split
stringclasses 1
value | study_id
stringlengths 8
8
| subject_id
stringlengths 8
8
| image_files
stringlengths 78
78
| reports
stringlengths 207
2.9k
| findings
stringlengths 0
1.42k
⌀ | impressions
stringlengths 0
909
⌀ | Atelectasis
int64 -1
2
| Cardiomegaly
int64 -1
2
| Consolidation
int64 -1
2
| Edema
int64 -1
2
| Enlarged Cardiomediastinum
int64 -1
2
| Fracture
int64 -1
2
| Lung Lesion
int64 -1
2
| Lung Opacity
int64 -1
2
| No Finding
int64 -1
1
| Effusion
int64 -1
2
| Pleural Other
int64 -1
2
| Pneumonia
int64 -1
1
| Pneumothorax
int64 -1
2
| Support Devices
int64 -1
2
| dicom_id
stringlengths 44
44
| gt
bool 2
classes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
validate
|
50084553
|
10003502
|
files/p10/p10003502/s50084553/70d7e600-373c1311-929f5ff9-23ee3621-ff551ff9.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with heart failure, dyspnea // Eval for
pulmonary edema. Eval for pulmonary edema.
IMPRESSION:
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.
|
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.
| 1
| 2
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| 0
| -1
|
70d7e600-373c1311-929f5ff9-23ee3621-ff551ff9
| false
|
|
validate
|
51180958
|
10003502
|
files/p10/p10003502/s51180958/1fa79752-9ddaf5b5-2120ae82-9fec50d6-51f48d1f.jpg
|
FINAL REPORT
INDICATION: Altered mental status and headache.
TECHNIQUE: Two views of the chest.
COMPARISON: Multiple prior examinations, most recent dated ___.
FINDINGS: 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.
|
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.
| 1
| 1
| 0
| 0
| -1
| -1
| -1
| -1
| -1
| 2
| -1
| 0
| 0
| -1
|
1fa79752-9ddaf5b5-2120ae82-9fec50d6-51f48d1f
| false
|
|
validate
|
52309364
|
10003502
|
files/p10/p10003502/s52309364/e0275ad1-1e6a7451-c3960f5f-1267a188-547b73a1.jpg
|
FINAL REPORT
INDICATION: ___F with new oxygen requirement // evaluate for worsening
pulmonary edema
TECHNIQUE: AP portable view of the chest.
COMPARISON: ___ at 13:06.
FINDINGS:
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 cannot be assessed.
IMPRESSION:
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.
|
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 cannot be assessed.
|
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.
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
e0275ad1-1e6a7451-c3960f5f-1267a188-547b73a1
| false
|
validate
|
53282957
|
10003502
|
files/p10/p10003502/s53282957/eb2fabb7-4bbc8aab-d7371282-08e5bcb5-de2e430a.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: History: ___F status post fall, bradycardic // ? effusion,
infectious process
TECHNIQUE: Semi-upright AP view of the chest
COMPARISON: Chest radiograph ___
FINDINGS:
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 edema. Bibasilar compressive atelectasis is demonstrated.
No pneumothorax is seen. Moderate multilevel degenerative changes are noted
in the thoracic spine.
IMPRESSION:
Moderate pulmonary edema with moderate to large bilateral pleural effusions
and bibasilar atelectasis.
|
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 edema. Bibasilar compressive atelectasis is demonstrated. No pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine.
|
Moderate pulmonary edema with moderate to large bilateral pleural effusions and bibasilar atelectasis.
| 1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
eb2fabb7-4bbc8aab-d7371282-08e5bcb5-de2e430a
| false
|
validate
|
53836463
|
10003502
|
files/p10/p10003502/s53836463/371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b.jpg
|
FINAL REPORT
HISTORY: Dyspnea.
COMPARISON: ___.
FINDINGS:
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.
IMPRESSION:
CHF, slightly worse than on the prior study.
|
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.
| -1
| 2
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
|
371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b
| false
|
validate
|
57641661
|
10003502
|
files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg
|
FINAL REPORT
HISTORY: ___-year-old female with recent non ST elevation MI with shortness of
breath.
COMPARISON: ___.
FINDINGS:
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 detected.
IMPRESSION:
Persistent small bilateral effusions, larger on the left which have decreased
in size. Decreased pulmonary vascular congestion. No evidence of
superimposed acute cardiopulmonary process.
|
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 detected.
|
Persistent small bilateral effusions, larger on the left which have decreased in size. Decreased pulmonary vascular congestion. No evidence of superimposed acute cardiopulmonary process.
| -1
| -1
| -1
| 2
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8
| false
|
validate
|
57812613
|
10003502
|
files/p10/p10003502/s57812613/1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e.jpg
|
FINAL REPORT
INDICATION: New atrial fibrillation and ankle swelling.
COMPARISON: Chest radiograph ___ and multiple chest radiographs
dating to ___.
FINDINGS: 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. The cardiac size is mildly enlarged, unchanged
from prior exams. Mediastinal contours are normal. The aorta is tortuous
with mild calcifications. Degenerative changes of the lower thoracic and
upper lumbar spine are unchanged.
IMPRESSION:
1. Enlarging moderate left pleural effusion.
2. Stable right calcified granuloma.
3. Stable mild cardiomegaly.
|
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. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.
|
1. Enlarging moderate left pleural effusion. 2. Stable right calcified granuloma. 3. Stable mild cardiomegaly.
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e
| false
|
validate
|
54857277
|
10013502
|
files/p10/p10013502/s54857277/5c531aa1-a70cc60a-7cc96a81-931ae3dd-f13b5158.jpg
|
FINAL REPORT
REASON FOR EXAMINATION: Leukocytosis.
PA and lateral upright chest radiographs were reviewed in comparison to ___.
The left PICC line tip is at the level of mid SVC. Heart size and mediastinum
are stable. Bibasal atelectasis, right more than left is unchanged with no
new consolidations demonstrated. No appreciable pleural effusion is seen.
Lung volumes remain low.
| null | null | 1
| 2
| 2
| -1
| 2
| -1
| -1
| -1
| -1
| 0
| -1
| -1
| -1
| 1
|
5c531aa1-a70cc60a-7cc96a81-931ae3dd-f13b5158
| false
|
validate
|
54857277
|
10013502
|
files/p10/p10013502/s54857277/c81b70dd-6e74dfbc-dad34592-ddacfe2d-3c3a5d4c.jpg
|
FINAL REPORT
REASON FOR EXAMINATION: Leukocytosis.
PA and lateral upright chest radiographs were reviewed in comparison to ___.
The left PICC line tip is at the level of mid SVC. Heart size and mediastinum
are stable. Bibasal atelectasis, right more than left is unchanged with no
new consolidations demonstrated. No appreciable pleural effusion is seen.
Lung volumes remain low.
| null | null | 1
| 2
| 2
| -1
| 2
| -1
| -1
| -1
| -1
| 0
| -1
| -1
| -1
| 1
|
c81b70dd-6e74dfbc-dad34592-ddacfe2d-3c3a5d4c
| false
|
validate
|
59527128
|
10013502
|
files/p10/p10013502/s59527128/bb160b54-83b69413-d51367dd-c267210b-fbad7ccd.jpg
|
FINAL REPORT
CHEST RADIOGRAPH
INDICATION: Diabetes, chronic heart failure, cough.
COMPARISON: No comparison available at the time of dictation.
FINDINGS: 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.
|
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.
| -1
| 1
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| 0
| -1
| 0
| -1
| -1
|
bb160b54-83b69413-d51367dd-c267210b-fbad7ccd
| false
|
|
validate
|
50281931
|
10072167
|
files/p10/p10072167/s50281931/822ea266-47279ea1-f37382a9-0e32ce11-fc3d643a.jpg
|
FINAL REPORT
CHEST RADIOGRAPH
INDICATION: History of RCC, status post nephrectomy, evaluation for pulmonary
nodules.
COMPARISON: Chest x-ray from ___.
FINDINGS: 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. No diffuse or focal lung parenchymal disease.
|
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. No diffuse or focal lung parenchymal disease.
| -1
| 0
| -1
| -1
| -1
| -1
| 0
| 1
| -1
| 0
| -1
| -1
| -1
| -1
|
822ea266-47279ea1-f37382a9-0e32ce11-fc3d643a
| false
|
|
validate
|
53625240
|
10072167
|
files/p10/p10072167/s53625240/bb1271cc-7277bff8-a8c65a03-bda28c48-ac5cb4aa.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old man with history of RCC s/p nephrectomy. // Please
evaluate for increased size of pulmonary nodules or other pathology. Thanks.
TECHNIQUE: CHEST (PA AND LAT)
COMPARISON: ___
IMPRESSION:
Heart size is normal. Aorta is tortuous. Lungs are clear. There is no pleural
effusion or pneumothorax.
|
Heart size is normal. Aorta is tortuous. Lungs are clear. There is no pleural effusion or pneumothorax.
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| 0
| -1
| -1
| 0
| -1
|
bb1271cc-7277bff8-a8c65a03-bda28c48-ac5cb4aa
| false
|
|
validate
|
53625240
|
10072167
|
files/p10/p10072167/s53625240/dfc90a8a-8c3ddac2-d97b03d5-33d87b92-cba96991.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old man with history of RCC s/p nephrectomy. // Please
evaluate for increased size of pulmonary nodules or other pathology. Thanks.
TECHNIQUE: CHEST (PA AND LAT)
COMPARISON: ___
IMPRESSION:
Heart size is normal. Aorta is tortuous. Lungs are clear. There is no pleural
effusion or pneumothorax.
|
Heart size is normal. Aorta is tortuous. Lungs are clear. There is no pleural effusion or pneumothorax.
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| 0
| -1
| -1
| 0
| -1
|
dfc90a8a-8c3ddac2-d97b03d5-33d87b92-cba96991
| false
|
|
validate
|
53950117
|
10072167
|
files/p10/p10072167/s53950117/0f3224d0-b72c37a0-b9d8b5e4-ec922787-44f841ac.jpg
|
FINAL REPORT
INDICATION: ___ year old man with history of RCC s/p nephrectomy. // Please
evaluate for increased size of pulmonary nodules or other pathology. Thanks.
TECHNIQUE: Chest PA and lateral
FINDINGS:
Heart size is normal. Aorta is tortuous. Decrease in lung volume. However,
the Lungs are clear. There is no pleural effusion or pneumothorax.
IMPRESSION:
No evidence of metastatic disease in the thorax, within the limitations of
chsst radiograph.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
0f3224d0-b72c37a0-b9d8b5e4-ec922787-44f841ac
| false
|
validate
|
55283974
|
10072167
|
files/p10/p10072167/s55283974/250a78d4-af5baabd-28ba3b84-13941316-dc3f1d7d.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old man with hx renal cell carcinoma s/p resection, hx
pulm nodules s/p wedge resection // eval for progressive pulmonary nodules
eval for progressive pulmonary nodules
IMPRESSION:
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.
|
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.
| -1
| -1
| -1
| 0
| -1
| -1
| -1
| -1
| 1
| 0
| -1
| 0
| -1
| -1
|
250a78d4-af5baabd-28ba3b84-13941316-dc3f1d7d
| false
|
|
validate
|
51010496
|
10075925
|
files/p10/p10075925/s51010496/2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6.jpg
|
WET READ: ___ ___ ___ 5:06 AM
New mild pulmonary vascular congestion with mild to moderate interstitial
pulmonary edema and increased mild cardiomegaly. No focal consolidation.
______________________________________________________________________________
FINAL REPORT
INDICATION: ___ year old woman with ___ edema, evaluate for fluid overload.
TECHNIQUE: Chest PA and lateral
COMPARISON: Multiple prior chest radiographs back to ___.
FINDINGS:
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 osseous structures and upper abdomen are unremarkable.
IMPRESSION:
New mild pulmonary vascular congestion with mild to moderate interstitial
pulmonary edema and increased mild cardiomegaly. No focal consolidation.
|
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 osseous structures and upper abdomen are unremarkable.
|
New mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly. No focal consolidation.
| -1
| 1
| 0
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
|
2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6
| false
|
validate
|
51856263
|
10174198
|
files/p10/p10174198/s51856263/dbd34ffe-85795554-0531cdd9-ac757c62-46a7e259.jpg
|
FINAL REPORT
INDICATION: ___M with chest pain // please evaluate for acute abnormality
TECHNIQUE: PA and lateral views the chest.
COMPARISON: None.
FINDINGS:
Lungs are clear without consolidation, effusion, or pneumothorax. The
cardiomediastinal silhouette is within normal limits. No displaced fractures.
IMPRESSION:
No acute cardiopulmonary process.
|
Lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures.
|
No acute cardiopulmonary process.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
dbd34ffe-85795554-0531cdd9-ac757c62-46a7e259
| false
|
validate
|
51351116
|
10190940
|
files/p10/p10190940/s51351116/13490b6f-3eb75751-a191991b-e8f33cad-e423992c.jpg
|
FINAL REPORT
EXAMINATION:
Chest: Frontal and lateral views
INDICATION: ___ year old man with sickle cell disease, admitted with pain
crisis, now with increasing chest pain, eval for acute chest // ___ year old
man with sickle cell disease, admitted with pain crisis, now with increasing
chest pain, eval for acute chest
TECHNIQUE: Chest: Frontal and Lateral
COMPARISON: Chest PA and lateral ___.
FINDINGS:
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.
IMPRESSION:
No evidence of pneumonia. No acute cardiopulmonary process.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| 0
| -1
| -1
|
13490b6f-3eb75751-a191991b-e8f33cad-e423992c
| false
|
validate
|
51351116
|
10190940
|
files/p10/p10190940/s51351116/f48effa0-ca35986f-95efd353-3ba4e8a2-3ec3c9ca.jpg
|
FINAL REPORT
EXAMINATION:
Chest: Frontal and lateral views
INDICATION: ___ year old man with sickle cell disease, admitted with pain
crisis, now with increasing chest pain, eval for acute chest // ___ year old
man with sickle cell disease, admitted with pain crisis, now with increasing
chest pain, eval for acute chest
TECHNIQUE: Chest: Frontal and Lateral
COMPARISON: Chest PA and lateral ___.
FINDINGS:
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.
IMPRESSION:
No evidence of pneumonia. No acute cardiopulmonary process.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| 0
| -1
| -1
|
f48effa0-ca35986f-95efd353-3ba4e8a2-3ec3c9ca
| false
|
validate
|
52908323
|
10198310
|
files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old man with HF s/p lead placement via thoracotomy and
d/p CT removal ___ // evidence of collapse or pneumo? evidence of
collapse or pneumo?
IMPRESSION:
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.
|
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.
| 0
| 1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 0
| 1
|
ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3
| false
|
|
validate
|
57420501
|
10198310
|
files/p10/p10198310/s57420501/a94f823a-d1f6f5aa-de10d9b8-37f6c6c1-e9631495.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___M p/w weakness, difficulty ambulating, hx CHB s/p pacemaker
COMPARISON: ___.
FINDINGS:
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 pneumonia. The mediastinal contour is stable. Bony structures
are intact. No free air below the right hemidiaphragm seen.
IMPRESSION:
Moderate cardiomegaly with pulmonary vascular congestion.
|
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 pneumonia. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm seen.
|
Moderate cardiomegaly with pulmonary vascular congestion.
| -1
| 1
| -1
| 2
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
|
a94f823a-d1f6f5aa-de10d9b8-37f6c6c1-e9631495
| false
|
validate
|
59538225
|
10198310
|
files/p10/p10198310/s59538225/3971a847-5fdaeaec-226d2538-7ef67cf3-d5955a86.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with s/p LV lead placement // eval for ptx,
effusions eval for ptx, effusions
IMPRESSION:
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.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 0
| 1
|
3971a847-5fdaeaec-226d2538-7ef67cf3-d5955a86
| false
|
|
validate
|
56226668
|
10199765
|
files/p10/p10199765/s56226668/53875428-43e38b4f-4474877c-8f58e8c1-9a189004.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with PE // assess interval change
COMPARISON: ___.
IMPRESSION:
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.
|
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.
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 0
| -1
| 0
| -1
| -1
| 0
| -1
|
53875428-43e38b4f-4474877c-8f58e8c1-9a189004
| false
|
|
validate
|
56874598
|
10199765
|
files/p10/p10199765/s56874598/b7b5e3b9-d55d332f-ebd0edf9-b48553d6-376f7a96.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with submassive PE // eval ETT placement,
interval changes
COMPARISON: ___.
IMPRESSION:
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.
|
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.
| -1
| 1
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| 0
| -1
| 0
| -1
| -1
|
b7b5e3b9-d55d332f-ebd0edf9-b48553d6-376f7a96
| false
|
|
validate
|
58927269
|
10244947
|
files/p10/p10244947/s58927269/d98a4431-acba5ef8-f0c5fe0c-b1b0900e-13276d61.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___F with fall // preop
COMPARISON: None
FINDINGS:
AP upright and lateral views of the chest provided.
There is no focal consolidation, effusion, or pneumothorax. The
cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
No free air below the right hemidiaphragm is seen.
IMPRESSION:
No acute intrathoracic process.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
d98a4431-acba5ef8-f0c5fe0c-b1b0900e-13276d61
| false
|
validate
|
51023457
|
10248673
|
files/p10/p10248673/s51023457/1f199273-2f4b7e8c-9041b5c2-18e7ca21-26142e3c.jpg
|
FINAL REPORT
HISTORY: Chest pain x.
TECHNIQUE: Frontal and lateral views of the chest.
COMPARISON: None.
FINDINGS:
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 of DISH is seen along the spine. No displaced
fracture is seen.
IMPRESSION:
Elevated left hemidiaphragm and blunting of the left costophrenic angle
although no definite evidence of pleural effusion seen on the lateral view.
|
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 of DISH is seen along the spine. No displaced fracture is seen.
|
Elevated left hemidiaphragm and blunting of the left costophrenic angle although no definite evidence of pleural effusion seen on the lateral view.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 0
| -1
| -1
| -1
| -1
|
1f199273-2f4b7e8c-9041b5c2-18e7ca21-26142e3c
| false
|
validate
|
55182796
|
10248673
|
files/p10/p10248673/s55182796/5af7f675-13339075-9c8b61d4-bf098f85-30636763.jpg
|
FINAL REPORT
PORTABLE CHEST FILM ___ AT 726
CLINICAL INDICATION: ___-year-old status post CABG with dropping hematocrit,
question effusion.
Comparison is made to the patient's previous study dated ___ at ___.
A portable AP upright chest film ___ at 726 is submitted.
IMPRESSION:
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 and mediastinal contours are difficult to assess due to the
low lung volumes and patient rotation on the current study, although the
mediastinal contours are likely unchanged. Status post median sternotomy for
CABG. No pneumothorax.
|
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 and mediastinal contours are difficult to assess due to the low lung volumes and patient rotation on the current study, although the mediastinal contours are likely unchanged. Status post median sternotomy for CABG. No pneumothorax.
| 1
| -1
| -1
| 0
| 1
| -1
| -1
| 1
| -1
| 1
| -1
| -1
| 0
| 1
|
5af7f675-13339075-9c8b61d4-bf098f85-30636763
| false
|
|
validate
|
55680175
|
10248673
|
files/p10/p10248673/s55680175/81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae.jpg
|
FINAL REPORT
PORTABLE AP CHEST FILM, ___ AT 11:18
CLINICAL INDICATION: ___-year-old status post CABG, status post chest tube
removal, question pneumothorax.
Comparison to prior study of ___ at 7:26.
A portable AP upright chest film, ___ at 11:18 is submitted.
IMPRESSION:
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 hemidiaphragm with some adjacent streaky opacities, suggestive of
atelectasis. Blunting of the left costophrenic angle likely reflects a small
effusion. There is also possibly a tiny right pleural effusion. No evidence
of pulmonary edema.
|
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 hemidiaphragm with some adjacent streaky opacities, suggestive of atelectasis. Blunting of the left costophrenic angle likely reflects a small effusion. There is also possibly a tiny right pleural effusion. No evidence of pulmonary edema.
| 1
| -1
| -1
| 0
| 2
| -1
| -1
| 1
| -1
| 1
| -1
| -1
| 0
| 1
|
81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae
| false
|
|
validate
|
57118642
|
10253119
|
files/p10/p10253119/s57118642/24386f31-41e447f6-dd0abcfa-ac74f2fe-431699ec.jpg
|
FINAL REPORT
INDICATION: ___M with sob, hypotension // eval for pna
TECHNIQUE: AP and lateral views the chest.
COMPARISON: None.
FINDINGS:
The lungs are clear. The cardiomediastinal silhouette is within normal
limits. No acute osseous abnormalities.
IMPRESSION:
No acute cardiopulmonary process.
|
The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
|
No acute cardiopulmonary process.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
24386f31-41e447f6-dd0abcfa-ac74f2fe-431699ec
| false
|
validate
|
54512270
|
10261230
|
files/p10/p10261230/s54512270/46583e03-f42311f4-87dca60a-c4c12f22-0fe13c7f.jpg
|
FINAL REPORT
STUDY: AP CHEST, ___.
CLINICAL HISTORY: ___-year-old woman with multiple toxic ingestions. Evaluate
for aspiration.
FINDINGS: 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.
|
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.
| -1
| 0
| 0
| 1
| -1
| -1
| -1
| -1
| -1
| 0
| -1
| -1
| 0
| -1
|
46583e03-f42311f4-87dca60a-c4c12f22-0fe13c7f
| false
|
|
validate
|
53799929
|
10269181
|
files/p10/p10269181/s53799929/51051faa-2f20e284-0d88407b-8415e95b-9767e74e.jpg
|
FINAL REPORT
PA AND LATERAL CHEST, ___ AT ___
HISTORY: Bilateral chest pain and wheezing.
COMPARISON: None.
FINDINGS: 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.
IMPRESSION: No acute pulmonary process.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
51051faa-2f20e284-0d88407b-8415e95b-9767e74e
| false
|
validate
|
58092224
|
10287742
|
files/p10/p10287742/s58092224/f2c7b3a4-c8299236-db971a34-5b06646b-233f91ae.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with pneumothorax // please evaluate for
expanding ptx please evaluate for expanding ptx
IMPRESSION:
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.
|
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.
| -1
| -1
| -1
| 0
| -1
| 1
| -1
| -1
| -1
| 0
| -1
| 0
| 1
| -1
|
f2c7b3a4-c8299236-db971a34-5b06646b-233f91ae
| false
|
|
validate
|
59266404
|
10295064
|
files/p10/p10295064/s59266404/902eff2e-fa561f7b-5fa0f94e-e783fda8-9929d74a.jpg
|
FINAL REPORT
CHEST, TWO VIEWS: ___
HISTORY: ___-year-old female with myalgias.
FINDINGS: PA and lateral views of the chest. No prior. The lungs are clear.
Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
IMPRESSION: No acute cardiopulmonary process.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
902eff2e-fa561f7b-5fa0f94e-e783fda8-9929d74a
| false
|
validate
|
59266404
|
10295064
|
files/p10/p10295064/s59266404/c558a43e-149445ab-fd0ae407-39c70cca-a8a63ddf.jpg
|
FINAL REPORT
CHEST, TWO VIEWS: ___
HISTORY: ___-year-old female with myalgias.
FINDINGS: PA and lateral views of the chest. No prior. The lungs are clear.
Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
IMPRESSION: No acute cardiopulmonary process.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
c558a43e-149445ab-fd0ae407-39c70cca-a8a63ddf
| false
|
validate
|
52139824
|
10308375
|
files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg
|
FINAL REPORT
PORTABLE AP CHEST FILM, ___ AT 15:19
CLINICAL INDICATION: ___-year-old with cough and bloody sputum, traumatic
endotracheal tube intubation postop day #2, rising white count, question
aspiration.
Comparison is made to the patient's preoperative study of ___.
Portable semi-erect chest film, ___ at 15:24 is submitted.
IMPRESSION:
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 layering effusions. These findings could reflect
compressive atelectasis, although aspiration pneumonia should also be
considered. There is also an asymmetric airspace process involving the left
apex, which likely is not significantly changed dating all the way back to
___ and therefore would favor a benign process. No pulmonary edema. No
pneumothoraces. Mediastinal contours are stable.
|
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 layering effusions. These findings could reflect compressive atelectasis, although aspiration pneumonia should also be considered. There is also an asymmetric airspace process involving the left apex, which likely is not significantly changed dating all the way back to ___ and therefore would favor a benign process. No pulmonary edema. No pneumothoraces. Mediastinal contours are stable.
| 2
| 1
| -1
| 0
| 2
| -1
| -1
| 1
| -1
| 1
| -1
| 1
| 0
| -1
|
53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0
| false
|
|
validate
|
57023953
|
10308375
|
files/p10/p10308375/s57023953/aa29a8f7-ec260779-8cb37967-7d5bb1e6-a623e93f.jpg
|
FINAL REPORT
INDICATION: ___-year-old female with chest tightness and low saturations.
Evaluate for acute process.
COMPARISON: Chest radiographs on ___, ___ and ___.
TECHNIQUE: PA and lateral chest radiograph.
FINDINGS: 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 effusion is also likely present. There
is biapical pleuro-parenchymal scarring, more conspicuous in the left apex.
No other focal opacities are identified. Mild cardiomegaly is unchanged from
prior. There is no pneumothorax.
IMPRESSION: Right lower lobe pneumonia. Small bilateral pleural effusions.
|
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 effusion is also likely present. There is biapical pleuro-parenchymal scarring, more conspicuous in the left apex. No other focal opacities are identified. Mild cardiomegaly is unchanged from prior. There is no pneumothorax.
|
Right lower lobe pneumonia. Small bilateral pleural effusions.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| 1
| -1
| -1
|
aa29a8f7-ec260779-8cb37967-7d5bb1e6-a623e93f
| false
|
validate
|
50223793
|
10337896
|
files/p10/p10337896/s50223793/5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65.jpg
|
FINAL REPORT
PORTABLE CHEST, ___
COMPARISON: ___ study.
FINDINGS: 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.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65
| false
|
|
validate
|
53275640
|
10337896
|
files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg
|
FINAL REPORT
EXAMINATION: Portable chest radiograph
INDICATION: ___ year old man trach'd in SICU s/p prolonged sepsis course
resulting from herniorrhaphy. // eval infiltrate
TECHNIQUE: Portable chest radiograph
COMPARISON: Multiple chest radiographs since ___, most recently
performed on ___
FINDINGS:
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. Again noted are diffuse infiltrative parenchymal
opacities, right worse than left; this is largely due to pulmonary edema and
the right-sided pleural effusion, but underlying pneumonia cannot be excluded.
The mediastinum is wide, which was noted as far back as the outside hospital
CXR from ___. No acute osseous abnormalities.
IMPRESSION:
1. Moderate pulmonary edema, unchanged.
2. Interval improvement in right-sided pleural effusion.
|
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. Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely due to pulmonary edema and the right-sided pleural effusion, but underlying pneumonia cannot be excluded. The mediastinum is wide, which was noted as far back as the outside hospital CXR from ___. No acute osseous abnormalities.
|
1. Moderate pulmonary edema, unchanged. 2. Interval improvement in right-sided pleural effusion.
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
ac8d6143-a581f133-eafa59da-4f66bc75-4693997c
| false
|
validate
|
53323373
|
10337896
|
files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with vent dependent respiratory failure // s/p
bronch, asses for improvemeent s/p bronch, asses for improvemeent
IMPRESSION:
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.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| 1
| -1
| -1
| -1
| 1
|
15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d
| false
|
|
validate
|
53482443
|
10337896
|
files/p10/p10337896/s53482443/e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man s/p large belly surgery, on pressors, looking for
cause. // Please evaluate for interval change in bilateral pleural effusions.
Please evaluate for interval change in bilateral pleural eff
COMPARISON: Comparison to prior study dated ___ at 14 59
IMPRESSION:
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 consistent with prior granulomatous infection. Given the
extensive parenchymal abnormality, this does limit the sensitivity of plain
radiography. Bilateral apical pleural thickening, left greater than right,
which is unchanged. There are stable bilateral layering effusions, left
greater than right, with probable associated compressive atelectasis in the
lower lobes. No overt pulmonary edema. Heart remains stably enlarged.
Bilateral glenohumeral degenerative changes with deformity of the left humeral
head.
|
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 consistent with prior granulomatous infection. Given the extensive parenchymal abnormality, this does limit the sensitivity of plain radiography. Bilateral apical pleural thickening, left greater than right, which is unchanged. There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes. No overt pulmonary edema. Heart remains stably enlarged. Bilateral glenohumeral degenerative changes with deformity of the left humeral head.
| 2
| -1
| -1
| 0
| -1
| -1
| -1
| 1
| -1
| 1
| 1
| 1
| -1
| 1
|
e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a
| false
|
|
validate
|
53778461
|
10337896
|
files/p10/p10337896/s53778461/58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6.jpg
|
FINAL REPORT
EXAMINATION: Portable semi-upright chest
INDICATION: ___ year-old male with a history of Down's sydrome, CAD, HFrEF
(___%), PE on warfarin and recurrent small bowel obstruction s/p ex-lap +
trach/PEG (recently reversed) who was brought to ___ by his caretakers due to
melena, now with continued hypotension, concern for ? septic shock // eval
for pneumonia, pulmonary edema
TECHNIQUE: Portable semi-upright chest
COMPARISON: ___
FINDINGS:
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.
IMPRESSION:
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.
|
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.
| 1
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6
| false
|
validate
|
54785280
|
10337896
|
files/p10/p10337896/s54785280/1cf4fc4f-428e8580-055a5630-45455deb-5c72df9c.jpg
|
FINAL REPORT
INDICATION: ___M s/p intubation // eval tube placement
TECHNIQUE: AP upright view of the chest.
COMPARISON: Chest radiograph ___.
FINDINGS:
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 consolidation of the lung bases are noted. Reticular changes are also
noted, which may be acute or chronic.
|
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 consolidation of the lung bases are noted. Reticular changes are also noted, which may be acute or chronic.
| 2
| -1
| 2
| -1
| -1
| -1
| -1
| 1
| -1
| 1
| -1
| -1
| 0
| 1
|
1cf4fc4f-428e8580-055a5630-45455deb-5c72df9c
| false
|
|
validate
|
54966187
|
10337896
|
files/p10/p10337896/s54966187/aa75e710-aee0e27e-b996e245-8bb737da-caa4ea7a.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with recent ex-lap, intubated, aggresive fluid
resuscitation // assess lungs assess lungs
IMPRESSION:
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.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
|
aa75e710-aee0e27e-b996e245-8bb737da-caa4ea7a
| false
|
|
validate
|
55070875
|
10337896
|
files/p10/p10337896/s55070875/3eb3bf96-c5401aea-07178eee-c43e5e80-600f6a33.jpg
|
FINAL REPORT
INDICATION: ___ year old man with s/p small bowel resection // placement of
gastric tube
TECHNIQUE: Single portable AP image of the chest.
COMPARISON: Comparisons ___ chest radiographs from earlier same day, ___, and ___.
FINDINGS:
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.
IMPRESSION:
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.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| 0
|
3eb3bf96-c5401aea-07178eee-c43e5e80-600f6a33
| false
|
validate
|
55070875
|
10337896
|
files/p10/p10337896/s55070875/44bec237-520a0e5b-80e20d64-2c0a9036-c8766a81.jpg
|
FINAL REPORT
INDICATION: ___ year old man with s/p small bowel resection // placement of
gastric tube
TECHNIQUE: Single portable AP image of the chest.
COMPARISON: Comparisons ___ chest radiographs from earlier same day, ___, and ___.
FINDINGS:
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.
IMPRESSION:
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.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| 0
|
44bec237-520a0e5b-80e20d64-2c0a9036-c8766a81
| false
|
validate
|
55705635
|
10337896
|
files/p10/p10337896/s55705635/ce5750a7-68ea7a3c-9170b26c-f86bd4a4-dea2e2f2.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man intubated, sedated in SICU w K. pneumoniae PNA.
// eval infiltrate
COMPARISON: ___
IMPRESSION:
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.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 0
|
ce5750a7-68ea7a3c-9170b26c-f86bd4a4-dea2e2f2
| false
|
|
validate
|
55929666
|
10337896
|
files/p10/p10337896/s55929666/69edea97-d76e1e86-638a39dc-13ee8420-6f3385ef.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with respiratory failure. Intermittently
extubated and reintubated on ___. // eval infiltrate eval infiltrate
COMPARISON: Comparison to prior study ___ at 17 28
IMPRESSION:
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, and multiple calcified parenchymal opacities.
Layering effusions with retrocardiac opacity likely reflecting compressive
atelectasis. No pneumothorax. Asymmetric biapical pleural thickening
unchanged. Bilateral humeral head degenerative changes with remodeling on the
left.
NOTIFICATION: The results of this examination were communicated to the
patient's nurse, ___, by phone on ___ at 10:40 am at the time of
discovery.
|
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, and multiple calcified parenchymal opacities. Layering effusions with retrocardiac opacity likely reflecting compressive atelectasis. No pneumothorax. Asymmetric biapical pleural thickening unchanged. Bilateral humeral head degenerative changes with remodeling on the left. NOTIFICATION: The results of this examination were communicated to the patient's nurse, ___, by phone on ___ at 10:40 am at the time of discovery.
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| 1
| 1
| -1
| 0
| 1
|
69edea97-d76e1e86-638a39dc-13ee8420-6f3385ef
| false
|
|
validate
|
56165736
|
10337896
|
files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with vent dependent respiratory failure. //
Please evalaute for interval change
COMPARISON: ___
IMPRESSION:
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
pneumothorax.
|
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 pneumothorax.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 0
| 1
|
48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d
| false
|
|
validate
|
56165736
|
10337896
|
files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with vent dependent respiratory failure. //
Please evalaute for interval change
COMPARISON: ___
IMPRESSION:
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
pneumothorax.
|
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 pneumothorax.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 0
| 1
|
7fef0afd-85293903-b15562d2-3b827aee-1405b065
| false
|
|
validate
|
56271118
|
10337896
|
files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg
|
FINAL REPORT
EXAMINATION: Portable AP chest x-ray.
INDICATION: ___ year old man s/p strangulated ventral hernia repair with
aggressive fluid resuscitation // assess lungs
TECHNIQUE: AP projection.
COMPARISON: Portable AP chest x-ray obtained ___.
FINDINGS:
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, the cardiomediastinal
silhouette is unchanged. The bilateral hila are not well visualized.
There is again seen pulmonary vascular congestion and moderate pulmonary
edema, possibly worsened in the left lung in comparison to prior radiograph.
There is stable pleural thickening most notable in the left apex. There are at
least small bilateral layering pleural effusions, stable in size. There is
unchanged appearance of multiple bilateral calcified lymph nodes as well as
pleural and parenchymal calcifications.
There is no pneumothorax.
IMPRESSION:
Moderate pulmonary edema, possibly worse in the left lung most prominently.
Otherwise stable chest x-ray.
|
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, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.
|
Moderate pulmonary edema, possibly worse in the left lung most prominently. Otherwise stable chest x-ray.
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
|
c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5
| false
|
validate
|
56329890
|
10337896
|
files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg
|
FINAL REPORT
EXAMINATION: Portable AP chest x-ray.
INDICATION: ___ year old man s/p sbr with vent dep respiratory failure s/p
bronch // improvement of bibasilar infiltrates
TECHNIQUE: AP projection.
COMPARISON: Portable AP chest x-ray obtained ___.
FINDINGS:
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, in comparison to prior radiograph.
The cardiomediastinal silhouette is unchanged in appearance. The bilateral
hila are not well seen.
There is unchanged appearance of the bilateral lung parenchyma, with pulmonary
vascular congestion and moderate pulmonary edema. There are unchanged small
bilateral layering pleural effusions. There are stable multiple bilateral
calcified lymph nodes, pleural and parenchymal calcifications.
There is no pneumothorax.
IMPRESSION:
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.
|
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, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 1
|
4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274
| false
|
validate
|
56329890
|
10337896
|
files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg
|
FINAL REPORT
EXAMINATION: Portable AP chest x-ray.
INDICATION: ___ year old man s/p sbr with vent dep respiratory failure s/p
bronch // improvement of bibasilar infiltrates
TECHNIQUE: AP projection.
COMPARISON: Portable AP chest x-ray obtained ___.
FINDINGS:
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, in comparison to prior radiograph.
The cardiomediastinal silhouette is unchanged in appearance. The bilateral
hila are not well seen.
There is unchanged appearance of the bilateral lung parenchyma, with pulmonary
vascular congestion and moderate pulmonary edema. There are unchanged small
bilateral layering pleural effusions. There are stable multiple bilateral
calcified lymph nodes, pleural and parenchymal calcifications.
There is no pneumothorax.
IMPRESSION:
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.
|
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, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 1
|
7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a
| false
|
validate
|
56437767
|
10337896
|
files/p10/p10337896/s56437767/b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92.jpg
|
FINAL REPORT
INDICATION: ___M with central line placement.
TECHNIQUE: Portable AP of the chest.
COMPARISON: Chest radiograph ___.
FINDINGS:
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.
|
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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 0
| 1
|
b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92
| false
|
|
validate
|
56539620
|
10337896
|
files/p10/p10337896/s56539620/15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man s/p recent small bowel resection, post-op resp
failure. Now extubated. OGT switched to NGT, please eval location. // eval
NGT location eval NGT location
COMPARISON: Comparison to prior study ___ at 05:11
IMPRESSION:
Interval extubation. Nasogastric tube is seen coursing below the diaphragm
with the tip not identified but at least within the stomach. Right internal
jugular central line is unchanged in position. Multiple calcified lymph
nodes, multiple bilateral calcified parenchymal opacities and pleural
calcifications are unchanged consistent with prior granulomatous infection.
Bilateral layering effusions unchanged. Overall cardiac mediastinal contours
are stable. No pneumothorax.
|
Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the stomach. Right internal jugular central line is unchanged in position. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Overall cardiac mediastinal contours are stable. No pneumothorax.
| -1
| -1
| -1
| -1
| 2
| -1
| -1
| 1
| -1
| 1
| -1
| 1
| 0
| 1
|
15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2
| false
|
|
validate
|
56539620
|
10337896
|
files/p10/p10337896/s56539620/603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man s/p recent small bowel resection, post-op resp
failure. Now extubated. OGT switched to NGT, please eval location. // eval
NGT location eval NGT location
COMPARISON: Comparison to prior study ___ at 05:11
IMPRESSION:
Interval extubation. Nasogastric tube is seen coursing below the diaphragm
with the tip not identified but at least within the stomach. Right internal
jugular central line is unchanged in position. Multiple calcified lymph
nodes, multiple bilateral calcified parenchymal opacities and pleural
calcifications are unchanged consistent with prior granulomatous infection.
Bilateral layering effusions unchanged. Overall cardiac mediastinal contours
are stable. No pneumothorax.
|
Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the stomach. Right internal jugular central line is unchanged in position. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Overall cardiac mediastinal contours are stable. No pneumothorax.
| -1
| -1
| -1
| -1
| 2
| -1
| -1
| 1
| -1
| 1
| -1
| 1
| 0
| 1
|
603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e
| false
|
|
validate
|
56623034
|
10337896
|
files/p10/p10337896/s56623034/f06a566d-44137a23-0a4acf0e-15f9c10d-4fcffff2.jpg
|
WET READ: ___ ___ 8:26 AM
Right PICC has been withdrawn but still terminates in the right atrium.
Otherwise, no relevant change from the prior radiograph.
WET READ VERSION #1 ___ ___ 10:14 PM
Right PICC has been withdrawn but still terminates in the right atrium.
Otherwise, no relevant change from the prior radiograph.
______________________________________________________________________________
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___M s/p repair of incarcerated hernia // ? interval change s/p
PICC pulled back slightly
COMPARISON: ___
IMPRESSION:
As compared to the previous radiograph, the right PICC line has been pulled
back. The tip of the line, however, still projects over the right atrium and
should be pulled back by another 5-6 cm. No evidence of complications.
Otherwise unchanged appearance of the lung parenchyma and the cardiac
silhouette.
|
As compared to the previous radiograph, the right PICC line has been pulled back. The tip of the line, however, still projects over the right atrium and should be pulled back by another 5-6 cm. No evidence of complications. Otherwise unchanged appearance of the lung parenchyma and the cardiac silhouette.
| -1
| 2
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
|
f06a566d-44137a23-0a4acf0e-15f9c10d-4fcffff2
| false
|
|
validate
|
56887951
|
10337896
|
files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___M w/ incarcerated hernia s/p repair trach and PEG and PICC
placement that required it to be pulled back // ? PICC placement now s/p
being pulled back
COMPARISON: ___
IMPRESSION:
As compared to the previous radiograph, the tip of the right PICC line now
projects over the mid SVC. No other changes are noted. The right internal
jugular vein catheter and the tracheostomy tube are in constant position.
|
As compared to the previous radiograph, the tip of the right PICC line now projects over the mid SVC. No other changes are noted. The right internal jugular vein catheter and the tracheostomy tube are in constant position.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
|
c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383
| false
|
|
validate
|
56902361
|
10337896
|
files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: Recently postop. Assessed for interval change.
TECHNIQUE: Single AP radiograph of the chest from ___.
COMPARISON: ___.
FINDINGS:
The right IJ central line, endotracheal tube and enteric tube remain in
satisfactory position. Moderate pulmonary edema and small layering pleural
effusions are also unchanged. There is no pneumothorax. The heart and
mediastinum are magnified by the projection. Calcified lymph nodes, as well as
pleural and parenchymal calcifications are again noted.
IMPRESSION:
No significant interval change in moderate pulmonary edema and small bilateral
pleural effusions.
Lines and tubes in satisfactory position.
|
The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.
|
No significant interval change in moderate pulmonary edema and small bilateral pleural effusions. Lines and tubes in satisfactory position.
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 1
|
7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c
| false
|
validate
|
57080785
|
10337896
|
files/p10/p10337896/s57080785/11835a49-689d7896-d692a675-ea26b04a-9b11c20f.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___M s/p repair of incarcerated ventral hernia now s/p trach // ?
interval change
COMPARISON: ___
IMPRESSION:
As compared to the previous image, tip of the right PICC line still projects
over the mid to lower parts of the right atrium. Pulling back of the line
should be performed, as indicated in the previous report. No relevant change
in appearance of the lung parenchyma and the heart.
|
As compared to the previous image, tip of the right PICC line still projects over the mid to lower parts of the right atrium. Pulling back of the line should be performed, as indicated in the previous report. No relevant change in appearance of the lung parenchyma and the heart.
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| 1
|
11835a49-689d7896-d692a675-ea26b04a-9b11c20f
| false
|
|
validate
|
57080785
|
10337896
|
files/p10/p10337896/s57080785/3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___M s/p repair of incarcerated ventral hernia now s/p trach // ?
interval change
COMPARISON: ___
IMPRESSION:
As compared to the previous image, tip of the right PICC line still projects
over the mid to lower parts of the right atrium. Pulling back of the line
should be performed, as indicated in the previous report. No relevant change
in appearance of the lung parenchyma and the heart.
|
As compared to the previous image, tip of the right PICC line still projects over the mid to lower parts of the right atrium. Pulling back of the line should be performed, as indicated in the previous report. No relevant change in appearance of the lung parenchyma and the heart.
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| 1
|
3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e
| false
|
|
validate
|
57554911
|
10337896
|
files/p10/p10337896/s57554911/a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with shock, now s/p fluid resussitation with
worsening respiratory status, concern for worsening pulmonary edema // eval
for worsening pulmonary edema
TECHNIQUE: Single frontal view of the chest
COMPARISON: ___
IMPRESSION:
Cardiomediastinal contours are unchanged. Mild to moderate pulmonary edema has
worsened. Small to moderate right and small left effusions have increased.
Multiple calcified lymph nodes and granulomas are again noted.
|
Cardiomediastinal contours are unchanged. Mild to moderate pulmonary edema has worsened. Small to moderate right and small left effusions have increased. Multiple calcified lymph nodes and granulomas are again noted.
| -1
| -1
| -1
| 1
| 2
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be
| false
|
|
validate
|
57814257
|
10337896
|
files/p10/p10337896/s57814257/f65f9193-62ebcf82-99968803-f13a04d1-f2c529b5.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___M s/p repair of incarcerated hernia c/b pna // ? interval
change, please do on AM ICU rounds
COMPARISON: Chest radiograph ___, chest CT ___
IMPRESSION:
The overall appearance of the chest is similar to the recent study except for
worsening multifocal consolidation in the right lung and standard slight
increase in size of moderate right pleural effusion.
|
The overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion.
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
f65f9193-62ebcf82-99968803-f13a04d1-f2c529b5
| false
|
|
validate
|
58472100
|
10337896
|
files/p10/p10337896/s58472100/837a3315-a9ccd709-59623363-1b86d9d7-0682317f.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with septic shock // assess for interval change
assess for interval change
IMPRESSION:
In comparison with the study of ___, the monitoring and support devices
remain in place. Diffuse bilateral pulmonary opacification is processed,
consistent with pulmonary edema, bilateral pleural effusions, and compressive
atelectasis at the bases, as well as diffuse calcifications.
|
In comparison with the study of ___, the monitoring and support devices remain in place. Diffuse bilateral pulmonary opacification is processed, consistent with pulmonary edema, bilateral pleural effusions, and compressive atelectasis at the bases, as well as diffuse calcifications.
| 1
| -1
| -1
| 1
| -1
| -1
| -1
| 1
| -1
| 1
| -1
| -1
| -1
| 1
|
837a3315-a9ccd709-59623363-1b86d9d7-0682317f
| false
|
|
validate
|
59930189
|
10337896
|
files/p10/p10337896/s59930189/56ba2b4a-a47cedaf-139af8c9-10d8a957-74ec4f4f.jpg
|
FINAL REPORT
PORTABLE CHEST, ___
COMPARISON: ___ radiograph.
FINDINGS: Support and monitoring devices are unchanged in position, and
cardiomediastinal contours are similar. Interval worsening of pulmonary edema
as well as slight increase in size of moderate bilateral pleural effusions.
Otherwise, no relevant short interval change.
|
Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar. Interval worsening of pulmonary edema as well as slight increase in size of moderate bilateral pleural effusions. Otherwise, no relevant short interval change.
| -1
| -1
| -1
| 1
| 1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 1
|
56ba2b4a-a47cedaf-139af8c9-10d8a957-74ec4f4f
| false
|
|
validate
|
54647674
|
10377744
|
files/p10/p10377744/s54647674/658a8ccf-a63adc9e-66351e99-f15af5f2-8e2e00b1.jpg
|
FINAL REPORT
CLINICAL HISTORY: ___-year-old woman with one day of dyspnea.
COMPARISON: Chest radiograph ___.
FINDINGS: Frontal and lateral views of the chest were obtained. New subtle
opacity at the right lung base in the setting of similar lung volumes with
increased opacity on the lateral view may be atelectasis, but could represent
early or developing pneumonia in the appropriate clinical setting. Cardiac
and mediastinal silhouettes are normal. No acute osseous abnormality is
identified.
IMPRESSION: Right basilar opacity is probably atelectasis, but could
represent early or developing pneumonia in the appropriate clinical setting.
|
Frontal and lateral views of the chest were obtained. New subtle opacity at the right lung base in the setting of similar lung volumes with increased opacity on the lateral view may be atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting. Cardiac and mediastinal silhouettes are normal. No acute osseous abnormality is identified.
|
Right basilar opacity is probably atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting.
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 1
| -1
| -1
|
658a8ccf-a63adc9e-66351e99-f15af5f2-8e2e00b1
| false
|
validate
|
58549367
|
10401591
|
files/p10/p10401591/s58549367/e049f18a-e4f9351c-fec6cad4-a19211f7-0c534a5c.jpg
|
FINAL REPORT
INDICATION: Dyspnea.
COMPARISON: None.
PA AND LATERAL VIEWS OF THE CHEST: Cardiac, mediastinal and hilar contours
are normal. The lungs are clear and the pulmonary vascularity is normal. No
pleural effusion or pneumothorax is present. There are no acute osseous
abnormalities.
IMPRESSION: No acute cardiopulmonary abnormality.
|
No acute cardiopulmonary abnormality.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
e049f18a-e4f9351c-fec6cad4-a19211f7-0c534a5c
| false
|
|
validate
|
58549367
|
10401591
|
files/p10/p10401591/s58549367/f30d9e52-566bca1d-3ae8578d-0996d890-bc076486.jpg
|
FINAL REPORT
INDICATION: Dyspnea.
COMPARISON: None.
PA AND LATERAL VIEWS OF THE CHEST: Cardiac, mediastinal and hilar contours
are normal. The lungs are clear and the pulmonary vascularity is normal. No
pleural effusion or pneumothorax is present. There are no acute osseous
abnormalities.
IMPRESSION: No acute cardiopulmonary abnormality.
|
No acute cardiopulmonary abnormality.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
f30d9e52-566bca1d-3ae8578d-0996d890-bc076486
| false
|
|
validate
|
50064627
|
10401700
|
files/p10/p10401700/s50064627/acf8db28-7be06aa5-dec86122-ecb7e055-f198a3f8.jpg
|
FINAL REPORT
INDICATION: Patient with history of melanoma on trial chemotherapy. Assess
for acute cardiopulmonary process.
COMPARISONS: ___.
FINDINGS:
Frontal and lateral views of the chest demonstrate normal lung volumes without
pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal
silhouettes are unremarkable. Heart size is normal. There is no pulmonary
edema. Partially imaged upper abdomen is unremarkable.
IMPRESSION:
No evidence of acute cardiopulmonary process.
|
Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
|
No evidence of acute cardiopulmonary process.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
acf8db28-7be06aa5-dec86122-ecb7e055-f198a3f8
| false
|
validate
|
57541861
|
10401700
|
files/p10/p10401700/s57541861/cf1dab72-e09f8f17-73f1e925-ffb70fe0-e8b878fa.jpg
|
FINAL REPORT
INDICATION: Fever and body aches.
COMPARISONS: CT chest of ___.
FINDINGS:
Frontal and lateral views of the chest demonstrate normal lung volumes without
pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal
silhouettes are unremarkable. Heart size is normal. Patient's known
bilateral sub-5-mm pulmonary nodules are better assessed in ___ CT.
Partially imaged upper abdomen is unremarkable.
IMPRESSION:
No evidence of acute cardiopulmonary process.
|
Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Patient's known bilateral sub-5-mm pulmonary nodules are better assessed in ___ CT. Partially imaged upper abdomen is unremarkable.
|
No evidence of acute cardiopulmonary process.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
cf1dab72-e09f8f17-73f1e925-ffb70fe0-e8b878fa
| false
|
validate
|
53709854
|
10425463
|
files/p10/p10425463/s53709854/6887e2d1-fbfd6066-7306286f-87e5d3bc-3ded14e7.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: Shortness of breath, chest pain
TECHNIQUE: Chest PA and lateral
COMPARISON: None.
FINDINGS:
Heart size is normal. A small hiatal hernia is demonstrated. Mediastinal and
hilar contours are otherwise unremarkable. No focal consolidation, pleural
effusion or pneumothorax is seen. Multiple clips are noted in the upper
abdomen. Multilevel degenerative changes are present in the thoracic spine.
IMPRESSION:
No acute cardiopulmonary abnormality.
|
Heart size is normal. A small hiatal hernia is demonstrated. Mediastinal and hilar contours are otherwise unremarkable. No focal consolidation, pleural effusion or pneumothorax is seen. Multiple clips are noted in the upper abdomen. Multilevel degenerative changes are present in the thoracic spine.
|
No acute cardiopulmonary abnormality.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
6887e2d1-fbfd6066-7306286f-87e5d3bc-3ded14e7
| false
|
validate
|
52339870
|
10462870
|
files/p10/p10462870/s52339870/aa81a761-dbc13def-538949eb-6aefd90c-12a85e54.jpg
|
FINAL REPORT
HISTORY: Flu-like illness with cough.
FINDINGS: In comparison with the study of ___, there is no change or
evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion,
or pleural effusion.
There has been interval placement of multiple surgical clips in the lower
neck, presumably from thyroid surgery.
|
In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. There has been interval placement of multiple surgical clips in the lower neck, presumably from thyroid surgery.
| -1
| -1
| -1
| 0
| -1
| -1
| -1
| -1
| 1
| 0
| -1
| 0
| -1
| -1
|
aa81a761-dbc13def-538949eb-6aefd90c-12a85e54
| false
|
|
validate
|
55818165
|
10503161
|
files/p10/p10503161/s55818165/f5d855de-88ff9fae-f82e34bc-c80b59f6-1f79d117.jpg
|
FINAL REPORT
EXAM: Chest frontal and lateral views.
CLINICAL INFORMATION: ___-year-old male with history of chest pain.
COMPARISON: None.
FINDINGS: Frontal and lateral views of the chest are obtained. No focal
consolidation, pleural effusion, or evidence of pneumothorax is seen. The
cardiac and mediastinal silhouettes are unremarkable.
IMPRESSION: No acute cardiopulmonary process.
|
Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
|
No acute cardiopulmonary process.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
f5d855de-88ff9fae-f82e34bc-c80b59f6-1f79d117
| false
|
validate
|
55380352
|
10521109
|
files/p10/p10521109/s55380352/ede0b529-6cdb009c-7768be87-b40bb244-7ff29b19.jpg
|
WET READ: ___ ___ ___ 3:29 PM
clear lungs. appears to be a right-sided aortic arch. ? h/o of other
congenital anomalies
WET READ VERSION #1
______________________________________________________________________________
FINAL REPORT
EXAM: Chest frontal and lateral views.
CLINICAL INFORMATION: ___-year-old female with history of cough, chest pain,
evaluate for infiltrate, consolidation.
COMPARISON: None.
FINDINGS: Frontal and lateral views of the chest were obtained. The lungs
are clear without focal consolidation. No pleural effusion or pneumothorax is
seen. There appears to be a right-sided aortic arch. The cardiac silhouette
is not enlarged.
IMPRESSION: Clear lungs without focal consolidation. Probable right-sided
aortic arch.
|
Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There appears to be a right-sided aortic arch. The cardiac silhouette is not enlarged.
|
Clear lungs without focal consolidation. Probable right-sided aortic arch.
| -1
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
ede0b529-6cdb009c-7768be87-b40bb244-7ff29b19
| false
|
validate
|
50421811
|
10522265
|
files/p10/p10522265/s50421811/d5aedb5c-3e300b8e-4ab8aa68-066f67dc-cfe7bd84.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with new desaturations // cardiopulmonary
process cardiopulmonary process
COMPARISON: Chest radiographs ___ through ___.
IMPRESSION:
Mild to moderate pulmonary edema, with a basal predominance, is new probably
accompanied by small pleural effusions. Heart size is top-normal not
appreciably changed.
NOTIFICATION: Dr. ___ reported the findings to ___ by
telephone on ___ at 11:15 AM, 5 minutes after discovery of the findings.
|
Mild to moderate pulmonary edema, with a basal predominance, is new probably accompanied by small pleural effusions. Heart size is top-normal not appreciably changed. NOTIFICATION: Dr. ___ reported the findings to ___ by telephone on ___ at 11:15 AM, 5 minutes after discovery of the findings.
| -1
| 1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
|
d5aedb5c-3e300b8e-4ab8aa68-066f67dc-cfe7bd84
| false
|
|
validate
|
54528409
|
10522265
|
files/p10/p10522265/s54528409/3b6ecb77-1f0b496f-0e7298e0-2805ed0e-616e6f35.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with SAH, s/p NGT placement // confirm
placement
TECHNIQUE: Chest x-ray centered low to include the abdomen.
COMPARISON: None.
FINDINGS:
An NG tube is present, tip overlies the gastric body. The sideport lies
distal to the GE junction.
The chest is incompletely evaluated, but note is made of left lower lobe
collapse and/or consolidation with a small effusion.
Incidental note is made of a small density along the right edge of the T12/L1
disc space - ? small clip or calcification. The differential includes an
artifact outside of the patient.
IMPRESSION:
NG tube side port and tip distal to the GE junction.
|
An NG tube is present, tip overlies the gastric body. The sideport lies distal to the GE junction. The chest is incompletely evaluated, but note is made of left lower lobe collapse and/or consolidation with a small effusion. Incidental note is made of a small density along the right edge of the T12/L1 disc space - ? small clip or calcification. The differential includes an artifact outside of the patient.
|
NG tube side port and tip distal to the GE junction.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| 1
|
3b6ecb77-1f0b496f-0e7298e0-2805ed0e-616e6f35
| false
|
validate
|
55120315
|
10522265
|
files/p10/p10522265/s55120315/a8326c4c-0f639e00-ca24c7c1-95d336f2-d9de521f.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman w/ SAH s/p EVD placement s/p extubation ___
// post extubation film; assess for consolidations; please preform on ___
at ___ radiology rounds post extubation film; assess for consolidations;
please pref
IMPRESSION:
In comparison with the study of ___, there again are low lung volumes.
The endotracheal tube has been removed. No evidence of acute cardiopulmonary
disease. What appears to be some apical pleural thickening is again seen at
the right apex laterally.
|
In comparison with the study of ___, there again are low lung volumes. The endotracheal tube has been removed. No evidence of acute cardiopulmonary disease. What appears to be some apical pleural thickening is again seen at the right apex laterally.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| 0
|
a8326c4c-0f639e00-ca24c7c1-95d336f2-d9de521f
| false
|
|
validate
|
55255109
|
10522265
|
files/p10/p10522265/s55255109/b9454df6-7f75440e-9f3f32d4-038f3447-0c48ce72.jpg
|
WET READ: ___ ___ ___ 2:21 PM
Appropriate position of endotracheal and enteric tubes.
______________________________________________________________________________
FINAL REPORT
INDICATION: History: ___F with intubation for ICH // position of ET tube
TECHNIQUE: Portable upright chest radiograph
COMPARISON: None
FINDINGS:
Tip of the endotracheal tube projects over the mid thoracic trachea,
approximately 3.7 cm from the carina. Enteric tube terminates beyond the
diaphragm, in the left upper quadrant. Lungs are clear and cardiomediastinal
silhouette is normal.
IMPRESSION:
Appropriate position of endotracheal and enteric tubes.
|
Tip of the endotracheal tube projects over the mid thoracic trachea, approximately 3.7 cm from the carina. Enteric tube terminates beyond the diaphragm, in the left upper quadrant. Lungs are clear and cardiomediastinal silhouette is normal.
|
Appropriate position of endotracheal and enteric tubes.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| 1
|
b9454df6-7f75440e-9f3f32d4-038f3447-0c48ce72
| false
|
validate
|
55807323
|
10522265
|
files/p10/p10522265/s55807323/88d07416-c595d584-b0eec579-babde77f-c3ce90be.jpg
|
WET READ: ___ ___ ___ 8:32 AM
No notable interval change compared to 1 day prior. Persistent consolidation
of the lower lungs.
WET READ VERSION #1 ___ ___ ___ 11:11 PM
No notable interval change compared to 1 day prior. Persistent consolidation
of the lower lungs.
______________________________________________________________________________
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ yo F hx of HTN, HLD, CHF, no anticoagulation, who presented
to___ complaining of heachace, nausea and vomiting found to
have diffuse SAH s/p EVD placement // follow up
FINDINGS:
Compared to ___ at 04:27, the overall appearance is similar.
Enteric type tube extends beneath the diaphragm, off the film. Left
subclavian PICC line tip overlies distal SVC.
Inspiratory volumes are low, with left lower lobe collapse and/or
consolidation and faint hazy opacity at the lung bases. Mild upper zone
redistribution present.
IMPRESSION:
Overall similar to 1 day earlier. Above.
|
Compared to ___ at 04:27, the overall appearance is similar. Enteric type tube extends beneath the diaphragm, off the film. Left subclavian PICC line tip overlies distal SVC. Inspiratory volumes are low, with left lower lobe collapse and/or consolidation and faint hazy opacity at the lung bases. Mild upper zone redistribution present.
|
Overall similar to 1 day earlier. Above.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
88d07416-c595d584-b0eec579-babde77f-c3ce90be
| false
|
validate
|
57136358
|
10522265
|
files/p10/p10522265/s57136358/1dd6b552-6d7354f6-6087977b-ed48e39a-5eecc163.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with heachace, nausea and vomiting found to
have diffuse SAH s/p EVD placement. Likely aspirating while taking PO. // ?
signs of aspiration?
COMPARISON: ___
IMPRESSION:
As compared to the previous radiograph, the nasogastric tube was removed. The
left PICC line is in unchanged position. Mild cardiomegaly with retrocardiac
atelectasis. No overt pulmonary edema. No pneumonia, no pleural effusions.
|
As compared to the previous radiograph, the nasogastric tube was removed. The left PICC line is in unchanged position. Mild cardiomegaly with retrocardiac atelectasis. No overt pulmonary edema. No pneumonia, no pleural effusions.
| 1
| 1
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| 0
| -1
| 0
| -1
| 1
|
1dd6b552-6d7354f6-6087977b-ed48e39a-5eecc163
| false
|
|
validate
|
58007779
|
10522265
|
files/p10/p10522265/s58007779/5112f0c8-88daad36-4b8ec976-5df44b65-9b6b621b.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with SAH // elevated WBC with OR in am- please
r/o infectious process Surg: ___ (r VP shunt)
TECHNIQUE: Single frontal view of the chest
COMPARISON: ___
IMPRESSION:
There are low lung volumes. Bibasilar opacities have increased more so in the
left side likely due to increasing atelectasis and a small left effusion. The
upper lungs are clear. There is no pneumothorax. Cardiomegaly is stable.
Left PICC tip is in the lower SVC
|
There are low lung volumes. Bibasilar opacities have increased more so in the left side likely due to increasing atelectasis and a small left effusion. The upper lungs are clear. There is no pneumothorax. Cardiomegaly is stable. Left PICC tip is in the lower SVC
| 1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| 1
| -1
| -1
| 0
| 1
|
5112f0c8-88daad36-4b8ec976-5df44b65-9b6b621b
| false
|
|
validate
|
58814809
|
10522265
|
files/p10/p10522265/s58814809/4f448157-5d85f1e3-0eb6b849-f1fbf95f-0e6d1f6b.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with new ETT and EBD placement //
cardiopulmonary process
TECHNIQUE: CHEST (PORTABLE AP)
COMPARISON: ___
IMPRESSION:
ET tube tip is 3.5 cm above the carinal. NG tube tip is in the stomach.
Heart size and mediastinum are stable. Lungs are essentially clear. There is
no pleural effusion or pneumothorax.
|
ET tube tip is 3.5 cm above the carinal. NG tube tip is in the stomach. Heart size and mediastinum are stable. Lungs are essentially clear. There is no pleural effusion or pneumothorax.
| -1
| 2
| -1
| -1
| 2
| -1
| -1
| -1
| -1
| 0
| -1
| -1
| 0
| 1
|
4f448157-5d85f1e3-0eb6b849-f1fbf95f-0e6d1f6b
| false
|
|
validate
|
58814809
|
10522265
|
files/p10/p10522265/s58814809/87c1098e-9c3bb6e3-a61f96b2-ee3edd92-93ac1cdf.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with new ETT and EBD placement //
cardiopulmonary process
TECHNIQUE: CHEST (PORTABLE AP)
COMPARISON: ___
IMPRESSION:
ET tube tip is 3.5 cm above the carinal. NG tube tip is in the stomach.
Heart size and mediastinum are stable. Lungs are essentially clear. There is
no pleural effusion or pneumothorax.
|
ET tube tip is 3.5 cm above the carinal. NG tube tip is in the stomach. Heart size and mediastinum are stable. Lungs are essentially clear. There is no pleural effusion or pneumothorax.
| -1
| 2
| -1
| -1
| 2
| -1
| -1
| -1
| -1
| 0
| -1
| -1
| 0
| 1
|
87c1098e-9c3bb6e3-a61f96b2-ee3edd92-93ac1cdf
| false
|
|
validate
|
55733884
|
10526217
|
files/p10/p10526217/s55733884/de3b15c4-8ccd2746-09cb6b58-2c546177-5c7cc9f8.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with polytrauma, CXR // cardiopulmonary
process cardiopulmonary process
IMPRESSION:
In comparison with the study of ___ from an outside facility, there
has been substantial decrease in the bilateral pulmonary opacifications.
Monitoring and support devices have been removed. The cardiac silhouette is
within normal limits. Mild prominence of the ascending and descending aorta
raise the possibility of underlying hypertension. Some indistinctness of
pulmonary vessels could reflect elevated pulmonary venous pressure.
Are mild focal areas of opacification suggested at the bases. In view of the
relatively low lung volumes, these could merely reflect areas of atelectasis.
However, in the appropriate clinical setting, superimposed pneumonia could be
considered.
|
In comparison with the study of ___ from an outside facility, there has been substantial decrease in the bilateral pulmonary opacifications. Monitoring and support devices have been removed. The cardiac silhouette is within normal limits. Mild prominence of the ascending and descending aorta raise the possibility of underlying hypertension. Some indistinctness of pulmonary vessels could reflect elevated pulmonary venous pressure. Are mild focal areas of opacification suggested at the bases. In view of the relatively low lung volumes, these could merely reflect areas of atelectasis. However, in the appropriate clinical setting, superimposed pneumonia could be considered.
| 2
| 0
| -1
| 2
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| 1
| -1
| 1
|
de3b15c4-8ccd2746-09cb6b58-2c546177-5c7cc9f8
| false
|
|
validate
|
50135643
|
10543994
|
files/p10/p10543994/s50135643/343111ee-6c14729f-63955176-bbc37b84-e1195f48.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with severe AS, PNA, concern for aspiration
having acute drop on saturation // acute process/pulm edema
TECHNIQUE: CHEST (PORTABLE AP)
COMPARISON: ___
IMPRESSION:
Since the prior study there is no substantial change in widespread parenchymal
opacities and no focal consolidation that would be neo wall concerning for
aspiration. The rest of the findings are similar to previous examination
|
Since the prior study there is no substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration. The rest of the findings are similar to previous examination
| -1
| -1
| 0
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| -1
|
343111ee-6c14729f-63955176-bbc37b84-e1195f48
| false
|
|
validate
|
50269819
|
10543994
|
files/p10/p10543994/s50269819/5ed42390-a6bef7ec-7a5f8cd0-59d4304d-6a85c880.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with decompensated heart failure with worsening
hypoxia // Please eval for worsening pulm edema vs PNA
TECHNIQUE: CHEST (PORTABLE AP)
COMPARISON: ___ obtained at 08:14
IMPRESSION:
Cardiomediastinal silhouette is unchanged. There is interval improvement in
the left lung variation but unchanged appearance of the right lung.
Port-A-Cath catheter tip is at the cavoatrial junction. A left pacemaker lead
is in the right ventricle. Interstitial opacities projecting over the lung
bases, right more than left are consistent with known interstitial lung
disease with most likely superimposed pulmonary edema. No focal consolidation
to suggest pneumonia is can see in
|
Cardiomediastinal silhouette is unchanged. There is interval improvement in the left lung variation but unchanged appearance of the right lung. Port-A-Cath catheter tip is at the cavoatrial junction. A left pacemaker lead is in the right ventricle. Interstitial opacities projecting over the lung bases, right more than left are consistent with known interstitial lung disease with most likely superimposed pulmonary edema. No focal consolidation to suggest pneumonia is can see in
| -1
| -1
| 0
| 1
| 2
| -1
| -1
| 1
| -1
| -1
| -1
| 1
| -1
| 1
|
5ed42390-a6bef7ec-7a5f8cd0-59d4304d-6a85c880
| false
|
|
validate
|
52321866
|
10543994
|
files/p10/p10543994/s52321866/6227f675-2c12a350-9948a0bc-be0b2666-b1ba8954.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with hypoxia, severe AS // eval for pum edema
IMPRESSION:
As compared to ___ radiograph, cardiomegaly is accompanied by
pulmonary vascular congestion and worsening asymmetrical combined alveolar and
interstitial pattern which remains more severe in the right lung than the
left. Observed findings may reflect asymmetrical edema, but followup
radiographs after diuresis may be helpful to exclude secondary superimposed
process in the right lung such as infection. Small pleural effusions are
present bilaterally.
|
As compared to ___ radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and worsening asymmetrical combined alveolar and interstitial pattern which remains more severe in the right lung than the left. Observed findings may reflect asymmetrical edema, but followup radiographs after diuresis may be helpful to exclude secondary superimposed process in the right lung such as infection. Small pleural effusions are present bilaterally.
| -1
| 1
| -1
| 2
| -1
| -1
| -1
| 1
| -1
| 1
| -1
| 1
| -1
| -1
|
6227f675-2c12a350-9948a0bc-be0b2666-b1ba8954
| false
|
|
validate
|
52330535
|
10543994
|
files/p10/p10543994/s52330535/b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with significant hypoxa, ?PCP PN___. Interval
change.
TECHNIQUE: Single portable AP view of the chest.
COMPARISON: Chest radiographs from ___, ___, ___, and ___. CT chest from ___.
FINDINGS:
Since the prior radiograph, no significant change in the widespread
parenchymal opacities and moderate cardiomegaly. No change in the left the
Port-A-Cath, which terminates at the cavoatrial junction, and right pacemaker
lead in the right ventricle. No new focal consolidation or larger pleural
effusions.
IMPRESSION:
No significant change in the widespread parenchymal opacities and moderate
cardiomegaly. No larger pleural effusions.
|
Since the prior radiograph, no significant change in the widespread parenchymal opacities and moderate cardiomegaly. No change in the left the Port-A-Cath, which terminates at the cavoatrial junction, and right pacemaker lead in the right ventricle. No new focal consolidation or larger pleural effusions.
|
No significant change in the widespread parenchymal opacities and moderate cardiomegaly. No larger pleural effusions.
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| 0
| -1
| -1
| -1
| -1
|
b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b
| false
|
validate
|
53418566
|
10543994
|
files/p10/p10543994/s53418566/78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with severe AS and crackles on exam // eval for
pulm edema - desatted with transfer to stretcher and almost fell eval for
pulm edema - desatted with transfer to stretcher an
COMPARISON: Comparison to ___ at 22:36
FINDINGS:
Portable AP upright chest film ___ at 09:31 is submitted.
IMPRESSION:
Interval placement of a single lead left-sided pacing device with the lead
terminating over the expected location of the right ventricle. The cardiac and
mediastinal contours are stable with left ventricular prominence. Interval
placement of a right internal jugular Port-A-Cath with its tip in the distal
SVC. No pneumothorax. Interval appearance of mild pulmonary edema.
|
Portable AP upright chest film ___ at 09:31 is submitted.
|
Interval placement of a single lead left-sided pacing device with the lead terminating over the expected location of the right ventricle. The cardiac and mediastinal contours are stable with left ventricular prominence. Interval placement of a right internal jugular Port-A-Cath with its tip in the distal SVC. No pneumothorax. Interval appearance of mild pulmonary edema.
| -1
| -1
| -1
| 1
| 2
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 0
| 1
|
78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90
| false
|
validate
|
57237894
|
10543994
|
files/p10/p10543994/s57237894/95a1bd4e-c011b21e-36ba6f97-6683c294-5b0dd26d.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with hypoxia // interval change
COMPARISON: ___
IMPRESSION:
As compared to the previous radiograph, no relevant change is seen. Low lung
volumes. Relatively extensive bilateral parenchymal opacities, right more than
left, combined with a moderately enlarged cardiac silhouette. No new
parenchymal opacities. The left pectoral pacemaker and the right Port-A-Cath
are in unchanged position.
|
As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Relatively extensive bilateral parenchymal opacities, right more than left, combined with a moderately enlarged cardiac silhouette. No new parenchymal opacities. The left pectoral pacemaker and the right Port-A-Cath are in unchanged position.
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
|
95a1bd4e-c011b21e-36ba6f97-6683c294-5b0dd26d
| false
|
|
validate
|
58473321
|
10543994
|
files/p10/p10543994/s58473321/1216f943-00196c3a-c41ea739-788f8d83-9571731c.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___M with pancreatic mass, crackles on auscultation //
eval heart and lungs
COMPARISON: Chest CT dated ___.
FINDINGS:
PA and lateral views of the chest provided.
There are subpleural reticular opacities as seen on prior CT compatible with
early interstitial lung disease. The heart size appears mildly enlarged. The
mediastinal contour is normal. No pleural effusion or pneumothorax. Bony
structures are intact.
IMPRESSION:
Subpleural reticular opacities better assessed on the recent CT of the chest
likely representing early interstitial lung disease. Mild cardiomegaly
|
PA and lateral views of the chest provided. There are subpleural reticular opacities as seen on prior CT compatible with early interstitial lung disease. The heart size appears mildly enlarged. The mediastinal contour is normal. No pleural effusion or pneumothorax. Bony structures are intact.
|
Subpleural reticular opacities better assessed on the recent CT of the chest likely representing early interstitial lung disease. Mild cardiomegaly
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| -1
|
1216f943-00196c3a-c41ea739-788f8d83-9571731c
| false
|
validate
|
58585479
|
10543994
|
files/p10/p10543994/s58585479/3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with pulmonary infiltrates concerning for
gemcitabine toxicity vs aspiration PNA // interval change interval change
IMPRESSION:
In comparison with the study of ___, there again is prominence of the
transverse diameter of the heart with a similar degree of elevated pulmonary
venous pressure superimposed upon chronic interstitial lung disease. Or
fibrosis the tip of the right Port-A-Cath again extends to the upper portion
of the right atrium. Pacer device remains in place.
|
In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease. Or fibrosis the tip of the right Port-A-Cath again extends to the upper portion of the right atrium. Pacer device remains in place.
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| 1
| -1
| -1
| 1
|
3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db
| false
|
|
validate
|
58967663
|
10543994
|
files/p10/p10543994/s58967663/e666163a-857953ec-9b3034d3-6020c1aa-12c0c11a.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with hypoxia // interval change interval
change
COMPARISON: Chest radiographs ___. Read in
conjunction with images of the lower chest on abdomen CT ___.
IMPRESSION:
The abdomen CT showed mild pulmonary fibrosis and severe aortic valvular
calcification undoubtedly stenotic. Interstitial abnormality has predominated
in the right lung. This is probably asymmetric edema. It has improved today
since ___. Cardiomegaly is severe. Pleural effusions are small if
any. No pneumothorax.
Right jugular infusion catheter ends low in the right atrium. Transvenous
right ventricular pacer lead in standard placement. No pneumothorax.
|
The abdomen CT showed mild pulmonary fibrosis and severe aortic valvular calcification undoubtedly stenotic. Interstitial abnormality has predominated in the right lung. This is probably asymmetric edema. It has improved today since ___. Cardiomegaly is severe. Pleural effusions are small if any. No pneumothorax. Right jugular infusion catheter ends low in the right atrium. Transvenous right ventricular pacer lead in standard placement. No pneumothorax.
| -1
| 1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| 1
| -1
| 0
| 1
|
e666163a-857953ec-9b3034d3-6020c1aa-12c0c11a
| false
|
|
validate
|
59627293
|
10543994
|
files/p10/p10543994/s59627293/ef13f435-fe872e16-39f17cfe-50700e9c-c69a04d3.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with hypoxia // ?interval changes
TECHNIQUE: Single frontal view of the chest
COMPARISON: ___.
IMPRESSION:
Mild interstitial edema has minimally worsened. There are low lung volumes.
Patient has underline interstitial lung disease / fibrosis. There is no
pneumothorax. Cardiomegaly and widened mediastinum are stable. Right port
catheter tip is in the upper right atrium. Pacemaker lead tip is in the right
ventricle.
|
Mild interstitial edema has minimally worsened. There are low lung volumes. Patient has underline interstitial lung disease / fibrosis. There is no pneumothorax. Cardiomegaly and widened mediastinum are stable. Right port catheter tip is in the upper right atrium. Pacemaker lead tip is in the right ventricle.
| -1
| 1
| -1
| 1
| 2
| -1
| -1
| 1
| -1
| -1
| 1
| -1
| 0
| 1
|
ef13f435-fe872e16-39f17cfe-50700e9c-c69a04d3
| false
|
|
validate
|
51507599
|
10569231
|
files/p10/p10569231/s51507599/3ef83336-7f67850f-4c481312-ec7c99d2-a874836a.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___F with cough, shortness of breath
TECHNIQUE: Upright AP and lateral views of the chest
COMPARISON: ___
FINDINGS:
Moderate enlargement of the cardiac silhouette persists. The mediastinal and
hilar contours are normal. Pulmonary vasculature is normal. No focal
consolidation, pleural effusion or pneumothorax is identified. No acute
osseous abnormality is detected.
IMPRESSION:
No acute cardiopulmonary abnormality.
|
Moderate enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
|
No acute cardiopulmonary abnormality.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
3ef83336-7f67850f-4c481312-ec7c99d2-a874836a
| false
|
validate
|
53678530
|
10569231
|
files/p10/p10569231/s53678530/f81a519e-734afad4-3d6c87f8-6434f949-a7676b82.jpg
|
FINAL REPORT
EXAMINATION:
Chest: Frontal and lateral views
INDICATION: History: ___F with altered mental status // r/o ICH, pna
TECHNIQUE: Chest: Frontal and Lateral
COMPARISON: ___
FINDINGS:
Underpenetration of the lower chest, particularly on the left, is felt to be
due to overlying soft tissue. No focal consolidation is seen on the lateral
view. There is no pleural effusion or pneumothorax. The cardiac and
mediastinal silhouettes are stable with persistent enlargement of the cardiac
silhouette.
IMPRESSION:
No acute cardiopulmonary process.
|
Underpenetration of the lower chest, particularly on the left, is felt to be due to overlying soft tissue. No focal consolidation is seen on the lateral view. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable with persistent enlargement of the cardiac silhouette.
|
No acute cardiopulmonary process.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
f81a519e-734afad4-3d6c87f8-6434f949-a7676b82
| false
|
validate
|
55488757
|
10569231
|
files/p10/p10569231/s55488757/8bd08c70-fbb6e2dc-4a5730ee-8a7a80b5-c496867e.jpg
|
FINAL REPORT
EXAMINATION: CHEST (AP AND LAT)
INDICATION: ___F with seizure // eval for pna
COMPARISON: ___.
FINDINGS:
AP upright and lateral views of the chest provided. Large body habitus and
underpenetrated technique limits assessment. Allowing for technical
limitations, the lungs are clear. Heart is mildly enlarged. Mediastinal
contour is normal. No large effusion or pneumothorax. Bony structures are
intact.
IMPRESSION:
Mild cardiomegaly. No overt signs of edema or pneumonia.
|
AP upright and lateral views of the chest provided. Large body habitus and underpenetrated technique limits assessment. Allowing for technical limitations, the lungs are clear. Heart is mildly enlarged. Mediastinal contour is normal. No large effusion or pneumothorax. Bony structures are intact.
|
Mild cardiomegaly. No overt signs of edema or pneumonia.
| -1
| 1
| -1
| 0
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 0
| -1
| -1
|
8bd08c70-fbb6e2dc-4a5730ee-8a7a80b5-c496867e
| false
|
validate
|
51022437
|
10575262
|
files/p10/p10575262/s51022437/f6aafba9-9cacdf7c-73268cf5-74b96292-7b81a593.jpg
|
FINAL REPORT
HISTORY: Chest pain.
TECHNIQUE: PA and lateral views of the chest.
COMPARISON: Chest radiograph ___.
FINDINGS:
The heart size is mildly enlarged, slightly increased compared to the prior
exam. The mediastinal and hilar contours are unremarkable. There is mild
pulmonary vascular congestion with trace amount of fluid tracking within the
fissures. No large pleural effusion or focal consolidation is seen. There is
no pneumothorax. No acute osseous abnormalities identified.
IMPRESSION:
Findings likely reflective of mild pulmonary vascular congestion.
|
The heart size is mildly enlarged, slightly increased compared to the prior exam. The mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion with trace amount of fluid tracking within the fissures. No large pleural effusion or focal consolidation is seen. There is no pneumothorax. No acute osseous abnormalities identified.
|
Findings likely reflective of mild pulmonary vascular congestion.
| -1
| -1
| -1
| 2
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
|
f6aafba9-9cacdf7c-73268cf5-74b96292-7b81a593
| false
|
validate
|
54255491
|
10575262
|
files/p10/p10575262/s54255491/16e57afa-63382843-a3a5c024-e1af2c42-96184334.jpg
|
FINAL REPORT
EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old woman with uncontrolled cough for 1 week. //
Pneumonia? Pneumonia?
TECHNIQUE: PA and lateral.
COMPARISON: ___
FINDINGS:
No pleural effusion or pneumothorax. No parenchymal consolidation is seen.
The heart is mildly enlarged. On the lateral, the posterior heart border
overlies the anterior aspect of the lower thoracic vertebral bodies implying
LV and ___ ___. There is decreased retrosternal space implying mild
right ventricular enlargement.
IMPRESSION:
No radiographic cause is identified for the patient's cough. Mild cardiomegaly
is seen.
NOTIFICATION: The findings were discussed by Dr. ___ with ___, MD on the
telephone on ___ at 11:38 AM, 3 minutes after discovery of the findings.
|
No pleural effusion or pneumothorax. No parenchymal consolidation is seen. The heart is mildly enlarged. On the lateral, the posterior heart border overlies the anterior aspect of the lower thoracic vertebral bodies implying LV and ___ ___. There is decreased retrosternal space implying mild right ventricular enlargement.
|
No radiographic cause is identified for the patient's cough. Mild cardiomegaly is seen. NOTIFICATION: The findings were discussed by Dr. ___ with ___, MD on the telephone on ___ at 11:38 AM, 3 minutes after discovery of the findings.
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
|
16e57afa-63382843-a3a5c024-e1af2c42-96184334
| false
|
validate
|
59777295
|
10575714
|
files/p10/p10575714/s59777295/c027d8f8-d7e3b702-251c84f4-f4630cbf-72e59727.jpg
|
FINAL REPORT
EXAMINATION: CHEST (AP AND LAT)
INDICATION: ___F with cp/sob
COMPARISON: ___.
FINDINGS:
AP upright and lateral views of the chest provided. Lung volumes are low.
Allowing for this, the lungs are clear. There is no focal consolidation,
effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged
osseous structures are intact. No free air below the right hemidiaphragm is
seen.
IMPRESSION:
No acute intrathoracic process.
|
AP upright and lateral views of the chest provided. Lung volumes are low. Allowing for this, the lungs are clear. 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.
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
|
c027d8f8-d7e3b702-251c84f4-f4630cbf-72e59727
| false
|
validate
|
53675993
|
10580208
|
files/p10/p10580208/s53675993/a7955cff-d2fccb0b-b49d4a97-71d64c98-d657a78b.jpg
|
FINAL REPORT
AP CHEST, 2:19 P.M. ON ___
HISTORY: A ___-year-old man with CHF and end-stage renal disease, on
hemodialysis, with pleural effusions and possible pulmonary edema.
IMPRESSION: AP chest compared to ___, 1:15 a.m.:
Moderately severe pulmonary edema has improved minimally in the mid and upper
lung zones, not so in the lung bases where it is more severe, accompanied by
moderate bilateral pleural effusion. Severe cardiomegaly has improved
slightly. There is no pneumothorax. Transvenous right atrioventricular pacer
defibrillator system in standard placement. Thoracic aorta is heavily
calcified and mildly irregular in shape, due to heavy atherosclerotic plaque.
|
AP chest compared to ___, 1:15 a.m.: Moderately severe pulmonary edema has improved minimally in the mid and upper lung zones, not so in the lung bases where it is more severe, accompanied by moderate bilateral pleural effusion. Severe cardiomegaly has improved slightly. There is no pneumothorax. Transvenous right atrioventricular pacer defibrillator system in standard placement. Thoracic aorta is heavily calcified and mildly irregular in shape, due to heavy atherosclerotic plaque.
| -1
| 1
| -1
| 1
| -1
| -1
| -1
| -1
| -1
| 1
| -1
| -1
| 0
| 1
|
a7955cff-d2fccb0b-b49d4a97-71d64c98-d657a78b
| false
|
End of preview. Expand
in Data Studio
README.md exists but content is empty.
- Downloads last month
- 9