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the heart is normal in size. the aorta is mildly tortuous. the cardiomediastinal and hilar contours are stable and within normal limits. the lungs are hyperinflated consistent with copd. a right upper lobe nodular opacity is re- demonstrated and not significantly changed from the prior chest radiograph on <unk>. subtle bibasilar opacities are seen which may represent atelectasis, aspiration or infection. there is increased opacity at the right base, which may represent a focus of atelectasis or pneumonia. no large pleural efusion is seen. there is no evidence of pneumothorax.
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<unk>m with copd p/w ftt // r/o pna
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frontal and lateral views of the chest demonstrate a resolved left lower lobe pneumonia. there is diffuse reticular interstitial pattern with the suggestion of multiple lung nodules. tracheal deviation to the right may be caused by a thyroid nodule. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
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<unk> year old woman with pneumonia in <unk>, assess for resolution.
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study dated <unk>. during the latest examination interval, the patient has undergone right-sided thoracocentesis. patient remains intubated, the ett in unchanged position. the previously identified right-sided internal jugular approach central venous line has been adjusted and withdrawn so that it now terminates <num> cm below the level of the carina. this indicates mid position of the svc. the evidence of bilateral pleural effusions blunting the lateral pleural sinuses and diaphragmatic contours persist and is even more marked now on the right side than it was before. the left-sided pleural effusion is as marked as it was before. on this portable ap chest examination, there is no evidence of any pneumothorax in the apical area on either side.
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<unk>-year-old female patient status post thoracocentesis, evaluate for pneumothorax.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no evidence of pulmonary edema. an azygos fissure is noted. no free air under the right hemidiaphragm is present. degenerative changes involve bilateral acromioclavicular joints and left shoulder joint.
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history: <unk>f with cough, higher sugars than normal // ? pneumonia
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the ett is approximately <num> cm above the carina. left ij central venous catheter terminates in cavoatrial junction. the enteric tube terminates in the stomach. the lung volume is small, exaggerating pulmonary vascular markings and the cardiomediastinal silhouette. right lower lobe opacity is grossly unchanged. left lower lobe atelectasis is stable. no new consolidation. small pleural effusion bilaterally is unchanged.
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<unk> year old woman intubated // eval int change
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>f with sob // pna?
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there is no new consolidation. the heart and mediastinum are within normal limits. trace bilateral pleural effusions are new.
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<unk> year morbidly obese man with periodic sob, congestion, productive cough // r/o acute process
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the cardiac, mediastinal and hilar contours appear unchanged. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. minimal degenerative change along the mid thoracic spine that is unchanged. there is new sclerosis projecting along the course of the right posterior tenth rib, suggesting a prior fracture, but chronic.
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hyperglycemia.
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a left picc terminates at the lower svc. the heart size is enlarged. there is no pneumothorax, pleural effusion, or focal consolidation. moderate degenerate changes are again demonstrated throughout the thoracic spine, including multilevel bridging osteophytes. extensive coronary vascular calcifications are incidentally noted.
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picc placement.
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left picc line tip is in the azygos vein, a change from prior radiograph. normal heart size, pulmonary vascularity. there are no infiltrates. no pleural fluid.
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<unk> year old man with dlbcl with mssa port-site sepsis // ? pneumonia, atelectasis
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cardiomediastinal and hilar contours are stable, with median sternotomy wires and aortic valve replacement in standard position. a small amount of anterior mediastinal air persists, expected in the post-operative setting. there are small bilateral pleural effusions. there is no pneumothorax. lungs are well expanded and clear. the vasculature is within normal limits.
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query pleural effusions.
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the cardiac silhouette size is normal. the aorta remains mildly tortuous. fullness of the right hilum is unchanged, compatible with underlying lymphadenopathy. previously noted enlargement of the right mediastinal contour at the level of the azygos is less pronounced on the current study suggesting somewhat improved lymphadenopathy. the lungs are hyperinflated. the pulmonary vascularity is not engorged. extensive emphysematous changes are again noted, most pronounced within the lung apices. nodular opacity within the posterior aspect of the right upper lobe is not as clearly visualized on the current study. there is no new focal consolidation. linear atelectasis or scarring is seen within the lung bases. there are multilevel degenerative changes in the thoracic spine.
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fever.
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low lung volumes with bibasilar atelectasis. no focal consolidation. no pleural effusion or pneumothorax. mediastinal contours appear slightly wider than on previous examinations likely accentuated by imaging on expiration. right picc is unchanged and terminates at the superior cavoatrial junction. sutures overlying the left upper lung and wide right ac joint are consistent with prior surgery.
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<unk> year old man with temp <unk>.<num> pod<unk> s/p l aka // fever workup
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk>m called in for spk to follow liver transplant, not an increased risk donor // preop
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coarse interstitial markings are again seen. bilateral midlung linear opacities are most likely atelectasis. there is no consolidation or effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified. surgical clips seen in the upper abdomen.
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<unk>f with sob, cough // r/o acute process
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heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with chest pain since this morning
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multifocal opacities, primarily affecting the left lung are concerning for pneumonia. there is no pleural effusion. the heart is normal in size. the aorta is tortuous. of note, the left main pulmonary artery is prominent, similar in appearance to <unk>.
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history: <unk>m with fever and cough // eval for pna
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there may be a tiny right apical pneumothorax. layering right pleural effusion appears smaller. there is persistent left retrocardiac opacity, likely combination of pleural effusion and atelectasis. there is a new right-sided pigtail chest tube with interval decrease in the right effusion
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<unk> year old woman with right pleural effusion s/p r ct // ? rtx
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the trachea appears moderately narrowed and displaced slightly towards the right at the level of the aortic arch and above. findings may in part relate to the adjacent aorta but the findigns appear to extend superior to it. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
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alcohol intoxication, hypoxia.
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heart size is top normal. mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well expanded. no overt signs of pulmonary edema are noted. there is no focal consolidation concerning for pneumonia. median sternotomy wires are noted, as well as surgical clips projecting over the upper abdomen. median sternotomy wires are intact
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<unk>f with cough, sob // eval pneumonia
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pa and lateral views of the chest. there is ill-defined opacity in the right mid lung adjacent to the hilum which likely projects in the retrosternal region on the lateral view. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
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<unk>-year-old female with fever and chemotherapy question pneumonia.
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a right-sided chest tube terminates in the right lung apex. there is no visible pneumothorax. there may be a small right pleural effusion. overall, right mid and lower lung atelectasis as well as linear atelectasis in the left lower lobe is unchanged. there is mild tortuosity of the aorta; otherwise, the hilar and mediastinal contours are unremarkable. mild cardiomegaly has been stable compared to exams dated back to <unk>.
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history of right-sided pleural effusion status post vats decortication. please evaluate.
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pa and lateral views of the chest were reviewed and compared to the prior studies. bibasilar atelectasis is minimal; otherwise, the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. heart size is top normal and the mediastinal and hilar contours are normal. there are no concerning osseous or soft tissue lesions.
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recent fever and <num> month of cough pain in patient with poorly controlled diabetes.
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there is now minimal interstitial edema. left lower lobe ground-glass opacities seen on subsequent ct are better appreciated on that study. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable. surgical hardware is partially seen in the cervical spine.
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worsening hypoxia after fluid.
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there has been interval removal of the pigtail catheter with placement of an pleura stat. the loculated right pneumothorax appears slightly larger. small right pleural effusion is also slightly increased. the lungs are clear. the heart and mediastinum are within normal limits. hiatal hernia is re-demonstrated.
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<unk> year old man s/p r spontaneous ptx, had pigtail placement, removed // eval of r ptx with pneumostat in place
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portable frontal semi supine radiograph of the chest and upper abdomen demonstrates an ng tube ending within the stomach. there is otherwise no significant change from <num> hour prior with stable appearance of the cardiomediastinal silhouette. the left costophrenic angle is excluded from this image. no large pleural effusion or pneumothorax.
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history: <unk>m with -free air <unk> dudodenal ulcer // to confirm ng tube
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pa and lateral views of the chest provided. the lungs are mildly hyperexpanded. 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.
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history: <unk>m with cough // pna?
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frontal and lateral radiographs of the chest demonstrate interval decrease in lung volumes with asymmetric opacity at the left base, seen also on the lateral view, concerning for pneumonia. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.
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cough for one week. evaluate for pneumonia.
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a large pad projects over the left mid and lower lung fields, limiting evaluation. within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart size is mildly enlarged. aortic knob calcifications are noted.
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<unk>-year-old female with syncope and arrhythmia.
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pa and lateral chest radiographs demonstrates clear lungs bilaterally. there is no focal consolidation concerning for pneumonia. when compared to prior radiograph dated <unk>, the cardiomediastinal and hilar contours are stable and unchanged. osseous structures demonstrate as shaped scoliosis, concave to the right at the midthoracic level. there is no pleural effusion, pneumothorax or pleural effusion.
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<unk>-year-old female with recent gastrectomy now with nausea vomiting.
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pa and lateral views of the chest provided. right port-a-cath ends at the upper svc. lungs are grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
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<unk> year old man with poc dysfunction // eval poc
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the cardiac size is normal. the aorta is tortuous. . no definite focal consolidation is identified. there is no pleural effusion or pneumothorax. there are moderate degenerative changes in the thoracic spine
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<unk>f with fever and cough // pneumonia?
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the heart continues to be moderately enlarged, and a left cardiac device is again seen with its leads in appropriate position. the mediastinal contours are stable, and the patient is status post median sternotomy. there is no focal consolidation, pleural effusion or overt pulmonary edema.
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<unk> year old man with shortness of breath
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with productive cough x <num> weeks // acute cardiopulmonary process
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. there is no free air.
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severe pain, constipation, nausea, vomiting.
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there has been interval worsening appearance to the chest. the right-sided effusion layers posteriorly despite the right-sided pigtail catheter being in place. there is also central consolidation in the right mid lung. the heart is moderately enlarged. there is vascular engorgement. there is dense retrocardiac opacity consistent volume loss/effusion/ infiltrate in the left lower lobe.
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<unk> year old woman with <unk>'s disease presenting with loculated pleural effusion s/p chest tube // please eval fluid collection change, chest tube placement
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there has been slight interval increase in severity of massive bilateral pulmonary parenchymal opacifications. the bilateral pleural effusions are stable appearing. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. endotracheal tube ends <num> cm from the carina. left-sided subclavian central venous line ends at the distal svc. nasogastric feeding tube ends in the stomach. there is no pneumothorax.
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<unk>-year-old man status post bronchoscopy. evaluate for interval change.
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there is of focal opacity at the right lung base concerning for pneumonia. diffuse severe background interstitial lung disease is overall unchanged. the cardiac silhouette is normal. there is no pleural effusion or pneumothorax. tracheostomy tube terminates at the thoracic inlet, unchanged. no acute osseous abnormality is identified.
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<unk>m with trach/peg, aids, transfer from snf for increased respiratory distress, fever, evaluate for pneumonia.
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mild to moderate cardiomegaly is stable. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable right ij catheter tip is in the lower svc
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<unk> year old woman with iddm, esrd, and htn admitted for abdominal pain, hyperglycemia, and volume overload. // prior cxr on this admission showed ?interstitial changes. are these still present now that pt is euvolemic?
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a tiny right apical pneumothorax in the position of the recently removed chest tube is seen. there is a small left pleural effusion seen. right lower lobe atelectasis is stable. there is stable subcutaneous emphysema seen in the soft tissues of the right hemithorax.
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<unk>-year-old male status post vats. study is to evaluate recent chest tube removal.
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the inspiratory lung volumes are appropriate. the lungs are clear without pleural effusion, focal consolidation or pneumothorax. the pulmonary vasculature is not engorged. the cardiac and mediastinal contours are within normal limits.
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<unk>-year-old male with new cough, here to assess for evidence of pneumonia.
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re- demonstration of a small amount of presumed free subdiaphragmatic air below left hemidiaphragm, described previously as the likely a consequence of recent percutaneous g-tube placement. on this semi-erect view, it is difficult to evaluate for interval change. persistent mild pulmonary edema, without new focal consolidation or pneumothorax. small bilateral effusions are unchanged. the cardiomediastinal silhouette is also unchanged.
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<unk> year old woman with cva, chf, and now septic. please eval for pna and interval change in signs of volume overload.
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the right heart border is not clearly identified, and there is a faint right basilar opacity. there is also minimal left basilar atelectasis. no large focal consolidation, pleural effusion, or pneumothorax detected. mediastinal silhouette is unremarkable.
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<unk>-year-old man with chest pain. evaluate for acute process.
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the re is a mild diffuse interstitial abnormality, which is of uncertain etiology and chronicity. the abnormality is more pronounce in the right lung. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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history of cough for one month. smoking history. status post assault tonight.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.
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\<unk>f with cough, on prednisone // pna? infectious workup
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pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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acute chest pain.
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pa and lateral radiographs of the chest demonstrate clear lungs, without evidence of right lower lobe consolidation. there is no pleural effusion or pneumothorax. the hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal. chronic findings of intact sternal cerclage wires as well as unfolded configuration of the aorta are once again noted.
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evaluate for resolution of right lower lobe pneumonia diagnosed <unk>.
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heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. mild degenerative changes are noted in the thoracic spine.
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chest pain.
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since same date earlier chest radiograph, left picc line has been readjusted with tip seen in the mid svc junction. the lungs are clear. severe cardiomegaly and moderate vascular congestion is unchanged. no pneumothorax or pleural effusion. swan-ganz catheter is again seen in the right ventricular outflow tract.
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<unk> year old man with chf and polysubstance abuse s/p picc for inotropes // please evaluate picc position
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the patient is intubated. the tip of the endotracheal tube terminates approximately <num> cm above the level the carina. a nasoenteric tube is in-situ, the tip is not visualized lies below the left hemidiaphragm. a tunneled right internal jugular dialysis catheter terminates in the right atrium. a right internal jugular vascular access catheter terminates in the svc. there are persistent bilateral opacities predominately perihilar distribution consistent pulmonary edema. prominence of the pulmonary vasculature persists. unchanged left lower lobe atelectasis. an apparent opacity in the left upper lobe is also unchanged compared to the prior study but new compared earlier studies. this is not clearly seen to be on the patient's skin and would be better evaluated with a ct of the chest.
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<unk> year old woman with cirrhosis, sepsis s/p cvl placement. // interval change
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marked hypoinflation of the lungs limits assessment at the bases. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman with <num> weeks of cough and history of pulmonary emboli.
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the heart is normal in size. the cardiomediastinal and hilar contours are within normal limits and stable. the lungs are hyperinflated consistent with emphysema. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is identified. chronic fracture of the right posterior sixth rib is re- demonstrated. right infrahilar surgical clips are re- demonstrated.
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<unk>f with recent copd exacerbation admit now w/ sob*** warning *** multiple patients with same last name! // eval ? infilrtrate, effusion
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median sternotomy wires appear intact. again noted is chronic elevation of the left hemidiaphragm with no evidence of a hernia. the lungs are clear. the cardiac and mediastinal silhouettes are stable. no acute fractures are identified.
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reflux symptoms with worsening chest pain.
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there has been interval resolution of the previously seen left perihilar opacity. no new focal consolidations are seen. there is no pleural effusion or pneumothorax. the heart size is normal. the hilar and mediastinal contours are normal.
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<unk>-year-old female with cough and shortness of breath who presents for evaluation.
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the et tube terminates at the level of the clavicles. an esophageal temperature probe since in the mid esophagus. an enteric tube courses below the hemidiaphragm, tip not visualized. faint bibasilar airspace opacities have slightly increased, particularly on the left. there is no pneumothorax. new blunting of the left costophrenic angle is likely due to a small pleural effusion.
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<unk> year old man with significant mucus plugging, now s/p cardiac arrest. // assess interval change.
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the cardiac and mediastinal silhouettes appear within normal limits. however, on the lateral view, there is slight loss of the retrosternal clear space, which in a patient of this age may represent a small amount of residual thymic tissue. there are no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. the osseous structures remarkable.
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cough, low-grade fever. evaluate for pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with joint stiffness and chest congestion. evaluate for infection.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. suggestion of mitral anulus calcification is seen.
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fever, weakness.
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the lung volumes are low which accentuates the linear and interstitial opacities. an ill-defined opacity in the left lung in the third/fourth interspace has increased since the prior can be early pneumonia. no pneumothorax. mild to moderate gastric and small bowel distension partially visualized.
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<unk>m, h/o antiphospholipid syndrome with dvts and cutaneous vasculitis, s/p recent left renal biopsy complicated by hematoma <unk>, off anticoagulation due to hematoma, presenting with worsening leukocytosis and left flank pain after recent discharge, with ct a/p showing stranding around left kidney. now with epigastric and r chest pain with some chest // eval for pna
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lung volumes are low. streaky bibasilar airspace opacities, more pronounced on the left, likely reflect atelectasis. heart size is normal. the mediastinal and hilar contours are unchanged, with calcification of the thoracic aorta again noted. pulmonary vascularity is not engorged. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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aphasia.
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one portable ap semi-erect view of the chest. the tracheostomy tube ends <num> cm from the carina. left chest tube ends medially in the left lung and is unchanged in position. ng tube ends in the antrum of the stomach. cardiomediastinal contours are unchanged. left upper and left lower lobe opacities either represent aspiration or pneumonia and are unchanged. no large pleural effusion or pneumothorax. extensive subcutaneous emphysema is unchanged.
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pneumonia and tracheobronchomalacia, evaluate for interval changes.
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the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the aortic arch. median sternotomy wires are intact and mediastinal clips are noted. there is a lower thoracic dextroscoliosis. no acute osseous abnormalities.
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<unk>f with fever // eval for pneumonia
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pa and lateral views of the chest. there is faint right basilar opacity likely localizing to the middle lobe based on the lateral exam. elsewhere the lungs are grossly clear. there is no effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
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<unk>-year-old female with kidney transplant on immunosuppression with cough and subjective fevers.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear apart from subsegmental atelectasis in the lingula. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with tachycardia, cough
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there are bibasilar opacities, likely some combination of layering effusions and atelectasis with possible superimposed consolidation. superiorly, the lungs are clear. the cardiomediastinal silhouette is enlarged particularly on the left in the region of the ap window. while some of this may be technical due to patient rotation and ap positioning, followup will be necessary. left chest wall dual lead pacing device seen with lead tips projecting over the right atrium and right ventricle. old healed right lateral rib fractures are seen.
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history: <unk>f with ams, hypoxia // eval for pna
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single portable view of the chest. endotracheal tube is seen with tip <num> cm from the carina, in appropriate position. enteric tube passes below the inferior field of view. there are bibasilar opacities with silhouetting of the hemidiaphragms. patchy regions of consolidation also seen more superiorly. the cardiomediastinal silhouette is within normal limits for technique.
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<unk>-year-old female with respiratory distress, intubated.
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pa and lateral chest radiograph demonstrates an enlarged heart. the right hilus is also enlarged. patchy opacity at the right lower lung zone and obscuring the right heart border is additionally identified. prominent peripheral interstitial markings and cephalization of vessels is consistent with pulmonary edema. aortic calcifications are at the aortic arch is noted. a small left-sided pleural effusion is identified. there is no pneumothorax. visualized osseous structures are unremarkable.
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<unk>-year-old male question of chf vs pneumonia.
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pa and lateral views of the chest provided. overlying ekg leads are present. cardiomediastinal silhouette is stable. mild hilar prominence is stable from prior. no focal consolidation, large effusion or pneumothorax. bony structures are intact.
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<unk>m with copd and new neuro deficits // any pna
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pa and lateral view of the chest compared to prior chest x-ray from <unk> and chest ct from <unk>. postoperative changes of left upper lobectomy are seen with left hemithorax volume loss and elevation of the hemidiaphragm as well as surgical chain sutures in the suprahilar region. there is increased nodular opacity in the postoperative bed, which was more clearly delineated by recent ct as suspicious for recurrent disease. the lungs are otherwise clear. cardiomediastinal silhouette is unchanged. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with syncopal episode, history of lung cancer with recent lobectomy.
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the lung volumes are low. there is a patchy opacity involving the right lower lung field with obscuration of the right heart border. discoid atelectasdis is noted in the left lower lobe. there is mild cardiomegaly, but the cardiomediastinal contour is unremarkable otherwise. no pleural effusion or pneumothorax.
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<unk>-year-old female with productive cough, history of chf, and recent x-ray at outside institution demonstrated atelectasis. evaluate for acute cardiopulmonary process.
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there is increased perihilar opacity. extent peripherally. the findings are worrisome for increased mass in the right hilum and possible intra parenchymal bleed. there is a small right effusion.
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<unk> year old man with new diagnosis of lung cancer. new active hemoptysis // eval hemoptysis
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there is persistent blunting of the right costophrenic angle which may be due to a small pleural effusion. slight increase in opacity over the lower posterior lungs on the lateral view may relate to a small pleural effusion and atelectasis although underline consolidation is not excluded in the appropriate clinical setting. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. partially imaged spinal rods noted at the thoracolumbar junction.
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history: <unk>f with ? complex seizure //
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hyperinflation with severe upper lobe predominant emphysema. no focal consolidations. mild interstitial pulmonary edema. stable appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
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history: <unk>m with dyspnea // please evaluate for acute abnormality
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pa and lateral views of the chest. the cardiomediastinal and hilar contours are normal. there is no focal consolidation, pleural effusion or pneumothorax.
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<unk>-<unk> male with history of alopecia areata and asthma. three days of right facial numbness. question of sarcoidosis.
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single lead left-sided aicd is seen with lead extending the expected location of the right ventricle. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. cardiac silhouette is mildly enlarged. aorta is calcified and tortuous. no pulmonary edema is seen.
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history: <unk>f with bradycardia, hypotension // p
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single ap upright radiograph through the chest demonstrates an enlarged heart. hilar congestion and mild to moderate pulmonary edema is noted. no large effusion or pneumothorax. please note, a subtle underlying pneumonia would be impossible to exclude. recommend followup to resolution.
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<unk>-year-old female with right femur fracture, preoperative chest radiograph.
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there has been interval improvement in the previously seen diffuse patchy opacities. there has also been decrease in the hilar prominence and peribronchial cuffing. no pleural effusion is seen. there are no new areas of focal consolidation. the cardiomediastinal silhouette is top normal in size. pleural surfaces are unremarkable.
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<unk>-year-old woman presents with productive cough and new leukocytosis.
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there are moderate bilateral pleural effusions with overlying atelectasis. moderate to severe pulmonary edema is seen. a right-sided picc terminates in the low svc. no pneumothorax is seen. patient is status post median sternotomy and cardiac valve replacement. the cardiac silhouette is moderate to severely enlarged. mediastinal contours are unremarkable.
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history: <unk>m with sob // acute process
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the ett tip ends approximately <num> cm from the carina and is too high. an enteric tube tip projects over the expected region of the stomach in the left upper quadrant. the side port may be at the region of the ge junction. no focal consolidation, edema, effusion, or pneumothorax in the lungs. there is suggestion of mild pulmonary vascular congestion, although this may be related to patient's somewhat supine position. no pleural effusion or pneumothorax. no acute osseous abnormality.
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<unk>-year-old man with intubation // ?tube placement.
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interval placement of a gastric tube which extends into the left lower lobe bronchus. please note that the right costophrenic angle is not included on this radiograph. patchy bilateral predominantly lower lobe airspace opacities may reflect aspiration and/or multifocal pneumonia. no pleural effusion or pneumothorax identified. a left chest wall single lead pacemaker is present.
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<unk> year old man with stroke and dysphagia. ng was pulled out and replaced. // eval ng placement
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compared with the prior radiograph, there is a persistent, but smaller, loculated right apical pneumothorax. initially, a nodular opacity projecting over the left first rib was not seen on the chest ct of <unk>. chain sutures denote prior right middle lobectomy. previous small right pleural effusion has resolved. no new focal consolidation. cardiomediastinal silhouette is normal. mediastinal surgical clips are unchanged.
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<unk> year old woman with nsclc s/p rmlobectomy and mediastinal ln dissection, check interval change. check for interval change.
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pa and lateral views of the chest provided. left chest wall pacer device is again noted with pacer leads extending to the region of the right atrium and right ventricle. there is a port-a-cath projecting over the right chest wall with catheter tip in the region of the low svc unchanged. the lungs remain clear bilaterally. there is no evidence of pneumonia or edema. cardiomediastinal silhouette is stable and normal. bony structures are intact.
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<unk>m with headache and cough in the setting of astrocytoma // headache, cough
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heart size is normal. there is calcification of the aorta, indicating atherosclerosis. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear. there may be slight blunting of the costophrenic angles. no pneumothorax is seen. there are no acute osseous abnormalities. again seen is a partially visualized sclerotic, nonaggressive appearing lesion in the right proximal humerus, likely representing an enchondroma with bone infarct considered less likely. degenerative changes of the visualized thoracolumbar spine.
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history: <unk>f with cough. evaluate for pna
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the lungs are well inflated. with the exception of a tiny plate-like atelectasis in the left base, there are no focal opacities bilaterally. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the patient has a moderate right convex scoliosis centered in the thoracic spine which is unchanged compared with prior exams.
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<unk>-year-old female with cough, chest pain. evaluate for evidence of pneumonia.
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a left lower lobe consolidation has completely resolved. there is no new consolidation, effusion, or pneumothorax. the cardiac and mediastinal contours are normal.
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<unk>-year-old man with left lower pneumonia in <unk>.
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mild to moderate cardiomegaly is unchanged. the aorta is diffusely calcified and tortuous, similar compared to the prior exam. mediastinal and hilar contours are unchanged. evaluation of the lung apices is limited due to the patient's chin and soft tissues of the neck projecting over this region. lung volumes are low. there is crowding of the bronchovascular structures but no overt pulmonary edema is present. no focal consolidation, pleural effusion or pneumothorax is clearly identified. mild interstitial abnormality within the lung bases as well as within the right upper lung field is similar compared to the prior exam and may reflect chronic changes. no acute osseous abnormalities seen.
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cough and dyspnea. history of stroke.
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lung volumes are low. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. diffuse increased interstitial opacities are noted, more pronounced on the left, concerning for chronic interstitial lung disease. more focal opacities in the left lung base and left upper lobe could reflect areas of superimposed contusion, but this is difficult to determine without the presence of prior exams. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. there are no acute osseous abnormalities. no displaced fractures are visualized.
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history: <unk>m with stage <num> ckd <num> day status post fall. last platelet count was <unk>. left supraorbital abrasion, left flank pain, hematuria.
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compared to the prior study there is no significant interval change.
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<unk> year old man polytrauma s/p mvc with persistent fevers // eval for pleural effusion
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the lungs are clear. the is no pleural effusion, pneumothorax or focal airspace consolidation. there is likely an epicardial fat pad. the cardiac silhouette is mildly enlarged. the pulmonary vasculature is normal. the mediastinal and hilar structures are unremarkable.
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intracerebral hemorrhage, preoperative evaluation.
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portable ap semi-erect chest film <unk> at <time> is submitted
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<unk>m w/pancreatitis and respiratory distress // assess for interval worsening of effusions, worsening edema? assess for interval worsening of effusions, worsening edema?
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pa and lateral chest radiographs were obtained. lungs are well expanded. there is mild atelectasis at the right base. otherwise the lungs are clear. there is no focal consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal. there is no displaced rib fracture.
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traumatic subcapsular liver hematoma and pneumoperitoneum status post washout presenting with worsening pleuritic right chest pain.
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compared with the prior study,extensive left-sided subcutaneous emphysema about the left chest and about the lower neck is again seen. also again seen are the left-sided chest tube and left pigtail catheter. though these appear unchanged in configuration, note is made that the curved portion of pigtail is centered on the chest wall and the proximal sideport of the left chest tube may lie outside the chest wall. clinical correlation is requested. on the current film, there is a small left apical pneumothorax. there is also probably some pneumothorax air deep to the medial side of the left lung. lucency along the left border of the heart is more apparent. the right lung is similar on the prior film, with a small right apical pneumothorax and band like opacity along the minor fissure, suggesting a small amount of fluid in the minor fissure. no other right-sided pneumothorax is detected, though a subtle occult pneumothorax might not be apparent. mild represent a redistribution is unchanged. aside from minimal atelectasis at the left lung base, there is no focal opacity no focal parenchymal opacity. no gross effusion.
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<unk> year old man with left ptx s/p <num> chest tubes // eval for interval change in left ptx, perform at <unk>
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moderate cardiomegaly is stable. mild pulmonary edema is slightly improved from <unk>. postoperative mediastinum and left icd are unchanged. no pneumothorax or substantial pleural effusion. persistent elevation of the left hemidiaphragm is unchanged.
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<unk> year old woman with schf, pulmonary edema // pls eval for interval change
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moderate cardiomegaly is unchanged. mediastinal and hilar contours are stable. there is mild pulmonary vascular congestion, but without overt pulmonary edema. multiple coils are again seen within the right lower lobe, which on the prior ct was demonstrated to be within the pulmonary arteries. no focal consolidation, pleural effusion or pneumothorax is clearly identified. there are no acute osseous abnormalities.
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shortness of breath.
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lung volumes are low. this accentuates the size of the cardiac silhouette which appears mild to moderately enlarged. coronary artery stent is demonstrated. mediastinal and hilar contours are unremarkable with crowding of the bronchovascular structures noted. no pulmonary edema is visualized. streaky opacities in the lung bases likely reflect areas of atelectasis, without focal consolidation, pleural effusion or pneumothorax detected on this supine exam. multilevel degenerative changes are noted within the thoracic spine.
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history: <unk>f with multiple co-moribities including chf, presenting with elevated wbc, abdominal distention, diarrhea, overall feeling ill
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the lungs are clear. cardiac silhouette is moderately enlarged. there is tortuosity of the descending thoracic aorta. no acute osseous abnormality. surgical clips seen in the neck.
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<unk>f with cough, wheezing // pna?
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. no displaced rib fractures are identified. heart and mediastinal contours are unremarkable with mild aortic tortuosity.
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persistent right-sided pain after fall. assess for effusion. no fracture on ct at that time.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old woman with cp on and off // any cause of cp
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pa and lateral images of the chest demonstrate a pacemaker in the left anterior axillary position. despite the patient's inability to elevate his arm, there was clear visualization of important structures. there was no pneumothorax or other complications of the procedure. mild aortic enlargement was visualized. there was no congestive pattern in the pulmonary vessels. there was no pleural effusion. pacer leads follow the expected course to the left and right ventricles. visualized osseous structures are unremarkable.
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<unk>-year-old male status post icd implantation, now requiring assessment of lead positioning.
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MIMIC-CXR-JPG/2.0.0/files/p12135369/s51296894/0475f249-ec694403-82684ce6-98f72b93-2e1780b4.jpg
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there are subtle nodular opacities at the lung bases bilaterally, which may represent nipple shadows. in addition, there is an opacity overlying the right anterior seventh rib, which may represent a chronic rib fracture. otherwise, the lungs are clear. hyper expansion of the lungs and hyperlucency are most consistent with emphysema. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. multiple compression deformities are seen within the thoracic spine, which are similar in appearance compared to <unk>.
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history: <unk>f with chest pain // please evaluate for acute abnormality
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