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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 productive cough, fever // evidence of pneumonia
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heart size remains borderline enlarged. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. previously noted somewhat linear opacity in the left mid lung field has resolved. there are no acute osseous abnormalities.
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history: <unk>f with intermittent chest pain, recently treated for pneumonia.
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there are lung volumes. the study is slightly underpenetrated due to body habitus. the cardiac silhouette is top-normal. the mediastinal contours are stable and unremarkable. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. no overt pulmonary edema.
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history: <unk>f with sob, cough // r/o pna
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pa and lateral views of the chest show dense horizontal linear scar in the right middle lobe and somewhat stellate increased opacity just below this in the region of the patient's cyberknife markers. this is not significantly different compared to recent plain films and no other areas of consolidation are seen suggestive of pneumonia. cardiac contours and bony structures including intact lower cervical fixation plate are unchanged.
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<unk> year old woman with h/o lung ca s/p cyberknife with scar vs. recurrence, now with fever/cough // ?new infiltrate
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pa and lateral views of the chest provided. left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. midline sternotomy wires and mediastinal clips are again noted. there is a linear density projecting over the right lower lung which is unchanged and may represent scarring. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. the heart is top-normal in size. mediastinal contour is normal. no acute bony abnormalities.
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<unk>m with dyspnea // eval for pneumonia
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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>m with likely acute leukemia, weakness. evaluate for mass or pneumonia.
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medial bibasilar linear opacities appear similar compared to prior and likely represent atelectasis or scarring. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. hyperinflation is due to bronchospasm or copd. lateral view suggests left ventricular enlargement or pericardial effusion.
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<unk>-year-old male with cough and fever.
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pa and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, there has been interval enlargement of the right-sided pneumothorax, particularly at its inferior aspect. there is subsequent atelectasis of the middle and lower lobe. there is stable mild leftward shift of the mediastinum. trace right-sided effusion is also identified. left lung is grossly clear. cardiomediastinal silhouette is stable. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with right pneumothorax with worsening symptoms.
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pa and lateral views of the chest provided. lungs appear hyperinflated. 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> year old man with fever, chills, dyspnea.
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single portable view of the chest. relatively low lung volumes are seen. the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old female with chest pain.
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pa and lateral views of the chest <unk> at <time> are submitted. the lateral view is limited as the patient's arm is by either side.
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<unk> year old man s/p biv icd implant // ptx leads ptx leads
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frontal and lateral chest radiographs demonstrate increased opacity in the left perihilar region extending down into the left lower lobe lung, with corresponding opacity overlying the spine on lateral view. the cardiomediastinal silhouette is normal. there is no appreciable pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
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<unk>f w/ili, chest congestion, cough, bibasilar crackles on exam, please eval for pna // <unk>f w/ili, chest congestion, cough, bibasilar crackles on exam, please eval for pna
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there is a large focal opacity centered in the left lung lingula. the opacity appears larger than on a chest x-ray from <unk>, but is in keeping with findings on a chest ct scout film from <unk>. compared to the previous chest x-ray, there is new linear atelectasis in the right mid zone and a new small right pleural effusion, with a small amount of associated parenchymal opacity. heart size is grossly unchanged, without frank cardiomegaly. the lungs are otherwise grossly clear, without other focal opacities, chf or left-sided effusion. no pneumothorax detected. aside from mild degenerative changes in the thoracic spine. bony structures are grossly unremarkable.
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history: <unk>f with fever, cough, sob // evaluate for pneumonia, effusion review of omr heels a history of breast cancer status post mastectomy
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as compared with prior examination dated dated <unk>, there has been minimal interval change. redemonstrated is a left-sided aicd with a single lead noted to be terminating within the right ventricle. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. stable, moderate cardiomegaly is again noted. mediastinal and hilar contours are normal.
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history of heart failure, now with acute on chronic cough.
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frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation. incidental note is made of a hypoplastic first right rib and joining of the left first and second ribs.
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<unk>-year-old man with a <unk>-pack-year smoking history, cough, weight loss. evaluate for copd or malignancy.
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the heart size is normal. mediastinal contours are unchanged. there is crowding of the bronchovascular structures due to low lung volumes. left hilum appears somewhat enlarged compared to prior study, but again this may be due to low lung volumes. there is no pulmonary vascular engorgement. pleural thickening and scarring within the right lung base is unchanged as is a linear opacity within the superior segment of the right lower lobe compatible scarring. minimal left retrocardiac opacity likely reflects atelectasis. no left-sided pleural effusion is seen, and there is no pneumothorax. multilevel severe degenerative changes of the thoracic spine are present. clip is seen within the right anterior chest wall.
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chest pain, cough.
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since the prior study, the small right pleural effusion with a small fissural component is minimally smaller. the lungs are otherwise clear. sternal wires are intact and well aligned. cardiomediastinal silhouette is normal. aortic valve replacement is noted.
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<unk> year old man with pleural effusion // eval
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pa and lateral views of the chest were reviewed. small-to-moderate bibasilar atelectasis and a small left pleural effusion are unchanged since <unk>. otherwise, the lungs are clear without evidence of vascular congestion or pneumothorax. heart size is top normal and unchanged. normal post-operative hila.
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evaluation for pulmonary edema in a patient status post left lower lobe wedge resection who is currently desaturating to <unk>%.
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there is extensive subcutaneous emphysema seen in the right chest wall and tracking up into the neck. additionally, small amount of subcutaneous emphysema is seen in the left cervical region. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. an ng tube terminates within the stomach. there are multiple loops of dilated bowel, incompletely imaged on this exam. no acute skeletal abnormalities.
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<unk>-year-old man with subcutaneous emphysema in the right chest, evaluate for free air.
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ap portable upright view of the chest. underpenetration due to large body habitus limits assessment. cardiomegaly is again noted. mild to moderate pulmonary edema is difficult to exclude given underpenetrated technique. no convincing sign of pneumothorax. no acute bony abnormality.
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<unk>f with sob and cough
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portable chest radiograph demonstrates interval removal of mediastinal drain. bilateral chest tubes are still in place. no pneumothorax evident. stable bibasilar consolidations likely representing a combination of moderate pulmonary edema and small bilateral pleural effusions, right greater than left. right-sided central venous catheter again noted with tip at the cavoatrial junction. sternotomy sutures are midline and intact.
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patient with mediastinal chest tube removed. please evaluate for pneumothorax.
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in comparison to the chest radiograph dated <unk>, there is an increased, now moderate, right pleural effusion and a decreased, now small, left pleural effusion. a somewhat linear and somewhat rounded opacity within the right middle lobe likely represents a focus of round atelectasis. right hemidiaphragm is slightly elevated. hip
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<unk> year old woman with recent diagnosis of ovarian cancer status post debulking. decreased air entry right base. // assess for right pleural effusion.
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single portable view of the chest. endotracheal tube is seen with tip within <num> cm from the carina. enteric tube passes below the inferior field of view. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
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<unk>-year-old female with new intracranial hemorrhage, intubated.
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low lung volumes. there is a hickman catheter over the right lung with the tip in the right atrium. there is patchy opacification at the left base. there is a subcentimeter density projecting over the left eighth posterior rib, which likely represents a calcified granuloma. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old woman with esrd on hd // r/o tb
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the pulmonary edema has essentially resolved. there is minimal bilateral costophrenic blunting laterally that could represent small effusions. there is minimal left basilar atelectasis. cardiomegaly persists. as before there is aortic arch atherosclerosis and a tortuous descending aorta. degenerative changes are noted within the spine as well as slight sigmoid scoliosis.
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<unk> with no known pmh, found to have acute systolic heart failure and left main and <num> vessel disease, treated with des to lad and lcma, course complicated by cardiogenic shock s/p impella placement and removal, bleeding from femoral access site requiring multiple blood transfusion, renal failure and thrombocytopenia with new sob. // pulmonary vascular congestion? pulmonary edema?
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heart size is stably enlarged. mediastinal contours normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. linear basilar opacity was seen previously and is most consistent with atelectasis. there is mild vascular congestion, as seen previously.
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<unk>-year-old woman with chest pain
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increased interstitial markings are worrisome for pulmonary edema. there is probably a small right effusion, increased sinze <unk>. the cardiac size is stable. the aorta is slightly tortuous. bibasilar atelectasis is exaggerated by the low lung volumes. a slight compression deformity of the lower thoracic spine is unchanged.
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back pain. rule out worsening effusions.
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lungs are clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. no pneumothorax, pleural effusion, pulmonary edema. no focal consolidations are noted.
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<unk> year old man with fevers, chills, cough, flu like symptoms // evaluate for pneumonia
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there bilateral pleural effusions, moderate on the right and small on the left. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is no free intraperitoneal air.
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<unk>f with <unk> pain // acute process
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mild congestion without overt edema. no pleural effusion or pneumothorax is seen. stable cardiomegaly. the cardiac and mediastinal silhouettes are unremarkable. no focal consolidation. old, healed right posterior <num>th rib fracture and distal right clavicular fracture are noted. no acute fractures identified.
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<unk>f with fall from bed, r orbital lac and swelling/ecchymosis, dyspnea with wheezing/rhonchi //
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the cardiac silhouette is enlarged. there is interval increase in right basilar and retrocardiac opacification. additionally, there is increased vascular congestion. there is blunting of the bilateral costophrenic angles likely representing small pleural effusions. there is no pneumothorax.
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<unk> year old woman with cough, influenza, evaluate for pneumonia..
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there is blunting of the costophrenic angles consistent with small bilateral pleural effusions. there is mild interstitial edema. the cardiac silhouette is enlarged. the patient is status post median sternotomy. a central large bore venous catheter is seen on the left which terminates at the cavoatrial junction/proximal right atrium. no pneumothorax is seen.
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weakness. mrn in pacs is <unk>
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the heart is normal in size. the patient is status post sternotomy. a tubular structure along the course of the left anterior descending coronary artery is suggestive of a stent. 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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cardiomediastinal and hilar contours are normal. lungs are clear. stable, mild right apical pleural thickening. no evidence of pneumothorax.
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<unk>-year-old man with cough and fever. evaluate for pneumonia.
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the lung volumes are low. subsequent crowding of vascular and bronchial structures is noted. however, in addition, there is a relatively widespread right lung opacity located in both the right lung apex and the right bases. moderate cardiomegaly. no pulmonary edema. mild tortuosity of the thoracic aorta. mild pleural effusion.
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oxygen requirements.
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the cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is seen. no acute osseous abnormalities present.
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chest pain. history of aspiration.
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there are relatively low lung volumes. pulmonary nodules measuring up to <num> mm seen on the prior ct were better appreciated on ct, which is more sensitive. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with sob, cough, fevers // infiltrate?
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right picc terminates in the mid svc. lungs are otherwise well expanded and clear with left basal opacity likely due to epicardial fat pad. cardiac size and mediastinal contours are otherwise unremarkable.
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<unk>-year-old man with picc, assess position.
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moderate cardiomegaly is again noted. the aorta is diffusely calcified and mildly tortuous. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. streaky bibasilar opacities likely reflect areas of atelectasis. no pleural effusion or pneumothorax is seen. no acutely displaced fractures are evident. several old left-sided posterior rib fractures are again noted.
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history: <unk>f with worsening back pain and leg pain. found on the floor today.
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there is mild elevation of the left hemidiaphragm. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. cardiomediastinal silhouette is normal.
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<unk>f with chest pain, evaluate for acute process.
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the lungs are clear. no right pleural effusion. no large left pleural effusion. no pneumothorax. stable mild cardiomegaly. mediastinal contour and hila are unremarkable. midline sternotomy wires again demonstrate disruption of the second sternotomy. additional sternotomy wires are intact. an enteric feeding tube is seen coursing midline with tip in stomach. a left chest wall pacer device lead tips are in the right atrium and right ventricle. right picc tip is in the mid svc.
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<unk> year old man with ngt. assess for ng tube placement.
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heart size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are hyperinflated. minimal patchy opacities are noted in the lower lobes bilaterally. no focal consolidation, pleural effusion or pneumothorax is present. skin <unk> along with a nerve stimulator device is noted within the left superior chest wall with single lead coursing cephalad into the left neck.
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history: <unk>m with cough and lethargy
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pa and lateral views of the chest provided. there has been interval removal of the right pigtail chest tube. lungs remain clear. no pneumothorax or effusion.
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<unk>m with ptx, ct removed today.
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lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with ms flare and leukocytosis // eval for pneumonia
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the lung volumes are low. there are moderate-sized bilateral pleural effusions with associated atlectasis. there is no focal consolidation or pneumothorax. a left chest wall pacemaker is present with leads in the right atrium and right ventricle. the heart size is mildly enlarged and there are aortic calcifications. there are no displaced rib fractures.
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<unk>-year-old man with multiple falls. question pneumonia or rib fractures.
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lung along volumes remain low. heart size is mildly enlarged but not substantially changed. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal patchy left basilar opacity likely reflects atelectasis in the setting of low lung volumes. no focal consolidation, large pleural effusion or pneumothorax is detected. no acute osseous abnormality is visualized.
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history: <unk>m with progressive distal weakness
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the lungs are well inflated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
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<unk>f with s/p mvc; p/w l tib/fib injury; r posterior back pain // eval for fx
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moderate enlargement of the cardiac silhouette is slightly pronounced compared to the prior study. the mediastinal and hilar contours are unremarkable. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no grossly displaced fractures are evident.
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history: <unk>f with left sided rib pain following a mechanical fall today
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even allowing for the ap technique and low lung volumes, the heart is probably mildly enlarged. a right subclavian central venous catheter is in the proximal svc. bibasilar opacities likely represent atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with hypoxia, s/p spinal surgery // eval for infiltrate
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moderate cardiomegaly is unchanged. there are small bilateral pleural effusions. elevation of the left hemidiaphragm is new from <unk>. right lung is grossly clear. there is mild interstitial edema. median sternotomy wires are intact. postsurgical catheter overlies the left hemithorax. multiple lower thoracic compression deformities are new from <unk>. there are severe degenerative changes of the right acromioclavicular joint.
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<unk>-year-old woman with weakness in <num> extremities x <num> weeks with subjective unilateral numbness.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low. minimal patchy retrocardiac opacity likely reflects atelectasis, with no evidence for focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with <num> days of shortness of breath, no cough
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there is mild pulmonary edema. bibasilar opacities are noted. superiorly the lungs are clear. moderate cardiac enlargement is noted. there are multiple linear lucencies specific only at the aortic arch and abutting the left side of the cardiac silhouette left chest wall single lead pacing device is noted. no displaced fractures identified. there is no subcutaneous gas in the neck.
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<unk>m with vt // chf
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the lungs are clear without focal consolidation, effusion or edema. cardiomediastinal silhouette is within normal limits for technique. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities. colonic interposition seen above dome of the liver below the right hemidiaphragm. posterior right rib fracture is chronic.
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<unk>m with ams, ?iph, gcs <num> // head: eval iph, pcxr: eval pna
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portable ap chest radiograph. there are new consolidations throughout the right long with some sparing of the apex and air bronchograms. there is no pleural effusion or pneumothorax. the left lung is clear. the heart size is normal.
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<unk> year old woman with melas syndrome and achalasia who is dyspnic, more hypoxic and small volume hemoptysis. // eval for pna, other etiology of hemoptysis
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the heart is mildly enlarged with bilateral perihilar opacities compatible with mild pulmonary edema. there are no pleural effusions or pneumothorax.
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<unk> year old woman with iv drug use and ground glass opacities seen on ct .
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frontal and lateral views of the chest. known bilateral pulmonary nodules are better seen on chest ct. biapical scarring is again noted. the lungs are hyperinflated but clear of consolidation or effusion. linear left basilar opacity suggestive of atelectasis or scarring. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
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<unk>-year-old female with left-sided chest pain radiating down the left arm.
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pa and lateral views of the chest. the lungs are clear. there is no pulmonary vascular congestion nor effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
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<unk>-year-old female with thyrotoxicosis. question congestive failure.
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ap and lateral views of the chest are compared to previous exam from <unk>. as on prior, there are indistinct pulmonary vascular markings seen throughout. there is, however, no confluent consolidation or large effusion. cardiac silhouette is enlarged but stable. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with possible infection or pneumonia, shortness of breath.
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heart size is normal. mediastinal and hilar contours are unchanged with multiple calcified anterior mediastinal lymph nodes again demonstrated. assessment of the right apex is limited due to obscuration by the patient's neck. there is mild interstitial pulmonary edema and small bilateral pleural effusions. no pneumothorax is present. loss of height of a mid thoracic vertebral body appears progressed compared to the prior radiograph. an ivc filter is noted within the upper midline abdomen as well as multiple clips.
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cough, leukocytosis and history of hodgkin's disease.
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a swan-ganz catheter terminates within a right pulmonary artery, more advanced in comparison to the <unk> examination. the heart size is top normal. the hilar and mediastinal contours are unchanged. there is no pneumothorax, focal consolidation, or pleural effusion.
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cardiogenic shock.
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study is limited due to patient positioning. imaged upper lungs are clear of consolidation. there is likely bibasilar atelectasis. small bilateral pleural effusions. no evidence of pneumothorax. stable cardiomegaly, with rightward positioning of the heart.
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<unk> year old woman with cough, tachycardia // pneumonia?
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pa and lateral views of the chest provided. cardiomegaly is re- demonstrated with a small left pleural effusion. associated opacity at the left lung base most likely represents atelectasis versus pneumonia. there is no overt edema. mediastinal contour is normal. a calcified nodular structure again seen projecting over the right upper lung likely costochondral calcification, as partially seen on a ct c-spine from <unk>. no convincing signs of edema. no pneumothorax. bony structures are stable.
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<unk>f with hx of chf with doe // eval edema, pna
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low lung volumes are present. the heart size is mildly enlarged but stable. the mediastinal and hilar contours are unchanged, with diffuse calcification of the thoracic aorta and prominence of both hila. there is mild pulmonary edema. small bilateral pleural effusions are noted. patchy opacities in the lung bases may reflect atelectasis but infection cannot be excluded. there are no acute osseous abnormalities detected. loss of height of a vertebral body at the thoracolumbar junction is unchanged.
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worsening lower extremity edema bilateral rales.
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upright portable chest radiograph demonstrates adequate lung volumes, with minimal residual left basilar opacity. moderate cardiomegaly is unchanged, with post-operative mediastinal prominence. the pulmonary vasculature is normal. there are likely small bilateral pleural effusions. a left axillary pacemaker is unchanged in appearance, median sternotomy wires are again noted.
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<unk>-year-old male with avr/cabg, question interval change.
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lungs are expanded and clear bilaterally with no pleural effusion, focal consolidation, masses or lesions. there is no evidence of pneumothorax. there are no focal thickening or calcifications seen in the pleura. the cardiomediastinal silhouette is within normal limits.
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<unk>-year-old male with history of asbestos exposure.
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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.
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history: <unk>f with pmh bipolar, depression presents c/o rape and kidnapping // cardiopulmonary process
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single portable view of the chest. tracheostomy tube and right picc are noted. left ij line is no longer seen. there is new essentially complete opacification of the left hemithorax. there is no definite shift of the mediastinum. right lung is notable for pulmonary vascular congestion. median sternotomy wires again noted. osseous and soft tissues are otherwise unremarkable.
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<unk>-year-old female with history of endocarditis and chest x-ray with effusion.
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frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. bilateral calcified hilar lymph nodes are again identified. no acute osseous abnormalities identified.
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<unk>-year-old female with chest pain.
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mild left base atelectasis/scarring is seen. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. there may be mild pulmonary vascular congestion. mitral annulus calcification is re- demonstrated. the cardiac silhouette remains top-normal in size. mediastinal contours are unremarkable.
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history: <unk>m on immunosuppressant recently in hospital with cough // pna?
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the lungs are moderately well-expanded. there is pulmonary edema of at least moderate severity. opacity in the left lung base likely represents a layering pleural effusion, possibly with some degree of loculation. coinciding opacity is probably present and compatible with atelectasis. there is a small to moderate right pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is stable from prior exam. aortic arch calcifications are again noted. results are similar to the examination from earlier on the same day.
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history: <unk>f with pulm edema, sob // eval for pulm edema and possible lll consolidation
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there has been some partial interval re-expansion of the left lung with some aerated lung seen laterally and superiorly. however there still large areas of consolidation in the left upper and lower lobes. air bronchograms are visualized. there is small amount of decrease in the mediastinal shift again compatible with some interval re-expansion of the left lung the et tube, ng tube and right-sided picc line are unchanged. there is a new left-sided pigtail catheter projecting over the left lower lung there continues to be volume loss in the right lower lobe. there is new/ increased pulmonary vascular redistribution on the right suggesting increased pulmonary edema
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<unk> y/o female with pmh notable for morbid obesity s/p gastric lab band (currently inflated, last adjusted <unk>), htn, hdl, nafld, and hx. of sinus bradycardia who presented to an osh (<unk>) initially with cough, <unk> edema, and new afib with rvr. // post thoracentesis xray.
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moderate enlargement of cardiac silhouette is unchanged. mediastinal and hilar contours are grossly stable with diffuse calcification of the thoracic aorta noted. the pulmonary vasculature is normal. apart from minimal linear atelectasis in the lung bases, the lungs are clear with no focal consolidation, pleural effusion or pneumothorax identified. there are no acute osseous abnormalities. mild loss of height of a mid thoracic vertebral body appears unchanged.
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new onset dizziness after fall catheterization <num> days ago.
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an endotracheal tube has been placed that terminates approximately <num> cm above the carina. a orogastric tube passes into the stomach, its distal course not imaged. lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. there is persistent mild elevation of the right hemidiaphragm with effacement of the right costophrenic sulcus and mild pleural thickening, apparently chronic in nature. likewise, blunting of the left costophrenic sulcus appears unchanged. there is no pneumothorax.
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status post intubation.
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frontal and lateral radiographs of the chest demonstrate a right-sided chest wall pacemaker with two leads terminating in the right atrium and right ventricle. these are unchanged in position, accounting for differences in technique, to the prior radiograph. no other relevant change is noted within the lung parenchyma. no pneumothorax is seen.
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confirm lead placement for dual-chamber pacemaker.
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cardiomediastinal contours are within normal limits. pacer leads are in standard position with tips in the right atrium and right ventricle. there appears to be a coronary stent. . the lungs are hyperinflated and grossly clear. there is biapical pleural - parenchyma scarring there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old man with icd placed // evaluate for lead placement
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the lung volumes are low compared to prior. mild increased right infrahilar opacity is likely due to crowding of the vessels. no pleural abnormality is seen. the cardiomediastinal silhouette is unchanged and normal.
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<unk> year old woman with night sweats and palpable spleen // lymphadenopathy
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lung volumes are slightly lower. there is a left chest wall pacemaker with leads in the right atrium and right ventricle. patient is status post cabg. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
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history: <unk>m with s/p fall // ?ich ?vertebral fractures
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the lungs are clear without a consolidation or edema. minimal scarring is noted in the right mid lung zone. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. a right-sided picc is in unchanged position with the tip in the mid svc. surgical catheters overlie the left upper abdomen, are unchanged from the prior exam.
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low-grade fevers after a whipple procedure. evaluate for pneumonia.
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frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with crowding of vasculature and mild vascular congestion. mild bilateral lower lobe atelectasis is noted. no pleural effusion or pneumothorax. persistent moderate cardiomegaly noted. mediastinal contour, and hila are otherwise unremarkable. free intraperitoneal air is likely present on the left.
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history of hiv on haart. end-stage renal disease status post renal transplant on immunosuppressive presenting with altered mental status and fall. assess for infection.
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linear density at the right lung base appears similar compared to prior and likely represents atelectasis. no pneumothorax is detected. blunting of the left costophrenic angle appears unchanged compared to prior and may represent pleural thickening rather than effusion. the aorta is calcified and unfolded. heart size is within normal limits. there is mild flattening of the hemidiaphragms and expansion of the retrosternal airspace, suggestive of lung hyperinflation.
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<unk>-year-old female with asthma, shortness of breath, and fever.
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the lungs are clear of consolidation, effusion, or vascular congestion. cardiac silhouette is top normal. no acute osseous abnormalities identified.
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<unk>f with l-sided chest pain // evaluate for acute process
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heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with chest pain // ? ptx
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the lungs are well expanded and clear. mediastinal contours, hila, and cardiac silhouette are normal. the aorta is tortuous. there is no pleural effusion or pneumothorax. no osseous abnormality identified within limits of plain radiography.
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<unk>f s/p reduction bimal fx
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
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<unk> year old woman with worsening shortness of breath and cough over past <num> months // please assess for acute processes
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk>f hx cirrhosis here with likely decompensated cirrhosis
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since the most recent exam yesterday evening, the left lower lobe atelectasis has increased, returning to its previous appearance on the exam yesterday morning. the right lower lobe atelectasis and new right upper lobe linear atelectasis are essentially unchanged from the most recent exam. otherwise, no significant change in the mediastinal contour, elevation of left hemidiaphragm, and right chest wall subcutaneous emphysema. no pneumothorax. small bilateral pleural effusions.
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<unk>-year-old man with interstitial lung disease, status-post right vats with wedge resections; evaluate for interval change.
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portable ap radiograph of the chest demonstrates a right-sided picc, terminating at the cavoatrial junction. additionally, there is a nasogastric tube which is seen coursing along the expected location of the esophagus and below the diaphragm, nonacute. a calcified ventriculoperitoneal shunt projects over the right hemithorax. since the prior study, there has been interval improvement in bilateral pleural effusions, although a small right pleural effusion persists. multiple vascular clips project over the left axilla and hemithorax. linear scarring along the left upper mediastinum may be due to prior radiation fibrosis. there is no evidence of pneumothorax. the bilateral hemidiaphragms are flattened, consistent with emphysematous change. hazy opacification within the right lung base as well as the left lung base is likley due to atelectasis.
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dyspnea. evaluation for pneumonia.
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a right lung place pleurx catheter has been placed. there is a new small right apical pneumothorax. there has been significant interval decrease in the right pleural effusion, which is now trace in size. a persistent right upper lobe opacity is likely due to atelectasis and/or infiltrating tumor. a new ill-defined right lung base airspace opacity may be due to re-expansion pulmonary edema. the left lung is clear. there is a stable small left pleural effusion. heart and mediastinum are within normal limits.
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<unk>-year-old female status close chest tube placement for pleural effusion.
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portable ap upright chest radiograph. tracheostomy tube and right picc are unchanged. chin obscures the right apex; however, the remainder of the lungs appear well expanded and clear. there is no pleural effusion or pneumothorax. heart and mediastinal contours are unchanged.
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nmda receptor encephalitis and complicated hospital course of multiple infections with fever and increased secretions, with decreased left breath sounds, assess for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lung volumes are low. there is no pleural effusion or pneumothorax. the lungs appear clear.
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fever and stroke.
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there is subtle increased opacity over the right lower lung field laterally with persistent mild interstitial abnormality, which may represent small airways disease as seen on prior ct. no pneumothorax or pleural effusion is detected. heart and mediastinal contours are stable with mild aortic tortuosity and calcification.
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<unk>-year-old female with shortness of breath and wheezing.
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pa and lateral chest radiographs were obtained. a fine reticular pattern of opacities projects over both lungs. bibasilar supleural fibrosis is visualized on the subsequently obtained abdomenal ct. overall, the appearance is similar to <unk>. moderate cardiomegaly is similar.
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epigastric pain.
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since <num> day prior, no significant changes are appreciated. moderate bibasilar atelectasis, moderate cardiomegaly, and moderate pulmonary vascular congestion are essentially unchanged. pleural effusions are small, if any. no pneumothorax. an et tube terminates <num> cm above the carina. a right-sided picc terminates in the mid svc. an enteric tube side port projects over the mid stomach. a left-sided chest tube remains in place.
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<unk> year old man with ett s/p surgery // ? change in cardiopulm status
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chest, pa and lateral. the lungs are hyperinflated but clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old man with inspiratory crackles on exam. evaluate for pneumonia.
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there is no significant change compared with prior examination. the lungs are hyperinflated with some flattening of both diaphragms. bilateral interstitial markings, more prominent at the lung bases, are compatible with fibrosis. no new focal parenchymal opacity is seen. prominent atherosclerotic calcifications of the aortic knob are present. cardiomediastinal and hilar contours are unremarkable. there is no cardiomegaly. no pleural effusion or pneumothorax. biapical pleural parenchymal scarring is present and unchanged.
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<unk>-year-old female with cough and fever. evaluate for evidence of pulmonary infiltrate.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation is identified concerning for pneumonia. visualized heart and pericardium are unremarkable. there is no pleural effusion or pneumothorax. osseous structures demonstrates no acute abnormality. no free air is identified below the right hemidiaphragm.
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<unk>-year-old female with chest pain.
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pa and lateral views the chest provided. lung volumes are low with bronchovascular crowding 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 is seen.
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<unk>f with cough // eval for pna
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a large right pleural effusion is present with compressive atelectasis of the right lung accounting for near complete opacification of the right hemithorax. mediastinal and left hilar contours appear unremarkable. heart size cannot be assessed given the presence of the large right pleural effusion. left lung is clear. no pulmonary vascular congestion is present. there are no acute osseous abnormalities. clips are seen in the right upper quadrant of the abdomen likely reflective of prior cholecystectomy.
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history: <unk>m with chest pain
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there is some atlectasis at the right base, but the lungs are otherwise clear. there is no evidence of pneumonia. the aorta is mildly tortuous but the heart is normal in size. the hilar contours are normal. the pleural surfaces are clear without effusion or pneumothorax.
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recent right lower lobe pneumonia. evaluation for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p15690303/s57648619/f9a43c22-6b627524-2442554f-c55b8076-b956da95.jpg
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again seen is a round opacity in the left upper lobe which corresponds to the laceration seen on the prior ct. this is unchanged compared to the prior exam. the left third rib fracture is not clearly seen on this exam. the previously noted right upper lobe nodules on the ct also cannot be clearly seen on this exam. no new focal consolidations are identified in the lungs. the mediastinal and hilar borders are unremarkable. there appears to be interval increase in the left-sided pleural effusion; however, this may be secondary to differences in patient positioning compared to the prior exam. there is stable moderate cardiomegaly.
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<unk>-year-old female with a history of rib fractures who presents for evaluation.
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