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

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11492213	The patient is status post mitral valve replacement. The patient remains intubated. The endotracheal tube terminates about 9 cm above the carina, probably at the thoracic inlet and should be advanced by about 4 cm in order to obtain more optimal positioning. An orogastric tube courses into the stomach. Left subclavian and right internal jugular venous catheters appear unchanged. The cardiac, mediastinal and hilar contours appear stable. Pulmonary edema has improved. A pleural effusion is suspected to persist on the left and there is probably also a small right-sided pleural effusion. There is no pneumothorax.	56019741	CHEST RADIOGRAPH HISTORY: Status post sternal debridement for sternal wound infection. COMPARISONS: Prior day. TECHNIQUE: Chest, semi-upright AP portable.	High-lying endotracheal tube; advancing the tube by about 4-5 cm may be appropriate since it terminates about 9 cm above the carina. Improving pulmonary edema.
11492213	AP and lateral views of the chest. Dual-lumen central venous catheter is seen in unchanged position. Low lung volumes are noted. Since prior, there has been interval decrease in size of the left-sided pleural effusion. The lungs are otherwise clear. Mitral valvular replacement is identified. Mediastinal surgical clips are identified. No acute osseous abnormality is identified.	50928911	CHEST, TWO VIEWS; ___ HISTORY: ___-year-old male with end-stage renal disease with right foot debridement preop. COMPARISON: ___.	Interval decrease in size of left-sided pleural effusion. Otherwise, no change.
11492213	Blunting of bilateral costodiaphragmatic angle is new compatible with a tiny pleural effusion or thickening. The rest of the lung is clear. Mediastinal and cardiac contours are normal. There is no pneumothorax.	50730295	PA AND LATERAL CHEST X-RAY INDICATION: Patient with chronic kidney disease, pre-kidney evaluation. COMPARISON: ___.	New minimal bilateral pleural effusion or thickening.
11488104	The lungs are clear. Incidentally noted is a pectus deformity with secondary expected silhouetting of the right heart border. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.	52813684	INDICATION: ___M with pt with night sweats, fatigue // ? acute cardiopulm process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11790974	A portable frontal semi upright chest radiograph demonstrates an endotracheal tube terminating in the upper thoracic trachea, enteric tube extending below the left hemidiaphragm, and a left chest wall pacer device with the lead overlying the right ventricle. The heart remains enlarged. Bilateral pulmonary opacities are compatible with pulmonary edema, similar to mildly increased. However superimposed infection cannot be entirely excluded. There is no appreciable pneumothorax or displaced rib fracture. The visualized upper abdomen is unremarkable.	56064549	INDICATION: Evaluate for pneumothorax or rib fracture in a ___-year-old man status post cardiac arrest, now with return of spontaneous circulation. COMPARISON: Chest radiographs from ___, approximately 3 hours prior, as well as ___.	No appreciable pneumothorax or displaced rib fracture. Pulmonary edema is similar to mildly increased. However superimposed infection cannot be entirely excluded.
11809837	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.	51896015	INDICATION: ___-year-old female with cough and fever. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were obtained.	No radiographic evidence for acute cardiopulmonary process.
11035809	Endotracheal tube has been removed. Residual cluster of opacities in the right apical region relate to prior CyberKnife treatment as compared to CT from ___. There is increased mild atelectasis of the right lung base. Lungs are otherwise clear. There is new fullness of the mediastinal veins. The cardiac silhouette is normal. No definite pneumothorax or pleural effusions identified. Note is made of clips in the right paramediastinal area and dense calcification of the mitral annulus.	58292255	INDICATION: ___-year-old woman status post extubation. COMPARISON: Prior multiple chest radiographs from ___ and ___. Chest CT from ___. TECHNIQUE: Portable AP upright chest radiograph.	Increased mild atelectasis of the right lung base. No new focal consolidations.
11035809	2 views were obtained of the chest. The lungs are well expanded. Two fiducial markers are seen in the right upper lobe mass which appears grossly unchanged in the prior chest radiograph. There is no focal consolidation, pleural effusion or pneumothorax. The heart and mediastinal contours are unchanged. T12 compression fracture is unchanged.	51688385	HISTORY: Weakness, assess for pneumonia. COMPARISON: ___.	No acute intrathoracic process.
11035809	PA and lateral chest radiographs were obtained. The lungs are well inflated and clear. A large 3.5 cm apical mass now has two radiopaque fiducial seeds with fiducial markers in it. No pneumothorax is present. There is no additional consolidation, effusion, or pneumothorax.	56022938	INDICATION: ___-year-old woman with right apical mass status post biopsy and fiducial placement, question pneumothorax. COMPARISONS: ___.	No pneumothorax, status post fiducial placement in right apical mass.
11035809	Right apical lesion with fiducial markers is again seen, similar to the prior study. Again there is mild elevation/eventration of the right hemidiaphragm which has been present on prior exams. Mediastinal contours are unremarkable. The cardiac silhouette is top normal with left ventricular configuration. Chronic deformity at the distal right clavicle is again seen.	51924661	EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Increasing lethargy and confusion. COMPARISON: ___.	No acute cardiopulmonary process.
11035809	A right upper lobe lesion is again seen with two radiopaque fiducial markers. No pneumothorax is present. There is no focal consolidation or effusion.	52187024	INDICATION: ___-year-old woman status post right lung fiducial placement and biopsy. COMPARISON: Radiograph earlier at 3:00 p.m. today.	Marked right apical lesion status post fiducial placement without pneumothorax.
11210944	The monitoring and supporting devices, including the endotracheal tube, right-sided IJ line, left-sided chest tube, mediastinal tube, NG tube, surgical clips and sternotomy wires are unchanged. Little change is seen compared to prior with low lung volumes, retrocardiac atelectasis, mild cardiomegaly and mild pneumopericardium. There is no pleural effusion or pneumothorax.	51160889	INDICATION: ___-year-old male, status post CABG. Evaluate for evidence of pneumothorax or pulmonary edema. COMPARISON: Chest radiograph performed 2 hours prior. TECHNIQUE: Portable supine chest radiograph.	Supporting and monitoring devices are unchanged. Low lung volumes with retrocardiac atelectasis and minimal pneumopericardium unchanged from prior.
11580463	Frontal and lateral views of the chest were obtained. There is mild pulmonary vascular congestion. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is moderate to markedly enlarged. The aorta is tortuous.	52463179	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Dyspnea. COMPARISON: None.	Pulmonary vascular congestion and enlarged cardiac silhouette.
11033629	The cardiac, mediastinal and hilar contours are unchanged, tortuosity and dilatation of the thoracic aorta again noted. The heart size is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Traumatic deformity of right posterior fifth rib is again seen, as well as mild loss of height of a low thoracic vertebral body. No pneumothorax or pleural effusion is present. The pulmonary vascularity is not engorged.	50616451	INDICATION: COPD, cough, shortness of breath. COMPARISON: ___. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary abnormality.
11033629	Surgical clips project along the right central mediastinum. The heart is normal in size. Tortuosity and dilatation of the thoracic aorta appear unchanged. The proximal descending aorta is again calcified. Hyperinflation is present. There is no pleural effusion or pneumothorax. A traumatic deformity of the right posterior fifth rib appears unchanged.	59437292	CHEST RADIOGRAPHS HISTORY: Lower extremity weakness. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral.	Stable appearance of the chest. No definite evidence of acute disease.
11504006	AP upright and lateral views of the chest provided. Surgical hardware is noted in the cervical spine. A right chest wall Port-A-Cath is seen with its tip in the SVC. Cardiomegaly is again noted with midline sternotomy wires. Lung volumes are low. Motion artifact limits evaluation of lateral projection. Allowing for this there is no overt sign of pneumonia or edema. No large effusion is seen. There is no pneumothorax. The mediastinal contour is unremarkable. Hilar congestion is noted. Bony structures are intact.	53819215	EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with dyspnea // r/o infection COMPARISON: ___ and ___.	Cardiomegaly with mild congestion. Limited exam due to low lung volumes and motion artifact.
11504006	There is no pneumothorax or pleural effusion bilaterally. There are no changes in the cardiomediastinum. Subclavian Port-A-Cath in the right side, its tip ends in the superior vena cava. Hemodialysis catheter in the left subclavian vein ends in the proximal right atrium. The perihilar opacities are unchanged.	59186708	HISTORY: Chest x-ray after transbronchial biopsy. TECHNIQUE: Portable chest x-ray in AP. COMPARISON: Exam is compared to chest x-ray of ___.	There are no signs of complication after bronchoscopic biopsy. In particular, there are no pleural effusions or pneumothorax.
11504006	Right-sided Port-A-Cath terminates in the upper SVC without evidence of pneumothorax. Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette enlarged. No pleural effusion or pneumothorax is seen. Patchy retrocardiac opacity may be due to vascular structures, but consolidation due to pneumonia is not entirely excluded. Partially imaged cervical hardware is noted.	59215285	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever and cough // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	Persistent cardiomegaly. Patchy retrocardiac opacity on the lateral view may be due to overlapping vascular structures but consolidation due to pneumonia is not entirely excluded in the appropriate clinical setting.
11642164	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.	59129961	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with left anterior chest pain after MVC yesterday COMPARISON: None	No acute intrathoracic process.
11295998	The left-sided pleural effusion is slightly smaller compared to ___. Right lung is free of consolidations, pleural effusion or pneumothorax. The left Port-A-Cath terminates in the distal SVC. A left chest tube is unchanged in position. Minimal subcutaneous emphysema adjacent to the left lateral chest wall, unchanged. Destruction of entire right clavicle, unchanged since ___.	55914642	EXAMINATION: Chest radiographs PA and lateral INDICATION: ___ year old woman h/o breast ca s/p R mastectomy, pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs since ___, most recently ___.	Interval decrease in size of left pleural effusion.
11295998	There is a large left pleural effusion which may be at least partially loculated, with likely underlying atelectasis. Underlying consolidation for pulmonary mass not excluded. No right pleural effusion. Subtle sub cm nodular opacities projecting over the right upper to mid lung could represent vessels on-end but small pulmonary nodules are not excluded. No priors for comparison. Suggest non urgent chest CT for further evaluation. The cardiac and mediastinal silhouettes are grossly unremarkable.	57338222	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recurrent metastatic breast cancer p/w worsening DOE, known L pleural effusion // eval effusion, pulm edema TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.	There is a large left pleural effusion which may be at least partially loculated, with likely underlying atelectasis. Underlying consolidation for pulmonary mass not excluded. No right pleural effusion. Subtle sub cm nodular opacities projecting over the right upper to mid lung could represent vessels on-end but small pulmonary nodules are not excluded. No priors for comparison. Suggest non urgent chest CT for further evaluation.
11270870	Frontal and lateral views of the chest were obtained. The patient is rotated with respect to the film. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vasculature is unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. Right clavicle midshaft fracture is better evaluated on accompanying dedicated right clavicle films.	56515012	HISTORY: Status post fall after bike accident. Evaluate for fracture or pneumothorax. COMPARISON: None.	Right clavicle midshaft fracture. No pneumothorax.
11135247	The lungs are clear. Cardiomediastinal and hilar contours are normal. There are no pleural effusions or pneumothorax. Old healed fractures are noted in the right fourth and fifth posterior ribs.	56021240	INDICATION: ___-year-old female with cough, fever, and chest pain. COMPARISON: ___. CHEST, PA AND	No acute cardiopulmonary process.
11273619	PA and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.	57672765	CHEST, TWO VIEWS. HISTORY: ___-year-old female with dizziness and near syncope. Question CHF or cardiomegaly.	No acute cardiopulmonary process.
11399823	PA and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Heart size is within normal limits. The hilar mediastinal contours are unremarkable. There is no pulmonary edema, pleural effusion, or pneumothorax. No acute osseous abnormality is detected.	59592132	INDICATION: ___-year-old female with chest pain and back pain. TECHNIQUE: Chest PA and lateral COMPARISON: CT dated ___.	No acute intrathoracic abnormality.
11263908	The heart is normal in size. The heart aorta has a smooth well-defined contour but appears at least mildly tortuous - often due to a history of hypertension - and perhaps mildly dilated. There is no pleural effusion or pneumothorax. There is slight posterior blunting of costophrenic sulci but any substantial pleural effusion is doubtful on and probably there are none. The lungs appear clear. Surgical clips project along the left axilla. There is volume loss in the left breast compared to the right suggesting prior a mastectomy but with increased density so there may be a breast implant.	55949405	EXAMINATION: Chest radiographs. INDICATION: Chest pain. COMPARISON: None. TECHNIQUE: Chest, PA and lateral.	No definite evidence of acute cardiopulmonary disease. Tortuous aorta and possibly ectasia. In follow-up, if available, correlation with prior radiographs is recommended. If radiographic stability of the findings is not established, chest CT should be considered to rule out ectasia which may be appropriate to follow-up.
11201605	No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no overt pulmonary edema. No displaced fracture is seen.	55203908	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Injury, motor vehicle accident, question fracture. COMPARISON: ___.	No acute fracture or dislocation.
11291230	The heart is top-normal. The cardiomediastinal and hilar contours are within normal limits. Hazy bilateral opacities (right greater than left) are new from the prior exam done at 00:47. There is no pleural effusion or pneumothorax identified.	56468036	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with syncope, R-rib pain // evaluate for acute process TECHNIQUE: Portable AP view COMPARISON: Chest radiograph on ___ at 00:47	Bilateral hilar opacities (right greater than left) could represent mild pulmonary edema, new from the study done at 00:47. Given that the opacity is asymmetrically larger on the right, consideration should be given to the possibility of infection.
11291230	New endotracheal tube is in standard placement, 5 cm above the carina. A new, temporary right internal jugular pacer tip projects over the right ventricle. Central consolidation in the right lung has increased dramatically, and there is little consolidation in the left lung, although there has been an increase in vascular congestion in the suprahilar left lung. Heart size is normal and any pleural effusion is minimal. If the right lung findings are due to pulmonary edema if it is extremely asymmetric. Therefore worsening pneumonia and pulmonary hemorrhage should be considered. There is no pneumothorax.	52314348	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with CVL placement, pacer wire placement, failed L-subclavian attempt // evaluate CVL placement, ET tube placement, L-pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph on ___ at 02:04 and 00:47	Right lung consolidation markedly increased from the prior study done at 02:04, could be unusually asymmetric pulmonary edema or worsening pneumonia or pulmonary hemorrhage. Endotracheal tube terminates 5 cm above the carina and a right internal jugular pacer is seen with its tip projected over the right ventricle.
11120163	2 views were obtained of the chest. Left PICC terminates in the low SVC. Small left pleural effusion and substantial left lower lobe consolidation, perhaps atelectasis, have increased from the previous examination; much smaller right pleural effusion is probably larger than before as well. There is no pneumothorax. Heart size is probably normal, though exaggerated by low lung volumes. Mediastinal appearance is normal. Left hilus is indistinct. There is greater opacification and separation of bowel loops in the left upper abdomen. Suggest CT to evaluate possible recurrent subdiaphragmatic infection, contributing to increased left pleural effusion	50624520	HISTORY: Fever, assess for pneumonia. COMPARISON: ___.	Interval increase in small left pleural effusion and accompanying left basilar opacity that is most likely atelectasis, but conceivably pneumonia. Findings discussed in person with Dr. ___ by Dr. ___ at ___ on ___ and by Dr ___ with Dr ___ ___ telephone at 8:20AM.
11120163	Frontal and lateral views of the chest were obtained. A left-sided PICC is again seen, terminating at the low SVC. Small left pleural effusion and left base consolidation is seen. No definite right pleural effusion is seen. No right-sided consolidation. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable.	52023559	EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Occluded PICC line. COMPARISON: ___.	Mild left pleural effusion with overlying atelectasis, underlying consolidation due to pneumonia is not excluded.
11120163	The lungs are well expanded and clear. Cardiomediastinal hilar contours are unremarkable. There is no pleural effusion or pneumothorax. An NG tube ends within the stomach with the side port beyond the gastroesophageal junction. Incidentally noted IVC filter and cholecystectomy clips.	54659505	EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with post-op ileus now s/p NG tube placement. Confirm NG tube placement TECHNIQUE: Frontal upright chest radiograph COMPARISON: Chest CT from ___	NG tube in appropriate position. No evidence of acute cardiopulmonary process.
11061972	The tip of the intra-aortic balloon pump is low lying and situated 5.8 cm below the aortic knob. The ET tube remains in appropriate position with the tip terminating 4.1 cm above the carina. Remaining lines and tubes are in unchanged positions. There is mild bilateral pulmonary vascular congestion. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.	52336599	INDICATION: ___ year old woman with hypoxic respiratory failure, shock, evaluate for interval change. TECHNIQUE: Single AP view of the chest. COMPARISON: Chest x-ray from ___	Low-lying intra aortic balloon pump with tip situated 5.8 cm below the aortic knob. Mild central vascular congestion.
11143351	Compared with the prior study, mild cardiomegaly is new, with new indistinctness of the pulmonary vasculature and cephalization, indicating early congestive heart failure. Small region of bullae in the right upper lobe indicates underlying emphysema. No focal consolidation or large effusions. No pneumothorax.	50555213	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p R hemicolectomy now with increased O2 requirement. Pls evaluate for fluid overload, atelectasis, pneumonia. TECHNIQUE: Single portable AP view of the chest COMPARISON: Chest radiograph of ___.	Findings suggestive of early congestive heart failure. Right upper lobe emphysema.
11316686	No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac silhouette size is top-normal. The aorta is slightly tortuous. No pulmonary edema is seen.	50548860	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with exertional chest pain // r/o infection or pleural effusions TECHNIQUE: Single frontal view of the chest COMPARISON: None	No acute cardiopulmonary process.
11654069	AP upright and lateral views of the chest were obtained. Patient is rotated to the right, which somewhat limits the evaluation. A dual-lead pacer is unchanged in position. There is blunting of the left CP angle which could be reflective of a tiny pleural effusion. There is no focal consolidation to suggest the presence of pneumonia. No definite signs of CHF. Cardiomediastinal silhouette appears grossly stable allowing for patient rotation. Bony structures appear intact.	54608358	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Rash, assess for pneumonia.	Tiny left pleural effusion. Otherwise unremarkable.
11654069	Left pectoral pacer leads terminate in the right atrium and right ventricle. There is no focal consolidation to suggest pneumonia. Prominence of the interstitial markings reflects borderline pulmonary edema. There is no pleural effusion or pneumothorax. Mild cardiomegaly is similar to the most recent radiograph on ___. Mitral annular calcifications are present.	52294722	WET READ: ___ ___ ___ 9:54 AM 1. Borderline pulmonary edema. 2. No evidence of pneumonia. WET READ VERSION #1 ___ ___ ___ 4:22 AM 1. Left retrocardiac opacity, concerning for developing pneumonia. 2. Mild pulmonary vascular congestion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with an infected coccygeal ulcer, also reporting cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recently performed on ___	Borderline pulmonary edema. No evidence of pneumonia.
11572520	Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized. There is a mild compression deformity of a low thoracic vertebral body. Deformities of the left seventh, eighth, and ninth lateral ribs indicate prior fractures.	53223897	EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with multiple syncopal episodes, cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.	No acute cardiopulmonary abnormality.
11129757	Left-sided Port-A-Cath is again seen with catheter terminating in the low SVC, without evidence of pneumothorax. There is a moderate left pleural effusion with overlying atelectasis, underlying consolidation is not excluded. The right lung is clear. The cardiac and mediastinal silhouettes are grossly stable given that the left heart border is not fully evaluated given the left base opacity.	51951755	EXAM: Chest, AP upright portable view. CLINICAL INFORMATION: Stage IV ovarian cancer, history of pulmonary embolism, now acute onset dyspnea on exertion with crackles on exam. COMPARISON: ___.	Moderate left pleural effusion with overlying atelectasis, underlying consolidation is not excluded.
11444124	The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable, however, prominence of the pulmonary arteries persists.	56007428	INDICATION: Cough. Positive PPD. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___.	Clear lungs with no acute intrathoracic process. Prominence of the pulmonary arteries may indicate pulmonary arterial hypertension.
11444124	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 is persistent elevation of the right hemidiaphragm.	51499042	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough // ? PNA TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs the most recent on ___	No pneumonia or pulmonary edema.
11578301	The cardiomediastinal and hilar contours are within normal limits allowing for slight accentuation by low lung volumes. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.	58270358	WET READ: ___ ___ ___ 3:43 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with ruq pain // r/o cholecystitis, infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.	No acute cardiopulmonary abnormality.
11578301	The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.	55539027	HISTORY: Cough for weeks. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___.	No acute cardiopulmonary abnormality.
11578301	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.	56848251	CHEST RADIOGRAPH PERFORMED ___ COMPARISON: Chest CT from ___ and chest radiograph also from ___. CLINICAL HISTORY: Chest pain, assess for pneumonia.	No acute intrathoracic process.
11578301	PA and lateral views of the chest are obtained. Lungs are clear and well expanded without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are stable without signs of CHF. Bony structures are intact. No free air below the right hemidiaphragm.	54211526	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Chest pain and shortness of breath.	No acute intrathoracic process.
11578301	Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.	54940875	INDICATION: Abdominal pain with brief period of hypotension, now resolved. COMPARISON: ___. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary process.
11578301	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. The lungs are clear.	51521150	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral views of the chest dated ___	No acute intrathoracic process.
11578301	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	51316963	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with malaise, cough // acute cardiopulm disease TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11098429	Underlying trauma board partially obscures the view. Allowing for this, lung volumes are low but without focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No displaced fracture is seen.	55979269	INDICATION: ___-year-old female with high-speed MVC collision. Evaluate for acute cardiopulmonary process. COMPARISON: None. TECHNIQUE: Portable supine chest radiograph.	No acute intrathoracic process.
11270948	Patient is rotated to the right. There is minimal basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	53270819	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with tachycardia // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___	No acute cardiopulmonary process.
11270948	In comparison to the prior radiograph on ___, there is worsening moderate effusion and adjacent atelectasis on the right. Opacification of the left lung base is likely due to a combination of pleural effusion and atelectasis. Underlying consolidation cannot be excluded. No pneumothorax. Heart borders are difficult to assess due to adjacent effusions. No acute osseous abnormalities identified. Pacer leads appropriately terminate in the right atrium and right ventricle.	57006899	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female presenting for evaluation of a fever TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___	Worsening moderate right pleural effusion with adjacent atelectasis. Probable effusion on the left. Underlying infection cannot be excluded in the appropriate clinical setting.
11270948	PA and lateral chest x-ray shows lung well inflated, and clear. The left retrocardiac opacity described in prior chest x-ray has disappeared. There is no pleural effusion or pneumothorax. Heart is still moderately enlarged.	54486281	HISTORY: ___ years old woman with history of diastolic CHF, cough since five days, who has been mildly febrile for past two days, but has known satellite herpes zoster. Initial chest x-ray showed retrocardiac opacity. Please assess for pneumonia or pulmonary edema. COMPARISON: Exam is compared to chest x-ray of ___.	Mild cardiomegaly, but without sign of pneumonia.
11270948	The patient is markedly rotated on today's study, this limits assessment. A dual lead pacemaker appears to be unchanged in position. A right-sided PICC terminates in the mid SVC. The appearance of increased opacity in the right lung is likely in part due to projection, in part due to layering pleural effusion. The left lung appears grossly clear.	52847741	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with heart failure s/p diuresis // pulmonary edema? TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___	Allowing for technical differences, there has been no significant interval change.
11270948	Left-sided dual-chamber pacemaker device is again noted with leads terminating in the regions of the right atrium and right ventricle. Moderate cardiomegaly persists and mediastinal contour is unchanged. There is crowding of the bronchovascular structures due to low lung volumes without overt pulmonary edema. Haziness within the right lung base likely reflects a layering small right pleural effusion. Streaky bibasilar opacities likely reflect areas of atelectasis. No pneumothorax is identified.	55441567	EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with hypoxia, recent CXR with possible pneumonia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___	Small layering right pleural effusion with bibasilar atelectasis.
11270948	There are low lung volumes. There is a minimal left effusion. Atelectasis seen on prior study has now resolved. Transvenous right atrial and ventricular pacer leads are continuous from the left pectoral generator, unchanged in position from prior study. There is no consolidation, pneumothorax, or mediastinal widening. Cardiomediastinal borders and hilar structures are normal. Cardiac size is normal.	57318228	INDICATION: ___ year old woman with ppm insertion // eval for pneumothorax and lead placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray dated ___ 11:51	Small lung volumes and a minimal left effusion. Atelectasis from ___ chest xray is resolved.
11559004	No focal consolidation is seen. There is slight blunting of the left costophrenic angle which could be due to a trace pleural effusion versus pleural thickening. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is a fracture of the left mid to distal clavicle which is minimally displaced. Left-sided upper thoracic fractures seen on cervical spine CT were better seen on that study.	53268297	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M s/p bike fall today onto head (w/helmet), L shoulder and ant chest assoc w/confusion, dec ROM in L shoulder // eval for acute processes TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	Slight blunting of the left costophrenic angle could be due a trace pleural effusion versus pleural thickening. Left-sided upper thoracic fractures seen on cervical spine CT were better seen on that study.
11009074	Cardiac silhouette size is normal. Aorta remains tortuous. Moderate hiatal hernia is noted. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Mild loss of height of a low thoracic vertebral body remains unchanged. Multiple clips are demonstrated overlying the midline lower neck.	59180687	EXAMINATION: 2 INDICATION: History: ___F with weakness TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11942873	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	53522032	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Confusion, alcohol abuse, hyperglycemic. COMPARISON: None.	No acute cardiopulmonary process.
11009102	An endotracheal tube terminates approximately 3.2 cm above the carina. Orogastric tube enters the proximal stomach and terminates beyond the field of view. Lung volumes are low. Right infrahilar, right basilar and left retrocardiac opacities most likely represent atelectasis, less likely infection. There is a moderate-sized left pleural effusion. No large effusion on the right. There is no central vascular congestion or overt pulmonary edema. No pneumothorax. Heart size is difficult to assess in the setting of left pleural effusion, though likely moderately enlarged. There is mild unfolding of the thoracic aorta.	50753823	WET READ: ___ ___ ___ 6:31 PM 1. Endotracheal tube terminates approximately 3.2 cm above the carina. Orogastric tube enters the proximal stomach and terminates beyond the field of view. 2. Right infrahilar, right basilar and left retrocardiac opacities are most consistent with atelectasis. 3. Moderate-sized left pleural effusion. Probable moderate cardiomegaly. WET READ VERSION #1 ___ ___ ___ 3:59 PM 1. Endotracheal tube terminates approximately 3.2 cm above the carina. Orogastric tube enters the proximal stomach and terminates beyond the field of view. 2. Right infrahilar, right basilar and left retrocardiac opacities are most consistent with atelectasis. 3. Moderate-sized left pleural effusion. 4. Probable moderate cardiomegaly. 5. Old healed right posterior eighth rib fracture. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with intubated // ? effusion , ET tube placement, OG tube placement TECHNIQUE: Single frontal view of the chest. COMPARISON: None provided.	Endotracheal tube terminates approximately 3.2 cm above the carina. Orogastric tube enters the proximal stomach and terminates beyond the field of view. Right infrahilar, right basilar and left retrocardiac opacities are most consistent with atelectasis. Moderate-sized left pleural effusion. Probable moderate cardiomegaly.
11810623	Frontal and lateral views of the chest were obtained. Again seen, there are bibasilar opacities which may be due to chronic atelectasis/scarring, similar in appearance compared to prior. No definite focal consolidation is seen. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is mild-to-moderately enlarged. The aorta is calcified and tortuous.	50677464	EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain. COMPARISON: ___.	Bibasilar opacities, most likely representing scarring/atelectasis.
11810623	The cardiac and mediastinal silhouettes are stable. The heart is enlarged. There is tortuosity of the descending thoracic aorta. There is redemonstration of streaky opacities at the lung bases which likely reflect atelectasis, not significantly changed since examination from ___. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax.	51696874	HISTORY: Shortness of breath, mild cough. Question pneumonia and/or other acute process. COMPARISON: Prior chest radiographs from ___ and ___. TECHNIQUE: AP and lateral chest radiographs.	No focal consolidation concerning for pneumonia.
11810623	PA and lateral views of the chest were provided. Heart remains mildly enlarged though poorly assessed due to low lung volumes. There are low lung opacities which could represent atelectasis. Given the associated loss in lung volumes, early pneumonia is not excluded. No large effusion or pneumothorax. The mediastinal contour is stable. Bony structures are intact.	52075901	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Leg edema, question pneumonia or CHF.	Stable mild cardiomegaly with bibasilar opacities, likely atelectasis, though cannot exclude an early pneumonia/aspiration.
11810623	The cardiac, mediastinal and hilar contours appear unchanged including moderate tortuosity of the descending thoracic aorta. At both lung bases, but greater on the right than left, there are new opacities. These could be seen with atelectasis but infection would also be a possibility to consider. There is no pleural effusion or pneumothorax.	50654068	EXAMINATION: Chest radiographs. INDICATION: ___ disease and increased tremors. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.	New basilar opacities, pneumonia versus atelectasis.
11810623	AP upright and lateral views of the chest provided. Lungs are clear. Eventration of the right hemidiaphragm again noted. Unfolded thoracic aorta with top normal heart size noted. No pleural effusion or pneumothorax. Bony structures appear intact.	50643528	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___'s, undergoing infectious workup for two weeks with worsening tremor, assess pneumonia.	No signs of pneumonia or other acute intrathoracic process.
11463300	Frontal AP and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. The mediastinal silhouette and hilar contours are normal with mild aortic knob calcifications.	57201335	CLINICAL HISTORY: ___-year-old woman with back pain and fever. Evaluate for pneumonia. COMPARISON: No relevant comparisons available.	No pneumonia, edema or effusion.
11144021	Patient is status post esophagectomy with gastric pull-through. High density material at the right lung base from prior barium aspiration is again seen. There is subtle retrocardiac opacity which may have correlate over the spine on the lateral view. The lungs are hyperinflated but otherwise clear. Cardiomediastinal silhouette is otherwise unremarkable. Chronic changes of the right ribs are again noted.	57198602	WET READ: ___ ___ 9:27 PM Retrocardiac opacity is potentially atelectasis though infection or aspiration would be possible. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with recent treatment for PNA with dyspnea // ? pneumonia or signs of aspiration TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___.	Retrocardiac opacity is potentially atelectasis though infection or aspiration would be possible.
11144021	There is increased opacity affecting the right lower lobe medially and retrocardiac region, obscuring a portion of the left hemidiaphragm and seen posteriorly is increased opacity remainder of the lungs are clear. Rib deformities are again seen on the right	59308504	EXAMINATION: CHEST (PA AND LAT) INDICATION: Mr. ___ is a ___ year old male with history of esophageal adenocarcinoma and renal cell carcinoma in remission, Afib on warfarin, and h/o PE who presents with dysphagia and increased cough // ? infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___	Bilateral lower lobe infiltrates/volume loss. This is increased compared to the study from the prior day
11518408	The heart size is normal. The aorta is tortuous with calcification but otherwise the mediastinal and hilar contours are normal. There is increased density at the right lung base which is also seen on the lateral film, likely representing fibrosis. This was present on the prior study. Otherwise, the lungs are clear, and there are no new abnormalities seen. There is no pleural effusion or pneumothorax.	56403657	STUDY: PA and lateral chest x-ray. COMPARISON EXAM: PA and lateral chest x-ray ___. INDICATION: ___-year-old with productive cough for several months.	Stable chest radiograph. Wet read was called to Dr. ___ by Dr. ___ ___ telephone at 14:26, 5 minutes after time of discovery.
11518408	The findings remain unchanged from prior examination. The heart appears mild to moderately enlarged as previously seen. Cardiomediastinal contours are unchanged. The lungs are clear with no evidence of acute infiltrates. No pleural effusions or pneumothorax. Bony structures are intact.	51331365	INDICATION: ___-year-old lady with history of amiodarone toxicity is back on a low dose. ? any changes. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral chest radiographs.	No significant changes compared to the prior study. No acute pulmonary abnormalities.
11518408	No new focal infiltrates are seen concerning for an infectious process. No effusion or pneumothorax. The aorta is again tortuous. Cardiomediastinal silhouette and hilar contours are unremarkable.	59478514	___-year-old woman with severe nonproductive cough. COMPARISON: ___.	No evidence of infiltrates or cardiogenic failure.
11518408	Heart size is mildly enlarged, unchanged. The aorta is calcified. Pulmonary vascularity is not engorged. There are ill-defined opacities within both lung bases concerning for infection. There is no pleural effusion or pneumothorax. No acute osseous abnormality is seen.	54459305	INDICATION: Atrial fibrillation with rapid ventricular rate. COMPARISON: Chest radiograph, ___ and chest CT, ___. PORTABLE AP VIEW OF THE	Ill-defined bibasilar opacities, more so on the right, which is concerning for infectious process.
11518408	The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax. The lungs appear hyperinflated.	57248083	CHEST RADIOGRAPHS HISTORY: Atrial fibrillation and lower extremity edema. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral.	No evidence of acute disease.
11684038	There is patchy opacification at the bases bilaterally, with localized to the right lower lobe and lingula on the lateral, which likely represents multifocal pneumonia or aspiration in the appropriate clinical setting. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	54361124	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fevers and cough // fevers and cough for 5 days r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.	Multifocal pneumonia involving the right lower lobe and lingula. Aspiration is also a consideration in the appropriate clinical setting.
11424753	Patient is rotated to the left. There are opacities projecting over the left lung, somewhat plate nodular appearance. The right lung is clear. The cardiomediastinal silhouette is within normal limits. Coronary artery stents noted. Suspected moderate hiatal hernia is noted. Degenerative changes are noted in the spine and at the left shoulder.	59578855	WET READ: ___ ___ 10:42 PM Patchy opacities projecting over the left lung which could represent infection in the proper clinical setting. Given nodular appearance of some of these opacities, followup is suggested and can begin with PA and lateral views when patient is amenable ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with afib on eloquis p/w dental bleeding, syncopal episode // ?aspiration TECHNIQUE: Single portable view of the chest. COMPARISON: None.	Patchy opacities projecting over the left lung which could represent infection in the proper clinical setting. Given nodular appearance of some of these opacities, followup is suggested and can begin with PA and lateral views when patient is amenable
11284973	The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	50748552	INDICATION: ___M with chest pain // please evaluate for acute abnormality TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.	No acute cardiopulmonary process.
11842082	Frontal and lateral views of the chest demonstrate normal lung volumes without focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.	54423708	INDICATION: Tachycardia and elevated white blood cell count. Assess for pneumonia. COMPARISONS: None available.	No evidence of acute cardiopulmonary process.
11517422	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Heart size is mildly enlarged, and likely accentuated by the low lung volumes. The mediastinal contours are normal. There is a right internal jugular Port-A-Cath with the tip terminating in the mid SVC.	54874399	INDICATION: Hypotension and bradycardia. COMPARISON: Chest radiograph ___.	Mild cardiomegaly. No acute cardiopulmonary process.
11517422	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A right-sided Port-A-Cath catheter ends in the lower mid SVC. A left-sided PICC line ends in the upper SVC.	53580118	INDICATION: ___-year-old female with hypotension. COMPARISON: ___. TECHNIQUE: Frontal upright chest radiograph.	No evidence of acute cardiopulmonary process.
11517422	Right-sided Port-A-Cath tip terminates in the mid SVC. Previously noted left PICC has been removed. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.	59443997	EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough, shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: ___	No acute cardiopulmonary abnormality.
11517422	An accessed right pectoral MediPort terminates in the mid SVC. The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.	50176561	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PORT for IV infusions , no blood return on access, need to evaluate placement // To check placement of Port a cath tip TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___.	Right pectoral MediPort terminating in the mid SVC is unchanged since ___. Clear lungs.
11517422	Portable AP upright chest radiograph provided. Port-A-Cath resides in the right chest wall with catheter tip extending to the level of the mid SVC. There is no free air below the right hemidiaphragm. The lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.	57010994	CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Abdominal pain with multiple prior SBOs, question free air.	No acute findings including no signs of pneumoperitoneum.
11517422	Chest, PA and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. A right chest wall Port-A-Cath terminates at the cavoatrial junction.	56354942	INDICATION: Fever. COMPARISON: Chest radiograph from ___.	Normal radiograph of the chest.
11517422	PA and lateral views of the chest were provided. The Port-A-Cath resides over the right mid chest with catheter extending to the level of the right IJ and tip of the catheter in the region of the mid SVC. The lungs are clear. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.	57435292	CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph dated ___. CLINICAL HISTORY: ___-year-old female, port placed, thinks it may have dislodged, assess position of the port.	Appropriately positioned right chest wall Port-A-Cath with tip residing in the region of the mid SVC.
11335276	The heart size is normal. The mediastinal and hilar contours are within normal limits. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.	59398525	INDICATION: Altered mental status and confusion. COMPARISON: ___. PA AND LATERAL VIEWS OF THE	No acute cardiopulmonary abnormality.
11944396	The heart size is normal. The hilar and mediastinal contours are normal. Again seen is suture material in the right mid to upper lung. There is mild pulmonary edema and vascular engorgement unchanged compared to the prior exam. There is no pneumothorax or pleural effusions. There is no focal consolidation.	51743515	INDICATION: ___-year-old female with a past medical history of tobacco abuse and hospitalization in early ___, who presents for evaluation of pneumonia. COMPARISONS: Chest radiograph from ___, ___, ___. TECHNIQUE: PA and lateral radiographs of the chest.	No acute abnormalities suggestive of pneumonia identified.
11706286	Lungs are clear without focal consolidation, effusion, or pneumothorax. Tiny calcified granuloma in the left lower lobe is stable. Mediastinal and hilar contours are normal. Heart size is normal.	54501151	EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with 2 months of cough and clear sputum // assess for any infiltrates TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Multiple prior chest radiographs dating back to ___, most recently ___.	No acute intrathoracic process.
11706286	Heart size, mediastinal and hilar contours are normal. Lungs are clear except for a tiny calcified granuloma in the left lower lobe, unchanged since the prior studies. There are no pleural effusions or pneumothoraces. Post-surgical changes are present in the imaged portion of the right shoulder.	53406290	PA AND LATERAL CHEST RADIOGRAPHS, ___ COMPARISON: Multiple prior chest radiographs dating back to ___.	Stable radiographic appearance of the chest, with no findings to account for cough.
11706286	Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Hardware projecting over the right humeral head is incompletely imaged.	50139839	HISTORY: Cough and night sweats. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: Comparison to written report for study dated ___ due to lack of prior images from PACS limitation at the time of dictation.	Normal chest radiograph; specifically, no evidence of intrathoracic infection or malignancy.
11019361	Frontal PA and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. There is an impression in the left side of the cervical airway.	59159487	INDICATION: ___-year-old woman with productive cough and fever. COMPARISON: ___.	No acute cardiopulmonary process. Left sided impression in the cervical trachea suggests enlargement of the left lobe of the thyroid gland. Correlate with thyroid ultrasound. Findings were entered into the critical results reporting tool at ___ on ___.
11862174	PA and lateral chest radiographs were obtained. Appearance of the right hemithorax with calcifications of the pleura is unchanged. Rightward shift of the mediastinum is noted and appears unchanged. Post-surgical chains are noted in the left lung with residual mild-moderate pleural effusion. Opacities in the area of resection have improved. Cardiomediastinal silhouette is stable. No pneumothorax.	53583683	INDICATION: ___-year-old woman with a right pneumonectomy and recent left thoracotomy with left upper lobe and left lower lobe wedge resections, check for interval changes. COMPARISON: ___.	Slight improvement in mild-moderate left pleural effusion.
11862174	The patient is status post right pneumonectomy with associated rightward mediastinal shift and diffuse calcification of the right pleura. Imaged aspect of the heart is unchanged. Mediastinal contours otherwise are stable. Chain sutures within the left upper and lower lung fields are compatible with prior wedge resections. Small left pleural effusion is unchanged. The remainder of the left lung is clear. No pneumothorax. No acute osseous abnormalities are seen.	51612359	HISTORY: Worsening shortness of breath and history of lung cancer. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___.	Status post right pneumonectomy with stable rightward mediastinal shift. Persistent small left pleural effusion. No new parenchymal opacities are identified to suggest a pneumonia.
11862174	AP upright portable views of the chest were obtained. The patient is status post right thoracoplasty procedure, similar in appearance compared to the prior study. There is persistent blunting of the left costophrenic angle and a small underlying pleural effusion is not excluded. There is increased left base opacity which could be due to infection and/or aspiration. Chain sutures are again seen projecting over the left mid hemithorax consistent with previous wedge resections.	56282332	EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Shortness of breath and hypoxia. COMPARISON: ___.	Persistent blunting of the left costophrenic angle may be due to underlying pleural effusion. Increased left mid to lower lung opacity raises concern for overlying infection.
11862174	Patient is status post a right pneumonectomy with chronic pleural calcifications. The heart border cannot be accurately assessed due to obliteration of the right heart border. There is persistent blunting of the left costophrenic angle which correlates to mediastinal fat on prior CT. Persistent atelectatic changes present in the left lung base. Multiple left-sided nodules are below the resolution of chest radiography and are better evaluated on CT. Endotracheal tube is in appropriate position. There is no large pleural effusion or pneumothorax.	55328090	HISTORY: Status post craniotomy for endotracheal tube placement. TECHNIQUE: Portable frontal chest radiograph, 2 views. COMPARISON: Multiple radiographs ranging from ___ through ___, CT torso ___.	Appropriate positioning of the endotracheal tube. Left basal atelectasis.
11862174	The patient is status post right pneumonectomy with rightward shift of mediastinal structures and opacification of the right hemithorax compatible with pleural calcifications and fluid. Chain sutures are again noted within the left upper and lower lung fields compatible with prior wedge resections. No focal consolidation is identified. Blunting of the left costophrenic angle is chronic. No pneumothorax or large pleural effusion is identified on the left. No pulmonary vascular congestion is noted. There are no acute osseous abnormalities.	52909439	HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ chest radiograph ___.	Status post right pneumonectomy with no significant interval change in appearance of the chest compared to the prior radiograph.
11862174	There is unchanged deformity of the right hemithorax with volume loss and diffuse calcification, likely related to prior pneumonectomy. Suture chain material projecting over the left mid hemithorax is consistent with prior wedge resections. There is increased opacification at the left lung base silhouetting the left hemidiaphragm and the left heart border with an apparent meniscus compatible with a small left pleural effusion, increased from the prior studies. Patchy airspace opacities in the upper and mid lung zones most likely reflect a combination of pulmonary edema, atelectasis, and pneumonia. There is moderate pulmonary vascular congestion, increased from the most recent prior study. No pneumothorax is detected. The cardiomediastinal contours are difficult to appreciate but overall unchanged.	51072043	INDICATION: Hypoxia, here to evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs dated ___, ___, ___, and ___. TECHNIQUE: Portable upright frontal radiograph of the chest.	Increased size of small left pleural effusion with pattern in the left lung most compatible with a combination of atelectasis, edema and pneumonia.
11563936	The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. No evidence of hilar lymphadenopathy. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.	56652868	EXAMINATION: Radiograph INDICATION: ___-year-old woman with a + ppd. Evaluate for TB, infectious process. TECHNIQUE: Chest PA and lateral COMPARISON: No prior imaging is available on PACS at the time of this dictation.	No radiographic evidence of tuberculosis or focal pneumonia.
11997588	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	57753342	EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with 2 days chest pain in the setting of heartburn // eval for chest pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.	No acute cardiopulmonary process.
11213912	COMPARED WITH EARLIER THE SAME DAY, AN ET TUBE HAS BEEN PLACED. THE TIP OF THE TUBE LIES APPROXIMATELY 6.5 CM ABOVE THE CARINA, AT THE UPPER EDGE OF THE CLAVICULAR HEADS. AN NG TYPE TUBE IS PRESENT, TIP EXTENDING BENEATH DIAPHRAGM, OFF FILM. OF NOTE, THE RADIO OPAQUE TIP OF THE THE INTRA AORTIC BALLOON PUMP SEEN ON THE PRIOR FILM, IS NO LONGER VISUALIZED. THE CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. THERE IS UPPER ZONE REDISTRIBUTION, WITHOUT OTHER EVIDENCE OF CHF. PROBABLE MINIMAL ATELECTASIS AT BOTH LUNG BASES. NO FRANK CONSOLIDATION. NO GROSS EFFUSION. NO PNEUMOTHORAX DETECTED. OLD HEALED RIGHT PROXIMAL HUMERAL FRACTURE INCIDENTALLY NOTED.	58528233	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new ETT // Please eval ETT position COMPARISON: ___ AT 08:41	ET TUBE TIP AT THE UPPER EDGE OF THE CLAVICULAR HEADS. CLINICAL CORRELATION REGARDING POSSIBLE ADVANCEMENT (E.G. ___ CM) IS REQUESTED . INTRA AORTIC BALLOON PUMP NO LONGER VISUALIZED.
11213912	The ET tube is 4 cm above the Carina and is pointed on to the right with the tip likely against the right side of the trachea. NG tube tip is off the film but the proximal port is in the proximal stomach. There is bilateral moderate effusions layering posteriorly that have increased compared to prior. The heart is moderately enlarged. The Swan-Ganz catheter tip is in the right descending pulmonary artery. Dual lead pacemaker is again visualized. There is bilateral hazy alveolar infiltrate right greater than left.	52025847	EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with recent STEMI c/b cardiogenic shock now with concern for PNA // Interval change; evaluate for consolidation vs pulm edema TECHNIQUE: Portable chest COMPARISON: ___	Worsened pulmonary edema. An underlying infectious infiltrate cannot be exclude
11213912	A Swan-Ganz catheter extends to the right pulmonary artery, and can be pulled back approximately 4 cm. Endotracheal tube in appropriate position. Transvenous pacing veins ending in the right atrium and right ventricle. A nasoenteric to the crosses the left hemidiaphragm with its tip not visualized. Since prior, the appearance of the lungs is not significantly changed with diffuse bilateral airspace opacities, most pronounced at the right upper lung zone. The cardiac silhouette is stably enlarged with persistent retrocardiac atelectasis. There is no pneumothorax. There are bilateral layering pleural effusions.	57111599	INDICATION: ___ year old man with recent anterior STEMI c/b cardiogenic shock now admitted with worsening respiratory failure, evaluate for pulmonary edema and evidence of consolidation . COMPARISON: Comparison is made to multiple chest radiographs dating back to ___. TECHNIQUE Portable view of the chest.	Swan-Ganz catheter extends to the right pulmonary artery and can be pulled back approximately 4 cm. Persistent diffuse bilateral airspace opacities most pronounced in the right upper lobe, compatible with pulmonary edema although a multifocal infection would have to be considered in the correct clinical setting.

11492213

The patient is status post mitral valve replacement. The patient remains intubated. The endotracheal tube terminates about 9 cm above the carina, probably at the thoracic inlet and should be advanced by about 4 cm in order to obtain more optimal positioning. An orogastric tube courses into the stomach. Left subclavian and right internal jugular venous catheters appear unchanged. The cardiac, mediastinal and hilar contours appear stable. Pulmonary edema has improved. A pleural effusion is suspected to persist on the left and there is probably also a small right-sided pleural effusion. There is no pneumothorax.

56019741

CHEST RADIOGRAPH HISTORY: Status post sternal debridement for sternal wound infection. COMPARISONS: Prior day. TECHNIQUE: Chest, semi-upright AP portable.

High-lying endotracheal tube; advancing the tube by about 4-5 cm may be appropriate since it terminates about 9 cm above the carina. Improving pulmonary edema.

11492213

AP and lateral views of the chest. Dual-lumen central venous catheter is seen in unchanged position. Low lung volumes are noted. Since prior, there has been interval decrease in size of the left-sided pleural effusion. The lungs are otherwise clear. Mitral valvular replacement is identified. Mediastinal surgical clips are identified. No acute osseous abnormality is identified.

50928911

CHEST, TWO VIEWS; ___ HISTORY: ___-year-old male with end-stage renal disease with right foot debridement preop. COMPARISON: ___.

Interval decrease in size of left-sided pleural effusion. Otherwise, no change.

11492213

Blunting of bilateral costodiaphragmatic angle is new compatible with a tiny pleural effusion or thickening. The rest of the lung is clear. Mediastinal and cardiac contours are normal. There is no pneumothorax.

50730295

PA AND LATERAL CHEST X-RAY INDICATION: Patient with chronic kidney disease, pre-kidney evaluation. COMPARISON: ___.

New minimal bilateral pleural effusion or thickening.

11488104

The lungs are clear. Incidentally noted is a pectus deformity with secondary expected silhouetting of the right heart border. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

52813684

INDICATION: ___M with pt with night sweats, fatigue // ? acute cardiopulm process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11790974

A portable frontal semi upright chest radiograph demonstrates an endotracheal tube terminating in the upper thoracic trachea, enteric tube extending below the left hemidiaphragm, and a left chest wall pacer device with the lead overlying the right ventricle. The heart remains enlarged. Bilateral pulmonary opacities are compatible with pulmonary edema, similar to mildly increased. However superimposed infection cannot be entirely excluded. There is no appreciable pneumothorax or displaced rib fracture. The visualized upper abdomen is unremarkable.

56064549

INDICATION: Evaluate for pneumothorax or rib fracture in a ___-year-old man status post cardiac arrest, now with return of spontaneous circulation. COMPARISON: Chest radiographs from ___, approximately 3 hours prior, as well as ___.

No appreciable pneumothorax or displaced rib fracture. Pulmonary edema is similar to mildly increased. However superimposed infection cannot be entirely excluded.

11809837

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

51896015

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

No radiographic evidence for acute cardiopulmonary process.

11035809

Endotracheal tube has been removed. Residual cluster of opacities in the right apical region relate to prior CyberKnife treatment as compared to CT from ___. There is increased mild atelectasis of the right lung base. Lungs are otherwise clear. There is new fullness of the mediastinal veins. The cardiac silhouette is normal. No definite pneumothorax or pleural effusions identified. Note is made of clips in the right paramediastinal area and dense calcification of the mitral annulus.

58292255

INDICATION: ___-year-old woman status post extubation. COMPARISON: Prior multiple chest radiographs from ___ and ___. Chest CT from ___. TECHNIQUE: Portable AP upright chest radiograph.

Increased mild atelectasis of the right lung base. No new focal consolidations.

11035809

2 views were obtained of the chest. The lungs are well expanded. Two fiducial markers are seen in the right upper lobe mass which appears grossly unchanged in the prior chest radiograph. There is no focal consolidation, pleural effusion or pneumothorax. The heart and mediastinal contours are unchanged. T12 compression fracture is unchanged.

51688385

HISTORY: Weakness, assess for pneumonia. COMPARISON: ___.

No acute intrathoracic process.

11035809

PA and lateral chest radiographs were obtained. The lungs are well inflated and clear. A large 3.5 cm apical mass now has two radiopaque fiducial seeds with fiducial markers in it. No pneumothorax is present. There is no additional consolidation, effusion, or pneumothorax.

56022938

INDICATION: ___-year-old woman with right apical mass status post biopsy and fiducial placement, question pneumothorax. COMPARISONS: ___.

No pneumothorax, status post fiducial placement in right apical mass.

11035809

Right apical lesion with fiducial markers is again seen, similar to the prior study. Again there is mild elevation/eventration of the right hemidiaphragm which has been present on prior exams. Mediastinal contours are unremarkable. The cardiac silhouette is top normal with left ventricular configuration. Chronic deformity at the distal right clavicle is again seen.

51924661

EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Increasing lethargy and confusion. COMPARISON: ___.

No acute cardiopulmonary process.

11035809

A right upper lobe lesion is again seen with two radiopaque fiducial markers. No pneumothorax is present. There is no focal consolidation or effusion.

52187024

INDICATION: ___-year-old woman status post right lung fiducial placement and biopsy. COMPARISON: Radiograph earlier at 3:00 p.m. today.

Marked right apical lesion status post fiducial placement without pneumothorax.

11210944

The monitoring and supporting devices, including the endotracheal tube, right-sided IJ line, left-sided chest tube, mediastinal tube, NG tube, surgical clips and sternotomy wires are unchanged. Little change is seen compared to prior with low lung volumes, retrocardiac atelectasis, mild cardiomegaly and mild pneumopericardium. There is no pleural effusion or pneumothorax.

51160889

INDICATION: ___-year-old male, status post CABG. Evaluate for evidence of pneumothorax or pulmonary edema. COMPARISON: Chest radiograph performed 2 hours prior. TECHNIQUE: Portable supine chest radiograph.

Supporting and monitoring devices are unchanged. Low lung volumes with retrocardiac atelectasis and minimal pneumopericardium unchanged from prior.

11580463

Frontal and lateral views of the chest were obtained. There is mild pulmonary vascular congestion. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is moderate to markedly enlarged. The aorta is tortuous.

52463179

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

Pulmonary vascular congestion and enlarged cardiac silhouette.

11033629

The cardiac, mediastinal and hilar contours are unchanged, tortuosity and dilatation of the thoracic aorta again noted. The heart size is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Traumatic deformity of right posterior fifth rib is again seen, as well as mild loss of height of a low thoracic vertebral body. No pneumothorax or pleural effusion is present. The pulmonary vascularity is not engorged.

50616451

INDICATION: COPD, cough, shortness of breath. COMPARISON: ___. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary abnormality.

11033629

Surgical clips project along the right central mediastinum. The heart is normal in size. Tortuosity and dilatation of the thoracic aorta appear unchanged. The proximal descending aorta is again calcified. Hyperinflation is present. There is no pleural effusion or pneumothorax. A traumatic deformity of the right posterior fifth rib appears unchanged.

59437292

CHEST RADIOGRAPHS HISTORY: Lower extremity weakness. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral.

Stable appearance of the chest. No definite evidence of acute disease.

11504006

AP upright and lateral views of the chest provided. Surgical hardware is noted in the cervical spine. A right chest wall Port-A-Cath is seen with its tip in the SVC. Cardiomegaly is again noted with midline sternotomy wires. Lung volumes are low. Motion artifact limits evaluation of lateral projection. Allowing for this there is no overt sign of pneumonia or edema. No large effusion is seen. There is no pneumothorax. The mediastinal contour is unremarkable. Hilar congestion is noted. Bony structures are intact.

53819215

EXAMINATION: CHEST (AP AND LAT) INDICATION: ___M with dyspnea // r/o infection COMPARISON: ___ and ___.

Cardiomegaly with mild congestion. Limited exam due to low lung volumes and motion artifact.

11504006

There is no pneumothorax or pleural effusion bilaterally. There are no changes in the cardiomediastinum. Subclavian Port-A-Cath in the right side, its tip ends in the superior vena cava. Hemodialysis catheter in the left subclavian vein ends in the proximal right atrium. The perihilar opacities are unchanged.

59186708

HISTORY: Chest x-ray after transbronchial biopsy. TECHNIQUE: Portable chest x-ray in AP. COMPARISON: Exam is compared to chest x-ray of ___.

There are no signs of complication after bronchoscopic biopsy. In particular, there are no pleural effusions or pneumothorax.

11504006

Right-sided Port-A-Cath terminates in the upper SVC without evidence of pneumothorax. Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette enlarged. No pleural effusion or pneumothorax is seen. Patchy retrocardiac opacity may be due to vascular structures, but consolidation due to pneumonia is not entirely excluded. Partially imaged cervical hardware is noted.

59215285

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever and cough // eval for pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___

Persistent cardiomegaly. Patchy retrocardiac opacity on the lateral view may be due to overlapping vascular structures but consolidation due to pneumonia is not entirely excluded in the appropriate clinical setting.

11642164

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.

59129961

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with left anterior chest pain after MVC yesterday COMPARISON: None

No acute intrathoracic process.

11295998

The left-sided pleural effusion is slightly smaller compared to ___. Right lung is free of consolidations, pleural effusion or pneumothorax. The left Port-A-Cath terminates in the distal SVC. A left chest tube is unchanged in position. Minimal subcutaneous emphysema adjacent to the left lateral chest wall, unchanged. Destruction of entire right clavicle, unchanged since ___.

55914642

EXAMINATION: Chest radiographs PA and lateral INDICATION: ___ year old woman h/o breast ca s/p R mastectomy, pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs since ___, most recently ___.

Interval decrease in size of left pleural effusion.

11295998

There is a large left pleural effusion which may be at least partially loculated, with likely underlying atelectasis. Underlying consolidation for pulmonary mass not excluded. No right pleural effusion. Subtle sub cm nodular opacities projecting over the right upper to mid lung could represent vessels on-end but small pulmonary nodules are not excluded. No priors for comparison. Suggest non urgent chest CT for further evaluation. The cardiac and mediastinal silhouettes are grossly unremarkable.

57338222

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recurrent metastatic breast cancer p/w worsening DOE, known L pleural effusion // eval effusion, pulm edema TECHNIQUE: Chest Frontal and Lateral COMPARISON: None.

There is a large left pleural effusion which may be at least partially loculated, with likely underlying atelectasis. Underlying consolidation for pulmonary mass not excluded. No right pleural effusion. Subtle sub cm nodular opacities projecting over the right upper to mid lung could represent vessels on-end but small pulmonary nodules are not excluded. No priors for comparison. Suggest non urgent chest CT for further evaluation.

11270870

Frontal and lateral views of the chest were obtained. The patient is rotated with respect to the film. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vasculature is unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. Right clavicle midshaft fracture is better evaluated on accompanying dedicated right clavicle films.

56515012

HISTORY: Status post fall after bike accident. Evaluate for fracture or pneumothorax. COMPARISON: None.

Right clavicle midshaft fracture. No pneumothorax.

11135247

The lungs are clear. Cardiomediastinal and hilar contours are normal. There are no pleural effusions or pneumothorax. Old healed fractures are noted in the right fourth and fifth posterior ribs.

56021240

INDICATION: ___-year-old female with cough, fever, and chest pain. COMPARISON: ___. CHEST, PA AND

No acute cardiopulmonary process.

11273619

PA and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

57672765

CHEST, TWO VIEWS. HISTORY: ___-year-old female with dizziness and near syncope. Question CHF or cardiomegaly.

No acute cardiopulmonary process.

11399823

PA and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Heart size is within normal limits. The hilar mediastinal contours are unremarkable. There is no pulmonary edema, pleural effusion, or pneumothorax. No acute osseous abnormality is detected.

59592132

INDICATION: ___-year-old female with chest pain and back pain. TECHNIQUE: Chest PA and lateral COMPARISON: CT dated ___.

No acute intrathoracic abnormality.

11263908

The heart is normal in size. The heart aorta has a smooth well-defined contour but appears at least mildly tortuous - often due to a history of hypertension - and perhaps mildly dilated. There is no pleural effusion or pneumothorax. There is slight posterior blunting of costophrenic sulci but any substantial pleural effusion is doubtful on and probably there are none. The lungs appear clear. Surgical clips project along the left axilla. There is volume loss in the left breast compared to the right suggesting prior a mastectomy but with increased density so there may be a breast implant.

55949405

EXAMINATION: Chest radiographs. INDICATION: Chest pain. COMPARISON: None. TECHNIQUE: Chest, PA and lateral.

No definite evidence of acute cardiopulmonary disease. Tortuous aorta and possibly ectasia. In follow-up, if available, correlation with prior radiographs is recommended. If radiographic stability of the findings is not established, chest CT should be considered to rule out ectasia which may be appropriate to follow-up.

11201605

No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no overt pulmonary edema. No displaced fracture is seen.

55203908

EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Injury, motor vehicle accident, question fracture. COMPARISON: ___.

No acute fracture or dislocation.

11291230

The heart is top-normal. The cardiomediastinal and hilar contours are within normal limits. Hazy bilateral opacities (right greater than left) are new from the prior exam done at 00:47. There is no pleural effusion or pneumothorax identified.

56468036

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with syncope, R-rib pain // evaluate for acute process TECHNIQUE: Portable AP view COMPARISON: Chest radiograph on ___ at 00:47

Bilateral hilar opacities (right greater than left) could represent mild pulmonary edema, new from the study done at 00:47. Given that the opacity is asymmetrically larger on the right, consideration should be given to the possibility of infection.

11291230

New endotracheal tube is in standard placement, 5 cm above the carina. A new, temporary right internal jugular pacer tip projects over the right ventricle. Central consolidation in the right lung has increased dramatically, and there is little consolidation in the left lung, although there has been an increase in vascular congestion in the suprahilar left lung. Heart size is normal and any pleural effusion is minimal. If the right lung findings are due to pulmonary edema if it is extremely asymmetric. Therefore worsening pneumonia and pulmonary hemorrhage should be considered. There is no pneumothorax.

52314348

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with CVL placement, pacer wire placement, failed L-subclavian attempt // evaluate CVL placement, ET tube placement, L-pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph on ___ at 02:04 and 00:47

Right lung consolidation markedly increased from the prior study done at 02:04, could be unusually asymmetric pulmonary edema or worsening pneumonia or pulmonary hemorrhage. Endotracheal tube terminates 5 cm above the carina and a right internal jugular pacer is seen with its tip projected over the right ventricle.

11120163

2 views were obtained of the chest. Left PICC terminates in the low SVC. Small left pleural effusion and substantial left lower lobe consolidation, perhaps atelectasis, have increased from the previous examination; much smaller right pleural effusion is probably larger than before as well. There is no pneumothorax. Heart size is probably normal, though exaggerated by low lung volumes. Mediastinal appearance is normal. Left hilus is indistinct. There is greater opacification and separation of bowel loops in the left upper abdomen. Suggest CT to evaluate possible recurrent subdiaphragmatic infection, contributing to increased left pleural effusion

50624520

HISTORY: Fever, assess for pneumonia. COMPARISON: ___.

Interval increase in small left pleural effusion and accompanying left basilar opacity that is most likely atelectasis, but conceivably pneumonia. Findings discussed in person with Dr. ___ by Dr. ___ at ___ on ___ and by Dr ___ with Dr ___ ___ telephone at 8:20AM.

11120163

Frontal and lateral views of the chest were obtained. A left-sided PICC is again seen, terminating at the low SVC. Small left pleural effusion and left base consolidation is seen. No definite right pleural effusion is seen. No right-sided consolidation. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable.

52023559

EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Occluded PICC line. COMPARISON: ___.

Mild left pleural effusion with overlying atelectasis, underlying consolidation due to pneumonia is not excluded.

11120163

The lungs are well expanded and clear. Cardiomediastinal hilar contours are unremarkable. There is no pleural effusion or pneumothorax. An NG tube ends within the stomach with the side port beyond the gastroesophageal junction. Incidentally noted IVC filter and cholecystectomy clips.

54659505

EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with post-op ileus now s/p NG tube placement. Confirm NG tube placement TECHNIQUE: Frontal upright chest radiograph COMPARISON: Chest CT from ___

NG tube in appropriate position. No evidence of acute cardiopulmonary process.

11061972

The tip of the intra-aortic balloon pump is low lying and situated 5.8 cm below the aortic knob. The ET tube remains in appropriate position with the tip terminating 4.1 cm above the carina. Remaining lines and tubes are in unchanged positions. There is mild bilateral pulmonary vascular congestion. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.

52336599

INDICATION: ___ year old woman with hypoxic respiratory failure, shock, evaluate for interval change. TECHNIQUE: Single AP view of the chest. COMPARISON: Chest x-ray from ___

Low-lying intra aortic balloon pump with tip situated 5.8 cm below the aortic knob. Mild central vascular congestion.

11143351

Compared with the prior study, mild cardiomegaly is new, with new indistinctness of the pulmonary vasculature and cephalization, indicating early congestive heart failure. Small region of bullae in the right upper lobe indicates underlying emphysema. No focal consolidation or large effusions. No pneumothorax.

50555213

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p R hemicolectomy now with increased O2 requirement. Pls evaluate for fluid overload, atelectasis, pneumonia. TECHNIQUE: Single portable AP view of the chest COMPARISON: Chest radiograph of ___.

Findings suggestive of early congestive heart failure. Right upper lobe emphysema.

11316686

No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac silhouette size is top-normal. The aorta is slightly tortuous. No pulmonary edema is seen.

50548860

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with exertional chest pain // r/o infection or pleural effusions TECHNIQUE: Single frontal view of the chest COMPARISON: None

No acute cardiopulmonary process.

11654069

AP upright and lateral views of the chest were obtained. Patient is rotated to the right, which somewhat limits the evaluation. A dual-lead pacer is unchanged in position. There is blunting of the left CP angle which could be reflective of a tiny pleural effusion. There is no focal consolidation to suggest the presence of pneumonia. No definite signs of CHF. Cardiomediastinal silhouette appears grossly stable allowing for patient rotation. Bony structures appear intact.

54608358

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Rash, assess for pneumonia.

Tiny left pleural effusion. Otherwise unremarkable.

11654069

Left pectoral pacer leads terminate in the right atrium and right ventricle. There is no focal consolidation to suggest pneumonia. Prominence of the interstitial markings reflects borderline pulmonary edema. There is no pleural effusion or pneumothorax. Mild cardiomegaly is similar to the most recent radiograph on ___. Mitral annular calcifications are present.

52294722

WET READ: ___ ___ ___ 9:54 AM 1. Borderline pulmonary edema. 2. No evidence of pneumonia. WET READ VERSION #1 ___ ___ ___ 4:22 AM 1. Left retrocardiac opacity, concerning for developing pneumonia. 2. Mild pulmonary vascular congestion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female with an infected coccygeal ulcer, also reporting cough. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recently performed on ___

Borderline pulmonary edema. No evidence of pneumonia.

11572520

Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized. There is a mild compression deformity of a low thoracic vertebral body. Deformities of the left seventh, eighth, and ninth lateral ribs indicate prior fractures.

53223897

EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___F with multiple syncopal episodes, cough TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None.

No acute cardiopulmonary abnormality.

11129757

Left-sided Port-A-Cath is again seen with catheter terminating in the low SVC, without evidence of pneumothorax. There is a moderate left pleural effusion with overlying atelectasis, underlying consolidation is not excluded. The right lung is clear. The cardiac and mediastinal silhouettes are grossly stable given that the left heart border is not fully evaluated given the left base opacity.

51951755

EXAM: Chest, AP upright portable view. CLINICAL INFORMATION: Stage IV ovarian cancer, history of pulmonary embolism, now acute onset dyspnea on exertion with crackles on exam. COMPARISON: ___.

Moderate left pleural effusion with overlying atelectasis, underlying consolidation is not excluded.

11444124

The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable, however, prominence of the pulmonary arteries persists.

56007428

INDICATION: Cough. Positive PPD. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___.

Clear lungs with no acute intrathoracic process. Prominence of the pulmonary arteries may indicate pulmonary arterial hypertension.

11444124

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 is persistent elevation of the right hemidiaphragm.

51499042

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough // ? PNA TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs the most recent on ___

No pneumonia or pulmonary edema.

11578301

The cardiomediastinal and hilar contours are within normal limits allowing for slight accentuation by low lung volumes. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

58270358

WET READ: ___ ___ ___ 3:43 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with ruq pain // r/o cholecystitis, infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___.

No acute cardiopulmonary abnormality.

11578301

The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.

55539027

HISTORY: Cough for weeks. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___.

No acute cardiopulmonary abnormality.

11578301

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.

56848251

CHEST RADIOGRAPH PERFORMED ___ COMPARISON: Chest CT from ___ and chest radiograph also from ___. CLINICAL HISTORY: Chest pain, assess for pneumonia.

No acute intrathoracic process.

11578301

PA and lateral views of the chest are obtained. Lungs are clear and well expanded without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are stable without signs of CHF. Bony structures are intact. No free air below the right hemidiaphragm.

54211526

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

No acute intrathoracic process.

11578301

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

54940875

INDICATION: Abdominal pain with brief period of hypotension, now resolved. COMPARISON: ___. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary process.

11578301

The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. The lungs are clear.

51521150

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral views of the chest dated ___

No acute intrathoracic process.

11578301

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

51316963

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with malaise, cough // acute cardiopulm disease TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___

No acute cardiopulmonary process.

11098429

Underlying trauma board partially obscures the view. Allowing for this, lung volumes are low but without focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No displaced fracture is seen.

55979269

INDICATION: ___-year-old female with high-speed MVC collision. Evaluate for acute cardiopulmonary process. COMPARISON: None. TECHNIQUE: Portable supine chest radiograph.

No acute intrathoracic process.

11270948

Patient is rotated to the right. There is minimal basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

53270819

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

No acute cardiopulmonary process.

11270948

In comparison to the prior radiograph on ___, there is worsening moderate effusion and adjacent atelectasis on the right. Opacification of the left lung base is likely due to a combination of pleural effusion and atelectasis. Underlying consolidation cannot be excluded. No pneumothorax. Heart borders are difficult to assess due to adjacent effusions. No acute osseous abnormalities identified. Pacer leads appropriately terminate in the right atrium and right ventricle.

57006899

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___-year-old female presenting for evaluation of a fever TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___

Worsening moderate right pleural effusion with adjacent atelectasis. Probable effusion on the left. Underlying infection cannot be excluded in the appropriate clinical setting.

11270948

PA and lateral chest x-ray shows lung well inflated, and clear. The left retrocardiac opacity described in prior chest x-ray has disappeared. There is no pleural effusion or pneumothorax. Heart is still moderately enlarged.

54486281

HISTORY: ___ years old woman with history of diastolic CHF, cough since five days, who has been mildly febrile for past two days, but has known satellite herpes zoster. Initial chest x-ray showed retrocardiac opacity. Please assess for pneumonia or pulmonary edema. COMPARISON: Exam is compared to chest x-ray of ___.

Mild cardiomegaly, but without sign of pneumonia.

11270948

The patient is markedly rotated on today's study, this limits assessment. A dual lead pacemaker appears to be unchanged in position. A right-sided PICC terminates in the mid SVC. The appearance of increased opacity in the right lung is likely in part due to projection, in part due to layering pleural effusion. The left lung appears grossly clear.

52847741

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with heart failure s/p diuresis // pulmonary edema? TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___

Allowing for technical differences, there has been no significant interval change.

11270948

Left-sided dual-chamber pacemaker device is again noted with leads terminating in the regions of the right atrium and right ventricle. Moderate cardiomegaly persists and mediastinal contour is unchanged. There is crowding of the bronchovascular structures due to low lung volumes without overt pulmonary edema. Haziness within the right lung base likely reflects a layering small right pleural effusion. Streaky bibasilar opacities likely reflect areas of atelectasis. No pneumothorax is identified.

55441567

EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with hypoxia, recent CXR with possible pneumonia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___

Small layering right pleural effusion with bibasilar atelectasis.

11270948

There are low lung volumes. There is a minimal left effusion. Atelectasis seen on prior study has now resolved. Transvenous right atrial and ventricular pacer leads are continuous from the left pectoral generator, unchanged in position from prior study. There is no consolidation, pneumothorax, or mediastinal widening. Cardiomediastinal borders and hilar structures are normal. Cardiac size is normal.

57318228

INDICATION: ___ year old woman with ppm insertion // eval for pneumothorax and lead placement TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray dated ___ 11:51

Small lung volumes and a minimal left effusion. Atelectasis from ___ chest xray is resolved.

11559004

No focal consolidation is seen. There is slight blunting of the left costophrenic angle which could be due to a trace pleural effusion versus pleural thickening. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is a fracture of the left mid to distal clavicle which is minimally displaced. Left-sided upper thoracic fractures seen on cervical spine CT were better seen on that study.

53268297

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M s/p bike fall today onto head (w/helmet), L shoulder and ant chest assoc w/confusion, dec ROM in L shoulder // eval for acute processes TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

Slight blunting of the left costophrenic angle could be due a trace pleural effusion versus pleural thickening. Left-sided upper thoracic fractures seen on cervical spine CT were better seen on that study.

11009074

Cardiac silhouette size is normal. Aorta remains tortuous. Moderate hiatal hernia is noted. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Mild loss of height of a low thoracic vertebral body remains unchanged. Multiple clips are demonstrated overlying the midline lower neck.

59180687

EXAMINATION: 2 INDICATION: History: ___F with weakness TECHNIQUE: Chest PA and lateral COMPARISON: ___

No acute cardiopulmonary abnormality.

11942873

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

53522032

EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Confusion, alcohol abuse, hyperglycemic. COMPARISON: None.

No acute cardiopulmonary process.

11009102

An endotracheal tube terminates approximately 3.2 cm above the carina. Orogastric tube enters the proximal stomach and terminates beyond the field of view. Lung volumes are low. Right infrahilar, right basilar and left retrocardiac opacities most likely represent atelectasis, less likely infection. There is a moderate-sized left pleural effusion. No large effusion on the right. There is no central vascular congestion or overt pulmonary edema. No pneumothorax. Heart size is difficult to assess in the setting of left pleural effusion, though likely moderately enlarged. There is mild unfolding of the thoracic aorta.

50753823

WET READ: ___ ___ ___ 6:31 PM 1. Endotracheal tube terminates approximately 3.2 cm above the carina. Orogastric tube enters the proximal stomach and terminates beyond the field of view. 2. Right infrahilar, right basilar and left retrocardiac opacities are most consistent with atelectasis. 3. Moderate-sized left pleural effusion. Probable moderate cardiomegaly. WET READ VERSION #1 ___ ___ ___ 3:59 PM 1. Endotracheal tube terminates approximately 3.2 cm above the carina. Orogastric tube enters the proximal stomach and terminates beyond the field of view. 2. Right infrahilar, right basilar and left retrocardiac opacities are most consistent with atelectasis. 3. Moderate-sized left pleural effusion. 4. Probable moderate cardiomegaly. 5. Old healed right posterior eighth rib fracture. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with intubated // ? effusion , ET tube placement, OG tube placement TECHNIQUE: Single frontal view of the chest. COMPARISON: None provided.

Endotracheal tube terminates approximately 3.2 cm above the carina. Orogastric tube enters the proximal stomach and terminates beyond the field of view. Right infrahilar, right basilar and left retrocardiac opacities are most consistent with atelectasis. Moderate-sized left pleural effusion. Probable moderate cardiomegaly.

11810623

Frontal and lateral views of the chest were obtained. Again seen, there are bibasilar opacities which may be due to chronic atelectasis/scarring, similar in appearance compared to prior. No definite focal consolidation is seen. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is mild-to-moderately enlarged. The aorta is calcified and tortuous.

50677464

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

Bibasilar opacities, most likely representing scarring/atelectasis.

11810623

The cardiac and mediastinal silhouettes are stable. The heart is enlarged. There is tortuosity of the descending thoracic aorta. There is redemonstration of streaky opacities at the lung bases which likely reflect atelectasis, not significantly changed since examination from ___. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax.

51696874

HISTORY: Shortness of breath, mild cough. Question pneumonia and/or other acute process. COMPARISON: Prior chest radiographs from ___ and ___. TECHNIQUE: AP and lateral chest radiographs.

No focal consolidation concerning for pneumonia.

11810623

PA and lateral views of the chest were provided. Heart remains mildly enlarged though poorly assessed due to low lung volumes. There are low lung opacities which could represent atelectasis. Given the associated loss in lung volumes, early pneumonia is not excluded. No large effusion or pneumothorax. The mediastinal contour is stable. Bony structures are intact.

52075901

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Leg edema, question pneumonia or CHF.

Stable mild cardiomegaly with bibasilar opacities, likely atelectasis, though cannot exclude an early pneumonia/aspiration.

11810623

The cardiac, mediastinal and hilar contours appear unchanged including moderate tortuosity of the descending thoracic aorta. At both lung bases, but greater on the right than left, there are new opacities. These could be seen with atelectasis but infection would also be a possibility to consider. There is no pleural effusion or pneumothorax.

50654068

EXAMINATION: Chest radiographs. INDICATION: ___ disease and increased tremors. COMPARISON: ___. TECHNIQUE: Chest, PA and lateral.

New basilar opacities, pneumonia versus atelectasis.

11810623

AP upright and lateral views of the chest provided. Lungs are clear. Eventration of the right hemidiaphragm again noted. Unfolded thoracic aorta with top normal heart size noted. No pleural effusion or pneumothorax. Bony structures appear intact.

50643528

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: ___'s, undergoing infectious workup for two weeks with worsening tremor, assess pneumonia.

No signs of pneumonia or other acute intrathoracic process.

11463300

Frontal AP and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. The mediastinal silhouette and hilar contours are normal with mild aortic knob calcifications.

57201335

CLINICAL HISTORY: ___-year-old woman with back pain and fever. Evaluate for pneumonia. COMPARISON: No relevant comparisons available.

No pneumonia, edema or effusion.

11144021

Patient is status post esophagectomy with gastric pull-through. High density material at the right lung base from prior barium aspiration is again seen. There is subtle retrocardiac opacity which may have correlate over the spine on the lateral view. The lungs are hyperinflated but otherwise clear. Cardiomediastinal silhouette is otherwise unremarkable. Chronic changes of the right ribs are again noted.

57198602

WET READ: ___ ___ 9:27 PM Retrocardiac opacity is potentially atelectasis though infection or aspiration would be possible. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with recent treatment for PNA with dyspnea // ? pneumonia or signs of aspiration TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___.

Retrocardiac opacity is potentially atelectasis though infection or aspiration would be possible.

11144021

There is increased opacity affecting the right lower lobe medially and retrocardiac region, obscuring a portion of the left hemidiaphragm and seen posteriorly is increased opacity remainder of the lungs are clear. Rib deformities are again seen on the right

59308504

EXAMINATION: CHEST (PA AND LAT) INDICATION: Mr. ___ is a ___ year old male with history of esophageal adenocarcinoma and renal cell carcinoma in remission, Afib on warfarin, and h/o PE who presents with dysphagia and increased cough // ? infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___

Bilateral lower lobe infiltrates/volume loss. This is increased compared to the study from the prior day

11518408

The heart size is normal. The aorta is tortuous with calcification but otherwise the mediastinal and hilar contours are normal. There is increased density at the right lung base which is also seen on the lateral film, likely representing fibrosis. This was present on the prior study. Otherwise, the lungs are clear, and there are no new abnormalities seen. There is no pleural effusion or pneumothorax.

56403657

STUDY: PA and lateral chest x-ray. COMPARISON EXAM: PA and lateral chest x-ray ___. INDICATION: ___-year-old with productive cough for several months.

Stable chest radiograph. Wet read was called to Dr. ___ by Dr. ___ ___ telephone at 14:26, 5 minutes after time of discovery.

11518408

The findings remain unchanged from prior examination. The heart appears mild to moderately enlarged as previously seen. Cardiomediastinal contours are unchanged. The lungs are clear with no evidence of acute infiltrates. No pleural effusions or pneumothorax. Bony structures are intact.

51331365

INDICATION: ___-year-old lady with history of amiodarone toxicity is back on a low dose. ? any changes. COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral chest radiographs.

No significant changes compared to the prior study. No acute pulmonary abnormalities.

11518408

No new focal infiltrates are seen concerning for an infectious process. No effusion or pneumothorax. The aorta is again tortuous. Cardiomediastinal silhouette and hilar contours are unremarkable.

59478514

___-year-old woman with severe nonproductive cough. COMPARISON: ___.

No evidence of infiltrates or cardiogenic failure.

11518408

Heart size is mildly enlarged, unchanged. The aorta is calcified. Pulmonary vascularity is not engorged. There are ill-defined opacities within both lung bases concerning for infection. There is no pleural effusion or pneumothorax. No acute osseous abnormality is seen.

54459305

INDICATION: Atrial fibrillation with rapid ventricular rate. COMPARISON: Chest radiograph, ___ and chest CT, ___. PORTABLE AP VIEW OF THE

Ill-defined bibasilar opacities, more so on the right, which is concerning for infectious process.

11518408

The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax. The lungs appear hyperinflated.

57248083

CHEST RADIOGRAPHS HISTORY: Atrial fibrillation and lower extremity edema. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral.

No evidence of acute disease.

11684038

There is patchy opacification at the bases bilaterally, with localized to the right lower lobe and lingula on the lateral, which likely represents multifocal pneumonia or aspiration in the appropriate clinical setting. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

54361124

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with fevers and cough // fevers and cough for 5 days r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___.

Multifocal pneumonia involving the right lower lobe and lingula. Aspiration is also a consideration in the appropriate clinical setting.

11424753

Patient is rotated to the left. There are opacities projecting over the left lung, somewhat plate nodular appearance. The right lung is clear. The cardiomediastinal silhouette is within normal limits. Coronary artery stents noted. Suspected moderate hiatal hernia is noted. Degenerative changes are noted in the spine and at the left shoulder.

59578855

WET READ: ___ ___ 10:42 PM Patchy opacities projecting over the left lung which could represent infection in the proper clinical setting. Given nodular appearance of some of these opacities, followup is suggested and can begin with PA and lateral views when patient is amenable ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with afib on eloquis p/w dental bleeding, syncopal episode // ?aspiration TECHNIQUE: Single portable view of the chest. COMPARISON: None.

Patchy opacities projecting over the left lung which could represent infection in the proper clinical setting. Given nodular appearance of some of these opacities, followup is suggested and can begin with PA and lateral views when patient is amenable

11284973

The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

50748552

INDICATION: ___M with chest pain // please evaluate for acute abnormality TECHNIQUE: PA and lateral views of the chest. COMPARISON: None.

No acute cardiopulmonary process.

11842082

Frontal and lateral views of the chest demonstrate normal lung volumes without focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

54423708

INDICATION: Tachycardia and elevated white blood cell count. Assess for pneumonia. COMPARISONS: None available.

No evidence of acute cardiopulmonary process.

11517422

The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Heart size is mildly enlarged, and likely accentuated by the low lung volumes. The mediastinal contours are normal. There is a right internal jugular Port-A-Cath with the tip terminating in the mid SVC.

54874399

INDICATION: Hypotension and bradycardia. COMPARISON: Chest radiograph ___.

Mild cardiomegaly. No acute cardiopulmonary process.

11517422

The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A right-sided Port-A-Cath catheter ends in the lower mid SVC. A left-sided PICC line ends in the upper SVC.

53580118

INDICATION: ___-year-old female with hypotension. COMPARISON: ___. TECHNIQUE: Frontal upright chest radiograph.

No evidence of acute cardiopulmonary process.

11517422

Right-sided Port-A-Cath tip terminates in the mid SVC. Previously noted left PICC has been removed. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.

59443997

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

No acute cardiopulmonary abnormality.

11517422

An accessed right pectoral MediPort terminates in the mid SVC. The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.

50176561

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PORT for IV infusions , no blood return on access, need to evaluate placement // To check placement of Port a cath tip TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___.

Right pectoral MediPort terminating in the mid SVC is unchanged since ___. Clear lungs.

11517422

Portable AP upright chest radiograph provided. Port-A-Cath resides in the right chest wall with catheter tip extending to the level of the mid SVC. There is no free air below the right hemidiaphragm. The lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.

57010994

CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Abdominal pain with multiple prior SBOs, question free air.

No acute findings including no signs of pneumoperitoneum.

11517422

Chest, PA and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. A right chest wall Port-A-Cath terminates at the cavoatrial junction.

56354942

INDICATION: Fever. COMPARISON: Chest radiograph from ___.

Normal radiograph of the chest.

11517422

PA and lateral views of the chest were provided. The Port-A-Cath resides over the right mid chest with catheter extending to the level of the right IJ and tip of the catheter in the region of the mid SVC. The lungs are clear. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

57435292

CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph dated ___. CLINICAL HISTORY: ___-year-old female, port placed, thinks it may have dislodged, assess position of the port.

Appropriately positioned right chest wall Port-A-Cath with tip residing in the region of the mid SVC.

11335276

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

59398525

INDICATION: Altered mental status and confusion. COMPARISON: ___. PA AND LATERAL VIEWS OF THE

No acute cardiopulmonary abnormality.

11944396

The heart size is normal. The hilar and mediastinal contours are normal. Again seen is suture material in the right mid to upper lung. There is mild pulmonary edema and vascular engorgement unchanged compared to the prior exam. There is no pneumothorax or pleural effusions. There is no focal consolidation.

51743515

INDICATION: ___-year-old female with a past medical history of tobacco abuse and hospitalization in early ___, who presents for evaluation of pneumonia. COMPARISONS: Chest radiograph from ___, ___, ___. TECHNIQUE: PA and lateral radiographs of the chest.

No acute abnormalities suggestive of pneumonia identified.

11706286

Lungs are clear without focal consolidation, effusion, or pneumothorax. Tiny calcified granuloma in the left lower lobe is stable. Mediastinal and hilar contours are normal. Heart size is normal.

54501151

EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with 2 months of cough and clear sputum // assess for any infiltrates TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Multiple prior chest radiographs dating back to ___, most recently ___.

No acute intrathoracic process.

11706286

Heart size, mediastinal and hilar contours are normal. Lungs are clear except for a tiny calcified granuloma in the left lower lobe, unchanged since the prior studies. There are no pleural effusions or pneumothoraces. Post-surgical changes are present in the imaged portion of the right shoulder.

53406290

PA AND LATERAL CHEST RADIOGRAPHS, ___ COMPARISON: Multiple prior chest radiographs dating back to ___.

Stable radiographic appearance of the chest, with no findings to account for cough.

11706286

Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Hardware projecting over the right humeral head is incompletely imaged.

50139839

HISTORY: Cough and night sweats. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: Comparison to written report for study dated ___ due to lack of prior images from PACS limitation at the time of dictation.

Normal chest radiograph; specifically, no evidence of intrathoracic infection or malignancy.

11019361

Frontal PA and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. There is an impression in the left side of the cervical airway.

59159487

INDICATION: ___-year-old woman with productive cough and fever. COMPARISON: ___.

No acute cardiopulmonary process. Left sided impression in the cervical trachea suggests enlargement of the left lobe of the thyroid gland. Correlate with thyroid ultrasound. Findings were entered into the critical results reporting tool at ___ on ___.

11862174

PA and lateral chest radiographs were obtained. Appearance of the right hemithorax with calcifications of the pleura is unchanged. Rightward shift of the mediastinum is noted and appears unchanged. Post-surgical chains are noted in the left lung with residual mild-moderate pleural effusion. Opacities in the area of resection have improved. Cardiomediastinal silhouette is stable. No pneumothorax.

53583683

INDICATION: ___-year-old woman with a right pneumonectomy and recent left thoracotomy with left upper lobe and left lower lobe wedge resections, check for interval changes. COMPARISON: ___.

Slight improvement in mild-moderate left pleural effusion.

11862174

The patient is status post right pneumonectomy with associated rightward mediastinal shift and diffuse calcification of the right pleura. Imaged aspect of the heart is unchanged. Mediastinal contours otherwise are stable. Chain sutures within the left upper and lower lung fields are compatible with prior wedge resections. Small left pleural effusion is unchanged. The remainder of the left lung is clear. No pneumothorax. No acute osseous abnormalities are seen.

51612359

HISTORY: Worsening shortness of breath and history of lung cancer. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT ___ and chest radiograph ___.

Status post right pneumonectomy with stable rightward mediastinal shift. Persistent small left pleural effusion. No new parenchymal opacities are identified to suggest a pneumonia.

11862174

AP upright portable views of the chest were obtained. The patient is status post right thoracoplasty procedure, similar in appearance compared to the prior study. There is persistent blunting of the left costophrenic angle and a small underlying pleural effusion is not excluded. There is increased left base opacity which could be due to infection and/or aspiration. Chain sutures are again seen projecting over the left mid hemithorax consistent with previous wedge resections.

56282332

EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Shortness of breath and hypoxia. COMPARISON: ___.

Persistent blunting of the left costophrenic angle may be due to underlying pleural effusion. Increased left mid to lower lung opacity raises concern for overlying infection.

11862174

Patient is status post a right pneumonectomy with chronic pleural calcifications. The heart border cannot be accurately assessed due to obliteration of the right heart border. There is persistent blunting of the left costophrenic angle which correlates to mediastinal fat on prior CT. Persistent atelectatic changes present in the left lung base. Multiple left-sided nodules are below the resolution of chest radiography and are better evaluated on CT. Endotracheal tube is in appropriate position. There is no large pleural effusion or pneumothorax.

55328090

HISTORY: Status post craniotomy for endotracheal tube placement. TECHNIQUE: Portable frontal chest radiograph, 2 views. COMPARISON: Multiple radiographs ranging from ___ through ___, CT torso ___.

Appropriate positioning of the endotracheal tube. Left basal atelectasis.

11862174

The patient is status post right pneumonectomy with rightward shift of mediastinal structures and opacification of the right hemithorax compatible with pleural calcifications and fluid. Chain sutures are again noted within the left upper and lower lung fields compatible with prior wedge resections. No focal consolidation is identified. Blunting of the left costophrenic angle is chronic. No pneumothorax or large pleural effusion is identified on the left. No pulmonary vascular congestion is noted. There are no acute osseous abnormalities.

52909439

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

Status post right pneumonectomy with no significant interval change in appearance of the chest compared to the prior radiograph.

11862174

There is unchanged deformity of the right hemithorax with volume loss and diffuse calcification, likely related to prior pneumonectomy. Suture chain material projecting over the left mid hemithorax is consistent with prior wedge resections. There is increased opacification at the left lung base silhouetting the left hemidiaphragm and the left heart border with an apparent meniscus compatible with a small left pleural effusion, increased from the prior studies. Patchy airspace opacities in the upper and mid lung zones most likely reflect a combination of pulmonary edema, atelectasis, and pneumonia. There is moderate pulmonary vascular congestion, increased from the most recent prior study. No pneumothorax is detected. The cardiomediastinal contours are difficult to appreciate but overall unchanged.

51072043

INDICATION: Hypoxia, here to evaluate for pneumonia. COMPARISON: Multiple prior chest radiographs dated ___, ___, ___, and ___. TECHNIQUE: Portable upright frontal radiograph of the chest.

Increased size of small left pleural effusion with pattern in the left lung most compatible with a combination of atelectasis, edema and pneumonia.

11563936

The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. No evidence of hilar lymphadenopathy. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.

56652868

EXAMINATION: Radiograph INDICATION: ___-year-old woman with a + ppd. Evaluate for TB, infectious process. TECHNIQUE: Chest PA and lateral COMPARISON: No prior imaging is available on PACS at the time of this dictation.

No radiographic evidence of tuberculosis or focal pneumonia.

11997588

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

57753342

EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with 2 days chest pain in the setting of heartburn // eval for chest pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None.

No acute cardiopulmonary process.

11213912

COMPARED WITH EARLIER THE SAME DAY, AN ET TUBE HAS BEEN PLACED. THE TIP OF THE TUBE LIES APPROXIMATELY 6.5 CM ABOVE THE CARINA, AT THE UPPER EDGE OF THE CLAVICULAR HEADS. AN NG TYPE TUBE IS PRESENT, TIP EXTENDING BENEATH DIAPHRAGM, OFF FILM. OF NOTE, THE RADIO OPAQUE TIP OF THE THE INTRA AORTIC BALLOON PUMP SEEN ON THE PRIOR FILM, IS NO LONGER VISUALIZED. THE CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. THERE IS UPPER ZONE REDISTRIBUTION, WITHOUT OTHER EVIDENCE OF CHF. PROBABLE MINIMAL ATELECTASIS AT BOTH LUNG BASES. NO FRANK CONSOLIDATION. NO GROSS EFFUSION. NO PNEUMOTHORAX DETECTED. OLD HEALED RIGHT PROXIMAL HUMERAL FRACTURE INCIDENTALLY NOTED.

58528233

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new ETT // Please eval ETT position COMPARISON: ___ AT 08:41

ET TUBE TIP AT THE UPPER EDGE OF THE CLAVICULAR HEADS. CLINICAL CORRELATION REGARDING POSSIBLE ADVANCEMENT (E.G. ___ CM) IS REQUESTED . INTRA AORTIC BALLOON PUMP NO LONGER VISUALIZED.

11213912

The ET tube is 4 cm above the Carina and is pointed on to the right with the tip likely against the right side of the trachea. NG tube tip is off the film but the proximal port is in the proximal stomach. There is bilateral moderate effusions layering posteriorly that have increased compared to prior. The heart is moderately enlarged. The Swan-Ganz catheter tip is in the right descending pulmonary artery. Dual lead pacemaker is again visualized. There is bilateral hazy alveolar infiltrate right greater than left.

52025847

EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with recent STEMI c/b cardiogenic shock now with concern for PNA // Interval change; evaluate for consolidation vs pulm edema TECHNIQUE: Portable chest COMPARISON: ___

Worsened pulmonary edema. An underlying infectious infiltrate cannot be exclude

11213912

A Swan-Ganz catheter extends to the right pulmonary artery, and can be pulled back approximately 4 cm. Endotracheal tube in appropriate position. Transvenous pacing veins ending in the right atrium and right ventricle. A nasoenteric to the crosses the left hemidiaphragm with its tip not visualized. Since prior, the appearance of the lungs is not significantly changed with diffuse bilateral airspace opacities, most pronounced at the right upper lung zone. The cardiac silhouette is stably enlarged with persistent retrocardiac atelectasis. There is no pneumothorax. There are bilateral layering pleural effusions.

57111599

INDICATION: ___ year old man with recent anterior STEMI c/b cardiogenic shock now admitted with worsening respiratory failure, evaluate for pulmonary edema and evidence of consolidation . COMPARISON: Comparison is made to multiple chest radiographs dating back to ___. TECHNIQUE Portable view of the chest.

Swan-Ganz catheter extends to the right pulmonary artery and can be pulled back approximately 4 cm. Persistent diffuse bilateral airspace opacities most pronounced in the right upper lobe, compatible with pulmonary edema although a multifocal infection would have to be considered in the correct clinical setting.