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11733600 | Right lung parenchymal opacities and moderate layering right pleural effusion are stable from ___. Left basilar opacity is unchanged from ___, likely representing a small layering pleural effusion and atelectasis. Two right-sided chest tubes remain. No pneumothorax. An endotracheal tube terminates 3.2 cm above the carina and nasogastric tube terminates in the stomach. Mediastinal contours and cardiac silhouette are stable. | 53611438 | INDICATION: ___F, h/o ___'s disease, with R multifocal PNA and loculated pleural effusions, s/p VATS decortication // eval for ptx and aeration TECHNIQUE: Portable AP chest radiograph COMPARISON: Chest radiographs since ___, most recently ___. | No pneumothorax. No significant interval change. |
11733600 | The aeration in the right lung is slightly improved however there continues to be a moderate right effusion and central opacification of the right lung. There is mild pulmonary vascular redistribution on the left, similar to prior. | 55426722 | EXAMINATION: CHEST (PORTABLE AP) 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: Portable chest COMPARISON: ___ | Slight improved aeration on the right |
11733600 | There has been interval worsening appearance to the chest. The right-sided effusion layers posteriorly despite the right-sided pigtail catheter being in place. There is also central consolidation in the right mid lung. The heart is moderately enlarged. There is vascular engorgement. There is dense retrocardiac opacity consistent volume loss/effusion/ infiltrate in the left lower lobe. | 58682999 | EXAMINATION: CHEST (PORTABLE AP) 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: Portable chest COMPARISON: ___. | Worsened appearance to the chest |
11733600 | The right-sided pigtail catheter is again visualized. The right effusion is slightly decreased. There is a dense alveolar infiltrate central greater than peripheral. The left upper lung shows some patchy areas of infiltrate. There is left lower lobe volume loss/ infiltrate that is increased compared to prior | 59356243 | EXAMINATION: CHEST (PORTABLE AP) 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: Portable chest COMPARISON: ___ | Some improvement in the aeration on the right but worsened appearance on the left |
11443746 | Lung volumes are low. The heart size is borderline enlarged, but the size is accentuated due to low lung volumes. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. | 54561453 | HISTORY: Somnolent, drug overdose. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11945569 | Biventricular pacemaker in situ with the lead tip seen in the right atrium, right ventricle and coronary sinus. Large left-sided effusion appears similar to slightly decreased in size compared to previous imaging. Mild thoracic scoliosis. No new areas of airspace consolidation. No suspicious pulmonary nodules or masses. Hyperinflation of the right lung. No right-sided effusion. Spondylotic changes of the thoracic spine. | 53144834 | INDICATION: ___ year old woman with pleural effusion s/p thoracentesis // Residual pleural effusion TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Left-sided pleural effusion appears similar to slightly decreased compared to previous imaging. |
11945569 | Compared with ___, there is a new moderate to large left pleural effusion and basilar atelectasis, underlying consolidation is difficult to exclude. There is a small right pleural effusion. No pneumothorax is seen. Cardiomediastinal silhouette is unchanged. A left chest wall pacemaker defibrillator is present with leads terminating in the right atrium, right ventricle, and coronary sinus. | 53765658 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with sob, recent pacemaker placement // ? effusion, consolidation TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___ | Moderate to large left pleural effusion and bibasilar atelectasis,underlying consolidation difficult to exclude. Small right pleural effusion. |
11945569 | Rotated positioning. A left-sided battery pack obscures a portion of left heart border. 3 leads again noted. No pneumothorax detected. Again seen is increased retrocardiac density. This appears similar, but slightly more confluent and dense than on the prior study. The previously seen locule of air projecting over the cardiac silhouette is no longer visualized, the small air bronchograms remain visible. A small right effusion is similar to the prior study. Doubt overt CHF. Nodular pleural thickening again noted at the right lung apex. | 51817027 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with left sided pleural effusion s/p thoracentesis // interval changes s/p thoracentesis COMPARISON: Chest x-ray examination dated ___ at ___ | Based on the available film, it is difficult to confirm interval improvement in a left pleural effusion. The confluence of density at the left lung base is actually slightly greater. However, the position of the left hemidiaphragm is uncertain an much of the density is accounted bite by pleural fluid remains uncertain. No pneumothorax detected. Elsewhere, doubt significant interval change. |
11945569 | Rotated positioning. Left-sided pacemaker is present, lead tips unchanged. This obscures small portion of the left lateral chest. Compared with the prior film, catheter at the left lung base is no longer visualized. Otherwise, the appearance is similar, except for slight increase in the amount of increased retrocardiac density --___ could reflect some increased pleural fluid and/or collapse and/or consolidation. The ovoid lucency seen medially, as before, could represent a small amount of loculated pneumothorax. No pneumothorax is seen at the left lung apex. The appearance of the right lung is unchanged, with a small right base pleural effusion, but otherwise no infiltrate or consolidation. No right-sided pneumothorax. No CHF. | 55401589 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pleural effusion s/p thoracentesis // r/o PTX, any abnl COMPARISON: Chest x-ray from ___ | Left base catheter no longer seen. Slight interval increase in degree of retrocardiac opacity/left base fluid. As before, loculated pneumothorax at the right base medially cannot be excluded, similar to prior. Alternatively, this could represent aerated lung, in the context of left base opacity. Small amount of right base pleural fluid is unchanged. |
11153319 | Dual lead left-sided pacer is unchanged in position. As before, the heart is mildly enlarged. The cardiomediastinal and hilar contours are within normal limits. Lung volumes are low which accentuates bronchovascular markings. There is bibasilar atelectasis without focal consolidation, pleural effusion or pneumothorax. | 58017470 | EXAMINATION: Chest radiographs INDICATION: History: ___M with chest pain // evidence of pneumo TECHNIQUE: AP view of the chest COMPARISON: ___ | Prominent lung markings and bibasilar atelectasis. No pneumothorax. No significant change from the prior exam. |
11535220 | Lungs are fully expanded and clear. Previously visualized opacification in the posteroinferior aspect of the lingula has resolved. There is no focal consolidation. Small left pleural effusion is smaller. The mediastinal and hilar contours are normal. Heart size is normal. | 52920832 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with CXR abnormality // f/u opacification posteroinferior aspect of lingula TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___. | Resolved lingular pneumonia. Small left pleural effusion is smaller. |
11535220 | Opacity in the left lingula is consistent with lingular pneumonia. Blunting of the left costophrenic angle is also new, consistent with small left pleural effusion. The right lung is clear. No pneumothorax. No edema. The heart is probably top-normal in size, unchanged. Surgical clips in the right upper abdomen suggest history of cholecystectomy. There is multilevel degenerative changes in the visualized thoracic spine and suggestion of diffuse idiopathic skeletal hyperostosis in the upper thoracic spine. | 50140250 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with cough, fever x 5 days // ? pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Left lingular pneumonia. Follow-up chest radiograph after treatment to ensure resolution. Small left pleural effusion. |
11535220 | Compared to ___, there is a minimally-present opacification within the posteroinferior aspect of the lingula, which likely represents atelectasis or scarring. No pneumothorax. No pulmonary edema. The right lung is clear. Heart size is top-normal, unchanged. Multilevel degenerative changes of the thoracic spine with findings suggestive of diffuse idiopathic skeletal hyperostosis. Surgical clips in the right upper quadrant suggest prior cholecystectomy. | 54193261 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with hx pneumonia // f/u lingular pneumonia TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___ | Minimally-present opacification within the posteroinferior aspect of the lingula likely represents atelectasis or scarring. |
11688041 | The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. A few granulomatous calcifications are noted in the hila. Osseous structures are normal. | 55757363 | INDICATION: Evaluation of patient with cough. COMPARISON: Chest radiographs from ___. | No evidence of active infection. |
11121710 | PA and lateral views of the chest. There is streaky right basilar opacity which may be due to atelectasis versus scarring. Less well-defined opacities at the left lung base are identified, particularly laterally. There is inferior traction of the left hilum suggestive of a component of scarring. On the lateral view, there is increased opacity in the posterior costophrenic sulcus, likely on the left with probable associated bronchiectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Old healed right posterior 4th rib fracture is identified. | 56438313 | WET READ: ___ ___ ___ 4:46 PM Streaky opacities identified at the lung bases bilaterally. These may all be due to scarring and probable bronchiectasis however underlying lesion or infection is also possible. Correlation with older films would be of use to document long-term stability. Alternatively, CT scan could be considered to further characterize if no prior imaging ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old male with dark vomiting, several episodes yesterday. COMPARISON: None. | Streaky opacities identified at the lung bases bilaterally. These may all be due to scarring and probable bronchiectasis however underlying lesion or infection is also possible. Correlation with older films would be of use to document long-term stability. Alternatively, CT scan should be considered to further characterize if no prior imaging is available. |
11121710 | No focal consolidation is identified. There is linear density adjacent to the left heart border as well as at the right lung base, likely scarring. The cardiac silhouette is unchanged. There is mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Old right upper rib deformity is again noted. | 59539439 | INDICATION: ___-year-old man with cough and fever, rule out pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___ | No focal consolidation. Chronic scarring bilaterally. Mild pulmonary vascular congestion. |
11121710 | PA and lateral views of the chest provided. The lungs appear hyperinflated without focal consolidation, effusion or pneumothorax. There is linear density abutting the left heart border as well as at the right lung base, likely scarring. No definite signs of edema or congestion. The heart appears mildly enlarged. The mediastinal contour is normal. Bony structures are intact though there is an old right upper rib rib deformity which is chronic. | 58005534 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with ESRD on dialysis, depression, missed HD today, R basilar crackles COMPARISON: ___. | No edema or pneumonia. Chronic findings as described. |
11449283 | Right subclavian venous catheter terminates in the right atrium. Right chest tube is in unchanged position. Distal appreciable pneumothorax. Small bilateral effusions are stable. Surgical suture material at the right mid lung is unchanged. There is no pulmonary edema. Cardiac silhouette is borderline enlarged. | 57965837 | INDICATION: Follow up CXR; please get at ___am ___ year old woman with PTX s/p chest tube placement. // Follow up CXR; please get at ___am EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Chest radiograph, frontal view COMPARISON: Chest radiograph ___ 00:35 | No pneumothorax. No notable interval change. |
11449283 | AP portable upright view of the chest. The heart size is normal. The hilar mediastinal contours are within normal limits. An intrathecal device and a right thoracostomy tube are present. The right lung volume is slightly decreased, with multiple suture lines present, denoting recent VATS. The tiny right pneumothorax is present. There is no pleural effusion. | 52160012 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with s/p R VATS wedge x3 // post op eval COMPARISON: None | Post right VATS. Tiny right pneumothorax. No pleural effusions. |
11449283 | AP portable upright view of the chest. The heart size is normal. The hilar and mediastinal contours remain within normal limits. Again seen are multiple suture lines throughout the right lung, reflecting recent VATS. There is no pneumothorax. A small right pleural effusion is unchanged. There is blunting of the left costophrenic angle, suggestive of a small left pleural effusion. No superimposed focal consolidation is detected. | 53892894 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p R VATS wedges // interval eval COMPARISON: Chest radiograph from ___. | No pneumothorax. Unchanged small right pleural effusion. New small left pleural effusion. |
11449283 | Since the recent prior study, there is been slight interval increase increase in the basal component of the right hydropneumothorax. Adjacent right pleural thickening remains stable. There is no significant mediastinal shift. Small left pleural effusion remains stable. The lungs are well-expanded, there is no new focal consolidation concerning for pneumonia. The upper abdomen is unremarkable in appearance. A right chest port is present with tip terminating in the right atrium. | 52560933 | INDICATION: ___ year old woman with hydropneumothorax, chest tube pulled this am // Reaccumulation of hydropneumo, eval for interval change TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs, the most recent prior from ___ at 10:44. Chest CT ___. | Interval mild increase in right hydropneumothorax since the most recent prior study. |
11449283 | Multiple suture lines denote prior right VATS. A right-sided Port-A-Cath terminates at the upper right atrium. There is near complete resolution of a small right pleural effusion. There is no pneumothorax or focal consolidation. The heart size remains normal. The hilar and mediastinal contours remain within normal limits. | 59411583 | EXAMINATION: Chest radiograph. INDICATION: ___ year old woman with wedge resection // post-pull xray TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ at 08:17. | Near resolution of small right pleural effusion. No pneumothorax. |
11449283 | Right chest wall port is again seen with catheter tip in the right atrium. Volume loss in the right hemithorax is similar to prior with chronic blunting of the right lateral costophrenic angle. Enlarged right hilum from known adenopathy is better seen on prior CT scan. The lungs are clear consolidation or effusion. Cardiomediastinal silhouette is unchanged. No acute osseous abnormalities. | 50435953 | INDICATION: ___F with cough, CP // evidence of pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT from ___ and chest x-ray from ___. | No acute cardiopulmonary process. |
11449283 | The right-sided chest tube has been removed. There is a small hydro pneumothorax. The adjacent pleura of the right lung appears thickened. No significant mediastinal shift. Stable left pleural effusion. The left lung is relatively clear. | 52242083 | INDICATION: ___ year old woman s/p chest tube removal // Please eval s/p chest tube removal TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Reaccumulation of a small right sided hydro pneumothorax post chest tube removal. No signs of tension pneumothorax. |
11449283 | The moderate right pleural effusion and small left pleural effusion are probably stable, allowing for changes in positioning. The right middle lobe is partially opacified, and unchanged from the prior study of ___. There may be a very small right-sided pneumothorax. There is no pulmonary edema. The cardiomediastinal silhouette is within normal limits. Incidental note is made of an epidural catheter. | 51104217 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p left VATS wedge and R VATS lobectomy // r/o ptx, Right and left ___ chest tube DC'd 8am, CXR @10am TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___. | Stable bilateral pleural effusions. Unchanged partial opacification of the right middle lobe. Possible very small right-sided pneumothorax. |
11449283 | AP portable upright view of the chest. There has been interval placement of a right chest tube which is seen extending to the right lung apex. There is decrease in size of right pneumothorax which is currently not detectable. Suture material is noted in the right mid lung. Mild right basal atelectasis is present. There is likely a small right pleural effusion. Left lung remains clear. Port-A-Cath is unchanged with tip extending into the the right atrium. | 50880753 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with new R chest tube placement // Eval for resolution of pnuemo COMPARISON: Prior exam performed earlier today. | Right chest tube in place with significant re-expansion of the right lung and no remaining pneumothorax identified. Small right pleural effusion. |
11449283 | A moderate to large right sided hydro pneumothorax is seen. There is associated contralateral shift of the mediastinum suggesting tension pneumothorax. The left lung is clear. Stable right-sided Port-A-Cath with the tip in the lower SVC. | 56882644 | INDICATION: ___ year old woman with synovila sarcoma, R thigh,new onset mes to lung and bone, c/o incrase pain mediastinal area // r/o break, PE, mass TECHNIQUE: Chest PA and lateral COMPARISON: ___ | New moderate to large right sided hydro pneumothorax with signs of tension. Pneumothoraces can be seen in the setting of sarcoma metastatic disease. |
11868909 | Single portable view of the chest is compared to previous exam from earlier the same day at 9:28 a.m. Since prior, there has been interval progression of the bilateral airspace disease, which is worse on the right, but also present on the left. Cardiac silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Right-sided PICC line is seen; however, tip is not clearly delineated. There is no pneumothorax. | 52731082 | HISTORY: ___-year-old male with worsening hypoxia after PICC placement. Question pneumothorax. | Progression of bilateral airspace disease. Findings may represent bilateral infection or edema. Clinical correlation suggested. |
11868909 | PA and lateral chest radiographs demonstrate bibasilar consolidation with air bronchograms. There is no pneumothorax or large pleural effusion. The cardiomediastinal silhouette is not well seen but is grossly unremarkable. | 54169148 | INDICATION: Cough, fever with hypoxia. COMPARISON: No recent chest radiographs. | Multifocal pneumonia. Volume overload is also possible. |
11649694 | The lungs are clear. There is no evidence of large effusion for pneumothorax based on this supine film which also does not include the lateral costophrenic angles. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified. | 50778410 | INDICATION: Trauma. TECHNIQUE: Single supine portable view of the chest COMPARISON: None. | No acute cardiopulmonary process. |
11280984 | Frontal lateral chest radiographs again demonstrate a left PICC terminating in the mid SVC. There is improved aeration of the left base. The cardiomediastinal silhouette remains normal. No focal consolidation, pleural effusion, or pneumothorax is identified. Scarring of the mid left lung is unchanged. | 56323508 | INDICATION: Pre-discharge evaluation in a patient status post aortic valve replacement. COMPARISON: Chest radiographs from ___, ___. | Improved aeration of the left base. |
11280984 | The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 58333528 | HISTORY: Hypotension, cough, liver transplantation. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
11280984 | The patient has had interval median sternotomy with aortic valve replacement. Sternotomy wires are intact and aligned. ET tube terminates at the level the clavicles. The Swan-Ganz catheter projects over the main pulmonary artery. A nasogastric tube terminates in the stomach. Mediastinal drains and a left chest tube are in place. There is no pneumothorax. Lung volumes are low. New perihilar interstitial opacities are most likely due to gravitational pulmonary edema. Increased retrocardiac opacification at the left base is most likely due to atelectasis. The heart and mediastinum are within normal limits despite the projection. | 58588553 | WET READ: ___ ___ ___ 11:26 PM 1. Endotracheal tube with the tip in the mid thoracic trachea, nasogastric tube terminating in the stomach, pulmonary artery catheter terminating in the proximal right pulmonary artery, and bilateral chest tubes, all in appropriate position. 2. Low lung volumes, with prominence of the cardiac silhouette and bronchovascular crowding. No focal consolidation or large pleural effusion or pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F s/p AVR // position of lines and tubes TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___. | Status post aortic valve replacement with expected postoperative findings, including mild pulmonary edema and mild left basilar subsegmental atelectasis. |
11280984 | The patient has had prior aortic valve replacement with intact and aligned sternotomy wires. The left chest tube has been removed. There is no pneumothorax. A left PICC line terminates in the mid SVC. Advancement by 2 cm would position its tip at the superior cavoatrial junction. Aside from left basilar linear atelectasis, the lungs are clear. | 59113734 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with s/p AVR // eval ptx-post pull TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___ and dating back to ___. | No pneumothorax following left chest tube removal. No other significant interval change |
11280984 | Interval removal of a left PICC line. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. A rounded, calcific density structure overlying the soft tissues of the left axilla represents a calcified lymph node as seen on prior CT. | 52996155 | EXAMINATION: Chest radiograph. INDICATION: ___ year old woman s/p liver transplant with WBC of 18 // please assess for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No evidence of acute cardiopulmonary process. |
11625041 | The lungs are symmetrically well aerated and well expanded. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The visualized upper abdomen shows no free air beneath the right hemidiaphragm. | 56622730 | INDICATION: History of duodenal ulcer, now with abdominal pain, here to evaluate for free intraperitoneal air. COMPARISON: Chest radiographs, last performed on ___. TECHNIQUE: PA and lateral upright radiographs of the chest. | No acute cardiopulmonary process. No free air beneath the right hemidiaphragm. |
11512695 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. The known mediastinal lymphadenopathy and left hilar mass are better assessed on the previous PET-CT. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Moderate degenerative changes are noted in the thoracic spine. No subdiaphragmatic free air is present. | 59457915 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with NSCLC status post chemoradiation with vomiting and esophageal pain. TECHNIQUE: Chest PA and lateral COMPARISON: PET-CT ___, CT chest ___ | No acute cardiopulmonary abnormality. No subdiaphragmatic free air. Known mediastinal lymphadenopathy and left hilar mass, better assessed on previous PET-CT. |
11756775 | Frontal and lateral radiographs of the chest demonstrates hyperexpanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. | 58636093 | HISTORY: Cough and palpitations. Evaluate for pneumonia. COMPARISON: Prior radiographs chest is ___ and ___. | No acute cardiopulmonary process. |
11756775 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperexpanded lungs which are clear. There is no focal consolidation or radiograph evidence of pulmonary fibrosis. No pleural effusion or pneumothorax is identified. The visualized upper abdomen is unremarkable. | 59441747 | INDICATION: Evaluate for fibrosis in a patient on amiodarone. COMPARISON: Chest radiographs from ___, ___, ___. | No acute cardiopulmonary process or evidence of pulmonary fibrosis. |
11397325 | The right IJ central venous catheter ends in the proximal right atrium. There is no evidence of pneumothorax. Cardiomediastinal silhouette is normal. Lung volumes are low with increased opacification at the bilateral lung bases left greater than right, which may represent a combination of atelectasis and pleural fluid. | 53860731 | INDICATION: ___-year-old man with right IJ central venous catheter placement, interval evaluation. COMPARISON: None Available. TECHNIQUE Portable view the chest. | Right IJ central venous catheter ends in the proximal right atrium. No evidence of pneumothorax. |
11397325 | Lung volumes are low which leads to bronchovascular crowding. There is bibasilar atelectasis. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. | 53532255 | INDICATION: ___M with pancreatic CA s/p fall, w/ pleuritic chest pain and ab pain, rule out acute injury. TECHNIQUE: Single AP view of the chest. COMPARISON: Chest x-ray from ___. | Low lung volumes with bibasilar atelectasis. |
11998418 | PA and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 50209975 | HISTORY: Epigastric and right upper quadrant abdominal pain. COMPARISON: Comparison is made with chest radiographs from ___. | No acute cardiopulmonary process. |
11727023 | Frontal and lateral views of the chest were obtained. Mild left base atelectasis. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 50224780 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of cough, shortness breath, syncope. COMPARISON: ___. | Bibasilar atelectasis. Otherwise, no acute cardiopulmonary process. |
11727023 | The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. | 50682502 | INDICATION: ___-year-old with fever and cough, evaluate for pneumonia.. COMPARISON: Comparison is made to chest radiograph from ___. TECHNIQUE Frontal and lateral view of the chest. | No radiographic evidence of pneumonia. |
11710223 | Interval placement of right-sided ___ drain with tip projecting over the lower right hemithorax. No pneumothorax or pleural effusion. Lung volumes are lower with interval increase in atelectasis, particularly on the left. Pulmonary vascular congestion is mild, despite lower lung volumes. Elevation of the right hemidiaphragm secondary to volume loss post VATS wedge resection. The heart is top-normal in size, unchanged. The mediastinum and hila are within normal limits. | 50207781 | EXAMINATION: Portable AP chest radiograph INDICATION: ___F s/p R VATS diagnostic wedge resection x2 // eval for PTX, position ___ ___ tube COMPARISON: Chest radiograph dated ___ | No pneumothorax. Appropriate position of right ___ drain. |
11710223 | There are low lung volumes, which results in bronchovascular crowding. Linear opacity at the right base is most consistent with atelectasis. Atelectasis is also seen at the left base. There are small bilateral pleural effusions. There has been interval removal of the right-sided chest tube. No pneumothorax. Suture material projects over the right mid lung, consistent with history of VATS wedge resection. | 53645199 | INDICATION: ___ year old woman s/p R VATS wedge resection x 2, s/p chest tube pull // please perform at 12:30 pm; s/p chest tube pull TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ and ___, and CT of the chest dated ___. | No pneumothorax. Bibasilar atelectasis. |
11045506 | Since the prior exam, there is little change. Biapical fibrotic changes and mediastinal and hilar lymphadenopathy are stable, and compatible with the patient's diagnosis of sarcoidosis. There is no new focal infiltrate to suggest pneumonia. There is no pleural effusion or pneumothorax. The heart size is normal. | 53088126 | INDICATION: COPD exacerbation. Evaluate for infiltrate. TECHNIQUE: Single upright AP view of the chest. COMPARISON: Chest radiograph from ___. CT of the chest from ___. | No evidence of pneumonia. Stable changes compatible with sarcoidosis. |
11045506 | Coarse interstitial opacities in the upper lobes bilaterally are indicative of underlying fibrotic changes secondary to chronic sarcoid. Comparing to prior studies there is no new focal consolidation to suggest pneumonia. No pleural effusion or pneumothorax. No evidence of pulmonary edema. Heart size and mediastinal contours are within normal limits. | 50938446 | WET READ: ___ ___ ___ 6:56 AM Chronic interstitial changes in the upper lobes bilaterally compatible with chronic sarcoid, but no evidence of new consolidation to suggest pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with COPD and shortness of breath. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Chronic interstitial changes in the upper lobes bilaterally compatible with chronic sarcoid, but no evidence of new consolidation to suggest pneumonia. |
11045506 | Heart size is normal. Patient has known mediastinal and hilar lymphadenopathy, better seen on recent CT. There has been improvement in the opacities in the upper lobes and the right middle lobe. Chronic changes of fibrosis in the upper lobes are noted. No new findings. | 53356055 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with asthma, dyspnea, right basilar crackles. // ? pneumonia COMPARISON: Chest radiographs from___ as well as CT chest from ___ | No acute processes. Previously seen faint opacities in the upper lobes and the right middle lobe have improved. Residual chronic fibrotic changes in the upper lobes are noted. Known lymphadenopathy. |
11045506 | Again, there is a diffuse interstitial abnormality most marked in the upper lobes with associated bronchiolectasis, similar to the prior exam, and compatible with the patient's history of sarcoidosis. Enlargement of the hila, due to lymphadenopathy, is unchanged. There is no focal opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged, and normal. | 52718645 | INDICATION: History of asthma, COPD, presenting with shortness of breath and wheezing. Evaluate for pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple chest radiographs, including the most recent from ___. CT of the chest from ___. | No acute cardiopulmonary process. Unchanged interstitial abnormality and hilar lymphadenopathy, consistent with sarcoidosis. |
11045506 | Again seen is diffuse interstitial abnormality with predominance in the upper lobes consistent with patient's known history of sarcoidosis. The previously seen opacity at the left base is no longer present and was likely due to artifact. There is no definite focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact. | 54983769 | INDICATION: ___-year-old female with shortness of breath, evaluate for pneumonia needlateral view. COMPARISONS: Portable AP radiograph from ___. | Diffuse interstitial lung disease with an upper lobe predominance consistent with patient's known history of sarcoidosis without definite worsening. No focal opacity. |
11045506 | Extensive reticular interstitial opacities, predominantly in the lung apices, are unchanged and are consistent with fibrotic changes from sarcoidosis. Minor fissure remains elevated. No pleural effusion, pneumothorax or focal airspace consolidation.There is persistent elevation of the left hemidiaphragm. Hilar and mediastinal lymphadenopathy is unchanged. Heart is top normal in size. There is no evidence for pulmonary edema. | 53301271 | INDICATION: History of asthma and sarcoid now with shortness of breath and cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. Chest CT ___. | No acute cardiopulmonary process. |
11045506 | Cardiomediastinal contours are stable with cardiac size top normal, the mediastinum is widened as before due to lymphadenopathy. Enlargement of the hilum bilaterally right greater than left, due to lymphadenopathy is stable. Chronic peribronchial opacities, scarring go loss of volume in the upper lobes and in the lower lobes right greater than left is stable. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable | 55691679 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with sarcoidosis, Asthma, with bibasilar crackles // ? cause of crackles TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormalities Chronic changes of mediastinal, hilar lymphadenopathy and lung findings of sarcoid , better evaluated on prior CT. |
11045506 | Based on this portable film, there has been no significant interval change. Biapical fibrotic changes mediastinal and hilar adenopathy are compatible with patient's known diagnosis of sarcoidosis. There is no superimposed acute consolidation. Cardiac silhouette is unchanged. | 59874555 | INDICATION: ___F with dyspnea // Eval for pulm edema TECHNIQUE: Single portable view of the chest. COMPARISON: Chest CT from ___ and chest x-ray from ___. | Chronic changes compatible with patient's known sarcoidosis without visualized superimposed acute cardiopulmonary process. |
11045506 | Diffuse interstitial abnormality in the lungs, predominantly in the upper lobes as seen on prior CT chest, is consistent with fibrosis from known sarcoidosis. Patchy opacity at the left base may represent soft tissue, however, can also be infection superimposed on chronic lung disease. Cardiomediastinal silhouette appears unchanged given differences and technique. There is no pleural effusion or pneumothorax. The osseous structures are intact. | 58713964 | INDICATION: ___-year-old female with shortness of breath and cough, question pneumonia. COMPARISONS: CT chest without contrast from ___. TECHNIQUE: Single portable AP radiograph is provided. | Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Opacity at the left base may be superimposed infection. |
11045506 | The cardiomediastinal and hilar contours are normal. Again seen are extensive pulmonary abnormalities including multifocal bronchiectasis and scarring predominantly in both upper lobes, similar in distribution to the CT of ___. However, in the right upper lobe overlying the fissure, there is an area of increased opacity, compared to the earlier chest radiograph of ___, it is unclear if this represents worsening fibrosis or pneumonia superimposed on chronic lung changes. No pleural effusion or pneumothorax is seen. | 58376770 | INDICATION: ___-year-old woman with cough and known history of asthma and sarcoidosis, to assess for pneumonia. COMPARISON: Chest CT ___ and a chest radiograph ___. PA AND LATERAL CHEST | Chronic changes of pulmonary fibrosis due to underlying sarcoidosis. Focal area of increased opacification in the right upper lobe compared to the earlier study of ___, could represent worsening fibrosis versus superimposed pneumonia. Recommended followup chest radiographs after treatment to assess resolution. |
11045506 | PA and lateral views of the chest provided. Upper lobe scarring with upward retraction of the hila again noted consistent with provided history of sarcoidosis. There is no consolidation concerning for pneumonia. No large effusion or pneumothorax. Heart size is normal. Mediastinal contour stable. Bony structures are intact. No free air below the right hemidiaphragm. | 59910264 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough and wheeze, history is sarcoidosis, asthma, bronchiectasis, history breast cancer status post radiation and chemotherapy. COMPARISON: Prior study from ___ and ___. | Chronic upper lobe scarring likely reflective of sarcoidosis. No acute intrathoracic process. |
11045506 | Frontal and lateral views of the chest were obtained. Again seen are diffuse increased interstitial markings bilaterally overall, grossly stable. Prominence of the right hilum is stable. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 53805494 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest tightness and non-productive cough. COMPARISON: ___. | No significant interval change. |
11045506 | Lung volumes are persistently low. The heart size remains mildly enlarged but unchanged. Mediastinal contour is similar. Bilateral hilar enlargement compatible with lymphadenopathy is again noted. Increased interstitial markings are noted diffusely, but more so within the upper lobes, and not substantially changed in the interval, likely reflective of patient's known sarcoidosis with fibrotic changes. No focal consolidation, pleural effusion or pneumothorax is clearly evident. There may be mild pulmonary vascular congestion. No acute osseous abnormality is seen. | 54743431 | EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with cough and shortness of breath TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph, chest CT ___ | Chronic interstitial lung disease and bilateral hilar lymphadenopathy compatible with underlying sarcoidosis with fibrotic changes. Mild pulmonary vascular engorgement. No new focal consolidation. |
11232546 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 56666258 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // r/p pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
11232546 | 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. | 53282479 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath with chest tightness TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
11232546 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 59989830 | INDICATION: Shortness of breath and chest pain. Evaluate for pneumothorax. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
11615085 | Single AP upright portable radiograph through the chest demonstrate clear lungs bilaterally. No focal consolidation is identified concerning for pneumonia. Cardiomediastinal and hilar contours are within normal limits. Incompletely visualized bilateral costophrenic angles. No large pleural effusion is identified. Visualized osseous structures demonstrate no acute abnormality. | 54467181 | INDICATION: ___M with left facial droop and seizures // r/o ICH COMPARISON: None available. | No acute intrathoracic abnormality. |
11022501 | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. A few scattered subcentimeter rounded opacities projecting over the right lung, may be due to calcified granulomas and/or vessels on-end. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. | 54885535 | HISTORY: Shortness of breath, chest pain x. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
11022501 | The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. | 53377396 | HISTORY: Shortness of breath, chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
11651985 | AP upright 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. | 54226367 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with chest pain // acute process? COMPARISON: None | No acute intrathoracic process. |
11905824 | 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. | 57055545 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with dyspnea, exertional CP COMPARISON: None | No acute intrathoracic process. |
11567926 | There is no focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits. | 59137482 | INDICATION: ___-year-old female with fever. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for pneumonia or other acute process. |
11237779 | Comparison is made to the prior radiographs from ___, performed at outside hospital. The heart size is within normal limits. There is no focal consolidation, pleural effusions or signs for acute pulmonary edema. There are no pneumothoraces. | 52563264 | STUDY: AP chest ___. CLINICAL HISTORY: ___-year-old man with right common iliac thrombosis. Evaluate for lymphadenopathy. | No signs of acute cardiopulmonary process. |
11338928 | Heart appears slightly enlarged. Lung volumes are low, which causes crowding of bronchovascular structures. No focal consolidation or pneumothorax is identified. No large pleural effusions. Bibasilar atelectasis is present. Surgical clips identified in the right upper abdominal quadrant. | 57297789 | WET READ: ___ ___ ___ 2:37 AM No evidence of focal consolidation or rib fracture. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F nonverbal with nonspecific pain. Pnuemonia or rib fx? TECHNIQUE: Single portable AP view of the chest. COMPARISON: None available. | No evidence of focal consolidation or rib fracture. |
11338928 | There is no focal consolidation, pleural effusion or pneumothorax. Streak-like atelectasis is noted at the left lung base. Heart size is mildly enlarged. No acute osseous abnormalities identified. Cholecystectomy clips are visualized in the right upper quadrant. | 56512154 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with altered mental status, evaluate for evidence of infection. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute intrathoracic process. |
11451128 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. No overt pulmonary edema is seen. The aorta is tortuous. | 58720932 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // cardipul process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: No prior chest radiographs | Top-normal to mildly enlarged cardiac silhouette without pulmonary edema. |
11512173 | There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable. | 53539415 | HISTORY: Left-sided chest pain. Evaluate for pneumothorax. COMPARISON: Chest radiograph ___. FRONTAL AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
11087211 | There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart size is top normal. The mediastinal contours are normal. There is no evidence of pulmonary vascular congestion. | 53815514 | HISTORY: Left upper extremity pain, possible angina, evaluate for abnormality. TECHNIQUE: Chest 2 views. COMPARISON: Chest radiograph on ___. | Heart size is top normal. No acute abnormality. |
11025824 | PA and lateral views of the chest are obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. | 58377379 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: ___-year-old woman with cough, assess pneumonia. | No acute intrathoracic process. |
11082150 | PA and lateral views of the chest were obtained demonstrating mild left basilar atelectasis. Otherwise, lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No definite rib fractures are seen. | 51181737 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Left rib pain with cough, assess pneumonia. | Mild left basilar atelectasis. No definite rib fractures. If there is strong clinical concern for rib fracture, dedicated rib series is advised with a skin BB marking the site of maximal pain. |
11473627 | There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. There is no free air under the diaphragm. Osseous structures are intact. | 56956442 | INDICATION: Epigastric pain, chest pain, rule out pneumonia. COMPARISONS: None. TECHNIQUE: PA and lateral chest radiographs were provided. | No acute cardiopulmonary process. |
11705661 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. The bony structures are intact. No free air below the right hemidiaphragm. | 52616147 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___ as well as a CT torso from ___. CLINICAL HISTORY: Fever and tachycardia, assess for pneumonia. | No signs of pneumonia. |
11705661 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. | 53972502 | INDICATION: Patient with history of primary sclerosing cholangitis and Crohn's disease, now with fever and chills. COMPARISONS: ___. | No evidence of acute cardiopulmonary process. |
11705661 | Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax, or focal airspace consolidation. Band-like opacity paralleling the scapula and likely apart of it is only appreciated on the frontal view, likely pleural scaring. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. | 57288292 | INDICATION: Fever and weakness. Evaluate for pneumonia. COMPARISON: Chest radiographs ___, and ___. | No acute cardiopulmonary process. |
11537996 | There are patchy interstitial infiltrates bilaterally, most consistent with mild pulmonary edema. Some of the infiltrates are more confluent, particularly on the left, and superimposed infection is difficult to exclude. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged. | 50207590 | INDICATION: Dyspnea on exertion. Evaluate for CHF. COMPARISONS: None. TECHNIQUE: PA and lateral views of the chest were obtained. | Patchy interstitial infiltrates likely represent mild pulmonary edema, though superimposed infection is difficult to exclude, particularly on the left. Consider repeat radiograph after diuresis. Mild cardiomegaly. |
11537996 | The heart continues to be mildly enlarged. Prominence of the right hila may reflect lymphadenopathy, and a pulmonary nodule may be seen in the left midlung. No focal pulmonary consolidations, pleural effusions or pneumothorax is noted. | 51766337 | INDICATION: ___F with 1 month of sob // eval for edema vs pna TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___. | Prominence of the right hilus may reflect lymphadenopathy, and a pulmonary nodule may be seen in the left midlung. Recommend further evaluation of findings with a CT scan. |
11537996 | PA and lateral views of the chest provided. Patient rotated to the left. There has been recent placement of a dialysis catheter with tip in the region of the right atrium. Lung volumes are low. Mild cardiomegaly is noted. There is mild pulmonary congestion. No large effusion or pneumothorax. Bony structures are intact. | 51709788 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with ams // eval for infection COMPARISON: ___. | Right IJ dialysis catheter tip in the right atrium. Please correlate for positional adequacy. Mild pulmonary vascular congestion. Stable mild cardiomegaly. |
11537996 | In comparison to ___, the left lower lobe atelectasis has improved. However there is only mild improvement in the bilateral pulmonary edema. No pleural effusions. No pneumothorax. The heart is mildly enlarged but unchanged. Mediastinal contours are unchanged. | 52434767 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ESRD, diastolic CHF, presenting with dyspnea felt to be CHF exacerbation, but will persistent hypoxemia despite aggressive fluid removal // please assess for interval change in pulmonary edema, presence of effusion, or infiltrate TECHNIQUE: Single portable frontal view of the chest COMPARISON: ___ 14:52 | Significant improvement in left lower lobe atelectasis. Mild improvement in bilateral pulmonary edema. |
11537996 | AP upright and lateral views of the chest provided. Interval removal of PICC line and dialysis catheter. Extensive ground-glass opacity within both lungs is concerning for edema, less likely diffuse pneumonia. No large effusion is seen. Heart size remains mildly prominent. Mediastinal contour is unchanged. Hila are congested. Bony structures are intact. | 57558701 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with new o2 requirement and sob COMPARISON: Prior exam is dated ___ | Congestion with moderate pulmonary edema, difficult to exclude a superimposed pneumonia. |
11012718 | The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59244908 | INDICATION: Chest pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
11586159 | Since prior, there has been increased reticular opacity involving the left hemithorax. The right lung is grossly clear. Hilar prominence has not significantly changed, and is most pronounced on the left. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 55712885 | INDICATION: ___ year old man with HIV and meningitis, now with worsening tachycardia and hypoxia. COMPARISON: Chest radiograph from ___. TECHNIQUE A portable view of the chest. | Increased reticular opacification of the left hemithorax compared to prior, represent asymmetric pulmonary edema as seen on subsequent chest CT. |
11586159 | Single portable AP radiograph demonstrates no focal opacity convincing for pneumonia. Bilateral hila appear prominent, possibly reflective of pulmonary vessels though adenopathy cannot be excluded. Heart is normal in size. Mediastinal contour is otherwise unremarkable. There is no large pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality. No air under the right hemidiaphragm is seen. | 54113621 | WET READ: ___ ___ 12:17 AM Prominent bilateral hilar contours may reflect prominent pulmonary arteries though adenopathy cannot be excluded. Lungs are clear. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with fever and chest pain. TECHNIQUE: Single portable AP. COMPARISON: None available. | Prominent bilateral hilar contours may reflect prominent pulmonary arteries though adenopathy cannot be excluded. Comparison with prior films would be helpful. Lungs are clear. |
11978716 | Heart size is normal. Coronary artery stent is noted. Mediastinal and hilar contours are normal and the lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized. | 56813981 | HISTORY: Nausea, vomiting, diarrhea, history of myocardial infarction. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: CTA chest and chest radiograph from ___. | No acute cardiopulmonary process. |
11520249 | Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly persists. Aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Left basilar opacity likely reflects atelectasis. No large pleural effusion is seen though assessment for left-sided effusion is somewhat limited due to overlying pacemaker generator pack obscuring this region. And ill-defined 19 mm hazy nodular opacity within the right upper lung field is unchanged from ___. Calcified granuloma in the left lung apex is unchanged. No pneumothorax is identified. Degenerative changes are noted in the thoracic spine. | 53508597 | WET READ: ___ ___ ___ 10:18 AM 1. Retrocardiac opacity likely reflects atelectasis. Infection is difficult to exclude. 2. Persistent 19 mm subtle ill-defined nodular opacity in the right lung apex. Finding are concerning for a neoplastic process, and further assessment with a chest CT is recommended. ______________________________________________________________________________ FINAL REPORT HISTORY: Cough, respiratory distress. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___, ___. | Retrocardiac opacity likely reflects atelectasis. Infection is difficult to exclude. Persistent 19 mm subtle ill-defined nodular opacity in the right lung apex. Finding are concerning for a neoplastic process, and further assessment with a chest CT is recommended. |
11520249 | Peripheral right upper lobe lung nodule has grown compared to the prior CT chest of ___ and chest radiograph of ___. On the prior chest radiograph, it measured 1.6 cm in diameter and now measures 1.9 cm. As AP technique may magnify the nodule, dedicated chest CT may be considered for more accurate assessment of interval growth as well as possible development of lymphadenopathy in the right hilum. Heart remains enlarged. Low lung volumes accentuate the pulmonary vascular structures. Minor bibasilar atelectasis is present. No definite pleural effusion. Single-lead pacer remains in place, with lead terminating in right ventricle. | 53036025 | WET READ: ___ ___ ___ 9:52 PM Low lung volumes, with no evidence of focal pneumonia. ______________________________________________________________________________ FINAL REPORT PORTABLE CHEST, ___ COMPARISON: ___ chest radiograph and CT chest of ___. | Slowly growing peripheral right upper lobe lung nodule is concerning for primary lung adenocarcinoma. Dedicated chest CT may be considered for more accurate assessment as well as to evaluate for possible right hilar lymph node enlargement warranted clinically. Low lung volumes limit assessment of the lung bases for pneumonia. Given clinical suspicion for this entity, this could be further evaluated with repeat chest radiograph with improved inspiratory level. Dr. ___ was paged with these results at 8:15 a.m. on ___, at the time of discovery. |
11520249 | A left single lead pacemaker projects over the left lower chest and the lead likely terminates in the right ventricle. Lung volumes are decreased, accentuating the cardiac silhouette which otherwise appears mildly enlarged. There is a left lower lobe opacity, which may reflect aspiration or pneumonia in the appropriate clinical setting. There is prominence of the right hilum. There is prominence of the pulmonary vasculature. No large pleural effusion identified, although limited examination of the left costophrenic angle. | 56831678 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Shortness of breath, question CHF. TECHNIQUE: Portable AP Chest radiograph. COMPARISON: None available. | Left lower lobe opacity which could reflect aspiration or pneumonia. Clinical correlation advised. Mild cardiomegaly with mild pulmonary vascular congestion. Prominent right hilum, concerning for lymphadenopathy. Anterior shallow obliques or a chest CT can be obtained for further evaluation if clinically warranted. |
11520249 | Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The heart remains moderately enlarged. Dense atherosclerotic calcifications are present at the aortic knob. Mediastinal and hilar contours are unchanged. Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to 2.4 cm. Minimal patchy opacities are noted within the lung bases. No pleural effusion or pneumothorax is identified. Multiple ___ are demonstrated within the right upper quadrant of the abdomen. | 57610653 | HISTORY: Shortness of breath, wheezing. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___. | Patchy bibasilar airspace opacities appear relatively unchanged, and may reflect atelectasis and/or chronic changes. Slight interval increase in size of right upper lobe rounded opacity which remains concerning for adenocarcinoma. |
11520249 | A single lead pacemaker terminates in the left ventricle. The pulmonary vasculature is normal. A rounded opacity seen in the right upper lobe is again worrisome for carcinoma. There is no focal airspace consolidation to suggest pneumonia. The cardiac silhouette is moderately enlarged, slightly increased, without central vascular congestion or pulmonary edema. There is no pleural effusion or pneumothorax. Dense calcifications are seen throughout the aorta. | 53310742 | HISTORY: Dyspnea, rule out heart failure. COMPARISON: Chest radiographs ___ and generalized ___. CTA chest ___. | No acute cardiopulmonary process, specifically no evidence of heart failure. Rounded opacity within the right upper lobe concerning for carcinoma. |
11520249 | AP and lateral views of the chest. There is a right upper lung, somewhat rounded opacity as seen on previous exam. Again, this remains concerning for neoplasm. The lungs are otherwise grossly clear noting some right basilar atelectasis. Left chest wall single lead pacing device seen with lead tip in the right ventricular apex. Cardiac silhouette is enlarged but stable in configuration. Atherosclerotic calcification is seen within the aorta. | 58792298 | CHEST, TWO VIEWS, ___. HISTORY: ___-year-old female with COPD and shortness of breath. COMPARISON: ___. | No definite acute cardiopulmonary process. Right upper lung rounded opacity again concerning for malignancy. |
11520249 | AP upright and lateral views of the chest provided. A left chest wall pacer device is seen with catheter extending into the expected location of the right ventricle, unchanged. There is mild central pulmonary vascular engorgement which could indicate mild increased pulmonary pressures. The heart is stably enlarged. Atherosclerotic calcification of the aortic knob noted. Lung volumes are low, though there is no definite sign of pneumonia. Bony structures appear intact. | 58466105 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Cough and shortness of breath, question pneumonia. | Stable cardiomegaly with mild pulmonary interstitial edema. |
11439189 | Compared to ___, there has been partial clearing of the bibasilar opacities. The patient is status post tracheostomy in sternotomy. Cardiomediastinal silhouette is unchanged. The right hilum appears prominent, unchanged. There is upper zone redistribution, but no overt CHF. No new infiltrate. No gross effusion. Question G-tube seen at edge of film. Incidental note made of widening of the right AC joint. | 53954448 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with increase secretion. recent pna // ?pna COMPARISON: Chest x-ray from ___ | Partial interval clearing of bibasilar infiltrates. Otherwise, I doubt significant interval change. No new pneumonic infiltrate identified. |
11367967 | Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. There is no evidence of free air on upright view. | 55666166 | EXAMINATION: Chest radiograph INDICATION: ___F with abdominal pain s/p colonoscopy yesterday, evaluate for free air TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No evidence of free air. |
11367967 | The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax. Bones are intact. | 55451320 | HISTORY: ___-year-old female with shortness of breath. COMPARISON: None. TECHNIQUE: AP and lateral views of the chest. | No acute intrathoracic process. |
11517178 | The study is essentially unchanged from prior except for a right-sided PICC catheter which is now seen malpositioned, coursing through the right subclavian and then upwards into the right internal jugular before kinking and turning downward and terminating within the mid SVC. Tracheostomy tube is unchanged position. There is no pneumothorax or pleural effusion. Cardiomediastinum is stable and within normal limits. Pleural surfaces are unremarkable. | 51039240 | INDICATION: ___-year-old male with tracheostomy and possible pneumonia. COMPARISON: Semi-upright portable AP chest radiograph ___. TECHNIQUE: Semi-upright portable AP chest radiograph. | Change in position of right-sided PICC catheter which now travels short distance up the right internal jugular before looping downward and terminating within the mid SVC. It is recommended that this right-sided PICC catheter be repositioned. Remainder of the study is unchanged. |
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