Datasets:
tgrex6
/
mimic-cxr-reports-summarization

Dataset card Data Studio Files Community
1
subject_id
stringlengths
8
8
findings
stringlengths
93
1.83k
study_id
stringlengths
8
8
background
stringlengths
10
2.5k
impression
stringlengths
16
1.06k
11469079
The patient has had right thoracentesis with interval decrease in the known right pleural effusion, which is now trace in size. However, there is a new tiny right apical pneumothorax. The lungs remain hyperinflated but clear, which is most commonly due to emphysema. The heart and mediastinum are within normal limits. A mid thoracic vertebral body compression fracture is unchanged. There is a stable small left pleural effusion. Mild dilatation of upper lobe vessels may be an early indication of impending heart failure.
58950200
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with treated small cell lung cancer // post ___ 1.0L right TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: Earlier the same day at 15:32.
Status post right thoracentesis with interval decrease in right pleural effusion, which is now trace in size. New tiny right apical pneumothorax. Clear hyperinflated lungs. Mild dilatation of upper lobe vessels may be an early indication of impending heart failure.
11881010
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
55424840
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough fever // ? pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process. No focal consolidation to suggest pneumonia.
11720586
Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. There is no significant pulmonary edema. Cardiomediastinal silhouette is unchanged and notable for a tortuous calcified aorta. Fracture of the first and second median sternotomy wires are noted and unchanged from prior. The wires are not separated.
58079745
INDICATION: History of chest pain. Evaluate for cardiopulmonary process. COMPARISONS: Chest radiograph from ___ and ___. TECHNIQUE: PA and lateral chest radiographs were provided.
No acute cardiopulmonary process.
11263089
No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. There are degenerative changes at the right greater than left acromioclavicular joints. Degenerative changes are also seen on the spine with anterior osteophytes.
59102245
HISTORY: Chest pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None
No acute cardiopulmonary process.
11939778
The patient remains intubated. The endotracheal tube terminates about 2 cm above the carina. There is a left subclavian stent projecting over the left upper chest that appears unchanged. The venous stent appears compressed centrally which may be due to mass effect from adjacent bony structures. The cardiac, mediastinal and hilar contours appear stable reflecting a combination of lymphadenopathy and proliferation of mediastinal fat. There is similar perihilar atelectasis on the left and bilateral heterogeneous opacification. Left lower lobe consolidation is not very well assessed on portable AP radiography but left retrocardiac opacification appears similar to perhaps slightly increased.
59990069
EXAMINATION: ___ RADIOGRAPH INDICATION: Concern for chemical pneumonitis. TECHNIQUE: Chest, semi-erect AP view. COMPARISON: Radiographs from ___ and CT from ___.
Similar heterogeneous opacification of each lung; no clearly new area of opacification.
11939778
An orogastric tube has been advanced further into the stomach where it makes a half coil. Otherwise, there has been no definite change.
53187094
EXAMINATION: CHEST RADIOGRAPH INDICATION: Orogastric tube placement. TECHNIQUE: Chest, portable AP upright. COMPARISON: Earlier on the same day.
Orogastric tube terminating in the stomach.
11939778
Lung volumes are low with patchy areas of atelectasis in both lower in mid lungs. An early infiltrate in these regions cannot be excluded. The ET tube and NG tube are unchanged. The enlarged mediastinum is again visualized consistent with patient's known adenopathy the stent which projects over the region of the left subclavian vein is again visualized
59734790
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with ARDS intubated // confirm ET tube placement and eval for interval change TECHNIQUE: Portable chest COMPARISON: ___.
Lower lung volumes with areas of atelectasis/infiltrate which are new compared to prior
11939778
Endotracheal tube terminates 1.8 cm above the carina and could be pulled back 1-2 cm. A vascular stent overlying the subclavian vessels has stable position. NG tube terminates below the diaphragm beyond the limits of the image. Heart size is normal. The vascular pedicle is widened, similar to prior. Diffuse airspace opacities widely involving both lungs is consistent with pulmonary edema though superimposed infection cannot be excluded. No pneumothorax.
55115292
INDICATION: Intubated with altered mental status. TECHNIQUE: Single frontal view of the chest. COMPARISON: ___ chest radiograph at 09:55.
Endotracheal tube terminates 1.8 cm above the carina and could be pulled back 1-2 cm. Diffuse bilateral pulmonary opacities consistent with pulmonary edema. Superimposed infection cannot be excluded.
11939778
Bilateral pulmonary opacities with an upper lobe predominance are present and better evaluated on the CT chest. A stent is noted in the left upper chest. There is no pleural effusions or pneumothorax. The cardiomediastinal slight is unchanged. Imaged upper abdomen is unremarkable.
50223807
INDICATION: History: ___F with ___ pain and hypotension // Infectious process? PNA? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and CT chest from ___ and ___.
Bilateral pulmonary opacities, likely representing pulmonary edema. Bibasal consolidations seen on CT abdomen are not well projected on current study and represent penumonia or aspiration.
11501394
The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified.
58179188
INDICATION: 24 hours of chest pressure, evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: None available.
No evidence of acute cardiopulmonary process.
11726197
The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Clips are noted within the right upper quadrant of the abdomen compatible with prior cholecystectomy.
56790500
HISTORY: Upper respiratory tract infection symptoms and fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11581862
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.
58381340
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11863973
Right hemidiaphragm is elevated, with low lung volume on the right. There is no focal consolidation, pleural effusion or pneumothorax. A small linear opacity at the right lung base most likely represents atelectasis. No mediastinal widening. Right heart border is obscured by the right hemidiaphragm.
59019810
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old male with acute onset chest pain and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None available.
Low lung volumes other right. No pneumothorax.
11638879
No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
53519598
HISTORY: ___-year-old male with chest pain and cough. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available.
No radiographic evidence for acute cardiopulmonary process.
11673166
Somewhat limited examination of the inferior ribs due to overlying soft tissues. No definite acute osseous injury is identified. The heart size is upper limits of normal. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
53454705
EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with s/p fall yesterday now w/ splinting, posterior R lower rib pain // eval ? rib injury eval ? rib injury TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.
Somewhat limited examination of the inferior ribs due to overlying soft tissues. No definite acute osseous injury is identified. If concern for a rib fracture, dedicated rib series should be obtained.
11673166
PA and lateral views of the chest were provided. Increased perihilar opacities are noted, which could represent an atypical pneumonia versus early pulmonary edema. Please correlate clinically. No effusion or pneumothorax is seen. The heart size appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
58087056
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Cough, question pneumonia.
Increased perihilar opacities, which could represent an atypical pneumonia versus early edema. Please correlate clinically.
11943854
Right-sided dual central venous catheter tip terminates in the lower SVC. Heart size remains mildly enlarged. The mediastinal contour is unchanged. There is mild pulmonary edema. New moderate size right pleural effusion and similar size small left pleural effusion are present. Bibasilar airspace opacities likely reflect atelectasis. No pneumothorax is seen. Increased sclerosis of the osseous vertebral bodies likely reflects renal osteodystrophy.
53043675
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dyspnea // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___
New moderate size right pleural effusion and similar size small left pleural effusion with bibasilar atelectasis. Mild pulmonary edema.
11943854
PA and lateral views of the chest the lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged. No free air seen below the diaphragm.
57805021
HISTORY: ___-year-old female with cough and right flank pain. COMPARISON: ___.
No acute cardiopulmonary process.
11943854
A right IJ central catheter is again noted, unchanged from prior exam. The lungs are well expanded. There is generalized pulmonary edema. A right lower lobe consolidation is seen, which may represent atelectasis. There is a right pleural effusion. Cardiomegaly is increased from prior exam. Pulmonary vascular engorgement is seen, without frank edema. Persistent opacity in the right lung base likely reflects atelectasis. Bilateral pleural effusions, right greater than left, have decreased slightly from the prior exam. The cardiomediastinal silhouette is stable.
53992795
WET READ: ___ ___ ___ 4:17 PM Generalized edema, right lower lobe consolidation, right pleural effusion, and increased cardiomegaly. Findings may all reflect heart failure, but pericardial effusion and pneumonia should also be considered. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with shortness of breath // eval for infiltrate or pna TECHNIQUE: Single portable upright AP image of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___.
Generalized edema, right lower lobe consolidation, right pleural effusion, and increased cardiomegaly. Findings may all reflect heart failure, but pericardial effusion and pneumonia should also be considered.
11943854
The lungs are well expanded. A vague opacity in the right middle lobe is seen only on the frontal projection without correlate on the lateral projection. No focal consolidation, effusion, or pneumothorax present. The cardiac and mediastinal contours are normal.
57927894
INDICATION: ___-year-old woman with history of STS of left upper extremity. COMPARISONS: ___ to ___.
Vague right middle lobe opacity is not confirmed on two views and may due to technique. Correlate with symptoms and exam and consider follow up radiographs if warranted.
11943854
Portable upright view of the chest provided. Generalized pulmonary edema appears slightly worse than ___. Bilateral pleural effusion is moderate to large on the right. There may be a trace left pleural effusion. There is no focal consolidation or pneumothorax. Mild cardiomegaly appears similar to ___. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Right IJ venous catheter tip is again seen near the cavoatrial junction.
51340982
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with ESRD on HD, missed HD, hypoxic and hypertensive // evaluate for pulmonary edema COMPARISON: Chest radiographs ___, ___, and ___
Generalized pulmonary edema appears slightly worse than ___. Moderate right pleural effusion. Possible trace left pleural effusion.
11344751
AP view of the chest provided. Compared to prior study, there is interval increase in right lung opacity, more confluent in the bases with air bronchograms. There is no shift in mediastinum. Findings concern developing pneumonia. The opacity is stable. Endotracheal tube, left IJ line, right IJ dialysis catheter are in appropriate positions. Nasogastric tube is seen coursing into the stomach and out of view.
50132124
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with HIV and shock COMPARISON: Chest radiograph from ___.
Worsening right lower lobe pneumonia compared to prior study 1 day ago.
11344751
The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. No radiographic evidence of pulmonary fibrosis. The heart is top-normal in size. The mediastinal contours, hila, pleura are unremarkable. Mild dextroconvex scoliosis.
57335387
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with symmetric polyarthritis of small and large joints of the extremities, preparing for MTX Rx. Evaluate for any mediastinal LA, tb, or other lung parenchymal pathology. COMPARISON: No prior chest radiographs are available.
No acute cardiopulmonary process. No radiographic evidence for pulmonary fibrosis or tuberculosis.
11566151
The lungs are hyperexpanded with flattening of the hemidiaphragms best appreciated on the lateral views. The lungs are clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unchanged. A well-defined opacity at the right juxtacardiac angle is overall unchanged in size and may represent herniated omental fat in a Morgagni hernia, pericardial fat, or pericardial cyst. The hila are unremarkable. Old rib fractures are unchanged. Degenerative changes in both shoulders, worse on the left are noted. Multi-level degenerative changes are also noted in the thoracic spine with prominent anterior osteophytes.
56030800
EXAMINATION: PA and lateral chest radiograph INDICATION: ___ year old man with shorness of breath // COPD. COMPARISON: Chest radiographs dated ___ and ___.
Chronic obstructive pulmonary disease. No acute intrathoracic process. Unchanged appearance of the large abnormality in the right cardiophrenic sulcus since ___ - may be pericardial cyst, mediastinal fat, or Morgagni hernia transmitting subphrenic fat. Correlation with any prior chest CT, as previously recommended, is recommended.
11566151
The lungs are hyperinflated and emphysematous. There is no focal lung consolidation. There is large pleural effusion. There is no pneumothorax. A well-circumscribed density projecting over the right cardiophrenic angle demonstrates stability since ___ and is most consistent with a pericardial cyst. There are multiple healed rib fractures on the left.
50232549
EXAMINATION: Chest radiograph. INDICATION: ___ year old man with cough x 1 month TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and ___.
Hyperinflated lungs. No focal consolidation. Unchanged right cardiophrenic density, most consistent with a pericardial cyst peer
11566151
Normal mediastinal and hilar contours. Normal heart size. Rounded, soft tissue density in the right cardiophrenic sulcus is stable over multiple examinations and likely reflects a pericardial cyst. Multiple, healed, left rib fractures are again seen. No evidence of acute fracture. Lungs are clear. No pneumothorax. There are stable, severe degenerative changes involving the left glenohumeral joint. Interval resolution of small, left pleural effusion.
51943427
EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old man with cough, recently treated for pneumonia. Evaluate for persistent consolidation. TECHNIQUE: Chest PA and lateral. COMPARISON: Multiple prior chest radiographs, most recent from ___.
No evidence of pneumonia.
11566151
Heart size is normal. Within the right cardiophrenic angle, a 6.3 cm x 6.7 cm diameter, well defined opacity is identified, and appears relatively lucent, suggesting possible fat content. Mediastinal contours are otherwise unremarkable. Lungs are hyperexpanded with attenuation of pulmonary vessels in the upper and mid lung regions suggestive of emphysema. Minimal linear opacities in the right mid and both lower lung regions are present, but there are no focal areas of consolidation or pleural effusion. Degenerative changes are present within the spine, and note is made of multiple healed left-sided rib fractures as well as degeenrative changes at the left shoulder. Additionally, a fracture of the third lateral left rib is of indeterminate age. There is no visible pneumothorax.
50870612
PA AND LATERAL CHEST RADIOGRAPHS DATED ___ No prior chest radiographs for comparison.
In addition to multiple healed rib fractures throughout the left hemithorax, there is a fracture of the left third lateral rib, which is of indeterminate age. Correlation with site of trauma and symptoms may be helpful in this regard. If warranted clinically, a dedicated rib series could be obtained with metallic marker at the site of symptoms. 6.6 cm diameter, well defined right cardiophrenic angle mass is most likely a benign process such as a pericardial cyst, enlarged pericardial fat pad, or herniated fat from a Morgagni hernia. However, in the absence of older chest radiographs for comparison, CT is suggested for more complete characterization of this finding. Emphysema. Findings entered into radiology communications dashboard on the date of the study.
11636293
Portable upright chest radiograph demonstrates no pneumoperitoneum. Cardiomediastinal and hilar contours are unremarkable. Minimal atelectatic changes are noted in the bilateral lung bases. No opacification concerning for pneumonia identified. No pneumothorax or pleural effusion identified. Deformity of right clavicle and multiple right rib deformities are likely related to healed fractures.
52770285
INDICATION: Abdominal pain, no BM, evaluate for free air or perforation. COMPARISON: Comparison is made to pre-operative chest radiograph performed ___.
No pneumoperitoneum. No acute cardiopulmonary process.
11760104
Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Mild to moderate enlargement of cardiac silhouette is present. The aorta is tortuous and calcified. Mild pulmonary vascular engorgement is demonstrated. No large pleural effusion or pneumothorax is seen. Patchy opacities in the lung bases likely reflect areas of atelectasis. Rounded opacity projecting over the seventh and eighth right lateral ribs may reflect callus formation. No definite acute osseous abnormalities detected.
56403241
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypoxia TECHNIQUE: Portable semi-upright AP view of the chest COMPARISON: None.
Mild pulmonary vascular congestion and bibasilar atelectasis.
11200051
The heart size is normal. The mediastinal and hilar contours are normal. The lungs are clear; specifically, there are no cavitary lesions or calcifications. There is no pleural effusion or pneumothorax. The visualized portion of the spine appears normal.
57368391
HISTORY: ___-year-old male with positive PPD. STUDY: PA and lateral chest radiograph. COMPARISON: None.
No evidence of active or latent TB.
11354186
No focal consolidation is seen. Scattered calcified subcentimeter nodular opacities most likely represent calcified granulomas. No large pleural effusion or pneumothorax is seen. No pulmonary edema is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
55715153
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hypoxia // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No focal consolidation to suggest pneumonia.
11889859
PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No free air seen below the diaphragm. No acute osseous abnormality identified.
55075790
HISTORY: ___-year-old female right-sided back pain and right upper quadrant tenderness. COMPARISON: None.
No acute cardiopulmonary process.
11595745
There are bilateral pleural effusions, right worse than left. There is an increased focal opacity at the left lung base. The cardiomediastinal and silhouette is within normal. Left-sided Port-A-Cath catheter terminates in the right atrium.
53975347
WET READ: ___ ___ ___ 11:39 PM 1. Bilateral pleural effusions right greater than left. 2. Increased focal opacity at the left lung concerning for aspiration pneumonia. Difficult to exclude an underlying infectious process in the right lung base. ______________________________________________________________________________ FINAL REPORT HISTORY: Concern for aspiration. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.
Bilateral pleural effusions, right greater than left. Increased focal opacity at the left lung base concerning for aspiration pneumonia. Difficult to exclude an underlying infectious process in the right lung base.
11595745
Frontal and lateral views of the chest were obtained. There is a small right pleural effusion with overlying atelectasis. Right basal opacity likely represents combination of pleural effusion and atelectasis, although an underlying consolidation is not excluded. The left lung is clear. The cardiac and mediastinal silhouettes are unremarkable. A left-sided Port-A-Cath terminates at the low SVC. No pulmonary edema is seen.
53064239
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Epigastric pain. COMPARISON: ___.
Small right pleural effusion with overlying atelectasis. Right basilar opacity likely represents combination of pleural effusion and atelectasis, but an underlying consolidation is not entirely excluded.
11597768
Minimal left lower lobe atelectasis is noted. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
57371205
HISTORY: Chest pain and STEMI, rule out pulmonary edema or infiltrate. TECHNIQUE: Single, AP, portable view of the chest with the patient in an upright position. COMPARISON: None.
No radiographic evidence for acute cardiopulmonary process.
11931339
PA and lateral views of the chest are obtained. There is continued opacification of the left lung base with associated volume loss of the left lower lobe. There is mild blunting of the bilateral costophrenic angles, consistent with small pleural effusions. The previously identified left rib fractures are not well seen on this exam. The heart size is normal.
51729678
INDICATION: ___-year-old female with recent history of left rib fractures, presenting with shortness of breath. COMPARISON: Comparison is made to radiograph of the chest from ___.
Continued opacification of the left lower lobe with associated volume loss. In the appropriate clinical setting, this may represent pneumonia. Small bilateral pleural effusions. No pneumothorax. The above findings were communicated to ___ by Dr. ___ ___ telephone at 16:25, five minutes after the finding was discovered.
11931339
The lungs are well expanded. There are bibasilar opacities, which likely represent atelectasis, but aspiration or infection cannot be completely excluded. The lungs are otherwise clear. There is stable cardiomegaly. There is no pleural effusion or pneumothorax. Severe degenerative changes are noted at the shoulders. There is a compression deformity in the midthoracic spine vertebrae, unchanged from prior exam
51956259
HISTORY: Shortness of breath. COMPARISON: Comparison made with chest radiographs from ___ and ___.
Bibasilar opacities which likely represent atelectasis, but aspiration or infection cannot be completely excluded.
11931339
The heart size is mildly enlarged but likely similar to prior study given differences in technique. The mediastinal contours demonstrate calcified atherosclerotic disease at the aortic knob and a mildly tortuous aorta, following the curvature of a mildly dextroscoliotic spine. The previously described right mid lung opacity has resolved. In the retrocardiac region, there is increased opacity. There is no large pleural effusion or pneumothorax. Severe degenerative changes are seen in the bilateral glenohumeral joints. Scoliosis and compressive deformities appear likely unchanged.
50380166
HISTORY: ___-year-old female with weakness. STUDY: AP upright portable chest radiograph. COMPARISON: ___.
Retrocardiac density may represent atelectasis, but pneumonia is not excluded. New vague nodular focus in the right lung, possibly a true lung nodule such as primary carcinoma. Evaluation with chest CT is recommended when clinically appropriate.
11931339
Chest, PA and lateral radiographs demonstrate unremarkable mediastinal and hilar contours. Extensive calcifications noted within thoracic aorta. Heart size is top normal and stable. Minimal atelectasis is noted in the left lung base. Otherwise, lungs are clear. No pleural effusion or pneumothorax evident. No localizing information is given regarding possible rib fracture nor is there a dedicated rib series. Within this limitation, no displaced rib fractures are evident. There is a stable S-shaped thoracolumbar scoliosis. Significant degenerative changes of the bilateral glenohumeral joints as well as a mid thoracic wedge compression fracture identified.
59536094
INDICATION: Aspiration pneumonia, question rib fracture. COMPARISON: Comparison is made to chest radiographs performed ___.
No acute cardiopulmonary process.
11931339
AP upright and lateral views of the chest were provided. The heart is mildly enlarged and the aorta is mildly tortuous with atherosclerotic calcifications present. There is no definite sign of pneumonia or CHF. No pneumothorax or large effusions seen. Bony structures appear intact with a mild scoliosis again noted.
52806915
CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: Cough with yellow sputum, assess pneumonia.
No definite signs of pneumonia.
11914354
There is no pleural effusion, pneumothorax or focal airspace consolidation. Obscuration of the right heart border is felt to be secondary to presence of a pectus deformity. The heart size is normal. The mediastinal and hilar structures are unremarkable. There is no displaced rib fracture.
51931395
HISTORY: Right chest wall pain. Evaluate for fracture. COMPARISON: None. FRONTAL AND LATERAL VIEWS OF THE
No acute cardiopulmonary process.
11832245
Lung volumes are low with atelectasis at the lung bases. . Cardiomegaly is unchanged. Cardiac conduction device is noted with partially visualized leads. There is mild prominence of the pulmonary vasculature without pulmonary edema.
50151191
WET READ: ___ ___ ___ 5:40 AM Assessment of the left lung base is limited. No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with tachypnea, fever // Eval for infiltrate TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___.
Assessment of the left lung base is limited. No acute cardiopulmonary abnormality.
11814469
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The hemidiaphragms are symmetric and normal in appearance.
59674025
INDICATION: History of lupus with the hiccups. Evaluate the diaphragm. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained.
No acute cardiopulmonary process.
11814469
The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air
51335400
INDICATION: ___M with LUQ abd pain // Eval for acute process, free air TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11464800
Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. A large hiatal hernia is re- demonstrated. Mediastinal and hilar contours are otherwise unchanged. There is crowding of the bronchovascular structures. No overt pulmonary edema is demonstrated, though there is likely mild pulmonary vascular engorgement. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is clearly demonstrated. Degenerative changes of the left glenohumeral joint are present.
58050957
HISTORY: Shortness of breath, cough. TECHNIQUE: Portable semi-upright AP view of the chest. COMPARISON: ___.
Low lung volumes with possible mild pulmonary vascular congestion and bibasilar atelectasis. Large hiatal hernia.
11464800
Bilateral low lung volumes are noted with crowding of bronchovascular markings. No focal consolidation or pleural effusion is noted. There is no pneumothorax. Pacer device is noted overlying the left hemithorax. The cardiac silhouette is accentuated by low lung volumes.
59807024
INDICATION: ___-year-old man with UTI and dizziness with hypertension. COMPARISON: None. FRONTAL AND LATERAL CHEST
No acute cardiopulmonary process.
11464800
Pacemaker projects over the left pectoral region with wire tips in the right atrium and right ventricle. Interval resolution of vascular congestion. Right lower lobe linear opacities are more distinct. Low lung volumes with no new focal opacity, pneumothorax or pleural effusion. Large hiatal hernia is again noted. Heart size is top normal with normal mediastinal contour and hila. No bony abnormality.
58424880
HISTORY: ___-year-old male with sick sinus syndrome, status post pacemaker with new productive cough and tachycardia. Assess for worsening pulmonary edema versus new pneumonia. COMPARISON: Chest radiograph ___, ___. TECHNIQUE: Single portable frontal chest radiograph.
Interval resolution of pulmonary vascular congestion. Right lower lobe opacity is likely atelectasis; however, pneumonia is also possible in the appropriate clinical setting. Results were conveyed via telephone to Dr.___ by Dr.___ on ___ at 2:40 PM within 10 minutes of observation of findings.
11464800
A left-sided dual-chamber pacemaker device is again noted with lead position unchanged. Again seen is a large hiatal hernia. The lungs are clear. The heart is top size normal and the mediastinal and hilar contours are normal. There is no osseous abnormality. Of note, the trachea is deviated to the left most likely due to an enlarged thyroid. Compression fractures of the thoracic spine appear worse.
54219433
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with soboe, htn, diasy chf // etio dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs the most recent ___.
No evidence of acute cardiopulmonary process. Tracheal deviation to the left most likely due to an enlarged thyroid. Recommend thyroid ultrasound for further evaluation. Compression fractures of the thoracic spine appear worse from the prior examination.
11315075
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
53958035
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with intermittent episodes of chest pain TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___
No acute cardiopulmonary abnormality.
11315075
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.
52333274
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough // R/O pneumonia COMPARISON: None.
No acute intrathoracic process.
11024922
The cardiac, mediastinal and hilar contours appear unremarkable. Bilateral low lung volumes are noted with crowding of bronchovascular markings; however, no focal consolidation, pleural effusion or pneumothorax is identified. Study is mildly limited by underpenetration especially on the lateral view.
50448295
INDICATION: ___-year-old male with hyperglycemia. COMPARISON: None. PA AND LATERAL CHEST
No acute cardiopulmonary process.
11530308
Right infrahilar parenchymal airspace opacity with slight indistinctness of the the right heart border is concerning for right middle lobe pneumonia. There is also some degree of right middle lobe atelectasis. Retrocardiac opacity is probably atelectasis. There may be minimal pulmonary edema with bronchovascular congestion. The heart remains slightly enlarged. Cardiac defibrillator device is unchanged in position. The mediastinum is not widened. No pneumothorax. No acute fracture. Anterior cervical spinal hardware is incompletely imaged.
59268606
EXAMINATION: Chest radiograph INDICATION: History: ___F with SOB // ?pulmonary edema or pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___
Right middle lobe pneumonia. Recommend follow-up chest radiograph in ___ weeks after treatment to ensure resolution and exclude underling obstructing mass given associated right middle lobe atelectasis. Mild background edema.
11530308
Cardiac silhouette size is mildly enlarged, unchanged. The mediastinal and hilar contours are similar. Mild upper zone vascular redistribution is present compatible with mild pulmonary vascular congestion. New ill-defined patchy opacities are seen within the lung bases, findings which may reflect infection or aspiration in the correct clinical setting, with an element of atelectasis also present. Blunting of the costophrenic angles bilaterally appear relatively unchanged which may reflect chronic pleural thickening or trace bilateral pleural effusions. No pneumothorax is present. There are no acute osseous abnormalities. Cervical spinal fusion hardware is incompletely imaged.
57282302
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___
Bibasilar patchy opacities which may reflect infection or aspiration in the correct clinical setting superimposed with atelectasis. Mild pulmonary vascular congestion with possible trace bilateral pleural effusions or chronic pleural thickening.
11735378
Linear opacities in the right lung base has slightly increased compared to recent prior examination and likely reflect bronchial wall inflammation. Otherwise, the lungs are clear. There is no confluent consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiomediastinal and hilar contours are within normal limits.
59582916
HISTORY: ___-year-old male with smoking history and ongoing dry cough. COMPARISON: Chest radiograph from ___. PA AND LATERAL CHEST
Increasing bronchial wall inflammation in the right lower lobe. No other acute cardiopulmonary process.
11803864
The right IJ line is in unchanged position and terminates at the cavoatrial junction. There is pulmonary edema which has not significantly changed compared to the prior radiograph performed yesterday evening. There is no evidence of pneumonia, substantial pleural effusions or pneumothorax. Heart size remains enlarged. Some residual oral contrast is noted in the left upper quadrant.
58745472
EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with severe aortic stenosis and CHF. Admitted to CCU for hypotension // please eval interval change TECHNIQUE: Portable chest radiograph COMPARISON: Portable chest radiograph ___.
Severe pulmonary edema, unchanged.
11739489
Since the prior radiograph, there has been no interval change in the position of the pacemaker leads, which terminate in the right atrium and right ventricle. No evidence of lead fracture. Within the lungs, there are no pleural effusions or pneumothorax. Unchanged retrocardiac opacity likely represents atelectasis. Heart size is within upper limits of normal. Mediastinal and hilar contours are within normal limits. No acute osseous abnormalities.
50149033
EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old man with pacemaker and brain tumor // check leads to pacemaker TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___.
Pacemaker leads are unchanged in position, terminating in the right atrium and right ventricle.
11739489
There has been interval placement of a left-sided pacemaker with 2 leads seen in appropriate position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is mildly increased retrocardiac opacity from the prior study which likely represents atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
50510009
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p left sided pacemaker // r/o PTX; check leads TECHNIQUE: Chest PA and lateral COMPARISON: Multiple radiographs most recent on ___.
Left-sided dual lead pacemaker seen in appropriate position. Increased retrocardiac opacity most likely representative of atelectasis.
11739489
A dual-chamber left pectoral pacemaker and its leads project in unchanged location. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Moderate cardiomegaly is stable.
53297730
INDICATION: ___ year old man with pacemaker and brain tumor, evaluate leads pacemaker. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dating back to ___.
Unchanged appearance of left pectoral dual-chamber pacemaker and its leads. Stable moderate cardiomegaly.
11739489
Frontal and lateral views of the chest. On the lateral view, there is increased opacity projecting over the lower thoracic vertebral bodies which may localize to the right lung base on the frontal. Superiorly, the lungs are clear. Cardiac silhouette is enlarged but stable compared to prior. No acute osseous abnormalities identified.
52212457
CHEST, TWO VIEWS; ___ HISTORY: ___-year-old man with lightheadedness. Question pneumonia. COMPARISON: ___.
Focal opacity best seen on the lateral view overlying the lower spine, potentially localizing to the right on the frontal view, could represent infection in the proper clinical setting.
11739489
oderate cardiomegaly is essentially unchanged since ___. Lungs fully expanded and clear. Small pleural effusion seen only on the lateral view. Stable appearance of the dual lead pacemaker. Thoracic aorta is mildly enlarged generally but not focally aneurysmal. No pneumothorax.
58081760
INDICATION: ___ year old man with pacemaker and brain tumor // check leads to pacemaker TECHNIQUE: Chest PA and lateral
Stable appearance of dual lead pacemaker in standard position.
11739489
The endotracheal tube ends 5.0 cm above the level of the carina, not significantly changed. A right subclavian central venous catheter ends in the mid SVC, unchanged. An enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. There has been an improvement in the degree of aeration of the left lower lung, although moderate retrocardiac atelectasis persists. Mild right lower lung atelectasis has improved. The remainder of the lungs is clear. Moderate cardiomegaly is unchanged. Enlargement of the pulmonary arteries at the level of the hila is unchanged. The mediastinal contours are unchanged.
57430665
INDICATION: Evaluate for pneumonia or asthma. COMPARISON: Chest radiograph from ___.
Improved left lower lung aeration. Unchanged moderate cardiomegaly.
11739489
The ET tube terminates approximately 7 cm above the carina. Enteric tube is seen coursing to the lower hemithorax near the midline, with the tip out of view of this film. Mild cardiomegaly is overall stable compared to the prior exam. Low lung volumes appears to exaggerate the perihilar vascular structures, however aside from mild tortuosity of the thoracic aorta, the hilar and mediastinal contours are unremarkable. Along the right heart border in the mid right lung, there is a focal opacity, which appears new compared to the prior exam. Small bilateral pleural effusions are new. Note is made of mild bibasilar atelectasis, left greater than right, with obscuration of the left hemidiaphragm. There is no evidence of a pneumothorax.
56517845
HISTORY: History of altered mental status, hypoxemia. Please evaluate for COPD/ infiltrate. COMPARISON: Chest radiograph from ___. TECHNIQUE: AP semi upright radiograph of the chest.
Focal opacity along the right heart border in the mid right lung, pneumonia vs aspiration vs atelectasis. Interval worsening of mild bibasilar atelectasis, left greater than right, with obscuration of the left hemidiaphragm, left retrocardiac consolidation not excluded.
11014692
No focal consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are within normal limits.
54706436
HISTORY: ___-year-old man with babesiosis, marked hemolysis and hyponatremia, chest radiograph prior to transfusion TECHNIQUE: PA and lateral chest radiographs were obtained with the patient in upright position. COMPARISON: Chest radiographs from ___ and ___.
No acute cardiopulmonary radiographic abnormality.
11416065
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
57396238
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with fever post op TKR COMPARISON: Chest radiographs dating back to ___
No acute cardiopulmonary abnormality.
11868837
The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. The patient is post-cholecystectomy.
50767389
INDICATION: Weakness and shortness of breath. No comparison studies available. FRONTAL AND LATERAL CHEST
No acute intrathoracic process.
11587358
PA and lateral views of the chest provided. Lungs are clear. 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.
55549972
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with intermittant CP // PNA? COMPARISON: ___.
No acute intrathoracic process.
11076033
AP upright portable chest radiograph was provided. The heart remains moderately enlarged. There is moderate to severe pulmonary edema with small bilateral effusions. Aorta is calcified and unfolded. No pneumothorax.
53205542
HISTORY: ___-year-old man with shortness of breath, cough, fever. COMPARISON: ___.
Findings compatible with congestive heart failure.
11076033
Again seen is subtle diffuse increase in radiodensity throughout lungs bilaterally, possibly reflecting an interstitial edema pattern with bilateral pleural effusion and blunting of the costophrenic angles, right greater than left which is unchanged from ___. No pneumothorax. Unchanged plate-like atelectasis bilaterally and tortuous aorta with an enlarged cardiac silhouette. Mediastinal contour is normal. No bony abnormalities are seen.
51134741
HISTORY: Male with MDS, cycle ___ of chemotherapy, with increasing shortness of breath and left-sided crackles on exam. Assess for CHF. COMPARISON: Chest radiograph, ___; ___; ___; ___. TECHNIQUE: Lateral and frontal chest radiographs were obtained.
Stable bilateral pleural effusions, bibasilar atelectasis, cardiomegaly, and diffuse increase in radiodensity throughout lungs possibly reflecting interstitial edema pattern which appears unchanged from ___. Results were conveyed via telephone to Dr. ___ by Dr. ___ on ___ at 12 p.m. within 10 minutes of results.
11076033
The cardiomediastinal and hilar contours are stable, with mild calcifications seen in a tortuous thoracic aorta. In comparison to the prior studies, bilateral pleural effusions and pulmonary edema have resolved, with minimal residual bibasilar atelectasis. No new consolidation or pneumothorax is seen.
55626253
INDICATION: ___-year-old woman with myelodysplastic syndrome, now with new bandemia. COMPARISON: Chest radiograph ___
Moderate cardiomegaly and mild bibasilar atelectasis. No pneumonia.
11076033
PA and lateral views of chest demonstrate moderate to severe cardiomegaly. The aortic arch is calcified. Bibasilar opacities are consistent with areas of traction bronchiectasis on the prior CT scan. There is no evidence of pneumonia. No pleural effusion. No pneumothorax.
58943136
HISTORY: Fever. COMPARISON: ___.
Unchanged cardiomegaly. No evidence of infection.
11198385
Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. The heart appears enlarged, which may represent cardiomegaly or pericardial effusion. There is no pneumothorax, pleural effusion, or focal consolidation. Patchy opacity at the medial right base likely reflects atelectasis in the setting of low volume related to elevated right hemidiaphragm.
59273118
INDICATION: History: ___M with CP // Cardiomegaly? Effusion? TECHNIQUE: Chest PA and lateral COMPARISON: None available.
The heart appears enlarged, which may represent cardiomegaly or pericardial effusion. No evidence of pleural effusion.
11096652
Slightly lower lung volumes seen on the current chest x-ray when compared to prior. Opacities at the bilateral cardiophrenic angles are most compatible fat pads seen on interval CT scan. The lungs are clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
53562257
INDICATION: ___M with cough for several months // eval for infection TECHNIQUE: PA and lateral views the chest. COMPARISON: Chest x-ray from ___. Ct torso from ___.
No acute cardiopulmonary process.
11796512
Left lower lobe consolidation is consistent with pneumonia. The lungs are moderately hyperinflated. Seventh left rib fracture is healed. There is no pneumothorax or pleural effusion.
53726675
CHEST PA AND LATERAL INDICATION: Patient with history of PPD positive, INH treatment, potential exposure, two-week history of cough, sweats; evaluation for pneumonia, TB or other acute process. COMPARISON: ___.
Left lower lobe consolidation is consistent with pneumonia. This is not likely related to tuberculosis. This has been discussed with Dr. ___ by telephone.
11733507
Bilateral pleural and diaphragmatic plaques/calcifications suggest prior asbestos exposure. Additional left-sided pleural thickening is seen. Left basilar atelectasis is seen. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. The aorta is calcified. What is presumed to be a VP shunt is partially imaged overlying the right hemithorax. Evidence of DISH is seen along the spine.
56496496
HISTORY: Weakness. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.
Bilateral pleural and diaphragmatic plaques suggest prior asbestos exposure. Pleural thickening is seen along the lateral left hemithorax, underlying mesothelioma can not be excluded on this study. If there is concern for such, chest CT is more sensitive.
11733507
Portable single frontal chest radiograph was obtained with the patient in supine position. A new right lower lung opacity is present. The left lung is clear. Bilateral pleural thickening with a prominent left lateral pleural mass as well as diaphragmatic plaques are again demonstrated. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
56253095
HISTORY: Patient with elevated WBC, abnormality seen on right lower lobe, rule out pneumonia. COMPARISON: ___.
New right lower lung opacity which may be secondary to aspiration or pneumonia. Bilateral pleural thickening with prominent left pleural mass consistent with known asbestos exposure, better assessed on recent CT torso from ___.
11599784
The lungs are well expanded and show and right upper lobe and para mediastinal opacity. The cardiac silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present.
50601111
INDICATION: Status post right upper lobe transbronchial needle aspiration, rule out pneumothorax. COMPARISON: chest radiograph from ___ and a chest CT from ___ from an outside hospital.
Increased opacity in the right upper lobe/paramediastinal region could represent disease progression or an area of hemorrhage after biopsy. No pneumothorax.
11599784
There has been interval resolution of the previously seen small left-sided apical pneumothorax. The right paramediastinal soft tissue opacity is stable and consistent with the known juxtahilar mass seen on recent CT from ___. There are no pleural effusions. The hilar and mediastinal contours are stable. The heart size is normal. The previously seen subcutaneous emphysema has resolved in the interim.
54582815
INDICATION: ___-year-old male status post left VATS lung biopsy, presents for evaluation of interval change. COMPARISONS: Chest radiograph from ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.
Interval resolution of the small left-sided apical pneumothorax and subcutaneous emphysema.
11366266
Lungs are well-expanded. No new focal opacity, though persistent bibasilar atelectasis is probable. Interval increase in the pulmonary edema, now moderate to severe. Asymmetric increased opacities at the left apex are new, but similar compared ___. Small bilateral pleural effusions have likely increased in size. Mild cardiomegaly is unchanged. Cardiomediastinal hilar silhouettes are unremarkable. Interval removal of a right PICC.
58017681
EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman s/p exp lap, ileo-colonic diverting anastomosis, now with SOB, decreased oxygen saturation // evaluate for interval change TECHNIQUE: Portable AP chest COMPARISON: ___ portable chest radiograph ___ chest radiograph
Increased, now moderate to severe pulmonary edema. Asymmetric opacities at the left apex may reflect an asymmetric component of edema or aspiration.
11366266
Heart size is normal. Aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. Scarring within the lung apices appear symmetric. Pulmonary vasculature is not engorged. No subdiaphragmatic free air is present. There are minimal degenerative changes noted in the thoracic spine.
59783228
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with history of CHF presents with severe abdominal pain TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality. No subdiaphragmatic free air.
11366266
Heart size is exaggerated by low lung volumes and AP technique. There is no focal consolidation or pneumothorax. No pulmonary vascular engorgement or edema. Trace bilateral pleural effusions. Small left retrocardiac opacity is most consistent with atelectasis. Mediastinal and hilar contours are normal. Moderate calcification of the aortic knob. Multiple dilated loops of bowel suggest ileus, though the bowel is incompletely evaluated on this study.
54131170
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with peritonitis, preop cxr // preop cxr Surg: ___ (___'s ) TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiograph dated ___.
Trace bilateral pleural effusions, new since 3 days ago. Mild left basilar atelectasis. Multiple dilated loops of bowel in a surgical patient suggest ileus. If clinical concern persists, recommend abdominal radiograph for a more complete evaluation of the bowel.
11882491
The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated. There is no pleural effusion or pneumothorax. No free air is identified.
52925338
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Vomiting. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease. No free air. Hyperinflation.
11882491
The heart is mildly enlarged. There is no evidence of pneumothorax or pleural effusion. There is no evidence of focal consolidation. Mediastinal contour is normal. Nodular opacities projecting over the peripheral lower lobes are likely nipple shadow.
59452488
INDICATION: ___M with fever, 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.
11792583
Hyperexpanded lungs with cardiomegaly, particularly left atrial enlargement. No opacities are noted concerning for infectious process. S-shaped scoliosis along with calcified trachea is noted. Tortuous aorta is also noted. No pleural effusion or pneumothorax.
57737979
CLINICAL HISTORY: ___-year-old woman with CHF, fevers, and increased dyspnea on exertion. COMPARISON: ___.
No acute intrathoracic process.
11833374
The lungs are well expanded and clear. The cardiomediastinal silhouette, hila, and pleural surfaces are normal.
53666209
INDICATION: ___ year old man with positive ppd // screening for positive ppd. TECHNIQUE: Chest PA and lateral COMPARISON: No prior study comparison
No radiographic evidence of latent or active TB. Normal chest radiograph.
11942652
Frontal and lateral radiographs of the chest show persistently low inspiratory lung volumes. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and no interstitial edema is present. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
56380306
INDICATION: ___-year-old female with worsening dyspnea on exertion, here to evaluate for evidence of congestive heart failure. COMPARISON: Chest radiograph, last performed on ___.
No acute cardiopulmonary process. No evidence of heart failure.
11942652
Marked asymmetric elevation of hemidiaphragm with subsegmental atelectasis in the right lower and middle lobes. More pronounced right upper lobe opacity, when compared to prior radiographs in ___. This could be pneumonia but it is difficult to separate from sclerosis of the overlying ribs. The left lung is clear. No pneumothorax or large pleural effusions. Mild cardiomegaly.
52561887
INDICATION: ___ year old woman with SOB decreased right breath sounds s/p IS block // pneumothorax Surg: ___ (___ total shoulder replacement) TECHNIQUE: Portable COMPARISON: ___
No pneumothorax Marked elevation of the right hemidiaphragm with basal subsegmental atelectasis. More pronounced right upper lobe opacity, when compared to prior radiographs in ___. This could represent focal pneumonia versus sclerotic bony changes.
11942652
The patient is rotated slightly to the right and there are low lung volumes. There is a new, oval shaped, well-circumscribed opacity in the right mid-lung region projecting over the minor fissure on the frontal view. On the lateral view, it abuts the major fissure and measures 5.6 x 3.8 cm (AP x CC). Otherwise, there are no focal consolidations, pleural effusions, or pneumothorax. No acute osseous abnormalities.
53122888
EXAMINATION: Chest radiographs PA and lateral INDICATION: ___ year old woman with h/o asthma and episode of hemoptysis 1 mo ago. no fever // r/o mass TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest x-ray ___
New right mid-lung mass that measures 5.6 x 3.8 cm. Differential includes pleural mass vs. pseudotumor vs. lung malignancy. Recommend CT chest for further evaluation.
11191156
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
54321130
HISTORY: Seizure. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11296020
The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
59655714
EXAMINATION: Chest radiograph INDICATION: History: ___M with PMH of WPW presents to the ED via ambulance s/p MVC w lac to the head, L shoulder pain and L flank pain. // Does he have any intracranial or intrabdominal bleeding? TECHNIQUE: Chest PA and lateral COMPARISON: None
No acute cardiopulmonary process.
11437257
There is persistent elevation the right hemidiaphragm. No focal consolidation is seen. No large pleural effusion is seen although trace pleural effusion be difficult to exclude. There is no evidence of pneumothorax. Cardiac mediastinal silhouettes are stable. Chronic deformity of the right humeral head/ glenohumeral joint is again seen.
52615056
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hx of seizures. had a seizure activity in ED. // infiltrates TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No definite focal consolidation.
11949794
Lungs are hypoinflated. A right calcified fibrothorax is unchanged since multiple prior exams, which limits evaluation of the right lung. The left lung appears grossly clear. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette and hilar contours are unchanged.
59531852
WET READ: ___ ___ ___ 7:01 AM Hypoinflated lungs without evidence of new large focal consolidation. WET READ VERSION #1 ___ ___ ___ 6:36 AM Hypoinflated lungs without evidence of focal consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with new emesis // cardiac workup TECHNIQUE: Portable semi upright view of the chest COMPARISON: Chest radiograph from ___
Hypoinflated lungs without evidence of new large focal consolidation.
11949794
Frontal and lateral upright chest radiographs demonstrate multiple right-sided rib fractures with extensive pleural calcification which is unchanged since ___. No change in right hemithorax volume loss. Limited evaluation of the right lung for focal opacities given the pleural calcifications. Left lung is well expanded and clear. No pleural effusion or pneumothorax. The mediastinal contour and hila are unchanged. Heart size is slightly enlarged. No superimposed process.
54364857
HISTORY: Dyspnea, chest pain. Assess for acute cardiopulmonary disease. COMPARISON: Chest radiographs, ___ and ___.
Limited evaluation of right lung due to stable chronic right pleural calcifications with associated right hemithorax volume loss. No superimposed acute process. No large pneumonia or pleural effusion.
11798125
Frontal and lateral radiographs of the chest demonstrate a small right-sided pleural effusion with adjacent atelectasis. There is no vascular congestion. The cardiomediastinal contours are approaching the preoperative baseline. There is no pneumothorax. Incidental note is made of a chronically dislocated right shoulder.
50257452
HISTORY: ___-year-old man status post mitral valve repair. Evaluate for pleural effusions or pneumothorax. COMPARISON: Radiographs of the chest dated ___ through ___.
Small right-sided pleural effusion with adjacent atelectasis. No pneumothorax.
11798125
PA and lateral radiograph demonstrates stable dextroscoliosis with apex at the thoracolumbar junction. The aorta is tortuous. Otherwise, mediastinal, hilar and cardiac contours are unremarkable. Bibasilar increased lung markings likely reflect early pulmonary edema. Deformity of right upper ribs and the right glenohumeral joint is unchanged compared to ___. There is a cardiac monitoring device projecting over the left heart, possibly a Reveal monitor.
51932602
INDICATION: Palpitation, fatigue. Please evaluate for pneumonia or mediastinal or cardiac disease. COMPARISON: Comparison is made to chest radiograph performed ___.
Stable heart size. Interstitial edema may indicate early heart failure.
11798125
Redemonstrated is a cardiac monitoring device in projection over the left heart, possibly a Reveal monitor. There is mild cardiomegaly and mild pulmonary edema, slightly progressed since ___. There is no focal lung consolidation and no pneumothorax. There is a small right pleural effusion.
59122725
INDICATION: ___-year-old with slurred speech. Please assess for pneumonia. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: Chest radiograph from ___.
Mild cardiomegaly and mild pulmonary edema with a small right pleural effusion, progressed since ___.
11798125
The cardiac, mediastinal and hilar contours are unchanged, with the heart size is top normal. The aorta remains tortuous and minimally calcified. Previously noted mild pulmonary edema has resolved with the pulmonary vascularity now appearing not engorged. Trace left pleural effusion is noted. Previously seen right pleural effusion appears resolved. There is no pneumothorax or focal consolidation. Multilevel degenerative changes in the thoracic spine are again noted. Deformity of the right shoulder and upper ribs is unchanged. A cardiac monitoring device is re- demonstrated in the left anterior chest wall.
56996719
HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
Resolution of the previously seen pulmonary edema and right pleural effusion. Trace left pleural effusion. Otherwise, no acute cardiopulmonary abnormality.
11798125
An endotracheal tube is in appropriate position, terminating 2.1 cm from the carina. However, a right Swan Ganz catheter tip is malpositioned, located too far within the right lung periphery. Proximal repositioning by at least 4-5 cm is recommended. An intraaortic balloon pump is a little high and could be pulled back ~2 cm. An enteric catheter courses below the diaphragm, although the tip is incompletely imaged. There is complete left lower lobe collapse with an associated moderate left effusion. A small right pleural effusion is unchanged. There is mild pulmonary vascular congestion, though no overt interstitial edema. Enlargement of cardiomediastinal and hilar contours appears similar to prior examination. No pneumothorax is evident.
59279578
HISTORY: ___-year-old male with intra-aortic balloon pump and dropping hematocrit. Assess for fluid collection. COMPARISON: Chest radiographs dating back to ___; most recent from ___. SUPINE PORTABLE CHEST
Malpositioned Swan-Ganz catheter. Proximal repositioning by 4-5 cm is recommended. Intra-aortic balloon pump may be a little a high and could be pulled back ~2 cm. Unchanged complete left lower lobe collapse with slightly increased left effusion, now moderate. Unchanged small right pleural effusion. Dr. ___ communicated the above results (#1) to ___ (APN for cardiothoracic surgery), at 11:02 a.m. on ___ by telephone, three minutes after discovery.
11482500
There has been interval decrease in the right pleural effusion, and a stable moderate size left pleural effusion is again noted. No pneumothorax is seen. The heart continues to be enlarged, and a left-sided cardiac pacing device has its leads projecting over the right atrium and ventricle.
59696600
INDICATION: ___ year old woman with right pleural effusion status post thoracentesis with 800 mL output. Evaluate for pneumothorax. TECHNIQUE: Portable AP frontal chest radiograph was obtained. COMPARISON: Radiograph from ___, ___ and ___.
Interval decrease in right pleural effusion following thoracentesis. No pneumothorax seen. Stable left pleural effusion and cardiomegaly.
11482500
Frontal and lateral views of the chest were obtained. Dual-lead left-sided pacemaker is again seen with leads extending into the expected position of the right atrium and right ventricle. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette remains mildly enlarged. The aorta is calcified and tortuous. There is diffuse osteopenia.
52402810
WET READ: ___ ___ ___ 11:32 AM WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of pain. COMPARISON: ___.
No acute cardiopulmonary process.
11482500
Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and likely within the region of the right ventricle, however the inferior aspect of the left hemithorax is not included in the field of view. Moderate cardiomegaly persists. The mediastinal and hilar contours are similar. There is no pulmonary edema. Small to moderate size bilateral pleural effusions are demonstrated along with bibasilar airspace opacities which could reflect compressive atelectasis but infection or aspiration cannot be completely excluded. No pneumothorax is detected. There are no acute osseous abnormalities.
56626377
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with dyspnea TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___
Small to moderate -sized bilateral pleural effusions with bibasilar patchy opacities, potentially compressive atelectasis, but infection or aspiration cannot be excluded.