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11737033
The heart size is normal. The hilar mediastinal contours are normal. Patchy opacities overlying the lower lung fields bilaterally are worse compared to the exam one hour prior, and is concerning for pneumonia. Mild bibasilar atelectasis, left greater than right is persistent. There is mild diffuse bilateral emphysema. Small left pleural effusion is unchanged. There is no pneumothorax. Again seen are the rib fractures involving the left ___ ___ and 7th ribs, of indeterminate chronicity. ET tube terminates approximately 5.2 cm above the carina. There is a left-sided IJ which appears to terminate in the mid SVC. The enteric tube extends below the diaphragm with the tip by review of this film.
58201127
HISTORY: History of left IJ placement. Please evaluate. COMPARISON: Chest radiograph from ___ performed at 04:16. TECHNIQUE: Portable semi-erect radiograph of the chest.
Left-sided IJ terminates in the mid SVC. Interval worsening of pneumonia.
11507384
PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
50645627
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Cough and fever.
No acute intrathoracic process.
11507384
PA and lateral chest radiographs were examined. Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded without focal consolidation. Pulmonary vasculature is within normal limits.
53539921
HISTORY: Dyspnea and chest pressure. COMPARISON: Rib radiographs ___, chest radiograph ___.
No acute cardiopulmonary process.
11245831
The heart size is within normal limits. Mediastinal and hilar contours are normal and unchanged from prior exams. The lungs are clear of consolidation and no masses, specifically apical masses are present. Hyperexpansion of the lungs suggests emphysema. Mild apical scarring is present. There is no pleural effusion or pneumothorax. Mild S-shaped scoliosis of the thoracolumbar spine is demonstrated.
57118259
HISTORY: ___-year-old female with proximal muscle weakness. STUDY: PA and lateral chest radiograph. COMPARISON: ___ and chest CT from ___.
No evidence of pulmonary masses.
11788430
The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation or pleural effusion.
53929294
HISTORY: Chest pain. COMPARISON: Radiographs from ___. FRONTAL AND LATERAL CHEST
No acute intrathoracic process.
11980517
Lordotic positioning. There are low inspiratory volumes. Heart size is at the upper limits of normal, but not frankly enlarged. There is upper zone redistribution and vascular plethora, consistent with mild CHF. It is possible that the right hemidiaphragm is elevated. In addition, there is atelectasis and probably a small amount of fluid at the right base. There is patchy opacity in the retrocardiac region, consistent with left lower lobe collapse and/or consolidation. No gross joint effusion. Note is made of surgical ___ overlying the upper abdomen.
54247618
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ? pna // ? post op pna COMPARISON: None.
Bibasilar atelectasis and right pleural effusion. The possibility of underlying pneumonic consolidation cannot be excluded. Mild CHF.
11101925
Patient is status post tracheostomy tube which appears to be projecting over the trachea. Cardiac silhouette and hilar contours are unremarkable. A left-sided PICC line terminates in the mid to low SVC. There is bibasilar atelectasis. There is a large amount of air within the stomach with PEG noted.
57344283
HISTORY: Respiratory failure status post tracheostomy. Question pneumonia. COMPARISON: None. TECHNIQUE: Single portable view of the chest.
Bibasilar atelectasis but no evidence of pneumonia.
11101925
PA single chest view has been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study ___ ___. Tracheal cannula remains in place. Unchanged position of previously described left-sided PICC line terminating in lower SVC. Mediastinal and cardiac structures unaltered. The pulmonary vasculature is not congested. Bilateral linear basal densities similar as before. No new parenchymal infiltrates can be identified. The on previous examination noted extreme gas dilatation of the stomach has receded moderately.
50523250
TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old female patient with increased shortness of breath, new leukocytosis. Evaluate for possible infiltrate.
Stable pulmonary appearance after tracheostomy placement. No new discrete parenchymal infiltrates in this patient with apparently advanced findings of COPD.
11101925
AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed with the next preceding similar study obtained nine hours earlier during the same day. Position of tracheostomy cannula and previously described right-sided PICC line completely unchanged. Heart size remains normal and unremarkable appearance of thoracic aorta. No increased widening of superior mediastinal structures. No evidence of apical pneumothorax or local hematoma formation. Lungs remain well aerated bilaterally. Previously described mostly linear bibasilar opacities appear stable and do not show any significant interval change.
57636577
TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old woman with tracheostomy and now status post attempted right subclavian puncture with air expectorated concerning for pneumothorax.
Stable chest findings, no new abnormalities since next preceding study.
11101925
The heart size is normal. The hilar and mediastinal contours are normal. Compared to the study from ___ there appears to be an interval increase in the left lower lobe focal consolidation. There is stable blunting of the bilateral costophrenic angles suggestive of small bilateral pleural effusions. There is mild pulmonary vascular congestion as well as mild pulmonary edema. There is a tracheostomy tube which appears to be in place. There is no evidence of pneumothorax.
56205909
INDICATION: History of trach, MSSA pneumonia with increasing vent requirements. Please evaluate for interval change. COMPARISON: Multiple chest radiographs dating back to ___. TECHNIQUE: Single AP portable exam of the chest.
Interval increase in the left lower lung consolidation concerning for worsening focal pneumonia. ___ d/w Dr. ___ by Dr. ___ by telephone on the day of the exam at 1pm.
11101925
Portable AP chest radiograph. Right-sided PICC tip is in the lower SVC. Blunting of the costophrenic sulci represents a combination of scarring and pleural thickening. The lungs are mildly hyperinflated and focality of interstitial edema in the left lower lung probably reflects severe emphysema elsewhere in the lungs. The cardiomediastinal silhouette is stable. Tracheostomy cuff appears hyperinflated and distends the tracheal wall.
53005350
INDICATION: Sepsis with hypotension. Evaluation for pneumothorax. COMPARISON: Multiple priors from ___ - ___.
Interstitial edema in the left lower lung, but no pneumothorax or focal consolidation. Tracheostomy cuff appears hyperinflated. Findings were discussed by Dr. ___ with Dr. ___ by phone at 10:48 a.m. on ___.
11101925
Portable AP view of the chest. The endotracheal tube is again seen. Right PICC tip is in the mid SVC. There is blunting of the bilateral costophrenic angles potentially due to effusions or scarring, unchanged. The lungs are hyperinflated. Linear bibasilar opacities have not significantly changed. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
58322200
HISTORY: ___-year-old female with a prior hospitalization with question pneumonia now with green secretions. Abdominal pain. COMPARISON: ___.
Persistent blunting of the costophrenic angles and linear bibasilar opacities potentially scarring or atelectasis. Of note, infection cannot be entirely excluded. No new confluent consolidation.
11636537
Cardiac, mediastinal, and hilar contours are normal. Both lungs are clear with no focal consolidation, pleural effusion, or pneumothorax.
50320632
INDICATION: ___-year-old man with cough for several months. Assess lungs. COMPARISON: None. PA AND LATERAL CHEST
No acute cardiopulmonary process.
11855455
PA and lateral views of the chest provided. Midline sternotomy wires and cardiac valve replacement noted. 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.
55451292
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with chest pain and fevers // r/o acute process COMPARISON: Prior exam dated ___
No acute intrathoracic process.
11365630
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. There is unchanged subtle chronic scarring of the lungs, which are otherwise clear without focal consolidation or pulmonary edema. There is no pleural effusion or pneumothorax.
50553308
HISTORY: Shortness of breath and fatigue. COMPARISON: Chest radiographs from ___ and ___.
No focal consolidation concerning for pneumonia. Unchanged subtle chronic scarring.
11365630
There is no significant change compared with prior examination. The lungs are hyperinflated with some flattening of both diaphragms. Bilateral interstitial markings, more prominent at the lung bases, are compatible with fibrosis. No new focal parenchymal opacity is seen. Prominent atherosclerotic calcifications of the aortic knob are present. Cardiomediastinal and hilar contours are unremarkable. There is no cardiomegaly. No pleural effusion or pneumothorax. Biapical pleural parenchymal scarring is present and unchanged.
52523047
INDICATION: ___-year-old female with cough and fever. Evaluate for evidence of pulmonary infiltrate. COMPARISON: ___ and ___. TECHNIQUE: PA and lateral chest radiographs.
No new focal parenchymal opacity to suggest pneumonia. Bibasilar prominent interstitial markings as well as biapical scarring are unchanged since at least ___.
11365630
The compared to ___, there is evidence of mild progression of known interstitial lung disease with increased interstitial markings, especially at the bases. The lungs are hyperexpanded, though unchanged. Biapical thickening is unchanged. No pleural effusion or focal consolidation is seen. The heart size is unchanged. The mediastinum and hilar contours are unchanged from prior. Aortic knob calcification is unchanged.
58333110
INDICATION: ___ year old woman with ILD and hx of "pna" 3 wks ago elsewhere // assess for any residual pneumonia and for any change in her ILD extent and severity TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___ and ___.
Evidence of mild progression of known interstitial lung disease. While unable to assess resolution of prior pneumonia, there is no evidence of focal pneumonia on this exam.
11365630
Unable to assess erosions of the sternum ___ malignancy ___ costochondritis in current radiographs. Patient has multiple chronic pulmonary abnormalities that have since progressed. In the lower lungs, there is interstitial infiltration described as mild traction bronchiectasis and cortical reticulation on recent CT in ___. There also irregular areas of consolidation with bronchiectasis in the right upper and left upper lobe which have been noted to evolve from interstitial infiltration noted previously on recent CT. No pleural effusion ___ pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Calcified aortic knob again noted.
57848210
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with ___ prominence on left sternum--___ ___ syndrome // evaluate ___ prominence on left sternum; evaluate for any erosions suggestive of malignacy TECHNIQUE: Chest: PA Frontal and Lateral COMPARISON: ___ chest radiograph. , CT chest ___
Unable to assess erosions of the sternum ___ malignancy ___ costochondritis in current radiographs. Consider chest CT for further evaluation. However, chest CT may still be nondiagnostic for costochondritis ___ ___ syndrome. Multiple areas of pulmonary abnormalities, including areas of interstitial infiltration of lower lobes and areas of consolidation and bronchiectasis in the upper lobes, have progressed since radiographs from ___. An alternative differential to nonspecific interstitial pneumonia, which has previously been raised as a possibility, is the possibility of pulmonary fibroelastosis.
11937467
Heart size is mild to moderately enlarged. The aorta is tortuous. The hila bilaterally are somewhat prominent, and this could be due to underlying pulmonary arterial hypertension. There is no pulmonary vascular congestion. A peripheral triangular opacity within the left lung base could reflect an area of infarction though infection is not excluded. Small left pleural effusion is also demonstrated. No pneumothorax is seen. Mild multilevel degenerative changes are noted in the thoracic spine. No displaced fractures are identified.
56701103
HISTORY: Chest pain and tenderness to palpation in left lateral ribs. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
Peripheral triangular opacity within the left lung base could reflect an area of infarction or infection, with small left pleural effusion. A chest CTA is suggested for further assessment if there is concern for pulmonary embolism. No displaced rib fractures are seen.
11937467
The heart is mild-to-moderately enlarged, but stable bust prior examination. The aorta is markedly tortuous. The bilateral hila are prominent but similar appearance to the prior emanation. There is no evidence of pulmonary vascular congestion. There is mild pleural thickening at the left costophrenic angle. There is no evidence of pneumothorax or pleural effusion. There is no focal consolidation seen to suggest infection.
56821120
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with confusion // Acute cardiopulm disease TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___
No evidence of focal consolidation, or pneumothorax. Mild to moderate cardiomegaly is stable.
11205318
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
58886529
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with 2 wks intermittent chest pain. sharp, nonpositional, nonradiating. // pls r/o acute intrathoracic process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
No acute cardiopulmonary process.
11467306
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen.
58227837
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, sob*** WARNING *** Multiple patients with same last name! // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
Top-normal to mildly enlarged cardiac silhouette. No pulmonary edema. No focal consolidation to suggest pneumonia.
11995308
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
50981266
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___ year old woman with OHSS with pleural effusions s/p chest tube removal // evaluate pleural effusion TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ at 10:46
No acute cardiopulmonary process. No pleural effusion seen.
11995308
Portable semi-upright radiograph of the chest demonstrates interval placement of a right-sided chest tube with subsequent significant improvement in large right-sided pleural effusion. A small persistent right-sided pleural effusion is present. No definite pneumothorax is identified. Right-sided atelectasis is present. No other change seen.
54915506
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with s/p pigtail // palcement TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs from 2 hours prior
Status post right-sided chest tube placement with some improvement seen in right-sided pleural effusion.
11995308
There is large right pleural effusion with overlying atelectasis, underlying consolidation is not excluded. The left lung is clear. No evidence of a left-sided pleural effusion is seen. The right aspect of the cardiac silhouette is not well assessed due to the large right mid to lower hemithorax opacification, however, the left aspect of the cardiomediastinal silhouette is grossly unremarkable. No pulmonary edema is seen.
54145680
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with right chest pain // PTX? TECHNIQUE: Single frontal view of the chest COMPARISON: None
Large right pleural effusion with overlying atelectasis, underlying consolidation not excluded.
11995308
Cardiac size is top-normal. Opacity in the right lower hemi thorax is a combination of pleural effusion and adjacent consolidation. The right pleural effusion has decreased, there is persistent collapse of the right middle lobe and large atelectasis in the right lower lobe. Left lower lobe retrocardiac opacities have increased could be atelectasis, superimposed infection cannot be excluded in the appropriate clinical setting. A pleural catheter in the right lower hemi thorax is in place. There is no evident pneumothorax.
53958030
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with OHSS and right pleural effusion s/p chest tube placement // evaluate for pleural effusion and chest tube placement TECHNIQUE: Chest PA and lateral COMPARISON: ___
Decrease in size of large right pleural effusion with persistent collapse of the right middle lobe and large atelectasis in the right lower lobe. Retrocardiac opacities could be atelectasis or pneumonia in the appropriate clinical setting
11816739
A right-sided central line is present, tip over distal SVC. No pneumothorax is detected. There are low inspiratory volumes, with bibasilar atelectasis. This is less pronounced than on ___. The cardiac silhouette is probably unchanged. Prominence of the right hilum is similar to the prior study, with some patchy opacity in the right infrahilar region. There is minimal upper zone redistribution, without overt CHF. The appearance is improved compared with the prior study. Again noted is a normal variant incomplete azygos fissure. The possibility of hazy density in the fissure cannot be entirely excluded, but I suspect this is an artifact due to overlying soft tissues. No gross effusion.
54940816
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough // pneumonia? COMPARISON: Chest x-ray from ___
Minimal bibasilar atelectasis, including in the right infrahilar region. The appearance is less pronounced than on ___. No definite consolidation, though an early infiltrate would be difficult to exclude in this setting.
11094463
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.
54660005
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, nausea and vomiting TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
11094463
PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
58718716
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // ?pneumonia COMPARISON: ___
No acute intrathoracic process.
11248143
The heart size is top normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
55186871
HISTORY: Hypotension and ventricular tachycardia during EGD. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary abnormality.
11408815
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.
51673114
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary abnormality.
11247436
Frontal radiograph of the chest demonstrates interval removal of right internal jugular venous line. There are persistent low lung volumes with bibasilar atelectasis and unchanged bilateral multifocal opacifications and evidence of unchanged pulmonary edema. Bilateral pleural effusions persist with some bibasilar atelectasis and associated volume loss. The heart size is unchanged and there is no pneumothorax.
59591876
INDICATION: ___-year-old female with new tachypnea, wheezing. Evaluation for pneumonia and volume overload. COMPARISON: Comparison is made to radiograph of the chest from ___ dating back to ___.
Persistent multifocal opacities and pulmonary edema with unchanged bilateral pleural effusions and bibasilar atelectasis. No significant change since the prior study.
11247436
Frontal radiograph of the chest demonstrates interval placement of an OG tube which is seen in standard position, terminating in the fundus of the stomach. The previously demonstrated multifocal right upper lung opacification concerning for pneumonia is again seen in the axillary region of the right lung. There has been interval improvement in the previously demonstrated pulmonary edema. As before, there is left lower lobe atelectasis or collapse with an associated small left pleural effusion. The right internal jugular central venous catheter and endotracheal tube remains in unchanged position since prior study. Biliary stent is again seen. The heart size is unchanged.
50760130
INDICATION: ___-year-old female status post lap chole with anemia, hypotension and hypoxia. Concern for ARDS. Evaluation for placement of OGT. COMPARISON: Comparison is made to radiograph of the chest from ___.
Interval placement of orogastric tube in standard position seen within the fundus of the stomach. Interval improvement in pulmonary edema. Persistent left lower lobe atelectasis or collapse and persistent pneumonia predominantly in the axillary region of the right lung.
11247436
Frontal radiograph of the chest demonstrates right internal jugular venous catheter which has been pulled back 2 cm and now terminates at or just below the cavoatrial junction and could be pulled back 2 more centimeters to end in the distal SVC. The endotracheal tube terminates 2 cm above the level of the carina. The previously demonstrated multifocal opacifications in the right upper lung are concerning for pneumonia and are unchanged since the prior radiograph. There is also a component of mild pulmonary edema with enlargement of the central pulmonary vasculature. The cardiac size is unchanged since the prior study. There has been interval removal of an NG tube.
50716171
INDICATION: ___-year-old female with sepsis status post pulling central line 2 cm. Please evaluate for line placement and ET tube placement. COMPARISON: Comparison is made to same-day radiograph from time ___ and time ___.
Multifocal right upper lung opacification concerning for pneumonia. Mild pulmonary edema. Right internal jugular venous catheter could be pulled back 2 cm to end in the low SVC. The above findings were communicated to Dr. ___ by Dr. ___ ___ page at ___, 10 minutes after the finding was discovered.
11966699
Frontal and lateral radiographs of the chest. An AICD is in unchanged position though. Midline sternotomy wires and mediastinal clips are again noted heart size is mildly enlarged, unchanged. There is pulmonary vascular congestion. No focal consolidation or pleural effusion. No pneumothorax.
52588457
FINAL ADDENDUM Subtle left base opacity may represent atelectasis, but infectious process or aspiration is not excluded in the appropriate clinical setting. ______________________________________________________________________________ FINAL REPORT HISTORY: Chest pain and dizziness, history of congestive heart failure. Evaluate for pulmonary edema COMPARISON: Chest radiograph from ___
Pulmonary vascular congestion and persistent cardiomegaly.
11966699
A single portable frontal upright view of the chest is provided. Left-sided AICD is stable in position. The cardiac silhouette is moderately to markedly enlarged, appears increased in size as compared to the prior study given differences in technique. he mediastinal contours are relatively stable. In comparison to the prior radiograph, there is increased perihilar opacification with cephalization of the pulmonary vasculature consistent with mild pulmonary edema. Vascular markings also accentuated by low lung volumes. Small bilateral pleural effusions are given haziness of the diaphragms. There is no pneumothorax. Sternotomy wires and numerous surgical clips are again noted.
56586291
INDICATION: ___-year-old male with ventricular tachycardia, chest pain, evaluate for pulmonary edema. COMPARISON: ___.
In comparison to the prior study, the lung volumes are low resulting in pulmonary vascular crowding. However, there is increased perihilar interstitial prominence with less well defined vascular markings suggestive of pulmonary edema. Moderate to marked enlargement of the cardiac silhouette appears increased, given differences in technique. Likely small bilateral pleural effusions.
11966699
Frontal and lateral views of the chest were obtained. Left-sided AICD is stable in position. The cardiac silhouette remains mild to moderately enlarged. The aorta and mediastinal contours are unremarkable. The patient is status post median sternotomy and CABG. Subtle linear left basilar opacities are improved since the prior study and likely represent chronic changes. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The lungs are relatively hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease.
56139465
EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Confusion. COMPARISON: ___.
Cardiomegaly. No acute cardiopulmonary process.
11966699
Sternotomy wires are unchanged as are mediastinal clips. A pacer defibrillator unit projects over the left chest with leads in the right atrium and right ventricle as well as a set of abandoned leads, all similar to prior exam. The heart continues to be enlarged but not changed from prior exam. The mediastinal contours are not widened. The lungs demonstrate prominent pulmonary vasculature and mild edema. There is no large pleural effusion or pneumothorax.
52066024
HISTORY: ___-year-old male with chest pain. STUDY: AP and lateral chest radiograph. COMPARISON: ___, ___ and ___.
Stable cardiomegaly with mild edema - may represent early heart failure.
11966699
PA and lateral chest radiographs were obtained. Cardiomegaly is moderate. Minmal interstitial edema is present. There is a small right effusion. There is no consolidation, pneumothorax. Peribronchial Biventricular pacing leads are in expected position. Post CABG changes are noted.
53741654
HISTORY: Chest pain. COMPARISON: ___ from ___.
Cardiomegaly and minimal interstitial edema.
11550175
The lungs are well inflated and clear. The heart is mildly enlarged. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia. Multilevel degenerative changes are present in the thoracic spine.
58255585
EXAMINATION: Chest radiographs. INDICATION: History: ___F with lightheadedness, headache, R gait deviation. Infiltrate? TECHNIQUE: Chest PA and lateral COMPARISON: None.
No acute cardiopulmonary process.
11958966
There are bibasilar opacities. Associated linear opacities may be due to associated atelectasis versus scarring. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
55398849
INDICATION: ___F with fever, SOB, cough // evaluate for pneumonia TECHNIQUE: PA and lateral views the chest. COMPARISON: None.
Bibasilar opacities, left greater than right. Findings could be due to infection in the proper clinical setting. Repeat after treatment is suggested to document resolution and exclude underlying focal lesion.
11796587
The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Height loss of a vertebral body near the thoracolumbar junction with focal kyphosis at this level is chronic.
51626347
EXAMINATION: Chest radiograph. INDICATION: ___M with cough. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___.
No acute cardiopulmonary process.
11796587
There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable.
57701864
INDICATION: ___ year old man with cough, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___.
No acute cardiopulmonary process.
11796587
The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
59911974
HISTORY: Fever, chills and abdominal pain. TECHNIQUE: Frontal and lateral view of the chest. COMPARISON: Chest radiograph ___.
No acute cardiopulmonary process.
11796587
Cardiac silhouette size is within normal limits. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal streaky opacities are noted in both lung bases, likely areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. No subdiaphragmatic free air is noted. Loss of height of a vertebral body at the thoracolumbar junction is unchanged.
53636223
EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with oral surgery, severe nausea, vomiting, new ___, elevated lactate TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___
Streaky bibasilar atelectasis. No subdiaphragmatic free air.
11554791
Single portable supine AP chest radiograph demonstrates stable mild cardiomegaly and hilar contours when compared to prior radiograph. Tortuous descending abdominal aorta with aortic calcifications noted. No large pneumothorax is detected. There is no large pleural effusion. No evidence to suggest pulmonary edema. No obvious chest cage trauma is identified.
50169269
INDICATION: ___-year-old female with trauma. COMPARISON: Chest radiograph dated ___.
No acute abnormality detected. Mild cardiomegaly, stable. Conventional radiograph insensitive in the evaluation of acute chest cage trauma. Please refer to CT torso obtained same date for complete findings.
11554791
Lung volumes are low. There are new small to moderate bilateral pleural effusions with adjacent atelectasis. Heart is obscured by pleural effusions and not well evaluated. There is no pneumothorax. The aorta is calcified. Multiple bilateral rib fractures are better seen on recent CT of the torso.
57694297
INDICATION: ___F with recent admission for trauma/assult here for decreased H H // Hemothorax from rib fractures? TECHNIQUE: Upright AP and lateral chest COMPARISON: Chest radiographs ___ through ___
New bilateral pleural effusions are small to moderate. No pneumothorax. Multiple bilateral rib fractures are better seen on recent CT of the torso.
11554791
There is a moderate thoracic kyphosis which increase in the AP diameter of the chest. The lungs are relatively well inflated and clear. The descending thoracic aorta demonstrates moderate atherosclerotic plaque and is unfolded. Heart size is stable, top normal. No focal consolidation or pleural effusion. No pneumothorax.
59928721
INDICATION: ___F with chest pain // r/o acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___.
Chronic findings as noted above. No acute cardiopulmonary process.
11830029
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The pulmonary architecture appears somewhat irregular, which may reflect underlying pulmonary obstructive disease. Streaky opacities in each costophrenic sulcus suggest minor scarring or atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. An expanded anteroposterior dimension of the chest suggests mild hyperinflation. Small osteophytes are noted along the thoracic spine.
57983712
CHEST RADIOGRAPHS HISTORY: Fever and shortness of breath. COMPARISONS: None. TECHNIQUE: Chest, three views.
Findings which may suggest obstructive pulmonary disease, but no evidence for acute process.
11916317
PA and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are well expanded. No chf, focal infiltrate, pleural effusion or pneumothorax detected. Bones are within normal limits.
54042311
INDICATION: ___-year-old woman status post motor vehicle collision. COMPARISON: None.
Chest xray examination within normal limits.
11941556
Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified. Dextroscoliosis is unchanged. Extensive atherosclerotic calcification of the descending aorta is also unchanged.
57325690
HISTORY: Patient with Alzheimer's status post unwitnessed fall yesterday. Question rib fracture or pneumothorax COMPARISON: ___
No pneumothorax or displaced rib fracture.
11615049
The lung volumes are exceedingly low, particularly on the frontal view. Within this limitation, there is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.
51304331
INDICATION: Persistent cough after recent viral illness. Evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: None.
No acute cardiopulmonary process.
11117985
Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
56984331
HISTORY: Cough, fever, body aches. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.
No acute cardiopulmonary process.
11597221
PA and lateral views of the chest demonstrate well-expanded and clear lungs. Heart is larger than expected, but pulmonary vasculature are within normal limits. Mediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
50052032
INDICATION: ___-year-old woman with sudden onset chest pain and nonspecific EKG changes. COMPARISON: None.
No acute intrathoracic abnormality. Heart is larger than expected, but no evidence of congestive failure.
11826223
PA and lateral views of the chest demonstrates the lungs are well expanded and there has been interval improvement in bibasilar atelectasis and small bilateral pleural effusions. No focal consolidation is seen. The cardiomediastinal silhouette is unremarkable. There is no evidence of pulmonary edema or pneumothorax.
54886212
HISTORY: Hypoglycemia. Evaluation for pneumonia or CHF. COMPARISON: Comparison is made to radiographs of the chest from ___.
No acute cardiopulmonary process.
11826223
PA and lateral views of the chest were provided. Since the prior exam, there are small bilateral pleural effusions with basilar opacities likely representing dependent atelectasis. While there is no overt edema, the possibility of mild interstitial edema is not excluded. There is no pneumothorax. Heart size cannot be assessed. The mediastinal contour appears normal. Bony structures are intact.
53023546
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Worsening dyspnea on exertion, assess effusion or pulmonary edema.
Small bilateral effusions with basilar opacities, likely atelectasis. Possible mild pulmonary edema.
11078430
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
55673635
EXAMINATION: Chest: Frontal and lateral views INDICATION: ___M w/chest pain, please eval for wide mediastinum, PTX, PNA // ___M w/chest pain, please eval for wide mediastinum, PTX, PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___
No acute cardiopulmonary process.
11913563
Low lung volumes bilaterally with crowding of the vasculature in the lung bases. Bibasilar linear atelectasis is seen. Pleural surfaces are normal without pleural effusion or pneumothorax. The heart size is mild to moderately enlarged, however, is likely accentuated by patient positioning, low lung volumes, and AP technique. Mediastinal contour and hila are normal.
56286240
HISTORY: New seizure, hypoglycemia. Assess for pneumonia. COMPARISON: Chest radiograph, ___. TECHNIQUE: Frontal and lateral chest radiographs.
Low lung volumes. No evidence of pneumonia.
11913563
The cardiomediastinal and hilar contours are within normal limits. Lung volumes are somewhat low. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
56231362
INDICATION: ___F w/AMS, please eval for PNA // ___F w/AMS, please eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___
No acute intrathoracic process.
11913563
The cardiomediastinal is top normal. The hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. A density projecting over the humeral head appears to be a soft tissue calcification on radiograph ___.
57232712
WET READ: ___ ___ ___ 7:23 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with night sweats, 30lb weight loss // eval ? infiltrate, lung mass TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, chest radiograph ___.
No acute cardiopulmonary abnormality.
11913563
Lung volumes are low, causing crowding of bronchovascular structures. There is mild cardiomegaly, but mediastinal and hilar contours are normal. Increased interstitial pulmonary lung markings are present, suggesting mild central pulmonary vascular congestion. No focal consolidation or pneumothorax.
54700356
EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with altered mental status. ? acute cardiopulm process TECHNIQUE: Chest AP and lateral. COMPARISON: None.
Mild central pulmonary vascular congestion. No focal consolidation.
11913563
The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
50698743
INDICATION: History: ___F with RLL crackles, ams, hypothermia // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, chest CT ___.
No acute cardiopulmonary process.
11913563
Heart size is top normal. Mediastinal and hilar contours are unremarkable. There is minimal atelectasis in the lung bases in the setting of low lung volumes. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected. Calcification adjacent to the superior and lateral aspect of the left humerus may reflect calcific tendinopathy.
50687354
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with seizure activity today, rule out infections TECHNIQUE: Upright AP view of the chest COMPARISON: None. Patient is currently listed as EU critical.
Slightly low lung volumes with mild bibasilar atelectasis. No pneumonia.
11634508
New hazy opacities are seen in the left lung base, concerning for developing pneumonia. Mild bibasilar atelectasis is noted, left greater than right. No pleural effusion, pneumothorax, or pulmonary edema.
54700345
EXAMINATION: Chest radiograph INDICATION: ___ year old man with fever // eval for infiltrate, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___, ___
New hazy opacities in the left lung base are concerning for developing pneumonia.
11634508
Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Small bilateral pleural effusions, larger on the left, are present with minimal atelectasis in the left lung base. No focal consolidation or pneumothorax is seen. No acute osseous abnormality is visualized.
56317191
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea, nephrotic syndrome, cough TECHNIQUE: Chest PA and lateral COMPARISON: None.
Small bilateral pleural effusions, larger on the left, with mild left basilar atelectasis.
11358361
The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen. No free intraperitoneal air identified.
59259653
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with ill-defined left lower quadrant/midline abdominal pain. pls evaluate for diverticulitis or other intra-abdominal process // ___F with ill-defined left lower quadrant/midline abdominal pain. pls evaluate for diverticulitis or other intra-abdominal process TECHNIQUE: Chest PA and lateral COMPARISON: None
No acute cardiopulmonary process.
11501869
The IABP is unchanged in position. The IVC catheter is stable. Lung volumes are decreased which somewhat exaggerates the appearance of the small bilateral pleural effusions which are not appreciably changed. Bibasilar atelectasis is slightly worse. The cardiomediastinal silhouette is normal. There is no pneumothorax.
58739074
HISTORY: Status post intra-aortic balloon pump. Assess intra-aortic balloon pump placement. TECHNIQUE: Portable AP chest. COMPARISON: Chest radiograph ___.
IABP unchanged in position Lung volumes are lower, small bilateral pleural effusions are unchanged, and mild bibasilar atalectasis is slightly worse.
11501869
The new IABP is in appropriate position terminating approximately 2 cm from the arch of the aorta. A venous catheter ascends in the IVC with its tip terminating in the outflow tract of the right heart. Lung volumes are lower compared to ___ and there are new small bilateral pleural effusions and adjacent bibasilar atelectasis. The cardiomediastinal silhouette is unremarkable. There is no apical pneumothorax.
56157465
WET READ: ___ ___ ___ 8:07 PM IABP in satisfactory postion. Tip 1 intercostal space above carina. Heart size top normal. Lungs are clear. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: Status post intra-aortic balloon pump. Assess intra-aortic balloon pump placement. TECHNIQUE: Portable AP chest. COMPARISON: Chest radiograph ___.
IABP is in appropriate position. New small bilateral pleural effusions with adjacent bibasilar atelectasis.
11680044
The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
56825548
HISTORY: Intermittent chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.
No acute cardiopulmonary process.
11926709
The lungs are well-expanded and clear. The heart is enlarged. The hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
56274908
WET READ: ___ ___ ___ 12:13 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with fever, hyperglycemia // evaluate for acute process TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: None available.
No acute cardiopulmonary process.
11616349
There is an apparent 2 cm rounded opacity in the retrocardiac region on both the frontal and lateral views. The lungs are otherwise clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Lower thoracic vertebral body height loss is age indeterminate.
55692207
WET READ: ___ ___ ___ 7:47 PM Apparent rounded opacity in the retrocardiac region for which nonurgent chest CT is suggested. Otherwise, no acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with right facial droop unknown onset // ?PNA, bleed TECHNIQUE: AP and lateral views of the chest. COMPARISON: None.
Apparent rounded opacity in the retrocardiac region for which nonurgent chest CT is suggested. Otherwise, no acute cardiopulmonary process.
11508827
PA and lateral views of the chest provided demonstrate left chest wall Port-A-Cath with tip in the mid SVC region. Lungs are clear. No signs of pneumonia. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
56811049
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: Fever, question pneumonia.
No signs of pneumonia.
11878264
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Multiple right-sided rib fractures including the posterior right fifth through eighth ribs are seen which may be subacute.
57428007
EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M s/p fall on mountain bike, found to have BL UE fractures, fell onto head, not wearing helmet // UE plain films- r/o fractureCT head- r/o SDHCT neck- r/o fracture TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
Multiple right-sided rib fractures, including of the posterior right fifth through eighth ribs, may be subacute. Correlate with history and physical findings. No radiographic evidence of pleural effusion or pneumothorax.
11855597
AP portable upright view of the chest. Cardiomegaly is stable. There is no edema or pneumonia. No large effusion or pneumothorax. Mediastinal contour is stable. Bony structures are intact.
57435637
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with tachycardia // acute process? COMPARISON: ___
Stable cardiomegaly. Otherwise unremarkable.
11855597
Heart size remains moderately enlarged with a left ventricular predominance. Aorta is mildly tortuous. The mediastinal and hilar contours remain unchanged. Pulmonary vasculature is normal. There is no focal consolidation, large pleural effusion or pneumothorax identified. The osseous structures are diffusely demineralized.
56606667
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with tachycardia TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph
No acute cardiopulmonary abnormality.
11855597
There are low lung volumes. Increased interstitial markings bilaterally could be due to mild pulmonary edema and/or chronic lung disease. Left basilar opacity could be due to atelectasis although underlying consolidation is not excluded. Tracheobronchial tree calcifications are seen. Subtle opacity underlying the left mid lung could relate to underlying pulmonary contusion. There may also be a small left pleural effusion The cardiac silhouette is enlarged. The aorta is tortuous. The bones are diffusely osteopenic, limiting sensitivity for fractures however, there are multiple lateral left-sided rib fractures including at least the left third, fourth, fifth, seventh, possibly sixth. There are likely several compression deformities in the spine although not well assessed on this study.
58132066
WET READ: ___ ___ ___ 4:43 PM Multiple left-sided rib fractures involving at least the left third, fourth, fifth, seventh, and possibly sixth rib. Subtle opacity underlying the lateral left mid lung could relate to underlying pulmonary contusion. Possible small trace pleural effusion. *** ED URGENT ATTENTION *** WET READ VERSION #1 WET READ VERSION #2 ___ ___ ___ 6:29 PM [Multiple left-sided rib fractures involving at least the left third, fourth, fifth, seventh, and possibly sixth rib. Subtle opacity underlying the lateral left mid lung could relate to underlying pulmonary contusion. Possible small trace pleural effusion. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with s/p fall // eval for trauma TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.
Multiple left-sided rib fractures involving at least the left third, fourth, fifth, seventh, and possibly sixth rib. Subtle opacity overlying the lateral left mid lung could relate to underlying pulmonary contusion. Possible small left pleural effusion.
11855597
AP upright portable chest radiograph provided. Multiple overlying leads are present which somewhat limit the evaluation. The heart appears mildly enlarged. Also noted is left basilar opacity which likely in part reflects the presence of a left pleural effusion with left lower lobe consolidation difficult to exclude. There is small right pleural effusion with right basilar atelectasis. The heart is mildly enlarged. The mediastinal contour is widened though the aorta appears tortuous. No convincing signs of pneumothorax. The bony structures are intact.
52539276
PORTABLE CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: AFib, chest pain, assess for free air or mediastinal widening.
Mild cardiomegaly with bilateral pleural effusions, left greater than right with bibasilar atelectasis and possible superimposed left basilar pneumonia. Consider dedicated PA and lateral views to better assess.
11855597
There is diffuse osteopenia. Multiple chronic posterior left rib fractures are seen. There is no acute fracture. Right peribronchiolar opacity is unchanged from multiple chest radiographs. Mild cardiomegaly is noted. Tortuosity of the aorta is again seen. There are calcifications along the tracheobronchial tree. Increased perihilar interstitial markings are likely reflective of chronic lung disease and have been seen on multiple prior chest radiographs. There is no pneumothorax.
55797218
INDICATION: History: ___F with on eliquis p/w hypoxia, ___% on 12L, ams // pCXR: eval for consolidation head: eval for CHOCTAW: eval for active extra into chest wall hematoma, pna TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs including most recently ___. Chest CT ___.
No evidence of new focal consolidation as compared to chest radiograph ___. Right perihilar opacity is unchanged from multiple prior chest radiographs and is likely due to calcification of the costochondral joint. However in the right clinical scenario, pneumonia in this location cannot be ruled out. .
11830616
AP upright and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
50226418
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Altered gait, question pneumonia.
No acute findings in the chest.
11830616
PA and lateral views of the chest demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
55132125
HISTORY: ___-year-old woman with ataxia, question acute intrathoracic process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ PROCEDURE:
No acute intrathoracic process.
11248860
PA and lateral views of the chest are provided. There is no free air below the right hemidiaphragm. The lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact. A sclerotic rounded density projecting over the midline T-spine on the frontal projection could represent a calcified granuloma or a bone island.
53917943
CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Uncontrollable hiccups, question free air below the right hemidiaphragm.
No signs of free air.
11345525
Single frontal view of the chest was obtained. The heart size is moderately enlarged, similar to prior. The pulmonary vasculature is unremarkable and there is no evidence of pulmonary edema. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
55520333
INDICATION: ___-year-old female with tachycardia and hypotension. Evaluate for pulmonary edema. COMPARISONS: Multiple prior chest radiographs, most recently of ___.
Moderate cardiomegaly. No pulmonary edema.
11345525
Severe cardiomegaly is re- demonstrated with enlargement right atrial heart border. Unchanged mediastinal and hilar contours with the main pulmonary artery remaining enlarged. Lung volumes are lower compared to the prior exam with mild pulmonary vascular engorgement demonstrated. Additionally there are minimal patchy bibasilar opacities which could reflect atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
54952091
EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with hypertrophic cardiomyopathy, hypotension TECHNIQUE: Semiupright AP view of the chest COMPARISON: ___
Mild pulmonary vascular engorgement and bibasilar patchy opacities, likely atelectasis in the setting of low lung volumes.
11345525
Marked cardiomegaly and mild pulmonary edema persist. There is again enlargement of the main pulmonary artery. No pleural effusion is evident. There is no pneumothorax. The right internal jugular catheter terminates in the mid SVC.
51167946
INDICATION: Right IJ placement. COMPARISON: Chest radiograph, 3:29 p.m. today. PORTABLE FRONTAL CHEST
Satisfactory position of a right internal jugular line without complications; otherwise, no change from prior.
11345525
Again seen is marked poly chamber cardiomegaly and prominence of the main pulmonary artery. There is upper zone redistribution thickening of the minor fissure and a small right and possible very small left effusion. There is some patchy increased retrocardiac opacity similar to the prior film. There is patchy opacity at the right base, which is more pronounced than on the ___ study and which partially obscures the heart border on today's exam.
50565680
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with AT and cardiac emboli to brain and abdominal organs. // ?acute changes COMPARISON: Chest x-ray from ___
Marked poly chamber cardiomegaly and prominence of the main pulmonary artery, similar to ___. Note is made that the abdominal CT from ___ showed evidence of a left ventricular apical aneurysm and a pericardial effusion. Findings consistent with CHF with interstitial edema and small right-greater-than-left effusions. Bibasilar atelectasis. In the appropriate clinical setting, a pneumonic infiltrate would be difficult to exclude.
11345525
A portable upright view of the chest again demonstrates unchanged cardiomegaly. Prominence along the right mediastinal border is unchanged dating back to at least ___ reflecting left atrial enlargement. The main pulmonary artery contour is also enlarged, as before. The well-expanded lungs are clear without pleural effusion or pneumothorax.
56686896
CHEST RADIOGRAPH HISTORY: Tachycardia. COMPARISON: Chest radiograph from ___.
No evidence acute cardiopulmonary process. Unchanged cardiomegaly.
11345525
The cardiac silhouette is enlarged, though not significantly changed from ___. Indistinctness of the pulmonary vasculature likely reflects an element of mild pulmonary edema. No pleural effusion, pneumothorax or focal airspace consolidation. Prominence of the main pulmonary artery is unchanged.
54698725
INDICATION: Hypertrophic cardiomyopathy, presenting with lightheadedness and possible atrial tachycardia. Evaluate for pulmonary effusion or pneumonia. COMPARISON: Chest radiograph ___ and CT torso ___. PORTABLE FRONTAL CHEST
Cardiomegaly with mild pulmonary edema.
11298819
The lungs are well expanded, without focal opacities. There is nearly total opacification of the left lower lung field likely from a combination of a left-sided pleural effusion and cardiomegaly. There is a small right-sided effusion which appears unchanged compared with prior exam. The left-sided effusion is difficult to assess but also appears stable. The aorta is tortuous. Sternotomy wires are intact. There has been interval removal of a right-sided IJ line. Surgical clips adjacent to the right coracoid process are unchanged in appearance.
50684017
INDICATION: ___-year-old female status post type A dissection repair with ascending aortic graft. Evaluate for pleural effusions. COMPARISON: Multiple prior chest radiographs, most recent on ___. TECHNIQUE: Upright frontal and lateral chest radiograph.
No focal parenchymal opacity. Stable bilateral pleural effusions.
11298819
Single AP upright portable view of the chest was obtained. Patient is status post median sternotomy. Enlargement of the cardiomediastinal silhouette is stable. No large pleural effusion is seen, although a trace left pleural effusion would be difficult to exclude. Left base atelectasis/scarring is seen. While there may be minimal pulmonary vascular congestion, no overt pulmonary edema is seen.
59603503
EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Shortness of breath, history of aortic dissection. COMPARISON: ___.
Stable enlargement of the cardiomediastinal silhouette.
11426113
Right lower base opacity is more conspicuous than chest radiograph performed earlier on the same day, attention on follow-up needed. Cardiomediastinal silhouette unchanged. Hilar silhouettes unchanged. There is no pneumothorax. No significant interval change since chest radiograph performed earlier on the same day.
51109012
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with metastatic disease // I suspect trapped lung, dynamic changes to Rt apical line? TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ 18:14 performed earlier on the same day
Right lower base opacity more conspicuous though unchanged and should have close attention on follow-up. Otherwise, no significant interval change since chest radiograph from earlier on the same day
11426113
Compared to ___, heart size is normal and unchanged. The aorta is calcified, indicating atherosclerosis. Lungs are hyperinflated and there is a background of emphysema. The right-sided PleurX catheter is poorly visualized but appears unchanged in position. Slight increase in right pleural effusion. Again seen are multiple lesions throughout the chest representing metastatic disease, grossly unchanged. Again seen are fiducial markers in medial aspect of the right upper lobe. There is persistent blunting of the left costophrenic sulcus, likely representing a small pleural effusion or pleural thickening. No pneumothorax. No acute osseous abnormality.
57692576
EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with PleurX catheter, small cell lung cancer. Now with leakage around the catheter and chest pain. Evaluate for worsening effusion or PleurX misplacement. TECHNIQUE: Chest PA and lateral COMPARISON: ___
Overall, slight interval increase in small right pleural effusion compared to ___. The right-sided PleurX catheter is poorly visualized but appears unchanged in position.
11426113
The lungs are hyperinflated with paucity of the pulmonary vasculature consistent with known emphysema seen better on prior CT. Stable appearance of postradiation fibrosis in the right upper lobe. The left lung is clear. Cardiomediastinal and hilar contours are stable. Stable calcifications of the aortic arch. The right pleural effusion has worsened with compressive basilar atelectasis. Stable degenerative changes of thoracic spine. .
50914263
INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ inch CT from ___
Interval worsening of small to moderate right pleural effusion.
11426113
Persistent atelectasis and post radiation changes in the right upper lobe with two fiducial markers in place. There is no focal consolidation, effusion or pneumothorax. Left lung is clear. Heart size is normal.
54140906
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with history of SCLC, s/p EBUS TBNA and TBBx // eval for ptx TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___. Multiple chest CTs, most recent ___.
Persistent atelectasis and postradiation changes in the right upper lobe. No pneumothorax.
11426113
The right upper lobe post radiation fibrosis is unchanged. The round and well-circumscribed lesion abutting the right chest wall corresponds to the pleural nodule seen on recent chest CT, larger compared to on chest CT. Multiple soft tissue density lesions are also seen along the radiation fibrosis. CT can further characterize these lesions. The lungs are otherwise well expanded and clear. Bilateral pleural effusion is mild. No pneumothorax. The cardiomediastinal silhouette is normal. No obvious osseous abnormalities.
54464618
INDICATION: ___ year old woman with metastatic small cell lung cancer with right posterior rib pain, occasional wheezing on exam, getting nivolumab // eval for effusion, fracture, infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___ and CT chest dated ___.
Multiple soft tissue densities along the line of radiation fibrosis including a enlarging pleural nodule previously seen on recent CT. Mild bilateral pleural effusion.
11426113
Right-sided chest tube terminates in unchanged position with tip projecting along the medial base of the right hemi thorax. Again demonstrated is a right hilar mass with hilar lymphadenopathy and multiple pleural-based masses compatible with metastases, better assessed on the previous CT. Fiducial markers are noted within the superior aspect of the left hilar mass as well as within the right upper lobe, unchanged. A moderate size right pleural effusion may be minimally increased in size compared to the prior study with worsening airspace opacification in the right lung base which may reflect worsening atelectasis, but infection is not excluded. No pneumothorax is identified. Apart from subsegmental atelectasis in the left lower lobe, the left lung is clear. The cardiac and mediastinal contours are unchanged with the heart size appearing within normal limits. Atherosclerotic calcifications are noted throughout the thoracic aorta.
59473809
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with mild pain, shortness of breath associated with recent right thoracentesis TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and chest CTA ___
Worsening opacification in the right lung base which may reflect increased atelectasis, but infection is not excluded. Moderate size right pleural effusion also appears minimally increased from prior. Grossly unchanged appearance of right hilar mass and multiple pleural-based metastases. No pneumothorax.
11426113
There is significant change in size of the well-circumscribed pleural lesion abutting the right chest wall as well as new well-circumscribed pleural lesions noted in the right apex corresponding with metastatic disease better seen on recent CT. Known right pleural effusions with probable small left pleural effusion and right chest tube in expected position. Cardiac size is normal. There is no pneumothorax .
56494535
EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with metastatic small cell cancer and malignant pleural effusion and possible trapped lung // status post trans pleural catheter insertion TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___, chest CT ___
Enlarging pleural-based masses abutting the right chest wall consistent with known metastatic disease better seen on prior CT. Moderate right pleural effusion with right chest tube in expected position and no pneumothorax.
11471605
No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
55233089
HISTORY: ___-year-old man with fever, cough, shortness of breath. Rule out pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___.
No acute cardiopulmonary disease including pneumonia.
11060251
Cardiac silhouette size is normal. The aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated. Blunting of the costophrenic sulci bilaterally may suggest chronic pleural thickening. There is streaky atelectasis in the left lower lobe. No focal consolidation, large pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Marked degenerative changes are seen involving both glenohumeral and acromioclavicular joints.
51042563
EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with near syncope TECHNIQUE: Chest PA and lateral COMPARISON: None.
Lung hyperinflation suggestive of underlying COPD. Streaky left basilar atelectasis.
11375664
The heart size is mildly enlarged. The hilar and mediastinal contours are normal. The lungs demonstrate mild bibasilar atelectasis, slightly increased compared to the prior exam. There may be small bilateral pleural effusions. There is no pneumothorax. The ET tube terminates appropriately 5.7 cm above the carina. There is a right IJ which terminates in the mid SVC. The visualized osseous structures are unremarkable.
58499643
INDICATION: History of right IJ line placement. Please evaluate. COMPARISONS: Chest radiograph from ___. TECHNIQUE: Portable AP radiograph of the chest.
Right IJ appears to terminate appropriately at the level of the mid SVC.
11375664
The heart is mildly enlarged with a left ventricular configuration. The mediastinal and hilar contours appear unchanged. The lung volumes are low. Streaky opacities in the lingula suggest minor atelectasis or scarring. There is no pleural effusion or pneumothorax. A moderate anterior wedge compression deformity along the lower thoracic vertebral body appears unchanged.
52894444
CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.
No evidence of acute disease.