Split (3)

train · 34.3k rows

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
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 infectiou...	true	true	3,043
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 unremark...	true	true	15,815
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 pos...	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 th...	true	true	20,956
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...	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 opa...	true	true	33,753
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 ...	true	true	18,842
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 b...	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 ...	true	true	3,296
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 excl...	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 evaluati...	true	true	31,272
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 s...	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 s...	true	true	4,405
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 ...	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...	true	true	780
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 acut...	true	true	17,781
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 he...	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 c...	true	true	8,135
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...	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 ...	true	true	2,987
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: Th...	true	true	24,190
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 supraclavicul...	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 structure...	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, ef...	true	true	14,058
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...	true	true	26,822
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...	true	true	18,367
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 st...	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...	true	true	3,186
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 ...	true	true	1,856
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 radi...	true	true	20,697
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. IMPRES...	true	true	27,450
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. Irregul...	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 ventr...	true	true	2,588
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 fr...	true	true	36,163
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....	true	true	20,546
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 bi...	true	true	23,825
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 r...	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...	true	true	8,561
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 int...	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...	true	true	11,597
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 w...	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 si...	true	true	35,616
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 effusi...	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. COMPAR...	true	true	7,571
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....	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, si...	true	true	36,497
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...	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...	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 ...	true	true	12,630
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 se...	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 subcla...	true	true	27,745
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 remai...	true	true	12,915
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 ...	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...	true	true	25,109
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 c...	true	true	14,181
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 appe...	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 ...	true	true	21,108
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 suspicio...	true	true	23,858
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 nor...	true	true	28,110
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 appe...	true	true	10,476
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 cha...	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 cal...	true	true	30,394
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 abnormal...	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 w...	true	true	34,216
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 expan...	true	true	40,138
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 rig...	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 ___. T...	true	true	1,061
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 pleu...	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...	true	true	22,772
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 ...	true	true	5,384
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 indeterminat...	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 recommen...	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 pneu...	true	true	41,493
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 patien...	true	true	13,676
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 vasculatu...	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 em...	true	true	25,244
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 ro...	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 opacit...	true	true	17,183
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 si...	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...	true	true	9,549
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 pul...	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 r...	true	true	697
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 ...	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 marki...	true	true	9,390
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...	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 ri...	true	true	21,410
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 n...	true	true	15,526
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. T...	true	true	1,288
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 atelectasi...	true	true	33,197
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...	true	true	25,050
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 ...	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. ...	true	true	25,098
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, med...	true	true	23,801
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 pot...	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 ch...	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 lymphang...	true	true	3,128
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 silhouet...	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, b...	true	true	2,896
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 possib...	true	true	40,788
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 i...	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 ...	true	true	38,983
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 ...	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...	true	true	4,341
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 ...	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...	true	true	39,672
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 radi...	true	true	14,928
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 c...	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 me...	true	true	26,492
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, pneumotho...	true	true	9,391
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...	true	true	30,132
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 op...	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 ...	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. Opacific...	true	true	8,022
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: Lun...	true	true	1,086
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 k...	true	true	37,935
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
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 b...	true	true	37,667
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 unremark...	true	true	12,514
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 ...	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 ...	true	true	4,292
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 placeme...	true	true	24,766
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...	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 otherwi...	true	true	32,731
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 sta...	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. ...	true	true	23,759
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. ...	true	true	14,018
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 ple...	true	true	33,695
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 no...	true	true	18,954
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 pne...	true	true	25,393
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 sarc...	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 cirr...	true	true	19,973
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 ...	true	true	41,365
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 RE...	true	true	40,229
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 op...	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 righ...	true	true	7,760
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 c...	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...	true	true	26,192
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 pn...	true	true	15,421
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 partia...	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 le...	true	true	11,598
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 likel...	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 med...	true	true	11,466
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 ri...	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 pl...	true	true	31,567
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 ...	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 medi...	true	true	15,454
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...	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 ...	true	true	6,492
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. Lu...	true	true	7,469
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, eve...	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 p...	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 ...	true	true	35,890
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...	true	true	28,189
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...	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 with...	true	true	16,345
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 d...	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 lun...	true	true	23,917
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 co...	true	true	20,580
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 con...	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 ...	true	true	9,902

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