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

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11097412	Small area of left lower lobe consolidation is stable since ___, but new since ___ and could be compatible with atelectasis; however, superimposed pneumonia or aspiration could also be considered in appropriate clinical settings. Right lower lung atelectatic band is small. Mediastinal and cardiac contours are normal. NG tube is in the stomach and ET tube ends 4.2 cm above the carina. Left-sided PICC line ends in the lower SVC.	53062898	PORTABLE AP CHEST X-RAY INDICATION: Patient with fever, on ventilator. COMPARISON: ___ in this patient with acute stroke.	The patient is here for an ischemic stroke. Left lower lobe consolidation is new since ___, could be atelectasis; however, an aspiration or pneumonia could be considered in appropriate clinical settings. Dr. ___, resident has been verbally contacted for the results.
11752936	Heart size is normal. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a moderate right and small left pleural effusion. Adjacent bibasilar atelectasis is noted. There is a 4 mm nodular opacity overlying the left mid lung. Small bilateral, right greater than left, pleural effusions. No pneumothorax is seen. There are no acute osseous abnormalities.	54511931	WET READ: ___ ___ ___ 6:17 PM Moderate right and small left pleural effusions with adjacent atelectasis. A 4 mm density over the left mid lung suspicious for pulmonary nodule, potentially calcified. Consider nonurgent chest CT follow-up for further characterization. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with ___ edema, bnp elevation. no dyspnea. // please eval for acute abnormality, evidence of fluid overload TECHNIQUE: Chest upright AP and lateral COMPARISON: Same-day CT abdomen and chest radiograph	Moderate right and small left pleural effusions with adjacent atelectasis. A 4 mm density over the left mid lung suspicious for pulmonary nodule, potentially calcified. Consider nonurgent chest CT follow-up for further characterization.
11849669	PA and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. Radiopaque density again projects over the anterior right neck. Soft tissues and osseous structures are otherwise unremarkable.	54806426	HISTORY: ___-year-old male with weakness. COMPARISON: ___.	No acute cardiopulmonary process.
11849669	PA and lateral views of the chest were provided. There is chronic elevation of the right hemidiaphragm. Low lung volumes also limit evaluation. There is no clear evidence for pulmonary edema, effusion, or pneumonia. Overall, cardiomediastinal silhouette appears stable. Bony structures are intact. A tiny radiodensity in the right neck soft tissues is stable from prior.	57958280	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Asymptomatic hypertension, question heart failure.	No signs of CHF.
11653931	The lungs are fully expanded and clear. The cardiomediastinal and hilar contours normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. Multilevel anterior ossification of the thoracic spine, likely reflects DISH.	59768774	INDICATION: ___F with fever status post panniculectomy. COMPARISON: Chest radiograph ___. TECHNIQUE PA and lateral views of the chest.	No acute cardiopulmonary process.
11653931	The hemidiaphragms are mildly elevated and the lung volumes are low, resulting and artificial magnification of the heart and mediastinum, as well as left lung base subsegmental atelectasis. There is no pneumothorax or pleural effusion. Regional bones and soft tissues are unremarkable.	50891989	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female status post panniculectomy; evaluate for cause of new tachycardia. TECHNIQUE: Single portable AP view radiograph of the chest from ___. COMPARISON: None available.	Hypoinflated lungs with left lung base subsegmental atelectasis.
11917356	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	51001191	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with left sided chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11503781	The lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine without acute osseous abnormality.	58704826	INDICATION: ___F with AMS // Eval for infiltrate TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11315228	Frontal and lateral chest radiographdemonstrates minimal pulmonary edema. No focal opacity. Persistent large cardiomegaly is noted. Mediastinal widening has slightly increased since previous examination and is likely accentuated likely due to low lung volumes. No pleural effusion or pneumothorax. Aortic arch calcifications are noted. Hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Multilevel degenerative changes are present throughout the thoracolumbar spine. Stable compression fracture of L2 vertebral body since ___.	55139257	WET READ: ___ ___ 4:17 PM 1. Minimal pulmonary edema. No pneumonia. 2. Persistent large cardiomegaly. 3. Mediastinal widening has slightly increased since previous examination, likely accentuated due to low lung volumes. 4. Stable compression fracture of L2 vertebral body, unchanged since ___ ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Chest pain. Assess for acute process. COMPARISON: Chest radiograph ___, ___, ___.	Minimal pulmonary edema. No pneumonia. Persistent large cardiomegaly. Mediastinal widening has slightly increased since previous examination, likely accentuated due to low lung volumes. Stable compression fracture of L2 vertebral body, unchanged since ___.
11296029	The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen peer there is no pleural effusion or pneumothorax peer The cardiac and mediastinal silhouettes are unremarkable. Multilevel degenerative changes are noted along the spine.	53177704	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // pna? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No focal consolidation to suggest pneumonia.
11296029	The initial view of the chest demonstrate a nasoenteric tube coiled in the mid esophagus. Subsequent view demonstrates the nasoenteric tube at the GE junction with the tip pointing superiorly. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation. The stomach is dilated. An apparent lucency under the right hemidiaphragm represents superimposed large bowel loops.	57670536	INDICATION: ___F with high grade SBO s/p NGT, evaluate NG tube position. COMPARISON: Abdomen and pelvic CT from ___. TECHNIQUE Two portable views of the chest.	Nasoenteric tube at the GE junction with the tip pointing superiorly.
11296029	An endotracheal tube terminates 5.8 cm above the carina. The lung volumes are low. Bibasilar atelectasis is slightly worse, and central pulmonary vascular engorgement is again seen without edema. There is no pneumothorax, pleural effusion, or focal consolidation.	57946707	INDICATION: ET tube placement. COMPARISON: Radiograph available from ___ @ ___ a.m. FRONTAL CHEST	ET tube terminating 5.8 cm above the carina. Increased atelectasis since ___ a.m.
11286783	Frontal and lateral chest radiograph demonstrate clear lungs without focal consolidation. There is bilateral basilar atelectasis and no pleural effusion. No pneumothorax. Pulmonary vasculature is unremarkable. The cardiomediastinal and hilar contours unremarkable.	51819807	HISTORY: ___-year-old male with left facial droop. Evaluate for intrathoracic process. COMPARISON: None available.	No acute intrathoracic process.
11988567	The heart size is normal. The mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta. Diffuse thoracic aortic calcifications are also noted. The pulmonary vascularity is not engorged. Hyperinflation of the lungs is again noted. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. Cholecystectomy clips are demonstrated within the right upper quadrant. Remote right-sided rib fracture is present.	57130517	HISTORY: Chronic smoking, weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph. ___ chest CT.	No acute cardiopulmonary abnormality. Hyperinflated lungs suggestive of underlying COPD.
11977464	Frontal lateral views of the chest were performed. There is apparent obscuration of the right heart border, however, without a consolidation seen on the lateral view, likely positional. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The hilar structures are unremarkable. The imaged upper abdomen appears normal.	56113589	HISTORY: Shortness of breath and cough, evaluate for pneumonia. The patient also has a history of asthma. COMPARISON: None.	No acute cardiopulmonary process.
11921802	The heart is at the upper limits of normal size. The aortic arch is partly calcified. The mediastinal and hilar contours appear unchanged. There is a convex contour to the right upper mediastinum, but shown to reflect tortuosity of the innominate artery on the neck CT from the same day and similar to the earlier chest radiographs. Streaky opacity in the lingula suggests atelectasis. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes are similar along the thoracic spine.	51782436	CHEST RADIOGRAPHS HISTORY: Neck mass. COMPARISONS: Prior radiographs from ___ and earlier CT from the same day. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11561883	Frontal and lateral views of the chest. Relatively low lung volumes are seen. There is no evidence of consolidation or effusion. The cardiomediastinal silhouette is within normal limits given this limitation. No acute osseous abnormalities detected.	56943669	HISTORY: ___-year-old female with chest pain. COMPARISON: ___.	No acute cardiopulmonary process.
11867643	Frontal supine view of the chest was obtained. Endotracheal tube terminates 5.4 cm above the carina, similar to prior. OG tube terminates below the diaphragm. Left pleural tube is in similar position to prior. There has been interval improvement in right upper lung opacity, likely representing improved aeration of the right upper lobe with overall improved right lung volumes. Opacity at the bilateral bases, right greater than left, may represent asymmetric edema. No pneumothorax is seen. The cardiomediastinal silhouette is stable.	54860527	INDICATION: ___-year-old female with pneumothorax, now with chest tube to waterseal. Evaluate for interval change. COMPARISONS: Multiple prior chest radiographs, most recently of ___ at 4:30 a.m.	Improved aeration of the right upper lobe. Bibasilar vague opacities, right greater than left, is compatible with asymmetric edema.
11867643	ET tube terminates approximately 6 cm from the carina in correct position. Right pleural tube is oriented superiorly. Consolidations and patchy opacities in the right lower lung are somewhat decreased from prior study, although still could be infectious, however there is progressive right upperlobe collapse, new since the CT from yesterday. Left lung is essentially clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No large pleural effusion is seen. No overt evidence of the known pneumothorax on this study.	58948695	HISTORY: ___-year-old woman status post intubation after being found down. Please evaluate for interval change. COMPARISON: ___ CT and radiograph.	Progressive right upper lobe collapse.
11867643	Lung volumes are slightly low but the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	55956759	INDICATION: ___F with altered mental status // r/o PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: None.	No acute cardiopulmonary process.
11867643	Endotracheal tube terminates approximately 4 cm from the carina. An apical right chest tube is in unchanged position. No pneumothorax is identified. There is substantial volume loss in the right lung evidenced by shift of the mediastinum to the right and an additional new opacity in the right upper lobe may be the sequela of collapse. The left lung is essentially clear. Adjacent to to the mediastinum is noted as a lucent sliver consistent with air tracking along the right heart border.	51512425	HISTORY: ___-year-old woman with pneumomediastinum, now with chest tube to waterseal. Question interval change. COMPARISON: ___ radiographs and CT torso from ___.	Pneumomediastinum. Progressive collapse of the right upper lobe.
11867643	Bilateral low lung volumes. New right base linear atelectasis seen. Otherwise lungs are clear. Cardio mediastinal silhouette is unchanged. There is no pneumothorax or pleural effusion.	51498901	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new O2 requirement // any evidence of infection or atelectasis or fluid TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___	New right base linear atelectasis with bilateral low lung volumes
11867643	The left costophrenic angle is excluded from view. An NG tube is appropriate. An ET tube is going into the right main stem bronchus and should be withdrawn by 2.5 cm for optimal position. The partially imaged lungs are clear.	53116964	INDICATION: ___-year-old female with altered mental status who was intubated. COMPARISON: No relevant comparisons available. ONE VIEW OF THE	The ET tube appears to go in the right main stem bronchus and should be withdrawn by 2.5 cm. These findings were communicated via telephone with ___ MD at 2:40 p.m. on ___ after discovery at 2:33 p.m. on ___.
11867643	Frontal view of the chest was obtained. Endotracheal tube terminates 4.1 cm above the carina. OG tube terminates below the diaphragm. Right pleural tube present on ___ at 3:48 a.m. is removed. Homogeneous opacification of the right upper lobe is compatible with collapse. No substantial pleural effusion or pneumothorax is seen. Heart size and cardiomediastinal contours are stable.	54006205	INDICATION: ___-year-old female with severe DKA and hypernatremia, now intubated. Evaluate for interval change. COMPARISONS: Multiple prior chest radiographs, most recently ___ at ___.	New right upper lobe collapse. Right pleural tube is removed since ___. Findings were communicated via phone call by ___ to ___, MICU resident, at 09:50 a.m. on ___.
11936312	An endotracheal tube terminates 6 cm above the carina. Lung volumes are low with bibasilar atelectasis. Linear density projecting over the lateral left heart border may reflect a dense focus of linear atelectasis or pleural plaque. There is an apparent 1.5 cm cavitary lesion with a relatively thick rim in the lateral mid left lung. Mild cardiomegaly with pulmonary vascular congestion. The 2 most superior median sternotomy wires are fractured in multiple places. Pleural effusions are small, if any.	50880556	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man s/p cardiac arrest now intubated // Evaluate ET tube TECHNIQUE: Portable AP chest COMPARISON: None	ETT terminates 6 cm above the carina. Fractured median sternotomy wires. Mild cardiomegaly with pulmonary vascular congestion, but no overt edema. Apparent 1.5 cm cavitary lesion in the lateral mid left lung. Recommend dedicated PA and lateral radiographs for further evaluation,when feasible.
11936312	Interval extubation. Lung volumes are relatively low. A 1.4 cm nodular opacity in the lateral left lung is unchanged. Central lucency is raises the possibility of cavitation. A linear density projecting over the left heart border is unchanged. Trace left pleural effusion. Top normal heart size is unchanged. Cardiomediastinal hilar silhouettes are unchanged. A median sternotomy wires are midline, some fractured, unchanged.	55170467	EXAMINATION: PA and lateral INDICATION: ___ year old man with CAD s/p 4vCABG, s/p PEA and VT arrest. // Interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___ portable chest radiograph	Interval extubation, but otherwise no significant change. Persistent lateral left lung nodular opacity with features raising the possibility of cavitation. Recommend nonurgent dedicated CT for further evaluation. Probable pleural plaque overlying the left heart border. Correlation with asbestos exposure history recommended.
11072524	Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.	59660662	EXAMINATION: PA and lateral INDICATION: ___ year old woman with positive PPD // r/o active TB TECHNIQUE: Chest PA and lateral COMPARISON: None	No radiographic evidence of active or latent pulmonary tuberculosis. Normal chest.
11784091	Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is present. Heart size is difficult to evaluate but appears mildly enlarged. The aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary edema is new since the previous chest radiograph. Confluent opacities are seen within the left mid lung field and left lower lobe concerning for pneumonia. Additional ill-defined nodular opacities are seen within the right lung compatible with small airways disease, better assessed on the previous CT. Small left pleural effusion is unchanged. A gastric lap band is incompletely imaged.	57072945	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with right internal jugular central line placement TECHNIQUE: Portable upright AP view of the chest COMPARISON: Reference CT chest ___ at 15:59 chest radiograph ___ 12:12	Right internal jugular central venous catheter tip in the mid SVC. No pneumothorax. New mild pulmonary edema. Small left pleural effusion. Multifocal pneumonia, not substantially changed in the interval.
11784091	Cardiac silhouette is enlarged and the aorta is tortuous, both without change. Lung volumes remain relatively low. Pulmonary vascularity is within normal limits accounting for this factor. Bibasilar areas of atelectasis are again demonstrated, slightly worse on the right and slightly improved on the left. There remains moderate elevation of the right hemidiaphragm anteriorly. No substantial pleural effusion. Diffusely distended loops of bowel are seen in the imaged portion of the upper abdomen, incompletely imaged on this chest radiograph exam.	59628079	PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph.	Bibasilar atelectasis. Distended loops of bowel in imaged upper abdomen, for which dedicated abdominal radiographs may be helpful to distinguish ileus from obstruction if warranted clinically.
11784091	There is interval mild decreased consolidation in the left axillary region. A right jugular line has been removed. There is mild persistent pulmonary vascular redistribution. Mild bibasilar opacities are unchanged. No pneumothorax. The remainder of the study is unchanged.	53913730	EXAMINATION: Chest x-ray INDICATION: ___F s/p ___adj lap band (Dr. ___), OSA on home BiPap, aspiration PNA ___, transferred from ___ with chief complaint of aspiration PNA // evaluate for pneumonia TECHNIQUE: Portable AP chest COMPARISON: ___	Mild interval decreased consolidation in the left lung. Reviewed with Dr. ___.
11154911	The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal.	53720593	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman, total right hip replacement. COMPARISON: Chest radiograph dated ___.	No acute cardiopulmonary process.
11154911	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.	52029563	HISTORY: ___-year-old female with shortness of breath. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___.	No radiographic evidence for acute cardiopulmonary process.
11154911	Lung volumes are low. The heart size is accentuated as a result, and likely is mildly enlarged. There is mild pulmonary vascular congestion. The mediastinal contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.	52640903	HISTORY: Altered mental status. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: Chest radiograph ___.	Mild cardiomegaly with mild pulmonary vascular congestion.
11154911	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.	57269689	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Liver transplant, on immunosuppression, with new cough. COMPARISON: ___.	No acute cardiopulmonary process.
11154911	Single frontal view of the chest was obtained. There has been slight interval improvement of diffuse pulmonary edema. A layering right pleural effusion is of similar size to prior. Bilateral lung base opacities are compatible with atelectasis. The heart size remains enlarged. A new Dobbhoff feeding tube is coiled in stomach, not in post-pyloric position. A Swan-Ganz catheter is in similar position to prior.	57423120	INDICATION: ___-year-old female with PBC status post liver transplant. Evaluate Dobbhoff placement. COMPARISONS: Multiple prior chest radiographs, most recently of the same day at 05:00 a.m.	New Dobbhoff feeding tube coiled within the stomach. Slight interval improvement in pulmonary edema, with similar appearance of layering right pleural effusion.
11154911	PA and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Position of diaphragm is unremarkable. No pneumothorax in the apical area on the frontal view. Skeletal structure of the thorax grossly within normal limits. There exists no prior chest examination or records available for comparison.	51353880	TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with cirrhosis, assess for lesions within the chest.	Unremarkable normal chest findings in ___-year-old female patient with history of cirrhosis.
11154911	PA and lateral chest radiographs demonstrate clear lungs bilaterally with no focal consolidation identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality. No free intrabdominal air.	58615457	HISTORY: ___-year-old female with nausea. COMPARISON: Chest radiograph dated ___.	No acute intrathoracic abnormality.
11500505	Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiac silhouette is slightly enlarged. Atherosclerotic calcifications noted at the aortic arch. Severe degenerative changes seen at the left shoulder. There is no visualized displaced rib fracture.	51175144	HISTORY: ___-year-old female status post fall with rib pain. COMPARISON: None listed.	No acute cardiopulmonary process. If high clinical concern and more detailed evaluation desired , dedicated rib series can be obtained.
11500505	PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart is top normal in size though stable. The mediastinal contour appears normal. Imaged osseous structures appear intact, though there is severe degenerative disease at the left shoulder partially imaged.	58042002	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Shortness of breath, assess for pulmonary edema.	No acute findings in the chest. Top normal heart size. Degenerative changes of the left shoulder joint.
11204536	Frontal and lateral views of the chest. Low inspiratory effort seen particularly on the frontal view with secondary crowding of the bronchovascular markings. The lungs however are clear of consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified. VP shunt catheter seen tracking along the anterior chest wall and neck.	50222604	HISTORY: ___-year-old female with cough and malaise. COMPARISON: ___.	No acute cardiopulmonary process.
11222907	AP upright and lateral views of the chest provided demonstrate hyperinflated lungs without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.	55662185	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old man with TIA, question infection.	No acute intrathoracic process.
11770415	Frontal and lateral views of the chest were obtained. Previously seen pulmonary opacities have essentially resolved in the interval with possible small focus of opacity in the right upper lung medially. Recommend followup to resolution, consider oblique radiograph. Cardiac and mediastinal silhouettes are unremarkable. No evidence of pneumothorax or large pleural effusion.	55514889	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Fever. COMPARISON: ___.	Previously seen pulmonary opacities have essentially resolved in the interval with possible small focus of opacity in the right upper lung medially. Recommend followup to resolution, consider oblique radiograph.
11770415	Compared to prior chest x-rays there is improvement of the bilateral opacification especially in the right lung for reduced vascular congestion. Ventilation of the left base is improved for reduced atelectasis. There is no pleural effusion or pneumothorax. Reticular changes with mild hyperlucency in the upper lobes is for emphysema. Cardiac size is normal.	56266234	HISTORY: ___ years old woman with pulmonary edema. INDICATION: Evaluation of pulmonary edema. COMPARISON: Exam is compared to chest x-ray of ___.	Reduced pulmonary edema especially on the right with improved left base ventilation for reduced atelectasis.
11892979	PA and lateral views of the chest. There are confluent regions of consolidation in the posterior segment of the right upper lobe as well as the right lower lobe which are new since prior. There is persistent opacity in the lingula which is similar to prior. Cardiomediastinal silhouette is unchanged. No acute osseous abnormalities.	57141153	WET READ: ___ ___ ___ 2:46 PM Multifocal right-greater-than-left parenchymal opacities compatible with pneumonia. Recommend repeat after treatment to document resolution to exclude underlying mass given that some of these opacities havewere also seen on prior in ___. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with pneumonia now with worsening dyspnea. COMPARISON: ___.	Multifocal right-greater-than-left parenchymal opacities compatible with pneumonia. Recommend repeat after treatment to document resolution to exclude underlying mass given that some of these opacities were also seen on prior.
11892979	Since the chest radiograph obtained approximately 2 weeks prior, no significant changes are appreciated. Lungs are fully expanded and clear without focal consolidation or effusions. There is unchanged dilation of the aortic knob and tortuous descending aorta. Cardiomediastinal hilar silhouettes are otherwise normal. Pleural surfaces are normal.	58133084	EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman with hx of myeloma, pulm htn and copd. Cough and dyspnea with rhonchi. Please r/o PNA. // ___ year old woman with hx of myeloma, pulm htn and copd. Cough and dyspnea with rhonchi. Please r/o PNA. TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral chest radiographs dated ___	No radiographic evidence of pneumonia or acute cardiopulmonary abnormalities.
11892979	Right-sided PICC has been removed. No pneumothorax. There is increased lung volume with interval decrease in the bibasal opacities. No acute focal consolidation. No pleural effusions. Mild cardiomegaly with unfolding of the thoracic aorta.	54373536	INDICATION: ___ year old woman with multiple myeloma, pneumonia in ___ // eval for clearance of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___	Interval improvement of the left lower lobe pneumonia.
11892979	Since the prior study, there has been increase/development of small bilateral pleural effusions. Increased bibasilar opacities could in part relate to pleural effusions and overlying atelectasis, although also relate to new consolidation, possibly from pneumonia. Linear configuration bilateral mid lung opacities may be due to atelectasis. Slight increase in prominence of the hila raises concern for central pulmonary vascular engorgement. The cardiac and mediastinal silhouettes are grossly stable. There is angulation of several lateral left ribs suggests prior rib fractures.	59920335	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dyspnea, history of multiple myeloma. COMPARISON: ___.	New small bilateral pleural effusions with overlying atelectasis. Increased basilar opacities which may in part relate to pleural effusions and atelectasis; however, there is concern for underlying pneumonia. Prominence and indistinctness of the hila suggests vascular congestion. Areas of atelectasis bilaterally.
11892979	Compared to ___, atelectasis of right lung base is improved and left lung base is increased. Evaluation for pneumonia is difficult due to the chronic interstitial changes at bilateral lung bases. There appears to be focal area of opacification in the right base, which may be pneumonia in correct clinical setting. There is minimal left pleural effusion. Pulmonary vessel congestion is mild. Cardiomediastinal silhouette is normal size.	58312790	INDICATION: // ___ year old woman with hx of myeloma. Cough, dypnea. Please r/o PNA EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral view COMPARISON: Chest radiograph ___	Evaluation for pneumonia is difficult due to the chronic interstitial changes at bilateral lung bases. There appears to be focal area of opacification in the right base, which may be pneumonia in correct clinical setting.
11892979	A right internal jugular catheter and right-sided PICC are unchanged in appearance compared to the prior study. Moderate cardiomegaly and pulmonary vascular congestion persists. The previously demonstrated bilateral airspace opacities are slightly improved, suggesting resolving pulmonary edema. Linear atelectasis in the left mid lung. Persistent left lower lobe atelectasis. There is likely a small left pleural effusion. No pneumothorax seen.	52754342	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with tachypnea // eval int change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	Slight interval improvement in the previously demonstrated airspace opacities likely reflects resolving pulmonary edema. Persistent left lower lobe and left mid lung atelectasis.
11892979	Frontal and lateral views of the chest demonstrate persistent bibasilar opacities. There has been interval improvement in vascular congestion. Cardiomediastinal silhouette is unchanged. Small bilateral pleural effusions are stable. There is no pneumothorax.	52849245	HISTORY: History of emphysema with worsening oxygen requirements and fevers. COMPARISON: Chest radiographs from ___ through ___. Chest CT ___.	Persistent bibasilar opacities raises the concern for infection. Improved vascular congestion. Findings were discussed with Dr. ___ by Dr. ___ ___ the telephone on ___ at 11:45, 30 minutes after they were made.
11892979	Again seen is hyperinflation suggestive of COPD. The cardiomediastinal silhouette is enlarged, but unchanged. The aortic knob appears high-riding, at the upper limits of normal in diameter, but unchanged. Pulmonary hila are prominent with a tapered appearance which could reflect presence pulmonary hypertension, though they are also somewhat irregular in contour. There is upper zone redistribution and mild prominence of interstitial markings, with peribronchial cuffing and with ___ B-lines noted at the lower left chest wall. Atelectasis and thickening of the bronchovascular markings in the right cardiophrenic region is again noted, though less pronounced. This could represent a site of resolving aspiration, infection, or atelectasis. Again seen is patchy retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation. No gross effusion. Focal density in the left anterior rib likely represents side of an old healed fracture or artifact due to overlapping rib shadows. Medial portion of both lung apices is obscured by the the patient's chin. Again seen is mild loss of height of ___ mid thoracic vertebral bodies, question T7 and T8.	59609708	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with h/o aspiration pna now with fever, hypoxia and hypotension // PNA? . Review of prior imaging studies suggest a history of myeloma. COMPARISON: Chest x-ray from ___. Targeted review of chest CT from ___.	Cardiomegaly and background COPD. Possible pulmonary hypertension. Left lower lobe collapse and/or consolidation, relatively similar to the prior study. Resolving changes in the right cardiophrenic region consistent with resolving atelectasis, infection and/or site of aspiration. Upper zone redistribution with evidence for interstitial thickening, question chronic versus interstitial edema.
11938979	Frontal and lateral views of the chest. The lungs are clear of confluent consolidation, effusion, pulmonary vascular congestion. Degree of cardiomegaly is unchanged. No acute osseous abnormality is detected.	51368347	HISTORY: ___-year-old female with dyspnea. COMPARISON: ___.	No acute cardiopulmonary process.
11938979	Portable single frontal chest radiograph was obtained. Lung volumes are very low with crowding of bronchovascular structures. There is no appreciable pneumothorax. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion.	56737595	HISTORY: Patient status post transbronchial biopsy, eval interval change. COMPARISON: ___.	No radiographic evidence for acute cardiopulmonary process.
11938979	AP portable upright chest radiograph was provided. Lung volumes are low which limits evaluation as well as the presence of overlying EKG leads. Allowing for limitations, the lungs are clear. The heart remains mildly enlarged. No pneumothorax or effusion is seen. No overt edema or definite signs of pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.	55536514	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest CTA from ___. CLINICAL HISTORY: Chest pain and shortness of breath.	Mild cardiomegaly stable, no overt signs of edema or pneumonia.
11938979	There is moderate-to-severe enlargement of the cardiac silhouette which is relatively unchanged compared to the prior study. The pulmonary vascularity is normal. The mediastinal and hilar contours are unremarkable. There are low lung volumes with minimal atelectasis in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	50259788	INDICATION: Substernal chest pain. COMPARISON: ___. PA AND LATERAL VIEWS OF THE	No radiographic evidence for pneumonia or congestive heart failure.
11938979	Frontal and lateral views of the chest demonstrate marked cardiac enlargement, similar, however, as compared with ___. There is mild interstitial prominence, overall suggestive of a component failure. Prominent mediastinal contour particularly left of the paratracheal line persists. There are new opacities in the right upper lung, compatible with pneumonia. There is no large pleural effusion or pneumothorax.	56215117	INDICATION: ___-year-old female with shortness of breath on exertion and chest tightness for two days. Question pneumonia. COMPARISON: ___.	Right upper lobe pneumonia. Recommend followup to resolution once treated. Cardiomegaly and interstitial prominence, compatible with mild failure.
11187242	PA and lateral views of the chest were provided. Lung volumes are low on the frontal projection with basilar atelectasis. The heart appears top normal in size. Bronchovascular crowding likely accounts for the increased reticular opacities seen throughout the lungs. No pneumothorax is seen. No large effusion. Cardiomediastinal silhouette appears prominent though stable. No acute osseous abnormality.	54994610	HISTORY: ___-year-old female with syncope. COMPARISON: Prior study dated ___.	Limited study without acute abnormalities.
11695792	The endotracheal tube is seen with tip approximately 5.9 cm from the carina. Enteric tube tip in the gastric body although side port is likely proximal to the GE junction. Patchy regions of consolidation are seen in the lungs bilaterally most conspicuous at the bases, left more than right. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	58544736	CLINICAL INFORMATION & QUESTIONS TO BE ANSWERED: No contraindications for IV contrast ______________________________________________________________________________ WET READ: ___ ___ ___ 2:16 PM Endotracheal tube 5.9 cm maternal. Enteric tube side port likely proximal to the GE junction and should be advanced. Patchy regions of consolidation, left greater than right with a basilar predominance which may be due to aspiration or infection. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with Intubation // Tube placement TECHNIQUE: Single portable view of the chest. COMPARISON: None.	Endotracheal tube 5.9 cm from the carina. Enteric tube side port likely proximal to the GE junction and should be advanced. Patchy regions of consolidation, left greater than right with a basilar predominance which may be due to aspiration or infection.
11695792	Since prior study, there has been interval retraction of the endotracheal tube, which now terminates approximately 4 cm above the level of the carina. Otherwise, the appearance of the chest is stable, with persistent elevation of the right hemidiaphragm and unchanged bilateral parenchymal opacities, including the dominant area in the right upper lobe. Moderate cardiomegaly persists.	53928343	EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___ year old man with ETT pulled back // ETT placement TECHNIQUE: Single semi-upright view of the chest was obtained. COMPARISON: Comparison is made to chest radiograph from earlier this morning.	Endotracheal tube now terminates in appropriate position, 4 cm above the carina. Otherwise, unchanged appearance of the chest.
11186133	Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.	57588778	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough after travel in ___ TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11360727	Low lung volumes. The lungs are clear. The cardiac, mediastinal, and hilar contours are normal. There is no pneumothorax or pleural effusion. The visualized bones are unremarkable.	59199178	INDICATION: Chest pain earlier today but now pain-free. Question acute process. COMPARISON: None available.	No acute cardiopulmonary process.
11798781	Frontal and lateral views of the chest. Streaky opacity identified at the left lung base. There is blunting of posterior costophrenic angles suggestive of small effusions, right greater than left. There is no pulmonary vascular redistribution and elsewhere the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.	59485526	HISTORY: ___-year-old male with hypertension, diabetes with normal creatinine on ___. Now elevated creatinine. Question volume overload. COMPARISON: None.	Small bilateral effusions. Streaky left basilar opacity potentially due to atelectasis however infection could be considered in the proper clinical setting.
11992999	PA and lateral views of the chest provided demonstrate a right chest wall pacer with lead tips extending to the region of the right atrium and right ventricle. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bony structures are intact. There is no free air below the right hemidiaphragm.	56047250	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Headache, dyspnea, question pneumonia.	No acute findings in the chest.
11793360	No studies for comparison. Heart size is upper limits of normal. There is some irregular density at the right base which may represent atelectasis, or a parenchymal nodule. There is no focal consolidation. Bony structures are grossly intact.	53247248	STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man, presumed recent pneumonia. History of lung nodules.	No signs for acute cardiopulmonary process. Irregular density at the right base which may represent atelectasis versus a lung nodule (as reported). Comparison to old films would be helpful to establish interval change.
11793360	There are low lung volumes. Bibasilar streaky opacities could be due to atelectasis and/ or pneumonia or aspiration. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.	51506894	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hypoxia, fever // eval for PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Bibasilar streaky opacities could be due to atelectasis and/ or pneumonia or aspiration.
11425757	A portable frontal chest radiograph again demonstrates slightly low lung volumes and mild cardiomegaly. Diffuse interstitial opacities are unchanged. Perihilar congestion is decreased compared to ___. No new focal consolidation, pleural effusion, or pneumothorax is seen.	59993587	INDICATION: History: ___F with shortness of breath // eval for pna TECHNIQUE: Portable frontal chest radiograph. COMPARISON: Chest radiographs from ___, ___, ___, and CT chest from ___.	No acute cardiopulmonary process. Decreased perihilar congestion compared to ___.
11331671	AP chest radiograph demonstrates hyperexpanded lungs and apical pleuroparenchymal scarring. There is left basilar atelectasis. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Medullary densities in the left humerus likely represent an enchondroma.	51429001	INDICATION: Altered mental status. COMPARISON: None.	No acute cardiopulmonary process. Probable left humeral enchondroma. Dedicated radiographs of the left humerus are recommended when clinically appropriate. The findings and recommendations were discussed with Dr. ___ by telephone at 5:22 pm by telephone on ___.
11331671	The lungs are hyperexpanded, which is unchanged from prior exams. Stable apical scarring is present. There is stable left basilar atelectasis. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Abnormal densities in the left humerus most likely an enchondroma or prior medullary infarcts.	56622417	INDICATION: Confusion. Evaluate for pneumonia. COMPARISONS: Chest radiograph ___.	No acute cardiopulmonary process. Probable left humeral enchondroma or medullary infarction. Dedicated films of the left humerus are recommended if clinically indicated.
11332645	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. New slight blunting of the left costophrenic sulcus may relate to minor atelectasis or perhaps a trace pleural effusion. The lungs appear clear.	56516532	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath and chest pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.	Possible trace effusion on the left.
11436396	Nasogastric tube tip is within the stomach. Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.	55709849	HISTORY: Nasogastric tube placement. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___ at 12:29.	Nasogastric tube tip within the stomach.
11216331	The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.	56817737	CHEST RADIOGRAPHS HISTORY: Anterior chest pain. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11894213	The patient is status post sternotomy and probably coronary artery bypass graft surgery. A three-lead pacemaker/ICD device has leads terminating in the right atrium, right ventricle, and coronary sinus, as before, without change. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.	59263619	CHEST RADIOGRAPHS HISTORY: Lightheadedness. History of congestive heart failure. Also injury to the left lower extremity. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral.	No evidence of acute disease.
11894213	Low lung volumes accentuate mild cardiomegaly. The AICD pacemaker is in unchanged position. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax	55170212	INDICATION: ___M with dyspnea on exertion // eval for pulm edema COMPARISON: ___	Mild cardiomegaly without overt pulmonary edema.
11953908	The cardiac silhouette is moderately to markedly enlarged. Mediastinal contours are unremarkable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Possible minimal central pulmonary vascular engorgement without overt pulmonary edema. No pneumothorax is seen.	52926367	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dyspnea // acute process TECHNIQUE: Single frontal view of the chest COMPARISON: None	Enlarged cardiac silhouette, underlying cardiomyopathy or pericardial effusion not excluded. Possible minimal central pulmonary vascular engorgement without overt pulmonary edema.
11040162	AP portable supine view of the chest. Endotracheal tube is seen with its tip residing approximately 1.5 cm above the carinal. Bilateral pulmonary opacities are noted concerning for pneumonia and possible edema. No supine evidence for effusion or pneumothorax the right CP angle is excluded. Cardiomediastinal silhouette is normal. No bony abnormalities. A clip in the right upper abdomen noted.	54346941	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with intubation cardiac arrest // eval ett COMPARISON: None	Low lying ET tube- consider 1 cm retraction for more optimal positioning. Bilateral opacities in the lungs concerning for pneumonia and edema.
11914968	Endotracheal tube terminates approximately 2.5 cm from the carina. Enteric tube courses below the diaphragm and outside field of view within the stomach. There is mild cardiomegaly and mild pulmonary vascular congestion. Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. Minimally displaced right lateral fourth and fifth rib fractures and left posterior seventh rib fractures are likely related to recent chest compressions.	53567805	WET READ: ___ ___ ___ 8:01 AM 1. Low lung volumes. No focal consolidation, pneumothorax, or frank edema. 2. Standard position of support devices. 3. Bilateral minimally displaced rib fractures likely related to recent chest compressions. WET READ VERSION #1 ___ ___ ___ 2:47 AM 1. Low lung volumes. No focal consolidation, pneumothorax, or edema. 2. Standard position of support devices. 3. Bilateral minimally displaced rib fractures likely related to recent chest compressions. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with s/p cardiac arrest, intubation, evaluate for acute process, tube position TECHNIQUE: Single upright AP chest radiograph COMPARISON: None.	Low lung volumes. No focal consolidation, pneumothorax, or frank edema. Standard position of support devices. Bilateral minimally displaced rib fractures likely related to recent chest compressions.
11603515	Single portable view of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette is enlarged size likely accentuated by technique. Mid thoracic dextroscoliosis is noted. No acute osseous abnormality detected.	51129807	HISTORY: ___-year-old female with syncope. COMPARISON: None.	No acute cardiopulmonary process.
11663669	No previous chest x-rays on PACS record for comparison. The heart is not enlarged. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No CHF, focal infiltrate or effusion is identified. Possible minimal atelectasis in the right middle lobe, with slight vascular crowding there.	58194167	HISTORY: AIDS, cryptococcal meningitis, question acute process. CHEST, TWO	Possible minimal atelectasis in the right middle lobe. Otherwise, no acute pulmonary process identified.
11984498	The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Multiple punctate radiopaque round densities are seen throughout the chest and primarily the back, compatible with buckshot fragments.	52957066	HISTORY: HIV, fever to 101.7, dry cough, body aches. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11984498	The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. Diffuse buckshot fragments are again noted overlying the upper torso, similar to the prior examination.	58061242	EXAMINATION: Chest radiographs. INDICATION: History: ___F with HIV, emphysema, asthma, p/w 5 days productive cough and SOB // please evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___.	No acute cardiopulmonary process.
11984498	PA and lateral views of the chest provided. Multiple buckshot fragments are again seen projecting over the chest and upper abdomen unchanged from prior. The lungs are clear. 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.	52871810	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath // eval heart and lungs COMPARISON: ___.	No acute intrathoracic process.
11437140	The lungs are relatively hyperinflated but clear. The cardiomediastinal silhouette is within normal limits for technique. No displaced fractures identified.	52533980	INDICATION: History: ___F with auto vs ped/ eval for PTX; eval for femur fx TECHNIQUE: Single supine portable view of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11442840	AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding portable chest examination with patient in supine position and dated ___. Again mild cardiac enlargement is probably present. No typical configuration abnormalities are identified. The pulmonary vasculature is not congested. The previously identified right-sided basal pulmonary parenchymal abnormality is not seen anymore and the right lateral pleural sinus is free. On the other hand on the left base a linear plate atelectasis has developed and has progressed slightly in comparison with the findings on the preceding chest examination. No other new discrete local pulmonary parenchymal infiltrates can be identified suggesting the presence of a pneumonia. No pneumothorax is seen.	52769544	DATE: ___. TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient, incarcerated, status post cadaveric liver transplant in ___ for autoimmune hepatitis and PSC, complicated by graft failure secondary to recurrent disease/chronic rejection (now on transplant list again).	Grossly stable chest findings, plate atelectasis on left base but no evidence of new pneumonic infiltrates on this single view portable chest examination.
11442840	ET tube ends 29 mm above carina. Right-sided Swan-Ganz is in right pulmonary artery. The NG tube is in adequate position. Multiple surgical catheters are seen in upper abdomen in this patient with recent liver transplant. Left severe pleural effusion with compressive atelectasis and right mild to moderate pleural effusion are difficult to compare to the prior exam, which was done in upright position. It has probably sightly increased. No pneumothorax.	50821990	PORTABLE AP CHEST X-RAY INDICATION: Patient with liver transplant, postop. COMPARISON: ___.	Tubes and lines are in adequate position. Severe left and mild to moderate right pleural effusions.
11442840	The right jugular line has been pulled back and now ends in the lower portion of the superior vena cava. There is no pneumothorax. Stability of the left lower lung atelectasis partly secondary to a severe splenomegaly. Very mild left pleural effusion. The mediastinal and cardiac contour are within limit of the normal and unchanged.	51484060	AP CHEST X-RAY INDICATION: Assess new position of central venous line. COMPARISON: Chest x-ray of ___ at 1:41 a.m.	The right jugular line is in adequate position.
11442840	A bedside AP radiograph of the chest demonstrates markedly low lung volumes with interval increase in the large left pleural effusion and left basilar atelectasis. There is pleural fluid tracking within the left major fissure. On the right, there is progressive elevation of the right hemidiaphragm consistent an intraabdominal process and basilar atelectasis. A heterogeneous opacity obscuring the right hemidiaphragmatic contour has been increasing since ___. There is no pneumothorax. The pulmonary vascularity is normal and there is no edema. The right internal jugular central venous line likely terminates within the right atrium, and should be withdrawn at least 2-3 cm to ensure proper positioning in the lower SVC.	50389975	INDICATION: Evaluate for the presence of pleural effusion in an incarcerated patient with graft failure following cadaveric liver transplant, transferred from an outside facility after found obtunded. COMPARISON: Series of chest radiographs dating back to ___, most recently from ___.	Enlarging large left pleural effusion and associated compressive atelectasis. Heterogeneous opacity in the right lower lobe concerning for developing pneumonia. Elevation of the right hemidiaphragm exacerbated by incomplete inspiration, likely secondary to an intra-abdominal process such as marked hepatomegaly or ascites. The right IJ central line should be withdrawn 2-3 cm to ensure placement in the lower SVC.
11442840	Endotracheal tube and NG tube are unchanged, end in standard position. Low lung volumes remain. There is unchanged dense consolidation of the left lung base, with a probable left pleural effusion. Developing opacity in the right lower lobe is new. The cardiac silhouette is top normal, the mediastinal contours are normal though remain shifted to the right.	54762326	HISTORY: ___-year-old male with an orthotopic liver transplant in ___, now with rejection, here for review. COMPARISON: ___.	Increasing left greater than right basilar opacity likely reflecting atelectasis with moderate left pleural effusion, which are worsening and pneumonia with empyema should be considered.
11442840	Two frontal images of the chest demonstrate a Dobbhoff tube with the tip in the proximal duodenum. There are no gross pulmonary changes since previous imaging. Enlarged prominent cardiac silhouette is again seen. Bilateral pleural effusions left greater than right remain unchanged. Retrocardiac opacification consistent with left lower lobe volume loss again seen.	55300267	INDICATION: ___-year-old male status post Dobbhoff placement. These findings were communicated to Dr. ___ 1:30 p.m. COMPARISON: Comparison is made with chest radiograph from ___ and ___.	Dobbhoff tube with tip in the proximal duodenum. Consider advancing tube slightly further to ensure tube remains post-pyloric.
11442840	New ET tube ends 3.1 cm above carina. Right-sided jugular line ends in mid SVC. Progression of right moderate pleural effusion and left mild-to-moderate pleural effusion with sign of moderate pulmonary edema. There is a more focal zone in the right upper lobe that could be consistent with edema, but an aspiration or pneumonia cannot be excluded. Bibasilar atelectasis is unchanged. There is also a lesser elevation of the diaphragm due to massive splenomegaly.	52888922	PORTABLE AP CHEST X-RAY INDICATION: Patient with history of liver transplant and recent hematemesis, recent intubation. COMPARISON: ___.	Line and tubes are in adequate position. Worsening of moderate pulmonary edema and bilateral pleural effusion. Slight new focal zone in the right upper lobe where aspiration or pneumonia cannot be excluded.
11442840	Two frontal images of the chest demonstrate a Dobbhoff tube with the tip located beyond the first segment of the duodenum. There are no gross pulmonary changes since previous imaging, and large prominent cardiac silhouette is again seen. Bilateral pleural effusions, left greater than right, remain unchanged. Retrocardiac opacification consistent with left lower lobe volume loss again seen.	55115646	INDICATION: ___-year-old male, status post Dobbhoff placement and readvancement. COMPARISON: Comparison is made with chest radiograph from earlier the same day, ___.	Dobbhoff tube with the tip beyond the first segment of the duodenum, in good position for use.
11442840	A bedside AP radiograph of the chest demonstrates interval improvement in pulmonary edema and decrease in heart size when compared to the prior study. There is minimal improvement in the moderate left-sided pleural effusion and considerable atelectasis of the left lower lobe persists. There is no pneumothorax.	55754354	INDICATION: Evaluate for interval change in pleural effusion in a patient status post liver transplant and PSC and autoimmune hepatitis. The patient recently had an aspiration event. COMPARISON: Series of radiographs dating back to ___, most recently from ___.	Interval improvement cardiogenic pulmonary edema due to congestive heart failure. Minimal improvement in moderate left pleural effusion with persistent left lower lobe atelectasis.
11442840	PA and lateral chest images demonstrate a Dobbhoff tube with the tip apparently in the stomach, although the course of the Dobbhoff tube is not entirely visualized on these images. There are no complications, including no pneumothorax visualized. Other monitoring and support devices are unchanged from the radiograph obtained earlier in the same day. There is some mild improvement in the interstitial markings in the lungs from prior imaging. Otherwise, exam is essentially unchanged from earlier imaging.	53673982	INDICATION: ___-year-old male requiring assessment of Dobbhoff placement. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___.	Dobbhoff tube incompletely visualized but tip appears to be in the stomach. Slight improvement of bilateral alveolar infiltrates.
11442840	The comparison is difficult because the previous exam was in the semi-erect position and now it is on erect position. There are still bilateral moderate pleural effusions with bibasilar atelectasis. The mild pulmonary edema has slightly decreased. Mild cardiac enlargement is stable. The patient has been extubated. The right jugular line ends in lower SVC. Left lower lobe atelectasis has not changed significantly.	52871238	PORTABLE AP CHEST X-RAY INDICATION: Patient with liver transplant rejection for autoimmune hepatitis and PSC, now with increased shortness of breath, evaluation. COMPARISON: ___.	Slight decrease in mild pulmonary edema. The pleural effusions are hard to compare because of different position, they are moderate.
11441830	Changes of right first rib resection are noted. There is no significant pneumothorax or pleural effusion. Lung volumes are low, with left lower lobe atelectasis. Heart size is normal.	59771701	INDICATION: ___-year-old male with venous thoracic outlet syndrome post-first rib resection. Evaluate for pneumothorax. COMPARISON: ___. CHEST,	No pneumothorax. Low lung volumes.
11401300	Lung volumes are low causing crowding of the bronchovascular structures. No pneumomediastinum is noted. No focal consolidation, pleural effusion or pneumothorax is noted. The heart is normal in size.	51006157	INDICATION: ___-year-old male with malaise, fevers/chills status post endoscopy with dilation. Evaluate for mediastinal air or other cardiopulmonary abnormality. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: None.	No acute cardiopulmonary process.
11815583	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	51351218	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with left hand laceration TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11745409	The lungs are clear without focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. The heart size is top normal. Calcifications are seen within the aortic arch. There are mild degenerative changes of the thoracic spine and acromioclavicular joints.	57676198	INDICATION: Dyspnea on exertion, evaluate for pneumonia. COMPARISONS: ___. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11745409	The lungs are clear with no evidence for consolidation, effusion, or pneumothorax. There is mild cardiomegaly. Otherwise, the cardiomediastinal silhouette is within normal limits. Visualized osseous structures are grossly unremarkable.	53500735	INDICATION: Evaluation of patient with chest radiograph prior to treatment with Methotrexate. COMPARISON: None available.	Mild cardiomegaly with no evidence of acute cardiopulmonary process.
11745409	The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is mildy enlarged.	59675963	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with RA // ? hilar ___ or infiltrate TECHNIQUE: Chest PA and Lateral COMPARISON: ___ and ___	No acute cardiopulmonary process.
11737033	The heart size is normal. The hilar and mediastinal contours are normal. Patchy opacities overlying the lower lung fields bilaterally are concerning for pneumonia. Mild bibasilar atelectasis is seen, left greater than right. There is a small left pleural effusion. There is no evidence of a pneumothorax. Note is made of rib fractures involving the left ___, ___, ___ ribs, of indeterminate chronicity. ET tube terminates approximately 4.4 cm above the carina. There is an enteric tube which extends below the diaphragm with the tip out of view of this film.	53225172	HISTORY: History of respiratory failure secondary to pneumonia. Please evaluate ET tube placement. COMPARISON: None. TECHNIQUE: Supine portable radiograph of the chest.	ET tube terminates approximately 4.4 cm above the carina. Patchy bilateral lower lobe opacities are concerning for pneumonia. Small left pleural effusion.

11097412

Small area of left lower lobe consolidation is stable since ___, but new since ___ and could be compatible with atelectasis; however, superimposed pneumonia or aspiration could also be considered in appropriate clinical settings. Right lower lung atelectatic band is small. Mediastinal and cardiac contours are normal. NG tube is in the stomach and ET tube ends 4.2 cm above the carina. Left-sided PICC line ends in the lower SVC.

53062898

PORTABLE AP CHEST X-RAY INDICATION: Patient with fever, on ventilator. COMPARISON: ___ in this patient with acute stroke.

The patient is here for an ischemic stroke. Left lower lobe consolidation is new since ___, could be atelectasis; however, an aspiration or pneumonia could be considered in appropriate clinical settings. Dr. ___, resident has been verbally contacted for the results.

11752936

Heart size is normal. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a moderate right and small left pleural effusion. Adjacent bibasilar atelectasis is noted. There is a 4 mm nodular opacity overlying the left mid lung. Small bilateral, right greater than left, pleural effusions. No pneumothorax is seen. There are no acute osseous abnormalities.

54511931

WET READ: ___ ___ ___ 6:17 PM Moderate right and small left pleural effusions with adjacent atelectasis. A 4 mm density over the left mid lung suspicious for pulmonary nodule, potentially calcified. Consider nonurgent chest CT follow-up for further characterization. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with ___ edema, bnp elevation. no dyspnea. // please eval for acute abnormality, evidence of fluid overload TECHNIQUE: Chest upright AP and lateral COMPARISON: Same-day CT abdomen and chest radiograph

Moderate right and small left pleural effusions with adjacent atelectasis. A 4 mm density over the left mid lung suspicious for pulmonary nodule, potentially calcified. Consider nonurgent chest CT follow-up for further characterization.

11849669

PA and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. Radiopaque density again projects over the anterior right neck. Soft tissues and osseous structures are otherwise unremarkable.

54806426

HISTORY: ___-year-old male with weakness. COMPARISON: ___.

No acute cardiopulmonary process.

11849669

PA and lateral views of the chest were provided. There is chronic elevation of the right hemidiaphragm. Low lung volumes also limit evaluation. There is no clear evidence for pulmonary edema, effusion, or pneumonia. Overall, cardiomediastinal silhouette appears stable. Bony structures are intact. A tiny radiodensity in the right neck soft tissues is stable from prior.

57958280

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Asymptomatic hypertension, question heart failure.

No signs of CHF.

11653931

The lungs are fully expanded and clear. The cardiomediastinal and hilar contours normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. Multilevel anterior ossification of the thoracic spine, likely reflects DISH.

59768774

INDICATION: ___F with fever status post panniculectomy. COMPARISON: Chest radiograph ___. TECHNIQUE PA and lateral views of the chest.

No acute cardiopulmonary process.

11653931

The hemidiaphragms are mildly elevated and the lung volumes are low, resulting and artificial magnification of the heart and mediastinum, as well as left lung base subsegmental atelectasis. There is no pneumothorax or pleural effusion. Regional bones and soft tissues are unremarkable.

50891989

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female status post panniculectomy; evaluate for cause of new tachycardia. TECHNIQUE: Single portable AP view radiograph of the chest from ___. COMPARISON: None available.

Hypoinflated lungs with left lung base subsegmental atelectasis.

11917356

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

51001191

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

No acute cardiopulmonary abnormality.

11503781

The lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine without acute osseous abnormality.

58704826

INDICATION: ___F with AMS // Eval for infiltrate TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11315228

Frontal and lateral chest radiographdemonstrates minimal pulmonary edema. No focal opacity. Persistent large cardiomegaly is noted. Mediastinal widening has slightly increased since previous examination and is likely accentuated likely due to low lung volumes. No pleural effusion or pneumothorax. Aortic arch calcifications are noted. Hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Multilevel degenerative changes are present throughout the thoracolumbar spine. Stable compression fracture of L2 vertebral body since ___.

55139257

WET READ: ___ ___ 4:17 PM 1. Minimal pulmonary edema. No pneumonia. 2. Persistent large cardiomegaly. 3. Mediastinal widening has slightly increased since previous examination, likely accentuated due to low lung volumes. 4. Stable compression fracture of L2 vertebral body, unchanged since ___ ___. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Chest pain. Assess for acute process. COMPARISON: Chest radiograph ___, ___, ___.

Minimal pulmonary edema. No pneumonia. Persistent large cardiomegaly. Mediastinal widening has slightly increased since previous examination, likely accentuated due to low lung volumes. Stable compression fracture of L2 vertebral body, unchanged since ___.

11296029

The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen peer there is no pleural effusion or pneumothorax peer The cardiac and mediastinal silhouettes are unremarkable. Multilevel degenerative changes are noted along the spine.

53177704

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

No focal consolidation to suggest pneumonia.

11296029

The initial view of the chest demonstrate a nasoenteric tube coiled in the mid esophagus. Subsequent view demonstrates the nasoenteric tube at the GE junction with the tip pointing superiorly. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation. The stomach is dilated. An apparent lucency under the right hemidiaphragm represents superimposed large bowel loops.

57670536

INDICATION: ___F with high grade SBO s/p NGT, evaluate NG tube position. COMPARISON: Abdomen and pelvic CT from ___. TECHNIQUE Two portable views of the chest.

Nasoenteric tube at the GE junction with the tip pointing superiorly.

11296029

An endotracheal tube terminates 5.8 cm above the carina. The lung volumes are low. Bibasilar atelectasis is slightly worse, and central pulmonary vascular engorgement is again seen without edema. There is no pneumothorax, pleural effusion, or focal consolidation.

57946707

INDICATION: ET tube placement. COMPARISON: Radiograph available from ___ @ ___ a.m. FRONTAL CHEST

ET tube terminating 5.8 cm above the carina. Increased atelectasis since ___ a.m.

11286783

Frontal and lateral chest radiograph demonstrate clear lungs without focal consolidation. There is bilateral basilar atelectasis and no pleural effusion. No pneumothorax. Pulmonary vasculature is unremarkable. The cardiomediastinal and hilar contours unremarkable.

51819807

HISTORY: ___-year-old male with left facial droop. Evaluate for intrathoracic process. COMPARISON: None available.

No acute intrathoracic process.

11988567

The heart size is normal. The mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta. Diffuse thoracic aortic calcifications are also noted. The pulmonary vascularity is not engorged. Hyperinflation of the lungs is again noted. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. Cholecystectomy clips are demonstrated within the right upper quadrant. Remote right-sided rib fracture is present.

57130517

HISTORY: Chronic smoking, weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph. ___ chest CT.

No acute cardiopulmonary abnormality. Hyperinflated lungs suggestive of underlying COPD.

11977464

Frontal lateral views of the chest were performed. There is apparent obscuration of the right heart border, however, without a consolidation seen on the lateral view, likely positional. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The hilar structures are unremarkable. The imaged upper abdomen appears normal.

56113589

HISTORY: Shortness of breath and cough, evaluate for pneumonia. The patient also has a history of asthma. COMPARISON: None.

No acute cardiopulmonary process.

11921802

The heart is at the upper limits of normal size. The aortic arch is partly calcified. The mediastinal and hilar contours appear unchanged. There is a convex contour to the right upper mediastinum, but shown to reflect tortuosity of the innominate artery on the neck CT from the same day and similar to the earlier chest radiographs. Streaky opacity in the lingula suggests atelectasis. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes are similar along the thoracic spine.

51782436

CHEST RADIOGRAPHS HISTORY: Neck mass. COMPARISONS: Prior radiographs from ___ and earlier CT from the same day. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11561883

Frontal and lateral views of the chest. Relatively low lung volumes are seen. There is no evidence of consolidation or effusion. The cardiomediastinal silhouette is within normal limits given this limitation. No acute osseous abnormalities detected.

56943669

HISTORY: ___-year-old female with chest pain. COMPARISON: ___.

No acute cardiopulmonary process.

11867643

Frontal supine view of the chest was obtained. Endotracheal tube terminates 5.4 cm above the carina, similar to prior. OG tube terminates below the diaphragm. Left pleural tube is in similar position to prior. There has been interval improvement in right upper lung opacity, likely representing improved aeration of the right upper lobe with overall improved right lung volumes. Opacity at the bilateral bases, right greater than left, may represent asymmetric edema. No pneumothorax is seen. The cardiomediastinal silhouette is stable.

54860527

INDICATION: ___-year-old female with pneumothorax, now with chest tube to waterseal. Evaluate for interval change. COMPARISONS: Multiple prior chest radiographs, most recently of ___ at 4:30 a.m.

Improved aeration of the right upper lobe. Bibasilar vague opacities, right greater than left, is compatible with asymmetric edema.

11867643

ET tube terminates approximately 6 cm from the carina in correct position. Right pleural tube is oriented superiorly. Consolidations and patchy opacities in the right lower lung are somewhat decreased from prior study, although still could be infectious, however there is progressive right upperlobe collapse, new since the CT from yesterday. Left lung is essentially clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No large pleural effusion is seen. No overt evidence of the known pneumothorax on this study.

58948695

HISTORY: ___-year-old woman status post intubation after being found down. Please evaluate for interval change. COMPARISON: ___ CT and radiograph.

Progressive right upper lobe collapse.

11867643

Lung volumes are slightly low but the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

55956759

INDICATION: ___F with altered mental status // r/o PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: None.

No acute cardiopulmonary process.

11867643

Endotracheal tube terminates approximately 4 cm from the carina. An apical right chest tube is in unchanged position. No pneumothorax is identified. There is substantial volume loss in the right lung evidenced by shift of the mediastinum to the right and an additional new opacity in the right upper lobe may be the sequela of collapse. The left lung is essentially clear. Adjacent to to the mediastinum is noted as a lucent sliver consistent with air tracking along the right heart border.

51512425

HISTORY: ___-year-old woman with pneumomediastinum, now with chest tube to waterseal. Question interval change. COMPARISON: ___ radiographs and CT torso from ___.

Pneumomediastinum. Progressive collapse of the right upper lobe.

11867643

Bilateral low lung volumes. New right base linear atelectasis seen. Otherwise lungs are clear. Cardio mediastinal silhouette is unchanged. There is no pneumothorax or pleural effusion.

51498901

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new O2 requirement // any evidence of infection or atelectasis or fluid TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___

New right base linear atelectasis with bilateral low lung volumes

11867643

The left costophrenic angle is excluded from view. An NG tube is appropriate. An ET tube is going into the right main stem bronchus and should be withdrawn by 2.5 cm for optimal position. The partially imaged lungs are clear.

53116964

INDICATION: ___-year-old female with altered mental status who was intubated. COMPARISON: No relevant comparisons available. ONE VIEW OF THE

The ET tube appears to go in the right main stem bronchus and should be withdrawn by 2.5 cm. These findings were communicated via telephone with ___ MD at 2:40 p.m. on ___ after discovery at 2:33 p.m. on ___.

11867643

Frontal view of the chest was obtained. Endotracheal tube terminates 4.1 cm above the carina. OG tube terminates below the diaphragm. Right pleural tube present on ___ at 3:48 a.m. is removed. Homogeneous opacification of the right upper lobe is compatible with collapse. No substantial pleural effusion or pneumothorax is seen. Heart size and cardiomediastinal contours are stable.

54006205

INDICATION: ___-year-old female with severe DKA and hypernatremia, now intubated. Evaluate for interval change. COMPARISONS: Multiple prior chest radiographs, most recently ___ at ___.

New right upper lobe collapse. Right pleural tube is removed since ___. Findings were communicated via phone call by ___ to ___, MICU resident, at 09:50 a.m. on ___.

11936312

An endotracheal tube terminates 6 cm above the carina. Lung volumes are low with bibasilar atelectasis. Linear density projecting over the lateral left heart border may reflect a dense focus of linear atelectasis or pleural plaque. There is an apparent 1.5 cm cavitary lesion with a relatively thick rim in the lateral mid left lung. Mild cardiomegaly with pulmonary vascular congestion. The 2 most superior median sternotomy wires are fractured in multiple places. Pleural effusions are small, if any.

50880556

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man s/p cardiac arrest now intubated // Evaluate ET tube TECHNIQUE: Portable AP chest COMPARISON: None

ETT terminates 6 cm above the carina. Fractured median sternotomy wires. Mild cardiomegaly with pulmonary vascular congestion, but no overt edema. Apparent 1.5 cm cavitary lesion in the lateral mid left lung. Recommend dedicated PA and lateral radiographs for further evaluation,when feasible.

11936312

Interval extubation. Lung volumes are relatively low. A 1.4 cm nodular opacity in the lateral left lung is unchanged. Central lucency is raises the possibility of cavitation. A linear density projecting over the left heart border is unchanged. Trace left pleural effusion. Top normal heart size is unchanged. Cardiomediastinal hilar silhouettes are unchanged. A median sternotomy wires are midline, some fractured, unchanged.

55170467

EXAMINATION: PA and lateral INDICATION: ___ year old man with CAD s/p 4vCABG, s/p PEA and VT arrest. // Interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___ portable chest radiograph

Interval extubation, but otherwise no significant change. Persistent lateral left lung nodular opacity with features raising the possibility of cavitation. Recommend nonurgent dedicated CT for further evaluation. Probable pleural plaque overlying the left heart border. Correlation with asbestos exposure history recommended.

11072524

Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.

59660662

EXAMINATION: PA and lateral INDICATION: ___ year old woman with positive PPD // r/o active TB TECHNIQUE: Chest PA and lateral COMPARISON: None

No radiographic evidence of active or latent pulmonary tuberculosis. Normal chest.

11784091

Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is present. Heart size is difficult to evaluate but appears mildly enlarged. The aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary edema is new since the previous chest radiograph. Confluent opacities are seen within the left mid lung field and left lower lobe concerning for pneumonia. Additional ill-defined nodular opacities are seen within the right lung compatible with small airways disease, better assessed on the previous CT. Small left pleural effusion is unchanged. A gastric lap band is incompletely imaged.

57072945

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with right internal jugular central line placement TECHNIQUE: Portable upright AP view of the chest COMPARISON: Reference CT chest ___ at 15:59 chest radiograph ___ 12:12

Right internal jugular central venous catheter tip in the mid SVC. No pneumothorax. New mild pulmonary edema. Small left pleural effusion. Multifocal pneumonia, not substantially changed in the interval.

11784091

Cardiac silhouette is enlarged and the aorta is tortuous, both without change. Lung volumes remain relatively low. Pulmonary vascularity is within normal limits accounting for this factor. Bibasilar areas of atelectasis are again demonstrated, slightly worse on the right and slightly improved on the left. There remains moderate elevation of the right hemidiaphragm anteriorly. No substantial pleural effusion. Diffusely distended loops of bowel are seen in the imaged portion of the upper abdomen, incompletely imaged on this chest radiograph exam.

59628079

PA AND LATERAL CHEST, ___ COMPARISON: ___ radiograph.

Bibasilar atelectasis. Distended loops of bowel in imaged upper abdomen, for which dedicated abdominal radiographs may be helpful to distinguish ileus from obstruction if warranted clinically.

11784091

There is interval mild decreased consolidation in the left axillary region. A right jugular line has been removed. There is mild persistent pulmonary vascular redistribution. Mild bibasilar opacities are unchanged. No pneumothorax. The remainder of the study is unchanged.

53913730

EXAMINATION: Chest x-ray INDICATION: ___F s/p ___adj lap band (Dr. ___), OSA on home BiPap, aspiration PNA ___, transferred from ___ with chief complaint of aspiration PNA // evaluate for pneumonia TECHNIQUE: Portable AP chest COMPARISON: ___

Mild interval decreased consolidation in the left lung. Reviewed with Dr. ___.

11154911

The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal.

53720593

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman, total right hip replacement. COMPARISON: Chest radiograph dated ___.

No acute cardiopulmonary process.

11154911

No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.

52029563

HISTORY: ___-year-old female with shortness of breath. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: ___.

No radiographic evidence for acute cardiopulmonary process.

11154911

Lung volumes are low. The heart size is accentuated as a result, and likely is mildly enlarged. There is mild pulmonary vascular congestion. The mediastinal contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

52640903

HISTORY: Altered mental status. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: Chest radiograph ___.

Mild cardiomegaly with mild pulmonary vascular congestion.

11154911

Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.

57269689

EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Liver transplant, on immunosuppression, with new cough. COMPARISON: ___.

No acute cardiopulmonary process.

11154911

Single frontal view of the chest was obtained. There has been slight interval improvement of diffuse pulmonary edema. A layering right pleural effusion is of similar size to prior. Bilateral lung base opacities are compatible with atelectasis. The heart size remains enlarged. A new Dobbhoff feeding tube is coiled in stomach, not in post-pyloric position. A Swan-Ganz catheter is in similar position to prior.

57423120

INDICATION: ___-year-old female with PBC status post liver transplant. Evaluate Dobbhoff placement. COMPARISONS: Multiple prior chest radiographs, most recently of the same day at 05:00 a.m.

New Dobbhoff feeding tube coiled within the stomach. Slight interval improvement in pulmonary edema, with similar appearance of layering right pleural effusion.

11154911

PA and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Position of diaphragm is unremarkable. No pneumothorax in the apical area on the frontal view. Skeletal structure of the thorax grossly within normal limits. There exists no prior chest examination or records available for comparison.

51353880

TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with cirrhosis, assess for lesions within the chest.

Unremarkable normal chest findings in ___-year-old female patient with history of cirrhosis.

11154911

PA and lateral chest radiographs demonstrate clear lungs bilaterally with no focal consolidation identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality. No free intrabdominal air.

58615457

HISTORY: ___-year-old female with nausea. COMPARISON: Chest radiograph dated ___.

No acute intrathoracic abnormality.

11500505

Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiac silhouette is slightly enlarged. Atherosclerotic calcifications noted at the aortic arch. Severe degenerative changes seen at the left shoulder. There is no visualized displaced rib fracture.

51175144

HISTORY: ___-year-old female status post fall with rib pain. COMPARISON: None listed.

No acute cardiopulmonary process. If high clinical concern and more detailed evaluation desired , dedicated rib series can be obtained.

11500505

PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart is top normal in size though stable. The mediastinal contour appears normal. Imaged osseous structures appear intact, though there is severe degenerative disease at the left shoulder partially imaged.

58042002

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Shortness of breath, assess for pulmonary edema.

No acute findings in the chest. Top normal heart size. Degenerative changes of the left shoulder joint.

11204536

Frontal and lateral views of the chest. Low inspiratory effort seen particularly on the frontal view with secondary crowding of the bronchovascular markings. The lungs however are clear of consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified. VP shunt catheter seen tracking along the anterior chest wall and neck.

50222604

HISTORY: ___-year-old female with cough and malaise. COMPARISON: ___.

No acute cardiopulmonary process.

11222907

AP upright and lateral views of the chest provided demonstrate hyperinflated lungs without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.

55662185

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old man with TIA, question infection.

No acute intrathoracic process.

11770415

Frontal and lateral views of the chest were obtained. Previously seen pulmonary opacities have essentially resolved in the interval with possible small focus of opacity in the right upper lung medially. Recommend followup to resolution, consider oblique radiograph. Cardiac and mediastinal silhouettes are unremarkable. No evidence of pneumothorax or large pleural effusion.

55514889

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

Previously seen pulmonary opacities have essentially resolved in the interval with possible small focus of opacity in the right upper lung medially. Recommend followup to resolution, consider oblique radiograph.

11770415

Compared to prior chest x-rays there is improvement of the bilateral opacification especially in the right lung for reduced vascular congestion. Ventilation of the left base is improved for reduced atelectasis. There is no pleural effusion or pneumothorax. Reticular changes with mild hyperlucency in the upper lobes is for emphysema. Cardiac size is normal.

56266234

HISTORY: ___ years old woman with pulmonary edema. INDICATION: Evaluation of pulmonary edema. COMPARISON: Exam is compared to chest x-ray of ___.

Reduced pulmonary edema especially on the right with improved left base ventilation for reduced atelectasis.

11892979

PA and lateral views of the chest. There are confluent regions of consolidation in the posterior segment of the right upper lobe as well as the right lower lobe which are new since prior. There is persistent opacity in the lingula which is similar to prior. Cardiomediastinal silhouette is unchanged. No acute osseous abnormalities.

57141153

WET READ: ___ ___ ___ 2:46 PM Multifocal right-greater-than-left parenchymal opacities compatible with pneumonia. Recommend repeat after treatment to document resolution to exclude underlying mass given that some of these opacities havewere also seen on prior in ___. ______________________________________________________________________________ FINAL REPORT HISTORY: ___-year-old female with pneumonia now with worsening dyspnea. COMPARISON: ___.

Multifocal right-greater-than-left parenchymal opacities compatible with pneumonia. Recommend repeat after treatment to document resolution to exclude underlying mass given that some of these opacities were also seen on prior.

11892979

Since the chest radiograph obtained approximately 2 weeks prior, no significant changes are appreciated. Lungs are fully expanded and clear without focal consolidation or effusions. There is unchanged dilation of the aortic knob and tortuous descending aorta. Cardiomediastinal hilar silhouettes are otherwise normal. Pleural surfaces are normal.

58133084

EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman with hx of myeloma, pulm htn and copd. Cough and dyspnea with rhonchi. Please r/o PNA. // ___ year old woman with hx of myeloma, pulm htn and copd. Cough and dyspnea with rhonchi. Please r/o PNA. TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral chest radiographs dated ___

No radiographic evidence of pneumonia or acute cardiopulmonary abnormalities.

11892979

Right-sided PICC has been removed. No pneumothorax. There is increased lung volume with interval decrease in the bibasal opacities. No acute focal consolidation. No pleural effusions. Mild cardiomegaly with unfolding of the thoracic aorta.

54373536

INDICATION: ___ year old woman with multiple myeloma, pneumonia in ___ // eval for clearance of pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___

Interval improvement of the left lower lobe pneumonia.

11892979

Since the prior study, there has been increase/development of small bilateral pleural effusions. Increased bibasilar opacities could in part relate to pleural effusions and overlying atelectasis, although also relate to new consolidation, possibly from pneumonia. Linear configuration bilateral mid lung opacities may be due to atelectasis. Slight increase in prominence of the hila raises concern for central pulmonary vascular engorgement. The cardiac and mediastinal silhouettes are grossly stable. There is angulation of several lateral left ribs suggests prior rib fractures.

59920335

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dyspnea, history of multiple myeloma. COMPARISON: ___.

New small bilateral pleural effusions with overlying atelectasis. Increased basilar opacities which may in part relate to pleural effusions and atelectasis; however, there is concern for underlying pneumonia. Prominence and indistinctness of the hila suggests vascular congestion. Areas of atelectasis bilaterally.

11892979

Compared to ___, atelectasis of right lung base is improved and left lung base is increased. Evaluation for pneumonia is difficult due to the chronic interstitial changes at bilateral lung bases. There appears to be focal area of opacification in the right base, which may be pneumonia in correct clinical setting. There is minimal left pleural effusion. Pulmonary vessel congestion is mild. Cardiomediastinal silhouette is normal size.

58312790

INDICATION: // ___ year old woman with hx of myeloma. Cough, dypnea. Please r/o PNA EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral view COMPARISON: Chest radiograph ___

Evaluation for pneumonia is difficult due to the chronic interstitial changes at bilateral lung bases. There appears to be focal area of opacification in the right base, which may be pneumonia in correct clinical setting.

11892979

A right internal jugular catheter and right-sided PICC are unchanged in appearance compared to the prior study. Moderate cardiomegaly and pulmonary vascular congestion persists. The previously demonstrated bilateral airspace opacities are slightly improved, suggesting resolving pulmonary edema. Linear atelectasis in the left mid lung. Persistent left lower lobe atelectasis. There is likely a small left pleural effusion. No pneumothorax seen.

52754342

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with tachypnea // eval int change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

Slight interval improvement in the previously demonstrated airspace opacities likely reflects resolving pulmonary edema. Persistent left lower lobe and left mid lung atelectasis.

11892979

Frontal and lateral views of the chest demonstrate persistent bibasilar opacities. There has been interval improvement in vascular congestion. Cardiomediastinal silhouette is unchanged. Small bilateral pleural effusions are stable. There is no pneumothorax.

52849245

HISTORY: History of emphysema with worsening oxygen requirements and fevers. COMPARISON: Chest radiographs from ___ through ___. Chest CT ___.

Persistent bibasilar opacities raises the concern for infection. Improved vascular congestion. Findings were discussed with Dr. ___ by Dr. ___ ___ the telephone on ___ at 11:45, 30 minutes after they were made.

11892979

Again seen is hyperinflation suggestive of COPD. The cardiomediastinal silhouette is enlarged, but unchanged. The aortic knob appears high-riding, at the upper limits of normal in diameter, but unchanged. Pulmonary hila are prominent with a tapered appearance which could reflect presence pulmonary hypertension, though they are also somewhat irregular in contour. There is upper zone redistribution and mild prominence of interstitial markings, with peribronchial cuffing and with ___ B-lines noted at the lower left chest wall. Atelectasis and thickening of the bronchovascular markings in the right cardiophrenic region is again noted, though less pronounced. This could represent a site of resolving aspiration, infection, or atelectasis. Again seen is patchy retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation. No gross effusion. Focal density in the left anterior rib likely represents side of an old healed fracture or artifact due to overlapping rib shadows. Medial portion of both lung apices is obscured by the the patient's chin. Again seen is mild loss of height of ___ mid thoracic vertebral bodies, question T7 and T8.

59609708

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with h/o aspiration pna now with fever, hypoxia and hypotension // PNA? . Review of prior imaging studies suggest a history of myeloma. COMPARISON: Chest x-ray from ___. Targeted review of chest CT from ___.

Cardiomegaly and background COPD. Possible pulmonary hypertension. Left lower lobe collapse and/or consolidation, relatively similar to the prior study. Resolving changes in the right cardiophrenic region consistent with resolving atelectasis, infection and/or site of aspiration. Upper zone redistribution with evidence for interstitial thickening, question chronic versus interstitial edema.

11938979

Frontal and lateral views of the chest. The lungs are clear of confluent consolidation, effusion, pulmonary vascular congestion. Degree of cardiomegaly is unchanged. No acute osseous abnormality is detected.

51368347

HISTORY: ___-year-old female with dyspnea. COMPARISON: ___.

No acute cardiopulmonary process.

11938979

Portable single frontal chest radiograph was obtained. Lung volumes are very low with crowding of bronchovascular structures. There is no appreciable pneumothorax. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion.

56737595

HISTORY: Patient status post transbronchial biopsy, eval interval change. COMPARISON: ___.

No radiographic evidence for acute cardiopulmonary process.

11938979

AP portable upright chest radiograph was provided. Lung volumes are low which limits evaluation as well as the presence of overlying EKG leads. Allowing for limitations, the lungs are clear. The heart remains mildly enlarged. No pneumothorax or effusion is seen. No overt edema or definite signs of pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.

55536514

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest CTA from ___. CLINICAL HISTORY: Chest pain and shortness of breath.

Mild cardiomegaly stable, no overt signs of edema or pneumonia.

11938979

There is moderate-to-severe enlargement of the cardiac silhouette which is relatively unchanged compared to the prior study. The pulmonary vascularity is normal. The mediastinal and hilar contours are unremarkable. There are low lung volumes with minimal atelectasis in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

50259788

INDICATION: Substernal chest pain. COMPARISON: ___. PA AND LATERAL VIEWS OF THE

No radiographic evidence for pneumonia or congestive heart failure.

11938979

Frontal and lateral views of the chest demonstrate marked cardiac enlargement, similar, however, as compared with ___. There is mild interstitial prominence, overall suggestive of a component failure. Prominent mediastinal contour particularly left of the paratracheal line persists. There are new opacities in the right upper lung, compatible with pneumonia. There is no large pleural effusion or pneumothorax.

56215117

INDICATION: ___-year-old female with shortness of breath on exertion and chest tightness for two days. Question pneumonia. COMPARISON: ___.

Right upper lobe pneumonia. Recommend followup to resolution once treated. Cardiomegaly and interstitial prominence, compatible with mild failure.

11187242

PA and lateral views of the chest were provided. Lung volumes are low on the frontal projection with basilar atelectasis. The heart appears top normal in size. Bronchovascular crowding likely accounts for the increased reticular opacities seen throughout the lungs. No pneumothorax is seen. No large effusion. Cardiomediastinal silhouette appears prominent though stable. No acute osseous abnormality.

54994610

HISTORY: ___-year-old female with syncope. COMPARISON: Prior study dated ___.

Limited study without acute abnormalities.

11695792

The endotracheal tube is seen with tip approximately 5.9 cm from the carina. Enteric tube tip in the gastric body although side port is likely proximal to the GE junction. Patchy regions of consolidation are seen in the lungs bilaterally most conspicuous at the bases, left more than right. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

58544736

CLINICAL INFORMATION & QUESTIONS TO BE ANSWERED: No contraindications for IV contrast ______________________________________________________________________________ WET READ: ___ ___ ___ 2:16 PM Endotracheal tube 5.9 cm maternal. Enteric tube side port likely proximal to the GE junction and should be advanced. Patchy regions of consolidation, left greater than right with a basilar predominance which may be due to aspiration or infection. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with Intubation // Tube placement TECHNIQUE: Single portable view of the chest. COMPARISON: None.

Endotracheal tube 5.9 cm from the carina. Enteric tube side port likely proximal to the GE junction and should be advanced. Patchy regions of consolidation, left greater than right with a basilar predominance which may be due to aspiration or infection.

11695792

Since prior study, there has been interval retraction of the endotracheal tube, which now terminates approximately 4 cm above the level of the carina. Otherwise, the appearance of the chest is stable, with persistent elevation of the right hemidiaphragm and unchanged bilateral parenchymal opacities, including the dominant area in the right upper lobe. Moderate cardiomegaly persists.

53928343

EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: ___ year old man with ETT pulled back // ETT placement TECHNIQUE: Single semi-upright view of the chest was obtained. COMPARISON: Comparison is made to chest radiograph from earlier this morning.

Endotracheal tube now terminates in appropriate position, 4 cm above the carina. Otherwise, unchanged appearance of the chest.

11186133

Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.

57588778

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough after travel in ___ TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11360727

Low lung volumes. The lungs are clear. The cardiac, mediastinal, and hilar contours are normal. There is no pneumothorax or pleural effusion. The visualized bones are unremarkable.

59199178

INDICATION: Chest pain earlier today but now pain-free. Question acute process. COMPARISON: None available.

No acute cardiopulmonary process.

11798781

Frontal and lateral views of the chest. Streaky opacity identified at the left lung base. There is blunting of posterior costophrenic angles suggestive of small effusions, right greater than left. There is no pulmonary vascular redistribution and elsewhere the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

59485526

HISTORY: ___-year-old male with hypertension, diabetes with normal creatinine on ___. Now elevated creatinine. Question volume overload. COMPARISON: None.

Small bilateral effusions. Streaky left basilar opacity potentially due to atelectasis however infection could be considered in the proper clinical setting.

11992999

PA and lateral views of the chest provided demonstrate a right chest wall pacer with lead tips extending to the region of the right atrium and right ventricle. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bony structures are intact. There is no free air below the right hemidiaphragm.

56047250

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Headache, dyspnea, question pneumonia.

No acute findings in the chest.

11793360

No studies for comparison. Heart size is upper limits of normal. There is some irregular density at the right base which may represent atelectasis, or a parenchymal nodule. There is no focal consolidation. Bony structures are grossly intact.

53247248

STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man, presumed recent pneumonia. History of lung nodules.

No signs for acute cardiopulmonary process. Irregular density at the right base which may represent atelectasis versus a lung nodule (as reported). Comparison to old films would be helpful to establish interval change.

11793360

There are low lung volumes. Bibasilar streaky opacities could be due to atelectasis and/ or pneumonia or aspiration. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.

51506894

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hypoxia, fever // eval for PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Bibasilar streaky opacities could be due to atelectasis and/ or pneumonia or aspiration.

11425757

A portable frontal chest radiograph again demonstrates slightly low lung volumes and mild cardiomegaly. Diffuse interstitial opacities are unchanged. Perihilar congestion is decreased compared to ___. No new focal consolidation, pleural effusion, or pneumothorax is seen.

59993587

INDICATION: History: ___F with shortness of breath // eval for pna TECHNIQUE: Portable frontal chest radiograph. COMPARISON: Chest radiographs from ___, ___, ___, and CT chest from ___.

No acute cardiopulmonary process. Decreased perihilar congestion compared to ___.

11331671

AP chest radiograph demonstrates hyperexpanded lungs and apical pleuroparenchymal scarring. There is left basilar atelectasis. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Medullary densities in the left humerus likely represent an enchondroma.

51429001

INDICATION: Altered mental status. COMPARISON: None.

No acute cardiopulmonary process. Probable left humeral enchondroma. Dedicated radiographs of the left humerus are recommended when clinically appropriate. The findings and recommendations were discussed with Dr. ___ by telephone at 5:22 pm by telephone on ___.

11331671

The lungs are hyperexpanded, which is unchanged from prior exams. Stable apical scarring is present. There is stable left basilar atelectasis. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Abnormal densities in the left humerus most likely an enchondroma or prior medullary infarcts.

56622417

INDICATION: Confusion. Evaluate for pneumonia. COMPARISONS: Chest radiograph ___.

No acute cardiopulmonary process. Probable left humeral enchondroma or medullary infarction. Dedicated films of the left humerus are recommended if clinically indicated.

11332645

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. New slight blunting of the left costophrenic sulcus may relate to minor atelectasis or perhaps a trace pleural effusion. The lungs appear clear.

56516532

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Shortness of breath and chest pain. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.

Possible trace effusion on the left.

11436396

Nasogastric tube tip is within the stomach. Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.

55709849

HISTORY: Nasogastric tube placement. TECHNIQUE: Portable AP view of the chest. COMPARISON: ___ at 12:29.

Nasogastric tube tip within the stomach.

11216331

The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.

56817737

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

No evidence of acute disease.

11894213

The patient is status post sternotomy and probably coronary artery bypass graft surgery. A three-lead pacemaker/ICD device has leads terminating in the right atrium, right ventricle, and coronary sinus, as before, without change. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.

59263619

CHEST RADIOGRAPHS HISTORY: Lightheadedness. History of congestive heart failure. Also injury to the left lower extremity. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral.

No evidence of acute disease.

11894213

Low lung volumes accentuate mild cardiomegaly. The AICD pacemaker is in unchanged position. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax

55170212

INDICATION: ___M with dyspnea on exertion // eval for pulm edema COMPARISON: ___

Mild cardiomegaly without overt pulmonary edema.

11953908

The cardiac silhouette is moderately to markedly enlarged. Mediastinal contours are unremarkable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Possible minimal central pulmonary vascular engorgement without overt pulmonary edema. No pneumothorax is seen.

52926367

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dyspnea // acute process TECHNIQUE: Single frontal view of the chest COMPARISON: None

Enlarged cardiac silhouette, underlying cardiomyopathy or pericardial effusion not excluded. Possible minimal central pulmonary vascular engorgement without overt pulmonary edema.

11040162

AP portable supine view of the chest. Endotracheal tube is seen with its tip residing approximately 1.5 cm above the carinal. Bilateral pulmonary opacities are noted concerning for pneumonia and possible edema. No supine evidence for effusion or pneumothorax the right CP angle is excluded. Cardiomediastinal silhouette is normal. No bony abnormalities. A clip in the right upper abdomen noted.

54346941

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with intubation cardiac arrest // eval ett COMPARISON: None

Low lying ET tube- consider 1 cm retraction for more optimal positioning. Bilateral opacities in the lungs concerning for pneumonia and edema.

11914968

Endotracheal tube terminates approximately 2.5 cm from the carina. Enteric tube courses below the diaphragm and outside field of view within the stomach. There is mild cardiomegaly and mild pulmonary vascular congestion. Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. Minimally displaced right lateral fourth and fifth rib fractures and left posterior seventh rib fractures are likely related to recent chest compressions.

53567805

WET READ: ___ ___ ___ 8:01 AM 1. Low lung volumes. No focal consolidation, pneumothorax, or frank edema. 2. Standard position of support devices. 3. Bilateral minimally displaced rib fractures likely related to recent chest compressions. WET READ VERSION #1 ___ ___ ___ 2:47 AM 1. Low lung volumes. No focal consolidation, pneumothorax, or edema. 2. Standard position of support devices. 3. Bilateral minimally displaced rib fractures likely related to recent chest compressions. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with s/p cardiac arrest, intubation, evaluate for acute process, tube position TECHNIQUE: Single upright AP chest radiograph COMPARISON: None.

Low lung volumes. No focal consolidation, pneumothorax, or frank edema. Standard position of support devices. Bilateral minimally displaced rib fractures likely related to recent chest compressions.

11603515

Single portable view of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette is enlarged size likely accentuated by technique. Mid thoracic dextroscoliosis is noted. No acute osseous abnormality detected.

51129807

HISTORY: ___-year-old female with syncope. COMPARISON: None.

No acute cardiopulmonary process.

11663669

No previous chest x-rays on PACS record for comparison. The heart is not enlarged. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No CHF, focal infiltrate or effusion is identified. Possible minimal atelectasis in the right middle lobe, with slight vascular crowding there.

58194167

HISTORY: AIDS, cryptococcal meningitis, question acute process. CHEST, TWO

Possible minimal atelectasis in the right middle lobe. Otherwise, no acute pulmonary process identified.

11984498

The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Multiple punctate radiopaque round densities are seen throughout the chest and primarily the back, compatible with buckshot fragments.

52957066

HISTORY: HIV, fever to 101.7, dry cough, body aches. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality.

11984498

The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. Diffuse buckshot fragments are again noted overlying the upper torso, similar to the prior examination.

58061242

EXAMINATION: Chest radiographs. INDICATION: History: ___F with HIV, emphysema, asthma, p/w 5 days productive cough and SOB // please evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___.

No acute cardiopulmonary process.

11984498

PA and lateral views of the chest provided. Multiple buckshot fragments are again seen projecting over the chest and upper abdomen unchanged from prior. The lungs are clear. 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.

52871810

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath // eval heart and lungs COMPARISON: ___.

No acute intrathoracic process.

11437140

The lungs are relatively hyperinflated but clear. The cardiomediastinal silhouette is within normal limits for technique. No displaced fractures identified.

52533980

INDICATION: History: ___F with auto vs ped/ eval for PTX; eval for femur fx TECHNIQUE: Single supine portable view of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11442840

AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding portable chest examination with patient in supine position and dated ___. Again mild cardiac enlargement is probably present. No typical configuration abnormalities are identified. The pulmonary vasculature is not congested. The previously identified right-sided basal pulmonary parenchymal abnormality is not seen anymore and the right lateral pleural sinus is free. On the other hand on the left base a linear plate atelectasis has developed and has progressed slightly in comparison with the findings on the preceding chest examination. No other new discrete local pulmonary parenchymal infiltrates can be identified suggesting the presence of a pneumonia. No pneumothorax is seen.

52769544

DATE: ___. TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient, incarcerated, status post cadaveric liver transplant in ___ for autoimmune hepatitis and PSC, complicated by graft failure secondary to recurrent disease/chronic rejection (now on transplant list again).

Grossly stable chest findings, plate atelectasis on left base but no evidence of new pneumonic infiltrates on this single view portable chest examination.

11442840

ET tube ends 29 mm above carina. Right-sided Swan-Ganz is in right pulmonary artery. The NG tube is in adequate position. Multiple surgical catheters are seen in upper abdomen in this patient with recent liver transplant. Left severe pleural effusion with compressive atelectasis and right mild to moderate pleural effusion are difficult to compare to the prior exam, which was done in upright position. It has probably sightly increased. No pneumothorax.

50821990

PORTABLE AP CHEST X-RAY INDICATION: Patient with liver transplant, postop. COMPARISON: ___.

Tubes and lines are in adequate position. Severe left and mild to moderate right pleural effusions.

11442840

The right jugular line has been pulled back and now ends in the lower portion of the superior vena cava. There is no pneumothorax. Stability of the left lower lung atelectasis partly secondary to a severe splenomegaly. Very mild left pleural effusion. The mediastinal and cardiac contour are within limit of the normal and unchanged.

51484060

AP CHEST X-RAY INDICATION: Assess new position of central venous line. COMPARISON: Chest x-ray of ___ at 1:41 a.m.

The right jugular line is in adequate position.

11442840

A bedside AP radiograph of the chest demonstrates markedly low lung volumes with interval increase in the large left pleural effusion and left basilar atelectasis. There is pleural fluid tracking within the left major fissure. On the right, there is progressive elevation of the right hemidiaphragm consistent an intraabdominal process and basilar atelectasis. A heterogeneous opacity obscuring the right hemidiaphragmatic contour has been increasing since ___. There is no pneumothorax. The pulmonary vascularity is normal and there is no edema. The right internal jugular central venous line likely terminates within the right atrium, and should be withdrawn at least 2-3 cm to ensure proper positioning in the lower SVC.

50389975

INDICATION: Evaluate for the presence of pleural effusion in an incarcerated patient with graft failure following cadaveric liver transplant, transferred from an outside facility after found obtunded. COMPARISON: Series of chest radiographs dating back to ___, most recently from ___.

Enlarging large left pleural effusion and associated compressive atelectasis. Heterogeneous opacity in the right lower lobe concerning for developing pneumonia. Elevation of the right hemidiaphragm exacerbated by incomplete inspiration, likely secondary to an intra-abdominal process such as marked hepatomegaly or ascites. The right IJ central line should be withdrawn 2-3 cm to ensure placement in the lower SVC.

11442840

Endotracheal tube and NG tube are unchanged, end in standard position. Low lung volumes remain. There is unchanged dense consolidation of the left lung base, with a probable left pleural effusion. Developing opacity in the right lower lobe is new. The cardiac silhouette is top normal, the mediastinal contours are normal though remain shifted to the right.

54762326

HISTORY: ___-year-old male with an orthotopic liver transplant in ___, now with rejection, here for review. COMPARISON: ___.

Increasing left greater than right basilar opacity likely reflecting atelectasis with moderate left pleural effusion, which are worsening and pneumonia with empyema should be considered.

11442840

Two frontal images of the chest demonstrate a Dobbhoff tube with the tip in the proximal duodenum. There are no gross pulmonary changes since previous imaging. Enlarged prominent cardiac silhouette is again seen. Bilateral pleural effusions left greater than right remain unchanged. Retrocardiac opacification consistent with left lower lobe volume loss again seen.

55300267

INDICATION: ___-year-old male status post Dobbhoff placement. These findings were communicated to Dr. ___ 1:30 p.m. COMPARISON: Comparison is made with chest radiograph from ___ and ___.

Dobbhoff tube with tip in the proximal duodenum. Consider advancing tube slightly further to ensure tube remains post-pyloric.

11442840

New ET tube ends 3.1 cm above carina. Right-sided jugular line ends in mid SVC. Progression of right moderate pleural effusion and left mild-to-moderate pleural effusion with sign of moderate pulmonary edema. There is a more focal zone in the right upper lobe that could be consistent with edema, but an aspiration or pneumonia cannot be excluded. Bibasilar atelectasis is unchanged. There is also a lesser elevation of the diaphragm due to massive splenomegaly.

52888922

PORTABLE AP CHEST X-RAY INDICATION: Patient with history of liver transplant and recent hematemesis, recent intubation. COMPARISON: ___.

Line and tubes are in adequate position. Worsening of moderate pulmonary edema and bilateral pleural effusion. Slight new focal zone in the right upper lobe where aspiration or pneumonia cannot be excluded.

11442840

Two frontal images of the chest demonstrate a Dobbhoff tube with the tip located beyond the first segment of the duodenum. There are no gross pulmonary changes since previous imaging, and large prominent cardiac silhouette is again seen. Bilateral pleural effusions, left greater than right, remain unchanged. Retrocardiac opacification consistent with left lower lobe volume loss again seen.

55115646

INDICATION: ___-year-old male, status post Dobbhoff placement and readvancement. COMPARISON: Comparison is made with chest radiograph from earlier the same day, ___.

Dobbhoff tube with the tip beyond the first segment of the duodenum, in good position for use.

11442840

A bedside AP radiograph of the chest demonstrates interval improvement in pulmonary edema and decrease in heart size when compared to the prior study. There is minimal improvement in the moderate left-sided pleural effusion and considerable atelectasis of the left lower lobe persists. There is no pneumothorax.

55754354

INDICATION: Evaluate for interval change in pleural effusion in a patient status post liver transplant and PSC and autoimmune hepatitis. The patient recently had an aspiration event. COMPARISON: Series of radiographs dating back to ___, most recently from ___.

Interval improvement cardiogenic pulmonary edema due to congestive heart failure. Minimal improvement in moderate left pleural effusion with persistent left lower lobe atelectasis.

11442840

PA and lateral chest images demonstrate a Dobbhoff tube with the tip apparently in the stomach, although the course of the Dobbhoff tube is not entirely visualized on these images. There are no complications, including no pneumothorax visualized. Other monitoring and support devices are unchanged from the radiograph obtained earlier in the same day. There is some mild improvement in the interstitial markings in the lungs from prior imaging. Otherwise, exam is essentially unchanged from earlier imaging.

53673982

INDICATION: ___-year-old male requiring assessment of Dobbhoff placement. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___.

Dobbhoff tube incompletely visualized but tip appears to be in the stomach. Slight improvement of bilateral alveolar infiltrates.

11442840

The comparison is difficult because the previous exam was in the semi-erect position and now it is on erect position. There are still bilateral moderate pleural effusions with bibasilar atelectasis. The mild pulmonary edema has slightly decreased. Mild cardiac enlargement is stable. The patient has been extubated. The right jugular line ends in lower SVC. Left lower lobe atelectasis has not changed significantly.

52871238

PORTABLE AP CHEST X-RAY INDICATION: Patient with liver transplant rejection for autoimmune hepatitis and PSC, now with increased shortness of breath, evaluation. COMPARISON: ___.

Slight decrease in mild pulmonary edema. The pleural effusions are hard to compare because of different position, they are moderate.

11441830

Changes of right first rib resection are noted. There is no significant pneumothorax or pleural effusion. Lung volumes are low, with left lower lobe atelectasis. Heart size is normal.

59771701

INDICATION: ___-year-old male with venous thoracic outlet syndrome post-first rib resection. Evaluate for pneumothorax. COMPARISON: ___. CHEST,

No pneumothorax. Low lung volumes.

11401300

Lung volumes are low causing crowding of the bronchovascular structures. No pneumomediastinum is noted. No focal consolidation, pleural effusion or pneumothorax is noted. The heart is normal in size.

51006157

INDICATION: ___-year-old male with malaise, fevers/chills status post endoscopy with dilation. Evaluate for mediastinal air or other cardiopulmonary abnormality. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: None.

No acute cardiopulmonary process.

11815583

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

51351218

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with left hand laceration TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11745409

The lungs are clear without focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. The heart size is top normal. Calcifications are seen within the aortic arch. There are mild degenerative changes of the thoracic spine and acromioclavicular joints.

57676198

INDICATION: Dyspnea on exertion, evaluate for pneumonia. COMPARISONS: ___. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11745409

The lungs are clear with no evidence for consolidation, effusion, or pneumothorax. There is mild cardiomegaly. Otherwise, the cardiomediastinal silhouette is within normal limits. Visualized osseous structures are grossly unremarkable.

53500735

INDICATION: Evaluation of patient with chest radiograph prior to treatment with Methotrexate. COMPARISON: None available.

Mild cardiomegaly with no evidence of acute cardiopulmonary process.

11745409

The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is mildy enlarged.

59675963

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with RA // ? hilar ___ or infiltrate TECHNIQUE: Chest PA and Lateral COMPARISON: ___ and ___

No acute cardiopulmonary process.

11737033

The heart size is normal. The hilar and mediastinal contours are normal. Patchy opacities overlying the lower lung fields bilaterally are concerning for pneumonia. Mild bibasilar atelectasis is seen, left greater than right. There is a small left pleural effusion. There is no evidence of a pneumothorax. Note is made of rib fractures involving the left ___, ___, ___ ribs, of indeterminate chronicity. ET tube terminates approximately 4.4 cm above the carina. There is an enteric tube which extends below the diaphragm with the tip out of view of this film.

53225172

HISTORY: History of respiratory failure secondary to pneumonia. Please evaluate ET tube placement. COMPARISON: None. TECHNIQUE: Supine portable radiograph of the chest.

ET tube terminates approximately 4.4 cm above the carina. Patchy bilateral lower lobe opacities are concerning for pneumonia. Small left pleural effusion.