report_id
int64 0
0
| examination
stringclasses 395
values | indication
stringlengths 3
575
⌀ | technique
stringlengths 2
289
⌀ | comparison
stringlengths 1
1.01k
⌀ | findings
stringlengths 1
1.87k
⌀ | impression
stringlengths 1
1.32k
⌀ | raw_text
stringlengths 165
3.65k
| has_findings
bool 1
class | has_impression
bool 1
class | __index_level_0__
int64 2
42.8k
|
|---|---|---|---|---|---|---|---|---|---|---|
0
|
CHEST (PORTABLE AP)
|
History: ___M with near-syncope, SIRS (+), tachy/febrile // Acute
pulmonary process
|
Portable upright chest radiograph
|
___
|
A poorly defined opacity at the left lung base may represent a developing
infectious process. The lungs are otherwise clear and the cardiomediastinal
contour is normal apart from being slightly rotated. No pleural effusion or
pneumothorax.
|
Poorly defined opacity at the left lung base may represent a developing
infectious process. Short-term followup radiographs after appropriate
treatment are recommended to ensure resolution
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: History: ___M with near-syncope, SIRS (+), tachy/febrile // Acute
pulmonary process
TECHNIQUE: Portable upright chest radiograph
COMPARISON: ___
FINDINGS:
A poorly defined opacity at the left lung base may represent a developing
infectious process. The lungs are otherwise clear and the cardiomediastinal
contour is normal apart from being slightly rotated. No pleural effusion or
pneumothorax.
IMPRESSION:
Poorly defined opacity at the left lung base may represent a developing
infectious process. Short-term followup radiographs after appropriate
treatment are recommended to ensure resolution
| true
| true
| 3,043
|
0
| null | null | null |
None.
|
PA and lateral views of the chest were obtained demonstrating clear
well expanded lungs without focal consolidation, effusion, or pneumothorax.
Heart size is normal. Mediastinal contour is unremarkable. The imaged
osseous structures are intact. There is no free air below the right
hemidiaphragm.
|
No acute intrathoracic process.
|
FINAL REPORT
CHEST RADIOGRAPH PERFORMED ON ___
COMPARISON: None.
CLINICAL HISTORY: Chest pain.
FINDINGS: PA and lateral views of the chest were obtained demonstrating clear
well expanded lungs without focal consolidation, effusion, or pneumothorax.
Heart size is normal. Mediastinal contour is unremarkable. The imaged
osseous structures are intact. There is no free air below the right
hemidiaphragm.
IMPRESSION: No acute intrathoracic process.
| true
| true
| 15,815
|
0
|
Chest AP portable single view.
|
___-year-old female patient status post chest tube removal,
evaluate.
| null | null |
AP single view of the chest has been obtained with patient in
semi-upright position. Analysis is performed in direct comparison with the
next preceding similar study obtained seven hours earlier during the same day.
During the interval, one of the left-sided basal chest tubes has been removed.
The second lower position tube remains. There is no evidence of pneumothorax
in the left hemithorax after tube removal and no new pulmonary abnormalities
are seen. No mediastinal shift can be identified.
|
Uncomplicated removal of one left-sided chest tube.
|
FINAL REPORT
DATE: ___.
TYPE OF EXAMINATION: Chest AP portable single view.
INDICATION: ___-year-old female patient status post chest tube removal,
evaluate.
FINDINGS: AP single view of the chest has been obtained with patient in
semi-upright position. Analysis is performed in direct comparison with the
next preceding similar study obtained seven hours earlier during the same day.
During the interval, one of the left-sided basal chest tubes has been removed.
The second lower position tube remains. There is no evidence of pneumothorax
in the left hemithorax after tube removal and no new pulmonary abnormalities
are seen. No mediastinal shift can be identified.
IMPRESSION: Uncomplicated removal of one left-sided chest tube.
| true
| true
| 20,956
|
0
| null | null | null |
None listed.
|
Single portable view of the chest. Volume loss in the right hemithorax is
seen with streaky right midlung and perihilar opacity with rightward shift of
the mediastinum. These findings are presumably in part due to treatment for
patient's known cancer however underlying mass is also possible. There is no
prior to evaluate for interval change. The left lung is clear. There is no
pneumothorax on either side. No acute osseous abnormality detected.
|
Right sided volume loss and streaky right midlung and perihilar opacity likely
in part due to treatment for patient's known cancer however underlying mass
cannot be adequately assessed. There is no prior to evaluate for interval
change. No pneumothorax.
|
FINAL REPORT
HISTORY: ___-year-old male with stage III non-small cell lung cancer on
chemotherapy with lethargy and vomiting. Low blood pressure.
COMPARISON: None listed.
FINDINGS:
Single portable view of the chest. Volume loss in the right hemithorax is
seen with streaky right midlung and perihilar opacity with rightward shift of
the mediastinum. These findings are presumably in part due to treatment for
patient's known cancer however underlying mass is also possible. There is no
prior to evaluate for interval change. The left lung is clear. There is no
pneumothorax on either side. No acute osseous abnormality detected.
IMPRESSION:
Right sided volume loss and streaky right midlung and perihilar opacity likely
in part due to treatment for patient's known cancer however underlying mass
cannot be adequately assessed. There is no prior to evaluate for interval
change. No pneumothorax.
| true
| true
| 33,753
|
0
|
CHEST (PA AND LAT)
|
___F with pleuritic left sided chest pain.
| null | null |
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.
|
No acute intrathoracic process.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___F with pleuritic left sided chest pain.
COMPARISON: None
FINDINGS:
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.
IMPRESSION:
No acute intrathoracic process.
| true
| true
| 18,842
|
0
| null |
Recent pneumonia with labored breathing
|
Frontal chest radiograph
|
___
|
Again noted are scattered parenchymal opacities consistent with known
multifocal pneumonia. There is also an element of vascular congestion.
Bilateral pleural effusions are appreciated and are small in size. Heart
remains enlarged. A right-sided PICC line is in place. The internal jugular
central venous line has been removed. There is no pneumothorax.
|
Findings consistent with multi focal pneumonia and superimposed mild vascular
congestion. Overall the findings are not significantly changed.
|
FINAL REPORT
INDICATION: Recent pneumonia with labored breathing
TECHNIQUE: Frontal chest radiograph
COMPARISON: ___
FINDINGS:
Again noted are scattered parenchymal opacities consistent with known
multifocal pneumonia. There is also an element of vascular congestion.
Bilateral pleural effusions are appreciated and are small in size. Heart
remains enlarged. A right-sided PICC line is in place. The internal jugular
central venous line has been removed. There is no pneumothorax.
IMPRESSION:
Findings consistent with multi focal pneumonia and superimposed mild vascular
congestion. Overall the findings are not significantly changed.
| true
| true
| 3,296
|
0
| null | null | null | null |
AP upright and lateral views of the chest were obtained. Lung
volumes are low and kyphotic angulation limits evaluation through the lower
lungs. The heart is mildly enlarged. Prominent bronchovascular markings
could reflect bronchovascular crowding, though the possibility of mild
congestion is impossible to exclude. There is no frank pulmonary edema or
definite signs of pneumonia. No large pleural effusion or pneumothorax is
seen. The aorta appears unfolded. Bony structures are demineralized with
deformity involving the left proximal humerus, partially imaged.
Vertebroplasty changes in the thoracolumbar junction are better assessed on
the concurrently performed L-spine radiograph.
|
No signs of pneumonia. Equivocal signs of mild pulmonary
congestion and mild cardiomegaly.
|
FINAL REPORT
CHEST RADIOGRAPH
Comparison is made with a prior chest radiograph dated ___.
CLINICAL HISTORY: Status post fall with failure to thrive, assess for occult
pneumonia.
FINDINGS: AP upright and lateral views of the chest were obtained. Lung
volumes are low and kyphotic angulation limits evaluation through the lower
lungs. The heart is mildly enlarged. Prominent bronchovascular markings
could reflect bronchovascular crowding, though the possibility of mild
congestion is impossible to exclude. There is no frank pulmonary edema or
definite signs of pneumonia. No large pleural effusion or pneumothorax is
seen. The aorta appears unfolded. Bony structures are demineralized with
deformity involving the left proximal humerus, partially imaged.
Vertebroplasty changes in the thoracolumbar junction are better assessed on
the concurrently performed L-spine radiograph.
IMPRESSION: No signs of pneumonia. Equivocal signs of mild pulmonary
congestion and mild cardiomegaly.
| true
| true
| 31,272
|
0
| null |
History: ___M with x2 weeks URI symptoms w/chest pressure, SOB,
pleural effusions on OSH CXR // eval for infiltrates, effusion
|
Chest: Frontal and Lateral
|
None.
|
Patient is status post median sternotomy and CABG. The cardiac silhouette is
mild to moderately enlarged. Minimal to no pleural effusion is seen. There
is no evidence of pneumothorax. There is mild to moderate pulmonary vascular
congestion. No definite focal consolidation is seen. A large air-fluid level
is seen in the stomach on the lateral view.
|
Minimal to no pleural effusion. No focal consolidation. Pulmonary vascular
congestion and cardiomegaly.
Large gastric air-fluid level.
|
FINAL REPORT
EXAMINATION:
Chest: Frontal and lateral views
INDICATION: History: ___M with x2 weeks URI symptoms w/chest pressure, SOB,
pleural effusions on OSH CXR // eval for infiltrates, effusion
TECHNIQUE: Chest: Frontal and Lateral
COMPARISON: None.
FINDINGS:
Patient is status post median sternotomy and CABG. The cardiac silhouette is
mild to moderately enlarged. Minimal to no pleural effusion is seen. There
is no evidence of pneumothorax. There is mild to moderate pulmonary vascular
congestion. No definite focal consolidation is seen. A large air-fluid level
is seen in the stomach on the lateral view.
IMPRESSION:
Minimal to no pleural effusion. No focal consolidation. Pulmonary vascular
congestion and cardiomegaly.
Large gastric air-fluid level.
| true
| true
| 4,405
|
0
| null |
___-year-old male with cough and tachycardia. Evaluate for volume
overload.
| null |
None.
|
Single frontal view of the chest was obtained. Exam is limited due
to patient motion. The heart is of normal size with normal cardiomediastinal
contours. No evidence of overt pulmonary edema, focal consolidation, pleural
effusion, or pneumothorax. The osseous structures are unremarkable. No
radiopaque foreign bodies.
|
Exam limited by patient motion. No evidence of acute
cardiopulmonary process.
|
FINAL REPORT
INDICATION: ___-year-old male with cough and tachycardia. Evaluate for volume
overload.
COMPARISON: None.
FINDINGS: Single frontal view of the chest was obtained. Exam is limited due
to patient motion. The heart is of normal size with normal cardiomediastinal
contours. No evidence of overt pulmonary edema, focal consolidation, pleural
effusion, or pneumothorax. The osseous structures are unremarkable. No
radiopaque foreign bodies.
IMPRESSION: Exam limited by patient motion. No evidence of acute
cardiopulmonary process.
| true
| true
| 780
|
0
| null |
___M with chest pain // eval for PNA, CHF
|
PA and lateral views of the chest.
|
___.
|
The lungs are clear. There is no pneumothorax. The cardiomediastinal
silhouette is normal. No acute osseous abnormalities identified.
|
No acute cardiopulmonary process.
|
FINAL REPORT
INDICATION: ___M with chest pain // eval for PNA, CHF
TECHNIQUE: PA and lateral views of the chest.
COMPARISON: ___.
FINDINGS:
The lungs are clear. There is no pneumothorax. The cardiomediastinal
silhouette is normal. No acute osseous abnormalities identified.
IMPRESSION:
No acute cardiopulmonary process.
| true
| true
| 17,781
|
0
|
Chest radiograph
|
___-old female; evaluate for pneumothorax.
|
Portable AP upright radiograph view of the chest.
|
Reference chest exam from outside facility dated ___
at 23:37.
|
Left apical lateral pneumothorax measuring up to 3.4 cm in largest dimension.
No appreciable right pneumothorax is noted. Atelectasis of the left lung base
with elevation of the left hemidiaphragm. Re-expansion of the left upper lobe
___ chest radiograph. Bronchial valves project over the left mid
lung. The heart is normal in size. Mediastinum is not widened. No evidence
of tension.
|
1. Moderate left pneumothorax without evidence of tension.
2. Left bronchial valves - if assessment of location is desired, CT is
needed.
|
FINAL REPORT
EXAMINATION: Chest radiograph
INDICATION: ___-old female; evaluate for pneumothorax.
TECHNIQUE: Portable AP upright radiograph view of the chest.
COMPARISON: Reference chest exam from outside facility dated ___
at 23:37.
FINDINGS:
Left apical lateral pneumothorax measuring up to 3.4 cm in largest dimension.
No appreciable right pneumothorax is noted. Atelectasis of the left lung base
with elevation of the left hemidiaphragm. Re-expansion of the left upper lobe
___ chest radiograph. Bronchial valves project over the left mid
lung. The heart is normal in size. Mediastinum is not widened. No evidence
of tension.
IMPRESSION:
1. Moderate left pneumothorax without evidence of tension.
2. Left bronchial valves - if assessment of location is desired, CT is
needed.
| true
| true
| 8,135
|
0
| null | null |
Portable frontal chest radiograph was obtained.
|
Chest radiograph from ___.
|
Right lower lobe opacification is again seen but is improving
compared to previous chest radiograph. Continued bibasilar small pleural
effusions are seen with associated atelectasis. The cardiac silhouette and
the mediastinal contours are normal. Mild pulmonary edema continues to be
seen. The osseous structures are grossly unremarkable.
|
Improved pulmonary edema with small bilateral pleural effusions.
Right lower lobe opacity may be associated with atelectasis, but supervening
infectious process cannot be ruled out.
|
FINAL REPORT
HISTORY: ___-year-old male with fever, elevated white blood cell count, and
increased respiratory rate and absent breath sounds at the right lung base.
Evaluate for interval change, evaluate for pneumonia.
TECHNIQUE: Portable frontal chest radiograph was obtained.
COMPARISON: Chest radiograph from ___.
FINDINGS: Right lower lobe opacification is again seen but is improving
compared to previous chest radiograph. Continued bibasilar small pleural
effusions are seen with associated atelectasis. The cardiac silhouette and
the mediastinal contours are normal. Mild pulmonary edema continues to be
seen. The osseous structures are grossly unremarkable.
IMPRESSION: Improved pulmonary edema with small bilateral pleural effusions.
Right lower lobe opacity may be associated with atelectasis, but supervening
infectious process cannot be ruled out.
| true
| true
| 2,987
|
0
| null |
___F with CP // ? CHF/Cardiomegaly.
|
PA and lateral views of the chest.
|
None.
|
The lungs are clear. There is no pneumothorax or effusion. The
cardiomediastinal silhouette is within normal limits. No acute osseous
abnormalities identified.
|
Normal chest x-ray.
|
WET READ: ___ ___ ___ 5:42 PM
Normal chest x-ray.
______________________________________________________________________________
FINAL REPORT
INDICATION: ___F with CP // ? CHF/Cardiomegaly.
TECHNIQUE: PA and lateral views of the chest.
COMPARISON: None.
FINDINGS:
The lungs are clear. There is no pneumothorax or effusion. The
cardiomediastinal silhouette is within normal limits. No acute osseous
abnormalities identified.
IMPRESSION:
Normal chest x-ray.
| true
| true
| 24,190
|
0
|
Chest radiograph
|
History: ___M with R sided CP x 1 week with dyspnea // eval ?
pneumothorax, effusion
|
Chest PA and lateral
|
None.
|
The cardiomediastinal and hilar contours are within normal limits. The lung
fields are clear. There is no pneumothorax, fracture or dislocation. Limited
assessment of the abdomen is unremarkable. Linear and nodular opacities
projecting over the the right upper lobe and the soft tissues of the right
supraclavicular chest are likely artifactual (possibly due to hair braids or
extraneous tubular structures).
|
1. No acute cardiopulmonary abnormality.
2. Linear and nodular opacities projecting over the right upper lobe and the
soft tissues of the right supraclavicular chest are likely artifactual.
RECOMMENDATION(S): A nonurgent repeat chest radiograph is recommended with
removal or repositioning of external structures in order to exclude the
possibility of a lung parenchymal abnormality in the right upper lobe.
|
WET READ: ___ ___ 7:06 AM
No acute cardiopulmonary abnormality.
______________________________________________________________________________
FINAL REPORT
EXAMINATION: Chest radiograph
INDICATION: History: ___M with R sided CP x 1 week with dyspnea // eval ?
pneumothorax, effusion
TECHNIQUE: Chest PA and lateral
COMPARISON: None.
FINDINGS:
The cardiomediastinal and hilar contours are within normal limits. The lung
fields are clear. There is no pneumothorax, fracture or dislocation. Limited
assessment of the abdomen is unremarkable. Linear and nodular opacities
projecting over the the right upper lobe and the soft tissues of the right
supraclavicular chest are likely artifactual (possibly due to hair braids or
extraneous tubular structures).
IMPRESSION:
1. No acute cardiopulmonary abnormality.
2. Linear and nodular opacities projecting over the right upper lobe and the
soft tissues of the right supraclavicular chest are likely artifactual.
RECOMMENDATION(S): A nonurgent repeat chest radiograph is recommended with
removal or repositioning of external structures in order to exclude the
possibility of a lung parenchymal abnormality in the right upper lobe.
| true
| true
| 14,058
|
0
| null | null |
Frontal and lateral views of the chest.
| null |
There is an orogastric tube seen with its tip at least in the distal stomach.
There is some atelectasis of the left lower lung. The cardiomediastinal
silhouette and hilar contours are within normal limits. The pleural surfaces
are clear without effusion or pneumothorax.
|
No evidence of pneumonia.
|
FINAL REPORT
HISTORY: Alcoholic cirrhosis and hepatitis now with leukocytosis and cough.
Evaluation for pneumonia.
TECHNIQUE: Frontal and lateral views of the chest.
COMPARISON: None
FINDINGS:
There is an orogastric tube seen with its tip at least in the distal stomach.
There is some atelectasis of the left lower lung. The cardiomediastinal
silhouette and hilar contours are within normal limits. The pleural surfaces
are clear without effusion or pneumothorax.
IMPRESSION:
No evidence of pneumonia.
| true
| true
| 26,822
|
0
| null |
___ year old woman with new fever // eval for infiltrate
|
Chest PA and lateral
|
___
| null |
There is no evidence of lobar consolidation or pleural effusion. Lines and
tubes as above.
|
FINAL REPORT
INDICATION: ___ year old woman with new fever // eval for infiltrate
TECHNIQUE: Chest PA and lateral
COMPARISON: ___
FINDINGS:
Lines and Tubes: Right-sided Port-A-Cath terminates at the cavoatrial
junction. Left-sided central line terminates in the SVC.
Lungs: Well inflated and clear.
Pleura: There is no pleural effusion or pneumothorax
Mediastinum: There is no cardiomegaly. Mediastinal silhouette is within normal
limits.
Bony thorax: No interval change.
IMPRESSION:
There is no evidence of lobar consolidation or pleural effusion. Lines and
tubes as above.
| true
| true
| 18,367
|
0
| null | null | null |
CXR ___, ___; CT ___.
|
Frontal and lateral views of the chest were obtained. Flattening of
the hemidiaphragms is compatible with COPD. There is no focal consolidation,
pleural effusion or pneumothorax. Heart size is normal. Increased density
along the right heart border is likely due to exuberant osteophytes and
superimposition of structures in combination with patient rotation. Pulmonary
vasculature is normal. No change from ___.
|
No evidence of acute intrathoracic process.
|
FINAL REPORT
HISTORY: Weakness.
COMPARISON: CXR ___, ___; CT ___.
FINDINGS: Frontal and lateral views of the chest were obtained. Flattening of
the hemidiaphragms is compatible with COPD. There is no focal consolidation,
pleural effusion or pneumothorax. Heart size is normal. Increased density
along the right heart border is likely due to exuberant osteophytes and
superimposition of structures in combination with patient rotation. Pulmonary
vasculature is normal. No change from ___.
IMPRESSION: No evidence of acute intrathoracic process.
| true
| true
| 3,186
|
0
| null | null |
Frontal and lateral views of the chest.
|
None.
|
The lungs are clear without focal consolidation. No pleural effusion or
pneumothorax is seen. The cardiac and mediastinal silhouettes are
unremarkable. No displaced fracture is seen. There is no overt pulmonary
edema.
|
No acute cardiopulmonary process.
|
FINAL REPORT
HISTORY: Chest pain, dyspnea.
TECHNIQUE: Frontal and lateral views of the chest.
COMPARISON: None.
FINDINGS:
The lungs are clear without focal consolidation. No pleural effusion or
pneumothorax is seen. The cardiac and mediastinal silhouettes are
unremarkable. No displaced fracture is seen. There is no overt pulmonary
edema.
IMPRESSION:
No acute cardiopulmonary process.
| true
| true
| 1,856
|
0
|
CHEST (PA AND LAT)
|
___ year old man with ischemic HF, here for MDR ecoli urosepsis,
now with increasing lactate, concern for CHF exacerbation // ?pulmonary edema
?pleural effusions ?CHF exacerbation
|
AP and lateral chest radiographs
|
Chest radiographs ___
|
Even allowing for the projection, the heart appears grossly enlarged. There
is prominence of the bilateral hila. No frank pulmonary edema seen. No
definite pleural effusion. Multilevel degenerative changes throughout the
thoracic spine. No consolidation or pneumothorax seen.
|
Findings consistent with congestive heart failure but no overt pulmonary
edema. The right pleural effusion is no longer clearly seen.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old man with ischemic HF, here for MDR ecoli urosepsis,
now with increasing lactate, concern for CHF exacerbation // ?pulmonary edema
?pleural effusions ?CHF exacerbation
TECHNIQUE: AP and lateral chest radiographs
COMPARISON: Chest radiographs ___
FINDINGS:
Even allowing for the projection, the heart appears grossly enlarged. There
is prominence of the bilateral hila. No frank pulmonary edema seen. No
definite pleural effusion. Multilevel degenerative changes throughout the
thoracic spine. No consolidation or pneumothorax seen.
IMPRESSION:
Findings consistent with congestive heart failure but no overt pulmonary
edema. The right pleural effusion is no longer clearly seen.
| true
| true
| 20,697
|
0
| null |
Left-sided substernal chest pain.
|
Two views of the chest.
|
Review of subsequent CTA of the chest.
|
No focal opacity to suggest pneumonia is seen. No pleural
effusion, pulmonary edema or pneumothorax is present. The heart size is
normal.
|
No evidence of acute cardiopulmonary process. This examination
does not suggest, nor exclude, a diagnosis of pulmonary embolism.
|
FINAL REPORT
INDICATION: Left-sided substernal chest pain.
TECHNIQUE: Two views of the chest.
COMPARISON: Review of subsequent CTA of the chest.
FINDINGS: No focal opacity to suggest pneumonia is seen. No pleural
effusion, pulmonary edema or pneumothorax is present. The heart size is
normal.
IMPRESSION: No evidence of acute cardiopulmonary process. This examination
does not suggest, nor exclude, a diagnosis of pulmonary embolism.
| true
| true
| 27,450
|
0
| null | null |
Chest, portable AP upright.
| null |
The patient is status post sternotomy. A dual-lead pacemaker/ICD
device is in place, with leads terminating in the right atrium and ventricle,
as before. An aortic stent graft is partly visualized along the upper
abdomen. The heart is normal in size. The mediastinal and hilar contours
appear unchanged. Irregular pulmonary architecture is suggestive of
emphysema. Scarring is similar at each lung apex including subpleural
thickening. There is no evidence for pleural effusion or pneumothorax. No
free air is demonstrated.
|
No evidence of acute disease, including no evidence for free air.
|
FINAL REPORT
CHEST RADIOGRAPH
HISTORY: Upper abdominal tenderness and gastrointestinal bleeding.
COMPARISONS: ___.
TECHNIQUE: Chest, portable AP upright.
FINDINGS: The patient is status post sternotomy. A dual-lead pacemaker/ICD
device is in place, with leads terminating in the right atrium and ventricle,
as before. An aortic stent graft is partly visualized along the upper
abdomen. The heart is normal in size. The mediastinal and hilar contours
appear unchanged. Irregular pulmonary architecture is suggestive of
emphysema. Scarring is similar at each lung apex including subpleural
thickening. There is no evidence for pleural effusion or pneumothorax. No
free air is demonstrated.
IMPRESSION: No evidence of acute disease, including no evidence for free air.
| true
| true
| 2,588
|
0
| null | null | null |
___.
|
PA and lateral views of the chest were provided demonstrating no focal
consolidation, effusion, or pneumothorax. The heart and mediastinal contours
are normal. The bony structures are intact. No free air below the right
hemidiaphragm is seen.
|
No acute intrathoracic process.
|
FINAL REPORT
HISTORY: ___-year-old female with crackles at the lung bases.
COMPARISON: ___.
FINDINGS:
PA and lateral views of the chest were provided demonstrating no focal
consolidation, effusion, or pneumothorax. The heart and mediastinal contours
are normal. The bony structures are intact. No free air below the right
hemidiaphragm is seen.
IMPRESSION:
No acute intrathoracic process.
| true
| true
| 36,163
|
0
|
CHEST (PORTABLE AP)
|
___F hx of etoh abuse s/p fall with TBI, SDH, SAH and left
sphenoid sinus fracture, possible L posterolateral orbital wall fx, L temporal
bone fracture. With component of Vasospasm // rule out acute infection
|
PORTABLE AP CHEST RADIOGRAPH.
|
Chest radiograph ___
|
A right-sided PICC and Dobhoff tube are unchanged in position when compared to
the prior study. The cardiomediastinal contour and lung volumes are
unchanged. No consolidation, pneumothorax or pleural effusion seen.
|
No acute cardiopulmonary process seen.
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___F hx of etoh abuse s/p fall with TBI, SDH, SAH and left
sphenoid sinus fracture, possible L posterolateral orbital wall fx, L temporal
bone fracture. With component of Vasospasm // rule out acute infection
TECHNIQUE: PORTABLE AP CHEST RADIOGRAPH.
COMPARISON: Chest radiograph ___
FINDINGS:
A right-sided PICC and Dobhoff tube are unchanged in position when compared to
the prior study. The cardiomediastinal contour and lung volumes are
unchanged. No consolidation, pneumothorax or pleural effusion seen.
IMPRESSION:
No acute cardiopulmonary process seen.
| true
| true
| 20,546
|
0
|
CHEST (PORTABLE AP)
|
___ year old woman with new hypoxia // PNA, pleural effusion?
|
Portable Chest radiograph, frontal view
|
Chest radiograph ___
|
There is new opacity at the left upper lung, suspicious for pneumonia. There
is bilateral moderate pleural effusions, increased from prior. There is mild
pulmonary edema. Moderately enlarged cardiac silhouette is unchanged.
Sternotomy wires are intact.
|
There is new opacity at the left upper lung, suspicious for pneumonia.
Bilateral moderate pleural effusions are increased from prior.
|
FINAL REPORT
INDICATION: ___ year old woman with new hypoxia // PNA, pleural effusion?
EXAMINATION: CHEST (PORTABLE AP)
TECHNIQUE: Portable Chest radiograph, frontal view
COMPARISON: Chest radiograph ___
FINDINGS:
There is new opacity at the left upper lung, suspicious for pneumonia. There
is bilateral moderate pleural effusions, increased from prior. There is mild
pulmonary edema. Moderately enlarged cardiac silhouette is unchanged.
Sternotomy wires are intact.
IMPRESSION:
There is new opacity at the left upper lung, suspicious for pneumonia.
Bilateral moderate pleural effusions are increased from prior.
| true
| true
| 23,825
|
0
|
CHEST (PA AND LAT)
|
___M with cough and shortness of breath
| null |
___
|
PA and lateral views of the chest provided. Faint linear atelectasis noted
in the lower lungs. Otherwise, lungs are clear. No focal consolidation,
effusion or pneumothorax. No evidence of pulmonary edema. The
cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
Surgical anchors in the right humeral head noted. No free air below the right
hemidiaphragm is seen.
|
No acute intrathoracic process.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___M with cough and shortness of breath
COMPARISON: ___
FINDINGS:
PA and lateral views of the chest provided. Faint linear atelectasis noted
in the lower lungs. Otherwise, lungs are clear. No focal consolidation,
effusion or pneumothorax. No evidence of pulmonary edema. The
cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
Surgical anchors in the right humeral head noted. No free air below the right
hemidiaphragm is seen.
IMPRESSION:
No acute intrathoracic process.
| true
| true
| 8,561
|
0
|
CHEST (PA AND LAT)
|
___M with fever on chemo // PNA?
| null |
___
|
PA and lateral views of the chest provided. Port-A-Cath resides over the
right chest wall with catheter extending into the mid SVC region. The lungs
appear clear bilaterally. 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.
|
No acute intrathoracic process.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___M with fever on chemo // PNA?
COMPARISON: ___
FINDINGS:
PA and lateral views of the chest provided. Port-A-Cath resides over the
right chest wall with catheter extending into the mid SVC region. The lungs
appear clear bilaterally. 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.
IMPRESSION:
No acute intrathoracic process.
| true
| true
| 11,597
|
0
|
Chest PA and lateral.
|
___-year-old female patient with tachybrady syndrome, status post
pacemaker placement and AV junction ablation. Confirm lead position and
evaluate for possible pneumothorax.
| null | null |
Patient's clinical condition required examination in sitting
semi-upright position using AP frontal and left lateral view. Mild cardiac
enlargement is probably present. No typical configurational abnormality is
seen. The thoracic aorta is generally widened and elongated and demonstrates
calcium deposits in the wall, mostly at the level of the arch. A permanent
pacer appears in left anterior axillary position being connected to one
intracavitary electrode seen to terminate in the apical portion of the right
ventricle pointing anteriorly. A sizable hiatal hernia with typical air-fluid
level is noted in retrocardiac position. There appear two linear densities on
the right base likely representing peripheral plate atelectasis. The lateral
and posterior pleural sinuses are free, and there is no pneumothorax on either
side of the thorax in the apical area.
Our records do not include a previous chest examination available for
comparison.
|
Unremarkable single electrode pacer, no evidence of pneumothorax,
right-sided basal peripheral plate atelectasis but no acute infiltrates and no
pleural effusion.
|
FINAL REPORT
TYPE OF EXAMINATION: Chest PA and lateral.
INDICATION: ___-year-old female patient with tachybrady syndrome, status post
pacemaker placement and AV junction ablation. Confirm lead position and
evaluate for possible pneumothorax.
FINDINGS: Patient's clinical condition required examination in sitting
semi-upright position using AP frontal and left lateral view. Mild cardiac
enlargement is probably present. No typical configurational abnormality is
seen. The thoracic aorta is generally widened and elongated and demonstrates
calcium deposits in the wall, mostly at the level of the arch. A permanent
pacer appears in left anterior axillary position being connected to one
intracavitary electrode seen to terminate in the apical portion of the right
ventricle pointing anteriorly. A sizable hiatal hernia with typical air-fluid
level is noted in retrocardiac position. There appear two linear densities on
the right base likely representing peripheral plate atelectasis. The lateral
and posterior pleural sinuses are free, and there is no pneumothorax on either
side of the thorax in the apical area.
Our records do not include a previous chest examination available for
comparison.
IMPRESSION: Unremarkable single electrode pacer, no evidence of pneumothorax,
right-sided basal peripheral plate atelectasis but no acute infiltrates and no
pleural effusion.
| true
| true
| 35,616
|
0
| null |
___ yo M w/ hx of COPD, CAD, chronic dCHF with recent ORIF for
left hip___ transferred from MICU after brief intubation for hypoxia now with
new cough, sputum production, c/f aspiration, continued O2 requirement. // New
infiltrate? pulm edema?
|
Portable chest x-ray.
|
Chest radiographs dated ___ through ___ and CT
of the torso dated ___.
|
Portable semi-upright radiograph of the chest demonstrates hyperexpanded
lungs. Severe cardiomegaly is unchanged; the heart obscures at least ___% of
the lungs. Mild increased interstitial markings and engorged pulmonary
vasculature suggest mild interstitial pulmonary edema. Probable small
bilateral pleural effusions are new over the interval. No pneumothorax.
|
Mild increased interstitial markings and engorged pulmonary vasculature
suggest mild interstitial pulmonary edema. The heart obscures at least ___% of
the lungs, and lateral view would be helpful in assessing for retrocardiac
consolidation.
|
FINAL REPORT
INDICATION: ___ yo M w/ hx of COPD, CAD, chronic dCHF with recent ORIF for
left hip___ transferred from MICU after brief intubation for hypoxia now with
new cough, sputum production, c/f aspiration, continued O2 requirement. // New
infiltrate? pulm edema?
TECHNIQUE: Portable chest x-ray.
COMPARISON: Chest radiographs dated ___ through ___ and CT
of the torso dated ___.
FINDINGS:
Portable semi-upright radiograph of the chest demonstrates hyperexpanded
lungs. Severe cardiomegaly is unchanged; the heart obscures at least ___% of
the lungs. Mild increased interstitial markings and engorged pulmonary
vasculature suggest mild interstitial pulmonary edema. Probable small
bilateral pleural effusions are new over the interval. No pneumothorax.
IMPRESSION:
Mild increased interstitial markings and engorged pulmonary vasculature
suggest mild interstitial pulmonary edema. The heart obscures at least ___% of
the lungs, and lateral view would be helpful in assessing for retrocardiac
consolidation.
| true
| true
| 7,571
|
0
| null | null |
Frontal chest radiograph, single view.
|
None available.
|
Heart size is normal. Cardiomediastinal silhouette is
unremarkable. Hilar contours are unremarkable. Endotracheal tube is in
place, 1.3 cm cranial to the carina and should be withdrawn by 2-3 cm. A
right-sided chest tube is in place but appears suboptimally positioned with
excessive angulation at the side port. There are bibasilar right greater than
left parenchymal opacities, likely representing atelectasis. There is no
large effusion. There is a tiny right sided pneumothorax inferior to the
chest tube entry site
|
1. Endotracheal tube terminates 1.3 cm cranial to the carina and should be
pulled back by 2-3 cm.
2. Bibasilar right greater than left opacities could represent either
atelectasis or aspiration.
3. Suboptimal positioning of right chest tube along with small pneumothorax
inferior to chest tube entry site.
|
WET READ: ___ ___ ___ 3:43 AM
ET tube low. Pull back 2-3 cm.
______________________________________________________________________________
FINAL REPORT
HISTORY: Intubated, evaluate endotracheal tube.
COMPARISON: None available.
TECHNIQUE: Frontal chest radiograph, single view.
FINDINGS: Heart size is normal. Cardiomediastinal silhouette is
unremarkable. Hilar contours are unremarkable. Endotracheal tube is in
place, 1.3 cm cranial to the carina and should be withdrawn by 2-3 cm. A
right-sided chest tube is in place but appears suboptimally positioned with
excessive angulation at the side port. There are bibasilar right greater than
left parenchymal opacities, likely representing atelectasis. There is no
large effusion. There is a tiny right sided pneumothorax inferior to the
chest tube entry site
IMPRESSION:
1. Endotracheal tube terminates 1.3 cm cranial to the carina and should be
pulled back by 2-3 cm.
2. Bibasilar right greater than left opacities could represent either
atelectasis or aspiration.
3. Suboptimal positioning of right chest tube along with small pneumothorax
inferior to chest tube entry site.
| true
| true
| 36,497
|
0
| null | null |
Chest, portable semi-upright AP portable.
| null |
The heart is mild to moderately enlarged. Mild unfolding of the
thoracic aorta is noted. The pulmonary vascularity is minimally prominent.
Streaky left mid and lower lung opacities are probably compatible with minor
atelectasis, but there is also a vague retrocardiac opacity. There is more
widespread but patchy opacification involving the right lower lung, probably
in the right middle lobe, raising concern for pneumonia.
|
Basilar opacities worrisome for pneumonia in the appropriate
clinical setting although lower airway inflammation, atelectasis or even
aspiration are other etiologies that could be considered in the appropriate
clinical setting. Although there is perhaps minimal vascular prominence,
since opacities are focal in the lower lungs, pulmonary edema is doubted as
the primary etiology but could be seen with an atypical pattern.
|
FINAL REPORT
CHEST RADIOGRAPH
HISTORY: Shortness of breath.
COMPARISONS: None.
TECHNIQUE: Chest, portable semi-upright AP portable.
FINDINGS: The heart is mild to moderately enlarged. Mild unfolding of the
thoracic aorta is noted. The pulmonary vascularity is minimally prominent.
Streaky left mid and lower lung opacities are probably compatible with minor
atelectasis, but there is also a vague retrocardiac opacity. There is more
widespread but patchy opacification involving the right lower lung, probably
in the right middle lobe, raising concern for pneumonia.
IMPRESSION: Basilar opacities worrisome for pneumonia in the appropriate
clinical setting although lower airway inflammation, atelectasis or even
aspiration are other etiologies that could be considered in the appropriate
clinical setting. Although there is perhaps minimal vascular prominence,
since opacities are focal in the lower lungs, pulmonary edema is doubted as
the primary etiology but could be seen with an atypical pattern.
| true
| true
| 12,630
|
0
|
CHEST (PORTABLE AP)
|
___M, PMH Afib on coumadin, GERD, DM___ s/p fall w/ fracture to
hemiprosthetic femur and concern for significant bleeding. // Interval change
|
Portable AP chest radiograph.
|
Chest radiograph ___
|
A left subclavian catheter terminates at the junction of the right and left
brachiocephalic vein. The endotracheal tube and nasogastric tube are
unchanged in appearance. There is persistent left lower lobe atelectasis.
Airspace opacity adjacent to the right heart border is also unchanged. No
pleural effusion seen. No pneumothorax seen.
|
Unchanged bibasilar atelectasis.
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___M, PMH Afib on coumadin, GERD, DM___ s/p fall w/ fracture to
hemiprosthetic femur and concern for significant bleeding. // Interval change
TECHNIQUE: Portable AP chest radiograph.
COMPARISON: Chest radiograph ___
FINDINGS:
A left subclavian catheter terminates at the junction of the right and left
brachiocephalic vein. The endotracheal tube and nasogastric tube are
unchanged in appearance. There is persistent left lower lobe atelectasis.
Airspace opacity adjacent to the right heart border is also unchanged. No
pleural effusion seen. No pneumothorax seen.
IMPRESSION:
Unchanged bibasilar atelectasis.
| true
| true
| 27,745
|
0
|
CHEST (PA AND LAT)
|
___ year old woman with right pleural effusion // pleural
effusion
|
Chest PA and lateral
|
___
|
Since a recent radiograph of ___, bilateral pleural effusions have
nearly resolved with only trace effusions remaining. Stable mild cardiomegaly
accompanied by pulmonary vascular congestion without overt pulmonary edema.
|
Near resolution of small pleural effusions.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old woman with right pleural effusion // pleural
effusion
TECHNIQUE: Chest PA and lateral
COMPARISON: ___
FINDINGS:
Since a recent radiograph of ___, bilateral pleural effusions have
nearly resolved with only trace effusions remaining. Stable mild cardiomegaly
accompanied by pulmonary vascular congestion without overt pulmonary edema.
IMPRESSION:
Near resolution of small pleural effusions.
| true
| true
| 12,915
|
0
| null | null | null |
None.
|
Single portable view of the chest. Relatively low lung volumes are
seen. There is secondary crowding of the bronchovascular markings with
possible superimposed pulmonary vascular engorgement. Cardiac silhouette
appears enlarged, but likely accentuated by technique and low lung volumes.
Hypertrophic changes are noted in the spine. Surgical clips in the right
upper quadrant suggest prior cholecystectomy.
|
No definite focal abnormality. Low lung volumes with possible
superimposed vascular congestion.
|
FINAL REPORT
PORTABLE CHEST, ___
HISTORY: ___-year-old female with headache and shortness of breath.
Hypotension.
COMPARISON: None.
FINDINGS: Single portable view of the chest. Relatively low lung volumes are
seen. There is secondary crowding of the bronchovascular markings with
possible superimposed pulmonary vascular engorgement. Cardiac silhouette
appears enlarged, but likely accentuated by technique and low lung volumes.
Hypertrophic changes are noted in the spine. Surgical clips in the right
upper quadrant suggest prior cholecystectomy.
IMPRESSION: No definite focal abnormality. Low lung volumes with possible
superimposed vascular congestion.
| true
| true
| 25,109
|
0
|
CHEST (PA AND LAT)
|
___ year old woman with PMH of CHF, COPD with persistent SOB,
fever, cough, now bacteremic with GNR and new jaundice.
| null |
___
|
PA and lateral views of the chest provided. The heart remains moderately
enlarged. The lungs are clear. Upper lobe lucency suggests underlying
emphysema. The aorta is densely calcified. Imaged osseous structures are
intact. No free air below the right hemidiaphragm is seen.
|
Stable moderate cardiomegaly without superimposed acute process.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old woman with PMH of CHF, COPD with persistent SOB,
fever, cough, now bacteremic with GNR and new jaundice.
COMPARISON: ___
FINDINGS:
PA and lateral views of the chest provided. The heart remains moderately
enlarged. The lungs are clear. Upper lobe lucency suggests underlying
emphysema. The aorta is densely calcified. Imaged osseous structures are
intact. No free air below the right hemidiaphragm is seen.
IMPRESSION:
Stable moderate cardiomegaly without superimposed acute process.
| true
| true
| 14,181
|
0
| null | null |
Chest, AP portable.
| null |
The cardiac, mediastinal and hilar contours appear stable.
Although less striking than before, indistinct prominent pulmonary vasculature
suggests mild vascular congestion, decreased. No focal opacification is seen.
There is no pleural effusion or pneumothorax. A prior left posterolateral
sixth rib fracture appears unchanged.
|
Findings suggesting mild vascular congestion although less
striking than before.
|
FINAL REPORT
CHEST RADIOGRAPHS
HISTORY: Tachycardia.
COMPARISONS: ___.
TECHNIQUE: Chest, AP portable.
FINDINGS: The cardiac, mediastinal and hilar contours appear stable.
Although less striking than before, indistinct prominent pulmonary vasculature
suggests mild vascular congestion, decreased. No focal opacification is seen.
There is no pleural effusion or pneumothorax. A prior left posterolateral
sixth rib fracture appears unchanged.
IMPRESSION: Findings suggesting mild vascular congestion although less
striking than before.
| true
| true
| 21,108
|
0
| null |
Chest pain, evaluate for pneumothorax.
| null | null |
Frontal and lateral views of the chest were performed. There is no
pneumothorax or pleural effusion. The cardiomediastinal, pleural and
pulmonary structures are unremarkable. There are no suspicious osseous
lesions.
|
Normal chest radiograph.
|
FINAL REPORT
INDICATION: Chest pain, evaluate for pneumothorax.
COMPARISONS: ___ and CT torso ___.
FINDINGS: Frontal and lateral views of the chest were performed. There is no
pneumothorax or pleural effusion. The cardiomediastinal, pleural and
pulmonary structures are unremarkable. There are no suspicious osseous
lesions.
IMPRESSION: Normal chest radiograph.
| true
| true
| 23,858
|
0
|
CHEST (PA AND LAT)
|
___F with fever cough // repeat for eval
| null |
Prior exam performed earlier today.
|
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.
|
No acute intrathoracic process.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___F with fever cough // repeat for eval
COMPARISON: Prior exam performed earlier today.
FINDINGS:
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.
IMPRESSION:
No acute intrathoracic process.
| true
| true
| 28,110
|
0
|
Chest radiographs.
|
Altered mental status.
|
Chest, PA and lateral.
|
___.
|
The heart is normal in size. The mediastinal and hilar contours appear within
normal limits. There is no pleural effusion or pneumothorax. The lungs
appear clear.
|
No evidence of acute cardiopulmonary disease.
|
FINAL REPORT
EXAMINATION: Chest radiographs.
INDICATION: Altered mental status.
COMPARISON: ___.
TECHNIQUE: Chest, PA and lateral.
FINDINGS:
The heart is normal in size. The mediastinal and hilar contours appear within
normal limits. There is no pleural effusion or pneumothorax. The lungs
appear clear.
IMPRESSION:
No evidence of acute cardiopulmonary disease.
| true
| true
| 10,476
|
0
|
CHEST (PORTABLE AP)
|
___F w/wheezing and sob, ?volume overload // ___F w/wheezing and
sob, ?volume overload
|
Single semi-upright portable AP chest radiograph
|
CT torso ___; chest radiograph ___
|
Heart size is normal. There is calcification of the aortic arch, indicating
atherosclerosis. The mediastinal and hilar contours are normal. The pulmonary
vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax
is seen. There are no acute osseous abnormalities. Again seen are
hypertrophic changes in the spine.
|
No acute cardiopulmonary abnormality.
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___F w/wheezing and sob, ?volume overload // ___F w/wheezing and
sob, ?volume overload
TECHNIQUE: Single semi-upright portable AP chest radiograph
COMPARISON: CT torso ___; chest radiograph ___
FINDINGS:
Heart size is normal. There is calcification of the aortic arch, indicating
atherosclerosis. The mediastinal and hilar contours are normal. The pulmonary
vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax
is seen. There are no acute osseous abnormalities. Again seen are
hypertrophic changes in the spine.
IMPRESSION:
No acute cardiopulmonary abnormality.
| true
| true
| 30,394
|
0
|
CHEST (PA AND LAT)
|
History: ___M with shortness of breath, increased pedal edema
|
Chest PA and lateral
|
None.
|
Moderate cardiomegaly is demonstrated. The aorta is mildly tortuous. There
is moderate interstitial pulmonary edema with perihilar haziness and vascular
indistinctness. Additionally, small bilateral pleural effusions are noted.
No focal consolidation or pneumothorax is seen. There are no acute osseous
abnormalities detected.
|
Moderate cardiomegaly with moderate interstitial pulmonary edema and small
bilateral pleural effusions.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___M with shortness of breath, increased pedal edema
TECHNIQUE: Chest PA and lateral
COMPARISON: None.
FINDINGS:
Moderate cardiomegaly is demonstrated. The aorta is mildly tortuous. There
is moderate interstitial pulmonary edema with perihilar haziness and vascular
indistinctness. Additionally, small bilateral pleural effusions are noted.
No focal consolidation or pneumothorax is seen. There are no acute osseous
abnormalities detected.
IMPRESSION:
Moderate cardiomegaly with moderate interstitial pulmonary edema and small
bilateral pleural effusions.
| true
| true
| 34,216
|
0
|
CHEST RADIOGRAPH
|
History: ___F with sob // infiltrate infiltrate
|
PA and lateral views of the chest.
|
Prior chest radiograph from ___.
|
The cardiomediastinal and hilar contours are within normal limits. Lungs are
well expanded and clear. There is no focal consolidation, pleural effusion or
pneumothorax.
|
No acute cardiopulmonary process.
|
FINAL REPORT
EXAMINATION: CHEST RADIOGRAPH
INDICATION: History: ___F with sob // infiltrate infiltrate
TECHNIQUE: PA and lateral views of the chest.
COMPARISON: Prior chest radiograph from ___.
FINDINGS:
The cardiomediastinal and hilar contours are within normal limits. Lungs are
well expanded and clear. There is no focal consolidation, pleural effusion or
pneumothorax.
IMPRESSION:
No acute cardiopulmonary process.
| true
| true
| 40,138
|
0
| null | null | null |
___.
|
PA and lateral chest radiographs were obtained. Lung volumes are low. There
is increased interstitial opacity in the right lung base seen on the frontal
view without correlate on the lateral projection. This is more pronounced
since ___. There is prominent calcification of the right anterior 4th rib
end. A right chest Port-A-Cath tip terminates in the low SVC. There is no
effusion or pneumothorax. Cardiac and mediastinal contours are normal.
|
Likely chronic interstitial opacities in the right lung base may be related to
post-treatment changes. No acute cardiopulmonary process. Treated lung
neoplasm is not well visualized on this study.
|
FINAL REPORT
HISTORY: Lung cancer.
COMPARISON: ___.
FINDINGS:
PA and lateral chest radiographs were obtained. Lung volumes are low. There
is increased interstitial opacity in the right lung base seen on the frontal
view without correlate on the lateral projection. This is more pronounced
since ___. There is prominent calcification of the right anterior 4th rib
end. A right chest Port-A-Cath tip terminates in the low SVC. There is no
effusion or pneumothorax. Cardiac and mediastinal contours are normal.
IMPRESSION:
Likely chronic interstitial opacities in the right lung base may be related to
post-treatment changes. No acute cardiopulmonary process. Treated lung
neoplasm is not well visualized on this study.
| true
| true
| 1,061
|
0
| null |
___M with COPD with new dyspnea, evaluate for pneumonia.
|
Chest PA and lateral
|
Chest x-ray ___.
|
There is stable mild cardiomegaly. There is mild the towards thoracic aorta,
unchanged. The hila are within normal limits. Bibasilar opacities are
similar appearance to prior exam and suggestive of linear atelectasis. There
is no pulmonary vascular congestion or pulmonary edema. There may be a small
right pleural effusion. No left pleural effusion. There is no pneumothorax.
|
Bibasilar opacities are unchanged from prior exam from ___ and likely
reflect linear atelectasis. Otherwise, no focal lung consolidation. Probable
trace right pleural effusion.
|
FINAL REPORT
INDICATION: ___M with COPD with new dyspnea, evaluate for pneumonia.
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest x-ray ___.
FINDINGS:
There is stable mild cardiomegaly. There is mild the towards thoracic aorta,
unchanged. The hila are within normal limits. Bibasilar opacities are
similar appearance to prior exam and suggestive of linear atelectasis. There
is no pulmonary vascular congestion or pulmonary edema. There may be a small
right pleural effusion. No left pleural effusion. There is no pneumothorax.
IMPRESSION:
Bibasilar opacities are unchanged from prior exam from ___ and likely
reflect linear atelectasis. Otherwise, no focal lung consolidation. Probable
trace right pleural effusion.
| true
| true
| 22,772
|
0
|
Chest x-ray PA and lateral
|
___ year old man s/p PPM implant // ptx, leads
|
Chest PA and lateral
|
None available
|
There is a left transvenous pacemaker with leads terminating in the right
atrium and right ventricle. The lungs are free of focal consolidations,
pleural effusions or pneumothorax. No pulmonary edema. Mediastinum, hila and
heart are within normal limits.
|
Pacemaker leads terminate in the right atrium and right ventricle. No
pneumothorax.
|
FINAL REPORT
EXAMINATION: Chest x-ray PA and lateral
INDICATION: ___ year old man s/p PPM implant // ptx, leads
TECHNIQUE: Chest PA and lateral
COMPARISON: None available
FINDINGS:
There is a left transvenous pacemaker with leads terminating in the right
atrium and right ventricle. The lungs are free of focal consolidations,
pleural effusions or pneumothorax. No pulmonary edema. Mediastinum, hila and
heart are within normal limits.
IMPRESSION:
Pacemaker leads terminate in the right atrium and right ventricle. No
pneumothorax.
| true
| true
| 5,384
|
0
| null |
History: ___M with pain s/p mvc // neck and back pain s/p falls
|
Chest: Frontal and Lateral
|
None.
|
The lungs are well expanded and clear. The heart size is normal. No pleural
effusion or pneumothorax is seen. The right hilum appears more dense than the
left and is associated with a more focal opacity in the suprahilar region. .
The mediastinal silhouettes are otherwise unremarkable. Multiple age
indeterminate compression deformities of the lower thoracic and lumbar spine
is seen.
|
Asymmetrical appearance of the right hilum compared to the left is potentially
related to rotation in the setting of scoliosis, but a high hilar or juxta
hilar mass is not excluded in the absence of older radiographs for comparison.
Additional shallow oblique radiographs or chest CT on nonemergent basis is
recommended in the absence of priors.
|
FINAL REPORT
EXAMINATION:
Chest: Frontal and lateral views
INDICATION: History: ___M with pain s/p mvc // neck and back pain s/p falls
TECHNIQUE: Chest: Frontal and Lateral
COMPARISON: None.
FINDINGS:
The lungs are well expanded and clear. The heart size is normal. No pleural
effusion or pneumothorax is seen. The right hilum appears more dense than the
left and is associated with a more focal opacity in the suprahilar region. .
The mediastinal silhouettes are otherwise unremarkable. Multiple age
indeterminate compression deformities of the lower thoracic and lumbar spine
is seen.
IMPRESSION:
Asymmetrical appearance of the right hilum compared to the left is potentially
related to rotation in the setting of scoliosis, but a high hilar or juxta
hilar mass is not excluded in the absence of older radiographs for comparison.
Additional shallow oblique radiographs or chest CT on nonemergent basis is
recommended in the absence of priors.
NOTIFICATION: Findings and recommendations were communicated to ED QA nurse
by ___, M.D. by e-mail on ___ at 8:00 AM, 2 minutes after
discovery of the findings.
| true
| true
| 41,493
|
0
| null | null |
Portable chest x-ray in AP single view in semi-upright position.
| null |
Linear opacity in the RUL is due to lung scarring as shown in prior
CT. Multiple cystic changes are redemonstrated in patient with COPD and
superimposed ILD. Heart size is moderately enlarged with aortosclerosis.
There is no pleural effusion or pneumothorax.
|
Status quo.
|
FINAL REPORT
PATIENT HISTORY: ___-year-old woman with COPD/ILD, CHF, assess for interval
changes.
TECHNIQUE: Portable chest x-ray in AP single view in semi-upright position.
FINDINGS: Linear opacity in the RUL is due to lung scarring as shown in prior
CT. Multiple cystic changes are redemonstrated in patient with COPD and
superimposed ILD. Heart size is moderately enlarged with aortosclerosis.
There is no pleural effusion or pneumothorax.
IMPRESSION: Status quo.
| true
| true
| 13,676
|
0
|
CHEST (PORTABLE AP)
|
History: ___M with COPD comes in for cough and shortness of
breath. // evaluate for infiltrate
|
Portable upright AP view of the chest
|
Chest CT ___, chest radiograph ___
|
Lungs are hyperinflated with marked emphysematous changes noted in the upper
lobes. Heart size is normal. The mediastinal and hilar contours are
unchanged with enlargement of the right lobe of the thyroid resulting in
indentation upon and leftward deviation of the trachea, as seen previously.
Pulmonary vasculature is not engorged. No focal consolidation, pleural
effusion or pneumothorax is demonstrated. There are no acute osseous
abnormalities.
|
No acute cardiopulmonary abnormality. Emphysema. Enlarged right thyroid
lobe.
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: History: ___M with COPD comes in for cough and shortness of
breath. // evaluate for infiltrate
TECHNIQUE: Portable upright AP view of the chest
COMPARISON: Chest CT ___, chest radiograph ___
FINDINGS:
Lungs are hyperinflated with marked emphysematous changes noted in the upper
lobes. Heart size is normal. The mediastinal and hilar contours are
unchanged with enlargement of the right lobe of the thyroid resulting in
indentation upon and leftward deviation of the trachea, as seen previously.
Pulmonary vasculature is not engorged. No focal consolidation, pleural
effusion or pneumothorax is demonstrated. There are no acute osseous
abnormalities.
IMPRESSION:
No acute cardiopulmonary abnormality. Emphysema. Enlarged right thyroid
lobe.
| true
| true
| 25,244
|
0
|
CHEST (PA AND LAT)
|
___M with ESRD, COPD, w/ bibasilar crackles and congestion.
Evaluate for pneumonia.
| null | null |
PA and lateral views of the chest provided.
There is diffuse increased interstitial markings. There multiple small patchy
opacities in the right lung with a large confluent opacity in the right lower
lobe. The bones are diffusely demineralized. Patient is status post
posterior fusion with pedicle screws and rods in the thoracic spine.
Evaluation of perihardware lucency and fracture is limited due to low bone
density. Vascular stents are seen in the left upper chest and axilla. No
free air below the right hemidiaphragm is seen.
|
Pulmonary edema and possible right lower lobe pneumonia.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___M with ESRD, COPD, w/ bibasilar crackles and congestion.
Evaluate for pneumonia.
COMPARISON: None
FINDINGS:
PA and lateral views of the chest provided.
There is diffuse increased interstitial markings. There multiple small patchy
opacities in the right lung with a large confluent opacity in the right lower
lobe. The bones are diffusely demineralized. Patient is status post
posterior fusion with pedicle screws and rods in the thoracic spine.
Evaluation of perihardware lucency and fracture is limited due to low bone
density. Vascular stents are seen in the left upper chest and axilla. No
free air below the right hemidiaphragm is seen.
IMPRESSION:
Pulmonary edema and possible right lower lobe pneumonia.
| true
| true
| 17,183
|
0
| null | null | null | null |
PA and lateral views of the chest are compared to previous exam
from ___. When compared to prior, there is new mild indistinctness
of the pulmonary vasculature with cephalization. There is no confluent
consolidation. Blunting of the posterior costophrenic angles raises
possibility of small effusions. Cardiac silhouette is enlarged but stable.
Multiple lead pacing device again seen with tips about right ventricular apex,
right atrium, and two within the coronary sinus. Osseous and soft tissue
structures are unchanged.
|
Mild fluid overload and probable trace pleural effusions, new
since prior exam.
|
FINAL REPORT
CHEST, TWO VIEWS, ___
HISTORY: ___-year-old female with chest pain.
FINDINGS: PA and lateral views of the chest are compared to previous exam
from ___. When compared to prior, there is new mild indistinctness
of the pulmonary vasculature with cephalization. There is no confluent
consolidation. Blunting of the posterior costophrenic angles raises
possibility of small effusions. Cardiac silhouette is enlarged but stable.
Multiple lead pacing device again seen with tips about right ventricular apex,
right atrium, and two within the coronary sinus. Osseous and soft tissue
structures are unchanged.
IMPRESSION: Mild fluid overload and probable trace pleural effusions, new
since prior exam.
| true
| true
| 9,549
|
0
|
Chest port line/tube placement
|
___ year old woman with sepsis // check NGT placement
|
Single frontal view of the chest.
|
Multiple chest radiographs, most recent ___
|
Left-sided AICD with lead following its expected course to the right
ventricle. The tip of the endotracheal tube terminates at least 3 cm above
the carina, though is incompletely assessed on this study. A nasogastric tube
passes into the distal stomach and out of view. Stable cardiomegaly. Mild
interstitial pulmonary edema. Unchanged bibasilar opacities.
|
1. Nasogastric tube enters the stomach and out of the field-of-view.
2. ETT terminates at least 3 cm above the carina. Consider repeat chest
radiograph for further assessment.
|
FINAL REPORT
EXAMINATION: Chest port line/tube placement
INDICATION: ___ year old woman with sepsis // check NGT placement
TECHNIQUE: Single frontal view of the chest.
COMPARISON: Multiple chest radiographs, most recent ___
FINDINGS:
Left-sided AICD with lead following its expected course to the right
ventricle. The tip of the endotracheal tube terminates at least 3 cm above
the carina, though is incompletely assessed on this study. A nasogastric tube
passes into the distal stomach and out of view. Stable cardiomegaly. Mild
interstitial pulmonary edema. Unchanged bibasilar opacities.
IMPRESSION:
1. Nasogastric tube enters the stomach and out of the field-of-view.
2. ETT terminates at least 3 cm above the carina. Consider repeat chest
radiograph for further assessment.
| true
| true
| 697
|
0
| null |
___M with c/o left lower CP with SOB and cough // ? PNA
|
Frontal and lateral views the chest.
|
___ chest x-ray and ___ chest CT.
|
Left chest wall single lead pacing device is again seen. Low lung volumes are
noted. Increased interstitial markings are noted in the lungs with a basilar
predominance which are similar compared to priors compatible with a chronic
interstitial abnormality as seen on prior CT scan. There is no superimposed
acute consolidation or effusion. The cardiomediastinal silhouette is stable.
No acute osseous abnormalities. Hypertrophic changes are seen the spine.
|
Findings compatible with patient's underlying fibrosis without definite
superimposed acute cardiopulmonary process.
|
FINAL REPORT
INDICATION: ___M with c/o left lower CP with SOB and cough // ? PNA
TECHNIQUE: Frontal and lateral views the chest.
COMPARISON: ___ chest x-ray and ___ chest CT.
FINDINGS:
Left chest wall single lead pacing device is again seen. Low lung volumes are
noted. Increased interstitial markings are noted in the lungs with a basilar
predominance which are similar compared to priors compatible with a chronic
interstitial abnormality as seen on prior CT scan. There is no superimposed
acute consolidation or effusion. The cardiomediastinal silhouette is stable.
No acute osseous abnormalities. Hypertrophic changes are seen the spine.
IMPRESSION:
Findings compatible with patient's underlying fibrosis without definite
superimposed acute cardiopulmonary process.
| true
| true
| 9,390
|
0
| null |
___ year old man with MM and increased cough, crackles on exam.
Evaluate for pneumonia.
|
Portable AP chest radiograph.
|
Radiographs from ___, ___, and ___.
|
Lung volumes are low, accentuating interstitial opacities and the heart size.
On the right, there is a pleural effusion with possible focal opacity. There
is left lower lobe atelectasis.
Heart is enlarged, unchanged from prior. Mediastinal contour appears similar.
There is no pneumothorax.
|
1. Right pleural effusion. Possible right lower lobe pneumonia. After
conservative treatment for CHF and respiratory therapy, repeat exam with PA
and lateral views would help clarify presence of right lower lobe pneumonia.
2. Left lower lobe atelectasis.
3. Borderline congestive heart failure.
RECOMMENDATION(S): After conservative treatment for CHF and respiratory
therapy, repeat exam with PA and lateral views would help clarify presence of
right lower lobe pneumonia.
|
FINAL REPORT
INDICATION: ___ year old man with MM and increased cough, crackles on exam.
Evaluate for pneumonia.
TECHNIQUE: Portable AP chest radiograph.
COMPARISON: Radiographs from ___, ___, and ___.
FINDINGS:
Lung volumes are low, accentuating interstitial opacities and the heart size.
On the right, there is a pleural effusion with possible focal opacity. There
is left lower lobe atelectasis.
Heart is enlarged, unchanged from prior. Mediastinal contour appears similar.
There is no pneumothorax.
IMPRESSION:
1. Right pleural effusion. Possible right lower lobe pneumonia. After
conservative treatment for CHF and respiratory therapy, repeat exam with PA
and lateral views would help clarify presence of right lower lobe pneumonia.
2. Left lower lobe atelectasis.
3. Borderline congestive heart failure.
RECOMMENDATION(S): After conservative treatment for CHF and respiratory
therapy, repeat exam with PA and lateral views would help clarify presence of
right lower lobe pneumonia.
| true
| true
| 21,410
|
0
|
CHEST (PA AND LAT)
|
weight loss, scnat basilar crackles // ? cardiopulmonary disease
|
PA and lateral radiographs of the chest from ___.
|
___.
|
The lungs are clear.
There is no pneumothorax.
The heart and mediastinum are within normal limits.
Regional bones and soft tissues are unremarkable.
|
Clear lungs.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: weight loss, scnat basilar crackles // ? cardiopulmonary disease
TECHNIQUE: PA and lateral radiographs of the chest from ___.
COMPARISON: ___.
FINDINGS:
The lungs are clear.
There is no pneumothorax.
The heart and mediastinum are within normal limits.
Regional bones and soft tissues are unremarkable.
IMPRESSION:
Clear lungs.
| true
| true
| 15,526
|
0
|
Chest, frontal and lateral views.
|
___-year-old male with history of fall, head injury.
| null |
___
|
Frontal and lateral views of the chest were obtained. No large
pleural effusion, or pneumothorax is seen. The cardiac silhouette is not
enlarged. The mediastinal and hilar contours are unremarkable and stable
since the prior chest radiograph of ___. No displaced fracture is
seen.
|
No acute cardiopulmonary process.
|
FINAL REPORT
EXAM: Chest, frontal and lateral views.
CLINICAL INFORMATION: ___-year-old male with history of fall, head injury.
COMPARISON: ___
FINDINGS: Frontal and lateral views of the chest were obtained. No large
pleural effusion, or pneumothorax is seen. The cardiac silhouette is not
enlarged. The mediastinal and hilar contours are unremarkable and stable
since the prior chest radiograph of ___. No displaced fracture is
seen.
IMPRESSION: No acute cardiopulmonary process.
| true
| true
| 1,288
|
0
|
Chest radiograph
|
___ year old woman s/ p LAR, acute renal failure // assess for
fluid overload
|
Chest PA and lateral
|
Prior chest radiographs from ___, ___
|
Since ___, small left pleural effusion with left retrocardiac
atelectasis is increased, and mild pulmonary edema is increased. A linear
opacity in the upper to mid right lung may be atelectasis, however, pneumonia
cannot be excluded.
Moderate cardiomegaly persists. No pneumothorax.
|
1. Increased small left pleural effusion with left retrocardiac atelectasis
and increased mild pulmonary edema since ___.
2. A linear opacity in the upper to mid right lung may be atelectasis,
however, pneumonia cannot be excluded.
|
FINAL REPORT
EXAMINATION: Chest radiograph
INDICATION: ___ year old woman s/ p LAR, acute renal failure // assess for
fluid overload
TECHNIQUE: Chest PA and lateral
COMPARISON: Prior chest radiographs from ___, ___
FINDINGS:
Since ___, small left pleural effusion with left retrocardiac
atelectasis is increased, and mild pulmonary edema is increased. A linear
opacity in the upper to mid right lung may be atelectasis, however, pneumonia
cannot be excluded.
Moderate cardiomegaly persists. No pneumothorax.
IMPRESSION:
1. Increased small left pleural effusion with left retrocardiac atelectasis
and increased mild pulmonary edema since ___.
2. A linear opacity in the upper to mid right lung may be atelectasis,
however, pneumonia cannot be excluded.
| true
| true
| 33,197
|
0
|
CHEST (PA AND LAT)
|
___ year old man with chf and shortness of breath // r/o
parenchymal disease.
|
PA and lateral radiograph of the chest.
|
___.
|
Mild pulmonary edema is unchanged. Prominence of the bilateral hila is likely
due to engorged pulmonary arteries. There is no pneumothorax. Small bilateral
pleural effusions are present. Moderate cardiomegaly is unchanged.
|
CHF with mild pulmonary edema and small bilateral pleural effusions.
Stable moderate cardiomegaly.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old man with chf and shortness of breath // r/o
parenchymal disease.
TECHNIQUE: PA and lateral radiograph of the chest.
COMPARISON: ___.
FINDINGS:
Mild pulmonary edema is unchanged. Prominence of the bilateral hila is likely
due to engorged pulmonary arteries. There is no pneumothorax. Small bilateral
pleural effusions are present. Moderate cardiomegaly is unchanged.
IMPRESSION:
CHF with mild pulmonary edema and small bilateral pleural effusions.
Stable moderate cardiomegaly.
| true
| true
| 25,050
|
0
| null | null | null |
Multiple chest radiographs dating back to ___, most
recently ___, chest CT ___.
|
Frontal AP and lateral views of the chest were obtained. There is
no focal consolidation, pleural effusion or pneumothorax. There is mild
bibasilar atelectasis. Heart size is normal. Mediastinal silhouette and
hilar contours are within normal limits. A healing right seventh posterior
rib fracture is seen with callus formation. Degenerative change is seen in
the shoulder girdles bilaterally.
|
No pneumonia, effusion, or edema.
|
FINAL REPORT
CLINICAL HISTORY: ___-year-old woman with fevers, cough and chills.
COMPARISON: Multiple chest radiographs dating back to ___, most
recently ___, chest CT ___.
FINDINGS: Frontal AP and lateral views of the chest were obtained. There is
no focal consolidation, pleural effusion or pneumothorax. There is mild
bibasilar atelectasis. Heart size is normal. Mediastinal silhouette and
hilar contours are within normal limits. A healing right seventh posterior
rib fracture is seen with callus formation. Degenerative change is seen in
the shoulder girdles bilaterally.
IMPRESSION: No pneumonia, effusion, or edema.
| true
| true
| 25,098
|
0
| null | null |
Chest, portable AP upright.
| null |
A pacemaker/ICD device appears unchanged. The heart is again
moderately enlarged with a left ventricular configuration. The aorta is
mildly tortuous. The cardiac, mediastinal and hilar contours appear
unchanged. There is no definite pleural effusion. No pneumothorax is
demonstrated. The lungs appear clear.
|
No evidence of acute disease.
|
FINAL REPORT
CHEST RADIOGRAPH
HISTORY: Dyspnea and desaturation.
COMPARISONS: ___.
TECHNIQUE: Chest, portable AP upright.
FINDINGS: A pacemaker/ICD device appears unchanged. The heart is again
moderately enlarged with a left ventricular configuration. The aorta is
mildly tortuous. The cardiac, mediastinal and hilar contours appear
unchanged. There is no definite pleural effusion. No pneumothorax is
demonstrated. The lungs appear clear.
IMPRESSION: No evidence of acute disease.
| true
| true
| 23,801
|
0
| null | null | null |
Outside chest CT of ___.
|
A large right lower lobe mass is accompanied by bulky right hilar
and subcarinal lymphadenopathy. Additionally, numerous thickened septal lines
are present within the right lower lobe, suspicious for lymphangitic spread of
tumor. Poorly defined opacities surrounding the right lower lobe and hilar
masses could potentially represent a post-obstructive pneumonitis given the
change in appearance since the prior scout image of the outside chest CT.
Relatively geographically marginated perihilar opacities on the left may
reflect radiation changes, and less likely infection. Heart size is normal.
A small amount of fluid is present within the right major and minor fissures,
as well as a small dependent pleural effusion at the costophrenic angle. Left
pleural surfaces are clear. Porta catheter terminates in the superior vena
cava. No suspicious lytic or blastic skeletal lesions.
|
1. Large right lower lobe mass with right hilar and subcarinal
lymphadenopathy, in keeping with history of non-small cell lung cancer.
Likely associated lymphangitic spread of tumor and small right pleural
effusion.
2. Poorly defined opacities surrounding right lower lobe mass represent a
change from outside chest CT and could be due to either post-obstructive
pneumonia or hemorrhage.
|
FINAL REPORT
PA AND LATERAL CHEST RADIOGRAPHS OF ___
COMPARISON: Outside chest CT of ___.
FINDINGS: A large right lower lobe mass is accompanied by bulky right hilar
and subcarinal lymphadenopathy. Additionally, numerous thickened septal lines
are present within the right lower lobe, suspicious for lymphangitic spread of
tumor. Poorly defined opacities surrounding the right lower lobe and hilar
masses could potentially represent a post-obstructive pneumonitis given the
change in appearance since the prior scout image of the outside chest CT.
Relatively geographically marginated perihilar opacities on the left may
reflect radiation changes, and less likely infection. Heart size is normal.
A small amount of fluid is present within the right major and minor fissures,
as well as a small dependent pleural effusion at the costophrenic angle. Left
pleural surfaces are clear. Porta catheter terminates in the superior vena
cava. No suspicious lytic or blastic skeletal lesions.
IMPRESSION:
1. Large right lower lobe mass with right hilar and subcarinal
lymphadenopathy, in keeping with history of non-small cell lung cancer.
Likely associated lymphangitic spread of tumor and small right pleural
effusion.
2. Poorly defined opacities surrounding right lower lobe mass represent a
change from outside chest CT and could be due to either post-obstructive
pneumonia or hemorrhage.
| true
| true
| 3,128
|
0
| null | null | null |
___.
|
Frontal and lateral views of the chest. Linear opacity at the left
lung base most suggestive of atelectasis. The lungs are otherwise clear
without consolidation or large effusion. There is, however, blunting of the
posterior costophrenic angles, raising possibility of trace effusions.
Cardiomediastinal silhouette is within normal limits. Descending thoracic
aorta is again noted. No acute osseous abnormality is identified.
|
Small pleural effusions, new since prior. Otherwise, no change
from prior.
|
FINAL REPORT
CHEST, TWO VIEWS: ___
HISTORY: ___-year-old male with fever.
COMPARISON: ___.
FINDINGS: Frontal and lateral views of the chest. Linear opacity at the left
lung base most suggestive of atelectasis. The lungs are otherwise clear
without consolidation or large effusion. There is, however, blunting of the
posterior costophrenic angles, raising possibility of trace effusions.
Cardiomediastinal silhouette is within normal limits. Descending thoracic
aorta is again noted. No acute osseous abnormality is identified.
IMPRESSION: Small pleural effusions, new since prior. Otherwise, no change
from prior.
| true
| true
| 2,896
|
0
| null |
History: ___F with cough // acute process?
|
Chest: Frontal and Lateral
|
None.
|
Patient is rotated to the right. The right hemidiaphragm is elevated and
there is overlying atelectasis and possible small right pleural effusion.
Difficult to exclude small left pleural effusion. No pneumothorax. The
cardiac silhouette is not well assessed but appears enlarged. The aorta is
unfolded.
|
Bibasilar opacities, in part due to overlying soft tissue and elevated right
hemidiaphragm. Right base atelectasis. Trace pleural effusion or subtle
consolidation difficult to exclude. No pulmonary edema.
|
FINAL REPORT
EXAMINATION:
Chest: Frontal and lateral views
INDICATION: History: ___F with cough // acute process?
TECHNIQUE: Chest: Frontal and Lateral
COMPARISON: None.
FINDINGS:
Patient is rotated to the right. The right hemidiaphragm is elevated and
there is overlying atelectasis and possible small right pleural effusion.
Difficult to exclude small left pleural effusion. No pneumothorax. The
cardiac silhouette is not well assessed but appears enlarged. The aorta is
unfolded.
IMPRESSION:
Bibasilar opacities, in part due to overlying soft tissue and elevated right
hemidiaphragm. Right base atelectasis. Trace pleural effusion or subtle
consolidation difficult to exclude. No pulmonary edema.
| true
| true
| 40,788
|
0
| null |
CHF, COPD. Radiographs raise concern for aspiration.
| null |
Multiple prior ___ ___.
|
Portable AP chest radiograph. Single pacer leads in stable
position. Left basilar opacity with obscuration of the left hemidiaphragm has
worsened since ___. Severe cardiomegaly is unchanged, but there is no
interstitial edema. Bilateral pleural effusions are trace. There is no
pneumothorax. Pneumoperitoneum is unchanged.
|
Worsening left lower lobe pneumonia.
|
FINAL REPORT
INDICATION: CHF, COPD. Radiographs raise concern for aspiration.
COMPARISON: Multiple prior ___ ___.
FINDINGS: Portable AP chest radiograph. Single pacer leads in stable
position. Left basilar opacity with obscuration of the left hemidiaphragm has
worsened since ___. Severe cardiomegaly is unchanged, but there is no
interstitial edema. Bilateral pleural effusions are trace. There is no
pneumothorax. Pneumoperitoneum is unchanged.
IMPRESSION: Worsening left lower lobe pneumonia.
| true
| true
| 38,983
|
0
| null |
___ year old man with ngt // ngt repositioning
|
AP radiograph of the lower thorax and upper abdomen
|
___ from earlier in the day
|
The tip of the nasogastric tube projects over the distal esophagus and should
be advanced by at least 13 cm in order to place the side port beyond the GE
junction. The tips of the right and left internal jugular central venous
catheters project over the mid SVC. The tip of the endotracheal tube projects
over the mid thoracic trachea. A partially visualized left nephroureteric
stent is present.
New layering left pleural effusion with subjacent atelectasis/consolidation.
Otherwise the visualized lung parenchyma is grossly unchanged. The size of
the cardiac silhouette is enlarged but unchanged.
|
The tip of the nasogastric tube projects over the distal esophagus and should
be advanced by at least 13 cm in order to place the side port beyond the GE
junction.
Left pleural effusion and subjacent atelectasis.
|
FINAL REPORT
INDICATION: ___ year old man with ngt // ngt repositioning
TECHNIQUE: AP radiograph of the lower thorax and upper abdomen
COMPARISON: ___ from earlier in the day
FINDINGS:
The tip of the nasogastric tube projects over the distal esophagus and should
be advanced by at least 13 cm in order to place the side port beyond the GE
junction. The tips of the right and left internal jugular central venous
catheters project over the mid SVC. The tip of the endotracheal tube projects
over the mid thoracic trachea. A partially visualized left nephroureteric
stent is present.
New layering left pleural effusion with subjacent atelectasis/consolidation.
Otherwise the visualized lung parenchyma is grossly unchanged. The size of
the cardiac silhouette is enlarged but unchanged.
IMPRESSION:
The tip of the nasogastric tube projects over the distal esophagus and should
be advanced by at least 13 cm in order to place the side port beyond the GE
junction.
Left pleural effusion and subjacent atelectasis.
| true
| true
| 4,341
|
0
| null | null | null | null |
Frontal and lateral views of the chest. No prior. The lungs are
clear of consolidation, effusion, or pneumothorax. Cardiomediastinal
silhouette is within normal limits. Hypertrophic changes are seen in the
spine. Severe degenerative changes noted at the left shoulder with rounded
calcific densities projecting over the scapula, potentially intra-articular
bodies.
|
No definite acute cardiopulmonary process.
|
FINAL REPORT
CHEST, TWO VIEWS: ___.
HISTORY: ___-year-old female status post fall versus syncope on ___.
FINDINGS: Frontal and lateral views of the chest. No prior. The lungs are
clear of consolidation, effusion, or pneumothorax. Cardiomediastinal
silhouette is within normal limits. Hypertrophic changes are seen in the
spine. Severe degenerative changes noted at the left shoulder with rounded
calcific densities projecting over the scapula, potentially intra-articular
bodies.
IMPRESSION: No definite acute cardiopulmonary process.
| true
| true
| 39,672
|
0
|
Chest radiograph.
|
History: ___F with SOB and tachycardia. Hx of PE // ?pneumonia,
pneumothorax, pulmonary edema
|
Single AP view of the chest.
|
CTA chest ___.
|
Heart size is within normal limits. The cardiomediastinal silhouette is
unremarkable. Lung fields clear. A right chest port terminates in the low
SVC.
|
No acute cardiopulmonary abnormality. Of note, the patient has known
bilateral pulmonary emboli visualized on the subsequent chest CTA.
|
WET READ: ___ ___ ___ 9:39 PM
No acute cardiopulmonary abnormality.Of note, the patient has known bilateral
pulmonary emboli visualized on the subsequent chest CTA.
______________________________________________________________________________
FINAL REPORT
EXAMINATION: Chest radiograph.
INDICATION: History: ___F with SOB and tachycardia. Hx of PE // ?pneumonia,
pneumothorax, pulmonary edema
TECHNIQUE: Single AP view of the chest.
COMPARISON: CTA chest ___.
FINDINGS:
Heart size is within normal limits. The cardiomediastinal silhouette is
unremarkable. Lung fields clear. A right chest port terminates in the low
SVC.
IMPRESSION:
No acute cardiopulmonary abnormality. Of note, the patient has known
bilateral pulmonary emboli visualized on the subsequent chest CTA.
| true
| true
| 14,928
|
0
|
Portable radiograph centered at the diaphragm including portions
of the medial right lung, left lung, and upper abdomen
|
___ year old man s/p NGT placement // evaluate placement of NGT
|
Portable radiograph centered at the diaphragm including portions
of the medial right lung, left lung, and upper abdomen
|
___ portable chest radiograph
|
Radiograph is centered at the diaphragm, including portions of the medial
right lung, left lung, and upper abdomen.
An enteric tube descends to the level of the gastroesophageal junction, then
turns and ascends to the level of the midesophagus. Increased, small left
pleural effusion. Otherwise, no significant change compared to 4 hours prior.
|
An enteric tube is coiled in the mid and lower esophagus. Increased, small
left pleural effusion.
|
FINAL REPORT
EXAMINATION: Portable radiograph centered at the diaphragm including portions
of the medial right lung, left lung, and upper abdomen
INDICATION: ___ year old man s/p NGT placement // evaluate placement of NGT
TECHNIQUE: Portable radiograph centered at the diaphragm including portions
of the medial right lung, left lung, and upper abdomen
COMPARISON: ___ portable chest radiograph
FINDINGS:
Radiograph is centered at the diaphragm, including portions of the medial
right lung, left lung, and upper abdomen.
An enteric tube descends to the level of the gastroesophageal junction, then
turns and ascends to the level of the midesophagus. Increased, small left
pleural effusion. Otherwise, no significant change compared to 4 hours prior.
IMPRESSION:
An enteric tube is coiled in the mid and lower esophagus. Increased, small
left pleural effusion.
NOTIFICATION: The findings were discussed with ___, M.D. by ___
___, M.D. on the telephone on ___ at 3:19 PM, approximately 5 minutes
after discovery of the findings.
| true
| true
| 26,492
|
0
| null |
___-year-old male with hypotension.
|
Single frontal chest radiograph was obtained portably with the
patient in an upright position.
|
___.
|
Linear opacity at the right base likely represents atelectasis. No
consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected
on this single view. Heart and mediastinal contours are stable. Patulous
esophagus is again noted.
|
No radiographic evidence for acute cardiopulmonary process on
this single frontal view.
|
FINAL REPORT
INDICATION: ___-year-old male with hypotension.
COMPARISON: ___.
TECHNIQUE: Single frontal chest radiograph was obtained portably with the
patient in an upright position.
FINDINGS: Linear opacity at the right base likely represents atelectasis. No
consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected
on this single view. Heart and mediastinal contours are stable. Patulous
esophagus is again noted.
IMPRESSION: No radiographic evidence for acute cardiopulmonary process on
this single frontal view.
| true
| true
| 9,391
|
0
| null | null | null |
___.
|
Frontal and lateral views of the chest. The lungs are clear of consolidation,
effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is
within normal limits. Atherosclerotic calcifications noted at the aortic
arch. No acute osseous abnormality detected.
|
No acute cardiopulmonary process.
|
FINAL REPORT
HISTORY: ___-year-old female with COPD and abnormal lung sounds, cough.
COMPARISON: ___.
FINDINGS:
Frontal and lateral views of the chest. The lungs are clear of consolidation,
effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is
within normal limits. Atherosclerotic calcifications noted at the aortic
arch. No acute osseous abnormality detected.
IMPRESSION:
No acute cardiopulmonary process.
| true
| true
| 30,132
|
0
| null | null |
Upright AP view of the chest.
|
None.
|
The heart size is mild to moderately enlarged. Aortic knob is prominent,
suggesting dilatation of the thoracic aorta. Atherosclerotic calcification of
the aortic arch is present. Opacification within the retrocardiac region may
reflect a combination of a small pleural effusion with adjacent atelectasis.
Hazy opacification within the mid lung fields is noted. There is no
right-sided pleural effusion pneumothorax. No acute osseous abnormality seen.
|
1. Left basilar opacification likely reflects a combination of a small
pleural effusion and adjacent atelectasis. Infection, however, is not
excluded.
2. Hazy opacification within the mid lung fields bilaterally is nonspecific,
and could reflect an infectious or inflammatory process. Mild pulmonary edema
is considered less likely.
|
FINAL REPORT
HISTORY: Shortness of breath.
TECHNIQUE: Upright AP view of the chest.
COMPARISON: None.
FINDINGS:
The heart size is mild to moderately enlarged. Aortic knob is prominent,
suggesting dilatation of the thoracic aorta. Atherosclerotic calcification of
the aortic arch is present. Opacification within the retrocardiac region may
reflect a combination of a small pleural effusion with adjacent atelectasis.
Hazy opacification within the mid lung fields is noted. There is no
right-sided pleural effusion pneumothorax. No acute osseous abnormality seen.
IMPRESSION:
1. Left basilar opacification likely reflects a combination of a small
pleural effusion and adjacent atelectasis. Infection, however, is not
excluded.
2. Hazy opacification within the mid lung fields bilaterally is nonspecific,
and could reflect an infectious or inflammatory process. Mild pulmonary edema
is considered less likely.
| true
| true
| 8,022
|
0
|
PA AND LATERAL CHEST RADIOGRAPHS
|
___-year-old female with history of asthma presenting with
shortness of breath. Evaluate for pneumonia.
|
PA and lateral chest radiographs
|
Multiple prior chest radiographs, most recent on ___.
|
Lungs are well expanded. No pulmonary focal opacities are identified.
Cardiomediastinal and hilar contours are unremarkable. There is no pleural
effusion or pneumothorax.
|
No evidence of acute cardiopulmonary process.
|
FINAL REPORT
EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS
INDICATION: ___-year-old female with history of asthma presenting with
shortness of breath. Evaluate for pneumonia.
TECHNIQUE: PA and lateral chest radiographs
COMPARISON: Multiple prior chest radiographs, most recent on ___.
FINDINGS:
Lungs are well expanded. No pulmonary focal opacities are identified.
Cardiomediastinal and hilar contours are unremarkable. There is no pleural
effusion or pneumothorax.
IMPRESSION:
No evidence of acute cardiopulmonary process.
| true
| true
| 1,086
|
0
|
PA and lateral chest radiographs
|
___ year old man with prod cough, sob x weeks. no fever. smoker
// r/o pna
|
Chest PA and lateral
|
___ PA and lateral chest radiographs
|
Severe lung hyperinflation is again noted, consistent with known emphysema.
Indistinct opacities in the lateral segment of the right middle lobe are new.
No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal
hilar silhouettes are unremarkable. Mild thoracic scoliosis unchanged.
|
Lateral segment right middle lobe pneumonia.
RECOMMENDATION(S): Recommend follow-up radiograph in 4 - 6 weeks to assess
for resolution.
|
FINAL REPORT
EXAMINATION: PA and lateral chest radiographs
INDICATION: ___ year old man with prod cough, sob x weeks. no fever. smoker
// r/o pna
TECHNIQUE: Chest PA and lateral
COMPARISON: ___ PA and lateral chest radiographs
FINDINGS:
Severe lung hyperinflation is again noted, consistent with known emphysema.
Indistinct opacities in the lateral segment of the right middle lobe are new.
No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal
hilar silhouettes are unremarkable. Mild thoracic scoliosis unchanged.
IMPRESSION:
Lateral segment right middle lobe pneumonia.
RECOMMENDATION(S): Recommend follow-up radiograph in 4 - 6 weeks to assess
for resolution.
NOTIFICATION: The findings were discussed with ___, M.D. by ___
___, M.D. on the telephone on ___ at 1:53 PM, approximately 15
minutes after discovery of the findings.
| true
| true
| 37,935
|
0
|
CHEST (PORTABLE AP)
|
___ year old man with ___ year old man s/p Whipple // interval
changes, pulmonary edema
|
Portable chest
|
___.
|
Compared to the prior study there is no significant interval change.
|
No change.
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with ___ year old man s/p Whipple // interval
changes, pulmonary edema
TECHNIQUE: Portable chest
COMPARISON: ___.
FINDINGS:
Compared to the prior study there is no significant interval change.
IMPRESSION:
No change.
| true
| true
| 19,788
|
0
| null |
History: ___M with cough // ?pna
|
Frontal and lateral views of the chest.
|
None.
|
Normal heart, pleura and mediastinal surfaces. A 5 mm nodule adjacent to the
descending aorta projecting over the heart on the frontal view and over a
vertebral body on the lateral view is high in density.
|
A 5 mm nodule most likely represents a calcification. Comparison to prior old
films is recommended if available. If prior films are not available, CT chest
is recommended.
|
FINAL REPORT
INDICATION: History: ___M with cough // ?pna
TECHNIQUE: Frontal and lateral views of the chest.
COMPARISON: None.
FINDINGS:
Normal heart, pleura and mediastinal surfaces. A 5 mm nodule adjacent to the
descending aorta projecting over the heart on the frontal view and over a
vertebral body on the lateral view is high in density.
IMPRESSION:
A 5 mm nodule most likely represents a calcification. Comparison to prior old
films is recommended if available. If prior films are not available, CT chest
is recommended.
NOTIFICATION: Emailed to the ED QA nurses ___ ___.
| true
| true
| 37,667
|
0
|
Chest frontal and lateral views.
|
Cough.
| null |
None.
|
Frontal and lateral views of the chest were obtained. Lungs are
clear without focal consolidation. No pleural effusion or pneumothorax is
seen. Cardiac and mediastinal silhouettes are unremarkable.
|
No acute cardiopulmonary process.
|
FINAL REPORT
EXAM: Chest frontal and lateral views.
CLINICAL INFORMATION: Cough.
COMPARISON: None.
FINDINGS: Frontal and lateral views of the chest were obtained. Lungs are
clear without focal consolidation. No pleural effusion or pneumothorax is
seen. Cardiac and mediastinal silhouettes are unremarkable.
IMPRESSION: No acute cardiopulmonary process.
| true
| true
| 12,514
|
0
| null | null | null |
None.
|
AP upright and lateral views of the chest were provided. No
definite consolidation, effusion, or pneumothorax is seen. There is vague
linear opacity adjacent to the left heart border which is more likely
reflective of bronchovasculature. No pneumothorax. Cardiomediastinal
silhouette is normal. Bony structures intact.
|
No acute findings in the chest.
|
FINAL REPORT
CHEST RADIOGRAPH PERFORMED ON ___.
COMPARISON: None.
CLINICAL HISTORY: Chest pain.
FINDINGS: AP upright and lateral views of the chest were provided. No
definite consolidation, effusion, or pneumothorax is seen. There is vague
linear opacity adjacent to the left heart border which is more likely
reflective of bronchovasculature. No pneumothorax. Cardiomediastinal
silhouette is normal. Bony structures intact.
IMPRESSION:
No acute findings in the chest.
| true
| true
| 4,292
|
0
| null |
___F with self-inflicted stab injury to urostomy site in abdomen,
CL placement // confirm CL placement
|
AP VIEW OF THE CHEST
|
Chest radiograph on ___ at 08:33
|
A right IJ central venous line has been placed with its tip in the low SVC.
There is no focal consolidation, pleural effusion or pneumothorax. The
cardiomediastinal and hilar contours are normal.
|
No acute cardiopulmonary process. Right IJ ends in the low SVC.
|
WET READ: ___ ___ ___ 11:09 AM
No acute cardiopulmonary process. Right IJ ends in the low SVC.
______________________________________________________________________________
FINAL REPORT
INDICATION: ___F with self-inflicted stab injury to urostomy site in abdomen,
CL placement // confirm CL placement
TECHNIQUE: AP VIEW OF THE CHEST
COMPARISON: Chest radiograph on ___ at 08:33
FINDINGS:
A right IJ central venous line has been placed with its tip in the low SVC.
There is no focal consolidation, pleural effusion or pneumothorax. The
cardiomediastinal and hilar contours are normal.
IMPRESSION:
No acute cardiopulmonary process. Right IJ ends in the low SVC.
| true
| true
| 24,766
|
0
| null | null |
PA and lateral views of the chest.
|
None.
|
Heart size is mildly enlarged. The aorta is mildly unfolded. Mediastinal and
hilar contours are otherwise unremarkable. The pulmonary vasculature is
normal. No focal consolidation, pleural effusion or pneumothorax is seen.
Minimal subsegmental atelectasis is noted within the right lung base.
Multiple punctate radiopaque densities are seen within the the left lower
back. No acute osseous abnormalities are present.
|
No acute cardiopulmonary process.
|
FINAL REPORT
HISTORY:
Hypertension, multiple cerebral vascular accidents with ongoing chest pain
over the last 2 days.
TECHNIQUE: PA and lateral views of the chest.
COMPARISON: None.
FINDINGS:
Heart size is mildly enlarged. The aorta is mildly unfolded. Mediastinal and
hilar contours are otherwise unremarkable. The pulmonary vasculature is
normal. No focal consolidation, pleural effusion or pneumothorax is seen.
Minimal subsegmental atelectasis is noted within the right lung base.
Multiple punctate radiopaque densities are seen within the the left lower
back. No acute osseous abnormalities are present.
IMPRESSION:
No acute cardiopulmonary process.
| true
| true
| 32,731
|
0
| null |
Shortness of breath.
| null | null |
Frontal and lateral views of the chest. Low lung volumes. Left
costophrenic angle is obscured compatible with moderate pleural effusion.
Retrocardiac consolidation likely represents atelectasis. There is no right
pleural effusion. Moderate pulmonary edema is unchanged. Hilar and
mediastinal silhouettes are stable. Moderate cardiomegaly is noted. There is
no pneumothorax. Small amount of loculated fluid within the fissure is best
seen on the lateral view. Partially imaged abdominal organs are unremarkable.
The visualized osseous structures are intact.
|
1. Moderate pulmonary edema.
2. Moderate left pleural effusion is new since ___ exam.
3. Retrocardiac consolidation, may represent atelectasis or infection in the
appropriate clinical setting.
|
FINAL REPORT
INDICATION: Shortness of breath.
COMPARISONS: ___.
FINDINGS: Frontal and lateral views of the chest. Low lung volumes. Left
costophrenic angle is obscured compatible with moderate pleural effusion.
Retrocardiac consolidation likely represents atelectasis. There is no right
pleural effusion. Moderate pulmonary edema is unchanged. Hilar and
mediastinal silhouettes are stable. Moderate cardiomegaly is noted. There is
no pneumothorax. Small amount of loculated fluid within the fissure is best
seen on the lateral view. Partially imaged abdominal organs are unremarkable.
The visualized osseous structures are intact.
IMPRESSION:
1. Moderate pulmonary edema.
2. Moderate left pleural effusion is new since ___ exam.
3. Retrocardiac consolidation, may represent atelectasis or infection in the
appropriate clinical setting.
| true
| true
| 23,759
|
0
| null | null | null |
Chest radiograph from ___.
|
Frontal and lateral chest radiographs demonstrate moderate cardiomegaly and a
tortuous aorta. Coronary artery calcifications are noted on lateral view.
There is a small left pleural effusion. No focal opacity or pneumothorax is
seen.
|
1. No focal opacity concerning for infection identified.
2. Small left pleural effusion.
|
FINAL REPORT
HISTORY: Productive cough. Evaluate for pneumonia.
COMPARISON: Chest radiograph from ___.
FINDINGS:
Frontal and lateral chest radiographs demonstrate moderate cardiomegaly and a
tortuous aorta. Coronary artery calcifications are noted on lateral view.
There is a small left pleural effusion. No focal opacity or pneumothorax is
seen.
IMPRESSION:
1. No focal opacity concerning for infection identified.
2. Small left pleural effusion.
| true
| true
| 14,018
|
0
|
CHEST (PA AND LAT)
|
___F with cirrhosis, diminished breath sounds in the right lung
base. Evaluate for pleural effusion.
|
Chest PA and lateral
|
Chest radiograph ___
|
Heart size cannot be definitively assessed due to adjacent pleural effusion,
but is likely unchanged.
Compared to ___, no significant change in moderate right pleural
effusion. There is adjacent right compressive atelectasis.
No left pleural effusion. No pneumothorax. No acute osseous abnormalities.
|
Moderate in size pleural effusion which appears similar to the prior with
probable compressive right lower and middle lobe atelectasis. Difficult to
exclude an underlying malignant process and follow-up to resolution is
advised.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___F with cirrhosis, diminished breath sounds in the right lung
base. Evaluate for pleural effusion.
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiograph ___
FINDINGS:
Heart size cannot be definitively assessed due to adjacent pleural effusion,
but is likely unchanged.
Compared to ___, no significant change in moderate right pleural
effusion. There is adjacent right compressive atelectasis.
No left pleural effusion. No pneumothorax. No acute osseous abnormalities.
IMPRESSION:
Moderate in size pleural effusion which appears similar to the prior with
probable compressive right lower and middle lobe atelectasis. Difficult to
exclude an underlying malignant process and follow-up to resolution is
advised.
RECOMMENDATIONS: Recommend follow-up to resolution.
| true
| true
| 33,695
|
0
|
CHEST (AP AND LAT)
|
History: ___F with falls // eval infiltrate
| null |
Prior exam is dated ___.
|
AP upright 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.
Anterior spurring in the mid to low thoracic spine is noted. No free air below
the right hemidiaphragm is seen.
|
No acute intrathoracic process
|
FINAL REPORT
EXAMINATION: CHEST (AP AND LAT)
INDICATION: History: ___F with falls // eval infiltrate
COMPARISON: Prior exam is dated ___.
FINDINGS:
AP upright 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.
Anterior spurring in the mid to low thoracic spine is noted. No free air below
the right hemidiaphragm is seen.
IMPRESSION:
No acute intrathoracic process
| true
| true
| 18,954
|
0
| null | null | null |
___.
|
Frontal and lateral views of the chest demonstrate no focal
consolidations, effusions, pneumothoraces. No signs of overt failure. Heart
size is again top normal. Degenerative changes are seen in the spine.
|
No signs of pneumonia or CHF.
|
FINAL REPORT
HISTORY: 6 weeks of cough.
COMPARISON: ___.
FINDINGS: Frontal and lateral views of the chest demonstrate no focal
consolidations, effusions, pneumothoraces. No signs of overt failure. Heart
size is again top normal. Degenerative changes are seen in the spine.
IMPRESSION:
No signs of pneumonia or CHF.
| true
| true
| 25,393
|
0
| null |
___M with cirrhosis incr abd distention, evaluate for
cardiopulmonary disease.
|
Chest PA and lateral
|
Multiple prior chest radiographs dating back to ___.
|
Right lung base airspace opacities appear new from prior studies and may
represent atelectasis, aspiration, or early pneumonia. Bilateral upper lobe
predominant reticular opacities are grossly unchanged from prior studies
suggests the possibility of chronic lung disease such as hypersensitivity
pneumonitis or sarcoidosis. . There is no pleural effusion, pulmonary edema,
or pneumothorax. The cardiomediastinal silhouette is normal.
|
New right lung base airspace opacity may represent atelectasis, aspiration, or
early pneumonia .
|
WET READ: ___ ___ ___ 3:58 AM
New right lung base airspace opacity may represent atelectasis, aspiration, or
early pneumonia depending upon the clinical setting.
______________________________________________________________________________
FINAL REPORT
INDICATION: ___M with cirrhosis incr abd distention, evaluate for
cardiopulmonary disease.
TECHNIQUE: Chest PA and lateral
COMPARISON: Multiple prior chest radiographs dating back to ___.
FINDINGS:
Right lung base airspace opacities appear new from prior studies and may
represent atelectasis, aspiration, or early pneumonia. Bilateral upper lobe
predominant reticular opacities are grossly unchanged from prior studies
suggests the possibility of chronic lung disease such as hypersensitivity
pneumonitis or sarcoidosis. . There is no pleural effusion, pulmonary edema,
or pneumothorax. The cardiomediastinal silhouette is normal.
IMPRESSION:
New right lung base airspace opacity may represent atelectasis, aspiration, or
early pneumonia .
| true
| true
| 19,973
|
0
| null | null |
PA and lateral views of the chest.
|
___.
|
The cardiac, mediastinal and hilar contours are within normal limits. The
pulmonary vascularity is normal. The lungs are clear without focal
consolidation. No pleural effusion or pneumothorax is identified. There are
no acute osseous abnormalities.
|
No acute cardiopulmonary process.
|
FINAL REPORT
HISTORY: Chest pain.
TECHNIQUE: PA and lateral views of the chest.
COMPARISON: ___.
FINDINGS:
The cardiac, mediastinal and hilar contours are within normal limits. The
pulmonary vascularity is normal. The lungs are clear without focal
consolidation. No pleural effusion or pneumothorax is identified. There are
no acute osseous abnormalities.
IMPRESSION:
No acute cardiopulmonary process.
| true
| true
| 41,365
|
0
|
Chest radiographs
|
History: ___F with cp and sob, HD opt. pls eval pna vs edema //
|
Chest PA and lateral
|
Comparison is made with chest radiographs from ___ and
___ and CT chest from ___.
|
Increased interstitial opacities are seen with indistinct pulmonary
vasculature, consistent mild pulmonary edema. Confluent right base opacity
may represent pneumonia or asymmetric edema. There are moderate right and
small left pleural effusions. The cardiomediastinal silhouette is
unremarkable.
|
Bilateral interstitial opacities may reflect recurrent interstitial edema. A
more confluent
right basilar opacity may represent pneumonia or asymmetric edema. Recommend
follow-up radiographs after diuresis to evaluate for resolution.
|
WET READ: ___ ___ ___ 3:28 PM
1. Mild pulmonary edema.
2. Bilateral pleural effusion.
3. Confluent right base opacity may represent pneumonia or asymmetric edema.
Recommend follow-up radiographs after diuresis to evaluate for resolution of
any edema and to assess for any underlying etiology.
WET READ VERSION #___ ___ ___ 12:36 PM
Mild pulmonary edema. Left pleural effusion.
______________________________________________________________________________
FINAL REPORT
EXAMINATION: Chest radiographs
INDICATION: History: ___F with cp and sob, HD opt. pls eval pna vs edema //
History: ___F with cp and sob, HD opt. pls eval pna vs edema
TECHNIQUE: Chest PA and lateral
COMPARISON: Comparison is made with chest radiographs from ___ and
___ and CT chest from ___.
FINDINGS:
Increased interstitial opacities are seen with indistinct pulmonary
vasculature, consistent mild pulmonary edema. Confluent right base opacity
may represent pneumonia or asymmetric edema. There are moderate right and
small left pleural effusions. The cardiomediastinal silhouette is
unremarkable.
IMPRESSION:
Bilateral interstitial opacities may reflect recurrent interstitial edema. A
more confluent
right basilar opacity may represent pneumonia or asymmetric edema. Recommend
follow-up radiographs after diuresis to evaluate for resolution.
NOTIFICATION: Updated findings from original wet read were communicated to
Dr. ___ at 3:27 p.m. on ___ by phone.
| true
| true
| 40,229
|
0
| null |
___-year-old female with small cell lung cancer status post
chemotherapy, and radiation, presents with persistent cough.
|
PA and lateral chest radiograph.
|
PA and lateral chest radiograph, ___ and CT chest
without contrast, ___.
|
There is a new right upper lobe opacity with a linear border
consistent with intervening radiation treatment to this area. Again seen is
an infrahilar opacity which is largely unchanged and may represent focal
fibrosis. There is slight right hilar elevation, consistent with
post-radiation changes. There is an opacity projecting over the right lower
lung field, which is best explained by change in patient position and
technical differences. The left lung is unremarkable. There is stable
cardiomegaly and tortuosity of the aorta. There is no pleural effusion or
pneumothorax. The pleural surfaces are unremarkable.
|
New post-radiation changes seen in the right lung. No evidence
of infection or malignancy.
|
FINAL REPORT
INDICATION: ___-year-old female with small cell lung cancer status post
chemotherapy, and radiation, presents with persistent cough.
COMPARISON: PA and lateral chest radiograph, ___ and CT chest
without contrast, ___.
TECHNIQUE: PA and lateral chest radiograph.
FINDINGS: There is a new right upper lobe opacity with a linear border
consistent with intervening radiation treatment to this area. Again seen is
an infrahilar opacity which is largely unchanged and may represent focal
fibrosis. There is slight right hilar elevation, consistent with
post-radiation changes. There is an opacity projecting over the right lower
lung field, which is best explained by change in patient position and
technical differences. The left lung is unremarkable. There is stable
cardiomegaly and tortuosity of the aorta. There is no pleural effusion or
pneumothorax. The pleural surfaces are unremarkable.
IMPRESSION: New post-radiation changes seen in the right lung. No evidence
of infection or malignancy.
| true
| true
| 7,760
|
0
|
CHEST (PA AND LAT)
|
History: ___M with shortness of breath
|
Chest PA and lateral
|
___
|
Interval development of white out of the right hemithorax is likely due to a
large right pleural effusion which is increased substantially since the prior
study. The heart size is difficult to assess given the presence of the large
right pleural effusion. No pulmonary vascular congestion is seen. The left
lung is clear without pleural effusion or pneumothorax. No acute osseous
abnormality is present. Mild leftward shift of mediastinal structures is
noted.
|
Large right pleural effusion has increased substantially now resulting in
white out of the right hemithorax.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___M with shortness of breath
TECHNIQUE: Chest PA and lateral
COMPARISON: ___
FINDINGS:
Interval development of white out of the right hemithorax is likely due to a
large right pleural effusion which is increased substantially since the prior
study. The heart size is difficult to assess given the presence of the large
right pleural effusion. No pulmonary vascular congestion is seen. The left
lung is clear without pleural effusion or pneumothorax. No acute osseous
abnormality is present. Mild leftward shift of mediastinal structures is
noted.
IMPRESSION:
Large right pleural effusion has increased substantially now resulting in
white out of the right hemithorax.
| true
| true
| 26,192
|
0
|
CHEST (PA AND LAT)
|
History: ___M with chest pain
|
Chest PA and lateral
|
None.
|
Heart size is normal. The mediastinal and hilar contours are normal. The
pulmonary vasculature is normal. Lungs are clear. No pleural effusion or
pneumothorax is seen. There are no acute osseous abnormalities.
|
No acute cardiopulmonary abnormality.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___M with chest pain
TECHNIQUE: Chest PA and lateral
COMPARISON: None.
FINDINGS:
Heart size is normal. The mediastinal and hilar contours are normal. The
pulmonary vasculature is normal. Lungs are clear. No pleural effusion or
pneumothorax is seen. There are no acute osseous abnormalities.
IMPRESSION:
No acute cardiopulmonary abnormality.
| true
| true
| 15,421
|
0
| null |
___ year old man with s/p AVR, CABG, evaluate effusions and
pneumothorax.
|
Chest PA and lateral
|
Multiple prior chest radiographs dating back to ___.
|
Compared with the most recent prior study, lung volumes are improved and a
moderate to large left pleural effusion is likely unchanged. There is mild
associated bibasilar dependent atelectasis. Moderate cardiomegaly, numerous
mediastinal clips, and a prosthetic valve are unchanged. The descending aorta
is partially calcified and tortuous. An IVC filter is partially imaged.
There is no focal consolidation, pulmonary edema, or pneumothorax. Mild
biapical pleural thickening is similar. Probable splenomegaly is noted.
|
Improved lung volumes with a probably unchanged moderate to large left pleural
effusion.
|
FINAL REPORT
INDICATION: ___ year old man with s/p AVR, CABG, evaluate effusions and
pneumothorax.
TECHNIQUE: Chest PA and lateral
COMPARISON: Multiple prior chest radiographs dating back to ___.
FINDINGS:
Compared with the most recent prior study, lung volumes are improved and a
moderate to large left pleural effusion is likely unchanged. There is mild
associated bibasilar dependent atelectasis. Moderate cardiomegaly, numerous
mediastinal clips, and a prosthetic valve are unchanged. The descending aorta
is partially calcified and tortuous. An IVC filter is partially imaged.
There is no focal consolidation, pulmonary edema, or pneumothorax. Mild
biapical pleural thickening is similar. Probable splenomegaly is noted.
IMPRESSION:
Improved lung volumes with a probably unchanged moderate to large left pleural
effusion.
| true
| true
| 11,598
|
0
|
CHEST (PA AND LAT)
|
History: ___M with leg swelling // ?pulmonary edema
|
Chest PA and lateral
|
Chest radiograph ___
|
Lung volumes are low. Heart size remains at least mildly enlarged with a left
ventricular predominance. The mediastinal contour is unremarkable. Crowding
of bronchovascular structures is present without pulmonary edema. Elevation
of the right hemidiaphragm is unchanged. Patchy opacities in the lung bases
likely reflect areas of atelectasis. No pleural effusion or pneumothorax is
present. There are mild to moderate degenerative changes noted in the
thoracic spine.
|
Low lung volumes with patchy bibasilar airspace opacities likely reflective of
atelectasis. No pulmonary edema.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___M with leg swelling // ?pulmonary edema
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiograph ___
FINDINGS:
Lung volumes are low. Heart size remains at least mildly enlarged with a left
ventricular predominance. The mediastinal contour is unremarkable. Crowding
of bronchovascular structures is present without pulmonary edema. Elevation
of the right hemidiaphragm is unchanged. Patchy opacities in the lung bases
likely reflect areas of atelectasis. No pleural effusion or pneumothorax is
present. There are mild to moderate degenerative changes noted in the
thoracic spine.
IMPRESSION:
Low lung volumes with patchy bibasilar airspace opacities likely reflective of
atelectasis. No pulmonary edema.
| true
| true
| 11,466
|
0
| null | null | null |
Radiograph dated ___.
|
PA and lateral images through the chest demonstrate clear lungs
bilaterally. Visualized cardiomediastinal and hilar contours are within
normal limits. No evidence of pleural effusion. No definite pneumothorax is
identified. A BB is identified in the posterior lateral soft tissues at the
level of the ___ left rib anteriorly. No definite rib fracture is
identified. There is no free intra-abdominal air.
|
Unremarkable chest radiograph. Possible irregularity of the ___
left lateral rib on outside film not well visualized. Dedicated rib films can
be considered if clinically indicated.
|
FINAL REPORT
HISTORY: ___-year-old female status post fall with left posterior
pneumothorax.
COMPARISON: Radiograph dated ___.
FINDINGS: PA and lateral images through the chest demonstrate clear lungs
bilaterally. Visualized cardiomediastinal and hilar contours are within
normal limits. No evidence of pleural effusion. No definite pneumothorax is
identified. A BB is identified in the posterior lateral soft tissues at the
level of the ___ left rib anteriorly. No definite rib fracture is
identified. There is no free intra-abdominal air.
IMPRESSION: Unremarkable chest radiograph. Possible irregularity of the ___
left lateral rib on outside film not well visualized. Dedicated rib films can
be considered if clinically indicated.
| true
| true
| 31,567
|
0
|
CHEST (PA AND LAT)
|
History: ___M with progressive dyspnea for 4 days // ?pneumonia,
fluid overload?
|
Chest PA and lateral
|
Chest radiograph ___
|
Patient is status post median sternotomy and CABG. Heart size is normal. The
mediastinal and hilar contours are unchanged. Pulmonary vasculature is
normal. Apart from atelectasis in the lung bases, lungs are clear without
focal consolidation. No pleural effusion or pneumothorax is present. There
are no acute osseous abnormalities.
|
No acute cardiopulmonary abnormality.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___M with progressive dyspnea for 4 days // ?pneumonia,
fluid overload?
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiograph ___
FINDINGS:
Patient is status post median sternotomy and CABG. Heart size is normal. The
mediastinal and hilar contours are unchanged. Pulmonary vasculature is
normal. Apart from atelectasis in the lung bases, lungs are clear without
focal consolidation. No pleural effusion or pneumothorax is present. There
are no acute osseous abnormalities.
IMPRESSION:
No acute cardiopulmonary abnormality.
| true
| true
| 15,454
|
0
| null |
___ year old woman with dementia, p/w n/v, possible PNA on ED CXR,
pls re-eval // Eval PNA
|
Chest: Frontal and Lateral
|
Radiograph from ___ at 00:45. CT chest from ___.
|
Compared to prior, the patient is better positioned and the upper lobes appear
clear. Small left worse than right right pleural effusions and basal
atelectasis are stable. Severe thoracic kyphosis and compression deformities
of the thoracic spine are unchanged. Cardiomediastinal silhouette is
unchanged.
|
1. Interval resolution of right upper lobe opacity, may represent resolved
asymmetric pulmonary edema due to mitral regurgitation. Further evaluation
with ECHO is recommended, if clinically indicated.
2. Stable small bilateral pleural effusions with bibasilar atelectasis, left
worse than right.
RECOMMENDATION(S): Interval resolution of right upper lobe opacity, may
represent resolved asymmetric pulmonary edema due to mitral regurgitation.
Further evaluation with ECHO is recommended, if clinically indicated.
|
FINAL REPORT
EXAMINATION:
Chest: Frontal and lateral views
INDICATION: ___ year old woman with dementia, p/w n/v, possible PNA on ED CXR,
pls re-eval // Eval PNA
TECHNIQUE: Chest: Frontal and Lateral
COMPARISON: Radiograph from ___ at 00:45. CT chest from ___.
FINDINGS:
Compared to prior, the patient is better positioned and the upper lobes appear
clear. Small left worse than right right pleural effusions and basal
atelectasis are stable. Severe thoracic kyphosis and compression deformities
of the thoracic spine are unchanged. Cardiomediastinal silhouette is
unchanged.
IMPRESSION:
1. Interval resolution of right upper lobe opacity, may represent resolved
asymmetric pulmonary edema due to mitral regurgitation. Further evaluation
with ECHO is recommended, if clinically indicated.
2. Stable small bilateral pleural effusions with bibasilar atelectasis, left
worse than right.
RECOMMENDATION(S): Interval resolution of right upper lobe opacity, may
represent resolved asymmetric pulmonary edema due to mitral regurgitation.
Further evaluation with ECHO is recommended, if clinically indicated.
NOTIFICATION: The findings were discussed with ___, M.D. by
___, M.D. on the telephone on ___ at 11:50 AM, 25 minutes after
discovery of the findings.
| true
| true
| 6,492
|
0
|
CHEST (PA AND LAT)
|
History: ___M with fever, cough // Eval for PNA
|
Chest PA and lateral
|
Chest radiographs dated ___.
|
Heart size is normal. The mediastinal and hilar contours are normal. The
pulmonary vasculature is normal. Lungs are clear. No pleural effusion or
pneumothorax is seen. There are no acute osseous abnormalities.
|
No evidence of pneumonia.
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___M with fever, cough // Eval for PNA
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiographs dated ___.
FINDINGS:
Heart size is normal. The mediastinal and hilar contours are normal. The
pulmonary vasculature is normal. Lungs are clear. No pleural effusion or
pneumothorax is seen. There are no acute osseous abnormalities.
IMPRESSION:
No evidence of pneumonia.
| true
| true
| 7,469
|
0
| null |
___-year-old female status post CABG with prolonged intubation.
Question interval change.
| null |
___ and CT dated ___.
|
The ET tube has tip extending to 3.3 cm above the carina. A
right-sided central venous catheter sheath and enteric tube traversing
inferiorly out of view appear unchanged. There has been interval removal of a
Swan-Ganz catheter. There is overall marked increase in cardiac size as
compared to four days prior, even allowing for underlying cardiomegaly would
suspect possible development of a pericardial effusion. The right lung is
relatively well aerated.
The left upper lung now demonstrates increased ill-defined opacity, suggestive
of a combination of evolving pulmonary consolidation superimposed on layering
pleural effusion. The retrocardiac opacity persists, which could represent
atelectasis versus consolidation. Median sternotomy wires are intact.
Multiple clips are seen projecting over the heart, suggestive of prior CABG.
|
1. Significant interval enlargement of cardiac silhouette raises the question
of pericardial effusion despite underlying cardiomegaly.
2. More confluent left upper lobe consolidation with concurrent pleural
effusion, concerning for evolving infection.
Findings reported to Dr. ___ via phone at approximately 5 pm on
___.
|
FINAL REPORT
INDICATION: ___-year-old female status post CABG with prolonged intubation.
Question interval change.
COMPARISON: ___ and CT dated ___.
FINDINGS: The ET tube has tip extending to 3.3 cm above the carina. A
right-sided central venous catheter sheath and enteric tube traversing
inferiorly out of view appear unchanged. There has been interval removal of a
Swan-Ganz catheter. There is overall marked increase in cardiac size as
compared to four days prior, even allowing for underlying cardiomegaly would
suspect possible development of a pericardial effusion. The right lung is
relatively well aerated.
The left upper lung now demonstrates increased ill-defined opacity, suggestive
of a combination of evolving pulmonary consolidation superimposed on layering
pleural effusion. The retrocardiac opacity persists, which could represent
atelectasis versus consolidation. Median sternotomy wires are intact.
Multiple clips are seen projecting over the heart, suggestive of prior CABG.
IMPRESSION:
1. Significant interval enlargement of cardiac silhouette raises the question
of pericardial effusion despite underlying cardiomegaly.
2. More confluent left upper lobe consolidation with concurrent pleural
effusion, concerning for evolving infection.
Findings reported to Dr. ___ via phone at approximately 5 pm on
___.
| true
| true
| 35,890
|
0
| null | null | null | null |
PA and lateral views of the chest. No prior. The lungs are clear
without evidence of infiltrate or effusion. Cardiomediastinal silhouette is
normal. Osseous and soft tissue structures are unremarkable.
|
No acute cardiopulmonary process, specifically no evidence of
infiltrate.
|
FINAL REPORT
CHEST, TWO VIEWS: ___
HISTORY: ___-year-old man with nausea, vomiting and cough for two days.
Question pneumonia.
FINDINGS: PA and lateral views of the chest. No prior. The lungs are clear
without evidence of infiltrate or effusion. Cardiomediastinal silhouette is
normal. Osseous and soft tissue structures are unremarkable.
IMPRESSION: No acute cardiopulmonary process, specifically no evidence of
infiltrate.
| true
| true
| 28,189
|
0
| null |
___F with dyspnea // eval for pulmonary edema
|
AP and lateral views of the chest.
|
___.
|
There are bilateral pleural effusions, small on the left and moderate on the
right with adjacent atelectasis. There is pulmonary vascular congestion
without overt edema. Enlargement of the cardiac silhouette is similar to
prior although detailed evaluation is limited. Dense mitral annular
calcifications are seen. Median sternotomy and left chest wall single lead
pacing device are again noted. No acute osseous abnormalities.
|
Bilateral pleural effusions with pulmonary vascular congestion, slightly
improved since prior exam.
|
FINAL REPORT
INDICATION: ___F with dyspnea // eval for pulmonary edema
TECHNIQUE: AP and lateral views of the chest.
COMPARISON: ___.
FINDINGS:
There are bilateral pleural effusions, small on the left and moderate on the
right with adjacent atelectasis. There is pulmonary vascular congestion
without overt edema. Enlargement of the cardiac silhouette is similar to
prior although detailed evaluation is limited. Dense mitral annular
calcifications are seen. Median sternotomy and left chest wall single lead
pacing device are again noted. No acute osseous abnormalities.
IMPRESSION:
Bilateral pleural effusions with pulmonary vascular congestion, slightly
improved since prior exam.
| true
| true
| 16,345
|
0
| null | null | null |
Chest radiographs ___ and ___.
|
Portable frontal chest radiograph. There are extensive, asymmetric
interstitial opacities bilaterally, predominating the left lung. There is
improved aeration of the right upper lung, while the degree of opacification
in the left upper lung has worsened. These findings are noted on a background
of chronic lung disease. There are likely small bilateral pleural effusions.
The cardiac silhouette is mildly enlarged, but difficult to evaluate given the
parenchymal abnormalities. Dense calcifications are noted within the aortic
arch and mitral valve. No pneumothorax noted on this limited study.
|
Bilateral asymmetric and extensive interstitial opacities which
could reflect multifocal pneumonia or asymmetric pulmonary edema depending on
the clinical setting.
|
FINAL REPORT
HISTORY: Dyspnea. Evaluate for heart failure or pneumonia.
COMPARISON: Chest radiographs ___ and ___.
FINDINGS: Portable frontal chest radiograph. There are extensive, asymmetric
interstitial opacities bilaterally, predominating the left lung. There is
improved aeration of the right upper lung, while the degree of opacification
in the left upper lung has worsened. These findings are noted on a background
of chronic lung disease. There are likely small bilateral pleural effusions.
The cardiac silhouette is mildly enlarged, but difficult to evaluate given the
parenchymal abnormalities. Dense calcifications are noted within the aortic
arch and mitral valve. No pneumothorax noted on this limited study.
IMPRESSION: Bilateral asymmetric and extensive interstitial opacities which
could reflect multifocal pneumonia or asymmetric pulmonary edema depending on
the clinical setting.
| true
| true
| 23,917
|
0
| null | null | null |
None.
|
PA and lateral views of the chest provided demonstrate clear,
well-expanded lungs without focal consolidation, effusion, or pneumothorax.
Heart and mediastinal contours are normal. Bony structures are intact.
|
No acute findings in the chest.
|
FINAL REPORT
CHEST RADIOGRAPH PERFORMED ON ___
COMPARISON: None.
CLINICAL HISTORY: Chest pain, question acute process in the chest.
FINDINGS: PA and lateral views of the chest provided demonstrate clear,
well-expanded lungs without focal consolidation, effusion, or pneumothorax.
Heart and mediastinal contours are normal. Bony structures are intact.
IMPRESSION: No acute findings in the chest.
| true
| true
| 20,580
|
0
|
PA AND LATERAL CHEST RADIOGRAPHS
|
___-year-old male with shortness of breath.
|
PA and lateral chest radiographs
|
Multiple prior chest radiographs, most recent on ___.
|
The lungs are well expanded. Patchy opacities are seen in the right lower
lobe, which also shows mild bronchiectasis with peribronchial thickening. A
small pleural effusion and consolidation in the right cardiophrenic angle is
better seen in the lateral view. The left lung is clear. Cardiomediastinal and
hilar contours are unremarkable. There is no pneumothorax.
|
Findings consistent with right lower lobe pneumonia on the setting of right
lower lobe bronchiectasis and peribronchial thickening suggestive of
bronchitis.
|
WET READ: ___ ___ ___ 1:29 PM
Findings consistent with right lower lobe pneumonia on the setting of right
lower lobe bronchiectasis and peribronchial thickening suggestive of
bronchitis.
______________________________________________________________________________
FINAL REPORT
EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS
INDICATION: ___-year-old male with shortness of breath.
TECHNIQUE: PA and lateral chest radiographs
COMPARISON: Multiple prior chest radiographs, most recent on ___.
FINDINGS:
The lungs are well expanded. Patchy opacities are seen in the right lower
lobe, which also shows mild bronchiectasis with peribronchial thickening. A
small pleural effusion and consolidation in the right cardiophrenic angle is
better seen in the lateral view. The left lung is clear. Cardiomediastinal and
hilar contours are unremarkable. There is no pneumothorax.
IMPRESSION:
Findings consistent with right lower lobe pneumonia on the setting of right
lower lobe bronchiectasis and peribronchial thickening suggestive of
bronchitis.
| true
| true
| 9,902
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.