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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. there is mild levoconvex thoracic scoliosis.
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<unk>-year-old female with chest pain and possible syncope.
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frontal and lateral chest radiographs demonstrate stable severe cardiomegaly. mediastinal and hilar contours are unremarkable. defibrillator lead is positioned in the right ventricle. on a background of emphysema and chronic lung changes, there are bibasilar reticular and linear opacifications, likely reflecting superimposed atelectasis in the setting of low lung volumes. no overt pulmonary edema evident. no pleural effusions.
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shortness of breath, chf, assess for pulmonary edema or effusions.
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cardiomediastinal and hilar contours are unchanged. there is persistent elevation of the left hemidiaphragm with mild associated atelectasis. overall, lungs are clear without opacification concerning for pneumonia. no pleural effusion or pneumothorax identified.
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persistent cough and chest pain, evaluate for pneumonia.
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lung volumes are low. the heart size is mildly enlarged. the mediastinal and hilar contours are unchanged, with the aorta appearing mildly tortuous. the pulmonary vascularity is not engorged. streaky bibasilar airspace opacities likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen.
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hypotension.
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the heart is at the upper limits of normal size. the aorta is moderately tortuous. otherwise, the mediastinal and hilar contours appear unchanged. there is patchy opacification within each costophrenic sulcus suggestive of minor atelectasis, as well as left infrahilar retrocardiac opacity concerning for a focus of bronchopneumonia. there is no pleural effusion or pneumothorax. the bones are probably demineralized. mild degenerative changes are similar along the mid thoracic spine.
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fever.
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single portable view of the chest. right-sided picc is now seen with its tip in the upper svc. enteric tube passes below the diaphragm with tip in the gastric body, side-port past the ge junction. endotracheal tube tip is approximately <num> cm from the carina, in appropriate position. right basilar opacity is partially due to chronic rib changes similar to prior. the lungs are otherwise grossly clear. cardiomediastinal silhouette is within normal limits for technique. surgical clips seen in the neck on the right suggesting prior thyroid surgery. trachea is deviated to the left as on prior.
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<unk>-year-old female with increasing lethargy.
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there appears to be a slight interval increase in displacement of the posterior right fifth rib fracture compared to the prior exam. again seen are multiple right-sided rib fractures. there appears to be slight interval worsening of the right apical pneumothorax compared to prior exam. there is stable extensive subcutaneous gas along the right side from the mid abdomen to the mid neck, overall unchanged compared to prior exam. there is stable mild cardiomegaly. note is made of stable bibasilar atelectasis. small left pleural effusion is stable.
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history of right <unk> rib fractures, right pneumothorax. please evaluate.
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the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the descending thoracic aorta is slightly tortuous. aortic knob calcifications are moderate. no acute osseous abnormality. multilevel degenerative changes of thoracic spine including prominent anterior osteophytes are moderate.
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history: <unk>f with tia symptoms // eval for cardiomegaly
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ap upright and lateral chest radiograph was obtained. the lungs are low in volume with increased interstitial opacity consistent with the chest ct findings of interstitial lung disease. bibasilar atelectasis is noted without pneumothorax or pleural effusion. mediastinal and hilar contours as well as cardiac size are unremarkable with post cabg changes noted. the left rib fracture seen on ct is not identified on these views.
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head and neck and back pain.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. descending thoracic aorta is tortuous. no acute osseous abnormalities identified.
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<unk>m with fever, body aches // infection
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patchy right basilar opacity is seen which could be due to infection, aspiration, or possibly atelectasis. there is mild left base likely atelectasis. no large pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is top-normal. the aorta is somewhat tortuous. there is mild central pulmonary vascular engorgement without overt pulmonary edema.
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hypotension.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.incidental note is made of a normal variant azygos lobe. degenerative changes noted at the acromioclavicular joints.
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<unk>f with tachycardia unclear source. evaluate for pneumonia.
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opacity in the right lower lobe persists but is slightly less conspicuous compared to the prior exam, most likely atelectasis. otherwise, the lungs are clear without edema. no pleural effusion or pneumothorax. lung volumes remain low. the heart size is normal. the mediastinum is not widened. no acute osseous abnormality.
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history: <unk>m with chest pain // eval for acute process
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multiple median sternotomy wires are again identified. the cardiomediastinal silhouette is stable. the bilateral hila are unremarkable. there is minimal left basilar atelectasis. otherwise, there is no evidence of focal airspace abnormality. the pulmonary vasculature appears normal. there is no pneumothorax or effusion.
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<unk>-year-old woman with bibasilar rales, evaluate for volume overload.
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mild cardiomegaly is unchanged. diffuse mild pulmonary edema has slightly improved. lungs are clear. a small left pleural effusion is possible. no pneumothorax.
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<unk> year old woman with history of dchf with increasing sob, doe. // please assess for evidence of volume overload, pulmonary edema, pleural effusion; please assess for consolidation, evidence of pna
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lung volumes are low. left lower lobe and middle lobe opacities appear to have essentially resolved. residual opacity near the left costophrenic angle is minimal in could be atelectasis and/or residual from prior in infection. a right subpulmonic pleural effusion is small. a left pleural effusion if present is trace. the cardiomediastinal silhouette is unchanged. no pneumothorax. no new focal consolidations.
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<unk>-year-old woman with <unk> syndrome presents with dyspnea. evaluate for pneumonia.
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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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history: <unk>m with chills, cough, malaise.
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the lungs are hyperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history: <unk>f with back pain with tumor on mri, hx pulmonary nodules presenting with dyspnea // r/o chf
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frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding. increased opacification in the bilateral bases, left worse than right, is concerning for pneumonia. there is no pneumothorax or pleural effusion. the cardiomediastinal and hilar contours are unremarkable.
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history: <unk>m with cough and fever // eval infiltrate
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compared to the prior study there is no significant interval change.
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<unk> year old woman with hypoxia // eval for pleural effusions
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the heart is normal in size. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
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tuberculosis.
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a single portable supine chest radiograph was obtained. mild pulmonary vascular congestion has slightly progressed since the prior exam. moderate cardiomegaly is unchanged. a right-sided picc line ends at the brachiocephalic/svc junction. a tracheostomy tube remains in the upper airway. no new consolidation, effusion, or pneumothorax is present. patchy retrocardiac opacity likely secondary to atelectasis.
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<unk>-year-old man with history of traumatic brain injury, now with altered mental status.
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the ng tube terminates in ge junction. the right ij central venous catheter terminates in cavoatrial junction. the lungs are well expanded and clear. no pleural effusion or pneumothorax. the hila and pulmonary vascular are normal. the heart size is top-normal. the mediastinal silhouette is normal.
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<unk> year old man with large ivh, ng tube pulled slightly // assess position of ng tube
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the chest is hyperinflated. there is no pleural effusion or pneumothorax. the lungs appear clear. there is a non-displaced left anterolateral ninth rib fracture with a visible step-off, possibly acute. however, non-displaced right ninth and tenth rib fractures show callus and probably subacute or older.
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alcohol abuse, presenting with fall after alcohol use, complaining of left rib pain. question pneumothorax.
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a right picc terminating in the low svc and an icd/pacemaker are unchanged. there is no change in the right perihilar opacity, which based on the subsequent ct, is consistent with edema. the other areas of moderate pulmonary edema have slightly improved. there is no new opacity. there is no pleural effusion or pneumothorax. the cardiac size remains moderately enlarged. the mediastinal contours are normal.
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new increased work of breathing. evaluate for change.
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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with coffee grounds, poss aspiration // interval change? pna interval change? pna
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no significant change.
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cough and fever.
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pa and lateral views of the chest demonstrate clear and well-expanded lungs bilaterally. no evidence of airspace consolidation. there are no pleural effusions identified. no pneumothorax. mild peribronchial thickening suggests small airway disease. heart is top normal in size, unchanged since <unk>. hilar contour is within normal limits. osseous structures are without acute abnormality.
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<unk>-year-old female with chest pain.
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no focal consolidation is present. the cardiac silhouette is slightly enlarged which may be due to ap technique. there are tiny bilateral pleural effusions versus pleural thickening. no pneumothorax. no consolidation seen.
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<unk>-year-old man with shortness of breath. evaluate for chf.
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cardiacsize is normal. the lungs are clear. there is no pleural effusion or pneumothorax.
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<unk> year old man with pleuritic r upper quadrant/flank pain for <num>mo, ?diminshed bs at r base on exam, h/o well controlled hiv // r/o r sided effusion
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with slurred speech.
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion, pneumothorax, or consolidation.
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substernal chest pain. evaluate for pneumonia.
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ap upright and lateral views of the chest provided. there is subtle asymmetric opacity in the left mid lung best seen on the frontal projection which is new from prior exam and concerning for pneumonia. 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 shortness of breath // eval for pna
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen. surgical clips are seen in the upper abdomen on the lateral view. no displaced fracture is seen.
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chest the past <num> days and shortness of breath.
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there are surgical clips in the left upper quadrant. no pneumothorax. low lung volumes. heart size is unchanged. the aorta is calcified, indicating atherosclerosis. there is a linear lucency tracking lateral to the trachea. the mediastinal and hilar contours are otherwise normal. the pulmonary vasculature is normal. there is left lower lobe collapse and right lower lung atelectasis. no pleural effusion. there are no acute osseous abnormalities.
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<unk> year old man with aml and recent lll infiltrate with worsening sob // had l chest wall biopsy today, rule out pneumothorax/ other etiology for dyspnea
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cardiac silhouette size remains normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
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history: <unk>f with cough, malaise
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lungs are clear. cardiac silhouette is normal in size. there is no pleural effusion or pneumothorax.
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viral syndrome. question infection.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. no pulmonary edema is seen. mediastinal contours are unremarkable.
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history: <unk>f with chest pain, shortness of breath // eval for pna
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left cardiac pacemaker with intact leads ending in the right atrium and right ventricle is seen. heart size is upper limit of normal with no signs of pleural effusion or pulmonary congestion. no focal consolidation is seen, and no complications of the procedure including pneumothorax are seen.
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<unk>-year-old man with new pacemaker, evaluate lead position.
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ap portable upright view of the chest. clips in the right axilla noted. overlying ekg leads are present. there is underlying emphysema with superimposed pulmonary congestion and edema which appears moderate to severe. she underlying pneumonia difficult to exclude. no large effusion is seen. no large pneumothorax. overall cardiomediastinal silhouette is stable. no acute bony abnormalities. gas-filled stomach noted.
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<unk>f with flu, severe tachypnea, hypoxia
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there is new poorly defined area of consolidation in the superior segment right lower lobe and adjacent right hilar enlargement, likely reflecting reactive lymphadenopathy. consolidative opacities have a nodular component. remaining lungs are clear. no pleural effusions or pneumothorax. the cardiopericardial silhouette is not enlarged.
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<unk> year old woman with fever/cough // fever/cough, right basilar ronchi
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bilateral patchy opacities remain relatively unchanged compared to most recent chest radiograph in bilateral lung bases. cardiac size is normal. there is no pneumothorax or pleural effusion. right chest port with tip in the right atrium. dobbhoff tube tip is in the stomach.
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<unk> year old man with aspiration, hypoxia // ? pna
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a bedside ap radiograph of the chest demonstrates new pulmonary edema as well as engorgement of the mediastinal vasculature, consistent with acute exacerbation of congestive heart failure. in addition there may be consolidation of the left lower lobe obscuring the descending aortic contour. there is no pneumothorax or pleural effusion. the heart size is top normal.
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acute hypoxemia in patient on remicade for psoriatic arthritis with leukocytosis and concern for atypical pneumonia.
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frontal and lateral chest radiographs were obtained. there are persistent bibasilar opacities with moderate bilateral layering pleural effusions, unchanged from prior study. there is interval improvement in pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is stable.
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patient with recent pneumonia, assess interval change.
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there are low lung volumes. left basilar atelectasis is noted. chronic appearing left-sided rib deformities are noted. mid lung atelectasis is noted. no large pleural effusion or pneumothorax is seen. the aortic knob is calcified. the cardiac silhouette is top-normal to mildly enlarged. there is no overt pulmonary edema. partially imaged right humeral prosthesis is not well evaluated. .
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history: <unk>f with ams // pna
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a heterogeneous opacity is present in the right lower lobe consistent with a pneumonia. there is no pleural effusion, edema, or pneumothorax. the cardiomediastinal silhouette is normal.
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recent pneumonia. evaluate for effusion.
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the tip of the endotracheal tube projects over the mid thoracic trachea. a feeding tube extends to the gastric body. a right picc line extends into the right atrium. interval decrease in size of the bilateral pleural effusions and pulmonary edema, now mild in extent. no pneumothorax identified. patchy opacities in the left lower lung zone may reflect atelectasis. the size and appearance of the cardiomediastinal silhouette is unchanged.
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<unk> year old woman with sdh // r/o pulmonary edema
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lung volumes are lower compared to prior. there is no focal consolidation, effusion, or pneumothorax. right paratracheal fullness is similar to prior, dating back to at least <unk>. the cardiomediastinal silhouette is otherwise normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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history: <unk>m with chest pain // r/o pna
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upright ap and lateral views of the chest provided. previously noted nasogastric tube has been removed. mild to moderate pulmonary edema persists with small right pleural effusion. fissure all fluid on the right likely accounts for the triangular peripheral mid lung opacity with probable adjacent scarring. the heart mediastinal contours are poorly assessed though appear grossly stable from most recent prior exam. the imaged bony structures are intact. embolic material is seen projecting over the upper abdomen.
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<unk>m with sob, crackles on exam, ascites, pls eval for effusion //
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. descending aorta appears slightly tortuous. aortic arch calcifications are seen. heart is normal in size. there is no pulmonary edema.
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hyperglycemia and elevated white blood cell count. assess for infection.
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there is no consolidation, pleural effusion or pneumothorax. note is made of centrilobular emphysema. heart size is normal. thoracic aortic stent graft appears unremarkable in position when compared to the more recent cta dated <unk>. a compression deformity involving a lower thoracic vertebral body is unchanged. otherwise, no acute osseous abnormalities.
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<unk>m with resolved af w/ rvr
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lung volumes are low. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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history: <unk>m with nausea // r/o pna
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heart size is normal. the mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected.
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hiv with cd<num> count of <num>, cough.
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a single portable frontal chest radiograph was obtained. an endotracheal tube terminates appropriately above the carina. the side hole and tip of the enteric catheter are below the diaphragm. the lungs are well expanded. a triangular opacity at the right hilus/perihilar region does not obscure the right heart border. there is left base atelectasis. there is no pneumothorax or effusion. cardiac and mediastinal contours are normal.
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<unk>-year-old man status post hanging, with fever
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there is increased retrocardiac density and subtle increased opacity of the right lower lung. no pleural effusion, pneumothorax, or pulmonary edema is detected. evidence of emphysema corresponds with recent chest ct findings. cardiomegaly persists. calcified tortuous aorta is again noted.
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<unk>-year-old female with increased secretions and worsening respiratory function.
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pa and lateral chest radiograph demonstrates no focal consolidation. diffuse subtle interstitial opacities could reflect ongoing process identified on ct chest dated <unk>. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or evidence of pneumothorax. osseous structures demonstrates no acute abnormality.
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<unk>m with cough, ha, body aches, on chemo for lymphoma // infectious process
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the heart is normal in size. there is new lobular thickening of the right upper mediastinum and also a nodular appearance to the right hilum. widespread opacity is present in the right middle lobe. elsewhere, the lungs appear clear. there is no pleural effusion or pneumothorax. minimal degenerative changes are noted along the mid thoracic spine.
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shortness of breath and cough. question pneumonia.
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pa and lateral views of the chest. no prior. despite low lung volumes, the lungs are grossly clear. there is no pleural effusion. cardiomediastinal silhouette is within normal limits as are the osseous and soft tissue structures.
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<unk>-year-old man with chest pain. question pneumonia.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
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<unk> year old woman withcough, fever // r/o pneumonia
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the lungs are clear besides calcified granuloma at the right lung base which is unchanged. the cardiomediastinal silhouette is within normal limits. slightly tortuous descending thoracic aorta is noted with atherosclerotic calcifications at the arch. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with htn, new onset bigeminy w/ bradycardia. please eval heart size, lung fields. // cardiomegaly?
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. the cardiac, hilar, and mediastinal contours are unremarkable. the right costophrenic sulcus is not imaged.
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cough and chest pain.
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heart size remains mildly enlarged. patient is status post esophagectomy and gastric pull-through with unchanged mediastinal contour. hilar contours are normal, and pulmonary vasculature is normal. new small left pleural effusion is present with ill-defined patchy opacity in the left lung base. right lung is clear. no pneumothorax is detected. no acute osseous abnormalities seen.
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history: <unk>f with chest pain and shortness of breath
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frontal and lateral views of the chest. since prior there has been interval resolution of the multifocal parenchymal opacities in the right lung and blunting of the right costophrenic angle. the lungs are now clear. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits given changes from patient's dextroscoliosis in the thoracic spine. no acute osseous abnormality is detected noting degenerative changes in the thoracic spine. right upper quadrant drain is no longer visualized.
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<unk>-year-old female with increasing weakness, headache and bilateral hand numbness.
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cardiac sillhouette is stable. the thoracic aorta is tortuous, unchanged from prior. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. there is mid thoracic dextroscoliosis.
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<unk>f with chest pain // eval for pneumo.
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is unremarkable. no free air under the diaphragm.
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<unk>f with acute onset left abd/chest pain. assess for pneumonia, cpd, free air under diaphragm
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>m with chest pain // r.o pna
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a right subclavian-approach port-a-cath is accessed and unchanged in position with the tip terminating in the upper right atrium. to place the catheter tip in the low svc, the catheter should be retracted by <num> cm. small bilateral pleural effusions are new from the most recent prior study with associated basilar atelectasis on the left greater than the right. no focal consolidation or pneumothorax is detected. the heart is normal in size with normal mediastinal contours. lumbar fusion hardware is again noted.
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port dysfunction, here to evaluate port placement.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear apart for minimal subsegmental atelectasis in the right middle lobe. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with headache, neck pain, left face pain, recently started coumadin
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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. the heart is normal in size with normal mediastinal and hilar contours. left clavicular fracture is better assessed on concurrently obtained dedicated clavicle views.
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fall. arm and clavicular pain.
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endotracheal tube is seen terminating approximately a <num> cm above the level the carinal. there are low lung volumes and mild basilar atelectasis. no focal consolidation, pleural effusion or evidence of pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. large area of lucency is seen projecting over the right upper quadrant, partially imaged, and could be due to underlying free air. .
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history: <unk>f with pneumoperitoneum // ett placement
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pa and lateral views of the chest provided. lungs are grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
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<unk> year old man with recent h/o pneumonia // assess for interval resolution
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moderate right and small left pleural effusions with associated right basilar subsegmental atelectasis and left lower lobe are unchanged. there is no pneumothorax. the cardio mediastinal silhouette is stable.
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<unk> year old woman with recurrent endometrial cancer. assess status of known effusion.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. osseous structures are unremarkable. no free air seen below the diaphragm.
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<unk>-year-old female with sudden onset of upper abdominal and lower chest pain.
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there is a new right internal jugular line with tip terminating in the upper svc. there is no pneumothorax or pleural effusion. the heart size is top normal. there is enlargement of the upper mediastinum above the aortic knob. the lungs are clear.
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<unk>-year-old with cholangitis, preop film.
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the cardiac silhouette size is mildly enlarged but unchanged. the mediastinal and hilar contours are stable. the pulmonary vascularity is normal. there is no focal consolidation, pleural effusion or pneumothorax. numerous clips are demonstrated within the left upper quadrant of the abdomen. there are mild degenerative changes within the thoracic spine.
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dizziness and weakness.
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mild interstitial pulmonary edema and pulmonary vascular congestion. mild to moderate cardiomegaly. no pleural effusions or pneumothorax. surgical clips over the upper neck related prior thyroid surgery. heterogeneous diffusely sclerotic bone with sclerosis of bilateral subchondral humeral heads. note is also made of an absent spleen and prior cholecystectomy.
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<unk> year old woman with esrd here to initiate hemodialysis // baseline cxr, dialysis fellow requested
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pa and lateral views of the chest provided. there is prominence of the perihilar vessels which likely represents mild congestion. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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history: <unk>m with cough // ?pna
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patient is rotated to the left. punctate calcifications again seen at the right costophrenic angle which are chronic. there is vague increased opacity at the lateral aspect of the left mid lung. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities.
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<unk>m with advanced gbm w/ hypotension, lethargy, ams // eval ? infiltrate, edema
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
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history: <unk>f with fever, cough // pna?
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
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<unk> year old man with hcv, cirrhosis // new evaluation for liver transplant, assess for cardiopulmonary abnormalities
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the heart is top normal size. cardiomediastinal contours are unremarkable. lungs are well expanded and clear with no focal areas of consolidation to suggest pneumonia. no pleural effusions and no pneumothorax.
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<unk>-year-old female with leukocytosis and abdominal pain, evaluate for pneumonia.
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lung volumes are slightly low, causing bronchovascular crowding. however, there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits.
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<unk>f p/w acute asthma exacerbation. evaluate for acute process.
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indistinctness of the right heart border is similar to <unk> though new since <unk>, and may represent chronic scarring. otherwise, no focal consolidation, pleural effusion, or pneumothorax detected. no evidence of pneumomediastinum identified. heart size is normal. no pneumoperitoneum or calcified gallstones are identified.
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history: <unk>f hx gallstones with bilateral subscapular pain, nausea, recent egd. // evidence of free air under diapragm, cholecystitis?
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portable upright chest radiograph demonstrates a right-sided central venous catheter that terminates in the proximal superior vena cava. enteric catheter courses below the hemidiaphragm and out of view. endotracheal tube terminates <num> cm above the carina. the heart is massively enlarged, increased compared to prior study. dense predominantly perihialr opacifications are most consistent with edema; however, asymmetrically increased density projecting over the right lung may be due to superimposed infectious process versus layering effusion.
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status post intubation, sepsis, uti versus pneumonia. please evaluate et tube and cvl position.
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frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are stable. bibasilar linear opacities are similar to prior and compatible with atelectasis or scarring. no focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old female with acute onset of palpitations.
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ap portable upright view of the chest. midline sternotomy wires noted. overlying ekg leads are present. 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 is seen below the right hemidiaphragm.
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<unk>f with pmh heart transplant, recent urogyn procedure now with chest/abdominal pain
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ap and lateral views of the chest were provided. lungs are clear. cardiomediastinal silhouette appears normal. no acute bony abnormalities.
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<unk>f with pmh dm neuropathy reports <unk> pain, acute on chronic neck and lower back pain, worsening <unk> numbness, and increased fatigue/memory difficulty after fall from standing last week
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frontal and lateral views of the chest were obtained. slightly low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
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chest pain.
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the lungs are hyperinflated and clear bilaterally. diaphragms are flattened bilaterally, consistent with copd. the right pulmonary artery on lateral projection appears enlarged relative to prior study. in the context of other clinical signs, this finding is concerning for possible pulmonary embolism, and ctpa is recommended.
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<unk>-year-old female with symptoms concerning for pulmonary embolism.
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hilar engorgement is re- demonstrated with interval increase in interstitial markings since the prior study consistent with moderate pulmonary edema. more focal right base opacity may relate to fluid overload, but underlying infection is not excluded in the appropriate clinical setting. very trace right pleural effusion is difficult to exclude. no pneumothorax is seen. cardiac and mediastinal silhouettes are stable. patient is status post median sternotomy and cardiac valve replacements.
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history: <unk>m with chf referred from pcp fo<unk> <unk>lb weight gain, doe, volume overloaded on exam // eval ? cardiomegaly, edema
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits although note is made of slightly increased heart size from the prior study, possibly related to the phase of the cardiac cycle. no acute osseous abnormality is detected.
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history: <unk>f with cough and dyspnea // r/o acute process
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pa and lateral views of the chest. no prior. linear opacity at the left lung base is most suggestive of atelectasis as it is not well seen on the lateral. elsewhere, the lungs are clear, there is no effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old man with cough.
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interval removal of right ij catheter.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old woman with hx of liver transplant, sepsis, now s/p hospitalization with pleural effusions and pleuritic chest discomfort. please assess for remaining pleural effusions. // assess for pleural effusion
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the patient is intubated. the endotracheal tube terminates approximately <num>-<num> cm above the carina. an orogastric tube courses at least as far as the left hemidiaphragm, but its distal course is not otherwise visualized more inferiorly. a right internal jugular central venous catheter terminates at the cavoatrial junction. the heart is normal in size. there is a small pleural effusion on the right and possibly one on the left, although the left costophrenic sulcus is not completely imaged. patchy opacity in the retrocardiac region slightly obscuring the left hemidiaphragm suggests minor atelectasis. hazy opacification of each lung is somewhat asymmetric, more extensive on the right than left, but probably due to fluid overload. lower right lateral ribs show considerable overlap and are difficult to assess. on the left, there is an angular appearance to the anterolateral margin of the left sixth rib, suggesting a non-displaced fracture.
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trauma.
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single frontal view of the chest. the heart size is mildly enlarged and cardiomediastinal contours are stable. the bilateral costophrenic angles are indistinct, potentially due to effusions or potentially in part due to overlying soft tissues and technique. retrocardiac opacity could represent atelectasis or consolidation. no pneumothorax.
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<unk>-year-old female with shortness of breath.
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compare to <unk>, there has been interval resolution of left pneumothorax. small residual pleural effusion and minimal atelectasis are unchanged. asymmetrical right basal reticular opacity is likely due to lymphangitic spread, and better assessed on prior chest ct from <unk>. cardiomegaly is unchanged. mediastinal and hilar contours are unchanged.
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<unk> year old man with cll and metastatic intrahepatic cholangiocarcinoma with large l pleural effusion, now s/p <num>l thoracentesis with small apical pneumothorax on cxr immediately after procedure on <unk>. // evaluate for worsening pneumothorax
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the lungs are hyperinflated but clear. 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 palpitations.
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right picc line in place tip in the low svc, stable. heart is enlarged, stable. there is coronary stent in place. there is no pulmonary edema. enlarged central pulmonary arteries, suggest pulmonary arterial hypertension. there is minimal vascular congestion, more prominent. no pleural fluid.
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<unk> year old man with cad, mds now progressed to aml, chf now with sob // please evaluate for pulmonary edema, pneumonia
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compared with the prior radiograph, there is a new opacity in the right lower lung, concerning for pneumonia. subtle opacity in the left lower lung may also reflect pneumonia. no evidence of pneumothorax or larger pleural effusions. cardiomediastinal and hilar silhouettes are grossly unchanged.
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<unk>f with chest pain and shortness of breath. eval for chf, pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15363966/s59173490/6f3deaca-3f75b39e-65b97ece-cf28de70-1b0ba924.jpg
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low lung volumes contribute to crowding of vascular structures. with this in mind, there is no evidence of focal consolidation concerning for pneumonia. there is no pleural effusion. there is known pneumothorax. there is no pulmonary edema. the heart size is normal.
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history: <unk>m with difficulty breathing // acute pulm patholgy
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