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mimic-cxr-reports-summarization

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11252876
Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures are grossly unremarkable.
56121955
HISTORY: Hyponatremia suspicious for SIADH. Evaluate for signs of malignancy or pulmonary disease. TECHNIQUE: PA and lateral chest radiograph 2 views. COMPARISON: None available.
No acute cardiopulmonary abnormality. No evidence of thoracic malignancy.
11252876
The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Osseous structures are grossly unremarkable.
55849695
INDICATION: ___M with DM, epigastric pain, nausea and vomiting, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.
No evidence of acute cardiopulmonary process.
11639762
A right-sided PICC line terminates in the lower superior vena cava. The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Patchy opacity in the left lower lobe is most consistent with minor persistent atelectasis. Elsewhere, the lungs appear clear.
55288272
CHEST RADIOGRAPHS HISTORY: Cough. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral.
No evidence of acute cardiopulmonary disease.
11639762
The endotracheal tube is appropriately positioned, ending 5.7 cm above the level of the carina, unchanged. An enteric catheter passes below the level of the diaphragm, ending in the mid stomach. A right subclavian central venous catheter ends in the low SVC, unchanged. There is evidence of prior CABG, inclusive of midline sternotomy wires and surgical clips. There are new small bilateral pleural effusions with associated mild-to-moderate bibasilar atelectasis. The lungs are otherwise clear. Mild-to-moderate cardiomegaly is unchanged. Mediastinal contours are unchanged. There is no pneumothorax.
51185767
INDICATION: Status post exploratory laparotomy with small bowel resection and anastomosis. Now febrile. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___.
New small bilateral pleural effusions with increased bibasilar atelectasis.
11590684
Median sternotomy wires are intact. The heart is mildly enlarged. The aorta is tortuous. There is mild pulmonary vascular congestion. There is no focal consolidation to suggest pneumonia. Linear opacity at the right lung base is most consistent with atelectasis. There is no pleural effusion or pneumothorax.
50090779
EXAMINATION: Chest radiograph. INDICATION: ___M with asthma, CABG, presents with 1 day of shortness of breath, cough, cold like symptoms, evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiograph ___.
No radiographic evidence of pneumonia. Linear opacity at the right lung base most consistent with atelectasis. Mild vascular congestion.
11688195
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.
52628530
INDICATION: Chest pain after a motor vehicle crash. Evaluate for fracture. COMPARISONS: None. TECHNIQUE: AP and lateral views of the chest were obtained.
No acute cardiopulmonary process. No evidence of fracture.
11870875
PA and lateral views of the chest provided. Partially imaged cervical spinal fusion hardware noted. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mid thoracic spine anterior osteophytes are noted. No free air below the right hemidiaphragm is seen.
52450682
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with history of CAD, presenting with chest pain and left arm pain. COMPARISON: None
No acute intrathoracic process.
11241217
AP upright portable view of the chest was obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
58128129
EXAM: Chest, single AP portable view. CLINICAL INFORMATION: Tachycardia. COMPARISON: None.
No acute cardiopulmonary process.
11145160
Patient is status post median sternotomy and CABG. Mild to moderate enlargement of the cardiac silhouette is noted. Atherosclerotic calcifications are noted within the aortic knob. Mediastinal contour is otherwise unremarkable. There is mild pulmonary edema with small bilateral pleural effusions. Airspace opacities in the lung bases likely reflect compressive atelectasis. No pneumothorax is identified however the medial aspect of the lung apices is obscured by the patient's neck and chin projecting over these regions.
54344075
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with tight aortic stenosis for TAVR. // pulmonary edema? TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.
Mild to moderate cardiomegaly with mild pulmonary edema and small bilateral pleural effusions. Probable bibasilar compressive atelectasis.
11454584
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.
50293179
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with pain s/p mvc. COMPARISON: None
No acute intrathoracic process.
11961710
Left Port-A-Cath terminates in the proximal right atrium. The lungs are well expanded and clear. Cardiomediastinal silhouette is moderately enlarged. There is no pneumothorax or pleural effusion.
53055700
WET READ: ___ ___ ___ 3:28 PM No acute cardiopulmonary process. Moderate cardiomegaly. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPHS INDICATION: ___M with hand amputation // preop eval for pulm edema TECHNIQUE: Single frontal image of the chest. COMPARISON: None.
No acute cardiopulmonary process. Moderate cardiomegaly.
11550469
Mild cardiomegaly is unchanged. Focal opacity obscuring the right heart border may represent aspiration versus pneumonia. There is increased bibasilar atelectasis. Small right pleural effusion is present. Mild pulmonary vascular congestion. The left lung base is incompletely visualized. Incompletely visualized left-sided pacer leads terminate in the right atrium and right ventricle. No pneumothorax. Enteric tube terminates in the stomach.
54969590
EXAMINATION: DX CHEST PORT LINE/TUBE PLCMT 3 EXAMS INDICATION: ___ year old man with NGT placement, stroke // NGT placement TECHNIQUE: Single frontal view of the chest COMPARISON: ___
Focal opacity obscuring the right heart border may represent aspiration versus pneumonia. Small right pleural effusion. Mild pulmonary vascular congestion.
11550469
Slightly rotated positioning. There are low inspiratory volumes. A left-sided pacemaker type device is present, with lead tips over the right atrium and right ventricle. Perhaps due to positioning or technique, continuity of the right ventricular lead cannot be confirmed on these images. There is probable cardiomegaly, including prominence of the right heart. Mild unfolding of the aorta. Mild prominence of the vascular markings is noted, though this is likely accentuated by low lung volumes. There is minimal bibasilar atelectasis. No definite consolidation. No gross effusion. No pneumo thorax detected.
50310983
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with stroke, found down // assess for infection, aspiration COMPARISON: None.
Low inspiratory volumes and bibasilar atelectasis. Cardiomegaly. Pacemaker type device present. Please note that continuity of the right ventricular lead cannot be traced on these images, though this could be due to technical factors and positioning. If clinically indicated, a repeat AP view centered lower and with increased exposure could help for further assessment. No overt CHF or frank consolidation. An early focus of aspiration or infectious infiltrate could be obscured due to low lung volumes.
11550469
Compared with the prior film, an NG tube has been placed. The tip is poorly delineated. I suspect that it overlies the gastric fundus. If the sideport is present is not well seen and cannot be localized. A left-sided pacemaker type device is again noted, similar in configuration. Is still difficult to trace the thinnest lead is better seen, but still difficult 2 trace in its entire T, this may very well be due to technical factors. Cardiomediastinal silhouette is enlarged, with prominence of either the right heart border right pulmonary artery, similar to prior. There is upper zone redistribution and diffuse vascular plethora, compatible with CHF, progressed compared with the prior study. Minimal blunting of the right costophrenic angle again noted. Equivocal blunting of left costophrenic angle. Bibasilar atelectasis. Again seen is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. No pneumothorax detected. Incidental note is made a linear of increased density in the upper thoracic vertebral body, question L1, with diminished height of the vertebral body. Taken together, the appearance is suggestive of kyphoplasty or vertebroplasty.
52797020
WET READ: ___ ___ ___ 10:38 AM A nasogastric tube courses below the level of the diaphragm and terminates in the region of the stomach. WET READ VERSION #1 ___ ___ ___ 8:56 PM A nasogastric tube courses below the level of the diaphragm and terminates in the region of the stomach. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M w. stroke, NGT placed // Please assess NGT position COMPARISON: Chest x-ray from ___ at 14:13
NG tube tip difficult to trace, likely over fundus. An NG tube sideport, if present, is not distinctly visible on this film. Enlarged cardiomediastinal silhouette with suspected pulmonary artery enlargement, similar to the prior study. Vascular plethora and interstitial edema , consistent with mild CHF, increased compared with the prior study. . Left lower lobe collapse and/or consolidation, similar to prior. Bibasilar atelectasis. Minimal blunting of the right and question left costophrenic angles.
11573897
No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Aortic knob calcifications are seen. Thoracic scoliosis is again seen.
57552962
HISTORY: Palpitations. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11573897
Cardiomediastinal contours are stable in appearance. Lungs are clear except for unchanged biapical scarring, left greater than right. There are no pleural effusions. Scoliosis is again demonstrated.
57528568
PA AND LATERAL CHEST, ___ COMPARISON: ___.
Stable radiographic appearance of the chest with no evidence of pneumonia.
11843475
An endotracheal tube terminates 3.4 cm above the carina. An orogastric tube terminates within the stomach. An IABP is seen within the descending aorta with the radiodense tip 4.2 cm below the top of the aortic arch. A right internal jugular transvenous pacing catheter traverses the SVC and the right atrium, terminating within the right heart. The lungs are clear. Moderate to severe cardiomegaly is present. There is no pneumothorax or pleural effusion. A small left retrocardiac opacity is unchanged. Pulmonary vascularity is normal.
51715370
EXAMINATION: Chest, portable supine. INDICATION: Evaluate for interval change in a patient with a seizure disorder who now has CAD requiring IABP for cardiogenic shock. COMPARISON: Chest radiograph from ___ from ___ ___.
Support devices as described above. Moderate to severe cardiomegaly without evidence of decompensated heart failure.
11843475
Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Retrocardiac opacity is increased over the interval and may represent atelectasis or pneumonia in the appropriate clinical setting. Moderate to severe cardiomegaly is stable. The endotracheal tube ends 4.4 cm from the carina. The intra-aortic balloon pump tip ends 1.8 cm from the aortic arch and is in acceptable position. The nasogastric tube tip ends in the distal esophagus, with the last side port at the level of the carina. No pneumothorax. The pacer lead is no longer present on this view.
52309651
INDICATION: ___ year old man with 3 vessel coronary disease, awaiting CABG, on IABP for low cardiac index. // balloon pump position? TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ and ___.
Increased retrocardiac opacity may represent atelectasis or pneumonia in the appropriate clinical setting. Intra-aortic balloon pump tip ends 1.8 cm from the aortic arch, and is in acceptable position. Nasogastric tube tip ends in the distal esophagus, with the last side port at the level of the carina.
11843475
AP view of the chest. Endotracheal tube ends 3.1 cm from the carina in appropriate position. Right internal jugular central venous catheter ends in the right brachiocephalic vein. Left IJ central venous catheter ends at the confluence of brachiocephalic veins. The intra-aortic balloon pump has been removed. There are low lung volumes and continues to be minimal pulmonary edema and moderate cardiomegaly without substantial change. No pleural effusion or pneumothorax.
54807007
INDICATION: Hypertension, hyperlipidemia, diabetes, inferior STEMI. Evaluate for change status post removal of intra-aortic balloon pump . COMPARISON: ___ at 7:53.
Status post intra-aortic balloon pump removal, continues to be minimal pulmonary edema without substantial change.
11991328
PA and lateral views of the chest were obtained demonstrating clear lungs without focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
55690722
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain.
No acute intrathoracic process.
11846192
Mild enlargement of the cardiac silhouette is re- demonstrated. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Previously noted chronic focal opacity along the lateral aspect of the left lung base adjacent to a remote left lateral rib fracture is less conspicuous on the current exam. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.
52196346
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with weakness TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11846192
Heart size is borderline enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Mild to moderate multilevel degenerative changes are seen throughout the imaged thoracic spine.
54016897
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with lightheadedness and hypotension TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary abnormality.
11538671
AP, upright and lateral views of the chest were provided. Increasing consolidation in the left lower lobe is concerning for pneumonia. There may also be a small left pleural effusion. There is a hyperdense focus again seen projecting over the right lower chest wall, likely residing within the posterior soft tissues as best seen on the lateral projection. Also noted is a small hyperdense focus in the left axilla. Coarsened lung markings are noted in the right lung, which may reflect mild interstitial edema. The heart size is top normal. The mediastinal contour is stable with an unfolded thoracic aorta. The imaged bony structures are intact.
54256996
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: Weakness, recent pneumonia, assess residual pneumonia.
Mild pulmonary edema with consolidation in the left lower lobe concerning for pneumonia. Small left pleural effusion.
11538671
AP portable supine view of the chest. Chronic collapse of the left lower lobe is noted with persistent hazy opacity in the left upper lobe which remains concerning for pneumonia, possibly aspiration related. The right lung appears grossly clear. The cardiomediastinal silhouette is stable. No large effusion or pneumothorax is seen. The bony structures are intact. A metallic density again noted to project over the right lung base.
50077512
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with hx of aspiration pna COMPARISON: Prior CT of the chest from ___.
Chronic collapse of the left lower lobe with persistent left lung hazy opacity concerning for pneumonia, aspiration.
11712537
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 identified.
55313794
EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: None.
No acute cardiopulmonary process.
11712537
The patient is status post median sternotomy and CABG. The heart size remains mildly enlarged, and the mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Streaky opacity in the left lower lobe likely reflects atelectasis. There are small bilateral pleural effusions, perhaps minimally increased compared to the previous exam. No pneumothorax is identified. There are no acute osseous abnormalities.
53003100
HISTORY: New tachycardia status post 5 vessel CABG 6 days ago with new bilateral pedal edema. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No pulmonary edema. Small bilateral pleural effusions, perhaps minimally increased in size compared to the prior exam with left lower lobe atelectasis.
11712537
AP portable single-view chest x-ray shows moderate lung volume without opacity concerning for pneumonia. There is no pleural effusion or pneumothorax. Heart size is moderately enlarged in patient with median sternotomy for prior cardiac surgery. The right IJ catheter ends in upper SVC, unchanged since prior chest x-ray.
58859764
REASON FOR EXAM: ___ years old man, evaluation for pneumonia. COMPARISON: Exam is compared to chest x-ray of ___.
There are no signs of acute cardiopulmonary process. Cardiomegaly.
11981239
No focal consolidation is seen. There is minimal right apical pleural thickening. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
52488533
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with lightheadedness, palpitations and dyspnea on exertion // ?acute cardiopulmonary process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11985034
The right pleural effusions essentially resolved. The left pleural effusion, if present, is minimal. Significant improvement in left lower lung atelectasis, with mild residual atelectasis and persistent elevation of left hemidiaphragm and slight leftward shift of the mediastinum. Interval improvement in the edema. Mild cardiomegaly is overall unchanged. Median sternotomy wires are intact. No pneumothorax. Mild bilateral apical pleural thickening is unchanged.
57946758
EXAMINATION: Portable AP chest radiograph. INDICATION: ___ year old woman with sepsis. Evaluate for consolidation. COMPARISON: Chest radiograph dated ___.
Mild left lower lung atelectasis.
11985034
Increasing pulmonary vascular engorgement and septal thickening in keeping with increased pulmonary edema. Small bilateral pleural effusions are present, greater on the right. No pneumothorax. The size of the cardiac silhouette is enlarged but unchanged. The patient is status post median sternotomy. Chronic appearing right upper rib fractures.
59312466
INDICATION: ___ year old woman with MS, bed-bound, now with recurrent fevers despite broad antibiotics // Assess for pulmonary edema vs pneumonia TECHNIQUE: AP portable chest radiograph COMPARISON: Radiograph from earlier today
Increasing pulmonary vascular engorgement and septal thickening in keeping with increasing pulmonary edema. Small bilateral pleural effusions.
11985034
There are large bilateral pleural effusions and bibasilar atelectasis, similar to prior. Moderate cardiomegaly is unchanged. Pulmonary edema is minimally improved. Left PICC line terminates in low SVC.
56929615
INDICATION: ___ year old woman with mitral valve endocarditis, heart faliure, hypoxia // evaluate for worsening heart failure EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___
Persistent large bilateral pleural effusions and bibasilar atelectasis. Pulmonary edema is minimally improved.
11985034
Bilateral low lung volumes persist. Bilateral pleural effusions with adjacent compressive atelectasis, greater on the left compared to the right, is overall unchanged. The heart appears enlarged, overall unchanged from the prior exam. Moderate pulmonary vascular congestion also overall appears unchanged. Retrocardiac opacity persists and could represent atelectasis or focal consolidation in the appropriate clinical setting. There appears to be slightly increased opacification in the region of the right perihilar region, which could represent pneumonia in the appropriate clinical setting or fluid tracking in the fissures. No pneumothorax. A left central venous catheter is again seen and appears to terminate in the right atrium, similar to the prior exam. Median sternotomy wires appear intact.
54327851
WET READ: ___ ___ 5:21 PM Increased retrocardiac opacity as well as right perihilar opacity compared to prior exams which may represent pneumonia in the appropriate clinical situation versus fluid tracing in the fissures and atelectasis. Otherwise, stable cardiomegaly, pulmonary vascular congestion, and bilateral right greater than left pleural effusions with atelectasis and low lung volumes. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph (AP) INDICATION: ___ year old woman presenting with worsening dyspnea; Evaluate for pneumonia, effusion, edema. TECHNIQUE: AP chest radiograph. COMPARISON: Chest radiograph dated ___
Overall stable features consistent with heart failure - stable cardiomegaly, pulmonary vascular congestion, and bilateral pleural effusions with atelectasis and low lung volumes. Increased retrocardiac opacity as well as right perihilar opacity compared to prior exams which may represent pneumonia in the appropriate clinical situation versus fluid tracking in the fissures and atelectasis.
11985034
Mild cardiomegaly is stable. There is mild pulmonary vascular congestion. Small bilateral pleural effusions with adjacent atelectasis. Intact median sternotomy wires. No pneumothorax.
54517075
WET READ: ___ ___ ___ 8:18 AM 1. Pulmonary vascular engorgement without frank edema 2. Small bilateral pleural effusions. WET READ VERSION #1 ___ ___ ___ 2:05 AM 1. Mild pulmonary edema. 2. Small bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with sepsis in setting of CHF with ongoing fluid resuscitation, please assess lungs for edema // sepsis TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiographs dated ___ through ___, and CTA chest dated ___.
Pulmonary vascular engorgement without frank edema Small bilateral pleural effusions.
11985034
AP portable upright view of the chest. Left upper extremity PICC line is again seen with its tip in the region of the low SVC. There is worsening pulmonary edema. Small bilateral pleural effusions are noted. Retrocardiac opacities increased which could reflect pneumonic consolidation. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
54660294
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with sob // eval for PNA COMPARISON: ___ and ___ CT.
Worsening pulmonary edema, stable small bilateral pleural effusions, worsening retrocardiac opacification concerning for pneumonia. PICC line unchanged with tip in low SVC.
11985034
There is increased bibasilar opacities, possibly from redistribution of moderate bilateral pleural effusions. There is increased left lower lobe consolidation and mediastinal shift to the left. Mild pulmonary vessel congestion is similar to prior. Cardiomediastinal silhouette is normal size. Left PICC terminates in the azygos vein.
53108287
INDICATION: ___ year old woman with possible PNA. // Comparison to previous. EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___
Left PICC terminates in the azygos vein. Slightly increased left lower lobe consolidation. Mild pulmonary vessel congestion and moderate bilateral pleural effusions are similar to prior.
11985034
AP portable upright view of the chest. Overlying EKG leads are present. Lung volumes are low. There is mild pulmonary edema with stable mild cardiomegaly. Linear density in the left mid lung could represent atelectasis or scarring. No large effusion is seen. Bony structures are intact.
59774873
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with AMS COMPARISON: ___.
Mild cardiomegaly and mild pulmonary edema.
11985034
There are moderate to large bilateral pleural effusions, similar to prior. There is bibasal atelectasis. Pulmonary edema is similar to prior. Cardiomediastinal silhouette is within normal size and unchanged. Left PICC terminates in low SVC.
57880362
INDICATION: ___ year old woman with mitral valve endocarditis causing mitral stenosis // asess pulm edema EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Chest radiograph, frontal radiograph COMPARISON: Chest radiograph ___
No notable interval change. Pulmonary edema, bilateral pleural effusions, and bibasilar atelectasis are similar to prior.
11646525
Heart size is normal. The mediastinal and hilar contours are remarkable for slight fullness of the aortic pulmonary window. . The pulmonary vasculature is normal. Lungs are remarkable for linear perihilar opacities bilaterally which may reflect subsegmental atelectasis or linear scarring. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
58743837
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with hoarseness X past weeks.Past smoker. also recent endoscopy // ? cancer TECHNIQUE: Chest PA and lateral COMPARISON: None.
Fullness of the aortic pulmonary window, probably related to prominent vascular structures, but lymphadenopathy is an additional consideration in the setting of hoarseness.
11522027
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.
53371163
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sternal chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
11323336
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
52135185
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // cough TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11721403
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The lungs appear clear. Mid thoracic interspaces are mildly narrowed.
59966467
CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease. Moderate elevation of the right hemidiaphragm.
11788425
Since earlier same day chest radiograph, the tip of a new endotracheal tube is seen 0.8 cm above the carina. Worsening of left retrocardiac atelectasis is noted with stable bilateral small pleural effusions. Lung volumes remain low. Top-normal heart size is accentuated by low lung volumes. Prominence of right hilus is likely due to scarring and atelectasis, better seen on reference CT chest.
57210342
EXAMINATION: Chest radiograph INDICATION: ___F with septic shock and small amount of intraperitoneal air and very significant biliary dilatation, requiring pressors support // to assess tube placement TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs of ___, ___ Reference outside CT chest from ___
Worsening left retrocardiac atelectasis with stable bilateral pleural effusions since earlier same day chest radiograph. The tip of the new endotracheal tube is seen 0.8 cm above the carina
11788425
The lungs are hypoinflated with crowding of vasculature. New retrocardiac opacity causing obscuration of the left hemidiaphragm is noted. Stable small bilateral pleural effusions. No pneumothorax. Top-normal heart size is accentuated due to low lung volumes. Mediastinal contour is unremarkable. Mild prominence of the right hilus is most likely due to patient rotation and superimposed atelectasis and scarring.
51840344
WET READ: ___ ___ ___ 3:09 AM 1. Mild right upper lobe bronchiectasis. 2. Increase in small retrocardiac opacity is worrisome for early pneumonia in the appropriate clinical setting. 3. Stable small bilateral pleural effusions. 4. Prominence of right hilus due to patient rotation superimposed atelectasis and scarring. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with "pain" . Assess etiology of pain. TECHNIQUE: Single portable semi upright frontal chest radiograph. COMPARISON: Outside chest radiograph ___.
Increase in small retrocardiac opacity is worrisome for early pneumonia in the appropriate clinical setting. Stable small bilateral pleural effusions. Prominence of right hilus due to patient rotation, superimposed atelectasis and scarring.
11788425
Since earlier same day chest radiograph, new feeding tube is seen in the stomach and continues out of view. The tip of an endotracheal tube is seen 0.6 cm above the carina. Unchanged positioning of the right internal jugular central line. The known 4 abdominal drains are incompletely seen. Lungs are clear with low volumes. The previously described moderate left retrocardiac atelectasis and small bilateral pleural effusions are unchanged. Stable moderate cardiomegaly. No pneumothorax.
59117476
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with new OGT // assess OGT TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs of ___, ___
New feeding tube is seen in the stomach and continues out of view. Tip of the endotracheal tube is again seen 0.6 cm above the carina. Otherwise, no interval change since earlier same day chest radiograph.
11788425
As compared to chest radiograph from 1 day prior, right-sided IJ catheter has been removed. Right sided PICC remains near the cavoatrial junction/low SVC. Moderate bilateral pleural effusions, given for differences in positioning are not changed. Moderate cardiomegaly. No substantial pulmonary congestion. No pneumothorax.
56213716
INDICATION: ___ year old woman with pleural effusions // please eval interval change TECHNIQUE: Portable
Moderate cardiomegaly and bilateral layering effusion have not substantially changed given for differences in patient positioning. Bibasilar atelectasis is probably substantial, unchanged
11266689
PA and lateral views of the chest demonstrate the lungs are relatively well expanded and clear. The cardiomediastinal silhouette is stable in appearance compared to the prior study, with mild cardiomegaly and intact sternotomy wires. There is no large pleural effusion, pneumothorax, or focal airspace consolidation. Left PICC is no longer seen.
59555980
HISTORY: ___-year-old male with shortness of breath. COMPARISON: Comparison is made to chest radiographs from ___.
No acute cardiopulmonary process.
11887060
The heart size is at the upper limits of normal, likely the exaggerating effects of low lung volumes. The mediastinal contours demonstrate subtle calcified atherosclerotic disease of the aortic knob. The hilar contours are normal. The lungs are clear but with slightly decreased volumes. There is no pleural effusion or pneumothorax. Prominence of the chest wall about the sternomanubrial/sternoclavicular joints on the lateral view is of unclear etiology, possibly calcified costochondral cartilage, degenerative change, or a pleural/osseous lesion.
56307180
HISTORY: ___ year-old male with a history of asthma, now with cough. STUDY: PA and lateral chest radiograph. COMPARISON: ___.
Low lung volumes with no acute cardiopulmonary process. New indeterminate anterior chest wall lesion; CT may be considered.
11887060
Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. The lungs are under-expanded but clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
54866189
INDICATION: ___-year-old male with history of asthma presenting with shortness of breath and a productive cough. Evaluate for pneumonia. COMPARISONS: Multiple prior chest radiographs, most recently of ___.
Low lung volumes without evidence for acute cardiopulmonary process.
11436868
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.
54694072
INDICATION: ___ year old woman with h.o asthma, ETOH abuse, needs eval for TB for placement into rehab. Evaluate for tuberculosis. TECHNIQUE: Chest PA and lateral COMPARISON: None.
No evidence for active cardiopulmonary disease. No evidence of active or prior TB.
11656158
Heart size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. Moderate multilevel degenerative changes are noted in the thoracic spine. Partially imaged is a surgical anchor in the right humeral head.
57333625
EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with syncope, cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.
No acute cardiopulmonary abnormality.
11656158
There is enlargement of the cardiac silhouette, compatible with mild cardiomegaly. The bilateral hila are within normal limits. There is no pulmonary vascular congestion. The lungs are clear. There is no pneumothorax or effusion. A right shoulder tunneled screw is noted.
58397108
EXAMINATION: AP and lateral chest x-ray. INDICATION: An ___-year-old woman from a nursing home found down, confused. TECHNIQUE: AP and lateral upright chest radiographs. COMPARISON: None.
No acute cardiopulmonary process. Mild cardiomegaly.
11042561
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.
51240692
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with one week of cough and fever // Please assess for pna COMPARISON: None
No acute intrathoracic process.
11554870
Cardiac silhouette size remains mild to moderately enlarged, unchanged. The aorta is markedly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Lungs are hyperinflated. Minimal streaky retrocardiac opacity likely reflects atelectasis, without focal consolidation. Pulmonary vasculature is not engorged. Minimal blunting of the left costophrenic sulcus may reflect a trace pleural effusion. No right pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
55195124
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath, malaise since 5 days ago, EKG changes. TECHNIQUE: Chest PA and lateral COMPARISON: ___
Streaky retrocardiac atelectasis. Possible trace left pleural effusion.
11554870
The lungs are well inflated with persistent bilateral reticular opacities predominantly within the lung bases. Stable 1.3 cm nodular opacity seen on the lateral projection, unchanged from ___ is compatible with a bone island in a thoracic vertebral body. Stable moderate cardiomegaly with unfolded aorta and mild vascular congestion. Mediastinal contour and hila are unremarkable. No significant pleural effusion nor pneumothorax. Limited assessment of the osseous structures are notable for moderate multilevel degenerative changes of the thoracolumbar spine with anterior osteophytes disc space narrowing and subchondral sclerosis.
52826103
WET READ: ___ ___ ___ 12:57 PM Cardiomegaly without acute cardiopulmonary process. WET READ VERSION #1 ___ ___ ___ 10:16 AM 1. Stable trace left pleural effusion with stable moderate cardiomegaly and mild vascular congestion. 2. No acute cardiopulmonary process. WET READ VERSION #2 ___ ___ 10:22 AM 1. Subtle retrocardiac opacity best seen on lateral projection may represent atelectasis or pneumonia in the appropriate clinical setting. 2. Stable trace left pleural effusion with stable moderate cardiomegaly and mild vascular congestion. 3. Stable 1.3 cm posterior pulmonary nodule seen on lateral projection, unchanged from ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F with h/o afib on Coumadin, PE p/w sudden onset cp, sob and lightheadedness. Assess for acute cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___, CT chest ___, chest radiograph ___, chest radiograph ___.
Cardiomegaly without acute cardiopulmonary process.
11554870
There is new mild cardiomegaly, pulmonary and mediastinal vascular engorgement. A right infrahilar heterogeneous opacity is new also. The small left pleural effusion and atelectasis are unchanged and obscure the left hemidiaphragmatic contour. The lungs are otherwise clear. There is no pneumothorax. The hilar and mediastinal contours are normal. The endotracheal tube, right IJ central line, and NG tube are in unchanged and appropriate position.
58342463
PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 2:10 PM PFI: 1. New pneumonia or atelectasis involving the right lung base. 2. Borderline decompensated congestive heart failure. ______________________________________________________________________________ FINAL REPORT INDICATION: Large bowel obstruction, status post exploratory laparotomy on ___, patient remained intubated postoperatively. COMPARISON: Chest radiographs from ___ back to ___. SEMI-UPRIGHT PORTABLE RADIOGRAPH OF THE
New pneumonia or atelectasis involving the right lung base. Borderline decompensated congestive heart failure.
11554870
The nasogastric tube is not visualized within the thorax. Left sided PICC remains in the upper SVC. The lungs are otherwise unchanged in appearance with moderate cardiomegaly and unfolding of the thoracic aorta.
55386212
INDICATION: ___ year old woman with h/o recurrent DVTs and known PE and pneumoperitoneum concerning for possible bowel/stomach perforation. // Confirm NGT correct placement; may have become dislodged. TECHNIQUE: Chest PA and lateral COMPARISON: ___
The nasogastric tube is no longer visualized within the thorax.
11554870
Again seen is a left-sided PICC line with distal tip projecting over the mid SVC, in grossly appropriate location. New since prior is an enteric tube which courses inferiorly. The distal tip is not clearly seen due to overlying soft tissue/underpenetration, however the tip is at least beyond the GE junction probably overlying the stomach. The distal side port is not well seen. Otherwise, allowing for technical differences, doubt significant interval change in appearance of the lungs or mediastinal structures.
52659217
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NGT for suspected small esophageal perforation. TECHNIQUE: AP chest x-ray. COMPARISON: Same-day prior chest x-ray from 10:57.
Left PICC line with distal tip projecting over the mid SVC. Enteric tube coursing below the diaphragm; although distal tip is not clearly seen, this at least overlies the stomach. The distal side port is not clearly identified. Otherwise, doubt significant interval change.
11912711
There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is a dextroscoliosis of the thoracic spine. There is no acute osseous abnormality.
57207722
EXAMINATION: Chest radiograph. INDICATION: ___-year-old woman with chest pain for 6 months. TECHNIQUE: Chest PA and lateral COMPARISON: None available.
No radiographic explanation for chest pain.
11766017
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
52583726
INDICATION: Fever and cough. COMPARISONS: None.
No acute cardiopulmonary process.
11444270
Moderate cardiomegaly persists. The mediastinal and hilar contours are unchanged. There is mild pulmonary edema, slightly worse compared to the previous exam. No pleural effusion or pneumothorax is seen, and no acute osseous abnormalities are demonstrated.
59704560
HISTORY: Chest pain and shortness of breath. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___.
Mild pulmonary edema, slightly worse compared to the previous exam.
11444270
Cardiac silhouette is severely enlarged with tortuosity of the thoracic aorta, similar to prior examination. There is engorgement of the central pulmonary vasculature with mild cephalic redistribution and associated mild interstitial edema which appears similar to ___. There is increased right juxta- and infrahilar opacity with subtle peribronchial cuffing with possible increased density seen in the posterior lower lung field on lateral view which remains suspicious for pneumonia. Pleural surfaces are clear without effusion or pneumothorax.
54618390
HISTORY: Prior pulmonary edema and questionable recent pneumonia with three days of increased dyspnea and wheezing. COMPARISON: Chest radiograph, ___, CTA chest, ___. TECHNIQUE: PA and lateral chest radiographs, three views.
Mild pulmonary edema and right juxta- and infrahilar opacity similar appearance to ___ which remains suspicious for pneumonia. Results were conveyed over the telephone to ___ at the office of Dr. ___ by Dr. ___ at 11:20 a.m. on ___, 10 minutes after discovery.
11444270
The lungs are well expanded and clear. The cardiac silhouette is massively enlarged. The mediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present.
52835302
INDICATION: ___-year-old male with chest pain, shortness of breath, diaphoresis. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE
Interval massive enlargement of the cardiac silhouette could be related to pericardial effusion.
11309652
The heart is top normal in size. The mediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There are no pleural effusions, pneumothorax, focal consolidations or pulmonary edema. The osseous structures are grossly unremarkable.
57635193
HISTORY: ___-year-old female patient with 7 days of cough, chills, abnormal breath sounds. Study requested to rule out pneumonia. COMPARISON: None available. TECHNIQUE: PA lateral chest radiographs.
No radiographic evidence of an acute cardiopulmonary process.
11316735
There is right basilar atelectasis/scarring, similar to prior. No focal consolidation is seen. There is no pleural effusion or pneumothorax. There may be mild bronchial wall thickening. Cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable.
51960355
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Productive cough for a month. COMPARISON: ___.
Mild right basilar atelectasis/scarring, stable. No focal consolidation. Suggestion of bronchial wall thickening, which may be seen with bronchitis.
11313297
AP portable upright chest radiograph obtained. There is no definite evidence of pneumonia or CHF. No large effusion or pneumothorax is seen, though the left CP angle is suboptimally assessed. Bony structures are intact.
52055318
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old female with IVH and right-sided weakness. Assess for chest abnormality.
No overt abnormality on this limited exam.
11131318
Since ___, bilateral pleural effusions, moderate on the left and small to moderate on the right, are unchanged, mild pulmonary edema is increased, and moderate bibasilar atelectasis is unchanged. Concurrent pneumonia cannot be excluded in the right clinical setting. Severe cardiomegaly is stable. Median sternotomy wires are intact and well aligned. Tracheostomy tube is unchanged. No pneumothorax.
59300907
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with tracheomalacia s/p trach, ___, being diuresed // evidence of worsening pulmonary edema? TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___, ___.
Mild pulmonary edema is increased, bilateral pleural effusions, moderate on the right and small on the left, are unchanged and moderate bibasilar atelectasis is stable since ___. Concurrent pneumonia cannot be excluded in the appropriate setting.
11131318
A small right pleural effusion has increased in size. Severe cardiomegaly, unchanged. Pulmonary vascular congestion with an enlarged main pulmonary artery, better seen on prior CT. No pneumothorax is identified. No other interval changes are present.
55445182
EXAMINATION: Portable AP chest INDICATION: ___ year old woman with decompensated heart failure // evaluate for interval change TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest CT without contrast ___ Portable AP chest radiograph dated ___
Interval increase in small right pleural effusion. Stable cardiomegaly. Pulmonary vascular congestion. Enlarged main pulmonary artery, better assessed on prior CT.
11131318
As compared to chest radiograph from the same day, interval insertion of a right-sided PleurX catheter with a medial course. There is a new small right-sided apical pneumothorax. Right-sided pleural fluid has decreased. Moderate left-sided pleural effusion persists. Pulmonary vascular congestion and moderate to severe cardiomegaly unchanged.
54317149
INDICATION: ___ year old woman with tbm s/p trach, chf, mr ___/p mitraclip with pleurx placed ___ // s/p pleurx placement TECHNIQUE: Portable
New small right apical pneumothorax post right PleurX catheter insertion.
11131318
Moderate pulmonary edema appears mildly improved in the right upper lung. Severe cardiomegaly and widening of the mediastinal contours are unchanged. Small bilateral pleural effusions and moderate bibasilar atelectasis persist. No pneumothorax. Median sternotomy wires are intact and aligned.
53007087
EXAMINATION: Chest radiograph INDICATION: ___ year old woman with decompensated heart failure // evaluate for interval change TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___
Moderate pulmonary edema appears mildly improved in the right upper lung.
11846160
There is a large right pleural effusion with adjacent right lower lung collapse. There is no significant mediastinal shift. No pneumothorax is seen. The left lung is clear. Clustered density projecting over the right upper quadrant likely corresponds to site of prior TACE.
51470484
HISTORY: ___-year-old female with hepatocellular carcinoma status post right thoracentesis. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___.
Large right pleural effusion with adjacent right lower lung collapse. Findings discussed with ___ by ___ by telephone at 2:24 p.m. on ___.
11846160
There is no pneumothorax after thoracocentesis. Residual pleural effusion is minimal with only blunting of the costodiaphragmatic angles. Left lung is unremarkable. Cardiac contour is top normal.
51762990
PA AND LATERAL CHEST X-RAY INDICATION: HCC, right thoracocentesis, evaluate for lung reexpansion. COMPARISON: ___ and ___. Abdominal CT of ___.
There is no pneumothorax after thoracocentesis. Residual pleural effusion on the right side is minimal.
11846160
PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding AP single view chest examination of ___. The heart size is unchanged, and the appearance of the thoracic aorta is unaltered. The pulmonary vasculature is not congested. No new acute pulmonary infiltrates can be identified. There remains a mild blunting of the right lateral pleural sinus extending into the posterior area. The left hemithorax is free and no pleural effusion is found on this side. The portable single view chest examination of ___ did not demonstrate any remaining blunting of the right lateral pleural sinus. When comparing the present study with that similar PA and lateral chest examination of ___, however, the amount of pleural effusion is unchanged and rather small.
58651736
TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with pleural effusion, evaluate.
Stable chest findings, small right-sided pleural effusion residual of unchanged magnitude.
11480942
Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
57523734
INDICATION: ___M with fever // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ through ___..
No acute cardiopulmonary process.
11166200
PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Heart size remains normal. No configurational abnormality is seen. Thoracic aorta unremarkable. The pulmonary vasculature again does not demonstrate any congestive pattern and the lateral and posterior pleural sinuses are free from any fluid accumulation. No pneumothorax is present in the apical area on the frontal view. In comparison with the next preceding chest examination the at that time visible pulmonary abnormalities seen in the right upper lobe area laterally and in contact with the pleura as well as similar changes in the left base have clearly regressed. No new parenchymal abnormalities are present. No remaining abnormality at the site of the previously performed wedge resection in the right upper lobe area.
57673359
TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with pulmonary nodules status post right VATS, upper lobe wedge resection, assess for interval change.
Marked improvement of previously identified multiple scattered nodular parenchymal densities in the lungs in this patient with a complex history of waxing and waning pulmonary abnormalities, possibly explained by sarcoidosis.
11166200
Nodular opacities seen on ___ are little changed. Post-surgical changes from prior right upper lobe wedge resection are noted. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is normal.
53852959
INDICATION: History of sarcoidosis and cough, currently being tapered on prednisone. Assessment for interval change. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___ and ___. CT of the chest on ___.
No significant change in parenchymal nodular densities compared to ___.
11166200
A new right chest tube is present. There is no pneumothorax or pleural effusion. Lung volumes are low causing crowding of the bronchovascular structures and apparent increase in heart size, although they are likely unchanged and normal. There is no consolidation or pulmonary edema.
58409920
INDICATION: Status post lung biopsy. COMPARISON: Chest radiograph, ___.
Right chest tube in proper position. No pneumothorax or pleural effusion. Low lung volumes.
11791169
The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
54172448
INDICATION: ___M with low-grade temperature and break through seizure // PNA? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11679585
Single frontal view of the chest demonstrates interval placement of an NG tube with tip in the proximal stomach and sideport near the GE junction. Heart size is borderline. The lungs demonstrate bibasilar dependent atelectasis. Upper lungs are well aerated. Possible small right effusion.
56335100
INDICATION: ___-year-old female status post NG tube placement. COMPARISON: ___.
NG tube with tip in the stomach and sideport near GE junction. Bibasilar atelectasis.
11679585
AP upright portable chest radiograph is obtained. There is no free air below the right hemidiaphragm. Lungs are clear. Cardiomediastinal silhouette appears stable. Bony structures appear intact.
57933915
CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Acute abdominal distention, question free air below the diaphragm.
No evidence of free air below the right hemidiaphragm. No acute intrathoracic process.
11679585
Lungs demonstrate no focal parenchymal opacities are seen. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Chronic pleural thickening accounts for the blunting of the right costophrenic angle. Focal biapical pleural parenchymal scarring is again seen. There is no evidence of subdiaphragmatic free air. Bony structures are intact. Degenerative changes of both AC joints are noted.
50407106
INDICATION: ___-year-old female with acute abdominal pain in the left lower quadrant. Evaluate for free air. COMPARISON: ___. TECHNIQUE: Frontal and upright chest radiograph.
No acute cardiopulmonary abnormality. No evidence of subdiaphragmatic free air.
11679585
Cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. There is unchanged blunting of the right costophrenic angle. A rounded rounded opacity projects over the posterior left tenth rib. There is no consolidation. There is no pneumothorax. Visualized osseous structures are unremarkable.
53488907
EXAMINATION: CHEST (PA AND LAT) INDICATION: Pain in area of right clavicle, prob. DJD // R/o lung lesion R/o lung lesion TECHNIQUE: Upright PA and lateral chest radiographs were obtained COMPARISON: Frontal chest radiograph ___.
Rounded opacity projecting over the posterior left tenth rib may represent superimposed nipple shadow, however repeat PA radiograph with nipple marker is recommended for confirmation. Otherwise unremarkable chest radiographs.
11679585
No focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema is seen. Redemonstrated is unchanged, chronic blunting of the right costophrenic angle. The heart size is normal. Mediastinal contours are normal.
53373983
HISTORY: Cough x2 weeks. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to chest radiographs dated ___.
No radiographic evidence for acute cardiopulmonary process.
11679585
An NG tube extends to the stomach with the tip looping back into the GE junction, coursing superiorly, which needs to be repositioned. The heart is not enlarged. The aorta is mildy unfolded. There are mild left greater than right basilar dependent atelectasis. The upper lungs are well aerated. Bilateral acromioclavicular degenerative disease is present, probably with chondrocalcinosis.
57118258
INDICATION: ___-year-old female with small-bowel obstruction and NG tube placement. Question position. COMPARISON: ___ at 0:53
Malposition of the NG tube. Recommend repositioning. Left basilar atelectasis. Findings paged to Dr. ___ at 6:00 a.m. on ___.
11679585
Single portable view of the chest. Blunting of the right costophrenic angle is again seen, likely chronic. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. No free air seen below the diaphragm.
57271402
HISTORY: ___-year-old female severe abdominal pain. COMPARISON: ___.
No free air seen below the diaphragm. No acute cardiopulmonary process.
11153278
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.
52916353
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with altered mental status, cough // acute process? COMPARISON: ___
No acute intrathoracic process.
11172056
Moderate enlargement of the cardiac silhouette persists. The aorta remains tortuous. Hilar contours are relatively unchanged. There is no pulmonary edema. Minimal streaky atelectasis is noted lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen. Partially imaged is cervical spinal fusion hardware. Degenerative changes are noted throughout the imaged thoracolumbar spine as well as within the glenohumeral joints bilaterally.
51677223
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dyspnea and history of congestive heart failure TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___
No acute cardiopulmonary abnormality.
11172056
Right middle lobe opacity is worrisome for right middle lobe consolidation and collapse. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable, given that the right heart border is not well assessed due to the right middle lobe opacity. No pulmonary edema is seen.
50675483
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, edema // pulm edema? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Right middle lobe consolidation and collapse. Could be due to underlying pneumonia. Recommend followup to resolution to exclude an obstructing process.
11172056
There are relatively low lung volumes. Central pulmonary vascular engorgement is seen with possible early pulmonary edema. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac mediastinal silhouettes are stable.
57585407
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob*** WARNING *** Multiple patients with same last name! // acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Central pulmonary vascular engorgement with possible early pulmonary edema.
11172056
There is again increase in the right lung base opacification, part of it is explained by pleural effusion, but is still worrisome for pneumonia. Mild pulmonary edema is unchanged. Mediastinal contour enlargement due to lymphadenopathy was better depicted in the recent CT scan. Possible persistence of the left upper lobe consolidation described on the CT could be reassessed with CT if clinically warranted. There is no pneumothorax.
53244198
PORTABLE AP CHEST X-RAY INDICATION: Patient with COPD, CHF, change in pulmonary edema or pleural effusion. COMPARISON: ___ to ___.
Stable mild pulmonary edema. Increase in right basal lung opacity is probably a mix of pleural effusion and pneumonia. Mediastinal lymphadenopathy. Left upper lobe consolidation described on ___ CT scan is possibly persistent and it could be reassessed with dedicated CT if clinically warranted.
11172056
The cardiomediastinal and hilar contours are stable, with a tortuous thoracic aorta. The lungs are clear, without consolidation, pulmonary edema, pleural effusion or pneumothorax. Cervical spine fixation hardware is partially imaged.
50195889
INDICATION: ___-year-old woman with cough for five days. COMPARISON: Chest radiograph ___.
No acute cardiopulmonary pathology.
11172056
Single AP portable view of the chest was obtained. There are relatively low lung volumes. The cardiac and mediastinal silhouettes are stable given differences in inspiration. There is prominence of the central pulmonary vasculature suggesting pulmonary vascular engorgement/pulmonary vascular congestion without overt pulmonary edema. No large pleural effusions are seen. No evidence of pneumothorax. Surgical hardware is partially imaged at the superior aspect of the image.
53491624
EXAM: Chest, single AP portable view. CLINICAL INFORMATION: Shortness of breath, question CHF. COMPARISON: ___.
Low lung volumes with prominence of the central pulmonary vasculature suggesting pulmonary engorgement.
11172056
Chest, portable upright. There is moderate pulmonary edema as well as small bilateral pleural effusions, right greater than left, with bibasilar atelectasis. The heart size is minimally enlarged, unchanged from the patient's baseline. Unchanged widening of the mediastinum is attributable to mediastinal lymphadenopathy. Aorta remains tortuous. There is no pneumothorax. Cervical spinal fusion hardware is partially imaged. Degenerative changes of the right glenohumeral joint are noted.
56182663
HISTORY: ___-year-old woman with dyspnea. Evaluate for congestive heart failure. COMPARISON: Chest radiograph from ___.
Findings consistent with decompensated congestive heart failure.
11172056
There has been interval resolution of the borderline interstitial pulmonary edema and cardiomegaly. Compared with the prior radiograph, a new right upper lung opacity extending to the minor fissure with a similar vague opacity below this could be small areas of infection or infarction. These were not present on the chest x-ray from ___. No pneumothorax or effusion.
50366239
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough and fever. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, ___, ___. CT chest from ___.
New right upper lung opacity extending to the minor fissure and a similar vague opacity below this could be small areas of infection or infarction. Interval resolution of borderline interstitial pulmonary edema.
11172056
Heart size remains mild to moderately enlarged. Mediastinal contour is unchanged with prominence of the superior mediastinal contour likely due to underlying lymphadenopathy. Mild pulmonary vascular congestion is present. Ill-defined focal opacity within the right upper lobe appears relatively unchanged. Patchy atelectasis is seen in both lung bases. No pleural effusion or pneumothorax is detected. Clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen. Degenerative changes are noted in both glenohumeral joints.
53799032
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypoxia TECHNIQUE: Semi-erect AP view of the chest COMPARISON: ___ chest radiograph, ___ chest CT
Persistent focal ill-defined opacity in the right upper lobe which remains concerning for infection, but is non-specific and infarction is not excluded. Consider chest CTA for further assessment. Mild pulmonary vascular congestion.
11172056
A right-sided PICC line ends at the superior cavoatrial junction. Lung volumes are low. Bibasilar areas of linear and subsegmental atelectasis are unchanged. Mild pulmonary edema is unchanged. There is no pneumothorax. Mild cardiomegaly despite the projection is stable. Mediastinal widening secondary to adenopathy is stable.
57945883
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ y/o female with history of HFpEF (LVEF ___%) called out micu s/p hypercarbia, new o2 desat // r/o pulm edema pna TECHNIQUE: AP radiograph of the chest. COMPARISON: ___.
No significant interval change in bibasilar linear and subsegmental atelectasis.
11172056
Moderate enlargement of the cardiac silhouette is unchanged. The aorta is diffusely calcified and tortuous. Mediastinal contours are persistently wide, but relatively stable. There is mild pulmonary vascular engorgement and mild peribronchial cuffing, but no overt pulmonary edema. Minimal blunting of the costophrenic angles is noted bilaterally. Linear opacities in the lung bases are compatible with atelectasis. No pneumothorax is identified. There are mild degenerative changes in the thoracic spine. Cervical spinal fusion hardware is partially imaged.
51739639
HISTORY: Lethargy. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.
Bibasilar atelectasis and trace bilateral pleural effusions. Mild pulmonary vascular engorgement. Persistent mediastinal widening for which correlation with CT is recommended.
11172056
Mild pulmonary edema is unchanged. Right basal opacification is slowly increasing and is worrisome for either infection or aspiration. Mediastinal contour enlargement seen in the chest CT of ___ is due to enlarged lymphadenopathy. On the previous chest CT, a consolidation of unknown etiology was seen in the posterior left upper lobe, possibly persistent on this chest x-ray. If clinically warranted, a repeat chest CT could be done to reassess this area.
50473614
PORTABLE AP CHEST X-RAY INDICATION: Patient with CHF and hypoxia, pulmonary edema. COMPARISON: ___ to ___.
Unchanged mild pulmonary edema. Increase in right basal consolidation which could represent pneumonia or aspiration as mentioned on yesterday's chest x-ray. Known mediastinal lymphadenopathy. Repeat chest CT could be considered to reassess the left upper lobe consolidation described in the CT of ___.
11172056
Mild to moderate cardiomegaly is stable. Pulmonary edema is new and obscures the previously described right lung opacities. No new focal consolidation concerning for pneumonia or pneumothorax.
57534111
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with dyspnea and CXR infiltrate suspicious for infarction vs pneumonia. Please assess interval change in infiltrate. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph from ___, ___, ___, and ___.
Interval development of significant pulmonary edema obscures the previously described right lung opacities.
11172056
Mild Cardiomegaly is unchanged. Thoracic aorta remains large and tortuous, as seen previously, with little change in comparison to prior study from ___. There is indistinctness as well as prominence of the pulmonary vasculature suggestive of mild to moderate pulmonary edema. No acute fractures are identified.
51025854
INDICATION: Evaluation of patient with shortness of breath. COMPARISON: Chest radiograph from ___ and ___.
Mild-to-moderate pulmonary edema, likely resulting from congestive heart failure.
11086611
2 views were obtained of the chest. The lungs are hyperexpanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
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HISTORY: Toxic inhalation on ___ presenting with shortness of breath and chest tightness. Assess for pneumonia or pneumonitis. COMPARISON: None.
No acute intrathoracic process.