tgrex6/mimic-cxr-reports-summarization · Datasets at Hugging Face

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
11194776	Frontal and lateral chest radiographs demonstrate low lung volumes. No appreciable pleural effusion is identified on the right. A small pleural effusion is identified on the left with an adjacent new developing consolidation which may represent atelectasis or pneumonia. There is no overt pulmonary edema. Heart size is enlarged but stable when compared to prior examination. A right internal jugular line tip is seen terminating at the level of the low superior vena cava. No pneumothorax is identified. Sternotomy wires are intact.	56913425	HISTORY: ___-year-old female status post CABG. Evaluate for pleural effusions. COMPARISON: Chest radiograph dated ___.	Small left-sided pleural effusion with adjacent consolidation concerning for developing pneumonia vs. atelectasis. These findings were communicated to the ordering physician by telephone by Dr. ___ at 16:50 on ___ at the time findings were discovered.
11194776	The patient is status post median sternotomy and CABG. Lung volumes remain slightly low. Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. Crowding of the bronchovascular structures is demonstrated without pulmonary edema. Patchy bibasilar airspace opacities likely reflect atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present. There are mild multilevel degenerative changes noted in the thoracic spine.	59123684	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___	Low lung volumes with patchy atelectasis in the lung bases.
11194776	PA and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips. The previously noted right IJ central venous catheter has been removed. The lung volumes are low. There is no focal consolidation, effusion or pneumothorax. A subtle reticulonodular pattern could suggest mild interstitial edema. The heart size is top normal. The mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.	58549165	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: CHF and CAD with chest pain, assess pneumonia.	Limited with probable mild pulmonary edema.
11194776	Patient status post sternotomy, even allowing for which a may be cardiomegaly. Poor lung volumes there is a significant improvement in the degree pulmonary edema identified when compared to the prior examination no specific right basal pathology is seen.	57427522	WET READ: ___ ___ 9:22 AM Probably decreased left pleural effusion. No evidence of pneumothorax. WET READ VERSION #1 ___ ___ ___ 9:46 PM Probably decreased left pleural effusion. No evidence of pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pleural effusion // ?ptx TECHNIQUE: Was obtained COMPARISON: ___	Interval improvement when compared to the prior examination.
11194776	Low lung volumes cause bronchovascular crowding. Increased reticulonodular interstitial opacities bilaterally likely represent mild to moderate pulmonary edema. Retrocardiac opacification is similar to multiple prior studies and likely represents a combination of atelectasis and volume overload. There is no pleural effusion, consolidation, or pneumothorax. Mild cardiomegaly is stable. The cardiomediastinal silhouette is unchanged. 6 intact sternotomy wires unchanged. The osseous structures and upper abdomen are unremarkable.	54898844	WET READ: ___ ___ 7:31 PM Low lung volumes cause bronchovascular crowding, allowing for this there is likely mild to moderate pulmonary edema without focal consolidation. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with chest pain and cough, evaluate pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___.	Low lung volumes cause bronchovascular crowding, allowing for this there is likely mild to moderate pulmonary edema without focal consolidation.
11194776	There is mild interstitial edema and pulmonary vascular congestion. No focal consolidation is seen. The heart remains mildly enlarged. Median sternotomy wires and surgical clips are noted. There is no pleural effusion or pneumothorax.	53303255	INDICATION: ___-year-old woman with shortness of breath, evaluate for pneumonia. TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest x-ray from ___	Mild interstitial edema and pulmonary vascular congestion with cardiomegaly. No focal consolidation.
11194776	The previously noted right internal jugular approach central line has been removed. A large bore dual-lumen dialysis catheter from a left internal jugular approach is in stable course and position with the distal tip projecting over the junction of the superior vena cava and a brachiocephalic vein. Lung volumes remain diminished. There has been significant improvement in the previously noted fluid balance with near-resolution of the pulmonary edema. Mild cephalized flow and interstitial prominence persists. No definite focal consolidation is seen. There is no effusion or pneumothorax. The osseous structures again reveal mild degenerative changes throughout the thoracic spine.	53805676	AP AND LATERAL CHEST, ___ AT ___ HOURS. HISTORY: End-stage renal disease on hemodialysis via a left dialysis catheter with fever, bacteremia, and chest pain. COMPARISON: Multiple priors, the most recent dated ___.	Interval removal of right internal jugular approach central line. Stable left internal jugular approach dialysis catheter. Near-complete resolution of previously noted interstitial edema now only mild residual remaining. No infiltrate.
11194776	Median sternotomy and CABG clips are re- demonstrated. Lung volumes remain low. Heart size remains mild to moderately enlarged. Mediastinal and hilar contours are grossly unremarkable and unchanged. There is crowding of bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema. Patchy airspace opacities the lung bases likely reflect areas of atelectasis in the setting of low lung volumes, however infection cannot be completely excluded. No pleural effusion or iron pneumothorax. There are moderate multilevel degenerative changes in the thoracic spine.	52883493	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Low lung volumes with possible mild pulmonary vascular congestion and bibasilar patchy opacities, likely atelectasis, but infection cannot be excluded.
11372911	Moderate right pleural effusion is unchanged. A right pectoral dual-lead cardiac pacemaker remains in place. The left lung is clear. There is no pneumothorax. Heart size cannot be accurately assessed due to obscuration of the right heart border by pleural effusion. Multilevel spinal degenerative changes are stable.	59833042	EXAMINATION: CHEST (PA AND LAT) INDICATION: Worsening dyspnea. Evaluate right pleural effusion. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___.	Unchanged moderate right pleural effusion.
11372911	The right chest wall pacemaker now a dual lead pacemaker with the leads in the expected location of the right ventricle and coronary sinus. There is a new moderate right pleural effusion. The heart remains mildly enlarged. No pneumothorax or left pleural effusion.	55788555	INDICATION: ___ year old man s/p upgrade to biv-ppm // r/o ptx TECHNIQUE: Portable frontal upright radiograph of the chest COMPARISON: ___	Dual lead pacemaker with leads in expected location of right ventricle and coronary sinus New moderate right pleural effusion No pneumothorax
11372911	Frontal and lateral chest radiograph demonstrates cardiomegaly. When compared to chest radiograph ___, there is decreased but persistent pulmonary edema with right pleural effusion. There is no focal consolidation. There is no pneumothorax. A right-sided pacer is identified with its single lead terminating in the standard position within the right ventricle.	54784261	HISTORY: ___-year-old male with moderate to severe mitral regurgitation undergoing mitral valve surgical intervention. Preop evaluation. COMPARISON: Multiple prior chest radiographs dated through ___.	Improved but persistent pulmonary edema.
11372911	No significant overall change since ___. The moderate right pleural effusion with some tracking in the fissures unchanged. No new focal consolidation, pulmonary edema, or pneumothorax. The right-sided cardiac device and two leads are unchanged in position and appear intact. Stable cardiomediastinal silhouette and hila. The right posterior pleural drainage catheter appears unchanged in position and intact. Diffuse bilateral chronic lung disease better seen on recent CT.	52424512	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with CHF with severe MR/TR with pleurex in place s/p drainage; evaluate for a change in size of effusion s/p drainage and for pneumonia. COMPARISON: Chest radiograph dated ___. CT chest dated ___	No significant interval change. Stable moderate right pleural effusion.
11372911	Frontal views of the chest. Single lead of a right chest wall pacer terminates in stable position. Top normal heart size and mediastinal contours are stable. There is asymmetric right greater than left pulmonary edema with slight blunting of the right costophrenic angle. No focal consolidation or pneumothorax.	58536704	HISTORY: History of CHF with shortness of breath. COMPARISON: Multiple prior chest radiographs, most recently of ___.	Pulmonary edema with small right pleural effusion.
11186476	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mild to moderately enlarged. No overt pulmonary edema is seen. There is mild focal narrowing of the visualized upper trachea ; enlarged thyroid seen on subsequent cervical spine CT. Please note that dedicated imaging of the thoracic spine was not obtained on this study.	55295505	WET READ: ___ ___ ___ 9:08 PM Enlarged cardiac silhouette without overt pulmonary edema. No focal consolidation. The study does not include dedicated imaging of the thoracic spine. If there is high concern for thoracic spine injury, suggest dedicated imaging of the spine. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with s/p MVC with mid T spine tenderness // TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Enlarged cardiac silhouette without overt pulmonary edema. No focal consolidation. The study does not include dedicated imaging of the thoracic spine. If there is high concern for thoracic spine injury, suggest dedicated imaging of the spine.
11426350	The patient is status post median sternotomy and CABG. Heart size remains mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No radiopaque foreign bodies are visualized.	52654300	HISTORY: Possible aspiration of an apple slice. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___	No acute cardiopulmonary process. No radiopaque foreign bodies are visualized.
11494846	Frontal AP upright and lateral views of the chest were obtained. Evaluation is mildly limited by overlying soft tissues. There is no focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette is enlarged. Mediastinal silhouette and hilar contours are normal. No displaced rib fracture is seen.	54669770	CLINICAL HISTORY: ___-year-old woman with chest pain. COMPARISON: No relevant comparison is available.	Mild enlargement of the cardiac silhouette. This could be re-evaluated with repeat radiographs with PA technique and improved inspiration, if clinically indicated. Clear lungs.
11141245	Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. A 3-mm density projecting over right lung base may represent a granuloma. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable.	58018274	INDICATION: Shortness of breath. COMPARISONS: None available.	No evidence of acute cardiopulmonary process.
11521280	Portable upright AP view of the chest provided. There is mild left basilar atelectasis. Otherwise, the lungs are clear. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. Bony structures are intact. No signs of pneumomediastinum or free air below the right hemidiaphragm.	59773345	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Shortness of breath, status post endoscopy, assess free air.	Mild left basal atelectasis, otherwise normal.
11541551	2 portable views of the chest. Bibasilar opacities are compatible with a moderate right-sided and at least a small left sided effusion as well. There is moderate pulmonary edema. Cardiac silhouette is difficult to assess given sihouetting particularly on the right. Atherosclerotic calcifications seen at the aortic arch.	55997343	HISTORY: ___-year-old male with lower extremity swelling. COMPARISON: ___.	Moderate right and small left pleural effusions. Moderate pulmonary edema. Superimposed infection is not excluded at the bases.
11362441	AP upright and lateral views of the chest were provided. The lungs appear clear bilaterally. No effusion or pneumothorax is seen. The heart and mediastinal contours appear stable. The bony structures are intact.	50025292	HISTORY: ___-year-old man with history of syncopal event, celiac disease, hypothyroidism. COMPARISON: ___.	No acute findings in the chest.
11362441	The lungs are hypoinflated with crowding of vasculature appeared bibasilar atelectasis is noted. No pleural effusion or pneumothorax. A tortuous aorta is noted. Heart size, mediastinal contour, and hila are unremarkable.	57780192	WET READ: ___ ___ 10:55 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with chest pain and diaphoresis. Assess for acute cardiopulmonary process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No acute cardiopulmonary process.
11647877	The cardiac silhouette is stable in size. Again noted is prominence of the hila consistent adenopathy seen on prior CT. A left posterior lower lobe mass is again seen, as demonstrated by opacity overlying the spine on the lateral view, better assessed on recent CT. Multiple metastases are better identified on chest CT. A right-sided Bochdalek hernia is again demonstrated. Again seen is left basilar opacity, not significantly changed since recent examination. Subtle blunting of the posterior left costophrenic angle may be due to a trace pleural effusion or pleural thickening.	59756661	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with pmh of LLL mass recent biopsy 2 days ago coming in 2x hemoptysis // Assess for effusion/opacities TECHNIQUE: Chest PA and lateral COMPARISON: CT chest without contrast dated ___	Again seen posterior left lower lobe mass and hilar adenopathy, better assessed on recent prior CT. Subtle blunting of posterior costophrenic angle may be due to trace pleural effusion versus pleural thickening.
11647877	Again visualized is the large posterior left lung mass overlying the spine, better visualized on the recent CT. The multiple metastatic nodules are also better characterized on the recent CT. Bilateral lower lung predominant interstitial opacities are present, similar to ___ radiograph. There are stable small bilateral pleural effusions. The cardiomediastinal silhouette is stable in appearance. The bilateral hilar enlargement is due to adenopathy, unchanged from prior. The pulmonary vasculature is normal. No pneumothorax is seen.	51264711	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with hemoptysis, s/p biopsy on ___ of LLL mass // interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___. Chest radiographs dated ___. CT chest without contrast dated ___.	Stable large left posterior left lung mass with multiple metastatic nodules, better characterized on the recent CT. Interstitial thickening may represent edema, an atypical infection, and less likely lymphangitic carcinomatosis given the lack of significant interstitial thickening on the recent CT. Persistent intrathoracic adenopathy. Stable small bilateral pleural effusions.
11079985	The lungs are clear without focal consolidation, effusion, or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Mild height loss of a mid thoracic vertebral body is unchanged. No acute osseous abnormalities identified.	53984930	INDICATION: ___M with cough, cp // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11079985	The lungs are well expanded and show a new focal airspace opacity in the right lower lobe. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present.	55941163	INDICATION: ___-year-old male with cough and fever. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE	New right lower lobe opacity could represent early pneumonia. A repeat radiograph is recommended after adequate treatment to ensure resolution.
11961424	The heart size is normal. The aortic knob demonstrates mild calcification. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascular is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	53426775	INDICATION: Likely cerebral vascular accident. COMPARISON: None. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11224611	PA and lateral image of the chest demonstrate no change in the interstitial markings since prior imaging. Again seen is a chronic elevation of the right hemidiaphragm. There is no evidence of active pulmonary disease. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.	59211756	INDICATION: ___-year-old female with history of sarcoidosis, requiring assessment for active disease. COMPARISON: Comparison is made with chest radiograph from ___ and ___.	Normal chest radiograph with no evidence of active pulmonary disease.
11224611	There is persistent elevation of the right hemidiaphragm, unchanged from prior. Otherwise, the lungs are well inflated and clear. The cardiomediastinal silhouette is stable. The hila do not appear prominent to suggest adenopathy. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	50182966	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with inactive sarcoid now with DOE. // assess for change in diaphragm and LAD. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	Persistent elevation of the right hemidiaphragm. No evidence of hilar lymphadenopathy.
11545465	Frontal and lateral chest radiographs were obtained. Increased opacity is present in the left lower lobe with a small left pleural effusion. The right lung is fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pneumothorax.	54489858	HISTORY: Patient with metastatic melanoma, with poor p.o. intake and hypotension, question pneumonia. COMPARISON: None available.	Left lower lobe opacity which may be due to atelectasis but a supervening pneumonia must be considered in the appropriate clinical setting. Small left pleural effusion.
11739747	Blunting at the left costophrenic angle appears unchanged from ___ and may represent pleural parenchymal scarring. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. There is no acute osseous abnormality detected.	52604098	INDICATION: Dyspnea and wheezing, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.	No focal consolidation concerning for pneumonia. Unchanged blunting of the left costophrenic angle from ___ likely represents pleural parenchymal scarring.
11467358	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Projecting over the right lower lung is a possible lung nodule suggested by a nodular focus measuring about 7 mm in diameter.	52633376	WET READ: ___ ___ 12:38 PM No acute process or injury. Suspicion for lung nodule of 7 mm at right lung base; chest xray f/u or CT suggested in follow-up. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Status post fall with hypoxia. COMPARISONS: Prior day. TECHNIQUE: Chest, AP upright and lateral.	No evidence of acute disease or injury. Possible nodule in the right lower lung. If clinically appropriate, the chest could be evaluated with CT or alternatively short-term followup radiographs.
11994782	The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable without fracture visualized. No radiopaque foreign body.	52253375	HISTORY: Motor vehicle collision. Evaluate for fracture. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple prior chest radiographs, most recently of ___.	No acute cardiopulmonary process. No fracture visualized.
11198300	The heart is enlarged. The aorta is moderately calcified and tortuous. Central pulmonary vessels are congested, accompanied by mild interstitial edema and bilateral pleural effusions, greater on the right. Focal density within the right middle lobe may represent atelectasis, although underlying consolidation cannot be excluded. There is no pneumothorax. A lower thoracic vertebral wedge compression deformity is slightly progressed since ___.	56625786	INDICATION: New cough and wheeze. COMPARISON: Radiograph available from ___ and ___. FRONTAL AND LATERAL CHEST	Central vascular congestion with bilateral pleural effusions and interstitial edema. Underlying consolidation, particulary within the right lower lobe, cannot be excluded. A followup chest radiograph is recommended following resolution of edema.
11594989	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. Prominent degenerative spurring in the mid thoracic spine noted. No free air below the right hemidiaphragm is seen.	57422572	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with anginal symptoms COMPARISON: ___.	No acute intrathoracic process.
11647782	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	58432225	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with 1 wk L CVA region pain, rx for kidney stone treatment, negative labs and imaging TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11959292	Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.	54598068	HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary abnormality.
11340648	Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and clear. There are no pleural effusions or acute skeletal findings.	58023418	PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph.	No radiographic evidence of pneumonia.
11340648	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.	58210294	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with CP // eval for consolidation COMPARISON: ___	No acute intrathoracic process.
11340648	The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.	58476599	PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough, fever, assess for pneumonia. COMPARISON: Chest x-rays from ___ to ___.	There is no evidence of pneumonia.
11607063	Since ___, new bilateral moderate pleural effusions are seen, right greater than left, with moderate bibasilar and retrocardiac atelectasis. Mild pulmonary vascular congestion is unchanged. A focal opacity is seen in the left mid-lung, which is suggestive of pneumonia. Lung volumes are low. The heart is borderline cardiomegaly. No pneumothorax. Rightward tracheal deviation is again seen caused by a multinodular goiter.	58298420	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with moderate AS, POD1 for L hip surgery // eval for pulm edema, aspiration TECHNIQUE: Portable AP chest radiograph COMPARISON: Single-view chest radiograph ___	Moderate bilateral pleural effusions, right greater than left, with associated bibasilar and retrocardiac are new since ___. A focal opacity in the left mid-lung is concerning for pneumonia.
11188745	Frontal and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. There is a small pericardial effusion, that appears similar to CT in ___.	50311831	INDICATION: Known metastatic thyroid cancer. Presenting with cough. COMPARISON: ___. CT chest, ___.	No acute cardiopulmonary process.
11188745	Cardiac silhouette size remains mildly enlarged. The aorta is diffusely calcified. Bilateral paramediastinal and opacities are compatible with post radiation changes. Mediastinal contour is similar, and known subcarinal mass as well as mediastinal lymphadenopathy is better assessed on the previous CT. Pulmonary vasculature is normal. Streaky atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Previously noted left upper lobe pulmonary nodule is better demonstrated on CT.	59109753	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with atrial fibrillation with rapid ventricular rate, thyroid cancer, history of carcinoid TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___	Minimal atelectasis in the left lung base. Otherwise unchanged exam.
11840671	Heart size is normal. The aorta is mildly tortuous. The pulmonary vascularity is normal. Hilar contours are unremarkable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Linear calcifications along the anterior pleura within the left hemithorax likely reflect pleural plaques, and probably account for the 2.0 x 3.7cm rounded opacity projecting over the left ___ anterior rib. There are no acute osseous abnormalities.	58806099	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process. Calcified pleural plaques, likely accounting for the rounded opacity projecting over the left 5th rib anteriorly.
11264366	PA and lateral views of the chest provided. In comparison to prior study from 2 days ago, there is interval improvement in multifocal parenchymal opacities. Mediastinum is stably widened, in part due to ascending aorta enlargement or tortuosity, stable since at least ___. Heart is mildly enlarged. Small amount of subcutaneous emphysema is noted on the right. Calcific density medial to the left glenoid is again seen.	56538360	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, right crackles/wheezing COMPARISON: Chest radiographs from ___, most recently ___.	No pneumonia. Mediastinal widening due to dilated or tortuous ascending aorta, unchanged since at least ___.
11779599	No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.	51008184	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with 3 weeks left sided chest pressure // Evaluate for consolidation, mass TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11298472	PA and lateral chest radiograph demonstrate a right middle lobe opacity which silhouettes the right heart border. There is mild downward displacement of the minor fissure suggestive of atelectasis. There is no pleural effusion or pneumothorax. The remaining lungs are clear. Cardiomediastinal and hilar contours are within normal limits. There has been removal of the left-sided central venous line since the previous study.	52422234	INDICATION: ___F with hx AML, breast ca in remission now w/ likely R lung ca and lobe collapse per ?? PCP and___ w/u TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	Right middle lobe consolidation with subtle loss of volume most compatible with right middle lobe partial collapse.
11170923	Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.	58423146	WET READ: ___ ___ ___ 4:05 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with headache, fever, chills, nuchal rigidity, bilateral pain with eye motion. Concern for sphenoid sinusitis. // Headache TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11769941	A right-sided internal jugular venous catheter is in place with tip in the mid SVC. Within the lungs, no focal opacity to suggest pneumonia is seen. Prominent costochondaral calcifications are seen. A trace right-sided pleural effusion may be present. No pneumothorax or pulmonary edema is seen. There is mild-to-moderate cardiomegaly. Calcifications of the aortic arch are noted.	53344629	INDICATION: Evaluation of right internal jugular venous catheter placement. TECHNIQUE: Single frontal radiograph of the chest. COMPARISON: None available.	Right-sided internal jugular venous catheter with tip in the mid SVC. No pnuemothorax.
11182668	Right-sided Port-A-Cath tip terminates at the confluence of the brachiocephalic veins. The heart size is normal. A large hiatal hernia is demonstrated, as noted on the prior CT. The mediastinal and hilar contours are otherwise unremarkable with calcification of the aortic arch again noted. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. Previously demonstrated pulmonary nodules in the right upper lobe on CT are not clearly seen on the current exam due to their small size. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.	58036927	HISTORY: Fever, on chemotherapy. History of breast cancer. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ CT torso.	No acute cardiopulmonary abnormality. Large hiatal hernia.
11182668	Cardiac silhouette size remains mildly enlarged. A large hiatal hernia is demonstrated, as seen previously. Hilar contours are normal. Pulmonary vasculature is unremarkable. Streaky atelectasis is seen in the lung bases associated with the hiatal hernia, but there is no focal consolidation, pleural effusion or pneumothorax. The osseous structures are diffusely demineralized. No acute osseous abnormality is detected.	53842541	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with intermittent chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___	Large hiatal hernia with associated basilar atelectasis. Otherwise, no acute cardiopulmonary abnormality.
11364497	Heart size is normal. Mediastinal and hilar contours are unremarkable. Lobulated contour of the right cardiophrenic angle likely reflects an epicardial fat pad, and was reported on the previous exam. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	52513653	HISTORY: Visual disturbance, palpitations. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Report from chest radiograph ___. Images are not available for direct comparison.	No acute cardiopulmonary abnormality.
11048324	The lungs are essentially clear. There is no effusion or edema. Tortuosity of the descending thoracic aorta is noted, particularly on the lateral view. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Median sternotomy wires are intact.	57661229	INDICATION: ___F with cough, abdominal pain in LLQ // eval for PNA, diverticulitis TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11576897	Right PICC is unchanged terminating in the region of the cavoatrial junction. No pneumothorax. Extensive bilateral airspace opacities appear stable on the left and slightly worse in the right upper lobe. No large pleural effusion. Mediastinal contours and cardiac silhouette are stable. Lung volumes are low with bibasilar atelectasis.	52996827	INDICATION: ___ year old man with hypoxemic respiratory failure, cirrhosis, ascites with hypoxia // interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiographs since ___, most recently ___.	Extensive bilateral airspace opacities stable on the left and worse in the right upper lobe.
11855128	There has been interval decrease or resolution of the left pleural effusion. Small right pleural effusion persists. Interstitial prominence has increased compared to prior with peribronchial cuffing, suggestive of superimposed edema. Cardiomegaly persists. Aortic calcifications are noted. No pneumothorax is detected.	51023940	HISTORY: ___-year-old female with hypotension. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in upright position. COMPARISON: ___.	Findings suggesting mild to moderate pulmonary edema.
11855128	Increased heart size, stable. Pulmonary vascularity has mildly improved. Mild bilateral pleural effusions, mildly improved on the left, mildly worsened on the right. Mildly improved bibasilar opacities, likely improving atelectasis. T AVR. No pneumothorax. Degenerative changes thoracolumbar spine, kyphosis. Esophageal hiatal hernia.	51317221	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with wheezing and evidence of pleural effusion on admission, atelectasis + fluid overload. Assess for acute process or progression // assess for acute process or progression over admission CXR, has been getting diuresed post TAVR. Accurate dry wt. unknown TECHNIQUE: Chest two views COMPARISON: ___ 05:29	Mild pleural effusions. Improved bibasilar opacities.
11855128	Lung volumes are low and decreased as compared to chest radiograph ___. There is prominence of the parahilar vessels and reticular opacities compatible with pulmonary edema. Cardiomegaly is noted. There is blunting of the right costophrenic angle which may compatible with a trace right pleural effusion. Linear opacities overlying the bilateral lower lobes likely represent bibasilar atelectasis.	58435625	WET READ: ___ ___ ___ 5:04 AM 1. Cardiomegaly and evidence of moderate pulmonary interstitial edema. 2. Bibasilar atelectasis. 3. Blunting the right costophrenic angle compatible with a trace right pleural effusion. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with AS, syncope and NSTEMI // please evaluate for acute abnormality TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Cardiomegaly and evidence of moderate pulmonary interstitial edema. Bibasilar atelectasis. Blunting the right costophrenic angle compatible with a trace right pleural effusion.
11556982	Portable AP upright radiograph of the chest was obtained. The lungs are well expanded and clear. Left PICC terminates in the cavoatrial junction. There is no focal consolidation, pleural effusion, or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.	53647974	INDICATION: ___-year-old woman with fever, assess for pneumonia. COMPARISONS: ___.	No acute intrathoracic process.
11556982	The lungs are well inflated and clear. Cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A tunneled double channel catheter terminates below the superior cavoatrial junction, as before.	55192875	INDICATION: ___F with crohn's disease, history of port placement. Evaluate for correct port placement. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process. Stable position of the tunneled dual channel central venous catheter terminating below the superior cavoatrial junction.
11556982	A PICC line terminates in the superior vena cava. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. The are no pleural effusions or pneumothorax. Bony structures are unremarkable.	57014551	CHEST RADIOGRAPHS HISTORY: Fever after recent resection. History of Crohn's disease. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral.	No evidence of acute disease.
11556982	Central venous catheter tip terminates at the junction of the SVC and right atrium. The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.	53272424	HISTORY: New fevers associated with TPN infusions. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11137816	The nasogastric tube is coiled within the hiatal hernia. Although the distal tip does pass below the diaphragm sagittal appears to be just past the diaphragmatic hiatus and thus the NG tube should be advanced for more optimal positioning. The lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. Enlargement of the cardiomediastinal silhouette is likely technical.	51850127	INDICATION: History: ___F with new NGT // Eval for NGT placement TECHNIQUE: Portable chest radiograph. COMPARISON: CT abdomen from ___	Nasogastric tube is coiled within the hiatus hernia, although the distal tip is below the diaphragm. Recommend advancement for more optimal positioning.
11551126	The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	50824601	INDICATION: ___M with chest pain // fluid? pna? acutecardiopulmonary process? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None per	No acute cardiopulmonary process.
11898365	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.	57071715	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with CP and ?crackles // assess for infiltrate COMPARISON: ___	No acute intrathoracic process.
11622147	Streaky opacity in the left base of hte left lung represents atelectasis; otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. There is mild cardiomegaly. The mediastinal contours are normal.	51146031	HISTORY: Weakness. Evaluation for infiltrate. COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest.	No acute intrathoracic process. Left basilar atelectasis and mild cardiomegaly.
11106524	Heart size and cardiomediastinal contours are normal. A nodular opacity overlying the right upper lung projects over the scapula, similar to prior. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.	54896592	INDICATION: History: ___M with ESRD on PD, CAD p/w generalized weakness and hypotension // R/O Pneumonia/CHF COMPARISON: ___. TECHNIQUE: Frontal and lateral views of the chest.	No acute cardiopulmonary process.
11106524	Heart size is normal. Lungs are clear. Central mediastinal vasculature is congested. No interstitial edema. No pleural effusions.	59263109	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with hypotension, r/o infection // Eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: ___	Mild central vascular congestion. No interstitial edema.
11106524	Compared to chest radiographs from 1 hour earlier, new Dobhoff tube weighted tip descends below the diaphragm and terminates in the upper stomach. Otherwise, no relevant change.	59893340	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new dobhoff // re-confirm placement after adjusting tube level TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Same-day chest radiographs.	Only the weighted tip of the Dobhoff tube reaches the upper stomach.
11106524	The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities are visualized.	51282116	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11106524	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Air is noted in the upper abdomen. There is volume loss in the right lower lobe. A small right pleural effusion is likely present. Underlying consolidation is not excluded.	53001747	WET READ: ___ ___ ___ 5:30 PM 1. Air in the upper abdomen is not inconsistent with history of peritoneal dialysis. 2. Suspected components of right sided pleural effusion, atelectasis, and possible consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___m with hyperglycemia and hypotension, plus cough. please eval for cardiopulmonary change TECHNIQUE: Chest PA and lateral COMPARISON: ___	Air in the upper abdomen is not inconsistent with history of peritoneal dialysis. Suspected components of right sided pleural effusion, atelectasis, and possible consolidation.
11106524	There is silhouetting of the right hemidiaphragm, likely due to a layering pleural effusion the right basal consolidation cannot be excluded. The left lung appears grossly clear. An endotracheal tube is in-situ, the tip is approximately 7 cm above the level of the carina. A nasogastric tube terminates in the stomach. No pneumothorax. Mild pulmonary vascular congestion persists. A right-sided PICC terminates in the mid SVC.	56557827	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with bacteremia and encephalopathy on HD s/p PEA arrest now intubated // ?interval changes TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	New silhouetting of the right hemidiaphragm likely due to a combination of a layering pleural effusion and right lower lobe atelectasis, superimposed infection cannot be excluded. Persistent mild pulmonary vascular congestion.
11106524	Endotracheal tube tip is 4.5 cm above carina. There is small right pleural effusion, improved since prior. Pulmonary vascularity, heart size have mildly improved. There is minimal bibasilar atelectasis, improved.	55871627	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with intubation for AMS, airway protection, seizures // tube placement TECHNIQUE: Chest single view COMPARISON: ___ 08:34	Interval mild improvement. New endotracheal tube.
11106524	AP and lateral chest radiograph demonstrates a normal sized heart. Hilar contours are within normal limits. A small to moderate right pleural effusion appears to have been present on prior examination, not significantly changed, with apparent loculation. No focal opacity convincing for pneumonia is present. There is no pneumothorax or evidence of pulmonary edema. Imaged osseous structures and upper abdomen demonstrate no acute abnormality.	59549349	INDICATION: ___-year-old male with hiccups and shortness of breath. Evaluate for pneumothorax. TECHNIQUE: AP and lateral COMPARISON: Chest radiograph dated ___.	Right pleural effusion present on prior examination and not significantly changed. Given apparent loculation, a CT may be performed to further assess if clinically indicated. No focal opacity convincing for pneumonia.
11106524	Curvilinear lucency below the right hemidiaphragm is concerning for free intraperitoneal air with communication detailed in the wet reading report. Interval improved aeration at both lung bases as well as decrease in size of a right pleural effusion. No other relevant changes since the recent study.	59744695	WET READ: ___ ___ 8:18 AM 1. Interval resolution of a small left pleural effusion. No focal consolidation. 2. Right subdiaphragmatic linear lucency, concerning for pneumoperitoneum. If this correlates with the patient's clinical presentation, CT abdomen/pelvis can be obtained for further evaluation. These findings were communicated via telephone by Dr. ___ to Dr. ___ at 20:35 on ___, approximately 5 minutes after discovery. WET READ VERSION #1 ___ ___ ___ 8:43 PM 1. Interval resolution of a small left pleural effusion. No focal consolidation. 2. Right subdiaphragmatic linear lucency, concerning for pneumoperitoneum. If this correlates with the patient's clinical presentation, CT abdomen/pelvis can be obtained for further evaluation. These findings were communicated via telephone by Dr. ___ to Dr. ___ at 20:35 on ___, approximately 5 minutes after discovery. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with sepsis, pleural effusion // Evaluate for interval change of pleural effusion COMPARISON: ___	Findings concerning for free intraperitoneal air, which could be confirmed by abdominal CT. Improving aeration at both lung bases and decreased right pleural effusion.
11106524	Lung volumes are somewhat low on the right with right basilar atelectasis. The trachea is central. Endotracheal tube is in-situ, terminating approximately 5 cm above the level of the carina. A nasogastric tube terminates in the stomach. A right sided PICC terminates in the distal SVC. There is prominence of the bilateral hila and upper lobe pulmonary vasculature consistent with mild congestive heart failure. No frank pulmonary edema. No pleural effusion or pneumothorax seen. No consolidation.	50757758	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p arrest now intubated // evaluate et tube TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	Findings consistent with mild congestive heart failure. No frank pulmonary edema.
11106524	The lungs are clear. The cardiomediastinal silhouette is within normal limits. Coronary artery calcifications and/or stents are noted. Bilateral calcified hilar lymph nodes are again noted. No acute osseous abnormalities. No abnormal air-fluid levels identified over the mediastinum.	59200596	INDICATION: ___M with complex PMH, comes in with dysphagia // evaluate for any mass explaining dysphagia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11106524	Feeding tube tip is in the proximal stomach, including side port. Right IJ central line tip is in the mid to low SVC. Endotracheal tube tip is 8 cm above carina, could be advanced. Stable small right pleural effusion. No pneumothorax. Lungs are clear. Chronic postsurgical or posttraumatic change distal right clavicle, stable.	51785189	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new NGT placement. // eval for NGT placement. TECHNIQUE: Chest single view COMPARISON: ___ 20:04	Feeding tube tip is in the proximal stomach. Endotracheal tube tip could be advanced.
11106524	Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.	52763766	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with hypotension TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___.	No acute cardiopulmonary abnormality.
11106524	Right PICC tip projects over the mid SVC. There is a possible small right pleural effusion with blunting of the lateral costophrenic angle. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits.	51964374	INDICATION: ___M with trigger hypotension // eval for pna TECHNIQUE: Single portable view of the chest. COMPARISON: ___.	Suspected small right pleural effusion.
11106524	Endotracheal tube tip in good position. Enteric tube tip is probably in the mid stomach, well below diaphragm. Right IJ central line tip in the low SVC. Trace right pleural effusion or thickening, probably similar. New right basilar opacities, probable nodular components, consider infection. Retrocardiac opacity, likely atelectasis. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. No pneumothorax.	50308327	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man inbubated with c/f pneumonia // concern for pneumonia TECHNIQUE: Chest single view COMPARISON: ___	New right basilar opacities, probable nodular components, suggest pneumonia.
11106524	Previously seen right-sided central venous catheter is no longer visualized. There is subtle nodular opacity projecting over the right posterior third rib not clearly seen on the previous exam. The lungs are otherwise clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	52978427	WET READ: ___ ___ 7:16 PM Nodular opacity projecting at the right lung apex for which repeat views including apical lordotic view is suggested as this could be within the lung, overlying soft tissue structures or potentially external. Otherwise no acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with 1 day of chest pain, no SOB, no cough, no fever // eval for consolidation TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Nodular opacity projecting at the right lung apex for which repeat views including apical lordotic view is suggested as this could be within the lung, overlying soft tissue structures or potentially external. Otherwise no acute cardiopulmonary process.
11106524	Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected. Amorphous calcification adjacent to the left humeral head likely reflects calcific tendinopathy.	59968261	HISTORY: Hypotension and lightheadedness. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11106524	Frontal and lateral views of the chest. The lungs are hyperinflated but remain clear of focal consolidation or effusion. Dual-lumen central venous line is seen with the distal tip in the upper right atrium. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.	52235979	HISTORY: ___-year-old male on dialysis with fever for 24 hours. COMPARISON: ___.	No acute cardiopulmonary process.
11106524	Enteric tube tip is in the proximal stomach. Endotracheal tube tip 6 cm above carina. Normal heart size, pulmonary vascularity. No pneumothorax. Small right pleural effusion is stable. Lungs are clear. Chronic posttraumatic or postsurgical change distal right clavicle.	52555661	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with invasive aspergillus septic shock // Eval for OGT placement TECHNIQUE: Chest single view COMPARISON: ___ 11:01	Enteric tube tip in the proximal stomach.
11106524	A new right internal jugular line ends in the mid superior vena cava. A nodular opacity overlying the right scapula is again noted. Otherwise, the lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.	59775008	WET READ: ___ ___ 1:45 AM New right internal jugular line ends in the mid superior vena cava. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with central line // ? CVL placement TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of	New right internal jugular line ends in the mid superior vena cava.
11106524	No significant interval change. No change in the nodular opacity overlying the right scapula. The lungs are otherwise clear. No pleural effusion, pneumothorax, or pulmonary edema. Stable appearance of the cardiomediastinal silhouette, hila, and pleura.	59029728	EXAMINATION: Chest (PA and lateral) INDICATION: ___-year-old man on dialysis presenting with confusion the colon evaluate for pneumonia. TECHNIQUE: PA and lateral radiograph views of the chest were obtained. COMPARISON: Chest radiograph dated ___.	No acute intrathoracic abnormality.
11106524	Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. Previously seen bilateral pleural effusions have resolved. There is no pneumothorax.	56793749	INDICATION: History of multiple medical issues including diabetes, chronic kidney disease and hypertension, presenting with chest discomfort. Evaluate for new effusion, worsening heart failure, and/or pulmonary edema. COMPARISON: Chest radiograph from ___.	No acute cardiac or pulmonary process.
11106524	There are possible small bilateral pleural effusions. Pulmonary vascular congestion is improved. Endotracheal tube is in the appropriate position. Cardiac size is mildly enlarged. There is no pneumothorax.	54996124	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with AMS unclear etiology, no intubated // progression on R pleural effusion TECHNIQUE: Single frontal view of the chest COMPARISON: Portable chest x-ray ___	Improved pulmonary vascular congestion. Small bilateral pleural effusions appear unchanged. Mild cardiomegaly. Findings consistent with congestive heart failure.
11515974	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.	52958419	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with DKA // r/o occult infiltrate COMPARISON: None	No acute intrathoracic process.
11109975	Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lung volumes are low with linear opacities at the lung bases most likely reflective of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild multilevel moderate degenerative changes in the thoracic spine.	51247409	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with MS and fever TECHNIQUE: AP and lateral views of the chest COMPARISON: ___	Low lung volumes with mild bibasilar subsegmental atelectasis.
11162709	Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.	53833662	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with sepsis, status post recent cerebral angioembolization; likely urinary source with dysuria TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11698230	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	53577636	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dizziness. COMPARISON: ___.	No acute cardiopulmonary process. The cardiac silhouette is not enlarged.
11141728	2 views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Air under the hemidiaphragms is likely consistent with recent laparoscopic surgery, 3 days prior.	52718661	HISTORY: Chest pain. Assess for pneumonia. COMPARISON: None.	No acute intrathoracic process with intraperitoneal air likely due to recent surgery.
11863590	There is a subtle consolidation at the right lung base and a large round consolidation at the left lung apex. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax.	55312424	WET READ: ___ ___ ___ 5:52 AM Consolidations at the left lung apex and the right lung base are concerning for pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with cough, malaise, fever // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None.	Consolidations at the left lung apex and the right lung base are concerning for pneumonia.
11704323	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	51180485	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with LVH on EKG // cardiomegaly? TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11932143	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. There is no displaced fracture.	59673056	HISTORY: Chest pain and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11272182	Right subclavian central venous catheter tip is malpositioned, coursing across the midline, and tip likely within the left subclavian vein. The endotracheal tube has been withdrawn, with tip now terminating approximately 5 cm from the carina. Enteric tube remains in unchanged position. No pneumothorax is demonstrated. Patchy opacities in the lung bases likely reflect atelectasis, but aspiration is not excluded. No large pleural effusion is present. The cardiac and mediastinal contours are unchanged.	58765548	WET READ: ___ ___ ___ 9:52 PM Malpositioned right subclavian central venous catheter with tip likely in the left subclavian vein. * ED URGENT ATTENTION * ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with right subclavian line TECHNIQUE: Supine AP view of the chest COMPARISON: ___ at 19:19	Malpositioned right subclavian central venous catheter with tip likely in the left subclavian vein. Endotracheal tube has been withdrawn, now in standard position.
11272182	Endotracheal tube is low lying, at the level of the carina and approaching the right mainstem bronchus. Enteric tube tip is within the stomach. Lung volumes are low. Mild enlargement of cardiac silhouette is demonstrated. The aorta appears tortuous. Pulmonary vasculature is not engorged. Apparent widening of the superior mediastinum is likely due to supine positioning and low lung volumes. Linear and streaky opacities in the lung bases most likely reflect areas of atelectasis. Aspiration cannot be completely excluded. No large pleural effusion or pneumothorax is detected on this supine exam. The stomach demonstrates mild gaseous distention.	57498414	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with status epilepticus TECHNIQUE: Supine AP view of the chest COMPARISON: None. Patient is currently listed as EU critical.	Endotracheal tube tip at the carina, approaching the right mainstem bronchus orifice and should be retracted by approximately 5cm. Enteric tube tip within the stomach. Streaky and linear opacities in the lung bases, likely atelectasis though aspiration cannot be completely excluded.
11272182	Right subclavian central venous catheter tip has been repositioned, now terminating at the junction of the SVC and right atrium. No pneumothorax is demonstrated. Mild pulmonary vascular engorgement appears slightly worse in the interval. Continued patchy opacities in the lung bases are re- demonstrated. Cardiac and mediastinal contours are unchanged. Endotracheal tube and enteric tubes are in standard positions.	51287881	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with adjusted subclavian line. TECHNIQUE: Portable upright AP view chest COMPARISON: ___ at 21:40	Right subclavian central venous catheter tip at the SVC/right atrial junction.
11272182	Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. The heart remains mildly enlarged. Note is made of a very tortuous aorta, which is stable from ___. There is no pneumothorax, pleural effusion, or consolidation.	50715268	WET READ: ___ ___ 3:48 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with confusion // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___.	No acute cardiopulmonary process.
11826496	Patient is status post radiofrequency ablation of 2 left lung nodules in the area of the lingula lobe.There is new opacity of the left mid lung consistent with hemorrhage and postoperative changes of the lingular lobe. There is also significant volume loss in the left hemithorax with elevation of the left hemidiaphragm with atelectasis of the left lower lobe. Patient is status post previous right lower lobe wedge resection with postoperative changes in the right base. No pleural effusion or pneumothorax or pneumomediastinum is seen. Cardiac silhouette is enlarged and likely unchanged given differences in technique and position.. The stomach is distended.	58807632	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with metastatic sarcoma s/p RFA to 2 nodules in left lung on ___ now with severe pain and SOB // Assess for pneumothorax, consolidation. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___, CT chest ___, CT interventional procedure ___.	New opacity of the left mid lung consistent with hemorrhage and postoperative changes in the lingula. Left lower lobe atelectasis with volume loss in the left lung. No pneumothorax or pneumomediastinum.

11194776

Frontal and lateral chest radiographs demonstrate low lung volumes. No appreciable pleural effusion is identified on the right. A small pleural effusion is identified on the left with an adjacent new developing consolidation which may represent atelectasis or pneumonia. There is no overt pulmonary edema. Heart size is enlarged but stable when compared to prior examination. A right internal jugular line tip is seen terminating at the level of the low superior vena cava. No pneumothorax is identified. Sternotomy wires are intact.

56913425

HISTORY: ___-year-old female status post CABG. Evaluate for pleural effusions. COMPARISON: Chest radiograph dated ___.

Small left-sided pleural effusion with adjacent consolidation concerning for developing pneumonia vs. atelectasis. These findings were communicated to the ordering physician by telephone by Dr. ___ at 16:50 on ___ at the time findings were discovered.

11194776

The patient is status post median sternotomy and CABG. Lung volumes remain slightly low. Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. Crowding of the bronchovascular structures is demonstrated without pulmonary edema. Patchy bibasilar airspace opacities likely reflect atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present. There are mild multilevel degenerative changes noted in the thoracic spine.

59123684

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___

Low lung volumes with patchy atelectasis in the lung bases.

11194776

PA and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips. The previously noted right IJ central venous catheter has been removed. The lung volumes are low. There is no focal consolidation, effusion or pneumothorax. A subtle reticulonodular pattern could suggest mild interstitial edema. The heart size is top normal. The mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.

58549165

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: CHF and CAD with chest pain, assess pneumonia.

Limited with probable mild pulmonary edema.

11194776

Patient status post sternotomy, even allowing for which a may be cardiomegaly. Poor lung volumes there is a significant improvement in the degree pulmonary edema identified when compared to the prior examination no specific right basal pathology is seen.

57427522

WET READ: ___ ___ 9:22 AM Probably decreased left pleural effusion. No evidence of pneumothorax. WET READ VERSION #1 ___ ___ ___ 9:46 PM Probably decreased left pleural effusion. No evidence of pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pleural effusion // ?ptx TECHNIQUE: Was obtained COMPARISON: ___

Interval improvement when compared to the prior examination.

11194776

Low lung volumes cause bronchovascular crowding. Increased reticulonodular interstitial opacities bilaterally likely represent mild to moderate pulmonary edema. Retrocardiac opacification is similar to multiple prior studies and likely represents a combination of atelectasis and volume overload. There is no pleural effusion, consolidation, or pneumothorax. Mild cardiomegaly is stable. The cardiomediastinal silhouette is unchanged. 6 intact sternotomy wires unchanged. The osseous structures and upper abdomen are unremarkable.

54898844

WET READ: ___ ___ 7:31 PM Low lung volumes cause bronchovascular crowding, allowing for this there is likely mild to moderate pulmonary edema without focal consolidation. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with chest pain and cough, evaluate pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___.

Low lung volumes cause bronchovascular crowding, allowing for this there is likely mild to moderate pulmonary edema without focal consolidation.

11194776

There is mild interstitial edema and pulmonary vascular congestion. No focal consolidation is seen. The heart remains mildly enlarged. Median sternotomy wires and surgical clips are noted. There is no pleural effusion or pneumothorax.

53303255

INDICATION: ___-year-old woman with shortness of breath, evaluate for pneumonia. TECHNIQUE: AP and lateral views of the chest. COMPARISON: Chest x-ray from ___

Mild interstitial edema and pulmonary vascular congestion with cardiomegaly. No focal consolidation.

11194776

The previously noted right internal jugular approach central line has been removed. A large bore dual-lumen dialysis catheter from a left internal jugular approach is in stable course and position with the distal tip projecting over the junction of the superior vena cava and a brachiocephalic vein. Lung volumes remain diminished. There has been significant improvement in the previously noted fluid balance with near-resolution of the pulmonary edema. Mild cephalized flow and interstitial prominence persists. No definite focal consolidation is seen. There is no effusion or pneumothorax. The osseous structures again reveal mild degenerative changes throughout the thoracic spine.

53805676

AP AND LATERAL CHEST, ___ AT ___ HOURS. HISTORY: End-stage renal disease on hemodialysis via a left dialysis catheter with fever, bacteremia, and chest pain. COMPARISON: Multiple priors, the most recent dated ___.

Interval removal of right internal jugular approach central line. Stable left internal jugular approach dialysis catheter. Near-complete resolution of previously noted interstitial edema now only mild residual remaining. No infiltrate.

11194776

Median sternotomy and CABG clips are re- demonstrated. Lung volumes remain low. Heart size remains mild to moderately enlarged. Mediastinal and hilar contours are grossly unremarkable and unchanged. There is crowding of bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema. Patchy airspace opacities the lung bases likely reflect areas of atelectasis in the setting of low lung volumes, however infection cannot be completely excluded. No pleural effusion or iron pneumothorax. There are moderate multilevel degenerative changes in the thoracic spine.

52883493

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Low lung volumes with possible mild pulmonary vascular congestion and bibasilar patchy opacities, likely atelectasis, but infection cannot be excluded.

11372911

Moderate right pleural effusion is unchanged. A right pectoral dual-lead cardiac pacemaker remains in place. The left lung is clear. There is no pneumothorax. Heart size cannot be accurately assessed due to obscuration of the right heart border by pleural effusion. Multilevel spinal degenerative changes are stable.

59833042

EXAMINATION: CHEST (PA AND LAT) INDICATION: Worsening dyspnea. Evaluate right pleural effusion. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: ___.

Unchanged moderate right pleural effusion.

11372911

The right chest wall pacemaker now a dual lead pacemaker with the leads in the expected location of the right ventricle and coronary sinus. There is a new moderate right pleural effusion. The heart remains mildly enlarged. No pneumothorax or left pleural effusion.

55788555

INDICATION: ___ year old man s/p upgrade to biv-ppm // r/o ptx TECHNIQUE: Portable frontal upright radiograph of the chest COMPARISON: ___

Dual lead pacemaker with leads in expected location of right ventricle and coronary sinus New moderate right pleural effusion No pneumothorax

11372911

Frontal and lateral chest radiograph demonstrates cardiomegaly. When compared to chest radiograph ___, there is decreased but persistent pulmonary edema with right pleural effusion. There is no focal consolidation. There is no pneumothorax. A right-sided pacer is identified with its single lead terminating in the standard position within the right ventricle.

54784261

HISTORY: ___-year-old male with moderate to severe mitral regurgitation undergoing mitral valve surgical intervention. Preop evaluation. COMPARISON: Multiple prior chest radiographs dated through ___.

Improved but persistent pulmonary edema.

11372911

No significant overall change since ___. The moderate right pleural effusion with some tracking in the fissures unchanged. No new focal consolidation, pulmonary edema, or pneumothorax. The right-sided cardiac device and two leads are unchanged in position and appear intact. Stable cardiomediastinal silhouette and hila. The right posterior pleural drainage catheter appears unchanged in position and intact. Diffuse bilateral chronic lung disease better seen on recent CT.

52424512

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with CHF with severe MR/TR with pleurex in place s/p drainage; evaluate for a change in size of effusion s/p drainage and for pneumonia. COMPARISON: Chest radiograph dated ___. CT chest dated ___

No significant interval change. Stable moderate right pleural effusion.

11372911

Frontal views of the chest. Single lead of a right chest wall pacer terminates in stable position. Top normal heart size and mediastinal contours are stable. There is asymmetric right greater than left pulmonary edema with slight blunting of the right costophrenic angle. No focal consolidation or pneumothorax.

58536704

HISTORY: History of CHF with shortness of breath. COMPARISON: Multiple prior chest radiographs, most recently of ___.

Pulmonary edema with small right pleural effusion.

11186476

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mild to moderately enlarged. No overt pulmonary edema is seen. There is mild focal narrowing of the visualized upper trachea ; enlarged thyroid seen on subsequent cervical spine CT. Please note that dedicated imaging of the thoracic spine was not obtained on this study.

55295505

WET READ: ___ ___ ___ 9:08 PM Enlarged cardiac silhouette without overt pulmonary edema. No focal consolidation. The study does not include dedicated imaging of the thoracic spine. If there is high concern for thoracic spine injury, suggest dedicated imaging of the spine. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with s/p MVC with mid T spine tenderness // TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Enlarged cardiac silhouette without overt pulmonary edema. No focal consolidation. The study does not include dedicated imaging of the thoracic spine. If there is high concern for thoracic spine injury, suggest dedicated imaging of the spine.

11426350

The patient is status post median sternotomy and CABG. Heart size remains mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No radiopaque foreign bodies are visualized.

52654300

HISTORY: Possible aspiration of an apple slice. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___

No acute cardiopulmonary process. No radiopaque foreign bodies are visualized.

11494846

Frontal AP upright and lateral views of the chest were obtained. Evaluation is mildly limited by overlying soft tissues. There is no focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette is enlarged. Mediastinal silhouette and hilar contours are normal. No displaced rib fracture is seen.

54669770

CLINICAL HISTORY: ___-year-old woman with chest pain. COMPARISON: No relevant comparison is available.

Mild enlargement of the cardiac silhouette. This could be re-evaluated with repeat radiographs with PA technique and improved inspiration, if clinically indicated. Clear lungs.

11141245

Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. A 3-mm density projecting over right lung base may represent a granuloma. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable.

58018274

INDICATION: Shortness of breath. COMPARISONS: None available.

No evidence of acute cardiopulmonary process.

11521280

Portable upright AP view of the chest provided. There is mild left basilar atelectasis. Otherwise, the lungs are clear. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. Bony structures are intact. No signs of pneumomediastinum or free air below the right hemidiaphragm.

59773345

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Shortness of breath, status post endoscopy, assess free air.

Mild left basal atelectasis, otherwise normal.

11541551

2 portable views of the chest. Bibasilar opacities are compatible with a moderate right-sided and at least a small left sided effusion as well. There is moderate pulmonary edema. Cardiac silhouette is difficult to assess given sihouetting particularly on the right. Atherosclerotic calcifications seen at the aortic arch.

55997343

HISTORY: ___-year-old male with lower extremity swelling. COMPARISON: ___.

Moderate right and small left pleural effusions. Moderate pulmonary edema. Superimposed infection is not excluded at the bases.

11362441

AP upright and lateral views of the chest were provided. The lungs appear clear bilaterally. No effusion or pneumothorax is seen. The heart and mediastinal contours appear stable. The bony structures are intact.

50025292

HISTORY: ___-year-old man with history of syncopal event, celiac disease, hypothyroidism. COMPARISON: ___.

No acute findings in the chest.

11362441

The lungs are hypoinflated with crowding of vasculature appeared bibasilar atelectasis is noted. No pleural effusion or pneumothorax. A tortuous aorta is noted. Heart size, mediastinal contour, and hila are unremarkable.

57780192

WET READ: ___ ___ 10:55 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___M with chest pain and diaphoresis. Assess for acute cardiopulmonary process? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No acute cardiopulmonary process.

11647877

The cardiac silhouette is stable in size. Again noted is prominence of the hila consistent adenopathy seen on prior CT. A left posterior lower lobe mass is again seen, as demonstrated by opacity overlying the spine on the lateral view, better assessed on recent CT. Multiple metastases are better identified on chest CT. A right-sided Bochdalek hernia is again demonstrated. Again seen is left basilar opacity, not significantly changed since recent examination. Subtle blunting of the posterior left costophrenic angle may be due to a trace pleural effusion or pleural thickening.

59756661

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with pmh of LLL mass recent biopsy 2 days ago coming in 2x hemoptysis // Assess for effusion/opacities TECHNIQUE: Chest PA and lateral COMPARISON: CT chest without contrast dated ___

Again seen posterior left lower lobe mass and hilar adenopathy, better assessed on recent prior CT. Subtle blunting of posterior costophrenic angle may be due to trace pleural effusion versus pleural thickening.

11647877

Again visualized is the large posterior left lung mass overlying the spine, better visualized on the recent CT. The multiple metastatic nodules are also better characterized on the recent CT. Bilateral lower lung predominant interstitial opacities are present, similar to ___ radiograph. There are stable small bilateral pleural effusions. The cardiomediastinal silhouette is stable in appearance. The bilateral hilar enlargement is due to adenopathy, unchanged from prior. The pulmonary vasculature is normal. No pneumothorax is seen.

51264711

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with hemoptysis, s/p biopsy on ___ of LLL mass // interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___. Chest radiographs dated ___. CT chest without contrast dated ___.

Stable large left posterior left lung mass with multiple metastatic nodules, better characterized on the recent CT. Interstitial thickening may represent edema, an atypical infection, and less likely lymphangitic carcinomatosis given the lack of significant interstitial thickening on the recent CT. Persistent intrathoracic adenopathy. Stable small bilateral pleural effusions.

11079985

The lungs are clear without focal consolidation, effusion, or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Mild height loss of a mid thoracic vertebral body is unchanged. No acute osseous abnormalities identified.

53984930

INDICATION: ___M with cough, cp // r/o PNA TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11079985

The lungs are well expanded and show a new focal airspace opacity in the right lower lobe. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present.

55941163

INDICATION: ___-year-old male with cough and fever. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE

New right lower lobe opacity could represent early pneumonia. A repeat radiograph is recommended after adequate treatment to ensure resolution.

11961424

The heart size is normal. The aortic knob demonstrates mild calcification. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascular is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

53426775

INDICATION: Likely cerebral vascular accident. COMPARISON: None. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11224611

PA and lateral image of the chest demonstrate no change in the interstitial markings since prior imaging. Again seen is a chronic elevation of the right hemidiaphragm. There is no evidence of active pulmonary disease. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.

59211756

INDICATION: ___-year-old female with history of sarcoidosis, requiring assessment for active disease. COMPARISON: Comparison is made with chest radiograph from ___ and ___.

Normal chest radiograph with no evidence of active pulmonary disease.

11224611

There is persistent elevation of the right hemidiaphragm, unchanged from prior. Otherwise, the lungs are well inflated and clear. The cardiomediastinal silhouette is stable. The hila do not appear prominent to suggest adenopathy. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

50182966

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with inactive sarcoid now with DOE. // assess for change in diaphragm and LAD. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

Persistent elevation of the right hemidiaphragm. No evidence of hilar lymphadenopathy.

11545465

Frontal and lateral chest radiographs were obtained. Increased opacity is present in the left lower lobe with a small left pleural effusion. The right lung is fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pneumothorax.

54489858

HISTORY: Patient with metastatic melanoma, with poor p.o. intake and hypotension, question pneumonia. COMPARISON: None available.

Left lower lobe opacity which may be due to atelectasis but a supervening pneumonia must be considered in the appropriate clinical setting. Small left pleural effusion.

11739747

Blunting at the left costophrenic angle appears unchanged from ___ and may represent pleural parenchymal scarring. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. There is no acute osseous abnormality detected.

52604098

INDICATION: Dyspnea and wheezing, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.

No focal consolidation concerning for pneumonia. Unchanged blunting of the left costophrenic angle from ___ likely represents pleural parenchymal scarring.

11467358

The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Projecting over the right lower lung is a possible lung nodule suggested by a nodular focus measuring about 7 mm in diameter.

52633376

WET READ: ___ ___ 12:38 PM No acute process or injury. Suspicion for lung nodule of 7 mm at right lung base; chest xray f/u or CT suggested in follow-up. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Status post fall with hypoxia. COMPARISONS: Prior day. TECHNIQUE: Chest, AP upright and lateral.

No evidence of acute disease or injury. Possible nodule in the right lower lung. If clinically appropriate, the chest could be evaluated with CT or alternatively short-term followup radiographs.

11994782

The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable without fracture visualized. No radiopaque foreign body.

52253375

HISTORY: Motor vehicle collision. Evaluate for fracture. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple prior chest radiographs, most recently of ___.

No acute cardiopulmonary process. No fracture visualized.

11198300

The heart is enlarged. The aorta is moderately calcified and tortuous. Central pulmonary vessels are congested, accompanied by mild interstitial edema and bilateral pleural effusions, greater on the right. Focal density within the right middle lobe may represent atelectasis, although underlying consolidation cannot be excluded. There is no pneumothorax. A lower thoracic vertebral wedge compression deformity is slightly progressed since ___.

56625786

INDICATION: New cough and wheeze. COMPARISON: Radiograph available from ___ and ___. FRONTAL AND LATERAL CHEST

Central vascular congestion with bilateral pleural effusions and interstitial edema. Underlying consolidation, particulary within the right lower lobe, cannot be excluded. A followup chest radiograph is recommended following resolution of edema.

11594989

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. Prominent degenerative spurring in the mid thoracic spine noted. No free air below the right hemidiaphragm is seen.

57422572

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with anginal symptoms COMPARISON: ___.

No acute intrathoracic process.

11647782

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

58432225

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with 1 wk L CVA region pain, rx for kidney stone treatment, negative labs and imaging TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11959292

Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

54598068

HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary abnormality.

11340648

Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and clear. There are no pleural effusions or acute skeletal findings.

58023418

PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph.

No radiographic evidence of pneumonia.

11340648

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.

58210294

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with CP // eval for consolidation COMPARISON: ___

No acute intrathoracic process.

11340648

The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

58476599

PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough, fever, assess for pneumonia. COMPARISON: Chest x-rays from ___ to ___.

There is no evidence of pneumonia.

11607063

Since ___, new bilateral moderate pleural effusions are seen, right greater than left, with moderate bibasilar and retrocardiac atelectasis. Mild pulmonary vascular congestion is unchanged. A focal opacity is seen in the left mid-lung, which is suggestive of pneumonia. Lung volumes are low. The heart is borderline cardiomegaly. No pneumothorax. Rightward tracheal deviation is again seen caused by a multinodular goiter.

58298420

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with moderate AS, POD1 for L hip surgery // eval for pulm edema, aspiration TECHNIQUE: Portable AP chest radiograph COMPARISON: Single-view chest radiograph ___

Moderate bilateral pleural effusions, right greater than left, with associated bibasilar and retrocardiac are new since ___. A focal opacity in the left mid-lung is concerning for pneumonia.

11188745

Frontal and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. There is a small pericardial effusion, that appears similar to CT in ___.

50311831

INDICATION: Known metastatic thyroid cancer. Presenting with cough. COMPARISON: ___. CT chest, ___.

No acute cardiopulmonary process.

11188745

Cardiac silhouette size remains mildly enlarged. The aorta is diffusely calcified. Bilateral paramediastinal and opacities are compatible with post radiation changes. Mediastinal contour is similar, and known subcarinal mass as well as mediastinal lymphadenopathy is better assessed on the previous CT. Pulmonary vasculature is normal. Streaky atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Previously noted left upper lobe pulmonary nodule is better demonstrated on CT.

59109753

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with atrial fibrillation with rapid ventricular rate, thyroid cancer, history of carcinoid TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest CT ___

Minimal atelectasis in the left lung base. Otherwise unchanged exam.

11840671

Heart size is normal. The aorta is mildly tortuous. The pulmonary vascularity is normal. Hilar contours are unremarkable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Linear calcifications along the anterior pleura within the left hemithorax likely reflect pleural plaques, and probably account for the 2.0 x 3.7cm rounded opacity projecting over the left ___ anterior rib. There are no acute osseous abnormalities.

58806099

HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process. Calcified pleural plaques, likely accounting for the rounded opacity projecting over the left 5th rib anteriorly.

11264366

PA and lateral views of the chest provided. In comparison to prior study from 2 days ago, there is interval improvement in multifocal parenchymal opacities. Mediastinum is stably widened, in part due to ascending aorta enlargement or tortuosity, stable since at least ___. Heart is mildly enlarged. Small amount of subcutaneous emphysema is noted on the right. Calcific density medial to the left glenoid is again seen.

56538360

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, right crackles/wheezing COMPARISON: Chest radiographs from ___, most recently ___.

No pneumonia. Mediastinal widening due to dilated or tortuous ascending aorta, unchanged since at least ___.

11779599

No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

51008184

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with 3 weeks left sided chest pressure // Evaluate for consolidation, mass TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11298472

PA and lateral chest radiograph demonstrate a right middle lobe opacity which silhouettes the right heart border. There is mild downward displacement of the minor fissure suggestive of atelectasis. There is no pleural effusion or pneumothorax. The remaining lungs are clear. Cardiomediastinal and hilar contours are within normal limits. There has been removal of the left-sided central venous line since the previous study.

52422234

INDICATION: ___F with hx AML, breast ca in remission now w/ likely R lung ca and lobe collapse per ?? PCP and___ w/u TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

Right middle lobe consolidation with subtle loss of volume most compatible with right middle lobe partial collapse.

11170923

Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

58423146

WET READ: ___ ___ ___ 4:05 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with headache, fever, chills, nuchal rigidity, bilateral pain with eye motion. Concern for sphenoid sinusitis. // Headache TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11769941

A right-sided internal jugular venous catheter is in place with tip in the mid SVC. Within the lungs, no focal opacity to suggest pneumonia is seen. Prominent costochondaral calcifications are seen. A trace right-sided pleural effusion may be present. No pneumothorax or pulmonary edema is seen. There is mild-to-moderate cardiomegaly. Calcifications of the aortic arch are noted.

53344629

INDICATION: Evaluation of right internal jugular venous catheter placement. TECHNIQUE: Single frontal radiograph of the chest. COMPARISON: None available.

Right-sided internal jugular venous catheter with tip in the mid SVC. No pnuemothorax.

11182668

Right-sided Port-A-Cath tip terminates at the confluence of the brachiocephalic veins. The heart size is normal. A large hiatal hernia is demonstrated, as noted on the prior CT. The mediastinal and hilar contours are otherwise unremarkable with calcification of the aortic arch again noted. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. Previously demonstrated pulmonary nodules in the right upper lobe on CT are not clearly seen on the current exam due to their small size. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

58036927

HISTORY: Fever, on chemotherapy. History of breast cancer. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ CT torso.

No acute cardiopulmonary abnormality. Large hiatal hernia.

11182668

Cardiac silhouette size remains mildly enlarged. A large hiatal hernia is demonstrated, as seen previously. Hilar contours are normal. Pulmonary vasculature is unremarkable. Streaky atelectasis is seen in the lung bases associated with the hiatal hernia, but there is no focal consolidation, pleural effusion or pneumothorax. The osseous structures are diffusely demineralized. No acute osseous abnormality is detected.

53842541

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with intermittent chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___

Large hiatal hernia with associated basilar atelectasis. Otherwise, no acute cardiopulmonary abnormality.

11364497

Heart size is normal. Mediastinal and hilar contours are unremarkable. Lobulated contour of the right cardiophrenic angle likely reflects an epicardial fat pad, and was reported on the previous exam. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

52513653

HISTORY: Visual disturbance, palpitations. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Report from chest radiograph ___. Images are not available for direct comparison.

No acute cardiopulmonary abnormality.

11048324

The lungs are essentially clear. There is no effusion or edema. Tortuosity of the descending thoracic aorta is noted, particularly on the lateral view. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Median sternotomy wires are intact.

57661229

INDICATION: ___F with cough, abdominal pain in LLQ // eval for PNA, diverticulitis TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11576897

Right PICC is unchanged terminating in the region of the cavoatrial junction. No pneumothorax. Extensive bilateral airspace opacities appear stable on the left and slightly worse in the right upper lobe. No large pleural effusion. Mediastinal contours and cardiac silhouette are stable. Lung volumes are low with bibasilar atelectasis.

52996827

INDICATION: ___ year old man with hypoxemic respiratory failure, cirrhosis, ascites with hypoxia // interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiographs since ___, most recently ___.

Extensive bilateral airspace opacities stable on the left and worse in the right upper lobe.

11855128

There has been interval decrease or resolution of the left pleural effusion. Small right pleural effusion persists. Interstitial prominence has increased compared to prior with peribronchial cuffing, suggestive of superimposed edema. Cardiomegaly persists. Aortic calcifications are noted. No pneumothorax is detected.

51023940

HISTORY: ___-year-old female with hypotension. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in upright position. COMPARISON: ___.

Findings suggesting mild to moderate pulmonary edema.

11855128

Increased heart size, stable. Pulmonary vascularity has mildly improved. Mild bilateral pleural effusions, mildly improved on the left, mildly worsened on the right. Mildly improved bibasilar opacities, likely improving atelectasis. T AVR. No pneumothorax. Degenerative changes thoracolumbar spine, kyphosis. Esophageal hiatal hernia.

51317221

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with wheezing and evidence of pleural effusion on admission, atelectasis + fluid overload. Assess for acute process or progression // assess for acute process or progression over admission CXR, has been getting diuresed post TAVR. Accurate dry wt. unknown TECHNIQUE: Chest two views COMPARISON: ___ 05:29

Mild pleural effusions. Improved bibasilar opacities.

11855128

Lung volumes are low and decreased as compared to chest radiograph ___. There is prominence of the parahilar vessels and reticular opacities compatible with pulmonary edema. Cardiomegaly is noted. There is blunting of the right costophrenic angle which may compatible with a trace right pleural effusion. Linear opacities overlying the bilateral lower lobes likely represent bibasilar atelectasis.

58435625

WET READ: ___ ___ ___ 5:04 AM 1. Cardiomegaly and evidence of moderate pulmonary interstitial edema. 2. Bibasilar atelectasis. 3. Blunting the right costophrenic angle compatible with a trace right pleural effusion. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with AS, syncope and NSTEMI // please evaluate for acute abnormality TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Cardiomegaly and evidence of moderate pulmonary interstitial edema. Bibasilar atelectasis. Blunting the right costophrenic angle compatible with a trace right pleural effusion.

11556982

Portable AP upright radiograph of the chest was obtained. The lungs are well expanded and clear. Left PICC terminates in the cavoatrial junction. There is no focal consolidation, pleural effusion, or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

53647974

INDICATION: ___-year-old woman with fever, assess for pneumonia. COMPARISONS: ___.

No acute intrathoracic process.

11556982

The lungs are well inflated and clear. Cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A tunneled double channel catheter terminates below the superior cavoatrial junction, as before.

55192875

INDICATION: ___F with crohn's disease, history of port placement. Evaluate for correct port placement. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process. Stable position of the tunneled dual channel central venous catheter terminating below the superior cavoatrial junction.

11556982

A PICC line terminates in the superior vena cava. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. The are no pleural effusions or pneumothorax. Bony structures are unremarkable.

57014551

CHEST RADIOGRAPHS HISTORY: Fever after recent resection. History of Crohn's disease. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral.

No evidence of acute disease.

11556982

Central venous catheter tip terminates at the junction of the SVC and right atrium. The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.

53272424

HISTORY: New fevers associated with TPN infusions. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11137816

The nasogastric tube is coiled within the hiatal hernia. Although the distal tip does pass below the diaphragm sagittal appears to be just past the diaphragmatic hiatus and thus the NG tube should be advanced for more optimal positioning. The lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. Enlargement of the cardiomediastinal silhouette is likely technical.

51850127

INDICATION: History: ___F with new NGT // Eval for NGT placement TECHNIQUE: Portable chest radiograph. COMPARISON: CT abdomen from ___

Nasogastric tube is coiled within the hiatus hernia, although the distal tip is below the diaphragm. Recommend advancement for more optimal positioning.

11551126

The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

50824601

INDICATION: ___M with chest pain // fluid? pna? acutecardiopulmonary process? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None per

No acute cardiopulmonary process.

11898365

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.

57071715

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with CP and ?crackles // assess for infiltrate COMPARISON: ___

No acute intrathoracic process.

11622147

Streaky opacity in the left base of hte left lung represents atelectasis; otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. There is mild cardiomegaly. The mediastinal contours are normal.

51146031

HISTORY: Weakness. Evaluation for infiltrate. COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest.

No acute intrathoracic process. Left basilar atelectasis and mild cardiomegaly.

11106524

Heart size and cardiomediastinal contours are normal. A nodular opacity overlying the right upper lung projects over the scapula, similar to prior. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.

54896592

INDICATION: History: ___M with ESRD on PD, CAD p/w generalized weakness and hypotension // R/O Pneumonia/CHF COMPARISON: ___. TECHNIQUE: Frontal and lateral views of the chest.

No acute cardiopulmonary process.

11106524

Heart size is normal. Lungs are clear. Central mediastinal vasculature is congested. No interstitial edema. No pleural effusions.

59263109

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with hypotension, r/o infection // Eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: ___

Mild central vascular congestion. No interstitial edema.

11106524

Compared to chest radiographs from 1 hour earlier, new Dobhoff tube weighted tip descends below the diaphragm and terminates in the upper stomach. Otherwise, no relevant change.

59893340

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new dobhoff // re-confirm placement after adjusting tube level TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Same-day chest radiographs.

Only the weighted tip of the Dobhoff tube reaches the upper stomach.

11106524

The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities are visualized.

51282116

HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality.

11106524

The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Air is noted in the upper abdomen. There is volume loss in the right lower lobe. A small right pleural effusion is likely present. Underlying consolidation is not excluded.

53001747

WET READ: ___ ___ ___ 5:30 PM 1. Air in the upper abdomen is not inconsistent with history of peritoneal dialysis. 2. Suspected components of right sided pleural effusion, atelectasis, and possible consolidation. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___m with hyperglycemia and hypotension, plus cough. please eval for cardiopulmonary change TECHNIQUE: Chest PA and lateral COMPARISON: ___

Air in the upper abdomen is not inconsistent with history of peritoneal dialysis. Suspected components of right sided pleural effusion, atelectasis, and possible consolidation.

11106524

There is silhouetting of the right hemidiaphragm, likely due to a layering pleural effusion the right basal consolidation cannot be excluded. The left lung appears grossly clear. An endotracheal tube is in-situ, the tip is approximately 7 cm above the level of the carina. A nasogastric tube terminates in the stomach. No pneumothorax. Mild pulmonary vascular congestion persists. A right-sided PICC terminates in the mid SVC.

56557827

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with bacteremia and encephalopathy on HD s/p PEA arrest now intubated // ?interval changes TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

New silhouetting of the right hemidiaphragm likely due to a combination of a layering pleural effusion and right lower lobe atelectasis, superimposed infection cannot be excluded. Persistent mild pulmonary vascular congestion.

11106524

Endotracheal tube tip is 4.5 cm above carina. There is small right pleural effusion, improved since prior. Pulmonary vascularity, heart size have mildly improved. There is minimal bibasilar atelectasis, improved.

55871627

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with intubation for AMS, airway protection, seizures // tube placement TECHNIQUE: Chest single view COMPARISON: ___ 08:34

Interval mild improvement. New endotracheal tube.

11106524

AP and lateral chest radiograph demonstrates a normal sized heart. Hilar contours are within normal limits. A small to moderate right pleural effusion appears to have been present on prior examination, not significantly changed, with apparent loculation. No focal opacity convincing for pneumonia is present. There is no pneumothorax or evidence of pulmonary edema. Imaged osseous structures and upper abdomen demonstrate no acute abnormality.

59549349

INDICATION: ___-year-old male with hiccups and shortness of breath. Evaluate for pneumothorax. TECHNIQUE: AP and lateral COMPARISON: Chest radiograph dated ___.

Right pleural effusion present on prior examination and not significantly changed. Given apparent loculation, a CT may be performed to further assess if clinically indicated. No focal opacity convincing for pneumonia.

11106524

Curvilinear lucency below the right hemidiaphragm is concerning for free intraperitoneal air with communication detailed in the wet reading report. Interval improved aeration at both lung bases as well as decrease in size of a right pleural effusion. No other relevant changes since the recent study.

59744695

WET READ: ___ ___ 8:18 AM 1. Interval resolution of a small left pleural effusion. No focal consolidation. 2. Right subdiaphragmatic linear lucency, concerning for pneumoperitoneum. If this correlates with the patient's clinical presentation, CT abdomen/pelvis can be obtained for further evaluation. These findings were communicated via telephone by Dr. ___ to Dr. ___ at 20:35 on ___, approximately 5 minutes after discovery. WET READ VERSION #1 ___ ___ ___ 8:43 PM 1. Interval resolution of a small left pleural effusion. No focal consolidation. 2. Right subdiaphragmatic linear lucency, concerning for pneumoperitoneum. If this correlates with the patient's clinical presentation, CT abdomen/pelvis can be obtained for further evaluation. These findings were communicated via telephone by Dr. ___ to Dr. ___ at 20:35 on ___, approximately 5 minutes after discovery. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with sepsis, pleural effusion // Evaluate for interval change of pleural effusion COMPARISON: ___

Findings concerning for free intraperitoneal air, which could be confirmed by abdominal CT. Improving aeration at both lung bases and decreased right pleural effusion.

11106524

Lung volumes are somewhat low on the right with right basilar atelectasis. The trachea is central. Endotracheal tube is in-situ, terminating approximately 5 cm above the level of the carina. A nasogastric tube terminates in the stomach. A right sided PICC terminates in the distal SVC. There is prominence of the bilateral hila and upper lobe pulmonary vasculature consistent with mild congestive heart failure. No frank pulmonary edema. No pleural effusion or pneumothorax seen. No consolidation.

50757758

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p arrest now intubated // evaluate et tube TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

Findings consistent with mild congestive heart failure. No frank pulmonary edema.

11106524

The lungs are clear. The cardiomediastinal silhouette is within normal limits. Coronary artery calcifications and/or stents are noted. Bilateral calcified hilar lymph nodes are again noted. No acute osseous abnormalities. No abnormal air-fluid levels identified over the mediastinum.

59200596

INDICATION: ___M with complex PMH, comes in with dysphagia // evaluate for any mass explaining dysphagia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11106524

Feeding tube tip is in the proximal stomach, including side port. Right IJ central line tip is in the mid to low SVC. Endotracheal tube tip is 8 cm above carina, could be advanced. Stable small right pleural effusion. No pneumothorax. Lungs are clear. Chronic postsurgical or posttraumatic change distal right clavicle, stable.

51785189

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new NGT placement. // eval for NGT placement. TECHNIQUE: Chest single view COMPARISON: ___ 20:04

Feeding tube tip is in the proximal stomach. Endotracheal tube tip could be advanced.

11106524

Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

52763766

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with hypotension TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___.

No acute cardiopulmonary abnormality.

11106524

Right PICC tip projects over the mid SVC. There is a possible small right pleural effusion with blunting of the lateral costophrenic angle. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits.

51964374

INDICATION: ___M with trigger hypotension // eval for pna TECHNIQUE: Single portable view of the chest. COMPARISON: ___.

Suspected small right pleural effusion.

11106524

Endotracheal tube tip in good position. Enteric tube tip is probably in the mid stomach, well below diaphragm. Right IJ central line tip in the low SVC. Trace right pleural effusion or thickening, probably similar. New right basilar opacities, probable nodular components, consider infection. Retrocardiac opacity, likely atelectasis. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. No pneumothorax.

50308327

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man inbubated with c/f pneumonia // concern for pneumonia TECHNIQUE: Chest single view COMPARISON: ___

New right basilar opacities, probable nodular components, suggest pneumonia.

11106524

Previously seen right-sided central venous catheter is no longer visualized. There is subtle nodular opacity projecting over the right posterior third rib not clearly seen on the previous exam. The lungs are otherwise clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

52978427

WET READ: ___ ___ 7:16 PM Nodular opacity projecting at the right lung apex for which repeat views including apical lordotic view is suggested as this could be within the lung, overlying soft tissue structures or potentially external. Otherwise no acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with 1 day of chest pain, no SOB, no cough, no fever // eval for consolidation TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

Nodular opacity projecting at the right lung apex for which repeat views including apical lordotic view is suggested as this could be within the lung, overlying soft tissue structures or potentially external. Otherwise no acute cardiopulmonary process.

11106524

Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected. Amorphous calcification adjacent to the left humeral head likely reflects calcific tendinopathy.

59968261

HISTORY: Hypotension and lightheadedness. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality.

11106524

Frontal and lateral views of the chest. The lungs are hyperinflated but remain clear of focal consolidation or effusion. Dual-lumen central venous line is seen with the distal tip in the upper right atrium. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.

52235979

HISTORY: ___-year-old male on dialysis with fever for 24 hours. COMPARISON: ___.

No acute cardiopulmonary process.

11106524

Enteric tube tip is in the proximal stomach. Endotracheal tube tip 6 cm above carina. Normal heart size, pulmonary vascularity. No pneumothorax. Small right pleural effusion is stable. Lungs are clear. Chronic posttraumatic or postsurgical change distal right clavicle.

52555661

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with invasive aspergillus septic shock // Eval for OGT placement TECHNIQUE: Chest single view COMPARISON: ___ 11:01

Enteric tube tip in the proximal stomach.

11106524

A new right internal jugular line ends in the mid superior vena cava. A nodular opacity overlying the right scapula is again noted. Otherwise, the lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.

59775008

WET READ: ___ ___ 1:45 AM New right internal jugular line ends in the mid superior vena cava. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with central line // ? CVL placement TECHNIQUE: Portable frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of

New right internal jugular line ends in the mid superior vena cava.

11106524

No significant interval change. No change in the nodular opacity overlying the right scapula. The lungs are otherwise clear. No pleural effusion, pneumothorax, or pulmonary edema. Stable appearance of the cardiomediastinal silhouette, hila, and pleura.

59029728

EXAMINATION: Chest (PA and lateral) INDICATION: ___-year-old man on dialysis presenting with confusion the colon evaluate for pneumonia. TECHNIQUE: PA and lateral radiograph views of the chest were obtained. COMPARISON: Chest radiograph dated ___.

No acute intrathoracic abnormality.

11106524

Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. Previously seen bilateral pleural effusions have resolved. There is no pneumothorax.

56793749

INDICATION: History of multiple medical issues including diabetes, chronic kidney disease and hypertension, presenting with chest discomfort. Evaluate for new effusion, worsening heart failure, and/or pulmonary edema. COMPARISON: Chest radiograph from ___.

No acute cardiac or pulmonary process.

11106524

There are possible small bilateral pleural effusions. Pulmonary vascular congestion is improved. Endotracheal tube is in the appropriate position. Cardiac size is mildly enlarged. There is no pneumothorax.

54996124

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with AMS unclear etiology, no intubated // progression on R pleural effusion TECHNIQUE: Single frontal view of the chest COMPARISON: Portable chest x-ray ___

Improved pulmonary vascular congestion. Small bilateral pleural effusions appear unchanged. Mild cardiomegaly. Findings consistent with congestive heart failure.

11515974

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.

52958419

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with DKA // r/o occult infiltrate COMPARISON: None

No acute intrathoracic process.

11109975

Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lung volumes are low with linear opacities at the lung bases most likely reflective of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild multilevel moderate degenerative changes in the thoracic spine.

51247409

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with MS and fever TECHNIQUE: AP and lateral views of the chest COMPARISON: ___

Low lung volumes with mild bibasilar subsegmental atelectasis.

11162709

Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.

53833662

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with sepsis, status post recent cerebral angioembolization; likely urinary source with dysuria TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11698230

Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

53577636

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dizziness. COMPARISON: ___.

No acute cardiopulmonary process. The cardiac silhouette is not enlarged.

11141728

2 views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Air under the hemidiaphragms is likely consistent with recent laparoscopic surgery, 3 days prior.

52718661

HISTORY: Chest pain. Assess for pneumonia. COMPARISON: None.

No acute intrathoracic process with intraperitoneal air likely due to recent surgery.

11863590

There is a subtle consolidation at the right lung base and a large round consolidation at the left lung apex. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax.

55312424

WET READ: ___ ___ ___ 5:52 AM Consolidations at the left lung apex and the right lung base are concerning for pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with cough, malaise, fever // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None.

Consolidations at the left lung apex and the right lung base are concerning for pneumonia.

11704323

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

51180485

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with LVH on EKG // cardiomegaly? TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11932143

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. There is no displaced fracture.

59673056

HISTORY: Chest pain and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11272182

Right subclavian central venous catheter tip is malpositioned, coursing across the midline, and tip likely within the left subclavian vein. The endotracheal tube has been withdrawn, with tip now terminating approximately 5 cm from the carina. Enteric tube remains in unchanged position. No pneumothorax is demonstrated. Patchy opacities in the lung bases likely reflect atelectasis, but aspiration is not excluded. No large pleural effusion is present. The cardiac and mediastinal contours are unchanged.

58765548

WET READ: ___ ___ ___ 9:52 PM Malpositioned right subclavian central venous catheter with tip likely in the left subclavian vein. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with right subclavian line TECHNIQUE: Supine AP view of the chest COMPARISON: ___ at 19:19

Malpositioned right subclavian central venous catheter with tip likely in the left subclavian vein. Endotracheal tube has been withdrawn, now in standard position.

11272182

Endotracheal tube is low lying, at the level of the carina and approaching the right mainstem bronchus. Enteric tube tip is within the stomach. Lung volumes are low. Mild enlargement of cardiac silhouette is demonstrated. The aorta appears tortuous. Pulmonary vasculature is not engorged. Apparent widening of the superior mediastinum is likely due to supine positioning and low lung volumes. Linear and streaky opacities in the lung bases most likely reflect areas of atelectasis. Aspiration cannot be completely excluded. No large pleural effusion or pneumothorax is detected on this supine exam. The stomach demonstrates mild gaseous distention.

57498414

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with status epilepticus TECHNIQUE: Supine AP view of the chest COMPARISON: None. Patient is currently listed as EU critical.

Endotracheal tube tip at the carina, approaching the right mainstem bronchus orifice and should be retracted by approximately 5cm. Enteric tube tip within the stomach. Streaky and linear opacities in the lung bases, likely atelectasis though aspiration cannot be completely excluded.

11272182

Right subclavian central venous catheter tip has been repositioned, now terminating at the junction of the SVC and right atrium. No pneumothorax is demonstrated. Mild pulmonary vascular engorgement appears slightly worse in the interval. Continued patchy opacities in the lung bases are re- demonstrated. Cardiac and mediastinal contours are unchanged. Endotracheal tube and enteric tubes are in standard positions.

51287881

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with adjusted subclavian line. TECHNIQUE: Portable upright AP view chest COMPARISON: ___ at 21:40

Right subclavian central venous catheter tip at the SVC/right atrial junction.

11272182

Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. The heart remains mildly enlarged. Note is made of a very tortuous aorta, which is stable from ___. There is no pneumothorax, pleural effusion, or consolidation.

50715268

WET READ: ___ ___ 3:48 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with confusion // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___.

No acute cardiopulmonary process.

11826496

Patient is status post radiofrequency ablation of 2 left lung nodules in the area of the lingula lobe.There is new opacity of the left mid lung consistent with hemorrhage and postoperative changes of the lingular lobe. There is also significant volume loss in the left hemithorax with elevation of the left hemidiaphragm with atelectasis of the left lower lobe. Patient is status post previous right lower lobe wedge resection with postoperative changes in the right base. No pleural effusion or pneumothorax or pneumomediastinum is seen. Cardiac silhouette is enlarged and likely unchanged given differences in technique and position.. The stomach is distended.

58807632

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with metastatic sarcoma s/p RFA to 2 nodules in left lung on ___ now with severe pain and SOB // Assess for pneumothorax, consolidation. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph ___, CT chest ___, CT interventional procedure ___.

New opacity of the left mid lung consistent with hemorrhage and postoperative changes in the lingula. Left lower lobe atelectasis with volume loss in the left lung. No pneumothorax or pneumomediastinum.