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

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11762640	PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours appear normal. The imaged bony structures are intact. No free air below the right hemidiaphragm is seen.	59826678	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Cough, assess for pneumonia.	No acute findings in the chest.
11210923	There is stable mild cardiomegaly. There is mild the towards thoracic aorta, unchanged. The hila are within normal limits. Bibasilar opacities are similar appearance to prior exam and suggestive of linear atelectasis. There is no pulmonary vascular congestion or pulmonary edema. There may be a small right pleural effusion. No left pleural effusion. There is no pneumothorax.	56330881	INDICATION: ___M with COPD with new dyspnea, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___.	Bibasilar opacities are unchanged from prior exam from ___ and likely reflect linear atelectasis. Otherwise, no focal lung consolidation. Probable trace right pleural effusion.
11071924	Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouettes are unremarkable.	55863524	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of cough. COMPARISON: ___.	No acute cardiopulmonary process.
11071924	No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.	58120864	HISTORY: ___-year-old woman with cough, history of smoking. Bronchial breath sounds on right. Evaluate cough. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary disease.
11198855	Portable semi-upright CXR. Right IJ CV catheter is in place with its tip in the low SVC. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	51694732	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with R IV, pls eval for plavement of CVL COMPARISON: ___	Appropriately positioned right IJ CV catheter.
11198855	There are low lung volumes. Cardiac size is top-normal. The lungs are clear. There is no pneumothorax or pleural effusion. The stomach is very distended	59024155	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with multiple myeloma, compression fracture, with hypoxia to ___% and SOB. // please assess for acute pulmonary process (pulm edema, pna, etc.) TECHNIQUE: Single frontal view of the chest COMPARISON: CT ___	No acute cardiopulmonary abnormality. The stomach is very distended
11969463	A single portable AP supine view of the chest was obtained. Trauma board partially obscures the view. The lungs are well expanded and clear. The heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax. The ET tube projects 6 cm above the carina. NG tube is in the stomach.	57242688	INDICATION: ___-year-old man status post MVC with partial ejection, evaluate for signs of bleeding/hematoma. COMPARISON: None.	No acute intrathoracic abnormality. ET tube is slightly high in position, consider advancing by 2 cm for optimal placement. Chest radiography is not adequate for evaluation of traumatic injury to the chest cage.
11725919	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged, likely accentuated by supine position and AP technique. Mediastinal contours are grossly unremarkable. No pulmonary edema is seen. No radiopaque foreign body with the appearance of a bullet is seen.	57465337	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F s/p GSW right upper arm // please eval for presence of bullet, traumatic injury TECHNIQUE: Single frontal view of the chest COMPARISON: None	No radiopaque foreign body with the appearance of a bullet. Borderline cardiac silhouette size, likely accentuated by supine position and AP technique. .
11562514	Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. The lungs remain mildly hyperinflated, unchanged from prior. No displaced rib fracture identified.	51650003	INDICATION: History: ___M with chest pain // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute intrathoracic process.
11562514	Cardiac silhouette size is normal. The aorta is mildly tortuous with atherosclerotic calcifications noted at the knob. The pulmonary vasculature is not engorged. Hilar contours are similar. Lungs are hyperinflated with mild emphysematous changes again noted predominantly in the upper lobes. Patchy opacities are demonstrated in the lung bases without focal consolidation. No pneumothorax is present. Blunting of the costophrenic angles posteriorly on the lateral view suggests trace bilateral pleural effusions. No acute osseous abnormalities are visualized.	56589691	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M presenting with lower extremity edema and cough // please evaluate for fluid overload TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___	Small bilateral pleural effusions and patchy opacities in the lung bases likely atelectasis. Mild emphysema.
11549427	Compared to the prior study there continues to be near complete opacification of the left lung. There has also been interval increase over the past 2 days in the amount of alveolar infiltrate on the right	59128885	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with severe multifocal pneumonia // ? interval change TECHNIQUE: Portable chest COMPARISON: ___.	Severe multifocal anemia similar on the left and worse on the right compared to prior
11549427	The cardiomediastinal and hilar contours are within normal limits. Subtle opacities are seen at the lung bases bilaterally. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.	57305942	WET READ: ___ ___ ___ 4:23 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with overdose, aspiration // Eval for infiltrate TECHNIQUE: Single AP view COMPARISON: None	Subtle bibasilar opacities are suggestive of possible aspiration.
11549427	Cardiac size is normal. Multifocal bilateral ill-defined consolidations larger in the right lower hemi thorax are worrisome for aspiration. There is no pneumothorax or pleural effusion.	56386053	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with opioid OD now tachypneic and has crackles on exam. // ?interval changes TECHNIQUE: Single frontal view of the chest COMPARISON: Study performed 5 hours earlier	Multifocal consolidation worse in the right lower lobe worrisome for aspiration./pneumonia
11218867	Comparison is made to prior examination of ___. The heart is normal in size. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. The lungs are clear. There are no pleural effusions. A Port-A-Cath is identified, the tip is at the cavoatrial junction. The port is intact.	51876729	CHEST TWO VIEWS INDICATION: ___-year-old woman with Hodgkin's lymphoma, on chemotherapy via A Port-A-Cath, with new ecchymosis surrounding port site, question port intact. CHEST TWO	Normal examination of the chest. The Port-A-Cath is intact.
11218867	Frontal and lateral views of the chest were obtained. There is increased opacity at the right lung base right lower lobe which could be due to early infection or aspiration. Slight blunting of the right costophrenic angle may be due to a trace pleural effusion. Left lung is clear. The superior mediastinum is widened; as seen on PET CT from ___ there is mediastinal lymphadenopathy.	53371363	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of HL, on chemotherapy with chest pain, shortness of breath. COMPARISON: None.	Subtle increased right lower lobe opacity could be due to early infection versus atelectasis in the appropriate clinical setting. Widened superior mediastinum corresponds to underlying lymphadenopathy as seen on recent prior PET-CT from ___.
11218867	PA and lateral chest radiographs were obtained. Small left apical pneumothorax has not gotten bigger since ___. The left pleural effusion is considerably smaller. No new consolidation. There are no abnormal cardiac or mediastinal contours. A Port-A-Cath tip remains in the upper right atrium.	53495533	INDICATION: ___-year-old woman status post VATS mediastinal mass biopsy with pneumothorax status post chest tube removal.	Stable appearance of small left apical pneumothorax. Decreased pleural effusion.
11218867	The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A right-sided Port-A-Cath terminates at the right upper atrium.	50395674	INDICATION: Right IJ port placement, with palpitations. COMPARISON: Port placement fluoroscopy available from 8:52 a.m. FRONTAL CHEST RADIOGRAPH WITH THE PATIENT IN SUPINE AND UPRIGHT	Right Port-A-Cath terminating at the right upper atrium, unchanged in position since the spot fluorographs from this morning.
11788630	There is focal consolidation in the left midlung likely localizing to the lingula best on the lateral view. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	54426662	WET READ: ___ ___ 5:22 PM Lingular opacity suspicious for pneumonia. Recommend repeat after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with febrile neurtopenia // infectious etiolgy TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Lingular opacity suspicious for pneumonia. Recommend repeat after treatment to document resolution.
11788630	PA and lateral views of the chest were obtained demonstrating no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.	57315884	CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with the prior chest radiograph dated ___. CLINICAL HISTORY: ___-year-old man with CLL, returned from ___ with sudden onset shortness of breath, fevers, cough, question acute intrathoracic process.	No acute intrathoracic process.
11788630	The cardiac, mediastinal and hilar contours appear unchanged. Streaky right infrahilar opacities suggest minor atelectasis or scarring that appears unchanged. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the lower thoracic spine.	56282082	CHEST RADIOGRAPHS HISTORY: Chronic lymphocytic leukemia, on chemotherapy with two weeks of productive cough and leukopenia. Bibasilar inspiratory and expiratory crackles on examination. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute disease.
11819173	The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.	57764376	INDICATION: ___M with chest pain // ? pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11962217	The lungs are hyperinflated similar to prior. There are no focal opacities. The cardiomediastinal silhouette and hilar contours are normal. On the lateral view the left posterior costophrenic sulcus is blunted, possibly a small pleural effusion or pleural thickening. The mitral anulus is chronically heavily calcified. There is no large pneumothorax.	55594731	HISTORY: Unresponsiveness, weakness. Evaluate for acute cardiopulmonary disease. TECHNIQUE: Upright PA and lateral radiographs of the chest. COMPARISON: Chest radiograph ___. CT T-spine ___.	Mild blunting of the posterior left costophrenic sulcus may represent small pleural effusion or pleural thickening. No acute intrathoracic process otherwise noted.
11052292	A portable frontal chest radiograph demonstrates the right central catheter with the tip in the low SVC, the endotracheal tube unchanged in position, and the nasogastric tube extending at least into the stomach. The cardiomediastinal silhouette is unchanged. There is increased retrocardiac and lingular opacity, concerning for pneumonia. There is also superimposed bibasilar atelectasis and a new left pleural effusion. There is no pneumothorax.	58916712	HISTORY: Fever and prolonged intubation. Evaluate for interval change or evidence of pneumonia. COMPARISON: Chest radiographs from ___, ___, and ___.	Increased retrocardiac and lingular opacity, concerning for pneumonia. Additionally, superimposed bibasilar atelectasis and a new left pleural effusion. These findings were communicated via telephone by Dr. ___ to Dr. ___ at ___ on ___.
11816620	The lungs are low in volume with mild pulmonary edema. The cardiac and mediastinal contours are difficult to assess given marked rotation on the current examination. No pleural effusions are present. A left-sided pacemaker terminates with its leads in the right atrium and right ventricle, respectively. The patient is status post median sternotomy for CABG with discontinuity of one of the mid sternal wires.	55376359	INDICATION: ___-year-old man with stable V tach, question pacemaker lead defects or pulmonary pathology. COMPARISON: No relevant comparisons are available. ONE VIEW OF THE	No obvious lead defect in the pacemaker noted. Mild pulmonary edema.
11114105	The lung volumes are low and there is bibasilar atelectasis. No opacity concerning for pneumonia. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.	53018171	INDICATION: ___-year-old woman with fever. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No opacity concerning for pneumonia.
11719740	Frontal and lateral views of the chest were obtained. Mild enlargement of the cardiac is new since ___. Calcification of the aortic knob is similar to prior. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.	52430577	INDICATION: ___-year-old female with disseminated zoster. Evaluate for infiltrate. COMPARISONS: ___ chest radiograph.	New mild cardiomegaly and/or pericardial effusion. Central venous pressure is not elevated.
11151938	The patient is status post median sternotomy. Dual-lead left-sided AICD is again seen with leads extending to the expected positions of the right atrium and right ventricle, similar in position. The cardiac silhouette remains enlarged. The mediastinal contours are stable. No pleural effusion or evidence of pneumothorax is seen. There is moderate pulmonary vascular congestion. No definite focal consolidation. There is some thickening/possible fluid along the minor fissure seen on the lateral view.	59372408	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Dyspnea and cough. COMPARISON: ___.	Enlarged cardiac silhouette and moderate pulmonary vascular congestion.
11151938	The PICC line has been pulled back and the tip is now mid chest at the junction of the subclavian vein with the SVC. The remainder the appearance of the lungs are unchanged	58160247	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with PICC that may have migrated. // confirm line placement (PICC) TECHNIQUE: Portable chest COMPARISON: ___.	PICC line tip at the proximal SVC
11151938	Patient is status post dual lead left-sided AICD with leads terminating in the expected position of the right atrium and right ventricle. The heart is enlarged. There is bibasilar atelectasis. Increased opacity at the right lung base could represent atelectasis, however an underlying infectious process cannot be entirely excluded. There is prominence of the vascular structures suggesting mild edema. No large pleural effusion or pneumothorax is identified.	57934990	WET READ: ___ ___ ___ 5:28 PM 1. Increased opacity in the right lung base could represent atelectasis, however an underlying infectious process cannot be entirely excluded. Clinical correlation is recommended. 2. Cardiomegaly with mild pulmonary edema. No large pleural effusion identified. ______________________________________________________________________________ FINAL REPORT HISTORY: Cough, rule out pneumonia. COMPARISON: Prior chest CTA and chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.	Increased opacity in the right lung base could represent atelectasis, however an underlying infectious process cannot be entirely excluded. Clinical correlation is recommended. Cardiomegaly with mild pulmonary edema. No large pleural effusion identified.
11151938	Cardiomegaly is unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Retrocardiac atelectasis appears similar to ___. No focal consolidation, pleural effusion, or pneumothorax. PICC line tip is approximately in the mid SVC. Cardiac device leads appear in similar position.	58849551	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with AoC sCHF who desated to the 80s last night. // Flash pulmonary edema? Pleural effusions? COMPARISON: Chest radiographs from___	No pulmonary edema or pleural effusion.
11151938	The patient is status post median sternotomy and CABG. Left-sided AICD/pacemaker device is again noted with leads in unchanged positions. Heart remains moderately enlarged. Mediastinal and hilar contours are unchanged and within normal limits. There is similar upper zone vascular redistribution compatible with mild pulmonary vascular congestion without overt pulmonary edema. Minimal atelectasis is seen in the retrocardiac region. No focal consolidation, pleural effusion or pneumothorax is identified.	57948289	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath, lower extremity edema TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ chest radiograph	Mild pulmonary vascular congestion which appears chronic. No overt pulmonary edema.
11151938	The patient is status post coronary artery bypass graft surgery. There is a dual-lead pacemaker/ICD device that appears unchanged with leads terminating in the right atrium and ventricle, respectively. The heart is again moderately enlarged. The mediastinal and hilar contours appear unchanged. There is a similar appearance of upper zone redistribution of pulmonary vascularity suggesting pulmonary venous hypertension. Otherwise, the lungs appear clear. Streaky left posterior basilar opacities on the lateral view appear unchanged suggesting atelectasis associated with cardiomegaly. There are no pleural effusions or pneumothorax.	51862420	CHEST RADIOGRAPHS HISTORY: Chest pain. History of severe cardiac disease. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.	Stable appearance of the chest.
11946033	Compared with the immediate prior study, volume overload is much improved. There is mild residual pulmonary vascular congestion, but no frank edema. Left chest wall dual chamber pacemaker leads project in expected positions. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is top-normal.	55340271	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pancreatic cancer // eval for worsening/resolving pulmonary edema TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___.	Significant interval improvement in volume overload.
11946033	There is new mild moderate pulmonary edema mostly characterized by new bilateral perihilar opacification. Patchy opacity at the left lung base suggests minor atelectasis. The cardiac, mediastinal and hilar contours appear unchanged. There is a dual-lead pacemaker/ICD device has leads terminating in the right atrium and ventricle, respectively. Trace pleural effusions are suspected. Moderate degenerative changes affect the lower thoracic spine.	59821509	EXAMINATION: CHEST RADIOGRAPH INDICATION: Fever, nausea and vomiting. COMPARISON: Scout view from CT performed on ___ 4. TECHNIQUE: Chest, AP upright and lateral.	Findings consistent with mild to moderate pulmonary edema. Trace pleural effusions.
11946033	Left-sided pacer device is stable in position. There is mild central vascular engorgement without overt pulmonary edema. Right lower lobe opacity seen on the frontal view is not well seen on the lateral view and may represent atelectasis or confluence of vascular structures although subtle consolidation is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	55636670	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cough, fever, rhales R base // eval for PNA TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11626571	Since the prior chest radiograph performed earlier on the same date, bilateral pleural effusions has substantially decreased in size, status post thoracentesis. Streaky bibasilar opacities likely represent atelectasis. No focal consolidation. No pneumothorax. Cardiomediastinal silhouette is unchanged.	59119892	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with b/l ___ // ? ptx TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___ at ___:22	Substantial interval decrease in bilateral pleural effusions, now trace.
11626571	In comparison with chest radiograph from ___, there has been significant interval worsening of a left pleural effusion, now moderate. Small right pleural effusion is new. Adjacent bibasilar atelectasis is marked on the left and mild on the right. There is no focal consolidation or pneumothorax. There is no pulmonary vascular congestion or interstitial pulmonary edema. Mediastinal and hilar contours are stable. Heart size is normal.	53629098	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with metastatic breast adenocarcinoma who presents with ambulatory desats and wheezing // Interval change TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.	Significant interval increased size of a left pleural effusion, now moderate. Small right pleural effusion is new.
11626571	PA and lateral views of the chest provided. Lungs appear hyperinflated and hyperlucent consistent with emphysema. There is blunted left CP angle consistent with small left effusion as seen on recent CT PET. Heart is mildly enlarged. No definite signs of pneumonia or edema. No pneumothorax. Bony structures appear intact.	52317238	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dysphagia ___ esophageal stricture with inability to manage secretions/solids/liquids, history of breast cancer. COMPARISON: Prior PET-CT scan dated ___.	Small left pleural effusion. Mild cardiomegaly.
11654293	Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Lung volumes are slightly low with mild patchy opacity noted in the left lung base. No acute osseous abnormalities visualized.	50588624	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with chest pain and recent pneumonia status post treatment TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Low lung volumes. Mild patchy opacity in the left lung base may reflect residual pneumonia or atelectasis.
11978274	The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.	55423212	EXAMINATION: CHEST RADIOGRAPH INDICATION: ___ year old man with L CP with arm numbness and HA for past month // CV abnormalities CV abnormalities TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11164537	Azygos fissure is noted along the medial right upper hemithorax. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hila are slightly prominent, but not specifically and do not appear prominent on the lateral view. No large pulmonary mass is seen, although CT is more sensitive. The cardiac and mediastinal silhouettes are unremarkable.	58775644	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Lightheadedness, new brain lesions on CT. COMPARISON: None.	No definite acute cardiopulmonary process. Hilar prominence is nonspecific and not substantiated on the lateral view. No large pulmonary mass is seen, although, CT is more sensitive. Potential hilar prominence would also be better evaluated on CT.
11164537	The patient is intubated and the endotracheal tube terminates no (4.3 cm above the carina. The nasogastric tube is appropriately positioned within the stomach. Lung volumes are low. The heart size is within normal limits. There is mild pulmonary edema and bibasilar atelectasis. There is no pneumothorax, pleural effusion, or airspace consolidation.	54870237	EXAMINATION: CHEST (PORTABLE AP) INDICATION: Evaluate support devices in a ___-year-old intubated man with a history of metastatic lung cancer presenting with acute GI bleeding. COMPARISON: None available.	Appropriately positioned support devices. Mild pulmonary edema and bibasilar atelectasis.
11164537	The VP shunt is unchanged in position. There are bilateral pulmonary nodules, better characterized on ___ ___. No evidence of pneumonia, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	52109849	EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old man with MEtattsic Lung CA - acute onset Left chest/scapular pain // rule out gross symptomatic met. TECHNIQUE: Chest PA and lateral COMPARISON: None available	Small bilateral pulmonary nodules, better characterized on prior CT.
11164537	The patient is intubated. The endotracheal tube terminates about 5.5 cm above the carina. An orogastric tube terminates in the stomach. A ventriculoperitoneal catheter courses across the chest. There are substantial bilateral pleural effusions and associated opacities which are not specific, although most commonly due to atelectasis. There is no pneumothorax.	58056573	CHEST RADIOGRAPH HISTORY: Hypoxia and fluid overload. COMPARISONS: ___, earlier in the same day. TECHNIQUE: Chest, AP supine.	Substantial pleural effusions and basilar opacities, non-specific but probably compatible with atelectasis; infectious processes cannot be excluded however.
11392949	The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded. There is a new small ill-defined opacity projecting over the right lower lateral lung, only well seen on the frontal view. There is no additional focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.	51245510	INDICATION: ___F with cough 2wks productive of sputum, pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, chest CT ___.	Ill-defined small opacity in the right peripheral lung, only well seen on the frontal view. This may represent a small resolving pneumonia. Follow up chest radiograph is recommended in 4 weeks with attention to this area, and if this finding persists, chest CT is recommended for further evaluation.
11392949	Mild cardiomegaly and tortuous aorta are unchanged. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable	54861162	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with an ill-defined small opacity in the right peripheral lung seen on PA view of CXR on ___. Patient had symptoms of respiratory infection. Non-smoker. // f/u CXR to see if the right lower lung abnormality resolves. TECHNIQUE: Chest PA and lateral COMPARISON: ___	Resolved opacity in the right peripheral lung
11392949	Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.	51045951	HISTORY: Patient with chronic cough, rule out lung disease. COMPARISON: ___.	No radiographic evidence for acute cardiopulmonary process.
11934843	AP upright and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. Blunting of the left costophrenic angle most likely secondary to atelectasis. No large effusion is identified. There is no pneumothorax. Visualized osseous structures are without acute abnormalities.	52637381	INDICATION: ___F with increaseing seizures // r/o infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___	No focal consolidation concerning for pneumonia.
11934843	Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.	51619576	INDICATION: ___-year-old female with seizure. COMPARISON: ___ and ___.	No acute cardiopulmonary process.
11934843	The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. Apparent minimal blunting of the posterior costophrenic angles on lateral view makes it difficult to exclude trace bilateral pleural effusions. There is no evidence of pulmonary vascular congestion. There is no pneumothorax.	57504419	WET READ: ___ ___ ___ 2:25 PM Clear lungs without focal consolidation. Difficult to exclude trace bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT EXAMINATION: AP AND LATERAL CHEST X-RAY INDICATION: ___-year-old woman with a seizure, evaluate for pneumonia. TECHNIQUE: AP and lateral chest radiographs. COMPARISON: Chest x-ray ___.	Clear lungs without focal consolidation. Difficult to exclude trace bilateral pleural effusions.
11934843	Cardiomegaly is mild. Lung volumes are low. A retrocardiac opacity is concerning for pneumonia. No pneumothorax.	54801957	WET READ: ___ ___ ___ 6:02 AM A retrocardiac opacity is concerning for pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with seizure disorder requiring infectious workup // consolidation TECHNIQUE: AP and lateral views COMPARISON: Chest radiograph ___.	A retrocardiac opacity is concerning for pneumonia.
11934843	The cardiomediastinal silhouette and hilar contours are unremarkable. The lungs are clear. The pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings.	50169270	HISTORY: Status post fall with upper T-spine tenderness. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views.	No acute cardiopulmonary abnormality. No overt traumatic findings. If there is focality to examination, dedicated rib series may be helpful.
11934843	Left retrocardiac opacity may represent atelectasis, although infection or aspiration could be considered in the appropriate clinical setting. No other consolidation. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air. No acute osseous abnormalities identified.	58224801	EXAMINATION: Chest radiograph INDICATION: History: ___F with seizure // please evaluate for acute cp process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Left retrocardiac atelectasis versus infection/aspiration.
11934843	Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. The mediastinal and hilar contours are stable, with minimal atherosclerotic calcification noted at the aortic knob. The pulmonary vasculature is normal. Minimal patchy opacity in the left lung base likely reflects atelectasis. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.	55255574	HISTORY: Seizure. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.	Minimal left basilar atelectasis.
11934843	Lung volumes are lower compared to the previous exam which accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is demonstrated without overt pulmonary edema. Patchy opacities are noted in the lung bases, potentially atelectasis but infection is not excluded. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.	58529556	EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with seizure TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___	Low lung volumes with patchy bibasilar airspace opacities, likely atelectasis. Infection cannot be completely excluded.
11934843	AP and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal.	57638482	HISTORY: Seizure. COMPARISON: ___ through ___.	No acute cardiopulmonary process.
11271531	Right lung volume is slightly lower than left, similar to prior exam. There is no evidence of pulmonary edema. Opacity in the left lung base likely represents atelectasis, although cannot completely exclude aspiration or pneumonia in the right clinical setting. Platelike atelectasis in the left mid lung is similar prior exam. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged and the aorta is tortuous, similar to prior exam. Orthopedic hardware is noted in the left humerus.	57386285	EXAMINATION: CHEST RADIOGRAPHS INDICATION: ___F with sepsis, h/o CHF getting fluid resuscitated, obese // ? signs of fluid overload TECHNIQUE: Portable frontal image of the chest COMPARISON: Comparison is made with chest radiographs from ___, ___ and ___ and CTA chest from ___.	No evidence of pulmonary edema. Opacity in the left lung base, likely reflecting atelectasis but cannot completely exclude aspiration or pneumonia in the proper clinical setting.
11271531	The patient is rotated. There is significant soft tissue attenuation. Right lung volume is slightly less than the left lung with similar mild elevation of the right hemidiaphragm. No definite focal consolidation. Increased streaky opacity of the lung bases is probably atelectasis. No pleural effusion or pneumothorax. Linear platelike atelectasis in the left mid lung. Cardiomegaly is overall unchanged. The thoracic aorta it is tortuous, unchanged. Pulmonary vascular congestion but no frank pulmonary edema, similar to the prior exam. The left proximal humeral hardware device, incompletely visualized, appears intact and overall similar to the prior exams.	50166405	EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with congestive heart failure, who is chronically ill, bedbound, with tachycardia, elevated lactate. Evaluate for evidence of pulmonary source of infection, volume status. TECHNIQUE: Portable chest radiograph. COMPARISON: Portable chest radiograph dated ___. Chest radiograph dated ___.	No focal pneumonia or overt pulmonary edema. Persistent mild cardiomegaly, unchanged.
11271531	No significant overall change in the frontal appearance of the chest on radiograph. Several patchy focal opacities there are most visible in the right lung may correspond with focal consolidations concerning for pneumonia noted on the prior chest CT. A large area of focal consolidation in the right upper lobe just above the major fissure seen on recent CT is not definitely seen on the lateral radiograph view today. Retrocardiac opacity noted on the lateral view may correlate with focal consolidation better seen on prior CT. Stable bilateral lower lung volumes. Stable moderate cardiomegaly. Stable widened mediastinal contours, likely from mediastinal lymphadenopathy as noted on recent CT as well as mild prominence of the main pulmonary artery and rotation accentuating the tortuous aorta. Stable bilateral linear platelike atelectasis. No pleural effusion, pneumothorax, or significant pulmonary vascular congestion. There is diffuse bony demineralization. Incidental left shoulder surgical hardware is incompletely visualized.	57316464	EXAMINATION: Chest (PA and lateral) INDICATION: ___-year-old woman presenting with shortness of breath; evaluate for pneumonia. TECHNIQUE: PA and lateral radiograph views of the chest were obtained. COMPARISON: Portable AP chest radiograph dated ___. CTA chest dated ___.	No definite interval change since prior radiograph.
11271531	The lungs are grossly clear based on portable technique and significant rotation. There is no confluent consolidation or large effusion. The cardiomediastinal silhouette is grossly unchanged. Left humeral hardware is partially visualized.	53623467	INDICATION: ___F with copd with hypoixia, dyspnea // acute process? TECHNIQUE: 2 portable views of the chest. COMPARISON: ___.	Limited exam without acute cardiopulmonary process.
11271531	The lungs are well inflated with marked diffuse prominence of interstitial markings. There is no lobar consolidation. No pleural effusion noted. Stable appearance of enlarged cardiac and thoracic aortic silhouette. Bony thorax remains unchanged.	59225151	INDICATION: ___ year old woman with COPD flare // R/O PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___	No lobar consolidation present. Marked diffuse prominence of interstitial markings is unchanged compared to ___.
11271531	A right internal jugular central venous catheter tip terminates in the mid SVC. Severe enlargement of the cardiac silhouette persists. Aorta remains tortuous. There is mild pulmonary vascular congestion which appears relatively unchanged. No pneumothorax or large pleural effusion is demonstrated, however the left costophrenic angle is excluded from the field of view. There is no focal consolidation, with patchy atelectasis noted in the lung bases.	57092607	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with IJ placement TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph	Right internal jugular central venous catheter tip terminates in the mid SVC. Severe cardiomegaly with mild pulmonary vascular congestion. Mild bibasilar atelectasis.
11271531	There has been no significant interval change since the prior study. The cardiac and mediastinal silhouettes are stable. Hilar contours are grossly stable. There may be mild pulmonary vascular congestion. Left mid lung linear atelectasis/scarring is seen. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax.	52039092	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with cough, weakness // Eval for pneumonia TECHNIQUE: Single frontal view of the chest COMPARISON: ___	Possible mild pulmonary vascular congestion, similar to prior.
11861017	The distal tip of the ET tube is not well delineated due to overlying sternal wires, but likely lies approximately 7.3 cm above the carina, just below the medial clavicular heads on this lordotic view. NG tube tip extends beneath the diaphragm and overlies the upper stomach. If a side-port is present, it does not clearly extend beyond the GE junction. Heart is not enlarged. Sternotomy wires are noted. The aorta is calcified and slightly unfolded. No CHF, focal infiltrate or effusion is identified. No pneumothorax detected.	50754010	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with sdh* WARNING * Multiple patients with same last name! // acute prpocess . History provided for head CT also ordered today refers to SDH. COMPARISON: None.	Lines and tubes as described. If the NG tube has side-port, it does not clearly extend distal to the GE junction. No acute pulmonary process identified.
11861017	The tip of the endotracheal tube projects 2.7 cm from the carina. The tip of the feeding tube extends below the level of the diaphragms but beyond the field of view of this radiograph. The tip of the right internal jugular central venous catheter extends to the cavoatrial junction. Interval progression of the pulmonary edema with layering bilateral pleural effusions. The size of the cardiomediastinal silhouette is enlarged but unchanged.	53980574	INDICATION: ___M w/ ETT, confirm placement // ___M w/ ETT, confirm placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day	The tip of the feeding tube projects below the level the diaphragms but beyond the field of view of this radiograph. The tip of the endotracheal tube projects over the mid thoracic trachea. Interval progression of the pulmonary edema and layering bilateral pleural effusions.
11861017	Sternotomy. Tracheostomy. Left PICC line tip in the upper SVC. Increased heart size, pulmonary vascularity, stable. Pulmonary edema has mildly improved. Mild pleural effusions are stable. Stable retrocardiac consolidation, likely atelectasis. No pneumothorax.	51200240	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with SDH, bilat pleural effusions // chest tube removal eval for hemothorax TECHNIQUE: Chest single view COMPARISON: ___ 04:34	Pulmonary edema has mildly improved.
11861017	Status post prior median sternotomy. Interval removal of the endotracheal and gastric tubes. The tip of the right internal jugular central venous catheter projects over the cavoatrial junction. There are increasing bilateral layering pleural effusions with subjacent atelectasis. Moderate pulmonary edema is present as well. No pneumothorax identified. The size of the cardiomediastinal silhouette is enlarged but unchanged.	54379763	INDICATION: ___ year old man with increased WOB s/p extubation // please assess for acute pathology TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day	Moderate pulmonary edema with bilateral layering pleural effusions and enlargement of the cardiomediastinal silhouette, consistent with congestive heart failure.
11861017	The heart is upper limits of normal. There is increased retrocardiac density suggestive of consolidation/ atelectasis. Increased opacity in the right lower lobe is also seen. Sternal wires noted. Tracheostomy tube in place. Right internal jugular line in the mid SVC.	51198034	INDICATION: ___ year old man with aspiration PNA // interval scan TECHNIQUE: Chest portable AP upright at 05:32 COMPARISON: ___.	Bilateral lower lobe opacities. No significant change from ___.
11861017	Moderate layering right pleural effusion remains unchanged with a new small left pleural effusion. Moderate pulmonary edema is stable. No pneumothorax is seen. The cardiac silhouette is enlarged and stable. There is persistent large volume intra-abdominal free air.	55835500	EXAMINATION: Portable semi upright chest x-ray INDICATION: ___M with pulm edema, pneumonia, w tracheostomy, eval for interval change // interval change TECHNIQUE: Portable semi-upright chest x-ray COMPARISON: Comparison is made to chest x-rays dated from ___ through ___.	Stable moderate layering right pleural effusion with new small left pleural effusion and stable moderate pulmonary edema. Large volume intra-abdominal free air persists.
11861017	Cardiomegaly. Evidence of previous CABG. Tracheostomy tube in situ in the appropriate position. Left-sided PICC line with the tip in the proximal SVC. Interval progression of the airspace consolidation in the lung bases bilateral. Left-sided pleural effusion is increased. Moderate amount of intra-abdominal free air persists.	58979154	INDICATION: ___ year old man with SDH s/p THoracentesis // decompensation respiratory status s/p Thoracentesis TECHNIQUE: Chest PA and lateral COMPARISON: ___	Interval progression of the bibasal airspace consolidations suggest pneumonia/aspiration pneumonia. Left-sided pleural effusion has also increased in size.
11861017	In comparison with chest radiographs from ___, small right pleural effusion persists. Retrocardiac opacity has improved, with better visualization of the left hemidiaphragm. Right perihilar and basilar opacities persist, likely reflecting combination of atelectasis, aspiration or infection. No appreciable effusion on the left. No central vascular congestion or overt pulmonary edema. Top-normal heart size is stable. Tracheostomy tube in standard placement, unchanged.	55326819	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man recent aspiration of tube feeds. CXR portable to be performed ___ for evaluation of pulmonary process in setting of aspirated tube feeds. // CXR portable to be performed ___ for evaluation of pulmonary process in setting of aspirated tube feeds. TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiographs dating back to ___, most recently ___.	Improved left retrocardiac opacity. Persistent right perihilar and basilar opacities and small right pleural effusion.
11367782	The lungs are clear. There is minimal right basal pleural thickening which is probably not significant. There is no pleural effusion or pneumothorax. The mediastinal and cardiac contours are unremarkable.	59360261	PORTABLE AP, CHEST X-RAY INDICATION: Patient with severe spinal stenosis, needs pre-op chest x-ray. COMPARISON: None.	There are no acute cardiopulmonary findings. Minimal right basal pleural thickening.
11857739	There has been interval placement of a right internal jugular central venous catheter with tip located in the proximal right atrium. No pneumothorax. Lung volumes are low which causes crowding of bronchovascular structures and persistent widening of the superior mediastinal contour. Heart size is exaggerated as result of low lung volumes, appearing mild to moderately enlarged. There is no overt pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion is detected. There are no acute osseous abnormalities.	53906876	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with placement of right internal jugular central venous catheter TECHNIQUE: Semi-upright AP view of the chest COMPARISON: ___ chest radiograph from outside hospital	Right internal jugular central venous catheter tip in the proximal right atrium. No pneumothorax. Low lung volumes with bibasilar atelectasis.
11857739	Bilateral low lung volumes. Resolving mild pulmonary edema bilaterally. Right pleural effusion. Bibasilar atelectasis. There is no pneumothorax. Cardiac size exaggerated by low lung volumes. ET tube is 3.8 cm above the carina. Enteric tube is widely looped in the stomach. . Right IJ catheter in the right atrium.	57740377	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with septic shock with Gram + rods. // ?interval change TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___	Resolving mild pulmonary edema bilaterally. Right pleural effusion with bibasilar atelectasis. ET tube 3.8 cm above the carina. Enteric tube with the looped in the stomach. Right IJ catheter tip in right atrium.
11857739	New ETT tip 3 cm above the carina. OG tube is coiled in the stomach. Right IJ catheter tip in right atrium. No pneumothorax. Bilateral low lung volumes again noted. Possible mild bilateral pulmonary edema. There is increased opacity in the left retrocardiac region which is concerning for aspiration on the left lower lobe. No pleural effusions. Cardiac size appears enlarged and may be exaggerated by low lung volumes.	51147423	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with urosepsis, s/p ETT and OG placement, // ETT and OG placement, pulmonary edema TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ 10:29	OG tube is coiled in the stomach and may be pulled back. Right IJ catheter in the right atrium and may be pulled back slightly. Left retrocardiac opacity concerning for aspiration ET tube appropriately positioned 3 cm above the carina Possible mild bilateral pulmonary edema
11405442	PA and lateral views of the chest provided. 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.	54483772	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea COMPARISON: ___	No acute intrathoracic process.
11270971	The lung volumes are low. There is no focal airspace consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A compression fracture of a mid thoracic vertebral body is unchanged from ___. No new fracture is identified. Surgical clips are unchanged in the left upper quadrant.	52892535	INDICATION: Progressive dyspnea for 24 hours. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained.	No acute cardiopulmonary process.
11277171	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	55333113	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with left sided chest pain // ?pna, ptx COMPARISON: ___	No acute intrathoracic process.
11277171	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	50921295	INDICATION: ___-year-old female with chest pain and cough. Evaluate for evidence of pneumonia or effusion. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs.	Normal chest radiographic examination.
11277171	The cardiac, mediastinal and hilar contours are unremarkable with the exception of mild aortic knob calcifications. The heart size is normal. Lungs are clear. No pleural effusion or pneumothorax. No pulmonary vascular congestion. No acute osseous abnormalities are detected.	54513037	HISTORY: Chest pain and desaturation. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11028246	The lungs are well expanded without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged.	51092467	EXAMINATION: Chest radiographs. INDICATION: History: ___F with no significant PMH, presented with LLE pain and swelling and dyspnea // please eval for effusion or other abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___.	No acute cardiopulmonary process.
11894273	Enteric tube courses below the diaphragm, terminating in the proximal stomach. Mild basilar atelectasis is seen. There is no focal consolidation. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.	57063658	EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with ileus vs. SBO, NGT from OSH w/poor output // evaluate NGT placement TECHNIQUE: Single frontal view of the chest COMPARISON: None	Nasogastric tube terminates in the proximal stomach.
11403327	The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax. There is no free air under the diaphragm.	57011710	INDICATION: ___-year-old male with chest and epigastric pain, to rule out pneumothorax, or free air under the diaphragm. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST	No acute cardiopulmonary pathology or pneumoperitoneum.
11403327	PA and lateral views of the chest: The lungs are clear. Cardiac silhouette and hilar contours are normal. No pleural effusion or pneumothorax.	50709283	HISTORY: Chest pain. COMPARISON: ___.	No acute cardiopulmonary process.
11403327	The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pneumothorax or pleural effusion is visualized. There are no acute osseous abnormalities.	52080434	INDICATION: Left-sided chest pain. COMPARISON: ___. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11403327	The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.	57206980	INDICATION: ___M with chest pain // eval for PNA, CHF TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	No acute cardiopulmonary process.
11690358	In comparison with the study of ___, there is again hyperinflation of the lungs that raises the possibility of underlying chronic pulmonary disease. Nodular opacities in the lingula are stable since ___. There are new foci nodular opacities in the right upper lobe since ___.	56825148	INDICATION: ___ year old man with ___ CXR @ ___ showing "Patchy parenchymal opacity in the right upper lobe and lingula consistent with pneumonia ... follow up chest x-ray is recommended to document resolution" // f/u study as recommended TECHNIQUE: Chest PA and lateral COMPARISON: ___	Chronic changes in the lingula likely reflect scarring. Right upper lobe nodular opacities new since ___ can be acute airway inflammation/infection.
11690358	The lungs are hyperinflated. The cardiac, mediastinal and hilar contours are unchanged. Pulmonary vascularity is normal. There is minimal ill-defined patchy opacity within the left lung base which appears relatively unchanged compared to prior study, and may reflect residual scarring. No new focal consolidation is identified. There is no pleural effusion or pneumothorax. No acute osseous abnormality is seen.	58570463	INDICATION: Fatigue, weight loss for several months. COMPARISON: ___ chest radiograph and chest ___ ___. AP AND LATERAL VIEWS OF THE	No significant interval change from prior. Minimal ill-defined patchy opacity in left lung base, which may reflect scarring.
11690358	PA and lateral views of the chest. The lungs are slightly hyperinflated but clear of consolidation effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No displaced rib fracture identified.	53909361	HISTORY: ___-year-old male with pain. COMPARISON: ___.	No acute cardiopulmonary process.
11154185	Lung volumes are low. There is no evidence of pulmonary edema or pneumonia. Heart size is top-normal. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.	52717236	INDICATION: History: ___F with sob, cp // chf? TECHNIQUE: Upright PA and lateral chest COMPARISON: None available	Low lung volumes. No acute cardiopulmonary abnormality. Specifically, no vascular congestion or pulmonary edema.
11154185	The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.	58452534	WET READ: ___ ___ ___ 6:17 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with epigastric pain* WARNING * Multiple patients with same last name! // ? infectious process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No acute cardiopulmonary abnormality.
11154185	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.	52805101	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // ? acute cardiopulm process TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs most recent on ___	No acute cardiopulmonary abnormality.
11154185	The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.	56392807	INDICATION: History of chest pain. Please evaluate. TECHNIQUE: Chest PA and lateral COMPARISON: Radiographs dated back to ___.	No acute intrathoracic abnormalities identified.
11154185	Lung volumes are low. Heart size appears mildly enlarged, not substantially changed. The mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No displaced fractures are evident.	50519341	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with right face, elbow, forearm, ankle pain after a fall. // evaluate for fracture TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___	Low lung volumes without acute cardiopulmonary process.
11154185	Lung volumes are low which leads to bronchovascular crowding. No focal consolidation is seen. The cardiomediastinal silhouette and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.	51406084	INDICATION: ___F with chest pain over left chest, recent cough and viral illness. Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___	Low lung volumes without focal consolidation.
11154185	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.	54661265	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // eval for pneumo TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___.	No acute cardiopulmonary abnormality.
11154185	The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable.	56332077	INDICATION: Chest pain, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.	No evidence of acute cardiopulmonary process.
11154185	PA and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures are without an acute abnormality.	59610832	INDICATION: ___-year-old female with dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___.	No acute intrathoracic abnormality.
11154185	Frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. Retrocardiac opacity, better seen on the lateral view, is unchanged compared to ___, likely represents prominent vasculature projecting over the lower thoracic spine. No pleural effusion or pneumothorax is identified. The visualized upper abdomen is unremarkable.	50277382	INDICATION: Evaluate for pneumonia in a patient with fevers and cough. COMPARISON: Chest radiographs from ___, ___, ___, and ___.	No definite consolidation identified. The lung volumes are low with resultant crowding of bilateral pulmonary vasculature, of which appears more prominent on the lateral radiograph, however has an unchanged appearance compared to ___ .
11933736	Portable AP upright chest radiograph is obtained. Lungs are clear. No focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.	59329591	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain, question acute process in the chest.	No acute findings in the chest.

11762640

PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours appear normal. The imaged bony structures are intact. No free air below the right hemidiaphragm is seen.

59826678

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Cough, assess for pneumonia.

No acute findings in the chest.

11210923

There is stable mild cardiomegaly. There is mild the towards thoracic aorta, unchanged. The hila are within normal limits. Bibasilar opacities are similar appearance to prior exam and suggestive of linear atelectasis. There is no pulmonary vascular congestion or pulmonary edema. There may be a small right pleural effusion. No left pleural effusion. There is no pneumothorax.

56330881

INDICATION: ___M with COPD with new dyspnea, evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___.

Bibasilar opacities are unchanged from prior exam from ___ and likely reflect linear atelectasis. Otherwise, no focal lung consolidation. Probable trace right pleural effusion.

11071924

Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouettes are unremarkable.

55863524

EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of cough. COMPARISON: ___.

No acute cardiopulmonary process.

11071924

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

58120864

HISTORY: ___-year-old woman with cough, history of smoking. Bronchial breath sounds on right. Evaluate cough. TECHNIQUE: PA and lateral chest radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary disease.

11198855

Portable semi-upright CXR. Right IJ CV catheter is in place with its tip in the low SVC. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

51694732

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with R IV, pls eval for plavement of CVL COMPARISON: ___

Appropriately positioned right IJ CV catheter.

11198855

There are low lung volumes. Cardiac size is top-normal. The lungs are clear. There is no pneumothorax or pleural effusion. The stomach is very distended

59024155

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with multiple myeloma, compression fracture, with hypoxia to ___% and SOB. // please assess for acute pulmonary process (pulm edema, pna, etc.) TECHNIQUE: Single frontal view of the chest COMPARISON: CT ___

No acute cardiopulmonary abnormality. The stomach is very distended

11969463

A single portable AP supine view of the chest was obtained. Trauma board partially obscures the view. The lungs are well expanded and clear. The heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax. The ET tube projects 6 cm above the carina. NG tube is in the stomach.

57242688

INDICATION: ___-year-old man status post MVC with partial ejection, evaluate for signs of bleeding/hematoma. COMPARISON: None.

No acute intrathoracic abnormality. ET tube is slightly high in position, consider advancing by 2 cm for optimal placement. Chest radiography is not adequate for evaluation of traumatic injury to the chest cage.

11725919

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged, likely accentuated by supine position and AP technique. Mediastinal contours are grossly unremarkable. No pulmonary edema is seen. No radiopaque foreign body with the appearance of a bullet is seen.

57465337

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F s/p GSW right upper arm // please eval for presence of bullet, traumatic injury TECHNIQUE: Single frontal view of the chest COMPARISON: None

No radiopaque foreign body with the appearance of a bullet. Borderline cardiac silhouette size, likely accentuated by supine position and AP technique. .

11562514

Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. The lungs remain mildly hyperinflated, unchanged from prior. No displaced rib fracture identified.

51650003

INDICATION: History: ___M with chest pain // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute intrathoracic process.

11562514

Cardiac silhouette size is normal. The aorta is mildly tortuous with atherosclerotic calcifications noted at the knob. The pulmonary vasculature is not engorged. Hilar contours are similar. Lungs are hyperinflated with mild emphysematous changes again noted predominantly in the upper lobes. Patchy opacities are demonstrated in the lung bases without focal consolidation. No pneumothorax is present. Blunting of the costophrenic angles posteriorly on the lateral view suggests trace bilateral pleural effusions. No acute osseous abnormalities are visualized.

56589691

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M presenting with lower extremity edema and cough // please evaluate for fluid overload TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___

Small bilateral pleural effusions and patchy opacities in the lung bases likely atelectasis. Mild emphysema.

11549427

Compared to the prior study there continues to be near complete opacification of the left lung. There has also been interval increase over the past 2 days in the amount of alveolar infiltrate on the right

59128885

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with severe multifocal pneumonia // ? interval change TECHNIQUE: Portable chest COMPARISON: ___.

Severe multifocal anemia similar on the left and worse on the right compared to prior

11549427

The cardiomediastinal and hilar contours are within normal limits. Subtle opacities are seen at the lung bases bilaterally. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

57305942

WET READ: ___ ___ ___ 4:23 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with overdose, aspiration // Eval for infiltrate TECHNIQUE: Single AP view COMPARISON: None

Subtle bibasilar opacities are suggestive of possible aspiration.

11549427

Cardiac size is normal. Multifocal bilateral ill-defined consolidations larger in the right lower hemi thorax are worrisome for aspiration. There is no pneumothorax or pleural effusion.

56386053

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with opioid OD now tachypneic and has crackles on exam. // ?interval changes TECHNIQUE: Single frontal view of the chest COMPARISON: Study performed 5 hours earlier

Multifocal consolidation worse in the right lower lobe worrisome for aspiration./pneumonia

11218867

Comparison is made to prior examination of ___. The heart is normal in size. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. The lungs are clear. There are no pleural effusions. A Port-A-Cath is identified, the tip is at the cavoatrial junction. The port is intact.

51876729

CHEST TWO VIEWS INDICATION: ___-year-old woman with Hodgkin's lymphoma, on chemotherapy via A Port-A-Cath, with new ecchymosis surrounding port site, question port intact. CHEST TWO

Normal examination of the chest. The Port-A-Cath is intact.

11218867

Frontal and lateral views of the chest were obtained. There is increased opacity at the right lung base right lower lobe which could be due to early infection or aspiration. Slight blunting of the right costophrenic angle may be due to a trace pleural effusion. Left lung is clear. The superior mediastinum is widened; as seen on PET CT from ___ there is mediastinal lymphadenopathy.

53371363

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of HL, on chemotherapy with chest pain, shortness of breath. COMPARISON: None.

Subtle increased right lower lobe opacity could be due to early infection versus atelectasis in the appropriate clinical setting. Widened superior mediastinum corresponds to underlying lymphadenopathy as seen on recent prior PET-CT from ___.

11218867

PA and lateral chest radiographs were obtained. Small left apical pneumothorax has not gotten bigger since ___. The left pleural effusion is considerably smaller. No new consolidation. There are no abnormal cardiac or mediastinal contours. A Port-A-Cath tip remains in the upper right atrium.

53495533

INDICATION: ___-year-old woman status post VATS mediastinal mass biopsy with pneumothorax status post chest tube removal.

Stable appearance of small left apical pneumothorax. Decreased pleural effusion.

11218867

The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A right-sided Port-A-Cath terminates at the right upper atrium.

50395674

INDICATION: Right IJ port placement, with palpitations. COMPARISON: Port placement fluoroscopy available from 8:52 a.m. FRONTAL CHEST RADIOGRAPH WITH THE PATIENT IN SUPINE AND UPRIGHT

Right Port-A-Cath terminating at the right upper atrium, unchanged in position since the spot fluorographs from this morning.

11788630

There is focal consolidation in the left midlung likely localizing to the lingula best on the lateral view. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

54426662

WET READ: ___ ___ 5:22 PM Lingular opacity suspicious for pneumonia. Recommend repeat after treatment to document resolution. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old man with febrile neurtopenia // infectious etiolgy TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

Lingular opacity suspicious for pneumonia. Recommend repeat after treatment to document resolution.

11788630

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

57315884

CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with the prior chest radiograph dated ___. CLINICAL HISTORY: ___-year-old man with CLL, returned from ___ with sudden onset shortness of breath, fevers, cough, question acute intrathoracic process.

No acute intrathoracic process.

11788630

The cardiac, mediastinal and hilar contours appear unchanged. Streaky right infrahilar opacities suggest minor atelectasis or scarring that appears unchanged. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the lower thoracic spine.

56282082

CHEST RADIOGRAPHS HISTORY: Chronic lymphocytic leukemia, on chemotherapy with two weeks of productive cough and leukopenia. Bibasilar inspiratory and expiratory crackles on examination. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute disease.

11819173

The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

57764376

INDICATION: ___M with chest pain // ? pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11962217

The lungs are hyperinflated similar to prior. There are no focal opacities. The cardiomediastinal silhouette and hilar contours are normal. On the lateral view the left posterior costophrenic sulcus is blunted, possibly a small pleural effusion or pleural thickening. The mitral anulus is chronically heavily calcified. There is no large pneumothorax.

55594731

HISTORY: Unresponsiveness, weakness. Evaluate for acute cardiopulmonary disease. TECHNIQUE: Upright PA and lateral radiographs of the chest. COMPARISON: Chest radiograph ___. CT T-spine ___.

Mild blunting of the posterior left costophrenic sulcus may represent small pleural effusion or pleural thickening. No acute intrathoracic process otherwise noted.

11052292

A portable frontal chest radiograph demonstrates the right central catheter with the tip in the low SVC, the endotracheal tube unchanged in position, and the nasogastric tube extending at least into the stomach. The cardiomediastinal silhouette is unchanged. There is increased retrocardiac and lingular opacity, concerning for pneumonia. There is also superimposed bibasilar atelectasis and a new left pleural effusion. There is no pneumothorax.

58916712

HISTORY: Fever and prolonged intubation. Evaluate for interval change or evidence of pneumonia. COMPARISON: Chest radiographs from ___, ___, and ___.

Increased retrocardiac and lingular opacity, concerning for pneumonia. Additionally, superimposed bibasilar atelectasis and a new left pleural effusion. These findings were communicated via telephone by Dr. ___ to Dr. ___ at ___ on ___.

11816620

The lungs are low in volume with mild pulmonary edema. The cardiac and mediastinal contours are difficult to assess given marked rotation on the current examination. No pleural effusions are present. A left-sided pacemaker terminates with its leads in the right atrium and right ventricle, respectively. The patient is status post median sternotomy for CABG with discontinuity of one of the mid sternal wires.

55376359

INDICATION: ___-year-old man with stable V tach, question pacemaker lead defects or pulmonary pathology. COMPARISON: No relevant comparisons are available. ONE VIEW OF THE

No obvious lead defect in the pacemaker noted. Mild pulmonary edema.

11114105

The lung volumes are low and there is bibasilar atelectasis. No opacity concerning for pneumonia. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

53018171

INDICATION: ___-year-old woman with fever. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No opacity concerning for pneumonia.

11719740

Frontal and lateral views of the chest were obtained. Mild enlargement of the cardiac is new since ___. Calcification of the aortic knob is similar to prior. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.

52430577

INDICATION: ___-year-old female with disseminated zoster. Evaluate for infiltrate. COMPARISONS: ___ chest radiograph.

New mild cardiomegaly and/or pericardial effusion. Central venous pressure is not elevated.

11151938

The patient is status post median sternotomy. Dual-lead left-sided AICD is again seen with leads extending to the expected positions of the right atrium and right ventricle, similar in position. The cardiac silhouette remains enlarged. The mediastinal contours are stable. No pleural effusion or evidence of pneumothorax is seen. There is moderate pulmonary vascular congestion. No definite focal consolidation. There is some thickening/possible fluid along the minor fissure seen on the lateral view.

59372408

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

Enlarged cardiac silhouette and moderate pulmonary vascular congestion.

11151938

The PICC line has been pulled back and the tip is now mid chest at the junction of the subclavian vein with the SVC. The remainder the appearance of the lungs are unchanged

58160247

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with PICC that may have migrated. // confirm line placement (PICC) TECHNIQUE: Portable chest COMPARISON: ___.

PICC line tip at the proximal SVC

11151938

Patient is status post dual lead left-sided AICD with leads terminating in the expected position of the right atrium and right ventricle. The heart is enlarged. There is bibasilar atelectasis. Increased opacity at the right lung base could represent atelectasis, however an underlying infectious process cannot be entirely excluded. There is prominence of the vascular structures suggesting mild edema. No large pleural effusion or pneumothorax is identified.

57934990

WET READ: ___ ___ ___ 5:28 PM 1. Increased opacity in the right lung base could represent atelectasis, however an underlying infectious process cannot be entirely excluded. Clinical correlation is recommended. 2. Cardiomegaly with mild pulmonary edema. No large pleural effusion identified. ______________________________________________________________________________ FINAL REPORT HISTORY: Cough, rule out pneumonia. COMPARISON: Prior chest CTA and chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.

Increased opacity in the right lung base could represent atelectasis, however an underlying infectious process cannot be entirely excluded. Clinical correlation is recommended. Cardiomegaly with mild pulmonary edema. No large pleural effusion identified.

11151938

Cardiomegaly is unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Retrocardiac atelectasis appears similar to ___. No focal consolidation, pleural effusion, or pneumothorax. PICC line tip is approximately in the mid SVC. Cardiac device leads appear in similar position.

58849551

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with AoC sCHF who desated to the 80s last night. // Flash pulmonary edema? Pleural effusions? COMPARISON: Chest radiographs from___

No pulmonary edema or pleural effusion.

11151938

The patient is status post median sternotomy and CABG. Left-sided AICD/pacemaker device is again noted with leads in unchanged positions. Heart remains moderately enlarged. Mediastinal and hilar contours are unchanged and within normal limits. There is similar upper zone vascular redistribution compatible with mild pulmonary vascular congestion without overt pulmonary edema. Minimal atelectasis is seen in the retrocardiac region. No focal consolidation, pleural effusion or pneumothorax is identified.

57948289

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with shortness of breath, lower extremity edema TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ chest radiograph

Mild pulmonary vascular congestion which appears chronic. No overt pulmonary edema.

11151938

The patient is status post coronary artery bypass graft surgery. There is a dual-lead pacemaker/ICD device that appears unchanged with leads terminating in the right atrium and ventricle, respectively. The heart is again moderately enlarged. The mediastinal and hilar contours appear unchanged. There is a similar appearance of upper zone redistribution of pulmonary vascularity suggesting pulmonary venous hypertension. Otherwise, the lungs appear clear. Streaky left posterior basilar opacities on the lateral view appear unchanged suggesting atelectasis associated with cardiomegaly. There are no pleural effusions or pneumothorax.

51862420

CHEST RADIOGRAPHS HISTORY: Chest pain. History of severe cardiac disease. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral.

Stable appearance of the chest.

11946033

Compared with the immediate prior study, volume overload is much improved. There is mild residual pulmonary vascular congestion, but no frank edema. Left chest wall dual chamber pacemaker leads project in expected positions. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is top-normal.

55340271

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pancreatic cancer // eval for worsening/resolving pulmonary edema TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs from ___.

Significant interval improvement in volume overload.

11946033

There is new mild moderate pulmonary edema mostly characterized by new bilateral perihilar opacification. Patchy opacity at the left lung base suggests minor atelectasis. The cardiac, mediastinal and hilar contours appear unchanged. There is a dual-lead pacemaker/ICD device has leads terminating in the right atrium and ventricle, respectively. Trace pleural effusions are suspected. Moderate degenerative changes affect the lower thoracic spine.

59821509

EXAMINATION: CHEST RADIOGRAPH INDICATION: Fever, nausea and vomiting. COMPARISON: Scout view from CT performed on ___ 4. TECHNIQUE: Chest, AP upright and lateral.

Findings consistent with mild to moderate pulmonary edema. Trace pleural effusions.

11946033

Left-sided pacer device is stable in position. There is mild central vascular engorgement without overt pulmonary edema. Right lower lobe opacity seen on the frontal view is not well seen on the lateral view and may represent atelectasis or confluence of vascular structures although subtle consolidation is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

55636670

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

No acute cardiopulmonary process.

11626571

Since the prior chest radiograph performed earlier on the same date, bilateral pleural effusions has substantially decreased in size, status post thoracentesis. Streaky bibasilar opacities likely represent atelectasis. No focal consolidation. No pneumothorax. Cardiomediastinal silhouette is unchanged.

59119892

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with b/l ___ // ? ptx TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___ at ___:22

Substantial interval decrease in bilateral pleural effusions, now trace.

11626571

In comparison with chest radiograph from ___, there has been significant interval worsening of a left pleural effusion, now moderate. Small right pleural effusion is new. Adjacent bibasilar atelectasis is marked on the left and mild on the right. There is no focal consolidation or pneumothorax. There is no pulmonary vascular congestion or interstitial pulmonary edema. Mediastinal and hilar contours are stable. Heart size is normal.

53629098

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with metastatic breast adenocarcinoma who presents with ambulatory desats and wheezing // Interval change TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiograph dated ___.

Significant interval increased size of a left pleural effusion, now moderate. Small right pleural effusion is new.

11626571

PA and lateral views of the chest provided. Lungs appear hyperinflated and hyperlucent consistent with emphysema. There is blunted left CP angle consistent with small left effusion as seen on recent CT PET. Heart is mildly enlarged. No definite signs of pneumonia or edema. No pneumothorax. Bony structures appear intact.

52317238

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dysphagia ___ esophageal stricture with inability to manage secretions/solids/liquids, history of breast cancer. COMPARISON: Prior PET-CT scan dated ___.

Small left pleural effusion. Mild cardiomegaly.

11654293

Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Lung volumes are slightly low with mild patchy opacity noted in the left lung base. No acute osseous abnormalities visualized.

50588624

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with chest pain and recent pneumonia status post treatment TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Low lung volumes. Mild patchy opacity in the left lung base may reflect residual pneumonia or atelectasis.

11978274

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

55423212

EXAMINATION: CHEST RADIOGRAPH INDICATION: ___ year old man with L CP with arm numbness and HA for past month // CV abnormalities CV abnormalities TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11164537

Azygos fissure is noted along the medial right upper hemithorax. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hila are slightly prominent, but not specifically and do not appear prominent on the lateral view. No large pulmonary mass is seen, although CT is more sensitive. The cardiac and mediastinal silhouettes are unremarkable.

58775644

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Lightheadedness, new brain lesions on CT. COMPARISON: None.

No definite acute cardiopulmonary process. Hilar prominence is nonspecific and not substantiated on the lateral view. No large pulmonary mass is seen, although, CT is more sensitive. Potential hilar prominence would also be better evaluated on CT.

11164537

The patient is intubated and the endotracheal tube terminates no (4.3 cm above the carina. The nasogastric tube is appropriately positioned within the stomach. Lung volumes are low. The heart size is within normal limits. There is mild pulmonary edema and bibasilar atelectasis. There is no pneumothorax, pleural effusion, or airspace consolidation.

54870237

EXAMINATION: CHEST (PORTABLE AP) INDICATION: Evaluate support devices in a ___-year-old intubated man with a history of metastatic lung cancer presenting with acute GI bleeding. COMPARISON: None available.

Appropriately positioned support devices. Mild pulmonary edema and bibasilar atelectasis.

11164537

The VP shunt is unchanged in position. There are bilateral pulmonary nodules, better characterized on ___ ___. No evidence of pneumonia, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

52109849

EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old man with MEtattsic Lung CA - acute onset Left chest/scapular pain // rule out gross symptomatic met. TECHNIQUE: Chest PA and lateral COMPARISON: None available

Small bilateral pulmonary nodules, better characterized on prior CT.

11164537

The patient is intubated. The endotracheal tube terminates about 5.5 cm above the carina. An orogastric tube terminates in the stomach. A ventriculoperitoneal catheter courses across the chest. There are substantial bilateral pleural effusions and associated opacities which are not specific, although most commonly due to atelectasis. There is no pneumothorax.

58056573

CHEST RADIOGRAPH HISTORY: Hypoxia and fluid overload. COMPARISONS: ___, earlier in the same day. TECHNIQUE: Chest, AP supine.

Substantial pleural effusions and basilar opacities, non-specific but probably compatible with atelectasis; infectious processes cannot be excluded however.

11392949

The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded. There is a new small ill-defined opacity projecting over the right lower lateral lung, only well seen on the frontal view. There is no additional focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.

51245510

INDICATION: ___F with cough 2wks productive of sputum, pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, ___, chest CT ___.

Ill-defined small opacity in the right peripheral lung, only well seen on the frontal view. This may represent a small resolving pneumonia. Follow up chest radiograph is recommended in 4 weeks with attention to this area, and if this finding persists, chest CT is recommended for further evaluation.

11392949

Mild cardiomegaly and tortuous aorta are unchanged. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

54861162

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with an ill-defined small opacity in the right peripheral lung seen on PA view of CXR on ___. Patient had symptoms of respiratory infection. Non-smoker. // f/u CXR to see if the right lower lung abnormality resolves. TECHNIQUE: Chest PA and lateral COMPARISON: ___

Resolved opacity in the right peripheral lung

11392949

Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

51045951

HISTORY: Patient with chronic cough, rule out lung disease. COMPARISON: ___.

No radiographic evidence for acute cardiopulmonary process.

11934843

AP upright and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. Blunting of the left costophrenic angle most likely secondary to atelectasis. No large effusion is identified. There is no pneumothorax. Visualized osseous structures are without acute abnormalities.

52637381

INDICATION: ___F with increaseing seizures // r/o infection TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___

No focal consolidation concerning for pneumonia.

11934843

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

51619576

INDICATION: ___-year-old female with seizure. COMPARISON: ___ and ___.

No acute cardiopulmonary process.

11934843

The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. Apparent minimal blunting of the posterior costophrenic angles on lateral view makes it difficult to exclude trace bilateral pleural effusions. There is no evidence of pulmonary vascular congestion. There is no pneumothorax.

57504419

WET READ: ___ ___ ___ 2:25 PM Clear lungs without focal consolidation. Difficult to exclude trace bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT EXAMINATION: AP AND LATERAL CHEST X-RAY INDICATION: ___-year-old woman with a seizure, evaluate for pneumonia. TECHNIQUE: AP and lateral chest radiographs. COMPARISON: Chest x-ray ___.

Clear lungs without focal consolidation. Difficult to exclude trace bilateral pleural effusions.

11934843

Cardiomegaly is mild. Lung volumes are low. A retrocardiac opacity is concerning for pneumonia. No pneumothorax.

54801957

WET READ: ___ ___ ___ 6:02 AM A retrocardiac opacity is concerning for pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with seizure disorder requiring infectious workup // consolidation TECHNIQUE: AP and lateral views COMPARISON: Chest radiograph ___.

A retrocardiac opacity is concerning for pneumonia.

11934843

The cardiomediastinal silhouette and hilar contours are unremarkable. The lungs are clear. The pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings.

50169270

HISTORY: Status post fall with upper T-spine tenderness. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiograph, two views.

No acute cardiopulmonary abnormality. No overt traumatic findings. If there is focality to examination, dedicated rib series may be helpful.

11934843

Left retrocardiac opacity may represent atelectasis, although infection or aspiration could be considered in the appropriate clinical setting. No other consolidation. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air. No acute osseous abnormalities identified.

58224801

EXAMINATION: Chest radiograph INDICATION: History: ___F with seizure // please evaluate for acute cp process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Left retrocardiac atelectasis versus infection/aspiration.

11934843

Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. The mediastinal and hilar contours are stable, with minimal atherosclerotic calcification noted at the aortic knob. The pulmonary vasculature is normal. Minimal patchy opacity in the left lung base likely reflects atelectasis. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.

55255574

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

Minimal left basilar atelectasis.

11934843

Lung volumes are lower compared to the previous exam which accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is demonstrated without overt pulmonary edema. Patchy opacities are noted in the lung bases, potentially atelectasis but infection is not excluded. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.

58529556

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

Low lung volumes with patchy bibasilar airspace opacities, likely atelectasis. Infection cannot be completely excluded.

11934843

AP and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal.

57638482

HISTORY: Seizure. COMPARISON: ___ through ___.

No acute cardiopulmonary process.

11271531

Right lung volume is slightly lower than left, similar to prior exam. There is no evidence of pulmonary edema. Opacity in the left lung base likely represents atelectasis, although cannot completely exclude aspiration or pneumonia in the right clinical setting. Platelike atelectasis in the left mid lung is similar prior exam. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged and the aorta is tortuous, similar to prior exam. Orthopedic hardware is noted in the left humerus.

57386285

EXAMINATION: CHEST RADIOGRAPHS INDICATION: ___F with sepsis, h/o CHF getting fluid resuscitated, obese // ? signs of fluid overload TECHNIQUE: Portable frontal image of the chest COMPARISON: Comparison is made with chest radiographs from ___, ___ and ___ and CTA chest from ___.

No evidence of pulmonary edema. Opacity in the left lung base, likely reflecting atelectasis but cannot completely exclude aspiration or pneumonia in the proper clinical setting.

11271531

The patient is rotated. There is significant soft tissue attenuation. Right lung volume is slightly less than the left lung with similar mild elevation of the right hemidiaphragm. No definite focal consolidation. Increased streaky opacity of the lung bases is probably atelectasis. No pleural effusion or pneumothorax. Linear platelike atelectasis in the left mid lung. Cardiomegaly is overall unchanged. The thoracic aorta it is tortuous, unchanged. Pulmonary vascular congestion but no frank pulmonary edema, similar to the prior exam. The left proximal humeral hardware device, incompletely visualized, appears intact and overall similar to the prior exams.

50166405

EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with congestive heart failure, who is chronically ill, bedbound, with tachycardia, elevated lactate. Evaluate for evidence of pulmonary source of infection, volume status. TECHNIQUE: Portable chest radiograph. COMPARISON: Portable chest radiograph dated ___. Chest radiograph dated ___.

No focal pneumonia or overt pulmonary edema. Persistent mild cardiomegaly, unchanged.

11271531

No significant overall change in the frontal appearance of the chest on radiograph. Several patchy focal opacities there are most visible in the right lung may correspond with focal consolidations concerning for pneumonia noted on the prior chest CT. A large area of focal consolidation in the right upper lobe just above the major fissure seen on recent CT is not definitely seen on the lateral radiograph view today. Retrocardiac opacity noted on the lateral view may correlate with focal consolidation better seen on prior CT. Stable bilateral lower lung volumes. Stable moderate cardiomegaly. Stable widened mediastinal contours, likely from mediastinal lymphadenopathy as noted on recent CT as well as mild prominence of the main pulmonary artery and rotation accentuating the tortuous aorta. Stable bilateral linear platelike atelectasis. No pleural effusion, pneumothorax, or significant pulmonary vascular congestion. There is diffuse bony demineralization. Incidental left shoulder surgical hardware is incompletely visualized.

57316464

EXAMINATION: Chest (PA and lateral) INDICATION: ___-year-old woman presenting with shortness of breath; evaluate for pneumonia. TECHNIQUE: PA and lateral radiograph views of the chest were obtained. COMPARISON: Portable AP chest radiograph dated ___. CTA chest dated ___.

No definite interval change since prior radiograph.

11271531

The lungs are grossly clear based on portable technique and significant rotation. There is no confluent consolidation or large effusion. The cardiomediastinal silhouette is grossly unchanged. Left humeral hardware is partially visualized.

53623467

INDICATION: ___F with copd with hypoixia, dyspnea // acute process? TECHNIQUE: 2 portable views of the chest. COMPARISON: ___.

Limited exam without acute cardiopulmonary process.

11271531

The lungs are well inflated with marked diffuse prominence of interstitial markings. There is no lobar consolidation. No pleural effusion noted. Stable appearance of enlarged cardiac and thoracic aortic silhouette. Bony thorax remains unchanged.

59225151

INDICATION: ___ year old woman with COPD flare // R/O PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___

No lobar consolidation present. Marked diffuse prominence of interstitial markings is unchanged compared to ___.

11271531

A right internal jugular central venous catheter tip terminates in the mid SVC. Severe enlargement of the cardiac silhouette persists. Aorta remains tortuous. There is mild pulmonary vascular congestion which appears relatively unchanged. No pneumothorax or large pleural effusion is demonstrated, however the left costophrenic angle is excluded from the field of view. There is no focal consolidation, with patchy atelectasis noted in the lung bases.

57092607

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with IJ placement TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph

Right internal jugular central venous catheter tip terminates in the mid SVC. Severe cardiomegaly with mild pulmonary vascular congestion. Mild bibasilar atelectasis.

11271531

There has been no significant interval change since the prior study. The cardiac and mediastinal silhouettes are stable. Hilar contours are grossly stable. There may be mild pulmonary vascular congestion. Left mid lung linear atelectasis/scarring is seen. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax.

52039092

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with cough, weakness // Eval for pneumonia TECHNIQUE: Single frontal view of the chest COMPARISON: ___

Possible mild pulmonary vascular congestion, similar to prior.

11861017

The distal tip of the ET tube is not well delineated due to overlying sternal wires, but likely lies approximately 7.3 cm above the carina, just below the medial clavicular heads on this lordotic view. NG tube tip extends beneath the diaphragm and overlies the upper stomach. If a side-port is present, it does not clearly extend beyond the GE junction. Heart is not enlarged. Sternotomy wires are noted. The aorta is calcified and slightly unfolded. No CHF, focal infiltrate or effusion is identified. No pneumothorax detected.

50754010

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with sdh*** WARNING *** Multiple patients with same last name! // acute prpocess . History provided for head CT also ordered today refers to SDH. COMPARISON: None.

Lines and tubes as described. If the NG tube has side-port, it does not clearly extend distal to the GE junction. No acute pulmonary process identified.

11861017

The tip of the endotracheal tube projects 2.7 cm from the carina. The tip of the feeding tube extends below the level of the diaphragms but beyond the field of view of this radiograph. The tip of the right internal jugular central venous catheter extends to the cavoatrial junction. Interval progression of the pulmonary edema with layering bilateral pleural effusions. The size of the cardiomediastinal silhouette is enlarged but unchanged.

53980574

INDICATION: ___M w/ ETT, confirm placement // ___M w/ ETT, confirm placement TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day

The tip of the feeding tube projects below the level the diaphragms but beyond the field of view of this radiograph. The tip of the endotracheal tube projects over the mid thoracic trachea. Interval progression of the pulmonary edema and layering bilateral pleural effusions.

11861017

Sternotomy. Tracheostomy. Left PICC line tip in the upper SVC. Increased heart size, pulmonary vascularity, stable. Pulmonary edema has mildly improved. Mild pleural effusions are stable. Stable retrocardiac consolidation, likely atelectasis. No pneumothorax.

51200240

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with SDH, bilat pleural effusions // chest tube removal eval for hemothorax TECHNIQUE: Chest single view COMPARISON: ___ 04:34

Pulmonary edema has mildly improved.

11861017

Status post prior median sternotomy. Interval removal of the endotracheal and gastric tubes. The tip of the right internal jugular central venous catheter projects over the cavoatrial junction. There are increasing bilateral layering pleural effusions with subjacent atelectasis. Moderate pulmonary edema is present as well. No pneumothorax identified. The size of the cardiomediastinal silhouette is enlarged but unchanged.

54379763

INDICATION: ___ year old man with increased WOB s/p extubation // please assess for acute pathology TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day

Moderate pulmonary edema with bilateral layering pleural effusions and enlargement of the cardiomediastinal silhouette, consistent with congestive heart failure.

11861017

The heart is upper limits of normal. There is increased retrocardiac density suggestive of consolidation/ atelectasis. Increased opacity in the right lower lobe is also seen. Sternal wires noted. Tracheostomy tube in place. Right internal jugular line in the mid SVC.

51198034

INDICATION: ___ year old man with aspiration PNA // interval scan TECHNIQUE: Chest portable AP upright at 05:32 COMPARISON: ___.

Bilateral lower lobe opacities. No significant change from ___.

11861017

Moderate layering right pleural effusion remains unchanged with a new small left pleural effusion. Moderate pulmonary edema is stable. No pneumothorax is seen. The cardiac silhouette is enlarged and stable. There is persistent large volume intra-abdominal free air.

55835500

EXAMINATION: Portable semi upright chest x-ray INDICATION: ___M with pulm edema, pneumonia, w tracheostomy, eval for interval change // interval change TECHNIQUE: Portable semi-upright chest x-ray COMPARISON: Comparison is made to chest x-rays dated from ___ through ___.

Stable moderate layering right pleural effusion with new small left pleural effusion and stable moderate pulmonary edema. Large volume intra-abdominal free air persists.

11861017

Cardiomegaly. Evidence of previous CABG. Tracheostomy tube in situ in the appropriate position. Left-sided PICC line with the tip in the proximal SVC. Interval progression of the airspace consolidation in the lung bases bilateral. Left-sided pleural effusion is increased. Moderate amount of intra-abdominal free air persists.

58979154

INDICATION: ___ year old man with SDH s/p THoracentesis // decompensation respiratory status s/p Thoracentesis TECHNIQUE: Chest PA and lateral COMPARISON: ___

Interval progression of the bibasal airspace consolidations suggest pneumonia/aspiration pneumonia. Left-sided pleural effusion has also increased in size.

11861017

In comparison with chest radiographs from ___, small right pleural effusion persists. Retrocardiac opacity has improved, with better visualization of the left hemidiaphragm. Right perihilar and basilar opacities persist, likely reflecting combination of atelectasis, aspiration or infection. No appreciable effusion on the left. No central vascular congestion or overt pulmonary edema. Top-normal heart size is stable. Tracheostomy tube in standard placement, unchanged.

55326819

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man recent aspiration of tube feeds. CXR portable to be performed ___ for evaluation of pulmonary process in setting of aspirated tube feeds. // CXR portable to be performed ___ for evaluation of pulmonary process in setting of aspirated tube feeds. TECHNIQUE: Single frontal view of the chest. COMPARISON: Chest radiographs dating back to ___, most recently ___.

Improved left retrocardiac opacity. Persistent right perihilar and basilar opacities and small right pleural effusion.

11367782

The lungs are clear. There is minimal right basal pleural thickening which is probably not significant. There is no pleural effusion or pneumothorax. The mediastinal and cardiac contours are unremarkable.

59360261

PORTABLE AP, CHEST X-RAY INDICATION: Patient with severe spinal stenosis, needs pre-op chest x-ray. COMPARISON: None.

There are no acute cardiopulmonary findings. Minimal right basal pleural thickening.

11857739

There has been interval placement of a right internal jugular central venous catheter with tip located in the proximal right atrium. No pneumothorax. Lung volumes are low which causes crowding of bronchovascular structures and persistent widening of the superior mediastinal contour. Heart size is exaggerated as result of low lung volumes, appearing mild to moderately enlarged. There is no overt pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion is detected. There are no acute osseous abnormalities.

53906876

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with placement of right internal jugular central venous catheter TECHNIQUE: Semi-upright AP view of the chest COMPARISON: ___ chest radiograph from outside hospital

Right internal jugular central venous catheter tip in the proximal right atrium. No pneumothorax. Low lung volumes with bibasilar atelectasis.

11857739

Bilateral low lung volumes. Resolving mild pulmonary edema bilaterally. Right pleural effusion. Bibasilar atelectasis. There is no pneumothorax. Cardiac size exaggerated by low lung volumes. ET tube is 3.8 cm above the carina. Enteric tube is widely looped in the stomach. . Right IJ catheter in the right atrium.

57740377

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with septic shock with Gram + rods. // ?interval change TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___

Resolving mild pulmonary edema bilaterally. Right pleural effusion with bibasilar atelectasis. ET tube 3.8 cm above the carina. Enteric tube with the looped in the stomach. Right IJ catheter tip in right atrium.

11857739

New ETT tip 3 cm above the carina. OG tube is coiled in the stomach. Right IJ catheter tip in right atrium. No pneumothorax. Bilateral low lung volumes again noted. Possible mild bilateral pulmonary edema. There is increased opacity in the left retrocardiac region which is concerning for aspiration on the left lower lobe. No pleural effusions. Cardiac size appears enlarged and may be exaggerated by low lung volumes.

51147423

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with urosepsis, s/p ETT and OG placement, // ETT and OG placement, pulmonary edema TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ 10:29

OG tube is coiled in the stomach and may be pulled back. Right IJ catheter in the right atrium and may be pulled back slightly. Left retrocardiac opacity concerning for aspiration ET tube appropriately positioned 3 cm above the carina Possible mild bilateral pulmonary edema

11405442

PA and lateral views of the chest provided. 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.

54483772

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dyspnea COMPARISON: ___

No acute intrathoracic process.

11270971

The lung volumes are low. There is no focal airspace consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A compression fracture of a mid thoracic vertebral body is unchanged from ___. No new fracture is identified. Surgical clips are unchanged in the left upper quadrant.

52892535

INDICATION: Progressive dyspnea for 24 hours. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained.

No acute cardiopulmonary process.

11277171

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

55333113

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with left sided chest pain // ?pna, ptx COMPARISON: ___

No acute intrathoracic process.

11277171

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

50921295

INDICATION: ___-year-old female with chest pain and cough. Evaluate for evidence of pneumonia or effusion. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs.

Normal chest radiographic examination.

11277171

The cardiac, mediastinal and hilar contours are unremarkable with the exception of mild aortic knob calcifications. The heart size is normal. Lungs are clear. No pleural effusion or pneumothorax. No pulmonary vascular congestion. No acute osseous abnormalities are detected.

54513037

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

No acute cardiopulmonary process.

11028246

The lungs are well expanded without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged.

51092467

EXAMINATION: Chest radiographs. INDICATION: History: ___F with no significant PMH, presented with LLE pain and swelling and dyspnea // please eval for effusion or other abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___.

No acute cardiopulmonary process.

11894273

Enteric tube courses below the diaphragm, terminating in the proximal stomach. Mild basilar atelectasis is seen. There is no focal consolidation. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

57063658

EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with ileus vs. SBO, NGT from OSH w/poor output // evaluate NGT placement TECHNIQUE: Single frontal view of the chest COMPARISON: None

Nasogastric tube terminates in the proximal stomach.

11403327

The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax. There is no free air under the diaphragm.

57011710

INDICATION: ___-year-old male with chest and epigastric pain, to rule out pneumothorax, or free air under the diaphragm. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST

No acute cardiopulmonary pathology or pneumoperitoneum.

11403327

PA and lateral views of the chest: The lungs are clear. Cardiac silhouette and hilar contours are normal. No pleural effusion or pneumothorax.

50709283

HISTORY: Chest pain. COMPARISON: ___.

No acute cardiopulmonary process.

11403327

The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pneumothorax or pleural effusion is visualized. There are no acute osseous abnormalities.

52080434

INDICATION: Left-sided chest pain. COMPARISON: ___. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11403327

The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

57206980

INDICATION: ___M with chest pain // eval for PNA, CHF TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

No acute cardiopulmonary process.

11690358

In comparison with the study of ___, there is again hyperinflation of the lungs that raises the possibility of underlying chronic pulmonary disease. Nodular opacities in the lingula are stable since ___. There are new foci nodular opacities in the right upper lobe since ___.

56825148

INDICATION: ___ year old man with ___ CXR @ ___ showing "Patchy parenchymal opacity in the right upper lobe and lingula consistent with pneumonia ... follow up chest x-ray is recommended to document resolution" // f/u study as recommended TECHNIQUE: Chest PA and lateral COMPARISON: ___

Chronic changes in the lingula likely reflect scarring. Right upper lobe nodular opacities new since ___ can be acute airway inflammation/infection.

11690358

The lungs are hyperinflated. The cardiac, mediastinal and hilar contours are unchanged. Pulmonary vascularity is normal. There is minimal ill-defined patchy opacity within the left lung base which appears relatively unchanged compared to prior study, and may reflect residual scarring. No new focal consolidation is identified. There is no pleural effusion or pneumothorax. No acute osseous abnormality is seen.

58570463

INDICATION: Fatigue, weight loss for several months. COMPARISON: ___ chest radiograph and chest ___ ___. AP AND LATERAL VIEWS OF THE

No significant interval change from prior. Minimal ill-defined patchy opacity in left lung base, which may reflect scarring.

11690358

PA and lateral views of the chest. The lungs are slightly hyperinflated but clear of consolidation effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No displaced rib fracture identified.

53909361

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

No acute cardiopulmonary process.

11154185

Lung volumes are low. There is no evidence of pulmonary edema or pneumonia. Heart size is top-normal. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

52717236

INDICATION: History: ___F with sob, cp // chf? TECHNIQUE: Upright PA and lateral chest COMPARISON: None available

Low lung volumes. No acute cardiopulmonary abnormality. Specifically, no vascular congestion or pulmonary edema.

11154185

The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

58452534

WET READ: ___ ___ ___ 6:17 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___F with epigastric pain*** WARNING *** Multiple patients with same last name! // ? infectious process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No acute cardiopulmonary abnormality.

11154185

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

52805101

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain // ? acute cardiopulm process TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs most recent on ___

No acute cardiopulmonary abnormality.

11154185

The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

56392807

INDICATION: History of chest pain. Please evaluate. TECHNIQUE: Chest PA and lateral COMPARISON: Radiographs dated back to ___.

No acute intrathoracic abnormalities identified.

11154185

Lung volumes are low. Heart size appears mildly enlarged, not substantially changed. The mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No displaced fractures are evident.

50519341

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with right face, elbow, forearm, ankle pain after a fall. // evaluate for fracture TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___

Low lung volumes without acute cardiopulmonary process.

11154185

Lung volumes are low which leads to bronchovascular crowding. No focal consolidation is seen. The cardiomediastinal silhouette and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.

51406084

INDICATION: ___F with chest pain over left chest, recent cough and viral illness. Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___

Low lung volumes without focal consolidation.

11154185

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

54661265

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // eval for pneumo TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___.

No acute cardiopulmonary abnormality.

11154185

The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable.

56332077

INDICATION: Chest pain, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___.

No evidence of acute cardiopulmonary process.

11154185

PA and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures are without an acute abnormality.

59610832

INDICATION: ___-year-old female with dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___.

No acute intrathoracic abnormality.

11154185

Frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. Retrocardiac opacity, better seen on the lateral view, is unchanged compared to ___, likely represents prominent vasculature projecting over the lower thoracic spine. No pleural effusion or pneumothorax is identified. The visualized upper abdomen is unremarkable.

50277382

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

No definite consolidation identified. The lung volumes are low with resultant crowding of bilateral pulmonary vasculature, of which appears more prominent on the lateral radiograph, however has an unchanged appearance compared to ___ .

11933736

Portable AP upright chest radiograph is obtained. Lungs are clear. No focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

59329591

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain, question acute process in the chest.

No acute findings in the chest.