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

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11857265	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.	51268207	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with weakness, tachycardia, fall // Eval for PNA COMPARISON: None	No acute intrathoracic process.
11438173	PA and lateral chest radiographs were obtained. A left pectoral pacemaker device is again noted with the single pacemaker lead terminating in the right ventricle. Patient is status post median sternotomy with multiple mediastinal surgical clips, compatible with prior CABG. The lungs again demonstrated prominent interstitial markings, not significantly changed compared to prior study. No focal opacity is identified. The cardiomediastinal silhouette, hilar contours are stable. There is no pleural effusion or pneumothorax.	57892924	HISTORY: Syncope, shortness of breath, evaluate for pneumonia. COMPARISON: Multiple chest radiographs dating back to ___ most recently from ___.	No focal opacity to suggest pneumonia. Stable prominent interstitial markings, possibly due to chronic intersitial lung disease.
11438173	A left pectoral pacemaker device is unchanged, with a single lead terminating in the right ventricle. The patient is status post median sternotomy with multiple mediastinal surgical clips, compatible with prior CABG. The lungs are symmetrically expanded. Interstitial abnormalities are again noted throughout both lungs, greater on the right than the left. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiomediastinal silhouette is within normal limits and unchanged. The trachea is midline. The visualized upper abdomen is unremarkable. Anterior wedge compression fracture of the lower thoracic vertebral body is unchanged from the prior study.	57713871	INDICATION: Cough and back pain, here to evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.	No focal consolidation concerning for pneumonia. Interstitial lung disease with right lung predominance is overall unchanged from ___.
11438173	Frontal and lateral views of the chest are compared to previous exam from earlier the same day at an outside institution and chest x-ray from ___ and thoracolumbar spine CT from ___. There are increased interstitial markings, particularly at the bases and at the right mid lung. There is no large confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. Osseous and soft tissue structures are otherwise notable for mild compression deformity in the lower thoracic spine which had been subacute on CT scan from ___.	56528966	CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with syncope.	No definite acute cardiopulmonry process. Increased interstitial markings in the lungs suggestive of chronic underlying disease.
11438173	Single portable view of the chest compared to previous exam from ___. Given differences in positioning and technique, there has been no significant interval change. Increased interstitial markings are again seen, suggestive of chronic underlying lung disease. Blunting of the left costophrenic angle and thickening of the pleura laterally suggestive of scarring and prominent extrapleural fat. Cardiomediastinal silhouette is stable and notable for prior median sternotomy with mediastinal clips.	55933749	PORTABLE CHEST. HISTORY: ___-year-old male with chest pain.	No acute cardiopulmonary process.
11438173	A portable frontal chest radiograph demonstrates intact sternal wires, mediastinal clips, and a left chest wall pacer device with the lead overlying the right ventricle. Heart size is top-normal to mildly enlarged. There is obscuration of the left heart border consistent with a lingular consolidation. Additional patchy opacities are noted in the right lower and upper lung. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.	54083243	INDICATION: Evaluate for pneumonia in a patient with tachypnea and hypotension. COMPARISON: Chest radiographs from ___, ___, ___.	Multifocal patchy opacities, most prominent in the lingula. This may reflect pneumonia versus sequela of aspiration. Clinical correlation is recommended.
11438173	A left pectoral pacer device is unchanged in position with a single lead terminating in the right ventricle as before. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior coronary artery bypass. The lungs are symmetrically expanded. Interstitial abnormalities are noted throughout both lungs greater on the right than the left. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. The pulmonary vasculature is not engorged. Mild elevation of the left hemidiaphragm is unchanged. The cardiomediastinal silhouette is stable. The trachea is midline. The visualized upper abdomen is unremarkable. Anterior wedge compression fracture deformity of a lower thoracic vertebral body is unchanged from the prior studies of ___, but new from the prior chest radiograph of ___.	53876347	INDICATION: History of coronary artery disease, now with cough, here to evaluate for pneumonia or evidence of congestive heart failure. COMPARISON: Chest radiograph, last performed on ___. CT T-spine of ___. TECHNIQUE: PA and lateral radiographs of the chest.	No focal consolidation concerning for pneumonia. No evidence of overt congestive heart failure. Interstitial lung disease with right lung predominance as partially seen on CT T-spine of ___.
11125170	Frontal and lateral views of the chest were obtained. Large retrocardiac air-fluid level is most consistent with a hiatal hernia. There is adjacent atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The patient is rotated slightly to the right. The aorta is somewhat tortuous. There is prominence of the main pulmonary artery, which may be due to component of pulmonary arterial hypertension. The cardiac silhouette is top normal.	58181750	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Hypotension. COMPARISON: None.	Large hiatal hernia. Prominence of the main pulmonary artery may suggest a component of pulmonary hypertension.
11329450	The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.	53474774	INDICATION: History: ___M with Shortness of breath and chest tightness since midnight. Normal EKG // consolidation or other process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___	No acute intrathoracic process.
11329450	Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No pneumothorax or consolidation seen. The visualized bony structures are unremarkable in appearance.	51212485	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with nausea/fever. // ?infection TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiograph ___.	No acute cardiopulmonary process seen.
11607120	PA and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. The aorta is tortuous.	54850699	HISTORY: Abdominal pain COMPARISON: None	No acute cardiopulmonary process.
11884999	There are low lung volumes, which results in bronchovascular crowding. The heart is mildly enlarged. The aorta appears tortuous. There is no pneumothorax, pleural effusion, or consolidation. The right peritracheal region is prominent which could be due to vascular engorgement. Recommend attention to this area on followup	50543062	FINAL ADDENDUM ADDENDUM Note is made of a dislocated right shoulder, which is partially imaged on this study. Addendum findings and updated impression were discussed with Dr. ___ by Dr. ___ ___ telephone at 9:49 a.m. on ___, approximately ___ min after discovery. ______________________________________________________________________________ WET READ: ___ ___ ___ 9:18 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with seizure // eval for acute process TECHNIQUE: Portable supine chest radiograph. COMPARISON: None available.	No focal infiltrate. .
11597765	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The kyphotic curvature of the mid thoracic spine is again mildly exaggerated including similar mild degenerative changes.	56234313	EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dizziness. History of prior stroke. COMPARISON: Radiographs from ___ as well as more recent CT dated ___. TECHNIQUE: Chest, PA and lateral.	No evidence of acute cardiopulmonary process.
11232789	PA and lateral views of the chest provided. There is mild bibasilar atelectasis. 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.	50317834	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ y.o F with dyspnea on exertion, healthy, recently on dapsone COMPARISON: None	No acute intrathoracic process.
11398733	Endotracheal tube terminates 3.2 cm above the carina, in appropriate position. Nasogastric tube terminates in the stomach with side port beyond expected location the gastroesophageal junction. Cardiomegaly is substantial, increased from ___. There is slight increased fluid within the right minor fissure, and pulmonary vessels are less distinct than on ___, but there is no frank pulmonary edema. Opacities at both bases, left greater than right, are new from ___. A small left pleural effusion is new since ___. No pneumothorax.	51304105	INDICATION: ___ year old woman s/p intubation // evaluate for tube placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph from ___.	Endotracheal tube in appropriate position. New consolidation at the left lung base likely represents combination of substantial atelectasis and small pleural effusion, although aspiration could be considered. Small left pleural effusion new since ___.
11398733	Endotracheal tube tip in good position. Enteric tube tip mid stomach. Left IJ central line tip in low SVC/upper RA. Bilateral perihilar, right basilar opacities, left lower lobe consolidation, stable. Left pleural effusion, stable. Right costophrenic angle is not included on this radiograph. Shallow inspiration accentuates heart size which is enlarged.	56944783	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NG tube just placed // Ng tube placement TECHNIQUE: Portable chest x-ray COMPARISON: Chest x-ray ___ at 09:56	Enteric tube tip in good position. Otherwise stable
11398733	Left internal central venous catheter terminates in the low SVC. Enteric tube courses below the left hemidiaphragm and is coiled in the stomach. There is persistent left lower lobe collapse and moderate left pleural effusion, unchanged. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are stable. There is no large pneumothorax.	50882384	INDICATION: ___ year old woman with NGT placement TECHNIQUE: Portable semi-upright AP chest COMPARISON: Radiographs of the chest ___ through ___	Enteric tube is coiled in the stomach. Persistent left lower lobe collapse and moderate left pleural effusion. Mild cardiomegaly. This preliminary report was reviewed with Dr. ___, ___ radiologist.
11398733	Bilateral lower lung opacities and pleural effusions noted. ET tube is above the carina. NG tube in the stomach. Central line in SVC.	58617710	EXAMINATION: Chest single view INDICATION: ___ year old woman with E coli sepsis, intubated, now with pulm edema and thick secretions and trialing IV lasix // Interval change s/p IV lasix TECHNIQUE: AP portable COMPARISON: ___.	Bilateral lower lobe opacities and left effusion with no significant change.
11398733	Increased opacity of the left base suggests layering pleural effusion with atelectasis of the left base. There is also bilateral vascular congestion and mild pulmonary edema. Enlarged cardiac silhouette may suggest cardiomegaly or pericardial effusion. There is no pneumothorax. Mediastinal contours are unchanged. Left PICC tip ends in the mid SVC. Interval removal of Dobhoff tube.	56881642	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with complicated hospitalization notable for AIDS, sepsis, DIC, pelvic abscess now with increased somnolence // Eval for interval change TECHNIQUE: Single portable frontal view of the chest COMPARISON: Chest radiograph ___	Increased left pleural effusion with left lung base atelectasis. Mild pulmonary edema bilaterally. Enlarged cardiac silhouette raises question of cardiomegaly or pericardial effusion.
11398733	The ETT, left IJ central venous catheter, and enteric tube are in satisfactory position. There is new right upper lobe collapse with decreased lung volume. No consolidation. No pleural effusion. No pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is normal. No fractures.	56947388	INDICATION: ___ year old woman with AIDS and 18L positive LOS // diuresis improvement TECHNIQUE: For chest radiograph. COMPARISON: Chest radiograph dated ___.	New right upper lobe collapse with decreased lung volume. Otherwise stable chest radiograph without new consolidation.
11398733	The ETT, left IJ central venous catheter, and enteric tube are in satisfactory position unchanged from prior. There is persistent but interval slight decreased right upper lobe collapse. No consolidation. No pleural effusion. No pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is normal. No fractures.	57163019	INDICATION: ___ year old woman with sepsis, RUL collapse on am CXR // interval change TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___ at 04:33.	The right upper lobe collapse is mildly decreased. The monitoring and support devices are in satisfactory position l.
11398733	Enteric tube tip in the distal stomach. Left IJ, PICC lines in place. Shallow inspiration. Mildly improved perihilar, bibasilar opacities. Strand of fibrosis or atelectasis left costophrenic angle, stable. Tiny right pleural effusion or thickening.	50630250	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NGT tube that has migrated // placement of NGT TECHNIQUE: Chest single view COMPARISON: ___ 15:13	Enteric tube tip in the distal stomach. Improved perihilar, basilar opacities.
11398733	Left IJ central venous catheter is unchanged. The lung volume is low. Pulmonary vascular engorgement and pulmonary edema have improved. Left lower lobe collapse is unchanged. Small to moderate pleural effusion bilaterally is unchanged. No pneumothorax.	57534610	INDICATION: ___ year old woman with sepsis hemoptysis // interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	Improved pulmonary edema and pulmonary venous congestion.
11398733	The right IJ central line terminates in the distal SVC. The endotracheal tube is approximately 4.5 cm above the carina. The enteric to terminates in the stomach with side port beyond the GE junction. Lung volumes are low. The heart is mildly enlarged. Retrocardiac opacity has worsened consistent with collapse of the left lower lobe and left pleural effusion. Increased opacification of the left upper lobe is likely secondary to increased atelectasis. The right lung is clear. There is no pulmonary edema or pneumothorax.	56208741	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure and E coli sepsis, intubated // ETT placement? Interval change? TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph from ___, ___, ___.	Left lower lobe collapse and left pleural effusion. Increased opacity of the left upper lobe likely secondary to increased atelectasis.
11398733	No significant change since the previous exam. Again bilateral lower lobe opacities seen and the left pleural effusion. ET tube above the carina, 2.5 cm. Left IJ line in mid SVC. NG tube in the stomach.	57547956	EXAMINATION: Chest single view INDICATION: ___ year old woman with sepsis, intubated // evaluate for interval change TECHNIQUE: Portable AP semi erect. COMPARISON: ___.	Stable bilateral lower lobe opacities and left effusion.
11398733	On view # 2, the radiopaque tip of the Dobbhoff tube extends slightly beyond the inferior edge of this film, but overlies the upper/mid abdomen in the midline. The radiopaque tip of the Dobbhoff tube could still lie within the stomach. Compared to the prior film, inspiratory volumes are lower, with more patchy opacity at the lung bases. There is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation, and vascular plethora, compatible with mild fluid overload. No pleural effusions. Left PICC line with tip over distal SVC again noted.	55987579	CLINICAL INFORMATION & QUESTIONS TO BE ANSWERED: ______________________________________________________________________________ FINAL REPORT EXAMINATION: DX CHEST PORT LINE/TUBE PLCMT 1 EXAM INDICATION: ___ year old woman with AIDS, sepsis, needs feeding tube // eval NGT placement TECHNIQUE: Two sequential AP upright views of the chest obtained portably, labeled first and second. COMPARISON: Chest x-ray from ___ at 7:29	Radiopaque tip of Dobbhoff tube most likely still lies within the stomach. Worsening retrocardiac opacity consistent with left lower lobe collapse and/or consolidation. Increased vascular plethora. Clinical correlation is requested. It is possible that these findings are accentuated by lower inspiratory volumes on the current radiograph.
11398733	The heart size is mildly enlarged. Lung volumes are slightly low. Mediastinal and hilar contours are within normal limits. There is crowding of bronchovascular structures without pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis, with no focal consolidation, pleural effusion or pneumothorax identified. No acute osseous abnormalities seen.	51847006	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with HIV, recent travel to ___, fever/ tachycardia/hypotension, abdominal pain TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.	Low lung volumes with patchy bibasilar atelectasis.
11686109	There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.	51291994	WET READ: ___ ___ ___ 4:06 AM No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with new onset afib, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None.	No evidence of acute cardiopulmonary process.
11608370	The lungs are clear without focal consolidation, effusion, or edema. There is mild cardiomegaly. Slight tortuosity of the descending thoracic aorta is noted. Mild anterior vertebral body height loss noted in the lower thoracic vertebral body, age indeterminate.	55500917	INDICATION: ___F with weakness // infiltrate? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	Cardiomegaly without acute cardiopulmonary process. Age indeterminate, potentially chronic, anterior compression deformity of a lower thoracic vertebral body.
11714267	The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, pneumothorax, or pneumonia. Mild rightward tracheal deviation is due to an enlarged left thyroid lobe and aortic tortuosity.	58318309	EXAMINATION: Chest radiograph INDICATION: ___ year old man with acute productive cough, r/o pneumonia // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___ CT chest with contrast ___	No pneumonia or acute cardiopulmonary process.
11542052	Portable AP upright chest radiograph is obtained. Rotation limits interpretation. ET tube terminates 1 cm above the carina and is too low. NG tube is in the stomach. Heart size cannot be accurately assessed on this AP view. Cardiomediastinal contours are unremarkable. There are patchy areas of opacity within both lungs, left greater than right. This could represent pneumonia or asymmetric pulmonary edema. No significant pleural effusions and no pneumothorax.	56994953	INDICATION: ___-year-old woman status post intubation for altered mental status and seizures,? infiltrates and location of ET tube. COMPARISON: ___.	Endotracheal tube is positioned too low. Suggest withdrawing the tube by 2-3 cm. Bilateral patchy areas of opacification could represent pneumonia or asymmetric pulmonary edema.
11542052	The lung volumes are low, resulting in vascular crowding. Cardiac silhouette is top normal. The mediastinum is unremarkable. There is no focal consolidation to suggest pneumonia. No pleural effusion or pneumothorax is seen.	52151700	INDICATION: History of diabetes and stroke now with hypoglycemia, evaluate for infiltrate. COMPARISONS: ___. AP AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11192475	No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen.	52634675	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, chest pain, fever // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No focal consolidation to suggest pneumonia.
11192475	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is top-normal with left ventricular configuration.	52185443	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___	No acute cardiopulmonary process.
11192475	There are low lung volumes. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. The aorta is tortuous. There is mild pulmonary vascular congestion. Streaky opacities at the lung bases may reflect atelectasis, though infection cannot be completely excluded. No large pleural effusion or pneumothorax is identified. There is no acute osseous abnormality.	54076015	INDICATION: Chest pain. COMPARISON: None. PORTABLE UPRIGHT AP VIEW OF THE	Low lung volumes with bibasilar atelectasis, though infection at the lung bases is not completely excluded. Mild pulmonary vascular congestion.
11014074	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.	56318295	HISTORY: ___-year-old male with chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available.	No radiographic evidence for acute cardiopulmonary process.
11068487	PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.	58054197	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Enlarged thyroid with dyspnea and shortness of breath. Assess for pneumonia.	No acute intrathoracic process.
11068487	PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.	58499428	CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with history of hyperthyroidism (Graves' disease) and kidney stones recently started on methimazole and propranolol, presenting with acute abdominal pain and tachycardia. Question infection versus thyroid storm. Question cardiomegaly. COMPARISON: ___.	No acute cardiopulmonary process.
11581121	PA and lateral radiographs of the chest demonstrate clear lungs and normal cardiomediastinal contours, with stable juxtacardiac opacities consistent with known prominence of the epicardial fat pad. There is no pneumothorax or pleural effusion, and pulmonary vascularity is normal. Atherosclerotic calcifications along the aortic arch are once again noted.	57876749	INDICATION: Three weeks of cough, diffuse end-expiratory wheezing, and anterior rhonchi. COMPARISONS: Most recent chest radiograph from ___.	No evidence of pneumonia.
11581121	PA and lateral images of the chest were obtained. The lungs care clear bilaterally without focal consolidation of pulmonary edema. No pleural effusion or pneumothorax. There are no bony abnormalities. The cardiomediastinal silhouette is normal. There is no free air below the right hemidiaphragm.	54587067	INDICATION: Weakness. COMPARISON: Chest radiograph ___.	No acute intrathoracic process.
11224420	The NG tube tip is in the stomach. The remainder of the appearance of the chest is unchanged.	50293570	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with newly placed NGT. // eval NGT placement TECHNIQUE: Portable chest COMPARISON: 831 at 13:53	The NG tube tip is in the stomach.
11224420	The lung volumes are very low. Bibasilar opacities likely reflect atelectasis. There is moderate cardiomegaly. Median sternotomy wires appear intact. Left chest wall pacer defibrillator has leads terminating in the right atrium and right ventricle. There is no large pleural effusion or pneumothorax.	54752076	INDICATION: History: ___M with altered MS // r/o infiltrate TECHNIQUE: Portable supine AP chest COMPARISON: None available	Low lung volumes with bibasilar atelectasis. Moderate cardiomegaly.
11443713	There is flattening of the bilateral hemidiaphragms and hyperexpansion of the lungs compatible with COPD. Ill-defined airspace opacities in the right mid lung zone may represent infectious foci; however, pulmonary nodules or masses are not excluded. No significant pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged and there is no evidence of overt pulmonary edema. The cardiac silhouette is moderately enlarged as noted on prior studies. A left pectoral pacemaker is in place with two leads terminating in the right atrium and right ventricle, respectively. The mediastinal contours are within normal limits. The right hilum is prominent on the current examination. The trachea is midline. The visualized upper abdomen is unremarkable.	59773317	INDICATION: Dyspnea, here to evaluate for pulmonary edema or pneumonia. COMPARISON: CT chest dated ___. No prior chest radiograph images are available for comparison as the PACS system is unable to fetch archived images at this time. TECHNIQUE: Portable upright AP radiograph of the chest.	New ill-defined nodular opacities of the right mid lung concerning for pneumonia in the appropriate clinical context. A followup chest radiograph is recommended in 6 weeks' time after a course of treatment to confirm resolution. Moderate cardiomegaly without evidence of acute congestive heart failure.
11443713	Left-sided dual-chamber pacemaker device is noted with leads terminating in right atrium and right ventricle. Severe cardiomegaly with marked left atrial enlargement is re- demonstrated. There is mild pulmonary vascular congestion. The mediastinal and hilar contours are relatively unchanged, with mild atherosclerotic calcification of the thoracic aorta noted. The lungs are hyperinflated which suggests underlying COPD. No pleural effusion, focal consolidation or pneumothorax is present. There are mild multilevel degenerative changes in the thoracic spine.	50550765	HISTORY: Cough and dyspnea. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___.	Mild pulmonary vascular congestion.
11443713	In comparison to the most recent prior chest radiograph, there is interval development of multifocal airspace opacity throughout the right lung concerning for multifocal infectious process. The left lung is relatively clear. There is no pleural effusion or pneumothorax. The pulmonary vasculature is essentially within normal limits. A left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle, as before. The cardiac silhouette is enlarged but stable. The mediastinal contours are within normal limits.	53736907	INDICATION: History of CHF, ASD, PDA and COPD, now with three weeks worsening dyspnea, pedal edema and bloody sputum. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.	New multifocal airspace opacities in the right lung concerning for multifocal pneumonia.
11443713	Again seen is a left chest dual lead pacemaker which appears unchanged. No focal consolidation is identified. There is stable moderate cardiomegaly. There is a small left and possible trace right pleural effusion. There is no pneumothorax.	51732786	INDICATION: ___F with vomiting, weakness, evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___.	No focal consolidation. Small left and possible trace right pleural effusion.
11443713	Small moderate left pleural effusion. The cardiac silhouette remains enlarged. The aorta calcified. The right lung remains hyperinflated. There is mild pulmonary vascular congestion. No pneumothorax is seen. Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle.	52696127	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with c/o SOB with BLE edema // ? pna OR chf TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___	Left pleural effusion. Mild pulmonary vascular congestion.
11443713	As compared to prior chest radiograph from ___, there has been interval resolution of right mid lung opacities. There is unchanged right pleural and parenchymal scarring at the right base laterally. Moderate cardiomegaly is stable and there is no evidence of congestive heart failure. The hilar and mediastinl contours are normal. A left pacemaker is in place with two leads terminating in the right atrium and right ventricle, expected locations.	50359894	INDICATION: ___-year-old female patient with recent admission for pneumonia and CHF versus pulmonary hemorrhage. Study requested for assessment of radiographic improvement. COMPARISON: Prior chest CT from ___ and chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.	Resolution of pneumonia. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ at 11:10 AM, time of discovery.
11443713	The right mid lung opacity laterally is unchanged over multiple prior scans although not present in ___. The lungs are otherwise clear without consolidation or large effusion. Cardiomegaly is again seen. Intra-atrial device and left chest wall dual lead pacing device are also noted. No acute osseous abnormalities.	52735152	WET READ: ___ ___ ___ 11:20 PM Cardiomegaly without acute cardiopulmonary process. The right parenchymal opacity laterally seen dating back to ___ but not present in ___, potentially scarring although continued followup by nonurgent chest CT would be advised as underlying lesion is not excluded ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with weakness, fatigue, whole body pain // pneumonia? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. ___. ___.	Cardiomegaly without acute cardiopulmonary process. The right parenchymal opacity laterally seen dating back to ___ but not present in ___, potentially scarring although continued followup by nonurgent chest CT would be advised as underlying lesion is not excluded.
11443713	There is stable moderate enlargement of the cardiac silhouette. A dual lead left chest wall pacer is in unchanged position with the leads in the expected location of the right atrium right ventricle. The previously seen multifocal opacities have largely resolved; however, there is a new focal opacity in the right middle lobe and possibly in the left lower lobe. No pleural effusion or pneumothorax.	58217888	INDICATION: ___ year old woman with abnormal CXR ___. Assess for resolution. // SOB. Assess for resolution of abnormalities noted ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___	Resolution of previously seen multifocal right pulmonary opacities with new right mid lung and left lower lobe opacities. Given the waxing and waning fleeting opacities, cryptogenic organizing pneumonia or Loffler syndrome are on the differential. Vasculitis is also possible; although, less likely given the time course. If clinically warranted correlation with tissue diagnosis could be considered.
11443713	Multifocal bilateral opacities have completely resolved since previous exam. There is no evidence of new consolidation. The lungs are hyperinflated in this patient with significant cardiomegaly and an atrioventricular pacemaker. There is no pleural effusion or pneumothorax.	52466483	PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough for few weeks. Rule out infiltrate. COMPARISON: ___ to ___.	There is no evidence of pneumonia. Bilateral opacities have completely resolved since ___. The results have been discussed directly with Dr. ___ at 3 p.m.
11946839	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	51687185	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with elevated WBC // Eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11518863	PA and lateral views of the chest. The lungs are clear, previously seen right upper lobe pneumonia has resolved. The cardiomediastinal silhouette is normal as are the osseous and soft tissue structures.	54038094	HISTORY: ___-year-old female with fever. COMPARISON: ___.	No acute cardiopulmonary process.
11049745	PA and lateral views of the chest. The cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.	52815992	INDICATION: ___-___ male with history of alopecia areata and asthma. Three days of right facial numbness. Question of sarcoidosis. COMPARISON: None available.	No acute cardiopulmonary process.
11993259	A single portable frontal chest radiograph was obtained. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. Moderate cardiomegaly is unchanged. Aortic calcifications are stable.	53969137	HISTORY: Altered mental status and fever. COMPARISON: ___ through ___.	Low lung volumes. No acute cardiopulmonary process.
11993259	A single supine chest radiograph was obtained. A right-sided subclavian catheter terminates in lower SVC. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiomegaly is mild.	53795568	HISTORY: Status post line placement COMPARISON: ___	No complications status post right CVL placement.
11469390	Frontal and lateral views of the chest were obtained. The cardiomediastinal silhouette is grossly stable as compared to ___. Blunting of the right costophrenic angle is seen which may be due to a small pleural effusion. Mild basilar atelectasis is seen without definite focal consolidation. No overt pulmonary edema is seen. Degenerative changes seen along the spine.	56326414	HISTORY: Altered mental status, MVC. COMPARISON: No prior chest radiographs available for comparison. Reference made to chest CT from ___.	Blunting of the right costophrenic angle may be due to a small right pleural effusion.
11339862	Diffuse bilateral vascular engorgement appears more than would be expected from supine position. The cardiomediastinal and hilar contours are unchanged. Both lungs show no focal consolidation or pleural effusion. There is no pneumothorax.	55326202	INDICATION: ___-year-old man status post acute kidney injury with history of lung cancer. Status post right lung lobectomy, evaluate for infiltrate or effusion. COMPARISON: ___. SEMI-ERECT PORTABLE AP CHEST	Diffuse bilateral vascular engorgement appears more than would be expected from supine position.
11250988	PA and lateral views of the chest provided. Lung volumes are low. Mild basilar atelectasis is noted. Otherwise, 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.	53179367	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with ascites, dyspnea on exertion // eval for effusion COMPARISON: Same-day CT abdomen pelvis from outside hospital.	Mild basilar atelectasis. Otherwise normal.
11994172	The lung is mildly hyperinflated with flattening of the diaphragm, but no consolidation or nodules. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.	52611515	PATIENT HISTORY: ___ years old woman with persistent cough and fatigue since four weeks. Please assess for pneumonia. COMPARISON: Exam is compared to chest x-ray of ___.	Normal chest x-ray, without sign of acute cardiopulmonary processes. Findings were reported to Dr. ___ at 3:35 p.m. by Dr. ___.
11051985	There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Again noted are diffusely sclerotic appearing osseous structures, particularly in the vertebral bodies, consistent with known metastatic prostate cancer; please note that this appearance limits the evaluation for subtle parenchymal abnormalities. No acute fractures identified.	59164678	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with SOB, metastatic prostate cancer // eval acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___	Diffuse sclerosis of the imaged bones compatible with diffuse metastatic disease from prostate cancer. Within the limitations of this study, no definite parenchymal consolidation is identified. No pleural effusions or pneumothorax.
11051985	Endotracheal tube terminates 6.8 cm above the level of the carina. Enteric tube courses below the diaphragm, terminating in the left upper quadrant. The side port appears to be at the level of the GE junction. Consider advancement so that it is well within the stomach. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Areas of osseous sclerosis are consistent with reported history of prostate metastatic disease.	56237223	EXAMINATION: CHEST (PORTABLE AP) INDICATION: intubated // confirm ETT TECHNIQUE: Single frontal view of the chest COMPARISON: None	Endotracheal tube terminates approximately 6.8 cm above the level of the carina. Enteric tube terminates in expected location of the stomach, side port at the level the GE junction; consider advancement so it is well within the stomach. No focal consolidation. Osseous sclerosis consistent with history of prostate metastases.
11777207	No consolidation. Small bilateral effusions. Biapical pleural thickening noted. The cardiomediastinal silhouette is at the upper limits of normal. No acute osseous abnormality.	59666936	EXAMINATION: Frontal and lateral views of the chest INDICATION: ___ year old woman with fever, respiratory symptoms. // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: CT of the chest ___	No acute cardiopulmonary findings. Examination and dictation reviewed with Dr. ___.
11242955	Lung volumes are low and exaggerated pulmonary vascular markings. The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.	52770282	HISTORY: Cough and chest pain. COMPARISON: Chest radiograph ___.	No acute cardiopulmonary process.
11242955	PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.	56153107	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chills, cough, question pneumonia.	No acute intrathoracic process.
11993007	The lungs are clear. There is no confluent opacity. No pneumothorax or pneumomediastinum is evident. There is no vascular congestion, edema, or pleural effusions. Cardiomediastinal contours are within normal limits. There is no subdiaphragmatic free air.	56162800	HISTORY: ___-year-old male with nausea and vomiting. COMPARISON: Trauma series from ___ and CT torso from ___. FRONTAL AND LATERAL CHEST	No acute cardiopulmonary process.
11327015	Patient is status post median sternotomy and CABG. There is moderate enlargement of the cardiac silhouette. Mediastinum is stable. There is increase in bibasilar and right mid lung opacities ; the setting of trauma could be due to aspiration, pulmonary contusion, or infection. There is mild central pulmonary vascular congestion. No large pleural effusion is seen. There is no evidence of pneumothorax. No displaced fracture is identified.	55406888	WET READ: ___ ___ 4:48 PM Moderate to severe cardiomegaly. Increased bibasilar and right mid lung opacities ; in the setting of trauma, differential diagnosis includes pulmonary contusion, aspiration, infection. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with a fib on Coumadin, 2 recent unwitnessed falls, decline in mental status // ?bleed TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Moderate to severe cardiomegaly. Increased bibasilar and right mid lung opacities ; in the setting of trauma, differential diagnosis includes pulmonary contusion, aspiration, infection.
11327015	Patient is status post median sternotomy and CABG.Subtle left base retrocardiac opacity may be due to atelectasis and vascular structures although an early consolidation due to infection or aspiration is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	55667976	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with AMS and cough, r/o PNA // History: ___M with AMS and cough, r/o PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Subtle left base retrocardiac opacity may be due to atelectasis and vascular structures although an early consolidation due to infection or aspiration is not excluded in the appropriate clinical setting. Otherwise, no significant interval change.
11327015	The patient is status post median sternotomy and CABG. The cardiomediastinal and hilar contours are stable. Slightly increased opacity at the base of the left lung may represent atelectasis or scarring, but is stable from the prior exam. No pleural effusion or pneumothorax.	53158260	INDICATION: History: ___M with near syncope today // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___	Subtly increased lung markings in the left lower lobe likely reflect atelectasis or scarring and are unchanged from the prior exam in ___. Low lung volumes. No definite pneumonia.
11604900	The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	50080132	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman presenting with lightheadedness and coarse lung sounds on exam. Evaluate for pneumonia COMPARISON: Chest radiograph from ___.	No acute cardiopulmonary process.
11604900	Frontal and lateral chest radiographdemonstrates moderately well expanded lungs.The left lung is clear. Within the right upper lung at the sixth posterior rib level is a focal poorly defined opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.	51971287	WET READ: ___ ___ ___ 6:26 AM No pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Confusion. Assess for pneumonia. COMPARISON: Chest radiograph ___, ___, ___.	New focal opacity within right upper lung may represent summation of normal structures or a focal lung abnormality such as a lung nodule or early focus of the pneumonia. Recommend ___ degree shallow oblique view for further evaluation.
11604900	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.	57088714	INDICATION: ___-year-old female with altered mental status, myalgias, nausea and pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiographs from ___, ___ and ___.	No acute cardiopulmonary process.
11604900	Heart size and cardiomediastinal contours are normal. Linear opacity in the right lung base is consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax.	52525001	INDICATION: History: ___F with confusion // ? pna COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Frontal and lateral views of the chest.	Right base atelectasis. No focal consolidation.
11604900	The patient is not in full inspiration. Overall, no significant change from the prior exam other than apparent resolution of the right lower lung plate like atelectasis. The lungs are clear, without focal consolidation or pulmonary edema. No pneumothorax or pleural effusion. The cardiomediastinal silhouette is within normal limits and unchanged from the prior exam. The hila are unremarkable.	56009734	EXAMINATION: Chest (PA and lateral) INDICATION: ___-year-old woman presenting with weakness; evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	No acute intrathoracic process. Normal chest radiograph.
11604900	Lower lung volumes seen on the current exam although the lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	59184889	INDICATION: ___F with AMS, abdominal pain. WBC ___ // R/O pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.	Lower lung volumes without acute cardiopulmonary process.
11604900	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examination. No definite new focal consolidation is identified. There is no pleural effusion or pneumothorax.	54613358	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: Cough and chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute intrathoracic abnormality.
11604900	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	59398334	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cirrhosis, epigastric pain, acute kidney injury TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11604900	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	54448803	EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with history of cirrhosis and elevated white blood cell count. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Multiple prior chest radiographs, most recent on ___.	No evidence of acute cardiopulmonary process.
11604900	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	54537428	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F hx cirrhosis here with likely decompensated cirrhosis TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___	No acute cardiopulmonary abnormality.
11604900	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	59030646	INDICATION: Evaluate for pneumonia in a patient presenting with weakness. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.	No acute cardiopulmonary process.
11604900	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	54164267	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // eval pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11604900	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are slightly low, which accentuates bronchovascular markings. Given that, the lungs appear clear without focal consolidation. No pleural effusion or pneumothorax is seen.	52394462	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with malaise, subjective fevers // r/o infiltrate TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiographs from ___ through ___	No focal consolidation to suggest pneumonia.
11604900	The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.	50444897	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman fatigue, general malaise, evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: Chest radiograph ___.	No acute cardiopulmonary process.
11604900	The lungs are clear without focal consolidation. Previously question opacity projecting over the posterior right sixth rib is no not appreciated on the current study and may have been artifact or overlap of structures. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	55592749	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with alcohol cirrhosis c/b varices, encephalopathy, presenting from rehab for worsening AMS. // Radiology recommened ___ degree shallow oblique view for further evaluation of possible pneumonia TECHNIQUE: Chest, a frontal, lateral, and bilateral obliques, 4 total views COMPARISON: ___ at 00:40, earlier this same date	No acute cardiopulmonary process. Previously questioned opacity projecting over the right upper lung is no longer appreciated.
11604900	The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.	50951313	INDICATION: ___-year-old woman with weakness, evaluate for pneumonia. TECHNIQUE: Single AP view of the chest was obtained. COMPARISON: Chest x-ray from ___	No acute cardiopulmonary process.
11604900	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.	59757887	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with abdominal tenderness // xcr eval for pnaRUQ Ultrasound eval for acute cholcytisti COMPARISON: ___	No acute intrathoracic process.
11707950	Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	59766844	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest discomfort TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11891090	PA and lateral views of the chest. There is a large confluent opacification in the right upper lobe that likely represents a mass that likely arose from nodule seen on previous radiograph. In the right middle and lower lung, this are two rounded, slightly spiculated nodules that likely represent metastasis. The left lung appears relatively clear. There is no pleural effusion or pneumothorax. The cardiac, and mediastinal contours are normal.	53037939	WET READ: ___ ___ ___ 2:51 PM Right upper lobe mass and right middle and right lower lung nodules concerning for lung carcinoma with metastasis. Suggest CT to further evaluate. ______________________________________________________________________________ FINAL REPORT INDICATION: Weakness, evaluate for pneumonia. COMPARISON: Chest radiograph on ___.	Right upper lobe mass and right middle and right lower lung nodules concerning for lung carcinoma with metastasis. Suggest CT to further evaluate. These findings were discussed with Dr. ___ at 12 p.m. on ___ by telephone.
11408987	PA and lateral views of the chest provided. Mild left basal atelectasis noted. Otherwise the lungs are clear. 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.	53298573	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with palpitiations // acute process COMPARISON: ___	No acute intrathoracic process.
11841882	Cardiac and mediastinal silhouettes are stable. There are low lung volumes with bronchovascular crowding. No large pleural effusion is seen. There is no pneumothorax. No definite focal consolidation seen. There may be minimal vascular congestion. There is persistent elevation of the right hemidiaphragm.	54405917	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with seziure // Eval for infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Possible minimal pulmonary vascular congestion. No definite focal consolidation. Persistent elevation of the right hemidiaphragm.
11090206	Lung volumes are low. The heart size is top normal. Mediastinal and hilar contours are within normal limits, and there is no evidence for pulmonary edema. Streaky and linear opacities in both lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.	55166644	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with peripheral vascular disease, presents with claudication of the left lower extremity TECHNIQUE: Chest PA and lateral COMPARISON: None.	Streaky bibasilar opacities likely reflective of atelectasis. No focal consolidation to suggest pneumonia.
11491063	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	59082250	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever // r/p PNA TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11523040	There are several bilateral upper paraspinal surgical clips. Faint amorphous calcifications projecting over the lateral left mid lung likely reflect a calcified pleural plaque. The lungs otherwise clear. Previous bilateral lower lung opacities are significantly improved, however there is persistent left retrocardiac opacity. Heart size is normal. Image somewhat contours are normal. There is no pleural effusion or pneumothorax.	54363582	INDICATION: ___ year old man with recent pneumonia seen at ___ and inpatient overnight at ___. // is his pneumonia resolved? TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___. Chest radiograph ___.	Previous bilateral lower lung opacities are significantly improved with some residual opacity especially in the left retrocardiac region suggesting incomplete resolution of pneumonia.
11034855	Lung volume is low. Small left pleural effusion is similar to ___. Cardiac silhouette and pulmonary vasculature is exaggerated by low lung volumes. There is no focal consolidation. Known rib fractures seen on prior CT is not visualized on this radiograph.	55459402	INDICATION: History: ___M with chest pain // ? worsening L effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___:42, 19:36, ___	Small left pleural effusion is similar to compared to ___. Known rib fractures seen on prior CT is not visualized on this radiograph.
11866877	Lung fields are otherwise clear. The heart size is within normal limits. There is no pneumothorax. No fracture identified.	56611318	WET READ: ___ ___ ___ 6:11 AM No acute cardiopulmonary abnormality. No fracture identified. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with left upper chest pain and tenderness // pneumothorax, rib fracture TECHNIQUE: Chest PA and lateral COMPARISON: None	No acute cardiopulmonary abnormality. No fracture identified.
11384719	A few subcentimeter calcified appearing nodular opacities in the right hemi thorax either represent vessels on and or calcified granulomas. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. The aorta is slightly tortuous.	59391369	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cp // eval for pna, ptx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11818182	Dual lead pacemaker in situ with the lead tips in the appropriate positions. The cardiomediastinal contour is normal. No left-sided pneumothorax. Possible small left-sided pleural effusion. No airspace consolidation or suspicious pulmonary nodules or masses. Presumed surgical material in relation to the anteromedial aspect of the right hemidiaphragm (? Previous Morgagni hernia repair). Spondylotic changes of the cervical and thoracic spine. Degenerative changes of the shoulder girdles.	50645062	INDICATION: ___ year old woman with pacemaker // eval for lead placement and pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: No previous imaging available for comparison.	Dual lead pacemaker in the appropriate position. No complications.
11946268	Low lung volumes contribute to bibasilar atelectasis; however, there are no focal consolidations worrisome for pneumonia. Cardiac size is also exaggerated by the low lung volumes. The mediastinum is normal given a tortuous aorta. The hilar contours are normal. No pleural effusion, pneumothorax or pulmonary edema is identified.	53814935	HISTORY: ___-year-old man with shortness of breath and chest pain. Question pneumonia. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest.	No evidence of acute cardiopulmonary process given low lung volumes.
11758392	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	51379744	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.	No acute cardiopulmonary abnormality.
11492213	Compared with prior radiographs on ___, there is slight increase in vascular congestion and mild interstitial edema. There is no new focal consolidation or pneumothorax. Right pacemaker is unchanged in position with a lead terminating in the right ventricle. Replaced mitral valve is in place.	50343636	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with MRSA bacteremia with screw in pacer wire // f/u pulmonary congestion and placement of pacer wire TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___	Slight increase in vascular congestion and mild interstitial edema. Pacer lead is unchanged, terminating in the right ventricle.

11857265

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.

51268207

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with weakness, tachycardia, fall // Eval for PNA COMPARISON: None

No acute intrathoracic process.

11438173

PA and lateral chest radiographs were obtained. A left pectoral pacemaker device is again noted with the single pacemaker lead terminating in the right ventricle. Patient is status post median sternotomy with multiple mediastinal surgical clips, compatible with prior CABG. The lungs again demonstrated prominent interstitial markings, not significantly changed compared to prior study. No focal opacity is identified. The cardiomediastinal silhouette, hilar contours are stable. There is no pleural effusion or pneumothorax.

57892924

HISTORY: Syncope, shortness of breath, evaluate for pneumonia. COMPARISON: Multiple chest radiographs dating back to ___ most recently from ___.

No focal opacity to suggest pneumonia. Stable prominent interstitial markings, possibly due to chronic intersitial lung disease.

11438173

A left pectoral pacemaker device is unchanged, with a single lead terminating in the right ventricle. The patient is status post median sternotomy with multiple mediastinal surgical clips, compatible with prior CABG. The lungs are symmetrically expanded. Interstitial abnormalities are again noted throughout both lungs, greater on the right than the left. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiomediastinal silhouette is within normal limits and unchanged. The trachea is midline. The visualized upper abdomen is unremarkable. Anterior wedge compression fracture of the lower thoracic vertebral body is unchanged from the prior study.

57713871

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

No focal consolidation concerning for pneumonia. Interstitial lung disease with right lung predominance is overall unchanged from ___.

11438173

Frontal and lateral views of the chest are compared to previous exam from earlier the same day at an outside institution and chest x-ray from ___ and thoracolumbar spine CT from ___. There are increased interstitial markings, particularly at the bases and at the right mid lung. There is no large confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. Osseous and soft tissue structures are otherwise notable for mild compression deformity in the lower thoracic spine which had been subacute on CT scan from ___.

56528966

CHEST, TWO VIEWS, ___ HISTORY: ___-year-old male with syncope.

No definite acute cardiopulmonry process. Increased interstitial markings in the lungs suggestive of chronic underlying disease.

11438173

Single portable view of the chest compared to previous exam from ___. Given differences in positioning and technique, there has been no significant interval change. Increased interstitial markings are again seen, suggestive of chronic underlying lung disease. Blunting of the left costophrenic angle and thickening of the pleura laterally suggestive of scarring and prominent extrapleural fat. Cardiomediastinal silhouette is stable and notable for prior median sternotomy with mediastinal clips.

55933749

PORTABLE CHEST. HISTORY: ___-year-old male with chest pain.

No acute cardiopulmonary process.

11438173

A portable frontal chest radiograph demonstrates intact sternal wires, mediastinal clips, and a left chest wall pacer device with the lead overlying the right ventricle. Heart size is top-normal to mildly enlarged. There is obscuration of the left heart border consistent with a lingular consolidation. Additional patchy opacities are noted in the right lower and upper lung. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.

54083243

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

Multifocal patchy opacities, most prominent in the lingula. This may reflect pneumonia versus sequela of aspiration. Clinical correlation is recommended.

11438173

A left pectoral pacer device is unchanged in position with a single lead terminating in the right ventricle as before. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior coronary artery bypass. The lungs are symmetrically expanded. Interstitial abnormalities are noted throughout both lungs greater on the right than the left. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. The pulmonary vasculature is not engorged. Mild elevation of the left hemidiaphragm is unchanged. The cardiomediastinal silhouette is stable. The trachea is midline. The visualized upper abdomen is unremarkable. Anterior wedge compression fracture deformity of a lower thoracic vertebral body is unchanged from the prior studies of ___, but new from the prior chest radiograph of ___.

53876347

INDICATION: History of coronary artery disease, now with cough, here to evaluate for pneumonia or evidence of congestive heart failure. COMPARISON: Chest radiograph, last performed on ___. CT T-spine of ___. TECHNIQUE: PA and lateral radiographs of the chest.

No focal consolidation concerning for pneumonia. No evidence of overt congestive heart failure. Interstitial lung disease with right lung predominance as partially seen on CT T-spine of ___.

11125170

Frontal and lateral views of the chest were obtained. Large retrocardiac air-fluid level is most consistent with a hiatal hernia. There is adjacent atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The patient is rotated slightly to the right. The aorta is somewhat tortuous. There is prominence of the main pulmonary artery, which may be due to component of pulmonary arterial hypertension. The cardiac silhouette is top normal.

58181750

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Hypotension. COMPARISON: None.

Large hiatal hernia. Prominence of the main pulmonary artery may suggest a component of pulmonary hypertension.

11329450

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

53474774

INDICATION: History: ___M with Shortness of breath and chest tightness since midnight. Normal EKG // consolidation or other process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___

No acute intrathoracic process.

11329450

Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No pneumothorax or consolidation seen. The visualized bony structures are unremarkable in appearance.

51212485

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with nausea/fever. // ?infection TECHNIQUE: PA and lateral chest radiographs. COMPARISON: Chest radiograph ___.

No acute cardiopulmonary process seen.

11607120

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

54850699

HISTORY: Abdominal pain COMPARISON: None

No acute cardiopulmonary process.

11884999

There are low lung volumes, which results in bronchovascular crowding. The heart is mildly enlarged. The aorta appears tortuous. There is no pneumothorax, pleural effusion, or consolidation. The right peritracheal region is prominent which could be due to vascular engorgement. Recommend attention to this area on followup

50543062

FINAL ADDENDUM ADDENDUM Note is made of a dislocated right shoulder, which is partially imaged on this study. Addendum findings and updated impression were discussed with Dr. ___ by Dr. ___ ___ telephone at 9:49 a.m. on ___, approximately ___ min after discovery. ______________________________________________________________________________ WET READ: ___ ___ ___ 9:18 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with seizure // eval for acute process TECHNIQUE: Portable supine chest radiograph. COMPARISON: None available.

No focal infiltrate. .

11597765

The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The kyphotic curvature of the mid thoracic spine is again mildly exaggerated including similar mild degenerative changes.

56234313

EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dizziness. History of prior stroke. COMPARISON: Radiographs from ___ as well as more recent CT dated ___. TECHNIQUE: Chest, PA and lateral.

No evidence of acute cardiopulmonary process.

11232789

PA and lateral views of the chest provided. There is mild bibasilar atelectasis. 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.

50317834

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ y.o F with dyspnea on exertion, healthy, recently on dapsone COMPARISON: None

No acute intrathoracic process.

11398733

Endotracheal tube terminates 3.2 cm above the carina, in appropriate position. Nasogastric tube terminates in the stomach with side port beyond expected location the gastroesophageal junction. Cardiomegaly is substantial, increased from ___. There is slight increased fluid within the right minor fissure, and pulmonary vessels are less distinct than on ___, but there is no frank pulmonary edema. Opacities at both bases, left greater than right, are new from ___. A small left pleural effusion is new since ___. No pneumothorax.

51304105

INDICATION: ___ year old woman s/p intubation // evaluate for tube placement TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph from ___.

Endotracheal tube in appropriate position. New consolidation at the left lung base likely represents combination of substantial atelectasis and small pleural effusion, although aspiration could be considered. Small left pleural effusion new since ___.

11398733

Endotracheal tube tip in good position. Enteric tube tip mid stomach. Left IJ central line tip in low SVC/upper RA. Bilateral perihilar, right basilar opacities, left lower lobe consolidation, stable. Left pleural effusion, stable. Right costophrenic angle is not included on this radiograph. Shallow inspiration accentuates heart size which is enlarged.

56944783

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NG tube just placed // Ng tube placement TECHNIQUE: Portable chest x-ray COMPARISON: Chest x-ray ___ at 09:56

Enteric tube tip in good position. Otherwise stable

11398733

Left internal central venous catheter terminates in the low SVC. Enteric tube courses below the left hemidiaphragm and is coiled in the stomach. There is persistent left lower lobe collapse and moderate left pleural effusion, unchanged. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are stable. There is no large pneumothorax.

50882384

INDICATION: ___ year old woman with NGT placement TECHNIQUE: Portable semi-upright AP chest COMPARISON: Radiographs of the chest ___ through ___

Enteric tube is coiled in the stomach. Persistent left lower lobe collapse and moderate left pleural effusion. Mild cardiomegaly. This preliminary report was reviewed with Dr. ___, ___ radiologist.

11398733

Bilateral lower lung opacities and pleural effusions noted. ET tube is above the carina. NG tube in the stomach. Central line in SVC.

58617710

EXAMINATION: Chest single view INDICATION: ___ year old woman with E coli sepsis, intubated, now with pulm edema and thick secretions and trialing IV lasix // Interval change s/p IV lasix TECHNIQUE: AP portable COMPARISON: ___.

Bilateral lower lobe opacities and left effusion with no significant change.

11398733

Increased opacity of the left base suggests layering pleural effusion with atelectasis of the left base. There is also bilateral vascular congestion and mild pulmonary edema. Enlarged cardiac silhouette may suggest cardiomegaly or pericardial effusion. There is no pneumothorax. Mediastinal contours are unchanged. Left PICC tip ends in the mid SVC. Interval removal of Dobhoff tube.

56881642

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with complicated hospitalization notable for AIDS, sepsis, DIC, pelvic abscess now with increased somnolence // Eval for interval change TECHNIQUE: Single portable frontal view of the chest COMPARISON: Chest radiograph ___

Increased left pleural effusion with left lung base atelectasis. Mild pulmonary edema bilaterally. Enlarged cardiac silhouette raises question of cardiomegaly or pericardial effusion.

11398733

The ETT, left IJ central venous catheter, and enteric tube are in satisfactory position. There is new right upper lobe collapse with decreased lung volume. No consolidation. No pleural effusion. No pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is normal. No fractures.

56947388

INDICATION: ___ year old woman with AIDS and 18L positive LOS // diuresis improvement TECHNIQUE: For chest radiograph. COMPARISON: Chest radiograph dated ___.

New right upper lobe collapse with decreased lung volume. Otherwise stable chest radiograph without new consolidation.

11398733

The ETT, left IJ central venous catheter, and enteric tube are in satisfactory position unchanged from prior. There is persistent but interval slight decreased right upper lobe collapse. No consolidation. No pleural effusion. No pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is normal. No fractures.

57163019

INDICATION: ___ year old woman with sepsis, RUL collapse on am CXR // interval change TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___ at 04:33.

The right upper lobe collapse is mildly decreased. The monitoring and support devices are in satisfactory position l.

11398733

Enteric tube tip in the distal stomach. Left IJ, PICC lines in place. Shallow inspiration. Mildly improved perihilar, bibasilar opacities. Strand of fibrosis or atelectasis left costophrenic angle, stable. Tiny right pleural effusion or thickening.

50630250

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with NGT tube that has migrated // placement of NGT TECHNIQUE: Chest single view COMPARISON: ___ 15:13

Enteric tube tip in the distal stomach. Improved perihilar, basilar opacities.

11398733

Left IJ central venous catheter is unchanged. The lung volume is low. Pulmonary vascular engorgement and pulmonary edema have improved. Left lower lobe collapse is unchanged. Small to moderate pleural effusion bilaterally is unchanged. No pneumothorax.

57534610

INDICATION: ___ year old woman with sepsis hemoptysis // interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

Improved pulmonary edema and pulmonary venous congestion.

11398733

The right IJ central line terminates in the distal SVC. The endotracheal tube is approximately 4.5 cm above the carina. The enteric to terminates in the stomach with side port beyond the GE junction. Lung volumes are low. The heart is mildly enlarged. Retrocardiac opacity has worsened consistent with collapse of the left lower lobe and left pleural effusion. Increased opacification of the left upper lobe is likely secondary to increased atelectasis. The right lung is clear. There is no pulmonary edema or pneumothorax.

56208741

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with respiratory failure and E coli sepsis, intubated // ETT placement? Interval change? TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph from ___, ___, ___.

Left lower lobe collapse and left pleural effusion. Increased opacity of the left upper lobe likely secondary to increased atelectasis.

11398733

No significant change since the previous exam. Again bilateral lower lobe opacities seen and the left pleural effusion. ET tube above the carina, 2.5 cm. Left IJ line in mid SVC. NG tube in the stomach.

57547956

EXAMINATION: Chest single view INDICATION: ___ year old woman with sepsis, intubated // evaluate for interval change TECHNIQUE: Portable AP semi erect. COMPARISON: ___.

Stable bilateral lower lobe opacities and left effusion.

11398733

On view # 2, the radiopaque tip of the Dobbhoff tube extends slightly beyond the inferior edge of this film, but overlies the upper/mid abdomen in the midline. The radiopaque tip of the Dobbhoff tube could still lie within the stomach. Compared to the prior film, inspiratory volumes are lower, with more patchy opacity at the lung bases. There is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation, and vascular plethora, compatible with mild fluid overload. No pleural effusions. Left PICC line with tip over distal SVC again noted.

55987579

CLINICAL INFORMATION & QUESTIONS TO BE ANSWERED: ______________________________________________________________________________ FINAL REPORT EXAMINATION: DX CHEST PORT LINE/TUBE PLCMT 1 EXAM INDICATION: ___ year old woman with AIDS, sepsis, needs feeding tube // eval NGT placement TECHNIQUE: Two sequential AP upright views of the chest obtained portably, labeled first and second. COMPARISON: Chest x-ray from ___ at 7:29

Radiopaque tip of Dobbhoff tube most likely still lies within the stomach. Worsening retrocardiac opacity consistent with left lower lobe collapse and/or consolidation. Increased vascular plethora. Clinical correlation is requested. It is possible that these findings are accentuated by lower inspiratory volumes on the current radiograph.

11398733

The heart size is mildly enlarged. Lung volumes are slightly low. Mediastinal and hilar contours are within normal limits. There is crowding of bronchovascular structures without pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis, with no focal consolidation, pleural effusion or pneumothorax identified. No acute osseous abnormalities seen.

51847006

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with HIV, recent travel to ___, fever/ tachycardia/hypotension, abdominal pain TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.

Low lung volumes with patchy bibasilar atelectasis.

11686109

There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.

51291994

WET READ: ___ ___ ___ 4:06 AM No evidence of acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with new onset afib, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None.

No evidence of acute cardiopulmonary process.

11608370

The lungs are clear without focal consolidation, effusion, or edema. There is mild cardiomegaly. Slight tortuosity of the descending thoracic aorta is noted. Mild anterior vertebral body height loss noted in the lower thoracic vertebral body, age indeterminate.

55500917

INDICATION: ___F with weakness // infiltrate? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

Cardiomegaly without acute cardiopulmonary process. Age indeterminate, potentially chronic, anterior compression deformity of a lower thoracic vertebral body.

11714267

The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, pneumothorax, or pneumonia. Mild rightward tracheal deviation is due to an enlarged left thyroid lobe and aortic tortuosity.

58318309

EXAMINATION: Chest radiograph INDICATION: ___ year old man with acute productive cough, r/o pneumonia // r/o pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___ CT chest with contrast ___

No pneumonia or acute cardiopulmonary process.

11542052

Portable AP upright chest radiograph is obtained. Rotation limits interpretation. ET tube terminates 1 cm above the carina and is too low. NG tube is in the stomach. Heart size cannot be accurately assessed on this AP view. Cardiomediastinal contours are unremarkable. There are patchy areas of opacity within both lungs, left greater than right. This could represent pneumonia or asymmetric pulmonary edema. No significant pleural effusions and no pneumothorax.

56994953

INDICATION: ___-year-old woman status post intubation for altered mental status and seizures,? infiltrates and location of ET tube. COMPARISON: ___.

Endotracheal tube is positioned too low. Suggest withdrawing the tube by 2-3 cm. Bilateral patchy areas of opacification could represent pneumonia or asymmetric pulmonary edema.

11542052

The lung volumes are low, resulting in vascular crowding. Cardiac silhouette is top normal. The mediastinum is unremarkable. There is no focal consolidation to suggest pneumonia. No pleural effusion or pneumothorax is seen.

52151700

INDICATION: History of diabetes and stroke now with hypoglycemia, evaluate for infiltrate. COMPARISONS: ___. AP AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11192475

No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen.

52634675

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, chest pain, fever // eval for pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No focal consolidation to suggest pneumonia.

11192475

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is top-normal with left ventricular configuration.

52185443

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___

No acute cardiopulmonary process.

11192475

There are low lung volumes. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. The aorta is tortuous. There is mild pulmonary vascular congestion. Streaky opacities at the lung bases may reflect atelectasis, though infection cannot be completely excluded. No large pleural effusion or pneumothorax is identified. There is no acute osseous abnormality.

54076015

INDICATION: Chest pain. COMPARISON: None. PORTABLE UPRIGHT AP VIEW OF THE

Low lung volumes with bibasilar atelectasis, though infection at the lung bases is not completely excluded. Mild pulmonary vascular congestion.

11014074

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

56318295

HISTORY: ___-year-old male with chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available.

No radiographic evidence for acute cardiopulmonary process.

11068487

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

58054197

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Enlarged thyroid with dyspnea and shortness of breath. Assess for pneumonia.

No acute intrathoracic process.

11068487

PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.

58499428

CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with history of hyperthyroidism (Graves' disease) and kidney stones recently started on methimazole and propranolol, presenting with acute abdominal pain and tachycardia. Question infection versus thyroid storm. Question cardiomegaly. COMPARISON: ___.

No acute cardiopulmonary process.

11581121

PA and lateral radiographs of the chest demonstrate clear lungs and normal cardiomediastinal contours, with stable juxtacardiac opacities consistent with known prominence of the epicardial fat pad. There is no pneumothorax or pleural effusion, and pulmonary vascularity is normal. Atherosclerotic calcifications along the aortic arch are once again noted.

57876749

INDICATION: Three weeks of cough, diffuse end-expiratory wheezing, and anterior rhonchi. COMPARISONS: Most recent chest radiograph from ___.

No evidence of pneumonia.

11581121

PA and lateral images of the chest were obtained. The lungs care clear bilaterally without focal consolidation of pulmonary edema. No pleural effusion or pneumothorax. There are no bony abnormalities. The cardiomediastinal silhouette is normal. There is no free air below the right hemidiaphragm.

54587067

INDICATION: Weakness. COMPARISON: Chest radiograph ___.

No acute intrathoracic process.

11224420

The NG tube tip is in the stomach. The remainder of the appearance of the chest is unchanged.

50293570

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with newly placed NGT. // eval NGT placement TECHNIQUE: Portable chest COMPARISON: 831 at 13:53

The NG tube tip is in the stomach.

11224420

The lung volumes are very low. Bibasilar opacities likely reflect atelectasis. There is moderate cardiomegaly. Median sternotomy wires appear intact. Left chest wall pacer defibrillator has leads terminating in the right atrium and right ventricle. There is no large pleural effusion or pneumothorax.

54752076

INDICATION: History: ___M with altered MS // r/o infiltrate TECHNIQUE: Portable supine AP chest COMPARISON: None available

Low lung volumes with bibasilar atelectasis. Moderate cardiomegaly.

11443713

There is flattening of the bilateral hemidiaphragms and hyperexpansion of the lungs compatible with COPD. Ill-defined airspace opacities in the right mid lung zone may represent infectious foci; however, pulmonary nodules or masses are not excluded. No significant pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged and there is no evidence of overt pulmonary edema. The cardiac silhouette is moderately enlarged as noted on prior studies. A left pectoral pacemaker is in place with two leads terminating in the right atrium and right ventricle, respectively. The mediastinal contours are within normal limits. The right hilum is prominent on the current examination. The trachea is midline. The visualized upper abdomen is unremarkable.

59773317

INDICATION: Dyspnea, here to evaluate for pulmonary edema or pneumonia. COMPARISON: CT chest dated ___. No prior chest radiograph images are available for comparison as the PACS system is unable to fetch archived images at this time. TECHNIQUE: Portable upright AP radiograph of the chest.

New ill-defined nodular opacities of the right mid lung concerning for pneumonia in the appropriate clinical context. A followup chest radiograph is recommended in 6 weeks' time after a course of treatment to confirm resolution. Moderate cardiomegaly without evidence of acute congestive heart failure.

11443713

Left-sided dual-chamber pacemaker device is noted with leads terminating in right atrium and right ventricle. Severe cardiomegaly with marked left atrial enlargement is re- demonstrated. There is mild pulmonary vascular congestion. The mediastinal and hilar contours are relatively unchanged, with mild atherosclerotic calcification of the thoracic aorta noted. The lungs are hyperinflated which suggests underlying COPD. No pleural effusion, focal consolidation or pneumothorax is present. There are mild multilevel degenerative changes in the thoracic spine.

50550765

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

Mild pulmonary vascular congestion.

11443713

In comparison to the most recent prior chest radiograph, there is interval development of multifocal airspace opacity throughout the right lung concerning for multifocal infectious process. The left lung is relatively clear. There is no pleural effusion or pneumothorax. The pulmonary vasculature is essentially within normal limits. A left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle, as before. The cardiac silhouette is enlarged but stable. The mediastinal contours are within normal limits.

53736907

INDICATION: History of CHF, ASD, PDA and COPD, now with three weeks worsening dyspnea, pedal edema and bloody sputum. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral radiographs of the chest.

New multifocal airspace opacities in the right lung concerning for multifocal pneumonia.

11443713

Again seen is a left chest dual lead pacemaker which appears unchanged. No focal consolidation is identified. There is stable moderate cardiomegaly. There is a small left and possible trace right pleural effusion. There is no pneumothorax.

51732786

INDICATION: ___F with vomiting, weakness, evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___.

No focal consolidation. Small left and possible trace right pleural effusion.

11443713

Small moderate left pleural effusion. The cardiac silhouette remains enlarged. The aorta calcified. The right lung remains hyperinflated. There is mild pulmonary vascular congestion. No pneumothorax is seen. Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle.

52696127

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with c/o SOB with BLE edema // ? pna OR chf TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___

Left pleural effusion. Mild pulmonary vascular congestion.

11443713

As compared to prior chest radiograph from ___, there has been interval resolution of right mid lung opacities. There is unchanged right pleural and parenchymal scarring at the right base laterally. Moderate cardiomegaly is stable and there is no evidence of congestive heart failure. The hilar and mediastinl contours are normal. A left pacemaker is in place with two leads terminating in the right atrium and right ventricle, expected locations.

50359894

INDICATION: ___-year-old female patient with recent admission for pneumonia and CHF versus pulmonary hemorrhage. Study requested for assessment of radiographic improvement. COMPARISON: Prior chest CT from ___ and chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs.

Resolution of pneumonia. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ at 11:10 AM, time of discovery.

11443713

The right mid lung opacity laterally is unchanged over multiple prior scans although not present in ___. The lungs are otherwise clear without consolidation or large effusion. Cardiomegaly is again seen. Intra-atrial device and left chest wall dual lead pacing device are also noted. No acute osseous abnormalities.

52735152

WET READ: ___ ___ ___ 11:20 PM Cardiomegaly without acute cardiopulmonary process. The right parenchymal opacity laterally seen dating back to ___ but not present in ___, potentially scarring although continued followup by nonurgent chest CT would be advised as underlying lesion is not excluded ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with weakness, fatigue, whole body pain // pneumonia? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. ___. ___.

Cardiomegaly without acute cardiopulmonary process. The right parenchymal opacity laterally seen dating back to ___ but not present in ___, potentially scarring although continued followup by nonurgent chest CT would be advised as underlying lesion is not excluded.

11443713

There is stable moderate enlargement of the cardiac silhouette. A dual lead left chest wall pacer is in unchanged position with the leads in the expected location of the right atrium right ventricle. The previously seen multifocal opacities have largely resolved; however, there is a new focal opacity in the right middle lobe and possibly in the left lower lobe. No pleural effusion or pneumothorax.

58217888

INDICATION: ___ year old woman with abnormal CXR ___. Assess for resolution. // SOB. Assess for resolution of abnormalities noted ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___

Resolution of previously seen multifocal right pulmonary opacities with new right mid lung and left lower lobe opacities. Given the waxing and waning fleeting opacities, cryptogenic organizing pneumonia or Loffler syndrome are on the differential. Vasculitis is also possible; although, less likely given the time course. If clinically warranted correlation with tissue diagnosis could be considered.

11443713

Multifocal bilateral opacities have completely resolved since previous exam. There is no evidence of new consolidation. The lungs are hyperinflated in this patient with significant cardiomegaly and an atrioventricular pacemaker. There is no pleural effusion or pneumothorax.

52466483

PA AND LATERAL CHEST X-RAY INDICATION: Patient with cough for few weeks. Rule out infiltrate. COMPARISON: ___ to ___.

There is no evidence of pneumonia. Bilateral opacities have completely resolved since ___. The results have been discussed directly with Dr. ___ at 3 p.m.

11946839

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

51687185

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with elevated WBC // Eval for infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11518863

PA and lateral views of the chest. The lungs are clear, previously seen right upper lobe pneumonia has resolved. The cardiomediastinal silhouette is normal as are the osseous and soft tissue structures.

54038094

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

No acute cardiopulmonary process.

11049745

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

52815992

INDICATION: ___-___ male with history of alopecia areata and asthma. Three days of right facial numbness. Question of sarcoidosis. COMPARISON: None available.

No acute cardiopulmonary process.

11993259

A single portable frontal chest radiograph was obtained. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. Moderate cardiomegaly is unchanged. Aortic calcifications are stable.

53969137

HISTORY: Altered mental status and fever. COMPARISON: ___ through ___.

Low lung volumes. No acute cardiopulmonary process.

11993259

A single supine chest radiograph was obtained. A right-sided subclavian catheter terminates in lower SVC. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiomegaly is mild.

53795568

HISTORY: Status post line placement COMPARISON: ___

No complications status post right CVL placement.

11469390

Frontal and lateral views of the chest were obtained. The cardiomediastinal silhouette is grossly stable as compared to ___. Blunting of the right costophrenic angle is seen which may be due to a small pleural effusion. Mild basilar atelectasis is seen without definite focal consolidation. No overt pulmonary edema is seen. Degenerative changes seen along the spine.

56326414

HISTORY: Altered mental status, MVC. COMPARISON: No prior chest radiographs available for comparison. Reference made to chest CT from ___.

Blunting of the right costophrenic angle may be due to a small right pleural effusion.

11339862

Diffuse bilateral vascular engorgement appears more than would be expected from supine position. The cardiomediastinal and hilar contours are unchanged. Both lungs show no focal consolidation or pleural effusion. There is no pneumothorax.

55326202

INDICATION: ___-year-old man status post acute kidney injury with history of lung cancer. Status post right lung lobectomy, evaluate for infiltrate or effusion. COMPARISON: ___. SEMI-ERECT PORTABLE AP CHEST

Diffuse bilateral vascular engorgement appears more than would be expected from supine position.

11250988

PA and lateral views of the chest provided. Lung volumes are low. Mild basilar atelectasis is noted. Otherwise, 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.

53179367

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with ascites, dyspnea on exertion // eval for effusion COMPARISON: Same-day CT abdomen pelvis from outside hospital.

Mild basilar atelectasis. Otherwise normal.

11994172

The lung is mildly hyperinflated with flattening of the diaphragm, but no consolidation or nodules. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.

52611515

PATIENT HISTORY: ___ years old woman with persistent cough and fatigue since four weeks. Please assess for pneumonia. COMPARISON: Exam is compared to chest x-ray of ___.

Normal chest x-ray, without sign of acute cardiopulmonary processes. Findings were reported to Dr. ___ at 3:35 p.m. by Dr. ___.

11051985

There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Again noted are diffusely sclerotic appearing osseous structures, particularly in the vertebral bodies, consistent with known metastatic prostate cancer; please note that this appearance limits the evaluation for subtle parenchymal abnormalities. No acute fractures identified.

59164678

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with SOB, metastatic prostate cancer // eval acute process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___

Diffuse sclerosis of the imaged bones compatible with diffuse metastatic disease from prostate cancer. Within the limitations of this study, no definite parenchymal consolidation is identified. No pleural effusions or pneumothorax.

11051985

Endotracheal tube terminates 6.8 cm above the level of the carina. Enteric tube courses below the diaphragm, terminating in the left upper quadrant. The side port appears to be at the level of the GE junction. Consider advancement so that it is well within the stomach. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Areas of osseous sclerosis are consistent with reported history of prostate metastatic disease.

56237223

EXAMINATION: CHEST (PORTABLE AP) INDICATION: intubated // confirm ETT TECHNIQUE: Single frontal view of the chest COMPARISON: None

Endotracheal tube terminates approximately 6.8 cm above the level of the carina. Enteric tube terminates in expected location of the stomach, side port at the level the GE junction; consider advancement so it is well within the stomach. No focal consolidation. Osseous sclerosis consistent with history of prostate metastases.

11777207

No consolidation. Small bilateral effusions. Biapical pleural thickening noted. The cardiomediastinal silhouette is at the upper limits of normal. No acute osseous abnormality.

59666936

EXAMINATION: Frontal and lateral views of the chest INDICATION: ___ year old woman with fever, respiratory symptoms. // Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: CT of the chest ___

No acute cardiopulmonary findings. Examination and dictation reviewed with Dr. ___.

11242955

Lung volumes are low and exaggerated pulmonary vascular markings. The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.

52770282

HISTORY: Cough and chest pain. COMPARISON: Chest radiograph ___.

No acute cardiopulmonary process.

11242955

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

56153107

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chills, cough, question pneumonia.

No acute intrathoracic process.

11993007

The lungs are clear. There is no confluent opacity. No pneumothorax or pneumomediastinum is evident. There is no vascular congestion, edema, or pleural effusions. Cardiomediastinal contours are within normal limits. There is no subdiaphragmatic free air.

56162800

HISTORY: ___-year-old male with nausea and vomiting. COMPARISON: Trauma series from ___ and CT torso from ___. FRONTAL AND LATERAL CHEST

No acute cardiopulmonary process.

11327015

Patient is status post median sternotomy and CABG. There is moderate enlargement of the cardiac silhouette. Mediastinum is stable. There is increase in bibasilar and right mid lung opacities ; the setting of trauma could be due to aspiration, pulmonary contusion, or infection. There is mild central pulmonary vascular congestion. No large pleural effusion is seen. There is no evidence of pneumothorax. No displaced fracture is identified.

55406888

WET READ: ___ ___ 4:48 PM Moderate to severe cardiomegaly. Increased bibasilar and right mid lung opacities ; in the setting of trauma, differential diagnosis includes pulmonary contusion, aspiration, infection. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with a fib on Coumadin, 2 recent unwitnessed falls, decline in mental status // ?bleed TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Moderate to severe cardiomegaly. Increased bibasilar and right mid lung opacities ; in the setting of trauma, differential diagnosis includes pulmonary contusion, aspiration, infection.

11327015

Patient is status post median sternotomy and CABG.Subtle left base retrocardiac opacity may be due to atelectasis and vascular structures although an early consolidation due to infection or aspiration is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

55667976

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

Subtle left base retrocardiac opacity may be due to atelectasis and vascular structures although an early consolidation due to infection or aspiration is not excluded in the appropriate clinical setting. Otherwise, no significant interval change.

11327015

The patient is status post median sternotomy and CABG. The cardiomediastinal and hilar contours are stable. Slightly increased opacity at the base of the left lung may represent atelectasis or scarring, but is stable from the prior exam. No pleural effusion or pneumothorax.

53158260

INDICATION: History: ___M with near syncope today // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph on ___

Subtly increased lung markings in the left lower lobe likely reflect atelectasis or scarring and are unchanged from the prior exam in ___. Low lung volumes. No definite pneumonia.

11604900

The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

50080132

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman presenting with lightheadedness and coarse lung sounds on exam. Evaluate for pneumonia COMPARISON: Chest radiograph from ___.

No acute cardiopulmonary process.

11604900

Frontal and lateral chest radiographdemonstrates moderately well expanded lungs.The left lung is clear. Within the right upper lung at the sixth posterior rib level is a focal poorly defined opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

51971287

WET READ: ___ ___ ___ 6:26 AM No pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Confusion. Assess for pneumonia. COMPARISON: Chest radiograph ___, ___, ___.

New focal opacity within right upper lung may represent summation of normal structures or a focal lung abnormality such as a lung nodule or early focus of the pneumonia. Recommend ___ degree shallow oblique view for further evaluation.

11604900

The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

57088714

INDICATION: ___-year-old female with altered mental status, myalgias, nausea and pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Radiographs from ___, ___ and ___.

No acute cardiopulmonary process.

11604900

Heart size and cardiomediastinal contours are normal. Linear opacity in the right lung base is consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax.

52525001

INDICATION: History: ___F with confusion // ? pna COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Frontal and lateral views of the chest.

Right base atelectasis. No focal consolidation.

11604900

The patient is not in full inspiration. Overall, no significant change from the prior exam other than apparent resolution of the right lower lung plate like atelectasis. The lungs are clear, without focal consolidation or pulmonary edema. No pneumothorax or pleural effusion. The cardiomediastinal silhouette is within normal limits and unchanged from the prior exam. The hila are unremarkable.

56009734

EXAMINATION: Chest (PA and lateral) INDICATION: ___-year-old woman presenting with weakness; evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

No acute intrathoracic process. Normal chest radiograph.

11604900

Lower lung volumes seen on the current exam although the lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

59184889

INDICATION: ___F with AMS, abdominal pain. WBC ___ // R/O pneumonia TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___.

Lower lung volumes without acute cardiopulmonary process.

11604900

The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examination. No definite new focal consolidation is identified. There is no pleural effusion or pneumothorax.

54613358

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: Cough and chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute intrathoracic abnormality.

11604900

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

59398334

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cirrhosis, epigastric pain, acute kidney injury TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11604900

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

54448803

EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with history of cirrhosis and elevated white blood cell count. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Multiple prior chest radiographs, most recent on ___.

No evidence of acute cardiopulmonary process.

11604900

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

54537428

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F hx cirrhosis here with likely decompensated cirrhosis TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___

No acute cardiopulmonary abnormality.

11604900

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

59030646

INDICATION: Evaluate for pneumonia in a patient presenting with weakness. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___.

No acute cardiopulmonary process.

11604900

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

54164267

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with sob // eval pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11604900

Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are slightly low, which accentuates bronchovascular markings. Given that, the lungs appear clear without focal consolidation. No pleural effusion or pneumothorax is seen.

52394462

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with malaise, subjective fevers // r/o infiltrate TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiographs from ___ through ___

No focal consolidation to suggest pneumonia.

11604900

The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

50444897

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman fatigue, general malaise, evaluate for pneumonia. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: Chest radiograph ___.

No acute cardiopulmonary process.

11604900

The lungs are clear without focal consolidation. Previously question opacity projecting over the posterior right sixth rib is no not appreciated on the current study and may have been artifact or overlap of structures. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

55592749

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with alcohol cirrhosis c/b varices, encephalopathy, presenting from rehab for worsening AMS. // Radiology recommened ___ degree shallow oblique view for further evaluation of possible pneumonia TECHNIQUE: Chest, a frontal, lateral, and bilateral obliques, 4 total views COMPARISON: ___ at 00:40, earlier this same date

No acute cardiopulmonary process. Previously questioned opacity projecting over the right upper lung is no longer appreciated.

11604900

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

50951313

INDICATION: ___-year-old woman with weakness, evaluate for pneumonia. TECHNIQUE: Single AP view of the chest was obtained. COMPARISON: Chest x-ray from ___

No acute cardiopulmonary process.

11604900

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.

59757887

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with abdominal tenderness // xcr eval for pnaRUQ Ultrasound eval for acute cholcytisti COMPARISON: ___

No acute intrathoracic process.

11707950

Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

59766844

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

No acute cardiopulmonary abnormality.

11891090

PA and lateral views of the chest. There is a large confluent opacification in the right upper lobe that likely represents a mass that likely arose from nodule seen on previous radiograph. In the right middle and lower lung, this are two rounded, slightly spiculated nodules that likely represent metastasis. The left lung appears relatively clear. There is no pleural effusion or pneumothorax. The cardiac, and mediastinal contours are normal.

53037939

WET READ: ___ ___ ___ 2:51 PM Right upper lobe mass and right middle and right lower lung nodules concerning for lung carcinoma with metastasis. Suggest CT to further evaluate. ______________________________________________________________________________ FINAL REPORT INDICATION: Weakness, evaluate for pneumonia. COMPARISON: Chest radiograph on ___.

Right upper lobe mass and right middle and right lower lung nodules concerning for lung carcinoma with metastasis. Suggest CT to further evaluate. These findings were discussed with Dr. ___ at 12 p.m. on ___ by telephone.

11408987

PA and lateral views of the chest provided. Mild left basal atelectasis noted. Otherwise the lungs are clear. 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.

53298573

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with palpitiations // acute process COMPARISON: ___

No acute intrathoracic process.

11841882

Cardiac and mediastinal silhouettes are stable. There are low lung volumes with bronchovascular crowding. No large pleural effusion is seen. There is no pneumothorax. No definite focal consolidation seen. There may be minimal vascular congestion. There is persistent elevation of the right hemidiaphragm.

54405917

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

Possible minimal pulmonary vascular congestion. No definite focal consolidation. Persistent elevation of the right hemidiaphragm.

11090206

Lung volumes are low. The heart size is top normal. Mediastinal and hilar contours are within normal limits, and there is no evidence for pulmonary edema. Streaky and linear opacities in both lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.

55166644

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with peripheral vascular disease, presents with claudication of the left lower extremity TECHNIQUE: Chest PA and lateral COMPARISON: None.

Streaky bibasilar opacities likely reflective of atelectasis. No focal consolidation to suggest pneumonia.

11491063

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

59082250

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever // r/p PNA TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11523040

There are several bilateral upper paraspinal surgical clips. Faint amorphous calcifications projecting over the lateral left mid lung likely reflect a calcified pleural plaque. The lungs otherwise clear. Previous bilateral lower lung opacities are significantly improved, however there is persistent left retrocardiac opacity. Heart size is normal. Image somewhat contours are normal. There is no pleural effusion or pneumothorax.

54363582

INDICATION: ___ year old man with recent pneumonia seen at ___ and inpatient overnight at ___. // is his pneumonia resolved? TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___. Chest radiograph ___.

Previous bilateral lower lung opacities are significantly improved with some residual opacity especially in the left retrocardiac region suggesting incomplete resolution of pneumonia.

11034855

Lung volume is low. Small left pleural effusion is similar to ___. Cardiac silhouette and pulmonary vasculature is exaggerated by low lung volumes. There is no focal consolidation. Known rib fractures seen on prior CT is not visualized on this radiograph.

55459402

INDICATION: History: ___M with chest pain // ? worsening L effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___:42, 19:36, ___

Small left pleural effusion is similar to compared to ___. Known rib fractures seen on prior CT is not visualized on this radiograph.

11866877

Lung fields are otherwise clear. The heart size is within normal limits. There is no pneumothorax. No fracture identified.

56611318

WET READ: ___ ___ ___ 6:11 AM No acute cardiopulmonary abnormality. No fracture identified. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with left upper chest pain and tenderness // pneumothorax, rib fracture TECHNIQUE: Chest PA and lateral COMPARISON: None

No acute cardiopulmonary abnormality. No fracture identified.

11384719

A few subcentimeter calcified appearing nodular opacities in the right hemi thorax either represent vessels on and or calcified granulomas. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. The aorta is slightly tortuous.

59391369

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cp // eval for pna, ptx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11818182

Dual lead pacemaker in situ with the lead tips in the appropriate positions. The cardiomediastinal contour is normal. No left-sided pneumothorax. Possible small left-sided pleural effusion. No airspace consolidation or suspicious pulmonary nodules or masses. Presumed surgical material in relation to the anteromedial aspect of the right hemidiaphragm (? Previous Morgagni hernia repair). Spondylotic changes of the cervical and thoracic spine. Degenerative changes of the shoulder girdles.

50645062

INDICATION: ___ year old woman with pacemaker // eval for lead placement and pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: No previous imaging available for comparison.

Dual lead pacemaker in the appropriate position. No complications.

11946268

Low lung volumes contribute to bibasilar atelectasis; however, there are no focal consolidations worrisome for pneumonia. Cardiac size is also exaggerated by the low lung volumes. The mediastinum is normal given a tortuous aorta. The hilar contours are normal. No pleural effusion, pneumothorax or pulmonary edema is identified.

53814935

HISTORY: ___-year-old man with shortness of breath and chest pain. Question pneumonia. COMPARISON: None. TECHNIQUE: PA and lateral views of the chest.

No evidence of acute cardiopulmonary process given low lung volumes.

11758392

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

51379744

EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: None.

No acute cardiopulmonary abnormality.

11492213

Compared with prior radiographs on ___, there is slight increase in vascular congestion and mild interstitial edema. There is no new focal consolidation or pneumothorax. Right pacemaker is unchanged in position with a lead terminating in the right ventricle. Replaced mitral valve is in place.

50343636

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with MRSA bacteremia with screw in pacer wire // f/u pulmonary congestion and placement of pacer wire TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___

Slight increase in vascular congestion and mild interstitial edema. Pacer lead is unchanged, terminating in the right ventricle.