail. Assess for interval change. COMPARISON: Chest radiograph ___, ___. TECHNIQUE: PA and lateral chest radiographs. | Interval increase in left pneumothorax with unchanged left pigtail catheter position. New small right pleural effusion. Results were conveyed via telephone to ___ by Dr. ___ on ___ at 11:45 a.m. within 10 minutes of observation of findings. |
13420842 | Interval decrease in small left apical pneumothorax.No signs of tension. Stable small right pleural effusion and left mid lung linear scar. No new focal opacity or pulmonary edema. Heart size, mediastinal contour and hila are otherwise normal. No bony abnormality. | 55851814 | HISTORY: Male with pneumothorax. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: Chest radiograph, ___, ___. | Mild interval decrease in small left apical pneumothorax. Results were conveyed via telephone by Dr.___ to Dr. ___ on ___ at 11:20 AM within 15 minutes of observation of findings. |
13420842 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. On the present examination, the patient is mildly rotated to the left, which accounts for slightly asymmetric presentation of the frontal chest view. The heart size remains within normal limits. No pulmonary congestive pattern is identified. A left-sided pneumothorax has increased and is specifically well demonstrated along the left lateral chest wall and the basis at the diaphragmatic level where an air-fluid level can be identified. There is no evidence of new pulmonary parenchymal infiltrates. | 51037294 | TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old male patient with pneumothorax, status post pigtail placement, evaluate for interval change. | Increasing left-sided pneumothorax with significant reduction of pulmonary tissue in comparison with the previous examination. Immediate efforts were made to alert the referring physician, ___. ___. As she could not be reached, responsible nurse ___, ___, was reached by telephone and informed about the changes at 5:50 p.m. |
13420842 | There is a moderate left pleural effusion without findings to suggest tension. There is no mediastinal shift. There may be a small left pleural effusion. Left perihilar opacity and retraction is seen, which is likely chronic and may relate to patient's history of lung cancer. Subtle left lower lung, infrahilar opacity may relate to decreased left lung volume or could relate to history of malignancy, given no prior imaging available for comparison. Left lung base atelectasis/scarring is seen. The right lung is clear and hyperinflated, likely due to underlying COPD. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified. Minimally displaced fracture of the posterior left 7th rib is seen. There are also fracture deformities of the more superior ribs, including the left posterior ___ and 5th ribs of indeterminate age and possibly the posterior left 3rd rib. | 55609444 | HISTORY: Dyspnea, question pneumothorax. TECHNIQUE: Single AP upright portable view of the chest. COMPARISON: None. Reference made to a previous chest x-ray report performed earlier today ___, ___ at 4:58 PM | Moderate left pneumothorax without findings to suggest tension. Possible small left pleural effusion. Left-sided rib fractures, as above, some of which may be subacute. Left perihilar opacity is likely chronic. Left infrahilar/lower lobe opacity most likely relates to decreased lung volume /atelectasis due to the left pneumothorax, however, could relate to patient's malignancy, prior imaging is not available for comparison. The above findings were discussed with Dr. ___ in the ___ emergency department at 18:40 on ___ via telephone ___ min after discovery. |
13510529 | PA and lateral views of the chest were obtained. Heterogeneous areas of airspace opacification at both bases likely relate to atelecatasis and moderate bilateral effusions; however underlying consolidation is not excluded. The cardiac silhouette is partially obscured. Mediastinal contours are otherwise unremarkable. | 52063412 | INDICATION: ___-year-old woman with pneumonia, evaluate for progression. COMPARISON: None. | Moderate bilateral pleural effusions and heterogeneous bibasilar opacification, atelectasis or pneumonia. |
13766019 | PA and lateral views of the chest provided. Mild elevation of the right hemidiaphragm again noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. DISH related changes of the T-spine noted. No free air below the right hemidiaphragm is seen. | 58051049 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hx DM2 now with SOB/CP/headache. COMPARISON: ___ | No acute intrathoracic process. |
13766019 | As compared to the prior examination dated ___, there has been no significant interval change. Minimal linear atelectasis is noted at the left lung base. There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The aorta is tortuous and contains calcifications. The cardiomediastinal silhouette is otherwise unremarkable. . | 52512173 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with chest ppain after seizure // ro chf, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No evidence of acute cardiopulmonary process. |
13766019 | Heart size is normal. The mediastinal and hilar contours are normal. Positioning of medial clavicles and trachea is similar to ___ radiograph, with slight offset of tracheal contour from midline attributed to the presence of scoliosis. The pulmonary vasculature is normal. Lungs are clear except for linear atelectasis or scar at the right base. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57339313 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with dysphagia of large pills. Exam shows prominent head of right clavicle protruding across midline, deviation of trachea. No thyromegaly or nodule. No tenderness. // evaluate bony position of medial portion of right clavicle, r/o tracheal deviation. TECHNIQUE: Chest PA and lateral COMPARISON: ___. ___ | No acute cardiopulmonary abnormality. |
13158827 | Mild cardiomegaly has been stable compared to exams dating back to at least ___. The patient is status post right middle lobe wedge resection with chain sutures and scarring seen along the right hilar region. No other nodules concerning for malignancy are identified; however, CT would be a more sensitive exam given the patient's history of malignancy. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | 55336931 | INDICATION: History of right middle lobe wedge resection. Please evaluate for interval change. COMPARISONS: Chest radiographs dating back to ___ and CT chest from ___. TECHNIQUE: PA and lateral radiographs of the chest. | Appropriate post-surgical changes are seen in the right perihilar region status post right middle lobe wedge resection. Given the patient's history of malignancy, this exam cannot exclude recurrence at this site. Continued followup with CT is recommended. No other intra-thoracic abnormalities identified. |
13690559 | Again seen is moderate-to-severe cardiomegaly, overall unchanged compared to the prior exam. There is evidence of mild pulmonary vascular congestion as well as diffuse mild bilateral pulmonary edema. There is an area of increased consolidation at the right lower lobe, concerning for a superimposed infection. There is a small right pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable. | 57321489 | INDICATION: History of chest pain, please evaluate. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral radiograph of the chest. | Severe cardiomegaly with mild pulmonary vascular congestion and diffuse bilateral pulmonary edema, with increased consolidation at the right lower lobe concerning for pneumonia. Small right pleural effusion. |
13690559 | Moderate pulmonary vascular congestion persists and has not substantially changed. Moderate cardiomegaly. Likely small left pleural effusion. No pneumothorax. Prior median sternotomy and CABG. | 57770517 | INDICATION: ___ year old woman with likely heart failure exacerbation now with ___ after diuresis. Need data on volume status. // pulmonary edema? TECHNIQUE: Portable COMPARISON: ___ | Moderate pulmonary vascular congestion persists. |
13690559 | Compared to the prior study, moderate cardiomegaly is persistent with mild pulmonary vascular congestion and cephalization. No are pleural effusions, focal consolidation, or pneumothorax. Patient is post median sternotomy, with intact median sternotomy wires and unchanged positioning of multiple mediastinal surgical clips. Partial visualization of the irregularity of the left humeral head, similar in appearance since at least ___. | 59242257 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ woman with ___ swelling, new flutter, bibasilar crackles. Evaluate for pulmonary edema. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph from ___ and ___. | Moderate cardiomegaly with persistent mild pulmonary vascular congestion and cephalization, compatible with mild pulmonary edema. |
13690559 | The cardiac silhouette is stably enlarged. Again noted is minimal indistinctness of the pulmonary vasculature. There is minimal peribronchial cuffing and thickening of septal lines, improved since the prior examination. There is no definite consolidation. Small fluid is noted in the fissures ; no pleural effusion or pneumothorax identified. Midline sternotomy wires are well aligned and intact. CABG clips are noted. | 58332218 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with 3d h/o dry cough, sob, subj fever, hypoxemia. crackles L base // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild pulmonary edema, improved in comparison to recent study. |
13690559 | Median sternotomy wires appear grossly intact. Numerous surgical clips project over the anterior mediastinum. There are bilateral hazy opacities. ___ B-lines are noted. There small bilateral pleural effusions. Moderate to severe cardiomegaly is unchanged. | 55508271 | WET READ: ___ ___ ___ 2:18 PM Moderate pulmonary edema. Stable moderate to severe cardiomegaly. Small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest pain. Hx of CAD s/p CABG, CHF // R/O pneumonia/CHF TECHNIQUE: Upright AP and lateral chest COMPARISON: Chest radiographs ___ through ___ | Moderate pulmonary edema has worsened. Moderate to severe cardiomegaly is unchanged. Small bilateral pleural effusions. |
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