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

subject_id stringlengths 8 8	findings stringlengths 93 1.83k	study_id stringlengths 8 8	background stringlengths 10 2.5k	impression stringlengths 16 1.06k
11969967	Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine. No displaced rib pain fractures are clearly evident.	54593937	HISTORY: Rib pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality. No displaced rib fractures identified. If there is continued concern for rib fracture, then a dedicated rib series is recommended.
11969967	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.	57589103	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough. COMPARISON: ___	No acute intrathoracic process.
11969967	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.	59853519	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with palpitations, intermittent chest pain and sob // eval for pna or other acute process COMPARISON: ___	No acute intrathoracic process.
11969967	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable. Minimal degenerative changes are seen along the spine.	54049176	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain, dizziness, diaphoresis, and palpitations. COMPARISON: ___.	No acute cardiopulmonary process.
11969967	There is minimal left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable. There is mild anterior wedging of a lower thoracic vertebral body, grossly stable.	50644538	HISTORY: Palpitations, dizziness. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	Minimal left base atelectasis. Otherwise, acute cardiopulmonary process.
11681549	Heart size is normal. Aortic knob calcifications are demonstrated. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. There mild degenerative changes noted in the thoracic spine.	59510042	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath, cough, and fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11708011	PA and lateral chest radiograph demonstrates mild cardiomegaly. There is no evidence of pulmonary edema. Prominent hila bilaterally is unchanged and probably reflects mildly engorged central vessels. There is no pneumothorax or large pleural effusion. No focal opacity convincing for pneumonia is seen.	53284180	EXAMINATION: Chest radiograph INDICATION: ___F with ___ ___ swelling // Fluid? CHF? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___	Mild cardiomegaly with probable central vascular engorgement unchanged. No evidence of pulmonary edema.
11625309	Focal consolidation in the left lower lobe concerning for pneumonia. No pleural effusion no pneumothorax. Size cardiac contours is normal. Cardiomediastinal border is a hilar structures are normal.	53467472	INDICATION: ___ year old man with cough, fever // any pneumonia evident? TECHNIQUE: Chest PA and lateral COMPARISON: None	Left lower lobe pneumonia.
11240564	PA and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Note is made of an aortic "nipple" likely from traversing venous structure adjacent to the aortic arch. Cardiomediastinal silhouette is otherwise unremarkable. No free air seen below the diaphragm. No acute osseous abnormality.	50049416	HISTORY: ___-year-old female status post EGD with chest pain radiating to the back. COMPARISON: None.	No acute cardiopulmonary process. No free intraperitoneal air.
11273524	Exam is somewhat limited by body habitus. Heart size is mildly enlarged. Central pulmonary vascular prominence without frank interstitial pulmonary edema. Mediastinal contours are otherwise unremarkable. Linear lingular atelectasis. No dense consolidation. No pleural effusion or pneumothorax.	59792736	EXAMINATION: Chest radiograph INDICATION: Dyspnea. TECHNIQUE: Portable AP view of the chest. COMPARISON: None.	Central pulmonary vascular congestion without frank interstitial edema. No dense consolidation to suggest pneumonia.
11480554	Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Linear opacity in the lingula is compatible with subsegmental atelectasis. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.	52378469	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, fever TECHNIQUE: Chest PA and lateral COMPARISON: None.	Subsegmental atelectasis in the lingula. Otherwise, no acute cardiopulmonary abnormality.
11805699	There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.	57039112	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, fever // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No acute cardiopulmonary process.
11538404	Cardiac silhouette size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormalities present.	53944817	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11194350	The lung volumes are low volume loss in the right lower lobe and linear opacities. No acute focal consolidation. There is enlargement and tortuosity of the descending thoracic aorta, more pronounced due to patient rotation. The left pulmonary artery also appears larger than ___, this could be related to patient rotation and lordotic view. No interstitial edema, pneumothorax or effusions.	57401351	INDICATION: ___ year old woman with cough // r/o pneumonia COMPARISON: ___	Right lower lobe volume loss can be related to aspiration or mucous plugging. Possible enlargement of left pulmonary artery could be related to technique, suggest follow-up PA and lateral radiographs PE
11194350	PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or signs of pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear intact. No definite displaced rib fracture is seen. Thoracic spine appears grossly intact, though degenerative changes are noted in the upper lumbar spine on the lateral view.	59978741	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Back pain post-MVA, assess pneumothorax or fracture.	No pneumothorax or other acute injury seen.
11286564	Low lung volumes likely accentuate the vasculature as well as the heart size which on this AP film is top normal, but may be exaggerated due to the technique. The lungs are clear of focal opacities concerning for infection. No pleural effusion is present. Again, the vasculature is accentuated which is likely due to low lung volumes, however, edema can be considered. No pneumothorax.	50388378	HISTORY: ___-year-old female with shortness of breath postpartum. Rule out heart failure or cardiomegaly. COMPARISON: None. TECHNIQUE: Single upright view of the chest.	Limited AP view of the chest with low lung volumes, but no focal consolidations. Possible edema. Suggest a PA and lateral view of the chest if the patient can tolerate with better inspiratory effort to differentiate pathology versus normal findings.
11867095	There is a new right chest tube in place. There is small right apical pneumothorax, which has increased. Small area right apical opacity, likely postsurgical. Left lung is clear. Right pleural effusion has cleared.	59469031	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with spontaneous pneumothorax s/p RUL wedge resection // check tube position TECHNIQUE: Chest single view COMPARISON: ___	Small right pneumothorax has increased.
11176041	Lungs are clear. Cardiomediastinal and hilar contours are normal. There are no pleural effusions or pneumothorax. Symmetric pleural thickening persists at the lung apices.	53197378	INDICATION: ___-year-old male with anxiety and chest tightness. COMPARISON: ___. CHEST, PA AND	No acute cardiopulmonary process.
11468106	The lungs remain hyperinflated. Blunting of the right costophrenic angle suggests a small pleural effusion. No definite focal consolidation is seen. The cardiac silhouette is moderately enlarged. Mediastinal contours are unremarkable. Biapical pleural thickening is seen. No evidence of pneumothorax is seen. Old mid left clavicular fracture is seen. Also old left-sided rib deformity. Severe degenerative change at the right glenohumeral joint with high-riding right humeral head concerning for rotator cuff disease. Right acromioclavicular joint degenerative change.	54309861	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with possible CVA/TIA // Eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Small right pleural effusion with overlying atelectasis. COPD. Cardiomegaly.
11844680	PA and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	56863676	INDICATION: Fever and leukocytosis. COMPARISONS: None.	No acute cardiopulmonary process.
11213546	There is new left basilar opacity which partially silhouettes the left cardiac border also seen posteriorly on the lateral view. Elsewhere, the lungs are unchanged. There is no effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and coronary artery stents are noted. No acute osseous abnormalities.	58279533	WET READ: ___ ___ ___ 11:03 PM Left lingular and lower lobe consolidation worrisome for pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough // Eval for infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Left lingular and lower lobe consolidation worrisome for pneumonia.
11897950	The heart size, mediastinal, and hilar contours are normal. Faint left basilar opacity is thought to be atelectasis. No pleural effusions, or pneumothorax.	51367715	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ woman with ___ chest pain now improved. Evaluate for acute intrathoracic process. TECHNIQUE: Chest PA and lateral COMPARISON: None available.	Faint left basilar opacity is thought to represent atelectasis. However, superimposed pneumonia is difficult to exclude in the correct clinical setting.
11113918	PA and lateral views of the chest. There is mild biapical scarring. The lungs are otherwise clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips are identified in the left upper quadrant.	50419717	CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with syncope. COMPARISON: None.	No acute cardiopulmonary process.
11289183	Frontal and lateral views the chest. The lungs are hyperinflated but clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine and severe degenerative changes seen at the left shoulder. Surgical clips are identified in the right upper quadrant.	53995762	INDICATION: ___F with chest pain // acute process? COMPARISON: ___	No acute cardiopulmonary process.
11289183	The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. There is some atelectasis at the left base. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Anterior bridging osteophytes are again identified along the mid thoracic spine consistent with DISH. Left shoulder degenerative changes are again noted.	58382934	HISTORY: Chest pain. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11289183	Frontal and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal silhouette is within normal limits. Lungs are clear without consolidation. There is no pleural effusion and no pneumothorax. Left shoulder DJD and anteior bridging osteophytes along the throacic spine are noted.	56334635	INDICATION: Syncope and complaint of congestion, evaluate for infection. COMPARISON: ___	No acute cardiopulmonary abnormality.
11570499	PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm.	59512389	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Foot infection, assess for pulmonary acute process.	No signs of pneumonia or other acute intrathoracic process.
11808061	Upright PA and lateral radiographs of the chest were obtained. The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.	57882528	INDICATION: Shortness of breath. Evaluate for pneumonia or edema. COMPARISON: None.	No acute cardiopulmonary abnormality.
11259380	There are low lung volumes which crowd the bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.	56169272	WET READ: ___ ___ ___ 3:56 PM Low lung volumes. No acute cardiopulmonary process ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with fevers, cirrhosis // pna? TECHNIQUE: Single AP view of the chest. COMPARISON: None available	Low lung volumes. No acute cardiopulmonary process.
11053847	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen. Multiple bilateral small calcified pulmonary nodules are again seen, consistent with calcified granulomas.	56989396	HISTORY: CAD and ___ now chest pain TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process. Bilateral calcified granulomas.
11053847	There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart is normal in size. The mediastinal contours are stable and unremarkable. There are multiple bilateral small calcified pulmonary nodules again seen, consistent with calcified granulomas.	50529670	HISTORY: Altered mental status. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to radiographs dated ___.	No radiographic evidence for acute cardiopulmonary process. Bilateral calcified granulomas, stable in appearance.
11053847	There is minimal bibasilar atelectasis and calcified nodules in the left midlung as on prior. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	54789993	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with history of GBM, status post chemo radiation and resection. Possible seizure with left arm twitching, with bradycardia and hypotension following chemotherapy. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11010930	There is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. A surgical clip is noted overlying the abdomen, unchanged. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.	59593211	INDICATION: History of multiple pneumonias, most recently two and a half years ago. Recently resolved 10 days of productive cough. Concern for pneumonia. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___.	No acute cardiopulmonary abnormality.
11492608	The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present.	52356186	INDICATION: ___-year-old female with bilateral lower extremity edema. Ultrasound rule out cardiomegaly. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE	No acute intrathoracic process.
11415445	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. A nodular density with cavitation along the right lower lobe abutting the hemidiaphragm is more distinctly visible but probably decreased in size since the prior study, now with smooth margins. This may represent a resolving pulmonary infarct but should be followed with either radiography or CT within 6 months to reassess.	50154542	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. COMPARISON: Radiographs and CT from ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary disease. Persistent nodular density along the right hemidiaphragm, suspected to represent a small cavitating nodule associated with prior infarct. However, follow-up is recommended with either radiography or CT within 6 months for surveillance.
11083755	PA and lateral views of the chest provided. Lungs appear hyperinflated. There is no focal consolidation, effusion, or pneumothorax. Biapical pleural parenchymal scarring is noted, right greater than left. Faint linear scarring in the periphery of the left mid lung noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Pectus excavatum deformity of the sternum noted. No free air below the right hemidiaphragm is seen.	58923763	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F hx of palpitations on verapamil, sarcoid p/w 2 days of left arm pain/tingling, nonexertional chest pressure COMPARISON: None	No acute intrathoracic process.
11833490	The prior exam, there is a new opacity at the left base, concerning for pneumonia or aspiration. No other opacity is identified. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is moderately enlarged, and unchanged in the prior exam. Changes from a prior CABG are noted. Sternal wires are intact. Again, there is extensive osteolysis of the distal left clavicle, right first rib, and left lateral ribs, similar to the prior exam. The left humerus is deformed, and unchanged from prior radiographs. This is consistent with an old fracture with significant callous formation.	55863939	INDICATION: Chest pain and fever. Evaluate for pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.	New left lower lobe pneumonia or aspiration. Unchanged moderate cardiomegaly. Unchanged diffuse osteolytic process, as described above, of uncertain etiology, presumably malignant.
11833490	The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged including cardiac enlargement and unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. There is a non-united fracture of the surgical neck of the humerus with attenuation of the humeral head and mild foreshortening, but already present on remote prior radiographs.	58025178	CHEST RADIOGRAPHS HISTORY: Dyspnea and leg swelling. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11833490	AP and lateral radiographs demonstrates an enlarged heart. Patient is status post median sternotomy, wires appear intact. Clips are noted projecting over the left heart border and mediastinum. There is no overt pulmonary edema, pleural effusion, or pneumothorax. Extensive osteolytic process of the right first rib, left distal clavicle and left lateral rib is identified. There is opacification of the right apex as well as surrounding subtle patchy ossific densities about the distal left clavicle suggestive of associated soft tissue mass.	51576240	INDICATION: ___-year-old male with possible extremity fracture, preop. TECHNIQUE: AP and lateral. COMPARISON: Radiograph dated ___.	Osteolytic abnormalities with possible soft tissue involvement involving the right first rib, distal left clavicle, and lateral left rib are concerning for metastatic process.
11833490	PA and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips related to prior CABG. Surgical clips are also noted in the right upper quadrant. The lungs appear clear. No focal consolidation, effusion or pneumothorax seen. Cardiomediastinal silhouette is stable with top normal heart size. Atherosclerotic calcification seen at the aortic knob and descending thoracic aorta. The imaged bony structures appear intact with chronic-appearing deformity of the left proximal humerus. Bilateral AC joint arthropathy is noted.	51359415	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Fever, dyspnea, assess for pneumonia or CHF.	No acute intrathoracic process.
11833490	Opacities in the bilateral apices are compatible with the expansile soft tissue masses in the upper ribs. The other osseous lesions are better appreciated on the prior CT of the chest. There is new mild pulmonary edema. A small left pleural effusion and bibasilar opacities appear grossly stable in size. There is no definite right pleural effusion. No pneumothorax is identified. The patient is status post a CABG. The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged.	51202162	INDICATION: Altered mental status. Evaluate for infection. TECHNIQUE: Single AP upright view of the chest. COMPARISON: Chest radiograph ___. CT of the chest from ___.	New mild pulmonary edema. Otherwise no change from the prior CT.
11833490	The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta again seen. Median sternotomy wires and mediastinal clips are again noted. Chronic deformity of the proximal left humerus is noted.	50066750	INDICATION: ___M with generalized weakness s/p fall on coumadin // Eval for trauma TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11965661	Endotracheal tube, enteric tube, and right PICC tube are appropriately positioned. A right pleural effusion is small and left lung base is incompletely imaged, although there is likely a small pleural effusion there is well. Heterogeneous opacities in the right upper and lower lung may indicate multifocal infection. No pneumothorax.	57347192	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with severe COPD, parainfluenza 3, intubated, now with fever // ? PNA TECHNIQUE: Portable chest radiograph COMPARISON: ___	Interval increase in right apical and basal opacities possibly representing multifocal infection.
11965661	Small bilateral pleural effusions are unchanged. Heart size and mediastinal contours are stable.Endotracheal and enteric tubes are unchanged.Bilateral reticular interstitial opacities, predominantly in the lower lobes, are essentially unchanged. Hyperinflation and scattered lucencies may represent bronchiectasis and emphysema.	57095454	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with HIV, asthma, intubated for resp distress. Assess interval change. TECHNIQUE: Portable semi-upright chest radiograph COMPARISON: ___	No interval change. Stable support devices. CT chest is recommended to evaluate for chronic lung changes which are apparent on chest radiograph.
11828414	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. No air under the right hemidiaphragm is seen.	57840925	INDICATION: History: ___F with fever, cough // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiothoracic abnormality.
11929269	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No displaced fracture is seen.	56573578	EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with mechanical chest pain after fall // eval for acute rib fracture TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process. No displaced fracture seen. If clinical concern for rib fracture is high, dedicated rib series or CT is more sensitive.
11411718	Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion or pneumothorax is seen though the extreme left costophrenic angle is excluded from the field of view. Multiple remote right-sided rib fractures are present.	57745966	HISTORY: Chest wall pain after altercation and fall, on coumadin. TECHNIQUE: Portable semi-upright AP view of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11411718	There appears to be a more conspicuous focal consolidation at the right lower lobe. No pleural effusions or evidence of a pneumothorax is identified. Again seen is mild cardiomegaly. The mediastinal silhouette and hilar contours are unremarkable. The visualized osseous structures are unremarkable.	59302169	INDICATION: History of shortness of breath, orthopnea and PND. Please evaluate for infiltrate/edema. COMPARISON: Chest radiographs from ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.	New focal consolidation in the right lower lobe concerning for pneumonia. Recommend follow up radiographs after treatment to ensure resolution.
11411718	Lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine.	56313997	INDICATION: ___M with worsening SOB, sweating // herart failure v pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process. ___, MD
11597385	There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.	56574095	EXAMINATION: Chest radiograph. INDICATION: History: ___F with dyspnea and cough // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No evidence of acute cardiopulmonary process.
11597385	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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.	56940445	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fall with headstrike, LOC and L sided rib pain // eval acute injury COMPARISON: ___	No acute intrathoracic process.
11668433	Minimal bibasilar opacities which could represent atelectasis and pleural effusion are unchanged since ___. There is no new lung consolidation. ET tube is 6.2 cm above the carina. Right-sided PICC line ends in lower SVC. NG tube is below the diaphragm. There is no pneumothorax, no new lung consolidation. Mediastinal and cardiac contours are normal.	52281991	PORTABLE AP CHEST X-RAY INDICATION: Patient with multiple strokes, rule out pneumonia. COMPARISON: Chest x-rays from ___ to ___.	There is no evidence of new consolidation.
11668433	The ET tube, NG tube and right PICC line are in unchanged expected positions. There is new left lower lung volume loss with elevation of the left hemidiaphragm and increased opacity at the left base which could represent atelectasis or consolidation. The remaining lungs are clear. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is stable.	52591640	HISTORY: Ventilator associated pneumonia. Evaluate pneumonia, atelectasis, effusion. COMPARISON: ___.	Volume loss in the left lower lung with a left basilar opacity which could represent atelectasis or consolidation.
11668433	ET tube is in adequate position, 5 cm above carina. NG tube is below carina. There is unchanged small bilateral pleural effusion with atelectasis. Mediastinal and cardiac contours are normal. There is no pneumothorax.	54070759	PORTABLE AP CHEST X-RAY INDICATION: Patient with ETT displaced. COMPARISON: ___.	The exam is unchanged with ET tube in adequate position.
11668433	New Dobbhoff feeding tube is coiled entirely within the hypopharynx. An NG tube is in unchanged position below the diaphragm. ETT and right PICC line are unchanged in satisfactory position. Otherwise, no significant change from prior exam.	59536772	HISTORY: Status post NG tube placement. COMPARISON: ___ at 5:08 and a subsequent chest radiograph on ___.	Dobbhoff feeding tube coiled entirely within the hypopharynx. Of note, this study is being dictated at a time when subsequent chest radiograph on ___ shows removal of coiled Dobbhoff tube in the hypopharynx.
11668433	ET tube is in appropriate position. The right PICC line ends in the lower SVC. The NG tube extends below the diaphragm. There is no significant change in the bibasilar atelectasis and pleural effusions. There is no pneumothorax. The cardiomediastinal contours are normal.	50349731	HISTORY: Multiple strokes found down with ARDS. Evaluate ARDS/ventilatory associated pneumonia. COMPARISON: ___.	No interval change from yesterday. Tubes and lines in appropriate position.
11668433	TheET tube and NG tube have been removed since yesterday. A feeding tube curled in the stomach and a right PICC ending in lower SVC are unchanged. Small bilateral pleural effusions with left basilar atelectasis are not significantly changed since yesterday. Cardiomediastinal silhouette is normal. No pneumothorax.	58569188	HISTORY: Found down, noted to have multiple strokes with very limited recovery and function of sedation. Evaluate interval change in ventilator associated pneumonia. COMPARISON: ___.	Interval removal of ET tube and NG tube are with no other significant change.
11668433	The Dobbhoff tube ends in the stomach. Ther right PICC line ends in the right atrium, 2 cm below the cavoatrial junction. Otherwise, there is no change in minimal bibasilar atelectasis and cardiomediastinal silhouette with no pleural effusion or pneumothorax.	50188405	WET READ: ___ ___ 12:30 AM interval DHT placement seen coursing below left hemidiaphragma nd out of view. otherwise nor change. ___ ______________________________________________________________________________ FINAL REPORT HISTORY: Stroke, now with ongoing minimal response on neuro exam. Dobbhoff placement. COMPARISON: ___ at 5:27.	Dobbhoff tube ends in the stomach. Right PICC line ends in the right atrium, consider pulling back 2 cm.
11021906	Endotracheal tube is in appropriate position 2 cm above the level of the carina. An enteric feeding tube is seen coursing midline with tip in stomach and side-port below the level of the diaphragm. Bilateral heterogeneous perihilar opacities are most consistent with noncardiogenic edema or aspiration. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.	51487009	WET READ: ___ ___ 12:20 PM 1. Endotracheal tube in appropriate position. Additional support lines and tubes as described above. 2. Bilateral heterogeneous perihilar opacities are most consistent with noncardiogenic edema or aspiration. WET READ VERSION #1 ___ ___ ___ 11:53 AM 1. Endotracheal tube in appropriate position. Additional support lines and tubes as described above. 2. No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with intubated transfer from OSH. Assess ETT TECHNIQUE: Single portable frontal chest radiograph. COMPARISON: None.	Bilateral heterogeneous perihilar opacities are most consistent with noncardiogenic edema or aspiration. Endotracheal tube in appropriate position. Additional support lines and tubes as described above.
11685402	Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. There has a been interval decrease in size of the right-sided pleural effusion. There is atelectasis at the right base. Persistent retrocardiac opacity is present. Patient is status post tracheostomy, which ends 4.8 cm from the carina. Cardiomediastinal and hilar contours are unchanged.	57408527	INDICATION: ___M with fever // acute process? TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ through ___.	Persistent retrocardiac opacity. Interval decrease in size of the right-sided pleural effusion.
11685402	Right PICC terminating at the superior cavoatrial junction. Mild bilateral atelectasis mostly unchanged from prior. No pneumothorax. Mild cardiomegaly.	51997182	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with resp distress // aspiration vs CHF TECHNIQUE: Portable chest view COMPARISON: Radiographs dating back to ___	Mild stable bilateral atelectasis and low lung volumes.
11685402	There is a new ET tube with tip 3 cm above the carina. NG tube tip is off the film, at least in the stomach. Lung volumes are low and there is volume loss at both bases. The PICC line tip in the right atrium is, slightly low. This could be pulled back 2 cm to be at the cavoatrial junction	50318154	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with altered mental status and required intubation // ?position of ET tube TECHNIQUE: Portable chest COMPARISON: ___	The ET tube in good position.
11685402	Retrocardiac opacity persists. There is a new moderate right layering pleural effusion possibly with a component of atelectasis. There is a new tracheostomy terminating 3.2 cm above the carina. A right PICC line terminates approximately in the lower SVC. In and from the NG tube has been removed.	57986768	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with fevers/AMS // ?new pneumonia TECHNIQUE: Frontal chest radiograph COMPARISON: Radiographs dating back to ___.	Retrocardiac opacity persists with a new mildly sized right-sided pleural effusion.
11123733	Chest, PA and lateral radiograph demonstrates top normal heart size. The aorta is calcifiedThere is prominence of the pulmonary vasculature, suggestiong with mild volume overload and there is mild interstitial edema. There is a trace right pleural effusion. Multilevel degenerative changes are seen along the spine.	59420824	INDICATION: Question stroke or pneumonia or CHF. COMPARISON: No prior studies available for comparison.	No focal opacification concerning for pneumonia. Prominence of the pulmonary vasculature and mild interstitial edema. Trace right pleural effusion.
11123733	AP and lateral views of the chest. There is a large pleural effusion on the left which has increased in size and a moderate right pleural effusion which is also increased in size. There is likely mild pulmonary edema as well. Heart size is difficult to assess. Sternotomy wires are seen. No pneumothorax. The left PICC is in appropriate position.	58880816	INDICATION: Chest pain. COMPARISON: Chest radiograph on ___.	Large left and moderate right pleural effusions have increased in size compared to ___. Mild pulmonary edema,
11123733	Lungs are hyperinflated with flattening of the diaphragms compatible with COPD. Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. Previous pattern of mild pulmonary edema has resolved. Small bilateral pleural effusions are noted. No focal consolidation or pneumothorax is seen. Minimal atelectasis is noted in the lung bases. Degenerative changes are seen within the thoracic spine.	55208039	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Mild bibasilar atelectasis and small bilateral pleural effusions. COPD.
11123733	There are low lung volumes with collapse of the left lower lobe. There is mild pulmonary edema. There is a small right and a small moderate left pleural effusions, increased from prior exam. Median sternotomy wires and mediastinal clips are noted.	56359769	WET READ: ___ ___ ___ 5:05 PM Mild pulmonary edema. Left lower lobe collapse. Increased bilateral pleural effusions, left greater than right. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___M with abd pain, shortness of breath, hypoxia, altered mental status // CT heal: eval for ICHCT A/P: eval for pancreatitic stent locationCXR: eval for consoldiation TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is chest radiographs from ___ and ___.	Mild pulmonary edema. Left lower lobe collapse. Increased bilateral pleural effusions, left greater than right.
11123733	Cardiomegaly cannot be assessed. Large left pleural effusion is unchanged. Right pleural effusion has markedly decreased now very small. Opacities in the right lower lobe are likely atelectases. There is no pneumothorax. Sternal wires are aligned	54578915	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with chocking episode // eval for aspiration / foreign body . choked on pills TECHNIQUE: Single frontal view of the chest COMPARISON: ___.	Marked decrease in right pleural effusion. Stable large left pleural effusion.
11123733	Mild cardiomegaly is overall stable compared to the prior exam. Median sternotomy wires, clips and tricuspid valve annuloplasty ring are again noted. There has been interval increase in the moderate left pleural effusion and a persistent right effusion with adjacent compressive atelectasis. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.	54099733	HISTORY: History of decubitus ulcers. Please evaluate for infiltrate. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral radiographs of the chest.	Interval increase in moderate left effusion and grossly unchanged right effusion with adjacent opacities likely secondary to comperessive atelectasis, however an acute infectious process cannot be excluded.
11123733	Blunting of the left costophrenic angle with silhouetting of the left hip in diaphragm is most consistent less small left pleural effusion and atelectasis. There is also small right pleural effusion. Central pulmonary vascular congestion is moderate. The mass is minimal. Heart size is enlarged, unchanged. Aortic knob calcifications are moderate unchanged. Patient status post median sternotomy. Anterior compression deformity of a lower thoracic/ upper lumbar vertebral body unchanged. No pneumomediastinum or pneumothorax. No subdiaphragmatic free air.	58800322	EXAMINATION: Chest radiograph INDICATION: ___ year old man with sig abd pain. // Upright image to r/o perforation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No free air. Bilateral small pleural effusions atelectasis and mild edema.
11123733	Bilateral pleural effusions have slightly increased with moderate left pleural effusion and a small right pleural effusion, both with subsequent areas of atelectasis at the lung bases have also increased. Mild pulmonary edema has progressed since ___. Unchanged mild cardiomegaly.	50978419	INDICATION: ___ year old man with SOB and fatigue, has a Hx of CAD and CHF. // Pls assess for early CHF TECHNIQUE: Chest PA and lateral COMPARISON: ___	Mild pulmonary edema with increasing moderate and small right pleural effusions.
11123733	Since prior, there has been no significant interval change. Moderate left and small right pleural effusions are again seen with adjacent atelectasis. There is mild pulmonary edema, also similar. Moderate cardiac enlargement and atherosclerotic calcifications are noted. Median sternotomy wires are intact. Compression deformity in the lower thoracic spine is unchanged since ___.	52855807	INDICATION: ___M with shortness of breath, history of CAD // evaluate for pulmonary edema TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. ___.	No significant interval change since yesterday's exam with moderate left and small right pleural effusions and mild pulmonary edema.
11123733	Bilateral effusions appear similar to prior exam. The left lateral border of the heart is obscured by the left effusion. The mediastinal and hilar contours are normal. Signs of pulmonary edema have improved. No focal consolidation or pneumothorax. Calcifications in the aortic arch, sternotomy wires, surgical clips, and tricuspid valve ring appear similar to prior exam.	57468479	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with SOB // r/o CHF COMPARISON: Chest radiographs from___	No evidence of acute CHF. Signs of pulmonary edema have improved. Bilateral effusions appear similar to prior.
11798066	Left hemidiaphragm remains elevated from at least ___. Patient is status post right upper lung surgery and the resulting "neo-fissure" is again visualized. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unremarkable.	50182644	INDICATION: History of granulomatous disease now presenting with decompensated liver disease undergoing transplant evaluation. Evaluate for cardiopulmonary abnormalities. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No acute cardiopulmonary process.
11324800	The lungs are well inflated and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, or pneumothorax. No displaced rib fractures are identified, however if clinically indicated, a dedicated rib series or chest CT is recommended.	59559702	EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___ year old man s/p fall, c/o R rib pain. // eval for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiographs from ___.	No acute cardiopulmonary pathology.
11837937	Lungs are clear of consolidation. Nodular opacity projects over the left lung base. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	52840917	WET READ: ___ ___ ___ 12:56 PM Nodular opacity projects over the left lung base, potentially nipple shadow. Suggest repeat with nipple markers in place to further assess. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with AMS // eval for PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: None.	Nodular opacity projects over the left lung base, potentially nipple shadow. Suggest repeat with nipple markers in place to further assess.
11208333	Lungs are clear. No pleural effusion, edema, or pneumothorax. The heart is normal in size. Medial convexity of the ascending aorta suggests tortuosity or dilation. The descending thoracic aorta is slightly tortuous. There is pulmonary vascular engorgement. No acute osseous abnormality.	58494667	EXAMINATION: Chest radiograph INDICATION: ___ year old man with gait dysfunction concerning for new stroke. Evaluate for pulmonary pathology. TECHNIQUE: Chest PA and lateral COMPARISON: No prior imaging is available on PACS.	No acute cardiopulmonary process. Tortuous or dilated thoracic aorta.
11978994	The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Moderately severe scoliosis of the thoracolumbar spine is partially imaged.	53670658	INDICATION: ___-year-old woman with neurologic symptoms, question pneumonia. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE	No acute intrathoracic process. Moderate scoliosis of the thoracolumbar spine.
11090548	The lungs are hypoinflated with crowding of vasculature. Lungs are otherwise clear. No apical cap. No pleural effusion or pneumothorax. There is stable mild cardiomegaly, likely accentuated due to low lung volumes. Mediastinal contour and hila are unremarkable. A left chest wall pacer device lead tips are in the right atrium, right ventricle, and coronary sinus.	51108208	EXAMINATION: Chest radiograph. INDICATION: ___ year old man with NICM s/p BiV icd. Assess for lead position and post procedure complications. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ CT chest without contrast ___.	Hypoinflated lungs with crowding of vasculature. Stable mild cardiomegaly. Left chest wall pacer device lead tips in appropriate position.
11255988	As compared to ___ interval increase in the right lower lobe opacities with further silhouetting of the right hemidiaphragm. Slight increase in retrocardiac opacity as well. There is no pulmonary edema or substantial pleural effusions. No pneumothorax. Right-sided Port-A-Cath terminates in the low SVC. Bilateral breast implants are again seen.	54756861	INDICATION: ___ year old woman with RSV pna // progression TECHNIQUE: Chest PA and lateral	Increasing multifocal opacities in the lower lobes.
11255988	There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, no definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	57186055	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever and shortness of breath // Please eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Low lung volumes without acute cardiopulmonary process.
11255988	The right subclavian line terminates at the cavoatrial junction. There is bibasilar atelectasis, but no evidence of focal consolidation. The cardiomediastinal silhouette is normal. The pulmonary vasculature is normal. There are no pleural effusions or pneumothorax.	51266331	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman 6 days after allogenic stem cell transplant with new fever // eval for pna TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___.	Right subclavian line terminating at the cavoatrial junction. Bibasilar atelectasis, but no focal consolidations to suggest pneumonia.
11255988	As compared to the prior study, new right middle lobe opacification has developed, resulting in obscuration of the right heart border on the frontal view. On the lateral view, there is a region of patchy consolidation as well as linear atelectasis in the middle lobe. Note is also made of apparent bronchial wall thickening in the perihilar regions, new compared to previous studies. Cardiomediastinal contours are normal, and there are no pleural effusions or pneumothoraces.	56889245	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of ALL, neutropenic with fever and cough. Please r/o PNA. // ___ year old woman with hx of ALL, neutropenic with fever and cough. Please r/o PNA. COMPARISON: ___.	New bilateral bronchial wall thickening and right middle lobe patchy consolidation, concerning for evolving bronchopneumonia in the setting of fever and cough.
11255988	PA and lateral views of the chest provided. Right chest wall Port-A-Cath is present with right IJ insertion and catheter tip in the mid SVC. The lungs are clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette is normal. No signs of congestion or edema. Bony structures are intact.	59614902	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ALL presenting with fever // ? infection COMPARISON: Prior exam from ___ and PET-CT from ___	No acute intrathoracic process.
11255988	The tip of the right Port-A-Cath terminates in the mid SVC. Lungs are clear of consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities.	55628449	EXAMINATION: CHEST (PA AND LAT) INDICATION: Hx of ALL. S/P Allo with worsening cough. Please r/o PNA. // Hx of ALL. S/P Allo with worsening cough. Please r/o PNA. TECHNIQUE: PA and lateral chest radiograph COMPARISON: Chest radiograph ___	No acute cardiopulmonary process.
11255988	Right infusion port catheter terminates in the low SVC. Compared to ___, areas of heterogeneous opacification involving the right mid and lower lungs and left base have significantly improved. Minimal effusion, if any, on the right, likely with some accompanying atelectasis. No left pleural effusion. Heart size is normal. Mediastinal and hilar contours are normal.	59746194	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ALL // pre bmt eval post RSV, patient also with new pain over port with some erythema. Please confirm placement. TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Multiple chest radiographs, most recent ___.	Right infusion port catheter terminates in low SVC.
11255988	Right Port-A-Cath terminates in the mid SVC. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.	56464690	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of ALL. Day + ___ s/p Allo with cough. Please r/o PNA. // ___ year old woman with hx of ALL. Day + ___ s/p Allo with cough. Please r/o PNA. TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.	No evidence of pneumonia.
11255207	Single AP chest radiograph demonstrates biapical ill-defined opacities. Calcific density along the lateral right lower hemi thorax and additionally in the left hemithorax at the same level likely reflect pleural calcification. Prior seventh left rib fracture is noted. Lungs appear hyperinflated with flattening of the diaphragms. Cardiomediastinal and hilar contours are otherwise within normal limits.	58877114	INDICATION: ___-year-old male pre operative evaluation. COMPARISON: None available.	Biapical opacities for which additional lordotic views are warranted for better localization and characterization. Calcific densities along the bilateral lower lung zones laterally, most compatible with pleural calcifications. Findings communicated to the house staff NP ___ by Dr. ___ ___ telephone at 15:53 on ___.
11679259	The lungs are hyperinflated, unchanged. No focal consolidation, pleural effusion, or pneumothorax identified. Heart size is within normal limits. Aortic arch calcifications and intact median sternotomy wires with mediastinal clips are unchanged.	55236169	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hypoxia. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___.	No evidence of focal consolidation concerning for pneumonia. Unchanged hyperinflated lungs.
11679259	The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Aortic arch calcifications are again noted. No acute osseous abnormalities are identified. Median sternotomy wires are intact.	56228367	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall, R hip pain // r/o fx. Also hypoxic - r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Hyperinflated lungs, without acute cardiopulmonary process.
11722704	The heart size is in the upper limits of normal although increased from prior study. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. There are no pleural effusions. No consolidation is noted. There are degenerative changes in the thoracic spine.	57693560	WET READ: ___ ___ 3:35 PM Findings were discussed by Dr. ___ by telephone with Dr. ___ at 15:33 ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with L upper back pain . // ? Mass TECHNIQUE: Chest PA and lateral COMPARISON: ___	Compression of an upper thoracic vertebral body possibly T6 ,this is of indeterminate age but new from ___. No evidence for a mass or other abnormality in the chest.
11146299	A left pigtail pleural catheter is unchanged in location, projecting over the left ventricle. A moderate loculated left pleural effusion is not significantly changed in size. There is a small right pleural effusion, unchanged. Heterogeneous bilateral lower lung opacities are likely minimal atelectasis, not significantly changed. There is mild interstitial pulmonary edema, unchanged. The heart size and mediastinal contours are unchanged. Midline sternotomy wires are again noted. There is no pneumothorax.	58341178	INDICATION: Malignant loculated pleural effusion, status post chest tube placement, now with worsening hypoxia and minimal drain output. Evaluate for enlargement of effusion. COMPARISON: Chest radiograph from ___.	Unchanged moderate loculated left pleural effusion. Unchanged small right pleural effusion. Unchanged mild interstitial pulmonary edema. Unchanged bibasilar opacities, likely atelectasis.
11146299	Frontal and lateral chest radiographs demonstrate multiple sternotomy wires. The cardiomediastinal silhouette appears normal. Again seen is a large multiloculated left pleural effusion, bigger since yesterday. Nevertheless there is improve aeration in the left upper lobe--___ left heart border is slightly less obscured. There is no right pleural effusion. No pneumothorax is present.	57311899	HISTORY: Lung cancer, now with dyspnea and chest pain. COMPARISON: Chest radiographs from ___ and ___.	Progressive enlargement of a large multiloculated left pleural effusion over the past day, with slightly improved aeration in the largely atelectatic left lung.
11146299	Portable semi-upright radiograph of the chest demonstrates low lung volumes with some bronchovascular crowding. There are small bilateral pleural effusions, right greater than left, with adjacent atelectasis. The right upper lobe opacity is somewhat less conspicuous on this exam. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.	53450119	HISTORY: ___-year-old female with recent biopsy of right lung mass and pulmonary hemorrhage. Evaluate for interval change. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___.	Small bilateral pleural effusions, right greater than left, with adjacent atelectasis.
11146299	Frontal and lateral chest radiographs again demonstrate multiple sternotomy wires and a pigtail catheter within the left hemithorax. The loculated left pleural effusion appears slightly decreased compared to the most recent chest radiograph, with improved aeration of the left lung. Right lung aeration appears unchanged. A minimal right pleural effusion is new. The cardiomediastinal silhouette is unchanged. There is no focal consolidation or pneumothorax.	56596013	HISTORY: Lung adenocarcinoma, with a presumed parapneumonic effusion on the left, with the pigtail catheter to waterseal. Evaluate for interval change. COMPARISON: Chest radiographs from ___, ___, and ___.	Slightly decreased loculated left pleural effusion with improved aeration of the left lung. New minimal right pleural effusion.
11126209	2 views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous aortic contour.	59752674	HISTORY: Shortness of breath. COMPARISON: None.	No acute intrathoracic process.
11992076	Bilaterally, there are 2 apical curvilinear lines which could relate to rib margins, but raise the possibility of pneumothorax, however these are not seen on CT dated ___. The cardiomediastinal silhouette is largely unremarkable on this portable film. Mild atelectatic changes are seen at the bases. There is prominent small and large bowel gas seen.	58541327	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with mental retardation and ?chest discomfort s/p trauma (pedestrian struck) // assess for pneumo, fracture, mediastinal widening assess for pneumo, fracture, mediastinal widening TECHNIQUE: Portable chest film COMPARISON: None available	Bilateral apical curvilinear lines which could be related to ribs, but raise the possibly of pneumothorax. However, no pneumothorax is seen on CT dated ___.
11822994	The lungs are well expanded but clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	52918117	INDICATION: ___M with edema // eval chf TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11097412	Two frontal images of the chest demonstrate NG tube coiled in the hypopharynx. ET tube is again seen in appropriate position. Bibasilar atelectasis is seen. There are low lung volumes, likely secondary to poor inspiration. There is no pneumothorax or other complications.	57405269	INDICATION: ___-year-old male with right stroke and intubation, now requiring assessment for NG tube placement. COMPARISON: Comparison is made with chest radiograph from ___, earlier the same date, ___.	NG tube coiled in the hypopharynx. Bibasilar atelectasis.
11097412	AP single view of the chest has been obtained with patient in semi-erect position. Comparison is made with the next preceding similar study obtained one and a half hours earlier during the same day. During the interval, an NG tube has been placed but is seen to reach well below the diaphragm, pointing in the stomach in the direction towards the pylorus. No interval changes are seen on the portable chest examination in comparison with the preceding study.	52644969	TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with right middle cerebral artery infarct, now intubated and ventilated. Evaluate NG tube placement.	Appropriate position of NG tube.

11969967

Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine. No displaced rib pain fractures are clearly evident.

54593937

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

No acute cardiopulmonary abnormality. No displaced rib fractures identified. If there is continued concern for rib fracture, then a dedicated rib series is recommended.

11969967

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.

57589103

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough. COMPARISON: ___

No acute intrathoracic process.

11969967

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.

59853519

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with palpitations, intermittent chest pain and sob // eval for pna or other acute process COMPARISON: ___

No acute intrathoracic process.

11969967

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable. Minimal degenerative changes are seen along the spine.

54049176

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain, dizziness, diaphoresis, and palpitations. COMPARISON: ___.

No acute cardiopulmonary process.

11969967

There is minimal left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable. There is mild anterior wedging of a lower thoracic vertebral body, grossly stable.

50644538

HISTORY: Palpitations, dizziness. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

Minimal left base atelectasis. Otherwise, acute cardiopulmonary process.

11681549

Heart size is normal. Aortic knob calcifications are demonstrated. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. There mild degenerative changes noted in the thoracic spine.

59510042

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath, cough, and fever TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11708011

PA and lateral chest radiograph demonstrates mild cardiomegaly. There is no evidence of pulmonary edema. Prominent hila bilaterally is unchanged and probably reflects mildly engorged central vessels. There is no pneumothorax or large pleural effusion. No focal opacity convincing for pneumonia is seen.

53284180

EXAMINATION: Chest radiograph INDICATION: ___F with ___ ___ swelling // Fluid? CHF? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___

Mild cardiomegaly with probable central vascular engorgement unchanged. No evidence of pulmonary edema.

11625309

Focal consolidation in the left lower lobe concerning for pneumonia. No pleural effusion no pneumothorax. Size cardiac contours is normal. Cardiomediastinal border is a hilar structures are normal.

53467472

INDICATION: ___ year old man with cough, fever // any pneumonia evident? TECHNIQUE: Chest PA and lateral COMPARISON: None

Left lower lobe pneumonia.

11240564

PA and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Note is made of an aortic "nipple" likely from traversing venous structure adjacent to the aortic arch. Cardiomediastinal silhouette is otherwise unremarkable. No free air seen below the diaphragm. No acute osseous abnormality.

50049416

HISTORY: ___-year-old female status post EGD with chest pain radiating to the back. COMPARISON: None.

No acute cardiopulmonary process. No free intraperitoneal air.

11273524

Exam is somewhat limited by body habitus. Heart size is mildly enlarged. Central pulmonary vascular prominence without frank interstitial pulmonary edema. Mediastinal contours are otherwise unremarkable. Linear lingular atelectasis. No dense consolidation. No pleural effusion or pneumothorax.

59792736

EXAMINATION: Chest radiograph INDICATION: Dyspnea. TECHNIQUE: Portable AP view of the chest. COMPARISON: None.

Central pulmonary vascular congestion without frank interstitial edema. No dense consolidation to suggest pneumonia.

11480554

Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Linear opacity in the lingula is compatible with subsegmental atelectasis. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.

52378469

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, fever TECHNIQUE: Chest PA and lateral COMPARISON: None.

Subsegmental atelectasis in the lingula. Otherwise, no acute cardiopulmonary abnormality.

11805699

There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.

57039112

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, fever // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No acute cardiopulmonary process.

11538404

Cardiac silhouette size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormalities present.

53944817

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

No acute cardiopulmonary abnormality.

11194350

The lung volumes are low volume loss in the right lower lobe and linear opacities. No acute focal consolidation. There is enlargement and tortuosity of the descending thoracic aorta, more pronounced due to patient rotation. The left pulmonary artery also appears larger than ___, this could be related to patient rotation and lordotic view. No interstitial edema, pneumothorax or effusions.

57401351

INDICATION: ___ year old woman with cough // r/o pneumonia COMPARISON: ___

Right lower lobe volume loss can be related to aspiration or mucous plugging. Possible enlargement of left pulmonary artery could be related to technique, suggest follow-up PA and lateral radiographs PE

11194350

PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or signs of pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear intact. No definite displaced rib fracture is seen. Thoracic spine appears grossly intact, though degenerative changes are noted in the upper lumbar spine on the lateral view.

59978741

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Back pain post-MVA, assess pneumothorax or fracture.

No pneumothorax or other acute injury seen.

11286564

Low lung volumes likely accentuate the vasculature as well as the heart size which on this AP film is top normal, but may be exaggerated due to the technique. The lungs are clear of focal opacities concerning for infection. No pleural effusion is present. Again, the vasculature is accentuated which is likely due to low lung volumes, however, edema can be considered. No pneumothorax.

50388378

HISTORY: ___-year-old female with shortness of breath postpartum. Rule out heart failure or cardiomegaly. COMPARISON: None. TECHNIQUE: Single upright view of the chest.

Limited AP view of the chest with low lung volumes, but no focal consolidations. Possible edema. Suggest a PA and lateral view of the chest if the patient can tolerate with better inspiratory effort to differentiate pathology versus normal findings.

11867095

There is a new right chest tube in place. There is small right apical pneumothorax, which has increased. Small area right apical opacity, likely postsurgical. Left lung is clear. Right pleural effusion has cleared.

59469031

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with spontaneous pneumothorax s/p RUL wedge resection // check tube position TECHNIQUE: Chest single view COMPARISON: ___

Small right pneumothorax has increased.

11176041

Lungs are clear. Cardiomediastinal and hilar contours are normal. There are no pleural effusions or pneumothorax. Symmetric pleural thickening persists at the lung apices.

53197378

INDICATION: ___-year-old male with anxiety and chest tightness. COMPARISON: ___. CHEST, PA AND

No acute cardiopulmonary process.

11468106

The lungs remain hyperinflated. Blunting of the right costophrenic angle suggests a small pleural effusion. No definite focal consolidation is seen. The cardiac silhouette is moderately enlarged. Mediastinal contours are unremarkable. Biapical pleural thickening is seen. No evidence of pneumothorax is seen. Old mid left clavicular fracture is seen. Also old left-sided rib deformity. Severe degenerative change at the right glenohumeral joint with high-riding right humeral head concerning for rotator cuff disease. Right acromioclavicular joint degenerative change.

54309861

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with possible CVA/TIA // Eval for acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Small right pleural effusion with overlying atelectasis. COPD. Cardiomegaly.

11844680

PA and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

56863676

INDICATION: Fever and leukocytosis. COMPARISONS: None.

No acute cardiopulmonary process.

11213546

There is new left basilar opacity which partially silhouettes the left cardiac border also seen posteriorly on the lateral view. Elsewhere, the lungs are unchanged. There is no effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and coronary artery stents are noted. No acute osseous abnormalities.

58279533

WET READ: ___ ___ ___ 11:03 PM Left lingular and lower lobe consolidation worrisome for pneumonia. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with cough // Eval for infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

Left lingular and lower lobe consolidation worrisome for pneumonia.

11897950

The heart size, mediastinal, and hilar contours are normal. Faint left basilar opacity is thought to be atelectasis. No pleural effusions, or pneumothorax.

51367715

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ woman with ___ chest pain now improved. Evaluate for acute intrathoracic process. TECHNIQUE: Chest PA and lateral COMPARISON: None available.

Faint left basilar opacity is thought to represent atelectasis. However, superimposed pneumonia is difficult to exclude in the correct clinical setting.

11113918

PA and lateral views of the chest. There is mild biapical scarring. The lungs are otherwise clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips are identified in the left upper quadrant.

50419717

CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with syncope. COMPARISON: None.

No acute cardiopulmonary process.

11289183

Frontal and lateral views the chest. The lungs are hyperinflated but clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine and severe degenerative changes seen at the left shoulder. Surgical clips are identified in the right upper quadrant.

53995762

INDICATION: ___F with chest pain // acute process? COMPARISON: ___

No acute cardiopulmonary process.

11289183

The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. There is some atelectasis at the left base. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Anterior bridging osteophytes are again identified along the mid thoracic spine consistent with DISH. Left shoulder degenerative changes are again noted.

58382934

HISTORY: Chest pain. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11289183

Frontal and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal silhouette is within normal limits. Lungs are clear without consolidation. There is no pleural effusion and no pneumothorax. Left shoulder DJD and anteior bridging osteophytes along the throacic spine are noted.

56334635

INDICATION: Syncope and complaint of congestion, evaluate for infection. COMPARISON: ___

No acute cardiopulmonary abnormality.

11570499

PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm.

59512389

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Foot infection, assess for pulmonary acute process.

No signs of pneumonia or other acute intrathoracic process.

11808061

Upright PA and lateral radiographs of the chest were obtained. The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

57882528

INDICATION: Shortness of breath. Evaluate for pneumonia or edema. COMPARISON: None.

No acute cardiopulmonary abnormality.

11259380

There are low lung volumes which crowd the bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

56169272

WET READ: ___ ___ ___ 3:56 PM Low lung volumes. No acute cardiopulmonary process ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with fevers, cirrhosis // pna? TECHNIQUE: Single AP view of the chest. COMPARISON: None available

Low lung volumes. No acute cardiopulmonary process.

11053847

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen. Multiple bilateral small calcified pulmonary nodules are again seen, consistent with calcified granulomas.

56989396

HISTORY: CAD and ___ now chest pain TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process. Bilateral calcified granulomas.

11053847

There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart is normal in size. The mediastinal contours are stable and unremarkable. There are multiple bilateral small calcified pulmonary nodules again seen, consistent with calcified granulomas.

50529670

HISTORY: Altered mental status. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to radiographs dated ___.

No radiographic evidence for acute cardiopulmonary process. Bilateral calcified granulomas, stable in appearance.

11053847

There is minimal bibasilar atelectasis and calcified nodules in the left midlung as on prior. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

54789993

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with history of GBM, status post chemo radiation and resection. Possible seizure with left arm twitching, with bradycardia and hypotension following chemotherapy. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11010930

There is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. A surgical clip is noted overlying the abdomen, unchanged. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.

59593211

INDICATION: History of multiple pneumonias, most recently two and a half years ago. Recently resolved 10 days of productive cough. Concern for pneumonia. TECHNIQUE: PA and lateral chest radiographs. COMPARISONS: ___.

No acute cardiopulmonary abnormality.

11492608

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

52356186

INDICATION: ___-year-old female with bilateral lower extremity edema. Ultrasound rule out cardiomegaly. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE

No acute intrathoracic process.

11415445

The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. A nodular density with cavitation along the right lower lobe abutting the hemidiaphragm is more distinctly visible but probably decreased in size since the prior study, now with smooth margins. This may represent a resolving pulmonary infarct but should be followed with either radiography or CT within 6 months to reassess.

50154542

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Chest pain. COMPARISON: Radiographs and CT from ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary disease. Persistent nodular density along the right hemidiaphragm, suspected to represent a small cavitating nodule associated with prior infarct. However, follow-up is recommended with either radiography or CT within 6 months for surveillance.

11083755

PA and lateral views of the chest provided. Lungs appear hyperinflated. There is no focal consolidation, effusion, or pneumothorax. Biapical pleural parenchymal scarring is noted, right greater than left. Faint linear scarring in the periphery of the left mid lung noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Pectus excavatum deformity of the sternum noted. No free air below the right hemidiaphragm is seen.

58923763

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F hx of palpitations on verapamil, sarcoid p/w 2 days of left arm pain/tingling, nonexertional chest pressure COMPARISON: None

No acute intrathoracic process.

11833490

The prior exam, there is a new opacity at the left base, concerning for pneumonia or aspiration. No other opacity is identified. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is moderately enlarged, and unchanged in the prior exam. Changes from a prior CABG are noted. Sternal wires are intact. Again, there is extensive osteolysis of the distal left clavicle, right first rib, and left lateral ribs, similar to the prior exam. The left humerus is deformed, and unchanged from prior radiographs. This is consistent with an old fracture with significant callous formation.

55863939

INDICATION: Chest pain and fever. Evaluate for pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.

New left lower lobe pneumonia or aspiration. Unchanged moderate cardiomegaly. Unchanged diffuse osteolytic process, as described above, of uncertain etiology, presumably malignant.

11833490

The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged including cardiac enlargement and unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. There is a non-united fracture of the surgical neck of the humerus with attenuation of the humeral head and mild foreshortening, but already present on remote prior radiographs.

58025178

CHEST RADIOGRAPHS HISTORY: Dyspnea and leg swelling. COMPARISONS: ___ and ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11833490

AP and lateral radiographs demonstrates an enlarged heart. Patient is status post median sternotomy, wires appear intact. Clips are noted projecting over the left heart border and mediastinum. There is no overt pulmonary edema, pleural effusion, or pneumothorax. Extensive osteolytic process of the right first rib, left distal clavicle and left lateral rib is identified. There is opacification of the right apex as well as surrounding subtle patchy ossific densities about the distal left clavicle suggestive of associated soft tissue mass.

51576240

INDICATION: ___-year-old male with possible extremity fracture, preop. TECHNIQUE: AP and lateral. COMPARISON: Radiograph dated ___.

Osteolytic abnormalities with possible soft tissue involvement involving the right first rib, distal left clavicle, and lateral left rib are concerning for metastatic process.

11833490

PA and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips related to prior CABG. Surgical clips are also noted in the right upper quadrant. The lungs appear clear. No focal consolidation, effusion or pneumothorax seen. Cardiomediastinal silhouette is stable with top normal heart size. Atherosclerotic calcification seen at the aortic knob and descending thoracic aorta. The imaged bony structures appear intact with chronic-appearing deformity of the left proximal humerus. Bilateral AC joint arthropathy is noted.

51359415

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Fever, dyspnea, assess for pneumonia or CHF.

No acute intrathoracic process.

11833490

Opacities in the bilateral apices are compatible with the expansile soft tissue masses in the upper ribs. The other osseous lesions are better appreciated on the prior CT of the chest. There is new mild pulmonary edema. A small left pleural effusion and bibasilar opacities appear grossly stable in size. There is no definite right pleural effusion. No pneumothorax is identified. The patient is status post a CABG. The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged.

51202162

INDICATION: Altered mental status. Evaluate for infection. TECHNIQUE: Single AP upright view of the chest. COMPARISON: Chest radiograph ___. CT of the chest from ___.

New mild pulmonary edema. Otherwise no change from the prior CT.

11833490

The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta again seen. Median sternotomy wires and mediastinal clips are again noted. Chronic deformity of the proximal left humerus is noted.

50066750

INDICATION: ___M with generalized weakness s/p fall on coumadin // Eval for trauma TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11965661

Endotracheal tube, enteric tube, and right PICC tube are appropriately positioned. A right pleural effusion is small and left lung base is incompletely imaged, although there is likely a small pleural effusion there is well. Heterogeneous opacities in the right upper and lower lung may indicate multifocal infection. No pneumothorax.

57347192

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with severe COPD, parainfluenza 3, intubated, now with fever // ? PNA TECHNIQUE: Portable chest radiograph COMPARISON: ___

Interval increase in right apical and basal opacities possibly representing multifocal infection.

11965661

Small bilateral pleural effusions are unchanged. Heart size and mediastinal contours are stable.Endotracheal and enteric tubes are unchanged.Bilateral reticular interstitial opacities, predominantly in the lower lobes, are essentially unchanged. Hyperinflation and scattered lucencies may represent bronchiectasis and emphysema.

57095454

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with HIV, asthma, intubated for resp distress. Assess interval change. TECHNIQUE: Portable semi-upright chest radiograph COMPARISON: ___

No interval change. Stable support devices. CT chest is recommended to evaluate for chronic lung changes which are apparent on chest radiograph.

11828414

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. No air under the right hemidiaphragm is seen.

57840925

INDICATION: History: ___F with fever, cough // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiothoracic abnormality.

11929269

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

56573578

EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old man with mechanical chest pain after fall // eval for acute rib fracture TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process. No displaced fracture seen. If clinical concern for rib fracture is high, dedicated rib series or CT is more sensitive.

11411718

Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion or pneumothorax is seen though the extreme left costophrenic angle is excluded from the field of view. Multiple remote right-sided rib fractures are present.

57745966

HISTORY: Chest wall pain after altercation and fall, on coumadin. TECHNIQUE: Portable semi-upright AP view of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality.

11411718

There appears to be a more conspicuous focal consolidation at the right lower lobe. No pleural effusions or evidence of a pneumothorax is identified. Again seen is mild cardiomegaly. The mediastinal silhouette and hilar contours are unremarkable. The visualized osseous structures are unremarkable.

59302169

INDICATION: History of shortness of breath, orthopnea and PND. Please evaluate for infiltrate/edema. COMPARISON: Chest radiographs from ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.

New focal consolidation in the right lower lobe concerning for pneumonia. Recommend follow up radiographs after treatment to ensure resolution.

11411718

Lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine.

56313997

INDICATION: ___M with worsening SOB, sweating // herart failure v pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process. ___, MD

11597385

There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

56574095

EXAMINATION: Chest radiograph. INDICATION: History: ___F with dyspnea and cough // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No evidence of acute cardiopulmonary process.

11597385

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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.

56940445

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fall with headstrike, LOC and L sided rib pain // eval acute injury COMPARISON: ___

No acute intrathoracic process.

11668433

Minimal bibasilar opacities which could represent atelectasis and pleural effusion are unchanged since ___. There is no new lung consolidation. ET tube is 6.2 cm above the carina. Right-sided PICC line ends in lower SVC. NG tube is below the diaphragm. There is no pneumothorax, no new lung consolidation. Mediastinal and cardiac contours are normal.

52281991

PORTABLE AP CHEST X-RAY INDICATION: Patient with multiple strokes, rule out pneumonia. COMPARISON: Chest x-rays from ___ to ___.

There is no evidence of new consolidation.

11668433

The ET tube, NG tube and right PICC line are in unchanged expected positions. There is new left lower lung volume loss with elevation of the left hemidiaphragm and increased opacity at the left base which could represent atelectasis or consolidation. The remaining lungs are clear. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is stable.

52591640

HISTORY: Ventilator associated pneumonia. Evaluate pneumonia, atelectasis, effusion. COMPARISON: ___.

Volume loss in the left lower lung with a left basilar opacity which could represent atelectasis or consolidation.

11668433

ET tube is in adequate position, 5 cm above carina. NG tube is below carina. There is unchanged small bilateral pleural effusion with atelectasis. Mediastinal and cardiac contours are normal. There is no pneumothorax.

54070759

PORTABLE AP CHEST X-RAY INDICATION: Patient with ETT displaced. COMPARISON: ___.

The exam is unchanged with ET tube in adequate position.

11668433

New Dobbhoff feeding tube is coiled entirely within the hypopharynx. An NG tube is in unchanged position below the diaphragm. ETT and right PICC line are unchanged in satisfactory position. Otherwise, no significant change from prior exam.

59536772

HISTORY: Status post NG tube placement. COMPARISON: ___ at 5:08 and a subsequent chest radiograph on ___.

Dobbhoff feeding tube coiled entirely within the hypopharynx. Of note, this study is being dictated at a time when subsequent chest radiograph on ___ shows removal of coiled Dobbhoff tube in the hypopharynx.

11668433

ET tube is in appropriate position. The right PICC line ends in the lower SVC. The NG tube extends below the diaphragm. There is no significant change in the bibasilar atelectasis and pleural effusions. There is no pneumothorax. The cardiomediastinal contours are normal.

50349731

HISTORY: Multiple strokes found down with ARDS. Evaluate ARDS/ventilatory associated pneumonia. COMPARISON: ___.

No interval change from yesterday. Tubes and lines in appropriate position.

11668433

TheET tube and NG tube have been removed since yesterday. A feeding tube curled in the stomach and a right PICC ending in lower SVC are unchanged. Small bilateral pleural effusions with left basilar atelectasis are not significantly changed since yesterday. Cardiomediastinal silhouette is normal. No pneumothorax.

58569188

HISTORY: Found down, noted to have multiple strokes with very limited recovery and function of sedation. Evaluate interval change in ventilator associated pneumonia. COMPARISON: ___.

Interval removal of ET tube and NG tube are with no other significant change.

11668433

The Dobbhoff tube ends in the stomach. Ther right PICC line ends in the right atrium, 2 cm below the cavoatrial junction. Otherwise, there is no change in minimal bibasilar atelectasis and cardiomediastinal silhouette with no pleural effusion or pneumothorax.

50188405

WET READ: ___ ___ 12:30 AM interval DHT placement seen coursing below left hemidiaphragma nd out of view. otherwise nor change. ___ ______________________________________________________________________________ FINAL REPORT HISTORY: Stroke, now with ongoing minimal response on neuro exam. Dobbhoff placement. COMPARISON: ___ at 5:27.

Dobbhoff tube ends in the stomach. Right PICC line ends in the right atrium, consider pulling back 2 cm.

11021906

Endotracheal tube is in appropriate position 2 cm above the level of the carina. An enteric feeding tube is seen coursing midline with tip in stomach and side-port below the level of the diaphragm. Bilateral heterogeneous perihilar opacities are most consistent with noncardiogenic edema or aspiration. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

51487009

WET READ: ___ ___ 12:20 PM 1. Endotracheal tube in appropriate position. Additional support lines and tubes as described above. 2. Bilateral heterogeneous perihilar opacities are most consistent with noncardiogenic edema or aspiration. WET READ VERSION #1 ___ ___ ___ 11:53 AM 1. Endotracheal tube in appropriate position. Additional support lines and tubes as described above. 2. No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: ___F with intubated transfer from OSH. Assess ETT TECHNIQUE: Single portable frontal chest radiograph. COMPARISON: None.

Bilateral heterogeneous perihilar opacities are most consistent with noncardiogenic edema or aspiration. Endotracheal tube in appropriate position. Additional support lines and tubes as described above.

11685402

Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. There has a been interval decrease in size of the right-sided pleural effusion. There is atelectasis at the right base. Persistent retrocardiac opacity is present. Patient is status post tracheostomy, which ends 4.8 cm from the carina. Cardiomediastinal and hilar contours are unchanged.

57408527

INDICATION: ___M with fever // acute process? TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ through ___.

Persistent retrocardiac opacity. Interval decrease in size of the right-sided pleural effusion.

11685402

Right PICC terminating at the superior cavoatrial junction. Mild bilateral atelectasis mostly unchanged from prior. No pneumothorax. Mild cardiomegaly.

51997182

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with resp distress // aspiration vs CHF TECHNIQUE: Portable chest view COMPARISON: Radiographs dating back to ___

Mild stable bilateral atelectasis and low lung volumes.

11685402

There is a new ET tube with tip 3 cm above the carina. NG tube tip is off the film, at least in the stomach. Lung volumes are low and there is volume loss at both bases. The PICC line tip in the right atrium is, slightly low. This could be pulled back 2 cm to be at the cavoatrial junction

50318154

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with altered mental status and required intubation // ?position of ET tube TECHNIQUE: Portable chest COMPARISON: ___

The ET tube in good position.

11685402

Retrocardiac opacity persists. There is a new moderate right layering pleural effusion possibly with a component of atelectasis. There is a new tracheostomy terminating 3.2 cm above the carina. A right PICC line terminates approximately in the lower SVC. In and from the NG tube has been removed.

57986768

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with fevers/AMS // ?new pneumonia TECHNIQUE: Frontal chest radiograph COMPARISON: Radiographs dating back to ___.

Retrocardiac opacity persists with a new mildly sized right-sided pleural effusion.

11123733

Chest, PA and lateral radiograph demonstrates top normal heart size. The aorta is calcifiedThere is prominence of the pulmonary vasculature, suggestiong with mild volume overload and there is mild interstitial edema. There is a trace right pleural effusion. Multilevel degenerative changes are seen along the spine.

59420824

INDICATION: Question stroke or pneumonia or CHF. COMPARISON: No prior studies available for comparison.

No focal opacification concerning for pneumonia. Prominence of the pulmonary vasculature and mild interstitial edema. Trace right pleural effusion.

11123733

AP and lateral views of the chest. There is a large pleural effusion on the left which has increased in size and a moderate right pleural effusion which is also increased in size. There is likely mild pulmonary edema as well. Heart size is difficult to assess. Sternotomy wires are seen. No pneumothorax. The left PICC is in appropriate position.

58880816

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

Large left and moderate right pleural effusions have increased in size compared to ___. Mild pulmonary edema,

11123733

Lungs are hyperinflated with flattening of the diaphragms compatible with COPD. Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. Previous pattern of mild pulmonary edema has resolved. Small bilateral pleural effusions are noted. No focal consolidation or pneumothorax is seen. Minimal atelectasis is noted in the lung bases. Degenerative changes are seen within the thoracic spine.

55208039

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

Mild bibasilar atelectasis and small bilateral pleural effusions. COPD.

11123733

There are low lung volumes with collapse of the left lower lobe. There is mild pulmonary edema. There is a small right and a small moderate left pleural effusions, increased from prior exam. Median sternotomy wires and mediastinal clips are noted.

56359769

WET READ: ___ ___ ___ 5:05 PM Mild pulmonary edema. Left lower lobe collapse. Increased bilateral pleural effusions, left greater than right. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___M with abd pain, shortness of breath, hypoxia, altered mental status // CT heal: eval for ICHCT A/P: eval for pancreatitic stent locationCXR: eval for consoldiation TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is chest radiographs from ___ and ___.

Mild pulmonary edema. Left lower lobe collapse. Increased bilateral pleural effusions, left greater than right.

11123733

Cardiomegaly cannot be assessed. Large left pleural effusion is unchanged. Right pleural effusion has markedly decreased now very small. Opacities in the right lower lobe are likely atelectases. There is no pneumothorax. Sternal wires are aligned

54578915

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with chocking episode // eval for aspiration / foreign body . choked on pills TECHNIQUE: Single frontal view of the chest COMPARISON: ___.

Marked decrease in right pleural effusion. Stable large left pleural effusion.

11123733

Mild cardiomegaly is overall stable compared to the prior exam. Median sternotomy wires, clips and tricuspid valve annuloplasty ring are again noted. There has been interval increase in the moderate left pleural effusion and a persistent right effusion with adjacent compressive atelectasis. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.

54099733

HISTORY: History of decubitus ulcers. Please evaluate for infiltrate. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral radiographs of the chest.

Interval increase in moderate left effusion and grossly unchanged right effusion with adjacent opacities likely secondary to comperessive atelectasis, however an acute infectious process cannot be excluded.

11123733

Blunting of the left costophrenic angle with silhouetting of the left hip in diaphragm is most consistent less small left pleural effusion and atelectasis. There is also small right pleural effusion. Central pulmonary vascular congestion is moderate. The mass is minimal. Heart size is enlarged, unchanged. Aortic knob calcifications are moderate unchanged. Patient status post median sternotomy. Anterior compression deformity of a lower thoracic/ upper lumbar vertebral body unchanged. No pneumomediastinum or pneumothorax. No subdiaphragmatic free air.

58800322

EXAMINATION: Chest radiograph INDICATION: ___ year old man with sig abd pain. // Upright image to r/o perforation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No free air. Bilateral small pleural effusions atelectasis and mild edema.

11123733

Bilateral pleural effusions have slightly increased with moderate left pleural effusion and a small right pleural effusion, both with subsequent areas of atelectasis at the lung bases have also increased. Mild pulmonary edema has progressed since ___. Unchanged mild cardiomegaly.

50978419

INDICATION: ___ year old man with SOB and fatigue, has a Hx of CAD and CHF. // Pls assess for early CHF TECHNIQUE: Chest PA and lateral COMPARISON: ___

Mild pulmonary edema with increasing moderate and small right pleural effusions.

11123733

Since prior, there has been no significant interval change. Moderate left and small right pleural effusions are again seen with adjacent atelectasis. There is mild pulmonary edema, also similar. Moderate cardiac enlargement and atherosclerotic calcifications are noted. Median sternotomy wires are intact. Compression deformity in the lower thoracic spine is unchanged since ___.

52855807

INDICATION: ___M with shortness of breath, history of CAD // evaluate for pulmonary edema TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. ___.

No significant interval change since yesterday's exam with moderate left and small right pleural effusions and mild pulmonary edema.

11123733

Bilateral effusions appear similar to prior exam. The left lateral border of the heart is obscured by the left effusion. The mediastinal and hilar contours are normal. Signs of pulmonary edema have improved. No focal consolidation or pneumothorax. Calcifications in the aortic arch, sternotomy wires, surgical clips, and tricuspid valve ring appear similar to prior exam.

57468479

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with SOB // r/o CHF COMPARISON: Chest radiographs from___

No evidence of acute CHF. Signs of pulmonary edema have improved. Bilateral effusions appear similar to prior.

11798066

Left hemidiaphragm remains elevated from at least ___. Patient is status post right upper lung surgery and the resulting "neo-fissure" is again visualized. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unremarkable.

50182644

INDICATION: History of granulomatous disease now presenting with decompensated liver disease undergoing transplant evaluation. Evaluate for cardiopulmonary abnormalities. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No acute cardiopulmonary process.

11324800

The lungs are well inflated and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, or pneumothorax. No displaced rib fractures are identified, however if clinically indicated, a dedicated rib series or chest CT is recommended.

59559702

EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___ year old man s/p fall, c/o R rib pain. // eval for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest radiographs from ___.

No acute cardiopulmonary pathology.

11837937

Lungs are clear of consolidation. Nodular opacity projects over the left lung base. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

52840917

WET READ: ___ ___ ___ 12:56 PM Nodular opacity projects over the left lung base, potentially nipple shadow. Suggest repeat with nipple markers in place to further assess. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with AMS // eval for PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: None.

Nodular opacity projects over the left lung base, potentially nipple shadow. Suggest repeat with nipple markers in place to further assess.

11208333

Lungs are clear. No pleural effusion, edema, or pneumothorax. The heart is normal in size. Medial convexity of the ascending aorta suggests tortuosity or dilation. The descending thoracic aorta is slightly tortuous. There is pulmonary vascular engorgement. No acute osseous abnormality.

58494667

EXAMINATION: Chest radiograph INDICATION: ___ year old man with gait dysfunction concerning for new stroke. Evaluate for pulmonary pathology. TECHNIQUE: Chest PA and lateral COMPARISON: No prior imaging is available on PACS.

No acute cardiopulmonary process. Tortuous or dilated thoracic aorta.

11978994

The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Moderately severe scoliosis of the thoracolumbar spine is partially imaged.

53670658

INDICATION: ___-year-old woman with neurologic symptoms, question pneumonia. COMPARISON: No relevant comparisons available. TWO VIEWS OF THE

No acute intrathoracic process. Moderate scoliosis of the thoracolumbar spine.

11090548

The lungs are hypoinflated with crowding of vasculature. Lungs are otherwise clear. No apical cap. No pleural effusion or pneumothorax. There is stable mild cardiomegaly, likely accentuated due to low lung volumes. Mediastinal contour and hila are unremarkable. A left chest wall pacer device lead tips are in the right atrium, right ventricle, and coronary sinus.

51108208

EXAMINATION: Chest radiograph. INDICATION: ___ year old man with NICM s/p BiV icd. Assess for lead position and post procedure complications. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ CT chest without contrast ___.

Hypoinflated lungs with crowding of vasculature. Stable mild cardiomegaly. Left chest wall pacer device lead tips in appropriate position.

11255988

As compared to ___ interval increase in the right lower lobe opacities with further silhouetting of the right hemidiaphragm. Slight increase in retrocardiac opacity as well. There is no pulmonary edema or substantial pleural effusions. No pneumothorax. Right-sided Port-A-Cath terminates in the low SVC. Bilateral breast implants are again seen.

54756861

INDICATION: ___ year old woman with RSV pna // progression TECHNIQUE: Chest PA and lateral

Increasing multifocal opacities in the lower lobes.

11255988

There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, no definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

57186055

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with fever and shortness of breath // Please eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Low lung volumes without acute cardiopulmonary process.

11255988

The right subclavian line terminates at the cavoatrial junction. There is bibasilar atelectasis, but no evidence of focal consolidation. The cardiomediastinal silhouette is normal. The pulmonary vasculature is normal. There are no pleural effusions or pneumothorax.

51266331

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman 6 days after allogenic stem cell transplant with new fever // eval for pna TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph dated ___.

Right subclavian line terminating at the cavoatrial junction. Bibasilar atelectasis, but no focal consolidations to suggest pneumonia.

11255988

As compared to the prior study, new right middle lobe opacification has developed, resulting in obscuration of the right heart border on the frontal view. On the lateral view, there is a region of patchy consolidation as well as linear atelectasis in the middle lobe. Note is also made of apparent bronchial wall thickening in the perihilar regions, new compared to previous studies. Cardiomediastinal contours are normal, and there are no pleural effusions or pneumothoraces.

56889245

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of ALL, neutropenic with fever and cough. Please r/o PNA. // ___ year old woman with hx of ALL, neutropenic with fever and cough. Please r/o PNA. COMPARISON: ___.

New bilateral bronchial wall thickening and right middle lobe patchy consolidation, concerning for evolving bronchopneumonia in the setting of fever and cough.

11255988

PA and lateral views of the chest provided. Right chest wall Port-A-Cath is present with right IJ insertion and catheter tip in the mid SVC. The lungs are clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette is normal. No signs of congestion or edema. Bony structures are intact.

59614902

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ALL presenting with fever // ? infection COMPARISON: Prior exam from ___ and PET-CT from ___

No acute intrathoracic process.

11255988

The tip of the right Port-A-Cath terminates in the mid SVC. Lungs are clear of consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities.

55628449

EXAMINATION: CHEST (PA AND LAT) INDICATION: Hx of ALL. S/P Allo with worsening cough. Please r/o PNA. // Hx of ALL. S/P Allo with worsening cough. Please r/o PNA. TECHNIQUE: PA and lateral chest radiograph COMPARISON: Chest radiograph ___

No acute cardiopulmonary process.

11255988

Right infusion port catheter terminates in the low SVC. Compared to ___, areas of heterogeneous opacification involving the right mid and lower lungs and left base have significantly improved. Minimal effusion, if any, on the right, likely with some accompanying atelectasis. No left pleural effusion. Heart size is normal. Mediastinal and hilar contours are normal.

59746194

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ALL // pre bmt eval post RSV, patient also with new pain over port with some erythema. Please confirm placement. TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Multiple chest radiographs, most recent ___.

Right infusion port catheter terminates in low SVC.

11255988

Right Port-A-Cath terminates in the mid SVC. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.

56464690

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of ALL. Day + ___ s/p Allo with cough. Please r/o PNA. // ___ year old woman with hx of ALL. Day + ___ s/p Allo with cough. Please r/o PNA. TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.

No evidence of pneumonia.

11255207

Single AP chest radiograph demonstrates biapical ill-defined opacities. Calcific density along the lateral right lower hemi thorax and additionally in the left hemithorax at the same level likely reflect pleural calcification. Prior seventh left rib fracture is noted. Lungs appear hyperinflated with flattening of the diaphragms. Cardiomediastinal and hilar contours are otherwise within normal limits.

58877114

INDICATION: ___-year-old male pre operative evaluation. COMPARISON: None available.

Biapical opacities for which additional lordotic views are warranted for better localization and characterization. Calcific densities along the bilateral lower lung zones laterally, most compatible with pleural calcifications. Findings communicated to the house staff NP ___ by Dr. ___ ___ telephone at 15:53 on ___.

11679259

The lungs are hyperinflated, unchanged. No focal consolidation, pleural effusion, or pneumothorax identified. Heart size is within normal limits. Aortic arch calcifications and intact median sternotomy wires with mediastinal clips are unchanged.

55236169

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with hypoxia. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ and ___.

No evidence of focal consolidation concerning for pneumonia. Unchanged hyperinflated lungs.

11679259

The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Aortic arch calcifications are again noted. No acute osseous abnormalities are identified. Median sternotomy wires are intact.

56228367

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall, R hip pain // r/o fx. Also hypoxic - r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Hyperinflated lungs, without acute cardiopulmonary process.

11722704

The heart size is in the upper limits of normal although increased from prior study. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. There are no pleural effusions. No consolidation is noted. There are degenerative changes in the thoracic spine.

57693560

WET READ: ___ ___ 3:35 PM Findings were discussed by Dr. ___ by telephone with Dr. ___ at 15:33 ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with L upper back pain . // ? Mass TECHNIQUE: Chest PA and lateral COMPARISON: ___

Compression of an upper thoracic vertebral body possibly T6 ,this is of indeterminate age but new from ___. No evidence for a mass or other abnormality in the chest.

11146299

A left pigtail pleural catheter is unchanged in location, projecting over the left ventricle. A moderate loculated left pleural effusion is not significantly changed in size. There is a small right pleural effusion, unchanged. Heterogeneous bilateral lower lung opacities are likely minimal atelectasis, not significantly changed. There is mild interstitial pulmonary edema, unchanged. The heart size and mediastinal contours are unchanged. Midline sternotomy wires are again noted. There is no pneumothorax.

58341178

INDICATION: Malignant loculated pleural effusion, status post chest tube placement, now with worsening hypoxia and minimal drain output. Evaluate for enlargement of effusion. COMPARISON: Chest radiograph from ___.

Unchanged moderate loculated left pleural effusion. Unchanged small right pleural effusion. Unchanged mild interstitial pulmonary edema. Unchanged bibasilar opacities, likely atelectasis.

11146299

Frontal and lateral chest radiographs demonstrate multiple sternotomy wires. The cardiomediastinal silhouette appears normal. Again seen is a large multiloculated left pleural effusion, bigger since yesterday. Nevertheless there is improve aeration in the left upper lobe--___ left heart border is slightly less obscured. There is no right pleural effusion. No pneumothorax is present.

57311899

HISTORY: Lung cancer, now with dyspnea and chest pain. COMPARISON: Chest radiographs from ___ and ___.

Progressive enlargement of a large multiloculated left pleural effusion over the past day, with slightly improved aeration in the largely atelectatic left lung.

11146299

Portable semi-upright radiograph of the chest demonstrates low lung volumes with some bronchovascular crowding. There are small bilateral pleural effusions, right greater than left, with adjacent atelectasis. The right upper lobe opacity is somewhat less conspicuous on this exam. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.

53450119

HISTORY: ___-year-old female with recent biopsy of right lung mass and pulmonary hemorrhage. Evaluate for interval change. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___.

Small bilateral pleural effusions, right greater than left, with adjacent atelectasis.

11146299

Frontal and lateral chest radiographs again demonstrate multiple sternotomy wires and a pigtail catheter within the left hemithorax. The loculated left pleural effusion appears slightly decreased compared to the most recent chest radiograph, with improved aeration of the left lung. Right lung aeration appears unchanged. A minimal right pleural effusion is new. The cardiomediastinal silhouette is unchanged. There is no focal consolidation or pneumothorax.

56596013

HISTORY: Lung adenocarcinoma, with a presumed parapneumonic effusion on the left, with the pigtail catheter to waterseal. Evaluate for interval change. COMPARISON: Chest radiographs from ___, ___, and ___.

Slightly decreased loculated left pleural effusion with improved aeration of the left lung. New minimal right pleural effusion.

11126209

2 views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous aortic contour.

59752674

HISTORY: Shortness of breath. COMPARISON: None.

No acute intrathoracic process.

11992076

Bilaterally, there are 2 apical curvilinear lines which could relate to rib margins, but raise the possibility of pneumothorax, however these are not seen on CT dated ___. The cardiomediastinal silhouette is largely unremarkable on this portable film. Mild atelectatic changes are seen at the bases. There is prominent small and large bowel gas seen.

58541327

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with mental retardation and ?chest discomfort s/p trauma (pedestrian struck) // assess for pneumo, fracture, mediastinal widening assess for pneumo, fracture, mediastinal widening TECHNIQUE: Portable chest film COMPARISON: None available

Bilateral apical curvilinear lines which could be related to ribs, but raise the possibly of pneumothorax. However, no pneumothorax is seen on CT dated ___.

11822994

The lungs are well expanded but clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

52918117

INDICATION: ___M with edema // eval chf TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11097412

Two frontal images of the chest demonstrate NG tube coiled in the hypopharynx. ET tube is again seen in appropriate position. Bibasilar atelectasis is seen. There are low lung volumes, likely secondary to poor inspiration. There is no pneumothorax or other complications.

57405269

INDICATION: ___-year-old male with right stroke and intubation, now requiring assessment for NG tube placement. COMPARISON: Comparison is made with chest radiograph from ___, earlier the same date, ___.

NG tube coiled in the hypopharynx. Bibasilar atelectasis.

11097412

AP single view of the chest has been obtained with patient in semi-erect position. Comparison is made with the next preceding similar study obtained one and a half hours earlier during the same day. During the interval, an NG tube has been placed but is seen to reach well below the diaphragm, pointing in the stomach in the direction towards the pylorus. No interval changes are seen on the portable chest examination in comparison with the preceding study.

52644969

TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with right middle cerebral artery infarct, now intubated and ventilated. Evaluate NG tube placement.

Appropriate position of NG tube.