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

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11900721	AP upright and lateral views of the chest provided.There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	56159432	EXAMINATION: CHEST (upright AP AND LAT) INDICATION: ___F with right sided pain s/p fall // ?pna, rib fractures COMPARISON: ___.	No acute intrathoracic process.
11900721	PA and lateral views of the chest provided. Bronchovascular markings are exaggerated by low lung volumes. 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.	59114767	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cirrhosis p/w confusion // r/o PNA, effusion COMPARISON: None	No acute intrathoracic process.
11900721	The lung volumes are low and there is minimal atelectasis. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.	54329915	HISTORY: History of cirrhosis, now with crackles on examination. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None.	No evidence of acute cardiopulmonary process.
11900721	The tip of the endotracheal tube terminates 2 cm above the carina. There has also been interval placement of a right IJ central venous catheter terminating in the mid SVC. Lung volumes remain low without focal consolidation. The cardiomediastinal silhouette, hilar contours are stable. There is no pleural effusion or pneumothorax.	59535153	INDICATION: ___ year old woman with cirrhosis, now with large GI bleed s/p intubation, evaluate for endotracheal tube placement. TECHNIQUE: Single supine chest radiograph was obtained. COMPARISON: Multiple priors with direct comparison made to same day study at 15:35	Tip of the endotracheal tube terminates 2 cm above the carina.
11900721	Bibasilar opacities are seen which may be due to pleural effusions and overlying atelectasis. Persistent left base opacity. There is prominence of the interstitial markings bilaterally suggesting mild to moderate interstitial edema. The cardiac silhouette remains mildly enlarged. Mediastinal contours are stable.	52358764	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cirrhosis, c/o cough, abdominal distention // pls eval for PNA, edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Interstitial edema and bilateral small pleural effusions.
11900721	Low lung volumes are noted. The lungs are grossly clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Deformities of the left lateral ribs are chronic.	58675694	INDICATION: ___F with AMS // eval infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11900721	No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	54009061	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11900721	Patient rotated somewhat to the left. There has been interval placement of an endotracheal tube, as somewhat low in position, terminating 1 cm above the level of the carina. Enteric tube courses below the diaphragm, inferior aspect not included on the image. There increased bibasilar opacities worrisome for bilateral pleural effusions, left greater than right seen overlying atelectasis. Underlying aspiration is not excluded. Cardiac and mediastinal silhouettes are grossly stable.	52962347	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubation // eval tube TECHNIQUE: Single frontal view of the chest COMPARISON: ___ at 20:15	Endotracheal tube somewhat low in position, terminating 1 cm above the level of the carina. Enteric tube courses below the diaphragm, inferior aspect not included on the image. Increased bibasilar opacities, right greater than left pleural effusions with overlying atelectasis, underlying aspiration is not excluded.
11900721	Moderate pulmonary edema has marginally improved when compared to the prior examination. There is persistent pulmonary vascular congestion. Moderate left-sided pleural effusion is stable. A trace right-sided effusion is also stable.	53076725	INDICATION: Ms.___ is a ___ lady with cryptogenic cirrhosis decompensated by HE, jaundice, variceal bleeding, and ascites s/p multiple paracenteses with SBP and variceal banding and TIPS (___) w/ downsizing (___) presenting with worsening ascites and transferred to MICU for hypoxia with respiratory distress after large volume paracentesis and albumin administration. // pna, effusions, edema? TECHNIQUE: Chest PA and lateral COMPARISON: ___	Moderate pulmonary edema has slightly improved when compared to the prior examination.
11900721	Lung volumes are slightly low leading to crowding of the bronchovascular structures. There are small right and moderate left pleural effusions with adjacent atelectasis. The upper lungs are grossly clear. There is no pneumothorax. The heart is mildly enlarged. The patient is status post TIPS with the metallic stent projecting over the right upper quadrant.	50404522	EXAMINATION: Chest radiographs. INDICATION: History: ___F with AMS // eval for pna TECHNIQUE: Chest AP and lateral COMPARISON: CT abdomen and pelvis dated ___.	Mild cardiomegaly, small right and moderate left pleural effusions with adjacent airspace opacities which likely reflect atelectasis, although superimposed infection is difficult to exclude.
11900721	The endotracheal tube has been withdrawn, and now terminates at the level of the clavicles. The left-sided PICC line terminates in the low SVC. A nasogastric tube coils in the stomach. Bilateral interstitial and airspace opacities most likely due to pulmonary edema are not appreciably changed. Moderate cardiomegaly despite the projection is also unchanged. A right upper quadrant stent and coils are again noted.	50004502	WET READ: ___ ___ ___ 9:16 PM Endotracheal tube is 3.3 cm above the carinal. Nasogastric tube is noted the low the diaphragm and may be post pyloric. Left PICC terminates in the distal SVC. Mild pulmonary edema is unchanged. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p intubation // ET tube placement TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.	Repositioned ETT now terminates at the level of the clavicles. No other significant interval change.
11900721	The moderate left pleural effusion has slightly decreased following thoracentesis. There is no pneumothorax. Partial left lower lobe collapse is unchanged. Bilateral airspace predominant opacities have slightly improved. The heart and mediastinum are magnified by the projection.	50329029	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with cryptogenic cirrhosis here with HCAP, pleural effusions, and pulmonary edema s/p thoracentesis yesterday. // interval change? TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.	Slight interval decrease in moderate left pleural effusion following thoracentesis. No pneumothorax. Stable partial left lower lobe collapse. Slightly improved pulmonary edema.
11900721	Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Previously seen pattern of pulmonary edema has resolved. There has been interval decrease in size of the left pleural effusion which is now tiny. Trace right pleural effusion is also likely present. Minimal atelectasis is noted in the left lung base. No focal consolidation or pneumothorax is present. Multiple coils are seen within the right upper quadrant of the abdomen. There are no acute osseous abnormalities	59548934	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sarcoidosis, syncope, abdominal pain, Liver failure, recent abnormal gallbladder US TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, ___ chest CTA	Resolution of previously noted pulmonary edema. Tiny left pleural effusion, decreased in size in the interval, with residual mild left basilar atelectasis. Trace right pleural effusion.
11900721	Lung volumes are low, without focal consolidation. Prior right upper lobe opacity has cleared. Heart size is normal. There are no effusions or pneumothorax. Lucency in the left lateral fifth rib correponds to known mass on CT.	56426321	INDICATION: ___-year-old female with cirrhosis and worsening ascites, evaluate for pneumonia. COMPARISON: Chest radiograph from ___ and CT chest from ___ dated ___. CHEST, PA AND	No acute cardiopulmonary process.
11900721	AP upright and lateral views of the chest provided. Metallic coils project over the right upper quadrant. Interstitial opacities likely reflect mild interstitial edema. The heart is stable though top-normal in size. No large effusion or pneumothorax. No convincing signs of pneumonia. Mediastinal contour appears stable and normal. Bony structures are intact.	54936907	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with cirrhosis, presents with AMS // eval for acute process, portal vein thrombosis COMPARISON: None	Findings suggestive of mild interstitial edema.
11900721	AP view of the chest provided. NG tube has turned in the mid esophagus and courses cephalad, terminating likely in the oropharynx. Endotracheal tube and hemodialysis line are in unchanged positions. The left hemidiaphgram is obscured, likely from atelectasis. There is hazy opacity overlying the hemidiaphragm, reflective of layering pleural effusion and loss of lung volume. Mild pulmonary vascular congestion is again seen. A heart size is stably enlarged.	52224551	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new NGT COMPARISON: Chest radiograph from ___.	NG tube has turned cephalad in the mid esophagus, terminating in the oropharynx.
11900721	The patient is intubated. The endotracheal tube terminates 1.5 cm above the carina. An introducer catheter terminates in the upper superior vena cava. An endoscope passes through the whole esophagus and imaged upper part of the stomach. No inflated balloon is visualized. The lung volumes are low. The heart shows a left ventricular configuration, as before. There is new retrocardiac opacification which is very commonly due to atelectasis. Coinciding small pleural effusion is not excluded on the left. None is demonstrated on the right side. Perihilar opacity suggests mild fluid overload.	58208064	EXAMINATION: CHEST RADIOGRAPH INDICATION: Cryptogenic cirrhosis, presenting with large varus seal bleeding status post Lake more tube and emergent TIPS placement. TECHNIQUE: Chest, portable AP supine. COMPARISON: ___.	Endoscope traversing the stomach and visualized upper part of the stomach; no inflated balloon visualized. Findings suggests mild vascular congestion and increasing left basilar opacification, probably due to atelectasis. Endotracheal tube seated slightly lower than before; it may be appropriate to retract it slightly.
11900721	The heart is enlarged. There is a new retrocardiac opacity with increased opacity also projecting projecting over the left lower lobe, seen best on the lateral view, concerning for lower lobe pneumonia. There is a probable overlying small left-sided pleural effusion. There is no pneumothorax.	53325629	WET READ: ___ ___ ___ 8:14 AM New increased retrocardiac opacity, concerning for left lower lobe pneumonia with a probable overlying small left-sided pleural effusion. * ED URGENT ATTENTION * ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: ___F with new confusion please eval for fluid overload, pna // ___F with new confusion please eval for fluid overload, pna ___F with new confusion please eval for fluid overload, pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.	New increased retrocardiac opacity, concerning for left lower lobe pneumonia with a probable overlying small left-sided pleural effusion.
11900721	Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Cluster of calcifications in the right upper lobe are unchanged. Small bilateral pleural effusions, left greater than right are re- demonstrated, with perhaps slight interval improvement in size of the left pleural effusion. Associated left basilar atelectasis is present. No pneumothorax is identified. There are no acute osseous abnormalities. A TIPS shunt catheter within the right upper abdomen along with embolization coils are again noted.	58198035	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with weakness, malaise, history of SBP, recurrent infections TECHNIQUE: Chest PA and lateral COMPARISON: ___	Small bilateral pleural effusions, left greater than right, and perhaps slightly decreased in size on the left. Left basilar atelectasis.
11357946	The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. Lung volumes are slightly low, however clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.	57965623	INDICATION: ___F with intermittent chest pain at rest, evaluate for acute process. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: Chest x-ray ___.	No acute cardiopulmonary process.
11140843	Study is partially limited by lack of removal of the patient's hair from the lung apices. The lungs are clear the cardiomediastinal contour is normal with no pleural abnormality is seen.	55245927	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with upper back pain // eval pna TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary process.
11140497	PA and lateral views of the chest provided. Lungs are not well inflated. On the lateral view projecting in the right middle lobe or lingula there is increased density which could be atelectasis. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal. Punctate hilar opacities, likely represent calcified hilar lymph nodes.	55083879	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with HIV-2 and quantiferon TB gold test positive for exposure to MTB // Evaluate for infiltrate COMPARISON: None	On the lateral view projecting over the right middle lobe or lingula there is an increased density, which could be atelectasis or pneumonia. A repeat radiograph with better inspiration is recommended to exclude any abnormality.
11376978	Right pectoral infusion port terminates in cavoatrial junction. Moderate bilateral pleural effusions are similar to ___.Dobhoff has been removed. Bibasilar atelectasis is also similar to before. Cardiomediastinal silhouette is within normal size limits.	54512659	INDICATION: History: ___F with endometrial CA and tachycardia // Pneumonia. effusion TECHNIQUE: Frontal view of the chest COMPARISON: Chest radiograph ___	Moderate bilateral pleural effusions and bibasilar atelectasis is similar to ___.
11376978	PA and lateral views of the chest provided. There is mild blunting of the bilateral costophrenic angles posteriorly on the lateral view There is no focal consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Surgical clips are seen in the left axilla.	57179021	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with likely ___ d/t significant vomiting. Evaluate for free air. COMPARISON: CT from ___.	Slight blunting of the bilateral posterior costophrenic angles may be due to trace pleural effusions. No evidence of free air beneath the diaphragms.
11376978	The lungs are hypoinflated with crowding of vasculature and bibasilar atelectasis. Interval increase in bilateral pleural effusions. Lower lobe opacity is noted. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Aortic arch calcifications are present. A right porta cath tip is in the right atrium. An enteric feeding tube tip is at the level of the gastroesophageal junction.	56511646	WET READ: ___ ___ ___ 10:29 PM 1. Interval increase in bilateral pleural effusions 2. Left lower lobe opacity is likely combination of pleural fluid and atelectasis. Superimposed infection cannot be excluded. 3. Enteric feeding tube tip at level of gastroesophageal junction. Recommend advancing 15 cm for better positioning. WET READ VERSION #1 ___ ___ ___ 10:06 PM 1. Interval increase in small left pleural effusion 2. Left lower lobe opacity is likely combination of pleural fluid and atelectasis. Superimposed infection cannot be excluded. 3. Enteric feeding tube tip at level of gastroesophageal junction. Recommend advancing 15 cm for better positioning. * ED URGENT ATTENTION * ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with tachycardia assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___.	Interval increase in bilateral pleural effusions Lower lobe opacity is likely combination of pleural fluid and atelectasis. Superimposed infection cannot be excluded. Enteric feeding tube tip at level of gastroesophageal junction. Recommend advancement so that it is well within the stomach.
11646042	AP portable supine view of the chest. There has been interval intubation with the endotracheal tube tip positioned 2.9 cm above the carina. The endogastric tube extends into the upper abdomen. There is significant interval worsening in pulmonary opacities concerning for worsening pneumonia. There is partial collapse of the right lower lobe. There may be a small right pleural effusion. Overall cardiomediastinal silhouette is unchanged. Bony structures are intact.	59441516	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with s/p intubation // tube placement correct COMPARISON: Prior exam from ___.	Endotracheal and orogastric tubes positioned appropriately. Progression in multifocal opacities which remain concerning for pneumonia. Partial collapse of the right lower lobe. Possible small right pleural effusion.
11646042	Right PICC line tip in the mid SVC, 4 cm from cavoatrial junction. Partially loculated right pleural effusion has improved. Small left pleural effusion has improved. Nodular pulmonary opacities bilaterally have mildly improved. Bibasilar opacities are improved. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. No pneumothorax. Linear metallic radiopaque density projected over right axilla, represent surgical clip or radiopaque foreign body, stable.	51251289	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with endocarditis with ongoing shortness of breath despite diuresis // pulmonary edema, pleural effusion TECHNIQUE: Chest single view COMPARISON: ___	Improved cardiopulmonary findings. Surgical clip versus metallic foreign body right axilla, stable
11646042	Extensive bilateral rounded airspace opacities may represent multifocal pneumonia, however widespread metastatic disease and septic emboli can have a similar appearance. Dedicated chest CT is recommended. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.	51696452	WET READ: ___ ___ 6:19 AM Widespread rounded airspace opacities may represent multifocal pneumonia, however widespread metastatic disease and septic emboli can have a similar appearance and dedicated contrast-enhanced chest CT is recommended for further evaluation. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough, evaluate cough. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest CT dated ___.	Widespread rounded airspace opacities may represent multifocal pneumonia, however widespread metastatic disease and septic emboli can have a similar appearance and dedicated contrast-enhanced chest CT is recommended for further evaluation.
11646042	Compared to chest radiographs from ___, bilateral peripheral nodular opacities have minimally improved. Low lung volumes persist. Right PICC line tip terminates in the mid SVC, approximately 4 cm from the cavoatrial junction. No new focal consolidation identified. Partially loculated right pleural effusion has mildly improved. Small left pleural effusion is unchanged. There is no central vascular congestion or overt pulmonary edema. No pneumothorax. Note is made of metallic radiodensities in the right axilla, which could represent surgical clips or metallic foreign bodies.	51524311	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with c diff, septic pulmonary emboli, low grade temp // r/o new pna TECHNIQUE: AP upright and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___.	Minimally improved bilateral peripheral nodular opacities. No new focal consolidation. Mildly improved partially loculated right pleural effusion. Unchanged small left pleural effusion.
11070005	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. Multiple old left-sided posterior rib fractures are again seen.	55628850	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___.	No acute cardiopulmonary process.
11142123	Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable	59913669	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with Sjogrens and mild increased SOB // ILD? lymphadenopathy? TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary abnormalities. No evidence of ILD
11793110	The heart is normal in size. The mediastinal and hilar contours appear normal. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear normal.	51073220	CHEST RADIOGRAPHS HISTORY: Fever. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11793110	The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart is top normal in size, unchanged from previous examination. Mediastinal contour and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable.	50082969	EXAMINATION: Chest radiograph. INDICATION: ___F with sob and fever pls eval for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	Normal chest radiograph. No pneumonia.
11889925	PA and lateral views of the chest were provided. The lungs are clear and well expanded. There is no focal consolidation, effusion, or pneumothorax. The heart and the mediastinal contour appear normal. No definite evidence of acute fracture. No free air below the right hemidiaphragm.	51512596	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old female status post assault with chest pain, question fracture or pneumothorax.	No acute traumatic findings.
11201942	Lung volumes are low. Heart size is moderately enlarged. The aorta remains tortuous. The pulmonary vascularity is not engorged. There is crowding of the bronchovascular structures. Streaky bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. Mild elevation of the left hemidiaphragm is chronic. There are no acute osseous abnormalities.	51662663	HISTORY: Weakness and dizziness. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___.	Low lung volumes with mild bibasilar atelectasis.
11842963	Minimal right basilar opacity is likely due to atelectasis is no clear correlate with seen on the lateral view. The lungs are otherwise clear. Cardiac silhouette is top-normal for technique. No acute osseous abnormalities, hypertrophic changes are seen in the spine.	55793297	INDICATION: ___F with infx work up. // PNA? TECHNIQUE: AP and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11785856	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.	59169386	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with alcoholic hepatitis, coming in with GI bleeding TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No acute cardiopulmonary abnormality.
11785856	ET tube and NG tube has been removed. Improved lung volumes bilaterally. Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.	57209826	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with acute hepatitis with sustained tachycardia and leukocytosis. // Rule out infection TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality or evidence pneumonia.
11785856	The ET tube is 4 cm above the carina. The NG tube tip is in the stomach. There remainder the appearance of the lungs are unchanged.	56520674	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with GIB intubated for upper endoscopy // evaluation of ET tube position TECHNIQUE: Portable chest COMPARISON: ___.	There remainder the appearance of the lungs are unchanged.
11785856	Mid lung atelectasis/scarring is seen on the lateral view. No focal consolidation is seen. Slight blunting of the right costophrenic angle could be due to a trace pleural effusion. No large pleural effusion is seen. There is no pneumothorax. No pulmonary edema is seen peer Cardiac and mediastinal silhouettes are unremarkable.	51335757	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cirrhosis presenting with leukocytosis and concern for infection // Please assess for Pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Slight blunting of the right costophrenic angle could be due to a trace pleural effusion. No large pleural effusion is seen. No focal consolidation.
11216230	No focal consolidation, pleural effusion or pneumothorax is seen. Prominent bilateral interstitial markings are stable from prior exam. The cardiac silhouette is normal in size. Multiple bilateral rib deformities reflect prior fractures.	57239326	INDICATION: ___-year-old female with vomiting. Evaluate for acute process such as pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11148683	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	55621399	WET READ: ___ ___ ___ 5:09 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with CP // cardiac workup COMPARISON: None	No acute intrathoracic process.
11250239	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. Surgical clips noted in the upper abdomen.	54707584	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with pleuritic CP and fever, cough // acute pulm process COMPARISON: None	No acute intrathoracic process.
11276636	The tip of a right IJ central venous catheter projects over the mid SVC. The last radiograph obtained demonstrates appropriate placement of the nasogastric tube within the stomach. There is no pneumothorax. The lungs are clear. The heart and mediastinum are within normal limits despite the projection. Regional bones and soft tissues are unremarkable.	53627852	WET READ: ___ ___ 5:56 PM 3 sequential radiographs are provided. On the third radiograph, the nasogastric tube has been placed within the stomach. Right IJ CVL terminates in the low SVC. The lungs are clear. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with GI bleeding status post recent placement of nasogastric tube. Evaluate tube position. TECHNIQUE: Three sequential AP radiograph of the chest are submitted for evaluation on ___. COMPARISON: ___.	NG tube in satisfactory position. Clear lungs.
11276636	A single frontal portable radiograph of the chest was acquired. Lung volumes are slightly low. Hazy opacification of both lower lungs is at least partially attributable to overlying soft tissues. There is no focal consolidation. No pleural effusions are seen. There is no pneumothorax. The heart size is normal. The mediastinal contours are normal.	56926887	INDICATION: Altered mental status. Evaluate for pneumonia. COMPARISON: None.	No acute cardiac or pulmonary process.
11276636	The lungs are clear. Cardiac silhouette is top normal in size. There is no pleural effusion, pneumothorax or evidence of overt pulmonary edema, however the azygos vein is noted to be large.	57796614	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with ___ // evidence of infection TECHNIQUE: Chest PA and Lateral COMPARISON: ___	No evidence of pneumonia. Slight volume overload evidenced by enlarged azygos vein.
11533384	The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	57384547	HISTORY: Ventricular tachycardia, to get a pacer today. Pre-operative assessment. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11533384	The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.	57662463	HISTORY: Visual field defect, history of transient ischemic attack. TECHNIQUE: AP and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11316115	There is mild cardiomegaly. Multiple surgical clips project over the left mediastinum. HYPERINFLATION IS DUE TO SEVERE EMPHYSEMA. DIFFUSE reticular opacities, present on prior outside CT ARE felt to reflect chronic interstitial lung changes AND, INCLUDING PULMONARY FIBROSIS, BRONCHIECTASIS, AND INFLAMMATORY EMPHYSEMA. There is a however a focal area of increased nodular opacities IN THE RIGHT LOWER LOBE which corresponds to tree in ___ nodularities on prior outside CT. In the appropriate clinical setting, these findings could reflect an acute infectious process. Blunting of the left costophrenic angle is likely secondary to a small amount of pleural fluid. There is no pneumothorax.	53944688	EXAMINATION: Chest radiograph. INDICATION: History: ___F with weakness, fall // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Outside torso CT from ___.	SMALL REGION OF POSSIBLE PNEUMONIA OR BRONCHIOLITIS, RIGHT LOWER LOBE, BEST APPRECIATED ON OUTSIDE CT PERFORMED ___. SEVERE EMPHYSEMA, PULMONARY FIBROSIS, AND BRONCHIECTASIS.
11711800	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	55210913	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with left arm tingling, global amnesia. Needs infectious workup per neuro // Eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11797335	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.	52525398	CHEST RADIOGRAPHS HISTORY: Dyspnea on exertion. History of deep vein thrombosis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary disease.
11348693	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.	53695031	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // ? acute cardiouplm process COMPARISON: None available	No acute intrathoracic process.
11761121	Single frontal view of the chest was obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. Pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. A subacute right lateral ninth rib fracture is again identified. Osseous structures are otherwise unremarkable. No radiopaque foreign body.	52082082	INDICATION: ___-year-old man with assault yesterday, now with left upper quadrant pain. Evaluate for fracture or hemothorax. COMPARISONS: Multiple prior chest radiographs, most recently ___ ___.	No acute cardiopulmonary process. No hemothorax or new fracture.
11761121	The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.	54818247	INDICATION: Chest pain, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___.	No evidence of acute cardiopulmonary process.
11761121	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.	51778554	CHEST RADIOGRAPHS HISTORY: Pre-operative. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11761121	The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascular is normal. No pleural effusion or pneumothorax. No radiopaque foreign bodies are visualized. Subacute right lateral ninth rib fracture is re- identified.	52803494	HISTORY: Broken crack pipe, feels something in throat and chest. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No radiopaque foreign body identified. No acute cardiopulmonary abnormality.
11761121	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	55963175	INDICATION: ___-year-old male with cough and fevers. Evaluate for evidence of infiltrate. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.	Unremarkable chest radiographic examination.
11761121	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.	52159102	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with right chest wall TTP s/p assault // R/O lung contusion TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___.	No acute cardiopulmonary abnormality. Of note, chest radiograph is not very sensitive in the detection of subtle trauma.
11761121	The patient is rotated to the right, somewhat limiting the evaluation. Lungs are low in volume but clear. Heart size is exaggerated by AP technique but likely normal. The mediastinal and hilar contours are poorly evaluated but grossly unremarkable. There is no large pleural effusion or pneumothorax.	50828124	INDICATION: Chest pain. Evaluate for pneumothorax. COMPARISON: Chest radiographs ___, ___ and ___. TECHNIQUE: Portable semi-upright AP radiograph of the chest.	No evidence of acute cardiopulmonary abnormality.
11761121	The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. A mildly displaced fracture involving the lateral right ninth rib is again noted. Previously noted right posterior ___ and possible 8th rib fractures are not apparent on the current exam.	57302555	HISTORY: Assault. Evaluate for rib fractures. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ at 23: ___.	No acute cardiopulmonary abnormality. Unchanged fracture of the right lateral ninth rib. Previously described fractures of the right posterior ___ and possible 8th ribs are not apparent on the current exam. A dedicated rib series can be obtained for further evaluation.
11481616	Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. There is no focal consolidation or pneumothorax. There is minimal blunting of the right costophrenic angle, suggestive of possible trace pleural effusion.	57178159	INDICATION: Cough and chest pain, assess for pneumonia. COMPARISONS: ___.	no acute cardiopulmonary process.
11942786	There is mild bibasilar atelectasis. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation. Nasogastric tube courses into the stomach and out of the field of view.	53403822	WET READ: ___ ___ 1:06 AM Nasogastric tube courses into the stomach and out of the field of view. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with SBO // Evaluate NG tube placement TECHNIQUE: Portable semi-upright chest radiograph COMPARISON: Chest radiograph dated ___, and CT abdomen pelvis dated ___.	Nasogastric tube courses into the stomach and out of the field of view.
11945204	Lower lung volumes seen on the current exam. There is no definite consolidation. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified.	56470681	INDICATION: ___M with AMS // presence of infiltrate TECHNIQUE: Single portable view of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11843949	A Port-A-Cath terminates in the uppermost part of the right atrium, as before, and the patient is status post posterior fusion surgery involving the upper thoracic spine, not completely assessed, but apparently unchanged. The heart appears mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.	53687330	CHEST RADIOGRAPHS HISTORY: Febrile neutropenia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11843949	Lung volumes are low. Right-sided Port-A-Cath tip appears to terminate within the proximal right atrium. Heart size is mildly enlarged. Mediastinal contours are unchanged. Pulmonary vasculature is normal. Patchy opacity within the left lung base likely reflects atelectasis. No focal consolidation, definite pleural effusion or pneumothorax is seen. Posterior fusion hardware is again noted within the upper thoracic spine.	50056365	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chest and epigastric pain. TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph, CT torso ___	Low lung volumes with probable left basilar atelectasis.
11843949	There is no new lung consolidation. Lung volumes are low with minimal bibasilar atelectasis. Mediastinal and cardiac contours are top normal. There is no pneumothorax or pleural effusion. Right-sided Port-A-Cath is at the cavoatrial junction, and upper thoracic spine surgery was done for known lymphoma.	50052942	WET READ: ___ ___ 6:42 PM Right port a cath ends in right atrium. low lung volumes. clear lungs. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with T-cell lymphoma, neutropenic fever? COMPARISON: ___ and ___, CT torso of ___.	There is no evidence of pneumonia.
11224999	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. Bilateral breast implants are present.	55673392	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain status post MVC TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11048684	There is biapical scarring. The lungs are otherwise clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	51865898	INDICATION: ___F with likely TIA. R/o infectious etiology // ___ y/o female p/w likely TIA. R/o infectious etiology TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11643104	Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.	59390969	INDICATION: Dyspnea. COMPARISONS: None available.	No evidence of acute cardiopulmonary process.
11210828	PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Osseous structures are without an acute abnormality. Imaged upper abdomen is unremarkable.	57540557	FINAL ADDENDUM ADDENDUM Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state nausea. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old female with "acute process". TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No acute intrathoracic abnormality.
11210828	PA and lateral views of the chest. Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.	58145916	HISTORY: Cough and wheeze. COMPARISON: None.	No acute cardiopulmonary process.
11962523	The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present.	50651288	INDICATION: ___-year-old male with syncope, question acute process. COMPARISONS: No relevant comparisons available. TWO VIEWS OF THE	No acute intrathoracic process.
11144816	Small right apical pneumothorax is slightly increased compared to ___. Suture material in the right lung. There is no lung consolidation. There is minimal right pleural effusion. Cardiomediastinal silhouette is normal size.	58224605	INDICATION: ___ year old man s/p R VATS wedge resection // eval after thoracic surgery EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___	Small right apical pneumothorax is slightly increased compared to ___.
11144816	Surgical suture and adjacent scarring is noted at the medial right lung apex, similar to before. There is no focal consolidation, pneumothorax, or large pleural effusion. Lungs are hyperexpanded. Cardiomediastinal silhouette is normal size.	58142398	INDICATION: History: ___M with hemoptysis* WARNING * Multiple patients with same last name! // evaluate for lung mass/pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___	No radiographic evidence pneumonia.
11144816	There is a right-sided chest tube coursing apical a in then medially in towards the lung base. There is a small right-sided pneumothorax with pleural this reliant chest inferior to the right third posterior rib. There is no evidence of tension. Chain sutures are noted near the right hilum. The visualized left hemithorax is clear.	57476415	INDICATION: Status post VATS TECHNIQUE: Frontal chest radiograph. COMPARISON: Chest CT dated ___	Small right-sided pneumothorax status post VATS.
11945540	Two PA views and a single lateral view of the chest were obtained, for a total of three exposures. The lungs are well expanded and clear, with no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal consolidation. The cardiomediastinal silhouette is unremarkable. There is no evidence of subdiaphragmatic free air. A gastrojejunostomy tube is seen in the left upper quadrant.	50289674	HISTORY: ___-year-old male with nausea, status post radiation and chemotherapy last week for laryngeal cancer. COMPARISON: Comparison is made to radiographs of the chest from ___.	No acute cardiopulmonary process.
11945540	Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings.	58264120	HISTORY: Syncope with fall from standing. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views.	No acute cardiopulmonary abnormality. No overt traumatic findings. If there is focality to examination, dedicated rib series may be helpful.
11945540	There is a non-specific opacity overlying the heart on the lateral view only. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.	51304074	HISTORY: History of laryngeal cancer status post chemo and radiation with fever. COMPARISON: Multiple prior studies with the most recent Chest Radiograph from ___.	There is a non-specific opacity overlying overlying the heart on the lateral view. Short term followup CXR is recommended if suspicion for an acute infection persists.
11551445	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions or pneumothorax.	57472994	EXAMINATION: Chest radiograph. INDICATION: New atrial fibrillation. COMPARISON: None. TECHNIQUE: Chest, portable AP upright.	No evidence of acute disease.
11306665	The heart is top-normal in size, considering AP technique. There are low lung volumes and there is atelectasis of the lower lobes and right perihilar region. There is no pleural effusions or pneumothorax. NG tube tip is seen within the stomach. Visualized osseous structures are unremarkable.	56479351	HISTORY: ___-year-old female patient status post ex lap, enterotomy for gallstone ileus. Study requested for assessment of NG tube placement. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph.	Atelectasis of lower lung lobes and right perihilar region with NG tube tip in the stomach.
11778136	Lordotic positioning. Possible background hyperinflation. The heart is not enlarged. The aorta may be slightly unfolded. There is upper zone redistribution, but no overt CHF. No focal infiltrate or effusion is identified. There is no focal consolidation, pleural effusion, or pneumothorax in the lungs.	56380615	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with chest pain. Evaluate for pneumonia. TECHNIQUE: Single portable AP view of the chest. COMPARISON: CTA torso of the same date.	Upper zone redistribution noted, without overt CHF. Otherwise, no acute pulmonary process.
11023115	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.	58945283	CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary disease.
11048955	Lung volumes are slightly low with mild bibasilar atelectasis on the frontal view. The lungs are otherwise clear where not obscured by overlying lines. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality. Possible surgical clips project over the lower neck.	56558600	INDICATION: ___M with cough, fevers // Evaluate for pneumonia TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11305477	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and similar to the prior examination. Again seen is right-sided chest port, with the tip terminating at the cavoatrial junction. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.	52765028	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with epigastric abd pan // eval for effusion TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute intrathoracic abnormality.
11215749	The patient is rotated somewhat to the left. There is partial obscuration of the left hemidiaphragm with left base consolidation seen. Subtle opacity at the right costophrenic angle on the frontal view may be due to overlying soft tissue versus additional site of consolidation. No large pleural effusion is seen but it would be difficult to exclude a trace left pleural effusion. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.	51080050	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hx multiple ICHs/difficult history, c/f mild change in neuro status, acute diffuse ABD pain with R shoulder pain, R leg swelling // Eval for ICH, acute ABD pathology, R DVT TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Left lower lobe consolidation worrisome for pneumonia and/or aspiration. Subtle opacity projecting over the right costophrenic angle may be due to overlying soft tissue, additional site of consolidation is not excluded. Recommend followup to resolution.
11689448	Patient is status post median sternotomy and CABG. Heart size is normal. Mediastinal and hilar contours are unchanged. There is no pulmonary edema. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Mild widening of the right acromioclavicular joint appears unchanged.	51661368	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11689448	PA and lateral views of the chest were provided demonstrating midline sternotomy wires and mediastinal clips. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.	51832760	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ CLINICAL HISTORY: Chest pain.	No acute intrathoracic process.
11701424	Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The chest is hyperinflated. The lungs are clear without focal or diffuse abnormality. Pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body. There is calcification of the aortic knob.	54712720	INDICATION: ___-year-old female with chest pain. Evaluate for pneumonia or CHF. COMPARISONS: Chest CTs of ___ and ___.	No evidence of acute cardiopulmonary process. Hyperinflation.
11915208	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.	57953049	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with subjectve dyspnea, atypical chest discomfort, hypertension // ? infiltrate, abnl TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___	No acute cardiopulmonary abnormality.
11915208	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal.	53526020	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with asthma exacerbation // ? pna COMPARISON: Chest radiograph dated ___	No evidence of pneumonia.
11915208	There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal size. The trachea is midline. Anterior osteophyte formation is noted at multiple levels of thoracic spine, similar to prior.	57847785	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with nonproductive cough, asthma exacerbation // ? pna PLS PG WET ___ ___, ? PNA, COUGH COMPARISON: Chest radiograph ___ TECHNIQUE: Chest radiograph with PA and lateral views.	No evidence of pneumonia.
11651340	AP upright and lateral views of the chest provided demonstrate clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. There is no free air below the right hemidiaphragm. Cardiomediastinal silhouette is normal. Bony structures are intact.	51150790	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Gastric bypass history, intoxicated, nausea, vomiting, question acute intrathoracic process.	No acute intrathoracic process.
11888907	Right upper mediastinal widening, at the level of the manubrium, and increased soft tissue in the right tracheobronchial angle could represent adenopathy that has developed or increased since ___. The hila are not clearly enlarged. Widening of the apparent left lower paraspinal stripe is probably a retrocardiac soft tissue abnormality such as a hiatus hernia or an esophageal mass. Of note the lowest images on the neck CT showed upper paratracheal mediastinal adenopathy as well as severe esophageal thickening. The lungs are clear and the pleural effusion is minimal on the left if any.	50919262	EXAMINATION: CHEST (PA AND LAT)CHEST (PA AND LAT)i INDICATION: ___ year old man with lymphadenoatphy on Ct neck // please eval for any lung processes or mediastinal lymphadenoapthy COMPARISON: Chest radiograph ___, read in conjunction with neck CT on ___. impression	Mediastinal adenopathy and esophageal abnormalities, thickening or mass, deserves chest CT, with contrast.
11929508	PA and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.	59661603	INDICATION: Chest pain. COMPARISON: Chest radiograph on ___.	No acute cardiopulmonary process.
11929508	Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.	59010143	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11929508	PA and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.	50053555	INDICATION: Epigastric pain. COMPARISONS: ___.	No evidence of acute cardiopulmonary process.
11334897	There is no new lung consolidation. Left lower lobe atelectasis is chronic since ___. Multiple emphysematous bullae are seen at the apices. The patient is known with posterior spinal fixation with significant scoliosis. There is no pneumothorax or pleural effusion.	59558956	PORTABLE AP CHEST X-RAY INDICATION: Decreased breath sound, rule out effusion, consolidation. COMPARISON: ___, ___, CT torso of ___ and ___.	There is no evidence of pneumonia.
11334897	A right PICC line has been repositioned now ending in the mid SVC. An NG tube has been removed since the ___. Mild cardiomegaly and bilateral pleural effusions with bibasilar atelectasis, left worse than right are unchanged. Moderate pulmonary edema is worse compared to ___. No pneumothorax.	59894462	HISTORY: Chest tightness status post multiple IV fluid boluses question fluid overload. COMPARISON: ___.	Worsening pulmonary edema since ___, now moderate. Right PICC line repositioned now ending in the mid SVC and interval removal of NG tube. Stable mild cardiomegaly, pleural effusions and bibasilar atelectasis.
11334897	The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. Dense consolidation in the retrocardiac left lung base is unchanged and may represent atelectasis or pneumonia. Mild pulmonary edema and a small left pleural effusion are unchanged. A nasogastric tube terminates in the body of the stomach. Dextroconvex thoracic scoliosis and spine fixation hardware are noted.	52006828	INDICATION: ___-year-old man with tachycardia and oxygen saturation to ___% on room air. COMPARISON: Chest radiograph done earlier today at ___ hours. PORTABLE SEMI-UPRIGHT CHEST	Dense retrocardiac left lower lobe consolidation, small left effusion and moderate pulmonary edema, stable since the earlier study done today.
11414239	The lungs are hyperinflated with flattening of the diaphragms suggestive of underlying COPD. The heart is mildly enlarged. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours otherwise are unremarkable. Pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. There are minimal streaky bibasilar atelectatic changes. No acute osseous abnormalities are present. Mild multilevel degenerative changes are seen in the thoracic spine.	55423296	HISTORY: Two weeks of increased falls, ataxia, altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary abnormality. Probable COPD.

11900721

AP upright and lateral views of the chest provided.There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

56159432

EXAMINATION: CHEST (upright AP AND LAT) INDICATION: ___F with right sided pain s/p fall // ?pna, rib fractures COMPARISON: ___.

No acute intrathoracic process.

11900721

PA and lateral views of the chest provided. Bronchovascular markings are exaggerated by low lung volumes. 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.

59114767

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cirrhosis p/w confusion // r/o PNA, effusion COMPARISON: None

No acute intrathoracic process.

11900721

The lung volumes are low and there is minimal atelectasis. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.

54329915

HISTORY: History of cirrhosis, now with crackles on examination. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None.

No evidence of acute cardiopulmonary process.

11900721

The tip of the endotracheal tube terminates 2 cm above the carina. There has also been interval placement of a right IJ central venous catheter terminating in the mid SVC. Lung volumes remain low without focal consolidation. The cardiomediastinal silhouette, hilar contours are stable. There is no pleural effusion or pneumothorax.

59535153

INDICATION: ___ year old woman with cirrhosis, now with large GI bleed s/p intubation, evaluate for endotracheal tube placement. TECHNIQUE: Single supine chest radiograph was obtained. COMPARISON: Multiple priors with direct comparison made to same day study at 15:35

Tip of the endotracheal tube terminates 2 cm above the carina.

11900721

Bibasilar opacities are seen which may be due to pleural effusions and overlying atelectasis. Persistent left base opacity. There is prominence of the interstitial markings bilaterally suggesting mild to moderate interstitial edema. The cardiac silhouette remains mildly enlarged. Mediastinal contours are stable.

52358764

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cirrhosis, c/o cough, abdominal distention // pls eval for PNA, edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Interstitial edema and bilateral small pleural effusions.

11900721

Low lung volumes are noted. The lungs are grossly clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Deformities of the left lateral ribs are chronic.

58675694

INDICATION: ___F with AMS // eval infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11900721

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

54009061

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11900721

Patient rotated somewhat to the left. There has been interval placement of an endotracheal tube, as somewhat low in position, terminating 1 cm above the level of the carina. Enteric tube courses below the diaphragm, inferior aspect not included on the image. There increased bibasilar opacities worrisome for bilateral pleural effusions, left greater than right seen overlying atelectasis. Underlying aspiration is not excluded. Cardiac and mediastinal silhouettes are grossly stable.

52962347

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubation // eval tube TECHNIQUE: Single frontal view of the chest COMPARISON: ___ at 20:15

Endotracheal tube somewhat low in position, terminating 1 cm above the level of the carina. Enteric tube courses below the diaphragm, inferior aspect not included on the image. Increased bibasilar opacities, right greater than left pleural effusions with overlying atelectasis, underlying aspiration is not excluded.

11900721

Moderate pulmonary edema has marginally improved when compared to the prior examination. There is persistent pulmonary vascular congestion. Moderate left-sided pleural effusion is stable. A trace right-sided effusion is also stable.

53076725

INDICATION: Ms.___ is a ___ lady with cryptogenic cirrhosis decompensated by HE, jaundice, variceal bleeding, and ascites s/p multiple paracenteses with SBP and variceal banding and TIPS (___) w/ downsizing (___) presenting with worsening ascites and transferred to MICU for hypoxia with respiratory distress after large volume paracentesis and albumin administration. // pna, effusions, edema? TECHNIQUE: Chest PA and lateral COMPARISON: ___

Moderate pulmonary edema has slightly improved when compared to the prior examination.

11900721

Lung volumes are slightly low leading to crowding of the bronchovascular structures. There are small right and moderate left pleural effusions with adjacent atelectasis. The upper lungs are grossly clear. There is no pneumothorax. The heart is mildly enlarged. The patient is status post TIPS with the metallic stent projecting over the right upper quadrant.

50404522

EXAMINATION: Chest radiographs. INDICATION: History: ___F with AMS // eval for pna TECHNIQUE: Chest AP and lateral COMPARISON: CT abdomen and pelvis dated ___.

Mild cardiomegaly, small right and moderate left pleural effusions with adjacent airspace opacities which likely reflect atelectasis, although superimposed infection is difficult to exclude.

11900721

The endotracheal tube has been withdrawn, and now terminates at the level of the clavicles. The left-sided PICC line terminates in the low SVC. A nasogastric tube coils in the stomach. Bilateral interstitial and airspace opacities most likely due to pulmonary edema are not appreciably changed. Moderate cardiomegaly despite the projection is also unchanged. A right upper quadrant stent and coils are again noted.

50004502

WET READ: ___ ___ ___ 9:16 PM Endotracheal tube is 3.3 cm above the carinal. Nasogastric tube is noted the low the diaphragm and may be post pyloric. Left PICC terminates in the distal SVC. Mild pulmonary edema is unchanged. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p intubation // ET tube placement TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.

Repositioned ETT now terminates at the level of the clavicles. No other significant interval change.

11900721

The moderate left pleural effusion has slightly decreased following thoracentesis. There is no pneumothorax. Partial left lower lobe collapse is unchanged. Bilateral airspace predominant opacities have slightly improved. The heart and mediastinum are magnified by the projection.

50329029

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with cryptogenic cirrhosis here with HCAP, pleural effusions, and pulmonary edema s/p thoracentesis yesterday. // interval change? TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___.

Slight interval decrease in moderate left pleural effusion following thoracentesis. No pneumothorax. Stable partial left lower lobe collapse. Slightly improved pulmonary edema.

11900721

Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Previously seen pattern of pulmonary edema has resolved. There has been interval decrease in size of the left pleural effusion which is now tiny. Trace right pleural effusion is also likely present. Minimal atelectasis is noted in the left lung base. No focal consolidation or pneumothorax is present. Multiple coils are seen within the right upper quadrant of the abdomen. There are no acute osseous abnormalities

59548934

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sarcoidosis, syncope, abdominal pain, Liver failure, recent abnormal gallbladder US TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph, ___ chest CTA

Resolution of previously noted pulmonary edema. Tiny left pleural effusion, decreased in size in the interval, with residual mild left basilar atelectasis. Trace right pleural effusion.

11900721

Lung volumes are low, without focal consolidation. Prior right upper lobe opacity has cleared. Heart size is normal. There are no effusions or pneumothorax. Lucency in the left lateral fifth rib correponds to known mass on CT.

56426321

INDICATION: ___-year-old female with cirrhosis and worsening ascites, evaluate for pneumonia. COMPARISON: Chest radiograph from ___ and CT chest from ___ dated ___. CHEST, PA AND

No acute cardiopulmonary process.

11900721

AP upright and lateral views of the chest provided. Metallic coils project over the right upper quadrant. Interstitial opacities likely reflect mild interstitial edema. The heart is stable though top-normal in size. No large effusion or pneumothorax. No convincing signs of pneumonia. Mediastinal contour appears stable and normal. Bony structures are intact.

54936907

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with cirrhosis, presents with AMS // eval for acute process, portal vein thrombosis COMPARISON: None

Findings suggestive of mild interstitial edema.

11900721

AP view of the chest provided. NG tube has turned in the mid esophagus and courses cephalad, terminating likely in the oropharynx. Endotracheal tube and hemodialysis line are in unchanged positions. The left hemidiaphgram is obscured, likely from atelectasis. There is hazy opacity overlying the hemidiaphragm, reflective of layering pleural effusion and loss of lung volume. Mild pulmonary vascular congestion is again seen. A heart size is stably enlarged.

52224551

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new NGT COMPARISON: Chest radiograph from ___.

NG tube has turned cephalad in the mid esophagus, terminating in the oropharynx.

11900721

The patient is intubated. The endotracheal tube terminates 1.5 cm above the carina. An introducer catheter terminates in the upper superior vena cava. An endoscope passes through the whole esophagus and imaged upper part of the stomach. No inflated balloon is visualized. The lung volumes are low. The heart shows a left ventricular configuration, as before. There is new retrocardiac opacification which is very commonly due to atelectasis. Coinciding small pleural effusion is not excluded on the left. None is demonstrated on the right side. Perihilar opacity suggests mild fluid overload.

58208064

EXAMINATION: CHEST RADIOGRAPH INDICATION: Cryptogenic cirrhosis, presenting with large varus seal bleeding status post Lake more tube and emergent TIPS placement. TECHNIQUE: Chest, portable AP supine. COMPARISON: ___.

Endoscope traversing the stomach and visualized upper part of the stomach; no inflated balloon visualized. Findings suggests mild vascular congestion and increasing left basilar opacification, probably due to atelectasis. Endotracheal tube seated slightly lower than before; it may be appropriate to retract it slightly.

11900721

The heart is enlarged. There is a new retrocardiac opacity with increased opacity also projecting projecting over the left lower lobe, seen best on the lateral view, concerning for lower lobe pneumonia. There is a probable overlying small left-sided pleural effusion. There is no pneumothorax.

53325629

WET READ: ___ ___ ___ 8:14 AM New increased retrocardiac opacity, concerning for left lower lobe pneumonia with a probable overlying small left-sided pleural effusion. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: ___F with new confusion please eval for fluid overload, pna // ___F with new confusion please eval for fluid overload, pna ___F with new confusion please eval for fluid overload, pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.

New increased retrocardiac opacity, concerning for left lower lobe pneumonia with a probable overlying small left-sided pleural effusion.

11900721

Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Cluster of calcifications in the right upper lobe are unchanged. Small bilateral pleural effusions, left greater than right are re- demonstrated, with perhaps slight interval improvement in size of the left pleural effusion. Associated left basilar atelectasis is present. No pneumothorax is identified. There are no acute osseous abnormalities. A TIPS shunt catheter within the right upper abdomen along with embolization coils are again noted.

58198035

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with weakness, malaise, history of SBP, recurrent infections TECHNIQUE: Chest PA and lateral COMPARISON: ___

Small bilateral pleural effusions, left greater than right, and perhaps slightly decreased in size on the left. Left basilar atelectasis.

11357946

The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. Lung volumes are slightly low, however clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

57965623

INDICATION: ___F with intermittent chest pain at rest, evaluate for acute process. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: Chest x-ray ___.

No acute cardiopulmonary process.

11140843

Study is partially limited by lack of removal of the patient's hair from the lung apices. The lungs are clear the cardiomediastinal contour is normal with no pleural abnormality is seen.

55245927

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with upper back pain // eval pna TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary process.

11140497

PA and lateral views of the chest provided. Lungs are not well inflated. On the lateral view projecting in the right middle lobe or lingula there is increased density which could be atelectasis. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal. Punctate hilar opacities, likely represent calcified hilar lymph nodes.

55083879

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with HIV-2 and quantiferon TB gold test positive for exposure to MTB // Evaluate for infiltrate COMPARISON: None

On the lateral view projecting over the right middle lobe or lingula there is an increased density, which could be atelectasis or pneumonia. A repeat radiograph with better inspiration is recommended to exclude any abnormality.

11376978

Right pectoral infusion port terminates in cavoatrial junction. Moderate bilateral pleural effusions are similar to ___.Dobhoff has been removed. Bibasilar atelectasis is also similar to before. Cardiomediastinal silhouette is within normal size limits.

54512659

INDICATION: History: ___F with endometrial CA and tachycardia // Pneumonia. effusion TECHNIQUE: Frontal view of the chest COMPARISON: Chest radiograph ___

Moderate bilateral pleural effusions and bibasilar atelectasis is similar to ___.

11376978

PA and lateral views of the chest provided. There is mild blunting of the bilateral costophrenic angles posteriorly on the lateral view There is no focal consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Surgical clips are seen in the left axilla.

57179021

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with likely ___ d/t significant vomiting. Evaluate for free air. COMPARISON: CT from ___.

Slight blunting of the bilateral posterior costophrenic angles may be due to trace pleural effusions. No evidence of free air beneath the diaphragms.

11376978

The lungs are hypoinflated with crowding of vasculature and bibasilar atelectasis. Interval increase in bilateral pleural effusions. Lower lobe opacity is noted. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Aortic arch calcifications are present. A right porta cath tip is in the right atrium. An enteric feeding tube tip is at the level of the gastroesophageal junction.

56511646

WET READ: ___ ___ ___ 10:29 PM 1. Interval increase in bilateral pleural effusions 2. Left lower lobe opacity is likely combination of pleural fluid and atelectasis. Superimposed infection cannot be excluded. 3. Enteric feeding tube tip at level of gastroesophageal junction. Recommend advancing 15 cm for better positioning. WET READ VERSION #1 ___ ___ ___ 10:06 PM 1. Interval increase in small left pleural effusion 2. Left lower lobe opacity is likely combination of pleural fluid and atelectasis. Superimposed infection cannot be excluded. 3. Enteric feeding tube tip at level of gastroesophageal junction. Recommend advancing 15 cm for better positioning. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with tachycardia assess for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, ___.

Interval increase in bilateral pleural effusions Lower lobe opacity is likely combination of pleural fluid and atelectasis. Superimposed infection cannot be excluded. Enteric feeding tube tip at level of gastroesophageal junction. Recommend advancement so that it is well within the stomach.

11646042

AP portable supine view of the chest. There has been interval intubation with the endotracheal tube tip positioned 2.9 cm above the carina. The endogastric tube extends into the upper abdomen. There is significant interval worsening in pulmonary opacities concerning for worsening pneumonia. There is partial collapse of the right lower lobe. There may be a small right pleural effusion. Overall cardiomediastinal silhouette is unchanged. Bony structures are intact.

59441516

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with s/p intubation // tube placement correct COMPARISON: Prior exam from ___.

Endotracheal and orogastric tubes positioned appropriately. Progression in multifocal opacities which remain concerning for pneumonia. Partial collapse of the right lower lobe. Possible small right pleural effusion.

11646042

Right PICC line tip in the mid SVC, 4 cm from cavoatrial junction. Partially loculated right pleural effusion has improved. Small left pleural effusion has improved. Nodular pulmonary opacities bilaterally have mildly improved. Bibasilar opacities are improved. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. No pneumothorax. Linear metallic radiopaque density projected over right axilla, represent surgical clip or radiopaque foreign body, stable.

51251289

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with endocarditis with ongoing shortness of breath despite diuresis // pulmonary edema, pleural effusion TECHNIQUE: Chest single view COMPARISON: ___

Improved cardiopulmonary findings. Surgical clip versus metallic foreign body right axilla, stable

11646042

Extensive bilateral rounded airspace opacities may represent multifocal pneumonia, however widespread metastatic disease and septic emboli can have a similar appearance. Dedicated chest CT is recommended. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

51696452

WET READ: ___ ___ 6:19 AM Widespread rounded airspace opacities may represent multifocal pneumonia, however widespread metastatic disease and septic emboli can have a similar appearance and dedicated contrast-enhanced chest CT is recommended for further evaluation. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough, evaluate cough. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest CT dated ___.

Widespread rounded airspace opacities may represent multifocal pneumonia, however widespread metastatic disease and septic emboli can have a similar appearance and dedicated contrast-enhanced chest CT is recommended for further evaluation.

11646042

Compared to chest radiographs from ___, bilateral peripheral nodular opacities have minimally improved. Low lung volumes persist. Right PICC line tip terminates in the mid SVC, approximately 4 cm from the cavoatrial junction. No new focal consolidation identified. Partially loculated right pleural effusion has mildly improved. Small left pleural effusion is unchanged. There is no central vascular congestion or overt pulmonary edema. No pneumothorax. Note is made of metallic radiodensities in the right axilla, which could represent surgical clips or metallic foreign bodies.

51524311

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with c diff, septic pulmonary emboli, low grade temp // r/o new pna TECHNIQUE: AP upright and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___.

Minimally improved bilateral peripheral nodular opacities. No new focal consolidation. Mildly improved partially loculated right pleural effusion. Unchanged small left pleural effusion.

11070005

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. Multiple old left-sided posterior rib fractures are again seen.

55628850

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

No acute cardiopulmonary process.

11142123

Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

59913669

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with Sjogrens and mild increased SOB // ILD? lymphadenopathy? TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary abnormalities. No evidence of ILD

11793110

The heart is normal in size. The mediastinal and hilar contours appear normal. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear normal.

51073220

CHEST RADIOGRAPHS HISTORY: Fever. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11793110

The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart is top normal in size, unchanged from previous examination. Mediastinal contour and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable.

50082969

EXAMINATION: Chest radiograph. INDICATION: ___F with sob and fever pls eval for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

Normal chest radiograph. No pneumonia.

11889925

PA and lateral views of the chest were provided. The lungs are clear and well expanded. There is no focal consolidation, effusion, or pneumothorax. The heart and the mediastinal contour appear normal. No definite evidence of acute fracture. No free air below the right hemidiaphragm.

51512596

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old female status post assault with chest pain, question fracture or pneumothorax.

No acute traumatic findings.

11201942

Lung volumes are low. Heart size is moderately enlarged. The aorta remains tortuous. The pulmonary vascularity is not engorged. There is crowding of the bronchovascular structures. Streaky bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. Mild elevation of the left hemidiaphragm is chronic. There are no acute osseous abnormalities.

51662663

HISTORY: Weakness and dizziness. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___.

Low lung volumes with mild bibasilar atelectasis.

11842963

Minimal right basilar opacity is likely due to atelectasis is no clear correlate with seen on the lateral view. The lungs are otherwise clear. Cardiac silhouette is top-normal for technique. No acute osseous abnormalities, hypertrophic changes are seen in the spine.

55793297

INDICATION: ___F with infx work up. // PNA? TECHNIQUE: AP and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11785856

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.

59169386

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with alcoholic hepatitis, coming in with GI bleeding TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No acute cardiopulmonary abnormality.

11785856

ET tube and NG tube has been removed. Improved lung volumes bilaterally. Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.

57209826

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with acute hepatitis with sustained tachycardia and leukocytosis. // Rule out infection TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality or evidence pneumonia.

11785856

The ET tube is 4 cm above the carina. The NG tube tip is in the stomach. There remainder the appearance of the lungs are unchanged.

56520674

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with GIB intubated for upper endoscopy // evaluation of ET tube position TECHNIQUE: Portable chest COMPARISON: ___.

There remainder the appearance of the lungs are unchanged.

11785856

Mid lung atelectasis/scarring is seen on the lateral view. No focal consolidation is seen. Slight blunting of the right costophrenic angle could be due to a trace pleural effusion. No large pleural effusion is seen. There is no pneumothorax. No pulmonary edema is seen peer Cardiac and mediastinal silhouettes are unremarkable.

51335757

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cirrhosis presenting with leukocytosis and concern for infection // Please assess for Pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Slight blunting of the right costophrenic angle could be due to a trace pleural effusion. No large pleural effusion is seen. No focal consolidation.

11216230

No focal consolidation, pleural effusion or pneumothorax is seen. Prominent bilateral interstitial markings are stable from prior exam. The cardiac silhouette is normal in size. Multiple bilateral rib deformities reflect prior fractures.

57239326

INDICATION: ___-year-old female with vomiting. Evaluate for acute process such as pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11148683

PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

55621399

WET READ: ___ ___ ___ 5:09 AM No acute intrathoracic process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with CP // cardiac workup COMPARISON: None

No acute intrathoracic process.

11250239

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. Surgical clips noted in the upper abdomen.

54707584

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with pleuritic CP and fever, cough // acute pulm process COMPARISON: None

No acute intrathoracic process.

11276636

The tip of a right IJ central venous catheter projects over the mid SVC. The last radiograph obtained demonstrates appropriate placement of the nasogastric tube within the stomach. There is no pneumothorax. The lungs are clear. The heart and mediastinum are within normal limits despite the projection. Regional bones and soft tissues are unremarkable.

53627852

WET READ: ___ ___ 5:56 PM 3 sequential radiographs are provided. On the third radiograph, the nasogastric tube has been placed within the stomach. Right IJ CVL terminates in the low SVC. The lungs are clear. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female with GI bleeding status post recent placement of nasogastric tube. Evaluate tube position. TECHNIQUE: Three sequential AP radiograph of the chest are submitted for evaluation on ___. COMPARISON: ___.

NG tube in satisfactory position. Clear lungs.

11276636

A single frontal portable radiograph of the chest was acquired. Lung volumes are slightly low. Hazy opacification of both lower lungs is at least partially attributable to overlying soft tissues. There is no focal consolidation. No pleural effusions are seen. There is no pneumothorax. The heart size is normal. The mediastinal contours are normal.

56926887

INDICATION: Altered mental status. Evaluate for pneumonia. COMPARISON: None.

No acute cardiac or pulmonary process.

11276636

The lungs are clear. Cardiac silhouette is top normal in size. There is no pleural effusion, pneumothorax or evidence of overt pulmonary edema, however the azygos vein is noted to be large.

57796614

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with ___ // evidence of infection TECHNIQUE: Chest PA and Lateral COMPARISON: ___

No evidence of pneumonia. Slight volume overload evidenced by enlarged azygos vein.

11533384

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

57384547

HISTORY: Ventricular tachycardia, to get a pacer today. Pre-operative assessment. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11533384

The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.

57662463

HISTORY: Visual field defect, history of transient ischemic attack. TECHNIQUE: AP and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11316115

There is mild cardiomegaly. Multiple surgical clips project over the left mediastinum. HYPERINFLATION IS DUE TO SEVERE EMPHYSEMA. DIFFUSE reticular opacities, present on prior outside CT ARE felt to reflect chronic interstitial lung changes AND, INCLUDING PULMONARY FIBROSIS, BRONCHIECTASIS, AND INFLAMMATORY EMPHYSEMA. There is a however a focal area of increased nodular opacities IN THE RIGHT LOWER LOBE which corresponds to tree in ___ nodularities on prior outside CT. In the appropriate clinical setting, these findings could reflect an acute infectious process. Blunting of the left costophrenic angle is likely secondary to a small amount of pleural fluid. There is no pneumothorax.

53944688

EXAMINATION: Chest radiograph. INDICATION: History: ___F with weakness, fall // evidence of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Outside torso CT from ___.

SMALL REGION OF POSSIBLE PNEUMONIA OR BRONCHIOLITIS, RIGHT LOWER LOBE, BEST APPRECIATED ON OUTSIDE CT PERFORMED ___. SEVERE EMPHYSEMA, PULMONARY FIBROSIS, AND BRONCHIECTASIS.

11711800

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

55210913

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with left arm tingling, global amnesia. Needs infectious workup per neuro // Eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11797335

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.

52525398

CHEST RADIOGRAPHS HISTORY: Dyspnea on exertion. History of deep vein thrombosis. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary disease.

11348693

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.

53695031

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // ? acute cardiouplm process COMPARISON: None available

No acute intrathoracic process.

11761121

Single frontal view of the chest was obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. Pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. A subacute right lateral ninth rib fracture is again identified. Osseous structures are otherwise unremarkable. No radiopaque foreign body.

52082082

INDICATION: ___-year-old man with assault yesterday, now with left upper quadrant pain. Evaluate for fracture or hemothorax. COMPARISONS: Multiple prior chest radiographs, most recently ___ ___.

No acute cardiopulmonary process. No hemothorax or new fracture.

11761121

The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.

54818247

INDICATION: Chest pain, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___.

No evidence of acute cardiopulmonary process.

11761121

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

51778554

CHEST RADIOGRAPHS HISTORY: Pre-operative. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11761121

The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascular is normal. No pleural effusion or pneumothorax. No radiopaque foreign bodies are visualized. Subacute right lateral ninth rib fracture is re- identified.

52803494

HISTORY: Broken crack pipe, feels something in throat and chest. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No radiopaque foreign body identified. No acute cardiopulmonary abnormality.

11761121

The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

55963175

INDICATION: ___-year-old male with cough and fevers. Evaluate for evidence of infiltrate. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.

Unremarkable chest radiographic examination.

11761121

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.

52159102

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with right chest wall TTP s/p assault // R/O lung contusion TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___.

No acute cardiopulmonary abnormality. Of note, chest radiograph is not very sensitive in the detection of subtle trauma.

11761121

The patient is rotated to the right, somewhat limiting the evaluation. Lungs are low in volume but clear. Heart size is exaggerated by AP technique but likely normal. The mediastinal and hilar contours are poorly evaluated but grossly unremarkable. There is no large pleural effusion or pneumothorax.

50828124

INDICATION: Chest pain. Evaluate for pneumothorax. COMPARISON: Chest radiographs ___, ___ and ___. TECHNIQUE: Portable semi-upright AP radiograph of the chest.

No evidence of acute cardiopulmonary abnormality.

11761121

The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. A mildly displaced fracture involving the lateral right ninth rib is again noted. Previously noted right posterior ___ and possible 8th rib fractures are not apparent on the current exam.

57302555

HISTORY: Assault. Evaluate for rib fractures. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ at 23: ___.

No acute cardiopulmonary abnormality. Unchanged fracture of the right lateral ninth rib. Previously described fractures of the right posterior ___ and possible 8th ribs are not apparent on the current exam. A dedicated rib series can be obtained for further evaluation.

11481616

Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. There is no focal consolidation or pneumothorax. There is minimal blunting of the right costophrenic angle, suggestive of possible trace pleural effusion.

57178159

INDICATION: Cough and chest pain, assess for pneumonia. COMPARISONS: ___.

no acute cardiopulmonary process.

11942786

There is mild bibasilar atelectasis. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation. Nasogastric tube courses into the stomach and out of the field of view.

53403822

WET READ: ___ ___ 1:06 AM Nasogastric tube courses into the stomach and out of the field of view. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with SBO // Evaluate NG tube placement TECHNIQUE: Portable semi-upright chest radiograph COMPARISON: Chest radiograph dated ___, and CT abdomen pelvis dated ___.

Nasogastric tube courses into the stomach and out of the field of view.

11945204

Lower lung volumes seen on the current exam. There is no definite consolidation. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified.

56470681

INDICATION: ___M with AMS // presence of infiltrate TECHNIQUE: Single portable view of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11843949

A Port-A-Cath terminates in the uppermost part of the right atrium, as before, and the patient is status post posterior fusion surgery involving the upper thoracic spine, not completely assessed, but apparently unchanged. The heart appears mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.

53687330

CHEST RADIOGRAPHS HISTORY: Febrile neutropenia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11843949

Lung volumes are low. Right-sided Port-A-Cath tip appears to terminate within the proximal right atrium. Heart size is mildly enlarged. Mediastinal contours are unchanged. Pulmonary vasculature is normal. Patchy opacity within the left lung base likely reflects atelectasis. No focal consolidation, definite pleural effusion or pneumothorax is seen. Posterior fusion hardware is again noted within the upper thoracic spine.

50056365

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with chest and epigastric pain. TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph, CT torso ___

Low lung volumes with probable left basilar atelectasis.

11843949

There is no new lung consolidation. Lung volumes are low with minimal bibasilar atelectasis. Mediastinal and cardiac contours are top normal. There is no pneumothorax or pleural effusion. Right-sided Port-A-Cath is at the cavoatrial junction, and upper thoracic spine surgery was done for known lymphoma.

50052942

WET READ: ___ ___ 6:42 PM Right port a cath ends in right atrium. low lung volumes. clear lungs. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with T-cell lymphoma, neutropenic fever? COMPARISON: ___ and ___, CT torso of ___.

There is no evidence of pneumonia.

11224999

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. Bilateral breast implants are present.

55673392

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain status post MVC TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11048684

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

51865898

INDICATION: ___F with likely TIA. R/o infectious etiology // ___ y/o female p/w likely TIA. R/o infectious etiology TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11643104

Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

59390969

INDICATION: Dyspnea. COMPARISONS: None available.

No evidence of acute cardiopulmonary process.

11210828

PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Osseous structures are without an acute abnormality. Imaged upper abdomen is unremarkable.

57540557

FINAL ADDENDUM ADDENDUM Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state nausea. ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old female with "acute process". TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No acute intrathoracic abnormality.

11210828

PA and lateral views of the chest. Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

58145916

HISTORY: Cough and wheeze. COMPARISON: None.

No acute cardiopulmonary process.

11962523

The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present.

50651288

INDICATION: ___-year-old male with syncope, question acute process. COMPARISONS: No relevant comparisons available. TWO VIEWS OF THE

No acute intrathoracic process.

11144816

Small right apical pneumothorax is slightly increased compared to ___. Suture material in the right lung. There is no lung consolidation. There is minimal right pleural effusion. Cardiomediastinal silhouette is normal size.

58224605

INDICATION: ___ year old man s/p R VATS wedge resection // eval after thoracic surgery EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___

Small right apical pneumothorax is slightly increased compared to ___.

11144816

Surgical suture and adjacent scarring is noted at the medial right lung apex, similar to before. There is no focal consolidation, pneumothorax, or large pleural effusion. Lungs are hyperexpanded. Cardiomediastinal silhouette is normal size.

58142398

INDICATION: History: ___M with hemoptysis*** WARNING *** Multiple patients with same last name! // evaluate for lung mass/pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___

No radiographic evidence pneumonia.

11144816

There is a right-sided chest tube coursing apical a in then medially in towards the lung base. There is a small right-sided pneumothorax with pleural this reliant chest inferior to the right third posterior rib. There is no evidence of tension. Chain sutures are noted near the right hilum. The visualized left hemithorax is clear.

57476415

INDICATION: Status post VATS TECHNIQUE: Frontal chest radiograph. COMPARISON: Chest CT dated ___

Small right-sided pneumothorax status post VATS.

11945540

Two PA views and a single lateral view of the chest were obtained, for a total of three exposures. The lungs are well expanded and clear, with no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal consolidation. The cardiomediastinal silhouette is unremarkable. There is no evidence of subdiaphragmatic free air. A gastrojejunostomy tube is seen in the left upper quadrant.

50289674

HISTORY: ___-year-old male with nausea, status post radiation and chemotherapy last week for laryngeal cancer. COMPARISON: Comparison is made to radiographs of the chest from ___.

No acute cardiopulmonary process.

11945540

Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings.

58264120

HISTORY: Syncope with fall from standing. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiograph, two views.

No acute cardiopulmonary abnormality. No overt traumatic findings. If there is focality to examination, dedicated rib series may be helpful.

11945540

There is a non-specific opacity overlying the heart on the lateral view only. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.

51304074

HISTORY: History of laryngeal cancer status post chemo and radiation with fever. COMPARISON: Multiple prior studies with the most recent Chest Radiograph from ___.

There is a non-specific opacity overlying overlying the heart on the lateral view. Short term followup CXR is recommended if suspicion for an acute infection persists.

11551445

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions or pneumothorax.

57472994

EXAMINATION: Chest radiograph. INDICATION: New atrial fibrillation. COMPARISON: None. TECHNIQUE: Chest, portable AP upright.

No evidence of acute disease.

11306665

The heart is top-normal in size, considering AP technique. There are low lung volumes and there is atelectasis of the lower lobes and right perihilar region. There is no pleural effusions or pneumothorax. NG tube tip is seen within the stomach. Visualized osseous structures are unremarkable.

56479351

HISTORY: ___-year-old female patient status post ex lap, enterotomy for gallstone ileus. Study requested for assessment of NG tube placement. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph.

Atelectasis of lower lung lobes and right perihilar region with NG tube tip in the stomach.

11778136

Lordotic positioning. Possible background hyperinflation. The heart is not enlarged. The aorta may be slightly unfolded. There is upper zone redistribution, but no overt CHF. No focal infiltrate or effusion is identified. There is no focal consolidation, pleural effusion, or pneumothorax in the lungs.

56380615

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old man with chest pain. Evaluate for pneumonia. TECHNIQUE: Single portable AP view of the chest. COMPARISON: CTA torso of the same date.

Upper zone redistribution noted, without overt CHF. Otherwise, no acute pulmonary process.

11023115

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

58945283

CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary disease.

11048955

Lung volumes are slightly low with mild bibasilar atelectasis on the frontal view. The lungs are otherwise clear where not obscured by overlying lines. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality. Possible surgical clips project over the lower neck.

56558600

INDICATION: ___M with cough, fevers // Evaluate for pneumonia TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11305477

The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and similar to the prior examination. Again seen is right-sided chest port, with the tip terminating at the cavoatrial junction. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.

52765028

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with epigastric abd pan // eval for effusion TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute intrathoracic abnormality.

11215749

The patient is rotated somewhat to the left. There is partial obscuration of the left hemidiaphragm with left base consolidation seen. Subtle opacity at the right costophrenic angle on the frontal view may be due to overlying soft tissue versus additional site of consolidation. No large pleural effusion is seen but it would be difficult to exclude a trace left pleural effusion. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

51080050

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hx multiple ICHs/difficult history, c/f mild change in neuro status, acute diffuse ABD pain with R shoulder pain, R leg swelling // Eval for ICH, acute ABD pathology, R DVT TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Left lower lobe consolidation worrisome for pneumonia and/or aspiration. Subtle opacity projecting over the right costophrenic angle may be due to overlying soft tissue, additional site of consolidation is not excluded. Recommend followup to resolution.

11689448

Patient is status post median sternotomy and CABG. Heart size is normal. Mediastinal and hilar contours are unchanged. There is no pulmonary edema. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Mild widening of the right acromioclavicular joint appears unchanged.

51661368

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

No acute cardiopulmonary abnormality.

11689448

PA and lateral views of the chest were provided demonstrating midline sternotomy wires and mediastinal clips. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.

51832760

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___ CLINICAL HISTORY: Chest pain.

No acute intrathoracic process.

11701424

Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The chest is hyperinflated. The lungs are clear without focal or diffuse abnormality. Pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body. There is calcification of the aortic knob.

54712720

INDICATION: ___-year-old female with chest pain. Evaluate for pneumonia or CHF. COMPARISONS: Chest CTs of ___ and ___.

No evidence of acute cardiopulmonary process. Hyperinflation.

11915208

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.

57953049

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with subjectve dyspnea, atypical chest discomfort, hypertension // ? infiltrate, abnl TECHNIQUE: Chest PA and lateral COMPARISON: ___ and ___

No acute cardiopulmonary abnormality.

11915208

PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

53526020

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with asthma exacerbation // ? pna COMPARISON: Chest radiograph dated ___

No evidence of pneumonia.

11915208

There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal size. The trachea is midline. Anterior osteophyte formation is noted at multiple levels of thoracic spine, similar to prior.

57847785

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with nonproductive cough, asthma exacerbation // ? pna PLS PG WET ___ ___, ? PNA, COUGH COMPARISON: Chest radiograph ___ TECHNIQUE: Chest radiograph with PA and lateral views.

No evidence of pneumonia.

11651340

AP upright and lateral views of the chest provided demonstrate clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. There is no free air below the right hemidiaphragm. Cardiomediastinal silhouette is normal. Bony structures are intact.

51150790

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Gastric bypass history, intoxicated, nausea, vomiting, question acute intrathoracic process.

No acute intrathoracic process.

11888907

Right upper mediastinal widening, at the level of the manubrium, and increased soft tissue in the right tracheobronchial angle could represent adenopathy that has developed or increased since ___. The hila are not clearly enlarged. Widening of the apparent left lower paraspinal stripe is probably a retrocardiac soft tissue abnormality such as a hiatus hernia or an esophageal mass. Of note the lowest images on the neck CT showed upper paratracheal mediastinal adenopathy as well as severe esophageal thickening. The lungs are clear and the pleural effusion is minimal on the left if any.

50919262

EXAMINATION: CHEST (PA AND LAT)CHEST (PA AND LAT)i INDICATION: ___ year old man with lymphadenoatphy on Ct neck // please eval for any lung processes or mediastinal lymphadenoapthy COMPARISON: Chest radiograph ___, read in conjunction with neck CT on ___. impression

Mediastinal adenopathy and esophageal abnormalities, thickening or mass, deserves chest CT, with contrast.

11929508

PA and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.

59661603

INDICATION: Chest pain. COMPARISON: Chest radiograph on ___.

No acute cardiopulmonary process.

11929508

Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

59010143

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

No acute cardiopulmonary abnormality.

11929508

PA and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

50053555

INDICATION: Epigastric pain. COMPARISONS: ___.

No evidence of acute cardiopulmonary process.

11334897

There is no new lung consolidation. Left lower lobe atelectasis is chronic since ___. Multiple emphysematous bullae are seen at the apices. The patient is known with posterior spinal fixation with significant scoliosis. There is no pneumothorax or pleural effusion.

59558956

PORTABLE AP CHEST X-RAY INDICATION: Decreased breath sound, rule out effusion, consolidation. COMPARISON: ___, ___, CT torso of ___ and ___.

There is no evidence of pneumonia.

11334897

A right PICC line has been repositioned now ending in the mid SVC. An NG tube has been removed since the ___. Mild cardiomegaly and bilateral pleural effusions with bibasilar atelectasis, left worse than right are unchanged. Moderate pulmonary edema is worse compared to ___. No pneumothorax.

59894462

HISTORY: Chest tightness status post multiple IV fluid boluses question fluid overload. COMPARISON: ___.

Worsening pulmonary edema since ___, now moderate. Right PICC line repositioned now ending in the mid SVC and interval removal of NG tube. Stable mild cardiomegaly, pleural effusions and bibasilar atelectasis.

11334897

The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. Dense consolidation in the retrocardiac left lung base is unchanged and may represent atelectasis or pneumonia. Mild pulmonary edema and a small left pleural effusion are unchanged. A nasogastric tube terminates in the body of the stomach. Dextroconvex thoracic scoliosis and spine fixation hardware are noted.

52006828

INDICATION: ___-year-old man with tachycardia and oxygen saturation to ___% on room air. COMPARISON: Chest radiograph done earlier today at ___ hours. PORTABLE SEMI-UPRIGHT CHEST

Dense retrocardiac left lower lobe consolidation, small left effusion and moderate pulmonary edema, stable since the earlier study done today.

11414239

The lungs are hyperinflated with flattening of the diaphragms suggestive of underlying COPD. The heart is mildly enlarged. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours otherwise are unremarkable. Pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. There are minimal streaky bibasilar atelectatic changes. No acute osseous abnormalities are present. Mild multilevel degenerative changes are seen in the thoracic spine.

55423296

HISTORY: Two weeks of increased falls, ataxia, altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary abnormality. Probable COPD.