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

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11815740	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.	57375390	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // Acute cardiopulm disease COMPARISON: ___.	No acute intrathoracic process.
11282127	The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vascular is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	56846298	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality.
11282127	No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is top normal.	58437117	INDICATION: Chest pain. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___.	No evidence of acute cardiopulmonary process.
11799380	The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. No pulmonary nodules are identified. Minimal biapical pleural thickening is seen. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.	52986678	INDICATION: Recent weight loss with past history of positive PPD and INH therapy, here to evaluate for evidence of tuberculosis. COMPARISON: ___. TECHNIQUE: PA and lateral radiographs of the chest.	No evidence of active or latent tuberculosis.
11167549	Normal lungs, hila, mediastinum, pleural surfaces. Heart size is top normal. Partially imaged upper abdomen is unremarkable. Mild carinatum configuration upper sternum.	54113190	INDICATION: Chest pain. Assess for pneumonia. COMPARISONS: None available.	No evidence of acute cardiopulmonary process.
11042081	AP and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.	50378228	CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with shortness of breath and seizure. Question pneumonia.	No acute cardiopulmonary process.
11487605	Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is top-normal, unchanged.	55643458	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fever, chills, and increasing SOB, c/f pneumonia // pneumonia? TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.	No evidence of pneumonia.
11487605	Low lung volumes result in bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. There is pulmonary and mediastinal vascular engorgement suggesting volume overload, without overt pulmonary edema.	55586629	HISTORY: Preoperative radiograph. COMPARISON: ___ from ___, ___. FRONTAL UPRIGHT PORTABLE	No pneumonia, edema, or effusion.
11410583	Lung volumes are exceedingly low and the patient is rotated, limiting evaluation. There is no strong evidence for pulmonary edema. Fullness of the right hilum is unchanged. The heart is mildly enlarged but stable. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Chronic bilateral rib fractures are again noted.	53435243	INDICATION: Seizure activity. Evaluate for pneumonia. TECHNIQUE: Bedside frontal chest radiograph. COMPARISON: Chest radiographs ___ and ___.	Low lung volumes and stable, mild cardiomegaly.
11055110	Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified on this supine exam although the left costophrenic sulcus is not included in the field of view. No acute osseous abnormality is identified. Old left-sided rib fractures are noted.	58777516	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with fall on face, sustained unstable C spine fx. may need to go to OR tonight. // acute pulm process/baseline emphysema. also ? rib fx TECHNIQUE: Supine AP view of the chest COMPARISON: None.	No acute cardiopulmonary abnormality.
11833437	The upper thoracic esophagus is dilated, and a 1-cm radiopaque structure can be seen overlying this location, which may represent an ingested foreign body. Bilateral pulmonary edema and a right-sided pleural effusion are noted. Heart size is normal. There is asymmetric enlargement of the right hilum, for which a prior comparison is not available for review. There is no pneumothorax. Atherosclerotic calcifications in the aortic arch are noted. An IVC filter is in place. S-shaped scoliosis of the spine spine as well as asymmetric degenerative changes of the left glenohumeral joint are also evident.	56367759	INDICATION: Evaluate for aspiration pneumonitis/pneumonia in patient status post removal of foreign body (pieces of the patient's dentures) from airway with persistent airway edema. COMPARISON: None available in ___ PACS. A radiologist report of a chest radiograph taken on ___ at___ was reviewed, but the images were not available for review. TECHNIQUE: Semi-erect bedside AP radiograph of the chest.	Radiopaque structure overlying the upper dilated esophagus, of unclear etiology, but possibly representing persistent foreign body within the esophagus. Pulmonary edema with right-sided pleural effusion. Asymmetric enlargement of the right hilum for which comparison to prior chest radiograph is necessary to further evaluate.
11828337	An ET tube ends 4.4 cm above the carina. A right internal jugular central venous catheter and the tip in the mid SVC. Lung volumes are low bibasilar opacities which could reflect atelectasis although aspiration or infection are possible. Normal heart size, mediastinal and hilar contours. The stomach is very distended with air.	52492838	INDICATION: History: ___M with s/p ICH right IJ placementETT * WARNING * Multiple patients with same last name! // eval for cvl and ETT TECHNIQUE: Chest PA and lateral COMPARISON: None available	ETT and central catheter in satisfactory position Bibasilar opacities could reflect atelectasis, aspiration or infection Stomach distended with air
11035109	Frontal and lateral views of the chest provided. Lung volumes are somewhat low, though allowing for this there is no focal consolidation, effusion, pneumothorax. Heart and mediastinal contours appear normal and stable. Bony structures are intact. There is mild right AC joint arthropathy with hypertrophic changes.	59966930	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old man status post knee surgery one month, recent buccal abscess with new onset chest pain and left arm pain, assess for pneumothorax.	No acute intrathoracic process.
11945913	The lungs are overinflated. There are diffusely increased interstitial markings. No focal pulmonary consolidation. Heart size is normal. A spinal stimulator overlies the lower thoracic spine.	55329893	INDICATION: ___-year-old female with COPD, fall and fever. No prior examinations for comparison. CHEST,	Severe interstitial lung disease largely fibrotic. No acute cardiopulmonary process.
11074226	There are very low lung volumes, which results in bronchovascular crowding. Surgical chain sutures are again seen adjacent to left heart border. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation.	57913979	WET READ: ___ ___ ___ 11:08 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS // Eval for PNA TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiographs dated ___ through ___.	No acute cardiopulmonary process.
11074226	The lungs are clear without focal consolidation, effusion, or edema. Surgical chain sutures seen adjacent to the left heart border. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes are noted in the spine	50416519	INDICATION: ___M with confusion // eval for pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11074226	Exam is extremely limited as a significant portion of the left hemithorax is not included. Enteric tube is seen passing below lower field of view, tip not included. Extremely low lung volumes are noted. Surgical clips project over the right upper quadrant.	59671707	INDICATION: ___ year old man with hepatic encephalopathy s/p NGT placement // Eval for NGT placement TECHNIQUE: Single AP view of the chest. COMPARISON: ___ at at 10:52	Limited exam. Enteric tube passing below the inferior field of view, tip not included.
11937980	The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax. No evidence of free intraperitoneal air.	55864431	INDICATION: ___-year-old with right upper quadrant abdominal pain. Please assess for free air. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained.	No evidence of free intraperitoneal air. No acute cardiothoracic process.
11365200	PA and lateral chest radiographs. The lungs are hyperinflated. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.	54246335	INDICATION: History of multiple myeloma presenting with fever. Evaluation for pneumonia. COMPARISON: ___ and ___.	No acute cardiopulmonary process.
11365200	A new right-sided subclavian central venous catheter terminates at the mid SVC. There is no pneumothorax, focal consolidation, or pleural effusion. The heart size is top normal. The aorta is moderately tortuous. Mild scoliosis is again seen.	57197334	INDICATION: CVL placement. COMPARISON: Study available from ___. FRONTAL CHEST	Right-sided subclavian central venous catheter terminating at the mid SVC. No pneumothorax.
11365200	Frontal and lateral chest radiographs were obtained. The cardiac silhouette is mildly enlarged. The aorta remains tortuous. There is prominence as well as haziness of bilateral pulmonary vasculature consistent with mild interstitial pulmonary edema. A focal opacity is noted posteriorly within the lower lobes, likely in the right lower lobe, concerning for pneumonia. Linear atelectasis in the right mid lung field is noted. Small right pleural effusion is seen. No pneumothorax. Osseous structures are grossly unremarkable.	58117236	INDICATION: Evaluation of patient with shortness of breath. COMPARISON: Chest radiograph from ___.	Focal opacity in the lower lobe, likely in the right lower lobe, concerning for pneumonia, with small effusion. Mild pulmonary edema.
11365200	Portable chest radiograph demonstrates a tortuous thoracic aorta. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature engorgement and minimally increased heart size. Bibasilar atelectasis present. No pleural effusion or pneumothorax evident.	55324406	INDICATION: Fever, recent stem cell transplant. Concern for infiltrate. COMPARISON: Comparison is made to multiple chest radiographs, most recently dated ___.	No pneumonia. Minimal pulmonary vasculture engorgement.
11788221	Evaluation is limited due to patient rotation. The lungs are low in volume but without focal consolidation. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. Apparent shift of mediastinal structures is likely related to patient rotation. An ET tube terminates deep into the carina and should be withdrawn by 3-4 cm. An NG tube is aeen coursing below the diaphragm with the tip not identified on this study. Right subclavian PICC catheter has its tip in the proximal to mid SVC.	53497956	INDICATION: ___-year-old woman with seizures and intubation, evaluate for acute process. COMPARISON: No relevant comparisons available. ONE VIEW OF THE	No acute intrathoracic process. An ET tube terminates deep within the trachea and should be withdrawn by 3 cm. These findings were communicated to ___ at 12:30 a.m. on ___.
11788221	One AP portable upright view of the chest. The left internal jugular line ends in the left brachiocephalic vein. The ETT and nasogastric tube have been removed. The mild pulmonary edema and bibasilar atelectasis is unchanged. Small left pleural effusion and no right pleural effusion. The cardiac, mediastinal, and hilar contours are normal. No pneumothorax.	56656247	INDICATION: Sepsis and COPD, worsening wheezes, question interval change. COMPARISON: Chest radiograph from ___, ___, and ___.	Unchanged mild pulmonary edema. Mild bibasilar atelectasis. Small left pleural effusion.
11788221	Portable supine AP chest radiograph obtained. The tip of the endotracheal tube resides at the carina. Retraction by at least 2 cm is recommended. The NG tube courses into the upper abdomen. There is mild right basilar atelectasis. Otherwise, the lungs are unchanged. Cardiomediastinal silhouette is stable. Bony structures are intact. There is a calcified structure in the right upper quadrant which resembles a staghorn calculus.	52875863	WET READ: ___ ___ ___ 6:45 PM ETT tip at carina - pls retract by at least 2 cm. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from earlier today. CLINICAL HISTORY: Question position of ET tube, possible displacement.	Malpositioned ET tube which is located at the carina. Retraction by at least 2 cm advised. Mild right basilar atelectasis. Apparent staghorn calculus in the right upper quadrant. Findings regarding ETT posted and flagged on the ED dashboard at the time of this dictation.
11788221	Lung volumes are low. Linear opacity reflecting atelectasis at the right lung base is unchanged. Multiple ill-defined peribronchial opacities in the right mid and lower lung and left lower lung are concerning for aspiration; however, in an appropriate clinical setting, possibility of multifocal infection need to be considered and requires further clinical correlation. Since the patient is rotated, assessment of cardiomediastinal silhouette was limited, however, grossly appears normal.	51727248	CHEST RADIOGRAPH TECHNIQUE: Single semi-erect portable chest view was reviewed in comparison with prior chest radiographs through ___, with the most recent from ___.	Bilateral lower lung and right mid lung small peribronchial opacities are concerning for aspiration; however, in an appropriate clinical setting, may represent multifocal infection and requires further clinical correlation.
11788221	Single semi-erect portable view of the chest was obtained. Per the radiology technologist, patient unable to hold proper position for portable chest x-ray. Multiple attempts tried to put patient in proper position, intubated, unable to move, best images possible at this time. The patient is rotated to the right. There is endotracheal tube, terminating approximately 1.2 cm above the level of the carina. Recommend withdraw by approximately 2.5 cm for more appropriate positioning. A nasogastric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. There are low lung volumes. Mild bibasilar opacities may relate to aspiration and atelectasis, although an underlying consolidation cannot be excluded. Cardiac and mediastinal silhouettes are stable. No pneumothorax is seen.	53261266	EXAM: Chest, single semi-erect AP portable view. CLINICAL INFORMATION: ___-year-old female with history of new endotracheal tube. COMPARISON: ___.	Low-lying endotracheal tube, approximately 1.2 cm above the carina. Recommend withdrawal by approximately 2 to 2.5 cm. This finding and recommendation was discussed with Dr. ___ on ___ at 4pm via telephone. Nasogastric tube courses below the level of the diaphragm, inferior aspect not included on the image. Bibasilar opacities, left greater than right, may be due to atelectasis and aspiration; underlying infection cannot be excluded.
11788221	Left internal jugular approach venous catheter tip projects within the left brachiocephalic vein. There is persistent bibasilar, left greater than right, asymmetric opacification, atelectasis on the right and likely atelectasis on the left, though infection remains a possibility. There is mild vascular engorgement and interstitial pulmonary edema, unchanged. There is a small left pleural effusion. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating tortuosity of the thoracic aorta.	56590964	INDICATION: ___-year-old female with bacteremia status post extubation. Evaluate for pneumonia. EXAMINATION: Single frontal chest radiograph. COMPARISONS: ___, ___ dating back to ___.	Stable mild interstitial pulmonary edema. Likely bibasilar atelectasis; however pneumonia cannot be excluded in the appropriate clinical setting.
11788221	A left internal jugular approach venous catheter tip projects in the region of the left brachiocephalic vein. There is bibasilar atelectasis with no focal opacities concerning for pneumonia. There is pulmonary vascular engorgement and mild interstitial pulmonary edema, unchanged. The cardiomediastinal and hilar contours are stable demonstrating tortuosity of thoracic aorta. Borderline heart size is accentuated by technique. There are no pleural effusions or pneumothorax.	53897639	INDICATION: ___-year-old female with urosepsis and increased sputum production. Evaluate for pneumonia. EXAMINATION: Single frontal chest radiograph. COMPARISONS: ___.	No significant interval change in bibasilar atelectasis and mild interstitial pulmonary edema.
11788221	Single frontal portable view of the chest was obtained. Allowing for patient rotation with respect to the film, the heart size and cardiomediastinal contours are normal. Linear opacity in the left lower lobe is compatible with atelectasis. The lungs are otherwise clear. No pleural effusion or pneumothorax. Metallic clips are present in the left upper quadrant. Left nephrostomy catheter is incompletely imaged. Osseous structures are unremarkable.	54101559	INDICATION: Low oxygen saturations. Evaluate for infectious process. COMPARISONS: Multiple prior chest radiographs, most recently of ___.	Left lower lung linear opacity, compatible with atelectasis.
11788221	Endotracheal tube terminates approximately 2.8 cm above the carina. Lung volumes remain low. Confluent lung opacities on the right side have worsened with indistinctness of right hemidiaphragm margins. suggestive of asymmetric worsening of moderately sever pulmonary edema. Mild-to-moderate pleural effusion on the right side is new. Left internal jugular line ends at mid SVC. Cardiomediastinal silhouette is stable in appearance.	59900774	CHEST RADIOGRAPH TECHNIQUE: Single semi-erect portable radiograph of chest was reviewed in comparison with prior radiograph from ___.	Moderate asymmetric pulmonary edema, worse since ___, and mild-to-moderate right pleural effusion new.
11788221	The cardiac, mediastinal and hilar contours are unchanged. There are low lung volumes with crowding of the bronchovascular structures. No pulmonary edema is seen. Linear opacities in the left lung base are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Scarring within the left lung apex is re- demonstrated. No acute osseous abnormalities are detected.	57061769	HISTORY: Borderline fever. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary abnormality. Low lung volumes.
11015309	Cardiac silhouette size is normal. Mediastinal and hilar contours unremarkable. Low lung volumes result in crowding of bronchovascular structures. No overt pulmonary edema is present. Patchy atelectasis is demonstrated in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.	52866618	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: CHEST RADIOGRAPH ___	Low lung volumes with mild bibasilar atelectasis.
11015309	No focal consolidation, pleural effusion, or pneumothorax is seen. Mild peribronchial cuffing and interstitial prominence suggests small airways disease. Heart and mediastinal contours are within normal limits.	58875372	INDICATION: ___-year-old female with cough. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were obtained.	Mild small airways disease. These findings were discussed with Dr. ___ by Dr. ___ by telephone at 9:51 a.m. on ___ at the time of discovery of these findings.
11620060	PA and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.	57406980	HISTORY: Chest pain, upper respiratory infection. COMPARISON: None.	No acute cardiopulmonary process.
11354948	Frontal radiograph of the chest demonstrates the ET tube ending 7.4 cm above the carina, which is retracted by approximately 2 cm from the prior study. The OG tube passes below the diaphragm with the side hole within the stomach. The tip is not visualized on this study. Otherwise no change in heart size with no focal consolidation, pleural effusion or pneumothorax. Bilateral rib fractures better demonstrated on previous CT. Thickening of the right apical pleural line "apical cap" is unchanged from prior study, consistent with pleural effusion, likely hemothorax from rib fracture.	50544423	WET READ: ___ ___ ___ 11:55 PM ET tube now 7.4 cm above the carina, has retracted by 2 cm compared to prior. Consider advancing by 3 cm to be in more secure position. ______________________________________________________________________________ FINAL REPORT HISTORY: Movement trying to dislodged tube. Question OG and ET tube movement. COMPARISON: ___ at 20:00.	ET tube now 7.4 cm above the carina, has retracted by 2 cm. Thickening of the right apical pleural line "apical cap," unchanged from prior study, consistent with small apical pleural effusion, likely hemothorax from rib fracture.
11292481	The lungs are clear without consolidation or edema. Minimal bibasilar atelectasis is present. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are displaced fracture of the right posterior third and fourth ribs. No other fracture is identified. There is no loss of vertebral body height.	56786925	INDICATION: Fall and trauma. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest were obtained.	Displaced fractures of the posterior right third and fourth ribs. No definite evidence of a pneumothorax or pleural fluid.
11292481	Again seen is a small right apical pneumothorax. Note is made of acute displaced right posterior third and fourth rib fractures, better characterized by the CT performed on the previous day. No new fractures are identified. Heart size is normal. The hilar and mediastinal contours are normal. Note is made of mild bibasilar atelectasis, otherwise the lungs are clear. There is a small right pleural effusion.	53533995	INDICATION: History of small pneumothorax, rib fractures. Please evaluate. COMPARISONS: Chest CT from ___ and chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest.	Stable small right apical pneumothorax. Stable displaced right ___ and ___ rib fractures. No new fracture.
11999232	Opacities in the left upper lobe are new and right lower lobe opacities have improved since ___. The lungs are hyperexpanded. The cardiac and mediastinal contours are stable. There is no pleural effusion or pneumothorax.	56050503	INDICATION: ___F with Mitral regurg p/w 3 weeks DOE and 5 days of dry cough no fevers // edema, consolidation? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. Chest CT ___.	Opacities in the left upper lobe are new and right lower lobe lobe opacities have improved. These findings could represent pneumonia in the correct clinical setting.
11999232	The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Tortuosity of the thoracic aorta is again noted. No acute osseous abnormalities.	51721827	INDICATION: ___F with hx CHF, productive cough Eval for pulm edema or PNA TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11999232	There are bilateral opacities within the right upper lobe and lower lobe and left perihilar region concerning for multifocal pneumonia. Atelectasis in the right upper lobe with upward deviation of the minor fissure is concerning for possible right central lesion. The heart is stable in size.	58979649	INDICATION: ___-year-old female with dyspnea. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___.	Opacities within the right upper lobe and lower lobe and left perihilar region concerning for multifocal pneumonia. Atelectasis in the right upper lobe with prominence of the right perihilar region is concerning for an underlying lesion.
11310752	Heart size is mildly enlarged, slightly increased from the prior study accounting for differences in technique. The aorta is mildly tortuous. Right hilar enlargement appears new compared to the previous exam. Mild pulmonary edema is present. Hazy opacification within the right mid and lower lung is new in the interval. Patchy opacities in the lung bases may reflect atelectasis. No pneumothorax is identified. Clips are seen projecting over the left breast.	59888577	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: ___	Hazy opacification in the right mid and lower could reflect an area of infection. Right hilar enlargement may suggest underlying lymphadenopathy. Patchy opacities in the lungs, potentially atelectasis but additional sites of infection are not excluded. Mild pulmonary edema.
11310752	Since the prior exam, there is little change. Again demonstrated are heterogeneous opacities in the in right mid and lower lung zones. There appears to be a moderate size loculated right pleural fluid collection. A patchy opacity at the left base is noted. There is no left pleural effusion. Mild pulmonary vascular congestion is new No pneumothorax is identified. There is persist prominence of the right mediastinal and hilar contours. The osseous structures are unremarkable.	50806775	INDICATION: History of pneumonia. Evaluate for acute process. TECHNIQUE: Single semi-upright AP view of the chest. COMPARISON: Chest radiograph from ___ at 15:09.	Heterogeneous opacities in the right lung are consistent with history of pneumonia. Consider a contrast-enhanced chest CT to exclude a postobstructive process and to better characterize an apparently loculated right pleural effusion, the latter raising the possibility of empyema. New patchy opacity at the left base is nonspecific, but may reflect additional site of infection, New pulmonary vascular congestion. These above abnormalities can be further evaluated with a CT of the chest.
11432850	The heart size is normal. The hilar and mediastinal contours are within normal limits. The aorta is moderately tortuous. There is no pneumothorax, focal consolidation, or pleural effusion. Multilevel compression deformities throughout the thoracic spine are unchanged since ___.	52121065	INDICATION: Cough and fever. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST	No acute intrathoracic process.
11432850	The cardiac silhouette size is top normal. The mediastinal and hilar contours are relatively unchanged with mild unfolding of the thoracic aorta. Pulmonary vascularity is not engorged. There is crowding of the bronchovascular structures. No overt pulmonary edema is present. There is minimal streaky atelectasis at the lung bases. No focal consolidation, pleural effusion or pneumothorax is identified. Mild loss of height of a mid thoracic vertebral body appears unchanged.	53495472	INDICATION: Fever with chills and low oxygen saturation at doctor's office with recent pneumonia. COMPARISON: Chest radiograph, ___ chest radiograph and ___ chest CT. UPRIGHT AP AND LATERAL VIEWS OF THE	Low lung volumes with probable mild bibasilar atelectasis.
11014822	Lung volumes remain low. Even allowing for the projection, the heart is mildly enlarged. There is prominence and haziness of pulmonary vasculature bilaterally consistent with congestive heart failure and mild pulmonary edema. The extent is similar when compared to the prior study. Left lower lobe atelectasis. No definite pleural effusion seen. No pneumothorax seen. Support and monitoring equipment is unchanged in position.	54873187	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with anoxic brain injury with ARDS who had increased ICP and desat episode to 70s. // Interval change (desat issues) TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	No significant interval change when compared to the prior study.
11014822	In comparison to the chest radiograph obtained approximately 1.5 hours prior, a right-sided PICC now terminates in the lower SVC. Dense right basilar opacities are unchanged. Moderate cardiomegaly is unchanged, but pulmonary edema has worsened, now severe. An enteric tube and ET tube are unchanged and appropriately positioned.	53654319	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with Right PICC // repeat xray for PICC repo TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ at 09:29	A right-sided PICC now terminates in the in lower SVC. Increased pulmonary edema, now severe.
11034192	Supine portable AP view of the chest was provided. An NG tube is seen with its tip in the left mid abdomen. The endotracheal tube tip is seen, positioned 2.9 cm above the carina. The lungs appear clear. No supine evidence for effusion or pneumothorax. The cardiomediastinal silhouette appears grossly unremarkable. The imaged osseous structures appear intact.	58624018	CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Altered mental status, intubated, fever to 106, assess tube position.	Lines and tubes positioned appropriately. No acute findings in the chest.
11034192	The heart size is mildly enlarged. Aortic knob is calcified. The mediastinal and hilar contours otherwise are unremarkable, and no pulmonary vascular congestion is present. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are low lung volumes noted. There are no acute osseous abnormalities.	53003284	HISTORY: Weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process. Mild cardiomegaly.
11147738	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size, and there is no pulmonary edema.	50594637	INDICATION: ___-year-old female with chest pain. Evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: None.	No acute cardiopulmonary process.
11653463	Frontal and lateral radiographs of the chest show bibasilar linear atelectasis on the left greater than the right. No pleural effusion, focal consolidation, or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Moderate degenerative changes of the thoracic spine are noted.	53728075	INDICATION: ___-year-old female postop day 3 with fevers, here to evaluate for pneumonia. COMPARISON: No prior studies available.	Bibasilar atelectasis on the left greater than the right. No pneumonia.
11356217	An endotracheal tube is in satisfactory position 4.8 cm from the carina. A ight internal jugular catheter is present with the tip near the atriocaval junction. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are widened due to the known large pseudoaneurysm, which is better characterized on the recent CT. The heart is severely enlarged. Sternal wires are intact.	56468657	INDICATION: Evaluate endotracheal tube and internal jugular central venous catheter. COMPARISONS: CT of the chest from ___. TECHNIQUE: A single supine frontal view of the chest was obtained.	Satisfactory position of the endotracheal tube and right internal jugular venous catheter. Enlarged mediastinum due to the known large pseudoaneurysm. Severe cardiomegaly.
11356217	Portable AP chest radiograph. Right-sided IJ catheter, left IJ double-lumen catheter, ascending aorta stent are in stable position. The patient has been extubated. The NG tube has been removed and a Dobbhoff feeding tube has been placed. The tip is in the stomach. Pulmonary vascular engorgement and moderate right pleural effusion are stable. There is no pneumothorax.	59376140	INDICATION: Large ascending aorta pseudoaneurysm. The patient is post-op from cardiac surgery. Evaluation of Dobbhoff tube placement. COMPARISONS: CTA torso, ___. Multiple prior chest radiographs from ___.	Dobbhoff feeding tube tip is in the stomach. No other significant interval change.
11356217	The patient is rotated to the left. An ET tube and right IJ central venous line are in appropriate position, and the gastric tube ends in the body of stomach. The heart size continues to be severely enlarged, and the mediastinum is widened secondary to a known TAA. Surgical clips are seen around the aortic arch, and the median sternotomy wires are intact. Right lung interstitial markings are widened without any focal consolidation.	56578136	HISTORY: ___-year-old man with seizure, CVA, and aortic valve replacement, presents with hypotension, a new ascending TAA. Please evaluate for interval change. TECHNIQUE: Portable AP supine chest radiograph was obtained. COMPARISON: Chest radiograph from ___.	Right interstitial markings suggest edema or layering pleural effusion. Gastric tube ends in the body of stomach.
11356217	The patient is status post median sternotomy with multiple clips noted in the mediastinum. Enlargement of the mediastinal contour is compatible with a massive pseudoaneurysm of the ascending aorta. The remainder of the mediastinal contour appears unchanged. There is continued moderate cardiomegaly and mild pulmonary edema. Small bilateral pleural effusions, left greater than right, are present, perhaps slightly decreased in size on the right and increase in size on the left. Bibasilar opacities may reflect atelectasis. No pneumothorax is present. Dextroscoliosis of the thoracic spine is re- demonstrated.	59091014	HISTORY: Tachypnea, history of ascending aortic stenting. TECHNIQUE: Portable semi of the rectus AP view of the chest. COMPARISON: ___.	Mild pulmonary edema with small bilateral pleural effusions. Bibasilar opacities likely reflect compressive atelectasis. Status post ascending aortic stent placement and re- demonstration of known large pseudoaneurysm of the ascending aorta.
11058749	Linear streaky opacity in the left lower lobe is similar to CT chest ___, and consistent with linear atelectasis. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	52763976	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with SOB, wheezing // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: CT chest on ___.	No acute cardiopulmonary process.
11058749	There is an opacity in the right lower lobe, which also has a correlate on the lateral view. The heart size is normal. The hilar and mediastinal contours are normal. There may be a small right pleural effusion. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.	58119216	INDICATION: History of pneumonia for ___ days. COMPARISONS: Chest radiographs from ___. TECHNIQUE: PA and lateral radiographs of the chest.	Right lower lobe pneumonia. These findings were discussed with Dr. ___ by Dr. ___ by phone at ___:___ ___m. on the day of the exam.
11058749	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.	56724723	INDICATION: ___F with pAF presenting with chest tightness // please evaluate for volume overload TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.	No acute cardiopulmonary process.
11058749	Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear besides linear opacity, likely scarring or atelectasis at the right lung base seen on the lateral view, unchanged. Pleural surfaces are clear without effusion or pneumothorax.	58979819	HISTORY: Chest pain. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs, two views.	No acute cardiopulmonary abnormality.
11058749	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable with the exception of a tortuous aorta. There is no pleural effusion or pneumothorax.	51767954	INDICATION: ___-year-old female with epigastric, substernal chest pain radiating to the back. Evaluate for pneumothorax or any other acute cardiopulmonary process. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.	Unremarkable chest radiographic examination.
11084297	The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax present. A right pacer terminates with its leads in the right atrium and right ventricle. Right basal parenchimal scarring is unchanged.	54230291	INDICATION: ___-year-old female with generalized weakness and history of stroke with heaviness in the left hand, question infectious process. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE	No acute intrathoracic process.
11084297	A dual-lead pacemaker/ICD device has leads terminating in the right atrium and ventricle, as before. The heart is at the upper limits of normal size. There is moderate unfolding of thoracic aorta with calcifications seen particularly along the arch. The mediastinal and hilar contours appear unchanged. Patchy opacity in the right middle lobe is not significantly changed and suggests scarring, predominantly in the right lower lobe. Hemidiaphragms appear flattened. Slight degenerative changes are similar along the thoracic spine.	59742212	CHEST RADIOGRAPHS HISTORY: Palpitations. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11084297	Three AP views of the chest were provided. Initially, the endotracheal tube was positioned at the carina. The endotracheal tube was subsequently retracted with its final position at approximately 2.3 cm above the carina. The NG tube is seen extending into the left upper abdomen. Dual-lead pacer is positioned with its leads in the expected position of the right atrium and right ventricle. Perihilar opacity is noted, likely aspiration or atelectasis. There is no supine evidence for pneumothorax or effusion. The cardiomediastinal silhouette appears grossly unremarkable. No acute bony abnormalities are seen.	51347128	PORTABLE CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Intubation, fall, vomiting, assess ET tube position.	Appropriately positioned endotracheal and nasogastric tubes with aspiration/atelectasis better assessed on subsequent CT chest.
11611430	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.	52761028	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with palpitations TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11989961	Severe cardiomegaly is noted. Left chest wall dual lead pacing device is identified. There is significant enlargement of the aortic arch, partially visualized on prior CT cervical spine. Rounded opacity in the retrocardiac region potentially in part due to hiatal hernia however given significant aortic abnormality at the arch, it is more likely that this may represent a descending thoracic aortic aneurysm. Compression deformities of several lower thoracic vertebral bodies and likely lumbar vertebral body are age indeterminate.	52863610	WET READ: ___ ___ ___ 12:49 AM Cardiomegaly. Tortuosity and dilation of the thoracic aorta with a more rounded opacity in the retrocardiac region which is suspicious for a focal descending thoracic aneurysm. Chest CT is suggested. * ED URGENT ATTENTION * ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with recent fall // please eval for intrathoracic process TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. Correlation is made to same day CT cervical spine.	Cardiomegaly. Tortuosity and dilation of the thoracic aorta with a more rounded opacity in the retrocardiac region which is suspicious for a focal descending thoracic aneurysm. Chest CT is suggested.
11332825	AP portable supine view of the chest. Endotracheal tube is seen with its tip located 2.3 cm above the carinal. The orogastric tube extends into the upper abdomen though the tip is excluded from view. Mild edema is noted with hilar congestion and mild interstitial pulmonary edema. Lower lung opacities could reflect aspiration. No supine evidence for large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly unremarkable. No bony injuries.	55167920	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with cardiac arrest COMPARISON: None	ET and OG tubes positioned appropriately. Mild edema with lower lung opacities concerning for aspiration or pneumonia.
11522650	Relatively low lung volumes are noted with secondary bibasilar atelectasis. There is no focal consolidation worrisome for pneumonia. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	56946534	INDICATION: ___M with LLE pain and swelling and low grade fever // please assess for acute cardiopulmonary process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11384398	In comparison to prior radiograph from ___, there is new left mid and lower lung airspace opacities, concerning for pneumonia. Remainder of the lungs are grossly clear. There is no pulmonary edema. No pneumothorax or sizable pleural effusion detected.	56845466	WET READ: ___ ___ ___ 6:01 PM New left mid and lower lung pneumonia. * ED URGENT ATTENTION * ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with hypoxia, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___.	New left mid and lower lung opacities concerning for pneumonic infiltrates.
11384398	AP upright and lateral views of the chest provided. Lung volumes are somewhat low. Subtle opacity in the left lower lung may represent an early pneumonia in the correct clinical setting. Elsewhere lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	58751567	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with fever and cough // Pneumonia? COMPARISON: None	Subtle opacity in the left lower lung is concerning for an early pneumonia in the correct clinical setting.
11439357	There is a large hiatal hernia with an air-fluid level. The cardiac, mediastinal and hilar contours are stable. There is again pleural effusion or thickening on the left side which is probably unchanged since the most recent study. Mild spurring appears stable at each lung apex. Aside from minimal atelectasis at the left base, the lungs appear clear. Moderate S-shaped curvature to the thoracolumbar spine is again noted. Mild compression deformities are suspected but not well characterized at the thoracolumbar junction. The bones appear demineralized.	50961793	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Weakness and history of hiatal hernia. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___, and ___.	Large hiatal hernia. No evidence of acute cardiopulmonary process. No short-term change.
11344219	Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	53919311	HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11385518	The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. 6 mm left lower lobe ground-glass opacity seen on prior CT of the chest is not appreciated on this study.	55416945	WET READ: ___ ___ ___ 8:53 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest pain // rule out acute cardiopulmonary changes TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiographs ___ and ___. CT chest ___.	No acute cardiopulmonary abnormality.
11385518	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	58644983	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cp // pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11952653	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.	54989576	INDICATION: ___-year-old male with chest pain and diffuse ST elevation on electrocardiogram. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were obtained.	No radiographic evidence for acute cardiopulmonary process.
11209633	Study is slightly limited due to lordotic positioning. The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are seen.	50156780	HISTORY: Syncope, fall off curb with ft pain. TECHNIQUE: Supine AP view of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11226273	Single frontal image of the chest demonstrates low lung volumes likely due to poor inspiration. The lungs are clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.	59561716	INDICATION: ___-year-old male with fever and concern for pneumonia. COMPARISON: None.	Low lung volumes, but normal chest radiograph.
11226273	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	57827830	EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old male with fever and coughing TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph from ___.	No evidence of acute cardiopulmonary process.
11200955	The lungs are normally expanded. There is faint asymmetric opacity projecting over the right upper lung. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There are surgical clips in the anterior mediastinum.	56495228	WET READ: ___ ___ ___ 1:41 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with tachycardia, fever, chills // eval for PNA TECHNIQUE: Upright PA and lateral chest COMPARISON: None available	Faint asymmetry in the right upper lung could reflect calcifications of the costochondral junction, however pneumonia should be considered in the appropriate clinical setting.
11200955	AP portable upright view of the chest. Right IJ access dialysis catheter seen with its tip in the low SVC near the cavoatrial junction. The lung volumes are low. There is mild left basal atelectasis. The heart size appears mildly enlarged. There is no pneumothorax.	59417241	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with high dose steroids, rising WBC. // r/o new infiltrate COMPARISON: Prior exam dated ___.	Dialysis catheter in place. Mild cardiomegaly. Mild left basal atelectasis.
11855412	Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. Lungs are fully expanded and clear without focal consolidation, effusion, or pneumothorax.	58325723	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of pos PPDS and treatment with INH in ___ without confirmatory CXR. Evaluate for active or latent TB. TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No evidence of active or latent TB.
11369634	No focal opacity to suggest pneumonia is seen. An opacity in the right infrahilar region has been present on prior examinations and likely represents a prominent vessel. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal.	58601310	INDICATION: Fever, tachycardia and cough since visit to ___. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___.	No evidence of acute cardiopulmonary process.
11369634	There is increase in bilateral right greater than left airspace opacity in the lung bases, and lung volumes are decreased compared with prior. There is no large pleural effusion or pneumothorax. The cardiac silhouette is unchanged and is top normal in size, the mediastinal contours are normal.	58101541	HISTORY: ___-year-old female with cough and shortness of breath, question pneumonia or bronchitis. COMPARISON: ___.	Bilateral pneumonia, right greater than left. Findings were discussed with Dr. ___ at 5pm by phone.
11030386	No focal consolidation, pleural effusion, or pneumothorax is detected. Bluntin of the right cardiophrenic angle appears chronic and unchanged, probably reflecting slight atelectasis or scarring. Heart and mediastinal contours are within normal limits.	56754975	INDICATION: ___-year-old male with productive cough and subjective fever. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained.	No radiographic evidence for acute cardiopulmonary process.
11030386	Lung volumes are low with linear streaky opacities reflecting atelectasis in the lung bases. There is associated crowding of the central bronchovascular structures. There is a opacity in the right lower lobe with air bronchograms concerning for pneumonia. No pleural effusion is seen.	51249537	INDICATION: ___-year-old man with fever, chills, nausea vomiting. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	Right lower lobe pneumonia.
11030386	Comparison is made to the prior chest radiograph from ___. The heart size is within normal limits. There are no focal consolidation or pleural effusions. There is some atelectasis at the left lung base. There are no pneumothoraces. The bony structures appear intact.	54539474	STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man with ___ years of tobacco history. Patient with hemoptysis.	No signs for acute cardiopulmonary process.
11030386	The cardiomediastinal and hilar contours are normal and stable. There is streaky atelectasis at the base of the left lung. There is no focal consolidation, pleural effusion or pneumothorax. A right lower lobe opacity has resolved. There is no effusion or	56460675	EXAMINATION: Chest radiograph INDICATION: ___ year old man with RLL Pneumonia on CXR done in ___. // Please assess for resolution of Pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___	Streaky left basal atelectasis. Right lower lobe opacity has resolved.
11030386	PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	57702425	INDICATION: Persistent cough. Evaluation for pneumonia. COMPARISON: On ___ and ___.	No acute cardiopulmonary process.
11789688	Heart size is normal. Slight tortuosity of the aorta is stable. There is mild cephalization of the pulmonary vasculature without overt pulmonary edema. Minimal bibasilar, right greater than left, opacities likely reflect atelectasis. No pneumothorax or pleural effusion.	59467786	INDICATION: History: ___M with palpitations // ? pna COMPARISON: ___. TECHNIQUE: Single frontal view of the chest.	Pulmonary vascular prominence without overt edema. Minimal bibasilar opacities likely reflect atelectasis, but infection cannot be excluded in the appropriate clinical setting.
11621459	Right IJ central venous catheter is seen with tip at the cavoatrial junction. There is no pneumothorax. The lungs are clear. The cardiomediastinal silhouette is within normal limits.	53990884	INDICATION: ___F with new right IJ // Eval new line TECHNIQUE: Single portable view of the chest. COMPARISON: ___.	Right IJ line as above. No pneumothorax.
11621459	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is minimal atelectasis in the right middle lobe, as before. Otherwise, the lungs appear clear. A central venous catheter has been removed.	59949908	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever and tachycardia. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary disease.
11621459	New central venous catheter tip projects over the low SVC. There is no evidence of pneumothorax. The cardiomediastinal silhouette is normal. There is no pleural effusion.	56746386	INDICATION: ___F with line placement, evaluate position.. COMPARISON: Comparison is made to chest radiographs dating back to ___. TECHNIQUE Portable view of the chest.	Right internal jugular central venous catheter tip ends in the low SVC. No evidence of pneumothorax.
11621459	The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.	54829358	INDICATION: Cough. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral chest radiographs.	No acute intrathoracic process.
11621459	A right-sided internal jugular central venous catheter terminates in the right atrium without evidence of pneumothorax. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.	59562535	WET READ: ___ ___ 11:55 PM Right IJ catheter terminates in the right atrium. Could be withdrawn approximately 2 cm. No evidence of pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with right ij placed for iv access // eval line placement TECHNIQUE: Single frontal view of the chest COMPARISON: None	Right internal jugular central venous catheter terminates in the right atrium. Could be withdrawn approximately 2 cm. No pneumothorax.
11839420	The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.	53209056	INDICATION: ___ year old man with cough, SOB, wheezing // evaluate TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute radiographic intrathoracic pulmonary disease.
11639617	Multiple median sternotomy wires are identified. The cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are unremarkable. Slight opacity at the right cardiophrenic angle likely reflects crowding of normal bronchovascular structures. Otherwise, the lungs are clear without focal consolidation. Mild interstitial prominence, with prominent interlobular septa, is compatible with pulmonary vascular congestion. There is no frank pulmonary edema. There is no pleural effusion or pneumothorax.	57336004	INDICATION: ___M with chest pains, evaluate for effusions. TECHNIQUE: AP chest radiograph. COMPARISON: Chest x-ray ___.	Pulmonary vascular congestion without frank pulmonary edema. No effusions.
11639617	The lungs are well expanded. There is an ill-defined opacity in the right lower lung region with apparent obscuration of the right heart margin, suggesting right middle lobe consolidation. There is also consolidation along the right cardiophrenic angle. Otherwise, there are increased interstitial opacities and Kerley B lines, most prominent in both lower lung regions. Bilateral hilar engorgement is also apparent. There is no pleural effusion or pneumothorax. Cardiac sihouette is within normal limits. The sternotomy wires are intact. A prosthetic aortic valve is present.	55515901	INDICATION: ___-year-old male with chest pain and hypoxia. Evaluate for pulmonary edema. COMPARISON: Chest radiograph from outside institution performed approximately five hours prior to this exam. TECHNIQUE: Portable upright chest radiograph.	Findings compatible with interstitial pulmonary edema, which appears slightly improved compared with radiograph performed five hours prior. Consolidation in the right middle lobe might represent asymmetric edema vs pneumonia.
11197646	AP upright chest radiograph demonstrates well-expanded lungs. Cardiomediastinal silhouette is unremarkable. Linear scarring or atelectasis at the left base is unchanged. Cluster of granulomas in the mid right lung are noted. There is no focal consolidation or pleural effusion. Osseous structures are grossly unremarkable.	53270356	HISTORY: ___-year-old man with rapid irregular heart rate and chest pain. COMPARISON: None available	No acute cardiopulmonary abnormalities.
11693022	There has been marked decrease in a left hilar mass. The right lung remains clear without pleural effusion. On the left, there is an increased volume loss at the left lung base with a pleural effusion and posterior opacity which may represent atelectasis or pneumonia.	50303094	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough and fever. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.	Markedly improved left hilar mass, but increased left basilar opacification with pleural effusion suggesting atelectasis or pneumonia.
11693022	New right-sided PleurX catheter in a superior and medial position. Left pleural effusion has mildly decreased which is still moderate. Stable appearance of the left hilus. No pneumothorax. The right lung is clear.	51372809	INDICATION: ___ year old woman with metastatic malignanat effusion s/p pleurX on ___, please r/o PTX or complication of procedure // PTX? COMPARISON: Portable	New left-sided PleurX catheter with decrease in the left pleural effusion. No pneumothorax.
11693022	There is a persistent moderate left pleural effusion. There is no pneumothorax. Radiation changes are present in the left greater than right hila. Right lung is clear. There is no acute osseous abnormality.	56532402	EXAMINATION: Chest radiograph. INDICATION: ___ year old woman s/p left thoracentesis, evaluate for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ and chest radiograph ___.	Persistent moderate left pleural effusion. No pneumothorax.

11815740

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.

57375390

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // Acute cardiopulm disease COMPARISON: ___.

No acute intrathoracic process.

11282127

The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vascular is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

56846298

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

No acute cardiopulmonary abnormality.

11282127

No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is top normal.

58437117

INDICATION: Chest pain. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___.

No evidence of acute cardiopulmonary process.

11799380

The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. No pulmonary nodules are identified. Minimal biapical pleural thickening is seen. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

52986678

INDICATION: Recent weight loss with past history of positive PPD and INH therapy, here to evaluate for evidence of tuberculosis. COMPARISON: ___. TECHNIQUE: PA and lateral radiographs of the chest.

No evidence of active or latent tuberculosis.

11167549

Normal lungs, hila, mediastinum, pleural surfaces. Heart size is top normal. Partially imaged upper abdomen is unremarkable. Mild carinatum configuration upper sternum.

54113190

INDICATION: Chest pain. Assess for pneumonia. COMPARISONS: None available.

No evidence of acute cardiopulmonary process.

11042081

AP and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

50378228

CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with shortness of breath and seizure. Question pneumonia.

No acute cardiopulmonary process.

11487605

Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is top-normal, unchanged.

55643458

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fever, chills, and increasing SOB, c/f pneumonia // pneumonia? TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.

No evidence of pneumonia.

11487605

Low lung volumes result in bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. There is pulmonary and mediastinal vascular engorgement suggesting volume overload, without overt pulmonary edema.

55586629

HISTORY: Preoperative radiograph. COMPARISON: ___ from ___, ___. FRONTAL UPRIGHT PORTABLE

No pneumonia, edema, or effusion.

11410583

Lung volumes are exceedingly low and the patient is rotated, limiting evaluation. There is no strong evidence for pulmonary edema. Fullness of the right hilum is unchanged. The heart is mildly enlarged but stable. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Chronic bilateral rib fractures are again noted.

53435243

INDICATION: Seizure activity. Evaluate for pneumonia. TECHNIQUE: Bedside frontal chest radiograph. COMPARISON: Chest radiographs ___ and ___.

Low lung volumes and stable, mild cardiomegaly.

11055110

Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified on this supine exam although the left costophrenic sulcus is not included in the field of view. No acute osseous abnormality is identified. Old left-sided rib fractures are noted.

58777516

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with fall on face, sustained unstable C spine fx. may need to go to OR tonight. // acute pulm process/baseline emphysema. also ? rib fx TECHNIQUE: Supine AP view of the chest COMPARISON: None.

No acute cardiopulmonary abnormality.

11833437

The upper thoracic esophagus is dilated, and a 1-cm radiopaque structure can be seen overlying this location, which may represent an ingested foreign body. Bilateral pulmonary edema and a right-sided pleural effusion are noted. Heart size is normal. There is asymmetric enlargement of the right hilum, for which a prior comparison is not available for review. There is no pneumothorax. Atherosclerotic calcifications in the aortic arch are noted. An IVC filter is in place. S-shaped scoliosis of the spine spine as well as asymmetric degenerative changes of the left glenohumeral joint are also evident.

56367759

INDICATION: Evaluate for aspiration pneumonitis/pneumonia in patient status post removal of foreign body (pieces of the patient's dentures) from airway with persistent airway edema. COMPARISON: None available in ___ PACS. A radiologist report of a chest radiograph taken on ___ at___ was reviewed, but the images were not available for review. TECHNIQUE: Semi-erect bedside AP radiograph of the chest.

Radiopaque structure overlying the upper dilated esophagus, of unclear etiology, but possibly representing persistent foreign body within the esophagus. Pulmonary edema with right-sided pleural effusion. Asymmetric enlargement of the right hilum for which comparison to prior chest radiograph is necessary to further evaluate.

11828337

An ET tube ends 4.4 cm above the carina. A right internal jugular central venous catheter and the tip in the mid SVC. Lung volumes are low bibasilar opacities which could reflect atelectasis although aspiration or infection are possible. Normal heart size, mediastinal and hilar contours. The stomach is very distended with air.

52492838

INDICATION: History: ___M with s/p ICH right IJ placementETT *** WARNING *** Multiple patients with same last name! // eval for cvl and ETT TECHNIQUE: Chest PA and lateral COMPARISON: None available

ETT and central catheter in satisfactory position Bibasilar opacities could reflect atelectasis, aspiration or infection Stomach distended with air

11035109

Frontal and lateral views of the chest provided. Lung volumes are somewhat low, though allowing for this there is no focal consolidation, effusion, pneumothorax. Heart and mediastinal contours appear normal and stable. Bony structures are intact. There is mild right AC joint arthropathy with hypertrophic changes.

59966930

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___-year-old man status post knee surgery one month, recent buccal abscess with new onset chest pain and left arm pain, assess for pneumothorax.

No acute intrathoracic process.

11945913

The lungs are overinflated. There are diffusely increased interstitial markings. No focal pulmonary consolidation. Heart size is normal. A spinal stimulator overlies the lower thoracic spine.

55329893

INDICATION: ___-year-old female with COPD, fall and fever. No prior examinations for comparison. CHEST,

Severe interstitial lung disease largely fibrotic. No acute cardiopulmonary process.

11074226

There are very low lung volumes, which results in bronchovascular crowding. Surgical chain sutures are again seen adjacent to left heart border. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation.

57913979

WET READ: ___ ___ ___ 11:08 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS // Eval for PNA TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiographs dated ___ through ___.

No acute cardiopulmonary process.

11074226

The lungs are clear without focal consolidation, effusion, or edema. Surgical chain sutures seen adjacent to the left heart border. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes are noted in the spine

50416519

INDICATION: ___M with confusion // eval for pneumonia TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11074226

Exam is extremely limited as a significant portion of the left hemithorax is not included. Enteric tube is seen passing below lower field of view, tip not included. Extremely low lung volumes are noted. Surgical clips project over the right upper quadrant.

59671707

INDICATION: ___ year old man with hepatic encephalopathy s/p NGT placement // Eval for NGT placement TECHNIQUE: Single AP view of the chest. COMPARISON: ___ at at 10:52

Limited exam. Enteric tube passing below the inferior field of view, tip not included.

11937980

The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax. No evidence of free intraperitoneal air.

55864431

INDICATION: ___-year-old with right upper quadrant abdominal pain. Please assess for free air. TECHNIQUE: Frontal and lateral radiographs of the chest were obtained.

No evidence of free intraperitoneal air. No acute cardiothoracic process.

11365200

PA and lateral chest radiographs. The lungs are hyperinflated. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.

54246335

INDICATION: History of multiple myeloma presenting with fever. Evaluation for pneumonia. COMPARISON: ___ and ___.

No acute cardiopulmonary process.

11365200

A new right-sided subclavian central venous catheter terminates at the mid SVC. There is no pneumothorax, focal consolidation, or pleural effusion. The heart size is top normal. The aorta is moderately tortuous. Mild scoliosis is again seen.

57197334

INDICATION: CVL placement. COMPARISON: Study available from ___. FRONTAL CHEST

Right-sided subclavian central venous catheter terminating at the mid SVC. No pneumothorax.

11365200

Frontal and lateral chest radiographs were obtained. The cardiac silhouette is mildly enlarged. The aorta remains tortuous. There is prominence as well as haziness of bilateral pulmonary vasculature consistent with mild interstitial pulmonary edema. A focal opacity is noted posteriorly within the lower lobes, likely in the right lower lobe, concerning for pneumonia. Linear atelectasis in the right mid lung field is noted. Small right pleural effusion is seen. No pneumothorax. Osseous structures are grossly unremarkable.

58117236

INDICATION: Evaluation of patient with shortness of breath. COMPARISON: Chest radiograph from ___.

Focal opacity in the lower lobe, likely in the right lower lobe, concerning for pneumonia, with small effusion. Mild pulmonary edema.

11365200

Portable chest radiograph demonstrates a tortuous thoracic aorta. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature engorgement and minimally increased heart size. Bibasilar atelectasis present. No pleural effusion or pneumothorax evident.

55324406

INDICATION: Fever, recent stem cell transplant. Concern for infiltrate. COMPARISON: Comparison is made to multiple chest radiographs, most recently dated ___.

No pneumonia. Minimal pulmonary vasculture engorgement.

11788221

Evaluation is limited due to patient rotation. The lungs are low in volume but without focal consolidation. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. Apparent shift of mediastinal structures is likely related to patient rotation. An ET tube terminates deep into the carina and should be withdrawn by 3-4 cm. An NG tube is aeen coursing below the diaphragm with the tip not identified on this study. Right subclavian PICC catheter has its tip in the proximal to mid SVC.

53497956

INDICATION: ___-year-old woman with seizures and intubation, evaluate for acute process. COMPARISON: No relevant comparisons available. ONE VIEW OF THE

No acute intrathoracic process. An ET tube terminates deep within the trachea and should be withdrawn by 3 cm. These findings were communicated to ___ at 12:30 a.m. on ___.

11788221

One AP portable upright view of the chest. The left internal jugular line ends in the left brachiocephalic vein. The ETT and nasogastric tube have been removed. The mild pulmonary edema and bibasilar atelectasis is unchanged. Small left pleural effusion and no right pleural effusion. The cardiac, mediastinal, and hilar contours are normal. No pneumothorax.

56656247

INDICATION: Sepsis and COPD, worsening wheezes, question interval change. COMPARISON: Chest radiograph from ___, ___, and ___.

Unchanged mild pulmonary edema. Mild bibasilar atelectasis. Small left pleural effusion.

11788221

Portable supine AP chest radiograph obtained. The tip of the endotracheal tube resides at the carina. Retraction by at least 2 cm is recommended. The NG tube courses into the upper abdomen. There is mild right basilar atelectasis. Otherwise, the lungs are unchanged. Cardiomediastinal silhouette is stable. Bony structures are intact. There is a calcified structure in the right upper quadrant which resembles a staghorn calculus.

52875863

WET READ: ___ ___ ___ 6:45 PM ETT tip at carina - pls retract by at least 2 cm. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior study from earlier today. CLINICAL HISTORY: Question position of ET tube, possible displacement.

Malpositioned ET tube which is located at the carina. Retraction by at least 2 cm advised. Mild right basilar atelectasis. Apparent staghorn calculus in the right upper quadrant. Findings regarding ETT posted and flagged on the ED dashboard at the time of this dictation.

11788221

Lung volumes are low. Linear opacity reflecting atelectasis at the right lung base is unchanged. Multiple ill-defined peribronchial opacities in the right mid and lower lung and left lower lung are concerning for aspiration; however, in an appropriate clinical setting, possibility of multifocal infection need to be considered and requires further clinical correlation. Since the patient is rotated, assessment of cardiomediastinal silhouette was limited, however, grossly appears normal.

51727248

CHEST RADIOGRAPH TECHNIQUE: Single semi-erect portable chest view was reviewed in comparison with prior chest radiographs through ___, with the most recent from ___.

Bilateral lower lung and right mid lung small peribronchial opacities are concerning for aspiration; however, in an appropriate clinical setting, may represent multifocal infection and requires further clinical correlation.

11788221

Single semi-erect portable view of the chest was obtained. Per the radiology technologist, patient unable to hold proper position for portable chest x-ray. Multiple attempts tried to put patient in proper position, intubated, unable to move, best images possible at this time. The patient is rotated to the right. There is endotracheal tube, terminating approximately 1.2 cm above the level of the carina. Recommend withdraw by approximately 2.5 cm for more appropriate positioning. A nasogastric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. There are low lung volumes. Mild bibasilar opacities may relate to aspiration and atelectasis, although an underlying consolidation cannot be excluded. Cardiac and mediastinal silhouettes are stable. No pneumothorax is seen.

53261266

EXAM: Chest, single semi-erect AP portable view. CLINICAL INFORMATION: ___-year-old female with history of new endotracheal tube. COMPARISON: ___.

Low-lying endotracheal tube, approximately 1.2 cm above the carina. Recommend withdrawal by approximately 2 to 2.5 cm. This finding and recommendation was discussed with Dr. ___ on ___ at 4pm via telephone. Nasogastric tube courses below the level of the diaphragm, inferior aspect not included on the image. Bibasilar opacities, left greater than right, may be due to atelectasis and aspiration; underlying infection cannot be excluded.

11788221

Left internal jugular approach venous catheter tip projects within the left brachiocephalic vein. There is persistent bibasilar, left greater than right, asymmetric opacification, atelectasis on the right and likely atelectasis on the left, though infection remains a possibility. There is mild vascular engorgement and interstitial pulmonary edema, unchanged. There is a small left pleural effusion. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating tortuosity of the thoracic aorta.

56590964

INDICATION: ___-year-old female with bacteremia status post extubation. Evaluate for pneumonia. EXAMINATION: Single frontal chest radiograph. COMPARISONS: ___, ___ dating back to ___.

Stable mild interstitial pulmonary edema. Likely bibasilar atelectasis; however pneumonia cannot be excluded in the appropriate clinical setting.

11788221

A left internal jugular approach venous catheter tip projects in the region of the left brachiocephalic vein. There is bibasilar atelectasis with no focal opacities concerning for pneumonia. There is pulmonary vascular engorgement and mild interstitial pulmonary edema, unchanged. The cardiomediastinal and hilar contours are stable demonstrating tortuosity of thoracic aorta. Borderline heart size is accentuated by technique. There are no pleural effusions or pneumothorax.

53897639

INDICATION: ___-year-old female with urosepsis and increased sputum production. Evaluate for pneumonia. EXAMINATION: Single frontal chest radiograph. COMPARISONS: ___.

No significant interval change in bibasilar atelectasis and mild interstitial pulmonary edema.

11788221

Single frontal portable view of the chest was obtained. Allowing for patient rotation with respect to the film, the heart size and cardiomediastinal contours are normal. Linear opacity in the left lower lobe is compatible with atelectasis. The lungs are otherwise clear. No pleural effusion or pneumothorax. Metallic clips are present in the left upper quadrant. Left nephrostomy catheter is incompletely imaged. Osseous structures are unremarkable.

54101559

INDICATION: Low oxygen saturations. Evaluate for infectious process. COMPARISONS: Multiple prior chest radiographs, most recently of ___.

Left lower lung linear opacity, compatible with atelectasis.

11788221

Endotracheal tube terminates approximately 2.8 cm above the carina. Lung volumes remain low. Confluent lung opacities on the right side have worsened with indistinctness of right hemidiaphragm margins. suggestive of asymmetric worsening of moderately sever pulmonary edema. Mild-to-moderate pleural effusion on the right side is new. Left internal jugular line ends at mid SVC. Cardiomediastinal silhouette is stable in appearance.

59900774

CHEST RADIOGRAPH TECHNIQUE: Single semi-erect portable radiograph of chest was reviewed in comparison with prior radiograph from ___.

Moderate asymmetric pulmonary edema, worse since ___, and mild-to-moderate right pleural effusion new.

11788221

The cardiac, mediastinal and hilar contours are unchanged. There are low lung volumes with crowding of the bronchovascular structures. No pulmonary edema is seen. Linear opacities in the left lung base are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Scarring within the left lung apex is re- demonstrated. No acute osseous abnormalities are detected.

57061769

HISTORY: Borderline fever. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary abnormality. Low lung volumes.

11015309

Cardiac silhouette size is normal. Mediastinal and hilar contours unremarkable. Low lung volumes result in crowding of bronchovascular structures. No overt pulmonary edema is present. Patchy atelectasis is demonstrated in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.

52866618

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: CHEST RADIOGRAPH ___

Low lung volumes with mild bibasilar atelectasis.

11015309

No focal consolidation, pleural effusion, or pneumothorax is seen. Mild peribronchial cuffing and interstitial prominence suggests small airways disease. Heart and mediastinal contours are within normal limits.

58875372

INDICATION: ___-year-old female with cough. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were obtained.

Mild small airways disease. These findings were discussed with Dr. ___ by Dr. ___ by telephone at 9:51 a.m. on ___ at the time of discovery of these findings.

11620060

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

57406980

HISTORY: Chest pain, upper respiratory infection. COMPARISON: None.

No acute cardiopulmonary process.

11354948

Frontal radiograph of the chest demonstrates the ET tube ending 7.4 cm above the carina, which is retracted by approximately 2 cm from the prior study. The OG tube passes below the diaphragm with the side hole within the stomach. The tip is not visualized on this study. Otherwise no change in heart size with no focal consolidation, pleural effusion or pneumothorax. Bilateral rib fractures better demonstrated on previous CT. Thickening of the right apical pleural line "apical cap" is unchanged from prior study, consistent with pleural effusion, likely hemothorax from rib fracture.

50544423

WET READ: ___ ___ ___ 11:55 PM ET tube now 7.4 cm above the carina, has retracted by 2 cm compared to prior. Consider advancing by 3 cm to be in more secure position. ______________________________________________________________________________ FINAL REPORT HISTORY: Movement trying to dislodged tube. Question OG and ET tube movement. COMPARISON: ___ at 20:00.

ET tube now 7.4 cm above the carina, has retracted by 2 cm. Thickening of the right apical pleural line "apical cap," unchanged from prior study, consistent with small apical pleural effusion, likely hemothorax from rib fracture.

11292481

The lungs are clear without consolidation or edema. Minimal bibasilar atelectasis is present. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are displaced fracture of the right posterior third and fourth ribs. No other fracture is identified. There is no loss of vertebral body height.

56786925

INDICATION: Fall and trauma. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest were obtained.

Displaced fractures of the posterior right third and fourth ribs. No definite evidence of a pneumothorax or pleural fluid.

11292481

Again seen is a small right apical pneumothorax. Note is made of acute displaced right posterior third and fourth rib fractures, better characterized by the CT performed on the previous day. No new fractures are identified. Heart size is normal. The hilar and mediastinal contours are normal. Note is made of mild bibasilar atelectasis, otherwise the lungs are clear. There is a small right pleural effusion.

53533995

INDICATION: History of small pneumothorax, rib fractures. Please evaluate. COMPARISONS: Chest CT from ___ and chest radiograph from ___. TECHNIQUE: PA and lateral radiographs of the chest.

Stable small right apical pneumothorax. Stable displaced right ___ and ___ rib fractures. No new fracture.

11999232

Opacities in the left upper lobe are new and right lower lobe opacities have improved since ___. The lungs are hyperexpanded. The cardiac and mediastinal contours are stable. There is no pleural effusion or pneumothorax.

56050503

INDICATION: ___F with Mitral regurg p/w 3 weeks DOE and 5 days of dry cough no fevers // edema, consolidation? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. Chest CT ___.

Opacities in the left upper lobe are new and right lower lobe lobe opacities have improved. These findings could represent pneumonia in the correct clinical setting.

11999232

The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Tortuosity of the thoracic aorta is again noted. No acute osseous abnormalities.

51721827

INDICATION: ___F with hx CHF, productive cough Eval for pulm edema or PNA TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11999232

There are bilateral opacities within the right upper lobe and lower lobe and left perihilar region concerning for multifocal pneumonia. Atelectasis in the right upper lobe with upward deviation of the minor fissure is concerning for possible right central lesion. The heart is stable in size.

58979649

INDICATION: ___-year-old female with dyspnea. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiograph from ___.

Opacities within the right upper lobe and lower lobe and left perihilar region concerning for multifocal pneumonia. Atelectasis in the right upper lobe with prominence of the right perihilar region is concerning for an underlying lesion.

11310752

Heart size is mildly enlarged, slightly increased from the prior study accounting for differences in technique. The aorta is mildly tortuous. Right hilar enlargement appears new compared to the previous exam. Mild pulmonary edema is present. Hazy opacification within the right mid and lower lung is new in the interval. Patchy opacities in the lung bases may reflect atelectasis. No pneumothorax is identified. Clips are seen projecting over the left breast.

59888577

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with shortness of breath TECHNIQUE: Upright AP view of the chest COMPARISON: ___

Hazy opacification in the right mid and lower could reflect an area of infection. Right hilar enlargement may suggest underlying lymphadenopathy. Patchy opacities in the lungs, potentially atelectasis but additional sites of infection are not excluded. Mild pulmonary edema.

11310752

Since the prior exam, there is little change. Again demonstrated are heterogeneous opacities in the in right mid and lower lung zones. There appears to be a moderate size loculated right pleural fluid collection. A patchy opacity at the left base is noted. There is no left pleural effusion. Mild pulmonary vascular congestion is new No pneumothorax is identified. There is persist prominence of the right mediastinal and hilar contours. The osseous structures are unremarkable.

50806775

INDICATION: History of pneumonia. Evaluate for acute process. TECHNIQUE: Single semi-upright AP view of the chest. COMPARISON: Chest radiograph from ___ at 15:09.

Heterogeneous opacities in the right lung are consistent with history of pneumonia. Consider a contrast-enhanced chest CT to exclude a postobstructive process and to better characterize an apparently loculated right pleural effusion, the latter raising the possibility of empyema. New patchy opacity at the left base is nonspecific, but may reflect additional site of infection, New pulmonary vascular congestion. These above abnormalities can be further evaluated with a CT of the chest.

11432850

The heart size is normal. The hilar and mediastinal contours are within normal limits. The aorta is moderately tortuous. There is no pneumothorax, focal consolidation, or pleural effusion. Multilevel compression deformities throughout the thoracic spine are unchanged since ___.

52121065

INDICATION: Cough and fever. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST

No acute intrathoracic process.

11432850

The cardiac silhouette size is top normal. The mediastinal and hilar contours are relatively unchanged with mild unfolding of the thoracic aorta. Pulmonary vascularity is not engorged. There is crowding of the bronchovascular structures. No overt pulmonary edema is present. There is minimal streaky atelectasis at the lung bases. No focal consolidation, pleural effusion or pneumothorax is identified. Mild loss of height of a mid thoracic vertebral body appears unchanged.

53495472

INDICATION: Fever with chills and low oxygen saturation at doctor's office with recent pneumonia. COMPARISON: Chest radiograph, ___ chest radiograph and ___ chest CT. UPRIGHT AP AND LATERAL VIEWS OF THE

Low lung volumes with probable mild bibasilar atelectasis.

11014822

Lung volumes remain low. Even allowing for the projection, the heart is mildly enlarged. There is prominence and haziness of pulmonary vasculature bilaterally consistent with congestive heart failure and mild pulmonary edema. The extent is similar when compared to the prior study. Left lower lobe atelectasis. No definite pleural effusion seen. No pneumothorax seen. Support and monitoring equipment is unchanged in position.

54873187

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with anoxic brain injury with ARDS who had increased ICP and desat episode to 70s. // Interval change (desat issues) TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

No significant interval change when compared to the prior study.

11014822

In comparison to the chest radiograph obtained approximately 1.5 hours prior, a right-sided PICC now terminates in the lower SVC. Dense right basilar opacities are unchanged. Moderate cardiomegaly is unchanged, but pulmonary edema has worsened, now severe. An enteric tube and ET tube are unchanged and appropriately positioned.

53654319

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with Right PICC // repeat xray for PICC repo TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ at 09:29

A right-sided PICC now terminates in the in lower SVC. Increased pulmonary edema, now severe.

11034192

Supine portable AP view of the chest was provided. An NG tube is seen with its tip in the left mid abdomen. The endotracheal tube tip is seen, positioned 2.9 cm above the carina. The lungs appear clear. No supine evidence for effusion or pneumothorax. The cardiomediastinal silhouette appears grossly unremarkable. The imaged osseous structures appear intact.

58624018

CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Altered mental status, intubated, fever to 106, assess tube position.

Lines and tubes positioned appropriately. No acute findings in the chest.

11034192

The heart size is mildly enlarged. Aortic knob is calcified. The mediastinal and hilar contours otherwise are unremarkable, and no pulmonary vascular congestion is present. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are low lung volumes noted. There are no acute osseous abnormalities.

53003284

HISTORY: Weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process. Mild cardiomegaly.

11147738

The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size, and there is no pulmonary edema.

50594637

INDICATION: ___-year-old female with chest pain. Evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: None.

No acute cardiopulmonary process.

11653463

Frontal and lateral radiographs of the chest show bibasilar linear atelectasis on the left greater than the right. No pleural effusion, focal consolidation, or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Moderate degenerative changes of the thoracic spine are noted.

53728075

INDICATION: ___-year-old female postop day 3 with fevers, here to evaluate for pneumonia. COMPARISON: No prior studies available.

Bibasilar atelectasis on the left greater than the right. No pneumonia.

11356217

An endotracheal tube is in satisfactory position 4.8 cm from the carina. A ight internal jugular catheter is present with the tip near the atriocaval junction. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are widened due to the known large pseudoaneurysm, which is better characterized on the recent CT. The heart is severely enlarged. Sternal wires are intact.

56468657

INDICATION: Evaluate endotracheal tube and internal jugular central venous catheter. COMPARISONS: CT of the chest from ___. TECHNIQUE: A single supine frontal view of the chest was obtained.

Satisfactory position of the endotracheal tube and right internal jugular venous catheter. Enlarged mediastinum due to the known large pseudoaneurysm. Severe cardiomegaly.

11356217

Portable AP chest radiograph. Right-sided IJ catheter, left IJ double-lumen catheter, ascending aorta stent are in stable position. The patient has been extubated. The NG tube has been removed and a Dobbhoff feeding tube has been placed. The tip is in the stomach. Pulmonary vascular engorgement and moderate right pleural effusion are stable. There is no pneumothorax.

59376140

INDICATION: Large ascending aorta pseudoaneurysm. The patient is post-op from cardiac surgery. Evaluation of Dobbhoff tube placement. COMPARISONS: CTA torso, ___. Multiple prior chest radiographs from ___.

Dobbhoff feeding tube tip is in the stomach. No other significant interval change.

11356217

The patient is rotated to the left. An ET tube and right IJ central venous line are in appropriate position, and the gastric tube ends in the body of stomach. The heart size continues to be severely enlarged, and the mediastinum is widened secondary to a known TAA. Surgical clips are seen around the aortic arch, and the median sternotomy wires are intact. Right lung interstitial markings are widened without any focal consolidation.

56578136

HISTORY: ___-year-old man with seizure, CVA, and aortic valve replacement, presents with hypotension, a new ascending TAA. Please evaluate for interval change. TECHNIQUE: Portable AP supine chest radiograph was obtained. COMPARISON: Chest radiograph from ___.

Right interstitial markings suggest edema or layering pleural effusion. Gastric tube ends in the body of stomach.

11356217

The patient is status post median sternotomy with multiple clips noted in the mediastinum. Enlargement of the mediastinal contour is compatible with a massive pseudoaneurysm of the ascending aorta. The remainder of the mediastinal contour appears unchanged. There is continued moderate cardiomegaly and mild pulmonary edema. Small bilateral pleural effusions, left greater than right, are present, perhaps slightly decreased in size on the right and increase in size on the left. Bibasilar opacities may reflect atelectasis. No pneumothorax is present. Dextroscoliosis of the thoracic spine is re- demonstrated.

59091014

HISTORY: Tachypnea, history of ascending aortic stenting. TECHNIQUE: Portable semi of the rectus AP view of the chest. COMPARISON: ___.

Mild pulmonary edema with small bilateral pleural effusions. Bibasilar opacities likely reflect compressive atelectasis. Status post ascending aortic stent placement and re- demonstration of known large pseudoaneurysm of the ascending aorta.

11058749

Linear streaky opacity in the left lower lobe is similar to CT chest ___, and consistent with linear atelectasis. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

52763976

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with SOB, wheezing // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: CT chest on ___.

No acute cardiopulmonary process.

11058749

There is an opacity in the right lower lobe, which also has a correlate on the lateral view. The heart size is normal. The hilar and mediastinal contours are normal. There may be a small right pleural effusion. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.

58119216

INDICATION: History of pneumonia for ___ days. COMPARISONS: Chest radiographs from ___. TECHNIQUE: PA and lateral radiographs of the chest.

Right lower lobe pneumonia. These findings were discussed with Dr. ___ by Dr. ___ by phone at ___:___ ___m. on the day of the exam.

11058749

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.

56724723

INDICATION: ___F with pAF presenting with chest tightness // please evaluate for volume overload TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.

No acute cardiopulmonary process.

11058749

Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear besides linear opacity, likely scarring or atelectasis at the right lung base seen on the lateral view, unchanged. Pleural surfaces are clear without effusion or pneumothorax.

58979819

HISTORY: Chest pain. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs, two views.

No acute cardiopulmonary abnormality.

11058749

The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable with the exception of a tortuous aorta. There is no pleural effusion or pneumothorax.

51767954

INDICATION: ___-year-old female with epigastric, substernal chest pain radiating to the back. Evaluate for pneumothorax or any other acute cardiopulmonary process. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph.

Unremarkable chest radiographic examination.

11084297

The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax present. A right pacer terminates with its leads in the right atrium and right ventricle. Right basal parenchimal scarring is unchanged.

54230291

INDICATION: ___-year-old female with generalized weakness and history of stroke with heaviness in the left hand, question infectious process. COMPARISON: Multiple chest radiographs, the latest from ___. TWO VIEWS OF THE

No acute intrathoracic process.

11084297

A dual-lead pacemaker/ICD device has leads terminating in the right atrium and ventricle, as before. The heart is at the upper limits of normal size. There is moderate unfolding of thoracic aorta with calcifications seen particularly along the arch. The mediastinal and hilar contours appear unchanged. Patchy opacity in the right middle lobe is not significantly changed and suggests scarring, predominantly in the right lower lobe. Hemidiaphragms appear flattened. Slight degenerative changes are similar along the thoracic spine.

59742212

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

No evidence of acute disease.

11084297

Three AP views of the chest were provided. Initially, the endotracheal tube was positioned at the carina. The endotracheal tube was subsequently retracted with its final position at approximately 2.3 cm above the carina. The NG tube is seen extending into the left upper abdomen. Dual-lead pacer is positioned with its leads in the expected position of the right atrium and right ventricle. Perihilar opacity is noted, likely aspiration or atelectasis. There is no supine evidence for pneumothorax or effusion. The cardiomediastinal silhouette appears grossly unremarkable. No acute bony abnormalities are seen.

51347128

PORTABLE CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Intubation, fall, vomiting, assess ET tube position.

Appropriately positioned endotracheal and nasogastric tubes with aspiration/atelectasis better assessed on subsequent CT chest.

11611430

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.

52761028

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

No acute cardiopulmonary abnormality.

11989961

Severe cardiomegaly is noted. Left chest wall dual lead pacing device is identified. There is significant enlargement of the aortic arch, partially visualized on prior CT cervical spine. Rounded opacity in the retrocardiac region potentially in part due to hiatal hernia however given significant aortic abnormality at the arch, it is more likely that this may represent a descending thoracic aortic aneurysm. Compression deformities of several lower thoracic vertebral bodies and likely lumbar vertebral body are age indeterminate.

52863610

WET READ: ___ ___ ___ 12:49 AM Cardiomegaly. Tortuosity and dilation of the thoracic aorta with a more rounded opacity in the retrocardiac region which is suspicious for a focal descending thoracic aneurysm. Chest CT is suggested. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with recent fall // please eval for intrathoracic process TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. Correlation is made to same day CT cervical spine.

Cardiomegaly. Tortuosity and dilation of the thoracic aorta with a more rounded opacity in the retrocardiac region which is suspicious for a focal descending thoracic aneurysm. Chest CT is suggested.

11332825

AP portable supine view of the chest. Endotracheal tube is seen with its tip located 2.3 cm above the carinal. The orogastric tube extends into the upper abdomen though the tip is excluded from view. Mild edema is noted with hilar congestion and mild interstitial pulmonary edema. Lower lung opacities could reflect aspiration. No supine evidence for large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly unremarkable. No bony injuries.

55167920

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with cardiac arrest COMPARISON: None

ET and OG tubes positioned appropriately. Mild edema with lower lung opacities concerning for aspiration or pneumonia.

11522650

Relatively low lung volumes are noted with secondary bibasilar atelectasis. There is no focal consolidation worrisome for pneumonia. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

56946534

INDICATION: ___M with LLE pain and swelling and low grade fever // please assess for acute cardiopulmonary process TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11384398

In comparison to prior radiograph from ___, there is new left mid and lower lung airspace opacities, concerning for pneumonia. Remainder of the lungs are grossly clear. There is no pulmonary edema. No pneumothorax or sizable pleural effusion detected.

56845466

WET READ: ___ ___ ___ 6:01 PM New left mid and lower lung pneumonia. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old man with hypoxia, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___.

New left mid and lower lung opacities concerning for pneumonic infiltrates.

11384398

AP upright and lateral views of the chest provided. Lung volumes are somewhat low. Subtle opacity in the left lower lung may represent an early pneumonia in the correct clinical setting. Elsewhere lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

58751567

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with fever and cough // Pneumonia? COMPARISON: None

Subtle opacity in the left lower lung is concerning for an early pneumonia in the correct clinical setting.

11439357

There is a large hiatal hernia with an air-fluid level. The cardiac, mediastinal and hilar contours are stable. There is again pleural effusion or thickening on the left side which is probably unchanged since the most recent study. Mild spurring appears stable at each lung apex. Aside from minimal atelectasis at the left base, the lungs appear clear. Moderate S-shaped curvature to the thoracolumbar spine is again noted. Mild compression deformities are suspected but not well characterized at the thoracolumbar junction. The bones appear demineralized.

50961793

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Weakness and history of hiatal hernia. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___, and ___.

Large hiatal hernia. No evidence of acute cardiopulmonary process. No short-term change.

11344219

Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

53919311

HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11385518

The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. 6 mm left lower lobe ground-glass opacity seen on prior CT of the chest is not appreciated on this study.

55416945

WET READ: ___ ___ ___ 8:53 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest pain // rule out acute cardiopulmonary changes TECHNIQUE: Upright PA and lateral chest COMPARISON: Chest radiographs ___ and ___. CT chest ___.

No acute cardiopulmonary abnormality.

11385518

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

58644983

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

No acute cardiopulmonary process.

11952653

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

54989576

INDICATION: ___-year-old male with chest pain and diffuse ST elevation on electrocardiogram. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were obtained.

No radiographic evidence for acute cardiopulmonary process.

11209633

Study is slightly limited due to lordotic positioning. The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are seen.

50156780

HISTORY: Syncope, fall off curb with ft pain. TECHNIQUE: Supine AP view of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11226273

Single frontal image of the chest demonstrates low lung volumes likely due to poor inspiration. The lungs are clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

59561716

INDICATION: ___-year-old male with fever and concern for pneumonia. COMPARISON: None.

Low lung volumes, but normal chest radiograph.

11226273

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

57827830

EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old male with fever and coughing TECHNIQUE: PA and lateral chest radiographs COMPARISON: Chest radiograph from ___.

No evidence of acute cardiopulmonary process.

11200955

The lungs are normally expanded. There is faint asymmetric opacity projecting over the right upper lung. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There are surgical clips in the anterior mediastinum.

56495228

WET READ: ___ ___ ___ 1:41 PM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with tachycardia, fever, chills // eval for PNA TECHNIQUE: Upright PA and lateral chest COMPARISON: None available

Faint asymmetry in the right upper lung could reflect calcifications of the costochondral junction, however pneumonia should be considered in the appropriate clinical setting.

11200955

AP portable upright view of the chest. Right IJ access dialysis catheter seen with its tip in the low SVC near the cavoatrial junction. The lung volumes are low. There is mild left basal atelectasis. The heart size appears mildly enlarged. There is no pneumothorax.

59417241

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with high dose steroids, rising WBC. // r/o new infiltrate COMPARISON: Prior exam dated ___.

Dialysis catheter in place. Mild cardiomegaly. Mild left basal atelectasis.

11855412

Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. Lungs are fully expanded and clear without focal consolidation, effusion, or pneumothorax.

58325723

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with hx of pos PPDS and treatment with INH in ___ without confirmatory CXR. Evaluate for active or latent TB. TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No evidence of active or latent TB.

11369634

No focal opacity to suggest pneumonia is seen. An opacity in the right infrahilar region has been present on prior examinations and likely represents a prominent vessel. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal.

58601310

INDICATION: Fever, tachycardia and cough since visit to ___. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___.

No evidence of acute cardiopulmonary process.

11369634

There is increase in bilateral right greater than left airspace opacity in the lung bases, and lung volumes are decreased compared with prior. There is no large pleural effusion or pneumothorax. The cardiac silhouette is unchanged and is top normal in size, the mediastinal contours are normal.

58101541

HISTORY: ___-year-old female with cough and shortness of breath, question pneumonia or bronchitis. COMPARISON: ___.

Bilateral pneumonia, right greater than left. Findings were discussed with Dr. ___ at 5pm by phone.

11030386

No focal consolidation, pleural effusion, or pneumothorax is detected. Bluntin of the right cardiophrenic angle appears chronic and unchanged, probably reflecting slight atelectasis or scarring. Heart and mediastinal contours are within normal limits.

56754975

INDICATION: ___-year-old male with productive cough and subjective fever. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained.

No radiographic evidence for acute cardiopulmonary process.

11030386

Lung volumes are low with linear streaky opacities reflecting atelectasis in the lung bases. There is associated crowding of the central bronchovascular structures. There is a opacity in the right lower lobe with air bronchograms concerning for pneumonia. No pleural effusion is seen.

51249537

INDICATION: ___-year-old man with fever, chills, nausea vomiting. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

Right lower lobe pneumonia.

11030386

Comparison is made to the prior chest radiograph from ___. The heart size is within normal limits. There are no focal consolidation or pleural effusions. There is some atelectasis at the left lung base. There are no pneumothoraces. The bony structures appear intact.

54539474

STUDY: PA and lateral chest, ___. CLINICAL HISTORY: ___-year-old man with ___ years of tobacco history. Patient with hemoptysis.

No signs for acute cardiopulmonary process.

11030386

The cardiomediastinal and hilar contours are normal and stable. There is streaky atelectasis at the base of the left lung. There is no focal consolidation, pleural effusion or pneumothorax. A right lower lobe opacity has resolved. There is no effusion or

56460675

EXAMINATION: Chest radiograph INDICATION: ___ year old man with RLL Pneumonia on CXR done in ___. // Please assess for resolution of Pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___

Streaky left basal atelectasis. Right lower lobe opacity has resolved.

11030386

PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

57702425

INDICATION: Persistent cough. Evaluation for pneumonia. COMPARISON: On ___ and ___.

No acute cardiopulmonary process.

11789688

Heart size is normal. Slight tortuosity of the aorta is stable. There is mild cephalization of the pulmonary vasculature without overt pulmonary edema. Minimal bibasilar, right greater than left, opacities likely reflect atelectasis. No pneumothorax or pleural effusion.

59467786

INDICATION: History: ___M with palpitations // ? pna COMPARISON: ___. TECHNIQUE: Single frontal view of the chest.

Pulmonary vascular prominence without overt edema. Minimal bibasilar opacities likely reflect atelectasis, but infection cannot be excluded in the appropriate clinical setting.

11621459

Right IJ central venous catheter is seen with tip at the cavoatrial junction. There is no pneumothorax. The lungs are clear. The cardiomediastinal silhouette is within normal limits.

53990884

INDICATION: ___F with new right IJ // Eval new line TECHNIQUE: Single portable view of the chest. COMPARISON: ___.

Right IJ line as above. No pneumothorax.

11621459

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is minimal atelectasis in the right middle lobe, as before. Otherwise, the lungs appear clear. A central venous catheter has been removed.

59949908

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever and tachycardia. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary disease.

11621459

New central venous catheter tip projects over the low SVC. There is no evidence of pneumothorax. The cardiomediastinal silhouette is normal. There is no pleural effusion.

56746386

INDICATION: ___F with line placement, evaluate position.. COMPARISON: Comparison is made to chest radiographs dating back to ___. TECHNIQUE Portable view of the chest.

Right internal jugular central venous catheter tip ends in the low SVC. No evidence of pneumothorax.

11621459

The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.

54829358

INDICATION: Cough. COMPARISON: Chest radiograph from ___. TECHNIQUE: Frontal and lateral chest radiographs.

No acute intrathoracic process.

11621459

A right-sided internal jugular central venous catheter terminates in the right atrium without evidence of pneumothorax. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.

59562535

WET READ: ___ ___ 11:55 PM Right IJ catheter terminates in the right atrium. Could be withdrawn approximately 2 cm. No evidence of pneumothorax. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with right ij placed for iv access // eval line placement TECHNIQUE: Single frontal view of the chest COMPARISON: None

Right internal jugular central venous catheter terminates in the right atrium. Could be withdrawn approximately 2 cm. No pneumothorax.

11839420

The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.

53209056

INDICATION: ___ year old man with cough, SOB, wheezing // evaluate TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute radiographic intrathoracic pulmonary disease.

11639617

Multiple median sternotomy wires are identified. The cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are unremarkable. Slight opacity at the right cardiophrenic angle likely reflects crowding of normal bronchovascular structures. Otherwise, the lungs are clear without focal consolidation. Mild interstitial prominence, with prominent interlobular septa, is compatible with pulmonary vascular congestion. There is no frank pulmonary edema. There is no pleural effusion or pneumothorax.

57336004

INDICATION: ___M with chest pains, evaluate for effusions. TECHNIQUE: AP chest radiograph. COMPARISON: Chest x-ray ___.

Pulmonary vascular congestion without frank pulmonary edema. No effusions.

11639617

The lungs are well expanded. There is an ill-defined opacity in the right lower lung region with apparent obscuration of the right heart margin, suggesting right middle lobe consolidation. There is also consolidation along the right cardiophrenic angle. Otherwise, there are increased interstitial opacities and Kerley B lines, most prominent in both lower lung regions. Bilateral hilar engorgement is also apparent. There is no pleural effusion or pneumothorax. Cardiac sihouette is within normal limits. The sternotomy wires are intact. A prosthetic aortic valve is present.

55515901

INDICATION: ___-year-old male with chest pain and hypoxia. Evaluate for pulmonary edema. COMPARISON: Chest radiograph from outside institution performed approximately five hours prior to this exam. TECHNIQUE: Portable upright chest radiograph.

Findings compatible with interstitial pulmonary edema, which appears slightly improved compared with radiograph performed five hours prior. Consolidation in the right middle lobe might represent asymmetric edema vs pneumonia.

11197646

AP upright chest radiograph demonstrates well-expanded lungs. Cardiomediastinal silhouette is unremarkable. Linear scarring or atelectasis at the left base is unchanged. Cluster of granulomas in the mid right lung are noted. There is no focal consolidation or pleural effusion. Osseous structures are grossly unremarkable.

53270356

HISTORY: ___-year-old man with rapid irregular heart rate and chest pain. COMPARISON: None available

No acute cardiopulmonary abnormalities.

11693022

There has been marked decrease in a left hilar mass. The right lung remains clear without pleural effusion. On the left, there is an increased volume loss at the left lung base with a pleural effusion and posterior opacity which may represent atelectasis or pneumonia.

50303094

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough and fever. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___.

Markedly improved left hilar mass, but increased left basilar opacification with pleural effusion suggesting atelectasis or pneumonia.

11693022

New right-sided PleurX catheter in a superior and medial position. Left pleural effusion has mildly decreased which is still moderate. Stable appearance of the left hilus. No pneumothorax. The right lung is clear.

51372809

INDICATION: ___ year old woman with metastatic malignanat effusion s/p pleurX on ___, please r/o PTX or complication of procedure // PTX? COMPARISON: Portable

New left-sided PleurX catheter with decrease in the left pleural effusion. No pneumothorax.

11693022

There is a persistent moderate left pleural effusion. There is no pneumothorax. Radiation changes are present in the left greater than right hila. Right lung is clear. There is no acute osseous abnormality.

56532402

EXAMINATION: Chest radiograph. INDICATION: ___ year old woman s/p left thoracentesis, evaluate for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ and chest radiograph ___.

Persistent moderate left pleural effusion. No pneumothorax.