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findings stringlengths 50 980	impression stringlengths 0 515	report stringlengths 100 1.34k
A transesophageal tube terminates in the stomach. Right PICC terminates in upper SVC. Mid thoracic spinal fusion device is unchanged. Moderate left pleural effusion and lower lobe atelectasis are unchanged. Cardiac silhouette is exaggerated by low lung volume.	A transesophageal tube terminates in the stomach.	FINDINGS: A transesophageal tube terminates in the stomach. Right PICC terminates in upper SVC. Mid thoracic spinal fusion device is unchanged. Moderate left pleural effusion and lower lobe atelectasis are unchanged. Cardiac silhouette is exaggerated by low lung volume. IMPRESSION: A transesophageal tube terminates in...
A right basilar pigtail catheter is present. No pneumothorax is identified. There is a persisting small layering right pleural effusion. Mild interval in decrease in the extent of the pulmonary edema. No left pleural effusion. The size of the cardiomediastinal silhouette is within normal limits.	No discrete pneumothorax identified. A right basal pigtail catheter is in place. Unchanged small layering right pleural effusion. Mild interval decrease in the extent of the pulmonary edema.	FINDINGS: A right basilar pigtail catheter is present. No pneumothorax is identified. There is a persisting small layering right pleural effusion. Mild interval in decrease in the extent of the pulmonary edema. No left pleural effusion. The size of the cardiomediastinal silhouette is within normal limits. IMPRESSION: ...
Lung volumes are low. A right mid lung opacity obscures the right heart border, not significantly changed from prior studies, most likely representing aged between in atelectasis and prominent right pulmonary artery. If clinically warranted, correlation with chest CT in the non emergency basis is to be considered. Line...	No pneumonia.	FINDINGS: Lung volumes are low. A right mid lung opacity obscures the right heart border, not significantly changed from prior studies, most likely representing aged between in atelectasis and prominent right pulmonary artery. If clinically warranted, correlation with chest CT in the non emergency basis is to be consid...
Again noted is stable appearance of multiple clips overlying the mediastinum. Right sided tubular structure is likely overlying the patient. Lung volumes are slightly smaller than on prior examination. The cardiomediastinal silhouette is stable since the prior examination. There is slight increase in interstitial opaci...	Persistent right basilar consolidation, concerning for pneumonia in the appropriate clinical setting. Mild pulmonary edema.	FINDINGS: Again noted is stable appearance of multiple clips overlying the mediastinum. Right sided tubular structure is likely overlying the patient. Lung volumes are slightly smaller than on prior examination. The cardiomediastinal silhouette is stable since the prior examination. There is slight increase in intersti...
An NG tube is present, tip extends beneath off film. The does appear to be any side-port in the region of the GE junction, not clearly beyond it. Again seen is a PICC line with the tip near the GE junction, possibly over the upper most right atrium. No pneumothorax detected. There is increased retrocardiac density with...	Left lower lobe collapse and/or consolidation again seen, probably slightly worse. There is also evidence for new volume loss at the left lung base, reflected by slight leftward shift of the mediastinum.	FINDINGS: An NG tube is present, tip extends beneath off film. The does appear to be any side-port in the region of the GE junction, not clearly beyond it. Again seen is a PICC line with the tip near the GE junction, possibly over the upper most right atrium. No pneumothorax detected. There is increased retrocardiac de...
Single supine AP portable view of the chest was obtained. Dual-lead left-sided pacemaker is again seen with leads seen without significant change in position. There is mild left base atelectasis. The right lung is clear. No large pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac...	Mild left base atelectasis. Otherwise, no acute cardiopulmonary process seen.	FINDINGS: Single supine AP portable view of the chest was obtained. Dual-lead left-sided pacemaker is again seen with leads seen without significant change in position. There is mild left base atelectasis. The right lung is clear. No large pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. T...
Bilateral calcified breast implants are present. The heart is normal in size. Perihilar opacity on the right is somewhat striking although not particularly mass-like. This may represent an inflammatory process or atelectasis along the right hilum. More generally, at both lung bases, there are vague opacities which may ...	Basilar opacities which may represent of atelectasis; pleural effusions are difficult to exclude. Right perihilar opacity is also suspected. When clinically feasible, reassessment with standard PA and lateral radiography is recommended in order to reassess.	FINDINGS: Bilateral calcified breast implants are present. The heart is normal in size. Perihilar opacity on the right is somewhat striking although not particularly mass-like. This may represent an inflammatory process or atelectasis along the right hilum. More generally, at both lung bases, there are vague opacities ...
Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Heart size is probably mildly enlarged with tortuosity of the thoracic aortic arch. Hilar contours unremarkable. There is left greater than right lung base atelectasis. The upper lung fields are clear. There is no large pleural effusion...	Low lung volumes. No pneumothorax.	FINDINGS: Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Heart size is probably mildly enlarged with tortuosity of the thoracic aortic arch. Hilar contours unremarkable. There is left greater than right lung base atelectasis. The upper lung fields are clear. There is no large pleura...
A single portable AP chest radiograph was obtained. The lungs are well inflated and clear. There is no consolidation, effusion, or pneumothorax. The cardiac and mediastinal contours are normal.	Normal chest radiograph.	FINDINGS: A single portable AP chest radiograph was obtained. The lungs are well inflated and clear. There is no consolidation, effusion, or pneumothorax. The cardiac and mediastinal contours are normal. IMPRESSION: Normal chest radiograph.
A portable frontal chest radiograph demonstrates low lung volumes and unchanged cardiomegaly. No definite focal consolidation or pneumothorax is identified, although evaluation is limited secondary to obscuration of the right apex. There is minimal, if any, pleural fluid on the left. The visualized upper abdomen is unr...	Limited exam secondary to patient positioning and low lung volumes. Within these limitations, no acute cardiopulmonary process.	FINDINGS: A portable frontal chest radiograph demonstrates low lung volumes and unchanged cardiomegaly. No definite focal consolidation or pneumothorax is identified, although evaluation is limited secondary to obscuration of the right apex. There is minimal, if any, pleural fluid on the left. The visualized upper abdo...
There has been very little change since prior radiographs. Small left pleural effusion and basilar atelectasis are unchanged. There are no lung opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal. Feeding tube ends into the body of the stomach.	Small left pleural effusion and basilar atelectasis is unchanged since .	FINDINGS: There has been very little change since prior radiographs. Small left pleural effusion and basilar atelectasis are unchanged. There are no lung opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal. Feeding tube ends into the body of the stomach. IMPRESSION: Small left ple...
A frontal supine view of the chest was obtained portably. The patient has been extubated. The nasogastric tube follows the expected course, ending in the stomach which is distended with air. The right internal jugular catheter ends in the mid SVC and appears kinked on this single image. Low lung volumes results in bron...	Nasogastric tube ends in the stomach. Right internal jugular catheter appears kinked on this single image. Correlate with catheter function. Dilated small bowel, incompletely imaged.	FINDINGS: A frontal supine view of the chest was obtained portably. The patient has been extubated. The nasogastric tube follows the expected course, ending in the stomach which is distended with air. The right internal jugular catheter ends in the mid SVC and appears kinked on this single image. Low lung volumes resul...
A single AP upright frontal chest radiograph demonstrates asymmetric pulmonary edema greater on the right than the left. There is slightly increased opacification of the left lung base which obscures the left hemidiaphragm compared to the prior study and may represent a small left pleural effusion or atelectasis. In th...	Asymmetric pulmonary edema. Increased opacity in the left lung base likely represents pleural effusion with atelectasis, but underlying consolidation cannot be excluded in the appropriate clinical setting. Stable cardiomegaly.	FINDINGS: A single AP upright frontal chest radiograph demonstrates asymmetric pulmonary edema greater on the right than the left. There is slightly increased opacification of the left lung base which obscures the left hemidiaphragm compared to the prior study and may represent a small left pleural effusion or atelecta...
Lungs are hyperinflated again demonstrate increased interstitial markings throughout. More dense left basilar opacity silhouettes the hemidiaphragm. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	New left basilar opacity which could be due to a combination of atelectasis, effusion or infection/aspiration.	FINDINGS: Lungs are hyperinflated again demonstrate increased interstitial markings throughout. More dense left basilar opacity silhouettes the hemidiaphragm. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. IMPRESSION: New left basilar opacity which could be due to ...
Portable AP upright radiograph of the chest was obtained. New opacity seen in the left base is compatible with a pneumonia. Opacification of the right hemithorax is compatible with history of pneumonectomy and resultant rightward shift of mediastinal structures. Cardiac silhouette is not well evaluated. Accompanying le...	Left basal pneumonia. Followup radiograph four weeks after treatment is recommended.	FINDINGS: Portable AP upright radiograph of the chest was obtained. New opacity seen in the left base is compatible with a pneumonia. Opacification of the right hemithorax is compatible with history of pneumonectomy and resultant rightward shift of mediastinal structures. Cardiac silhouette is not well evaluated. Accom...
AP portable upright view of the chest. Lungs remain clear and hyperinflated. No new consolidation, effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Chronic left ribcage in clavicle deformity again seen. A clip projects over the right upper lung.	No change from prior.	FINDINGS: AP portable upright view of the chest. Lungs remain clear and hyperinflated. No new consolidation, effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Chronic left ribcage in clavicle deformity again seen. A clip projects over the right upper lung. IMPRESSION: N...
The heart is normal in size. The mediastinal and hilar contours appear normal. There are no pleural effusions or pneumothorax. The lungs appear clear.	No evidence of acute disease.	FINDINGS: The heart is normal in size. The mediastinal and hilar contours appear normal. There are no pleural effusions or pneumothorax. The lungs appear clear. IMPRESSION: No evidence of acute disease.
There is a new retrocardiac opacity. A right IJ has been removed. Small bilateral pleural effusions are seen. Cardiomediastinal silhouette is unchanged compared to prior.	New retrocardiac opacity concerning for pneumonia in the appropriate clinical setting. with Dr. In addition, the impression will be put in the critical dashboard. The impression above was entered by Dr.	FINDINGS: There is a new retrocardiac opacity. A right IJ has been removed. Small bilateral pleural effusions are seen. Cardiomediastinal silhouette is unchanged compared to prior. IMPRESSION: New retrocardiac opacity concerning for pneumonia in the appropriate clinical setting. with Dr. In addition, the impression wi...
An endotracheal tube ends at the carina and is pointed down the right mainstem bronchus. A right internal jugular line ends at the cavoatrial junction. Diffuse bilateral interstitial abnormality and bilateral diffuse, left greater than right, parenchymal opacities most likely represent pulmonary edema which is worsened...	The endotracheal tube ends at the carina, pointed towards the right mainstem bronchus, retraction is recommended.	FINDINGS: An endotracheal tube ends at the carina and is pointed down the right mainstem bronchus. A right internal jugular line ends at the cavoatrial junction. Diffuse bilateral interstitial abnormality and bilateral diffuse, left greater than right, parenchymal opacities most likely represent pulmonary edema which i...
Low lung volumes are noted with secondary crowding of the bronchovascular markings. Hazy left basilar opacity may be secondary to atelectasis. Blunting of the costophrenic angles may be due to atelectasis noting that effusions are also possible. The cardiac silhouette is grossly unchanged. No definite acute osseous abn...	Limited exam due to portable technique and positioning without definite acute process. Bilateral effusions are possible. Consider PA and lateral for further characterization.	FINDINGS: Low lung volumes are noted with secondary crowding of the bronchovascular markings. Hazy left basilar opacity may be secondary to atelectasis. Blunting of the costophrenic angles may be due to atelectasis noting that effusions are also possible. The cardiac silhouette is grossly unchanged. No definite acute o...
Appearance of bilateral pleural effusions and bibasilar atelectasis is unchanged. There are no new regions of opacity. Cardiomediastinal silhouette is unchanged.	Unchanged bilateral pleural effusions and bibasilar atelectasis. Superimposed infection cannot be excluded.	FINDINGS: Appearance of bilateral pleural effusions and bibasilar atelectasis is unchanged. There are no new regions of opacity. Cardiomediastinal silhouette is unchanged. IMPRESSION: Unchanged bilateral pleural effusions and bibasilar atelectasis. Superimposed infection cannot be excluded.
The very tip of the ET tube is visualized at the thoracic inlet. The nasogastric tube courses below the diaphragm into the stomach. Lung volumes are low. Bibasilar consolidations are better visualized on the current CT torso. The cardiomediastinal silhouette is difficult to evaluate due to the AP lordotic projection, b...	Endotracheal tube tip at the thoracic inlet and should be advanced. Nasogastric tube below the diaphragm in the stomach. Bibasilar consolidations are better visualized on the concurrent CT torso. Cadriomediastinal silhouette, as described. ? slight volume loss on left.	FINDINGS: The very tip of the ET tube is visualized at the thoracic inlet. The nasogastric tube courses below the diaphragm into the stomach. Lung volumes are low. Bibasilar consolidations are better visualized on the current CT torso. The cardiomediastinal silhouette is difficult to evaluate due to the AP lordotic pro...
There are new infiltrates, and nodularity, most prominent in the bilateral lower lungs medially, suggesting aspiration or pneumonia. Endotracheal tube has been removed. Normal heart size, pulmonary vascularity. No pneumothorax. No effusion.	New infiltrates, suggesting aspiration or pneumonia.	FINDINGS: There are new infiltrates, and nodularity, most prominent in the bilateral lower lungs medially, suggesting aspiration or pneumonia. Endotracheal tube has been removed. Normal heart size, pulmonary vascularity. No pneumothorax. No effusion. IMPRESSION: New infiltrates, suggesting aspiration or pneumonia.
Single supine AP portable view of the chest was obtained. An enteric tube courses below the level of the diaphragm, coiled in the expected location of the stomach, portion not included on the image. A right-sided chest tube is seen projecting over the mediastinum. There is diffuse, extensive subcutaneous emphysema bila...	Distal aspect of the right chest tube courses to the midline and projects over the lower mediastinum/superior cardiac silhouettes. Given single frontal image, difficult to assess whether anterior or posterior in location; however, recommend withdrawal. This finding was discussed with Dr. m. Extensive subcutaneous emphy...	FINDINGS: Single supine AP portable view of the chest was obtained. An enteric tube courses below the level of the diaphragm, coiled in the expected location of the stomach, portion not included on the image. A right-sided chest tube is seen projecting over the mediastinum. There is diffuse, extensive subcutaneous emph...
Significant interval increase in the right-sided pleural effusion which is now moderate to large. Right-sided pleura catheter remains in similar position. There is increasing atelectasis in the right upper lobe. The left lung remains clear. Feeding tube tip is out of view below the diaphragm. .	Significant interval increase in right-sided large pleural effusion.	FINDINGS: Significant interval increase in the right-sided pleural effusion which is now moderate to large. Right-sided pleura catheter remains in similar position. There is increasing atelectasis in the right upper lobe. The left lung remains clear. Feeding tube tip is out of view below the diaphragm. . IMPRESSION: S...
Portable semi-upright radiograph of the chest demonstrates a normal cardiomediastinal silhouette. Linear opacity in the bilateral lung bases is consistent with atelectasis. No focal consolidation is identified. There is no pleural effusion or pneumothorax.	No acute intrathoracic abnormality.	FINDINGS: Portable semi-upright radiograph of the chest demonstrates a normal cardiomediastinal silhouette. Linear opacity in the bilateral lung bases is consistent with atelectasis. No focal consolidation is identified. There is no pleural effusion or pneumothorax. IMPRESSION: No acute intrathoracic abnormality.
Although the appearance of the left-sided PICC line has improved, it remains angled at its tip. Given its location, this could indicate that it extends into the azygos vein and should therefore be repositioned. No pneumothorax is detected. Otherwise, no significant changes identified.	Abnormal appearance to the distal tip of the left-sided PICC line. Repositioning is recommended.	FINDINGS: Although the appearance of the left-sided PICC line has improved, it remains angled at its tip. Given its location, this could indicate that it extends into the azygos vein and should therefore be repositioned. No pneumothorax is detected. Otherwise, no significant changes identified. IMPRESSION: Abnormal ap...
Multiple lines and tubes are similar to the prior film. Allowing for changes in the patient position, the left mediastinal border is better defined, but no definite change in the cardio mediastinal silhouette is identified. Renewed visualization of left hemidiaphragm suggests an element of clearing at the left lung bas...	Pulmonary edema, with interval improvement of opacities predominantly at the left base and, to a lesser extent, in the upper zones. The possibility of an associated infectious infiltrate would be difficult to exclude.	FINDINGS: Multiple lines and tubes are similar to the prior film. Allowing for changes in the patient position, the left mediastinal border is better defined, but no definite change in the cardio mediastinal silhouette is identified. Renewed visualization of left hemidiaphragm suggests an element of clearing at the lef...
AP upright portable chest radiograph was provided. The heart remains moderately enlarged. There is moderate to severe pulmonary edema with small bilateral effusions. Aorta is calcified and unfolded. No pneumothorax.	Findings compatible with congestive heart failure.	FINDINGS: AP upright portable chest radiograph was provided. The heart remains moderately enlarged. There is moderate to severe pulmonary edema with small bilateral effusions. Aorta is calcified and unfolded. No pneumothorax. IMPRESSION: Findings compatible with congestive heart failure.
Heart size is normal. The mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta noted. The pulmonary vascularity is normal. Minimal subsegmental retrocardiac atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities are ...	No acute cardiopulmonary abnormality.	FINDINGS: Heart size is normal. The mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta noted. The pulmonary vascularity is normal. Minimal subsegmental retrocardiac atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormal...
Single frontal upright view of the chest was obtained. The heart is of top normal size. The mediastinal contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No radiopaque foreign body.	Unremarkable chest radiograph.	FINDINGS: Single frontal upright view of the chest was obtained. The heart is of top normal size. The mediastinal contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No radiopaque foreign body. IMPRESSION: Unremarkable chest radiograph.
Patient is status post median sternotomy and left-sided AICD/pacemaker device with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. Heart size is moderately enlarged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear. N...	No acute cardiopulmonary abnormality.	FINDINGS: Patient is status post median sternotomy and left-sided AICD/pacemaker device with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. Heart size is moderately enlarged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs ar...
This study is limited by body habitus and motion. The lungs are grossly clear except for mild atelectasis at the right base. Moderate to severe cardiomegaly is slightly worsened. The mediastinal contours are normal. There is no pleural effusion or pneumothorax.	Slight worsening of moderate to severe cardiomegaly. Atelectasis at the right base but no evidence of pulmonary edema or pneumonia.	FINDINGS: This study is limited by body habitus and motion. The lungs are grossly clear except for mild atelectasis at the right base. Moderate to severe cardiomegaly is slightly worsened. The mediastinal contours are normal. There is no pleural effusion or pneumothorax. IMPRESSION: Slight worsening of moderate to sev...
Right IJ central line tip lies in the region of the SVC/RA junction. An NG type tube is likely present, not well visualized. It most likely extends beneath the diaphragm to overlie the proximal stomach, but a be more completely and better visualized on films obtained with the increased penetration. There are low inspir...	Clinical correlation regarding possible advancement is requested. Dense opacification of the left mid and lower lung zones, of uncertain etiology. Differential includes pleural effusion, consolidation, atelectasis or a combination thereof. Cardiomediastinal silhouette remains grossly midline. Aside from possible minima...	FINDINGS: Right IJ central line tip lies in the region of the SVC/RA junction. An NG type tube is likely present, not well visualized. It most likely extends beneath the diaphragm to overlie the proximal stomach, but a be more completely and better visualized on films obtained with the increased penetration. There are ...
Single portable frontal chest radiograph demonstrates grossly clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.	No pneumonia.	FINDINGS: Single portable frontal chest radiograph demonstrates grossly clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. IMPRESSION: No pneumonia.
AP view of the chest demonstrates clear lungs. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The heart size is normal. There is no pulmonary edema. Multiple surgical clips project over left lateral chest. A round density projecting over L1 vertebr...	No evidence of acute cardiopulmonary process.	FINDINGS: AP view of the chest demonstrates clear lungs. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The heart size is normal. There is no pulmonary edema. Multiple surgical clips project over left lateral chest. A round density projecting over ...
There is mild cardiomegaly. Pulmonary edema is moderate. Bibasilar opacities are a combination of atelectasis and small effusions larger on the right. There is no pneumothorax	Moderate pulmonary edema	FINDINGS: There is mild cardiomegaly. Pulmonary edema is moderate. Bibasilar opacities are a combination of atelectasis and small effusions larger on the right. There is no pneumothorax IMPRESSION: Moderate pulmonary edema
Left-sided PICC terminates in the low SVC without evidence of pneumothorax. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.	No focal consolidation to suggest pneumonia.	FINDINGS: Left-sided PICC terminates in the low SVC without evidence of pneumothorax. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. IMPRESSION: No focal consolidation to suggest pneumonia.
Single frontal portable chest radiograph demonstrates persistent elevation of the right hemidiaphragm. Right lower lung opacification relatively stable and likely represents atelectasis. No focal opacification concerning for pneumonia identified. Cardiomediastinal and hilar contours are unremarkable. No pleural effusio...	No acute intrathoracic process.	FINDINGS: Single frontal portable chest radiograph demonstrates persistent elevation of the right hemidiaphragm. Right lower lung opacification relatively stable and likely represents atelectasis. No focal opacification concerning for pneumonia identified. Cardiomediastinal and hilar contours are unremarkable. No pleur...
Consolidation containing air bronchograms in the right lower lung with partial obscuration of the right heart border and lateral right hemidiaphragm suggests right middle lobe and right lower lobe pneumonia. Normal heart size. Normal mediastinal contours. Left hilum is normal and the right hilum is obscured by right mi...	Likely right middle lobe and lower lobe pneumonia.	FINDINGS: Consolidation containing air bronchograms in the right lower lung with partial obscuration of the right heart border and lateral right hemidiaphragm suggests right middle lobe and right lower lobe pneumonia. Normal heart size. Normal mediastinal contours. Left hilum is normal and the right hilum is obscured b...