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

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11426151	This study is rather limited owing to poor positioning and underpenetration secondary to the patient's body habitus. Allowing for these limitations: Metallic hardware from posterior fixation of the thoracic spine is present. The lungs are well expanded, without focal opacities although assessment of the left lung is limited. The cardiac size cannot be evaluated due to rotation and AP projection but the patient has known cardiomegaly. There is no pneumothorax.	54281003	INDICATION: ___-year-old female status post thoraci spine surgery with subjective fever. Evaluate for evidence of infiltrate. COMPARISON: CT torso with contrast on ___ and portable chest radiograph on ___. TECHNIQUE: AP and lateral chest radiographs.	No focal consolidation to suggest pneumonia. Not significantly changed compared with ___.
11426151	The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Linear bibasilar opacities are most compatible with mild atelectasis.	55888907	INDICATION: Shortness of breath. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST	No acute intrathoracic process.
11426151	ET tube remains in good position. There remains mild pulmonary edema with perhaps slight interval improvement of the opacification at the right base with interval faint opacification at the left base. These changes are likely due to positioning of the patient. Cardiomediastinal and hilar contours are stable.	57943360	STUDY: Portable AP chest radiograph. COMPARISON: Portable AP chest radiograph, ___, ___. INDICATION: ___-year-old woman with hypoxia.	No significant interval change. ET tube in good position.
11948471	There has been interval placement of a right-sided chest tube is seen terminating in the right mid lung field. The right lung has almost completely reexpanded, and there is only a small residual apical right pneumothorax without evidence of tension physiology. Subcutaneous emphysema is seen in the soft tissues along the lateral right thorax. Several regions of patchy airspace opacities within the right middle and lower lobes may represent atelectasis versus post-reexpansion edema. There is no evidence of pleural effusion or pulmonary edema. The cardiomediastinal silhouette is stable. Redemonstrated is an endotracheal tube terminating 6.8 cm above the carina. A nasogastric tube is seen coursing out of view of the radiograph.	58017279	HISTORY: Recent tension pneumothorax, now status post chest tube. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made with chest radiographs dated ___.	Status post right chest tube placement and reexpansion of the right lung. Small residual apical right pneumothorax without evidence of tension.
11948471	There has been interval removal of the feeding tube and right chest tube. The lungs are well expanded. There is an opacity in the medial right lung base that may represent a mass or abscess, which is unchanged from prior exam. A small area of consolidation is seen in the left mid lung, unchanged from prior exam. The pleural effusions are smaller than on prior exam. There is no pneumothorax. The cardiomediastinal silhouette is stable from prior exam. Endobronchial valve is again noted in the right lung.	51301944	INDICATION: ___ year old man with PTX with chest tube pulled 4 hours prior to cxr // eval for PTX TECHNIQUE: Single portable upright AP image of the chest. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___, and ___.	Mass or abscess in the medial right lung base, unchanged to prior exam. Small area of consolidation in the left mid lung, unchanged to prior exam. Interval decrease in pleural effusions.
11948471	The loculated right anterior hydropneumothorax seen on the CT from ___ is difficult to appreciate on this single upright frontal radiograph. Small bilateral pleural effusions are not significantly changed compared to the most recent radiograph from ___. Round opacities measuring up to 4.8 cm project over the right lung base, not significantly changed. There is severe emphysema. Left basilar atelectasis is minimal. The cardiac and mediastinal contours are normal. A left PICC ends in the upper aspect of the right atrium, unchanged. The tracheostomy tube is appropriately positioned. Right-sided endobronchial stents are again noted.	55118318	WET READ: ___ ___ ___ 8:36 PM 1. no substantial pneumothorax. 2. left PICC ends in right atrium. If pulled back 3.5-4cm it will be in the lower SVC. 3. right basilar masses better seen on CT ___. -___ d/w ___ (MICU Resident) by phone at 8:36pm ___. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Followup pneumothorax. COMPARISON: Chest radiograph from ___. Outside hospital chest CT from ___.	Known right anterior loculated hydropneumothorax is difficult to assess on this radiograph. Lateral radiographs would be better suited for any further followup. Unchanged small bilateral pleural effusions. Unchanged right lower lobe round opacities measuring up to to 4.8 cm, likely abscesses.
11948471	An endotracheal tube is in unchanged position with the tip 5.6 cm from the carina. A right internal jugular catheter is in unchanged position with the tip in the low SVC. A right-sided pigtail chest tube is unchanged. Again, there is moderate subcutaneous emphysema, unchanged from the prior exam. There is a small right apical pneumothorax, also unchanged from the prior exam. There is no left pneumothorax. Opacification at the right base is stable. Small bilateral pleural effusions are stable. There is no new opacity. The cardiomediastinal silhouette is normal.	57751605	INDICATION: Increased crepitus and decreased return volume. Evaluate for pneumothorax. COMPARISONS: Chest radiograph from ___ at 5:02. Chest radiograph from ___. TECHNIQUE: A single upright AP view of the chest was obtained.	No significant change from the prior exam, including an unchanged small right apical pneumothorax.
11948471	AP view of the chest. A small right apical pneumothorax is slightly increased in size. Endotracheal tube is unchanged in position. Right internal jugular central venous line ends in the low SVC. Right-sided pigtail appears unchanged in position. Small bilateral pleural effusions are unchanged. Opacification in the right mid and lower lung is unchanged. No new consolidations. Cardiomediastinal and hilar contours are stable.	52148092	INDICATION: Right tension pneumothorax and worsening hypercarbia, increasing peak airway pressures. Evaluate pneumothorax or infiltrate. COMPARISON: ___ at 10:14 a.m.	Slight increase in size of the right apical pneumothorax, otherwise unchanged. These findings were discussed with Dr. ___ by Dr. ___ at 431pm on ___ by phone at time of discovery.
11948471	An endotracheal tube is in unchanged position 5.1 cm from the carina. Since the prior exam, the catheter in the right main stem bronchus has been removed. There is a new valve overlying the right hilum. Its exact positioning is difficult to determine on this single AP view. A right chest tube is in unchanged position. Since prior exam, the right apical pneumothorax is unchanged. There is increased linear consolidation in the right mid lung zone, likely due to increased atelectasis. The opacity at the right base is unchanged. There is likely a tiny right pleural effusion. The left lung is clear without an opacity. A small left pleural effusion is unchanged. There is no left pneumothorax. The cardiomediastinal silhouette is normal.	53885683	INDICATION: Pneumothorax, status post valve placement by Interventional Pulmonology. Evaluate for change. COMPARISONS: Chest radiograph from ___ at 4:20. Chest radiograph from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained.	New valve overlies the right hilum. Its exact location is difficult to determine on this single AP radiograph. Increased atelectasis in the right mid lung zone. Otherwise, unchanged radiograph, including a small right apical pneumothorax.
11948471	A tracheostomy tube, enteric feeding tube, right IJ central venous catheter, and right pleural pigtail catheter are unchanged in position. A small-to-moderate right apical pneumothorax is not significantly changed. Mass-like opacities in the right lung base are re-demonstrated. Small bilateral pleural effusions are unchanged. There is moderate subcutaneous emphysema along the right chest wall. The cardiomediastinal contours are within normal limits and unchanged.	55729982	INDICATION: Right pneumothorax and infiltrates with hypoxic respiratory failure status post tracheostomy. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Portable supine frontal radiograph of the chest.	Unchanged small-to-moderate right apical pneumothorax and right chest wall subcutaneous air. Small bilateral pleural effusions. Mass-like opacities in the right lung base.
11948471	A portable view of the chest shows a left PICC ending in the right atrium, it can be pulled back approximately 4.5- 5.0 cm. There is increased opacification in the left midlung since prior. Appearance of right lower lobe abscesses and pleural effusions are stable. There is no pneumothorax. Cardiomediastinal silhouette is unchanged.	59601733	INDICATION: ___ year old man with COPD, hydropneumothorax, RLL abscesses with L PICC placed last admission assess positioning. TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiographs from ___ through ___. Chest CT ___.	Left PICC ends in the right atrium and can be pulled back approximately 4.5-5 cm. No pneumothorax. Interval increase in left midlung opacity, which may represent developing infection.
11948471	An endotracheal tube is in unchanged position 5.3 cm from the carina. A thinner catheter terminates in the right mainstem bronchus. After discussion with the team, this is purposeful, and a specialized catheter with a valve placed by the interventional pulmonologists. A right internal jugular catheter is unchanged with the tip in the mid SVC. Again, there is a small right apical pneumothorax, unchanged from the prior exam. There is a pigtail catheter in unchanged position, overlying the mid right hemithorax. There is no left pneumothorax. Opacification at the right base is stable. There is no new opacity. Small bilateral pleural effusions are unchanged. The cardiomediastinal silhouette is normal.	54177381	INDICATION: History of a tension pneumothorax, status post chest tube placement. Evaluate for change. COMPARISONS: Chest radiograph from ___. Chest radiograph from ___. TECHNIQUE: A single AP semi-upright view of the chest was obtained.	Unchanged right apical pneumothorax, right basilar consolidation, and small bilateral pleural effusions. Results discussed with Dr. ___ at 9:30 AM on ___ via telephone by Dr. ___ at the time the findings were discovered.
11948471	AP view of the chest. Right-sided chest tube is unchanged in position. The tracheostomy ends 4.6 cm from the carina. Right IJ central venous line ends in the mid SVC. Subcutaneous emphysema is unchanged. Small bilateral pleural effusions are unchanged. Right apical pneumothorax is unchanged in size. No new consolidations.	59771339	INDICATION: Tension pneumothorax and acute hypotension. COMPARISON: ___.	No change in small bilateral pleural effusions or right apical pneumothorax.
11948471	Small apical pneumothorax is present, smaller than it was on the prior chest x-ray of ___. Bilateral effusions are again seen; some clearing of the opacities in the right lower lobe has occurred. Subcutaneous emphysema is still present.	59028280	CLINICAL HISTORY: Tension pneumothorax. Chest tube placed.	Pneumothorax, somewhat smaller. No other significant change.
11948471	Multiple attempts were made to place a Dobbhoff feeding tube with the final position of the weighted tip coiled in the left upper quadrant, likely in the stomach. A nasogastric tube, tracheostomy tube, right internal jugular central venous catheter and right pleural pigtail catheter are unchanged in position. Overall, the appearance of the right hemithorax is unchanged with significant subcutaneous emphysema and similar size of small-to-moderate right apical pneumothorax. Opacities in the right lung base are unchanged. Small bilateral pleural effusions are again seen. The cardiomediastinal and hilar contours are stable.	58058618	INDICATION: Intubated patient requiring Dobbhoff feeding tube, here to evaluate Dobbhoff placement. COMPARISON: Chest radiograph performed one hour earlier. TECHNIQUE: Upright AP radiograph of the chest.	Dobbhoff feeding tube placement with final coiled position in the stomach.
11948471	Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs remain hyperinflated with particularly pronounced right upper lobe bullae, but are of consolidation or findings of heart failure. Small left pleural effusion is new. There is no pneumothorax.	53464396	HISTORY: Hypoxia, tachypnea, recent hip replacement surgery. COMPARISON: ___. TECHNIQUE: Frontal chest radiograph, single view.	New small left pleural effusion. No heart failure. No focal consolidation to suggest pneumonia. Severe emphysema.
11948471	Redemonstrated is a chest tube is seen terminating in the right middle lung field. There has been a slight interval increase in the degree of subcutaneous emphysema seen in the soft tissues of the right chest wall. The entire right lung is now reexpanded, and there is no residual pneumothorax identified. Patchy and streaky opacities within the right lower and middle lobes are are now more prominant, and may represent aspiration. The left lung is grossly clear. There is no evidence of pleural effusion or frank pulmonary edema. The cardiomediastinal silhouette is stable. Redemonstrated are endotracheal and nasogastric tubes and unchanged locations.	54783135	HISTORY: Recent pneumothorax status post chest tube placement. Evaluate interval change. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made to chest radiographs dated ___, ___, and ___.	No evidence of residual pneumothorax. Increased prominance of patchy and streaky airspace opacities in the right middle and lower lobes. These findings may represent aspiration in the appropriate clinical setting.
11948471	Left PICC line terminates in the low SVC. Tracheostomy tube is slightly off midline. The cuff is not well evaluated but may be hyperinflated. The heart size is normal. Known right lower lobe abscesses are smaller since early ___. Pneumonia in the left mid lung is unchanged. Again emphysema is severe. There is no large pleural effusion or pneumothorax. A right bronchial valve is noted.	57993621	INDICATION: Intubated transfer. Evaluate for tube placement. COMPARISON: Chest radiographs ___, ___ and ___. TECHNIQUE: Semi-upright AP radiograph of the chest.	Tracheostomy slightly off midline possibly due to rotation. The cuff is not well evaluated but may be hyperinflated. Right lower lobe abscesses are smaller since early ___. Left mid lung pneumonia is severe and unchanged. Updated results telephoned to ___ by ___ at 8:05 am, ___, 20 minutes after discovery.
11948471	A small-to-moderate right apical pneumothorax is unchanged in extent from ___. Emphysema/COPD is unchanged. Mass-like opacities in the right lung base are again seen. There are small bilateral pleural effusions, which are unchanged. The cardiomediastinal contours are within normal limits and unchanged. A tracheostomy tube, enteric feeding tube, right IJ central venous catheter and right pleural pigtail catheter are unchanged in position. The amount of subcutaneous emphysema along the right lateral chest wall is similar to the prior study.	58687585	INDICATION: Respiratory failure secondary to tension pneumothorax, here to evaluate interval changes. COMPARISON: ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest.	No significant change in extent of small-to-moderate right apical pneumothorax from ___.
11948471	AP view of the chest. Small right apical pneumothorax is slightly increased in size. Right-sided chest tube is unchanged in position. Subcutaneous emphysema is unchanged. Trace bilateral pleural effusions are unchanged. Right mid and lower lung opacities are unchanged. Cardiomediastinal hilar contours are stable. Endotracheal tube and right internal jugular central venous line are unchanged in position.	50392506	HISTORY: Tension pneumothorax status post chest tube and 1 way valve placement, no suction, evaluate for change in pneumothorax. COMPARISON: ___ at 9:15.	Slight increase in size of small right apical pneumothorax.
11948471	Portable view of the chest shows interval removal of a feeding tube. The pigtail catheter, tracheostomy, and left PICC are unchanged in position. The overall appearance of the lungs is unchanged. The cardiomediastinal and hilar contours are also stable. There is no detectable pneumothorax.	51662137	HISTORY: History pneumothorax, lung abscess sees, and trach, evaluate for interval change. COMPARISON: Chest radiographs from ___ through ___.	Little overall interval change.
11948471	A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and unchanged hyperinflated lungs which are clear. There is no pleural effusion or pneumothorax.	54376706	HISTORY: Known COPD, status post right total hip arthroplasty on postoperative day 1, now with acute shortness of breath and a respiratory rate in the 40s. COMPARISON: Chest radiograph from ___.	Unchanged hyperinflated lungs; otherwise normal chest radiograph.
11948471	The entire right lung is collapsed and there is a large tension pneumothorax with depression of the right hemidiaphragm and shift of the trachea and mediastinal contents towards the left. An endotracheal tube is seen terminating approximately 4 cm above the carina. A nasogastric tube is noted to terminate in the stomach.	56438290	HISTORY: Recent intubation, evaluate ETT. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made to chest radiographs dated ___.	Large right tension pneumothorax. ETT is in the appropriate position. Findings were conveyed by Dr. ___ to Dr. ___ ___ telephone at 11:35 on ___, ___ min after interpretation.
11948471	Since prior, there has been no significant interval change. Monitoring and support devices are unchanged in position. The morphology of the right lung, heart, and mediastinum appear stable.	59651434	INDICATION: ___ year old man with PNA pseudomonas and ___ on culture, COPD, trach'd, s/p bronch on ___, assess interval change TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiographs from ___ through ___.	No significant interval change.
11948471	The lungs are well expanded. The opacity in the medial right lung base is decreased slightly in conspicuity in the interval, consistent with resolving abscess. A small area of consolidation is again seen in the left mid lung, unchanged from prior exam. No pleural effusions are smaller than on prior exam. There is no pneumothorax. The cardiomediastinal silhouette is stable from prior exam. Endobronchial bowel is again noted in the right lung.	56669106	INDICATION: ___ year old man with respiratory failure, pneumonia, now trached // eval for interval change TECHNIQUE: Single portable supine frontal image of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___ and CT chest from ___.	Decrease conspicuity of right medial lung base opacity, consistent with resolving abscess. Small area of consolidation in the left mid lung, unchanged from prior exam.
11763965	The heart size is normal. The mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.	51566755	HISTORY: Cough and fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary abnormality.
11896730	Cardiomediastinal and hilar contours are within normal limits. Aorta is tortuous. Low lung volumes with relative elevation of the right hemidiaphragm. Clear lungs. No pneumothorax.	55701951	EXAMINATION: Chest radiograph INDICATION: ___M with ? recurrent syncope vs. falls // ? acute cardiouplm process TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary process.
11281076	Moderate pulmonary vascular congestion with cephalization of the vasculature and mild interstitial edema at the lung bases. The heart is moderately enlarged. The pulmonary artery is more prominent compared to most recent prior study consistent with volume overload, however a pulmonary embolus cannot definitively be ruled out.	55746259	EXAMINATION: Chest radiograph INDICATION: ___ year old woman with CHF, afib here with loss of consciousness // ?volume overload TECHNIQUE: PA and lateral chest radiograph COMPARISON: ___	Pulmonary vascular congestion, cardiomegaly, and prominent pulmonary artery consistent with acute cardiac decompensation. Pulmonary embolus is neither suggested nor excluded.
11861930	The patient is status post median sternotomy and CABG. The heart is mildly enlarged, and the aorta demonstrates mild tortuosity. The pulmonary vascularity is not engorged. Blunting of the right costophrenic sulcus likely reflects a small right pleural effusion. Minimal linear opacities in the lung bases likely reflect atelectasis. There is no focal consolidation or pneumothorax. Hyperinflation of the lungs possibly reflects underlying COPD.	56656857	HISTORY: Hypertension and chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	Trace right pleural effusion and mild bibasilar atelectasis.
11545986	PA and lateral views of the chest provided. There is hilar congestion, without evidence of frank pulmonary edema. There is no focal consolidation, effusion, or pneumothorax. The heart size is mildly enlarged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. A gallstone is noted in the upper abdomen.	59888543	WET READ: ___ ___ 1:44 PM Mild cardiomegaly and hilar congestion, without evidence of frank pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, palp, A Fib w RVR // Pna? COMPARISON: Chest radiograph ___	Mild cardiomegaly and hilar congestion, without evidence of frank pulmonary edema. No convincing evidence for pneumonia.
11493909	The lungs are hypoinflated with crowding of vasculature. There is mild cephalization of vasculature. Subtle retrocardiac opacity is noted. No pleural effusion or pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures are notable for severe degenerative changes of bilateral humeral heads with osteophyte formation, and joint space narrowing. No displaced rib fracture.	51223008	EXAMINATION: Chest radiograph. INDICATION: ___F with Frequent falls with weakness and BL leg pain. Assess for pneumonia. TECHNIQUE: Frontal and lateral chest radiograph. COMPARISON: Chest radiograph ___, ___ CT chest without contrast ___	Vascular congestion with mild cardiomegaly. Retrocardiac opacity is worrisome for pneumonia in the appropriate clinical setting. Differential includes asymmetric vascular congestion.
11493909	Frontal view of the chest was obtained. The heart is of normal size with stable cardiomediastinal contours. Linear opacity at the right base is compatible with atelectasis. No pneumothorax or substantial pleural effusion. No radiopaque foreign body.	57652930	INDICATION: ___-year-old female with altered mental status. COMPARISONS: Multiple prior chest radiographs, most recently of ___.	Right base atelectasis. Otherwise, stable exam.
11493909	AP upright portable chest radiograph is obtained. The heart is top normal in size. There is no overt pulmonary edema or definite signs of pneumonia. No pneumothorax or pleural effusion. The mediastinal contour appears stable. Bony structures are intact.	50174717	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___ and a CT chest from ___. CLINICAL HISTORY: Hypotension, fever, question pneumonia.	Mild stable cardiomegaly. No overt evidence of pneumonia or CHF.
11162693	The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.	52859051	INDICATION: ___-year-old male with chest pain. Evaluate for pneumothorax. TECHNIQUE: AP and lateral views of the chest. COMPARISON: None available.	No acute cardiopulmonary process. No pneumothorax.
11347192	Endotracheal tube tip is approximately 6.5 cm above the carina, just above the level of the clavicles. Right subclavian catheter courses into the high right atrium, as seen previously. Esophageal catheter courses below the diaphragm with side port likely just distal to the gastroesophageal junction, unchanged. There has been interval removal of bilateral chest tubes, with one left chest tube remaining. No pneumothorax is detected on these views. Small left pleural effusion persists. Sternal wires and left upper quadrant surgical clips are noted.	59767397	INDICATION: ___-year-old woman status post sternotomy, now status post removal of chest tubes. COMPARISON: ___ at approximately 6:30 a.m. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position.	Interval removal of bilateral chest tubes with persistent small left pleural effusion.
11138817	Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are stable. Moderate-sized hiatal hernia is unchanged. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Lower thoracic spine vertebral body mild compression deformities are new since ___ but unchanged since at least ___.	54757054	HISTORY: ___-year-old female with shortness of breath and vomiting. Evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs, most recently of ___.	No acute cardiopulmonary process. Moderate hiatal hernia.
11138817	Cardiac size is normal. Hiatal hernia is again noted. The aorta is tortuous. The lungs are hyperinflated ___ grossly clear. There is no pneumothorax or pleural effusion. There is kyphosis and weight shaped deformities of several upper and mid thoracic vertebral bodies this is grossly unchanged from prior study	57335650	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ongoing cough and weight loss // ?infiltrate, malignancy TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormalities. Hiatal hernia
11138817	Moderate to large hiatal hernia is noted. The left lower lobe opacity was not clearly seen on prior study from ___. This may represent early pneumonia. No pleural effusion or pneumothorax. Heart size is normal. The upper mediastinal borders are normal. Multiple wedge-shaped deformities in the thoracic spine are again seen and may have slightly progressed compared to ___.	52441007	HISTORY: End epigastric pain right ___. COMPARISON: Chest radiograph on ___ and ___. CT abdomen pelvis on ___.	Small left lower lobe opacity, not definitely apparent on recent chest radiographs, may represent early pneumonia. Recommend followup radiographs after resolution/treatment of symptoms. Hiatal hernia. Possible mild increase of wedge deformities in the thoracic spine.
11874193	Endotracheal tube terminates approximately 5 cm above the carinal. An orogastric tube is difficult to follow due to underpenetration but apparently proceeds into the stomach. Within the limitations of AP portable technique with low lung volumes, the cardiac, mediastinal and hilar contours are probably within normal limits. Vague hazy opacity in the left costophrenic cysts angle may indicate atelectasis, perhaps trace effusion. Otherwise, lung fields appear clear. There is no evidence of pleural effusion on the right side.	56100547	EXAMINATION: CHEST RADIOGRAPH INDICATION: Status post endotracheal intubation. TECHNIQUE: Chest, semi-upright AP portable. COMPARISON: None.	Status post endotracheal intubation. Perhaps trace pleural effusion or atelectasis on the left, but generally speaking, clear lungs.
11310959	Right internal jugular dual lumen central venous catheter tip terminates in the distal SVC, and appears slightly withdrawn since the prior study where the tip terminated in the right atrium. The cardiac, mediastinal and hilar contours are within normal limits. Dextroscoliosis of the thoracic spine is present. Lungs are clear. No pulmonary vascular congestion is present. There is no pleural effusion or pneumothorax. Remote right-sided rib deformities are visualized.	56306038	HISTORY: Tunneled right IJ line for TPN, slipping out. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___.	Right internal jugular dual-lumen central venous catheter tip terminates in the lower SVC, and appear slightly withdrawn since the prior study with the tip terminating in the right atrium.
11292285	PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The lungs are well expanded. The cardiomediastinal silhouette is normal. Possible minimal degenerative change in the thoracic spine. The imaged upper abdomen is unremarkable.	50093635	INDICATION: ___-year-old male with lightheadedness. Evaluate for cardiopulmonary disease or infiltrate. COMPARISONS: ___.	No acute cardiopulmonary process detected.
11033641	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Of note, there is anterior wedging of the lower thoracic vertebral body of indeterminate age.	55992266	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of first time seizure. COMPARISON: None.	Clear lungs without evidence of pneumonia. Anterior wedging/mild compression of a lower thoracic vertebral body of indeterminate age. Recommend clinical correlation for point tenderness/acuity.
11735700	The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.	58521880	INDICATION: History of chest pain. Please evaluate. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: None.	No acute intrathoracic abnormalities.
11205112	The film is rotated which limits evaluation. No focal opacity concerning for pneumonia is identified. Blunting of the right costophrenic angle is due to pleural thickening. Pleural effusions are tiny, if any. The aortic knob is calcified. The heart size is normal. A cortical irregularity in the right lateral ninth rib could represent a non-displaced fracture.	57703576	HISTORY: ___ female with syncope and fall. COMPARISON: None. SUPINE FRONTAL VIEW OF THE	No focal opacity concerning for pneumonia. A cortical irregularity in the right lateral ninth rib could represent a non-displaced fracture.
11719670	PA and lateral views of the chest are provided. There is a focal air space consolidation along the left heart border, concerning for pneumonia in the lingula. Otherwise, the lungs are clear. No effusion or pneumothorax. The heart and mediastinal contours appear normal. The bony structures are intact. No free air below the right hemidiaphragm.	57154674	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Productive cough.	Focal opacity in the lingula, concerning for pneumonia. Consider followup to resolution to exclude underlying malignancy.
11850011	Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. Mild anterior wedge compression deformity in a midthoracic vertebral body is similar to ___. No subdiaphragmatic free air.	50149027	EXAMINATION: Chest radiograph INDICATION: ___-year-old male presenting for evaluation after a fall with head strike TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	No acute cardiopulmonary process.
11168241	Localizing history was not provided. There is a mildly displaced fracture at the posteriolateral aspect of the right eighth rib. No additional rib fractures are clearly identified. No fracture seen on the left. There is slightly increased opacity at the left lung base on the frontal view, likely representative of atelectasis. The cardiac and mediastinal silhouettes appear within normal limits. There no focal pulmonary opacities, pleural effusions, or pneumothorax.	52401050	INDICATION: Chest pain chest wall pain after fall. Evaluate for fracture. TECHNIQUE: Chest PA and lateral. COMPARISON: None.	Mildly displaced posteriolateral right eighth rib fracture. Atelectasis at the left base.
11346836	Chest, semi-upright AP. There are linear opacities in the left lower lobe with blunting of the costophrenic angles, which is explained by scarring and pleural calcifications seen on the CT. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.	53465251	HISTORY: Leukocytosis in a patient status post recent nephrectomy. COMPARISON: CT of the abdomen and pelvis performed earlier the same date. Chest radiograph from ___.	No evidence of pneumonia.
11076754	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The bony structures appear within normal limits.	54708034	CHEST RADIOGRAPHS HISTORY: Shortness of breath and chest tightness. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11081904	The lungs are relatively well inflated with no focal pneumonia, pleural effusion, or pneumothorax. Multilevel degenerative changes of the thoracic spine are noted, with no evidence of compression fracture.	58816345	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with possible stroke. Assess for pneumonia or effusion. TECHNIQUE: AP and lateral chest radiographs COMPARISON: None	No acute cardiopulmonary process.
11887722	Lung volumes are low which accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Atelectasis is noted in both lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.	53937541	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and CT chest ___	Low lung volumes with bibasilar atelectasis.
11887722	The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. A port-a-cath catheter terminates in the mid to lower SVC. Surgical clips are seen in the right axilla.	52879312	HISTORY: Chemo and cough. Question pneumonia. COMPARISON: Prior chest CT from ___. TECHNIQUE: PA and lateral chest radiographs.	No acute cardiopulmonary process.
11895567	No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal. Hilar contours are stable.	51142860	HISTORY: Asthma, cough, shortness of breath for 2 days. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11424223	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	56509745	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with vomiting // ptx TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11424223	Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, pleural effusion, or vascular congestion.	50534505	INDICATION: ___-year-old female with anoxia and low blood sugar. Question infection. COMPARISON: ___.	No acute cardiopulmonary process.
11424223	No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal.	57853354	INDICATION: Chest pain. TECHNIQUE: Two views of the chest. COMPARISON: Radiographs dated ___.	No evidence of acute cardiopulmonary process.
11424223	PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. There is no free air below the right hemidiaphragm.	54553789	CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: ___-year-old woman with anorexia and poor p.o. intake presenting with substernal chest pain and recent vomiting, ?? pneumonia.	No acute intrathoracic process.
11424223	PA and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. No acute osseous abnormalities. Surgical clips project just deep to the anterior abdominal wall in the lateral view.	55021805	HISTORY: ___-year-old female with hypoglycemia. COMPARISON: ___.	No acute cardiopulmonary process.
11287469	Heart size remains mild to moderately enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pneumothorax is present. Minimal blunting of the costophrenic angles posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions. Clips are seen in the upper abdomen compatible with prior cholecystectomy. No acute osseous abnormality is visualized.	50310216	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with hypertension, headache, chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___	Trace bilateral pleural effusions. Otherwise, no acute cardiopulmonary process.
11287469	Mild enlargement of the cardiac silhouette is again noted, unchanged. The mediastinal and hilar contours are similar. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.	52143242	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest discomfort, hypertension TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11217325	New right IJ catheter ends in atriocaval junction. Lung volume is reduced with increased bilateral opacification for moderate-to-severe pulmonary edema. Left basilar atelectasis is new. There is no pleural effusion or pneumothorax. Heart size is still moderately enlarged.	57966614	PATIENT HISTORY: ___-year-old man with shortness of breath (SOB), please assess for acute process. COMPARISON: Exam is compared to chest x-ray of ___.	Sign of CHF with moderate-to-severe pulmonary edema. Heart enlargement and left basilar atelectasis.
11161207	Supine portable AP view of the chest is obtained. Underlying trauma board is in place which somewhat limits evaluation. The lungs appear clear bilaterally without focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette appears normal. No gross osseous deformities are seen.	54104608	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Seizure activity with subsequent MVA, hitting telephone pole, short of breath.	No acute findings in the chest. Please refer to subsequent CT of the torso for further details regarding left anterior rib fractures.
11510541	The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. No focal consolidations, pleural effusions, or pneumothorax are seen. Mild pectus excavatum is seen on lateral imaging.	59952740	EXAMINATION: Chest x-ray PA and Lat INDICATION: ___ year old man with ESRD // EValuate lungs for abnormal growths TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary findings.
11045789	Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.	55316196	INDICATION: ___ year old man with hand and wrist pain and bilat arrm pain. Also exertional dyspnea. Hx of hypertension // r/o cardiopulmonary lesion TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary disease.
11045789	The cardiomediastinal and hilar contours are within normal limits. The aorta is mildly tortuous and calcified. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.	53880213	EXAMINATION: Chest radiograph INDICATION: ___M with fever and chills? // pna? TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph	No acute cardiopulmonary process.
11550925	There is stable elevation of the right hemidiaphragm. The lungs are clear, cardiomediastinal contour is normal, and there is no pleural effusion or pneumothorax.	59196546	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with RUQ pain, // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary process.
11550925	PA and lateral views of the chest are provided. There is stable mild elevation of the right hemidiaphragm with mild right basal plate-like atelectasis. No signs of pneumonia, effusion or pneumothorax. The cardiomediastinal silhouette is stable. Bony structures are intact.	50000230	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Generalized weakness, question pneumonia.	Mild right basal atelectasis. Otherwise, unremarkable.
11550925	PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.	56841853	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain and shortness of breath.	No acute findings in the chest.
11550925	PA and lateral chest radiographs were provided. Lung volumes are significantly low. Linear opacities in the right lung base likely represent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.	53909166	INDICATION: Chest pain for two days, evaluate for widened mediastinum. COMPARISONS: Multiple prior radiographs, most recently from ___.	Low lung volumes and right basilar atelectasis, otherwise no acute process.
11550925	PA and lateral views of the chest. The lungs are clear despite relatively low lung volumes. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.	56098506	HISTORY: ___-year-old male with syncope and headache. COMPARISON: ___.	No acute cardiopulmonary process.
11550925	Frontal and lateral views of the chest were obtained. There is questionable mild right middle lobe atelectasis, similar to prior. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.	50888593	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Chest pain, shortness of breath. COMPARISON: ___.	No acute cardiopulmonary process.
11550925	AP portable upright chest radiograph was provided. Evaluation is markedly limited due to low lung volumes. Subtle nodular opacity obscures the left mid to lower lung which could reflect aspiration in the correct clinical setting. Bronchovascular crowding likely accounts for subtle streaky opacity in the right lower lung. No pneumothorax or large effusion is seen. Heart size cannot be assessed. Mediastinal contour appears grossly stable allowing for technique. The bony structures are intact.	56479208	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: Altered mental status, assess for aspiration.	Markedly limited exam with subtle nodular opacity in the left mid to lower lung which could represent aspiration in the correct clinical setting.
11550925	Mild elevation of the right hemidiaphragm is unchanged. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.	58059147	WET READ: ___ ___ ___ 2:04 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___M with chest pain // Eval for structural process TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11550925	The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. Slight elevation of the right hemidiaphragm is unchanged from prior studies.	58817459	INDICATION: Chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiographs dated ___. TECHNIQUE: PA and lateral radiographs of the chest.	No acute cardiopulmonary process.
11550925	PA and lateral views of the chest were provided. Linear densities in the lower lungs likely represent subsegmental atelectasis. The heart is top normal in size. There is slight elevation of the right hemidiaphragm which is similar to prior exam. No signs of pneumonia or CHF. Mediastinal contour is normal. No pneumothorax or pleural effusion. Bony structures are intact. No free air below the right hemidiaphragm.	54124546	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___. CLINICAL HISTORY: Chest pain radiating to the left arm, question pulmonary edema.	No signs of CHF or pneumonia.
11550925	The lung volumes are extremely low resulting in crowding of the bronchovascular markings. Bibasilar opacities, most likely represent atelectasis. No large pleural effusion or pneumothorax is seen. Mild degree of pulmonary edema is present.	58260271	INDICATION: ___-year-old male with benzodiazepine overdose. COMPARISON: Chest radiograph, ___. PORTABLE UPRIGHT AP CHEST	Extremely low lung volumes with bibasilar opacities, likely atelectasis. Mild pulmonary edema.
11803638	The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Mild cervical and thoracic scoliosis.	53494144	INDICATION: ___ year old man with fever and persistent cough. // Is this pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___	No acute cardiopulmonary process.
11565346	AP upright and lateral views of the chest provided. The PICC line has been removed in the interval. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mild degenerative changes in mid to lower thoracic spine noted. No free air below the right hemidiaphragm is seen.	52296846	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with chest pain // eval for pna COMPARISON: 317	No acute intrathoracic process.
11650503	The lungs are clear without consolidations or pulmonary edema. There is no pleural effusion or pneumothorax. In the left mid lung zone, there is a 5 mm calcified nodule, which is likely from prior granulomatous disease. Alternatively, this may be a small bone island in the third left rib. The cardiomediastinal silhouette is normal.	58562676	INDICATION: Cough and fevers. Evaluate for pneumonia. COMPARISONS: None.	No evidence of pneumonia. Small left upper lobe sclerotic/calcific nodular opacity is likely an old calcified granuloma or a small third rib bone island.
11512225	Compared with ___ at 10:48, ET tube and NG tube has been removed. Otherwise, doubt significant interval change. Cardiomegaly, vascular plethora with vascular blurring, bilateral effusions and underlying collapse and/or consolidation are again seen. No pneumothorax detected.	51026617	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hemoptysis now s/p extubation // Interval change? COMPARISON: None.	Doubt significant change compared with ___ at 10:48
11512225	ET and NG tube are nominal in position. Cardiomegaly could be slightly more pronounced. Again seen are bilateral right greater left effusions with underlying collapse and/or consolidation. Also again seen is CHF, with upper zone redistribution, vascular plethora and probable vascular blurring. On today's exam, there is increased obscuration of the right hemidiaphragm, which could reflect increased collapse/ consolidation at the right base. Biapical pleural scarring, with surface calcification again noted. There is also nearby vascular calcification.	52711754	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hemoptysis // interval change COMPARISON: None.	Question interval increase in degree of cardiomegaly. CHF and bilateral effusions again seen. Bibasilar collapse and/or consolidation. This is likely worse on the right, where the right hemidiaphragm is now obscured.
11512225	ET tube tip lies approximately 3.7 cm above the carina. NG tube extends beneath diaphragm, off film. There is upper zone redistribution with bilateral right greater left effusions and underlying collapse and/or consolidation. Cardiomegaly is again noted, probably similar prior. The extreme costophrenic angles are excluded from the film.	58541497	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p bronch with hemoptysis of unclear etiology. // ?interval cahnge COMPARISON: Chest x-ray examination from ___ at 04:26	Cardiomegaly, with CHF, again seen, overall similar prior allowing for technical differences. Opacity at both bases, consistent with collapse and/or consolidation. Probable right effusion. Small left effusion cannot be excluded. Allowing for technical differences, the appearance is similar to the prior film.
11512225	An endotracheal tube terminates 3.2 cm above the carina. An orogastric tube extends to at least the level of the stomach, with the tip excluded from the field of view. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax. Moderate right lower lobe atelectasis and bilateral pleural effusions are better visualized on the chest CT from ___.	58753907	INDICATION: Hemoptysis, intubated. TECHNIQUE: Frontal chest radiograph. COMPARISON: Chest CT from ___.	Moderate right lower lobe atelectasis and bilateral pleural effusions are unchanged since the CT from ___. Endotracheal tube and orogastric tube are appropriately positioned.
11400494	Single frontal view of the chest. The heart has a left ventricular configuration. The mediastinal contours are otherwise unremarkable. Minimal blunting of the left costophrenic angle could represent a small pleural effusion or atelectasis. No focal consolidation or pneumothorax.	55809885	HISTORY: ___-year-old female with fever. Rule out pneumonia. COMPARISON: Same day chest radiograph at 11:10 AM.	Minimal blunting of the left costophrenic angle could represent a small pleural effusion or atelectasis.
11250599	PA and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormality is present. The thoracic aorta is mildly widened and elongated, but there are no local contour abnormalities. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area on frontal view. Skeletal structures of the thorax demonstrate mild demineralization of the vertebral bodies in the thoracic spine but no evidence of local vertebral body compression fracture. Our records do not include a previous chest examination available for comparison.	57725895	TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with cirrhosis, admitted with decompensation and also being evaluated for liver transplantation. Assess for evidence of pneumonia or underlying malignancy.	No evidence of cardiac enlargement, pulmonary congestion or acute infiltrates in this ___-year-old female patient with history of liver cirrhosis, being evaluated for possible transplant.
11250599	Portable single frontal chest radiograph was obtained. The Dobbhoff tube courses through the antrum of the stomach with its tip out of the view of this exam. The lungs are fully expanded and clear. The heart size is normal. Mediastinal and hilar contours are normal.	58220248	HISTORY: Patient with new Dobbhoff tube, eval placement. COMPARISON: ___.	Dobbhoff tube with its tip at the antrum of the stomach or beyond.
11971036	AP semi upright and lateral views of the chest provided. Low lung volumes. Lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	50528209	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with seizure disorder presenting with 10 seizures today. COMPARISON: Prior exam from ___	No acute intrathoracic process.
11971036	Study is slightly limited by patient rotation. Moderate enlargement of cardiac silhouette persists. Mediastinal and hilar contours are grossly unchanged. There is no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Moderate multilevel degenerative changes are noted in the thoracic spine.	53352508	EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with epilepsy and new onset seizures today TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___	No acute cardiopulmonary abnormality.
11971036	Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is not engorged. Mild bibasilar streaky opacities likely reflect atelectasis in the setting of low lung volumes. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.	52697022	HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	Low lung volumes with probable mild bibasilar atelectasis.
11208359	Moderate to severe cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion. Hyperinflation of the lungs is demonstrated with flattening of the diaphragms. Interstitial opacities at the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is clearly evident. There are no acute osseous abnormalities. Chronic deformities of both glenohumeral joints are re- demonstrated with resorption of both sides of the joint as well as unchanged anterior dislocation on the right.	59900602	EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with dyspnea on exertion TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___	Mild bibasilar atelectasis. Findings suggestive of neuropathic joints involving both shoulders.
11208359	Frontal and lateral views of the chest. The lungs are hyperinflated but clear of consolidation or effusion. There is no pulmonary vascular congestion. The cardiac silhouette is moderately enlarged, likely progressed since prior. Tortuous descending thoracic aorta is noted. Chronic deformities seen involving the glenohumeral joints bilaterally, more significantly on the right where there has been resorption on both sides of the joint and possible dislocation. This has appearance of neuropathic joints.	57085710	HISTORY: ___-year-old female with shortness of breath and history of CHF. COMPARISON: ___.	Moderate cardiomegaly without evidence of congestive failure. Severe changes of the shoulders bilaterally with a configuration raising possibility of neuropathic joints, which in the shoulders can be due to a hydrosyringomyelia.
11208359	The cardiac and mediastinal silhouettes are grossly stable given differences in patient position. Left basilar atelectasis/ scarring is seen without definite focal consolidation no large pleural effusion or pneumothorax. No pulmonary edema. Chronic deformities of the bilateral shoulders and acromioclavicular joints	56023538	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with AMS // Eval for infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No significant interval change.
11869721	Frontal and lateral radiographs of the chest. The tip of the central venous catheter projects over the lower SVC. The lungs are clear. No pleural abnormality is identified. The cardiac silhouette and mediastinum are normal appearing.	50994884	HISTORY: Fever and generalized aches for 1 day. Evaluate for acute infectious process. Evaluate location of line tip. COMPARISON: ___.	Right central venous catheter in the low SVC. No acute infectious process.
11869721	Frontal and lateral chest radiographs were obtained. A right-sided Hickman catheter terminates in the lower SVC. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.	50097433	HISTORY: Patient with fever, rule out pneumonia. COMPARISON: ___.	No focal consolidation to suggest pneumonia.
11869721	Distal tip of right central line is at lower SVC. Minimal left basilar pleural effusion. Clear lungs bilaterally. Costochondral calcifications along left heart apex should not be mistaken for pneumonia. No bony abnormality.	55550597	HISTORY: Female with pleuritic chest pain. Assess for pneumonia. COMPARISON: Chest radiograph ___. TECHNIQUE: Frontal and lateral chest radiographs.	Minimal left pleural effusion. No pneumonia.
11869721	Frontal and lateral chest radiographs were obtained. A right-sided central line terminates in the lower SVC. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.	52369885	WET READ: ___ ___ ___ 6:45 PM No Pneumonia. ______________________________________________________________________________ FINAL REPORT HISTORY: Patient with seizure and central line, rule out infection or pneumonia. COMPARISON: ___.	No radiographic evidence for acute cardiopulmonary process. No pneumonia.
11869721	PA and lateral views of the chest. The lungs are clear of infiltrate or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissues are unremarkable. No free air seen below the diaphragm.	53219348	HISTORY: ___-year-old woman with chills and recent abdominal procedure. Question free air. COMPARISON: Chest x-ray from ___.	No acute cardiopulmonary process, no free air below the diaphragm.
11568515	Mild cardiomegaly is overall similar to exams dated back to ___. There is mild pulmonary vascular congestion with mild to moderate pulmonary edema bilateral pulmonary edema. There may be small bilateral pleural effusions. There is no evidence of a pneumothorax.	59553273	INDICATION: History of nausea and right shoulder pain with shortness of breath. Please evaluate for acute process. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: AP and lateral radiographs of the chest.	Mild-to-moderate pulmonary edema with small bilateral pleural effusions.
11568515	Compared with the immediate prior radiograph, pulmonary vascular congestion has decreased. Extensive interstitial opacities related to underlying interstitial lung disease could easily obscure small consolidations and determination of the presence or absence of an pneumonia would have to be on a clinical basis. There is no pleural effusion or pneumothorax. Moderate cardiomegaly is unchanged.	56905178	WET READ: ___ ___ 4:01 PM 1. Interval decrease in pulmonary vascular congestion. 2. Persistent interstitial opacities related to the underlying interstitial lung disease limit evaluation for pneumonia, and clinical correlation is recommended. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with recent pneumonia, crackles on exam evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to ___ and chest CT dated ___.	Interval decrease in pulmonary vascular congestion. Persistent interstitial opacities related to the underlying interstitial lung disease limit evaluation for pneumonia, and clinical correlation is recommended.
11568515	PA and lateral views of the chest provided. Midline sternotomy wires are again noted. Pulmonary edema persists without significant overall change. No large effusion or pneumothorax. No convincing evidence for pneumonia though subtle pneumonia would be difficult to exclude. The cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.	55316632	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with GAVE with nonspecific fatigue, r/o occult infection of the thorax COMPARISON: ___.	Stable appearance of the chest with pulmonary edema re- demonstrated. Difficult to exclude a superimposed subtle pneumonia.

11426151

This study is rather limited owing to poor positioning and underpenetration secondary to the patient's body habitus. Allowing for these limitations: Metallic hardware from posterior fixation of the thoracic spine is present. The lungs are well expanded, without focal opacities although assessment of the left lung is limited. The cardiac size cannot be evaluated due to rotation and AP projection but the patient has known cardiomegaly. There is no pneumothorax.

54281003

INDICATION: ___-year-old female status post thoraci spine surgery with subjective fever. Evaluate for evidence of infiltrate. COMPARISON: CT torso with contrast on ___ and portable chest radiograph on ___. TECHNIQUE: AP and lateral chest radiographs.

No focal consolidation to suggest pneumonia. Not significantly changed compared with ___.

11426151

The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Linear bibasilar opacities are most compatible with mild atelectasis.

55888907

INDICATION: Shortness of breath. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST

No acute intrathoracic process.

11426151

ET tube remains in good position. There remains mild pulmonary edema with perhaps slight interval improvement of the opacification at the right base with interval faint opacification at the left base. These changes are likely due to positioning of the patient. Cardiomediastinal and hilar contours are stable.

57943360

STUDY: Portable AP chest radiograph. COMPARISON: Portable AP chest radiograph, ___, ___. INDICATION: ___-year-old woman with hypoxia.

No significant interval change. ET tube in good position.

11948471

There has been interval placement of a right-sided chest tube is seen terminating in the right mid lung field. The right lung has almost completely reexpanded, and there is only a small residual apical right pneumothorax without evidence of tension physiology. Subcutaneous emphysema is seen in the soft tissues along the lateral right thorax. Several regions of patchy airspace opacities within the right middle and lower lobes may represent atelectasis versus post-reexpansion edema. There is no evidence of pleural effusion or pulmonary edema. The cardiomediastinal silhouette is stable. Redemonstrated is an endotracheal tube terminating 6.8 cm above the carina. A nasogastric tube is seen coursing out of view of the radiograph.

58017279

HISTORY: Recent tension pneumothorax, now status post chest tube. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made with chest radiographs dated ___.

Status post right chest tube placement and reexpansion of the right lung. Small residual apical right pneumothorax without evidence of tension.

11948471

There has been interval removal of the feeding tube and right chest tube. The lungs are well expanded. There is an opacity in the medial right lung base that may represent a mass or abscess, which is unchanged from prior exam. A small area of consolidation is seen in the left mid lung, unchanged from prior exam. The pleural effusions are smaller than on prior exam. There is no pneumothorax. The cardiomediastinal silhouette is stable from prior exam. Endobronchial valve is again noted in the right lung.

51301944

INDICATION: ___ year old man with PTX with chest tube pulled 4 hours prior to cxr // eval for PTX TECHNIQUE: Single portable upright AP image of the chest. COMPARISON: Comparison is made with chest radiographs from earlier the same day, ___, and ___.

Mass or abscess in the medial right lung base, unchanged to prior exam. Small area of consolidation in the left mid lung, unchanged to prior exam. Interval decrease in pleural effusions.

11948471

The loculated right anterior hydropneumothorax seen on the CT from ___ is difficult to appreciate on this single upright frontal radiograph. Small bilateral pleural effusions are not significantly changed compared to the most recent radiograph from ___. Round opacities measuring up to 4.8 cm project over the right lung base, not significantly changed. There is severe emphysema. Left basilar atelectasis is minimal. The cardiac and mediastinal contours are normal. A left PICC ends in the upper aspect of the right atrium, unchanged. The tracheostomy tube is appropriately positioned. Right-sided endobronchial stents are again noted.

55118318

WET READ: ___ ___ ___ 8:36 PM 1. no substantial pneumothorax. 2. left PICC ends in right atrium. If pulled back 3.5-4cm it will be in the lower SVC. 3. right basilar masses better seen on CT ___. -___ d/w ___ (MICU Resident) by phone at 8:36pm ___. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Followup pneumothorax. COMPARISON: Chest radiograph from ___. Outside hospital chest CT from ___.

Known right anterior loculated hydropneumothorax is difficult to assess on this radiograph. Lateral radiographs would be better suited for any further followup. Unchanged small bilateral pleural effusions. Unchanged right lower lobe round opacities measuring up to to 4.8 cm, likely abscesses.

11948471

An endotracheal tube is in unchanged position with the tip 5.6 cm from the carina. A right internal jugular catheter is in unchanged position with the tip in the low SVC. A right-sided pigtail chest tube is unchanged. Again, there is moderate subcutaneous emphysema, unchanged from the prior exam. There is a small right apical pneumothorax, also unchanged from the prior exam. There is no left pneumothorax. Opacification at the right base is stable. Small bilateral pleural effusions are stable. There is no new opacity. The cardiomediastinal silhouette is normal.

57751605

INDICATION: Increased crepitus and decreased return volume. Evaluate for pneumothorax. COMPARISONS: Chest radiograph from ___ at 5:02. Chest radiograph from ___. TECHNIQUE: A single upright AP view of the chest was obtained.

No significant change from the prior exam, including an unchanged small right apical pneumothorax.

11948471

AP view of the chest. A small right apical pneumothorax is slightly increased in size. Endotracheal tube is unchanged in position. Right internal jugular central venous line ends in the low SVC. Right-sided pigtail appears unchanged in position. Small bilateral pleural effusions are unchanged. Opacification in the right mid and lower lung is unchanged. No new consolidations. Cardiomediastinal and hilar contours are stable.

52148092

INDICATION: Right tension pneumothorax and worsening hypercarbia, increasing peak airway pressures. Evaluate pneumothorax or infiltrate. COMPARISON: ___ at 10:14 a.m.

Slight increase in size of the right apical pneumothorax, otherwise unchanged. These findings were discussed with Dr. ___ by Dr. ___ at 431pm on ___ by phone at time of discovery.

11948471

An endotracheal tube is in unchanged position 5.1 cm from the carina. Since the prior exam, the catheter in the right main stem bronchus has been removed. There is a new valve overlying the right hilum. Its exact positioning is difficult to determine on this single AP view. A right chest tube is in unchanged position. Since prior exam, the right apical pneumothorax is unchanged. There is increased linear consolidation in the right mid lung zone, likely due to increased atelectasis. The opacity at the right base is unchanged. There is likely a tiny right pleural effusion. The left lung is clear without an opacity. A small left pleural effusion is unchanged. There is no left pneumothorax. The cardiomediastinal silhouette is normal.

53885683

INDICATION: Pneumothorax, status post valve placement by Interventional Pulmonology. Evaluate for change. COMPARISONS: Chest radiograph from ___ at 4:20. Chest radiograph from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained.

New valve overlies the right hilum. Its exact location is difficult to determine on this single AP radiograph. Increased atelectasis in the right mid lung zone. Otherwise, unchanged radiograph, including a small right apical pneumothorax.

11948471

A tracheostomy tube, enteric feeding tube, right IJ central venous catheter, and right pleural pigtail catheter are unchanged in position. A small-to-moderate right apical pneumothorax is not significantly changed. Mass-like opacities in the right lung base are re-demonstrated. Small bilateral pleural effusions are unchanged. There is moderate subcutaneous emphysema along the right chest wall. The cardiomediastinal contours are within normal limits and unchanged.

55729982

INDICATION: Right pneumothorax and infiltrates with hypoxic respiratory failure status post tracheostomy. COMPARISON: Chest radiograph dated ___. TECHNIQUE: Portable supine frontal radiograph of the chest.

Unchanged small-to-moderate right apical pneumothorax and right chest wall subcutaneous air. Small bilateral pleural effusions. Mass-like opacities in the right lung base.

11948471

A portable view of the chest shows a left PICC ending in the right atrium, it can be pulled back approximately 4.5- 5.0 cm. There is increased opacification in the left midlung since prior. Appearance of right lower lobe abscesses and pleural effusions are stable. There is no pneumothorax. Cardiomediastinal silhouette is unchanged.

59601733

INDICATION: ___ year old man with COPD, hydropneumothorax, RLL abscesses with L PICC placed last admission assess positioning. TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiographs from ___ through ___. Chest CT ___.

Left PICC ends in the right atrium and can be pulled back approximately 4.5-5 cm. No pneumothorax. Interval increase in left midlung opacity, which may represent developing infection.

11948471

An endotracheal tube is in unchanged position 5.3 cm from the carina. A thinner catheter terminates in the right mainstem bronchus. After discussion with the team, this is purposeful, and a specialized catheter with a valve placed by the interventional pulmonologists. A right internal jugular catheter is unchanged with the tip in the mid SVC. Again, there is a small right apical pneumothorax, unchanged from the prior exam. There is a pigtail catheter in unchanged position, overlying the mid right hemithorax. There is no left pneumothorax. Opacification at the right base is stable. There is no new opacity. Small bilateral pleural effusions are unchanged. The cardiomediastinal silhouette is normal.

54177381

INDICATION: History of a tension pneumothorax, status post chest tube placement. Evaluate for change. COMPARISONS: Chest radiograph from ___. Chest radiograph from ___. TECHNIQUE: A single AP semi-upright view of the chest was obtained.

Unchanged right apical pneumothorax, right basilar consolidation, and small bilateral pleural effusions. Results discussed with Dr. ___ at 9:30 AM on ___ via telephone by Dr. ___ at the time the findings were discovered.

11948471

AP view of the chest. Right-sided chest tube is unchanged in position. The tracheostomy ends 4.6 cm from the carina. Right IJ central venous line ends in the mid SVC. Subcutaneous emphysema is unchanged. Small bilateral pleural effusions are unchanged. Right apical pneumothorax is unchanged in size. No new consolidations.

59771339

INDICATION: Tension pneumothorax and acute hypotension. COMPARISON: ___.

No change in small bilateral pleural effusions or right apical pneumothorax.

11948471

Small apical pneumothorax is present, smaller than it was on the prior chest x-ray of ___. Bilateral effusions are again seen; some clearing of the opacities in the right lower lobe has occurred. Subcutaneous emphysema is still present.

59028280

CLINICAL HISTORY: Tension pneumothorax. Chest tube placed.

Pneumothorax, somewhat smaller. No other significant change.

11948471

Multiple attempts were made to place a Dobbhoff feeding tube with the final position of the weighted tip coiled in the left upper quadrant, likely in the stomach. A nasogastric tube, tracheostomy tube, right internal jugular central venous catheter and right pleural pigtail catheter are unchanged in position. Overall, the appearance of the right hemithorax is unchanged with significant subcutaneous emphysema and similar size of small-to-moderate right apical pneumothorax. Opacities in the right lung base are unchanged. Small bilateral pleural effusions are again seen. The cardiomediastinal and hilar contours are stable.

58058618

INDICATION: Intubated patient requiring Dobbhoff feeding tube, here to evaluate Dobbhoff placement. COMPARISON: Chest radiograph performed one hour earlier. TECHNIQUE: Upright AP radiograph of the chest.

Dobbhoff feeding tube placement with final coiled position in the stomach.

11948471

Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs remain hyperinflated with particularly pronounced right upper lobe bullae, but are of consolidation or findings of heart failure. Small left pleural effusion is new. There is no pneumothorax.

53464396

HISTORY: Hypoxia, tachypnea, recent hip replacement surgery. COMPARISON: ___. TECHNIQUE: Frontal chest radiograph, single view.

New small left pleural effusion. No heart failure. No focal consolidation to suggest pneumonia. Severe emphysema.

11948471

Redemonstrated is a chest tube is seen terminating in the right middle lung field. There has been a slight interval increase in the degree of subcutaneous emphysema seen in the soft tissues of the right chest wall. The entire right lung is now reexpanded, and there is no residual pneumothorax identified. Patchy and streaky opacities within the right lower and middle lobes are are now more prominant, and may represent aspiration. The left lung is grossly clear. There is no evidence of pleural effusion or frank pulmonary edema. The cardiomediastinal silhouette is stable. Redemonstrated are endotracheal and nasogastric tubes and unchanged locations.

54783135

HISTORY: Recent pneumothorax status post chest tube placement. Evaluate interval change. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made to chest radiographs dated ___, ___, and ___.

No evidence of residual pneumothorax. Increased prominance of patchy and streaky airspace opacities in the right middle and lower lobes. These findings may represent aspiration in the appropriate clinical setting.

11948471

Left PICC line terminates in the low SVC. Tracheostomy tube is slightly off midline. The cuff is not well evaluated but may be hyperinflated. The heart size is normal. Known right lower lobe abscesses are smaller since early ___. Pneumonia in the left mid lung is unchanged. Again emphysema is severe. There is no large pleural effusion or pneumothorax. A right bronchial valve is noted.

57993621

INDICATION: Intubated transfer. Evaluate for tube placement. COMPARISON: Chest radiographs ___, ___ and ___. TECHNIQUE: Semi-upright AP radiograph of the chest.

Tracheostomy slightly off midline possibly due to rotation. The cuff is not well evaluated but may be hyperinflated. Right lower lobe abscesses are smaller since early ___. Left mid lung pneumonia is severe and unchanged. Updated results telephoned to ___ by ___ at 8:05 am, ___, 20 minutes after discovery.

11948471

A small-to-moderate right apical pneumothorax is unchanged in extent from ___. Emphysema/COPD is unchanged. Mass-like opacities in the right lung base are again seen. There are small bilateral pleural effusions, which are unchanged. The cardiomediastinal contours are within normal limits and unchanged. A tracheostomy tube, enteric feeding tube, right IJ central venous catheter and right pleural pigtail catheter are unchanged in position. The amount of subcutaneous emphysema along the right lateral chest wall is similar to the prior study.

58687585

INDICATION: Respiratory failure secondary to tension pneumothorax, here to evaluate interval changes. COMPARISON: ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest.

No significant change in extent of small-to-moderate right apical pneumothorax from ___.

11948471

AP view of the chest. Small right apical pneumothorax is slightly increased in size. Right-sided chest tube is unchanged in position. Subcutaneous emphysema is unchanged. Trace bilateral pleural effusions are unchanged. Right mid and lower lung opacities are unchanged. Cardiomediastinal hilar contours are stable. Endotracheal tube and right internal jugular central venous line are unchanged in position.

50392506

HISTORY: Tension pneumothorax status post chest tube and 1 way valve placement, no suction, evaluate for change in pneumothorax. COMPARISON: ___ at 9:15.

Slight increase in size of small right apical pneumothorax.

11948471

Portable view of the chest shows interval removal of a feeding tube. The pigtail catheter, tracheostomy, and left PICC are unchanged in position. The overall appearance of the lungs is unchanged. The cardiomediastinal and hilar contours are also stable. There is no detectable pneumothorax.

51662137

HISTORY: History pneumothorax, lung abscess sees, and trach, evaluate for interval change. COMPARISON: Chest radiographs from ___ through ___.

Little overall interval change.

11948471

A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and unchanged hyperinflated lungs which are clear. There is no pleural effusion or pneumothorax.

54376706

HISTORY: Known COPD, status post right total hip arthroplasty on postoperative day 1, now with acute shortness of breath and a respiratory rate in the 40s. COMPARISON: Chest radiograph from ___.

Unchanged hyperinflated lungs; otherwise normal chest radiograph.

11948471

The entire right lung is collapsed and there is a large tension pneumothorax with depression of the right hemidiaphragm and shift of the trachea and mediastinal contents towards the left. An endotracheal tube is seen terminating approximately 4 cm above the carina. A nasogastric tube is noted to terminate in the stomach.

56438290

HISTORY: Recent intubation, evaluate ETT. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made to chest radiographs dated ___.

Large right tension pneumothorax. ETT is in the appropriate position. Findings were conveyed by Dr. ___ to Dr. ___ ___ telephone at 11:35 on ___, ___ min after interpretation.

11948471

Since prior, there has been no significant interval change. Monitoring and support devices are unchanged in position. The morphology of the right lung, heart, and mediastinum appear stable.

59651434

INDICATION: ___ year old man with PNA pseudomonas and ___ on culture, COPD, trach'd, s/p bronch on ___, assess interval change TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiographs from ___ through ___.

No significant interval change.

11948471

The lungs are well expanded. The opacity in the medial right lung base is decreased slightly in conspicuity in the interval, consistent with resolving abscess. A small area of consolidation is again seen in the left mid lung, unchanged from prior exam. No pleural effusions are smaller than on prior exam. There is no pneumothorax. The cardiomediastinal silhouette is stable from prior exam. Endobronchial bowel is again noted in the right lung.

56669106

INDICATION: ___ year old man with respiratory failure, pneumonia, now trached // eval for interval change TECHNIQUE: Single portable supine frontal image of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___ and CT chest from ___.

Decrease conspicuity of right medial lung base opacity, consistent with resolving abscess. Small area of consolidation in the left mid lung, unchanged from prior exam.

11763965

The heart size is normal. The mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.

51566755

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

No acute cardiopulmonary abnormality.

11896730

Cardiomediastinal and hilar contours are within normal limits. Aorta is tortuous. Low lung volumes with relative elevation of the right hemidiaphragm. Clear lungs. No pneumothorax.

55701951

EXAMINATION: Chest radiograph INDICATION: ___M with ? recurrent syncope vs. falls // ? acute cardiouplm process TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary process.

11281076

Moderate pulmonary vascular congestion with cephalization of the vasculature and mild interstitial edema at the lung bases. The heart is moderately enlarged. The pulmonary artery is more prominent compared to most recent prior study consistent with volume overload, however a pulmonary embolus cannot definitively be ruled out.

55746259

EXAMINATION: Chest radiograph INDICATION: ___ year old woman with CHF, afib here with loss of consciousness // ?volume overload TECHNIQUE: PA and lateral chest radiograph COMPARISON: ___

Pulmonary vascular congestion, cardiomegaly, and prominent pulmonary artery consistent with acute cardiac decompensation. Pulmonary embolus is neither suggested nor excluded.

11861930

The patient is status post median sternotomy and CABG. The heart is mildly enlarged, and the aorta demonstrates mild tortuosity. The pulmonary vascularity is not engorged. Blunting of the right costophrenic sulcus likely reflects a small right pleural effusion. Minimal linear opacities in the lung bases likely reflect atelectasis. There is no focal consolidation or pneumothorax. Hyperinflation of the lungs possibly reflects underlying COPD.

56656857

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

Trace right pleural effusion and mild bibasilar atelectasis.

11545986

PA and lateral views of the chest provided. There is hilar congestion, without evidence of frank pulmonary edema. There is no focal consolidation, effusion, or pneumothorax. The heart size is mildly enlarged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. A gallstone is noted in the upper abdomen.

59888543

WET READ: ___ ___ 1:44 PM Mild cardiomegaly and hilar congestion, without evidence of frank pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, palp, A Fib w RVR // Pna? COMPARISON: Chest radiograph ___

Mild cardiomegaly and hilar congestion, without evidence of frank pulmonary edema. No convincing evidence for pneumonia.

11493909

The lungs are hypoinflated with crowding of vasculature. There is mild cephalization of vasculature. Subtle retrocardiac opacity is noted. No pleural effusion or pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures are notable for severe degenerative changes of bilateral humeral heads with osteophyte formation, and joint space narrowing. No displaced rib fracture.

51223008

EXAMINATION: Chest radiograph. INDICATION: ___F with Frequent falls with weakness and BL leg pain. Assess for pneumonia. TECHNIQUE: Frontal and lateral chest radiograph. COMPARISON: Chest radiograph ___, ___ CT chest without contrast ___

Vascular congestion with mild cardiomegaly. Retrocardiac opacity is worrisome for pneumonia in the appropriate clinical setting. Differential includes asymmetric vascular congestion.

11493909

Frontal view of the chest was obtained. The heart is of normal size with stable cardiomediastinal contours. Linear opacity at the right base is compatible with atelectasis. No pneumothorax or substantial pleural effusion. No radiopaque foreign body.

57652930

INDICATION: ___-year-old female with altered mental status. COMPARISONS: Multiple prior chest radiographs, most recently of ___.

Right base atelectasis. Otherwise, stable exam.

11493909

AP upright portable chest radiograph is obtained. The heart is top normal in size. There is no overt pulmonary edema or definite signs of pneumonia. No pneumothorax or pleural effusion. The mediastinal contour appears stable. Bony structures are intact.

50174717

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___ and a CT chest from ___. CLINICAL HISTORY: Hypotension, fever, question pneumonia.

Mild stable cardiomegaly. No overt evidence of pneumonia or CHF.

11162693

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

52859051

INDICATION: ___-year-old male with chest pain. Evaluate for pneumothorax. TECHNIQUE: AP and lateral views of the chest. COMPARISON: None available.

No acute cardiopulmonary process. No pneumothorax.

11347192

Endotracheal tube tip is approximately 6.5 cm above the carina, just above the level of the clavicles. Right subclavian catheter courses into the high right atrium, as seen previously. Esophageal catheter courses below the diaphragm with side port likely just distal to the gastroesophageal junction, unchanged. There has been interval removal of bilateral chest tubes, with one left chest tube remaining. No pneumothorax is detected on these views. Small left pleural effusion persists. Sternal wires and left upper quadrant surgical clips are noted.

59767397

INDICATION: ___-year-old woman status post sternotomy, now status post removal of chest tubes. COMPARISON: ___ at approximately 6:30 a.m. TECHNIQUE: Single frontal chest radiograph was obtained portably with the patient in an upright position.

Interval removal of bilateral chest tubes with persistent small left pleural effusion.

11138817

Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are stable. Moderate-sized hiatal hernia is unchanged. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Lower thoracic spine vertebral body mild compression deformities are new since ___ but unchanged since at least ___.

54757054

HISTORY: ___-year-old female with shortness of breath and vomiting. Evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs, most recently of ___.

No acute cardiopulmonary process. Moderate hiatal hernia.

11138817

Cardiac size is normal. Hiatal hernia is again noted. The aorta is tortuous. The lungs are hyperinflated ___ grossly clear. There is no pneumothorax or pleural effusion. There is kyphosis and weight shaped deformities of several upper and mid thoracic vertebral bodies this is grossly unchanged from prior study

57335650

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with ongoing cough and weight loss // ?infiltrate, malignancy TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormalities. Hiatal hernia

11138817

Moderate to large hiatal hernia is noted. The left lower lobe opacity was not clearly seen on prior study from ___. This may represent early pneumonia. No pleural effusion or pneumothorax. Heart size is normal. The upper mediastinal borders are normal. Multiple wedge-shaped deformities in the thoracic spine are again seen and may have slightly progressed compared to ___.

52441007

HISTORY: End epigastric pain right ___. COMPARISON: Chest radiograph on ___ and ___. CT abdomen pelvis on ___.

Small left lower lobe opacity, not definitely apparent on recent chest radiographs, may represent early pneumonia. Recommend followup radiographs after resolution/treatment of symptoms. Hiatal hernia. Possible mild increase of wedge deformities in the thoracic spine.

11874193

Endotracheal tube terminates approximately 5 cm above the carinal. An orogastric tube is difficult to follow due to underpenetration but apparently proceeds into the stomach. Within the limitations of AP portable technique with low lung volumes, the cardiac, mediastinal and hilar contours are probably within normal limits. Vague hazy opacity in the left costophrenic cysts angle may indicate atelectasis, perhaps trace effusion. Otherwise, lung fields appear clear. There is no evidence of pleural effusion on the right side.

56100547

EXAMINATION: CHEST RADIOGRAPH INDICATION: Status post endotracheal intubation. TECHNIQUE: Chest, semi-upright AP portable. COMPARISON: None.

Status post endotracheal intubation. Perhaps trace pleural effusion or atelectasis on the left, but generally speaking, clear lungs.

11310959

Right internal jugular dual lumen central venous catheter tip terminates in the distal SVC, and appears slightly withdrawn since the prior study where the tip terminated in the right atrium. The cardiac, mediastinal and hilar contours are within normal limits. Dextroscoliosis of the thoracic spine is present. Lungs are clear. No pulmonary vascular congestion is present. There is no pleural effusion or pneumothorax. Remote right-sided rib deformities are visualized.

56306038

HISTORY: Tunneled right IJ line for TPN, slipping out. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___.

Right internal jugular dual-lumen central venous catheter tip terminates in the lower SVC, and appear slightly withdrawn since the prior study with the tip terminating in the right atrium.

11292285

PA and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The lungs are well expanded. The cardiomediastinal silhouette is normal. Possible minimal degenerative change in the thoracic spine. The imaged upper abdomen is unremarkable.

50093635

INDICATION: ___-year-old male with lightheadedness. Evaluate for cardiopulmonary disease or infiltrate. COMPARISONS: ___.

No acute cardiopulmonary process detected.

11033641

Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Of note, there is anterior wedging of the lower thoracic vertebral body of indeterminate age.

55992266

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of first time seizure. COMPARISON: None.

Clear lungs without evidence of pneumonia. Anterior wedging/mild compression of a lower thoracic vertebral body of indeterminate age. Recommend clinical correlation for point tenderness/acuity.

11735700

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

58521880

INDICATION: History of chest pain. Please evaluate. TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: None.

No acute intrathoracic abnormalities.

11205112

The film is rotated which limits evaluation. No focal opacity concerning for pneumonia is identified. Blunting of the right costophrenic angle is due to pleural thickening. Pleural effusions are tiny, if any. The aortic knob is calcified. The heart size is normal. A cortical irregularity in the right lateral ninth rib could represent a non-displaced fracture.

57703576

HISTORY: ___ female with syncope and fall. COMPARISON: None. SUPINE FRONTAL VIEW OF THE

No focal opacity concerning for pneumonia. A cortical irregularity in the right lateral ninth rib could represent a non-displaced fracture.

11719670

PA and lateral views of the chest are provided. There is a focal air space consolidation along the left heart border, concerning for pneumonia in the lingula. Otherwise, the lungs are clear. No effusion or pneumothorax. The heart and mediastinal contours appear normal. The bony structures are intact. No free air below the right hemidiaphragm.

57154674

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Productive cough.

Focal opacity in the lingula, concerning for pneumonia. Consider followup to resolution to exclude underlying malignancy.

11850011

Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. Mild anterior wedge compression deformity in a midthoracic vertebral body is similar to ___. No subdiaphragmatic free air.

50149027

EXAMINATION: Chest radiograph INDICATION: ___-year-old male presenting for evaluation after a fall with head strike TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

No acute cardiopulmonary process.

11168241

Localizing history was not provided. There is a mildly displaced fracture at the posteriolateral aspect of the right eighth rib. No additional rib fractures are clearly identified. No fracture seen on the left. There is slightly increased opacity at the left lung base on the frontal view, likely representative of atelectasis. The cardiac and mediastinal silhouettes appear within normal limits. There no focal pulmonary opacities, pleural effusions, or pneumothorax.

52401050

INDICATION: Chest pain chest wall pain after fall. Evaluate for fracture. TECHNIQUE: Chest PA and lateral. COMPARISON: None.

Mildly displaced posteriolateral right eighth rib fracture. Atelectasis at the left base.

11346836

Chest, semi-upright AP. There are linear opacities in the left lower lobe with blunting of the costophrenic angles, which is explained by scarring and pleural calcifications seen on the CT. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

53465251

HISTORY: Leukocytosis in a patient status post recent nephrectomy. COMPARISON: CT of the abdomen and pelvis performed earlier the same date. Chest radiograph from ___.

No evidence of pneumonia.

11076754

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The bony structures appear within normal limits.

54708034

CHEST RADIOGRAPHS HISTORY: Shortness of breath and chest tightness. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11081904

The lungs are relatively well inflated with no focal pneumonia, pleural effusion, or pneumothorax. Multilevel degenerative changes of the thoracic spine are noted, with no evidence of compression fracture.

58816345

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with possible stroke. Assess for pneumonia or effusion. TECHNIQUE: AP and lateral chest radiographs COMPARISON: None

No acute cardiopulmonary process.

11887722

Lung volumes are low which accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Atelectasis is noted in both lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.

53937541

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and CT chest ___

Low lung volumes with bibasilar atelectasis.

11887722

The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. A port-a-cath catheter terminates in the mid to lower SVC. Surgical clips are seen in the right axilla.

52879312

HISTORY: Chemo and cough. Question pneumonia. COMPARISON: Prior chest CT from ___. TECHNIQUE: PA and lateral chest radiographs.

No acute cardiopulmonary process.

11895567

No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal. Hilar contours are stable.

51142860

HISTORY: Asthma, cough, shortness of breath for 2 days. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11424223

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

56509745

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

No acute cardiopulmonary process.

11424223

Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, pleural effusion, or vascular congestion.

50534505

INDICATION: ___-year-old female with anoxia and low blood sugar. Question infection. COMPARISON: ___.

No acute cardiopulmonary process.

11424223

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

57853354

INDICATION: Chest pain. TECHNIQUE: Two views of the chest. COMPARISON: Radiographs dated ___.

No evidence of acute cardiopulmonary process.

11424223

PA and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. There is no free air below the right hemidiaphragm.

54553789

CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: ___-year-old woman with anorexia and poor p.o. intake presenting with substernal chest pain and recent vomiting, ?? pneumonia.

No acute intrathoracic process.

11424223

PA and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. No acute osseous abnormalities. Surgical clips project just deep to the anterior abdominal wall in the lateral view.

55021805

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

No acute cardiopulmonary process.

11287469

Heart size remains mild to moderately enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pneumothorax is present. Minimal blunting of the costophrenic angles posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions. Clips are seen in the upper abdomen compatible with prior cholecystectomy. No acute osseous abnormality is visualized.

50310216

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

Trace bilateral pleural effusions. Otherwise, no acute cardiopulmonary process.

11287469

Mild enlargement of the cardiac silhouette is again noted, unchanged. The mediastinal and hilar contours are similar. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.

52143242

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest discomfort, hypertension TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11217325

New right IJ catheter ends in atriocaval junction. Lung volume is reduced with increased bilateral opacification for moderate-to-severe pulmonary edema. Left basilar atelectasis is new. There is no pleural effusion or pneumothorax. Heart size is still moderately enlarged.

57966614

PATIENT HISTORY: ___-year-old man with shortness of breath (SOB), please assess for acute process. COMPARISON: Exam is compared to chest x-ray of ___.

Sign of CHF with moderate-to-severe pulmonary edema. Heart enlargement and left basilar atelectasis.

11161207

Supine portable AP view of the chest is obtained. Underlying trauma board is in place which somewhat limits evaluation. The lungs appear clear bilaterally without focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette appears normal. No gross osseous deformities are seen.

54104608

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph dated ___. CLINICAL HISTORY: Seizure activity with subsequent MVA, hitting telephone pole, short of breath.

No acute findings in the chest. Please refer to subsequent CT of the torso for further details regarding left anterior rib fractures.

11510541

The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. No focal consolidations, pleural effusions, or pneumothorax are seen. Mild pectus excavatum is seen on lateral imaging.

59952740

EXAMINATION: Chest x-ray PA and Lat INDICATION: ___ year old man with ESRD // EValuate lungs for abnormal growths TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary findings.

11045789

Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

55316196

INDICATION: ___ year old man with hand and wrist pain and bilat arrm pain. Also exertional dyspnea. Hx of hypertension // r/o cardiopulmonary lesion TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary disease.

11045789

The cardiomediastinal and hilar contours are within normal limits. The aorta is mildly tortuous and calcified. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

53880213

EXAMINATION: Chest radiograph INDICATION: ___M with fever and chills? // pna? TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph

No acute cardiopulmonary process.

11550925

There is stable elevation of the right hemidiaphragm. The lungs are clear, cardiomediastinal contour is normal, and there is no pleural effusion or pneumothorax.

59196546

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with RUQ pain, // evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary process.

11550925

PA and lateral views of the chest are provided. There is stable mild elevation of the right hemidiaphragm with mild right basal plate-like atelectasis. No signs of pneumonia, effusion or pneumothorax. The cardiomediastinal silhouette is stable. Bony structures are intact.

50000230

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Generalized weakness, question pneumonia.

Mild right basal atelectasis. Otherwise, unremarkable.

11550925

PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

56841853

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

No acute findings in the chest.

11550925

PA and lateral chest radiographs were provided. Lung volumes are significantly low. Linear opacities in the right lung base likely represent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.

53909166

INDICATION: Chest pain for two days, evaluate for widened mediastinum. COMPARISONS: Multiple prior radiographs, most recently from ___.

Low lung volumes and right basilar atelectasis, otherwise no acute process.

11550925

PA and lateral views of the chest. The lungs are clear despite relatively low lung volumes. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

56098506

HISTORY: ___-year-old male with syncope and headache. COMPARISON: ___.

No acute cardiopulmonary process.

11550925

Frontal and lateral views of the chest were obtained. There is questionable mild right middle lobe atelectasis, similar to prior. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.

50888593

EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Chest pain, shortness of breath. COMPARISON: ___.

No acute cardiopulmonary process.

11550925

AP portable upright chest radiograph was provided. Evaluation is markedly limited due to low lung volumes. Subtle nodular opacity obscures the left mid to lower lung which could reflect aspiration in the correct clinical setting. Bronchovascular crowding likely accounts for subtle streaky opacity in the right lower lung. No pneumothorax or large effusion is seen. Heart size cannot be assessed. Mediastinal contour appears grossly stable allowing for technique. The bony structures are intact.

56479208

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: Altered mental status, assess for aspiration.

Markedly limited exam with subtle nodular opacity in the left mid to lower lung which could represent aspiration in the correct clinical setting.

11550925

Mild elevation of the right hemidiaphragm is unchanged. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

58059147

WET READ: ___ ___ ___ 2:04 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPH INDICATION: History: ___M with chest pain // Eval for structural process TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11550925

The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. Slight elevation of the right hemidiaphragm is unchanged from prior studies.

58817459

INDICATION: Chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: Chest radiographs dated ___. TECHNIQUE: PA and lateral radiographs of the chest.

No acute cardiopulmonary process.

11550925

PA and lateral views of the chest were provided. Linear densities in the lower lungs likely represent subsegmental atelectasis. The heart is top normal in size. There is slight elevation of the right hemidiaphragm which is similar to prior exam. No signs of pneumonia or CHF. Mediastinal contour is normal. No pneumothorax or pleural effusion. Bony structures are intact. No free air below the right hemidiaphragm.

54124546

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph from ___. CLINICAL HISTORY: Chest pain radiating to the left arm, question pulmonary edema.

No signs of CHF or pneumonia.

11550925

The lung volumes are extremely low resulting in crowding of the bronchovascular markings. Bibasilar opacities, most likely represent atelectasis. No large pleural effusion or pneumothorax is seen. Mild degree of pulmonary edema is present.

58260271

INDICATION: ___-year-old male with benzodiazepine overdose. COMPARISON: Chest radiograph, ___. PORTABLE UPRIGHT AP CHEST

Extremely low lung volumes with bibasilar opacities, likely atelectasis. Mild pulmonary edema.

11803638

The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Mild cervical and thoracic scoliosis.

53494144

INDICATION: ___ year old man with fever and persistent cough. // Is this pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___

No acute cardiopulmonary process.

11565346

AP upright and lateral views of the chest provided. The PICC line has been removed in the interval. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mild degenerative changes in mid to lower thoracic spine noted. No free air below the right hemidiaphragm is seen.

52296846

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with chest pain // eval for pna COMPARISON: 317

No acute intrathoracic process.

11650503

The lungs are clear without consolidations or pulmonary edema. There is no pleural effusion or pneumothorax. In the left mid lung zone, there is a 5 mm calcified nodule, which is likely from prior granulomatous disease. Alternatively, this may be a small bone island in the third left rib. The cardiomediastinal silhouette is normal.

58562676

INDICATION: Cough and fevers. Evaluate for pneumonia. COMPARISONS: None.

No evidence of pneumonia. Small left upper lobe sclerotic/calcific nodular opacity is likely an old calcified granuloma or a small third rib bone island.

11512225

Compared with ___ at 10:48, ET tube and NG tube has been removed. Otherwise, doubt significant interval change. Cardiomegaly, vascular plethora with vascular blurring, bilateral effusions and underlying collapse and/or consolidation are again seen. No pneumothorax detected.

51026617

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hemoptysis now s/p extubation // Interval change? COMPARISON: None.

Doubt significant change compared with ___ at 10:48

11512225

ET and NG tube are nominal in position. Cardiomegaly could be slightly more pronounced. Again seen are bilateral right greater left effusions with underlying collapse and/or consolidation. Also again seen is CHF, with upper zone redistribution, vascular plethora and probable vascular blurring. On today's exam, there is increased obscuration of the right hemidiaphragm, which could reflect increased collapse/ consolidation at the right base. Biapical pleural scarring, with surface calcification again noted. There is also nearby vascular calcification.

52711754

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hemoptysis // interval change COMPARISON: None.

Question interval increase in degree of cardiomegaly. CHF and bilateral effusions again seen. Bibasilar collapse and/or consolidation. This is likely worse on the right, where the right hemidiaphragm is now obscured.

11512225

ET tube tip lies approximately 3.7 cm above the carina. NG tube extends beneath diaphragm, off film. There is upper zone redistribution with bilateral right greater left effusions and underlying collapse and/or consolidation. Cardiomegaly is again noted, probably similar prior. The extreme costophrenic angles are excluded from the film.

58541497

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p bronch with hemoptysis of unclear etiology. // ?interval cahnge COMPARISON: Chest x-ray examination from ___ at 04:26

Cardiomegaly, with CHF, again seen, overall similar prior allowing for technical differences. Opacity at both bases, consistent with collapse and/or consolidation. Probable right effusion. Small left effusion cannot be excluded. Allowing for technical differences, the appearance is similar to the prior film.

11512225

An endotracheal tube terminates 3.2 cm above the carina. An orogastric tube extends to at least the level of the stomach, with the tip excluded from the field of view. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax. Moderate right lower lobe atelectasis and bilateral pleural effusions are better visualized on the chest CT from ___.

58753907

INDICATION: Hemoptysis, intubated. TECHNIQUE: Frontal chest radiograph. COMPARISON: Chest CT from ___.

Moderate right lower lobe atelectasis and bilateral pleural effusions are unchanged since the CT from ___. Endotracheal tube and orogastric tube are appropriately positioned.

11400494

Single frontal view of the chest. The heart has a left ventricular configuration. The mediastinal contours are otherwise unremarkable. Minimal blunting of the left costophrenic angle could represent a small pleural effusion or atelectasis. No focal consolidation or pneumothorax.

55809885

HISTORY: ___-year-old female with fever. Rule out pneumonia. COMPARISON: Same day chest radiograph at 11:10 AM.

Minimal blunting of the left costophrenic angle could represent a small pleural effusion or atelectasis.

11250599

PA and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormality is present. The thoracic aorta is mildly widened and elongated, but there are no local contour abnormalities. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area on frontal view. Skeletal structures of the thorax demonstrate mild demineralization of the vertebral bodies in the thoracic spine but no evidence of local vertebral body compression fracture. Our records do not include a previous chest examination available for comparison.

57725895

TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with cirrhosis, admitted with decompensation and also being evaluated for liver transplantation. Assess for evidence of pneumonia or underlying malignancy.

No evidence of cardiac enlargement, pulmonary congestion or acute infiltrates in this ___-year-old female patient with history of liver cirrhosis, being evaluated for possible transplant.

11250599

Portable single frontal chest radiograph was obtained. The Dobbhoff tube courses through the antrum of the stomach with its tip out of the view of this exam. The lungs are fully expanded and clear. The heart size is normal. Mediastinal and hilar contours are normal.

58220248

HISTORY: Patient with new Dobbhoff tube, eval placement. COMPARISON: ___.

Dobbhoff tube with its tip at the antrum of the stomach or beyond.

11971036

AP semi upright and lateral views of the chest provided. Low lung volumes. Lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

50528209

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with seizure disorder presenting with 10 seizures today. COMPARISON: Prior exam from ___

No acute intrathoracic process.

11971036

Study is slightly limited by patient rotation. Moderate enlargement of cardiac silhouette persists. Mediastinal and hilar contours are grossly unchanged. There is no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Moderate multilevel degenerative changes are noted in the thoracic spine.

53352508

EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with epilepsy and new onset seizures today TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___

No acute cardiopulmonary abnormality.

11971036

Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is not engorged. Mild bibasilar streaky opacities likely reflect atelectasis in the setting of low lung volumes. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.

52697022

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

Low lung volumes with probable mild bibasilar atelectasis.

11208359

Moderate to severe cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion. Hyperinflation of the lungs is demonstrated with flattening of the diaphragms. Interstitial opacities at the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is clearly evident. There are no acute osseous abnormalities. Chronic deformities of both glenohumeral joints are re- demonstrated with resorption of both sides of the joint as well as unchanged anterior dislocation on the right.

59900602

EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with dyspnea on exertion TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___

Mild bibasilar atelectasis. Findings suggestive of neuropathic joints involving both shoulders.

11208359

Frontal and lateral views of the chest. The lungs are hyperinflated but clear of consolidation or effusion. There is no pulmonary vascular congestion. The cardiac silhouette is moderately enlarged, likely progressed since prior. Tortuous descending thoracic aorta is noted. Chronic deformities seen involving the glenohumeral joints bilaterally, more significantly on the right where there has been resorption on both sides of the joint and possible dislocation. This has appearance of neuropathic joints.

57085710

HISTORY: ___-year-old female with shortness of breath and history of CHF. COMPARISON: ___.

Moderate cardiomegaly without evidence of congestive failure. Severe changes of the shoulders bilaterally with a configuration raising possibility of neuropathic joints, which in the shoulders can be due to a hydrosyringomyelia.

11208359

The cardiac and mediastinal silhouettes are grossly stable given differences in patient position. Left basilar atelectasis/ scarring is seen without definite focal consolidation no large pleural effusion or pneumothorax. No pulmonary edema. Chronic deformities of the bilateral shoulders and acromioclavicular joints

56023538

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with AMS // Eval for infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No significant interval change.

11869721

Frontal and lateral radiographs of the chest. The tip of the central venous catheter projects over the lower SVC. The lungs are clear. No pleural abnormality is identified. The cardiac silhouette and mediastinum are normal appearing.

50994884

HISTORY: Fever and generalized aches for 1 day. Evaluate for acute infectious process. Evaluate location of line tip. COMPARISON: ___.

Right central venous catheter in the low SVC. No acute infectious process.

11869721

Frontal and lateral chest radiographs were obtained. A right-sided Hickman catheter terminates in the lower SVC. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.

50097433

HISTORY: Patient with fever, rule out pneumonia. COMPARISON: ___.

No focal consolidation to suggest pneumonia.

11869721

Distal tip of right central line is at lower SVC. Minimal left basilar pleural effusion. Clear lungs bilaterally. Costochondral calcifications along left heart apex should not be mistaken for pneumonia. No bony abnormality.

55550597

HISTORY: Female with pleuritic chest pain. Assess for pneumonia. COMPARISON: Chest radiograph ___. TECHNIQUE: Frontal and lateral chest radiographs.

Minimal left pleural effusion. No pneumonia.

11869721

Frontal and lateral chest radiographs were obtained. A right-sided central line terminates in the lower SVC. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

52369885

WET READ: ___ ___ ___ 6:45 PM No Pneumonia. ______________________________________________________________________________ FINAL REPORT HISTORY: Patient with seizure and central line, rule out infection or pneumonia. COMPARISON: ___.

No radiographic evidence for acute cardiopulmonary process. No pneumonia.

11869721

PA and lateral views of the chest. The lungs are clear of infiltrate or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissues are unremarkable. No free air seen below the diaphragm.

53219348

HISTORY: ___-year-old woman with chills and recent abdominal procedure. Question free air. COMPARISON: Chest x-ray from ___.

No acute cardiopulmonary process, no free air below the diaphragm.

11568515

Mild cardiomegaly is overall similar to exams dated back to ___. There is mild pulmonary vascular congestion with mild to moderate pulmonary edema bilateral pulmonary edema. There may be small bilateral pleural effusions. There is no evidence of a pneumothorax.

59553273

INDICATION: History of nausea and right shoulder pain with shortness of breath. Please evaluate for acute process. COMPARISONS: Chest radiographs dated back to ___. TECHNIQUE: AP and lateral radiographs of the chest.

Mild-to-moderate pulmonary edema with small bilateral pleural effusions.

11568515

Compared with the immediate prior radiograph, pulmonary vascular congestion has decreased. Extensive interstitial opacities related to underlying interstitial lung disease could easily obscure small consolidations and determination of the presence or absence of an pneumonia would have to be on a clinical basis. There is no pleural effusion or pneumothorax. Moderate cardiomegaly is unchanged.

56905178

WET READ: ___ ___ 4:01 PM 1. Interval decrease in pulmonary vascular congestion. 2. Persistent interstitial opacities related to the underlying interstitial lung disease limit evaluation for pneumonia, and clinical correlation is recommended. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with recent pneumonia, crackles on exam evaluate for pneumonia. TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to ___ and chest CT dated ___.

Interval decrease in pulmonary vascular congestion. Persistent interstitial opacities related to the underlying interstitial lung disease limit evaluation for pneumonia, and clinical correlation is recommended.

11568515

PA and lateral views of the chest provided. Midline sternotomy wires are again noted. Pulmonary edema persists without significant overall change. No large effusion or pneumothorax. No convincing evidence for pneumonia though subtle pneumonia would be difficult to exclude. The cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.

55316632

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with GAVE with nonspecific fatigue, r/o occult infection of the thorax COMPARISON: ___.

Stable appearance of the chest with pulmonary edema re- demonstrated. Difficult to exclude a superimposed subtle pneumonia.