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11378943
Moderate cardiomegaly is re- demonstrated, similar compared to the previous exam. Right-sided aortic arch is again noted, and the mediastinal and hilar contours are unchanged. As before, there is compression of the trachea posteriorly by the right aortic arch and aberrant left subclavian artery as seen on the previous chest CT from ___. The pulmonary vasculature normal. Minimal atelectasis is noted lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
50141113
HISTORY: Increased dyspnea on exertion for 2 months. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph, ___ Chest CT.
Cardiomegaly without evidence for congestive heart failure. Mild bibasilar atelectasis. Right-sided aortic arch.
11378943
The heart is moderately enlarged. The upper mediastinal contours are stable with a right aortic arch. There is minimal bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax. No evidence of congestive failure.
51873082
INDICATION: History: ___F with L chest warmth/tightness // eval cardiomegaly, effusion, infiltrate COMPARISON: ___. TECHNIQUE: Frontal and lateral views of the chest.
Moderate cardiomegaly. Minimal bibasilar atelectasis.
11378943
Moderate cardiomegaly is redemonstrated, similar to the prior exam. Right-sided aortic arch is again noted. Cardiomediastinal contours are otherwise unremarkable. As before, there is compression of the trachea posteriorly by the right aortic arch and aberrant left subclavian artery as seen on the prior CT from ___. The pulmonary vasculature is normal. Mild atelectasis is seen at the lung bases bilaterally. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
53124526
INDICATION: Weakness. Please evaluate for pneumonia. COMPARISONS: Multiple prior chest radiographs dated back to ___ and chest CT from ___. TECHNIQUE: PA and lateral radiographs of the chest.
No focal consolidations concerning for pneumonia identified.
11378943
The lungs are clear without focal consolidation, effusion, or edema. There is moderate cardiomegaly. In addition, there is a right-sided aortic arch. No acute osseous abnormalities. Surgical clips in the upper abdomen are noted.
56257952
INDICATION: ___F with L arm tingling // acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None available at time of dictation.
Cardiomegaly without acute cardiopulmonary process.
11378943
The lungs are well expanded and clear. The cardiac silhouette is mildly enlarged, unchanged. No pulmonary edema or effusion is present. The mediastinal silhouette shows a right-sided aortic arch with mild tortuosity, unchanged. No pleural effusion or pneumothorax is present. Note is made of mild pectus deformity.
52783189
INDICATION: ___-year-old female with left shoulder pain, question pneumonia or pneumothorax. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE
Unchanged mild cardiomegaly but no evidence of congestive heart failure.
11378943
The lungs are well-expanded and clear. No focal consolidation, pleural effusion, edema or pneumothorax. The heart size is markedly enlarged. The patient has a right aortic arch and descending aorta. There is mild levoconvex scoliosis of the lower thoracic - upper lumbar spine unchanged.
55088902
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with atrial fibrillation beginning amiodarone // assess for infiltrates, consolidation pre-amiodarone therapy TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.
No acute cardiopulmonary process. Severe cardiomegaly and right aortic arch and descending aorta.
11917817
PA and lateral views of the chest. Median sternotomy wires and mediastinal clips are intact and stable. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. There is minimal left basilar atelectasis.
54768643
INDICATION: Chest pain and nausea. COMPARISON: Chest radiograph of ___.
No acute cardiopulmonary process. Minimal left basilar atelectasis.
11917817
PA and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again seen. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
53352365
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain.
No acute intrathoracic process.
11917817
Patient is status post median sternotomy CABG. Cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen.
54345293
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with syncope, hx of CABG, now with hypoxia and HypoTension // r/o CHF, PNA, pe TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No acute cardiopulmonary process.
11917817
PA and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. The lungs are clear bilaterally, without focal consolidation, effusion, or pneumothorax. A subtle opacity projecting over the inferior left heart border is likely a fat pad. Heart and mediastinal contours are normal. Bony structures are intact.
59667553
CHEST RADIOGRAPH Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Intermittent chest pain.
No acute intrathoracic process. Subtle opacity obscuring the left inferior heart border is likely a fat pad.
11917817
The patient is status post median sternotomy and CABG. The heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Aside from minimal subsegmental atelectasis in the left lower lobe, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.
53911134
HISTORY: Shortness of breath and tachycardia. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality.
11450442
Endotracheal tube ends above the level of the carina. Right IJ central venous catheter ends in the right atrium. There is no evidence of pneumothorax. Lung volumes are lower than prior. There is increased opacification of the bilateral lung apices compared to prior, which may represent atelectasis. Bibasilar opacities are again seen. A nasoenteric tube enters the stomach.
55737000
INDICATION: ___ year old woman intubated for hypercarbic/hypoxic resp distress, transferred to ficu from ed // ett position . COMPARISON: None Available. TECHNIQUE Portable view of the chest.
No evidence of pneumothorax. Increased opacification at the bilateral lung apices, possibly secondary to atelectasis.
11450442
There has been interval placement of a right IJ central venous catheter which ends in the proximal right atrium, it would need to be withdrawn ___-15mm to end in the low SVC. A lucency at the right lung apex, likely represents a skin fold with a tiny apical pneumothorax also possible, attention on followup imaging. An endotracheal tube has been retracted and is in appropriate position. Lung volumes are improved. There remain bibasilar opacities. There is no large pleural effusion.
50163622
INDICATION: ___F with PNA, right IJ central line placement. COMPARISON: Comparison is made to same day radiographs TECHNIQUE Portable view of the chest.
Interval placement of a right IJ central venous catheter which ends in the proximal right atrium, would need to be withdrawn ___-15 mm to end in the low SVC. Lucency at the right lung apex likely represents a skin fold but a tiny apical pneumothorax is possible, attention to this area on followup imaging. Retraction of endotracheal tube, now in appropriate position. Improved lung volumes compared to prior.
11450442
There are low lung volumes. Bibasilar opacities may represent atelectasis due to low lung volumes however cannot rule out pneumonia. No pneumothorax or pleural effusion. Heart size is difficult to evaluate.
55754233
WET READ: ___ ___ ___ 9:43 AM Low lung volumes. Bibasilar opacities may represent atelectasis due to low lung volumes however cannot rule out pneumonia. WET READ VERSION #1 ___ ___ ___ 12:49 AM Low lung volumes. Bibasilar opacities may represent atelectasis or pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with shortness of breath and hypoxia // eval infiltrate TECHNIQUE: Single AP view of the chest. COMPARISON: None available
Low lung volumes. Bibasilar opacities may represent atelectasis due to low lung volumes however cannot rule out pneumonia.
11450442
The endotracheal tube ends 7 mm from the carina. There are low lung volumes and bibasilar opacities are again seen and unchanged, which may represent atelectasis given the lung volumes however pneumonia cannot be ruled out. No pneumothorax. No large pleural effusion.
51340136
WET READ: ___ ___ ___ 9:41 AM ETT ends 7 mm from the carina, recommend pulling back. Bibasilar opacities are unchanged and may represent atelectasis due to low lung volumes however pneumonia cannot be ruled out. WET READ VERSION #1 ___ ___ ___ 7:39 AM ETT ends 7 mm from the carina, recommend pulling back. Bibasilar opacities are unchanged and may represent atelectasis to low lung volumes however pneumonia cannot be ruled out. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F s/p intubation // eval ETT position TECHNIQUE: AP view of the chest. COMPARISON: Chest radiograph on ___ at 00:26
ETT ends 7 mm from the carina, recommend pulling back. Bibasilar opacities are unchanged and may represent atelectasis due to low lung volumes however pneumonia cannot be ruled out.
11919770
The patient is status post left lower lobectomy. Increased density along the left lung base and increased retrocardiac opacity is likely related to post-surgical changes. The right lung is clear. Evaluation of the cardiac silhouette is limited by overlying post-surgical changes.
52940844
INDICATION: ___ year old man status post left lower lobectomy. Study requested for evaluation. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph.
Increased retrocardiac and left lung base opacities, likely related to post-surgical changes. Right lung is clear.
11919770
The cardiac silhouette is top normal to mildly enlarged. The mediastinal contours are unremarkable. No focal consolidation, pleural effusion, evidence of a pneumothorax is seen. There is minimal left base atelectasis. No overt pulmonary edema is seen. Mild degenerative changes are seen along the spine.
50671033
HISTORY: Dyspnea. TECHNIQUE: Chest: Frontal and lateral views. COMPARISON: ___.
Top-normal to mildly enlarged cardiac silhouette without overt pulmonary edema. No pleural effusion seen.
11221752
The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no pneumomediastinum. No acute osseous abnormalities. There is no free intraperitoneal air.
50007043
INDICATION: ___F with CP after vomiting // ? PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: None.
No acute cardiopulmonary process.
11221752
The lungs remain clear. There is no focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
51749770
INDICATION: ___F with fevers , cough x 4 days // r/o acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11169538
The lungs are clear without focal opacity or overt pulmonary edema. There is mild pulmonary vascular congestion. The pleural surfaces are normal. The heart is mildly enlarged, unchanged since ___. The mediastinal contours are normal.
58129452
INDICATION: History: ___F with shortness of breath // edema? acute process? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
Mild cardiomegaly and pulmonary vascular congestion. No overt pulmonary edema.
11508679
Semi-upright portable view of the chest demonstrates endotracheal tube terminating 2.1 cm above the carina. Nasoenteric tube is seen coursing through the esophagus, its tip out of field of view. The right PIC catheter tip projects over cavoatrial junction. Right internal jugular central venous catheter tip projects over distal SVC. Small bilateral pleural effusions with adjacent areas of atelectasis are unchanged. Mild pulmonary edema has improved. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. No pneumothorax. Partially imaged upper abdomen is unremarkable. 3.5 cm round rim calcification projecting over descending aorta represents saccular aneurysm, better characterized on ___ CT, unchanged.
56168940
INDICATION: Patient with history of coronary artery disease, status post STEMI. Assess for ETT placement. COMPARISONS: Chest radiographs of ___ and ___. CT chest of ___.
Mild pulmonary edema has improved since ___. Small bilateral pleural effusions with adjacent areas of atelectasis, unchanged. Stable appearance of calcified saccular aneurysm of the descending aorta.
11508679
An endotracheal tube terminates 2.6 cm above the carina. A right-sided PICC terminates at the right atrium. A large bore right IJ terminates at the cavoatrial junction. An orogastric tube terminates within the stomach. There has been little interval change of bibasilar opacities since the ___ examination, likely reflecting atelectasis. No superimposed consolidation, pneumothorax, or pleural effusion is seen.
56430806
INDICATION: CAD status post STEMI with altered mental status. COMPARISON: Radiograph available from ___. FRONTAL CHEST
Right-sided PICC terminating at the right atrium. Bibasilar atelectasis. The impression was discussed by Dr. ___ with Dr. ___ ___ telephone at 11:55 AM on ___.
11508679
Portable chest radiograph demonstrates stable positioning of medical devices. Nasogastric tube was seen coursing out of view; side port not demonstrated on current image. Endotracheal tube tip position difficult to evaluate but appears approximately 3 cm from the carina. There is stable mild pulmonary edema and bibasilar atelectasis. The appearance of decreased small left pleural effusion likely reflects patient positioning given short time period. PICC line located in the upper right atrium.
53251665
INDICATION: Patient with STEMI status post cardiac catheterization, now with NG tube placement. Please evaluate NG tube positioning. COMPARISON: Comparison made to chest radiograph performed two hours earlier.
Nasogastric tube with tip coursing out of view. Other medical devices are in stable position. Unchanged exam.
11508679
Slightly oblique positioning. Lines and tubes overlie the chest. In this setting, the extreme tip of the ET tube is not well delineated. It appears to lie approximately 4.3 cm above the carina. An NG tube is present, tip extending beneath diaphragm, off film. An additional ___/oral gastric tube also courses beneath the diaphragm, off the film. A right IJ line tip overlies the distal SVC. A right subclavian PICC type line tip lies at the level of the SVC/RA junction. There is upper zone redistribution and mild diffuse vascular blurring. There is patchy retrocardiac opacity and a small pleural effusion or pleural thickening at the left base, unchanged. The nodular density seen at the left base on the film from ___ at 11:29 a.m. is less apparent on today's exam, probably obscured. The right lung is without focal consolidation or effusion. The tracheal air column and the presence or absence of some mediastinal air cannot be assessed on this exam due to oblique positioning.
54352974
HISTORY: ACS, intubated for respiratory distress, question ET tube, IJ dialysis catheter placement. CHEST, SINGLE AP PORTABLE
Lines and tubes as described. Of note, the PICC line lies in the region of the SVC/RA junction. Mild pulmonary vascular plethora without other evidence of CHF. Patchy opacity left base consistent with small left effusion, unchanged.
11878738
AP portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is widening of the left acromioclavicular joint which could reflect chronic AC joint separation.
50033881
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with asthma, wheezing, intoxication // eval for consolidation COMPARISON: None
No acute intrathoracic process. Chronic left AC joint separation.
11498783
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.
53483304
WET READ: ___ ___ ___ 2:29 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dizziness // Eval intra-thoracic process TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
11812055
PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
57546883
INDICATION: ___M with chest pain // r/o acute process COMPARISON: None.
No acute cardiopulmonary process.
11740173
Status post right upper lobe transbronchial biopsy. No visible pneumothorax. Peripheral consolidation with surrounding ground-glass may reflect post biopsy hemorrhage. The left lung is clear. Moderate cardiomegaly. No pleural effusions.
51015870
INDICATION: ___ year old woman with s/p bronch // s/p bronch TECHNIQUE: Portable
No pneumothorax post biopsy.
11740173
Midline sternotomy wires are noted, several fragmented as on prior. Cardiomegaly is again noted with hilar congestion and mild pulmonary edema. Right upper lobe rounded lesion is compatible with known malignancy. There is new subtle opacity in the right lower lung concerning for pneumonia. No large effusion. No pneumothorax. Mediastinal contour is stable. Bony structures are grossly intact.
52113873
EXAMINATION: Chest radiograph INDICATION: ___F with SOB, history of lung cancer // eval for PNA, infiltrate TECHNIQUE: Portable AP upright chest radiograph. COMPARISON: Chest radiograph ___ and CT chest outside hospital study, ___
Interval development of mild pulmonary edema and right lower lung consolidation concerning for pneumonia. Rounded mass in the right upper lobe is consistent with known malignancy.
11054726
No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal contours are normal. Tortuous aorta. Bibasilar atelectasis. Slight prominence of the hilum likely due to ectatic vasculature.
58692489
WET READ: ___ ___ ___ 10:17 AM No acute cardiopulmonary process. Bibasilar atelectasis. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with dyspnea // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: ___.
No acute cardiopulmonary process. Bibasilar atelectasis.
11054726
Heart size is normal. The aorta remains tortuous and a small hiatal hernia is again noted. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Linear opacity within the lingula is compatible with an area of subsegmental atelectasis. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
54602707
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with recent DVT presents with leg swelling TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and chest CTA
No acute cardiopulmonary abnormality.
11054726
Lung volumes are low leading to crowding of the bronchovascular structures. Interval increased airspace opacity at the left lung base may represent atelectasis versus pneumonia. No large pleural effusion or pneumothorax. Tortuosity of the thoracic aorta and a dilated pulmonary conus are again noted.
58593772
EXAMINATION: Chest radiograph. INDICATION: History: ___F with SOB // eval acute process TECHNIQUE: AP and lateral view of the chest. COMPARISON: ___.
Low lung volumes with left lower lobe airspace opacity may represent atelectasis, although superimposed infection is difficult to exclude. The patient has a history of pulmonary embolism, if this is suspected clinically, a chest CT angio may be obtained for further evaluation.
11714491
There is been interval placement of a dual-lumen central venous catheter with tip in the mid SVC. No pneumothorax. Mild to moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are similar. Mild to moderate pulmonary edema is unchanged as are moderate size left and small right pleural effusions. Bilateral lower lobe opacities likely reflect atelectasis, unchanged.
54249945
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with new hemodialysis placement TECHNIQUE: Upright AP view of the chest COMPARISON: ___ at 11:58
Interval placement of dual-lumen central venous catheter with tip in the mid SVC. No pneumothorax. Persistent mild to moderate pulmonary edema and moderate size left and small right pleural effusions. Bibasilar atelectasis also remains unchanged.
11714491
The left-sided PICC line tip is in the low SVC. Effusions are small. Previous vascular congestion, basal atelectasis, and cardiomegaly have improved. Lungs are otherwise clear without focal consolidation or pneumothorax. Calcified tortuous aorta is unchanged.
53681669
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with resolving Ecoli urosepsis on antibiotics with persistent fevers and ?PNA on last CXR. Evaluate for pneumonia or effusion. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph of ___.
No focal consolidation concerning for pneumonia. Small bilateral effusions have improved since the prior study.
11714491
There are bibasilar opacities, left greater than right suggestive of pleural effusions. The degree of pulmonary edema appears slightly worse. Cardiac silhouette is difficult to assess given silhouetting on the left.
59514366
INDICATION: ___F with ETOH cirrhosis, now ___ ___ edema, crackles at lung bases, hypotension // eval ? pulm edema, cardiomegaly, free air TECHNIQUE: Single portable view of the chest. COMPARISON: ___.
Bilateral pleural effusions, left greater than right with increased degree of pulmonary edema when compared to prior.
11714491
Lung volumes are slightly low, resulting in bronchovascular crowding. The heart is top-normal in size. There is pulmonary vascular congestion, without evidence of frank pulmonary edema. Left basilar opacity likely reflects atelectasis, and may be responsible for leftward mediastinal shift. No pneumothorax or pleural effusion.
50885618
WET READ: ___ ___ ___ 1:03 PM 1. Pulmonary vascular congestion without frank edema. 2. Left basilar opacity likely reflects atelectasis. WET READ VERSION #1 ___ ___ ___ 11:30 AM 1. Pulmonary vascular congestion without frank edema. 2. Bibasilar opacities likely reflect atelectasis, however aspiration or pneumonia could be considered in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with ETOH cirrhosis, HCC presenting with hepatic encephalopathy // evidence of new infiltrates/pneumonia? TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiographs dated ___ through ___.
Pulmonary vascular congestion without frank edema. Left basilar opacity likely reflects atelectasis.
11714491
The lungs are mostly clear. There is no pulmonary edema or pneumonia. There is a small left pleural effusion. Mildly enlarged cardiomediastinal silhouette is chronic. There are bibasilar atelectasis
53163678
EXAMINATION: AP upright portable chest radiograph INDICATION: ___ year old woman with cirrhosis with decompensation and ecephalopathy // evaluation for pneumonia, edema, effusion TECHNIQUE: Chest AP portable upright radiograph COMPARISON: Chest radiograph from ___
No pneumonia. small left pleural effusion.
11714491
This radiograph was read in conjunction with most recent CT from ___. Again seen is moderate to severe centrilobular emphysema predominantly in the upper lobes, though present elsewhere. Heart size is within normal limits.Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.Aortic knob calcification seen.
55497929
INDICATION: ___ year old woman with cirrhosis and productive cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: CT from ___.
Moderate to severe centrilobular emphysema, worse in the upper lobes. No acute pneumonia.
11714491
PA and lateral views of the chest provided. Previously noted PICC line is been removed. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcifications again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
56504113
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with worsening hyperglycemia and ___, otherwise ASx COMPARISON: Prior exam from ___.
No acute intrathoracic process.
11031754
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal basilar atelectasis noted. No focal consolidation is seen. No pleural effusion or pneumothorax is seen.
51494933
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with CP and nausea // ? acute cardiac process TECHNIQUE: SINGLE AP VIEW OF THE CHEST COMPARISON: None.
No acute cardiopulmonary abnormality.
11901665
Lung volumes are slightly low, causing accentuation of the pulmonary vasculature. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multiple surgical clips are seen in the right upper abdominal quadrant, as before.
54640525
INDICATION: Chest pain. Assess for pneumonia. COMPARISON: Chest radiograph from ___.
No acute cardiac or pulmonary findings.
11901665
Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
59540309
HISTORY: ___-year-old female with chest pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11901665
The cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multiple clips are demonstrated within the right upper quadrant of the abdomen. No acute osseous abnormalities are visualized.
58084645
HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11901665
No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
50703603
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with chest pain // acute cardiopulm disease TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No acute cardiopulmonary process.
11901665
Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified. Surgical clips are seen in the right upper quadrant.
57771184
CLINICAL HISTORY: ___-year-old woman with chest pain. COMPARISON: ___ and CT ___.
No acute intrathoracic process.
11901665
PA and lateral images of the chest were obtained. The lungs are clear bilaterally with no focal consolidation or congestive heart failure. There is no pneumothorax or pleural effusions. The cardiomediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm. Clips are seen within the upper abdomen.
58403588
INDICATION: Chest pain radiating to the back. COMPARISON: Chest radiograph ___.
No acute intrathoracic process.
11901665
Heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multiple clips are noted within the upper abdomen.
54871614
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
No acute cardiopulmonary abnormality.
11901665
One portable AP view of the chest. There are low lung volumes which crowd the pulmonary vasculature. Within that limitation, the lungs are grossly clear without any obvious consolidation. There is no pneumothorax. There is no large pleural effusion. Cardiac, mediastinal, and hilar contours are normal. No evidence of pulmonary edema.
56481032
INDICATION: ___-year-old female with chest pain, evaluate to rule out acute process. COMPARISON: CTA chest on ___.
No acute cardiopulmonary process. Low lung volumes.
11901665
The cardiomediastinal hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs splenic. A new focal opacity in the left upper lung. This concerning for an infectious process. The upper abdomen is unremarkable.
52756579
INDICATION: ___F with chest pain, fever // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.
Left upper lobe pneumonia. This should be followed to imaging resolution.
11901665
The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. No pulmonary vascular congestion is noted. Multiple clips are re- demonstrated in the right upper quadrant of the abdomen.
53992084
HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary abnormality.
11901665
Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vasculature is unremarkable. Lung volumes are low. The lungs are otherwise unremarkable without focal or diffuse abnormality. No pleural effusion or pneumothorax. Numerous surgical clips are seen in the right upper quadrant. Osseous structures are unremarkable.
55483276
INDICATION: ___-year-old female with chest pain. Evaluate for acute process.
No acute cardiopulmonary process.
11901665
Previously seen left upper lobe pneumonia has cleared. There are relatively low lung volumes. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
51791879
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with pleuritic CP. // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11099078
The heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. The pulmonary vasculature is normal. There are no acute osseous abnormalities.
54541978
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough x3 weeks and chest pain // assess for infiltrate, effusion, PTX TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11920063
The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. No displaced fracture is seen, but if clinical concern for fracture, suggest dedicated imaging of that region.
51747151
INDICATION: Back pain in a ___-year-old female, assess for pneumonia or CHF. TECHNIQUE: Two views of the chest. COMPARISONS: None available.
No acute cardiopulmonary process.
11948358
There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
57535439
WET READ: ___ ___ ___ 7:06 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with abdominal pain and nausea, to have 2sets, no stress for low risk chest pain. // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: None available.
No acute cardiopulmonary process.
11641098
No focal consolidation is seen. Pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
58245935
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever, cough // pna? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process. No focal consolidation to suggest pneumonia.
11746946
Since the prior radiograph, there has been interval placement of ET tube, terminating 1.9 cm above the carina and a left subclavian CVL terminating at the mid SVC. The heart size is normal. The hilar and mediastinal contours are within normal limits. Moderate pulmonary edema has improved since the 2:20 a.m. examination. Small pleural effusions are decreased in size. A retrocardiac opacity, likely atelectasis, has improved.
59747435
INDICATION: Respiratory distress. COMPARISON: Radiograph available from ___ at 2:20 a.m. FRONTAL CHEST
ET tube terminating 1.9 cm above the carina. Left subclavian CVL terminating at the mid SVC. The initial interpretation was made by Dr. ___ at 2:00 p.m. on ___, and communicated to the surgery team (Dr. ___) via telephone at 2:05 p.m.
11746946
PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. Previously noted pulmonary edema has resolved. Small bilateral pleural effusions noted. Left subclavian line tip is terminating in the mid-to-distal superior vena cava. No pneumothorax.
58149153
INDICATION: Consolidation on x-ray. Follow up for progression. COMPARISON: Comparison is made to chest radiograph performed ___.
Resolved pulmonary edema. Trace bilateral pleural effusions.
11746946
Both lungs are remarkable for persisting mild interstitial pulmonary edema. The retrocardiac density has worsened reflecting an increased atelectasis in the left lower lung. Mild atelectasis in the right lower medial lung has also minimally worsened. Pleural effusion if any is minimal on the right side and stable. Heart size is mildly enlarged and unchanged. Mediastinal and hilar contours are stable in appearance.
59873357
CHEST RADIOGRAPH INDICATION; Status post extubation, to rule out aspiration TECHNIQUE: Supine portable chest view was reviewed in comparison with prior chest radiographs from ___ to ___.
Persisting mild pulmonary edema and increased bilateral lower lung atelectasis.
11571040
A right-sided chest tube appears unchanged in position at the right lung base. The heart is mildly enlarged. There is no focal consolidation or pulmonary edema. Small right pleural effusion is unchanged compared to the prior study from ___. Small left pleural effusion may be slightly improved. Increased bibasilar opacities consistent with atelectasis.
50411753
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: None.
Small bilateral pleural effusions significantly changed on the right, may be slightly decreased on the left. Bibasilar atelectasis persists.
11571040
A large right pleural effusion has increased in size compared to the prior chest radiograph, but appears similar compared to the prior CT. Associated right basilar opacity likely reflects compressive atelectasis. A small left pleural effusion is likely present. Patchy left basilar opacity may reflect atelectasis. Heart size is difficult to assess given the presence of the large right pleural effusion. There is mild pulmonary vascular engorgement. Mediastinal contours are grossly unchanged. There is no pneumothorax. No acute osseous abnormality is visualized.
58399770
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with shortness of breath, dyspnea on exertion TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___, CT chest ___
Persistent large right pleural effusion, increased from the prior chest radiograph, but similar to the prior chest CT. Probable small left pleural effusion. Bibasilar atelectasis. Mild pulmonary vascular engorgement.
11571040
The lungs are well expanded with moderate residual right basilar atelectasis. Small bilateral pleural effusions are improved from ___. A right PleurX catheter is unchanged. No pneumothorax. Mediastinal vascular pedicle and cardiac size are smaller than on ___. Surgical clips in the right upper quadrant are consistent with prior cholecystectomy.
51735316
INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___. CT of the chest from ___.
Small bilateral pleural effusions improved from ___.
11571040
Compared to chest radiographs from ___, small right pleural effusion has increased, now with fissural fluid, and right middle and lower lobe atelectasis have worsened. Right chest tube is in unchanged position. Trace left pleural effusion effusion persists with associated mild left basilar atelectasis. There is no focal consolidation. No pneumothorax. No central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are stable. Mild cardiomegaly is unchanged.
55238981
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___.
Increased small right pleural effusion with fissural fluid and worsening associated right middle and lower lobe atelectasis. Unchanged trace left pleural effusion with mild left basilar atelectasis. Stable mild cardiomegaly.
11571040
Cardiac silhouette size is difficult to assess given the presence of right basilar consolidation, but appears at least mild to moderately enlarged. The aorta appears mildly tortuous. Pulmonary vasculature is not engorged. Consolidative right basilar opacity is highly worrisome for pneumonia, with an associated moderate pleural effusion. Streaky atelectasis also demonstrated within the left lung base. No pneumothorax is clearly identified. No acute osseous abnormalities are visualized.
51449453
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with cough, hypoxia // evaluate for pneumonia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.
Right basilar consolidative opacity concerning for pneumonia with associated moderate pleural effusion. Left basilar atelectasis.
11599354
Interval improvement of the mild interstitial edema. There is persistent bibasal heterogeneous opacities, likely atelectasis. The heart remains moderately enlarged with a single lead defibrillator in standard position. No pneumothorax. There are persistentlucencies at both hemidiaphragm, likely from streaks of atelectasis.
51588479
INDICATION: ___ year old man with CHF, DM, HTN presenting with acute on chronic CHF exacerbation // eval for interval change TECHNIQUE: Chest AP COMPARISON: ___
Improved interstitial pulmonary edema.
11599354
There is mild pulmonary edema. Bibasilar opacities are noted. Superiorly the lungs are clear. Moderate cardiac enlargement is noted. There are multiple linear lucencies specific only at the aortic arch and abutting the left side of the cardiac silhouette left chest wall single lead pacing device is noted. No displaced fractures identified. There is no subcutaneous gas in the neck.
58364719
WET READ: ___ ___ ___ 4:46 PM Mild pulmonary edema and bibasilar opacities potentially atelectasis noting that infection or aspiration are possible. Of note there multiple linear lucencies paralleling portions of the mediastinum without subcutaneous gas in the neck. It is uncertain if these are artifactual or due to a pneumomediastinum. Suggest PA and lateral if patient is amenable or simply repeat exam for further evaluation. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with vt // chf TECHNIQUE: Single portable view of the chest. COMPARISON: None.
Mild pulmonary edema and bibasilar opacities potentially atelectasis noting that infection or aspiration are possible. Of note there multiple linear lucencies paralleling portions of the mediastinum without subcutaneous gas in the neck. It is uncertain if these are artifactual or due to a pneumomediastinum. Suggest PA and lateral if patient is amenable or simply repeat exam for further evaluation.
11599354
Left-sided ICD device is re- demonstrated with single lead terminating in the right ventricle. Moderate cardiomegaly is again noted. Mediastinal contours are similar. Previously demonstrated linear lucencies about the mediastinum are not visualized on the current exam, and no definite evidence for pneumomediastinum is present. There is mild upper zone vascular redistribution without overt pulmonary edema, overall improved. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax or pleural effusion is demonstrated. There are no acute osseous abnormalities.
53346162
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ventricular tachycardia, hyperkalemia TECHNIQUE: Chest PA and lateral COMPARISON: ___ at 16:07
No definite findings suggestive of pneumomediastinum. Mild pulmonary vascular congestion, improved from the prior study, with bibasilar atelectasis.
11798251
A right-sided dialysis catheter terminates in the lower superior vena cava. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
59834589
CHEST RADIOGRAPHS HISTORY: Fever and decreased breath sounds. COMPARISONS: None. TECHNIQUE: Chest, AP and lateral.
No evidence of acute disease.
11180546
The patient is status post coronary artery bypass graft surgery. The heart is normal in size. Mediastinal and hilar contours appear unchanged. The chest is hyperinflated. There is a new confluent posterior opacity in the left lower lobe with a bulging contour anteriorly. This appearance is not entirely specific but is suggestive of a pleural effusion, potentially with loculation as a part of it. However, other etiologies including confluent consolidation with pleural effusion or even potentially malignancy are not excluded by this examination. A thick flowing anterior osteophyte is unchanged along the thoracic spine.
52928227
CHEST RADIOGRAPHS HISTORY: Nausea and vomiting. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral views.
Pleural-based left lower lobe opacity with a bulging anterior contour. Differential considerations include a pleural effusion with large loculated component, versus consolidation with a bulging contour and pleural effusion (which could be seen with some infections, for example, Klebsiella pneumonia), although even malignancy is not excluded. Follow-up radiographs are recommended to show resolution versus consideration of chest CT if the likely etiology is not very clear at clinical grounds.
11180546
As compared to prior chest radiograph from ___, there is increased density of a left perihilar opacity and there is reaccumulation of left pleural effusion. Right lung is clear. There is no evidence of pneumothorax. Cardiomediastinal and hilar contours are unchanged. Sternotomy and mediastinal clips are intact.
53910150
INDICATION: ___-year-old male patient with history of CAD, loculated pleural effusion, status post thoracentesis on ___, complaining of shortness of breath. Study requested for evaluation of pneumothorax. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph.
Increased density of left perihilar opacity, concerning for pneumonia. Reaccumulation of left pleural effusion, no pneumothorax. These findings were discussed with Dr. ___ by Dr. ___ via telephone on ___ at 2:58 p.m., at the time of discovery.
11180546
Moderate and partly loculated left pleural effusion is not significantly changed since ___. There is no pneumothorax. Left lower lobe atelectasis has, however, improved. The right lung is unremarkable. Prior sternotomy was done for CABG.
51137996
PA AND LATERAL CHEST X-RAY INDICATION: Decreased breath sound on the left base. History of effusion. COMPARISON: X-rays of ___ and abdominal CT of ___.
Grossly unchanged moderate, partly loculated left pleural effusion.
11742857
Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No pleural effusion, focal consolidation, or pneumothorax. No radiopaque foreign body.
57653961
HISTORY: ___-year-old female with chest pain. COMPARISON: None.
No evidence for acute cardiopulmonary process.
11563376
The cardiomediastinal contours are within normal limits. The bilateral hila are grossly unremarkable. There is suggestion of bronchial wall thickening involving the lower lobes, with subtle, ill-defined opacity best seen on lateral view, possibly right lower lobe. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Old healed right clavicle fracture noted.
53274684
INDICATION: ___M with one week of cough, productive of yellow sputum, subjective fever. Smoker. Lung exam without focal findings, pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None available.
Lower lobe peribronchial cuffing associated with an ill-defined airspace opacity could represent developing infection including bronchopneumonia in the appropriate clinical setting.
11374154
AP upright and lateral views of the chest provided. Low lung volumes noted. No focal consolidation, large effusion or pneumothorax. Bronchovascular crowding may account for subtle increase in bronchovascular markings. Cardiomediastinal silhouette appears normal. Several mild compression deformities are noted in the imaged thoracic spine.
55322707
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with chest pain, seizure // eval for PNA COMPARISON: None
Limited given low lung volumes without overt pneumonia or edema. Mild compression deformities in the thoracic spine, age indeterminate.
11296394
PA and lateral views of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal contour, including mild cardiomegaly, is unchanged. There is no pleural effusion or pneumothorax. Surgical clips in the right upper quadrant are again noted.
59999345
HISTORY: ___-year-old woman with cough and fever, evaluate for pneumonia. COMPARISON: ___.
No evidence of pneumonia.
11296394
Mild cardiomegaly is unchanged. Mediastinal contours normal. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Surgical clips noted in the right upper quadrant. No acute osseous abnormality is seen.
54331915
INDICATION: ___F with sickle cell, fever, cough evaluate for pneumonia. COMPARISON: Comparison is made to chest radiograph from ___. TECHNIQUE Frontal and lateral view of the chest.
Stable mild cardiomegaly. No interval change in the appearance of the chest.
11296394
The lungs are low in volume but clear. Mild cardiomegaly has increased slightly. The mediastinal silhouette and hilar contours are otherwise normal. No pleural effusion or pneumothorax is present. Clips are noted in the right upper quadrant from a cholecystectomy.
56432084
INDICATION: ___-year-old female with left pleuritic chest pain, history of DVT. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE
Mild cardiomegaly. If pulmonary embolism continues to be of clinical concern, then a CT is recommended for further evaluation.
11296394
Mild cardiomegaly is persistent compared to the prior exam. There is a subtle increase in opacity seen on the lateral view. The hilar and mediastinal contours are normal. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
59918817
INDICATION: History of cough, sickle cell disease. Please evaluate for pneumonia. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: PA and lateral radiographs of the chest.
Subtle increase in opacity seen in the retrocardiac region on the lateral view, may be secondary to an infectious process, follow up is recommended after treatment.
11296394
The lungs are normally expanded. Opacities projecting over the spine on the lateral radiograph have improved; however, there is mild persistent opacity. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are normal. The included osseous structures are grossly unremarkable.
50002051
INDICATION: Early pneumonia diagnosed last week, now with persistent cough and fever. Evaluate for pneumonia. COMPARISON: Chest radiographs ___ through ___. CTA chest ___. TECHNIQUE: Upright PA and lateral radiographs of the chest.
Improved mild residual opacity at the left base may reflect resolving pneumonia.
11296394
Mild cardiomegaly is unchanged. There is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.
55248591
INDICATION: History of sickle cell disease with a history of fatigue, fever and cough. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___ and ___.
No acute cardiopulmonary process. An attempt was made to call these result to Dr. ___ ___.
11296394
Surgical clips overlie the right upper abdominal quadrant. The cardiomediastinal silhouettes are stable, reflective of a mildly tortuous thoracic aorta and mild cardiomegaly. The hilar within normal limits. There is no pulmonary vascular congestion or pulmonary edema. Equivocal lower lobe opacity best appreciated on lateral view appears new since prior exam, not clearly localized on PA projection. Otherwise come the lungs are clear. There is no pneumothorax or pleural effusion.
53017888
FINAL ADDENDUM ADDENDUM No specific addendum. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fever and sickle cell crisis // infiltrate? infiltrate? ___F with fever and sickle cell crisis, evaluate for infiltrate. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: Chest x-ray ___.
Equivocal lower lobe opacity seen only on lateral view. If the patient has symptoms of pneumonia, this could represent early lower lobe infection. Stable mild cardiomegaly.
11296394
PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study ___. Heart size is still mildly enlarged but less so than on the previous examination. No typical configurational abnormality is seen, nor are there any intracardiac calcifications identified. The thoracic aorta is unremarkable in size and no local contour abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free from any fluid accumulation. No pneumothorax in the apical area on the frontal view. Skeletal structures of the thorax remain unchanged and are grossly unremarkable. As before, evidence of surgical clips in right upper abdomen consistent with previous cholecystectomy. Lateral ornamental metallic artifacts in both breast areas, unchanged.
58270433
TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with sickle cell anemia and chronic non-productive cough, evaluate for interval change from last chest x-ray performed in ___.
Mild regression of previously existing cardiomegaly in patient with history of sickle cell anemia. No new pulmonary vascular or parenchymal abnormalities, pleural spaces remain free and no evidence of pneumothorax.
11300646
The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
55155604
INDICATION: History: ___F with chest pain and shortness of breath with radiation into the back // eval for CHF, pneumonia, aortic dissection, PE TECHNIQUE: Chest PA and lateral COMPARISON: None.
No focal consolidations concerning for pneumonia identified.
11301172
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.
56942427
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with neutropenia, RLL focal wheeze COMPARISON: None
No acute intrathoracic process.
11905268
PA and lateral chest radiographs demonstrate hyper expanded lungs. No focal opacity is identified convincing for pneumonia. There is no radiopaque foreign body identified. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
52391257
INDICATION: ___-year-old male with question of foreign body in throat. TECHNIQUE: Chest PA and lateral COMPARISON: None available.
No acute intrathoracic abnormality. No radiopaque foreign body.
11150876
Frontal and lateral views of the chest were obtained. There has been interval placement of a single-lead left-sided pacemaker with lead extending to the expected position of the right ventricle without evidence of pneumothorax. Linear left base opacities likely represent atelectasis/scarring. The lungs are hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. The cardiac silhouette is top normal to mildly enlarged. The aorta remains calcified and tortuous. No focal consolidation, pleural effusion is seen. There is no overt pulmonary edema. Median sternotomy wires are again seen along with mediastinal surgical clips. Sclerosis of a lower thoracic vertebral body remains unchanged.
50552409
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Status post single-chamber pacemaker placement, rule out pneumothorax. COMPARISON: ___.
Status post placement of a single-lead left-sided pacemaker with lead extending to the expected position of the right ventricle without evidence of pneumothorax. Left basilar atelectasis/scarring.
11150876
PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and mediastinal contours. The heart is mildly enlarged but stable. There is no pneumothorax or pleural effusion. The aorta is calcified and unfolded. There are median sternotomy wires in place and multiple surgical clips likely from prior CABG. There is sclerosis of a lower thoracic vertebral body which is unchanged from ___.
53213402
HISTORY: Weakness. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.
No acute cardiopulmonary process.
11150876
There is subtle increased opacity projecting over the left lung apex overlying the clavicle and posterior left sixth rib, as on prior. There is blunting of the left lateral costophrenic angle raising possibility of small underlying effusion. Retrocardiac opacity may also be due to atelectasis or infection. There is moderate cardiomegaly, unchanged. Median sternotomy wires and left chest wall single lead pacing device is again noted.
50643466
INDICATION: ___F with tachy cardia // ?edema TECHNIQUE: Single portable view of the chest. COMPARISON: ___ at 09:42.
Persistent left apical opacity for which two view chest is suggested when patient is amenable. Left basilar opacity likely due in part to an effusion and atelectasis. Infection is not excluded.
11150876
PA and lateral views the chest provided demonstrate midline sternotomy wires and mediastinal clips. Left chest wall pacer device is unchanged with lead extending into the region of the right ventricle. Mild cardiomegaly is unchanged with stable mediastinal contour and aortic calcifications noted. Lungs are clear. Increased lucency in the upper lungs is consistent with emphysema. There is no pulmonary edema. No pneumothorax or pleural effusion. Severe compression deformity of an upper thoracic vertebral body and vertebroplasty of a mid thoracic vertebral body are overall similar to the prior examination.
56405440
EXAMINATION: Chest radiograph INDICATION: ___F with sob, hx chf, pacemaker // r/o chf, pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: ___, ___ chest radiographs.
Mild cardiomegaly unchanged. No acute intrathoracic process.
11150876
AP and lateral views of the chest. There are new small bilateral effusions which on the right extends into the major fissure. The cardiac silhouette is enlarged and there are increased interstitial markings. Linear opacity at the left lung base may be due to atelectasis. Left chest wall single lead pacing device is unchanged. Median sternotomy wires and mediastinal clips again seen. Atherosclerotic calcifications noted in the aorta. Vertebroplasty changes seen in the lower thoracic vertebral body. There has also been interval vertebral body height loss of the mid thoracic level since recent exam.
51516003
WET READ: ___ ___ 6:22 PM Findings suggestive of a congestive failure with vascular congestion, bilateral pleural effusions and cardiomegaly. Interval compression deformity of a mid thoracic vertebral body age indeterminate but new since ___. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with shortness of breath. Question pneumonia. COMPARISON: ___ ___.
Findings suggestive of a congestive failure with vascular congestion, bilateral pleural effusions and cardiomegaly. Interval compression deformity of a mid thoracic vertebral body age indeterminate but new since ___.
11150876
Mild cardiomegaly is unchanged. A cardiac conduction device is contiguous with a single lead, which appears to terminate in the right ventricle, unchanged. Asymmetrical opacity at the junction of the left first anterior rib and medial clavicle is not fully localizer characterized on this portable radiograph. Lungs are otherwise remarkable for patchy bibasilar atelectasis. Bilateral pleural effusions are small.
53365363
WET READ: ___ ___ ___ 9:59 AM Stable mild cardiomegaly. Otherwise, no acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with SOB // evaluate for CHF TECHNIQUE: Single AP view COMPARISON: Chest radiograph ___.
Stable mild cardiomegaly. No evidence of pulmonary edema. Focal asymmetrical opacity in left apex, for which further evaluation with standard PA and lateral chest radiographs is recommended.
11027112
Right-sided Port-A-Cath is unchanged terminating in the low SVC. Mediastinal contours, hila, and cardiac borders are normal. Lung volumes are low with left lower lobe atelectasis. No pneumothorax or pleural effusion.
53480809
INDICATION: ___ year old woman with left chest pain with inspiration // ? infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___. CT of the chest from ___.
No evidence of pneumonia.
11027112
The right Port-A-Cath seen on ___ chest radiograph has been removed. The lung volumes are low. The left basilar linear atelectasis seen in prior study have resolved. There are no opacities, consolidations, nodules seen. The mediastinal silhouette, hila, and pleural surfaces are normal. The heart size is top-normal but could be exaggerated by low lung volumes. There is no pneumothorax seen. No fractures nor acute bony abnormalities noted.
59201091
INDICATION: ___ yr old female with SOB and chest pain on inspiration // ? infection vs effusion TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest x-ray
No radiographic evidence of pneumonia. Low lung volumes.
11027112
Lung volumes are low, unchanged. Heart size is top normal. Mediastinal contour and cardiac borders are stable. There is no focal consolidation or pleural effusion. Right dual-lumen infusion port is unchanged with distal tip in the right atrium.
54601535
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with Lymphoma currently neutropenic with chest tightness // PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. CTA chest from ___.
No evidence of pneumonia.
11027112
There has been interval increase of the cardiac silhouette which raises the suspicion of an enlarging pericardial effusion. An anterior mediastinal mass is again noted and better characterized on prior chest CT. There is bibasilar atelectasis, left greater than right. No pleural effusion or pneumothorax is seen.
54893719
WET READ: ___ ___ ___ 3:59 PM 1. Interval increase in cardiac silhouette which raises the suspicion of an enlarging pericardial effusion. 2. Bibasilar atelectasis, left greater than right. Central vascular congestion. 3. Large anterior mediastinal mass, better characterized on recent chest CT. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old woman with dyspnea, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Outside chest CT from ___
Interval increase in cardiac silhouette, which raises the suspicion of an enlarging pericardial effusion. Bibasilar atelectasis, left greater than right. Large anterior mediastinal mass, better characterized on recent chest CT.
11696880
The cardiomediastinal and hilar contours are stable and within normal limits. The aorta is minimally calcified. There is mild pulmonary vascular congestion as well as mild pulmonary edema. Of note, more focal opacity at the base of the right lung may could reflect underlying infection or asymmetric edema. No effusions or pneumothorax.
58215875
EXAMINATION: Chest radiograph INDICATION: ___ year old man with acute cough no F/C, afebrile // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___
Mild pulmonary edema. More focal opacity at the base of the right lung could reflect underlying infection or asymmetric edema.
11251795
PA and lateral views of the chest were obtained. The heart is normal in size, and cardiomediastinal contour is unremarkable. Lungs remain hyperinflated and clear. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.
59086752
INDICATION: ___-year-old man with bowel prolapse, evaluate for free air. COMPARISON: ___.
No evidence of free air under the diaphragm.
11417505
The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Radiopaque densities project over the anterior abdominal wall. No free intraperitoneal air.
58164510
INDICATION: ___M with bullet wounds // eval for bullet s TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process. Radiopaque densities project over the anterior abdominal wall.
11897028
There is mild cardiomegaly. There is interstitial lung disease better seen in prior CT from ___. Left chest tube is in place. There are low lung volumes. There is no evident pneumothorax or large effusions. The stomach is very distended
54112195
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with left VATS wedge resection // post-op TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No evident pneumothorax. Distended stomach. Interstitial lung disease better seen in prior CT
11897028
The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No large pleural effusion is seen. There is no pneumothorax. Peripheral reticular opacities bilaterally and at the lung bases bilaterally suggest chronic lung disease. No priors available for comparison, but no definite consolidation aside from what is felt to be chronic, to suggest acute pneumonia.
53492109
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with crackles right base // eval for pulm edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
Likely chronic lung disease, given lack of priors for comparison.