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11658675
The lung volumes are low. The heart size is difficult to assess. Multifocal opacities in the lower lungs appear more confluent than on the prior study, particularly at the right lung base. The significance is uncertain since there has been opacification in the area suggesting chronic scarring. However, along the lateral right lung base, a new lateral component was not clearly present on recent prior radiographs and may represent superimposed pneumonia in the appropriate clinical setting.
57721416
CHEST RADIOGRAPH HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, portable AP views.
Patchy lateral right lower lung opacity for which the possibility of pneumonia superimposed upon existing atelectasis could be considered in the appropriate setting.
11658675
The left PIC line now ends in the right atrium, 9cm below the level of the carina. Low lung volume accentuates the pulmonary vasculature and makes evaluation of the cardiac size difficult. Bibasilar opacities are mildly increased from prior study and are likely atelectatic. Plate-like atelectasis is noted in the left lower lung. The lung apices are clear. There is no pleural effusion or pneumothorax.
58173634
HISTORY: PICC placement. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph, single view.
Left-sided PICC terminates in the right atrium. If positioning in the lower SVC is desired, the catheter should be retracted by 4 cm. Dr. ___ was paged at 9:17 a.m. on ___.
11658675
Single portable supine frontal chest radiograph demonstrates low lung volumes. Streaky right basilar airspace opacities are relatively unchanged compared to the prior examination and likely represent vascular crowding and atelectasis; however, an underlying consolidation cannot be entirely excluded. Prominent vascular markings in the upper lungs suggest mild pulmonary edema, unchanged. Cardiomediastinal contours are unremarkable. Calcifications are again noted in the aortic arch. Endotracheal tube terminates approximately 4 cm above the carina. Presumed NG tube courses along the midline passing the diaphragm, tip is not included on the image. There is no pleural effusion and no pneumothorax.
53546735
INDICATION: Respiratory distress, unresponsiveness, shortness of breath, intubated, check placement of ET tube. COMPARISON: Multiple prior chest radiographs, most recently from ___.
Unchanged appearance of bibasilar streaky opacification likely due to low lung volumes and atelectasis; however, an underlying consolidation cannot be excluded. Proper positioning of the endotracheal tube.
11658675
Since the prior exam, the bibasilar opacities have worsened, particularly on the left. The apices of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. High-density material in the mid thoracic spine is from a prior vertebroplasty.
55846596
WET READ: ___ ___ ___ 6:54 PM Stable appearance of the chest with bibasilar opacities slightly worse in the setting of lower lung volumes again could represent aspiration, infection or atelectasis. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Chronic aspiration and hypoxia. Evaluate for change. COMPARISONS: Chest radiograph from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained.
Worsening bibasilar opacities, which most likely represent atelectasis. No definite evidence of pneumonia.
11658675
Lung volume is low. Streak of atelectasis is noted in right mid lung. Otherwise lungs are clear. There is no pneumothorax or large pleural effusion. Cardiomediastinal silhouette is normal size. No fracture is identified.
57766562
INDICATION: ___M w/crash of his wheelchair into wall ___M w/crash of his wheelchair into wall // ___M w/crash of his wheelchair into wall EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Chest radiograph, frontal view COMPARISON: Chest radiograph ___
No acute cardiopulmonary process.
11658675
AP upright and lateral views of the chest provided. Chronic opacities in the lower lungs are again noted which could represent a component of scarring, though an acute infectious component cannot be excluded in the right clinical setting. No large effusion or pneumothorax. The heart size is difficult to assess though appears grossly stable. Mediastinal contour is normal. Bony structures are intact.
53980808
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Shortness of breath, assess pneumonia.
Lower lung opacities, as seen on multiple prior exams may represent a chronic inflammatory process, though an acute infectious component may be present in the right clinical setting. Please correlate clinically.
11658675
AP portable view of the chest. There is a left lower lung opacity, decreased from prior study, with mild elevation of the left hemidiaphragm. This may represent pneumonia. The previously seen right basilar opacity has improved. No definite pleural effusion is identified. No pneumothorax. Low lung volumes.
57377035
INDICATION: Shortness of breath and fever. COMPARISON: ___ chest radiograph.
Residual bibasilar airspace opacities, most likely represent improving aspiration pneumonia.
11658675
Opacity in the left lower lung is increased since ___. There is no pulmonary edema, pleural effusion or pneumothorax. Aortic knob is calcified. Evaluation of heart size is difficult due to the low lung volumes; however, it is most likely normal. There is no free air beneath the right hemidiaphragm. There is no acute osseous abnormality.
53919274
CLINICAL INDICATION: Fever, productive cough and green sputum. COMPARISON: Multiple prior chest radiographs, the most recent of ___. FRONTAL AND LATERAL VIEWS OF THE
Opacity in the left lower lung is increased since ___ and most likely represents pneumonia.
11658675
An endotracheal tube is in satisfactory position 5.7 cm from the carina. An enteric tube courses below the diaphragm with the tip out field of view. The basilar opacities are very similar to the prior exam. The opacity on the left is larger than on the right. The apices of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
52969674
WET READ: ___ ___ 9:31 PM ETT ends at the level of T2-3, NG tube with passes below the diaphragm and out of view inferiorly. Otherwise stable appearance of chest. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: History of COPD, status post intubation. Evaluate endotracheal tube. COMPARISON: Chest radiograph from ___ at 18:14. TECHNIQUE: A single semi-upright AP view of the chest was obtained.
Satisfactory position of the endotracheal tube. No significant change in the bibasilar opacities.
11658675
The lung volumes are reduced. The cardiac silhouette size appears normal. The aortic arch is calcified. Mediastinal contours are unremarkable, and there is no evidence of pulmonary vascular congestion. Streaky bibasilar airspace opacities appear slightly worse compared to the prior exam, and concerning for aspiration pneumonia and/or atelectasis. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
57344385
HISTORY: Recurrent aspiration pneumonia, dyspnea. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___.
Slight interval worsening of bibasilar airspace opacities reflective of aspiration pneumonia and /or atelectasis.
11658675
Frontal and lateral radiographs of the chest demonstrate bibasilar opacities consistent with patient's history of aspiration. The cardiomediastinal contours are normal, and there is no upper zone redistribution concerning for pulmonary edema. No pleural effusion or pneumothorax is appreciated.
56611529
HISTORY: Recent aspiration pneumonia and left lower lobe atelectasis. Now with persistent shortness of breath. Evaluate for congestive heart failure and worsening pneumonia. COMPARISON: ___.
Bibasilar opacities, left greater than right, concerning for aspiration. No evidence of pulmonary edema. No pleural effusions.
11658675
Single portable view of the chest. Again seen are linear bibasilar opacities, not definitely progressed since prior. Superiorly the lungs are clear. The cardiomediastinal silhouette is stable. Vertebroplasty changes again seen in the thoracic spine.
59447177
HISTORY: ___-year-old male with dyspnea. COMPARISON: ___. ___.
Persistent bibasilar opacities which could be due to atelectasis or scarring given stability over time. Superimposed infection is not completely excluded.
11658675
AP upright and lateral views of the chest are provided. No free air is seen below the right hemidiaphragm. There is basilar atelectasis. Mild interstitial edema is difficult to exclude. No large pleural effusions are seen. Vertebroplasty changes in the mid and low T-spine noted. The heart appears stable in size.
54663553
CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Shortness of breath with abdominal pain, question free air.
Possible mild interstitial pulmonary edema with basilar atelectasis.
11658675
Single AP portable view of the chest. When compared to prior, there has been no significant interval change. Again seen are bibasilar opacities, left worse than right. These do not appear to have progressed since prior. Superiorly, the lungs remain clear. Cardiomediastinal silhouette is unchanged in not well evaluated due to positioning and the heart being below the hemidiaphragm on the left. Vertebroplasty changes seen in the lower thoracic spine.
57853295
HISTORY: ___-year-old male with altered mental status. COMPARISON: ___.
Persistent bibasilar opacities, left worse than right which may represent bilateral pneumonia, aspiration, or may be chronic and due to scarring.
11658675
One portable upright view of the chest. Again seen are bibasilar opacities, some of which likely represent atelectasis and scarring given patient's history of chronic aspiration. However, underlying pneumonia in lower lobes cannot be ruled out, particularly on the right where the opacity has progressed. Cardiac, mediastinal, and hilar contours are unremarkable. The upper lung zones appear clear. No pneumothorax and no pleural effusion.
55027058
INDICATION: ___-year-old male with shortness of breath and hypoxic and chest pain. COMPARISON: Chest radiograph on ___ and CT chest from ___.
Bibasilar opacities likely represent combination of atelectasis and scarring given patient's history of chronic aspiration. However, underlying pneumonia in the lower lobes particularly on the right cannot be ruled out.
11658675
There are opacities in both lower lungs, more extensive on the left than the right, which could represent atelectasis, pneumonia or potentially aspiration. The cardiomediastinal silhouette and hilar contours are unremarkable. The pleural surfaces are normal without effusion or pneumothorax. Verebroplasty changes are seen in the lower thoracic spine.
50956958
HISTORY: Shortness of breath and fever. TECHNIQUE: Frontal view of the chest. COMPARISON: Multiple chest radiographs the most recent on ___.
Bibasilar opacities, greater on the left than right, could represent atelectasis, pneumonia or aspiration.
11658675
The lung volumes are low with crowding of the vascular structures. At the right base there is a linear opacity most consistent with linear atelectasis. This is stable from the prior chest radiograph on ___. There is opacification of the left base, which appears slightly more dense than on the prior radiograph. It is likely due to chronic aspiration, although a new event or underlying infection cannot be excluded. There is no definite pleural effusion, although the left costophrenic angle is not well evaluated due to opacity, and a small pleural effusion may be present. There is no pneumothorax. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted within the aortic arch.
52972932
INDICATION: Fever, shortness of breath, and recent pneumonia. COMPARISONS: Chest radiograph, ___. Chest radiograph, ___. CT chest, ___.
Slightly worsening of the left basilar opacity may be secondary to chronic aspiration, although a new aspiration event or underlying pneumonia cannot be excluded. A small pleural effusion on the left may be present. Further evaluation with PA and lateral images would be helpful for further evaluation if/when patient able. Stable right basilar atelectasis.
11658675
An endotracheal tube is in satisfactory position. A nasogastric tube courses below the diaphragm with the tip out of the field of view. There is a left basilar consolidation, some of which is linear in nature. Additionally, there is a linear right basilar consolidation. There is mild vascular congestion without overt pulmonary edema. There is no definite pleural effusion or pneumothorax. An apparent nodule is present in the right upper lobe, though obscured by the overlying monitoring wire. The cardiomediastinal silhouette is normal.
51955342
INDICATION: Hypoxia with respiratory distress. Evaluate for etiology. COMPARISON: Chest radiograph from ___. TECHNIQUE: A single frontal supine view of the chest was obtained.
Bibasilar opacities, left greater than right, concerning for bibasilar pneumonia. Possible right upper lobe nodule, somewhat obscured by an overlying monitoring wire. Attention should be pain on follow-up exams, and if the finding persists, a CT should be considered.
11658675
Lung volumes are low with persistent bibasilar opacities, not well evaluated on this single view; there is improved aeration at the left lung base compared to prior. No large pleural effusion or pneumothorax is detected. Heart and mediastinal contours are stable; heart size is exaggerated by low lung volumes. Lower thoracic vertebroplasty again noted.
50176659
HISTORY: ___-year-old male with recent pneumonia, now with fever and shortness of breath. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position. COMPARISON: ___.
Mild bibasilar opacities with interval improvement in aeration at the left lung base.
11658675
An endotracheal tube has been placed in the interval with tip approximately 6 cm from the carina. An enteric tube tip is within the distal esophagus, and needs to be advanced by approximately 15 cm to lie satisfactory within the stomach. Persistent low lung volumes with bibasilar atelectasis are re- demonstrated. The cardiac and mediastinal contours are unchanged. No pneumothorax is clearly seen. .
53518463
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M intubated TECHNIQUE: Upright AP view of the chest COMPARISON: ___ at 08:46
Endotracheal tube in standard position. Suboptimal positioning of the enteric tube within the distal esophagus, and should be advanced by at least 15 cm for satisfactory positioning.
11658675
AP upright portable chest radiograph was provided. Increasing bibasilar consolidation is concerning for worsening pneumonia. Underlying emphysema is evident in the upper lobe lucency. The heart size cannot be assessed.
54795944
FINAL ADDENDUM Left upper extremity PICC line is again noted though the distal tip is poorly seen. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old man with history of COPD with dyspnea. COMPARISON: Prior exam dated ___.
Worsening opacities in the lower lungs remain concerning for pneumonia.
11658675
The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob again noted. The pulmonary vasculature is not engorged. Patchy and linear opacities in the lung bases appear progressed in the interval. No pleural effusion or pneumothorax is demonstrated. Vertebroplasty changes are noted within the mid and lower thoracic spine. Multilevel degenerative changes are present in the thoracic spine.
57692436
HISTORY: Difficulty swallowing, cough. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.
Worsening bibasilar airspace opacities, likely reflective of atelectasis, but aspiration cannot be completely excluded.
11658675
Allowing for technique, the cardiac, mediastinal and hilar contours are unremarkable. There are opacities in both lower lungs, more extensive on the left than right, suggesting pneumonia, although aspiration is also a possibility to consider in the appropriate clinical setting. There is no definite pleural effusion or pneumothorax.
58271084
CHEST RADIOGRAPH HISTORY: Hypoxia. History of aspiration. COMPARISONS: ___. TECHNIQUE: Chest, supine AP portable.
Opacities at the lung bases, greater on the left than right, suggesting pneumonia or potentially aspiration could be considered.
11658675
Bibasal consolidations appear worse compared with prior exam. There is also a new focus of a band-like consolidation extending from the left heart margin superiorly into the left mid lung. There is obscuration of the bilateral cardiac margins as well as the left hemidiaphragms. There might be a small left-sided pleural effusion. There is no evidence of pneumothorax. Aortic knob calcifications are present. Evidence of prior vertebroplasties is noted in the thoracic spine.
57123854
INDICATION: ___-year-old male with hypoxia. Evaluate for evidence of pneumonia. COMPARISON: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: Frontal AP chest radiograph.
Significant interval worsening of bibasal consolidations, with new opacity extending across the left lower lung and associated small left-sided pleural effusion. Finding could reflect pneumonia superimposed on a chronic lung disease.
11658675
Lung volumes are low. Heart size is normal. Atherosclerotic calcifications are noted in the aortic knob. Mediastinal and hilar contours are unchanged. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy and linear opacities in the lung bases most likely reflect areas of atelectasis, but infection is not excluded. Attenuation of pulmonary vascular markings towards the apices indicates underlying emphysema. No pleural effusion or pneumothorax is identified. Evidence of prior kyphoplasty is seen within the lower thoracic spine.
54032630
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M status post fall, history of ESBL pneumonia TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___
Low lung volumes with patchy opacities the lung bases most likely reflective of atelectasis. Infection, however, is not excluded in the correct clinical setting.
11658675
Endotracheal tube terminates approximately 5.3 cm above the carina. An enteric tube is seen coursing below the level of the diaphragm into the left upper quadrant, the expected position of the stomach. Lingular and bibasilar opacities persist most likely due to atelectasis, small underlying component of aspiration not excluded. No pleural effusion or pneumothorax is seen. No overt pulmonary edema is seen. Cardiac and mediastinal silhouettes are stable.
54098838
HISTORY: Intubated with orogastric tube placed, distal aspect of feeding tube not well seen on the prior chest radiograph. COMPARISON: ___ at 11:27.
Endotracheal and nasogastric tubes in appropriate position.
11658675
Moderately low lung volumes persist. Previously noted patchy opacities in the left lower lung and bandlike atelectasis in the right lower lung have improved. Residual bibasilar opacities likely reflect atelectasis. There is no evidence of consolidation. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. A thick horizontally oriented radiodensity projecting over the heart relates to vertebroplasty material as seen on the CT from ___.
51622606
INDICATION: ___M with epistaxis TECHNIQUE: Single portable AP chest radiograph COMPARISON: ___
Persistent low lung volumes and bibasilar atelectasis.
11658675
There is worsening of the lingular consolidation. Right lung base opacities are unchanged. The lung volumes are low. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Patient had previous kyphoplasty.
53244011
PA AND LATERAL CHEST X-RAY INDICATION: Patient with eosinophilic pneumonia, recent hospitalization infiltrate. COMPARISON: ___.
Worsening of left lower lung consolidation.
11658675
Compared to the prior study performed nine hours earlier, there has been interval increase in density of the bibasilar opacities which likely represent aspiration pneumonia superimposed on chronic scarring and atelectasis at these locations. The upper lung fields are clear. There is no mediastinal widening. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
59163358
INDICATION: Evaluate for interval change in patient with chronic aspiration pneumonia, now admitted for recurrence. COMPARISON: Most recent chest radiograph from ___ as well as multiple prior radiographs dating back to ___. TECHNIQUE: Portable semi-upright AP radiograph of the chest.
Aspiration pneumonia superimposed on chronic bibasilar lung scarring and atelectasis.
11731293
The cardiomediastinal and hilar contours are within normal limits. There is an area of linear atelectasis at the left lung base. Lungs are otherwise clear. There is no focal consolidation, pleural effusion or pneumothorax.
59171574
HISTORY: ___-year-old man with cough and fevers. Rule out infiltrate. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs.
Linear atelectasis at the left lung base.
11133336
PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.
52199120
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior torso CT dated ___. CLINICAL HISTORY: Intermittent chest pain, question pneumonia.
No acute findings in the chest.
11025657
The cardiomediastinal and hilar contours are within normal limits. There is minimally increased opacity at the lung bases which likely reflects atelectasis. Irregularly shaped but relatively linear opacities aligned vertically along the lateral left chest are calcified and most likely represent pleural plaques. Additional regions seen paralleling the left hemidiaphragm and potentially along the right lateral chest wall. There is no pleural effusion or pneumothorax identified.
59624244
INDICATION: ___M with 2:1 AV block, need pacemaker // Please assess for cardiopulmonary process TECHNIQUE: Single AP view the chest COMPARISON: None available
Minimally increased opacity at the lung bases which likely reflects atelectasis. Findings suggestive of calcified pleural plaques.
11739512
AP upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is remarkable with a fat pad partially obscuring the left heart border. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
57564999
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with fever, weakness, abdominal pain COMPARISON: Same-day CT abdomen pelvis
No acute intrathoracic process.
11560612
PA upright and lateral chest radiographs demonstrate a right pectoral infusion port, its tip projecting low with in the superior vena cava, in unchanged position. Cardiomediastinal and hilar contours are stable relative to prior examination. Overall appearance of the chest is unchanged with no new focal opacity. There is no pleural effusion, pneumothorax, or pulmonary edema. No displaced rib fracture.
59867969
INDICATION: History: ___M with hx lymphoma, presenting w/chest pain. // ?pneumothorax, ?rib fracture TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated to ___
Overall unchanged appearance of the chest. No displaced rib fracture identified. If concern persists for rib fracture, consider dedicated rib films with radiopaque marker to indicate site of clinical concern.
11560612
Left PICC terminates in upper SVC. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal size.
56715478
WET READ: ___ ___ ___ 4:20 PM Left PICC terminates in upper SVC. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with ma;positioned PICC now outof vein 5cm // R PICC pulled back 5 cm ? still in azygeous vein? ___ ___ TECHNIQUE: PA and lateral views COMPARISON: Chest radiograph ___ 10:40
Left PICC terminates in upper SVC.
11560612
Right-sided Port-A-Cath tip terminates at the junction the SVC/right atrium. Lung volumes are low. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities detected.
50451628
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with malaise TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ CT chest ___
No acute cardiopulmonary abnormality.
11560612
Right pectoral infusion port terminates in low SVC. Lung volume is low. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
55452191
INDICATION: ___M w/history of lymphoma p/w lightheadedness and blurry vision, please assess patient for intracranial involvement of lymphoma // TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary process.
11009433
The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no new focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
51871066
INDICATION: Lymphoma, on chemotherapy with cough.
No acute cardiothoracic process. Dr. ___ ___ these results with Dr. ___ at 11:35 a.m., at the time of discovery via telephone.
11009433
A right approach Port-A-Cath terminates in the upper right atrium, unchanged from prior. A linear opacity within the peripheral left lung base is unchanged and likely reflects scarring. No new consolidation is identified to suggest pneumonia. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax.
59955048
INDICATION: ___-year-old male on chemotherapy, now presenting with fever. COMPARISON: Chest radiographs dating back to ___, most recent from ___ FRONTAL AND LATERAL CHEST
No acute cardiopulmonary process. No pneumonia.
11009433
Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear, with a possible exception of trace streaky atelectasis in the left base. No pneumothorax, vascular congestion or pleural effusion.
55822300
INDICATION: ___-year-old male with chest pain. Question acute process. COMPARISON: ___.
No acute cardiopulmonary process.
11009433
The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
52619293
HISTORY: ___-year-old male with chest pain radiating to the left shoulder. STUDY: PA and lateral chest radiograph. COMPARISON: ___.
No acute cardiopulmonary process.
11818661
Cardiomediastinal and hilar contours are normal. Lungs are clear. Complete interval resolution of previously seen, loculated dorsal right pleural effusion with an air-fluid level. There is no new pleural effusion. Pulmonary vasculature is normal.
58283434
EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old woman with a chronic right pleural effusion. Evaluate for interval change. TECHNIQUE: Chest PA and lateral. COMPARISON: Multiple prior chest radiographs, most recent from ___.
Complete interval resolution of loculated right pleural effusion.
11818661
The lungs are well expanded. The previously seen loculated right pleural effusion now demonstrates an air-fluid level, consistent with prior drainage of the collection. No focal consolidation or mass is seen. The cardiomediastinal silhouette is unremarkable.
53678005
INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: PA lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___.
Previously seen right pleural effusion now demonstrates an air-fluid level, consistent with prior drainage of the collection.
11818661
PA and lateral views of the chest provided. There has been interval drainage of the right pleural effusion with a small amount of residual fluid in the right pleural space which appears to localize laterally and posteriorly. There is no pneumothorax. The left lung appears clear. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
58607542
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with new right effusion s/p ___ with 650mL out // ? PTX COMPARISON: ___. CT from ___.
Interval reduction in right pleural effusion, with small residual effusion which appears loculated and positioned posterolaterally. No pneumothorax.
11715641
The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
50195536
HISTORY: Shortness of breath. COMPARISON: None available.
No acute cardiopulmonary process.
11195971
Heart size is moderately enlarged with a left ventricular predominance. The aorta is moderately tortuous. Mediastinal and hilar contours are otherwise unremarkable, and there is no pulmonary vascular congestion. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Levoscoliosis of the thoracic spine is present.
57362157
HISTORY: EKG changes, vision loss. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: None.
No acute cardiopulmonary abnormality.
11974484
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable.
57906616
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // evaluate for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11076824
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.
51688090
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sycnopal episode, dyspnea // eval ? effusion, pulm infarction COMPARISON: None
No acute intrathoracic process.
11791757
PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top-normal to mildly enlarged. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
58714226
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with L sided CP // eval for cardiomegaly COMPARISON: Chest radiograph from ___
Heart size is top-normal to mildly enlarged. No pulmonary edema.
11607980
Frontal and lateral chest radiographs demonstrate unremarkable mediastinal and hilar contours. Stable mild cardiomegaly noted. Lungs are clear. No pleural effusion or pneumothorax evident.
53866782
INDICATION: Elevated lactate, hypoglycemic. Please evaluate for infiltrate. COMPARISON: Comparison is made to chest radiograph performed ___ and CT abdomen and pelvis performed ___.
Stable mild cardiomegaly. No focal opacification. No overt pulmonary edema.
11036363
Frontal and lateral views of the chest were obtained. Surgical clips are seen projecting over the left hilar region. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinum is not widened. There is minimal prominence of the left hilum.
54501549
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old status post fall down ___ stairs while intoxicated with large hematoma at the posterior occiput. Tenderness to palpation over right chest wall. COMPARISON: None.
Minimal prominence of the left hilum with surgical clips overlying the medial left hilum, no long-term prior study available for comparison. Correlate clinically.
11170370
Inspiratory volumes are slightly low. Heart is borderline enlarged, probably unchanged allowing for differences in positioning. There is slight upper zone redistribution, without other evidence of CHF. No focal infiltrate effusion or pneumothorax is detected.
53780039
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with sepsis with unknown source, with dyspnea and chest pain // ? infiltrate in lungs s/p volume resuscitation TECHNIQUE: Chest two views COMPARISON: None.
No focal infiltrate identified. No overt CHF.
11836669
The lungs are hyperinflated. Bibasilar opacities are likely a combination of mild to moderate atelectasis and small pleural effusions. Mild vascular congestion is new since prior exam. The heart size is unchanged. No evidence of pneumothorax or pneumonia.
57797193
EXAMINATION: Chest radiograph INDICATION: ___ year old man with COPD, here with pancreatitis - c/o dyspnea // please assess for volume overload or other evidence of acute process TECHNIQUE: Portable chest radiograph COMPARISON: Outside reference chest radiograph from ___
New mild vascular congestion and bibasilar opacities, likely from a combination of mild to moderate atelectasis and small pleural effusions, since ___.
11363644
There has been interval placement of a left-sided chest tube with interval decrease in left pleural effusion. Lung volumes remain low and right base opacity persists but is less conspicuous. There is subtle evidence of bilateral pulmonary pulmonary nodules/cavitary lesions, better assessed on prior CT. Left base opacity may be due to combination of small pleural effusion, atelectasis and pneumonia. The left hemidiaphragm may be mildly elevated. No pneumothorax is seen.
50994553
WET READ: ___ ___ 10:15 AM No pneumothorax. WET READ VERSION #1 ___ ___ 1:43 AM No pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with s/p L chest tube // PTX TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No pneumothorax. Interval decrease in left pleural effusion. Persistent bibasilar opacities ; pulmonary nodules better assessed on CT.
11363644
PA and lateral views of the chest provided. Compared to ___, mild cardiomegaly is stable. Lung volumes are low. Heterogeneous area of opacification in the left lower lobe, better seen on the lateral view, could represent pneumonia. Opacification at the right base is improved from ___ and likely atelectasis, though pneumonia cannot be definitely excluded.
51924586
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with infective endocarditis, noted to have multiple pulmonary nodules on CT scan, concerning for septic emboli versus bacterial or fungal pneumonia // Rule out interval change, concern for septic emboli COMPARISON: Outside chest radiograph dated ___ Outside chest CT ___
Stable mild cardiomegaly. Large left lower lobe pneumonia increased since ___ now with new small pleural effusion.
11391388
PA and lateral chest radiograph demonstrate a focal opacity projecting over the left midlung zone worrisome for infection. The right lung is clear. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion. There is no pneumothorax.
51276739
WET READ: ___ ___ ___ 12:43 PM Focal opacity projecting over the left midlung zone in the appropriate clinical setting consistent with pneumonia. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with cough, shortness of breath*** WARNING *** Multiple patients with same last name! // eval pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None
Focal opacity projecting over the left midlung zone in the appropriate clinical setting consistent with pneumonia.
11336024
Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Linear opacities in the lung bases likely reflect areas of atelectasis or scarring. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
59890292
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11336024
Scarring at the left base is stable from multiple prior radiographs. The lungs are otherwise clear without consolidation or edema. There is no hilar lymphadenopathy. The size of the cardiac silhouette is at the upper limits of normal, but stable. There is no pleural effusion or pneumothorax.
54517388
INDICATION: Assess for sarcoid or any progression of disease. COMPARISONS: Chest radiograph ___. Chest radiograph ___. Chest radiograph ___.
Stable left basilar scarring. No significant change from prior radiographs to indicate progression of disease.
11682585
A single portable upright chest radiograph was obtained. A nasoenteric tube has been placed with the tip projecting over the antrum of the stomach. Lung volumes are low. No focal consolidation, effusion or pneumothorax is present. Median sternotomy wires are intact. Right upper quadrant and numerous mediastinal surgical clips are unchanged.
54632217
INDICATION: ___-year-old woman status post NG tube placement. COMPARISONS: ___ - ___.
Appropriate position of nasoenteric tube.
11682585
A new right internal central jugular venous catheter terminates at the upper superior vena cava. There is no evidence for pneumothorax. The heart is moderately enlarged, as before, and the patient is status post coronary artery bypass graft surgery. There is new patchy opacification of the left lung base, suspected to represent a combination of pleural effusion and atelectasis. The right lung remains clear.
56082235
CHEST RADIOGRAPH HISTORY: Central line placement after recent sigmoid colectomy. COMPARISONS: ___. TECHNIQUE: Chest, semi-upright AP portable.
Satisfactory position of central venous catheter in the superior vena cava. No evidence of pneumothorax. New patchy left basilar opacification, not entirely specific but most suggestive of atelectasis and pleural effusion.
11582732
Low lung volumes are again noted. Bibasilar opacities are noted, potentially atelectasis similar to prior.There is persistent blunting of the posterior costophrenic angles suggesting small effusions. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
50942339
INDICATION: ___M with recent tx for pna, ongoing cough // any e/o PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.
Small bilateral pleural effusions. Probable bibasilar atelectasis given low lung volumes noting infection cannot be entirely excluded. No significant change since recent exam.
11582732
Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mild to moderately enlarged. The aorta appears mildly tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases may reflect areas of atelectasis. No pleural effusion or pneumothorax is demonstrated. There are moderate multilevel degenerative changes seen in the thoracic spine.
53482679
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with cough, right lower quadrant crackles TECHNIQUE: Chest AP and lateral COMPARISON: ___ chest radiograph
Low lung volumes with patchy opacities within the bases, potentially atelectasis, however early infection cannot be excluded.
11052573
The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. There is mild thoracic scoliosis. There is no evidence of rib fracture. A rounded opacity projecting over the expected location of the gallbladder and may represent gallstones.
52673417
INDICATION: History of osteoporosis, on bisphosphonate. Currently has pain and tenderness over left lower anterior ribs 7 through 8. Evaluate for rib fractures. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiograph of the chest.
No evidence of rib fracture and no pneumothorax. Specific coned views of the ribs can be obtained if necessary. Rounded opacities projecting over the expected region of the gallbladder may represent gallstones. The above results were communicated via telephone by Dr. ___ to Dr. ___ ___ at 11 a.m. on ___.
11584231
Endotracheal tube terminates approximately 2.3 cm above the carina. The lungs are relatively hyperinflated. Subtle left base patchy retrocardiac opacity may be due to atelectasis or aspiration, less likely infection. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
57128625
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with s/p intubation // ett placement TECHNIQUE: Single frontal view of the chest COMPARISON: None
Endotracheal tube terminates 2.3 cm above the carina.
11668089
Frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation. Within the right upper lobe as a calcified granuloma. Heart size is mildly enlarged. Pulmonary vasculature is unremarkable. There is mild pulmonary edema. Cardiomediastinal and hilar contours are otherwise unremarkable.
55396135
HISTORY: ___-year-old female with expiratory wheezes on the left. COMPARISON: None available.
No cardiothoracic findings to explain expiratory wheezes.
11017660
2 views of the chest demonstrate mild scarring at the right lung base. Otherwise the lungs are clear and the hilar and mediastinal contours are normal. No pleural abnormality is seen. As compared to the prior radiograph, there has been interval improvement in the right basilar opacity.
51354100
HISTORY: Shortness of breath and dyspnea on exertion. COMPARISON: Chest radiograph from ___. CT of the chest from ___.
No acute cardiopulmonary process.
11017660
Heart size is normal with mild tortuosity of the thoracic aorta. There is prominence of the central pulmonary vasculature with trace interstitial pulmonary edema. There are increased somewhat nodular opacities in the right greater than left lung bases. Pleural surfaces are clear without effusion or pneumothorax.
54398685
HISTORY: Dyspnea, hypoxia and renal failure. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph, two views.
Pulmonary vascular congestion with trace interstitial edema. Mild hyperinflation. Right greater than left bibasilar opacities, somewhat reticular nodular in nature, could be secondary to aspiration or infection.
11017660
As compared to prior chest radiograph from ___, there has been interval improvement of right middle lobe pneumonia. There is minimal opacification over the area of recent pneumonia, this could represent scarring or residual opacities from prior infectious process. No new consolidations are identified. There are no pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal. There is a rib deformity on the right. Osseous structures are otherwise intact.
50720121
INDICATION: ___-year-old male patient with persistent shortness of breath, following treatment for right-sided pneumonia, history of kidney transplant and HIV. COMPARISON: Prior chest radiograph from ___ and ___. TECHNIQUE: PA and lateral chest radiographs.
Interval improvement of right middle lobe pneumonia, with minimal opacity in the right lower lobe, which may represent scarring or residual opacification from prior infectious process.
11017660
The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pleural effusion or pneumothorax present. Deformity of the right posterior 7th rib likely prior healed rib fracture.
53446434
WET READ: ___ ___ ___ 12:15 PM Normal radiograph of the chest. ______________________________________________________________________________ FINAL REPORT HISTORY: Cough x3 weeks, immunosuppressed. Please evaluate for pneumonia. TECHNIQUE: Upright AP and lateral radiographs of the chest. COMPARISON: None.
Normal radiograph of the chest.
11017660
Right middle lobe opacity is consistent with pneumonia. Streaky atelectasis is present bibasilarly. No pleural effusion or pneumothorax.
50815479
HISTORY: ___-year-old man status post renal transplant, now with body aches. Question acute process.
Right middle lobe pneumonia. Recommend repeating the radiograph after treatment to ensure resolution.
11884480
Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.
56003283
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain, question infectious process. COMPARISON: ___.
No acute cardiopulmonary process.
11694913
Slightly low lung volumes, perhaps related to degree of respiratory effort. The lungs are otherwise clear. No focal consolidation, edema, effusion, or pneumothorax. Scoliosis of the thoracolumbar spine is overall unchanged. The cardiomediastinal silhouette is normal.
59750147
EXAMINATION: Chest radiograph INDICATION: ___-year-old woman presenting with chest pain. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.
Slightly low lung volumes but no evidence of acute intrathoracic process.
11647908
The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Elevation of the right hemidiaphragm has resolved. Findings are similar to remote baseline radiographs from ___.
57135423
WET READ: ___ ___ 12:27 PM No evidence of acute disease. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Asthma exacerbation. COMPARISONS: ___; ___; ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease.
11647908
AP and lateral views of the chest. Elevation of the right hemidiaphragm with the most recent exam but is new since ___. Linear right basilar opacity seen medially is likely due to atelectasis and is similar to most recent prior. Linear left basilar opacity is likely atelectasis vs scar. There is no new consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
57956321
WET READ: ___ ___ 6:20 PM Elevated right hemidiaphragm which is new since ___. Additional imaging is suggested and can be performed by CT as this could represent subdiaphragmatic process. Subpulmonic effusion is also possible although the configuration makes this less likely. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with dyspnea. COMPARISON: Chest x-rays from ___ and ___.
Elevated right hemidiaphragm which is new since ___. Additional imaging is suggested as this could represent subdiaphragmatic process. Subpulmonic effusion is also possible although the configuration makes this less likely.
11647908
As compared to prior chest radiographs from ___, there is persistent elevation of the right hemidiaphragm. Increased focal opacity at the right lung base likely reflects atelectasis as it has not significantly changed since prior examination from ___. No focal abnormality to suggest pneumonia is identified. There is no large pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
55848467
HISTORY: History of dyspnea, wheezing, history of asthma but no exacerbation in the past ___ years. Question pneumonia. COMPARISON: Prior chest radiographs from ___, ___ and ___. TECHNIQUE: PA and lateral chest radiographs.
No acute cardiopulmonary process. Recent development of elevated right hemidiaphragm, could be secondary to diaphragmatic injury or phrenic palsy.
11647908
There are decreased lung volumes, resulting in crowding of the bronchovascular structures. The right hemidiaphragm is noted to be elevated with respect to the left. There is appearant volume loss of the right, medial lung base. There is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema identified. There appears to be mild cardiomegaly, although this may be exaggerated by the patient's low lung volumes and by the AP projection. Mediastinal contours are normal.
51997255
HISTORY: Shortness of breath and shallow breathing since surgery on ___. TECHNIQUE: Single, AP, portal view of the chest of the patient in an upright position. COMPARISON: Comparison is made to radiographs dated ___.
Medial right lung base volume loss, likely representing atelectasis. Elevated right-sided hemidiaphragm.
11242103
Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pneumothorax. Partially imaged upper abdomen is unremarkable.
50141318
INDICATION: Patient with chest pain. COMPARISONS: None available.
No evidence of acute cardiopulmonary process.
11959575
The cardiomediastinal silhouette and pulmonary vasculature are normal. There Right middle lobe opacity is more linear in appearance, consistent with atelectasis, though more confluent opacity is seen in the right lower lobe, consistent with pneumonia. Nodular opacity at right lung base is probably a nipple shadow but may be confirmed with nipple marker radiographs. There is no pleural effusion or pneumothorax.
53085874
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w/shortness of breath, please eval for occult PNA // ___M w/shortness of breath, please eval for occult PNA TECHNIQUE: Chest PA and lateral COMPARISON: None.
Right lower lobe pneumonia. Follow-up examination is recommended in 4 weeks after completion of antibiotic therapy to ensure resolution. At that time, nipple markers may be placed to ensure that a nodular opacity at the right base is due to a nipple shadow rather than a lung nodule.
11786667
There is elevation of the right hemidiaphragm with adjacent air-filled dilated loop of large bowel. There is mild cardiomegaly and borderline vascular engorgement. There is no pulmonary edema. There is no focal consolidation to suggest pneumonia. The mediastinal contours normal. There is no pneumothorax or large pleural effusion.
54499587
INDICATION: ___M with 2 days of fever and confusion, evaluate for pneumonia.. COMPARISON: None Available. TECHNIQUE Frontal and lateral views of the chest.
No evidence of pneumonia. Mild cardiomegaly and borderline vascular engorgement. No evidence of pulmonary edema.
11781101
Frontal and lateral views of the chest are obtained. The subtle mild left base streaky opacity could represent atelectasis vs. pneumonia. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. The mediastinum is not widened.
58055948
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain radiating to back. COMPARISON: ___.
Streaky left base opacity could represent atelectasis or early/mild pneumonia. Mediastinum is normal in appearance, is not widened.
11474034
ET tube ends 2.7 cm above the carina. NG tube is in the stomach. Lower lobe atelectasis, right more than left, is unchanged. There is more cardiac congestion which is moderate. There is no pneumothorax. Pleural effusions are small if any.
57658645
PORTABLE AP CHEST X-RAY INDICATION: Patient with pneumonia, intubated, ET tube pulled back after intubating right mainstem. COMPARISON: Multiple x-rays from ___ to ___.
Moderate cardiac congestion has increased. Unchanged bibasilar atelectasis, right more than left. Tube and lines are in adequate position.
11474034
Single AP portable view of the chest is provided. Bibasilar atelectasis, particularly at the right lower lobe, is improved since ___ but still present. Otherwise, the lungs are clear. Cardiomediastinal silhouette is grossly unremarkable. Mediastinal contours appear normal. No pleural effusion, pneumothorax or opacities concerning for infectious process are present.
55393555
HISTORY: ___-year-old man, preop prior to laparoscopic cholecystectomy. COMPARISON: ___.
Moderate bibasilar atelectasis, improved since ___.
11474034
Right PICC is no longer seen. Tracheostomy remains in place. Linear right basilar opacity could be due to atelectasis or scarring. There is a left basilar opacity which silhouettes the hemidiaphragm. The cardiomediastinal silhouette is not well assessed different positioning but demonstrates no significant change. No acute osseous abnormalities detected.
52145448
HISTORY: ___-year-old male muscular dystrophy with pneumonia with incomplete treatment 2 weeks prior now with fever and increased sputum production. COMPARISON: ___.
Left basilar opacity may be due to combination of effusion, atelectasis however infection or aspiration is also possible. Its appearance is similar compared to previous exam in ___.
11560685
The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette is enlarged but stable. Left chest wall triple lead pacing device again noted. Median sternotomy wires are intact. There is leftward deviation of the trachea at the thoracic inlet raising the possibility of underlying right-sided thyroid enlargement. No acute osseous abnormalities.
58050375
WET READ: ___ ___ ___ 4:04 PM Cardiomegaly without acute cardiopulmonary process. Leftward deviation of the trachea at the thoracic inlet raising the possibility of underlying right-sided thyroid enlargement. Nonurgent thyroid ultrasound for further characterization is suggested. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with chest pain // chest pain TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
Cardiomegaly without acute cardiopulmonary process. Leftward deviation of the trachea at the thoracic inlet raising the possibility of underlying right-sided thyroid enlargement. Nonurgent thyroid ultrasound for further characterization is suggested.
11560685
PA and lateral views of the chest provided. Left chest wall AICD is new from prior with 3 leads extending into the region the right atrium, right ventricle and coronaries sinus. Midline sternotomy wires again noted. The heart remains mildly enlarged. Mediastinal contour is unchanged with prominence of the right peritracheal stripe again noted likely reflecting vascular engorgement. The lungs are clear without convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
50894876
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain// eval for pna COMPARISON: ___
AICD positioned as as described. Stable mild cardiomegaly. No signs of pneumonia or overt edema.
11875381
The heart is normal in size. The aorta is very mildly tortuous with calcification visualized along the arch. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
59626270
CHEST RADIOGRAPHS HISTORY: High fever. Question pneumonia. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.
No evidence of acute cardiopulmonary disease.
11897159
Single frontal view of the chest. Heart size and cardiomediastinal contours are stable. Increased heterogeneous, right greater than left, lung opacities in association with thickening of the right horizontal fissure and pulmonary vascular congestion are consistent with pulmonary edema. Small pleural effusions are likely present bilaterally. No pneumothorax. A right lateral approach cholecystostomy catheter is incompletely imaged.
55332628
HISTORY: Acute cholecystitis status post percutaneous cholecystostomy on ___. COMPARISON: Multiple prior chest radiographs, most recently ___.
New pulmonary edema with small bilateral pleural effusions.
11851243
A tiny left apical pneumothorax remains visible. On the current exam, lucency seen in the left costophrenic angle is again noted --___ much of this is accounted for by a pneumothorax at this time is unclear. Subcutaneous emphysema is probably similar to the prior study. No right-sided pneumothorax is detected. Atelectasis at the left base is similar, but probably slightly more pronounced. Minimal atelectasis in the right cardiophrenic region is unchanged. The patient is status post sternotomy. The cardiomediastinal silhouette is unchanged. The known calcified left ventricular aneurysm is again noted.
52666137
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with persistent L PTX CT on WS // evaluate for L PTX on water-seal PLEASE DO AT ___ COMPARISON: Chest x-ray from ___ at 18:13
A tiny left apical pneumothorax remains visible, grossly unchanged. Lucency at the left costophrenic angle again noted. Please see comment above. Possible minimal increase in left base atelectasis, but the overall appearance is similar.
11851243
There is a right sided pneumothorax, which was not seen on chest xray ___. The left-sided pneumothorax is unchanged from chest xray ___. Air inclusions in left sided soft tissues are constant and unchanged from chest xray ___. The left chest tube position is unchanged. There is no evidence of tension pneumothorax. Unchanged alignment of sternal wires. Mild cardiomegaly is unchanged from comparison study.
55188258
INDICATION: ___ s/p Cabg x4(lima-lad,svg-diag,svg-ramus,svg-pRDA)___ with persistent L ptx // eval for ptx TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ 12:18
New right sided pneumothorax, Stable left sided pneumothorax, and stable left sided soft tissue air inclusions as compared to chest xray ___. A small right pneumothorax, previously seen on the radiograph from ___ is again visible. No signs of tension. Mild cardiomegaly.
11851243
Stable severe consolidation left lower lobe could be collapse or pneumonia. Right lower lobe atelectasis is unchanged. Upper lungs clear. Improve moderate cardiac enlargement. No pulmonary edema. Pleural effusions are small if any. Right jugular sheath is sharply folded in the neck and could be occluded. Bilateral pneumothoraces are stable in appearance.
53018327
INDICATION: ___ year old man with s/p cabg // eval for ptx on nimv TECHNIQUE: Chest PA and lateral COMPARISON: ___
Stable, moderate bilateral pneumothorax. Persistent severe left lower collapse or pneumonia, worsening right lower pneumonia.
11851243
No significant interval change when compared to the radiograph performed earlier today, no left pneumothorax. The left-sided chest tube has been removed. The lungs are otherwise unchanged with mild cardiomegaly.
55126090
INDICATION: ___ year old man s/p left ct removal // assess for ptx COMPARISON: ___
No significant change post chest tube removal, no pneumothorax is seen.
11851243
Compared with earlier the same day, the left apical pneumothorax is still small, but considerably larger. The pneumothorax component at the left base also appears slightly larger. Minimal lucency adjacent to the lateral aspect of the aortic knob may also represent part of the left lung pneumothorax, though continued attention to this area to assess for any mediastinal air is requested. Again seen is extensive subcutaneous emphysema along the left chest wall, left pectoralis, and left supraclavicular region. The left chest tube appears similar in appearance, though the sideport now overlies the cardiac silhouette (previously overlying the mid lung, just above the edge of the heart). The right-sided pneumothorax is also slightly larger, now seen tracking from the right apex along the right wall to the right costophrenic angle and adjoining right lung base. There is minimal atelectasis, but no significant collapse, on the right. The mediastinum remains grossly midline. The cardiomediastinal silhouette is similar to the prior study. Retrocardiac opacity is similar to the prior film. Doubt CHF.
51748539
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with left chest tube clamped // eval for PTX COMPARISON: ___ at 7: ___ am
Left apical pneumothorax still small, but considerably larger. Left base pneumothorax also slightly larger. Minimal lucency adjacent to the the aortic knob may also represent part of the left lung pneumothorax. Attention to this area on followup films to exclude any mediastinal air is requested. Extensive subcutaneous emphysema, equivocally slightly greater than on the prior film. Minimal interval change in position of the left chest tube. Right pneumothorax also increased, still small in width, but now seen not only at the right lung apex, but also along the right lateral chest wall and at the right costophrenic angle in the adjoining lung base.
11851243
Since chest radiographs dated ___, diffuse, right lung opacities are grossly unchanged and the left lower lobe opacities are minimally improved. A calcified left ventricular aneurysm appears grossly unchanged. A right-sided IJ terminates within the right atrium. Mild cardiomegaly is stable. Median sternotomy wires are midline and intact.
52486352
EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___.
Grossly unchanged parenchymal opacities of the right lung with minimal improvement of left lower lobe parenchymal opacities consistent with a multifocal pneumonia.
11851243
The positive is seen terminating within the distal stomach. ET tube most likely terminates approximately 5 cm above the carina but the and is not clearly seen due to superimposed supporting devices. The Swan___Ganz catheter the tip is seen at the level of the right ventricular outflow tract. Right jugular central catheter terminates in the mid SVC. There is no pneumothorax. Unchanged diffuse parenchymal opacities in the right lung in unchanged left basal consolidation.
56580290
INDICATION: ___ year old man with CABG, PNS // Dobhof tube placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ 11:38
Dobhof tube terminates in the distal stomach. Otherwise, no relevant change snce ___ 11:38.
11851243
Left chest tube is in unchanged position. Small bilateral pneumothoraces are smaller compared to 4 hr prior. Subcutaneous emphysema in the left chest wall and left supraclavicular regions is similar, but slightly decreased . . Minimal bibasilar atelectasis. No CHF, consolidation, or gross effusion. Again noted is curvilinear calcification overlying the left ventricle, consistent with known calcified wide some of the left ventricular aneurysm, as seen on chest CT from ___.
54227725
WET READ: ___ ___ ___ 8:23 AM Small bilateral pneumothoraces are smaller compared to 4 hr prior. Subcutaneous emphysema in the left chest wall is similar as before. Left chest tube is in unchanged position. WET READ VERSION #1 ___ ___ ___ 11:21 PM Small bilateral pneumothoraces are smaller compared to 4 hr prior. Subcutaneous emphysema in the left chest wall is similar as before. Left chest tube is in unchanged position. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with left chest tube unclamped and placed back to sxn // eval for chnage in SQ air and eval for left PTX COMPARISON: None.
Slight interval decrease in size of pneumothorax. Subcutaneous emphysema remains present, but is also slightly decreased.
11851243
Lines and tubes in standard position. The bibasilar atelectasis has improved. The lungs are otherwise clear. Mild postoperative widening of the cardiac silhouette is stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.
58294409
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p CABG // eval for pneumo TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiograph dated ___ at 08:34.
Lines and tubes in standard position, without pneumothorax. Improving bibasilar atelectasis.
11851243
The patient is status post sternotomy, with mild prominence of the cardiomediastinal silhouette. The left ventricular silhouette itself appears smaller. Again seen is left-sided chest tube, similar in configuration. New compared with the prior study, there is much more extensive subcutaneous emphysema, now outlining the pectoralis muscle fibers and with prominent new subcutaneous emphysema in the left supraclavicular fossa. The left chest tube side port remains in a similar position, without obvious interval retraction. Lucency at the base of the left heart and along the left chest wall inferiorly is compatible with the known pneumothorax. The left apical component of the pneumothorax appears less pronounced, with only a small residual pneumothorax seen at the left lung apex. On the right, there is an equivocal small residual apical pneumothorax, decreased compare with the prior study. Upper zone redistribution, but no overt CHF. Atelectasis at the right base, which is more pronounced. No gross effusion on either side. Previously seen right IJ sheath is been removed. Small amounts of calcification are seen in both carotid arteries.
56781810
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p cabg with ptx on suction on CT // eval for bilateral ptx COMPARISON: Chest x-ray from ___ at 07:47
More extensive subcutaneous emphysema is seen on today's study, including prominent subcutaneous emphysema in the left supraclavicular fossa. Left chest tube appears unchanged in configuration. Clinical correlation requested. Left apical pneumothorax is decreased in size, though residual left-sided pneumothorax is likely present at the left lung base. Equivocal minimal residual right apical pneumothorax. Overall cardiomediastinal silhouette is similar, though left ventricular silhouette appears subtly smaller. Upper zone redistribution and right base atelectasis. No overt CHF or frank right-sided consolidation.
11851243
There is no evidence of pneumothorax. There is a small left pleural effusion. There is mild cardiomegaly which is stable from ___. There is no pulmonary edema. Cardiomediastinal borders and hilar structures are normal.
57177783
INDICATION: ___ year old man s/p cabg CT out // assess for PTX TECHNIQUE: Chest PA and lateral COMPARISON: ___ 12:15
No pneumothorax and a small left effusion.
11996100
Subtle opacity projecting over the anterior right first rib may relate to overlapping structures, but suggest further evaluation with apical lordotic view. No focal consolidation seen elsewhere. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
51121848
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS, unresponsive // Eval for pneumonia TECHNIQUE: Single frontal view of the chest COMPARISON: ___
Subtle opacity projecting over the anterior right first rib may relate to overlapping bony structures however, underlying pulmonary opacity not excluded. Recommend apical lordotic view for further evaluation. No evidence of focal consolidation seen elsewhere.
11995642
Cardiac silhouette size is normal. The mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
52609949
INDICATION: Chest pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE
No acute cardiopulmonary process.