real_id int64 0 8.12k | study_id int64 50M 60M | subject_id int64 10M 20M | image imagewidth (px) 1.27k 3.52k | findings stringlengths 12 1.44k ⌀ | impression stringlengths 3 922 ⌀ | frontal_lateral stringclasses 4
values |
|---|---|---|---|---|---|---|
0 | 50,084,553 | 10,003,502 | null | Compared to chest radiographs since ___, most recently ___.
Large right and moderate left pleural effusions and severe bibasilar
atelectasis are unchanged. Cardiac silhouette is obscured. No pneumothorax.
Pulmonary edema is mild, obscured radiographically by overlying abnormalities. | AP | |
1 | 51,180,958 | 10,003,502 | No evidence of consolidation to suggest pneumonia is seen. There
is some retrocardiac atelectasis. A small left pleural effusion may be
present. No pneumothorax is seen. No pulmonary edema. A right granuloma is
unchanged. The heart is mildly enlarged, unchanged. There is tortuosity of
the aorta. | null | AP | |
2 | 51,180,958 | 10,003,502 | No evidence of consolidation to suggest pneumonia is seen. There
is some retrocardiac atelectasis. A small left pleural effusion may be
present. No pneumothorax is seen. No pulmonary edema. A right granuloma is
unchanged. The heart is mildly enlarged, unchanged. There is tortuosity of
the aorta. | null | LATERAL | |
3 | 52,139,270 | 10,003,502 | There are moderate bilateral pleural effusions with overlying atelectasis,
underlying consolidation not excluded. Mild prominence of the interstitial
markings suggests mild pulmonary edema. The cardiac silhouette is mildly
enlarged. The mediastinal contours are unremarkable. There is no evidence of
pneumothorax... | Bilateral pleural effusions, cardiomegaly and mild edema suggest fluid
overload, however, given the clinical history, underlying consolidation due to
pneumonia cannot be excluded at the lung bases. | LATERAL | |
4 | 52,139,270 | 10,003,502 | There are moderate bilateral pleural effusions with overlying atelectasis,
underlying consolidation not excluded. Mild prominence of the interstitial
markings suggests mild pulmonary edema. The cardiac silhouette is mildly
enlarged. The mediastinal contours are unremarkable. There is no evidence of
pneumothorax... | Bilateral pleural effusions, cardiomegaly and mild edema suggest fluid
overload, however, given the clinical history, underlying consolidation due to
pneumonia cannot be excluded at the lung bases. | AP | |
5 | 52,309,364 | 10,003,502 | Moderate to large bilateral pleural effusions are again seen, likely right
greater than left. There is suspected superimposed pulmonary edema may have
slightly improved since prior although detailed evaluation is limited given
layering pleural effusions. Vasculature appears less engorged. Cardiac
silhouette cann... | Mild to large bilateral, right greater than left pleural effusions. Degree
of pulmonary edema may have slightly improved since prior exam although
detailed evaluation is limited. | AP | |
6 | 53,282,957 | 10,003,502 | Heart size is difficult to assess given the presence of moderate to large
bilateral pleural effusions, but appears at least moderately enlarged. The
mediastinal contours are grossly unremarkable. Perihilar haziness with
vascular indistinctness and diffuse alveolar opacities are compatible with
moderate pulmonary ... | Moderate pulmonary edema with moderate to large bilateral pleural effusions
and bibasilar atelectasis. | AP | |
7 | 53,836,463 | 10,003,502 | The bilateral pleural effusions, lower lobe volume loss, and dense lower lobe
opacity compatible with a combination of volume loss/infiltrate/effusion. The
heart continues to be moderately enlarged. There is mild vascular
redistribution. | CHF, slightly worse than on the prior study. | AP | |
8 | 57,641,661 | 10,003,502 | Frontal and lateral views of the chest. Size of the bilateral effusions, left
greater than right has slightly decreased in size since prior exam. There is
less pulmonary vascular congestion on the current exam as well. Cardiac
silhouette which appears enlarged, is unchanged. No acute osseous abnormality
is det... | Persistent small bilateral effusions, larger on the left which have decreased
in size. Decreased pulmonary vascular congestion. No evidence of
superimposed acute cardiopulmonary process. | LATERAL | |
9 | 57,641,661 | 10,003,502 | Frontal and lateral views of the chest. Size of the bilateral effusions, left
greater than right has slightly decreased in size since prior exam. There is
less pulmonary vascular congestion on the current exam as well. Cardiac
silhouette which appears enlarged, is unchanged. No acute osseous abnormality
is det... | Persistent small bilateral effusions, larger on the left which have decreased
in size. Decreased pulmonary vascular congestion. No evidence of
superimposed acute cardiopulmonary process. | AP | |
10 | 57,812,613 | 10,003,502 | There is a moderate-sized left pleural effusion which is increased
in size from the prior exam in ___. There is no right pleural
effusion. The lungs are clear without pulmonary edema, consolidation, or
pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone
is unchanged from prior exams. T... | 1. Enlarging moderate left pleural effusion.
2. Stable right calcified granuloma.
3. Stable mild cardiomegaly. | LL | |
11 | 57,812,613 | 10,003,502 | There is a moderate-sized left pleural effusion which is increased
in size from the prior exam in ___. There is no right pleural
effusion. The lungs are clear without pulmonary edema, consolidation, or
pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone
is unchanged from prior exams. T... | 1. Enlarging moderate left pleural effusion.
2. Stable right calcified granuloma.
3. Stable mild cardiomegaly. | PA | |
12 | 54,857,277 | 10,013,502 | null | null | PA | |
13 | 54,857,277 | 10,013,502 | null | null | PA | |
14 | 59,527,128 | 10,013,502 | Low lung volumes, no pleural effusions. No parenchymal
abnormality, in particular no evidence of pneumonia. Borderline size of the
cardiac silhouette without pulmonary edema. No hilar or mediastinal
abnormalities. | null | LL | |
15 | 59,527,128 | 10,013,502 | Low lung volumes, no pleural effusions. No parenchymal
abnormality, in particular no evidence of pneumonia. Borderline size of the
cardiac silhouette without pulmonary edema. No hilar or mediastinal
abnormalities. | null | PA | |
30 | 52,168,780 | 10,057,482 | No previous images. There are relatively low lung volumes which
may accentuate the prominent transverse diameter of the heart. No evidence of
vascular congestion or pleural effusion. No convincing evidence of acute
pneumonia, though there are some atelectatic changes at the left base. | null | LL | |
31 | 52,168,780 | 10,057,482 | No previous images. There are relatively low lung volumes which
may accentuate the prominent transverse diameter of the heart. No evidence of
vascular congestion or pleural effusion. No convincing evidence of acute
pneumonia, though there are some atelectatic changes at the left base. | null | null | |
32 | 50,281,931 | 10,072,167 | As compared to the previous radiograph, there is no relevant
change. Normal lung volumes. Normal size of the cardiac silhouette. Normal
hilar and mediastinal structures. Minimal scarring at the lateral aspects of
the right lung. No lung nodules or masses suggesting metastatic disease. No
pleural effusions. N... | null | LATERAL | |
33 | 50,281,931 | 10,072,167 | As compared to the previous radiograph, there is no relevant
change. Normal lung volumes. Normal size of the cardiac silhouette. Normal
hilar and mediastinal structures. Minimal scarring at the lateral aspects of
the right lung. No lung nodules or masses suggesting metastatic disease. No
pleural effusions. N... | null | PA | |
34 | 50,281,931 | 10,072,167 | As compared to the previous radiograph, there is no relevant
change. Normal lung volumes. Normal size of the cardiac silhouette. Normal
hilar and mediastinal structures. Minimal scarring at the lateral aspects of
the right lung. No lung nodules or masses suggesting metastatic disease. No
pleural effusions. N... | null | LATERAL | |
35 | 53,625,240 | 10,072,167 | null | Heart size is normal. Aorta is tortuous. Lungs are clear. There is no pleural
effusion or pneumothorax. | PA | |
36 | 53,625,240 | 10,072,167 | null | Heart size is normal. Aorta is tortuous. Lungs are clear. There is no pleural
effusion or pneumothorax. | LL | |
37 | 53,625,240 | 10,072,167 | null | Heart size is normal. Aorta is tortuous. Lungs are clear. There is no pleural
effusion or pneumothorax. | PA | |
38 | 53,950,117 | 10,072,167 | Heart size is normal. Aorta is tortuous. Decrease in lung volume. However,
the Lungs are clear. There is no pleural effusion or pneumothorax. | No evidence of metastatic disease in the thorax, within the limitations of
chsst radiograph. | PA | |
39 | 53,950,117 | 10,072,167 | Heart size is normal. Aorta is tortuous. Decrease in lung volume. However,
the Lungs are clear. There is no pleural effusion or pneumothorax. | No evidence of metastatic disease in the thorax, within the limitations of
chsst radiograph. | LATERAL | |
40 | 53,950,117 | 10,072,167 | Heart size is normal. Aorta is tortuous. Decrease in lung volume. However,
the Lungs are clear. There is no pleural effusion or pneumothorax. | No evidence of metastatic disease in the thorax, within the limitations of
chsst radiograph. | LATERAL | |
41 | 55,283,974 | 10,072,167 | null | In comparison with the study of ___, there is little change and no
evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion,
or pleural effusion.
Specifically, at the limits of plain radiography, there is no evidence of
pulmonary or skeletal metastasis. | PA | |
42 | 55,283,974 | 10,072,167 | null | In comparison with the study of ___, there is little change and no
evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion,
or pleural effusion.
Specifically, at the limits of plain radiography, there is no evidence of
pulmonary or skeletal metastasis. | LL | |
43 | 51,010,496 | 10,075,925 | Mild pulmonary vascular congestion with mild to moderate interstitial
pulmonary edema are new compared with the prior study. Mild cardiomegaly has
increased compared with the immediate prior study. There is no pleural
effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour
is stable The oss... | New mild pulmonary vascular congestion with mild to moderate interstitial
pulmonary edema and increased mild cardiomegaly. No focal consolidation. | PA | |
44 | 51,010,496 | 10,075,925 | Mild pulmonary vascular congestion with mild to moderate interstitial
pulmonary edema are new compared with the prior study. Mild cardiomegaly has
increased compared with the immediate prior study. There is no pleural
effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour
is stable The oss... | New mild pulmonary vascular congestion with mild to moderate interstitial
pulmonary edema and increased mild cardiomegaly. No focal consolidation. | LATERAL | |
45 | 51,856,263 | 10,174,198 | Lungs are clear without consolidation, effusion, or pneumothorax. The
cardiomediastinal silhouette is within normal limits. No displaced fractures. | No acute cardiopulmonary process. | PA | |
46 | 51,856,263 | 10,174,198 | Lungs are clear without consolidation, effusion, or pneumothorax. The
cardiomediastinal silhouette is within normal limits. No displaced fractures. | No acute cardiopulmonary process. | LATERAL | |
48 | 50,438,069 | 10,190,940 | null | Comparison to ___. No relevant change. Minimally increased
atelectasis at the left lung bases. Unchanged known elevation of the left
hemidiaphragm and moderate cardiomegaly as well as signs of generalized fluid
overload. No new focal parenchymal opacities. No evidence of pneumonia on
the frontal and lateral ra... | PA | |
49 | 50,438,069 | 10,190,940 | null | Comparison to ___. No relevant change. Minimally increased
atelectasis at the left lung bases. Unchanged known elevation of the left
hemidiaphragm and moderate cardiomegaly as well as signs of generalized fluid
overload. No new focal parenchymal opacities. No evidence of pneumonia on
the frontal and lateral ra... | LL | |
50 | 51,351,116 | 10,190,940 | The left hemidiaphragm is elevated. Cardiomegaly is stable. There is
bibasilar atelectasis. No pleural effusion or pneumothorax is seen. The
left-sided port terminates at the distal SVC. | No evidence of pneumonia. No acute cardiopulmonary process. | PA | |
51 | 51,351,116 | 10,190,940 | The left hemidiaphragm is elevated. Cardiomegaly is stable. There is
bibasilar atelectasis. No pleural effusion or pneumothorax is seen. The
left-sided port terminates at the distal SVC. | No evidence of pneumonia. No acute cardiopulmonary process. | LL | |
52 | 51,351,116 | 10,190,940 | The left hemidiaphragm is elevated. Cardiomegaly is stable. There is
bibasilar atelectasis. No pleural effusion or pneumothorax is seen. The
left-sided port terminates at the distal SVC. | No evidence of pneumonia. No acute cardiopulmonary process. | PA | |
53 | 51,877,987 | 10,190,940 | null | Moderate cardiomegaly is accompanied by pulmonary and mediastinal vascular
engorgement but no pulmonary edema or consolidation. Elevation of the left
lung base posteriorly reflects scarring or linear atelectasis.
There no findings to suggest acute chest syndrome or pneumonia and the
cardiovascular findings could... | LL | |
54 | 51,877,987 | 10,190,940 | null | Moderate cardiomegaly is accompanied by pulmonary and mediastinal vascular
engorgement but no pulmonary edema or consolidation. Elevation of the left
lung base posteriorly reflects scarring or linear atelectasis.
There no findings to suggest acute chest syndrome or pneumonia and the
cardiovascular findings could... | PA | |
55 | 52,908,323 | 10,198,310 | null | Cardiomegaly is severe, unchanged. Pacemaker leads are unchanged. There is
interval progression of vascular congestion and interstitial pulmonary edema.
No pneumothorax. No atelectasis. Subcutaneous air within the left chest wall
is minimal. | LL | |
56 | 52,908,323 | 10,198,310 | null | Cardiomegaly is severe, unchanged. Pacemaker leads are unchanged. There is
interval progression of vascular congestion and interstitial pulmonary edema.
No pneumothorax. No atelectasis. Subcutaneous air within the left chest wall
is minimal. | AP | |
57 | 53,321,855 | 10,198,310 | Lungs are fully expanded and clear. No pleural abnormalities. Severe
cardiomegaly and cardiomediastinal hilar silhouettes are unchanged. Pacemaker
and ICD leads are unchanged in position. No evidence of displaced rib
fracture. | No evidence of rib fracture. Pacemaker and ICD leads are unchanged in
position. | PA | |
58 | 53,321,855 | 10,198,310 | Lungs are fully expanded and clear. No pleural abnormalities. Severe
cardiomegaly and cardiomediastinal hilar silhouettes are unchanged. Pacemaker
and ICD leads are unchanged in position. No evidence of displaced rib
fracture. | No evidence of rib fracture. Pacemaker and ICD leads are unchanged in
position. | LATERAL | |
59 | 54,296,371 | 10,198,310 | null | Comparison to ___. The pacemaker leads are in correct position.
No complications, notably no pneumothorax. Stable moderate cardiomegaly.
Stable mild elongation of the descending aorta and minimal retrocardiac
atelectasis. No pneumothorax. No larger pleural effusions. | LL | |
60 | 54,296,371 | 10,198,310 | null | Comparison to ___. The pacemaker leads are in correct position.
No complications, notably no pneumothorax. Stable moderate cardiomegaly.
Stable mild elongation of the descending aorta and minimal retrocardiac
atelectasis. No pneumothorax. No larger pleural effusions. | PA | |
61 | 55,018,013 | 10,198,310 | null | Compared to chest radiographs since ___, most recently ___ and
postoperative radiographs ___.
Since ___, pulmonary vascular congestion has improved, mild pulmonary edema
has resolved, but severe cardiomegaly is stable. Pleural effusions are small
if any. No pneumothorax.
3 transvenous atrioventricular pacer ... | AP | |
62 | 57,420,501 | 10,198,310 | PA and lateral views of the chest provided. Left chest wall AICD is again
seen with leads extending into the right atrium and right ventricle. The
heart is moderately enlarged. Hila appearing or urged. There is no overt
pulmonary edema. No large effusion or pneumothorax. No focal consolidation
concerning for... | Moderate cardiomegaly with pulmonary vascular congestion. | LATERAL | |
63 | 57,420,501 | 10,198,310 | PA and lateral views of the chest provided. Left chest wall AICD is again
seen with leads extending into the right atrium and right ventricle. The
heart is moderately enlarged. Hila appearing or urged. There is no overt
pulmonary edema. No large effusion or pneumothorax. No focal consolidation
concerning for... | Moderate cardiomegaly with pulmonary vascular congestion. | PA | |
64 | 59,538,225 | 10,198,310 | null | In comparison with the study of ___, there appears to be a new pacer
generator in place with what appear to be epicardial leads in the region of
the left ventricle. No evidence of post procedure pneumothorax.
There are lower lung volumes that may be accentuating the pulmonary
vascularity. | AP | |
65 | 51,438,218 | 10,199,765 | Subtle patchy opacity along the left heart border on the frontal view, not
substantiated on the lateral view, may be due to atelectasis/ scarring or
epicardial fat pad, less likely consolidation. No focal consolidation seen
elsewhere. There is no pleural effusion or pneumothorax. Cardiac and
mediastinal silhouettes... | Subtle patchy opacity along the left heart border on the frontal view, not
substantiated on the lateral view, may be due to atelectasis/ scarring or
epicardial fat pad, less likely consolidation. | PA | |
66 | 51,438,218 | 10,199,765 | Subtle patchy opacity along the left heart border on the frontal view, not
substantiated on the lateral view, may be due to atelectasis/ scarring or
epicardial fat pad, less likely consolidation. No focal consolidation seen
elsewhere. There is no pleural effusion or pneumothorax. Cardiac and
mediastinal silhouettes... | Subtle patchy opacity along the left heart border on the frontal view, not
substantiated on the lateral view, may be due to atelectasis/ scarring or
epicardial fat pad, less likely consolidation. | LATERAL | |
67 | 51,438,218 | 10,199,765 | Subtle patchy opacity along the left heart border on the frontal view, not
substantiated on the lateral view, may be due to atelectasis/ scarring or
epicardial fat pad, less likely consolidation. No focal consolidation seen
elsewhere. There is no pleural effusion or pneumothorax. Cardiac and
mediastinal silhouettes... | Subtle patchy opacity along the left heart border on the frontal view, not
substantiated on the lateral view, may be due to atelectasis/ scarring or
epicardial fat pad, less likely consolidation. | LATERAL | |
68 | 56,226,668 | 10,199,765 | null | No relevant change as compared to the previous image. Moderate cardiomegaly.
Mild central enlargement of the pulmonary arteries. No pleural effusions. No
parenchymal opacities. No pneumothorax. | AP | |
69 | 56,874,598 | 10,199,765 | null | As compared to the previous radiograph, no relevant change is seen. Moderate
cardiomegaly. Mild tortuosity of the descending aorta. No pleural effusions.
No pneumonia, no pulmonary edema. | AP | |
70 | 58,927,269 | 10,244,947 | 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.
No free air below the right hemidiaphragm is seen. | No acute intrathoracic process. | LATERAL | |
71 | 58,927,269 | 10,244,947 | 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.
No free air below the right hemidiaphragm is seen. | No acute intrathoracic process. | AP | |
72 | 51,023,457 | 10,248,673 | No focal consolidation is seen. There is elevation of the mid to posterior
left hemidiaphragm with minimal blunting of the left costophrenic angle
without a definite pleural effusion seen on the lateral view. No evidence of
pneumothorax is seen. The cardiac and mediastinal silhouettes are
unremarkable. Evidence... | Elevated left hemidiaphragm and blunting of the left costophrenic angle
although no definite evidence of pleural effusion seen on the lateral view. | PA | |
73 | 51,023,457 | 10,248,673 | No focal consolidation is seen. There is elevation of the mid to posterior
left hemidiaphragm with minimal blunting of the left costophrenic angle
without a definite pleural effusion seen on the lateral view. No evidence of
pneumothorax is seen. The cardiac and mediastinal silhouettes are
unremarkable. Evidence... | Elevated left hemidiaphragm and blunting of the left costophrenic angle
although no definite evidence of pleural effusion seen on the lateral view. | LATERAL | |
74 | 55,182,796 | 10,248,673 | null | 1. Interval extubation. Right internal jugular central line and left basilar
chest tube remain in place. Lung volumes are lower on the current
examination. There is patchy opacity at the left base with an associated
effusion, likely reflecting compressive atelectasis. No evidence of pulmonary
edema. Cardiac a... | AP | |
75 | 55,680,175 | 10,248,673 | null | 1. Interval removal of the left chest tube. No evidence of pneumothorax.
Right internal jugular central line has its tip in the distal SVC near the
cavoatrial junction, unchanged. Status post median sternotomy for CABG with
stable postoperative cardiac and mediastinal contours. There is elevation of
the left h... | AP | |
76 | 57,975,666 | 10,248,673 | In comparison with the study of ___, there is continued
opacification at the left base most likely reflecting pleural effusion and
volume loss in the lower lobe. Mild blunting of the right costophrenic angle
persists. No evidence of vascular congestion. Right IJ catheter remains in
place. | null | null | |
77 | 57,975,666 | 10,248,673 | In comparison with the study of ___, there is continued
opacification at the left base most likely reflecting pleural effusion and
volume loss in the lower lobe. Mild blunting of the right costophrenic angle
persists. No evidence of vascular congestion. Right IJ catheter remains in
place. | null | LL | |
78 | 57,118,642 | 10,253,119 | The lungs are clear. The cardiomediastinal silhouette is within normal
limits. No acute osseous abnormalities. | No acute cardiopulmonary process. | AP | |
79 | 57,118,642 | 10,253,119 | The lungs are clear. The cardiomediastinal silhouette is within normal
limits. No acute osseous abnormalities. | No acute cardiopulmonary process. | LATERAL | |
80 | 57,118,642 | 10,253,119 | The lungs are clear. The cardiomediastinal silhouette is within normal
limits. No acute osseous abnormalities. | No acute cardiopulmonary process. | LATERAL | |
81 | 54,512,270 | 10,261,230 | No previous studies for comparison.
The heart size is within normal limits. Lungs are grossly clear without
definite consolidation, pleural effusions, or signs for acute pulmonary edema.
There are no pneumothoraces. | null | AP | |
117 | 53,799,929 | 10,269,181 | The lungs are clear without consolidation or edema. The
mediastinum is unremarkable. The cardiac silhouette is within normal limits
for size. No effusion or pneumothorax is noted. The visualized osseous
structures are unremarkable. | No acute pulmonary process. | PA | |
118 | 53,799,929 | 10,269,181 | The lungs are clear without consolidation or edema. The
mediastinum is unremarkable. The cardiac silhouette is within normal limits
for size. No effusion or pneumothorax is noted. The visualized osseous
structures are unremarkable. | No acute pulmonary process. | LATERAL | |
130 | 58,092,224 | 10,287,742 | null | As compared to ___, there is unchanged evidence of mildly displaced
right rib fractures. The right pneumothorax. Visualized on the CT
examination from ___, is not visualized on the radiograph. No pleural
effusions. No pulmonary edema. No pneumonia. | AP | |
131 | 59,266,404 | 10,295,064 | PA and lateral views of the chest. No prior. The lungs are clear.
Cardiomediastinal silhouette is normal. Osseous structures are unremarkable. | No acute cardiopulmonary process. | LATERAL | |
132 | 59,266,404 | 10,295,064 | PA and lateral views of the chest. No prior. The lungs are clear.
Cardiomediastinal silhouette is normal. Osseous structures are unremarkable. | No acute cardiopulmonary process. | PA | |
133 | 59,266,404 | 10,295,064 | PA and lateral views of the chest. No prior. The lungs are clear.
Cardiomediastinal silhouette is normal. Osseous structures are unremarkable. | No acute cardiopulmonary process. | PA | |
137 | 52,139,824 | 10,308,375 | null | The heart remains enlarged. There is opacity along the medial left
hemidiaphragm, which is known to correspond to a Bochdalek's hernia containing
portion of the left kidney. The right Bochdalek hernia is not as well
visualized on today's examination. There is patchy bibasilar opacity with
likely associated layer... | AP | |
138 | 55,091,382 | 10,308,375 | Interval increase in moderate-sized right pleural effusion, and
right lower lobe opacity with new right upper lobe heterogeneous opacity.
Unchanged left apical pleural thickening and scarring. No interval change in
the dense retrocardiac opacity obscuring the left hemidiaphragm which
represents a Bochdalek hernia. ... | 1. Interval increase in moderate-sized right pleural effusion.
2. Worsening right lower lobe opacity and new right upper lobe opacity are
likely due to evolving pneumonia or aspiration.
Results were conveyed via telephone to primary team by Dr. ___ on
___ at 3:40 p.m. within 5 minutes of observation of findings. | AP | |
139 | 57,023,953 | 10,308,375 | Ill-defined patchy opacities are seen in the right lung base with
an associated small right pleural effusion, which is also confirmed in the
lateral view. A dense left-sided retrocardiac opacity abutting the left
hemidiaphragm is unchanged since at least ___ compatible with a
Bochdalek hernia. A small left pleural... | Right lower lobe pneumonia. Small bilateral pleural effusions. | LATERAL | |
140 | 57,023,953 | 10,308,375 | Ill-defined patchy opacities are seen in the right lung base with
an associated small right pleural effusion, which is also confirmed in the
lateral view. A dense left-sided retrocardiac opacity abutting the left
hemidiaphragm is unchanged since at least ___ compatible with a
Bochdalek hernia. A small left pleural... | Right lower lobe pneumonia. Small bilateral pleural effusions. | PA | |
141 | 50,223,793 | 10,337,896 | Allowing for differences in technique and projection, there has
been minimal change in the appearance of the chest except for apparent slight
increase in bilateral pleural effusions, now moderate on the right and small
to moderate on the left. | null | AP | |
142 | 50,519,407 | 10,337,896 | AP portable upright view of the chest.
Extensive intrathoracic calcifications are again seen, better localized on the
chest CT examination from ___. The heart size is top normal. A
tracheostomy tube is appropriately positioned. A right PICC terminates at the
caval atrial junction.
Again seen are bilateral pul... | Interval decrease of right pulmonary parenchymal opacities, reflecting
improvement since ___. Unchanged small bilateral pleural effusions. | AP | |
143 | 50,880,103 | 10,337,896 | null | Findings on the chest CT ___ showed probable multi focal pneumonia,
predominantly in the right lung, and mild interstitial edema. Edema improved
between ___ and ___, and then opacification in the right lung
increased again accompanied by increasing moderate right pleural effusion. The
progression of these associate... | AP | |
144 | 53,275,640 | 10,337,896 | The tracheostomy tube is unchanged in position and terminates approximately
4.8 cm above the carina. The right PICC line terminates in the distal SVC.
There is no significant change in the lungs when compared to ___.
There are several parenchymal calcifications which were characterized on the
most recent CT scan. ... | 1. Moderate pulmonary edema, unchanged.
2. Interval improvement in right-sided pleural effusion. | AP | |
145 | 53,323,373 | 10,337,896 | null | In comparison with the study of ___, there is little change. Diffuse
bilateral pulmonary opacification with areas of calcificationpersist with
bilateral pleural effusions and no change in the monitoring and support
devices. | AP | |
146 | 53,482,443 | 10,337,896 | null | Endotracheal tube and right internal jugular central line are unchanged
position. Nasogastric tube is seen coursing to the level of the distal
esophagus but the tip is not identified. Multiple calcified lymph nodes,
multiple bilateral calcified parenchymal opacities and pleural calcifications
are unchanged consist... | AP | |
147 | 53,778,461 | 10,337,896 | Multiple calcified pulmonary nodules and calcified lymph nodes within the
neck. Severe degenerative changes of the glenohumeral joints. Bilateral
pleural effusions with bibasilar atelectasis. Developing bibasilar
consolidation is difficult to exclude. No pneumothorax. | Small bilateral pleural effusions with passive atelectasis. Developing
bibasilar consolidations are difficult to exclude.
Redemonstrated densities within the lung parenchyma and neck, possibly
secondary to prior granulomatous disease. | AP | |
148 | 53,799,148 | 10,337,896 | null | Interval placement of an endotracheal tube which has its tip approximately 4.5
cm above the carina. Nasogastric tube appears to be coursing below the
diaphragm with the tip not identified. Right internal jugular central line is
unchanged in position. Overall stable cardiac mediastinal contours. No
interval change ... | AP | |
149 | 54,031,658 | 10,337,896 | null | As compared to the previous radiograph, the parenchymal opacities ___ notably
on the left, have moderately decreased in severity. The monitoring and
support devices are unchanged. Unchanged moderate cardiomegaly. Unchanged
known intra and extra thoracic lymph node calcifications. | AP | |
150 | 54,346,165 | 10,337,896 | AP portable semi upright view of the chest. Multiple calcified lymph nodes
again seen projecting over the chest and neck. The previously noted
tracheostomy tube is no longer seen. Calcified pleural plaque along the right
hemidiaphragm noted along with multiple bilateral calcified pulmonary nodules.
A small right ... | No convincing evidence for pneumonia. Chronic changes as detailed above. | AP | |
151 | 54,785,280 | 10,337,896 | An ET tube is present approximately 3.6 cm above the carina. The enteric tube
is present the distal tip off the film. There is no pneumothorax. There are
small bilateral effusions. Dense calcified opacities in both upper lung fields
and hila are noted, consistent with prior history of tuberculosis. Atelectasis
or... | null | AP | |
152 | 54,966,187 | 10,337,896 | null | In comparison with the study of ___, there is little change. Monitoring
and support devices remain in place. Diffuse bilateral pulmonary
opacifications persist along with multiple dense calcifications. | AP | |
153 | 55,022,783 | 10,337,896 | null | In comparison with the earlier study of this day, the monitoring and support
devices are unchanged diffuse pulmonary opacification is processed and may be
more prominent in the left base, suggesting some layering pleural effusion. . | AP | |
154 | 55,070,875 | 10,337,896 | The NG tube not well visualized, but may pass into the abdomen. Diffuse
bilateral pulmonary opacifications are again seen, unchanged from prior exam.
ET tube and right IJ central line are in stable position from prior exam. | NG tube not well visualized, but may pass into the abdomen. If it is a better
visualization is desired, repeat radiographs with abdominal technique can be
performed. | AP | |
155 | 55,070,875 | 10,337,896 | The NG tube not well visualized, but may pass into the abdomen. Diffuse
bilateral pulmonary opacifications are again seen, unchanged from prior exam.
ET tube and right IJ central line are in stable position from prior exam. | NG tube not well visualized, but may pass into the abdomen. If it is a better
visualization is desired, repeat radiographs with abdominal technique can be
performed. | AP | |
156 | 55,705,635 | 10,337,896 | null | Minimal interval improvement of the pre-existing right pleural effusion, with
subsequent increase in transparency of the right lung base. In the interval,
the nasogastric tube has been removed. No other relevant changes. | AP | |
157 | 55,929,666 | 10,337,896 | null | Endotracheal tube continues to have its tip approximately 4 cm above the
carina. A right internal jugular central line is unchanged in position.
Nasogastric tube appears to have pulled back into the mid esophagus. No
interval change in appearance of the multiple calcified nodes, multiple
calcified pleural plaques, ... | AP | |
158 | 56,165,736 | 10,337,896 | null | As compared to the previous radiograph, there is a minimal increase in
diameter of the vascular structures, likely reflecting increased fluid
overload. No other changes. The multiple known calcifications are constant in
appearance.
In the interval, the patient has received a tracheostomy tube. There is no
pneumot... | AP | |
159 | 56,165,736 | 10,337,896 | null | As compared to the previous radiograph, there is a minimal increase in
diameter of the vascular structures, likely reflecting increased fluid
overload. No other changes. The multiple known calcifications are constant in
appearance.
In the interval, the patient has received a tracheostomy tube. There is no
pneumot... | AP | |
160 | 56,271,118 | 10,337,896 | There is an ET tube which terminates 3.3 cm above the carina. The right IJ
central venous catheter is in stable position with tip projecting over the low
SVC. Again seen is an enteric tube with distal tip projecting below the lower
limit of film, not visualized.
Allowing for changes in differences in rotation, th... | Moderate pulmonary edema, possibly worse in the left lung most prominently.
Otherwise stable chest x-ray. | AP | |
161 | 56,329,890 | 10,337,896 | ET tube is seen in stable position 3.7 cm above the carina. Right IJ central
venous catheter is in stable position projecting over the mid to lower SVC.
Enteric tube is again seen coursing inferiorly with distal tip projecting
approximately over the stomach, however side port is most likely above the GE
junction, i... | 1. Enteric tube with side port projecting above the GE junction. ___ require
advancement. Otherwise stable support structures.
2. Unchanged lung parenchyma and stable small bilateral layering pleural
effusions. | AP | |
162 | 56,329,890 | 10,337,896 | ET tube is seen in stable position 3.7 cm above the carina. Right IJ central
venous catheter is in stable position projecting over the mid to lower SVC.
Enteric tube is again seen coursing inferiorly with distal tip projecting
approximately over the stomach, however side port is most likely above the GE
junction, i... | 1. Enteric tube with side port projecting above the GE junction. ___ require
advancement. Otherwise stable support structures.
2. Unchanged lung parenchyma and stable small bilateral layering pleural
effusions. | AP | |
163 | 56,437,767 | 10,337,896 | There has been interval placement of a right internal jugular line with tip
terminating in the lower SVC. There is no pneumothorax. There is no
improvement in the lung fields since the recent prior study. | null | AP |
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