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MIMIC-CXR-JPG/2.0.0/files/p18676703/s59643562/807fb9c3-1ce989d6-4c143ee7-35669093-75589814.jpg
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the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with chest pain, sob, // please eval for any infectious source
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heart size is normal. there is unchanged mediastinal shift to the right. no focal consolidation, pleural effusion or pneumothorax.
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<unk>f with general malaise, cough, n/v, concern for pna vs aspiration // <unk>f with general malaise, cough, n/v, concern for pna vs aspiration
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the newly placed pigtail catheter projects over the right lateral hemithorax with apparent improvement in the right pneumothorax, now not readily appreciable. lung volumes are low. bilateral diffuse patchy opacities, more prominent on the right, are more conspicuous and increased in number and size from at least <unk>, but somewhat similar dated <unk>. day-to-day changes likely reflect edema, but persistent opacities likely reflect underlying infection and scarring, better seen on ct. no definite pleural effusion. the heart is normal in size.
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<unk> year old man with organizing pneumonia here w/ pneumothorax. evaluate chest tube placement.
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a vp shunt projects over the mediastinum and upper abdomen. of note, a radiolucent portion of the vp shunt projects over the right neck. 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.
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<unk>f with chest pain/sob after cpr // eval for rib fracture, ptx
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. mild leftward convex curvature is centered along the mid thoracic spine.
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motor vehicle collision.
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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 probable neutropenia and fever
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median sternotomy wires appear intact. mitral valve replacement appears in place. two lead cardiac pacemaker appears unchanged. there is mild bibasilar atelectasis and increased interstitial markings. otherwise, the lungs are without a focal opacity. there is no pneumothorax. heart remains mildly enlarged but stable. old rib fractures are again noted.
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dyspnea with new oxygen requirements status post cardiac stenting.
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the lungs are underinflated with streaky opacities suggestive of atelectasis at the bases, slightly more confluent in the right lower lobe posterior. cardiomediastinal silhouette is enlarged. there is no pleural effusion or pneumothorax. there is mild rightward curvature of the thoracic spine. partially calcified aortic knob is again noted. elevation of the right hemidiaphragm is a chronic finding.
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history: <unk>f with sle now with nausea and vomiting. evaluate for infection.
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portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. moderate left-sided pleural effusion with bibasilar atelectasis is not significantly changed over the interval. slight interval improvement in aeration of the upper lungs bilaterally. the cardiomediastinal and hilar contours are unchanged. the tip of the swan-ganz catheter placed from a femoral approach ends in the region of the left main pulmonary artery. endotracheal tube ends <num> cm from the carina. nasogastric tube courses into the stomach and out of the field of view. no pneumothorax.
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<unk> year old man with severe respiratory failure s/p ecmo // assess for interval change
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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cough and shortness of breath.
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frontal and lateral radiographs of the chest demonstrate hyperinflated lungs. there is increased opacification of the bilateral bases, consistent with bibasilar atelectasis. cardiomediastinal and hilar contours are unchanged. there is no pleural effusion, consolidation, or pneumothorax.
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fall from standing with lightheadedness.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. s-shaped lower thoracic upper lumbar scoliosis is identified. osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old female with change in mental status on coumadin.
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right-sided central venous catheter tip terminates in the mid svc. heart size remains moderately enlarged with a left ventricular predominance. the aortic knob is calcified. the mediastinal contour is unchanged. prominence of the main pulmonary artery again is concerning for pulmonary arterial hypertension. right-sided perihilar haziness and vascular indistinctness likely reflects asymmetric mild right pulmonary edema with a small right pleural effusion. more focal opacity in the right lower lobe is concerning for infection. no pneumothorax is seen. calcified granuloma in the left lung base is unchanged.
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history: <unk>m with fatigue, increased albuterol inhaler, <unk>% on room air
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pa and lateral views of the chest. lung volumes are low and there is elevation of right hemidiaphragm with overlying atelectasis, right base consolidation due to pneumonia is not excluded. a nodular opacity in the left lower lung likely represents one or more of multiple lung nodules seen on abdominal ct with others not as well seen on chest radiograph. there is no pneumothorax. no pleural effusion. cardiomediastinal and hilar contours are normal. there is pulmonary vascular congestion.
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hypoxia and fever, evaluate for infiltrate.
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<num> views were obtained of the chest. innumerable pulmonary metastases are re-demonstrated and better assessed on the recent ct without intervally developed focal consolidation, pleural effusion or pneumothorax. the esophageal stents again project over the upper abdomen consistent migration into the stomach as depicted on the recent ct. the heart and mediastinal contours are unchanged with postsurgical changes noted in the mediastinum. osseous abnormalities described in the recent ct are not well assessed on the current examination.
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esophageal cancer status post stent migration with hematemesis, assess for acute process.
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right-sided picc again extends well into the right atrium. if the desired position of the tip is at or just above the cavoatrial junction, the catheter could be pulled back by approximately <num>-<num> cm. patchy right middle lobe opacity is seen, new since the prior study, worrisome for pneumonia. left lung is clear. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
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history: <unk>f with pmh chronic pancreatitis presenting with subjective fever and productive cough and abdominal pain // pna
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lung volumes appear normal, and little changed from <unk>. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are within normal limits. there is no subdiaphragmatic free air.
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<unk> year old woman with copd on spirometry and by symptoms // eval for hyperinflation, opaciteis
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single frontal view of the chest. bilateral pleural pigtail drains and <num> leads of a left chest wall pacer are in stable position. mild interstitial edema persists with a new elliptical opacity in the right mid lung region, possibly represent a new area of loculated fluid given its incomplete margins. right effusion is otherwise unchanged. left-sided pleural effusion has slightly enlarged with increased retrocardiac opacity consistent with atelectasis. no pneumothorax. heart size and cardiomediastinal contours are stable
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bilateral chest tubes for empyema complaining of worsening left-sided chest pain.
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median sternotomy sutures and a mitral valve prosthesis, unchanged in appearance compared to the prior study. moderate cardiomegaly and pulmonary edema are similar in degree when compared to the prior study. probable right pleural effusion. no pneumothorax seen.
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<unk> year old woman redo mvr // eval for effusion
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the lungs are hyperinflated, consistent with copd. probable mild cardiomegaly. slight upper zone redistribution, but no overt chf. there is dense confluent opacity at the left base laterally, with obscuration of the lateral aspect of the hemidiaphragm and left costophrenic angle. there is also small area of patchy opacification at the right base, laterally lateral view shows small posterior pleural effusion, probably on the left. <num> mm nodule projecting over the retrosternal clear space on the lateral view appears new compared with chest x-rays from <unk> and which may be followed up with a chest ct.
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history: <unk>f with worsening sob, cough, and fever. currently on outpatient po antibiotics for pna
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left apical pneumothorax is slightly increased. there is increased left basilar atelectasis and pleural effusion. right basilar atelectasis is improved.there is minimal if any right pleural effusion. cardiomediastinal silhouette is slightly increased compared to prior. again seen is a left pleural drainage catheter. there has been interval removal of a right-sided picc. again seen is a tracheostomy tube.
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<unk> year old man // eval effusion
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stable cardiac and mediastinal silhouette. left chest tube in unchanged position. left apical pneumothorax is unchanged. left basilar opacity and pleural effusion unchanged. the right lung remains clear.
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left pneumothorax. check interval change with chest tube clamped.
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ap portable upright view of the chest provided. left chest wall aicd is again seen with leads extending into the region of the right atrium and coronaries sinus. a prosthetic cardiac valve again noted. the heart remains massively enlarged. there is a small right pleural effusion. mild congestion is noted without frank pulmonary edema. no pneumothorax. bony structures are intact.
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<unk> year old woman with dyspnea and hx of chf
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semi-upright portable chest radiograph demonstrates no significant change in bibasilar opacities, likely representing atelectasis. subpleural fat simulates a pleural effusion. the pulmonary vasculature is normal-appearing. the cardiac and mediastinal contours are unchanged, notable for a prominent epicardial and mediastinal fat. an ng and feeding tube are seen to pass below the level of the diaphragm, though the tips are not appreciated. the tracheostomy tube and two central venous catheters are similarly positioned, with their tips in the upper svc. a right axillary catheter is present, a left upper extremity picc tip also passes into the upper svc.
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<unk>-year-old with ards, moderate respiratory status.
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again seen is the left-sided chest tube, similar in position. also again seen is the left pleural effusion , overall similar to the prior study. mild vascular plethora previously seen on left lung has improved. the right lung is grossly clear, allowing for minimal atelectasis at the right lung base. no pneumothorax detected .
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<unk> year old man with lung cancer and pleural effusion s/p pleurex placement and pleurodesis. // monitoring pleural effusion and pleurex tube*** please performe before <num> am ***
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frontal view of the chest was obtained. ng tube terminates below the diaphragm in proper position. right picc terminates in the mid svc. sternotomy wires are intact. aortic valve replacement in its stable position. mild-to-moderate cardiomegaly is stable. pulmonary vascular congestion is similar to the prior study. bibasilar opacities are compatible with atelectasis. no substantial pleural effusion or pneumothorax.
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<unk>-year-old male with cva and ng tube displaced.
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right picc terminates at the superior cavoatrial junction. heart size and cardiomediastinal contours are normal. mild reticular pattern is stable and the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with picc line placed, please eval placement, per radiologist needs pa and lateral // eval picc placement
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there is no focal consolidation, pleural effusion, or pneumothorax. there is no evidence of pulmonary vascular congestion. cardiac silhouette is mildly prominent but unchanged from prior exam. osseous structures are unremarkable.
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<unk>-year-old woman with orthopnea, question chf.
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the patient is status post median sternotomy. sternotomy wires appear grossly intact and unchanged in position from the prior exam. the heart is enlarged. the cardiomediastinal and hilar contours are stable. lung volumes are low. streaky opacities at the base of the left lung are most consistent with atelectasis. there is no evidence of pleural effusion or pneumothorax.
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<unk>m with recent cabg, fall with chest strike // eval for wire malfunction
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pa and lateral chest views have been obtained with patient in upright position. there is a sizeable left-sided pleural effusion that obliterates the diaphragmatic contour and the lateral portion of the heart shadow. heart size cannot be accurately assessed, but is probably within normal limits as there is no evidence of pulmonary congestion. a right-sided port-a-cath system introduced via the right internal jugular vein approach is seen to terminate in the lower third of the svc close to the expected entrance into the right atrium. no pneumothorax can be identified. there is evidence of bilateral pleural effusion, more so on the left than the right, where the effusion just blunts mildly the right lateral and right posterior pleural sinuses. on the left side, the pleural effusion reaches along the left lateral wall up to the hilar level. there is no pneumothorax on either side. our records do not include a previous chest examination available for comparison.
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<unk>-year-old male patient with metastatic cancer, lower extremity edema, evaluate for pleural effusion and cardiomegaly.
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a portable frontal semi-erect chest radiograph demonstrates a tracheostomy in appropriate position. lung volumes are low. the cardiomediastinal silhouette is unchanged. consolidation seen in <unk> is improved, with streaky opacities likely atelectasis. a small right pleural effusion is unchanged. no definite focal consolidation is identified. there is no pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia.
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the heart is normal in size. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no evidence of pneumothorax or pleural effusion. the visualized osseous structures are unremarkable.
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<unk>-year-old female who presents for evaluation of persistent cough and left anterior rib pain.
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the lungs are well expanded and clear. hila and cardiomediastinal contours are normal. blunting of the left costophrenic angle is seen to correspond to fat on previous ct of the abdomen and pelvis. no pneumothorax.
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<unk>-year-old woman presenting with dyspnea and chest pain.
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endotracheal tube tip is <num> cm from the carina lying at the level of the clavicles. consider advancing the endotracheal tube by <num> to <num> cm for appropriate seating. dual-lumen left internal jugular line ends in the left internal jugular vein. right internal jugular line tip lies approximately at the upper svc. gastric tube courses below the diaphragm and ends into the stomach and is appropriate. over the last <unk> to <num> hours, mild pulmonary edema has redistributed but unchanged in severity with interval improvement in the right lung and minimal worsening on the left side. increased retrocardiac density reflects left lower lung atelectases or due to combination of edema and atelectasis. enlarged heart size, mild mediastinal congestion and prominent pulmonary vasculature reflecting elevated pulmonary venous pressure is unchanged.
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<unk>-year-old woman with respiratory failure, septic shock for evaluation of interval changes.
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compared to the prior radiograph from <unk>, there is unchanged appearance of what appears to be eventration of the left hemidiaphragm with loops of bowel in the thorax. the visualized lung fields are clear, however the left lower lobe is obscured and infectious process in this area cannot be excluded. cardiomediastinal contours are unchanged
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history: <unk>f with chest pain // eval for pna, pneumothorax
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the cardiomediastinal silhouette is unchanged. no acute osseous abnormality.
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<unk> year old man with history bipolar disorder and dementia, with change in mental status, looking for possible causes of toxic metabolic encephalopathy or infection. // r/o infection/pneumonia
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cardiac size is top-normal. tortuous aorta is unchanged. small bilateral effusions have almost completely resolved. the lungs are hyper inflated. there is no evidence of pulmonary edema or consolidations. there is no pneumothorax. there are mild degenerative changes in the thoracic spine and kyphosis
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<unk> year old woman with cough and fever // r/o infiltrate
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old man with shortness of breath.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there are no focal consolidations, pleural effusions or pneumothorax. visualized osseous structures are grossly intact.
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<unk>-year-old female patient with cough, shortness of breath, left shift. study requested to evaluate for pneumonia.
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pa and lateral views of the chest were obtained. redemonstrated is severe cardiomegaly and unchanged appropriate positioning of the dual-chamber pacer device. there is interval development of dense right lower lung opacification concerning for pneumonia. there is no pulmonary edema, large effusion, or pneumothorax.
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<unk>-year-old woman with dyspnea, evaluate for chf.
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there has been interval extubation and removal of right-sided central line. right picc terminates in the svc. there are bilateral pleural effusions right greater than left, new compared to the prior radiograph. lung volumes are low. prosthetic aortic valve and sternotomy sutures are unchanged. ekg leads overlie the patient. bony thorax unchanged.
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<unk> year old woman pod<num> mvr // evaluate for effusion,
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again seen is prominent right apical scarring, chronic, with elevation of the hila. . the patient is status post right clavicular surgery. there is left perihilar airspace opacity worrisome for pneumonia. recommend followup to resolution to exclude underlying mass. subtle increase in interstitial markings bilaterally could be due to mild underlying interstitial edema although atypical infection is not excluded. there is also prominence of the left hilum, also seen on the prior study but slightly more conspicuous today ; underlying lymphadenopathy may be present. no pleural effusion or pneumothorax is seen. the lungs are hyperinflated. the cardiac silhouette is top-normal to mildly enlarged. the aortic knob is calcified.
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history: <unk>f with dyspnea*** warning *** multiple patients with same last name! // cough
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lung volumes are slightly improved. bibasilar opacities are unchanged. small right pleural effusion has decreased. small left pleural effusion is probably unchanged. mild pulmonary edema appears unchanged. moderate severe cardiomegaly is unchanged.
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<unk> year old woman with hiv and hep c presenting with worsening hypoxemia now on cpap with improved oxygenation // evaluate for increased aeration of the lungs
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overall, no significant change from the prior exam. tiny bilateral pleural effusions are overall unchanged. no focal consolidation. no pneumothorax. moderate cardiomegaly is unchanged. median sternotomy wires appear intact. left-sided cardiac pacemaker also appears intact with leads in the right atrium, right ventricle, and region of coronary sinus. right ij access dialysis catheter also appears intact and unchanged with tip terminating in the right atrium. stable extensive calcification of the visualized thoracic aorta. diffuse osteopenia. no acute osseous abnormality.
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<unk> year old man with chest pain; evaluate for acute process.
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the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. a <num> cm well-circumscribed opacity projects over the left heart border but disappears upon patient repositioning. the cardiac and mediastinal contours are normal. there is no displaced rib fracture.
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bike accident.
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patient is status post median sternotomy and cabg. the cardiac silhouette is stable. there is mild pulmonary edema. there is mild bibasilar atelectasis. there is no focal consolidation or pneumothorax.
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history: <unk>f with fall pls eval pna // history: <unk>f with fall pls eval pna
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port-a-cath terminates in the superior vena cava as before. the cardiac, mediastinal and hilar contours appear similar allowing for differences in technique including apparent postsurgical changes in the left hemithorax with volume loss. hazy opacification of the left lower lung suggests postoperative change and scarring. on the right, there is a lung nodule that appears new since the prior radiographs, measuring <num> mm in diameter and also not apparent on the chest ct. postsurgical changes in the right upper lobe are similar. in the right lower lobe, there is a patchy new basilar opacity worrisome for pneumonia. a second view includes the left costophrenic sulcus suggesting a similar pattern of pleural thickening. it is difficult to exclude a very small pleural effusion on the right.
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metastatic sarcoma to the lungs, on chemotherapy, presenting with cough and shortness of breath. question pneumonia.
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compared with <unk>, there is resolution of bilateral pulmonary edema.improvement in bibasilar atelectasis. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old man with shortness of breath // history of effusions
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left-sided picc has been pulled back with the tip near the cavoatrial junction. improved aeration of the lung bases. no pulmonary edema or focal opacification. cardiac silhouette is not enlarged. no pleural effusions or pneumothorax.
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rule out infection
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there bilateral parenchymal opacities, more confluent at the left lung base posterolaterally but also seen at the right perihilar region and right lung base. superiorly, the lungs are clear. cardiac silhouette is not particularly well assessed. lucent lesion with erosion of the inferior left glenoid and scapular body was previously characterized by pet-ct as metastatic lesion.
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<unk>m with metastatic thyroid ca // please eval for acute cp process
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there is mild cardiomegaly. the mediastinal and hilar contours are unremarkable. there is evidence of a right lower lobe opacity; however, this could correlate with the previously seen nodules on the chest ct. no other focal opacities are seen within the lungs. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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<unk>-year-old female who presents for evaluation of recent cough and shortness of breath.
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there is a new right middle lobe consolidation. a tiny focus of consolidation in the superior left lower lobe is new. underlying interstitial prominence has increased. no pleural effusion or pneumothorax is detected. heart size is within normal limits. the pulmonary arteries are more prominent than <num> day prior, likely secondary to underlying pulmonary parenchymal process.
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<unk>-year-old female with flu-like symptoms, persistent fever, and abnormal lung exam.
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the cardiac, mediastinal and hilar contours appear stable. band-like areas of scarring appear unchanged in the lower lungs. there is no pleural effusion or pneumothorax. the chest is hyperinflated. prior healed rib fractures appear unchanged on the right without displacement.
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weakness.
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a single portable ap chest radiograph was obtained. aeration of the left base has minimally improved since the prior exam two days ago. a left basilar retrocardiac opacity continues to obscure the left hemidiaphragm. no new consolidation, effusion, or pneumothorax is present. soft tissue density surrounding a left chest pacer corresponds with the clinically noted pacer pocket hematoma. a single cardiac lead projects over the right ventricle. cardiomegaly remains mild. the aortic arch and mitral valve anulus are calcified.
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<unk>-year-old man with low-grade temperature, pacer pocket hematoma, left basilar consolidation.
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since prior study, there has been no interval change in position of the right-sided picc. continues to extend into the right neck, likely within the internal jugular vein. the tip is beyond the field of view. the appearance of the chest is otherwise unchanged.
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history: <unk>m with picc line placement. now adjusted by iv team // please eval picc position.
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heart size is normal. mediastinal and hilar contours are unchanged. lungs are hyperinflated compatible with underlying emphysema. no focal consolidation is seen. minimal scarring within the lung apices is unchanged. no focal consolidation, pleural effusion or pneumothorax is present. partially imaged is cervical spinal fusion hardware. there are minimal degenerative changes in the imaged thoracolumbar spine. remote bilateral rib fractures are again noted.
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history: <unk>f with chest pain status post fall <num> days ago
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no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. previous right central venous line has been removed. no masses or nodules are seen.
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<unk>-year-old male with bladder cancer. rule out metastases.
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ap and lateral views of the chest. low lung volumes crowd the pulmonary vasculature; however, there is mild pulmonary vascular engorgement. no definite signs of edema. no pleural effusion or pneumothorax. cardiac, mediastinal, and hilar contours are stable. no focal consolidation concerning for pneumonia.
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unwitnessed fall and confusion, evaluate for pneumonia.
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since <unk>, an asymmetrical opacity is seen in the right lower lung, concerning for pneumonia. the left lung is clear. the cardiac mediastinal silhouette, hilar contours, pleural surfaces are normal. no pneumothorax or pleural effusion.
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<unk> year old man s/p r tkr with elevated white count, elevated temps, r/o infectious process. // r/o infectious process
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linear opacity in the lingula consistent with scar is unchanged. the heart is normal size. epicardial vascular clips are unexplained. bulge in the aortic arch of the known pseudoaneurysm is not grossly changed, but is best followed with cross-sectional imaging. right rib deformities are chronic.
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history of aml. cough. rule out pneumonia.
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are unremarkable. no focal consolidation is seen. no pulmonary edema, pleural effusion, or pneumothorax.
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<unk>m with hemoptysis // mass?
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as compared to prior chest radiograph from <unk>, moderate cardiomegaly is worsening. increased density of the left lower lung could be related to lung collapse or could represent a consolidation. there is vascular engorgement. there are no pleural effusions or pneumothorax.
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<unk>-year-old female patient with chf, fever, bibasilar crackles. study requested for evaluation of pulmonary edema and/or pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. no fracture is identified.
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right-sided upper back and pleuritic chest pain after injury.
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the heart is enlarged. there is patchy left basilar opacity suggesting minor atelectasis superimposed on a prominent pericardial fat pad, not significantly changed, although it is difficult to exclude a superimposed process. elsewhere, the lungs appear clear. there is no definite pleural effusion, although again it is difficult to exclude a small pleural effusion on the left side. there is no pneumothorax.
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chest pain and tachycardia.
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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. no pleural effusion or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign bodies.
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<unk>-year-old male with stroke. evaluate for acute process.
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the cardiac silhouette is mildly enlarged with tortuosity of the thoracic aorta. the hilar contours are unremarkable. the lungs are mildly hyperinflated, but are otherwise clear without focal consolidation. pleural surfaces are clear without effusion or pneumothorax.
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fever and cough.
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the lungs are fully expanded and clear. the cardiomediastinal and hilar contours are normal. surgical clips project over the right axilla. median sternotomy wires are noted. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable.
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<unk> y/o man with chest pain.
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lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history: <unk>m with fever on chemo // pna?
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in comparison to the chest radiograph obtained <unk>, there is been substantial improvement in the previously large, now small right pleural effusion. there is a mild amount of associated right lower lung atelectasis. additionally, there is and right upper lobe consolidation or substantial amount of pleural fluid lying in the right major fissure. moderate cardiomegaly and pulmonary vascular congestion are unchanged, but to an extent that might mask the presence of pulmonary nodules. .
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<unk> year old woman with pleural effusion // f/o pleural effusion
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ap and lateral chest radiographs were obtained. the medial left hemidiaphragm is obscured by left lower lobe atelectasis. there is no consolidation, effusion or pneumothorax. moderate-to-severe cardiomegaly is stable.
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right upper quadrant pain and cough.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with chest pain. evaluate for acute process.
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pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm. clustered calcific densities are again seen projecting near the right axilla.
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<unk>f with fever cough cp.
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portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. there has a been interval decrease in size of the right-sided pleural effusion. there is atelectasis at the right base. persistent retrocardiac opacity is present. patient is status post tracheostomy, which ends <num> cm from the carina. cardiomediastinal and hilar contours are unchanged.
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<unk>m with fever // acute process?
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frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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<unk>-year-old female with multiple myeloma for pre-transplant evaluation.
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biapical pleural scarring, stable since the prior radiograph. there is a small to moderate right pleural effusion, not significantly changed from the prior cxr. there are bilateral post-radiation fibrotic changes which are better characterized by the prior ct on <unk>. lateral view demonstrates a triangular opacity projecting over the heart, consistent with rml volume loss. stable cardiomediastinal silhouette. mild pulmonary vascular congestion. left subclavian line terminates in the distal svc. no acute osseous abnormalities.
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<unk> year old woman with pleural effusion // eval
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increased interstitial markings are seen throughout the lungs which are chronic likely due to underlying interstitial process. lower lung volumes seen on the current exam and subsequent retrocardiac opacity is likely due to atelectasis. there is no effusion or overt edema. right apical scarring is again noted. this may also cause increased opacity at the right paratracheal stripe region however underlying lesions such as adenopathy is difficult to exclude.
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<unk>f s/p fall with pelvic tenderness // <unk>f s/p fall with pelvic tenderness
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the lungs are hyperinflated and bibasilar, right greater than left, atelectasis is noted. no pleural effusion or pneumothorax. mild cardiomegaly and unfolding of the aorta appear similar to the prior radiograph of <unk>.
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<unk>-year-old man with chest pain. evaluate for acute cardiopulmonary process.
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there is a pigtail catheter in the lower right pleural space, which appears unchanged. the tiny right apical pneumothorax has decreased in size. there are bilateral pleural effusions, left greater than right. moderate enlargement of the cardiac silhouette. otherwise, the lungs appear unchanged in comparison to the prior chest x-ray from earlier in the day.
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<unk> year old woman with bilateral pleural effusions, pericardial effusion, pulm nodules. s/p chest tube, reassessing for interval change. // interval change in small apical pneumothorax?
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the patient is now intubated with the endotracheal tube in good position. very low lung volume with patchy areas of subsegmental atelectasis and crowding of the bronchovascular markings. no acute focal consolidation, pneumothorax or significant effusion. given for differences in technique, the cardiomediastinal contours are stable, with widening of the superior mediastinum.
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<unk>m with h/o morbid obesity, osa, iddm, copd (<num>l home o<num>), dchf, multiple hip replacement surgeries and multiple episodes of thr displacement on the l who is s/p complete resection left arthroplasty and brought to the ficu due to pickwickian syndrome and obesity. // eval for tube placement, pulm edema
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low lung volumes are present, which accentuates the size of the cardiac silhouette which is at least moderately enlarged. aortic arch calcifications are present. mild widening of the superior mediastinum is presumably due to low lung volumes. there is crowding of the bronchovascular structures without overt pulmonary edema demonstrated. bibasilar airspace opacities likely reflect atelectasis. no large pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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shortness of breath.
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moderate cardiomegaly is stable. mild pulmonary edema has improved. bibasilar atelectasis larger on the right side are grossly unchanged. bilateral calcified granulomas in the upper lobes are again noted. moderate bilateral effusions larger on the right side are minimally increased. there is no pneumothorax. left picc tip is in the mid svc. sternal wires are aligned.
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<unk> year old woman with chf and sob // please eval for change in pulmonary edema, any pna?
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lung volumes are slightly lower compared to the exam in <unk> with bronchovascular crowding. there is no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality.
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<unk>-year-old man with cold foot. preoperative evaluation.
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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>f with cp // pna?
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there has been interval removal of previously visualized dialysis catheter. bibasilar atelectatic changes are visualized. otherwise, the lungs are without any focal consolidations or pneumothoraces. the cardiac silhouette appears mildly enlarged but stable.
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evaluation of patient with history of end-stage renal disease, for evaluation prior to renal transplant.
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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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history: <unk>f with dyspnea // r/o acute process
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trauma board obscures some of the film. with this limitation, the lungs are clear. there is no evidence of pneumothorax. mediastinum is normal. heart size is normal. no pleural effusion. no rib fractures are identified.
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motor vehicle accident.
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the lungs are clear. the cardiomediastinal and hilar contours are unremarkable. there is no evidence of pleural effusion or pneumothorax. however, there is a radiolucent region overlying the left hemidiaphragm which appears separated from the inferior aspect of the heart. this region is incompletely evaluated due to multiple external monitoring devices.
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<unk>-year-old female with history of diabetes, presenting with tachypnea and no bowel movement for a week. evaluate for intra-abdominal free air in the kub or acute cardiothoracic process.
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compared to chest radiographs from <unk>, there has been interval improvement of bibasilar atelectasis, reflecting improved aeration. bilateral chest tubes, as well as cardiopulmonary support devices, are in appropriate placement, unchanged. tiny right apical pneumothorax is stable. no appreciable pleural effusions. there is central vascular congestion with mild pulmonary edema, likely unchanged. no new focal consolidation. no pneumothorax. no central vascular congestion or overt pulmonary edema.
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<unk> year old woman s/p avr and mvr // eval for effusion/ infiltrate
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the lung volumes are low. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the posterior costophrenic sulci are not well visualized, but there is no clear indication of pleural effusion. there is no pneumothorax. a small-to-moderate quantity of free air is visualized under each hemidiaphragm, but anticipated following very recent abdominal surgery.
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chest pain following very recent laparoscopic cholecystectomy.
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single portable view of the chest. streaky bibasilar opacities are seen and there is blunting of the left costophrenic angle. relatively low lung volumes are seen with crowding of the bronchovascular markings. endotracheal tube tip is approximately <num> cm from the carina. enteric tube passes below the inferior field of view with side port in the stomach. the cardiomediastinal silhouette appears enlarged and is likely accentuated due to low lung volumes and technique. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities.
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<unk>-year-old male status post intubation.
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right picc tip is in the mid svc. sternotomy wires are intact. mild vascular engorgement with normal heart size, no pleural effusion, mediastinal vein dilatation, or pulmonary edema. no new focal opacity or pneumothorax. prior hyperinflated lung volumes are now mildly decreased with new mild right lower lobe atelectasis.
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<unk>-year-old male with severe copd and worsening respiratory distress. assess for pneumonia.
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improved aeration seen on the current exam with some residual platelike right basilar atelectasis. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with dyspnea // pna?
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lung volumes are slightly low, but clear. heart size is exaggerated by ap technique and likely normal, unchanged since <unk>. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
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left shift. evaluate for evidence of infection.
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lung volumes are low. heart size is top-normal. mediastinal and hilar contours are unremarkable. linear opacity in the left lung base likely reflects an area of subsegmental atelectasis. no focal consolidation, pleural effusion, or definite pneumothorax is detected, however the right apex is somewhat obscured by the patient's neck and chin projecting over this area. left axillary clips are noted. there appear to be mildly displaced fractures of the right lateral fifth through seventh ribs.
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history: <unk>f with unwitnessed fall, right rib pain // hemothorax? fracture?
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pa and lateral chest radiograph demonstrates borderline cardiac enlargement. patient is status post median sternotomy. wires appear intact. no focal opacity convincing for pneumonia is identified. there is no overt pulmonary edema, pleural effusion, or pneumothorax. osseous structures demonstrates no acute abnormality.
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<unk>-year-old male with cough.
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the endotracheal tube terminates no less than <num> cm above the carina. an orogastric tube terminates within the stomach with the side port near the gastroesophageal junction. a left internal jugular central venous line terminates in the mid svc. a right subclavian triple-lumen catheter terminates in the lower svc. there has been interval reduction in heart size as well as marked improvement in pulmonary edema. small bilateral pleural effusions are slightly smaller. there is a persistent left retrocardiac opacity. there is no pneumothorax.
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confirm endotracheal tube placement in a patient status post abo-incompatible liver transplant.
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the right-sided chest tube is been removed. there is a small right apical pneumothorax. the right hemidiaphragm is elevated. there is volume loss at the right base that is increased compared to prior.
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<unk> year old man with r upper lobe nodule s/p r vats rul lobectomyplease get cxr @<unk>, <unk> // ? pneumothorax, post-pull of ctplease get cxr @<unk>, <unk>
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MIMIC-CXR-JPG/2.0.0/files/p14107526/s55559012/62241627-de47e77f-d433a04c-8cccfb75-25124c54.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
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hypoxia and cough.
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MIMIC-CXR-JPG/2.0.0/files/p18254088/s51112418/3c371a88-a32249de-faedd435-cd5f1367-e63bb5d3.jpg
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pa and lateral views of the chest. lower lung volumes seen on the current exam. the lungs remain clear of focal consolidation. there is no effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
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<unk>-year-old female with fever and cough.
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MIMIC-CXR-JPG/2.0.0/files/p13987082/s59224936/4cd7ed96-0e1ea91b-34ace853-e17d2415-7874f6db.jpg
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cardiac silhouette is upper limits of normal in size with left ventricular configuration, in the aorta is tortuous. lungs are remarkable for a cluster calcified granulomas in the left lower lung and focal linear atelectasis versus scar the right base. no pleural effusion or pneumothorax is seen. there are no acute, displaced rib fractures evident on this chest radiograph. note is made of scoliosis and multilevel degenerative change in the spine.
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<unk> year old woman with pain on left lower lung field s/p fall and repeated vomiting // lung or rib pathology
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