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a left moderate-sized layering pleural effusion is seen with associated left lower lobe atelectasis. a small right pleural effusion is also present, and pulmonary vascular congestion persists. the et tube, right and left central line are unchanged in position.
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<unk>-year-old woman with respiratory failure, septic shock, evaluate for interval change.
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again is seen a crescentic lucency above or in the region of the right hemidiaphragm which either represents stable pneumoperitoneum versus a locule of gas within the supradiaphragmatic pleural space. there is no diaphragmatic flattening or mediastinal shift. the right pleural effusion has improved since prior exam, now small, with areas of streaky atelectasis predominantly affecting the right middle lobe and right lung base. improvement in the small left pleural effusion has also occurred, now trace in extent. streaky atelectasis at the left base is also present. no apical pneumothorax is seen.
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<unk>-year-old female with a history of pneumonia complicated by loculated pleural effusion who has undergone vats.
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cardiomediastinal silhouette and hila are normal. there is a right infrahilar opacity. faint left atelectatic change. there is mild vascular congestion.
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<unk>-year-old with question pneumonia or chf.
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pulmonary vascular congestion has increased since <unk>. no focal opacity concerning for pneumonia is identified. there is no pleural effusion or pneumothorax. prominence of the pulmonary arteries could relate to chronic lung disease or chronic pulmonary emboli. the heart size is normal.
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<unk> year old woman with copd, schizophrenia w/ acute desat to <unk>% // eval for new infiltrate, acute changed
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the overall appearance of the chest is unchanged from <unk>. there is persistent elevation of the right hemidiaphragm. a meniscus level and blunting at the right costophrenic angle suggest a small right pleural effusion, unchanged. no new focal consolidation concerning for pneumonia is seen. no significant pneumothorax or left pleural effusion is detected. the cardiomediastinal silhouette is within normal limits and unchanged from the prior study. the pulmonary vasculature is not engorged. slightly increased opacification at the bilateral lung fields is likely related to bronchovascular crowding and slightly decreased lung volumes.
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history of hepatocellular carcinoma, now with fever and respiratory desaturation, here to evaluate for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. surgical clips project over the right breast. bony structures are unremarkable.
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chest pain.
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are unchanged. the thoracic aorta is tortuous. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old male with shortness of breath for <num> days.
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in the interval from prior study the left-sided central line has been removed and the right-sided line is in place. tip is in the right atrium. there are bilateral moderate effusions with associated atelectasis. the patient however does appear euvolemic. . . there is no evidence of renal osteodystrophy. there is heavy vascular calcification.
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<unk> year old woman with cough and bone marrow transplant // reason for cough pleural effusion and heart size measurement.
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lung volumes are slightly low, resulting in bronchovascular crowding. the cardiac silhouette remains enlarged, similar to prior. the aorta appears tortuous. atelectasis is seen at the right base. there is engorgement of pulmonary vasculature with indistinctness of the hila and mild pulmonary edema. no pneumothorax, consolidation, or pleural effusion.
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history: <unk>m with hiv p/w sob/f/c // eval for pna vs ptx
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no radiopaque foreign body is demonstrated. lung volumes are slightly low which accentuates the size of the cardiac silhouette which is borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.
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history: <unk>f with fall, chipped tooth
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heart size is top-normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for linear bibasilar atelectasis or scar. no pleural effusion or pneumothorax is seen. posterior lumbar fusion hardware is seen. dual-chamber pacer projects over the heart.
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<unk>m with hypotension. evaluate for acute process.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
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chest pain.
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ap and lateral chest radiograph demonstrate clear lungs. overall appearance of the chest similar to prior study performed <unk>. cardiomediastinal and hilar contours are within normal limits. there is no pulmonary edema, pleural effusion, or pneumothorax. lungs are slightly hyperinflated.
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history: <unk>m with chest pain // pna?
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged lower neck demonstrates no foreign body. the upper abdomen is unremarkable. the bones are intact.
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<unk>-year-old female with foreign body sensation in her lower neck near the thoracic inlet. evaluate for foreign body.
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lines and tubes: there is no imaged endotracheal tube. left subclavian line tip is in the mid svc. cardiomegaly is unchanged. the hilar contours are normal. mediastinal lymphadenopathy is better seen on chest cta from <unk>. bibasilar consolidations are not significantly changed from yesterday. soft tissue mass associated with the left anterior fourth rib appears similar to prior. the pulmonary vasculature is normal. no pleural effusion or pneumothorax.
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<unk> year old man with resp failure, pna // eval ett, infiltrate
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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. mild degenerative changes are noted in the thoracic spine.
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history: <unk>m with chest pain
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is within normal limits. there is a tortuous aorta as on prior. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with intermittent chest tightness. chest pain.
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the lungs are well inflated. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
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<unk>f with sob. assess for pneumonia
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compared to chest radiographs from <unk>, left pleural effusion and associated retrocardiac opacity have improved. mild central vascular congestion without overt pulmonary edema stable. trace, if any, effusion on the right. significant cardiomegaly is unchanged, as well as significant tortuosity and unfolding of the thoracic aorta. no focal consolidation. no pneumothorax.
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<unk> year old woman with esrd s/p ddrt <unk>, bipolar d/o here w/ urosepsis, hypoxemic respiratory failure // ?retrocardiac opacity, fluid progression
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pa and lateral views of the chest. the lungs are well-expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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chest pain.
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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. retrocardiac opacity is consistent with patchy focal opacification of the left lower lobe. elsewhere, the lungs appear clear.
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seizure.
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the lung volumes are low. there is no evidence of consolidation, edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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cough for several weeks.
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an endotracheal tube is seen in standard position. a left-sided central venous catheter is seen terminating in the mid svc. the feeding tube is seen passing into the stomach and below the field of view. no significant change from the prior exam. again seen is a significant left lower lobe atelectasis. there is no evidence of pneumonia or pulmonary edema. the cardiomediastinal and hilar contours are grossly unchanged. there is no evidence of pneumothorax.
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evaluation for pulmonary edema and pneumonia.
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combination of pleural thickening and effusions remain small. no pulmonary edema. no acute focal consolidation. heart size is top-normal.
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<unk> year old man with pleural effusion // eval
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frontal and lateral views of the chest are compared to previous exam from <unk>. there is again indistinctness of the pulmonary vascular markings; however, there is no evidence of new consolidation. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
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<unk>-year-old male with multiple myeloma and hyperglycemia.
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the lungs are hyperinflated and clear as in the past. a large hiatal hernia with intrathoracic stomach is larger today than when last imaged on conventional chest radiographs in <unk>. the configuration of the stomach, suggests a potential for gastric torsion. moderate cardiomegaly is is present, but change is difficult to assess due to displacement by the much larger intrathoracic stomach. there is no pulmonary or mediastinal vascular engorgement and no edema or appreciable pleural effusion. there is no pneumothorax. spinal degenerative changes are mild and stable.
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<unk> year old woman with afib with poorly controlled ventricular response about <num>bpm today // r/o chf
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known bilateral small pulmonary nodules are noted but not clearly delineated on this study. linear left basilar atelectasis is again noted. otherwise the lungs are without any new focal consolidation, effusion or pneumothorax. cardiac and mediastinal contours are stable and within normal limits. right-sided port-a-cath tip in the mid svc.
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metastatic colon cancer for developing pneumonia.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. there is no pneumothorax or pleural effusion. there is dextroscoliosis of the thoracic spine. the osseous structures are otherwise unremarkable. no radiopaque foreign bodies.
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<unk>-year-old female with chest pain, cough, and shortness of breath, status post extubation yesterday. rule out acute process.
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portable supine chest radiograph <unk> at <time> is submitted
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<unk> year old man with urgent code re-intubation for resp failure s/p sbr now w/ worsening desats // interval change interval change
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the lungs are grosslyclear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the aorta, including the acsending aorta, is slightly unforlded, but unchanged. the cardiac, mediastinal, and hilar contours are otherwise within normal limits.
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productive cough, evaluate for pneumonia.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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chest pain, question of cardiomegaly, effusion, or edema.
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new right internal jugular vein catheter without complications.
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<unk> year old man with metastatic pancreatic adenocarcinoma, admitted for shortness of breath // volume overload, infiltrates
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pa and lateral chest radiographs demonstrate right basilar opacification with obscuration of the right heart border and right hemidiaphragm, consistent with pneumonia of the right middle and lower lobes. there is no pleural effusion or pneumothorax. the heart size is normal.
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dyspnea. evaluate for pneumonia.
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chronic deformity of the left sided ribs again seen. there is slight blunting left costophrenic angle, may be due to pleural thickening or pleural effusion. bibasilar opacities are seen, right greater than left, may be due to aspiration although infectious process is not excluded in the appropriate clinical setting. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with fall // acute process
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chest radiograph <unk>
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<unk> year old woman with metastatic lung cancer and pericardial effusion s/p drain placement // eval pulm edema, pneumonia
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. numerous clips are re- demonstrated within the left upper quadrant compatible with prior nephrectomy.
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cough.
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pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusion. cardiac silhouette is at upper limits of normal. increased density projects over the left first costochondral junction, likely due to degenerative changes. osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old male with seizure and general malaise.
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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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history: <unk>f with palpitation shortness of breath // eval for pna
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the cardiac silhouette is prominent, but likely accentuated by ap technique. mediastinal and hilar contours are within normal limits. there is mild unfolding of the thoracic aorta with arch calcifications. rightward displacement of the trachea is unchanged since multiple prior exams. there is mild perihilar vascular engorgement without frank edema. there may be segmental atelectasis in the left base, and a small left effusion cannot be excluded. a moderate hiatal hernia is present.
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<unk>-year-old female with tachycardia and atrial fibrillation. question acute process.
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moderate to severe enlargement of the cardiac silhouette is re- demonstrated. mediastinal and hilar contours are unchanged. mild pulmonary vascular congestion is noted. no focal consolidation, pleural effusion or pneumothorax is noted. streaky opacities in the lung bases likely reflect areas of atelectasis. multiple compression deformities are again demonstrated in the thoracic spine, unchanged, and most severe at t<num>.
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history: <unk>f with fever and nausea
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new since the prior chest ct is increased interstitial opacities compatible with pulmonary edema. better appreciated on the chest ct from <num> day prior, there is biapical pleural-parenchymal scarring. there are bilateral pleural effusions. . cardiomediastinal silhouette is enlarged. no strong evidence for pneumonia. right chest wall dual-chamber pacemaker leads are in appropriate position.
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history: <unk>f with dyspnea // r/o pna, effusion
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there is atelectasis noted in the lingula. no focal consolidations, pleural effusions or pneumothoraces are seen. the heart size is normal. the mediastinal and hilar contours are normal.
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<unk> year old female complaining of chest pain and history of pulmonary embolism.
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dual lead left-sided pacemaker is stable in position with leads extending to the expected positions of the right atrium and right ventricle. the patient is status post median sternotomy. there is minimal left base atelectasis. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no displaced fracture is seen.
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chest pain.
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compared with the earlier film, a right ij line, presumably the transvenous pacing wire, has been placed. the wire loops over the right heart. the tip likely overlies the right heart, question relation to the right atrium or the right ventricle, but is not fully localize on this examination. an et tube is present, tip approximately <num> cm above the carina, at the level of the mid clavicular heads. an orogastric type tube is present, looped over the expected site of the stomach and extending beyond the inferior edge of this film. an ng tube is present, tip not optimally demonstrated, but likely extending to the ge junction and very slightly beyond it. no obvious sideport is seen, but if present, the sideport is not extend beyond the ge junction. a left-sided central line is present, tip over mid svc. no pneumothorax detected. there are low inspiratory volumes. although the cardiomediastinal silhouette and upper zone vessels are prominent, they are likely accentuated by low lung volumes slight increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. otherwise, no focal infiltrates identified. minimal atelectasis at the right lung base. no gross effusion or pneumothorax detected.
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<unk> year old man with decompensated cirrhosis, multiple episodes of asystole // s/p r transvenous pacing wire, lij triple lumen
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the patient is status post median sternotomy. the heart is normal in size. there is prominence of the pulmonary vasculature as well as moderate to severe interstitial pulmonary edema. there is no pleural effusion or pneumothorax.
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<unk>m with chest pain and sob // eval for chf
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ap portable upright view of the chest. midline sternotomy wires and mediastinal clips are noted as well as surgical clips projecting over the upper abdomen. evaluation is somewhat limited due to subtle motion artifact on the single view provided. allowing for this, volumes are low though the imaged portions of the lungs appear clear. cardiomediastinal silhouette appears grossly unchanged. bony structures are intact.
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<unk>m with fever, ams, hypoxia // eval for pna
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there is no focal consolidation, effusion, or pneumothorax. lungs are hyperinflated. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with left rib pain.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. a nasoenteric tube ends in the stomach with the side port at the gastroesophageal junction.
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<unk>-year-old woman with ng tube placement, evaluate position
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there has been interval placement of an et tube which terminates <num> cm above the carina. there is a new ng tube or og tube with distal tip in the stomach. there is stable position of a right-sided central line with distal tip projecting over the lower svc. the cardiomediastinal silhouette is stable. the bilateral hila are not well visualized. the lung apices are not included on the current radiograph. there are bilateral more central and lower lobe predominant airspace opacities as well as indistinctness of pulmonary vascular margins, consistent with pulmonary vascular congestion and mild pulmonary edema, though improved in comparison to prior radiograph. there is increased retrocardiac and left basilar opacification obscuring the left hemidiaphragm, as well as continued, but slightly less prominent, right lower lung opacification, probably representing bibasilar atelectasis. the left lateral cp angle is not clearly visualized, and may represent small/minimal pleural effusion. there is no right pleural effusion. there is no pneumothorax.
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<unk> year old woman with abdominal nec fasc s/p debridement, remains intubated. new og tube. // tube and line placement.
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the cardiac and mediastinal silhouettes appear unchanged, and within normal limits. numerous right-sided rib fractures are seen which appear healed, and unchanged in morphology when compared to the examination from <unk>. no new/acute appearing displaced rib fractures are seen on the right. there is no pneumothorax seen. no evidence of pleural effusion or focal pulmonary opacity.
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right-sided chest pain after mvc. evaluate for pneumothorax or fracture.
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lung volumes are slightly low. streaky opacity over the left costophrenic angle is most compatible with atelectasis. no convincing evidence for pneumonia. no pleural effusion, edema, or pneumothorax. the heart size is normal. mediastinum is not widened.
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<unk>-year-old woman with recent hospitalization for pericardial effusion presents with shortness of breath on exertion. evaluate cardiac silhouette for changes and evaluate for pneumonia.
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the lungs are hyperinflated and the diaphragms are flattened, suggesting background copd. the heart is at the upper limits of normal in size. multiple mediastinal surgical clips are noted. mild prominence of the pulmonary hila with a tapered appearance raises the question of background pulmonary hypertension. prominence of the left paratracheal soft tissues is similar to the chest x-ray from <unk> and likely accentuated by slight rotation. there is linear atelectasis and/or scarring at left greater than right lung bases. minimal blunting of the costophrenic angles is noted. no chf, focal infiltrate, gross effusion, or pneumothorax is detected.
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<unk>m with neck pain, h/o cad w/ cabg // acute process?
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an et tube is present, tip approximately <num> cm above the carina. an ng tube is present, tip extending beneath diaphragm to overlie the expected site of the gastric fundus. right ij central line tip overlies the distal svc. no pneumothorax is detected. the cardiomediastinal silhouette is probably unchanged, allowing for technical differences. the right hemidiaphragm remains elevated compared to the left. there is mild vascular plethora and slight blurring, which is probably not significantly changed allowing for technique. there is subsegmental atelectasis at the left and right bases, similar to the prior study. probable small left effusion.
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<unk> year old woman intubated w/recurrent mucus plugging // assess position of ett, any worsening rll consoldiaiton?
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cardiomegaly and calcified aortic knob are stable. there is also stable pulmonary nodule in the right hemithorax. there is no evidence of pneumonia, edema, pleural effusion, or pneumothorax.
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<unk>-year-old woman, question tia.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is notable for a tortuous aorta. the bones are intact.
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history of aml and neutropenia and shortness of breath.
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shallow inspiration accentuates heart size. normal pulmonary vascularity. there may be small pleural effusions. mild bibasilar opacities likely represent atelectasis, consider pneumonitis in the appropriate clinical setting. no pneumothorax.
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<unk> year old man with large l sdh // <unk> year old man with large l sdh
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the right costophrenic angle is not visualized. there is no evidence of free subdiaphragmatic air on this limited upright view. lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal and hilar silhouettes are normal. incidental note is made of p.o. contrast in left-sided bowel loops, likely from an earlier outside hospital scan.
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<unk>f with acute abdomen. evaluate for free subdiaphragmatic air.
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single lead left-sided pacemaker present, with lead tip over right ventricle, not significantly changed. right ij swan-ganz catheter, tip overlying main pulmonary artery, a retracted compared with the prior study. again seen is cardiomegaly, with sternotomy wires. there is upper zone redistribution and mild vascular plethora, minimally improved. there is atelectasis at both lung bases, slightly improved in retrocardiac region. otherwise, no focal opacity. no gross effusion.
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<unk>m with a pmh of afib on coumadin, schf (ef <unk>%) s/p icd in <unk>, htn, cad, dm<num>, and copd requiring home o<num> presents with cough, dyspnea and abnormal labs, initial management of uti, now presenting in cardiogenic shock. // acute interval changes
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the heart is normal in size. the aorta is minimally tortuous as before. the left hemidiaphragm is minimally elevated, but not significantly changed in extent from <unk>. a left suprahilar opacity is stable. no new focal consolidation, pleural effusion or pneumothorax. there is likely an ingested hyperdense object in the area of the hepatic flexure.
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<unk> year old man with mediastinal hematoma. f/u elevated left hemidiaphragm
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. the previously described two right-sided pleural drainage tubes remain in place. the right-sided pleural density that obscures the right-sided diaphragm appears rather unchanged on both frontal and lateral views. no new parenchymal pulmonary abnormalities are identified. no significant mediastinal shift has developed.
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<unk>-year-old female patient with status post liver resection and known right pleural effusion, assess the right-sided pleural effusion.
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the lungs are well inflated and clear without focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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asthma exacerbation.
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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. clips are noted projecting over the right breast.
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history: <unk>f with dyspnea and chest pain, tachycardia
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the patient has been intubated since the prior examination, the endotracheal tube terminates about <num> cm above the carina. a dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. an orogastric tube terminates near the gastroesophageal junction. the stomach is mild to moderately distended. an interstitial abnormality with indistinct pulmonary vessels and peribronchial cuffing has increased since the prior study. although somewhat asymmetric, more prominent on the right than left, pulmonary edema is the most likely reason. widespread pneumonia could be considered, however. there is no definite pleural effusion or pneumothorax. cholecystectomy clips project over the right upper quadrant.
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endotracheal intubation.
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right internal jugular central venous catheter tip is in the low svc. no pneumothorax is identified. in particular, the previously noted right apical pneumothorax is not clearly visualized on the current exam. there is persistent pneumomediastinum. heart size is mildly enlarged, and the mediastinal and hilar contours are unchanged. pneumatocele within the right lung base is similar compared to the previous exam. streaky opacities in the lung bases may reflect atelectasis. small bilateral pleural effusions are noted. an enteric tube is noted which courses through the stomach, off the inferior borders of the film. skin <unk> are seen overlying the midline upper abdomen.
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line placement.
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. anterior flowing osteophytosis in the mid thoracic spine is noted.
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<unk> year old man with weight loss, early satiety, recent rle dvt and lle superficial clots // r/o mass
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left picc tip is in the left axillary vein. right edema is slightly improved since prior. there is likely a trace left effusion. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is similar to prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. prosthetic aortic valves are again seen. hiatal hernia is again seen.
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<unk> year old woman with s/p picc to midline adjustment // midline placement
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pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, effusion, or pneumothorax is present. the heart is mildly enlarged. otherwise, the cardiac and mediastinal contours are normal.
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<unk>-year-old woman with fever and cough.
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frontal radiograph of the chest again demonstrates a swan-ganz catheter which is far past midline into likely segmental right pulmonary artery. it should be retracted by at least <num>-<num> cm for more appropriate positioning in the proximal pulmonary artery. as compared to prior study, the lung volumes remain low, accentuating the cardiac contour. the heart and mediastinum are unremarkable. diffuse right lung opacities are slightly improved with worsened opacification of the left lung, likely equilibrating pulmonary edema. no pleural abnormality is seen.
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chf, evaluate for interval change in infiltrates.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with chest tenderness. +sob while exercising today. +recent travel with long plane ride. // rule out acute pulmonary problems
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lungs are well expanded and clear. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are normal.
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<unk> year old man with <num> week history of cough // ?infiltrate
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there is mild cardiomegaly. the mediastinal and hilar contours are normal. there may be a small left pleural effusion. linear density projecting over the left apex may be concerning for pneumothorax, but was clearly present on the prior study in <unk>. there are expected post-biopsy changes including increased interstitial markings in the left lung field, which may be due to residual edema. left upper lobe opacity remains, slightly denser and larger with more ill-defined borders than prior, which may be due to minimal hemorrhage post-biopsy.
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left upper lobe biopsy, query pneumothorax.
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portable ap chest radiograph is obtained in the supine position. known rib fractures are better seen in the recent ct. cardiomediastinal contours are unchanged. lung volumes remain low. left lung is clear except for mild atelectatic changes in the base. diffuse haziness in the right lung likely represents layering of the hemothorax seen on prior ct scan. the pneumothorax seen at ct on <unk> can not be appreciated.
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<unk>-year-old man, motorcycle accident with multiple right rib fractures and small right pneumothorax, evaluate expansion of pneumothorax.
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pa and lateral views of the chest demonstrate a persistent but decreased left-sided pleural effusion. there is no evidence of acute pneumonia or vascular congestion. cardiac size is normal. right lung is essentially clear.
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<unk>-year-old man with pleural effusion. question change.
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with cp // r/o pna, pe, effusion
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded and clear. pulmonary vasculature is within normal limits.
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<unk>-year-old with chest discomfort. evaluate for pneumonia.
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right-sided picc terminates in the low svc/ cavoatrial junction without evidence of pneumothorax. the patient is rotated somewhat to the left. there are low lung volumes and bibasilar atelectasis. trace pleural effusions are difficult to exclude. enteric tube courses below the diaphragm, terminating at proximal stomach. cardiac and mediastinal silhouettes are grossly stable.
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history: <unk>f with ng tube replaced // eval location of ng tube
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pa and lateral views of the chest demonstrate well-expanded and clear lungs. heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion and no pneumothorax.
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<unk>-year-old woman with type <num> diabetes and hyperglycemia, evaluate for pneumonia.
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cardiomediastinal contours are stable with moderate to severe cardiomegaly and tortuous aorta. there is mild vascular congestion. bilateral effusions small and are associated with adjacent atelectasis. there is no pneumothorax. there are moderate degenerative changes in the thoracic spine
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<unk> year old woman with sob // ?pleural effusions
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heart size appears mildly enlarged but unchanged. the mediastinal and hilar contours are similar. lung volumes are low with crowding of bronchovascular structures, but no overt pulmonary edema is present. increased interstitial markings are noted bilaterally, which may reflect chronic interstitial abnormality, as seen previously, with superimposed bibasilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is clearly noted. multiple left axillary clips are again noted as well as a remote posterior left rib fracture.
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history: <unk>f with decreased po and failure to thrive
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right picc is present with tip terminating in the lower svc. right internal jugular approach central venous catheter is present with tip terminating in the upper svc. a left small bore catheter with tip overlying the axilla is in stable position. tracheostomy and enteric tubes are stable in position. the cardiomediastinal and hilar contours are stable. bilateral pleural effusions are stable compared to the most recent prior but improved compared to <unk>. bilateral pulmonary opacities, worse at the lung bases, with air bronchograms on the right, are improved compared to the prior exam and most consistent with multifocal pneumonia. there is no pneumoperitoneum.
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<unk> year old woman with sbo s/p multi abdominal washout, prolonged intubation.
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there has been interval removal of a right internal jugular catheter and an og catheter. there is still a left subclavian catheter with the tip in the upper svc. the cardiomediastinal and hilar silhouettes are stable. the lungs are well expanded and clear. there is no pleural effusion, pulmonary edema, or pneumothorax.
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<unk>-year-old with spiking fevers.
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the et tube, right ij line, and ng tube are unchanged. there is improved aeration at the bases with only a small amount of blunting of the cp angles. there is mild pulmonary vascular redistribution. the heart size is mildly enlarged.
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open abdomen, question effusions.
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single portable frontal chest radiograph demonstrates a new right subclavian cvl tip within the right atrium. a coil like radiopacity is seen projecting over the right lateral neck and is likely external to the patient. the lungs are well-expanded. no focal opacity. mild linear right lower lobe atelectasis noted. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are otherwise unremarkable. limited assessment of the osseous structures are within normal limits and upper abdomen is unremarkable.
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<unk>m with laryngeal ca with stoma p/w increased secreations and sob. crackles b/l bases l>r. assess for pneumonia.
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sternotomy wires are demonstrated and unchanged. a left-sided pacer and dual leads are stable. the heart is top-normal in size. lung volumes are low and there is crowding of the bronchovascular structures. there is mild pulmonary edema, minimally increased from the prior examination. there is an increasing confluent opacity at the base of the right lung which could represent atelectasis or focal consolidation. a trace left pleural effusion is demonstrated. there is fluid seen along the horizontal fissure on the right. no large pneumothorax is identified.
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<unk> year old man s/p dual chamber icd // <unk> year old man s/p dual chamber icd
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are moderate multilevel degenerative changes in the thoracic spine.
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history: <unk>f with shortness of breath
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airspace opacity in the peripheral right mid and lower lung is consistent with multifocal pneumonia. the mid lung opacity corresponds to the right upper lobe. the right lower lung opacity has correlates to the right lower lobe on the lateral view. there is no pulmonary edema, pneumothorax, or pleural effusion. the cardiomediastinal contour is normal.
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<unk>m with <num> day history of uri with cough and fever t-max <unk>, evaluate for pneumonia.
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heart size within normal. no pleural effusions. a linear density is again noted in the anterior right chest. narrowing of the transverse tracheal diameter. no focal consolidation or pneumothorax. no apparent chest wall abnormality.
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<unk> year old smoker w/ l upper posterior chest/rib pain worse with palpation // r/o rib process
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portable semi-erect chest radiograph since <unk> a.m. is submitted.
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<unk> year old man s/p left subclavian line // ptx, line placement? ptx, line placement?
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since the prior cxr, patient underwent bronchoscopy with interval resolution of right lower lobe collapse. there is still opacification of the right lung base, which is due to a combination of atelectasis and pleural effusion. additionally, the left costophrenic angle now appears blunted. no pneumothorax. the support devices including the right ij introducer, ett, enteric tube, left ij catheter, and ruq drain are unchanged.
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<unk> year old man with acute desat, now s/p bronch // please look for interval improvement
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the lungs are clear of focal consolidation. there is suggestion of prominent extrapleural fat bilaterally. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with sob, numbness r lower face and r arm. // mediastinal mass?
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the heart is moderately enlarged. the pulmonary vasculature is indistinct, compatible with edema. bibasilar opacities have increased since the prior examination and remain compatible with atelectasis. bilateral costophrenic angles are obscured, compatible with small effusions. no pneumothorax. no radiopaque foreign body.
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chest pain. evaluate for cardiopulmonary process.
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portable semi-upright radiograph of the chest demonstrates increased opacification of the bilateral bases, which likely represents atelectasis, however superimposed infection cannot be excluded. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion.
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shortness of breath and hypoxia. evaluate for pneumonia.
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mild central pulmonary vascular congestion with mild associated interstitial pulmonary edema is present. there is no pleural effusion, pneumothorax, or focal consolidation. the aorta is tortuous. the cardiomediastinal silhouette is otherwise unremarkable. <num> median sternotomy wires are noted without fracture of the superior most wire.
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<unk>m with wheezing and dyspnea, evaluate for pulmonary edema.
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the lungs are normally expanded. haziness in the right infrahilar region is somewhat more prominent since the prior study. no other focal airspace opacity is detected. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. there is prominence of predominantly large bowel in the upper abdomen, although this is nonspecific.
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asthma exacerbation and fevers. evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours are unchanged. the heart size is within normal limits. opacity within the left mid lung field with associated rib destruction is unchanged, compatible with known chest wall mass as delineated on the previous ct. severe emphysematous changes are again demonstrated. scarring within the right upper lobe is unchanged. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no subdiaphragmatic air identified.
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for dissection, lung cancer, abdominal pain.
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small left pleural effusion is unchanged from <unk>. retrocardiac opacification is indicative of left lower lobe atelectasis. the lungs demonstrate diffuse emphysema and scattered ill defined nodules with upper lung predominance, which were seen on prior chest ct. no new focal consolidation. heart size is normal. no pneumothorax.
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<unk> year old woman with recent pleural effusion. evaluate for pleural effusion.
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the tip of the endotracheal tube projects over the mid thoracic trachea and a gastric tube extends into the stomach. surgical clips project over the right upper quadrant. there is a retrocardiac opacity which may reflect atelectasis and/or consolidation. a small left pleural effusion is also suspected. no pneumothorax identified. the size the cardiac silhouette is enlarged.
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<unk> year old man, intubated for airway protection <unk> hemorrhage // interval change
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frontal and lateral views of the chest re-demonstrate a large left effusion with consolidated left lower lung, with stable leftward cardiomediastinal shift. the amount of aeration in the left upper lung is similar as compared to <unk>, but a previously seen small hydropneumothorax is further decreased in size. the right lung is well aerated. there is no new consolidation in the right lung. numerous sclerotic metastatic lesions in the thoracic spine are better correlated with preceding ct dated <unk>.
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<unk>-year-old female with shortness of breath. question acute process.
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there has been interval removal of a right-sided chest tube. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. surgical chain sutures are seen at the right apex status post right upper lobe wedge resection procedure. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old woman s/p rul wedge resection, postpullfilm // eval for interval change, ct out, eval for ptx, please confirm ct out prior to calling for patient
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MIMIC-CXR-JPG/2.0.0/files/p12380728/s51282755/aec0f74a-cbc63ac1-4b5b2de9-4f889d17-ffc0c5df.jpg
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heart size is normal. the hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax. irregularly-shaped right paratracheal opacity has well defined borders with a smaller semicircular area of higher density projecting over it and appearing to arise from the spine.
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<unk> year old woman with arthritis // ? hilar <unk> or infiltrate
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