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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. a mild pectus excavatum deformity of the sternum is noted. no free air below the right hemidiaphragm is seen.
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<unk>f with exertional afib episode today, chest pain, shortness of breath
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with shortness of breath.
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lung volumes are reduced, accentuating the cardiac contour and pulmonary vasculature. mild cardiomegaly. no strong evidence for pneumonia or pulmonary edema. no pleural effusion or pneumothorax.
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history: <unk>m with ams, melanoma on chemo // eval for pna
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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fever, chills, and leukocytosis. concern for pneumonia.
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endotracheal tube tip terminates <num> cm from the carina. orogastric tube tip and side port are within the stomach. right internal jugular central venous catheter is new, with tip terminating at the junction of the svc and proximal right atrium. no pneumothorax is demonstrated. there is continued pulmonary edema, which appears slightly progressed in the interval, now moderate to severe in extent. cardiac, mediastinal and hilar contours are unchanged. no pleural effusion is seen.
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central line placement.
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portable semi-upright radiograph of the chest demonstrates low lung volumes. the cardiac silhouette is mildly enlarged. crowding of vasculature in the right infrahilar region is likely due to low lung volume. no definite consolidation is identified. there is no large pleural effusion or pneumothorax.
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<unk>m with cva // eval for consolidation
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the patient is post cabg. the heart size is normal. the aorta is moderately tortuous, unchanged in configuration since the prior chest radiograph. again seen is a density projecting along the right upper mediastinum, unchanged since the <unk> examination, corresponding to prominent vasculature as confirmed on the chest ct examination from <unk>. the hilar and mediastinal contours are otherwise normal. there is no pneumothorax, focal consolidation, or pleural effusion. mild degenerate changes of the thoracic spine are stable.
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cough and fever.
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the ng tube is unchanged and in standard position. the ventilation of the right lung base is improved with reduced pleural effusion. persist the left base consolidation with small pleural effusion. the pulmonary edema is reduced. there is no pneumthorax cardiomegaly is stable
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<unk>-year-old man with recent seizure and spiked fever, any intrathoracic process .
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right sided subclavian line terminates in the mid-svc. there is a vague right lung base opacity which is better characterized on ct from <unk>. no new areas of consolidation. there are no pleural effusions or pneumothorax. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk> year old man with aml, now with neutropenic fever, known rll consolidation, spiked another fever last night // ? worsening pneumonia
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streaky retrocardiac opacity is again seen likely atelectasis. there is however a more focal consolidation at the right lung base as well as blunting of the lateral costophrenic angle. there is right hilar fullness with a somewhat irregular contour. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk>f with shortness of breath, hypoxia // eval for chf, pneumonia, pe
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal contours are unremarkable.
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history: <unk>f with chest pain, high fever, cough // eval for pna
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lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
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<unk>f with fever and cough // r/o pna
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ap portable supine view of the chest. endotracheal tube is seen with its tip residing approximately <num> cm above the carinal. bilateral pulmonary opacities are noted concerning for pneumonia and possible edema. no supine evidence for effusion or pneumothorax the right cp angle is excluded. cardiomediastinal silhouette is normal. no bony abnormalities. a clip in the right upper abdomen noted.
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<unk>f with intubation cardiac arrest // eval ett
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the patient is status post sternotomy and aortic valve replacement. the patient also has an unchanged dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. the heart is moderately enlarged. dense mitral annular calcifications are present. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes are noted along the thoracic spine. there is no evidence for free air.
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racing heart and nausea.
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with chest pressure earlier today associated with anxiety, now resolved // please assess for pneumothorax, effusion
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portable, semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there is increased opacification of the bilateral bases to the mid lung fields, which most likely represents pulmonary edema, however underlying infection cannot be excluded. there is severe cardiomegaly, which is stable. there are small to moderate bilateral pleural effusions. there is no pneumothorax.
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history of heart failure and copd now with shortness of breath.
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lungs are well expanded bilaterally with expected increase in right pleural effusion. there is no pneumothorax. there are no areas of focal consolidation concerning for infection. previously seen subcutaneous emphysema has resolved. there has been interval minimal mediastinal shift to the right. the aorta is tortuous. otherwise, cardiomediastinal and hilar silhouettes are within normal limits. the pleural surfaces are unremarkable.
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<unk>-year-old female status post vats, right lower lobectomy.
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the lungs are well inflated and clear. heart size and mediastinal contour are normal. no pleural effusion or pneumothorax. osseous structures are intact.
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<unk>m with ekg changes no chest pain or sob
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<num> views of the chest demonstrates clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen. surgical clips overlie the left lung base and left axilla.
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past medical history of metastatic breast cancer currently on chemotherapy.
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lung volumes are low, and the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
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<unk>-year-old male with right upper quadrant pain and hypoxia.
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pa and lateral views of the chest provided. midline sternotomy wires and prosthetic valve again noted. dual lead pacer device again noted with leads extending to the region of the right atrium and right ventricle. lungs are clear without focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is stable and normal. atherosclerotic calcification is mild along the aortic arch. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with chest pain
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pa and lateral views of the chest. there is no free subdiaphragmatic air. no focal consolidation, pleural effusion or pneumothorax. mild cardiomegaly is exaggerated by low lung volume. right paratracheal mediastinum is full, likely a combination of mediastinal fat and dilated systemic veins.
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abdominal pain, question of free air.
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bilateral pleural effusions have slightly increased with moderate left pleural effusion and a small right pleural effusion, both with subsequent areas of atelectasis at the lung bases have also increased. mild pulmonary edema has progressed since <unk>. unchanged mild cardiomegaly.
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<unk> year old man with sob and fatigue, has a hx of cad and chf. // pls assess for early chf
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no displaced fractures are identified.
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right lateral rib pain.
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pa and lateral views of the chest were obtained. lung fields are clear bilaterally with no focal consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there are no bony abnormalities. there is no free air below the right hemidiaphragm.
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stroke.
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compared to the prior study there is no significant interval change. there is obscuration of the right hemidiaphragm with alveolar opacity visualized in the cp angle on the lateral film compatible with infiltrate and associated small effusion
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<unk> year old man with new right pleural effusion, concern for pneumonia // evaluate for interval change
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interval placement of a left-sided chest tube with the tip terminating at the left lung apex. a large left pleural effusion with significant compressive atelectasis has minimally decreased in size as compared to the prior examination. there is no appreciable mediastinal shift identified. the right lung is grossly clear.
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history: <unk>m with large loculated pleural effusion now s/p chest tube placement // please evaluate chest tube position
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with left chest pain // concern for injury
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pa and lateral views of chest demonstrate extremely low lung volumes which contribute to bibasilar atelectasis. given these low lung volumes, evaluation for an infectious process is very limited. there is no pneumothorax. there is no pleural effusion. the heart size is exaggerated given ap view as well as low lung volumes. no free air is noted in the abdomen. a percutaneous biliary drain is seen in the right upper quadrant.
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right upper quadrant pain and hypoxia.
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the heart is normal in size. the mediastinal and hilar contours appear unchanged, again featuring enlarged central pulmonary arteries raising concern for pulmonary arterial hypertension that could be seen with intrinsic lung disease. markedly irregular lung architecture with areas of multifocal scarring and hyperinflation suggest severe emphysema. there is no pleural effusion or pneumothorax. what is new is superimposed opacity in the right lower lobe suggesting pneumonia.
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worsening dyspnea.
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there is a persistent linear opacity at the right lung base which is most suggestive of atelectasis. there is also atelectasis at the left lung base. lung volumes are decreased. the lungs are clear of confluent consolidation or pulmonary vascular congestion. there no pneumothorax or pleural effusion. the cardiomediastinal silhouette is within normal limits. stents are identified in the upper abdomen as on prior exam.
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<unk>-year-old with gram-negative rod sepsis, now with new rales on exam.
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atelectasis of the right base has increased, with omolateral deviation of the trachea. the left base pleural fluid has increased. the heart is still moderately enlarged. there are no sign of pulmonary edema
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<unk> year old man with severe sepsis, oxygen requiremen evaluation of pulmonary edema.
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in comparison with chest radiograph from <unk>, a small area of heterogeneous opacity in the posteroinferior aspect of the left lower lobe suggests pneumonia. there is no effusion or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
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<unk> year old woman with asthma exacerbation, cough w/purulent sputum. crackles at both bases // ?pna
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the tip of the endotracheal tube projects at the level of the clavicular heads, <num> cm from the carina. a gastric tube extends into the stomach. a left chest wall dual lead aicd is present. the tip of the right picc line extends into the lower right atrium and could be retracted by approximately <num> cm which would place the tip near the superior cavoatrial junction. low bilateral lung volumes with mild pulmonary edema, bibasilar atelectasis and suspected small right pleural effusion. no pneumothorax identified. the size of the cardiac silhouette is mildly enlarged.
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<unk> year old man with replaced og tube // og tube placement
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>f with cp and dyspnea // r/o pna, effusions, ptx
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there has been interval removal of the right-sided central line. no pneumothorax is detected. prominent central pulmonary vasculature may be exaggerated by slightly low volumes. heart and mediastinal contours are similar as compared to prior. no focal consolidation or pleural effusion is detected on this single view.
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<unk>-year-old male with central line dislodgement.
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interval removal of left picc. stable, severe cardiomegaly. normal mediastinal and hilar contours. left lower lobe consolidation may reflect atelectasis or pneumonia. likely improved left pleural effusion.
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<unk>-year-old man with a history of chf, now with decreased breath sounds at the right base.
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cardiac silhouette size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine.
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history: <unk>f with fever // evaluate for pneumonia
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tracheostomy tube and right subclavian central line again seen, similar in location. no pneumothorax is detected. the cardiomediastinal silhouette is enlarged, but unchanged. again seen are is diffuse vascular plethora and alveolar opacity in both lungs, slightly less pronounced in the left upper zone. the overall appearance is similar, but slight interval increase in the right upper zone opacity cannot be excluded. probable bilateral effusions with underlying collapse and/or consolidation.
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<unk> year old woman with respiratory failure effusions // interval change
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right picc tip is at the cavoatrial junction. cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old man with granulomatous angiitis // please check picc placement
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left picc tip terminates in the svc. low lung volumes are noted. the cardiac silhouette size is unchanged and is mildly enlarged. the aorta remains tortuous. there is mild to moderate pulmonary edema, which appears progressed in the interval. small left pleural effusion is present. opacification in both lung bases likely reflects atelectasis though infection cannot be excluded. coronary artery stent is again demonstrated. there is no pneumothorax.
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fever, hypoxia post whipple's procedure.
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inspiratory volumes are quite low and there is considerable lordotic positioning. a left apical chest tube has been placed. mediastinal contour is unchanged. endotracheal tube ends <num> cm above the carina. partially image nasoenteric tube. cardiomediastinal silhouette remains prominent. possible slight left-sided pleural thickening, particularly in the upper chest. there is prominence of the pulmonary vessels and increased retrocardiac density, though the significance of these findings, given the degree of low inspiratory volumes, is uncertain. multiple displaced left rib fractures again seen associated with subcutaneous gas. known right-sided rib fractures not well seen on the current radiographs. a displaced left humeral neck fracture and left scapular fracture re- demonstrated.
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<unk>m with chest tube placement, evaluate chest tube..
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patient is status post median sternotomy, cabg, and coronary artery stenting. cardiac, mediastinal and hilar contours are normal. scarring within the lung apices, more so on the right, is unchanged. no focal consolidation, pleural effusion or pneumothorax is identified. pulmonary vasculature is not engorged. the no acute osseous abnormality is present.
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history: <unk>m with confusion
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pa and lateral views of the chest provided. subtle increased opacity at the right medial lung base could represent an early pneumonia in the correct clinical setting. lungs are otherwise clear. no large effusion or pneumothorax. the heart remains mildly enlarged. mediastinal contour is stable. bony structures are intact.
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<unk>f with takayasu arteritis with right chest pain, shortness of breath, right shoulder/back pain
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there is a new dense consolidation in the right lung, which could be pneumonia or pulmonary hemorrhage. right upper lung is obscured by head position. pulmonary edema is noted in the left lung. there is no pleural effusion or pneumothorax. moderate cardiomegaly is similar to prior. dual channel right supraclavicular central venous hemodialysis catheter terminates in the low right atrium.
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<unk> year old man with esrd afib now with hypoxia // pulmonary edema? infiltrate
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no focal consolidation, pleural effusion or pneumothorax. the size the cardiac silhouette is enlarged.
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<unk> year old man with pckd here for hd initiation, has a positive quant gold without constitutional or respiratory symptoms // r/o active tb
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frontal and lateral chest radiographs demonstrate stable severe cardiomegaly with significant mitral annular calcification. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax.
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cough, episode of hyperglycemia. please evaluate for infiltrate.
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion, and pulmonary vascularity is normal.
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positive ppd.
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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 sudden onset cp/sob
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cardiac silhouette size is normal. the aorta is tortuous and diffusely calcified. the mediastinal and hilar contours are otherwise unchanged. lungs are hyperinflated but clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
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history: <unk>m with possible stroke
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pa and lateral chest radiograph demonstrates an enlarged heart. this appears similar when compared to prior study dated <unk>. lungs are clear with no focal opacity convincing for pneumonia. a a right chest port is noted its tip terminating in the distal svc. there is no pleural effusion or pneumothorax. no evidence of pulmonary edema.compression deformity of t<num> is again noted.
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history: <unk>f with hx of mutiple myolema p/w fever one week, cough no sob // r/o pna
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since <unk>, moderate bilateral pleural effusions are slightly improved and moderate bibasilar and retrocardiac atelectasis is unchanged. a right port-a-cath is seen with the tip in the low svc. the lung volumes are low. a new right chest tube is noted. para-mediastinal masses are again identified, and better assessed on prior pet-ct. the heart size is difficult to evaluate. no pneumothorax.
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<unk> year old woman with right mpe s/p tpc placement with <num>ml // ? ptx
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lung volumes with vascular crowding. the cardiomediastinal silhouette and hila are normal. no effusion, no pneumothorax.
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patient with fever.
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heart size is normal. the aorta is diffusely calcified. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities. moderate multilevel degenerative changes are noted in the thoracic spine.
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history: <unk>f with confusion and new onset cough
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. pulmonary vascularity is normal. there are no acute osseous abnormalities.
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upper respiratory tract symptoms and history of pneumonia recently.
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frontal and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. an opacity projecting over the lower lungs on the lateral view only without a correlate on the frontal view radiograph may represent atelectasis or focal pneumonia. fullness in the region of the azygous vein suggests increased central venous volume without overt pulmonary edema. there is no pleural effusion or pneumothorax. heart size is upper limits of normal. mediastinal silhouette and hilar contours are normal.
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altered mental status.
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lung volumes are normal. no consolidation, effusion or pneumothorax. no pulmonary edema. cardiomediastinal and hilar contours are normal.
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<unk>m with <num> episode of bilateral sharp chest pain, radiating to back
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there has been interval removal of multiple chest tubes. a right internal jugular catheter is unchanged in position compared to the prior study. previous median sternotomy noted. no pneumothorax or pleural effusions seen. patchy opacities of the bilateral lung bases consistent with mild pulmonary edema.
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<unk> year old man s/p cabg and ct removal // r/o ptx
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lungs are fully expanded and clear. no pleural abnormalities. heart size is top-normal. cardiomediastinal and hilar silhouettes are normal. there is a compression deformity in the lower thoracic spine.
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<unk>f w/ fever pod<num> from ccy with "chest tightness" .
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nasogastric catheter is seen coursing through the dilated esophagus, consistent with achalasia, and appears to terminate in the esophagus at the level of the posterior costophrenic sulcus. otherwise, the exam is unchanged with unremarkable mediastinal, hilar and cardiac contours. lungs are clear. no pleural effusion or pneumothorax is evident.
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achalasia, status post ng tube placement into esophagus. please confirm ng tube in esophagus.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with right shoulder pain
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the cardiomediastinal silhouette and hilar contours are unremarkable. linear opacities seen best anteriorly on the lateral view are probably right middle lobe atelectasis which could be due to obstruction from bronchial infection. lateral view also suggests a <num>mm nodule projecting over the aorta just cephalad to the left hemidiaphragm. pleural surfaces are normal.
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fever and cough.
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cardiomediastinal contours are normal. nonspecific biapical pleural parenchymal scarring appears unchanged. the remainder of the lungs are clear. no pleural effusion.
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<unk> year old woman with churg <unk>, now with pft's slightly down, weight loss // eval for infiltrate
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the lung volumes are slightly low but grossly clear without focal airspace opacity. the heart is somewhat globular in shape and may reflect pericardial effusion. left chest wall pacemaker again has leads terminating in stable position. there is small left pleural effusion but no pneumothorax. there is no pulmonary edema.
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fever. evaluate for pneumonia.
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as compared to <unk>, endotracheal tube is <num> cm from the carina in has been advanced. the swan-ganz catheter is now in the main pulmonary artery in good position. the remaining support devices are unchanged. cardiomediastinal contours given for differences in rotation are unchanged. moderate severe cardiomegaly persists. bibasal opacities have slightly increased. small bilateral pleural effusions persist. left breast implant is unchanged.
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<unk> year old woman with as above // s/p repair of aortic dissection w/mediastinal hematoma ?increase
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frontal and lateral chest radiographs demonstrate mildly hyperinflated clear lungs and a normal cardiomediastinal silhouette. no pleural effusion or pneumothorax is seen.
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history of non-hodgkin's lymphoma with cough. evaluate for pneumonia.
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similar to somewhat increased opacification of the left lung base reflecting parenchymal opacification with a pleural effusion. differential considerations include scarring or atelectasis, but pneumonia is hard to exclude. the cardiac, mediastinal and hilar contours appear unchanged. a port-a-cath terminates at the lower superior vena cava before.
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aspiration versus pneumonia. the patient with poems, mds, fever and hypotension.
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pa and lateral views of the chest provided. surgical clips and biliary stents project over the upper abdomen. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with primary biliary duct ca now w/ infectious prodrome, high fever // r/o infection
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with chest pain
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. heart size is top normal, unchanged from chest radiograph <unk>. cardiac and mediastinal silhouettes are stable.
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history: <unk>f with neuro changes // r/o pna for infectious workup
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a new feeding tube extends to the level of the ge junction, and is not in an airway. small bilateral pleural effusions with bibasilar subsegmental atelectasis are unchanged. there is no pneumothorax. the heart and mediastinum cannot be accurately assessed on this projection.
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<unk> year old man with ngt advanced at bedside half way = please confirm that tube is not in airway prior to further advancement to stomach, page with result asap. thanks dr. <unk> <unk> <unk>
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frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. cardiac and mediastinal contours are normal.
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asthma with increased shortness of breath and cough. evaluate for pneumonia.
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ap portable upright view of the chest. midline sternotomy wires are noted. lungs appear clear. cardiomediastinal silhouette is stable. bony structures appear intact. bones appear demineralized.
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<unk>m with chest pain // eval ptx or pna
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. small air-filled cavity in the anterior chest wall on the lateral view likely the location of the port removed two days ago
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<unk> year old woman with hx of nhl. cough. please r/o pna.
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a right-sided dual-lead pacemaker is in adequate position with its leads terminating in the right atrium and right ventricle, expected locations. as compared to prior chest radiograph, small bilateral pleural effusions have improved. bibasilar atelectasis still remains. there is some engorgement of the hila, which could represent mild pulmonary congestion. there is no new focal consolidation or pneumothorax. the cardiomediastinal and hilar contours are within normal limits. no definite fracture identified.
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<unk>-year-old woman with fall, inability to bear weight on right lower extremity and pain with rom of right upper extremity. evaluate for fracture.
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the cardiac, mediastinal and hilar contours appear unchanged. the aortic arch is again densely calcified. the descending aorta shows more patchy calcification. the heart appears borderline in size. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the bones are probably demineralized.
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generalized weakness and lightheadedness.
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heart size is moderately enlarged, unchanged. the aortic knob is calcified. the mediastinal and hilar contours are similar. there is no pulmonary edema. streaky opacity in the retrocardiac region is demonstrated. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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history: <unk>f with chills, dyspnea // r/o pneumonia
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there is increased aeration of the left lung. there are streaky bibasilar opacities. on the lateral there is evidence of increased opacity along the left major fissure. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with l effusion vs. pna. would like pa/lat to better characterize // eval for effusion
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. there is no pneumothorax, pleural effusion or consolidation. the cardiomediastinal and hilar contours are unchanged. old healed rib fracture along the lateral right <num>th rib is again seen. there is atherosclerotic calcification of the aortic knob. no displaced rib fracture is identified.
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rib pain and dyspnea. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13383991/s59210712/78e4855b-291517fa-f142a285-94a78956-10da7876.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with tachycardia, history of congestive heart failure
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there appears to be interval worsening of the bilateral perihilar opacities. there are small stable bilateral pleural effusions. there is stable moderate cardiomegaly. mild bibasilar atelectasis appears to have increased. there is a right-sided pic line, which appears slightly retracted compared to the prior exam; however, appears to terminate the mid svc. there is no evidence of a pneumothorax.
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history of gi bleed complicated by respiratory failure. please evaluate for interval change.
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the tip of the ng tube is in the body of the stomach and the first port in the fundus, this could be advanced <num> cm. there is a right ij with the tip in the cavoatrial junction. the mild interstitial edema, slightly more asymmetric on the right, has not significantly changed. heart size is stable. the mediastinal and hilar contours are stable. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with encephalopathy and doe // cardiopulmonary process
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.the aorta is calcified and tortuous.
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<unk> year old woman with persistent cough. evaluate for pneumonia or mass.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with ruq abd pain, worsening sputum production // c/f pna
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endotracheal tube is low lying, terminating <num> cm above the carina. tip of the hemodialysis catheter terminates at the mid svc. an enteric tube extends to at least the low esophagus, but the tip is not captured on the current study. lung volumes are low. there is mild pulmonary vascular congestion. no focal consolidation. there is a small pleural effusion on the left. no sizable pleural effusion on the right. no pneumothorax. cardiomediastinal contours are normal.
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<unk>-year-old female presenting after cardiac arrest. evaluate endotracheal tube placement.
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a right parasternal port-a-cath is again noted with its catheter extending into the right subclavian vein and its tip in the region of the mid to low svc. there is new airspace consolidation in the right lower lung which is concerning for pneumonia. also noted, is increased opacity in the right upper lobe which could represent pneumonia. extensive pulmonary nodules as seen on prior ct again noted consistent with endometrial cancer metastasis. there is likely a small right pleural effusion. cardiomediastinal silhouette appears stable. no pneumothorax. bony structures are intact. bilateral percutaneous nephrostomy catheters are noted. hardware partially noted in the lumbar spine.
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<unk>f with hypoxia, endometrial cancer // eval for pna, ptx
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linear opacities at the lung bases likely represent atelectasis. there is no focal consolidation to suggest pneumonia. cardiomediastinal and hilar contours are unchanged. <unk> paralleling the thoracic vertebral bodies are again noted. there is no pneumothorax.
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<unk>-year-old woman with hemoptysis evaluate for acute process.
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. the ascending aorta appears somewhat prominent, possibly related to mild dilation or tortuosity.
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<unk>m with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p13420842/s58731966/b9bb5de0-7a158de2-6452264c-e9236dce-7688d546.jpg
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stable small left apical pneumothorax. left pigtail catheter is unchanged in position and is in the lateral left chest. left mid lung linear scarring is unchanged. lungs are clear bilaterally and no large pleural effusion. heart size, mediastinal contour and hila are normal. no bony abnormality.
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male with left lower lobe lung cancer treated with radiation, now presents with left pneumothorax and pigtail. assess left apical pneumothorax.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the aorta is mildly tortuous. contrast material is seen in the bowel.
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<unk>-year-old woman with cns lymphoma and c<num>-<num> fracture, status post chemo with cough, dyspnea and dysphagia. question aspiration.
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there is chronic blunting of the right costophrenic angle. the lateral view is suboptimal due the patient's overlying arm. no focal consolidation is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with left shoulder pain, sob cough // r/o pnashoulder r/o xrays
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MIMIC-CXR-JPG/2.0.0/files/p17424221/s52770365/9c1bf48b-c6c9e8d5-8c03b2d1-62db364e-4105b196.jpg
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single portable upright chest radiograph demonstrates an enlarged heart with consolidation involving the left lower lobe and along the left lateral pleural surface. interstitial markings are prominent within bilateral lungs though greater within the left upper lobe. opacification involving the left apex is additionally present. findings are concerning for pleural based process including neoplasm. rib fractures involving the right <num>, <num>, and <unk> th ribs noted. imaged upper abdomen is unremarkable. there is no pneumothorax.
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<unk> year old woman with mm, here with sob // pna
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single portable ap upright chest radiograph was obtained. the cardiac silhouette appears normal and unchanged compared to the prior examination. mild mediastinal prominence is likely related to differences in patient positioning and technique. the lungs demonstrate low volumes as before, but are otherwise clear without focal consolidation. there is no pleural effusion and no pneumothorax.
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chest pain, pleuritic in nature.
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MIMIC-CXR-JPG/2.0.0/files/p11290277/s57709894/a903df4c-35df6cac-1ab1b32a-10c83d71-12a2e2db.jpg
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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 c/o cp // ? pna
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frontal and lateral chest radiographs again demonstrate a pigtail catheter projecting over the left lung base. the cardiac silhouette remains mildly enlarged. the left hemidiaphragm is better visualized on today's exam, suggestive of resolution of left pleural fluid. patchy opacities and pleural effusion on the right are unchanged. gaseous distention of bowel loops is noted in the left upper quadrant of the visualized abdomen.
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evaluate for interval change in a patient with loculated pleural effusion status post pigtail placement.
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portable single frontal chest radiograph was obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. again noted is angulation of the right <unk> and <num>th ribs which may represent prior trauma.
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confusion, evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p13734294/s50334643/ca9cf33b-22e9eaaf-024fc2e5-6a3c9280-f8428185.jpg
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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 sob, anterior chest pain x<num> day // eval for consolidation
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MIMIC-CXR-JPG/2.0.0/files/p13323674/s52754462/3401ef84-75e86d23-5577dd99-7fd58556-8cbd2186.jpg
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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.
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<unk>m with chest pain // r/o infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p14507036/s50836378/5d8c4675-21a154ce-0ce5421c-bb52e9c4-8d30742c.jpg
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no pigtail catheter is seen in the thorax. the large loculated left-sided pleural effusion with concurrent consolidation is unchanged compared with prior exam. the previously noted right basilar atelectasis has resolved, likely due to better inspirastory effort. there are no other significant changes.
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<unk>-year-old male status post pigtail catheter placement. evaluate for evidence of pneumothorax, unchanged.
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MIMIC-CXR-JPG/2.0.0/files/p11790974/s56064549/8577c67f-0fd66ccb-ce90fe7d-6517f9a1-6ded9f3c.jpg
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a portable frontal semi upright chest radiograph demonstrates an endotracheal tube terminating in the upper thoracic trachea, enteric tube extending below the left hemidiaphragm, and a left chest wall pacer device with the lead overlying the right ventricle. the heart remains enlarged. bilateral pulmonary opacities are compatible with pulmonary edema, similar to mildly increased. however superimposed infection cannot be entirely excluded. there is no appreciable pneumothorax or displaced rib fracture. the visualized upper abdomen is unremarkable.
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evaluate for pneumothorax or rib fracture in a <unk>-year-old man status post cardiac arrest, now with return of spontaneous circulation.
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