Order:

Referring Physician: Welby, Marcus

Study: Chest X-Ray (PA and Lateral views)

Indications: Chest Pain, Shortness of Breath; Rule out pulmonary pathology

Procedure:

Standard posteroanterior (PA) and lateral views of the chest were obtained. The study is of diagnostic quality, with satisfactory inspiration and penetration.

Comparison:

• Chest X-Ray (Single view); 2020-01-05

Findings:

The cardiac silhouette is within normal size limits. Mediastinal contours are normal, with no evidence of widening or mediastinal shift.

The lung volumes are adequate and the vascular markings are within normal limits. A wedge-shaped opacity is noted in the right lower lobe, consistent with a pulmonary infarct. No obvious consolidation, significant pleural effusion, or other focal airspace disease is detected in the remaining lung fields.

The bony thorax, including the ribs, clavicles, and visible portions of the spine, shows no acute fracture or suspicious lytic/blastic lesions. Soft tissues of the chest wall are unremarkable, except for a small, suspicious density projected over the left breast region, which cannot be fully characterized on this examination.

The hemidiaphragms are smooth and sharply outlined. The costophrenic angles are clear. The visualized portions of the upper abdomen appear unremarkable.

Impression:

• Right lower lobe pulmonary infarct consistent with the clinical scenario.
• Suspicious soft tissue density overlying the left breast region that warrants further evaluation.

Recommendation:

• Bilateral diagnostic mammogram; to followup suspicious soft tissue density