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mimic-cxr-reports-summarization

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11897028
Compared to ___, the lung volumes have increased. Left lower lobe atelectasis has improved. There is new small loculated pleural effusion in the left apex, in the prior pneumothorax space. No basal pleural effusion is seen. Previously described interstitial lung disease is not significantly changed. Borderline heart size is unchanged. The mediastinal and hilar contours are unchanged. There has been interval resolution of subcutaneous gas.
54537964
INDICATION: ___F s/p L VATS wedge resection with history of ILD. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___ through ___. CT from ___
Slightly improved lung volume. New small loculated pleural effusion at the left apex.
11360506
The lungs are clear. There is no pneumothorax. Left paramediastinal surgical skin ___ and a surgical drain are present. The heart and mediastinum are within normal limits. The bones are unremarkable.
55241498
WET READ: ___ ___ ___ 11:17 PM Normal chest. Skin ___ and a surgical drain from T1-T4 laminectomy project over the upper mediastinum. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with chest pain. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: No prior chest CT available for comparison. Correlation made to imported chest CT dated ___.
Clear lungs. Etiology of chest pain not elucidated.
11253475
PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality identified.
51864042
HISTORY: ___-year-old female with chest pain. COMPARISON: ___.
No acute cardiopulmonary process.
11253475
PA and lateral views of the chest were provided. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
58484151
CHEST RADIOGRAPH PERFORMED ON ___ Comparison made with a prior study from ___. CLINICAL HISTORY: Cough, fever, assess pneumonia.
No acute findings in chest.
11253475
AP upright 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.
52878920
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with seizures, vomiting COMPARISON: ___.
No acute intrathoracic process.
11253475
PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is no free air under the diaphragm.
58027408
HISTORY: ___-year-old woman with epigastric and left upper quadrant abdominal pain. Evaluate for pneumoperitoneum or pneumonia. COMPARISON: Chest radiograph from ___.
Normal radiographs of the chest. No evidence of pneumoperitoneum.
11576703
Upright frontal and lateral chest radiographs demonstrate hyperinflated lungs, without focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette remains normal in size, the mediastinal contours are notable only for tortuosity of the thoracic aorta.
51303264
HISTORY: ___-year-old female with history of COPD and asthma who presents with one week of productive cough, wheezing, and dyspnea, evaluate for pneumonia. COMPARISON: ___.
No acute chest abnormality, with unchanged findings of COPD.
11576703
The heart is normal in size. Moderate unfolding of the thoracic aorta appears similar. The mediastinal and hilar contours appear unchanged. There is similar flattening of the hemidiaphragms with an expanded anteroposterior dimension of the chest, consistent overall with hyperinflation. There is no evidence for pleural effusion or pneumothorax. The lungs appear clear. In the upper abdomen, nonspecific air-fluid levels are visualized, fully characterized.
54133072
CHEST RADIOGRAPHS HISTORY: Cough. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
Hyperinflation. No evidence of acute cardiopulmonary disease. Air-fluid levels visualized along bowel in the epigastrium, not fully characterized. Clinical correlation is suggested.
11576703
The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique including moderate tortuosity of the aorta. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. The bones appear demineralized.
55366028
CHEST RADIOGRAPHS HISTORY: Status post fall with right knee pain and difficulty to ambulate. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral.
No evidence of acute disease.
11576703
PA and lateral chest radiographs were provided. The lungs are hyperexpanded with prominent interstitial markings consistent with COPD. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is notable for tortuous aorta. The heart is not enlarged. Imaged upper abdomen is unremarkable. There is mild wedging of mid thoracic vertebral bodies.
50363191
INDICATION: History of shortness of breath for one week, evaluate for pneumonia or pulmonary edema. COMPARISONS: Chest radiograph from ___.
Findings consistent with COPD, but no acute process.
11576703
The heart size is mildly enlarged. The aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. There is no pulmonary vascular congestion. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.
53361655
HISTORY: Altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary abnormality. Hyperinflation of the lungs compatible with underlying COPD.
11576703
AP and lateral views of the chest were provided. The lungs are hyperinflated without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears grossly stable. No definite osseous abnormality is seen.
56248140
CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from ___. CLINICAL HISTORY: ___-year-old female with worsening fatigue.
No acute findings in the chest.
11576703
Trace pleural fluid is suspected based on blunting of the right costophrenic angle. There is no evidence of pneumothorax. No focal consolidations are seen. There is patchy left lower lobe opacity most consistent with minor atelectasis. The heart is normal in size. Osseous structures are grossly unchanged.
54673125
PA AND LATERAL RADIOGRAPHS OF THE CHEST CLINICAL INDICATION: ___-year-old female with palpitations and weakness. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: ___.
Suspicion for trace right-sided pleural fluid without focal consolidation to suggest pneumonia.
11484862
Low lung volumes are again noted with crowding of the bronchovascular structures and bibasilar atelectasis. There is no large effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Right PICC tip terminates in the mid to lower SVC.
58841936
INDICATION: ___M with known babesiosis. // pneumonia? TECHNIQUE: Single portable view of the chest. COMPARISON: ___.
Low lung volumes without definite superimposed acute cardiopulmonary process.
11484862
There are relatively low lung volumes, which accentuate the bronchovascular markings. No lobar consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
59171423
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with recent admission for urosepsis c/b by melena now presents with syncopal episodes with crackles found on exam. // please evaluate for pneumonia TECHNIQUE: Single frontal view of the chest COMPARISON: ___
No acute cardiopulmonary process.
11484862
There are relatively low lung volumes. Bibasilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There may be very minimal pulmonary vascular congestion.
57737899
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with sepsis // Eval for pulmonary edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
Low lung volumes and basilar atelectasis without focal consolidation. Possible very minimal pulmonary vascular congestion.
11484862
Heart size is normal. Apparent rightward shift of the trachea is likely secondary to positioning. Hilar contours are normal. There has been interval resolution of pulmonary edema. Lungs are clear. Normal pleural surfaces.
58393202
EXAMINATION: Portable AP chest radiograph. INDICATION: ___-year-old man with a new oxygen requirement and leukocytosis. Evaluate for consolidation or pulmonary edema. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Multiple prior chest radiographs, most recent from ___.
No evidence of pneumonia or pulmonary edema.
11484862
No significant interval change. No focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is overall unchanged. No change in minimal pulmonary vascular congestion.
54368742
EXAMINATION: Chest radiograph INDICATION: ___ year old man with urosepsis, o2 requirement . Evaluate volume status and for infiltrates. TECHNIQUE: Portable upright AP radiograph view of the chest COMPARISON: Chest radiograph dated ___.
No significant interval change.
11484862
Compared to prior, the lung volumes are low. Left lung base opacity is concerning for pneumonia. There is increase in small left pleural effusion. Bilateral perihilar opacities are suggestive of pulmonary edema. Heart size is unchanged.
58038884
INDICATION: ___ year old man with UGIB, with volume resuscitation, with new O2 requirement. Evaluate for edema or pneumonia. TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiographs from ___, ___, ___.
Left basal pneumonia and worsening pulmonary edema.
11531179
PA and lateral views of the chest show persistent obscuration of the left hemidiaphragm in this patient status post left lower lobectomy with an appearance very similar that from the study of ___. Small amount of pleural fluid tracking laterally along the pleura has not increased. Subcutaneous emphysema has decreased with only a small amount of remaining in the left lateral chest and axillary region. Pleural base opacity seen just posterior to the thoracic spine on the lateral view appears to be some loculated fluid and smaller than seen on ___.
50298428
CHEST RADIOGRAPH HISTORY: Status post left lower lobectomy. Check for interval change.
Interval decrease in subcutaneous emphysema with no other change in appearance at the left base compared to ___.
11531179
Frontal and lateral chest radiographs demonstrate interval removal of left-sided rigid chest tube. A soft drain is seen projecting over the left lateral ribs. Low lung volumes with moderately sized loculated left pleural effusion associated with thickened left sided pleura, stable since ___. No layering effusion. Previously seen heterogeneous opacities in the left mid and lower lung unchanged and likely atelectasis. The right lung is clear. No pneumothorax.
53899630
HISTORY: ___-year-old male status post left lower lobe resection and recent washout. COMPARISON: Multiple priors going back to ___.
Moderate loculated left pleural effusion stable since at least ___. Left mid and lower lung consolidation, probable atelectasis and less likely pneumonia, unchanged. No pneumothorax.
11531179
The patient is status post left lower lobectomy with clips noted in the left juxtahilar region. Leftward shift of mediastinal structures is re- demonstrated. Opacity within the left lung base likely reflects a combination of small pleural fluid as well as likely atelectasis though infection cannot be completely excluded. No pulmonary edema is present, in the right lung is clear. No pneumothorax is clearly evident. Subcutaneous gas within the left chest wall extending into the neck has decreased in the interval. Rounded opacity posteriorly overlying the mid thoracic spine is re- demonstrated, which again may reflect loculated pleural fluid. Mild degenerative changes are seen within the thoracic spine.
51308753
HISTORY: Left lower lobectomy for cancer, now with cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ and ___.
Persistent opacity within the left lung base, likely reflecting a combination of small pleural effusion and atelectasis, though infection is not excluded.
11531179
Patient is status post left lower lobectomy with expected volume loss. There is no appreciable pleural effusion. There is no new focal consolidation. The right lung is clear. There is no pneumothorax. The cardiomediastinal and hilar contours are stable. A right PICC is seen terminating in the mid to low SVC.
57096145
HISTORY: ___-year-old male with adenocarcinoma status post left lower lobectomy. COMPARISON: Chest radiograph dated ___.
No acute cardiopulmonary abnormality.
11531179
Increasing pulmonary opacification in the left mid and lower zones is present. In the absence of similar changes on the right or significant effusions, it is probable that this represents evidence of aspiration or pneumonia. No pneumothorax is seen. Extensive subcutaneous emphysema is present.
53073264
CLINICAL HISTORY: Status post left thoracotomy with chest tube. CHEST, PA AND
New left lung infiltrates.
11072205
Portable upright frontal view of the chest. Coarse reticulation is consistent with interstital lung disease. Bilateral hilar enlargement is substantially greater on the right than on the left. Bilateral small pleural effusions have increased since one day prior. Bilateral diffuse airspace opacities with a perihilar predominance have increased as well. No pneumothorax is identified. The aortic knob is calcified. The cardiac silhouette is enlarged.
53694217
HISTORY: Shortness of breath. COMPARISON: Outside hosptial chest radiograph ___.
Pulmonary edema and small bilateral pleural effusions, increased since ___. Bilateral hilar enlargement, is substantially greater on the right than on the left, could be related to pulmonary hypertension but adenopathy is a concern. Dedicated chest CT is recommended when the patients acute symptomatology resolve. Coarse reticulation consistent with a chronic interstitial abnormality, pulmonary fibrosis.
11496049
Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities are visualized.
53199722
HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary abnormality.
11745865
The lungs are hyperinflated, the thoracic AP diameter has increased and the diaphragm is flattened, consistent with chronic COPD. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
52874036
INDICATION: Recent pneumonia, now with persistent cough and decreased breath sounds in the right lung base. COMPARISONS: Multiple chest radiographs from ___ to ___. PA AND LATERAL VIEWS OF THE
No evidence of pneumonia. Stable chronic radiographic evidence of COPD.
11745865
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs, unchanged compared to prior exams. There is no focal consolidation, pleural effusion, or pneumothorax. Mild calcification of the aortic knob is noted and unchanged. The visualized upper abdomen is unremarkable.
58348917
INDICATION: Shortness of breath. Evaluate for pneumonia or pneumothorax. COMPARISON: Chest radiographs from ___, ___, ___.
No acute cardiopulmonary process. Hyperinflated lungs.
11840308
The heart is probably at the upper limits of normal size given technique. The mediastinal and hilar contours are unremarkable. The left costophrenic sulcus is partly excluded, but there is no indication of pleural effusion. The lungs appear clear. No free air is demonstrated.
54249705
CHEST RADIOGRAPH HISTORY: History of gastric sleeve with vomiting. COMPARISONS: None. TECHNIQUE: Chest, portable AP upright.
No evidence of acute cardiopulmonary disease or free air.
11725345
Enteric tube tip is below diaphragm, not included on the radiograph. Endotracheal tube tip is in good position. Bilateral pleural effusions. Worsened bibasilar opacities, likely atelectasis, consider aspiration or pneumonitis if clinically appropriate. Stable heart size. Stable pulmonary vascularity. Old rib fracture. No pneumothorax. Mild interstitial prominence, suggest edema.
57044689
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NG tube placed. // ? NG tube placement TECHNIQUE: Chest single view COMPARISON: ___ 12:14
Worsened cardiopulmonary findings. Enteric tube tip is below diaphragm.
11958670
Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
53287737
HISTORY: Patient HIV positive, now with URI symptoms and cough, rule out consolidation. COMPARISON: ___.
No focal consolidation to suggest pneumonia. No acute cardiopulmonary process.
11600263
There is an approximately 4-cm irregular central left hilar mass which is highly concerning for primary lung malignancy. It is associated with post-obstructive collapse of the lingula and partial collapse of the left upper lobe. Within the aerated portion of the left upper lung, there is a combined alveolar and interstitial pattern suggesting possible re-expansion edema or a post-obstructive pneumonia. Underlying component of lymphangitic spread is difficult to exclude. There is a small quantity of residual pleural effusion seen on the left side. The cardiomediastinal silhouette is shifted to the left.
51397702
INDICATION: ___-year-old female with recent left pleural effusion. Study is to assess for lung re-expansion. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph.
Large central left hilar mass concerning for primary lung malignancy with postobstructive atelectasis. Re-expansion edema vs. post-obstructive pneumonia in the left upper lung region. Small residual left-sided effusion. No pneumothorax. These findings were Dr. ___ at 3:05PM via phone by ___.
11600263
Frontal and lateral radiographs of the chest demonstrate top normal heart size. Compared to the prior studies the mass in the left hilus and left mid lung is somewhat smaller and consolidated consistent with post radiation changes. No focal consolidation, pleural effusion or pneumothorax. Diffuse osseous sclerotic lesions are similar to the prior PET-CT.
56194607
HISTORY: Stage IV lung cancer with fever and cough. COMPARISON: Chest radiograph dated ___ in correlation with PET-CT dated ___.
No pneumonia, no failure, no large pulmonary recurrence. Detection of small nodules requires CT. Diffuse osseous metastases.
11967908
AP and lateral chest radiographs were provided. There is prominence of the interstitial markings, slightly increased since the prior exam consistent with mild pulmonary edema. There is no focal consolidation or pneumothorax. Speckled calcifications in the right upper lung are stable from the prior CT chest. There are small bilateral pleural effusions, similar in appearance to the prior study. The cardiomediastinal silhouette is unchanged. Patient is status post right axial dissection with clips. The bones are intact.
51206080
INDICATION: ___-year-old female with non-Hodgkin's lymphoma and CHF, presenting with generalized weakness. Rule out pneumonia. COMPARISON: Chest radiograph from ___.
Slightly worsened pulmonary edema. Stable small bilateral pleural effusions.
11967908
Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Calcifications projecting over the right mid and upper lung fields are similar compared to the previous exam, reflecting a combination of pleural calcifications and chest wall calcifications. Scarring with bronchiectasis is again noted in the right apex. No new focal consolidation, pleural effusion or pneumothorax is visualized. Multiple clips are again seen in the right axillary region as well as overlying the right hemidiaphragm. No acute osseous abnormality is identified. Remote right proximal humeral fracture is again noted.
51649994
EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with fevers/chills TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest CT ___ and chest radiograph ___
Similar scarring and bronchiectasis within the right apex and calcifications projecting over the right upper and mid lung fields. No focal consolidation.
11967908
The right costophrenic sulcus is omitted from view. There are bilateral opacities with a predominance at the bases. The heart is not enlarged. There is central pulmonary vascular congestion. There is no large pleural effusion or pneumothorax. Surgical clips project over the right axilla and slightly more inferiorly and irregular opacity is likely outside of the thoracic cavity, however, confirmation with lateral radiograph would be necessary. Curvilinear lucency projecting to the right of the trachea is likely a deviated esophagus.
58774848
INDICATION: Shortness of breath. Evaluate for congestive heart failure. COMPARISON: None. TECHNIQUE: Semi-upright portable AP radiograph of the chest.
Moderate pulmonary edema with normal cardiac size. Noncardiogenic pulmonary edema should be considered and followup radiographs are recommended.
11967908
PA and lateral views of the chest provided. Surgical clips are again noted projecting over the right axilla. The lungs are hyperinflated with partially calcified pleural parenchymal scarring at the right lung apex. A vascular stent projects in the left subclavicular region. Small pleural effusions are noted similar to recent CT exam. No signs of congestion edema or pneumonia. Cardiomediastinal silhouette is stable. Bony structures appear intact.
59762551
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever // r/o infiltrate COMPARISON: ___ and ___.
No evidence of pneumonia. Small pleural effusions.
11967908
The patient has undergone prior right mastectomy and axillary dissection. The cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. Calcifications projecting over the right mid and upper lung have been demonstrated to be pleural based and are unchanged since the prior examination. Again noted is right upper lobe scarring with volume loss. There is no pleural effusion or pneumothorax. No definite focal consolidation is identified.
59197851
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // eval for any infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: ___, CT chest dated ___
No acute intrathoracic abnormality.
11967908
There is no pleural effusion or focal airspace consolidation worrisome for pneumonia. Right apical scarring with fibrosis and bronchiectasis is unchanged. The heart is normal size. There is no pulmonary edema. Mediastinal and hilar contours are unremarkable. Right axillary clips are again noted.
58333119
INDICATION: History of heart failure presenting with confusion. Evaluate for an infiltrate. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___. Chest CT ___.
No acute cardiopulmonary process.
11967908
In normal cardiac silhouette. Right apical pleural thickening similar to priors and likely due to radiation therapy. No focal consolidation, pleural effusion or pneumothorax. Surgical clips in the right axillary region compatible with prior lymph node dissection. Mild pulmonary venous congestion.
54036654
HISTORY: Patient with history of right breast cancer and radiation with new oxygen requirements. COMPARISON: ___.
No radiographic explanation for increased oxygen requirements. CT of the chest may be considered to determine pulmonary embolism as cause of increased oxygen requirements if clinically warranted.
11967908
PA and lateral views of the chest provided. Diffuse hazy ground-glass opacity is noted which is concerning for interval development of pulmonary edema. Pleural effusions are noted bilaterally which are small. The cardiomediastinal silhouette is stable. Clips are noted in the right axilla. Also noted, is clustered calcification within the right breast projecting over the right upper lung. Imaged osseous structures appear intact with chronic deformity of the right humeral neck. There is a stent projecting over the left axilla.
52133674
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with history of prior PNA, now with worsening cough and dyspnea. Prior CXR with ? RUL COMPARISON: CT of the chest from ___ as well as a chest radiograph from ___.
Mild pulmonary edema with small bilateral pleural effusions.
11967908
Left subclavian and axillary stents are unchanged. Clips in the right axilla are demonstrated. Coarse breast calcifications project over the right upper and mid hemi thorax as before. The cardiomediastinal and hilar contours are stable. Subtle bilateral pulmonary opacities are consistent with mild pulmonary edema, minimally increased from the prior examination. There is a small right pleural effusion. No pneumothorax. Scarring at the right apex is stable.
58782385
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with pulm edema // resp distrses TECHNIQUE: Portable AP view of the chest COMPARISON: Chest radiographs from ___
Mild pulmonary edema, minimally increased from the prior examination.
11967908
Right apical pleural thickening is re- demonstrated. Hilar prominence is again seen. The cardiac and mediastinal silhouettes are stable. Slight increased interstitial markings bilaterally is concerning for mild interstitial pulmonary edema. There is also slight increase in left base opacity which may be due a combination of interstitial edema and trace pleural effusions although consolidation is not excluded. There slight blunting of the bilateral posterior costophrenic angle suggesting trace pleural effusions. Pulmonary nodules were better assessed on chest CT.
54382500
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sudden worsening shortness of breath // Pulmonary edema? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___, as well as ___ and chest CT from ___
Interval slight increase in interstitial markings diffusely bilaterally suggests mild interstitial edema. Trace pleural effusions. Increased opacity at the lung bases, particularly on the left, may be due to combination of interstitial edema and small pleural effusions however underlying consolidation is not excluded.
11967908
The cardiomediastinal and hilar contours are within normal limits. Lung markings are increased. There are small bilateral pleural effusions. There is prominence of the pulmonary vessels. Scarring in the right apex appears unchanged. There is no new focal consolidation or pneumothorax.
54545047
EXAMINATION: CHEST RADIOGRAPH INDICATION: Dyspnea, CHF. Rule out effusion, pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CTA and chest radiograph from ___
Small bilateral pleural effusions with prominence of pulmonary vessels. No focal consolidation.
11967908
The patient has had a right axillary dissection and right lumpectomy. Cardiac silhouette is normal in size. There is suggestion of mild pulmonary edema, unchanged from the prior study. Upward tenting of the medial right hemidiaphragm is stable. Mild-to-moderate pleural effusion on the right and small on the left is also stable.
51184556
HISTORY: ___-year-old female with shortness of breath. Question pulmonary edema. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest.
Unchanged mild pulmonary edema and bilateral effusions.
11967908
Left subclavian and axillary stent remains in place. Again there are surgical clips in the right axilla. Extensive coarse breast calcifications project over the right upper and mid hemi thorax. Pulmonary edema is resolved. There is a residual opacity in the periphery of the left base. There is no pleural effusion or pneumothorax. There is chronic apical pleural thickening and scarring.
54971944
INDICATION: ___ year old woman with ? PNA and fluid overload // Assess for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ at ___
Pulmonary edema is resolved. A residual opacity at the left base could reflect residual pulmonary edema or pleural fluid. Recommend continued follow-up.
11967908
Surgical clips are again present in the right axilla. The cardiac, mediastinal and hilar contours appear unchanged. Upward tenting of the medial right hemidiaphragm is very similar. There is a persistent small-to-moderate pleural effusion on the right witand a small one on the left. Fissures are mildly thickened. Subpleural thickening at the right lung apex appears stable. There is a new mild interstitial abnormality including Kerley B lines and peribronchial cuffing suggesting mild-to-moderate interstitial pulmonary edema. However, there is no definite new focal opacity. Bony structures are unremarkable.
53930672
CHEST RADIOGRAPHS HISTORY: Worsening shortness of breath. Recent diagnosis of lymphoma. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral.
Findings most consistent with pulmonary edema.
11967908
The lungs remain hyperinflated. Right greater than left biapical pleural thickening is again seen. Previously seen alveolar edema has improved in the interval with minimal interstitial edema remaining. Rounded calcified opacities projecting over the right upper lung are similar in appearance. Left basilar atelectasis/scarring is again noted. Surgical clips again seen projecting over the right axilla.
55247084
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with ESRD on HD presents with acute onset dyspnea // ? pulmonary edema, pneumonia TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___
Interval improvement in alveolar edema with minimal interstitial edema seen currently. No new focal consolidation.
11967908
There is mild vascular congestion consistent with pulmonary edema, unchanged from previous examination. Slight blunting of the bilateral costophrenic angles suggest small bilateral pleural effusions. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged from previous examination. There is no evidence of focal consolidation. Surgical clips and calcifications overlie the right upper chest. There is a vascular stent overlying left upper chest.
50917281
WET READ: ___ ___ 10:36 AM 1. Mild pulmonary edema and small bilateral pleural effusions, unchanged from previous examination. 2. No evidence of focal consolidation to suggest pneumonia. WET READ VERSION #1 ___ ___ 9:38 AM 1. Mild pulmonary edema, unchanged from previous examination. 2. No evidence of focal consolidation suggest pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with cough and fever // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.
Mild pulmonary edema and small bilateral pleural effusions. No evidence of focal consolidation to suggest pneumonia.
11967908
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well inflated lungs. Again seen is biapical pleural thickening, right greater than left and a rounded calcified opacities in the right upper lobe. Left base scarring is again seen, less prominent compared to the most recent chest radiograph. Slightly increased opacity in the lateral right lung base could represent an early pneumonia. There is no pleural effusion or pneumothorax.
50680568
INDICATION: Fever. Evaluate for pneumonia. COMPARISON: Chest radiographs from ___, ___, ___, and ___.
Slightly increased opacity in the right lateral lung base could represent an early pneumonia.
11967908
There is now moderate to severe alveolar pulmonary edema, worse compared to the prior CXR on ___. There are no large pleural effusions or pneumothorax. No evidence of pneumonia. Cardiomediastinal silhouette is unchanged. Surgical clips are again noted in the right axilla, and right hemidiaphragm.
53196247
EXAMINATION: Portable chest radiograph INDICATION: ___ yo woman with a PMH of CAD with MI x ___ s/p BMS, sCHF (EF ___%), HLD, breast ca s/p radiation/hormone therapy, and CKD on HD who presents with productive cough and fevers. // Please assess for pulmonary edema/evidence of volume overload. TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___
Worsening alveolar pulmonary edema.
11967908
Pleural drain projecting over the right hemi thorax and heart is in different configuration compared to the study of ___, however there is no evidence of pneumothorax. Scarring at the right apex is unchanged. There is no large pleural effusion. Heart size is normal. The mediastinal and hilar contours are unchanged. There is no evidence of new focal airspace opacity to suggest pneumonia or pulmonary edema.
52579902
INDICATION: History: ___F with increased dyspnea and nausea on oral abx for pnx // r/o chf vs progression of pnx TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiograph ___ through ___. CTA chest ___.
No pneumothorax or large pleural effusion. No pulmonary edema.
11967908
As compared to prior chest radiograph from ___, there is improved pulmonary vascular engorgement. There is no pulmonary edema. Smooth thickening of the right apical pleural margin and retraction of the right hilum is consistent with radiation changes. Speckled calcifications in the right upper lung are stable from prior chest radiograph. There is an indeterminate volume, likely small right pleural effusion. There are no focal consolidations or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. Patient is status post right axial dissection with clips.
57741335
INDICATION: ___-year-old female patient with breast cancer, lymphoma, now oliguric. Study requested for evaluation of volume overload. COMPARISON: Prior chest radiograph from ___ through ___ and chest CT from ___. TECHNIQUE: Portable AP chest radiograph.
Improved pulmonary vascular congestion, no pulmonary edema. Stable small right pleural effusion. Unchanged apical pleural thickening and calcification compatible with radiation changes from prior treatment of breast cancer.
11967908
Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is mildly engorged, appearing somewhat asymmetrically more so on the right. Right apical pleural thickening and scarring with associated calcification is re- demonstrated, likely reflective of prior post treatment changes from prior radiation therapy. Small bilateral pleural effusions, right greater than left persists. There are associated atelectatic changes in both lower lobes. Patchy ill-defined opacity within the right mid lung field with associated peribronchial cuffing is new compared to the prior CT, and could reflect an area of infection. There is no pneumothorax. Multiple clips are noted in the right axillary region compatible with prior lymph node dissection. Mild deformity of the right breast shadow is compatible with prior lumpectomy.
57907800
HISTORY: Cough and shortness of breath TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___.
Patchy vague opacity in the right mid lung field with associated peribronchial thickening could reflect an area of infection. Mild pulmonary vascular congestion. Small bilateral pleural effusions, right greater than left with associated bibasilar atelectasis, not significantly changed. Unchanged right apical pleural thickening and scarring compatible with prior radiation changes.
11967908
The lungs are clear without focal consolidation or effusion. Calcifications projecting over the right mid and upper lung are seen to be pleural-based on prior CT scan. Right upper lobe scarring with secondary volume loss and superior retraction of the hilum is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips project over the right axilla.
57914121
INDICATION: ___F with FUO // pna? TECHNIQUE: Frontal lateral views the chest. COMPARISON: Chest CT from ___.
No acute cardiopulmonary process.
11967908
The lungs are well inflated, with persistent biapical pleural thickening, right greater than left. Rounded calcified opacities in the right upper lobe are stable. There is interstitial edema, slightly progressed since the prior. The cardiomediastinal silhouette is unremarkable. Scarring or atelectasis is again noted in the left lung base. No pneumothorax or focal consolidation is seen. Cholecystectomy clips are noted in the right upper quadrant.
53739607
EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F with dyspnea, cough // acute cardiopulm process TECHNIQUE: Single upright portable view of the chest. COMPARISON: ___.
Interstitial edema, increased compared to the prior study.
11967908
Lungs well expanded. There is mild pulmonary edema. No focal consolidation is seen. Small bilateral pleural effusions are noted. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. The patient is status post right axillary node dissection. Some irregularity seen in the right clavicle.
55075917
WET READ: ___ ___ 12:08 AM Increased interstitial markings compared with prior exam and new small bilateral pleural effusions, suggestive of mild pulmonary edema. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with sob on dilaysis // eval chf vs pneumonia TECHNIQUE: AP and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___.
Mild pulmonary edema. Some irregularity in the right clavicle. If clinical suspicion for metastatic disease is high, further evaluation of the right clavicle for metastatic disease could be pursued.
11967908
AP portable upright view of the chest. Clips in the right axilla again noted. A left subclavian and axillary stent is in place. Calcified pleural plaque accounts for calcified density projecting over the right mid lung. Cardiomediastinal silhouette is stable. There is mild hilar congestion and mild interstitial pulmonary edema. Lower lung subtle opacities raise potential concern for a superimposed pneumonia. No large effusion or pneumothorax. Bony structures are intact.
59154616
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with new fever, crackles right side // Eval for infiltrate, change from prior COMPARISON: Radiograph from ___ and CT chest from ___
Mild edema. Difficult to exclude superimposed pneumonia.
11967908
The cardiomediastinal and hilar contours are stable and within normal limits. The heart is normal in size. The lungs are hyper expanded consistent with emphysema, similar to the prior exam. Calcifications project over the right upper lobe as before. Again seen is asymmetric right apical pleural thickening, with crowding of vessels in scarring in the right upper zone retraction of the right hilum. Clips are seen over the right axilla, unchanged in appearance from the prior study. Bilateral perihilar and bibasilar opacities raise the question of mild CHF, minimally increased from the prior examination. No focal consolidation is identified. No pneumothorax is seen. There is mild blunting of the posterior costophrenic angles bilaterally.
53744651
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sudden onset dyspnea // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs the most recent on ___
COPD, with extensive background parenchymal scarring, right apical pleural thickening, right apical scarring and calcification, and right hilar retraction, again seen. Please note that small pulmonary nodules can be radiographically occult. Perihilar and bibasilar reticular opacities, minimally more pronounced than on the prior study from ___ raise the question of mild superimposed CHF. Atypical infection could also be considered in the appropriate clinical setting.
11967908
Increased interstitial markings are seen throughout the lungs as on prior. Small bilateral pleural effusions persist. Scarring at the right lung apex is again noted. No focal consolidation. Calcifications again seen in the right chest wall in addition to multiple right axillary clips. Cardiomediastinal silhouette is stable. No acute osseous abnormality identified.
50362398
INDICATION: ___F with dyspnea, cough // Any pneumonia? TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___.
Mild pulmonary edema with persistent small bilateral effusions.
11791809
There are stable small bilateral pleural effusions as well as mild interstitial pulmonary edema, slightly worse than on ___. There is a more dense heterogeneous opacity in the left lower lobe which partially obscures the left hemidiaphragmatic contour. There is no pneumothorax. Moderate cardiomegaly is unchanged. The thoracic aorta is tortuous. Again noted are multilevel degenerative changes of the thoracic spine.
55902953
WET READ: ___ ___ ___ 9:34 AM 1. Mild pulmonary edema and small bilateral effusions c/w CHF. 2. More dense opacity in LLL concerning for PNA. If not empirically treating with abx, recommend repeat CXR after diuresis. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: One week of productive cough and dyspnea in a patient with leukocytosis and history of congestive heart failure. COMPARISONS: Chest radiographs from ___ and ___. PA AND LATERAL VIEWS OF THE
Mild pulmonary edema with small bilateral pleural effusions consistent with congestive heart failure. More dense heterogeneous opacification of the left lower lobe may represent superimposed pneumonia in the appropriate clinical setting.
11791809
The lungs are hyperinflated with flattening of the diaphragms suggestive of underlying COPD. The heart remains mild to moderately enlarged, and the aorta is unfolded. Mildly increased interstitial opacities are noted diffusely, likely related to chronic changes, and no overt pulmonary edema is present. There is no focal consolidation, pleural effusion or pneumothorax. There are multilevel degenerative changes noted in the thoracic spine.
57323837
HISTORY: Transient vision loss, low-grade temperatures. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
Chronic interstitial changes, without ___ pulmonary edema.
11791809
The patient is rotated to the left. Heart size is moderately enlarged. The lungs are hyperinflated. Diffuse leak increased interstitial opacities, increased from ___, likely related to background of interstitial lung disease. There is likely a component of mild interstitial edema. No definite focal consolidation is identified.
50345968
INDICATION: ___F with new onset confusion and delirium, evaluate for infection. COMPARISON: Comparison is made to chest radiographs from ___ and ___ P TECHNIQUE AP and lateral view of the chest.
Cardiomegaly with chronic interstitial changes with likely a component of mild interstitial edema.
11791809
Rotated positioning. Again seen is moderate cardiomegaly. No definite CHF. Minimal atelectasis at both lung bases, but no convincing focal infiltrate and no consolidation identified. Previously seen increased markings at the right base have improved. No gross effusion on either side. The extreme right costophrenic angle is excluded from the film.
55150121
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with coughing // eval for infiltrate, concern for aspiration COMPARISON: Chest x-ray from ___ at 23:30
Left-greater-than-right bibasilar atelectasis. No definite infiltrate. Allowing for technical differences, previously seen right base infiltrate has improved. Otherwise, I doubt significant change.
11401408
Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. Mild pulmonary vascular congestion without pulmonary edema. The cardiomediastinal silhouette, including mild cardiomegaly, and tortuous aorta is stable. There is no pleural effusion, pneumothorax. Left lower lobe atelectasis has improved.
55359327
WET READ: ___ ___ 1:32 AM Mild cardiomegaly and mild pulmonary vascular congestion without frank pulmonary edema. No focal consolidation. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with leg swelling, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___.
Mild cardiomegaly and mild pulmonary vascular congestion . Left lower lobe atelectasis has improved. .
11401408
AP single view of the chest shows reduced lung volume with new left base opacification due to large atelectasis and likely pleural effusion, compatible with aspiration. Right lung is still clear. Heart size is partially obscured by left base atelectasis, but seems normal. There is no pneumothorax.
50700495
PATIENT HISTORY: ___-year-old man with asthma, oxygen requirement, productive cough, wheeze, rhonchi, now with somnolence, assess for pneumonia, aspiration. COMPARISON: Exam is compared to chest x-ray of ___.
Left base atelectasis and pleural effusion, compatible with aspiration.
11128012
The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. There continues to be elevation of the right hemidiaphragm, similar to prior radiographs.
57451515
INDICATION: ___-year-old male with fever, IV drug use. Please evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest CT from ___ and ___.
No acute cardiopulmonary process.
11334064
Frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding. The heart is mildly enlarged. The hilar contours are unremarkable. There is no pneumothorax, pleural effusion, mass or consolidation.
59815611
INDICATION: History: ___M with Brain Mass // ? Mass TECHNIQUE: Chest PA and lateral COMPARISON: None available.
No evidence of mass. Mild cardiomegaly.
11371987
Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
55536793
HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11553393
The endotracheal tube is appropriately positioned, ending 3.9 cm above the level of the carina. An enteric catheter passes below the level of the diaphragm, ending within the stomach. There is minimal left lower lung atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen.
53270350
INDICATION: Status post intubation. Assess endotracheal tube position. COMPARISON: Outside hospital chest radiograph from ___.
Appropriately positioned endotracheal tube. No acute cardiac or pulmonary process. --
11702087
The lungs are well expanded. There is a possible nodule overlying the first anterior rib. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
55135302
WET READ: ___ ___ 7:48 AM 1. No acute cardiopulmonary process. 2. There is a possible nodule overlying the first anterior rib. An apical lordotic view is suggested for further evaluation. WET READ VERSION #___ ___ ___ ___ 6:35 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with fever and productive cough // r/o PNA TECHNIQUE: PA and lateral images of the chest. COMPARISON: None.
No acute cardiopulmonary process. There is a possible nodule overlying the first anterior rib. An apical lordotic view is suggested for further evaluation.
11891514
Lung volumes are low-normal. There is no focal consolidation, pleural effusion or pneumothorax. No central vascular congestion or overt pulmonary edema. Prominence of the bilateral pulmonary arteries may reflect pulmonary hypertension. Mild calcification at the aortic knob. Mediastinal and hilar contours are normal. Mild cardiomegaly is unchanged.
55960979
EXAMINATION: CHEST (PA AND LAT) INDICATION: Cough, yellow phlegm. TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___.
No evidence of pneumonia. Stable mild cardiomegaly. Prominent central pulmonary arteries, which may potentially reflect underlying pulmonary hypertension.
11891514
Lung volumes are low. This accentuates the size of the cardiac silhouette which is borderline enlarged with a left ventricular predominance. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion, pneumothorax, or focal consolidation is present. Moderate multilevel degenerative changes with anterior osteophytic spurring are demonstrated in the thoracic spine.
59741167
INDICATION: History: ___F with cough, altered mental status TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.
Low lung volumes with patchy bibasilar airspace opacities, likely atelectasis.
11036338
PA and lateral views of the chest provided. There is no focal consolidation concerning for pneumonia. Heart size is normal. New slight new bulge of the main pulmonary artery is of uncertain significance. There are no pleural effusions. There is no pneumothorax.
51134148
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with DKA, evaluate for pneumonia COMPARISON: Chest radiograph from ___.
No evidence of pneumonia. Mild new prominence of main pulmonary artery contour, possibly normal although representing an apparent change.
11810174
There are low lung volumes with bibasilar atelectasis. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the right hemidiaphragm. Lucency below the left hemidiaphragm is felt to be intraluminal.
53811337
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with abd distension // free air? TECHNIQUE: Single frontal view of the chest COMPARISON: ___
Low lung volumes with mild basilar atelectasis. No evidence of free air is seen beneath the right hemidiaphragm. Lucency below the left hemidiaphragm is felt to be intraluminal.
11810174
Endotracheal tube is seen terminating in the left upper quadrant, in the expected location of the stomach. There are low lung volumes and bibasilar atelectasis. The no large pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
59031754
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with NGT // NGT TECHNIQUE: Single frontal view of the chest COMPARISON: ___ and ___ at 09:47
Interval placement of an enteric tube, terminating in the left upper quadrant, in the expected location of the stomach.
11810174
AP upright and lateral views of the chest provided. Cardiomegaly is unchanged with an LV configuration. There is no focal consolidation, effusion, or pneumothorax. The mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
55160449
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with nausea and chest pain/sob this afternoon // eval effusion, pna COMPARISON: ___.
Stable cardiomegaly. Otherwise unremarkable.
11240569
The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
59983440
WET READ: ___ ___ 7:59 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___F with right sided chest pain, R shoulder pain // ? acute cardiopulm process TECHNIQUE: Upright PA and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___.
No acute cardiopulmonary process.
11240569
The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
50157123
INDICATION: ___-year-old woman with tachycardia, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___
No acute cardiopulmonary process.
11240569
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.
59310861
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with tachycardia // pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
No acute cardiopulmonary abnormality.
11240569
The lungs remain clear. Fat pad as seen on prior CT is noted at the right cardiophrenic angle. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
50792022
INDICATION: ___F with chest pain, palpitations // Evaluate for pneumonia, cardiomegaly TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray and chest CT from ___.
No acute cardiopulmonary process.
11240569
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.
57100096
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with h/o ___'s danlos and asthma p/w coughing after propranolol similar to prio asthma attack COMPARISON: ___ and CT of the chest dated ___.
No acute intrathoracic process.
11273664
The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is vague opacity at the left lung base but very similar to prior findings.
51245421
EXAMINATION: CHEST RADIOGRAPHS INDICATION: Altered mental status. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.
Vague opacity obscuring the left cardiac border; given chronicity this may be due to minor chronic scarring, although a recurrent infectious process is not excluded.
11273664
The heart is at the upper limits of normal size. There is no pleural effusion or pneumothorax. There is vague opacity obscuring the left cardiac margin, probably within the lingula. Elsewhere, the lungs appear clear. Old remodeled fractures involve the posterior lateral third through fifth ribs on the left only.
52023021
CHEST RADIOGRAPHS HISTORY: Altered mental status. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.
Patchy lingular opacity; differential considerations include atelectasis or potentially pneumonia.
11974011
PA and lateral views of the chest were compared to previous exam from ___. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
53510788
CHEST TWO VIEWS ___: HISTORY: ___-year-old female with history of asthma, ill contact with bronchitis with shortness of breath for one day.
No acute cardiopulmonary process.
11974011
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
54265255
INDICATION: History of asthma exacerbation. Sick grandchildren at home. COMPARISONS: Chest radiograph ___.
No acute cardiopulmonary process.
11974011
Cardiac silhouette size is borderline enlarged but unchanged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.
53124797
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11811412
Lung volumes are low. The cardiac silhouette is unremarkable. The mediastinal silhouette is somewhat prominent. There is no pneumothorax or pleural effusion. No definite consolidation is identified. Evaluation for rib fractures is limited on this examination. Lower Thoracic vertebral compression deformities are age indeterminate and incompletely evaluated on this examination.
56465111
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with fall out of bed // eval for traumatic injury TECHNIQUE: Portable chest x-ray. COMPARISON: None available.
No acute intrathoracic abnormality. Lower Thoracic vertebral compression deformities can be further evaluated with CT if clinically indicated.
11219670
There is a new tracheostomy tube in good location. Single lead pacemaker is again visualized. Left subclavian line with tip in the SVC is again seen. Lung volumes are low. There bilateral pleural effusions and pulmonary vascular redistribution. The heart size is moderate to severely enlarged. Compared to the prior study the fluid status is worse. Prosthetic valve and sternal wires are again visualized.
51358610
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with respiratory failure now s/p trach // pls eval for interval changes TECHNIQUE: Portable chest COMPARISON: ___ at 06:16
New tracheostomy. Worsened fluid status.
11219670
Lung volumes are markedly low which accentuates bronchovascular markings. Streaky bibasilar opacities likely represent atelectasis. There may be a small left pleural effusion. No pneumothorax.
50483501
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypotension, tachycardia. hx of asp pna // eval for pna TECHNIQUE: Portable, AP view of the chest COMPARISON: Multiple prior radiographs most recent on ___
Markedly low lung volumes. Streaky basal opacities likely reflect atelectasis however infection should be considered in the appropriate setting.
11219670
No significant interval change from 00:21. No evidence of pulmonary edema. As before there are markedly low lung volumes and streaky bibasilar opacities which most likely reflect atelectasis.
57433226
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with ?chf // eval for fluid overload TECHNIQUE: Chest PA and lateral COMPARISON: ___ at 00:21
No significant change from 00:21. No evidence of pulmonary edema.
11219670
Lung volumes are low, similar to ___. Pulmonary vessel congestion is slightly improved. There is persistent bibasilar opacities which is probably due to lung base atelectasis and pleural effusions. NG tube appears to terminate in mid esophagus. ET tube terminates 5.6 cm above the carina. Left pectoral pacemaker has its leads terminating in right ventricle. There is a tube projecting over left hemidiaphragm. Prosthetic heart valve and sternotomy wires are unchanged. Right internal jugular venous catheter terminates at mid to low SVC.
51430757
INDICATION: ___ year old man with NGT // ?interval change EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___
NG tube appears to terminate in mid esophagus, although the study is limited by overlying soft tissue. For better evaluation, consider obtaining radiograph of lower chest and upper abdomen using abdominal technique. Pulmonary vessel congestion is slightly improved.
11219670
The patient has had median sternotomy with aortic valve replacement. A left pectoral AICD remains in place. Right IJ central venous catheter terminates in the low SVC. Endotracheal tube terminates at the level of the clavicles. A nasogastric tube can only be traced to the level of the mid esophagus. Visualization is likely limited by exam technique and the patient's body habitus. A left basilar pigtail catheter remains in place. Lung volumes are very low, but there is no appreciable change in small layering pleural effusions and bibasilar subsegmental atelectasis. Mild pulmonary edema is also unchanged. Cardiomegaly despite the projection is unchanged.
54208189
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with respiratory failure s/p L thoracentesis yesterday // interval change TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.
No significant interval change in mild pulmonary edema, small bilateral pleural effusions, and bibasilar subsegmental atelectasis.
11219670
Since prior, there has been interval removal of a right IJ central venous catheter. A left central venous line has been retracted slightly and ends in the upper SVC. Endotracheal tube is not clearly visualized. Nasoenteric tube is still present with its tip not included on this radiograph. AICD lead ends in the right ventricle, unchanged. Median sternotomy wires are present. Lung volumes remain extremely low with stable cardiomegaly. Bibasilar opacities have increased with worsening upper lobe interstitial edema. There is no pneumothorax.
52137526
INDICATION: ___ year old man with respiratory difficulty, evaluate for interval change. COMPARISON: Comparison is made to chest radiographs dating back to ___. TECHNIQUE A portable view of the chest.
Worsening bibasilar and upper lobe opacities, concerning for worsening edema. Endotracheal tube not definitely seen on this radiograph, unclear if patient has been extubated.
11219670
A left-sided cardiac AICD is partially imaged. The patient has had prior median sternotomy with valve replacement. A tracheostomy tube remains in place. A right-sided PICC line terminates in the low SVC. Lung volumes are low, and there is no appreciable change in left lung airspace opacities most likely corresponding to pulmonary edema. Left basilar is retrocardiac airspace opacification is most likely due to stable left lower lobe subsegmental atelectasis. Right lower lobe collapse is unchanged. Moderate cardiomegaly despite the projection is unchanged. A small layering left pleural effusion is unchanged.
57344627
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with bilat pleural effusions // interval change TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.
No significant interval change in mild pulmonary edema, left basilar subsegmental atelectasis, right lower lobe collapse and a small layering left pleural effusion. Stable moderate cardiomegaly.
11219670
AP view of the chest provided. There is persistent elevation of bilateral hemidiaphragms. Lung volumes are still low. Small bilateral pleural effusion is again seen, unchanged from prior study. Left lung base atelectasis is again seen. There is moderate cardiomegaly. Pacemaker lead terminates in the right ventricle, position unchanged since prior study. Enteric tube is seen coursing down the esophagus and becomes out of view.
50538749
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with necrotizing pancreatitis bleeding into pseudocyst COMPARISON: Chest radiograph since ___, most recently ___.
No relevant change compared to prior study from a day ago.
11219670
When compared to prior, there has been no significant interval change. There are bibasilar opacities likely due to some combination of effusions and atelectasis. Superiorly, the lungs are notable for pulmonary edema. Left-sided chest tube is identified. Enlargement of the cardiac silhouette is similar to prior. Median sternotomy wires and prosthetic aortic valve are noted. Tracheostomy tube is in place.
57972565
INDICATION: ___M with fever, cough // pneumonia? TECHNIQUE: Single portable view of the chest. COMPARISON: ___.
Pulmonary edema with bibasilar opacities likely due to some combination of pleural effusions and atelectasis.
11327070
Heart size is top normal. Mediastinal contours are stable. The left hemidiaphragm is indistinct, consistent with a combination of effusion and atelectasis. Right medial lung base opacity likely represents atelectasis. No definite focal consolidation concerning for pneumonia. No pneumothorax. There are moderate atherosclerotic calcifications across the aortic arch.
58493122
EXAMINATION: Chest radiograph. INDICATION: History: ___F with dyspnea // ?Pneumonia TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple prior exams, including chest radiograph of ___ and PET-CT of ___.
Small left pleural effusion with bibasilar atelectasis. No focal consolidation.
11327070
The lungs are moderately well inflated. Retrocardiac density is more prominent than on the previous study representing either atelectasis or early consolidation. Small left effusion is present and there may be a tiny right effusion. Aortic arch calcification is present. The heart is not enlarged. The osseous structures are normal for age. Monitor leads overlie the chest.
50018219
INDICATION: ___ year old woman with carcinoma with malignant pericardial effusion. // Comparison to previous. TECHNIQUE: Single view at ___ 8:20 AM COMPARISON: ___ at 05:50
Increasing retrocardiac density worrisome for atelectasis or early consolidation. Small left pleural effusion is again noted.
11327070
Heart size is top normal and mediastinal contours are stable. Calcification of the aortic knob is similar to prior. Upper lung fibrotic changes are similar to prior. Mild blunting of the posterior costophrenic angles are consistent with small bilateral pleural effusions. No focal consolidation or pneumothorax.
50001886
INDICATION: History: ___F with R-sided chest pain // r/o ptx vs. pneumonia COMPARISON: Multiple prior exams, most recently chest radiograph of ___. TECHNIQUE: Frontal and lateral views of the chest.
Small bilateral pleural effusions. No focal consolidation or pneumothorax.