| findings,impression,study_id |
| /,"1. The cardiomediastinal silhouette is stable with aortic tortuosity and calcification. 2. The lungs are clear without edema, effusion, or focal opacity. 3. No evidence of pneumothorax. 4. Evidence of old left clavicle fracture.",patient64541_study1 |
| A portable semi-upright radiograph of the chest was obtained. There are low lung volumes. No focal pulmonary consolidation or pleural effusion is seen. The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. The right subclavian central venous catheter is unchanged with the tip at the mid superior vena cava.,1. No acute cardiopulmonary abnormality is seen. 2. No pneumothorax is visualized.,patient64549_study1 |
| /,"1. The tip of the endotracheal tube remains in the mid trachea. A left subclavian venous catheter is again seen, with its tip in the superior vena cava. 2. There is persistent pulmonary edema, with no significant interval change. 3. No evidence is seen for pneumothorax.",patient64557_study1 |
| Single AP view of the chest demonstrates a calcified tortuous aorta. The heart is enlarged. Pulmonary vasculature is indistinct consistent with mild pulmonary edema. No pleural effusions. No consolidation. There is a 4 mm calcified granuloma in the left lung apex.,1. Cardiomegaly with mild pulmonary edema.,patient64565_study1 |
| "Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The lines and tubes are stable. There is no change in left basilar opacity and probable bilateral pleural fluid collections. Otherwise, there is no change from the prior examination.","1. No change in left basilar opacity, atelectasis or pneumonia.",patient64573_study1 |
| PA and lateral views of the chest show the heart to be normal in size. The aorta is tortuous. The lungs are clear bilaterally. There is blunting of the right costophrenic angle which may be secondary to pleural thickening. There is no evidence of pulmonary edema. Mild degenerative changes are seen in the thoracic spine.,1. No focal consolidation to suggest pneumonia. 2. Small right pleural effusion versus pleural thickening.,patient64581_study1 |
| "Frontal and lateral views of the chest demonstrate low lung volumes. The cardiomediastinal silhouette is normal in size. There is mild prominence of the pulmonary vasculature, which may reflect mild pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.",1. Low lung volumes with mild pulmonary edema.,patient64589_study1 |
| There is a new left internal jugular central venous catheter with the tip in the superior vena cava. The lungs are clear. The cardiomediastinal silhouette is within normal limits. There are no pleural effusions. There is no pneumothorax. The bones and soft tissues are unremarkable.,1. No evidence of pneumonia.,patient64597_study1 |
| "A left anterior chest wall dual lead pacemaker is present with intact leads and no pneumothorax. The cardiomediastinal silhouette is normal in size and configuration. The bilateral hila are within normal limits. The bilateral lung fields are clear, without focal consolidation. There is no evidence of pulmonary edema, pneumothorax, or pleural effusions. The visualized osseous structures reveal no acute abnormalities.",1. Left anterior chest wall dual lead pacemaker. 2. No focal pulmonary parenchymal consolidation or other acute cardiopulmonary abnormalities.,patient64605_study1 |
| "Postsurgical findings appear stable, with sternal wires and mediastinal clips. The heart and vessels, lungs and pleural spaces are unremarkable. No pneumothorax. Small right pleural effusion is again noted, mildly increased. Bones and soft tissues appear stable.","1. Small right pleural effusion, mildly increased, without pneumothorax.",patient64613_study1 |
| Single view of the chest 12/6/2007 at 16:25 demonstrates interval placement of a right sided chest tube. There is a small right apical pneumothorax. Low lung volumes with bibasilar atelectasis. Single view of the chest 12/6/2007 at 15:06 demonstrates interval decrease in size of the right sided pneumothorax. Interval placement of a right sided chest tube.,1. Right sided chest tube with interval decrease in size of right sided pneumothorax.,patient64621_study1 |
| Single portable supine view of the chest on trauma board demonstrates sharp costophrenic angles. The cardiomediastinal silhouette is normal. The lungs are clear. No bony abnormalities are seen.,1. No evidence of acute cardiac or pulmonary disease. 2. No evidence of fracture or pneumothorax.,patient64629_study1 |
| Single view of the chest from 7/5/2016 at 1400 shows interval placement of a left chest tube. There is a tiny left apical pneumothorax. Subcutaneous emphysema is seen in the left chest wall. The lungs are grossly clear. The cardiomediastinal silhouette is normal. Single view of the chest from 7/5/2016 at 0 610 shows no change in left chest tube. There is a tiny left apical pneumothorax. Subcutaneous emphysema is seen in the left chest wall.,1. Tiny left apical pneumothorax.,patient64637_study1 |
| "Medical devices are stable. Small right apical pneumothorax again seen. Dense consolidation persists in left lower lobe with associated small, left pleural effusion.","1. Persistent small right apical pneumothorax. 2. Persistent left lower lobe consolidation. ""physician to physician radiology consult line: (940) 651-5080""",patient64645_study1 |
| "Single portable supine view of the chest dated 5-6-2019 at 2322 hours demonstrates interval placement of a right subclavian Swan-Ganz catheter with the tip in the right pulmonary artery. Interval placement of a nasogastric tube, the tip of which is in the stomach. Interval placement of an endotracheal tube, the tip of which is at the level of the clavicles. Interval development of right upper lobe consolidation. Single portable supine view of the chest dated 5/6/2019 at 0400 hours demonstrates no significant interval change in supporting devices. Interval increase in right upper lobe consolidation.",1. Supporting devices as discussed above. 2. Interval development of a right upper lobe consolidation which is concerning for infection.,patient64653_study1 |
| "Interval placement of an endotracheal tube with the tip 2.8 cm above the carina, a right internal jugular central line with the tip in the mid SVC, a left internal jugular Swan-Ganz catheter with the tip in the main pulmonary artery, 2 mediastinal drains, and a nasogastric tube. Stable appearance of sternotomy wires. Mild pulmonary edema. Left basilar opacity, which may reflect atelectasis.",1. Postoperative changes as described above. 2. Mild pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64661_study1 |
| "Frontal radiograph of the chest demonstrates a right internal jugular catheter with the tip in the superior vena cava. There is a left upper extremity PICC line with the tip in the right atrium. There is interval development of bilateral patchy air space opacities, which may represent pulmonary edema. There is a left retrocardiac opacity, which may represent atelectasis or consolidation. There is a small left pleural effusion.","1. New bilateral patchy air space opacities, which may represent pulmonary edema. 2. Left retrocardiac opacity and small left pleural effusion.",patient64669_study1 |
| "Left subclavian central venous catheter is present with tip in the superior vena cava. No pneumothorax is seen. The cardiomediastinal silhouette is within normal limits. There is mild pulmonary edema. There is a small left pleural effusion. There is mild left retrocardiac opacity, which may represent atelectasis or consolidation.","1. Left subclavian central venous catheter with tip in the superior vena cava. No pneumothorax. 2. Mild pulmonary edema. 3. Small left pleural effusion. 4. Left retrocardiac opacity, which may represent atelectasis or consolidation.",patient64677_study1 |
| /,1. The cardiomediastinal silhouette is within normal limits. The lungs are clear without evidence of focal consolidation. 2. No pleural effusion. 3. No pneumothorax.,patient64685_study1 |
| Endotracheal tube terminates 2.5 cm above the carina. Left subclavian central venous catheter terminates in the mid SVC. Lung volumes are low. Left basilar opacity may reflect atelectasis or consolidation. Small left pleural effusion. No pneumothorax. Cardiac silhouette is mildly enlarged.,1. Left subclavian central venous catheter terminates in the mid svc. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64693_study1 |
| Single portable view of the chest demonstrates a left subclavian line with the tip in the superior vena cava. Nasogastric tube is in place with the tip below the diaphragm. The cardiomediastinal silhouette is within normal limits. There is linear atelectasis at the left lung base. The lungs are otherwise clear. No evidence of pneumothorax.,1. Left subclavian line with the tip in the superior vena cava. No evidence of pneumothorax. 2. Left basilar atelectasis.,patient64701_study1 |
| Single frontal view of the chest demonstrates interval placement of a right internal jugular central venous catheter with the tip in the mid SVC. No evidence of pneumothorax. The lungs remain clear. The cardiomediastinal silhouette is stable. No evidence of pleural effusions.,1.Right internal jugular central venous catheter in the mid svc. No evidence of pneumothorax. 2.No acute cardiopulmonary process.,patient64709_study1 |
| Interval placement of a feeding tube which courses below the diaphragm. Interval placement of a right internal jugular central venous catheter with the tip in the mid SVC. Redemonstration of median sternotomy wires. The cardiac silhouette is enlarged. Increased patchy opacities in the bilateral lungs. Small bilateral pleural effusions. No pneumothorax.,"1. Increased patchy opacities in the bilateral lungs, which may reflect pulmonary edema or infection. 2. Small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.",patient64717_study1 |
| "Single view of the chest demonstrates a nasogastric tube with its tip in the stomach. The lung volumes are low. There is a linear opacity in the left lung base, which may represent atelectasis. There is blunting of the left costophrenic angle, which may represent a small pleural effusion. The cardiomediastinal silhouette is normal in size.",1. Nasogastric tube with its tip in the stomach. 2. Low lung volumes with left lower lobe atelectasis. 3. Small left pleural effusion.,patient64725_study1 |
| Low lung volumes. Increased reticular markings bilaterally. Mild cardiomegaly. No pleural effusions. No acute osseous findings.,1.Mild pulmonary edema.,patient64733_study1 |
| PA and lateral chest show a left upper extremity PICC line with its tip 2.5 cm below the carina. The lungs are clear without focal infiltrate. The cardiac silhouette is within normal limits. The bony thorax is intact.,1. No acute cardiopulmonary disease. No pneumonia.,patient64542_study1 |
| /,1. Stable appearance of right internal jugular mediport with the tip located in the superior vena cava. 2. Stable appearance of multiple surgical clips in the mediastinum and sternotomy wires. 3. The cardiomediastinal silhouette is within normal limits. The lungs are clear without pleural effusion.,patient64550_study1 |
| Frontal and lateral views of the chest demonstrate no focal infiltrate or pleural effusion. The cardiomediastinal silhouette is within normal limits. Pulmonary vasculature is within normal limits. No evidence for pneumothorax. The osseous structures are unremarkable.,No focal infiltrate or pleural effusion.,patient64558_study1 |
| "Frontal and lateral views of the chest demonstrate stable positioning of the tunneled right internal jugular central venous catheter. The cardiomediastinal silhouette and pulmonary vasculature are stable in configuration. There is no focal consolidation, pleural effusion, or pneumothorax. Linear opacity in the right mid lung is consistent with atelectasis or scarring. Visualized osseous structures demonstrate no acute abnormalities.",1. Stable positioning of the tunneled right internal jugular central venous catheter. 2. No focal consolidation.,patient64566_study1 |
| A portable supine radiograph of the chest was obtained. There are low lung volumes. No focal pulmonary consolidation or pleural effusion is seen. The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. There has been interval placement of a right internal jugular central venous catheter with the tip in the mid superior vena cava. No pneumothorax is seen. The osseous structures are unremarkable.,1. Interval placement of right internal jugular central venous catheter. No pneumothorax is seen. 2. Low lung volumes.,patient64574_study1 |
| /,"1. Interval placement of right internal jugular venous catheter, with tip over the projection of the superior vena cava. No evidence is seen for pneumothorax. 2. Low lung volumes with left pleural effusion and left lower lobe opacity, unchanged from prior examination.",patient64582_study1 |
| There is a left anterior chest pacemaker with leads in the right atrium and right ventricle. The patient is status post median sternotomy. The heart is within normal size limits. The lungs are clear without focal consolidation. There is no pneumothorax. There is no pleural effusion.,1. Status post pacemaker placement without evidence of pneumothorax.,patient64590_study1 |
| Single upright view of the chest demonstrates interval development of increased opacity at the left lung base. There is a small left pleural effusion. The cardiomediastinal silhouette is stable. There are calcifications of the aortic arch.,"1. Interval development of increased opacity at the left lung base, which may represent atelectasis, consolidation, or aspiration. 2. Small left pleural effusion.",patient64598_study1 |
| 2-lead pacemaker with leads terminating in the right atrium and right ventricle. The cardiomediastinal silhouette is normal. The lung parenchyma is clear. There are no pleural or significant bony abnormalities.,1. No acute cardiopulmonary disease. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64606_study1 |
| Single frontal view of the chest demonstrates a right upper extremity PICC with the tip at the cavoatrial junction. The lungs are clear. There is blunting of the left costophrenic angle which may represent a small pleural effusion. The cardiomediastinal silhouette is normal. No soft tissue or bony abnormalities are seen.,1. Right upper extremity picc with the tip at the cavoatrial junction. 2. Small left pleural effusion.,patient64614_study1 |
| AP view of the chest demonstrates a tracheostomy tube in place. The lung volumes are low. The cardiomediastinal silhouette is enlarged. Pulmonary vasculature is indistinct. No pleural effusions. No pneumothorax. The visualized osseous structures are unremarkable.,1.Tracheostomy tube in place. 2.Low lung volumes. 3.Cardiomegaly. 4.Mild pulmonary edema.,patient64622_study1 |
| Single view of the chest demonstrates left lower lobe consolidation with a left pleural effusion. The right lung is clear. The cardiomediastinal silhouette is within normal limits. A right upper extremity PICC line is seen with the tip in the superior vena cava.,1. Left lower lobe consolidation with left pleural effusion.,patient64630_study1 |
| "The cardiomediastinal silhouette is within normal limits. Ill-defined patchy opacities are seen in the lungs bilaterally, most prominent in the right mid and left lower lung. No pneumothorax is identified. No pleural effusions are seen. The visualized osseous structures are unremarkable.","1. No evidence of pneumothorax. 2. Bilateral patchy opacities, consistent with the ill-defined nodules seen on recent ct scan.",patient64638_study1 |
| The cardiomediastinal silhouette is within normal limits. The lungs and pleural spaces are clear. There is mild relative elevation of the left hemidiaphragm.,1. No acute cardiopulmonary process. No focal consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64646_study1 |
| "Single view of the chest demonstrates a small right apical pneumothorax, which is decreased in size compared to the prior exam. Low lung volumes with bibasilar atelectasis. Subcutaneous emphysema is again seen in the right chest wall. The cardiomediastinal silhouette is within normal limits.",1. Decreasing right apical pneumothorax.,patient64654_study1 |
| /,"1. The left picc line is unchanged in position, tip in the superior vena cava. 2. Low lung volumes with no evidence of acute cardiac or pulmonary disease. No pleural effusions or pneumothorax.",patient64662_study1 |
| There has been interval insertion of an endotracheal tube 4 cm above the carina. A right IJ line has its distal tip in the superior vena cava. A nasogastric tube is in position. There is a left-sided chest tube and mediastinal drain present. There has been interval insertion of a right IJ line with its distal tip in the superior vena cava. There is some patchy left basilar consolidation which is new.,1. Multiple tubes and lines as described. 2. Left basilar consolidation.,patient64670_study1 |
| /,"1. Interval increase in left pleural effusion, which is now large in size. There is also increased opacity in the left lung, which could represent atelectasis or consolidation. 2. The right lung remains clear. 3. Stable cardiomediastinal silhouette.",patient64678_study1 |
| Single view of the chest demonstrates low lung volumes. The cardiomediastinal silhouette is normal. There is blunting of the left costophrenic angle which may represent a small pleural effusion. The lungs are otherwise clear. No bony abnormalities.,1. Low lung volumes with likely small left pleural effusion.,patient64686_study1 |
| "Single frontal view of the chest obtained 7/9/2011 at 1552 hrs demonstrates interval placement of a right-sided chest tube. No definite pneumothorax is seen. A small amount of subcutaneous emphysema is seen along the right lateral chest wall. The lung volumes are diminished, and there is mild right basilar opacity which may represent atelectasis. The left lung is clear. No significant pleural effusions. The cardiomediastinal silhouette is stable. Subsequent single frontal view of the chest obtained 7/9/2011 at 0420 hours demonstrates no significant interval change.",1.Series of two chest radiographs demonstrates interval placement of a right-sided chest tube. No pneumothorax is seen. 2.Diminished lung volumes with mild right basilar opacity likely representing atelectasis.,patient64694_study1 |
| /,"1. Interval development of left retrocardiac opacity, which may represent atelectasis or consolidation. 2. Small bilateral pleural effusions, left greater than right. 3. Aortic calcification.",patient64702_study1 |
| "Single portable view of the chest dated 4-9-2017 at 1206 hours demonstrates low lung volumes with prominent interstitial markings. The cardiomediastinal silhouette is slightly prominent, however, this may be due to low lung volumes. The lungs are clear without focal consolidation. No pleural effusions.","1. Low lung volumes with prominent interstitial markings, which may represent pulmonary edema. 2. Mild prominence of the cardiomediastinal silhouette, which may be due to low lung volumes.",patient64710_study1 |
| There is increased opacity in the left lung base which may represent atelectasis. There is a small left pleural effusion. Multiple left-sided rib fractures are again demonstrated. There is no evidence of pneumothorax. The right lung remains clear. The cardiomediastinal silhouette is stable.,1. Increased left base opacity which may represent atelectasis. Small left pleural effusion. 2. Multiple left-sided rib fractures.,patient64718_study1 |
| Single portable view of the chest demonstrates interval placement of a stent graft extending from the aortic arch to the descending thoracic aorta. There is a right internal jugular central venous catheter in place with the tip in the superior vena cava. There is no evidence of pneumothorax. The lungs are clear. The cardiomediastinal silhouette is unchanged.,1. Postoperative changes with placement of a stent graft extending from the aortic arch to the descending thoracic aorta. 2. Right internal jugular central venous catheter in place with the tip in the superior vena cava. 3. No evidence of pneumothorax. 4. No acute cardiopulmonary process.,patient64726_study1 |
| AP portable view of the chest taken on 10/17/2017 at 1850 hours demonstrates low lung volumes. The mediastinal silhouette is unremarkable. The left lung base opacity could represent atelectasis or consolidation. The remaining lungs are clear. The costophrenic sulci are sharp. No pneumothorax is seen. No other bony or soft tissue abnormalities.,"1. Low lung volumes with left basilar opacity, which could represent atelectasis or consolidation.",patient64734_study1 |
| "Single AP view of the chest demonstrates a tortuous aorta. The heart is not enlarged. There is redemonstration of diffuse reticular opacities throughout the lungs bilaterally, with more confluent opacity in the right lung base. There is a small right-sided pleural effusion. There is no evidence of pneumothorax.",1. Redemonstration of diffuse reticular opacities with more confluent opacity in the right lung base. Findings may represent infection with superimposed edema. 2. Small right-sided pleural effusion.,patient64543_study1 |
| PA and lateral chest show no focal airspace disease. The heart and mediastinum are within normal limits. There is osteopenia and degenerative change of the thoracic spine. There is no focal bony abnormality.,No focal airspace disease or pneumothorax explain back and shoulder pain.,patient64551_study1 |
| PA and lateral chest radiographs demonstrate clear lungs bilaterally. No evidence of focal consolidation or pleural effusions. Cardiomediastinal silhouette is unremarkable. Old right posterior rib fractures are noted. No acute bony abnormalities.,1. No acute cardiopulmonary disease. No evidence of rib fracture or pneumothorax.,patient64559_study1 |
| There is stable appearance of the right internal jugular central venous catheter. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. The lungs are clear. There is no evidence of pleural effusion. The visualized osseous structures are unremarkable.,1. Stable chest radiograph since 2/10/2020 at 1116 hours; no evidence of focal consolidation.,patient64567_study1 |
| PA radiograph of the chest was obtained. The trachea is midline. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is well defined. No pulmonary edema. The costophrenic angles are sharp. No pleural effusions. Linear opacities in the left lung base likely represent atelectasis or scarring. No focal pulmonary consolidation or pulmonary mass. No acute osseous abnormality.,1.Linear atelectasis or scarring in the left lung base. No focal consolidation.,patient64575_study1 |
| There is a focal area of air space disease in the right upper lobe. There is also a small amount of pleural fluid on the right. The left lung is clear. The heart and mediastinum are unremarkable.,1. Right upper lobe pneumonia.,patient64583_study1 |
| Single portable supine AP view of the chest on trauma board demonstrates a normal cardiomediastinal silhouette and pulmonary vasculature. The lungs are clear. There is no evidence of pneumothorax. There is a fracture of the right lateral 6th rib. No other bony abnormalities are identified.,1.Right lateral 6th rib fracture with no evidence of pneumothorax. 2.No acute cardiopulmonary disease.,patient64591_study1 |
| "The cardiomediastinal silhouette is within normal limits. The lungs are clear. There is blunting of the right costophrenic angle, which may represent a small pleural effusion. There is no evidence of focal consolidation. There is no pneumothorax. There are old right-sided rib fractures again seen.",1.Small right pleural effusion. 2.No evidence of focal consolidation.,patient64599_study1 |
| Single view of the chest from 11/23/2012 at 17:21 demonstrates interval placement of a left chest tube. There is a small left apical pneumothorax. Subcutaneous emphysema is seen along the left chest wall. There is also a small left pleural effusion. The right lung is clear. The cardiomediastinal silhouette is normal. Single view of the chest from 11/23/2012 at 5:02 demonstrates a small left apical pneumothorax with a left chest tube in place. There is also a small left pleural effusion.,1. Small left apical pneumothorax with left chest tube in place. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64607_study1 |
| "The cardiomediastinal silhouette is within normal limits. The lungs are clear. There is blunting of the left costophrenic angle, which may represent pleural thickening or a small pleural effusion. There is no evidence of focal consolidation. The visualized osseous structures are unremarkable. There is a small metallic density overlying the right upper lung zone, which is likely external to the patient.",1. No evidence of focal consolidation. 2. Small left pleural effusion versus pleural thickening.,patient64615_study1 |
| Stable position of right chest tube. Stable epidural catheter. Stable nasogastric tube. Stable bibasilar opacities. Stable small bilateral pleural effusions. No pneumothorax.,1. No significant interval change. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64623_study1 |
| There is a suggestion of a hiatal hernia. The heart size is within normal limits. There is atherosclerotic calcification of the aortic arch. The lungs are clear without evidence for focal infiltrates or edema. There are no effusions. There is no pneumothorax. The bones and soft tissues are unremarkable.,1. No evidence for focal infiltrate or edema. 2. Hiatal hernia.,patient64631_study1 |
| /,"1. There is a stable appearance of the heart and lungs, with left lower lobe atelectasis and a left pleural effusion. 2. The complement of support devices appears stable since the preceding day.",patient64639_study1 |
| Single AP view of the chest demonstrates clear lungs bilaterally. The cardiomediastinal silhouette and hila are within normal limits. There is no pneumothorax or pleural effusion.,1. Normal chest x-ray. No evidence of pneumonia.,patient64647_study1 |
| There is a nasogastric tube with tip in the stomach. There is a left retrocardiac opacity which may represent atelectasis or consolidation. There is also a left pleural effusion. The right lung is clear. The cardiomediastinal silhouette is within normal limits.,1. Left basilar opacity which may represent atelectasis or consolidation. 2. Left pleural effusion.,patient64655_study1 |
| Single frontal view of the chest demonstrates low lung volumes. There are diffuse reticular opacities throughout both lungs. The pulmonary vasculature is indistinct. The cardiomediastinal silhouette is within normal limits. No soft tissue or bony abnormalities are seen.,"1. Low lung volumes with diffuse reticular pattern of both lungs, which could represent pulmonary edema or atypical infection.",patient64663_study1 |
| "Single frontal view of chest on 11-19-2017 at 0739: New left subclavian line, with tip overlying the mid-SVC. No pneumothorax. Interval increase in reticular opacities throughout both lungs, which could reflect mild interstitial edema. No large pleural effusions or pneumothorax. Stable mild enlargement of the cardiac silhouette. Single frontal view of chest on 11/19/2017 at 0522: Stable left subclavian line. Stable mild reticular pattern throughout both lungs, which could reflect mild interstitial edema. No large pleural effusions or pneumothorax. Stable mild enlargement of the cardiac silhouette.","1.Series of two frontal chest radiographs demonstrate interval placement of a left subclavian line, with tip overlying the mid-svc. No pneumothorax. 2.Stable mild reticular pattern throughout both lungs, which could reflect mild interstitial edema. No large pleural effusions or pneumothorax. 3.Stable mild enlargement of the cardiac silhouette.",patient64671_study1 |
| "Single portable upright view of the chest demonstrates a left chest tube with the tip at the left lung apex. There is a small left apical pneumothorax. There is a dense opacity in the left mid lung zone, which may represent atelectasis or consolidation. There is also a left retrocardiac opacity which may represent atelectasis or consolidation. The right lung is clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion.","1. Small left apical pneumothorax with a left chest tube in place. 2. Dense opacity in the left mid lung zone, which may represent atelectasis or consolidation. 3. Left retrocardiac opacity which may represent atelectasis or consolidation.",patient64679_study1 |
| "Single view of the chest demonstrates interval placement of a nasogastric tube, endotracheal tube, right internal jugular central venous catheter, mediastinal drain, and sternal wires. The lung volumes are low and there is a retrocardiac opacity. There is mild pulmonary edema.",1. Postoperative changes with mild pulmonary edema and retrocardiac atelectasis.,patient64687_study1 |
| "Single portable supine view of the chest demonstrates an endotracheal tube in place with the tip at the level of the clavicles. The cardiomediastinal silhouette is within normal limits. There is indistinctness of the pulmonary vasculature, consistent with pulmonary edema. No pleural effusions. No evidence of pneumothorax.",1. Pulmonary edema.,patient64695_study1 |
| There is increasing bibasilar pleural fluid. No additional change.,1. Increasing pleural fluid. No demonstrable pneumothorax.,patient64703_study1 |
| "A portable semiupright radiograph of the chest was obtained. There is stable left lower lobe opacity, which may represent atelectasis. A small left pleural effusion is unchanged. There is improved aeration of the right lung. The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. The tubes and lines are unchanged.",1.Stable left lower lobe atelectasis. 2.Stable small left pleural effusion.,patient64711_study1 |
| "Interval placement of right internal jugular line, with tip overlying the mid-SVC. New endotracheal tube, with tip 5.5 cm above the level of the carina. New nasogastric tube, with tip extending below the inferior margin of the film. New left internal jugular line, with tip overlying the mid-SVC. No pneumothorax. Interval slight increase in reticular opacities throughout the lungs, which could reflect mild pulmonary edema. No focal consolidation or pleural effusions. Stable mild enlargement of the cardiac silhouette.","1.New postsurgical changes, as described. 2.Mild pulmonary edema.",patient64719_study1 |
| /,1. The cardiomediastinal size and configuration are within normal limits. The lungs are clear bilaterally. 2. No evidence is seen for a pneumothorax.,patient64727_study1 |
| "The cardiomediastinal silhouette is normal. There is patchy opacity at the right lung base, with blunting of the right costophrenic angle. The lungs are otherwise clear. There are no significant bony abnormalities.","1. Right lower lobe pneumonia, with small right pleural effusion.",patient64735_study1 |
| "A portable upright radiograph of the chest was obtained. There is a focal consolidation in the left lower lobe, compatible with pneumonia. The right lung is grossly unremarkable. The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. The osseous structures are unremarkable.",1. Left lower lobe pneumonia.,patient64544_study1 |
| "Single view of the chest 7/3/2015 demonstrates marked cardiomegaly. Indistinct pulmonary vessels are seen consistent with pulmonary edema. There is also a retrocardiac opacity and a left pleural effusion. An opacity is also seen in the right lung base, which may represent atelectasis or consolidation.","1. Cardiomegaly and pulmonary edema with a left pleural effusion. 2. Bibasilar opacities, which may represent atelectasis or consolidation.",patient64552_study1 |
| "Two views of the chest demonstrate a right internal jugular central venous catheter with its tip at the cavoatrial junction. There are increased interstitial markings bilaterally, which may represent pulmonary edema. There is no evidence of focal consolidation. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits.","1. Increased interstitial markings, which may represent pulmonary edema.",patient64560_study1 |
| /,1.The lungs are clear without evidence of focal consolidation. 2.The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. 3.No pleural effusion or pneumothorax.,patient64568_study1 |
| Single upright view of the chest demonstrates a small right apical pneumothorax. The lungs are otherwise clear. Low lung volumes. The cardiomediastinal silhouette is within normal limits. No pleural effusions. The visualized bony structures are unremarkable.,"1. Small right apical pneumothorax. 2. Results discussed with kinsley, md on 6/6/2009 at 0840 hours.",patient64576_study1 |
| PA and lateral view of the chest demonstrates a normal cardiomediastinal silhouette. The pulmonary vasculature is normal. There are no pleural effusions. There is no evidence of focal consolidation. There is no pneumothorax. The visualized osseous structures are unremarkable.,1. Normal chest x-ray. No evidence of edema or consolidation.,patient64584_study1 |
| Submitted for review is a single frontal portable view of the chest dated 4/1/2002 at 09:25. Sternotomy wires are seen in the midline. The cardiac silhouette is enlarged. The cardiomediastinal silhouette is otherwise unremarkable. The lungs demonstrate low lung volumes with confluent alveolar opacification in the left lower lobe in the retrocardiac region. There is blunting of the left costophrenic angle. No other pleural or bone or soft tissue abnormalities noted.,1. Cardiomegaly with left lower lobe atelectasis versus consolidation and left pleural effusion.,patient64592_study1 |
| "PA and lateral views of the chest demonstrate a diffuse reticular pattern within the lungs bilaterally. In addition, there is increased opacity within the right upper lobe. The heart size is normal. The hilar are unremarkable. There is no evidence of pleural effusion. The visualized bones are unremarkable.","1. Diffuse reticular pattern within the lungs bilaterally, which may represent pulmonary edema. 2. Increased opacity in the right upper lobe, which may represent pneumonia.",patient64600_study1 |
| Two views of the chest demonstrate low lung volumes. There are small bilateral pleural effusions. There is linear atelectasis at the left lung base. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no evidence of consolidation. Degenerative changes are seen in the spine.,1. Low lung volumes with small bilateral pleural effusions.,patient64608_study1 |
| "There is elevation of the right hemidiaphragm, unchanged from prior. Linear opacities at the right lung base likely reflect atelectasis. No focal consolidation. No pleural effusions. No pneumothorax. Atherosclerotic calcification of the aortic arch. The cardiomediastinal silhouette is within normal limits.",1. No focal consolidation. 2. Persistent elevation of the right hemidiaphragm. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64616_study1 |
| The trachea is midline. There is dense retrocardiac opacity consistent with atelectasis versus consolidation. A small left pleural effusion is present. The remainder of the lungs are clear. Pulmonary vascularity within normal limits. There is moderate enlargement of the cardiac silhouette. No soft tissue or bony abnormalities.,1. Retrocardiac opacity consistent with atelectasis versus consolidation. 2. Small left pleural effusion. 3. Moderate cardiomegaly.,patient64624_study1 |
| Single frontal view of the chest demonstrates interval placement of an endotracheal tube with its tip located 2.5 cm above the carina. A right internal jugular central venous catheter is present with its tip in the expected location of the cavoatrial junction. Low lung volumes are demonstrated. There is a retrocardiac opacity. No evidence of pneumothorax.,"1.Low lung volumes with a retrocardiac opacity, which may represent atelectasis or consolidation.",patient64632_study1 |
| There is increasing opacity in the left lung base with increasing left pleural effusion. Low lung volumes are again noted. The cardiomediastinal silhouette is stable.,1. Increasing left basilar opacity and left pleural effusion.,patient64640_study1 |
| "Interval placement of a right internal jugular Swan-Ganz catheter with the tip in the right pulmonary artery. Interval placement of a right chest tube. Stable appearance of left chest wall AICD. The cardiomediastinal silhouette is within normal limits. Low lung volumes with bibasilar opacities, likely reflecting atelectasis. Small right apical pneumothorax.",1. Small right apical pneumothorax with a right chest tube in place. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64648_study1 |
| "Single view of the chest demonstrates interval placement of a left subclavian venous catheter with the tip in the superior vena cava. There is no evidence of pneumothorax. The feeding tube is unchanged. There are persistent patchy air space opacities bilaterally, which are not significantly changed. There are small bilateral pleural effusions. The cardiomediastinal silhouette is stable.","1. Persistent bilateral air space opacities, which may represent pulmonary edema or infection.",patient64656_study1 |
| "Stable appearance of tracheostomy cannula, right internal jugular central venous catheter, left internal jugular central venous catheter, left chest wall biventricular AICD, bilateral pleural drains, and mediastinal drain. The cardiac silhouette remains enlarged. There is persistent mild pulmonary edema. Small bilateral pleural effusions are seen. Bibasilar opacities are again seen, which could represent atelectasis or consolidation.",1. Persistent mild pulmonary edema. 2. Small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64664_study1 |
| "Single frontal view of the chest demonstrates diffuse reticular opacities bilaterally, compatible with pulmonary edema. Small bilateral pleural effusions are present. The heart is mildly enlarged. Calcifications are present at the aortic arch.","1.Mild cardiomegaly, pulmonary edema, and small bilateral pleural effusions.",patient64672_study1 |
| Single AP portable supine view of the chest demonstrates interval placement of a right internal jugular central venous catheter with the tip in the superior vena cava. Interval placement of endotracheal tube with the tip at the level of the clavicles. Interval placement of nasogastric tube with the tip in the stomach. The cardiomediastinal silhouette is within normal limits. The lungs are clear without evidence of pleural effusion.,1. Interval placement of lines and tubes as described above. 2. No evidence of pneumothorax. 3. Clear lungs.,patient64680_study1 |
| "Single frontal view of the chest demonstrates interval placement of a nasogastric tube. Other support hardware, including endotracheal tube, right internal jugular central venous catheter, and nasogastric tube are in stable and standard position. There is interval worsening of bilateral patchy air space opacities, with increased consolidation in the right lung base. There are likely bilateral pleural effusions.","1. Worsening bilateral air space opacities, with increased consolidation in the right lung base. These findings are concerning for worsening pneumonia.",patient64688_study1 |
| "Single view of the chest demonstrates low lung volumes. The cardiomediastinal silhouette is unremarkable. There is mild blunting of the left costophrenic angle, which may represent a small pleural effusion. No evidence of pneumothorax. The lungs are clear. No bony abnormalities.",1. Low lung volumes with a possible small left pleural effusion.,patient64696_study1 |
| "Frontal view of the chest demonstrates interval placement of a right internal jugular central line and a nasogastric tube. An endotracheal tube and epidural catheter remain present. There is a left pleural effusion and dense retrocardiac opacity, which appear unchanged.",1.Stable left pleural effusion and retrocardiac opacity.,patient64704_study1 |
| /,"1. Interval placement of feeding tube, tip not in field of view. 2. Low lung volumes with no focal consolidation. 3. Stable cardiomediastinal silhouette.",patient64712_study1 |
| "Interval placement of a left internal jugular central venous catheter with tip terminating in the mid SVC. An endotracheal tube and nasogastric tube remain in stable position. Low lung volumes with bibasilar opacities, likely atelectasis versus consolidation. Small left pleural effusion. No pneumothorax. The cardiomediastinal silhouette is within normal limits.",1. Interval placement of a left internal jugular central venous catheter with tip terminating in the mid svc. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64720_study1 |
| Single portable supine view of the chest demonstrates an endotracheal tube in place with the tip at the level of the clavicles. External pacer/defibrillator pads are seen projecting over the left chest. The lungs are clear. No evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. No pleural effusions.,1.No acute cardiopulmonary disease. 2.No evidence of pneumothorax.,patient64728_study1 |
| Single frontal view of the chest demonstrates interval placement of a left subclavian Swan-Ganz catheter with its tip in the right pulmonary artery. There is no evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. The lungs appear clear. There is gaseous distention of the stomach.,1.Left subclavian swan-ganz catheter with tip in the right pulmonary artery. No evidence of pneumothorax. 2.No evidence of acute cardiopulmonary disease.,patient64736_study1 |
| "Single portable upright view of the chest demonstrates low lung volumes. There is a left pleural effusion with opacity at the left lung base, which may represent atelectasis or consolidation. The cardiomediastinal silhouette is unremarkable. No evidence of bony abnormality.","1. Low lung volumes with left pleural effusion and left basilar opacity, which may represent atelectasis or consolidation.",patient64545_study1 |
| A left internal jugular venous catheter is seen with the tip in the superior vena cava. The cardiomediastinal silhouette is within normal limits. There is plate-like atelectasis in the right mid lung zone. No pleural effusions or pneumothorax. The lungs are otherwise clear. The bones and soft tissues are unremarkable.,1. Left internal jugular venous catheter in the superior vena cava with no evidence of pneumothorax. 2. Plate-like atelectasis in the right mid lung zone.,patient64553_study1 |
| AP semierect view of the chest demonstrates streaky linear opacities at the left base. The right lung is clear. Heart size is normal. Mediastinum is unremarkable. Pulmonary vessels are normal. There are no pleural effusions.,1.Left lower lobe atelectasis or pneumonia.,patient64561_study1 |
| "Tiny right apical pneumothorax; right chest tube remains in place. Small, left-sided pleural effusion again seen with left basilar parenchymal opacities.",1. Tiny right apical pneumothorax.,patient64569_study1 |
| PA and lateral view of the chest demonstrates a small right pleural effusion with associated compressive atelectasis. The remainder of the lungs are clear. Pulmonary vascularity is normal. The cardiomediastinal silhouette is unremarkable. No soft tissue or bony abnormalities are identified.,1. Small right pleural effusion with associated compressive atelectasis.,patient64577_study1 |
| "Low lung volumes are demonstrated. There is elevation of the right hemidiaphragm. There is also demonstration of a right middle lobe opacity. This may represent atelectasis, however, cannot exclude infection. There is also a suggestion of a small left pleural effusion. However, this is not clearly demonstrated on the lateral view. The cardiomediastinal silhouette is unremarkable. The bones and soft tissues are unremarkable.","1. Low lung volumes. 2. Elevation of the right hemidiaphragm. 3. Right middle lobe opacity. This may represent atelectasis, however, cannot exclude infection. 4. Small left pleural effusion.",patient64585_study1 |
| "Single upright expiration frontal view of the chest demonstrates no evidence of pneumothorax. The lung volumes are low, likely due to expiratory technique. The cardiomediastinal silhouette is normal. The lungs are clear. There are no pleural effusions. The bones and soft tissues are unremarkable.",1. No evidence of pneumothorax.,patient64593_study1 |
| /,1. Interval development of mild pulmonary edema. 2. No focal consolidation or pleural effusion. 3. No evidence of pneumothorax.,patient64601_study1 |
| Single semiupright frontal view of the chest demonstrates stable positioning of the right internal jugular Swan-Ganz catheter with its tip in the right pulmonary artery. The cardiomediastinal silhouette is stable. There is stable mild pulmonary edema. Small bilateral pleural effusions are present. Retrocardiac opacity is unchanged.,1.Stable positioning of the right internal jugular swan-ganz catheter. 2.Stable mild pulmonary edema. 3.Small bilateral pleural effusions. 4.Persistent retrocardiac opacity.,patient64609_study1 |
| Single AP view of the chest demonstrates mild cardiomegaly. The lungs are clear. No pleural effusions. Pulmonary vascularity is indistinct. No pneumothorax.,1. Mild pulmonary edema.,patient64617_study1 |
| "The trachea is midline. The cardiomediastinal silhouette is normal in size and configuration. There is atherosclerotic calcification of the aorta. The bilateral hila are unremarkable. The bilateral lung fields are clear, without focal consolidation. There is no evidence of pneumothorax, pulmonary edema, or pleural effusions. The visualized osseous structures reveal degenerative changes of the thoracic spine.",1. No focal consolidation or other acute cardiopulmonary abnormalities. 2. Degenerative changes of the thoracic spine.,patient64625_study1 |
| "There is a right upper extremity PICC line with tip 2.8 cm below the carina. There is a feeding tube with tip below the diaphragm. Stable cardiomegaly. There are increased perihilar vascular markings, suggestive of pulmonary edema. There are small bilateral pleural effusions. There are left basilar opacities, which may reflect atelectasis or consolidation.","1. Mild pulmonary edema. 2. Small bilateral pleural effusions. 3. Left basilar opacities, which may reflect atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above.",patient64633_study1 |
| "Stable positioning of the tracheostomy tube, right subclavian central venous catheter, and feeding tube. Low lung volumes with persistent left basilar opacity and small left pleural effusion. The right lung is clear. The cardiac silhouette is unchanged.",1. Low lung volumes with persistent left basilar opacity which may reflect atelectasis or consolidation and small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64641_study1 |
| Single view of the chest demonstrates postoperative changes in the right lung with persistent right pleural effusion and right basilar atelectasis. There is improved aeration of the left lung. The cardiomediastinal silhouette is unchanged.,1. Postoperative changes in the right lung with persistent right pleural effusion and right basilar atelectasis. Improved aeration of the left lung.,patient64649_study1 |
| "Single portable semi-upright view of the chest demonstrates no significant interval change in supporting devices. Redemonstration of low lung volumes, bilateral pleural effusions, bibasilar air space opacities and interstitial pulmonary edema.","1. No significant interval change. 2. Low lung volumes, bilateral pleural effusions, bibasilar air space opacities and interstitial pulmonary edema.",patient64657_study1 |
| /,"1. Endotracheal tube, nasogastric tube, and left subclavian venous catheter are unchanged in position. 2. Persistent low lung volumes with mild pulmonary edema and left basilar atelectasis.",patient64665_study1 |
| There is cardiomegaly. Small left pleural effusion. The lungs are otherwise clear. No evidence of focal consolidation. The visualized osseous structures are unremarkable.,1. Cardiomegaly with a small left pleural effusion.,patient64673_study1 |
| "Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The lines and tubes are stable. There are bilateral pleural fluid collections and increasing pulmonary edema since the prior study. Otherwise, there is no change from the prior examination.",1.Increasing pulmonary edema since 8/14/2005.,patient64681_study1 |
| Frontal view of the chest dated 6/1/2015 at 0840 hours shows low lung volumes. Evaluation of the lungs reveals a left lung opacity with a left pleural effusion. Evaluation of the osseous structures demonstrates thoracotomy changes. A left sided rib defect is identified. Frontal view of the chest dated 6/1/2015 at 0410 hours shows persistent left lung opacity with left pleural effusion. The right lung is unchanged. Evaluation of the osseous structures demonstrates thoracotomy changes.,1. Left lung opacity with left pleural effusion. 2. Low lung volumes.,patient64689_study1 |
| "Single view of the chest dated 3/19/2005 demonstrating stable positioning of the endotracheal tube, left IJ catheter, NG tube. Increasing bibasilar opacities which could represent atelectasis versus consolidation. Increasing bilateral pleural effusions. Single view of the chest dated 3/19/2005 demonstrating stable positioning of medical support devices. Stable lung findings.","1.Medical support devices including the endotracheal tube, left ij catheter, ng tube 2.Increasing bibasilar opacities which could represent atelectasis versus consolidation 3.Increasing bilateral pleural effusions",patient64697_study1 |
| /,"1. Lungs clear without edema, effusion, or focal opacity. 2. Right subclavian venous catheter, unchanged.",patient64705_study1 |
| Interval placement of left PICC line with tip terminating in the mid SVC. The cardiomediastinal silhouette is within normal limits. Minimal linear opacities at the lung bases suggestive of atelectasis. No evidence of pneumothorax.,1. Interval placement of left picc line with tip terminating in the mid svc. No evidence of pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64713_study1 |
| "Single frontal view of the chest demonstrates post surgical changes with median sternotomy wires and mediastinal clips. The lungs are clear. No evidence of pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. No acute osseous abnormalities are identified.",1.No focal consolidation 2.No pleural effusion or pulmonary edema.,patient64721_study1 |
| "Single frontal view of the chest obtained 1-8-2001 at 1555 hrs demonstrates interval placement of posterior spinal fusion hardware extending from the upper to the lower thoracic spine. An intervertebral cage is in place. A tracheostomy tube is present. A catheter projects over the right upper lung zone and mediastinum, and may represent a mediastinal drain. The cardiac silhouette remains enlarged. There is persistent mild pulmonary edema. Left retrocardiac opacity persists, and may represent atelectasis. Subsequent single frontal view of the chest obtained 1/8/2001 at 0420 hrs demonstrates interval increase in mild pulmonary edema. No other significant interval change.","1.Series of two chest radiographs demonstrate interval placement of posterior spinal fusion hardware extending from the upper to the lower thoracic spine. A catheter projects over the mediastinum and may represent a mediastinal drain. 2.Stable cardiomegaly with interval increase in mild pulmonary edema. 3.Persistent left retrocardiac opacity, which may represent atelectasis or consolidation.",patient64729_study1 |
| /,"1. Stable appearance of left upper extremity picc line with the tip in the mid superior vena cava. 2. Low lung volumes persist with stable appearance of bibasilar opacities, likely representing atelectasis. 3. No evidence of pulmonary edema or pleural effusion.",patient64737_study1 |
| "Single frontal view of the chest demonstrates interval extubation and removal of the nasogastric tube. Right internal jugular central venous catheter remains in place. There are low lung volumes with bibasilar opacities, likely representing atelectasis. Small left pleural effusion is again seen.",1. Interval extubation with decreased lung volumes and persistent bibasilar atelectasis. 2. Small left pleural effusion.,patient64546_study1 |
| "Single portable supine view of the chest demonstrates sharp costophrenic angles. Lung volumes are low. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of consolidation. No pneumothorax is seen. No osseous abnormalities are seen.","1. Low lung volumes. 2. No evidence of pneumothorax, consolidation, or fracture.",patient64554_study1 |
| Single frontal view of the chest demonstrates clear lungs without focal consolidation or pleural effusions. No pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.,1.No focal consolidation.,patient64562_study1 |
| Post-surgical changes in the sternum and mediastinum are stable. The heart size remains normal. There is persistent right upper lobe consolidation and retraction of the right hilum superiorly. The left lung shows no evidence of consolidation or pleural effusion. There is no change in the appearance of the right lung base.,1. Stable post-surgical changes. 2. Persistent right upper lobe consolidation and pleural retraction. 3. Stable right lower lung opacity.,patient64570_study1 |
| There is a two lead pacemaker in place. The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. The visualized osseous structures are unremarkable.,1. Status post pacemaker placement. No pneumothorax. 2. No acute cardiopulmonary disease.,patient64578_study1 |
| "Low lung volumes, with mild crowding of pulmonary vasculature at the lung bases. No evidence of focal consolidation, pleural effusions, or pulmonary edema. Cardiomediastinal silhouette is normal in size and configuration. Visualized bones are intact.","1. Low lung volumes, with no focal consolidation, pleural effusions, or pulmonary edema. 2. Normal cardiomediastinal silhouette.",patient64586_study1 |
| The cardiomediastinal silhouette is within normal limits. The lungs and pleural spaces are clear.,1. No acute cardiopulmonary process. No evidence of consolidation.,patient64594_study1 |
| /,1. Interval development of a large mass in the left upper lung zone. 2. No evidence of pneumothorax. 3. The right lung remains clear.,patient64602_study1 |
| "Semiupright frontal view of the chest demonstrates stable positioning of the left-sided PICC line with its tip at the caval atrial junction. Bilateral chest tubes remain present. Cardiomediastinal silhouette remains stably enlarged. Lungs continue to demonstrate a retrocardiac opacity, as well as mild pulmonary edema.",1.Stable positioning of the left-sided picc line. 2.Stable cardiomegaly. 3.Unchanged mild pulmonary edema and retrocardiac opacity.,patient64610_study1 |
| The lungs are clear bilaterally. Heart size is within normal limits. The aorta is tortuous. The heart and the great vessels are unremarkable. No pleural effusion. Bones are unremarkable.,1. No active chest disease. No evidence of pneumonia or metastatic disease.,patient64618_study1 |
| There is placement of a left anterior chest wall pacemaker with leads placed in the right atrium and right ventricle. There is no evidence of pneumothorax. The lungs are clear. The cardiac silhouette is enlarged. The mediastinal silhouette is unremarkable. The skeletal structures are unremarkable.,1. Placement of a left-sided chest wall pacemaker with no evidence of pneumothorax. 2. Cardiomegaly.,patient64626_study1 |
| "Single frontal view of the chest demonstrates stable positioning of the right internal jugular central venous catheter, left upper extremity PICC line, and feeding tube. There is persistent elevation of the left hemidiaphragm with left basilar opacity, which may reflect atelectasis or consolidation. The cardiac silhouette is unchanged.","1. Persistent elevation of the left hemidiaphragm with left basilar opacity, which may reflect atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above.",patient64634_study1 |
| There is a left chest wall pacemaker with 2 associated leads. The cardiac silhouette is enlarged. Atherosclerotic calcifications are identified within the aortic arch. There is mild pulmonary edema. No pneumothorax is identified. There is no evidence of pleural effusion.,1. Cardiomegaly and mild pulmonary edema. 2. No evidence of pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64642_study1 |
| The cardiomediastinal silhouette is enlarged. Low lung volumes. Small bilateral pleural effusions. Indistinctness of the pulmonary vasculature compatible with pulmonary edema. Bibasilar opacities may reflect atelectasis or consolidation. No pneumothorax. No acute osseous abnormality.,1. Cardiomegaly with pulmonary edema and small bilateral pleural effusions. 2. Bibasilar opacities may reflect atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64650_study1 |
| "Single portable upright view of the chest demonstrates interval development of elevation of the left hemidiaphragm with left basilar opacity, which may represent atelectasis or consolidation. The cardiomediastinal silhouette is stable. The lungs are otherwise clear. No evidence of pulmonary edema. No osseous changes.","1. Interval development of elevation of the left hemidiaphragm with left basilar opacity, which may represent atelectasis or consolidation.",patient64658_study1 |
| "Tracheostomy tube, feeding tube, and left subclavian central venous catheter are unchanged. Patchy opacities at the left lung base are slightly increased. Opacities at the right lung base are not significantly changed. No pneumothorax.","1. Increasing patchy opacities at the left lung base, which may represent atelectasis or consolidation.",patient64666_study1 |
| "Single view of the chest demonstrates endotracheal tube, nasogastric tube, and left subclavian central venous catheter. There are low lung volumes. There is a left pleural effusion and left base opacity. There is also a right base opacity. The right hemidiaphragm is elevated. No evidence of pneumothorax. There are multiple left-sided rib fractures.",1. Multiple left-sided rib fractures. 2. Left pleural effusion and left base opacity. 3. Elevated right hemidiaphragm.,patient64674_study1 |
| Single frontal view of the chest demonstrates interval placement of posterior spinal fixation rods extending from T4 to T9. There is near complete opacification of the left hemithorax with volume loss and mediastinal shift to the left. The right lung is clear. The cardiomediastinal silhouette is obscured. No evidence of pneumothorax.,1. Interval placement of thoracic spinal fixation rods with near complete opacification of the left hemithorax with volume loss suggesting atelectasis. 2. No evidence of pneumothorax.,patient64682_study1 |
| "The lung volumes are low. The heart size is within normal limits. The aorta is heavily calcified. There is mild pulmonary edema. Bibasilar opacities are present, and there are small bilateral pleural effusions. No pneumothorax. The osseous structures are osteopenic. Multiple surgical clips are present in the left neck.","1. Mild pulmonary edema with small bilateral pleural effusions. 2. Bibasilar opacities, which may reflect atelectasis or consolidation.",patient64690_study1 |
| Single portable supine view of the chest demonstrates low lung volumes. The cardiac silhouette is enlarged. There is indistinctness of the pulmonary vasculature consistent with pulmonary edema. No pleural effusion or pneumothorax is seen. The bones are unremarkable.,1. Cardiomegaly with pulmonary edema.,patient64698_study1 |
| "Single view of the chest demonstrates interval placement of a right internal jugular venous catheter with the tip in the superior vena cava. There is no evidence of pneumothorax. Low lung volumes with left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. Multiple surgical clips are seen in the left upper quadrant. There are multiple bony abnormalities including left rib deformities, which are unchanged.",1. No evidence of pneumothorax. 2. Low lung volumes with left basilar atelectasis.,patient64706_study1 |
| /,"1. Interval placement of nasogastric tube, tip not in the field of view. 2. Low lung volumes with pulmonary edema and bibasilar atelectasis.",patient64714_study1 |
| Single AP view of the chest demonstrates a right internal jugular central venous catheter with the tip in the superior vena cava. Sternal wires and mediastinal clips are again noted. There is a left lower lobe opacity and left pleural effusion. The right lung is clear. The cardiomediastinal silhouette is stable. Pulmonary vascularity is within normal limits.,1. Left lower lobe opacity may represent atelectasis versus infection. 2. Left pleural effusion.,patient64722_study1 |
| "Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The left subclavian central line is unchanged in its position and is in the superior vena cava. The electrode electrode projected over the right chest is unchanged. The lungs are clear. The cardiac silhouette is within normal limits. Otherwise, there is no change from the prior examination.",1.No acute airspace disease and no pneumothorax after placement of monitoring devices.,patient64730_study1 |
| "Frontal view of the chest demonstrates a left upper extremity PICC line with its tip at the level of the carina. The cardiomediastinal silhouette is normal in size. There is mild prominence of the pulmonary interstitium, which may reflect mild pulmonary edema. No consolidation, pleural effusion or pneumothorax.",1. Mild interstitial edema.,patient64738_study1 |
| "The cardiomediastinal silhouette is within normal limits. The lungs are clear without consolidation, pleural effusion, or pneumothorax. Again seen are multiple surgical clips in the left neck. There are degenerative changes of the thoracic spine.",1. No evidence of lung consolidation or pleural effusion. 2. No definite mediastinal lymphadenopathy is identified.,patient64547_study1 |
| There is interval increase in the patchy opacities throughout the lungs bilaterally. Small bilateral pleural effusions are again seen. No pneumothorax. Cardiomediastinal silhouette is unchanged.,1. Increased patchy opacities throughout the lungs which may reflect infection or pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64555_study1 |
| "Frontal view of the chest demonstrates low lung volumes. The cardiomediastinal silhouette is normal in size. Linear opacities are present at the left lung base, likely atelectasis. No consolidation, pleural effusion, or pneumothorax. Visualized bony structures are unremarkable.",1.Low lung volumes. 2.No focal consolidation. 3.Mild left base atelectasis.,patient64563_study1 |
| "Single view of the chest demonstrates a small left apical pneumothorax. There is a left chest tube in place. There is a small left pleural effusion and left basilar opacity, which may represent atelectasis.","1. Small left apical pneumothorax. 2. Small left pleural effusion and left basilar opacity, which may represent atelectasis.",patient64571_study1 |
| "Single frontal view of the chest demonstrates stable positioning of the right internal jugular central venous catheter, and spinal hardware. There is increased opacity at the right lung base, which may represent atelectasis versus consolidation. No pneumothorax. The cardiomediastinal silhouette is stable.","1.Increased right lung base opacity, which may represent atelectasis versus consolidation.",patient64579_study1 |
| "Stable appearance of left chest tube and left subclavian central venous catheter. Persistent left apical pneumothorax. Redemonstration of extensive left chest wall and left neck subcutaneous emphysema. Persistent left basilar opacity, which could represent atelectasis or consolidation.",1. No significant interval change with persistent left apical pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64587_study1 |
| The cardiomediastinal silhouette is within normal limits. The lungs are clear without evidence of focal consolidation. There are no pleural effusions. There is no evidence of pulmonary vascular congestion. The visualized bones are unremarkable.,1. No evidence of acute cardiopulmonary disease. No focal consolidation is identified.,patient64595_study1 |
| "Single portable view of the chest demonstrates post-operative changes consistent with prior coronary artery bypass graft. There is an endotracheal tube with the tip at the level of the clavicles. There is a right pleural effusion with right basilar atelectasis. There is a small left pleural effusion. There is indistinctness of the pulmonary vasculature, which may represent pulmonary edema. There is no pneumothorax.",1. Status post intubation with bilateral pleural effusions and right basilar atelectasis.,patient64603_study1 |
| "Single frontal view of the chest demonstrates a right subclavian central venous catheter with its tip in the superior vena cava. There are low lung volumes. There are bilateral patchy air space opacities, which may reflect pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits.","1. Right subclavian central venous catheter. No pneumothorax. 2. Bilateral patchy air space opacities, which may reflect pulmonary edema.",patient64611_study1 |
| "Frontal view of the chest demonstrates a normal cardiomediastinal silhouette. There is blunting of the left costophrenic angle, compatible with a small pleural effusion. No pneumothorax is demonstrated. There is a 2.3-cm nodule in the left midlung. Multiple left-sided rib deformities are demonstrated.",1.Small left pleural effusion. 2.No pneumothorax. 3.Two 3.3-cm nodule in the left midlung. Recommend comparison with prior exams.,patient64619_study1 |
| Portable chest shows low lung volumes with crowding of the pulmonary vasculature. Heart and mediastinum are within normal limits. The lungs are clear. The bony thorax is intact.,1.Negative chest without focal consolidation.,patient64627_study1 |
| Single view of the chest demonstrates low lung volumes. There is a right internal jugular venous catheter with the tip in the superior vena cava. No pneumothorax. Low lung volumes with bibasilar atelectasis.,1. Low lung volumes with bibasilar atelectasis. 2. No pneumothorax.,patient64635_study1 |
| /,"1. The side port of the nasogastric tube remains in the distal esophagus. The remaining tubes and lines are unchanged in position. 2. The appearance of the lungs is unchanged, with low lung volumes, bilateral pleural effusions, and bilateral coalescent air space opacities. 3. Stable appearance to the heart and mediastinum.",patient64643_study1 |
| Single portable view of the chest demonstrates left upper extremity PICC line with the tip in the superior vena cava. Bilateral tissue expanders are noted. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusions.,1. No acute cardiopulmonary disease. 2. No evidence of pneumothorax.,patient64651_study1 |
| Initial examination demonstrates interval placement of an endotracheal tube located above the level of the carina. Right-sided internal jugular line with tip near the atrial caval junction. Low lung volumes with bilateral pleural effusions and bibasilar opacities. Subsequent examination demonstrates no significant interval change.,1.Lines and support devices as described above. 2.Low lung volumes with bilateral pleural effusions and bibasilar opacities compatible with atelectasis and/or consolidation.,patient64659_study1 |
| /,1. Nasogastric tube is in place with the tip in the stomach. A right chest tube is also seen. 2. Stable appearance to the right pleural effusion with right basilar atelectasis and/or consolidation. 3. Stable appearance of the left lung.,patient64667_study1 |
| "Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The right central line is unchanged. There is persistent opacity in the left lower lobe and suggestion of a left pleural fluid collection. Otherwise, there is no change from the prior examination.","1. No change in left lower lobe opacity, atelectasis or pneumonia.",patient64675_study1 |
| "Low lung volumes with left greater than right basilar opacities, which may reflect atelectasis or consolidation. Small left pleural effusion. No pneumothorax.","1. Low lung volumes with left greater than right basilar opacities, which may reflect atelectasis or consolidation. 2. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above.",patient64683_study1 |
| "Single upright frontal view of the chest demonstrates stable position of the left pigtail chest tube. No pneumothorax is identified. The cardiomediastinal silhouette is stable. There is a small left pleural effusion with left basilar opacity, likely atelectasis. The lungs are otherwise clear.","1.Stable position of the left pigtail chest tube. No pneumothorax identified. 2.Small left pleural effusion with left basilar opacity, likely atelectasis.",patient64691_study1 |
| "There is a small area of opacity at the left lung base, which may represent atelectasis versus consolidation. No pleural effusions or pneumothorax. The cardiac silhouette is within normal limits. The aorta is tortuous. No acute osseous abnormalities identified.","1.Small left basilar opacity, which may represent atelectasis versus consolidation.",patient64699_study1 |
| Single frontal view of the chest demonstrates nasogastric tube in place with the tip in the stomach. The cardiomediastinal silhouette is within normal limits. There is a left base opacity and left pleural effusion. The right lung is clear.,1. Left base opacity may represent atelectasis versus consolidation. Left pleural effusion.,patient64707_study1 |
| "Single view of the chest demonstrates bilateral pleural effusions and bibasilar opacities, which may represent atelectasis or consolidation. Indistinctness of the pulmonary vasculature is seen, which may represent pulmonary edema. The cardiomediastinal silhouette is unremarkable. No bony abnormalities are seen.","1. Bilateral pleural effusions and bibasilar opacities, which may represent atelectasis or consolidation. 2. Indistinctness of the pulmonary vasculature, which may represent pulmonary edema.",patient64715_study1 |
| There is a new pacemaker with the tips in the right atrium and right ventricle. There is no evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. There are low lung volumes with no focal consolidation.,1. No evidence of pneumothorax.,patient64723_study1 |
| /,"1. Left picc line unchanged in position. 2. The cardiomediastinal silhouette is within normal limits. 3. The lungs are clear without edema, effusion, or focal opacity. No pneumothorax.",patient64731_study1 |
| /,1. The cardiomediastinal silhouette is within normal limits. The lungs are clear without evidence of focal consolidation. 2. No pleural effusions. 3. Old right rib fracture.,patient64739_study1 |
| The cardiomediastinal silhouette is unchanged. There are low lung volumes. There is a dense left basilar opacity with a small left pleural effusion.,"1. Dense left basilar opacity, which may reflect atelectasis or consolidation. 2. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above.",patient64548_study1 |
| "Frontal and lateral views of the chest demonstrate clear lungs without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal in size. Pulmonary vasculature is within normal limits. Visualized osseous structures are unremarkable.",1. No pneumothorax. 2. No evidence of acute cardiopulmonary process.,patient64556_study1 |
| Single upright view of the chest demonstrates retrocardiac opacity which is obscuring the left hemidiaphragm. The right lung is clear. No pleural effusions. The cardiomediastinal silhouette is normal. No bony abnormalities.,1. Left retrocardiac opacity which may represent atelectasis versus consolidation.,patient64564_study1 |
| "Supine frontal view of the chest demonstrates low lung volumes. The superior mediastinum is mildly prominent, which may be due to technique and low lung volumes. The lungs are clear without evidence of pleural effusion, pulmonary edema, or pneumothorax. No obvious fractures are identified.","1.Low lung volumes, with mild prominence of the superior mediastinum. 2.No evidence of pneumothorax, fracture, or pleural effusion.",patient64572_study1 |
| Single frontal view of the chest demonstrates interval development of bilateral pleural effusions with bibasilar consolidation. There is interval increase in pulmonary edema. The cardiomediastinal silhouette is unchanged. Osseous structures demonstrate degenerative changes.,Interval development of bilateral effusions and bibasilar consolidation with interval increase in pulmonary edema.,patient64580_study1 |
| Frontal and lateral views of the chest demonstrate no focal infiltrate or pleural effusion. The cardiomediastinal silhouette is within normal limits. Pulmonary vasculature is within normal limits. No soft tissue or osseous abnormalities are seen.,1. No focal infiltrate or pleural effusion. 2. No evidence for pulmonary edema.,patient64588_study1 |
| Single portable supine view of the chest demonstrates low lung volumes. The cardiomediastinal silhouette is within normal limits. There is indistinctness of the pulmonary vasculature consistent with pulmonary edema. No pleural effusions. No evidence of pneumothorax. The bones are unremarkable.,1. Low lung volumes with pulmonary edema.,patient64596_study1 |
| "There is a new large left pneumothorax. There is also a small right pneumothorax. There is also a significant amount of subcutaneous emphysema along the left lateral chest wall and bilateral neck. There is also a large amount of free air under the left hemidiaphragm. This is presumably post surgical in nature. There is also a right-sided chest tube. The lung volumes are low. There is a right base opacity which is presumably atelectasis. There is also a left retrocardiac opacity which may represent atelectasis. However, cannot exclude infection. There is no evidence for any displaced rib fractures.",1. New large left pneumothorax. 2. Small right pneumothorax. 3. Large amount of subcutaneous emphysema. 4. Pneumoperitoneum presumably post surgical. 5. Bibasilar opacities likely representing atelectasis. Cannot exclude infection.,patient64604_study1 |
| Single AP portable upright view of the chest demonstrates a right-sided chest tube with the tip in the right lung apex. There is a small right apical pneumothorax. There is a small amount of subcutaneous emphysema along the right chest wall. The left lung appears clear. The cardiomediastinal silhouette is stable in comparison to the prior examination.,1. Status post right upper lobectomy with a small right apical pneumothorax. 2. Small amount of subcutaneous emphysema is noted along the right chest wall. 3. The left lung appears clear.,patient64612_study1 |
| "Single view of the chest demonstrates a right sided chest tube, as well as a mediastinal drain. There is a small right apical pneumothorax. There is a left pleural effusion and left lower lobe atelectasis.",1. Small right apical pneumothorax. 2. Left pleural effusion and left lower lobe atelectasis.,patient64620_study1 |
| Sternal wires are present. The cardiac silhouette is within normal limits. The lungs are clear without focal consolidation or pleural effusion. No acute osseous abnormalities are identified.,1. No focal consolidation. 2. No evidence of pulmonary edema.,patient64628_study1 |
| Median sternotomy wires are again noted. A feeding tube is noted with the tip in the stomach. The cardiomediastinal silhouette is stable. There is atherosclerotic calcification of the aorta. The lungs are without new infiltrates or consolidations. There is a small right pleural effusion which is new. Minimal left basilar opacity is also noted. No pneumothorax. No acute osseous abnormalities. Degenerative changes of the spine are again noted.,1. Small right pleural effusion is new. 2. Minimal left basilar opacity may represent atelectasis or consolidation.,patient64636_study1 |
| Single frontal view of the chest demonstrates interval placement of a left upper extremity PICC line with its tip at the level of the carina. The tip is approximately 5.5 cm below the carina. There is a small left pleural effusion with associated left basilar opacity. The right lung appears clear. The cardiac silhouette is enlarged. The pulmonary vasculature is within normal limits. No pneumothorax.,"1.Small left pleural effusion with left basilar opacity, which may represent atelectasis or consolidation. 2.No evidence of pulmonary edema. 3.Interval placement of a left upper extremity picc line.",patient64644_study1 |
| Single frontal view of the chest obtained 1-25-2013 at 2130 hrs again demonstrates a left-sided chest tube and a small left apical pneumothorax. There is persistent rightward shift of the mediastinum with postsurgical changes in the right lung. There is a small right pleural effusion with persistent opacity at the right lung base. Subsequent single frontal view of the chest obtained 1/25/2013 at 0349 hrs demonstrates no significant interval change.,1.Series of two chest radiographs demonstrates a small left apical pneumothorax with a left chest tube in place. There is persistent rightward shift of the mediastinum with postsurgical changes in the right lung. 2.Persistent opacity at the right lung base with a small right pleural effusion.,patient64652_study1 |
| A left internal jugular venous catheter is seen with tip in the mid superior vena cava. Low lung volumes are noted. There is increased opacity in the left retrocardiac region consistent with atelectasis or consolidation. There is also increased opacity in the right lung base consistent with atelectasis. The cardiomediastinal silhouette is unremarkable.,1. Left retrocardiac opacity consistent with atelectasis or consolidation. 2. Low lung volumes.,patient64660_study1 |
| Interval placement of cervical spinal fixation hardware. The cardiomediastinal silhouette is unchanged. There are increased patchy opacities throughout the lungs with a left basilar opacity and small left pleural effusion. No evidence of pneumothorax.,1. Increased patchy opacities throughout the lungs which may reflect pulmonary edema. 2. Left basilar opacity which may represent atelectasis or consolidation. 3. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64668_study1 |
| "Frontal and lateral views of the chest demonstrate interval development of small bilateral pleural effusions. Linear opacities at the lung bases, left greater than right, likely reflect atelectasis. No evidence of pulmonary edema. The cardiomediastinal silhouette and pulmonary vasculature are stable in configuration. Visualized osseous structures demonstrate no acute abnormalities.",1. Small bilateral pleural effusions with bibasilar atelectasis. 2. No evidence of pulmonary edema.,patient64676_study1 |
| Single portable upright view of the chest demonstrates a left lung base opacity and pleural effusion. The right lung is clear. The cardiomediastinal silhouette is stable. No osseous abnormalities are appreciated.,"1. Left lung base opacity and pleural effusion, which could represent atelectasis, consolidation, or aspiration. Recommend clinical correlation.",patient64684_study1 |
| /,1. Interval placement of a right-sided pigtail chest tube with no significant change in the right-sided pleural effusion. Again noted is the right upper quadrant drain. 2. Persistent low lung volumes with stable appearing bibasilar opacities and atelectasis.,patient64692_study1 |
| "Interval placement of right IJ single lead pacer with tip projecting over the expected location of the right ventricle. The cardiomediastinal silhouette is enlarged, unchanged. No focal consolidation. No substantial pleural effusion. No visualized pneumothorax.",1. Interval placement of right chest wall single lead pacemaker. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64700_study1 |
| /,1. Low lung volumes with no evidence of edema or consolidation. 2. Calcified tortuous aorta.,patient64708_study1 |
| Single supine view of the chest demonstrates placement of a left internal jugular catheter with the tip projecting over the left lung apex. No evidence of pneumothorax. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusions.,1. Left internal jugular catheter tip projects over the left lung apex. 2. No evidence of pneumothorax or acute cardiopulmonary process.,patient64716_study1 |
| Single upright AP view of the chest demonstrates a left upper extremity PICC line with the tip in the mid superior vena cava. The lungs are clear. The cardiomediastinal silhouette is unremarkable. No pleural effusions. The bony structures are unremarkable.,1. Left upper extremity picc line with the tip in the mid superior vena cava. 2. No evidence of pneumothorax. 3. Clear lungs.,patient64724_study1 |
| Low lung volumes. Increased reticular opacities bilaterally. No pleural effusions. No focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.,1. Increased reticular opacities bilaterally which may reflect atypical infection or pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.,patient64732_study1 |
| "Single frontal view of the chest demonstrates a tortuous aorta. The cardiac silhouette is within normal limits. There is blunting of the costophrenic angles bilaterally, which may represent small pleural effusions. There is no evidence of pulmonary edema. There is no evidence of focal consolidation.",1. Small bilateral pleural effusions. 2. No evidence of pulmonary edema or focal consolidation.,patient64740_study1 |
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