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MIMIC-CXR-JPG/2.0.0/files/p16275349/s52776179/b558b138-37cd1645-6dc2b7e8-0fb444af-ce8486a6.jpg
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there is a single lead pacemaker. there is a large bore central line with tip probably in the svc but it is difficult visualize sternal wires and mediastinal clips are seen. there is a slightly nodular appearance to the right hilum. is unclear if this due to vasculature or adenopathy. there is no focal infiltrate.
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<unk> year old man with r tunneled ij hd cathether // position
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some thickened septal lines are seen in the lower lungs, compatible with early phase pulmonary edema. lungs are otherwise clear and the pulmonary vasculature is not particularly dilated or plethoric. lungs are hyperinflated and the diaphragm is flattened consistent with air trapping and/or emphysema. incidental note is made of well-healed right eighth and ninth rib fractures.
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<unk> year old woman with bibasilar rales, episodic pnd // ? chf
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the lungs are grossly clear within the limitation of a portable exam and patient body habitus. there is no confluent consolidation or large effusion. the cardiac silhouette is enlarged as on prior. atherosclerotic calcifications noted at the aortic arch.
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<unk> year old woman with copd p/w dyspnea // ?pna, pulm edema, effusion
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the internal jugular line on the right in et tube remain in good position. the tip of the nasogastric tube is incompletely visualized. asymmetric mild pulmonary edema has slightly improved. the left retrocardiac opacity has also improved. no pneumothorax or pleural effusions p
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<unk> year old male with pmh notable for etoh/hbv (eag-positive)/hdv (ab positive) cirrhosis now with gi bleed and respiratory failure // interval change
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the lungs are normally expanded and clear. rightward rotation of the patient somewhat limits evaluation of the mediastinal structures, however the heart is not enlarged and the mediastinal contour is grossly normal. there is no focal airspace opacity to suggest pneumonia. there is no pleural effusion or pneumothorax. there is no evidence of thoracic vertebral compression or displaced rib fracture.
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<unk> year old woman with pain in back and lower ribs // r/o infiltrate
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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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<unk>f with shortness of breath, cough, dizziness // does the patient have pneumonia?
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pulmonary edema, or pneumothorax. imaged osseous structures and upper abdomen are without an acute abnormality.
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history: <unk>f with chest pain, abdominal pain. here with suicidal ideation. // eval for acute process
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormality is identified. thoracic aorta mildly widened and elongated but without evidence of local contour abnormalities or advanced wall calcifications. there is moderate elevation of the left diaphragm, possibly related to moderate gas-distended stomach with fluid level. there is some adjacent moderately gas-distended small and large bowel, but the entire abdomen cannot be evaluated. there is no evidence of free air accumulating under the diaphragmatic contours, suggestive of free peritoneal area. also, the lateral view does not demonstrate any air under the diaphragmatic contours. the next preceding chest examination in our records is dated <unk>. the patient was at that time status post motor vehicle accident and encountered at least two left-sided rib fractures. noteworthy is that the moderate left-sided diaphragmatic elevation existed already at that time.
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<unk>-year-old male patient with acute abdominal pain, evaluate for free air.
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MIMIC-CXR-JPG/2.0.0/files/p13186631/s51964208/e85a7617-c25f42ed-ed11f124-92a69647-23964fd0.jpg
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ap and lateral radiographs of the chest demonstrates clear lungs. top normal to mild enlargement of cardiac silhouette is seen. the hilar and cardiomediastinal contours are otherwise normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. a large hiatal hernia with an air-fluid level is seen in the retrocardiac region.
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<unk>-year-old man with chest pain and shortness of breath since this morning. evaluate for pneumonia or effusion.
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portable semi-upright radiograph of the chest demonstrates improvement in loculated right pleural effusion, with slightly better aeration of the right lung. hazy right lung opacity likely represents a component of edema, possibly from recent procedure. there is persistent right-sided atelectasis. extensive pleural involvement of the right lung is redemonstrated. no definite pneumothorax is identified.
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<unk> year old man with known pleural involvem ent of nsclc/rt pleural effusion, s/p thoracentesis // ptx? residual fluid?
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there is increased ill-defined opacity in the left lung base, which likely reflects increased moderate left pleural effusion. increased retrocardiac opacity in the left lung base is likely atelectasis related to extubation. there is no pneumothorax. et tube , ng tube and mediastinal drains have been removed. cardiomediastinal silhouette has normal postop appearance. right jugular swan-ganz catheter is in unchanged position and terminates at proximal right pulmonary artery. sternotomy wires are intact.
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<unk> year old man with s/p mvr // eval ptx
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MIMIC-CXR-JPG/2.0.0/files/p16049624/s52994245/e3928f9b-4997e303-fb31da77-bcb07288-2294bde0.jpg
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. there is eventration of the right hemidiaphragm. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal in appearance with no evidence of pleural effusion. there is no pneumothorax or pulmonary edema. no focal opacity is identified.
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chest pain.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of seizures. please evaluate for aspiration or infection.
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the moderate right pleural effusion tracking superiorly with overlying atelectasis is unchanged. there has been no increase in size of a small right apical pneumothorax. the left lung is essentially clear. mild enlargement of the heart is unchanged. the mediastinum and hilar structures are unremarkable. sutures are seen in the right hemithorax from recent wedge resection.
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status post fall wedge resection.
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a portable frontal chest radiograph demonstrates a left chest wall pacer device with leads overlying the right atrium and ventricle, and endotracheal tube terminating in the mid to upper thoracic trachea, approximately <num> cm from the carina, and an enteric tube terminating in the stomach. the cardiomediastinal silhouette is within normal limits and the lungs are well expanded without focal consolidation, pleural effusion, or pneumothorax. widened right ac joint is compatible with grade <num> injury, of unclear chronicity.
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history: <unk>m with intubated, altered mental status // eval et tube position, acute process
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. there is mild linear atelectasis at the left lung base. the lungs are otherwise clear, without pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for acute process in a <unk>-year-old man with chest pain.
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single portable chest radiograph is provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette remains enlarged. median sternotomy wires are intact.
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hypotension and bradycardia. question pneumonia.
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the lungs are clear of focal consolidation. enlarged hila seen bilaterally as seen on previous exams. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with cough // acute process?
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the cardiac contours are difficult to assess because of moderate elevation of the left hemidiaphragm, but the heart is probably enlarged, at least to a mild degree. pleural effusions and left basilar opacities in the lungs are also difficult to exclude because of hemidiaphragmatic elevation. however, new reticulation in the right mid lobe suggests mild fluid overload.
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wheezing and shortness of breath after fluid resuscitation.
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since <num> hours prior, there has been interval increase pulmonary edema. after confirmation with dr. <unk>, an apical predominance of the edema is likely due to the patient's laying in <unk> position prior to the radiograph thickening obtained. severe cardiomegaly is unchanged. there has been interval removal of the left ij swan-ganz catheter and placement of a right ij swan-ganz catheter. a left ij central venous catheter introducer remains in place. mediastinal drains are essentially unchanged in position. an et tube terminates <num> cm above the carina. an enteric tube side port projects over the proximal stomach. neither costophrenic angle is visualized, but there no large pleural effusions are present.
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<unk> year old woman with s/p heartware // ?ptx s/p pa line placement rt ij
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the cardiac, mediastinal and hilar contours appear stable allowing for differences in technique. there is no pleural effusion or pneumothorax. the lungs appear clear.
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cough and fatigue.
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compared to chest radiograph from <unk>, there is no significant interval change. low lung volumes are seen bilaterally with bibasilar linear atelectasis. the lungs are otherwise clear. the pleural surfaces are normal without evidence of pleural effusion or pneumothorax. heart is partially obscured by the left diaphragmatic surface; however, is mildly enlarged and unchanged from prior study. mediastinal contour and hila are unremarkable. visualized osseous structures are unremarkable. limited assessment of the upper abdomen demonstrates clips in the left upper quadrant. no intraperitoneal free air.
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fever, tachycardia, post-operative. assess for pneumonia.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
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<unk>-year-old female with malaise and infectious workup. evaluate for pneumonia.
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the cardiomediastinal silhouette is stable since the prior exam. there is been prior aortic valve replacement with median sternotomy. the median sternotomy wires are well aligned and intact. there are persistent reticular diffuse opacities. this similar to the prior examination. no definite pleural effusion or pneumothorax is identified. no focal consolidation is seen.
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history: <unk>m with confusion, cough // ? acute cardiopulm process
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the lung volumes are noted to be low. bibasilar scarring is essentially unchanged as compared to the prior examination. there is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. redemonstrated is evidence of multiple myeloma affecting multiple bilateral ribs, as well as the thoracic spine. multiple resultatn pathologic compression fractures are again seen within the thoracic spine but were better characterized by the recent chest ct examination. the cardiomediastinal silhouette is stable.
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history of multiple myeloma. presenting with cough.
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cardiac silhouette size is normal. the mediastinal contour is within normal limits. enlargement of both hilar regions is compatible with underlying pulmonary arterial dilatation. pulmonary vasculature is not engorged. severe emphysema is present with hyperinflation of the lungs. small left pleural effusion is unchanged and trace right pleural effusion appear slightly increased in the interval. nodular opacities within both upper lobes appear grossly unchanged, and better characterized on the recent ct. patchy right basilar opacity and consolidation in the left lower lobe are not substantially changed in the interval. pneumothorax is detected. compression deformity within a mid thoracic vertebral body is unchanged.
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history: <unk>f with with copd presents with cough, sputum production, increased shortness of breath
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. streaky left basilar opacity is likely atelectasis. lungs are otherwise clear. probable coronary artery stent is again noted. surgical clips are projected over the mediastinum and in the right upper quadrant as before.
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<unk>f pmhx of seizures p/w different seizure, and prolonged post ictal state, ? infx process vs central process
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with cough // acute process
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable.
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chest pain.
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the <unk> tube has been positioned and the tip ends in mid gastric cavity. the tube is not folded in the esophageous and correctly positioned. lung fields are poorly inflated. the bibasilar atelectasis described in cxr of <unk> are improved, especially at the base of the left lung. there is no pleural fluid. heart size is unchanged.
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<unk> year old man with new <unk>, <unk> be advanced under fluoro ? esophageal/stomach placement
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ap portable upright view of the chest. the endotracheal tube tip extends into the prox right mainstem bronchus. retraction by at least <num>-<num> cm is advised. nasogastric tube extends into the left upper quadrant. retrocardiac opacity is concerning for aspiration or pneumonia. right lung is clear. cardiomediastinal silhouette is unremarkable. no bony injuries. clips in the right upper quadrant noted.
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<unk>f with sepsis, intubated at osh // eval ett, pna
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leftward deviation of the upper trachea is again noted and likely due to a thyroid goiter, mass or vascular prominence. there is no evidence of consolidation, pulmonary edema, or pneumothorax. new small bilateral posterior pleural effusions are present. the aorta is ectatic, but unchanged from prior exam. the cardiac silhouette is normal in size.
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fever and low oxygen saturation. evaluate for pneumonia.
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the lungs are clear without focal consolidation. small benign-appearing rounded opacity in the right upper lobe is stable in appearance since prior radiographs since <unk>. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old man with recent uri, dyspnea, wheezing/rhonchi on exam // eval for infiltrate
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mild peribronchial opacification in the infra hilar right lung projecting over the cardiac silhouette is long-standing, possibly bronchiectasis. 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 l-hip pain, ?infection, pre-op // evaluate for acute findings, pre-op workup
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there is mild to moderate cardiomegaly. the lungs are clear. there is no pneumothorax or pleural effusion.
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<unk> year old man with resp distress // please eval interval change
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the et tube terminates at the level of the clavicles. a left apical chest tube remains in place. there is no pneumothorax. a nasogastric tube coils in the stomach. right lower lobe collapse has developed. the left lung is clear.
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<unk> year old man with desat // ? pneumo
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. mild scarring is seen in the right mid and left lower lung as on prior ct. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with chest pain, history of endocarditis
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pa and lateral views of the chest provided. mild bibasilar atelectasis is noted. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with presenting with n/v/d hx of crohns with new onset r sided chest pain that radiates down r arm. ekg sinus tach
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nasogastric tube courses to the left of midline into the left lower hemi thorax ; and may be terminating within the patient's large hiatal hernia although can not excluded is in the airway on this study. large hiatal hernia is seen. there is apparent enlargement of the cardiac silhouette which may in part be due to the large hiatal hernia. the patient is also somewhat kyphotic in position. bibasilar atelectasis is seen. no large pleural effusion or pneumothorax.
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history: <unk>m with ng tube // eval ng tube
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heart size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. patchy opacities within the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with shortness of breath, cough // pneumonia? pulmonary edema
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the heart size is top-normal. there is diffuse hazy opacification of the lung fields bilaterally. there is no pleural effusion or pneumothorax. a right-sided internal jugular line terminates in the mid svc. there is no pleural effusion or pneumothorax.
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history: <unk>m with septic shock // verify line placement
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bilateral basal predominant linear opacities are consistent with patient's known interstitial lung disease without significant change, or in fact mild improvement from the prior study. no focal consolidation, pleural effusion or pneumothorax is seen. the heart is normal in size with normal mediastinal contours.
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cough and chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no evidence of free air is seen beneath the diaphragms.
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history: <unk>f with recent colonoscopy now with b/l shoulder pain // eval diaphragms for free air or pna
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pa and lateral views of the chest provided. coarsened interstitial markings may reflect underlying emphysema. no convincing evidence for pneumonia edema effusion or pneumothorax. heart and mediastinal contours are stable. bony structures are intact.
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<unk>m with cirrhosis, ascites, shortness of breath, decompensation unknown mechanism
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the tracheostomy is unchanged in appearance when compared to the prior study. the visualized portions of the ventriculoperitoneal shunt are unchanged. the right-sided picc terminates in the mid distal svc. lung volumes are low, decreased when compared to the prior study. there is increased opacity at the left lung base with partial silhouetting of the left heart border suspicious for lingular consolidation. in addition there is prominence of the pulmonary vasculature and moderate cardiomegaly. mild pulmonary edema. no pneumothorax seen.
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<unk> year old female with history of developmental delay, rt avm s/p coil/embolization, stroke with lt sided hemiplegia, seizure disorder with recent frequent breakthrough seizures who presented to osh on <unk> with prolonged convulsive seizure. the patient is being transferred to the micu for hypoxemic respiratory failure now s/p trach // eval for interval change
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the lungs are well inflated and clear. no focal consolidation, effusion, or pneumothorax is present. there are diffuse flowing anterior osteophytes in the thoracic spine. cardiac and mediastinal contours are unremarkable.
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<unk>-year-old man with left groin spindle cell neoplasm and lung nodules.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. minimal patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f type <num> diabetes mellitus, with <num> days cough and possible history of tb
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lung volumes are normal. streaky bibasilar opacities most likely represent atelectasis. no focal consolidation to suggest pneumonia. there is no pneumothorax or pleural effusion. heart size is normal.
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history: <unk>m with cough // evaluate for pneumonia, acute process
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compared with the prior radiograph, there has been interval removal of the endotracheal tube, right ij line, ng tube, mediastinal drain, and left chest tube. no pneumothorax identified. stable postoperative cardiomediastinal silhouette with intact median sternotomy wires. lung volumes are low and there is a probable small left pleural effusion.
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<unk> year old man with s/p cabg. status post chest tube removal.
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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 pleuritic chest pain and cough, post pharyngitis // evaluate chest wall and lungs
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compared to chest radiographs from <unk>, opacification at the left lung base has largely improved, with a small amount of plate-like atelectasis in the left lower lobe. lung volumes remain low. right lower lobe opacification has resolved. small bilateral pleural effusions persist. there is no central vascular congestion or overt pulmonary edema. no pneumothorax. heart is normal in size. dobhoff tube descends below the diaphragm into the stomach and out of the field-of-view. medial displacement of the stomach bubble is consistent with splenomegaly, better assessed on liver mr from <unk>.
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<unk> year old man with cirrhosis and dyspnea // eval for edema, infection
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frontal and lateral chest radiographs were obtained, with the lateral view limited by respiratory motion. lung volumes are slightly low, with prominence of the cardiac silhouette and bronchovascular crowding. there is bibasilar atelectasis with resolution of the left lower lobe consolidation. no new consolidation, pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable.
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evaluate for interval change in a patient with recent left lower lobe pneumonia.
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small bilateral pleural effusions persist. bilateral interstitial abnormality appears unchanged compared to most recent prior exam. heart and mediastinal contours are stable. there has been interval removal of sternal wires and hardware; <num> paramedian drains are now seen. there is no mediastinal widening or radiographically apparent mediastinal air.
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<unk>-year-old male status post wound vac, now with leukocytosis.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.
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altered mental status.
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portable ap chest radiograph demonstrates a left-sided picc tip terminating and in the right atrium. there is no pneumothorax. the visualized lung the lungs are clear. the right costophrenic sulcus is not imaged. the cardiomediastinal silhouette is normal.
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new left picc placement.
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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 asthma, epigastric pain // pna
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. chronic right rib deformities are again noted. no acute bony injury. no free air below the right hemidiaphragm is seen.
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history: <unk>f with altered mental status // acute cardiopulm disease
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normal cardiomediastinal and hilar contours. normal pleural surfaces. clear, hyperinflated lungs. no evidence of fracture. metallic clips are noted in the right axilla.
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<unk>-year-old woman with an unwitnessed fall, now with pain in the right shoulder, humerus, and chest. evaluate for evidence of fracture.
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slight blunting of the right costophrenic angle may be due to a trace pleural effusion versus pleural thickening. mild right base atelectasis is seen. there is no focal consolidation. no evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no pulmonary edema. chronic appearing rib deformity at the lateral left ninth rib.
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history: <unk>m with asthma/copd and worsening cough/cp // r/o acute process
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. no displaced fracture is identified.
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pleuritic chest pain for <num> days now with mild dyspnea on exertion.
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the small left pleural effusion has decreased, revealing a bandlike area of linear atelectasis at the left base. the right lung is clear. there is no pneumothorax. the heart and mediastinum are within normal limits.
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<unk> year old man with pleural effusion
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ap upright and lateral views of the chest provided. increased opacity is noted in the right mid to lower lung which is concerning for pneumonia. no large effusion is seen. no pneumothorax. heart is moderately enlarged. aorta is unfolded. no displaced rib fracture.
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<unk>f with rib pain // eval for rib fracture or pneumonia
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rounded opacity adjacent to the left hilus has decreased in size, although persistent. this can be residual hemorrhage or localized fluid. postoperative changes in the left lung with associated volume loss. the right lung is clear. no pleural effusions or pneumothorax.
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<unk> year old woman s/p left vats wedge <unk> // eval for interval change
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in comparison to the prior exam, there remains a left-sided pleural effusion, small to moderate in size. there also remains haziness of the left lower lobe which is probably due to atelectasis as well as a small effusion. spinal hardware is again noted. the cardiac size remains normal. there is no pneumothorax.
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history: <unk>f with renal cancer on chemi with fever // eval pna
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with cough and recent high-dose steroids.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the cardiomediastinal silhouette is stable. calcifications are seen within the aortic knob, unchanged from prior exam. no bony abnormality is detected.
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dizziness and hypertension.
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. there is mild bibasilar atelectasis, right worse than left. there is no focal consolidation, pleural effusion or pneumothorax.
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<unk>f with syncope and hypotension // any cpd
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lung volumes are low. heart size remains mild to moderately enlarged with a left ventricular predominance, unchanged. the aorta remains markedly tortuous. mediastinal and hilar contours are otherwise similar. crowding of bronchovascular structures is present without overt pulmonary edema. patchy opacities in the lung bases are nonspecific, and may reflect areas of atelectasis. no pleural effusion or pneumothorax is seen. hypertrophic changes are noted in the thoracic spine.
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history: <unk>m with confusion // evaluate for pneumonia
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the heart is stably mildly enlarged. there is no focal lung consolidation. there is no pneumothorax or pleural effusion. there is a right perihilar opacity that has improved from <unk> and possibly reflects bronchovascular crowding in the setting of low lung volumes although pneumonia is difficult to exclude.
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<unk> year old man with cough wheeze weakness, evaluate for pneumonia..
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the lungs are hypoinflated with crowding of vasculature. retrocardiac opacity only seen on frontal projection is most consistent with atelectasis. no pleural effusion or pneumothorax. mild cardiomegaly is likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable.
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<unk>f with fever. assess for pneumonia.
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the lung volumes are noted to be decreased. allowing for differences in technique, the previously described subtle opacity in the left lower lobe is no longer identified. the remainder of the lungs are essentially clear without pleural effusion, pneumothorax, or overt pulmonary edema. the heart size is normal. the aorta is noted to be tortuous. mediastinal and hilar contours are otherwise normal.
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follow up possible left lower lobe pneumonia.
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the cardiomediastinal silhouette is normal. eventration of the right hemidiaphragm is again demonstrated as are subtle pleural calcifications on the right. there is no focal lung consolidation. there is no pleural effusion or pneumothorax.
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<unk>m with syncopal episode, leukocytosis, evaluate for pneumonia.
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single frontal view of the chest. heart size is top normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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fever.
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cardiac silhouette size is mildly enlarged with a left ventricular predominance. the aorta is tortuous. the mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. no subdiaphragmatic free air is present. there is no acute osseous abnormality.
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history: <unk>f with <num> week history of chest pain following endoscopy last week
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peripheral, linear opacity in the lungs bilaterally, especially seen posteriorly on the lateral view is compatible with calcified pleural plaques and pleural thickening as seen on chest ct. there is no superimposed new consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with chest pressure radiating to neck // eval for acute process, ptx
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ap upright and lateral views of the chest provided. dual lead pacer is unchanged. cardiomegaly is moderate with mild pulmonary edema. no large effusion or pneumothorax. a mid thoracic spine compression deformity is most likely chronic though clinical correlation advised.
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<unk>f found to be supratherapeutic on warfarin //
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right pleural effusion may have changed in distribution, but is no bigger. persistent air filled pleural space at the apex of the largely re-expanded postoperative right lung is unchanged. cardiomediastinal silhouette is normal aside from a aortic calcification. normal left lung. no left pleural effusion or pneumothorax.
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right thoracotomy, decortication, and right lower lobe wedge resection on <unk> for t<num>a adenocarcinoma. assess for pleural effusions.
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ap and lateral views of the chest. the lungs are hyperexpanded but clear of focal consolidation. streaky bibasilar opacities are similar to prior and may be due to scarring. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old female with ili and copd. rule out pneumonia.
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single portable chest radiograph demonstrates interval increased opacification in the bilateral lungs, particularly in the right lower lung as well as a more faint opacification in the right upper lung and retrocardiac spaces. findings are concerning for multifocal pneumonia. minimal blunting of the right costophrenic angle suggests a small pleural effusion. stable atelectasis also noted in the left lung base. a right-sided port-a-cath tip terminates in the upper superior vena cava. no pneumothorax evident.
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acute desaturation, now on <unk> liters of oxygen via nasal cannula. is there new pulmonary pathology.
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frontal and lateral views of the chest were performed. the lung volumes are low, which has resulted in vascular crowding. obscuration of the left heart border is thought to be secondary to the high diaphragm. there is no pleural effusion or pneumothorax. deviation of the trachea towards the right, likely from a large tortuous aorta, is unchanged. the cardiac silhouette remains moderately enlarged.
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elevated white blood cell count, evaluate for pneumonia or acute process.
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ap portable upright view of the chest. lungs appear hyperinflated with upper lobe lucency consistent with emphysema. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>m with ercp yesterday, fever.
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a portable upright chest radiograph shows newly placed dobbhoff tube with the radiodense tip beyond the gastroesophageal junction, but still at the expected level of the proximal stomach. the tip of the right internal jugular pheresis line is at the level of the distal superior vena cava. the left hemidiaphragm remains elevated and slightly obscured. radiodense material is seen in the hepatic flexure. note, exclusion of the apices and upper mediastinum from the view of the film.
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worsening myasthenia <unk>, now with dobbhoff tube placed at <time> p.m. check placement.
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there has been substantial interval increase in the moderate to large left pleural effusion following pigtail catheter removal. the sternotomy wires remain intact and aligned. heart size cannot be accurately assessed. mediastinal contours are stable. there is no pneumothorax. the right lung is clear.
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<unk> year old man with pleural effusion // eval
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for lead pacer with the tips in the right atrium, right ventricle left atrium and coronary sinus. no pulmonary edema. no acute pneumonia, pleural effusions or pneumothorax. mild cardiomegaly.
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<unk> year old man with hx afib, pm, cardiomyopathy, dm, had sudden episode sob , yesterday. few bibasilar rales on exam // r/o chf
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are hyperexpanded but clear. there is no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old male with asthma.
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bilateral lower lung opacity due to combination of pleural effusion and atelectasis is unchanged. mild to moderately enlarged heart size is stable. bilateral hila and mediastinum are unremarkable. multiple old rib fractures are present on the right side. endotracheal tube tip is approximately <num> cm from the carina and is appropriate. right picc line ends at lower svc and an orogastric tube courses below the diaphragm and ends into the stomach.
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<unk>-year-old woman with query pneumonia, for evaluation.
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there has been interval removal of a right chest tube. a left-sided picc is seen in a persistent left svc and is similar in position. small lucencies along the left heart border and the left hemidiaphragm are likely related atelectasis at the left lung base however could possibly represent small pneumothoraces. small pleural effusions, right greater than left are stable. a right basal opacity is similar to the prior exam. cardiomediastinal and hilar contours are normal and stable.
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<unk> year old man with empyema s/p vats decortication <unk>. // evaluate pleural effusion
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the cardiac silhouette size appears mildly enlarged, perhaps slightly increased in size compared to the previous study. the mediastinal and hilar contours are unremarkable. consolidative opacity within the left lower lobe is worse compared to the previous exam, with a small pleural effusion likely present. the right lung is clear. no pneumothorax is identified. no acute osseous abnormality seen.
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hypoxia and shortness of breath.
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right-sided port-a-cath terminates in the low svc without evidence of pneumothorax. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
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history: <unk>m with sickle cell disease w/ pain // r/o acute chest
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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>m with cp // evidence of pneumothorax
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right-sided port-a-cath tip terminates in the mid svc. the patient is status post median sternotomy and cabg. the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. mass within the medial aspect of the right lower lobe is unchanged, and innumerable nodules are noted throughout both lungs. no focal consolidation, pleural effusion or pneumothorax is present. there is no pulmonary vascular congestion. no acute osseous abnormalities are demonstrated.
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metastatic non-small cell lung cancer, crackles throughout the right lung fields, now with generalized weakness.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. the heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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persistent cough.
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frontal and lateral views of the chest are compared to previous exam from <unk>. there are new small bilateral pleural effusions. indistinct pulmonary vascular markings are seen. right lung base opacity is seen medially, potentially due to atelectasis however component of infection is not excluded. cardiac silhouette is enlarged but not likely changed from prior noting that the right heart border is not well seen. coronary artery stent is identified. single-lead pacing device seen with tip at the right ventricular apex. hypertrophic changes seen in the spine as well as compression deformity of the lower thoracic vertebral body as on prior.
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<unk>-year-old male with acute systolic chf exacerbation. question pulmonary edema.
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the left lung remains mostly clear but again shows several nodules which are not clearly changed although difficult to compare directly for small possible size changes using radiography. the right hemidiaphragm is again elevated with pleural thickening and right apical paramediastinal consolidation with dilated airways, often seen after radiation therapy. this appearance includes an unchanged small collection of air and fluid at the right lung apex. the only clear change is somewhat decreased aeration of the residual right lung which may be due to unilateral edema, lymphatic congestion or possibly an increased pleural effusion. a dilated segment of small bowel is visualized in the epigastric region measuring up to <num> cm in diameter. the patient is status post posterior thoracic spinal fusion with no clear change.
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chest pain and shortness of breath.
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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 dyspnea // acute process
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in comparison to the most recent prior study, the inspiratory lung volumes are slightly decreased. there is no focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected on this single frontal view. the pulmonary vasculature is slightly indistinct, suggesting minimal pulmonary vascular congestion. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged allowing for slight patient rotation on the current study. there is no free air beneath the right hemidiaphragm.
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history of st elevation myocardial infarction with chest pain, here to evaluate for acute cardiopulmonary process.
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single frontal portable view of the chest was performed. again seen is chronic diffuse interstitial reticulation with bronchiectasis as previously described. increased opacification at the left lung base may represent atelectasis or pneumonia in the correct clinical setting. there is no pleural effusion or pneumothorax. the heart size is normal. there are no suspicious osseous lesions.
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hypoxia, evaluate for infiltrate.
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the lungs are clear. cardiac silhouette is normal. thoracic aorta is mildly tortuous and unchanged compared to prior. a likely calcified nodule in the right lower lung zone is unchanged. there is no pneumothorax or pleural effusion.
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<unk>-year-old man with right knee prosthesis infection, preop cxr for possible washout
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portable chest radiograph demonstrates a right-sided picc line within the right atrium. the endotracheal tube is stable in position with tip terminating <num> cm above the carina. a nasogastric tube is seen coursing into stomach and out of view, though the side hole is apparent at the ge junction. there is stable cardiomegaly and prominence of the hila. the mediastinal contours are unremarkable. there is minimally improved aeration compared to prior radiograph with persistent pulmonary edema and bibasilar atelectasis. plate-like atelectasis again noted along the minor fissure. no pneumothorax evident.
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respiratory failure, please evaluate for line placement.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. lung volumes are low. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
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shortness of breath and chest pain.
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