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11495932
As compared to the chest radiograph from earlier today the ___ a spinal drains and chest tube have been removed. There is a new small left apical pneumothorax. Increasing bibasal opacities are likely worsening atelectasis. Small bilateral pleural effusions. Mild pulmonary vascular congestion has increased. Moderate cardiomegaly.
53798097
INDICATION: ___ year old woman with s/p OPCAB // eval ptx COMPARISON: ___
New small left apical pneumothorax.
11495932
The lungs are well expanded. The hila are enlarged, suggestive of enlarged central pulmonary arteries. No focal consolidation or mass is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged, similar prior exam. Vascular stent is seen in the proximal left upper extremity.
54240980
INDICATION: ___F with cough TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made with chest radiographs from ___ and ___
Enlarged hila, suggestive of enlarged central pulmonary arteries and cardiomegaly. No acute cardiopulmonary process.
11495932
Mild cardiomegaly and upper mediastinal contours are unchanged. Prominence of the hilar pulmonary vasculature is unchanged. No overt pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax.
50891707
INDICATION: History: ___F with palpitations // Eval for CHF COMPARISON: ___. TECHNIQUE: Frontal and lateral views of the chest.
Pulmonary vascular congestion without overt pulmonary edema.
11495932
Bilateral chest tubes are in place. Mediastinal drain is in place. Cardiomediastinal silhouette is unchanged including cardiomegaly. Mild interstitial edema and pulmonary vascular congestion have improved. There is no pneumothorax. Bilateral small pleural effusion have increased.
57847550
INDICATION: ___ year old woman s/p OP CABG // eval for pneumothoraces with chest tubes to waterseal since 4AM (chest tubes have an airleak) TECHNIQUE: Chest PA and lateral
Improved interstitial edema. Increasing bilateral small pleural effusions. No increasing pneumothorax.
11495932
Mild vascular congestion is noted. There is new elevation of the left hemidiaphragm with left lower lobe opacity most consistent with atelectasis. New small left pleural effusion is present. Linear opacity along the left mid lung is stable since the prior examinations and most consistent with atelectasis. No pneumothorax. Stable moderate cardiomegaly. Mediastinal contour and hila are otherwise unremarkable.
50009208
WET READ: ___ ___ ___ 9:55 AM 1. Mild vascular congestion with stable moderate cardiomegaly and new small left pleural effusion. 2. New left lower lobe atelectasis. Clinical correlation is recommended to assess for superimposed infection. 3. Linear left midlung opacity is most consistent with atelectasis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with chest pain and s/p CABG 2 week ago. Assess for CHF/pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___.
Mild vascular congestion with stable moderate cardiomegaly and new small left pleural effusion. New left lower lobe atelectasis. Clinical correlation is recommended to assess for superimposed infection. Linear left midlung opacity is most consistent with atelectasis.
11495932
PA and lateral views of the chest were reviewed and compared to the prior studies. The right hemodialysis catheter has been removed. Mild vascular congestion and mild pulmonary edema is new since ___. There is no focal consolidation, pleural effusions, or pneumothorax. Moderate cardiomegaly and aortic calcifications are unchanged. Enlargement of the pulmonary hila is suggestive of pulmonary arterial hypertension.
55527536
INDICATION: Evaluation for pneumonia in a patient with end-stage renal disease and cough for three weeks. COMPARISON: Multiple chest radiographs, the most recent of ___.
No radiographic evidence of pneumonia. Mild vascular congestion and mild pulmonary edema are new since ___. Enlarged hila, unchanged since ___, are suggestive of pulmonarial hypertension.
11495932
A left-sided internal jugular catheter is in-situ, the tip appears to be in the proximal right atrium, this could be withdrawn 3 cm to be positioned at the cavoatrial junction. Moderate cardiomegaly and prominence of the bilateral hila is similar in appearance when compared to the prior study. Prominence of the pulmonary vasculature is consistent with a degree of congestive heart failure. There is unchanged bibasal atelectasis, infection cannot be excluded.
53408815
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F s/p OPCABG (LIMA-LAD) ___ // r/o PNA in setting of confusion postop TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___.
The left internal jugular catheter appears to terminate in the right atrium, this could be withdrawn 3 cm to be positioned at the cavoatrial junction. No significant interval change in the bibasilar opacities likely reflecting atelectasis although infection cannot be excluded.
11495932
Moderate cardiomegaly is re- demonstrated. The aorta is unfolded and diffusely calcified. There is mild upper zone vascular redistribution, unchanged, and likely chronic. Pulmonary vascular congestion without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
59656135
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with weakness TECHNIQUE: Chest PA and lateral COMPARISON: ___
Mild pulmonary vascular congestion which appears chronic. No focal consolidation.
11499388
Endotracheal tube tip terminates approximately 4.1 cm from the carina. An enteric tube tip is within the stomach. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear, however the left costophrenic angle is excluded from the field of view. No large right-sided pleural effusion or pneumothorax is detected on this supine exam. No acute osseous abnormality is detected.
50524181
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with question of herniation on outside hospital head CT, endotracheal tube placement TECHNIQUE: Portable supine AP view of the chest COMPARISON: None.
Endotracheal tube and enteric tubes appear to be in standard positions. Exclusion of the left costophrenic angle. Otherwise, no acute cardiopulmonary process.
11499388
All lines and tubes are unchanged in positioning. There is new complete left lower lobe collapse. The lungs are otherwise clear. The pulmonary vasculature is normal. The cardiomediastinal silhouette is stable. There is no pleural effusion. There is no pneumothorax.
57326596
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ y.o woman s/p cardiac arrest intubated // et tube, interval change TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___.
Appropriate positioning of all lines and tubes. New complete left lower lobe collapse.
11430111
A dual lead pacemaker is in-situ, unchanged in appearance when compared to the prior study. Valve prosthesis also noted. Previous median sternotomy and coronary artery bypass graft clips seen. Smooth widening of the superior mediastinum is likely vascular and unchanged compared the prior study. No lobar consolidation, pleural effusion or pneumothorax seen. The right hilum appears slightly displaced superiorly however this is unchanged compared to multiple prior studies dating back to ___. Small right pleural effusion.
58552905
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with new dual chamber PPM // assess lead position TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiograph ___.
Apparent superior displacement of the right hilum is unchanged compared to multiple prior studies. This does appear slightly enlarged which may reflect pulmonary vascular congestion. Recommend repeat chest radiographs when the patient's clinical condition improves.
11430111
The AP view is lordotic. The patient is status post sternotomy. There are surgical clips along the right mediastinum. The heart appears at the upper limits of normal size. The mediastinal and hilar contours appear unchanged, allowing for differences in technique. The lungs appear clear. Bilateral subpulmonic pleural effusions are moderate and have increased since the prior study, particularly conspicuous on the right. Mild degenerative changes are similar along the thoracic spine.
55938902
CHEST RADIOGRAPHS HISTORY: Chest pain. Question acute process. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral.
Increasing pleural effusions, but without overt evidence for congestive heart failure or pneumonia.
11430111
Portable chest radiograph demonstrates unremarkable mediastinal, hilar, and cardiac silhouettes. Overall, there is improved aeration with minimal residual atelectasis in bilateral lung bases. There has been interval removal of mediastinal and chest tube drains without development of pneumothorax. SG catheter, nasogastric tube, and endotracheal tube have also been removed. No pleural effusion evident.
53994100
INDICATION: AVR, please evaluate for pneumothorax after chest tube removal. COMPARISON: Comparison is made to chest radiograph performed ___.
Interval removal of chest tube without development of pneumothorax. Improved aeration of lungs bilaterally. No pleural effusion.
11430111
Frontal and lateral radiographs of the chest show small bilateral pleural effusions. An ill-defined opacity at the right lung base is consistent with atelectasis. Opacities in the left lung base may represent atelectasis, but pneumonia cannot be excluded. No pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The patient is status post median sternotomy and CABG with pneumopericardium noted on the lateral radiograph. An aortic valve prosthesis is in place. Surgical clips are noted in the thoracoabdominal region consistent with prior repair of a hiatal hernia.
55113817
INDICATION: ___-year-old male status post CABG, here to reevaluate for interval changes. COMPARISON: Chest radiograph, last performed on ___.
Opacification at the left lung base may represent atelectasis in this postoperative patient, but pneumonia cannot be excluded in the appropriate clinical context. Stable appearance status post cardiac surgery.
11430111
A right IJ catheter, transesophageal catheter, mediastinal drain, right thoracostomy tube, external pacer wires, and a Swan-Ganz catheter are unchanged in position and orientation since ___:31 a.m. examination. The endotracheal tube terminates 5.8 cm above the carina. The cardiac and mediastinal contours are stable. Again seen is mild interstitial edema. A tiny right pleural effusion is unchanged. There is no pneumothorax.
55809605
INDICATION: Status post AVR. COMPARISON: Radiograph available from ___ at 11:31 a.m. FRONTAL CHEST
Minimal change since the ___:31 a.m. chest radiograph.
11482582
The patient has been extubated. There is still mild pulmonary edema but significantly improved since ___. Mediastinal and cardiac contour enlargement is probably explained by mediastinal fat and vascular congestion. There is no pleural effusion or pneumothorax.
55186317
PORTABLE AP CHEST X-RAY INDICATION: Patient with dyspnea, interval change. COMPARISON: ___ to ___.
Mild residual pulmonary edema has significantly improved since ___. The patient has been extubated.
11482582
AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___, obtained 9 o'clock p.m. The present portable chest examination in this very obese patient creates limitations as it does not cover the entire right-sided base of the thorax. One can identify the tracheostomy cannula in place with its distal end properly aligned in the trachea, terminating some 6 cm above the level of the carina. No pneumothorax has developed. A right-sided PICC line is seen as before and is overlying territory of the right atrium in its termination point. Withdrawal of the line by 4 cm is advisable so to be located in the mid portion of the SVC and to avoid any interference with cardiac structures. No new pulmonary infiltrates can be identified. The left-sided lateral pleural sinus is clear from any fluid accumulation. No new parenchymal infiltrates are seen.
55204250
TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with HCAP, status post tracheostomy, evaluate for interval change.
Grossly stable chest findings can be identified on portable single view examination.
11482582
Mild pulmonary edema has not significantly changed since ___. Mild widening of the cardiomediastinal contours is likely due to mediastinal lipomatosis. No pleural effusion or pneumothorax is seen.
52211708
INDICATION: ___-year-old woman with obesity hypoventilation, acute respiratory distress. COMPARISON: Chest radiograph ___.
Stable mild pulmonary edema.
11482582
Semi-upright portable view of the chest. Tracheostomy tube is again seen. There is some limitation due to respiratory motion. There is mild fullness of the central pulmonary vasculature and indistinctness of the pulmonary vascular markings suggesting interstitial edema. There is no definite confluent consolidation. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
57271025
HISTORY: ___-year-old female with tracheostomy presents with dyspnea and productive cough. COMPARISON: ___.
Probable interstitial edema without definite consolidation based on this somewhat limited exam.
11482582
Portable AP semi upright view was provided. Tracheostomy tube is noted. PICC line is unchanged with tip extending to the region of the SVC. Lung volumes are markedly low and the retrocardiac space cannot be assessed. No large effusion or pneumothorax is seen. No definite sign of pneumonia. Mild edema not excluded. Cardiomediastinal silhouette is stable. Bony structures appear intact.
50642222
HISTORY: ___-year-old with morbid obesity, tracheostomy, recent pneumonia, with mild dyspnea, question interval change. COMPARISON: Prior exam dated ___.
Limited study with possible mild edema. Retrocardiac space poorly assessed.
11482582
Portable upright view of the chest demonstrates tracheostomy tube unchanged in position. Patient's body habitus limits evaluation. Within this limitation, right lower lobe opacity is new since prior exam. Hilar and mediastinal silhouettes are unchanged. Heart is moderately enlarged. Left costophrenic angle is slightly obscured, suggestive of possible pleural effusion. No appreciable pneumothorax. No right pleural effusion.
57532102
INDICATION: Patient with recent hypoxemic episode and reported emesis. COMPARISONS: ___.
Slightly limited evaluation due to patient's body habitus. Right lower lobe opacity is new since prior exam, and may represent atelectasis or aspiration in appropriate clinical setting.
11482582
There has been interval intubation. Initial view does not include the lung bases. Subsequent view includes the lung bases and demonstrates the endotracheal tube tip approximately 4 cm above the carina. Diffuse bilateral pulmonary infiltrates with bilateral pleural effusions persist.
50707687
HISTORY: ___-year-old female with respiratory failure status post intubation. TECHNIQUE: 2 frontal radiographs of the chest were obtained. COMPARISON: ___ at approximately 11:00.
Interval intubation with endotracheal tube tip approximately 4 cm above the carina.
11482582
There are diffuse bilateral dense alveolar opacities. Evaluation of the lung bases is limited by overlying soft tissue and low lung volumes. Heart size appears enlarged, possibly in part exaggerated by AP technique and low lung volumes. Compared to prior exam, the mediastinum appears widened. No pneumothorax is detected on this view. Small bilateral pleural effusions may be present although evaluation is difficult due to overlying soft tissue.
50918862
HISTORY: ___-year-old female with shortness of breath and chest pain. TECHNIQUE: Single frontal chest radiograph was obtained with the patient in a semi upright position. COMPARISON: ___.
Diffuse bilateral alveolar opacities. Differential diagnosis includes infection, edema, and ARDS. New mediastinal widening. If clinically feasible, further evaluation with CT is recommended. If not clinically feasible, close follow up radiography and clinical correlation is recommended. Findings and recommendations were discussed with ___ by ___ by telephone at 12:08 p.m. on ___ at the time of discovery of these findings.
11482582
Right subclavian catheter ends in lower SVC. Tracheostomy tube is unchanged in standard position. As compared to prior examination, the lung ventilation is markedly improved for resolution of pulmonary edema. Cardiac size is still moderately enlarged. There is no pleural effusion or pneumothorax.
56119640
PATIENT HISTORY: ___-year-old woman with chronic respiratory failure, HCAP and possible pulmonary edema. INDICATION: Assessment for interval changes. COMPARISON: Exam is compared to chest x-ray of ___.
Improved lung ventilation for resolution of bilateral pulmonary edema, moderate cardiomegaly.
11482582
Each view is relatively blurry with considerable overlying soft tissue attenution. However, the cardiac, mediastinal, and hilar contours do not appear significantly changed. The central pulmonary vascularity appears mildly prominent, suggestive of vascular congestion. No definite pleural effusion or pneumothorax is seen. Again, there is a smooth focus of pleural thickening along the lateral left lung apex, which appears not significantly changed since an earlier study.
52636953
CHEST RADIOGRAPH HISTORY: Left lower extremity edema. COMPARISONS: ___ and ___. TECHNIQUE: Chest, semi-upright AP portable, two views.
Mildly prominent pulmonary vascular suggestive of congestion or fluid overload on limited views.
11482582
The right PICC has been retracted with the tip terminating in the low SVC. A tracheostomy tube is in place with the tip projecting over the trachea although the internal portion appears horizontal. The inspiratory lung volumes remain very low. The cardiac silhouette remains enlarged and the mediastinal contours are stably widened. There is persistent pulmonary vascular engorgement with mild pulmonary edema. Retrocardiac opacification in the setting of low lung volumes most likely reflects moderate atelectasis. The right costophrenic angle is clear. The left costophrenic angle is blunted and may represent a small left pleural effusion. No pneumothorax is present.
56446020
INDICATION: Obesity, hypoventilation, status post tracheostomy, here to evaluate for interval change. COMPARISON: Chest radiograph dated ___ at 09:43. TECHNIQUE: Portable semi-erect frontal radiograph of the chest.
Right PICC retracted with tip in low SVC. Horizontal internal portion of tracheostomy tube may be positional. Please correlate clinically. Persistent pulmonary vascular congestion and mild pulmonary edema.
11482582
No central line is visualized on current examination. Cardiomediastinal and hilar contours are stable. The left costophrenic angle is not captured on the current study, however, there is no large pleural effusion or pneumothorax. Tracheostomy tube is in stable position. No focal consolidation concerning for pneumonia is present.
56194452
INDICATION: PICC line placement. COMPARISON: Chest radiograph, ___.
No visualization of a left PICC line. Radiograph of the left upper extremity may be obtained for further investigation if clinically indicated.
11482582
The exam is essentially nondiagnostic due to underpenetration from presumed patient body habitus. Grossly, the cardiomediastinal silhouette appears stable as compared to ___. Midline tracheotomy is again seen. The right lung is less area as compared to the left which may be due to underlying atelectasis. Patchy right mid to lower lung opacities are seen which could relate to atelectasis or infection or aspiration. The costophrenic angles are not well seen and pleural effusions cannot be excluded. The cardiac silhouette remains enlarged. The mediastinal contour pulmonary edema.
50343982
HISTORY: Trachea and dependent with worsening shortness of breath. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___.
Severely suboptimal study due to underpenetration from patient body habitus. Stable cardiomediastinal silhouette. Right mid to lower lung opacity may in part relate to underpenetration but underlying infection, aspiration, atelectasis, or other causes of consolidation not excluded.
11360363
The heart size is normal. The cardiomediastinal silhouette and hilar contour is stable. There is bibasilar atelectasis. The lungs are otherwise clear without focal consolidation, effusion or pneumothorax. Post-surgical changes in the right axilla.
55709119
HISTORY: Chest pain. TECHNIQUE: PA and lateral chest radiograph 2 views. COMPARISON: Multiple chest radiographs dating back to ___, CT chest ___.
No acute intrathoracic process.
11472101
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. Old left upper rib deformities noted. No free air below the right hemidiaphragm is seen.
59377458
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with intermittent CP // eval for cardiomegaly COMPARISON: None
No acute intrathoracic process.
11763283
There is a consolidation at the left base in the retrocardiac space, most consistent with a left lower lobe pneumonia. The right lung is essentially clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
53706717
INDICATION: Cough. COMPARISONS: None.
Left lower lobe pneumonia.
11084559
PA and lateral chest views were obtained with patient upright position. The heart size is normal. No configurational abnormality is present. Mild elongation of the thoracic aorta is noted but no abnormal widening, wall calcifications or contour abnormalities are identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present. The lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures grossly within normal limits. There exists no prior chest examination in our records available for comparison.
54966143
DATE: ___. TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old male patient with chronic cough, evaluate.
Normal chest findings in patient with evidence of acute cough.
11084559
Compared with prior radiographs on ___, there is no significant change.The lungs are clear without focal consolidation. There is no vascular congestion or pulmonary edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
54297915
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with sob // any pulmonary edema? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Prior radiographs on ___
No pulmonary edema or other acute cardiopulmonary process.
11084559
The lungs are hypoinflated, accounting for bronchovascular crowding. No focal opacities are seen concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
58100899
EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old male with dyspnea. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph from ___
No evidence of pneumonia. Hypoinflated lungs.
11380413
Heart size is normal. The aorta is mildly unfolded. The mediastinal and hilar contours are otherwise normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
58477660
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
11123429
The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. Hilar contours are stable. No focal consolidation is seen. No pleural effusion or pneumothorax. Multiple surgical clips are seen overlying the left hemi thorax.
57931374
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CP // evidence of infection TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
Mild enlargement of the cardiac silhouette without pulmonary edema. The cardiac silhouette is larger in size than on the prior study from ___. No focal consolidation.
11123429
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen. Surgical clips noted projecting over the left mid to lower chest.
52348975
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough and orthopnea // please assess for pneumonia or evidence of CHF TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11813239
No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The cardiac silhouette is top-normal in size. No pulmonary edema is seen.
55654715
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CP // eval for cardiomegaly TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process. Stable, top-normal in size cardiac silhouette.
11813239
Lung volume is low. Mild bibasilar opacities are likely atelectasis. There is no pneumothorax or pleural effusion. Top-normal size of the cardiac silhouette is similar to before.
55238229
INDICATION: History: ___F with chest pain // chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___
No acute cardiopulmonary process.
11596230
The cardiomediastinal silhouette is stable and within normal limits. The hila are unremarkable. Lower lung opacification seen only on lateral view is favored to represent atelectasis in the setting of a suboptimal inspiratory effort. There is no correlate on frontal view with a better inspiration. There is no pulmonary venous congestion or pulmonary edema. There is no pneumothorax or pleural effusion. There is no evidence of a displaced rib fracture.
53521043
INDICATION: ___-year-old man presenting after motor vehicle collision, evaluate for acute injury. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___.
Lower lobe opacity on lateral view is favored represent atelectasis in the setting of a suboptimal inspiratory effort. No acute cardiopulmonary process. No displaced rib fracture identified.
11596230
Top-normal heart size is normal mediastinal and hilar contours. Focal opacity at the right middle lobe is consistent with pneumonia. No pleural effusion or pneumothorax
59608381
INDICATION: ___ year old man with bilateral chest pain for several weeks // pneumonia, mass, ild TECHNIQUE: Chest PA and lateral COMPARISON: None available
Right middle lobe pneumonia. Recommend follow up chest radiograph after treatment to ensure resolution.
11467004
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.
57790851
INDICATION: ___M with cough x2 months // pna? bronchitis? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ and ___.
No acute cardiopulmonary process.
11467004
PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
52221041
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Fatigue, weakness and dyspnea on exertion, history of chest pain.
No acute findings in the chest.
11017061
The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
53687184
INDICATION: One month of minimally productive cough. COMPARISON: Chest radiograph from ___. PA AND LATERAL VIEWS OF THE
Normal radiograph of the chest.
11432923
There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities. No subdiaphragmatic free air.
54748285
EXAMINATION: Chest radiograph INDICATION: ___-year-old female with chest pain x2 days TECHNIQUE: Chest PA and lateral COMPARISON: None available.
No acute cardiopulmonary process.
11087410
Compared with the immediate prior radiograph, the left pleural effusion is substantially decreased with re-expansion of the left lung. There is a residual moderate left pleural effusion. The endotracheal tube ends 3.8 cm the carina, the right IJ central venous catheter ends in the lower SVC. The enteric tube ends within a decompressed stomach. There is probably a small to moderate right pleural effusion. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
58534912
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/ large bowel obstruction/ischemic colon s/p total abdominal colecotmy and ileo-rectal anastomosis presents to the ICU with septic shock likely secondary to PNA. // please evluate ngt placement TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to ___.
Interval decrease in large left pleural effusion with subsequent re-expansion of the left lung. All lines and tubes in good position.
11087410
The left pleural effusion has continued to expand, now occupying ___% of the total volume of the left hemithorax, with associated left lower lobe collapse. There is no midline shift. Aeration of the left upper lobe has further decreased. Right lung is clear. The right subclavian CVC ends in the low SVC. There is no pneumothorax or pulmonary edema.
56554576
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with higher oxygen requirments, thick sputum // evaluate lung fields, compare to previous study TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___.
Large left pleural effusion now occupies ___% of the left hemithorax with associated left lower lobe collapse.
11087410
Compared with the immediate prior radiograph of ___, the large left pleural effusion has significantly increased with associated compression atelectasis causing collapse of the entire left lung. There is probably a small to moderate right pleural effusion. There is no focal consolidation, pneumothorax, or pulmonary edema.
50186386
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F hx of afib s/p ilorectal anastomosis trigger for 140s, lungs decrease breath sounds on the right // r/o pneumonia vs pleural effusion TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs dating back to___.
Significant increase in large left pleural effusion with associated compressive atelectasis causing left lung collapse.
11087410
Compared to the prior study the left effusion is slightly decreased in size, otherwise there is no significant interval change.
56774036
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with history of cecal perforation s/p colectomy // evaluate pulmonary edema TECHNIQUE: Portable chest COMPARISON: ___.
Slight decrease in large left effusion.
11087410
Compared with the immediate prior radiographs, there is no relevant change. The endotracheal tube, enteric tube, and right IJ CVC are all in unchanged standard position. There is no focal consolidation, pneumothorax, or pulmonary edema. A large layering left pleural effusion with associated compressive atelectasis is unchanged. There is probably a small to moderate right pleural effusion. Moderate cardiomegaly is stable.
59877356
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with pleural effusions // evaluate lung fields TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Prior chest radiographs from ___ to ___.
No change to large layering left pleural effusion and probable small to moderate right pleural effusion. No pulmonary edema.
11652499
A single frontal view of the chest shows linear opacities at the bilateral bases, greater on the right than the left. These are stable from prior exams and most consistent with atelectasis or scarring. No new opacities identified. The lung volumes are low. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A tracheostomy tube is present approximately 4 cm from the carina.
50623676
INDICATION: History of anoxic brain injury. New fevers. COMPARISONS: Chest radiograph ___. Chest radiographs ___. CTA chest ___.
No acute cardiopulmonary process. Stable bibasilar atelectasis or scarring.
11652499
Tracheostomy tube is again seen with tip terminating approximately 4.4 cm from the carina, in unchanged position. A left subclavian venous access catheter projects over the lower SVC. Low lung volumes bilaterally. Heart size and mediastinal contours appear unchanged. No significant change in mild interstitial pulmonary edema or plate-like atelectasis bilaterally. No pleural effusion. Osseous structures are unchanged.
59193613
INDICATION: Urosepsis, evaluate for cardiopulmonary process. COMPARISON: ___. TECHNIQUE: Single AP portable semi-upright chest.
Lines and tubes in satisfactory position. No change in mild pulmonary edema and bibasilar atelectasis.
11652499
The tracheostomy tube ends approximately 5 cm above the carina. The lung volumes are low, with linear subsegmental atelectasis in the right lower lobe. No pleural effusion, pneumothorax, or consolidation is detected. The cholecystostomy catheter, overlies the right upper abdomen. Right upper extremity PICC ends in the right axillary vein.
51618913
INDICATION: ___-year-old male with fever and tracheostomy placement. COMPARISON: None. PORTABLE AP SEMI-UPRIGHT CHEST
Low lung volumes, with linear right basilar atelectasis. No acute cardiopulmonary pathology. Right upper extremity PICC tip in the right axillary vein. This finding was discussed with Dr.___ at 5:15 A.M on ___.
11652499
New left subclavian line ends in cavoatrial junction. New interstitial pulmonary edema is mild. Basilar atelectatic bands are unchanged. Mediastinal and cardiac contour are within normal limits. Pleural effusion is mild if any. There is no pneumothorax. Tracheostomy ends 5.2 cm above carina.
54662729
PORTABLE AP CHEST X-RAY INDICATION: Patient with new left subclavian line. COMPARISON: ___.
New left subclavian line is in adequate position. New interstitial pulmonary edema is mild.
11652499
Tracheostomy tube is in standard position. There is no evidence to suggest aspiration or pneumonia or pulmonary edema. Lung volumes are relatively low. There is no evidence of pleural effusion. Stomach is grossly distended with air. Heart size, mediastinal and hilar contours are normal.
59718897
CHEST RADIOGRAPH INDICATION: To assess for aspiration TECHNIQUE: Semi-erect portable chest view was read in comparison with the most recent radiograph from ___.
No evidence of aspiration or pneumonia.
11652499
Single portable view of the chest. Correlation is made to previous exam from ___. There is stable left basilar opacity which silhouettes the hemidiaphragm, potentially due to any combination of effusion and atelectasis or consolidation. Linear opacity at the right lung base is suggestive of atelectasis. Tracheostomy tube is in stable position. Cardiac silhouette is stable as are the osseous and soft tissue structures.
54612885
PORTABLE CHEST, ___ HISTORY: ___-year-old male with sepsis.
No significant interval change. Left basilar opacity, potentially due to atelectasis, effusion; however, consolidation from infection is not excluded.
11652499
A frontal semi-upright view of the chest was obtained portably. The tracheostomy is in standard position. Lung volumes are very low, resulting in bronchovascular crowding. Atelectasis is seen at the right lung base. There is no large pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are stable. No acute osseous abnormality is identified.
52128404
CLINICAL HISTORY: ___-year-old man with complex medical history with tachypnea. COMPARISON: ___.
Right basilar atelectasis. Otherwise, no acute intrathoracic process.
11375935
The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. Slightly more apparent than on prior are nodular opacities at the right lateral lung apex, seen on prior chest CT from ___; this is likely projectional nature. Otherwise, the lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
57259040
INDICATION: ___F with f/c/s, pleuritic CP/cough, rule out infiltrate. TECHNIQUE: AP and lateral chest radiograph. COMPARISON: 1. Chest x-ray ___. 2. CTA chest ___.
Subpleural nodular opacities at the right peripheral lung apex, better evaluated on prior chest CT from ___, stable. Otherwise, no acute cardiopulmonary process. No focal lung consolidation.
11375935
Peripheral right upper lung nodular opacities are better assessed on the prior CT and may relate to scarring from prior infectious or inflammatory process. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are stable.
53437377
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with prod cough, fever/chills and h/o PE // productive green sputum, pleuritic ant cp, fever, chills TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ chest radiography and chest CTA from ___
No acute cardiopulmonary process.
11733756
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
57260121
CHEST RADIOGRAPHS HISTORY: Right shoulder and right upper quadrant pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease.
11134357
As compared to chest radiograph from earlier today, right-sided PICC has now been repositioned and is in the low SVC. Improved aeration of the lung bases likely related to better inspiratory effort. Pulmonary vascular markings also appear less engorged. No effusion or pneumothorax.
54621319
INDICATION: ___ year old woman with PICC placement // Eval PICC repositioning post coil TECHNIQUE: Portable
Right-sided in low SVC.
11134357
There is streaky atelectasis at the left mid lung zone. No focal consolidation is identified. Lungs are hyperinflated suggesting underlying COPD. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
57867512
INDICATION: Cough, rule out pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: None available.
Hyperinflated lungs compatible with emphysema. No focal consolidation.
11134357
The lungs are hyperexpanded and clear. Cardiac size is normal. The main pulmonary artery appears enlarged. There is no pneumothorax or pleural effusion.
55986222
EXAMINATION: Chest radiographs. INDICATION: History: ___F with generalized weakness, chest pain // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None.
Enlarged main pulmonary artery. No evidence of pneumonia.
11904835
Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Surgical clips project over the anterior neck.
54720704
HISTORY: ___-year-old male with chest pain. COMPARISON: None.
No acute cardiopulmonary process.
11150340
Increased opacity in the right infrahilar area as well as slight loss of the medial heart border is concerning for right middle lobe consolidation, potentially due to combination of atelectasis or infection. Biapical calcified scarring is noted. The lungs are otherwise clear without edema or effusion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch.
56894427
WET READ: ___ ___ 6:15 PM Findings suggestive of right middle lobe atelectasis, component of infection is possible. No definite rib fracture although if desired dedicated rib series could be obtained if there is an area of concern. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with rib pain // please assess for fracture or consolidation TECHNIQUE: Chest PA and Lateral COMPARISON: ___
Findings suggestive of right middle lobe atelectasis, component of infection is possible. No definite rib fracture although if desired dedicated rib series could be obtained.
11194186
Normal heart size. A convex margin to the right mediastinum likely reflects dilation of the ascending thoracic. No focal consolidation, pleural effusion or pneumothorax.
51231094
INDICATION: ___ year old woman with worsening DOE // PLease eval for cardiopulmonary process TECHNIQUE: Chest PA and lateral COMPARISON: None available
Dilation of the ascending aorta could be related to hypertension or aortic stenosis, correlate clinically. No acute pulmonary process
11194186
The lungs are well inflated and clear. The cardiac silhouette is normal. Again noted is prominence of the ascending aortic contour, which on the prior chest CT appears top normal in size. There is no pleural effusion or pneumothorax.
57506228
INDICATION: ___-year-old woman with cough and chest tightness, rule out pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___ and chest CT from ___
No evidence of pneumonia.
11647812
Mild to moderate cardiomegaly is present. The aorta is tortuous. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. 4 mm nodular opacity projects over the right upper lobe. No acute osseous abnormalities are detected.
54155259
WET READ: ___ ___ 10:52 PM No acute cardiopulmonary abnormality.4 mm nodular opacity projecting over the right upper lobe. This could reflect a vessel on end rather than a true pulmonary nodule. Dedicated PA view of the chest with shallow obliques is recommended to determine if this is a true pulmonary nodule. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with fever TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.
No acute cardiopulmonary abnormality. 4 mm nodular opacity projecting over the right upper lobe. This could reflect a vessel on end rather than a true pulmonary nodule. Dedicated PA view of the chest with shallow obliques is recommended to determine if this is a true pulmonary nodule.
11708854
Right-sided pleural effusion is now large, slightly increased. Associated atelectasis is suspected noting that superimposed infection would also be possible. The left lung is essentially clear besides trace effusion. Cardiac silhouette is difficult to accurately assess. No acute osseous abnormalities.
52994508
INDICATION: ___F with pna // eval for progression of pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
Large right-sided pleural effusion has increased in size, with associated atelectasis noting that superimposed infection would be entirely possible. Small left pleural effusion.
11708854
Since ___, the right pleural effusion has increased in size. The moderate left effusion is worsening since ___. A loculated pleural effusion borders the posterior pleura. Bibasilar atelectasis is stable. The right chest tube is in place without evidence of pneumothorax. Mediastinum is normal and hilar structures are normal. Cardiac borders are partially obscured by pleural effusions.
58720567
INDICATION: ___ year old woman with possible malignant pleural effusion s/p thoracentesis ___ with chest tube still in place on water seal // evaluate pleural effusion, r/o pneumothoraxPlease do at 500 am per IP request TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___ 13:47
Moderate right pleural effusion and new moderate left effusion are both worse since ___. Posteriorly located loculated pleural effusion which may be better characterized on chest CT.
11708854
Since ___, the right moderate pleural effusion has mildly decreased in size and the left small pleural effusion has decreased in size. The loculated pleural effusion bordering the posterior pleura is decreased in size. . Bibasilar atelectasis is unchanged. There is no pneumothorax. Mediastinal borders and hilar structures are normal. Cardiac size is normal.
56462386
INDICATION: ___ year old woman with suspected malignant pleural effusions with ovarian primary, s/p chest tube placement ___ // evaluate pleural effusions, pt with chest tube inplease do ___ at 5 am per IP recs TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___
Since ___, right pleural effusion, left pleural effusion, and loculated effusion bordering the posterior pleura have decreased in size. Unchanged bibasilar atelectasis.
11708854
There is a focal dense consolidation obscuring the right diaphragmatic surface, posterior thoracic spine, and right cardiac border which is consistent with a right lower lobe and right middle lobe pneumonia. Left lung is grossly clear. There are no pleural effusions. Cardiomediastinal border is and hilar structures are normal.
50618156
INDICATION: ___ year old woman with 4 days of SOB with activity, cough, wheezing. // ?infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None
Right lower lobe and probable right middle lobe pneumonia.
11708854
Since chest radiographs obtained 8 days prior, no significant changes are appreciated. Moderate right pleural effusion with adjacent atelectasis and small left pleural effusion are unchanged. Lungs are otherwise clear without focal consolidation. Cardiomediastinal and hilar silhouettes are unchanged. Heart size is top-normal.
53134947
EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral chest radiographs dated ___
Moderate right and small left pleural effusions are unchanged over a week.
11708854
As compared to ___, right-sided pigtail catheter has been removed. Bilateral small to moderate pleural effusions have not significant changed. Bibasal atelectasis has not significantly changed. Mild cardiomegaly. The upper lungs are clear. No pneumothorax.
59167973
INDICATION: ___ year old woman with metastatic ovarian ca c/b pleural effusion s/p chest tube, removed yesterday // Eval effusion TECHNIQUE: Chest PA and lateral
No significant change in right moderate pleural effusion post pigtail catheter removal. No pneumothorax.
11532890
Right pneumothorax has almost completely resolved. New right basilar pigtail catheter is in place. There is improved aeration of the lungs. There are no other interval changes
58060182
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with R PTX s/p liver transplant now s/p needle decompression of PTX. // eval R PTX TECHNIQUE: Single frontal view of the chest COMPARISON: Study performed 7 hours earlier
Almost complete resolution of right pneumothorax
11532890
A feeding tube terminates within the stomach. Again seen is a large right pleural effusion, unchanged since the ___ radiograph. The left lung base remains clear. A central venous catheter terminates at the lower SVC. An incompletely-visualized tunneled line terminates within the right atrium.
54812103
INDICATION: NG tube placement. COMPARISON: Radiograph from ___. TECHNIQUE: Frontal abdominal radiograph.
Feeding tube terminating within the stomach. Unchanged large right pleural effusion.
11532890
The Dobbhoff tube terminates within the stomach, and no coiling is noted within the hypopharynx. There is a left internal jugular central venous line which terminates near the cavoatrial junction. Lungs are clear of focal consolidation, and there is likely a layering right pleural effusion.
56867711
INDICATION: ___ year old man status post liver transplant currently having rejection, Dobbhoff repositioned due to coiling. TECHNIQUE: Frontal chest radiographs were obtained with the patient in the semi upright position. COMPARISON: Radiographs from ___, ___, ___ and ___.
Dobbhoff tube terminates within the stomach.
11532890
No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There may be minimal pulmonary vascular congestion. 2.1 cm soft tissue density projecting over the right supraclavicular region is grossly stable since at least ___. The cardiac and mediastinal silhouettes are stable.
55996478
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Confusion. COMPARISON: ___.
Possible minimal pulmonary vascular congestion. Otherwise, no acute cardiopulmonary process.
11532890
The right and left IJ catheters are unchanged in position. The right pigtail catheter is redemonstrated. Bronchovascular markings are accentuated by low lung volumes, but there is also mild pulmonary edema. No pneumothorax or large pleural effusions. Stable cardiomegaly. No free air under the diaphragms. Minimal right chest wall subcutaneous emphysema that was seen previously.
50141452
EXAMINATION: Portable chest x-ray INDICATION: ___ year old man s/p chest tube clamping // please assess for presence of ptx, perform at 9:30 am TECHNIQUE: Portable chest x-ray COMPARISON: Chest x-ray ___
There is no pneumothorax. Mild pulmonary edema.
11532890
Compared to the prior study there is no significant interval change in the appearance of the lungs. The left IJ line is been removed. The right IJ line tip is in the mid SVC, slightly higher than on the prior study.
50537671
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CVL pulled back 5 cm // Please confirm CVL placement TECHNIQUE: Portable chest COMPARISON: ___.
Right IJ line with tip in the mid SVC.
11532890
First radiograph shows the Dobbhoff in the mid esophageal region. The left sided internal jugular line point cranially, probably within the right brachiocephalic. Dobbhoff itself is then advanced distally through its tip lies just beyond the gastric esophageal junction. . A final image than shows further advancement of the Dobbhoff so its its tip is well within the stomach. Left internal jugular vein remains unchanged
55509721
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p liver transplant // confirm Dobhoff placement TECHNIQUE: 2 images were obtained space ___ min apart. COMPARISON: None.
Successful images show no advanced was the Dobbhoff catheter to good position Left-sided internal jugular vein catheter points cranially and should be repositioned is unchanged from previous day
11532890
Initial images demonstrate a Dobbhoff feeding tube terminating in the mid-lower esophagus. Subsequent images demonstrate the Dobbhoff tube terminating within the stomach. A left internal jugular central venous line terminates at the cavoatrial junction. There is no evidence of focal consolidation or pneumothorax. A probable layering right pleural effusion is minimally changed. The cardiomediastinal silhouette is stable.
51266563
EXAMINATION: Chest radiograph. INDICATION: ___ year old man with cirrhosis s.p liver transplant on tube feeds // Evaluated location of Dubhoff TECHNIQUE: Multiple, contiguous, AP portable views of the chest. COMPARISON: ___.
Multiple serial radiographs demonstrating the advancement of a Dobbhoff feeding tube, ultimately terminating within the stomach.
11532890
The endotracheal tube terminates 5.3 cm above the carinal. Two transesophageal catheters are present. A right IJ catheter terminates at the mid to upper SVC. There has been interval removal of a left central venous catheter. Central pulmonary vascular congestion and mild pulmonary edema are unchanged since ___. Moderate right and small left pleural effusions have slightly enlarged.
52762182
INDICATION: Post liver transplant, with elevated temperature. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal chest radiograph.
Unchanged mild central vascular congestion and pulmonary edema. Slight enlargement of moderate right and small left pleural effusions.
11532890
The Dobbhoff tube is in the proximal stomach and needs to be advanced. There is a large right layering effusion which limits evaluation of the right lung. There is vascular plethora most visible on the left that is increased compared to the prior study
59253684
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with NASH and HBV/HCV cirrhosis c/b HCC s/p RFA now s/p liver transplant c/b immediate L PV thrombosis req revision x2 and thrombectomy // assess dobhoff position TECHNIQUE: Portable chest COMPARISON: ___ at 0 400
Dobbhoff needs to be advanced Large right effusion, likely increased in size Fluid overload
11119441
Heart size is normal with a left ventricular predominance. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax is identified. Severe compression deformity of a mid thoracic vertebral body is unchanged. No acute osseous abnormalities are otherwise seen.
53089278
HISTORY: Cough, elevated lactate. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11119441
Frontal and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Compression deformity seen in the mid thoracic spine is unchanged from ___.
52361477
HISTORY: ___-year-old female with multiple myeloma presenting with whole body pain. COMPARISON: ___.
No acute cardiopulmonary process.
11119441
Frontal and lateral chest radiographs again demonstrate low lung volumes, which limit evaluation and results in bronchovascular crowding. However, even given these limitations, there are prominent reticulo-nodular interstitial abnormalities, which could represent pulmonary edema, infection, or a neoplastic process. No pleural effusion or pneumothorax is seen. The right Port-A-Cath is unchanged in position.
57075509
INDICATION: Cough, fatigue, fever, in a neutropenic patient with a history of multiple myeloma. Evaluate for acute process or interval change. COMPARISON: Chest radiographs from ___, ___, and ___.
Prominent reticulo-nodular opacities bilaterally, which may represent edema, infection, or a neoplastic process. Clinical correlation is advised.
11119441
Bronchovascular markings are accentuated by low lung volumes. There are no focal consolidations, pleural effusions or a pneumothorax. The mediastinum and hila are within normal limits. Heart size is within upper limits of normal. No acute osseous abnormalities.
54506931
EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old woman with MM w/ cough x 1 month now with yellow sputum // evaluate for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___
No acute intrapulmonary process.
11119441
No consolidation, pleural effusion or pulmonary edema is seen. The heart size is upper limits of normal with a left ventricular configuration. A severe mid thoracic wedge compression is again seen.
57457553
HISTORY: ___-year-old female with mulitple myeloma, pre bone marrow transplant. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___.
No acute cardiopulmonary disease to preclude transplant.
11119441
The heart is at the upper limits of normal size with a left ventricular configuration. The lung volumes are low. The lungs appear clear. There is no pleural effusion or pneumothorax. A severe mid thoracic wedge compression deformity is unchanged.
55770384
CHEST RADIOGRAPH HISTORY: Shortness of breath. History of multiple myeloma. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease. Similar severe mid thoracic vertebral compression deformity.
11119441
Portable AP chest radiograph. Right IJ catheter tip is in low SVC. Lung volumes are low with bibasilar atelectasis, particularly along the right heart border. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
51710917
INDICATION: Multiple myeloma with neutropenic fever. Evaluate for pneumonia. COMPARISON: ___ and ___.
Low lung volumes. Right lower lung opacity is indeterminate for consolidation and PA and lateral views would be needed to exclude pneumonia.
11119441
Lung volumes are low. Heart size is unchanged and within normal limits. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Minimal patchy opacity within the the lung bases could reflect atelectasis but infection cannot be excluded. No pleural effusion, focal consolidation or pneumothorax is identified. Compression deformity of a mid thoracic vertebral body is chronic.
54071490
HISTORY: Multiple myeloma with persistent cough and chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___.
Low lung volumes with minimal patchy opacity in both lung bases likely reflective of atelectasis but infection cannot be completely excluded. Unchanged compression fracture in the mid thoracic spine.
11119441
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable. There is grossly stable severe compression of a mid thoracic vertebral body.
58855060
EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Fever and cough. COMPARISON: ___.
Low lung volumes without acute cardiopulmonary process.
11936787
PA and lateral views of the chest were obtained. Evaluation is quite limited given the low lung volumes. The heart is moderately enlarged, though this appears stable from prior. There is no definite sign of pneumonia or overt CHF. No pleural effusion or pneumothorax. Aorta is stably unfolded with areas of atherosclerotic calcification along the arch. Bony structures appear grossly intact. Clips in the right upper quadrant noted.
58059496
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain, question pneumonia or pneumothorax.
Stable cardiomegaly without signs of pneumonia or overt CHF.
11670805
The cardiomediastinal and hilar contours are normal. There is no pleural effusion pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. Mildly increased interstitial markings may be technical. The upper abdomen is unremarkable.
57263832
INDICATION: ___M with 5 days of fever, cough, general muscle aches // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary process.
11315095
Increased density in the mid lung zones bilaterally is likely due to soft tissue attenuation. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. There is pectus excavatum deformity.
54215097
INDICATION: Intermittent chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.
No acute cardiopulmonary process.
11969967
The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
56260415
WET READ: ___ ___ 10:07 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain, evaluate for acute process. TECHNIQUE: PA and lateral chest radiograph COMPARISON: Chest x-ray ___.
No acute cardiopulmonary process.
11969967
Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
54351395
HISTORY: Chest pain. COMPARISON: ___.
No pneumonia. Normal mediastinal contour.
11969967
There is minimal left costophrenic angle linear atelectasis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
51773385
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with chest pain/GERD symptoms // Eval for PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11969967
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are again seen along the spine, although not well assessed
50082757
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain, sudden onset, sharp // pneumo? Infection? TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.