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

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11155222	PA and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.	54941510	HISTORY: Cough and fever. COMPARISON: Chest radiograph on ___.	No acute cardiopulmonary process.
11422357	PA and lateral chest radiographs were obtained. The patient is status post median sternotomy and CABG. A left pectoral AICD is in place with lead terminating in the right ventricular apex. No focal opacity is identified. Prominent interstitial markings are unchanged. The cardiomediastinal silhouette is moderately enlarged. Hilar contours are stable. There is no pleural effusion or pneumothorax.	59803719	HISTORY: Dyspnea, history of CHF, evaluate for pneumonia, effusion, or edema. COMPARISON: Chest radiograph from ___ and CT chest from ___.	No focal opacity. Prominent interstitial markings appear to be chronic, likely due to combination of interstitial edema and chronic interstitial disease as previously characterized on chest CT from ___. Stable moderate cardiomegaly.
11422357	Frontal and lateral views of the chest demonstrate persistent diffuse bilateral interstitial opacities. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unchanged. Moderate cardiomegaly is stable. Mild perihilar vascular congestion is noted. Mild pulmonary edema has progressed from prior. Sternotomy wires appear intact. Multiple surgical clips project over cardiac silhouette. AICD device is unchanged in position.	53347515	INDICATION: Shortness of breath, weight gain. COMPARISONS: Chest radiograph of ___. CT chest ___.	In comparison to ___ exam, there is no significant change in diffuse bilateral interstitial opacities, compatible with interstitial lung disease, better characterized on CT chest of ___, and characterized as NSIP. Stable moderate cardiomegaly. Mild pulmonary edema, progressed from prior.
11422357	AP view of the chest. A left-sided pacemaker ends with its leads in appropriate position. The median sternotomy wires and mediastinal clips are stable. There is moderate cardiomegaly, stable. Prominent interstitial markings appear chronic and likely due to chronic congestion, no edema. No pleural effusion or pneumothorax.	51406837	WET READ: ___ ___ ___ 12:50 AM Stable cardiomegally. No new effusion, congestion, or consolidation. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: CHF and previously shortness of breath. COMPARISON: ___ and chest CT from ___.	Stable moderate cardiomegaly and chronic pulmonary vascular congestion, no edema.
11422357	PA and lateral views of the chest. Transvenous AICD lead ends in the right ventricle. Mediastinal clips and sternotomy wires are in appropriate position. Moderate cardiomegaly is stable. The previously seen mild interstitial pulmonary edema has resolved. Chronic interstitial lung disease findings are noted. No pleural effusion or pneumothorax. No pulmonary vascular congestion. No focal parenchymal opacities concerning for pneumonia.	54639807	INDICATION: CHF, evaluate pulmonary congestion. COMPARISON: Chest radiograph on ___.	Resolution of mild interstitial pulmonary edema. No evidence of fluid overload. No evidence of pneumonia.
11422357	When compared to prior, there has been no significant interval change. There are increased interstitial markings throughout the lungs, unchanged. There is no superimposed acute cardiopulmonary process, no consolidation or effusion. The cardiac silhouette is enlarged but stable compared to prior. Median sternotomy wires and mediastinal clips are again seen in addition to dual lead left chest wall pacing device. No acute osseous abnormalities.	55995256	INDICATION: ___M with DOE, h/o CHF with low EF, now desatting in sleep. // assess for evidence of worsening pulmonary edema TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.	Increased interstitial markings throughout the lungs likely in part due to interstitial edema, similar when compared to prior. No superimposed consolidation or other process.
11422357	Lung volumes are low. Patient is status post left-sided AICD device with single lead terminating in the right ventricle, unchanged. Patient is also status post median sternotomy and CABG. Moderate cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unchanged. Mild interstitial pulmonary edema is not substantially changed in the interval. No focal consolidation, pleural effusion or pneumothorax is present.	53573581	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, confusion TECHNIQUE: Chest PA and lateral COMPARISON: ___	Mild interstitial pulmonary edema, not substantially changed in the interval.
11422357	The patient is status post median sternotomy and CABG. Left-sided AICD/pacemaker lead terminates in the right ventricle, unchanged. Moderate cardiomegaly is redemonstrated. The mediastinal and hilar contours are unchanged. Mild interstitial pulmonary edema is relatively similar when compared to the prior exam. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.	56119013	HISTORY: Dyspnea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___.	Mild interstitial pulmonary edema.
11422357	Left-sided AICD device is noted with single lead terminating in the right ventricle. Patient is status post median sternotomy and CABG. The heart remains moderately enlarged, but unchanged. There are diffuse interstitial markings, slightly worse when compared to the prior exam, likely representing mild interstitial pulmonary edema superimposed on a background of known chronic interstitial lung disease. No pleural effusion or pneumothorax is present. There is no focal consolidation. No acute osseous abnormality is visualized.	51136120	INDICATION: Cough. COMPARISON: ___. PA AND LATERAL VIEWS OF THE	Mild interstitial pulmonary edema superimposed on a background of chronic interstitial lung disease.
11422357	Lung volumes remain low. There is mild interstitial edema and pulmonary vascular congestion. No focal consolidation is present. There is moderate cardiomegaly, as before. No pleural effusion or pneumothorax is seen. A left chest AICD is in unchanged positions. Median sternotomy wires and surgical clips are again noted.	59644160	INDICATION: ___-year-old male with progressive confusion on cognitive decline. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___.	Moderate cardiomegaly with mild interstitial edema. No focal consolidation to suggest the presence of pneumonia.
11422357	Patient is status post coronary artery bypass graft surgery. Single-lead pacemaker device appears unchanged. The heart appears mild to moderately enlarged. Cardiac, mediastinal and hilar contours appear stable. There is a similar mild to moderate, diffuse interstitial abnormality. Most likely etiology is interstitial pulmonary edema without substantial change. There is no pleural effusion or pneumothorax.	57067064	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Congestive heart failure and shortness of breath. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: ___.	Findings suggest mild to moderate interstitial pulmonary edema. Cardiomegaly.
11422357	There are bilateral low lung volumes with prominent pulmonary vasculature and interstitial markings most likely representing worsening pulmonary edema; however, atypical pneumonia cannot be excluded but is much less likely. No areas of focal consolidation concerning for infection. There is a small right pleural effusion. No pneumothorax is identified. Pleural surfaces are unremarkable. The heart is stably enlarged with the proximal electrode of a left-sided pacer device extending from the SVC into the low right atrium, unchanged in longstanding position. The lead terminates at the apex of the right ventricle. Median sternotomy wires are again noted in alignment and with no evidence of failure.	57060345	INDICATION: ___-year-old man with systolic heart failure, ejection fraction of 15%, and history of coronary artery disease. Presents with shortness of breath. COMPARISON: PA and lateral chest radiograph ___, TECHNIQUE: PA and lateral chest radiograph.	Low lung volumes with increased vascular prominence suggestive of worsening pulmonary edema. Though much less likely, an atypical pneumonia cannot be excluded,
11187098	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. Mild dextroscoliosis of the T-spine is noted. No free air below the right hemidiaphragm is seen.	50815834	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // Pneumonia? COMPARISON: None	No acute intrathoracic process.
11300822	Cardiac silhouette size is mildly enlarged, similar to the previous exam. The aorta is mildly tortuous. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Patchy right basilar opacity is improved compared to the previous study, but may reflect recurrent pneumonia. No pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized without acute osseous abnormality detected. Remote right mid clavicular fracture is again seen.	59466617	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with episodes of confusion at night, possible altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Patchy right basilar opacity, while improved compared to the previous radiograph from ___, may reflect recurrent pneumonia in the correct clinical setting.
11300822	Previously noted right basilar opacity has improved. Streaky bibasilar opacities likely represent atelectasis. Otherwise no consolidation, sizeable effusion or pneumothorax. Heart appears mildly enlarged, although this may be due to portable technique. There are healed right-sided rib fractures.	53844292	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with unresponsiveness. // pneumonia?Bleed? TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___	Probable bibasilar atelectasis. No acute cardiopulmonary process identified.
11300822	Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs remain hyperinflated with flattening of the diaphragms. Scarring within the right lower lobe is unchanged. Remainder the lungs are clear without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities present. Remote fracture of the right mid clavicle is again noted.	58424105	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pressure TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11300822	The lung volume is small. The left lower lobe consolidation has improved. No pulmonary edema or pulmonary venous congestion. Small left pleural effusion and atelectasis are unchanged. Right lower lobe atelectasis is unchanged. Moderate cardiomegaly is unchanged. Mediastinal silhouette is unchanged.	57951651	INDICATION: ___ year old man with LLL pneumonia and new increased oxygen requirement // Please evaluate for fluid overload vs worsening of pneumonia TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___.	Improving left lower lobe pneumonia. No new consolidation.
11300822	Heart size is mildly enlarged. The aorta is tortuous. Pulmonary vasculature is not engorged. Hilar contours are unchanged. Lungs are hyperinflated. New focal opacity is seen within the left lower lobe as well as patchy nodular opacity within the left lower lobe, findings concerning for multifocal pneumonia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Deformity of the right mid clavicle compatible a remote fracture is re- demonstrated.	59495052	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___	Bibasilar opacities concerning for pneumonia.
11300822	Cardiomediastinal silhouette is unchanged as compared to prior dated ___. Note is made of healed right clavicular fracture. Linear opacity in right lower lung is unchanged since ___ radiograph. No pleural effusion or pneumothorax is seen.	55289210	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fevers, sweats, persistent cough for 2 weeks // R/o infiltrate R/o infiltrate TECHNIQUE: PA and lateral views COMPARISON: ___	No radiographic evidence to explain fever, sweats, or cough for 2 weeks
11300822	There is interval development of patchy increased density at the left base concerning for pneumonia. There is minimal bibasilar scarring or subsegmental atelectasis as well. The heart and mediastinal structures are unchanged.	54773115	EXAMINATION: CHEST (PORTABLE AP) INDICATION: aspiration, PNA TECHNIQUE: AP chest x-ray COMPARISON: ___	Increased density at the left base most consistent with left lower lobe pneumonia.
11300822	The cardiomediastinal and hilar contours are stable with mild tortuosity of the descending aorta. There is no pleural effusion or pneumothorax. Hyperinflation and flattened hemidiaphragms may be indicative of a chronic pulmonary process. A 5 mm density is seen in the left lower lung, stable since the prior study and probably a calcified granuloma, is likely of no clinical significance. Note is made of an old right clavicular fracture.	53881153	INDICATION: Cough for two weeks. COMPARISON: Chest radiograph ___.	No acute cardiopulmonary abnormality.
11607502	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	54202875	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, SOB // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11607502	Heart is top normal size. Widening of the mediastinum is consistent with mediastinal and hilar lymphadenopathy as seen on CT scan. Lung volumes are low with atelectasis seen in both bases. There is an opacity projecting over the mid right lung likely corresponding to the site of intervention possibly reflecting hemorrhage in that region. Neighboring hilar region also appears to have increased in size, likely secondary to the same process. Left lung is clear. No significant pleural effusions, and no pneumothorax.	56843913	INDICATION: ___-year-old man with mediastinal and hilar adenopathy, status post transbronchial biopsy on the right, rule out pneumothorax. COMPARISON: CT chest from ___. TECHNIQUE: Portable PA semi-erect chest radiograph.	Focal opacification of the mid right lung likely represent post-surgical changes and is consistent with hemorrhage and/or atelectasis. Bibasilar atelectasis.
11381657	Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Streaky opacity in the left lung base likely reflects atelectasis and/or scarring with unchanged mild blunting of the left costophrenic sulcus likely reflective of pleural thickening rather than a small pleural effusion. The remainder the lungs are clear without focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature is normal. Moderate multilevel degenerative changes are noted in the thoracic spine.	51732369	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain, fever TECHNIQUE: Chest PA and lateral COMPARISON: ___	Streaky opacity in the left lung base appears similar compared to the previous exam, likely reflective of atelectasis and/or scarring and adjacent pleural thickening.
11291575	The heart size is top normal. The hilar and mediastinal contours are within normal limits. The aorta is mildly calcified and tortuous. Central pulmonary vessels are prominent but there is no edema. No focal consolidation is seen. There is no pneumothorax or pleural effusion.	54005746	INDICATION: Mental status change. No comparison studies available. FRONTAL AND LATERAL CHEST	No acute intrathoracic process.
11291575	The lungs are clear. The hilar and mediastinal silhouette is normal. The heart size is stable and at the upper limit of normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The aorta is stably tortuous.	53085808	INDICATION: New onset seizure. COMPARISON: Chest radiograph from ___. PORTABLE SUPINE RADIOGRAPH OF THE	No acute intrathoracic process.
11410945	There is persistent slight blunting of the costophrenic angles. Cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is minimal interstitial edema. There is no pneumothorax. Mediastinal contours are stable and unremarkable.	54930131	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with history of CAD p/w chest pain // eval for pneumonia, CHF TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Persistent slight blunting of the costophrenic angles may be due to trace pleural effusions are pleural thickening. Minimal interstitial edema.
11410945	Frontal and lateral views of the chest were obtained. There is prominence of the central pulmonary vasculature suggesting mild vascular engorgement. Patchy right base opacity may relate to overlap of structures although a small consolidation due to infection is not excluded. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.	51804223	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Fever. COMPARISON: ___.	Mild central pulmonary vascular engorgement. Subtle right base opacity may represent overlap of vascular structures; however, a small consolidation is not excluded in the appropriate clinical setting.
11229812	No definite focal consolidation is seen. There is mild basilar atelectasis. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Patient is rotated slightly to the right. No overt pulmonary edema is seen. Multilevel anterior osteophytes are noted.	51573914	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with new osnet atrial fibrillation // eval acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Mild basilar atelectasis without definite focal consolidation or pulmonary edema.
11133124	The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.	51057193	INDICATION: ___M fever, immunosuppressed. pls eval for pna // ___M fever, immunosuppressed. pls eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute intrathoracic abnormalities identified.
11706103	Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present, however the left lateral costophrenic angle is excluded from the field-of-view. There are no acute osseous abnormalities identified.	58750790	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with past medical history of DM2 and past pancreatitis presents with abdominal pain, leukocytosis, glucose 400. TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11166922	Portable AP upright view of the chest was reviewed and compared to the prior study. New retrocardiac opacity and increased right lower lobe opacity represent atelectasis or pneumonia. Small bilateral pleural effusions are unchanged. There is no pneumothorax. Normal cardiac and mediastinal contours.	52984857	INDICATION: Cough and leukocytosis in a patient with a history of chronic pancreatitis. COMPARISON: Multiple chest radiographs, the most recent of ___.	Retrocardiac and right lower lobe opacities represent atelectasis and/or pneumonia. Small bilateral pleural effusions are unchanged.
11166922	Frontal and lateral views of the chest were obtained. Small bilateral pleural effusions are seen with likely overlying atelectasis. No definite focal consolidation is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal. Mediastinal silhouette is unremarkable. Degenerative changes are seen along the spine.	50217218	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of abdominal distension, chronic pancreatitis, question free air or other acute cardiopulmonary process. COMPARISON: ___.	Small bilateral pleural effusions.
11166922	Heart size is normal. The mediastinal contours are unchanged. Pulmonary vascularity is not engorged. A moderate right-sided pleural effusion is noted and a small left pleural effusion is also present, findings likely similar when compared to the prior exam. Left basilar opacity could reflect compressive atelectasis, although infection cannot be excluded. There is no pneumothorax. Degenerative changes of the thoracic spine are present.	58324970	HISTORY: Failure to thrive, malabsorption, congestion and cough. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___.	Moderate size right and small left pleural effusions, similar when compared to the prior study. Left basilar opacity likely reflects compressive atelectasis, but infection cannot be excluded.
11604188	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.	56235995	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with asthma presents with SOB. COMPARISON: ___	No acute intrathoracic process.
11604188	The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.	53914248	EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with cough, recent fever // eval for pneumonia eval for pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: None available.	No acute cardiopulmonary process.
11669879	Cardiac silhouette size is normal. The aorta remains tortuous, and mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs appear hyperinflated without focal consolidation, pleural effusion or pneumothorax, however the extreme right costophrenic angle is excluded from the field of view. No gross acute osseous abnormalities are present.	53673173	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with tachycardia. TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph	No acute cardiopulmonary abnormality.
11594562	The cardiac silhouette is mild to moderately enlarged. Mediastinal contours are stable and unremarkable. The patient is status post median sternotomy. The lungs are hyperinflated. There is blunting of the right costophrenic angle which may be due to a small pleural effusion. No focal consolidation is seen. There is no pneumothorax. No overt pulmonary edema is seen.	52046910	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyosnea heart block pls eval edema vs pna // History: ___M with dyosnea heart block pls eval edema vs pna TECHNIQUE: Single frontal view of the chest COMPARISON: ___	Possible small right pleural effusion. Mild to moderate cardiomegaly.
11975614	Interval placement of a left subclavian central line, the tip projecting over the mid to distal SVC. Subclavian catheter tip extends over the distal SVC. The tip of the endotracheal tube projects over the mid thoracic trachea. The gastric tube extends into the stomach. Grossly unchanged layering bilateral pleural effusions with subjacent atelectasis. No pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.	53431689	INDICATION: ___ year old man with TBI // L subclavian line insertion TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier today	Interval placement of a left subclavian central line, the tip projecting over the mid to lower SVC. Unchanged bilateral layering pleural effusions with overlying atelectasis.
11975614	Tracheostomy tube in situ with the tip 30 mm proximal to the carina. Right basilar airspace opacification improved compared to previous imaging done ___, but has not resolved. Small associated right-sided effusion. The left retrocardiac opacity is slightly improved. No pulmonary edema. No pneumothorax.	57334610	INDICATION: ___ year old man with TBI, trach, PNA // serial exam TECHNIQUE: Chest PA and lateral COMPARISON: ___	Interval improvement as described above.
11975614	A right internal jugular central venous catheter tip projects over the distal SVC. The tip of the endotracheal tube projects over the mid thoracic trachea, 4.3 cm from the carina. Interval placement of a gastric tube, the tip extends below the level the diaphragms but beyond the field of view of this radiograph. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.	52129182	INDICATION: ___ year old man with TBI and multi trauma // New OGT placed please assess placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___	Interval placement of a gastric tube which courses below the level of the diaphragms but beyond the field of view of this radiograph. No other significant interval change.
11975614	The tip of the right subclavian central venous catheter projects over the mid to distal SVC. The tip of the endotracheal tube projects over the mid thoracic trachea. No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.	57339776	INDICATION: ___ year old man with increased ETT secretions, ?fever (on artic sun), BAL w GN coccobacilli // Eval for HCAP TECHNIQUE: AP portable chest radiograph COMPARISON: ___	No radiographic evidence of acute cardiopulmonary disease.
11975614	An endotracheal tube terminates 4.4 cm above the carinal. A right subclavian central venous catheter terminates at the lower SVC. There is no pneumothorax, focal consolidation, or pleural effusion. The heart size remains normal. The hilar and mediastinal contours remain within normal limits.	52434085	INDICATION: Traumatic brain injury. TECHNIQUE: Frontal chest radiograph. COMPARISON: Chest radiographs from ___.	No acute intrathoracic process.
11975614	Improved visualization of the right hemidiaphragm border with residual linear atelectasis of the right lower lung. No pneumothorax. Elevated right hemidiaphragm noted. Retrocardiac consolidation may be combination of pleural fluid and atelectasis but cannot exclude pneumonia. Probable small layering left pleural effusion. Cardio mediastinal contours unchanged. Achy ostomy seen.	54049866	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with TBI // Interval changes, post bronch TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiographs ___ 05:21	Right lower base opacification has improved with residual linear atelectasis seen. No right pleural effusion. Probable layering small left pleural effusion. Retrocardiac opacification may be combination of pleural fluid and atelectasis but cannot exclude pneumonia.
11833593	PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Status post sternotomy as before. Presence of multiple surgical clips in the anterior mediastinum are indicative of previous bypass surgery. The heart is not enlarged. The thoracic aorta is of ordinary ___ but shows some calcium deposits in the wall at the level of the arch. No local contour abnormalities are identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are seen, and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Relatively low positioned and somewhat flattened diaphragms suggest the possibility of COPD, but again these findings existed already on the previous study.	59523428	TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with persistent cough, evaluate for pneumonia.	Status post previous bypass surgery, no evidence of pulmonary congestion or acute infiltrates in this ___-year-old female patient with persistent cough. On the lateral view, presence of stabilization screw devices in the upper lumbar spine is observed, a finding not present on previous examinations.
11645218	The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Bilateral cervical ribs are noted.	51000149	INDICATION: ___F with pleuritic left chest pain 2 weeks post breast mass excision, evaluate heart and lungs, rule out pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No evidence of acute cardiopulmonary process.
11906675	Patient is status post median sternotomy and CABG. Cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal atelectasis is re- demonstrated in the lung bases without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.	59546633	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypoxia TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ at 16 53	No substantial interval change from the prior study with continued mild bibasilar atelectasis.
11906675	Single portable frontal chest radiograph demonstrates hypoinflated lungs with bibasilar atelectasis and crowding of vasculature. Interval decrease in interstitial and alveolar markings. Increased small opacity obscuring the left hemidiaphragm. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.	51214333	EXAMINATION: Chest radiograph INDICATION: ___ year old man with mi, new o2 requirement. Assess for pulm edema, eval interval change. COMPARISON: Chest radiograph ___.	Increase in small left lower lobe opacity is most consistent with atelectasis however differential includes pneumonia in the appropriate clinical setting. Hypoinflated lungs with bibasilar atelectasis. Interval resolution of vascular congestion.
11906675	Streaky bibasilar opacities are likely secondary to atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy is a mediastinal clips are again noted. No acute osseous abnormalities.	55703988	INDICATION: ___M with fever // infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Probable bibasilar atelectasis without definite evidence of infection.
11906675	Increased prominence of the interstitium and hila is consistent with moderate pulmonary vascular congestion which is new since 1 day prior. Bibasilar opacities have slightly increased since one day prior which could represent alveolar pulmonary edema, however, infection could have a similar appearance. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.	53538317	INDICATION: ___ year old man with COPD, CHF, CAD, now with new 5L o2 requirement in setting of fever. Evaluate for pneumonia and pulmonary edema. TECHNIQUE: Frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___.	Pulmonary edema is new since 1 day prior. In the appropriate clinical setting it would be difficult to exclude pneumonia, especially in the absence of a lateral view.
11518641	There has been interval removal of an endotracheal tube, a left chest tube, and a nasogastric tube. Redemonstrated is a right internal jugular central line which terminates in the mid SVC. A new, possible small left apical pneumothorax is identified. Left lower lobe atelectasis is improving, as compared to the prior examination. There is no significant pleural effusion or pulmonary edema identified. Stable, moderate cardiomegaly is seen. Mediastinal and hilar contours are unchanged.	52589032	HISTORY: Status post CABG, now status post chest tube removal. TECHNIQUE: Single, AP, portable view of the chest with the patient in an upright position. COMPARISON: Comparison is made to radiographs dated ___ at 14:00.	Probable small left apical pneumothorax, now status post left chest tube removal.
11644052	Left for deviation of the trachea with associated coronal narrowing above the level of the thoracic inlet is consistent with known right thyroid enlargement. Cardiomediastinal contours are remarkable for increased distension of the azygos vein since ___ radiograph. Linear opacities are present in the left mid and lower lung, and bilateral perihilar and basilar bronchial wall thickening is present.	51062850	WET READ: ___ ___ ___ 8:36 AM 1. Increase in left basilar atelectasis, still mild. 2. Increased interstitial marking of the lung bases with suggestion of bronchial cuffing, which may represent bronchitis. 3. Tracheal deviation to the left, presumably caused by the enlarged right thyroid lobe, as seen on recent chest CT. WET READ VERSION #1 ___ ___ 8:01 PM 1. Increase in left basilar atelectasis, still mild. 2. Increased interstitial marking of the lung bases with suggestion of bronchial cuffing, which may represent bronchitis. 3. Tracheal deviation to the left, presumably caused by the enlarged right thyroid lobe, as seen on recent chest CT. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman s/p renal transplant here with fever, ulcer, difficulty swallowing. // intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and ___ and CT neck ___.	Perihilar and basilar bronchial wall thickening, which could be due to peribronchial edema or infectious bronchitis. Tracheal displacement and narrowing due to known enlargement of right thyroid.
11373442	Frontal and lateral views of the chest. The lungs are clear of consolidation, large effusion or pulmonary vascular congestion. The cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormality identified.	50993860	HISTORY: ___-year-old male with a flutter and lower extremity swelling. COMPARISON: ___.	Cardiomegaly without evidence of acute cardiopulmonary process.
11600313	Cardiac silhouette size is top normal. Slight tortuosity of thoracic aorta is present. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Subsegmental atelectasis is seen in the right lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	53699446	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with IVDU, R MTP septic arthritis // ?mass, septic emboli? TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.	Minimal right basilar atelectasis. Otherwise, no acute cardiopulmonary process.
11600313	Prior left PICC is no longer visualized. There is trace left pleural effusion and linear right basilar atelectasis. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	51168947	INDICATION: ___M with pain and swelling in L anterior chest and L arm following PICC line removal // any e/o DVT? Any acute cardiopulm abnormalities? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.	Trace left pleural effusion. Otherwise, no acute cardiopulmonary process.
11628599	Lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar structures are unremarkable.	57993109	INDICATION: Chest pain, evaluate for an acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary process.
11389075	Frontal and lateral radiographs of the chest demonstrate a large right-sided pleural effusion with adjacent atelectasis, not significantly changed from the prior study. The upper aerated portion of the right lung is unremarkable. There is a tiny left sided pleural effusion. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax.	55617766	HISTORY: ___-year-old man with cirrhosis. Evaluate for hydrothorax. COMPARISON: Radiograph of the chest dated ___.	Large right-sided pleural effusion with adjacent atelectasis, not significantly changed from the prior study. Tiny left sided pleural effusion.
11389075	There is a large right-sided pleural effusion with adjacent atelectasis, better characterized on the CT examination of the abdomen performed on the same day. The aerated, upper portion of the right lung is grossly unremarkable. The left lung is clear and without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are normal.	58198005	HISTORY: HCV, evaluate for liver transplant. Assess pleural effusion. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to CT abdomen and pelvis dated ___.	Large, right-sided pleural effusion with adjacent atelectasis.
11234041	Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.	53371035	HISTORY: Left-sided chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11082253	Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.	53479359	WET READ: ___ ___ 5:12 PM Normal chest radiograph. No evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History of depression with chest swelling. Assess for infiltrate or pulmonary congestion. COMPARISON: None.	No acute cardiopulmonary process. No evidence of pneumonia.
11994822	PA and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No displaced rib fracture is seen. No free air is seen below the right hemidiaphragm.	51307379	HISTORY: ___-year-old male with left upper quadrant pain status post trauma, assess pneumothorax or left rib fracture. COMPARISON: None.	No acute intrathoracic process.
11146837	Low lung volumes are not significantly changed from comparison exam. Cardiomegaly and bilateral pleural effusions are worse. The mediastinal silhouette and hilar contours are unchanged. Blunting of the right costophrenic angle suggests possible small right pleural effusion. No pneumothorax is present.	55381451	INDICATION: Coronary artery disease, acute onset chest pain and dyspnea, NSTEMI. Please assess for congestion. COMPARISON: Multiple prior radiographs of the chest, most recently outside radiograph ___. TECHNIQUE: Single portable AP radiograph of the chest.	Moderate pulmonary edema in the setting of congestive heart failure is worse compared to two days prior.
11146837	There is no marked change in the pulmonary vascular congestion with minimal interstitial edema. Persistent mild cardiomegaly as well as chronic elevation of the right hemidiaphragm are again noted. There is no pneumothorax or pleural effusion.	55344709	INDICATION: New-onset fever and tachycardia. COMPARISONS: Chest radiographs from ___ and ___.	No evidence of pneumonia. Persistent pulmonary vascular congestion and mild interstitial edema.
11146837	Upright portable view of the chest demonstrates known low lung volumes. Elevation of the right hemidiaphragm is longstanding. Right lung base opacities likely represent atelectasis. There is no pleural effusion or pneumothorax. Heart is mildly enlarged. Mild prominence of interstitial lung markings is unchnaged. Multiple surgical clips project over mediastinum. Sternotomy wires appear intact.	59104339	INDICATION: Patient with GI bleed, assess for acute process. COMPARISONS: Chest radiograph of ___.	In comparison to ___, there is no significant change in mild cardiomegaly and prominent interstitial lung markings. Right lung base atelectasis.
11884841	No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.	57547085	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain s/p cath on ___ // Acute cardiopulmonary process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11893091	The lead positions of the dual-chamber pacemaker is unchanged compared to the prior exam. There is moderate cardiomegaly. The lungs demonstrate moderate pulmonary edema but no evidence of pleural effusions or pneumothorax. Mild atelectatic changes at the lung bases are unchanged. Incidental note is made of chronic stable calcified scarring in the left apex. There are no new parenchymal opacities. There is no evidence of pneumothorax.	55255832	INDICATION: ___-year-old female who presents for evaluation of lead position. COMPARISONS: ___, ___, ___ and ___ chest radiographs. TECHNIQUE: PA and lateral chest radiographs.	Unchanged lead positions from recently inserted dual-chamber pacemaker.
11893091	Portable AP chest radiograph demonstrates severe cardiomegaly, both interstitial and alveolar edema as well as small bilateral pleural effusions. A more confluent opacity is seen in the right middle lobe. There is no pneumothorax. Atherosclerotic calcifications are noted in the aortic arch.	53774431	INDICATION: Respiratory distress. COMPARISON: None.	Marked pulmonary edema. Follow up CXR after diuresis may be helpful to exclude underlying pneumonia in right middle lobe.
11893091	Single portable view of the chest demonstrates normal lung volumes. Costophrenic angles are minimally blunted, suggestive of trace pleural effusions. Bibasilar opacities obscure hemidiaphragms. Right lung base opacity is more conspicuous on today's exam. Moderate pulmonary edema. Hilar and mediastinal silhouettes are unremarkable. Heart is mildly enlarged.	55430447	INDICATION: Tachypnea and shortness of breath. COMPARISONS: Chest radiograph of ___.	Moderate pulmonary edema with mild cardiomegaly and possible trace pleural effusions, progressed from ___ exam.
11893091	The lungs are relatively hyperinflated. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is top normal in size, as before. A left pectoral pacemaker is in place with dual leads terminating in the right atrium and right ventricle. The mediastinal and hilar contours are within normal limits.	53024166	INDICATION: Malaise, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.	No focal consolidation concerning for pneumonia.
11118231	Cardiomediastinal and hilar silhouettes are normal. The lungs are clear without pleural effusion or focal consolidation. No pneumothorax. No rib fractures identified on this study.	58969489	EXAMINATION: CHEST (SINGLE VIEW) INDICATION: ___M with MVC 3 days ago in ___. Tender to palpation over the right lateral chest. Eval for fracture/injury. TECHNIQUE: Chest PA and lateral COMPARISON: None available.	No acute cardiopulmonary process or rib fracture.
11660585	Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.	57572662	HISTORY: ___-year-old female with cough and shortness of breath. Evaluate for acute process. COMPARISON: None.	No evidence for acute cardiopulmonary process.
11673144	The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.	50920766	WET READ: ___ ___ 9:41 PM No acute cardiopulmonary process. No evidence of fracture. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with s/p mvc; p/w L tib/fib injury; R posterior back pain // eval for fx TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary process. No evidence of fracture.
11464574	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and a dual lead pacemaker with the leads overlying the right atrium and ventricle. The lungs are well-aerated and clear. There is no pleural effusion or pneumothorax.	52265207	HISTORY: Left-sided chest pain near the pacemaker site, exacerbated by breathing and movement. COMPARISON: Chest radiographs from ___ and ___.	Normal chest radiograph with a dual lead pacemaker.
11226572	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest appears somewhat hyperinflated. There is no pleural effusion or pneumothorax. There is no indication of lymphadenopathy or parenchymal interstitial disease that would be likely to reflect sarcoidosis. In the lingula, there is persistent minor opacification, but considerably reduced so possibly due to scarring from a prior process.	54348250	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever, cough, and shortness of breath. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.	Persistent lingular opacity, but markedly reduced, so possibly due to scarring; although perhaps unlikely recurrent pneumonia at the site is not entirely excluded, however. No radiographic findings particularly suggestive of active sarcoid.
11226572	Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax is evident.	51350911	INDICATION: History of sarcoidosis, surveillance radiograph. COMPARISON: No prior studies available for comparison.	No acute intrathoracic process or evidence of recurrent sarcoidosis.
11226572	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear aside from minor unchanged scarring in the lingula.	56558940	CHEST RADIOGRAPHS HISTORY: Cough and tachycardia. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.	No evidence of acute cardiopulmonary disease.
11226572	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mild left base and lingular linear atelectasis/scarring is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.	59951875	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest congestion, cough and fever. COMPARISON: ___.	No acute cardiopulmonary process.
11226572	There is o pacitiy at the left lung base, but is unchanged since ___ when patient was asymptomatic. This suggests chronic scarring. Otherwise, there are no focal consolidations, pleural effusions or pneumothorax. No evidence of hilar lymphadenopathy. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	59178330	EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old woman with history of sarcoidosis, on chronic prednisone and worsening cough // evaluate for infiltrates, adenopathy TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___	Left lung base opacity, likely due to chronic atelectasis. No hilar lymphadenopathy.
11226572	The lungs are hyperinflated. Multifocal bilateral opacities are concerning for multifocal pneumonia atypical infection or viral infection. No pleural effusion, edema, or pneumothorax. Heart size is normal. Hilar contours are unchanged. No mediastinal widening.	53521127	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with sarcoid and COPD with worsening productive cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	Multifocal pneumonia, atypical or viral.
11226572	Focal opacity in the left lower lobe is not from nipple shadow and on retrospective review was imaged in the CT abdomen and pelvis on ___ and likely represents atelectasis or focal scarring. No new focal opacity, pneumothorax, pleural effusion or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality.	51860612	HISTORY: Female with possible pulmonary nodule. COMPARISON: CT abdomen and pelvis with contrast, ___. Chest radiograph, ___. TECHNIQUE: Frontal and lateral chest radiographs with nipple markers.	Focal opacity in the left lower lobe likely represents atelectasis or focal scarring.
11226572	Previously seen focal consolidation at the lingula is resolved and there is only minimal residual interstitial thickening. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouette are normal size and unchanged. There is no radiographic findings that suggests sarcoidosis. The lungs are mildly hyperinflated.	53764194	INDICATION: COUGH, H/O SARCOIDOSIS, ?SWEATS R/O PENUMONIA CALL WET READ TO DR.___ ___ ___ year old woman with sarcoidosis, worse cough. // ___ y/o woman with cough, h/o sarcidosis, ? sweats. R/O pneumonia EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___	No evidence of pneumonia.
11669319	The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Old healed left lateral rib fractures are noted.	50335438	EXAMINATION: Chest radiograph INDICATION: ___F with fevers/chills and productive cough // ? infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary process.
11351378	Lung volumes are may be slightly low, though is probably background hyperinflation, with flattened diaphragms. Rotated positioning. The heart is not enlarged, though there is left ventricular configuration. Aorta is calcified and tortuous. There is minimal atelectasis/ scarring at both lung bases. No CHF, focal infiltrate or gross effusion is identified. No pneumothorax is detected.Slight blunting of the costophrenic angles posteriorly is noted.	54552374	WET READ: ___ ___ ___ 9:09 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with hypoxia and fever // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: None.	Probable background COPD. Bibasilar atelectasis. Slight blunting of the costophrenic angles posteriorly. Allowing for this, no acute pulmonary process identified. No focal infiltrate to suggest pneumonia.
11338251	The lungs are well expanded and clear. Well-delineated rounded hypodensities in the left mid lung likely represent vessels on end. Pleural surfaces are clear without pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are normal. Visualized osseous structures are unremarkable. Limited assessment of the upper abdomen is unremarkable without free intraperitoneal air.	52568091	HISTORY: History of asthma presenting with intermittent sharp left-sided chest pain. Assess for acute process. COMPARISON: Chest radiograph ___, ___, ___. TECHNIQUE: Upright frontal and lateral chest radiographs.	No acute cardiopulmonary process. Specifically, no evidence of pneumonia.
11338251	PA and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Imaged osseous structures and upper abdomen are without an acute abnormality.	55984618	INDICATION: ___-year-old female with chest and back pain. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated most recently ___.	No acute cardiopulmonary process.
11338251	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	53002718	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // acute process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11744037	Assessment is limited due to positioning. Allowing for this limitation, there is a vague focal opacity in the left lower lung which was not present in prior torso CT. No other focal opacities are identified. Calcified lymph nodes are seen in the left hilum. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Please refer to recent CT for description of no thoracic spine fracture not appreciated in this exam.	52818272	EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: ___-year-old female status post fall. Evaluate for fracture. TECHNIQUE: Frontal supine chest radiograph COMPARISON: CT torso performed approximately 4 hr prior to this exam at an outside institution.	New vague opacity in the left lower lung was not clearly present in torso CT performed 4 hr prior and may represent a focus of aspiration versus atelectasis.
11744037	Lung volumes are low. The left lower lung airspace opacity is less prominent. There are no new opacities or consolidations. Lung volumes are low. There is no pneumothorax. The heart and mediastinum are magnified by the projection. A moderate hiatal hernia is again noted.	52881231	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with trauma // full workup TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___ P.	Decreasing left basilar airspace opacity may be due to resolving aspiration or infection. Moderate hiatal hernia.
11858154	No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. No masses or nodule are seen.	51794194	HISTORY: ___-year-old man with stage with 1B melanoma of the right thigh. Assess for metastasis. TECHNIQUE: PA and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___.	No evidence of intrathoracic metastasis.
11858154	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	59526576	INDICATION: Evaluate for pneumonia in a patient with persistent cough. COMPARISON: Chest radiographs from ___, ___, ___, ___.	No acute cardiopulmonary process.
11858154	The lungs are well expanded and clear. No lesion concerning for nodule is identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	52436412	EXAMINATION: Chest radiograph INDICATION: ___ year old man with history of melanoma. Please evaluate disease status. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___	No evidence of acute cardiopulmonary process. No radiographic evidence of pulmonary nodule.
11082528	Bilateral geographic foci of interstitial abnormality is present, most conspicuous in the left greater than right upper lobes. There is no pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal, although calcification of the aortic knob is present. There is partial visualization of lumbar fixation hardware, which appears uncomplicated; anterolisthesis of L3 on L4 is mild.	59145959	HISTORY: ___-year-old female with chronic cough, rule out pneumonia. COMPARISON: ___.	New bilateral interstitial abnormality, likely reflecting a viral or atypical pneumonia rather than heart failure given the normal cardiac size.
11082528	Single AP upright portable view of the chest was obtained. Again, there is diffuse increase in interstitial markings, similar as compared to prior but new since ___, could be due to viral or atypical pneumonia. No lobar consolidation is seen. There is no evidence of pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.	54928410	EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Cough and dyspnea. COMPARISON: ___.	Diffuse increase in interstitial markings similar to prior, possibly slightly decreased in the right upper ___, ___ be due to viral or atypical infection.
11082528	The cardiac silhouette is normal. The mediastinal silhouette is unremarkable. The hilar contours are normal. Peaking of the left diaphragm with postoperative changes in the adjacent inferior lingula with associated pleural and parenchymal scarring. No focal opacities, pleural effusions, or pneumothorax seen. Direct comparison to chest x-ray from outside hospital could provide further information to aid in answering clinical question.	51494143	EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old woman with h/o ILD and ___ BWH should xray showing a ? of a focal opacity at the R lung apex // please further eval TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ through ___.	In comparison to ___ imaging postoperative changes are seen in the lingula related to previous wedge resection. No concerning right apical opacity, but direct comparison to prior radiographs would be helpful for more complete assessment.
11610057	Lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	54499670	EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: Shortness of breath, chest pain, fever. TECHNIQUE: Frontal upright chest radiograph COMPARISON: Chest radiograph from ___.	No evidence of acute cardiopulmonary process.
11267446	AP view of the chest provided. Right sided PICC terminates in the mid-low SVC. Otherwise, no relevant changes compared to prior study.	55247394	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new PICC COMPARISON: Chest radiograph from ___	PICC line in appropriate position.
11426151	There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal size. Posterior fusion of thoracic spine is again noted and the hardware appears intact.	58667542	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with low grade fevers, cough, and SOB // please evaluate for PNA COMPARISON: Chest radiograph ___ TECHNIQUE: Chest radiograph with PA and lateral views.	No evidence of pneumonia.
11426151	The ET tube is at the upper limit of acceptable position, no less than 3 cm from the carina. There are low lung volume. The left lung opacification has improved on this study. There is mild pulmonary edema. There is no mediastinal hematoma or pneumothorax.	53507989	STUDY: Portable AP chest radiograph. COMPARISON: Portable AP chest radiograph ___, PA and lateral chest radiographs ___. INDICATION: ___-year-old woman intubated status post spine surgery, evaluate for pulmonary edema.	Mild pulmonary edema. No mediastinal hematoma or pneumothorax.
11426151	Of note, this exam is limited by low lung volumes and the patient's body habitus. Metallic hardware from posterior fixation of the thoracic spine is present and unchanged. Again, lung volumes are low. The cardiac size is not well evaluated due to AP projection. There is no focal consolidation identified in the lungs. There is no large pleural effusion. There is no pneumothorax.	52978127	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever and sob // eval pna TECHNIQUE: AP and lateral views of the chest COMPARISON: Chest radiographs on ___ and ___.	Limited exam due to positioning and patient's body habitus. No focal consolidation to suggest pneumonia is identified. Bibasilar atelectasis.
11426151	The patient is severely rotated to the left. There are overall low lung volumes with left lower lung zone consolidation and moderate pulmonary edema. The ET tube is in satisfactory position at the level of the clavicles. An OG tube projects into the stomach with the tip off the film.	56507501	WET READ: ___ ___ ___ 9:36 PM OG tube tip in expected location of stomach. Low lung volumes, bibasilar opacities and left mid lung atelectasis. ETT projects beyond thoracic inlet. ______________________________________________________________________________ FINAL REPORT STUDY: Portable AP chest radiograph. COMPARISON EXAM: PA and lateral chest x-ray, ___. INDICATION: ___-year-old woman, intubated, evaluate ET and OT tube position.	ET tube in satisfactory position, at least 3 cm above the carina. OG tube projects into the stomach with the tip off the film. Left lower lung zone consolidation. Moderate pulmonary edema.

11155222

PA and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

54941510

HISTORY: Cough and fever. COMPARISON: Chest radiograph on ___.

No acute cardiopulmonary process.

11422357

PA and lateral chest radiographs were obtained. The patient is status post median sternotomy and CABG. A left pectoral AICD is in place with lead terminating in the right ventricular apex. No focal opacity is identified. Prominent interstitial markings are unchanged. The cardiomediastinal silhouette is moderately enlarged. Hilar contours are stable. There is no pleural effusion or pneumothorax.

59803719

HISTORY: Dyspnea, history of CHF, evaluate for pneumonia, effusion, or edema. COMPARISON: Chest radiograph from ___ and CT chest from ___.

No focal opacity. Prominent interstitial markings appear to be chronic, likely due to combination of interstitial edema and chronic interstitial disease as previously characterized on chest CT from ___. Stable moderate cardiomegaly.

11422357

Frontal and lateral views of the chest demonstrate persistent diffuse bilateral interstitial opacities. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unchanged. Moderate cardiomegaly is stable. Mild perihilar vascular congestion is noted. Mild pulmonary edema has progressed from prior. Sternotomy wires appear intact. Multiple surgical clips project over cardiac silhouette. AICD device is unchanged in position.

53347515

INDICATION: Shortness of breath, weight gain. COMPARISONS: Chest radiograph of ___. CT chest ___.

In comparison to ___ exam, there is no significant change in diffuse bilateral interstitial opacities, compatible with interstitial lung disease, better characterized on CT chest of ___, and characterized as NSIP. Stable moderate cardiomegaly. Mild pulmonary edema, progressed from prior.

11422357

AP view of the chest. A left-sided pacemaker ends with its leads in appropriate position. The median sternotomy wires and mediastinal clips are stable. There is moderate cardiomegaly, stable. Prominent interstitial markings appear chronic and likely due to chronic congestion, no edema. No pleural effusion or pneumothorax.

51406837

WET READ: ___ ___ ___ 12:50 AM Stable cardiomegally. No new effusion, congestion, or consolidation. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: CHF and previously shortness of breath. COMPARISON: ___ and chest CT from ___.

Stable moderate cardiomegaly and chronic pulmonary vascular congestion, no edema.

11422357

PA and lateral views of the chest. Transvenous AICD lead ends in the right ventricle. Mediastinal clips and sternotomy wires are in appropriate position. Moderate cardiomegaly is stable. The previously seen mild interstitial pulmonary edema has resolved. Chronic interstitial lung disease findings are noted. No pleural effusion or pneumothorax. No pulmonary vascular congestion. No focal parenchymal opacities concerning for pneumonia.

54639807

INDICATION: CHF, evaluate pulmonary congestion. COMPARISON: Chest radiograph on ___.

Resolution of mild interstitial pulmonary edema. No evidence of fluid overload. No evidence of pneumonia.

11422357

When compared to prior, there has been no significant interval change. There are increased interstitial markings throughout the lungs, unchanged. There is no superimposed acute cardiopulmonary process, no consolidation or effusion. The cardiac silhouette is enlarged but stable compared to prior. Median sternotomy wires and mediastinal clips are again seen in addition to dual lead left chest wall pacing device. No acute osseous abnormalities.

55995256

INDICATION: ___M with DOE, h/o CHF with low EF, now desatting in sleep. // assess for evidence of worsening pulmonary edema TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.

Increased interstitial markings throughout the lungs likely in part due to interstitial edema, similar when compared to prior. No superimposed consolidation or other process.

11422357

Lung volumes are low. Patient is status post left-sided AICD device with single lead terminating in the right ventricle, unchanged. Patient is also status post median sternotomy and CABG. Moderate cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unchanged. Mild interstitial pulmonary edema is not substantially changed in the interval. No focal consolidation, pleural effusion or pneumothorax is present.

53573581

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough, confusion TECHNIQUE: Chest PA and lateral COMPARISON: ___

Mild interstitial pulmonary edema, not substantially changed in the interval.

11422357

The patient is status post median sternotomy and CABG. Left-sided AICD/pacemaker lead terminates in the right ventricle, unchanged. Moderate cardiomegaly is redemonstrated. The mediastinal and hilar contours are unchanged. Mild interstitial pulmonary edema is relatively similar when compared to the prior exam. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

56119013

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

Mild interstitial pulmonary edema.

11422357

Left-sided AICD device is noted with single lead terminating in the right ventricle. Patient is status post median sternotomy and CABG. The heart remains moderately enlarged, but unchanged. There are diffuse interstitial markings, slightly worse when compared to the prior exam, likely representing mild interstitial pulmonary edema superimposed on a background of known chronic interstitial lung disease. No pleural effusion or pneumothorax is present. There is no focal consolidation. No acute osseous abnormality is visualized.

51136120

INDICATION: Cough. COMPARISON: ___. PA AND LATERAL VIEWS OF THE

Mild interstitial pulmonary edema superimposed on a background of chronic interstitial lung disease.

11422357

Lung volumes remain low. There is mild interstitial edema and pulmonary vascular congestion. No focal consolidation is present. There is moderate cardiomegaly, as before. No pleural effusion or pneumothorax is seen. A left chest AICD is in unchanged positions. Median sternotomy wires and surgical clips are again noted.

59644160

INDICATION: ___-year-old male with progressive confusion on cognitive decline. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___.

Moderate cardiomegaly with mild interstitial edema. No focal consolidation to suggest the presence of pneumonia.

11422357

Patient is status post coronary artery bypass graft surgery. Single-lead pacemaker device appears unchanged. The heart appears mild to moderately enlarged. Cardiac, mediastinal and hilar contours appear stable. There is a similar mild to moderate, diffuse interstitial abnormality. Most likely etiology is interstitial pulmonary edema without substantial change. There is no pleural effusion or pneumothorax.

57067064

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Congestive heart failure and shortness of breath. TECHNIQUE: Chest, AP upright and lateral. COMPARISON: ___.

Findings suggest mild to moderate interstitial pulmonary edema. Cardiomegaly.

11422357

There are bilateral low lung volumes with prominent pulmonary vasculature and interstitial markings most likely representing worsening pulmonary edema; however, atypical pneumonia cannot be excluded but is much less likely. No areas of focal consolidation concerning for infection. There is a small right pleural effusion. No pneumothorax is identified. Pleural surfaces are unremarkable. The heart is stably enlarged with the proximal electrode of a left-sided pacer device extending from the SVC into the low right atrium, unchanged in longstanding position. The lead terminates at the apex of the right ventricle. Median sternotomy wires are again noted in alignment and with no evidence of failure.

57060345

INDICATION: ___-year-old man with systolic heart failure, ejection fraction of 15%, and history of coronary artery disease. Presents with shortness of breath. COMPARISON: PA and lateral chest radiograph ___, TECHNIQUE: PA and lateral chest radiograph.

Low lung volumes with increased vascular prominence suggestive of worsening pulmonary edema. Though much less likely, an atypical pneumonia cannot be excluded,

11187098

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. Mild dextroscoliosis of the T-spine is noted. No free air below the right hemidiaphragm is seen.

50815834

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // Pneumonia? COMPARISON: None

No acute intrathoracic process.

11300822

Cardiac silhouette size is mildly enlarged, similar to the previous exam. The aorta is mildly tortuous. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Patchy right basilar opacity is improved compared to the previous study, but may reflect recurrent pneumonia. No pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized without acute osseous abnormality detected. Remote right mid clavicular fracture is again seen.

59466617

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with episodes of confusion at night, possible altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Patchy right basilar opacity, while improved compared to the previous radiograph from ___, may reflect recurrent pneumonia in the correct clinical setting.

11300822

Previously noted right basilar opacity has improved. Streaky bibasilar opacities likely represent atelectasis. Otherwise no consolidation, sizeable effusion or pneumothorax. Heart appears mildly enlarged, although this may be due to portable technique. There are healed right-sided rib fractures.

53844292

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with unresponsiveness. // pneumonia?Bleed? TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___

Probable bibasilar atelectasis. No acute cardiopulmonary process identified.

11300822

Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs remain hyperinflated with flattening of the diaphragms. Scarring within the right lower lobe is unchanged. Remainder the lungs are clear without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities present. Remote fracture of the right mid clavicle is again noted.

58424105

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pressure TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11300822

The lung volume is small. The left lower lobe consolidation has improved. No pulmonary edema or pulmonary venous congestion. Small left pleural effusion and atelectasis are unchanged. Right lower lobe atelectasis is unchanged. Moderate cardiomegaly is unchanged. Mediastinal silhouette is unchanged.

57951651

INDICATION: ___ year old man with LLL pneumonia and new increased oxygen requirement // Please evaluate for fluid overload vs worsening of pneumonia TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___.

Improving left lower lobe pneumonia. No new consolidation.

11300822

Heart size is mildly enlarged. The aorta is tortuous. Pulmonary vasculature is not engorged. Hilar contours are unchanged. Lungs are hyperinflated. New focal opacity is seen within the left lower lobe as well as patchy nodular opacity within the left lower lobe, findings concerning for multifocal pneumonia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Deformity of the right mid clavicle compatible a remote fracture is re- demonstrated.

59495052

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

Bibasilar opacities concerning for pneumonia.

11300822

Cardiomediastinal silhouette is unchanged as compared to prior dated ___. Note is made of healed right clavicular fracture. Linear opacity in right lower lung is unchanged since ___ radiograph. No pleural effusion or pneumothorax is seen.

55289210

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fevers, sweats, persistent cough for 2 weeks // R/o infiltrate R/o infiltrate TECHNIQUE: PA and lateral views COMPARISON: ___

No radiographic evidence to explain fever, sweats, or cough for 2 weeks

11300822

There is interval development of patchy increased density at the left base concerning for pneumonia. There is minimal bibasilar scarring or subsegmental atelectasis as well. The heart and mediastinal structures are unchanged.

54773115

EXAMINATION: CHEST (PORTABLE AP) INDICATION: aspiration, PNA TECHNIQUE: AP chest x-ray COMPARISON: ___

Increased density at the left base most consistent with left lower lobe pneumonia.

11300822

The cardiomediastinal and hilar contours are stable with mild tortuosity of the descending aorta. There is no pleural effusion or pneumothorax. Hyperinflation and flattened hemidiaphragms may be indicative of a chronic pulmonary process. A 5 mm density is seen in the left lower lung, stable since the prior study and probably a calcified granuloma, is likely of no clinical significance. Note is made of an old right clavicular fracture.

53881153

INDICATION: Cough for two weeks. COMPARISON: Chest radiograph ___.

No acute cardiopulmonary abnormality.

11607502

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

54202875

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, SOB // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11607502

Heart is top normal size. Widening of the mediastinum is consistent with mediastinal and hilar lymphadenopathy as seen on CT scan. Lung volumes are low with atelectasis seen in both bases. There is an opacity projecting over the mid right lung likely corresponding to the site of intervention possibly reflecting hemorrhage in that region. Neighboring hilar region also appears to have increased in size, likely secondary to the same process. Left lung is clear. No significant pleural effusions, and no pneumothorax.

56843913

INDICATION: ___-year-old man with mediastinal and hilar adenopathy, status post transbronchial biopsy on the right, rule out pneumothorax. COMPARISON: CT chest from ___. TECHNIQUE: Portable PA semi-erect chest radiograph.

Focal opacification of the mid right lung likely represent post-surgical changes and is consistent with hemorrhage and/or atelectasis. Bibasilar atelectasis.

11381657

Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Streaky opacity in the left lung base likely reflects atelectasis and/or scarring with unchanged mild blunting of the left costophrenic sulcus likely reflective of pleural thickening rather than a small pleural effusion. The remainder the lungs are clear without focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature is normal. Moderate multilevel degenerative changes are noted in the thoracic spine.

51732369

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain, fever TECHNIQUE: Chest PA and lateral COMPARISON: ___

Streaky opacity in the left lung base appears similar compared to the previous exam, likely reflective of atelectasis and/or scarring and adjacent pleural thickening.

11291575

The heart size is top normal. The hilar and mediastinal contours are within normal limits. The aorta is mildly calcified and tortuous. Central pulmonary vessels are prominent but there is no edema. No focal consolidation is seen. There is no pneumothorax or pleural effusion.

54005746

INDICATION: Mental status change. No comparison studies available. FRONTAL AND LATERAL CHEST

No acute intrathoracic process.

11291575

The lungs are clear. The hilar and mediastinal silhouette is normal. The heart size is stable and at the upper limit of normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The aorta is stably tortuous.

53085808

INDICATION: New onset seizure. COMPARISON: Chest radiograph from ___. PORTABLE SUPINE RADIOGRAPH OF THE

No acute intrathoracic process.

11410945

There is persistent slight blunting of the costophrenic angles. Cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is minimal interstitial edema. There is no pneumothorax. Mediastinal contours are stable and unremarkable.

54930131

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with history of CAD p/w chest pain // eval for pneumonia, CHF TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Persistent slight blunting of the costophrenic angles may be due to trace pleural effusions are pleural thickening. Minimal interstitial edema.

11410945

Frontal and lateral views of the chest were obtained. There is prominence of the central pulmonary vasculature suggesting mild vascular engorgement. Patchy right base opacity may relate to overlap of structures although a small consolidation due to infection is not excluded. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

51804223

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

Mild central pulmonary vascular engorgement. Subtle right base opacity may represent overlap of vascular structures; however, a small consolidation is not excluded in the appropriate clinical setting.

11229812

No definite focal consolidation is seen. There is mild basilar atelectasis. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Patient is rotated slightly to the right. No overt pulmonary edema is seen. Multilevel anterior osteophytes are noted.

51573914

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with new osnet atrial fibrillation // eval acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Mild basilar atelectasis without definite focal consolidation or pulmonary edema.

11133124

The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.

51057193

INDICATION: ___M fever, immunosuppressed. pls eval for pna // ___M fever, immunosuppressed. pls eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute intrathoracic abnormalities identified.

11706103

Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present, however the left lateral costophrenic angle is excluded from the field-of-view. There are no acute osseous abnormalities identified.

58750790

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with past medical history of DM2 and past pancreatitis presents with abdominal pain, leukocytosis, glucose 400. TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11166922

Portable AP upright view of the chest was reviewed and compared to the prior study. New retrocardiac opacity and increased right lower lobe opacity represent atelectasis or pneumonia. Small bilateral pleural effusions are unchanged. There is no pneumothorax. Normal cardiac and mediastinal contours.

52984857

INDICATION: Cough and leukocytosis in a patient with a history of chronic pancreatitis. COMPARISON: Multiple chest radiographs, the most recent of ___.

Retrocardiac and right lower lobe opacities represent atelectasis and/or pneumonia. Small bilateral pleural effusions are unchanged.

11166922

Frontal and lateral views of the chest were obtained. Small bilateral pleural effusions are seen with likely overlying atelectasis. No definite focal consolidation is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal. Mediastinal silhouette is unremarkable. Degenerative changes are seen along the spine.

50217218

EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of abdominal distension, chronic pancreatitis, question free air or other acute cardiopulmonary process. COMPARISON: ___.

Small bilateral pleural effusions.

11166922

Heart size is normal. The mediastinal contours are unchanged. Pulmonary vascularity is not engorged. A moderate right-sided pleural effusion is noted and a small left pleural effusion is also present, findings likely similar when compared to the prior exam. Left basilar opacity could reflect compressive atelectasis, although infection cannot be excluded. There is no pneumothorax. Degenerative changes of the thoracic spine are present.

58324970

HISTORY: Failure to thrive, malabsorption, congestion and cough. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph ___.

Moderate size right and small left pleural effusions, similar when compared to the prior study. Left basilar opacity likely reflects compressive atelectasis, but infection cannot be excluded.

11604188

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.

56235995

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with asthma presents with SOB. COMPARISON: ___

No acute intrathoracic process.

11604188

The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

53914248

EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___F with cough, recent fever // eval for pneumonia eval for pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: None available.

No acute cardiopulmonary process.

11669879

Cardiac silhouette size is normal. The aorta remains tortuous, and mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs appear hyperinflated without focal consolidation, pleural effusion or pneumothorax, however the extreme right costophrenic angle is excluded from the field of view. No gross acute osseous abnormalities are present.

53673173

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with tachycardia. TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph

No acute cardiopulmonary abnormality.

11594562

The cardiac silhouette is mild to moderately enlarged. Mediastinal contours are stable and unremarkable. The patient is status post median sternotomy. The lungs are hyperinflated. There is blunting of the right costophrenic angle which may be due to a small pleural effusion. No focal consolidation is seen. There is no pneumothorax. No overt pulmonary edema is seen.

52046910

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyosnea heart block pls eval edema vs pna // History: ___M with dyosnea heart block pls eval edema vs pna TECHNIQUE: Single frontal view of the chest COMPARISON: ___

Possible small right pleural effusion. Mild to moderate cardiomegaly.

11975614

Interval placement of a left subclavian central line, the tip projecting over the mid to distal SVC. Subclavian catheter tip extends over the distal SVC. The tip of the endotracheal tube projects over the mid thoracic trachea. The gastric tube extends into the stomach. Grossly unchanged layering bilateral pleural effusions with subjacent atelectasis. No pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.

53431689

INDICATION: ___ year old man with TBI // L subclavian line insertion TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier today

Interval placement of a left subclavian central line, the tip projecting over the mid to lower SVC. Unchanged bilateral layering pleural effusions with overlying atelectasis.

11975614

Tracheostomy tube in situ with the tip 30 mm proximal to the carina. Right basilar airspace opacification improved compared to previous imaging done ___, but has not resolved. Small associated right-sided effusion. The left retrocardiac opacity is slightly improved. No pulmonary edema. No pneumothorax.

57334610

INDICATION: ___ year old man with TBI, trach, PNA // serial exam TECHNIQUE: Chest PA and lateral COMPARISON: ___

Interval improvement as described above.

11975614

A right internal jugular central venous catheter tip projects over the distal SVC. The tip of the endotracheal tube projects over the mid thoracic trachea, 4.3 cm from the carina. Interval placement of a gastric tube, the tip extends below the level the diaphragms but beyond the field of view of this radiograph. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.

52129182

INDICATION: ___ year old man with TBI and multi trauma // New OGT placed please assess placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___

Interval placement of a gastric tube which courses below the level of the diaphragms but beyond the field of view of this radiograph. No other significant interval change.

11975614

The tip of the right subclavian central venous catheter projects over the mid to distal SVC. The tip of the endotracheal tube projects over the mid thoracic trachea. No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.

57339776

INDICATION: ___ year old man with increased ETT secretions, ?fever (on artic sun), BAL w GN coccobacilli // Eval for HCAP TECHNIQUE: AP portable chest radiograph COMPARISON: ___

No radiographic evidence of acute cardiopulmonary disease.

11975614

An endotracheal tube terminates 4.4 cm above the carinal. A right subclavian central venous catheter terminates at the lower SVC. There is no pneumothorax, focal consolidation, or pleural effusion. The heart size remains normal. The hilar and mediastinal contours remain within normal limits.

52434085

INDICATION: Traumatic brain injury. TECHNIQUE: Frontal chest radiograph. COMPARISON: Chest radiographs from ___.

No acute intrathoracic process.

11975614

Improved visualization of the right hemidiaphragm border with residual linear atelectasis of the right lower lung. No pneumothorax. Elevated right hemidiaphragm noted. Retrocardiac consolidation may be combination of pleural fluid and atelectasis but cannot exclude pneumonia. Probable small layering left pleural effusion. Cardio mediastinal contours unchanged. Achy ostomy seen.

54049866

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with TBI // Interval changes, post bronch TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiographs ___ 05:21

Right lower base opacification has improved with residual linear atelectasis seen. No right pleural effusion. Probable layering small left pleural effusion. Retrocardiac opacification may be combination of pleural fluid and atelectasis but cannot exclude pneumonia.

11833593

PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Status post sternotomy as before. Presence of multiple surgical clips in the anterior mediastinum are indicative of previous bypass surgery. The heart is not enlarged. The thoracic aorta is of ordinary ___ but shows some calcium deposits in the wall at the level of the arch. No local contour abnormalities are identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are seen, and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Relatively low positioned and somewhat flattened diaphragms suggest the possibility of COPD, but again these findings existed already on the previous study.

59523428

TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with persistent cough, evaluate for pneumonia.

Status post previous bypass surgery, no evidence of pulmonary congestion or acute infiltrates in this ___-year-old female patient with persistent cough. On the lateral view, presence of stabilization screw devices in the upper lumbar spine is observed, a finding not present on previous examinations.

11645218

The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Bilateral cervical ribs are noted.

51000149

INDICATION: ___F with pleuritic left chest pain 2 weeks post breast mass excision, evaluate heart and lungs, rule out pneumothorax. TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No evidence of acute cardiopulmonary process.

11906675

Patient is status post median sternotomy and CABG. Cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal atelectasis is re- demonstrated in the lung bases without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.

59546633

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypoxia TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ at 16 53

No substantial interval change from the prior study with continued mild bibasilar atelectasis.

11906675

Single portable frontal chest radiograph demonstrates hypoinflated lungs with bibasilar atelectasis and crowding of vasculature. Interval decrease in interstitial and alveolar markings. Increased small opacity obscuring the left hemidiaphragm. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

51214333

EXAMINATION: Chest radiograph INDICATION: ___ year old man with mi, new o2 requirement. Assess for pulm edema, eval interval change. COMPARISON: Chest radiograph ___.

Increase in small left lower lobe opacity is most consistent with atelectasis however differential includes pneumonia in the appropriate clinical setting. Hypoinflated lungs with bibasilar atelectasis. Interval resolution of vascular congestion.

11906675

Streaky bibasilar opacities are likely secondary to atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy is a mediastinal clips are again noted. No acute osseous abnormalities.

55703988

INDICATION: ___M with fever // infiltrate TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

Probable bibasilar atelectasis without definite evidence of infection.

11906675

Increased prominence of the interstitium and hila is consistent with moderate pulmonary vascular congestion which is new since 1 day prior. Bibasilar opacities have slightly increased since one day prior which could represent alveolar pulmonary edema, however, infection could have a similar appearance. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.

53538317

INDICATION: ___ year old man with COPD, CHF, CAD, now with new 5L o2 requirement in setting of fever. Evaluate for pneumonia and pulmonary edema. TECHNIQUE: Frontal view of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___.

Pulmonary edema is new since 1 day prior. In the appropriate clinical setting it would be difficult to exclude pneumonia, especially in the absence of a lateral view.

11518641

There has been interval removal of an endotracheal tube, a left chest tube, and a nasogastric tube. Redemonstrated is a right internal jugular central line which terminates in the mid SVC. A new, possible small left apical pneumothorax is identified. Left lower lobe atelectasis is improving, as compared to the prior examination. There is no significant pleural effusion or pulmonary edema identified. Stable, moderate cardiomegaly is seen. Mediastinal and hilar contours are unchanged.

52589032

HISTORY: Status post CABG, now status post chest tube removal. TECHNIQUE: Single, AP, portable view of the chest with the patient in an upright position. COMPARISON: Comparison is made to radiographs dated ___ at 14:00.

Probable small left apical pneumothorax, now status post left chest tube removal.

11644052

Left for deviation of the trachea with associated coronal narrowing above the level of the thoracic inlet is consistent with known right thyroid enlargement. Cardiomediastinal contours are remarkable for increased distension of the azygos vein since ___ radiograph. Linear opacities are present in the left mid and lower lung, and bilateral perihilar and basilar bronchial wall thickening is present.

51062850

WET READ: ___ ___ ___ 8:36 AM 1. Increase in left basilar atelectasis, still mild. 2. Increased interstitial marking of the lung bases with suggestion of bronchial cuffing, which may represent bronchitis. 3. Tracheal deviation to the left, presumably caused by the enlarged right thyroid lobe, as seen on recent chest CT. WET READ VERSION #1 ___ ___ 8:01 PM 1. Increase in left basilar atelectasis, still mild. 2. Increased interstitial marking of the lung bases with suggestion of bronchial cuffing, which may represent bronchitis. 3. Tracheal deviation to the left, presumably caused by the enlarged right thyroid lobe, as seen on recent chest CT. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman s/p renal transplant here with fever, ulcer, difficulty swallowing. // intrathoracic process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and ___ and CT neck ___.

Perihilar and basilar bronchial wall thickening, which could be due to peribronchial edema or infectious bronchitis. Tracheal displacement and narrowing due to known enlargement of right thyroid.

11373442

Frontal and lateral views of the chest. The lungs are clear of consolidation, large effusion or pulmonary vascular congestion. The cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormality identified.

50993860

HISTORY: ___-year-old male with a flutter and lower extremity swelling. COMPARISON: ___.

Cardiomegaly without evidence of acute cardiopulmonary process.

11600313

Cardiac silhouette size is top normal. Slight tortuosity of thoracic aorta is present. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Subsegmental atelectasis is seen in the right lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

53699446

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with IVDU, R MTP septic arthritis // ?mass, septic emboli? TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.

Minimal right basilar atelectasis. Otherwise, no acute cardiopulmonary process.

11600313

Prior left PICC is no longer visualized. There is trace left pleural effusion and linear right basilar atelectasis. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

51168947

INDICATION: ___M with pain and swelling in L anterior chest and L arm following PICC line removal // any e/o DVT? Any acute cardiopulm abnormalities? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___.

Trace left pleural effusion. Otherwise, no acute cardiopulmonary process.

11628599

Lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar structures are unremarkable.

57993109

INDICATION: Chest pain, evaluate for an acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary process.

11389075

Frontal and lateral radiographs of the chest demonstrate a large right-sided pleural effusion with adjacent atelectasis, not significantly changed from the prior study. The upper aerated portion of the right lung is unremarkable. There is a tiny left sided pleural effusion. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax.

55617766

HISTORY: ___-year-old man with cirrhosis. Evaluate for hydrothorax. COMPARISON: Radiograph of the chest dated ___.

Large right-sided pleural effusion with adjacent atelectasis, not significantly changed from the prior study. Tiny left sided pleural effusion.

11389075

There is a large right-sided pleural effusion with adjacent atelectasis, better characterized on the CT examination of the abdomen performed on the same day. The aerated, upper portion of the right lung is grossly unremarkable. The left lung is clear and without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are normal.

58198005

HISTORY: HCV, evaluate for liver transplant. Assess pleural effusion. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made to CT abdomen and pelvis dated ___.

Large, right-sided pleural effusion with adjacent atelectasis.

11234041

Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.

53371035

HISTORY: Left-sided chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11082253

Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

53479359

WET READ: ___ ___ 5:12 PM Normal chest radiograph. No evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History of depression with chest swelling. Assess for infiltrate or pulmonary congestion. COMPARISON: None.

No acute cardiopulmonary process. No evidence of pneumonia.

11994822

PA and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No displaced rib fracture is seen. No free air is seen below the right hemidiaphragm.

51307379

HISTORY: ___-year-old male with left upper quadrant pain status post trauma, assess pneumothorax or left rib fracture. COMPARISON: None.

No acute intrathoracic process.

11146837

Low lung volumes are not significantly changed from comparison exam. Cardiomegaly and bilateral pleural effusions are worse. The mediastinal silhouette and hilar contours are unchanged. Blunting of the right costophrenic angle suggests possible small right pleural effusion. No pneumothorax is present.

55381451

INDICATION: Coronary artery disease, acute onset chest pain and dyspnea, NSTEMI. Please assess for congestion. COMPARISON: Multiple prior radiographs of the chest, most recently outside radiograph ___. TECHNIQUE: Single portable AP radiograph of the chest.

Moderate pulmonary edema in the setting of congestive heart failure is worse compared to two days prior.

11146837

There is no marked change in the pulmonary vascular congestion with minimal interstitial edema. Persistent mild cardiomegaly as well as chronic elevation of the right hemidiaphragm are again noted. There is no pneumothorax or pleural effusion.

55344709

INDICATION: New-onset fever and tachycardia. COMPARISONS: Chest radiographs from ___ and ___.

No evidence of pneumonia. Persistent pulmonary vascular congestion and mild interstitial edema.

11146837

Upright portable view of the chest demonstrates known low lung volumes. Elevation of the right hemidiaphragm is longstanding. Right lung base opacities likely represent atelectasis. There is no pleural effusion or pneumothorax. Heart is mildly enlarged. Mild prominence of interstitial lung markings is unchnaged. Multiple surgical clips project over mediastinum. Sternotomy wires appear intact.

59104339

INDICATION: Patient with GI bleed, assess for acute process. COMPARISONS: Chest radiograph of ___.

In comparison to ___, there is no significant change in mild cardiomegaly and prominent interstitial lung markings. Right lung base atelectasis.

11884841

No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.

57547085

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain s/p cath on ___ // Acute cardiopulmonary process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11893091

The lead positions of the dual-chamber pacemaker is unchanged compared to the prior exam. There is moderate cardiomegaly. The lungs demonstrate moderate pulmonary edema but no evidence of pleural effusions or pneumothorax. Mild atelectatic changes at the lung bases are unchanged. Incidental note is made of chronic stable calcified scarring in the left apex. There are no new parenchymal opacities. There is no evidence of pneumothorax.

55255832

INDICATION: ___-year-old female who presents for evaluation of lead position. COMPARISONS: ___, ___, ___ and ___ chest radiographs. TECHNIQUE: PA and lateral chest radiographs.

Unchanged lead positions from recently inserted dual-chamber pacemaker.

11893091

Portable AP chest radiograph demonstrates severe cardiomegaly, both interstitial and alveolar edema as well as small bilateral pleural effusions. A more confluent opacity is seen in the right middle lobe. There is no pneumothorax. Atherosclerotic calcifications are noted in the aortic arch.

53774431

INDICATION: Respiratory distress. COMPARISON: None.

Marked pulmonary edema. Follow up CXR after diuresis may be helpful to exclude underlying pneumonia in right middle lobe.

11893091

Single portable view of the chest demonstrates normal lung volumes. Costophrenic angles are minimally blunted, suggestive of trace pleural effusions. Bibasilar opacities obscure hemidiaphragms. Right lung base opacity is more conspicuous on today's exam. Moderate pulmonary edema. Hilar and mediastinal silhouettes are unremarkable. Heart is mildly enlarged.

55430447

INDICATION: Tachypnea and shortness of breath. COMPARISONS: Chest radiograph of ___.

Moderate pulmonary edema with mild cardiomegaly and possible trace pleural effusions, progressed from ___ exam.

11893091

The lungs are relatively hyperinflated. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is top normal in size, as before. A left pectoral pacemaker is in place with dual leads terminating in the right atrium and right ventricle. The mediastinal and hilar contours are within normal limits.

53024166

INDICATION: Malaise, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest.

No focal consolidation concerning for pneumonia.

11118231

Cardiomediastinal and hilar silhouettes are normal. The lungs are clear without pleural effusion or focal consolidation. No pneumothorax. No rib fractures identified on this study.

58969489

EXAMINATION: CHEST (SINGLE VIEW) INDICATION: ___M with MVC 3 days ago in ___. Tender to palpation over the right lateral chest. Eval for fracture/injury. TECHNIQUE: Chest PA and lateral COMPARISON: None available.

No acute cardiopulmonary process or rib fracture.

11660585

Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.

57572662

HISTORY: ___-year-old female with cough and shortness of breath. Evaluate for acute process. COMPARISON: None.

No evidence for acute cardiopulmonary process.

11673144

The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

50920766

WET READ: ___ ___ 9:41 PM No acute cardiopulmonary process. No evidence of fracture. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with s/p mvc; p/w L tib/fib injury; R posterior back pain // eval for fx TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary process. No evidence of fracture.

11464574

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and a dual lead pacemaker with the leads overlying the right atrium and ventricle. The lungs are well-aerated and clear. There is no pleural effusion or pneumothorax.

52265207

HISTORY: Left-sided chest pain near the pacemaker site, exacerbated by breathing and movement. COMPARISON: Chest radiographs from ___ and ___.

Normal chest radiograph with a dual lead pacemaker.

11226572

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest appears somewhat hyperinflated. There is no pleural effusion or pneumothorax. There is no indication of lymphadenopathy or parenchymal interstitial disease that would be likely to reflect sarcoidosis. In the lingula, there is persistent minor opacification, but considerably reduced so possibly due to scarring from a prior process.

54348250

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Fever, cough, and shortness of breath. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.

Persistent lingular opacity, but markedly reduced, so possibly due to scarring; although perhaps unlikely recurrent pneumonia at the site is not entirely excluded, however. No radiographic findings particularly suggestive of active sarcoid.

11226572

Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax is evident.

51350911

INDICATION: History of sarcoidosis, surveillance radiograph. COMPARISON: No prior studies available for comparison.

No acute intrathoracic process or evidence of recurrent sarcoidosis.

11226572

The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear aside from minor unchanged scarring in the lingula.

56558940

CHEST RADIOGRAPHS HISTORY: Cough and tachycardia. COMPARISONS: ___. TECHNIQUE: Chest, portable AP upright.

No evidence of acute cardiopulmonary disease.

11226572

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mild left base and lingular linear atelectasis/scarring is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.

59951875

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest congestion, cough and fever. COMPARISON: ___.

No acute cardiopulmonary process.

11226572

There is o pacitiy at the left lung base, but is unchanged since ___ when patient was asymptomatic. This suggests chronic scarring. Otherwise, there are no focal consolidations, pleural effusions or pneumothorax. No evidence of hilar lymphadenopathy. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

59178330

EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old woman with history of sarcoidosis, on chronic prednisone and worsening cough // evaluate for infiltrates, adenopathy TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___

Left lung base opacity, likely due to chronic atelectasis. No hilar lymphadenopathy.

11226572

The lungs are hyperinflated. Multifocal bilateral opacities are concerning for multifocal pneumonia atypical infection or viral infection. No pleural effusion, edema, or pneumothorax. Heart size is normal. Hilar contours are unchanged. No mediastinal widening.

53521127

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with sarcoid and COPD with worsening productive cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

Multifocal pneumonia, atypical or viral.

11226572

Focal opacity in the left lower lobe is not from nipple shadow and on retrospective review was imaged in the CT abdomen and pelvis on ___ and likely represents atelectasis or focal scarring. No new focal opacity, pneumothorax, pleural effusion or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality.

51860612

HISTORY: Female with possible pulmonary nodule. COMPARISON: CT abdomen and pelvis with contrast, ___. Chest radiograph, ___. TECHNIQUE: Frontal and lateral chest radiographs with nipple markers.

Focal opacity in the left lower lobe likely represents atelectasis or focal scarring.

11226572

Previously seen focal consolidation at the lingula is resolved and there is only minimal residual interstitial thickening. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouette are normal size and unchanged. There is no radiographic findings that suggests sarcoidosis. The lungs are mildly hyperinflated.

53764194

INDICATION: COUGH, H/O SARCOIDOSIS, ?SWEATS R/O PENUMONIA CALL WET READ TO DR.___ ___ ___ year old woman with sarcoidosis, worse cough. // ___ y/o woman with cough, h/o sarcidosis, ? sweats. R/O pneumonia EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___

No evidence of pneumonia.

11669319

The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Old healed left lateral rib fractures are noted.

50335438

EXAMINATION: Chest radiograph INDICATION: ___F with fevers/chills and productive cough // ? infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary process.

11351378

Lung volumes are may be slightly low, though is probably background hyperinflation, with flattened diaphragms. Rotated positioning. The heart is not enlarged, though there is left ventricular configuration. Aorta is calcified and tortuous. There is minimal atelectasis/ scarring at both lung bases. No CHF, focal infiltrate or gross effusion is identified. No pneumothorax is detected.Slight blunting of the costophrenic angles posteriorly is noted.

54552374

WET READ: ___ ___ ___ 9:09 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with hypoxia and fever // eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: None.

Probable background COPD. Bibasilar atelectasis. Slight blunting of the costophrenic angles posteriorly. Allowing for this, no acute pulmonary process identified. No focal infiltrate to suggest pneumonia.

11338251

The lungs are well expanded and clear. Well-delineated rounded hypodensities in the left mid lung likely represent vessels on end. Pleural surfaces are clear without pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are normal. Visualized osseous structures are unremarkable. Limited assessment of the upper abdomen is unremarkable without free intraperitoneal air.

52568091

HISTORY: History of asthma presenting with intermittent sharp left-sided chest pain. Assess for acute process. COMPARISON: Chest radiograph ___, ___, ___. TECHNIQUE: Upright frontal and lateral chest radiographs.

No acute cardiopulmonary process. Specifically, no evidence of pneumonia.

11338251

PA and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Imaged osseous structures and upper abdomen are without an acute abnormality.

55984618

INDICATION: ___-year-old female with chest and back pain. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated most recently ___.

No acute cardiopulmonary process.

11338251

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

53002718

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // acute process? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11744037

Assessment is limited due to positioning. Allowing for this limitation, there is a vague focal opacity in the left lower lung which was not present in prior torso CT. No other focal opacities are identified. Calcified lymph nodes are seen in the left hilum. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Please refer to recent CT for description of no thoracic spine fracture not appreciated in this exam.

52818272

EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: ___-year-old female status post fall. Evaluate for fracture. TECHNIQUE: Frontal supine chest radiograph COMPARISON: CT torso performed approximately 4 hr prior to this exam at an outside institution.

New vague opacity in the left lower lung was not clearly present in torso CT performed 4 hr prior and may represent a focus of aspiration versus atelectasis.

11744037

Lung volumes are low. The left lower lung airspace opacity is less prominent. There are no new opacities or consolidations. Lung volumes are low. There is no pneumothorax. The heart and mediastinum are magnified by the projection. A moderate hiatal hernia is again noted.

52881231

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with trauma // full workup TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: ___ P.

Decreasing left basilar airspace opacity may be due to resolving aspiration or infection. Moderate hiatal hernia.

11858154

No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. No masses or nodule are seen.

51794194

HISTORY: ___-year-old man with stage with 1B melanoma of the right thigh. Assess for metastasis. TECHNIQUE: PA and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___.

No evidence of intrathoracic metastasis.

11858154

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

59526576

INDICATION: Evaluate for pneumonia in a patient with persistent cough. COMPARISON: Chest radiographs from ___, ___, ___, ___.

No acute cardiopulmonary process.

11858154

The lungs are well expanded and clear. No lesion concerning for nodule is identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

52436412

EXAMINATION: Chest radiograph INDICATION: ___ year old man with history of melanoma. Please evaluate disease status. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___

No evidence of acute cardiopulmonary process. No radiographic evidence of pulmonary nodule.

11082528

Bilateral geographic foci of interstitial abnormality is present, most conspicuous in the left greater than right upper lobes. There is no pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal, although calcification of the aortic knob is present. There is partial visualization of lumbar fixation hardware, which appears uncomplicated; anterolisthesis of L3 on L4 is mild.

59145959

HISTORY: ___-year-old female with chronic cough, rule out pneumonia. COMPARISON: ___.

New bilateral interstitial abnormality, likely reflecting a viral or atypical pneumonia rather than heart failure given the normal cardiac size.

11082528

Single AP upright portable view of the chest was obtained. Again, there is diffuse increase in interstitial markings, similar as compared to prior but new since ___, could be due to viral or atypical pneumonia. No lobar consolidation is seen. There is no evidence of pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

54928410

EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Cough and dyspnea. COMPARISON: ___.

Diffuse increase in interstitial markings similar to prior, possibly slightly decreased in the right upper ___, ___ be due to viral or atypical infection.

11082528

The cardiac silhouette is normal. The mediastinal silhouette is unremarkable. The hilar contours are normal. Peaking of the left diaphragm with postoperative changes in the adjacent inferior lingula with associated pleural and parenchymal scarring. No focal opacities, pleural effusions, or pneumothorax seen. Direct comparison to chest x-ray from outside hospital could provide further information to aid in answering clinical question.

51494143

EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old woman with h/o ILD and ___ BWH should xray showing a ? of a focal opacity at the R lung apex // please further eval TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dating from ___ through ___.

In comparison to ___ imaging postoperative changes are seen in the lingula related to previous wedge resection. No concerning right apical opacity, but direct comparison to prior radiographs would be helpful for more complete assessment.

11610057

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

54499670

EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: Shortness of breath, chest pain, fever. TECHNIQUE: Frontal upright chest radiograph COMPARISON: Chest radiograph from ___.

No evidence of acute cardiopulmonary process.

11267446

AP view of the chest provided. Right sided PICC terminates in the mid-low SVC. Otherwise, no relevant changes compared to prior study.

55247394

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with new PICC COMPARISON: Chest radiograph from ___

PICC line in appropriate position.

11426151

There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal size. Posterior fusion of thoracic spine is again noted and the hardware appears intact.

58667542

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with low grade fevers, cough, and SOB // please evaluate for PNA COMPARISON: Chest radiograph ___ TECHNIQUE: Chest radiograph with PA and lateral views.

No evidence of pneumonia.

11426151

The ET tube is at the upper limit of acceptable position, no less than 3 cm from the carina. There are low lung volume. The left lung opacification has improved on this study. There is mild pulmonary edema. There is no mediastinal hematoma or pneumothorax.

53507989

STUDY: Portable AP chest radiograph. COMPARISON: Portable AP chest radiograph ___, PA and lateral chest radiographs ___. INDICATION: ___-year-old woman intubated status post spine surgery, evaluate for pulmonary edema.

Mild pulmonary edema. No mediastinal hematoma or pneumothorax.

11426151

Of note, this exam is limited by low lung volumes and the patient's body habitus. Metallic hardware from posterior fixation of the thoracic spine is present and unchanged. Again, lung volumes are low. The cardiac size is not well evaluated due to AP projection. There is no focal consolidation identified in the lungs. There is no large pleural effusion. There is no pneumothorax.

52978127

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fever and sob // eval pna TECHNIQUE: AP and lateral views of the chest COMPARISON: Chest radiographs on ___ and ___.

Limited exam due to positioning and patient's body habitus. No focal consolidation to suggest pneumonia is identified. Bibasilar atelectasis.

11426151

The patient is severely rotated to the left. There are overall low lung volumes with left lower lung zone consolidation and moderate pulmonary edema. The ET tube is in satisfactory position at the level of the clavicles. An OG tube projects into the stomach with the tip off the film.

56507501

WET READ: ___ ___ ___ 9:36 PM OG tube tip in expected location of stomach. Low lung volumes, bibasilar opacities and left mid lung atelectasis. ETT projects beyond thoracic inlet. ______________________________________________________________________________ FINAL REPORT STUDY: Portable AP chest radiograph. COMPARISON EXAM: PA and lateral chest x-ray, ___. INDICATION: ___-year-old woman, intubated, evaluate ET and OT tube position.

ET tube in satisfactory position, at least 3 cm above the carina. OG tube projects into the stomach with the tip off the film. Left lower lung zone consolidation. Moderate pulmonary edema.