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13690559 | Severe cardiomegaly is unchanged. There is mild pulmonary edema which is relatively asymmetric and worse at the right lung base, unchanged. Small bilateral pleural effusions.Hyperinflation of the lungs is noted. | 57792988 | WET READ: ___ ___ ___ 6:26 AM Mild pulmonary edema. Asymmetric opacity at the right lung base is unchanged from the prior examination and may represent asymmetric pulmonary edema, however underlying infection cannot be excluded. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with SOB // eval for infiltrate, CHF TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | Mild pulmonary edema. Asymmetric opacity at the right lung base is unchanged from the prior examination and may represent asymmetric pulmonary edema, however underlying infection cannot be excluded. |
13807179 | There are bilateral interstitial opacities, right greater than left. There is no focal consolidation. There are likely bilateral pleural effusions. Heart size is enlarged. There is no pneumothorax. | 50850039 | INDICATION: Dyspnea, evaluate for pneumonia. COMPARISONS: ___. SINGLE AP VIEW OF THE | Bilateral interstitial opacities with cardiomegaly and probable small pleural effusions compatible with either asymmetric moderate pulmonary edema versus infection. Repeat after treatment to document resolution. |
13807179 | There has been significant interval improvement in pulmonary edema, which is nearly entirely resolved. Azygous venous distention remains. Bibasilar opacity remains, likely reflecting atelectasis. There is no pneumothorax. There are probably small bilateral pleural effusions. The cardiac silhouette remains mildly enlarged, the mediastinal contours are accentuated by portable technique. | 57762672 | HISTORY: ___-year-old female with flash pulmonary edema. COMPARISON: ___. | Marked interval improvement in pulmonary edema, residual mild cardiac enlargement. There is bibasilar atelectasis, with probable small bilateral pleural effusions. |
13429223 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. There is no radiopaque foreign body. | 58585668 | EXAMINATION: CHEST, TWO VIEWS. INDICATION: History: ___F with sternal chest pain, cough, dyspnea s/p chocking on food 2 nights ago // ?pneumonitis/PNA, foreign body TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No acute cardiopulmonary process. |
13831349 | Compared to the prior study, I doubt significant interval change. Again seen are left-sided pacemaker, with lead tips over the right atrium right ventricle. There are low inspiratory volumes. The enlarged cardiomediastinal silhouette is grossly unchanged. Opacification at both lung bases with obscuration of both hemidiaphragms is unchanged. Band of density in the left mid zone, extending cephalad towards left chest wall is also unchanged. Vascular plethora, compatible with CHF, is also grossly unchanged. | 53819615 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hypercarbic and hypoxic respiratory failure // Eval for interval change COMPARISON: Chest x-ray from ___ at 05:53 | Doubt significant interval change. |
13831349 | Compared to the prior study, the allowing for differences in positioning, the overall appearance is similar. As before, there bibasilar opacities, probably with a small right pleural effusion. The degree of opacity at the right base could be slightly in increased. There is vascular plethora, consistent with CHF, similar to the prior study. Again seen is increased retrocardiac opacity at the left base, compatible with left lower lobe collapse and/or consolidation, probably with a small effusion. Question elevation left hemidiaphragm with versus a dense band of atelectasis coursing superiorly to the left chest wall. Dual lead pacemaker again noted, with tips overlying right atrium and right ventricle. No pneumothorax detected. | 53741649 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with increasing oxygen requirement and hypercarbia // interval change COMPARISON: Chest x-ray from ___ at 05:52 | Possible slight increase in right base opacity. CHF, similar to prior. |
13831349 | A right midline catheter terminates medial to the mid right humerus. Small right pleural effusion with adjacent atelectasis, and perihilar opacity likely representing pulmonary edema are better evaluated on chest radiograph performed earlier this same day. A pacemaker is partially visualized. | 56322796 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with chf // verify right midline- right sided film with elbow up TECHNIQUE: Single frontal view of the right chest COMPARISON: Chest radiograph performed earlier on same day. | A right midline catheter terminates at the level of the mid humerus. |
13831349 | The endotracheal tube terminates 3.1 cm above the carina. An enteric tube courses into the stomach. A right internal jugular catheter traverses into the low SVC. A left pectoral pacemaker is noted with leads in standard position. Orthopedic hardware within the left humerus is partially imaged. There are bilateral multi focal opacities, compatible with pneumonia. There is likely an element of superimposed pulmonary edema given the perihilar prominence and small bilateral pleural effusions, left greater than right. A small amount of fluid tracks into the minor fissure. Mild cardiomegaly. No pneumothorax. | 52544524 | INDICATION: Outside hospital intubation. Evaluate. TECHNIQUE: Supine portable chest radiograph. COMPARISON: None. | Endotracheal tube 3.1 cm above the carina. Multifocal pneumonia with superimposed pulmonary edema and small bilateral pleural effusions. |
13831349 | In comparison to ___, there is increased opacity of the left mid lung, which may represent fluid trapped in an accessory minor fissure. This could be confirmed with a additional lateral view of the chest or CT. Bilateral pleural effusions are seen, with the left effusion worse compared to previous. There are also associated bibasilar compressive atelectasis. Mild pulmonary vascular congestion bilaterally appears unchanged. Low lung volumes bilaterally. No significant change in cardiomediastinal contours. Transvenous pacer leads in the right atrium and right ventricle. | 56554579 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with volume overload and increased oxygen requirements // pulmonary edema, interval change after diuresis TECHNIQUE: Single portable frontal view of the chest COMPARISON: Portable chest radiograph ___ | In comparison to ___, there is increased opacity of the left mid lung, which may represent fluid trapped in an accessory minor fissure. This could be confirmed with a additional lateral view of the chest or CT. Increased left pleural effusion |
13831349 | Cardiac pacemaker. Bilateral pleural effusions, probably worsened. Worsened pulmonary edema. Stable volume loss left mid, lower lung. Decreased atelectasis right lower lung. Postoperative change proximal left humerus. | 55484722 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hypercarbic resp failure // interval change TECHNIQUE: Chest single view COMPARISON: ___ | Worsening pulmonary edema. Bilateral pleural effusions. Basilar atelectasis. |
13831349 | Overall lung volumes are low. There are bilateral pleural effusions, and bibasilar atelectasis. New bilateral perihilar opacities, left greater than right, are most consistent with pulmonary edema. Cardiomediastinal silhouette is slightly increased from prior. A left chest wall pacemaker is present, with leads terminating in the right atrium and ventricle. There is no pneumothorax. | 51172973 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with chronic lung disease, acutely hypoxic assess for cause // assess for infiltrate, pneumthorx TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph on ___ | Small bilateral pleural effusions and adjacent bibasilar atelectasis, with bilateral perihilar opacities are most consistent pulmonary edema, however superimposed pneumonia is difficult to exclude. |
13831349 | Single AP view of the chest provided. Endotracheal tube position is in standard position. Orogastric tube courses below the level of the diaphragm. A right IJ line is stable in position. Lung volumes are decreased. Right lung base and midlung opacities are improved significantly in the last 2 days. No pneumothorax. Small, bilateral pleural effusions are unchanged. Hilar contours are normal. Moderate cardiomegaly is unchanged from ___. | 54866870 | WET READ: ___ ___ ___ 11:47 AM Slight decrease in right lower lung opacities, otherwise unchanged. WET READ VERSION #1 ___ ___ 8:15 PM Slight decrease in right lower lung opacities, otherwise unchanged. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure. moving ogt // eval ogt placement COMPARISON: Chest radiograph ___ | Orogastric tube courses below the level of the diaphragm and ends in the proximal stomach. Right lung base and midlung opacities are improved significantly in the last 2 days more consistent with atelectasis due to poor clearance of secretions than pneumonia. If there is uncertainty about the cause or extent of these opacities a CT is recommended for further evaluation. |
13831349 | PA and lateral views of the chest provided. An ET tube ends 2.5 cm above the carina. Left pacemaker and leads are stable in position. A right central venous catheter ends in the mid SVC. A nasogastric tube courses below the level of the diaphragm, the distal tip is not seen. Multi focal opacities in both lungs are unchanged. There is prominence of the pulmonary vasculature. Small bilateral pleural effusions are unchanged. No pneumothorax. Mild levoscoliosis is stable. | 55351888 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with hypoxic respiratory failure. H/o COPD and CHF // ?PNA vs. CHF COMPARISON: Chest radiograph ___ | No significant changes from the prior exam 3 hours earlier. Multifocal opacities involving both lungs are unchanged and suggestive of probable pneumonia and mild pulmonary vascular congestion. |
13732835 | PA and lateral views of the chest provided. Minimal wispy opacity in the left lower lobe could represent a small focus of pneumonia in the correct clinical setting. Otherwise lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. | 58998332 | WET READ: ___ ___ ___ 12:07 PM Wispy opacity in the left lower lobe is concerning for an early pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with h/o cold // Eval for infection COMPARISON: None | Wispy opacity in the left lower lobe is concerning for an early pneumonia. |
13636610 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. There is mild dextroscoliosis of the thoracic spine but no acute skeletal abnormalities. Small granuloma is seen at the left lung base and is unchanged. | 51685651 | INDICATION: ___-year-old female with rapid heart rate and palpitations, question acute process. COMPARISONS: PA and lateral chest radiograph from ___. | No acute cardiopulmonary process or significant change from prior radiograph. |
13636610 | PA and lateral images of the chest demonstrate well-expanded lungs which are clear. There is some slight hyperinflation seen. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. | 53244249 | INDICATION: ___-year-old female with acute bronchitis and persistent cough with recent TBC exposure. COMPARISON: Comparison is made with chest radiograph from ___. | Essentially normal chest radiograph with no evidence of acute pulmonary or cardiac pathology. |
13996450 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. No displaced rib fractures are noted. Although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are not sufficient for detection or characterization of most such abnormalities. If the demonstration of trauma to the chest wall is clinically warranted, the location of any referrable focal findings should be clearly marked and imaged with either bone detail radiographs or Chest CT scanning. | 55410009 | INDICATION: ___-year-old female with right chest pain status post fall. Please evaluate chest pain status post fall. TECHNIQUE: AP frontal chest radiograph was obtained. COMPARISON: None available. | No acute cardiopulmonary process. |
13306381 | The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. | 54674389 | INDICATION: ___-year-old with syncope. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained. COMPARISON: None. | No acute cardiothoracic process. |
13306381 | The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. | 55051809 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with dyspnea on exertion, evaluation for cardiopulmonary process. COMPARISON: Chest x-ray of ___. | There are no acute cardiopulmonary findings. |
13859433 | AP upright and lateral views of the chest provided. There is a persistent small pneumothorax with ___ is not significantly changed in size compared with the prior exam. No midline shift or signs of tension. Persistent partial collapse of the left lower lobe noted. Right lung remains clear. Cardiomediastinal silhouette is normal. Fractures involving the left fifth, sixth ribs along the posterolateral arch again noted, displaced. | 56222792 | EXAMINATION: CHEST (AP upright AND LAT) INDICATION: ___F with pneumothorax s/p fall of horse COMPARISON: Prior exam performed earlier today. | Persistent small left pneumothorax without signs of tension. Partial collapse left lower lobe. Displaced fractures of the left fifth and sixth ribs. |
13994937 | The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 57651997 | WET READ: ___ ___ 12:10 AM No acute cardiopulmonary process. WET READ VERSION #___ ___ ___ ___ 9:54 PM Increased opacity in the right lung base medially, which may represent atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with syncope, recent hosp., pls eval for pna // History: ___F with syncope, recent hosp., pls eval for pna TECHNIQUE: Single portable upright AP image of the chest. COMPARISON: Comparison is made with chest radiographs from ___. | No acute cardiopulmonary process. |
13162333 | Linear atelectasis at the right base with associated elevation of the right hemidiaphragm is similar to the prior exam. There is no new consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable. | 56798142 | INDICATION: Cough and fever. History of multiple myeloma. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process; specifically, no evidence of pneumonia. Results were discussed with ___ at 2:40 p.m. on ___ via telephone by Dr. ___ at the time the findings were discovered. |
13162333 | Right pectoral infusion port terminates in low SVC. Lung volume is low. Previously seen right lower lobe atelectasis has nearly resolved. No new consolidation is identified. Stable right middle lobe opacity likely reflect atelectasis. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. | 58758725 | INDICATION: ___ year old man with hx of myeloma and recent multifocal pneumonia. Presents today with weakness. Please further evaluate. // ___ year old man with hx of myeloma and recent multifocal pneumonia. Presents today with weakness. Please further evaluate. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Previously seen right lower lobe atelectasis has nearly resolved. No new consolidation is identified. |
13162333 | There are low lung volumes and a suboptimal inspiratory effort. Allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. There is bibasilar atelectasis. There are no focal lung consolidations. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. | 56716814 | WET READ: ___ ___ ___ 4:19 AM Low lung volumes. No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest x-ray. INDICATION: ___-year-old man with cellulitis, history of multiple myeloma, evaluate for pneumonia. TECHNIQUE: PA and lateral upright chest radiographs. COMPARISON: Chest x-ray ___. | Low lung volumes. No acute cardiopulmonary abnormality. |
13162333 | A left PICC is in unchanged position ending in the low SVC. Otherwise there is stable appearance of the chest with persistent elevation of the right hemidiaphragm and bibasilar atelectasis. Stable heart size and mediastinal contours. No focal consolidation, pleural effusion or pneumothorax. | 56661419 | INDICATION: Hx of MM. Picc not working. Please confirm placement. // Hx of MM. Picc not working. Please confirm placement. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Left PICC in unchanged position ending in the low SVC. |
13162333 | Lung volumes remain low with right basilar atelectasis. Left lung is grossly clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. A right chest Port-A-Cath terminates at the proximal right atrium, as before. | 54116788 | INDICATION: ___ year old man with hx of Myeloma. Recent hx of Listeria. Cough, low grade temp. Please r/o PNA. Please compare to prior study. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___ | Right lower lobe atelectasis. No focal consolidation. |
13162333 | Since prior, there has been interval removal of a left PICC. There is otherwise no significant change in the appearance of the chest with persistent elevation of the right hemidiaphragm and bibasilar atelectasis. The cardiomediastinal contour is unchanged. Tortuosity of the thoracic aorta is also stable. | 50188469 | INDICATION: ___ year old man with hx of myeloma and cough, evaluate for pneumonia.. COMPARISON: Comparison is made to multiple chest radiographs dating back to ___. TECHNIQUE Frontal and lateral view of the chest. | No evidence of pneumonia. |
13971942 | Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Bones are remarkable for apparent diffuse bone demineralization and mild decreased height of mid thoracic vertebral bodies. | 50901761 | PA AND LATERAL CHEST X-___ ___ ___ No prior radiographs for comparison. | No radiographic evidence of active or latent pulmonary tuberculosis infection. |
13448912 | Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are within normal limits. There is no pulmonary edema, pleural effusion or pneumothorax identified. Minimal patchy atelectasis is noted in the lung bases without focal consolidation. Mild hypertrophic changes are seen in the thoracic spine. | 54578628 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with concern for concussion vs infection, loss of memory TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None. | Minimal atelectasis in the lung bases. Otherwise, no radiographic evidence for pneumonia. |
13166676 | The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. There is blunting of the right posterior costophrenic sulcus, possibly due to scarring versus a very small pleural effusion. Moderate degenerative changes again effect the shoulder. | 51547592 | CHEST RADIOGRAPHS HISTORY: Worsening right-sided weakness. History of stroke. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | Possible small pleural effusion on the right side for which direct comparison to prior studies is difficult given the lack of a prior available lateral view; otherwise unremarkable. |
13148019 | The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. Pulmonary vascularity is normal. No pneumomediastinum is identified. No acute osseous abnormalities are seen. | 58948271 | HISTORY: Pleuritic chest pain since this morning. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13148019 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are stable. The mediastinum is not widened. No displaced fracture is seen. | 59541434 | HISTORY: Chest pain, evaluate for mediastinal widening. TECHNIQUE: Chest: Frontal and lateral views. COMPARISON: ___. | No acute cardiopulmonary process. The mediastinum is not widened. |
13148019 | The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 50744486 | INDICATION: Chest pain. Assess for mediastinal widening. COMPARISON: Chest radiograph from ___. | No acute cardiac or pulmonary process. |
13396816 | The heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is not engorged. Scarring within the lung apices is unchanged. There is no new focal consolidation, pleural effusion or pneumothorax identified. Diffuse demineralization of the osseous structures is present with thoracic levoscoliosis again noted. Multiple old left-sided rib fractures are again seen. There are multiple anterior wedge compression deformities within the thoracic spine with thoracic kyphosis, unchanged. | 55940875 | HISTORY: Altered mental status. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13444702 | Minimal left base atelectasis is seen. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 58152653 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13107370 | The heart is mildly enlarged. The mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormality is seen. Right-sided VP shunt catheter is again partially imaged. | 58827988 | HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. Shunt series ___. | No acute cardiopulmonary abnormality. |
13392322 | Lungs are clear. Heart size normal. Mediastinal contours are within normal limits. No pleural effusion or pneumothorax. | 54262390 | INDICATION: ___ year old woman with above, former smoker // r/o pna: cough/bibasilar ___/dullness TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13822053 | 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. | 59273079 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain and cough // eval pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13902721 | Frontal and lateral views of the chest were obtained. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. | 57737183 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___. | Mild bibasilar atelectasis. The cardiac silhouette is not enlarged. |
13902721 | The cardiac, mediastinal and hilar contours appear unremarkable, allowing for differences in technique and unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. | 57763387 | CHEST RADIOGRAPH HISTORY: Tachycardia. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright. | No evidence of acute disease. |
13902721 | The lungs are clear without focal consolidation. Small benign-appearing rounded opacity in the right upper lobe is stable in appearance since prior radiographs since ___. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 53747649 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with recent URI, dyspnea, wheezing/rhonchi on exam // eval for infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___ | No acute cardiopulmonary process. |
13902721 | PA and lateral views of the chest provided. Lungs are hyperinflated. 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. | 51383556 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with abd pain // eval PNA COMPARISON: ___ | No acute intrathoracic process. |
13178685 | The lungs are hyperinflated and clear bilaterally with mild flattening of hemidiaphragms consistent with COPD. There are no areas of focal consolidation, mass lesions, pleural effusion or evidence of pneumothorax. The cardiomediastinal silhouette demonstrates mildly tortuous aorta. Heart is within normal limits. The pleural surfaces are unremarkable. There is demineralization of the thoracic spine with hyperkyphosis of the mid thoracic spine. | 54518870 | INDICATION: ___-year-old female with cough and history of smoking. COMPARISON: PA and lateral chest radiograph ___. TECHNIQUE: PA and lateral chest radiograph. | No evidence of infection or malignancy. |
13568806 | A small right subhilar region of heterogeneous opacity obscures the hemidiaphragmatic contour. Dilation of the azygos vein and left atrium, in addition to mild pulmonary vascular congestion, is new. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. | 57434866 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 3:34 PM 1. Persistent subhilar right lower lobe pneumonia. 2. Elevated venous pressure consistent with hypervolemia. PFI VERSION #1 ___ ___ ___ 1:25 PM PFI: 1. Persistent sub-hilar right lower lobe pneumonia. 2. Mild hypervolemia. PFI VERSION #2 ___ ___ ___ 3:32 PM 1. Persistent subhilar right lower lobe pneumonia. 2. Mild congestive heart failure. ______________________________________________________________________________ FINAL REPORT INDICATION: Reevaluate right lower lobe pneumonia seen on outside hospital CT. COMPARISON: Chest radiograph from ___ and CT from outside facility on the same date. PORTABLE SUPINE RADIOGRAPH OF THE | Persistent subhilar right lower lobe pneumonia. Elevated venous pressure consistent with hypervolemia. |
13568806 | There is low lung volumes bilaterally with areas of linear opacification inferiorly, most likely representing bibasilar atelectasis; however, in the appropriate clinical setting, there could be superimposed aspiration. Otherwise, there are no other areas of focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged and within normal limits. The pleural surfaces are unremarkable. | 55034561 | INDICATION: ___-year-old male status post PEG placement, symptoms concerning for aspiration. COMPARISON: Portable semi-erect AP chest radiograph ___. TECHNIQUE: Portable AP upright chest radiograph. | Bibasilar atelectasis. In the appropriate clinical setting, aspiration cannot be ruled out. |
13144768 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are identified. | 50211586 | HISTORY: Cough and fevers. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13347432 | 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. | 52137359 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with pmhx of CVA who presents with syncope and unwitnessed fall // r/o pneumonia, rib fracture COMPARISON: None | No acute intrathoracic process. |
13752677 | A Dobbhoff tube loops in the mid-to-distal esophagus. A right internal jugular catheter remains in low SVC. Mild cardiomegaly is unchanged. Mild interstitial edema is similar. | 55420659 | INDICATION: ___-year-old man with newly placed feeding tube. | Dobbhoff tube loops in the distal-to-mid esophagus. Findings were discussed with ___ via telephone at 16:40 immediately after discovery of the findings. |
13752677 | Patient is status post median sternotomy and mitral valve replacement. Marked cardiomegaly appears slightly increased since the previous study. Atherosclerotic calcifications at the aortic knob are again seen. Worsening a mild to moderate pulmonary edema is present compared to the previous study with bibasilar atelectasis noted. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is clearly seen. | 56266637 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with INR >___ in clinic last week, presents from nursing home with failure to thrive and confusion TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph | Mild to moderate pulmonary edema and increased cardiomegaly. |
13752677 | Single AP upright radiograph was provided. An NG tube is seen coursing below the diaphragm. Lung volumes are low. Crowding of the pulmonary vasculature is consistent with pulmonary edema. A radiopaque density over the right hemidiaphragm is likely outside of the patient. Median sternotomy wires are intact. Patient is status post aortic and mitral valve replacement. Cardiomediastinal silhouette is unchanged. Osseous structures are intact. | 56172384 | INDICATION: ___-year-old man with recently placed NG tube. Evaluate NG tube placement. COMPARISON: From ___. | NG tube below the diaphragm. Moderate pulmonary edema. |
13752677 | Nasogastric tube now extends below the diaphragm and terminates in the distal stomach. Mediastinal and hilar contours are unchanged. There are stable, moderate, bilateral pleural effusions. There is stable, moderate cardiomegaly. Unchanged, moderate pulmonary edema. Bilateral, perihilar opacities, stable on the right and slightly decreased on the left. A left subclavian line terminates in the mid SVC. Median sternotomy wires are intact. There is no pneumothorax. | 52175461 | EXAMINATION: Portable AP chest radiograph. INDICATION: ___-year-old man status post readjustment of NG tube. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Multiple prior chest radiographs, most recent from ___ at 10:42. | Nasogastric tube terminates in the distal stomach. Stable, moderate pulmonary edema with unchanged, moderate bilateral pleural effusions. |
13752677 | A Dobhoff tube ends in the stomach. A left subclavian line ends in the mid SVC. Compared to the prior chest radiograph performed 2 days ago, moderate bilateral pleural effusions, pulmonary edema and cardiomegaly have increased. The cardiac contour is obscured by the effusions but has increased in size. | 59750819 | INDICATION: ___ year old man with malnutrition requiring feeding tube. TECHNIQUE: Frontal view of the chest. COMPARISON: Chest radiograph ___. | A Dobhoff tube ends in the stomach. Increased moderate bilaterally pleural effusions. Worsening pulmonary edema and cardiomegaly. |
13752677 | There is a left subclavian catheter, which terminates in the low SVC. There is a dobhoff tube with the tip terminating in the region of the GE junction, unchanged compared to prior. The sternotomy wires appear intact and appropriately aligned. There are persistent bilateral pleural effusions, not significantly changed compared to prior. The extent of pulmonary edema is also unchanged. The cardio mediastinal silhouette is stable. There is no pneumothorax. | 51480702 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with ESRD on HD, malnutrition with dobhoff, R>L pleural effusions. // Evaluate interval change in pleural effusions. TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest radiograph dated ___. | Dobhoff tube the tip in the region of the GE junction, unchanged from prior. Persistent bilateral pleural effusions and pulmonary edema, unchanged from prior. |
13996386 | Since the examination from ___ a left upper lobe pneumonia has completely resolved. There are no new focally occurring opacities. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. | 59424898 | INDICATION: ___-year-old female with left lower lobe pneumonia. For interval followup. EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS COMPARISONS: ___ | Interval resolution of previously noted left upper lobe pneumonia from ___. |
13070145 | The heart size is normal. The hilar and mediastinal contours normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion pneumothorax. No fractures identified. | 55873211 | INDICATION: History: ___F with MVC // fracture TECHNIQUE: Portable supine radiograph of the chest COMPARISON: None. | No acute intrathoracic abnormalities identified. |
13565241 | In comparison to ___, lung volumes are lower. There is an opacity at the left lung base, which may represent atelectasis although underlying pneumonia would be difficult to exclude based on this single view portable radiograph. Remainder of the lungs are otherwise clear. Prominence of the pulmonary vasculature is suggestive of mild vascular congestion. No overt pulmonary edema. No pneumothorax. Mild cardiomegaly is stable from at least ___. | 59030304 | WET READ: ___ ___ ___ 4:08 PM 1. Left retrocardiac consolidation may represent atelectasis or pneumonia. A conventional PA and lateral chest radiograph is recommended for confirmation. 2. Mild cardiomegaly and pulmonary vascular congestion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath, high grade fever // Evaluate for pneumonia, effusion, volume status TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___, and CT chest ___ | Left retrocardiac consolidation may represent atelectasis or pneumonia. A conventional PA and lateral chest radiograph is recommended for confirmation. Mild cardiomegaly and pulmonary vascular congestion. |
13381209 | Retrocardiac opacities more conspicuous on the current exam. While some of this could be technical, underlying consolidation atelectasis and or effusion are also possible. There is a probable right pleural effusion. Superiorly, the right lung is clear. The cardiac silhouette is enlarged as is the right hilum, similar compared to prior. Right shoulder arthroplasty changes in subluxations appear chronic. | 54874058 | WET READ: ___ ___ 4:12 PM More dense retrocardiac opacity potentially technical although underlying atelectasis and possible effusion is suspected. Small right pleural effusion. Consider PA and lateral to further characterize these findings. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with dyspnea // infiltrate? TECHNIQUE: Single portable view of the chest. COMPARISON: ___ and ___. | More dense retrocardiac opacity potentially technical although underlying atelectasis and possible effusion is suspected. Small right pleural effusion. Consider PA and lateral to further characterize these findings. |
13381209 | Heart size remains mildly enlarged. Enlargement of the hila bilaterally is unchanged, and compatible with of the history of pulmonary arterial hypertension. The patient is status post right upper lobectomy with evidence of volume loss in the right lung and mild rightward shift of mediastinal structures. Postsurgical scarring in the right lung base are also similar compared to the prior study. There is a small to moderate size hiatal hernia. No pulmonary vascular congestion is seen. Minimal patchy right basilar opacity could reflect atelectasis, aspiration or infection. No pneumothorax is identified. Chronic right costophrenic angle blunting is compatible with pleural thickening. Multiple old right-sided rib deformities are again demonstrated. | 56185096 | HISTORY: History of pulmonary hypertension, lung cancer with chest pain radiating to the back. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___ and chest CT ___. | Postsurgical changes of the right lung with patchy opacity in the right lung base possibly reflecting atelectasis but aspiration or infection cannot be excluded. |
13364851 | There is moderate to severe pulmonary edema. Emphysematous changes are seen in the upper lobes bilaterally. The heart is top-normal in size. The patient is status post CABG. No pneumothorax or pleural effusion. | 54582275 | WET READ: ___ ___ 4:16 AM Moderate to severe pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with chest pain // ?pulm edema TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiographs dated ___ and ___. | Moderate to severe pulmonary edema. Acute pulmonary edema is most common in the setting of acute myocardial infarction. |
13364851 | The heart is normal in size. Sternotomy wires and surgical clips are unchanged. Moderate pulmonary edema is increased from the prior study. There is no effusion or pneumothorax. Relative hyperlucency of the upper lungs suggests emphysema. | 53409362 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with shortness of breath // Interval change? TECHNIQUE: AP view of the chest COMPARISON: Prior radiographs the most recent on ___ | Moderate pulmonary edema is increased from ___. |
13917070 | Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified. | 55364897 | HISTORY: Fever, sore throat, productive cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13558034 | Heart size is normal. The cardiomediastinal silhouette is unremarkable. The hilar contour is unremarkable. The lungs are clear without consolidations, effusions or pneumothorax. No acute soft tissue or bony abnormality. | 59327042 | HISTORY: Chest pain. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None available. | No acute intrathoracic process. |
13888099 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No displaced fracture is identified. | 51151746 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Left knee pain status post MVC. COMPARISON: None. | No acute cardiopulmonary process. |
13422148 | PA and lateral views of the chest show slightly smaller lung volumes than seen on the prior study from ___. Linear perihilar atelectasis noted in the right upper lobe with no consolidation seen suggesting pneumonia. Heart and mediastinal structures and bony structures show no significant interval change. | 56708043 | HISTORY: ___-year-old man with leukocytosis. Question pneumonia. | No pneumonia seen to account for leukocytosis. |
13199702 | Lungs are hyperexpanded, with diffuse hyperlucency and widening of the retrosternal clear space. Changes of right bullectomy and pleurodesis. Moderate multiloculated right pleural effusion is unchanged. Additional bullae persist at the lung bases. Pulmonary aeration has improved, with decreased bibasilar atelectasis. Interval resolution of subcutaneous air in the right chest wall. | 54683230 | INDICATION: ___-year-old male with bullous lung disease, post right VATS blebectomy and pleurodesis. COMPARISON: Chest radiograph from ___ and CT chest from ___. CHEST, PA AND | Post-surgical changes in the right lower lobe. Moderate multiloculated right effusion. |
13199702 | AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study obtained six hours earlier during the same day. The right-sided chest tube remains in unchanged position and terminates in the right apical area. No pneumothorax has developed. The previously identified bilateral basal atelectases remain rather unchanged. Comparison does not demonstrate new infiltrates. No mediastinal shift and no evidence of increase in pleural effusion. | 57713989 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with bullous lung disease, status post right-sided blebectomy, pleurodesis, now on water seal for pneumothorax. Evaluate for interval change. | Stable chest findings with right chest tube in place, no interval change for the last six hours. |
13199702 | Frontal and lateral radiographs of the chest show a moderate-sized right basal pneumothorax with slight leftward shift of the mediastinal structures and associated collapse of the right middle lobe and right lower lobe. Suture chains are noted in the left lung base consistent with prior surgery. The lungs appear hyperinflated with flattening of the diaphragms and increased AP diameter of the chest suggesting underlying COPD/emphysema. Small bilateral pleural effusions are present. No focal consolidation concerning for pneumonia is detected. The pulmonary vasculature is not engorged and no pulmonary edema is seen. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. | 58464910 | INDICATION: ___-year-old male with possible right pneumothorax, here to evaluate for pneumothorax and complications. COMPARISON: No prior studies available. | Moderate right basal pneumothorax with leftward shift of the mediastinum and right basilar collapse in the setting of COPD/emphysema suggests a spontaneous secondary pneumothorax. Findings were communicated by Dr. ___ to Dr. ___ by phone at 10:00 a.m. after discovery of this finding at 9:55 a.m. on ___. |
13199702 | There is a right chest tube in place. There is no apical pneumothorax however, difficult to evaluate the bases due to known bullous disease. Subcutaneous emphysema is seen in the right lateral chest wall. Linear opacities at the left base are most likely atelectasis. There is no focal consolidation or pleural effusion. The cardiomediastinal silhouette is stable. | 50105447 | INDICATION: ___-year-old man with bullous disease status post right VATS and bullectomy and pleurodesis, right chest tube in place, evaluate for pneumothorax. COMPARISON: PA and lateral chest radiograph from ___ as well as multiple prior studies. | Interval placement of left chest tube. No pneumothorax, however, difficult to assess the bases due to bullous disease. Left basilar atelectasis. |
13199702 | A right chest tube is in place, and there is no pneumothorax. There is increased subcutaneous emphysema in the right lateral soft tissues. Previously noted linear opacities at the right base have improved, likely improved atelectasis. Linear opacities at the left base persist and are likely atelectasis. There are no pleural effusions. The cardiomediastinal silhouette is unchanged. There are no focal consolidations. | 56880132 | INDICATION: ___-year-old man with bullous disease, status post blebectomy and pleurodesis, CT to waterseal, evaluate for pneumothorax and interval change. COMPARISONS: Multiple prior radiographs, most recently AP chest radiograph from ___. | No evidence of pneumothorax. Increased right subcutaneous emphysema. Improved atelectasis at the right base. Persistent atelectasis at the left base. These findings were reported to ___, PA by Dr. ___ at 12pm. |
13694970 | The cardiac silhouette is top normal in size.Tortuosity of the aorta is noted. The hila are unremarkable. There is no pneumothorax or large pleural effusion. Lung volumes are low, but there is no focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormality is detected. | 58032642 | INDICATION: ___F with chest pain // Eval for infiltrate or widened mediastinum TECHNIQUE: Chest PA and lateral COMPARISON: None. | Low lung volumes. No acute cardiopulmonary process. |
13954587 | 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. | 59080590 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year-old with sudden chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13157815 | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Bibasilar atelectasis is seen. The known lung masses are better seen on prior CTs. The heart size is normal. The mediastinal silhouette and hilar contours are normal. | 55219679 | INDICATION: ___-year-old man status post lung biopsy. Evaluate for pneumothorax. COMPARISON: Chest radiograph of ___, CT of ___ and ___. | No pneumothorax after lung biopsy. |
13157815 | Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are normal. Known lung masses are better seen on prior CTs. | 55984331 | INDICATION: ___-year-old man after lung biopsy. Evaluate for pneumothorax. COMPARISON: ___ at 2:16 p.m. | No pneumothorax after lung biopsy. |
13464217 | Left base atelectasis with possible consolidation is seen. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 57035812 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, myalgias, fever. // pneumonia? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Left base atelectasis with possible consolidation overlying, which could be due to pneumonia. Recommend followup to resolution. |
13853827 | The cardiomediastinal shadow is normal. Dilated pulmonary artery suggestive of pulmonary arterial hypertension. Pulmonary metastatic lesion visualized. No pulmonary edema. No airspace consolidation. No pneumothorax. No effusion visualized. Calcified pleural plaque projecting over the mid aspect of the right lung. | 57773641 | INDICATION: ___ year old man with newly metastatic transitional cell cancer with pulmonary mets. Progressive dyspnea and cough // Eval dyspnea and cough TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Pulmonary metastasis as known. Dilated pulmonary arteries suggestive of pulmonary arterial hypertension. No new areas of airspace consolidation. No pulmonary edema. |
13195199 | Endotracheal tube terminates approximately 4.7 cm above though a chronic area enteric tube is seen coursing below the level of the diaphragm, terminating in the expected location of the distal stomach. Left base opacity is seen which could be due to aspiration or infection. A small left pleural effusion is not excluded. No pneumothorax is seen. The right lung is clear. The cardiac and mediastinal silhouettes are unremarkable. | 53819537 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with AMS // confirm placement of ET tube TECHNIQUE: Single frontal view of the chest COMPARISON: None | Endotracheal and enteric tubes in appropriate position. Left basilar opacity may be due to aspiration, infection, atelectasis, small left pleural effusion is not excluded. Clear right lung. |
13129828 | The cardiac, mediastinal and hilar contours appear unchanged including very mild tortuosity of the thoracic aorta. The heart is normal in size. There are no pleural effusions or pneumothorax. The lungs appear clear. The chest is hyperinflated. A bulging contour to the left posterior diaphragm is consistent with a small Bochdalek hernia that was identified previously, and surgical clips are again present in the left upper quadrant. Bony structures are unremarkable. | 59222718 | CHEST RADIOGRAPHS HISTORY: Cough. COMPARISONS: Chest radiographs from ___ and CT torso from ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. Stable appearance of the chest. |
13404571 | Lung volumes are low. The heart size is borderline enlarged. The aorta is calcified and tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Moderate degenerative changes are noted in the thoracic spine with osteophyte formation. | 52234243 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with confusion TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13404571 | In the right lower lobe there is an area of increased opacity, which is concerning for a pneumonia. Note is made of engorged central pulmonary vasculature. The heart remains enlarged. There is no pleural effusion or pneumothorax. | 55213015 | WET READ: ___ ___ 3:02 AM 1. Consolidation in the right lower lobe is concerning for pneumonia in the appropriate clinical setting. 2. Engorged central pulmonary vasculature. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with confusion, r/o PNA // Eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Consolidation in the right lower lobe is concerning for pneumonia in the appropriate clinical setting. Engorged central pulmonary vasculature. |
13816264 | Frontal and lateral views of the chest. There is minimal left basilar opacity at the left costophrenic angle likely due to atelectasis. There is no effusion and the lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Angulation of the left lateral ninth rib is compatible with fracture. Lower thoracic dextroscoliosis is noted. | 54293796 | CHEST, TWO VIEWS; ___. HISTORY: ___-year-old male with previous rib fracture with worsening left-sided chest pain. Question pneumothorax. COMPARISON: None. | Left lateral ninth rib fracture identified with likely adjacent atelectasis. No pneumothorax seen. |
13351970 | AP and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. The heart size appears top normal but is not accurately measured on this AP projection. | 59102217 | INDICATION: Seizure, rule out infiltrate. COMPARISONS: None. | Top normal heart size. No acute cardiopulmonary process. |
13384614 | The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Calcified granuloma within the left lung base is unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality seen. | 50935899 | HISTORY: Hyperglycemia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13989115 | Heart size is normal. The aorta is slightly unfolded. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. | 50962394 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with headache and arm numbness TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13358134 | The patient is status post median sternotomy and CABG. Lung volumes are low which accentuates the size of the cardiac silhouette which remains mildly enlarged. Mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures due to low lung volumes without overt pulmonary edema. Innumerable basilar predominant nodular opacities are less pronounced on the current study but compatible with known metastases. Patchy opacities are re- demonstrated in the lung bases likely reflective of atelectasis. No new focal consolidation, pleural effusion or pneumothorax is demonstrated. Multilevel degenerative changes are again noted in the thoracic spine. | 53731433 | EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___M with chest pain, confusion TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ | Innumerable pulmonary metastases are less pronounced on the current study. Bibasilar atelectasis. |
13358134 | The patient is status post median sternotomy and CABG. The lung volumes are low which accentuates the size of the cardiac silhouette which appears mild to moderately enlarged. Mediastinal and hilar contours appear unremarkable. Innumerable nodules are demonstrated throughout the lungs bilaterally compatible with known carcinoid metastases, better assessed on the recent chest CT. No pleural effusion or pneumothorax is demonstrated. There is crowding of the bronchovascular markings but this is felt to be due to low lung volumes. No definite pulmonary edema is demonstrated. | 59177319 | EXAMINATION: CHEST (PA AND LAT) INDICATION: Congestive heart failure, coronary artery disease with likely new atrial fibrillation and shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ | Innumerable bilateral pulmonary nodules compatible with known carcinoid metastases. Low lung volumes without definite evidence for pulmonary edema. |
13358134 | The patient is status post median sternotomy and CABG. Moderate enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are unchanged. Low lung volumes are present with crowding of the bronchovascular structures, but no overt pulmonary edema. Innumerable pulmonary metastases are re- demonstrated diffusely. Chain sutures are noted in the left lower lobe with adjacent scarring. Patchy left basilar opacity likely reflects atelectasis, but infection is not completely excluded. No new focal consolidation, pleural effusion or pneumothorax is seen. Multilevel degenerative changes are again seen noted within the thoracic spine. | 55631036 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dizziness, needs infectious workup TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, ___ chest CT | Low lung volumes with innumerable pulmonary metastases. Left basilar opacity, likely atelectasis, but infection cannot be completely excluded. |
13358134 | Patient has known pulmonary metastases more conspicuous on the prior study. No pleural effusion or pneumothorax is seen. The cardiac silhouette remains enlarged. The cardiac and mediastinal silhouettes are stable. The patient is status post median sternotomy. There is possible mild pulmonary vascular congestion, not significantly changed from prior study. | 52572618 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with CAD, CHF says he has SOB, and is volume overloaded // CHF? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Known pulmonary metastases. Possible mild superimposed vascular congestion. |
13340503 | Allowing for low lung volumes, the cardiac, mediastinal and hilar contours appear unchanged. Patchy left basilar opacity is most suggestive of minor atelectasis. There is a lenticular opacity projecting over the left lower posterior hemithorax, which is probably associated with the left posterior hemithorax and although not specific, its shape is suggestive of a new loculated pleural effusion. Other etiologies such as pneumonia or pulmonary mass are not excluded by this study, however, and investigation with chest CT should be considered when clinically appropriate. | 51044262 | CHEST RADIOGRAPHS COMPARISONS: ___ and ___, and a more recent study from ___ although the latter is not available. TECHNIQUE: Chest, AP and lateral. | Left posterior opacity, smooth and lenticular, suggesting there may be a loculated effusion, although other etiologies including a pulmonary mass cannot be excluded. Assessment with chest CT is suggested when clinically appropriate. |
13340503 | There is a subtle streaky opacity overlying the retrocardiac region which is likely representative of atelectasis. Otherwise, the remainder of the lungs are clear. Cardiomediastinal silhouette is normal. There is no evidence of pneumothorax or pleural effusions. No air is noted under the hemidiaphragms. There are no acute fractures. Mild spurring of the right Acromioclavicular joint is noted. | 53046194 | INDICATION: Evaluation of patient with pneumonia and recent seizure for interval change. COMPARISON: Chest radiographs from ___ and ___. | Faint retrocardiac opacity which is likely representative of atelectasis, though given the history, an area of resolving infection is not excluded. |
13340503 | Single AP portable view of the chest was obtained. Left costophrenic angle is not fully included on the image. Given this, no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged. | 55094455 | EXAM: CHEST, SINGLE FRONTAL VIEW. CLINICAL INFORMATION: ___-year-old male with history of arrest. COMPARISON: ___. | No acute cardiopulmonary process. |
13793502 | The lungs are hyperinflated in both clear consolidation. Cardiomediastinal silhouette is within normal limits. Degenerative changes noted at the right glenohumeral joint with apparent anterior subluxation. | 59198077 | WET READ: ___ ___ ___ 11:16 AM No acute cardiopulmonary process. Apparent inferior subluxation of the right glenohumeral joint which can be further assessed by dedicated imaging. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with polyneuropathy and Schwannomas presenting with acute onset which radiates to her Rt scapula // Please eval for dissection, pneumonia, pneumothorax TECHNIQUE: PA and lateral views of the chest. COMPARISON: CT chest from ___. | No acute cardiopulmonary process. Apparent inferior subluxation of the right glenohumeral joint which can be further assessed by dedicated imaging. |
13793502 | The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. There is severe inferior subluxation of the right glenohumeral head. | 53382640 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shoulder pain, wheezing. // acute cardiopulm disease TECHNIQUE: Chest PA and Lateral COMPARISON: ___ | No acute cardiopulmonary process. Chronic inferior subluxation of the right glenohumeral head. |
13952617 | Two PA and one lateral chest radiograph were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. There is a probable granuloma or bone island in the right lower lung. Cardiac and mediastinal contours are normal. | 51265885 | HISTORY: Epigastric pain COMPARISON: Without | No acute cardiopulmonary process. |
13049382 | 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. | 59671601 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with shortness of breath // eval for pna or ptx COMPARISON: ___. | No acute intrathoracic process. |
13049382 | The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. | 54966383 | HISTORY: Fever, postoperative. TECHNIQUE: Supine AP view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13049382 | The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. | 55458694 | CHEST RADIOGRAPHS HISTORY: Cough and fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13049382 | PA and lateral views of the chest were provided. On the lateral view, there appears to be a posterior, possibly pleural-based subtle opacity projecting over the upper lungs. Given the history of hemoptysis, consider CT to further assess. Otherwise, the lungs are clear. The cardiomediastinal silhouette appears normal. Bony structures are intact. | 56148383 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___ and chest CTA from ___. CLINICAL HISTORY: Hemoptysis, assess for mass. | Possible mass positioned posteriorly on the lateral view in the upper lungs. Recommend CT to further assess. |
13049382 | 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. | 54697877 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough // acute process? COMPARISON: ___ | No acute intrathoracic process. |
13049382 | The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. There is no pleural effusion or pneumothorax. Left basilar opacity has largely cleared. Elsewhere the lungs remain clear. | 50511649 | EXAMINATION: CHSET RADIOGRAPH INDICATION: Shortness of breath. History of COPD. TECHNIQUE: Chest, portable AP upright. COMPARISON: ___. | Improved left basilar opacity. |
13049382 | There is a new small patchy opacity at the left lung base which could be a focal atelectasis or early developing pneumonia. The linear atelectasis or scarring at the lingula is similar to ___. There is no pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. | 51690406 | INDICATION: ___ year old man with COPD exacerbation not improving, ?evolution of PNA after administration of IVF // please evaluate for interval change EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___ | There is a small patchy opacity at the left lung base which could be a focal atelectasis or early developing pneumonia. |
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