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MIMIC-CXR-JPG/2.0.0/files/p18769505/s53024959/f447a911-378fac2f-8dd62ca0-93f2cc0c-eb5562f4.jpg
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy ill-defined opacities are demonstrated in both lung bases concerning for multifocal pneumonia. no pneumothorax or pleural effusion is identified. no acute osseous abnormalities detected.
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history: <unk>f with upper respiratory tract infection symptoms, wheezing.
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endotracheal tube terminates <num> cm above the carina. right ij central venous catheter is at the cavoatrial junction. left ij catheter is at he origin of svc. ng-tube projects over the stomach, tip not imaged. there is diffuse homogenous bilateral airspace opacification. no large effusion or pneumothorax.
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<unk> year old woman with pmh recurrent pna, currently intubated for respiratory failure. transfer from osh // please assess placement of lines and tubes/acute processes
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MIMIC-CXR-JPG/2.0.0/files/p14755226/s52980002/85dcbd57-3827edc4-dfc9f3a8-0374c5ba-d02a1686.jpg
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cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs remain hyperinflated. blunting of the costophrenic angles posteriorly is again noted, which may reflect pleural thickening versus small bilateral pleural effusions. bibasilar atelectasis is likely present. no focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>m with chest pain
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no displaced fractures identified.
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<unk>m w/ ? l sided impact by passing car w/ rib pain // eval ? rib injury, ptx
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MIMIC-CXR-JPG/2.0.0/files/p16086306/s53371386/24cd75c8-3f06d760-4a75dd58-cc8e00fa-81edb792.jpg
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worsening right basilar atelectasis, new right and persistent small left pleural effusions are present. minimal left basilar opacity is unchanged. the lungs are otherwise clear. the pulmonary vasculature remains normal. the cardiac silhouette is markedly enlarged, the mediastinal contours are widened. median sternotomy wires remain intact. a right ij sheath, endotracheal tube, and ng tube have been removed in the interim.
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<unk>-year-old male with ascending aortic repair. evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p10224976/s53019148/d1328b06-abbc2f17-819ff86c-219d8ff0-e6ab27f6.jpg
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a right port-a-cath is unchanged in position with the tip terminating in the proximal right atrium. a left pleural pigtail catheter is unchanged in position. there is a possible small locule of air and fluid at the left costophrenic angle. a small-to-moderate right pleural effusion is not significantly changed from <unk>. there are stable findings of right hilar prominence, mild fluid overload and parenchymal opacities. prominent malignant lymphatic dilatation is better appreciated on recent ct of the chest. the cardiac silhouette is moderately enlarged but unchanged.
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<unk>-year-old man with history of osteosarcoma and recurrent pleural effusions, status post chest tube placement, here to evaluate for interval changes.
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MIMIC-CXR-JPG/2.0.0/files/p18398194/s50095550/c113ea1e-87ccedb3-f1b2ab04-0edb7179-762ff823.jpg
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multiple pa radiographs demonstrate low lung volumes without focal consolidation. there is no pleural effusion, vascular congestion or pneumothorax. the cardiomediastinal silhouette is normal.
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cough for more than one week.
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MIMIC-CXR-JPG/2.0.0/files/p15491563/s54871704/8878bca2-2f313b5a-8e385578-a4d9014e-25e812bb.jpg
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lungs are grossly clear of consolidation or large effusion noting limitation due to portable technique and overlying soft tissues. there is moderate enlargement of the cardiac silhouette. no acute osseous abnormalities identified.
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<unk> year old woman with hx nonischemic cardiomyopathy, lbbb, htn, hld, stroke who p/w several hours of chest pressure. // evaluate for infiltrate or other acute process
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MIMIC-CXR-JPG/2.0.0/files/p16222235/s55984889/3935fc79-a23bfc31-dc4d5c14-828a90d1-798a4643.jpg
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the lungs are well expanded and clear. moderate cardiomegaly is stable from <unk>, and there are no secondary signs of acute decompensation. the mediastinal contours, hila, and cardiac borders are stable. no pneumothorax or pleural effusion. a moderate hiatal hernia is noted.
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<unk> year old woman with history of chf, here with acute cough, asymmetric breath sounds diminished in l lower lobe // assess for pneumonia, pulm edema or pleural effusion
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there has been interval placement of a dobbhoff tube, with distal radiopaque tip seen straddling the approximate location of the ge junction. this will require repositioning. the cardiac and mediastinal silhouettes are unchanged. there is persistent retrocardiac opacity as seen previously on prior examination, with overall grossly unchanged lungs. there is no evidence of pneumothorax or effusion.
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<unk> year old woman with new dobhoff insertion // assess dobhoff
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MIMIC-CXR-JPG/2.0.0/files/p17482827/s51047390/26c71f79-8a95e0f3-16f6a970-195ce8e5-8cb88864.jpg
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the cardio mediastinal silhouettes are grossly unchanged in comparison to prior film. there is again seen a calcified thoracic aorta. the bilateral hila are normal. there has been interval development of a left lower lobe/retrocardiac opacity, possibly with a visualized air bronchogram, which obscures the left hemidiaphragm. additionally, there is loss of definition of the right hemidiaphragm. there are also small bilateral pleural effusions. this may represent new left lower lobe or possibly bilateral lower lobe aspiration versus pneumonia, especially given clinical context. this appearance could also simply represent bibasilar relaxation atelectasis secondary to small bilateral pleural effusions. there are no pneumothoraces.
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<unk> year old woman with hip fx s/p orif and leukocytosis of unknown etiology // concern for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p17551345/s56342224/f7a5cd8f-1b584cfe-cb5ecd69-309d0ca9-3bca274f.jpg
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heart size is top normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
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shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p11599292/s54630333/787e6e85-4f42f906-3e95bf81-a639ecfa-48eb2d52.jpg
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lines and tubes: none. ekg leads overlie the chest wall. lungs: low lung volumes with left retrocardiac and right basilar opacities, likely atelectasis. pleura: bilateral small pleural effusions. no pneumothorax. mediastinum: stable cardiomegaly and tortuosity of the thoracic aorta. bony thorax: no interval change.
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<unk>m h/o scc lung s/p segmental resection w/low grade inv adenoca at <num>cm s/p open r colectomy unable to wean off oxygen w/ desat to <num>s on ra // intrapulm process
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MIMIC-CXR-JPG/2.0.0/files/p16251322/s59598174/f95548ce-1fbd1f0a-06e88564-50377c62-a53abf2d.jpg
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single lead left-sided pacemaker is seen with lead extending to the expected position of the right ventricle.cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged. no overt pulmonary edema is seen. no pleural effusion or pneumothorax is seen. there is no focal consolidation.
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history: <unk>m with acute onset l leg pain and weakness, has pacemaker, precluding mri // pre mri cxr, patient has a pacemaker
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MIMIC-CXR-JPG/2.0.0/files/p12565441/s52043302/1aa91f93-795d3fce-65c82985-bbb45b72-194b6511.jpg
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as compared to chest radiograph from <num> day prior, left pigtail catheter has been removed. no visualized apical pneumothorax. left lower lobe opacities combination small effusion and atelectasis unchanged. mild cardiomegaly. the lungs remain hyperinflated.
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<unk>m w h/o prostate cancer s/p turp, copd (not on home o<num>) s/p fall backward from standing with l ptx s/p ct placement, post l <unk> ribs. // dc'ed chest tube?pneumoto be done at <num> am
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MIMIC-CXR-JPG/2.0.0/files/p10574803/s52661400/2aca7a19-1aeba471-b86574f2-80393ed6-7e25ec43.jpg
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right lower lung mass better evaluated on recent ct is probably unchanged in size. no new focal opacity. lungs are otherwise well expanded. no pleural abnormality. heart size is normal. aside from the known mass, remaining cardiomediastinal hilar silhouettes are normal.
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<unk> year old woman with nsclc // please evaluate
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MIMIC-CXR-JPG/2.0.0/files/p11375935/s57259040/2038ddf5-e5c1fc27-5ac59937-25e7a121-33d57cc2.jpg
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the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. slightly more apparent than on prior are nodular opacities at the right lateral lung apex, seen on prior chest ct from <unk>; this is likely projectional nature. otherwise, the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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<unk>f with f/c/s, pleuritic cp/cough, rule out infiltrate.
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an endotracheal tube is in satisfactory position approximately <num> cm from the carina. an enteric tube courses below the diaphragm with the tip out of the field-of-view. fluffy central perihilar infiltrates are most consistent with mild pulmonary edema, slightly more prominent on the right than left. there is no focal airspace consolidation. there is no definite pleural effuion or pneumothorax. the mediastinal contours appear slightly widened, possibly due to position. the heart size is mildly enlarged.
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history of ventricular tachycardia; now intubated. assess line placement.
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MIMIC-CXR-JPG/2.0.0/files/p13639259/s57518703/036b60b2-ccb0c03b-e9077342-ed5255db-e52185cf.jpg
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pa and lateral views of the chest are compared to previous exam from <unk>. as on prior, lungs are hyperinflated. bronchiectasis with areas of bronchial wall thickening are again seen. retrocardiac region demonstrates slightly more conspicuous opacity when compared to prior raising possibility of superimposed acute infection. elsewhere, the appearance of the lungs has not changed. cardiomediastinal silhouette is stable. lower cervical/upper thoracic anterior spinal fixation hardware again noted.
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<unk>-year-old female with history of bronchiectasis with cough, fevers and shortness of breath. question pneumonia.
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a dialysis catheter has been removed. the heart is again mild-to-moderately enlarged. the mediastinal and hilar contours appear unchanged. there is mild perihilar congestion, but less than on the prior examination. there is no pleural effusion or pneumothorax. mild-to-moderate degenerative changes are noted along the thoracic spine.
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fever.
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since the most recent prior radiograph, the lung volumes are low. there is now increasing opacity at the right lower lung zone most likely due to aspiration. also seen is increased prominence of pulmonary vasculature likely worsening pulmonary edema. et tube is <num> cm from the carina. ng tube is seen but cannot be followed distal to the diaphragm. there is a right picc line which is unchanged in position. cardiomediastinal silhouette is stable.
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<unk>-year-old woman with respiratory failure thought to be ards, question interval change.
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MIMIC-CXR-JPG/2.0.0/files/p10491172/s51119701/fa6d36b7-d7489060-ea3440d7-aedd0713-33dd6ea7.jpg
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lungs are hyperinflated but grossly clear. cardiomediastinal contours are within normal limits and without change. there is no pleural effusion or pneumothorax. extreme lateral right hemi thorax is not included on the radiograph, precluding assessment of the ribs and peripheral pleural surfaces in this region.
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<unk> year old man with cough, sputum production, smoker // r/o 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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history: <unk>f with stroke symptoms // pna?
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MIMIC-CXR-JPG/2.0.0/files/p16074536/s56347170/531e0560-5d5a7608-bbdb07e7-a6373d9f-ca5d7047.jpg
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. there are mild multilevel degenerative changes of the thoracic spine.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p16013806/s58792832/9fe3cbda-36e73fab-ac82c604-0e656959-da621610.jpg
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the lung volumes are low, with elevation of the right hemidiaphragm, and a moderate right pleural effusion. there is bibasilar atelectasis. the heart is mildly enlarged. there is no pneumothorax or overt pulmonary edema.
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history: <unk>m with recent ccy and obstructive lfts, concern for pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p17430637/s56206897/6532a36c-b747287e-f78560e7-04dffd6e-4d7c06e5.jpg
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a large region of radiation injury in the right lung has further coalesces since <unk>. a small to moderate hiatal hernia is unchanged. no pneumonia, pleural effusions or pneumothorax. right port-a-cath terminates in the upper svc. the mediastinum is not widened.
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<unk> year old woman with met breast cancer. productive cough for the past few days // please r/o infection
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interval placement of an impella device which appears in satisfactory position. the tip of the right transjugular swan-ganz catheter extends to the the right pulmonary artery, projecting over the right hilum. the tip of the endotracheal tube projects <num> cm from the carina and could be retracted slightly. a gastric tube is looped in the stomach. low bilateral lung volumes. unchanged retrocardiac opacity likely reflects pleural fluid and atelectasis. minimal right basilar atelectasis is present as well. no pneumothorax identified. the appearance of the cardiomediastinal silhouette is unchanged.
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<unk> year old woman with cardiogenic shock, severe multi-vessel cad s/p impella and swan placement // impella, lines, tubes, pulm edema
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are noted. mild left basal atelectasis is noted. otherwise the lungs are clear. no large effusion or pneumothorax. no signs of congestion or edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with chest pain
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there is a focal opacity overlying the right lower lobe with silhouetting of the right hemidiaphragm. otherwise, the left lung is clear. the cardiomediastinal silhouette is normal. no acute fractures are identified.
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evaluation of patient with history of recent pneumonia with severe pain.
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right-sided dual chamber pacemaker device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. moderate cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unchanged. there is no pulmonary edema. linear opacities within the left lung base likely reflects subsegmental atelectasis. remainder the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities seen.
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history: <unk>f with weakness
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MIMIC-CXR-JPG/2.0.0/files/p17852330/s57409608/a6b3dc75-6c72dbb1-bcd1fa14-ad48027c-f9fb1c1a.jpg
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the left chest wall pacemaker defibrillator is in unchanged position. there is stable enlargement of the cardiac silhouette. mild pulmonary edema is not significantly changed. there are moderate bilateral pleural effusions and associated atelectasis. no pneumothorax.
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history: <unk>f with dyspnea //
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the position of the lines and tubes is similar compared to prior. the appearance of the lungs is slightly worsened with bilateral pleural effusions that are small in size the layer posteriorly and hazy alveolar infiltrates bilaterally right greater than left. there is pulmonary vascular redistribution ill definition of the vasculature.
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<unk> year old woman with cabg, mvr, avr // ? wet
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MIMIC-CXR-JPG/2.0.0/files/p16827128/s56059068/4b9b6ec4-6cfa2b2b-7d38034c-6a20cb72-2b63e76e.jpg
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lung volumes are low. there is no evidence of pneumothorax. the cardiomediastinal silhouette is unremarkable. there is blunting of the right hemidiaphragm on frontal view, not seen on lateral view, likely represent a pleural effusion. no focal consolidation is seen. limited views of the upper abdomen are unremarkable. no acute osseous abnormalities identified.
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<unk>f with pleuritic central chest pain // eval for pneumothorax .
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rotated positioning. because of differences in positioning, it is difficult to directly compare the position of the tracheostomy tube on the <num> examinations. the distance between the tip of the tube at the carina measures <unk>.<num> mm on the current exam, compared with <num> mm on the exam obtained earlier today. the balloon about the tracheostomy tube appears roughly similar in position. inspiratory volumes are low. again seen is considerable opacification in the right lung and left lower lobe collapse and consolidation with air bronchograms as well as a right pleural effusion. the possibility of a small left effusion cannot be excluded. indwelling right subclavian central line tip lies near the svc/ra junction, similar to prior. left ij central line tip overlies the mid svc. there are also similar to prior.
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<unk> year old woman with tracheostomy, advanced <num> mm to prevent air leak // interval change
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MIMIC-CXR-JPG/2.0.0/files/p17441758/s59791361/4f80d458-705b1cae-f2596c2e-64af9eb3-93b91a38.jpg
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heart size is unchanged. the aorta is tortuous. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. low lung volumes. bibasilar atelectasis. lungs are clear. there is unchanged blunting of the bilateral costophrenic angles. no pneumothorax is seen. there are no acute osseous abnormalities.
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<unk>m w/aphasia, please eval for occult pna // <unk>m w/aphasia, please eval for occult pna
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MIMIC-CXR-JPG/2.0.0/files/p17087863/s50507636/98be66af-2f69b8ea-ab25100b-2c948998-f42fa864.jpg
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the lungs are well inflated and clear. again seen is a slightly prominent ascending aortic contour, unchanged since <unk>. the cardiac silhouette is within normal limits. there is no pleural effusion or pneumothorax.
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<unk>-year-old woman with altered mental status. evaluate for acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p15541773/s59093129/7daaeecb-4ae4ff18-c977fac3-c0a7ab49-8814ae0d.jpg
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pa and lateral views of the chest. the lungs are clear. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax.
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altered mental status
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there is increase in the large right pleural effusion with likely associated atelectasis of the right lower lung. there is no pneumothorax. cardiac size is normal. left chest port tip and right picc tip probably in the cavoatrial junction unchanged in position compared to previous. .
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<unk> year old woman with nsclc // assess for reaccumulation of r pleural effusion
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portable ap chest film of <unk> at <num> is submitted.
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<unk> year old woman s/p distal arch and descending aortic arch replacement // eval for pneumothorax with chest tubes to water seal for <num> hours eval for pneumothorax with chest tubes to water seal for <unk>
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no focal consolidation is seen. there is no pleural effusion or evidence of pneumothorax. the cardiac silhouette is top-normal. the aorta is mildly tortuous. there is evidence of an ivc filter in the imaged upper to mid abdomen, although not well evaluated. no displaced fracture is seen.
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bilateral mid back pain worse with deep inspiration.
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the lungs are clear and well expanded bilaterally with no areas of focal consolidation, lesions, masses, pleural effusion, or evidence of pneumothorax. the cardiomediastinal silhouette is within normal limits. the pleural surfaces are unremarkable. no abnormalities in the osseous structures are identified.
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<unk>-year-old female with shortness of breath.
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cardiomegaly, moderate to severe, is stable. the aorta is tortuous and the knob is calcified. trachea is slightly deviated to the right. there is flattening of the hemidiaphragm suggestive of volume overload. bibasal atelectasis is present. small right pleural effusion is stable over multiple prior studies. there are no focal opacities concerning for pneumonia.
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throat pain.
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pa and lateral views of the chest were provided demonstrating no focal consolidation effusion or pneumothorax. the heart and mediastinal contours are normal. the imaged osseous structures are intact. there is no free air below the right hemidiaphragm.
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<unk>-year-old female with weakness and shortness of breath, question pneumonia.
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pa and lateral views of the chest provided. linear densities in the left mid to lower lung could represent atelectasis and bronchovascular crowding. no convincing sign of pneumonia or edema. no large effusion or pneumothorax. suture material is seen along the periphery of the right mid lung as on prior. cardiomediastinal silhouette appears unchanged. right humeral head prosthesis noted.
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<unk>f with hyponatremia and hx of heart failure // eval for edema
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lung volumes are low and there is crowding in the bronchial vascular structures. normal size of the cardiac silhouette. normal hilar and mediastinal structures. unchanged no pneumonia, no pulmonary edema. no pleural effusions.
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history: <unk>m with pleuritic chest pain and fever // pna?
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there is a left chest tube in place that remains unchanged in position. there is a small residual left pleural effusion unchanged from most recent study. there is residual left pneumothorax that remain stable. aeration in the left lower lung is improved. there is mild atelectasis of the right lung base which is unchanged. there is re- demonstration of multiple left rib fractures with associated extrapleural blood which remains unchanged.
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<unk> year old man with loculated hemo-ptx // interval eval. please do at <num>am
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mild cardiomegaly is stable. bilateral effusions are small associated with adjacent opacities likely atelectasis, are persistent from prior study. peribronchial opacities in the left perihilar region are also persistent likely chronic atelectasis. there is no pneumothorax. ng tube tip is out of view below the diaphragm.
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<unk> year old man s/p liver transplant now returning with nausea, vomiting // please assess for effusion, exudate
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MIMIC-CXR-JPG/2.0.0/files/p17148283/s59430760/c8d6decc-168f8b66-21cbbf24-8cfc9cbc-64a95ba1.jpg
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portable ap upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with advanced dementia, uti, hypothermia // please eval for pneumonia, effusion, edema please eval for pneumonia, effusion, edema
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the lungs are symmetrically well aerated and well expanded. no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged and there is no pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the visualized upper abdomen shows no free air beneath the right hemidiaphragm.
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history of duodenal ulcer, now with abdominal pain, here to evaluate for free intraperitoneal air.
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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 chest pain.
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pa and lateral views of the chest. previously identified tracheostomy is no longer visualized. prior left-sided pleural effusion and basilar opacity has essentially resolved. there is no residual effusion. the lungs are now clear. cardiomediastinal silhouette is within normal limits. kyphoplasty changes seen in the lower thoracic spine. no acute osseous abnormality detected. old right lateral clavicular fracture is again seen.
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<unk>-year-old female with history of head bleed now with fall and hypotension.
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cardiac, mediastinal and hilar contours are normal. lungs are 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 epigastric pain
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right-sided central venous catheter is similar in position given some patient rotation however, appears slightly angulated distally. . interval removal of previously seen right-sided picc. left base opacity could be due to atelectasis or infection. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with tunneled dialysis catheter, unable to dialyze today // eval dialysis catheter
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. no overt pulmonary edema is seen.
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history: <unk>m with chest pain // eval for acute process
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frontal and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
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<unk>-year-old male with left chest pain.
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with syncope.
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the patient is status post median sternotomy and aortic valve replacement. heart size and mediastinal contours are normal. the lungs are clear and there is no pleural effusion or focal consolidation. osseous structures are intact.
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history: <unk>f with chest pain // eval for acute process
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the right ij catheter, left picc, right chest tube and nasogastric tube are in good position. there is a dual bronchial ett, the right main stem portion is not visualized and the left mainstem bronchus is intubated. no residual right-sided pneumothorax. no significant pleural effusions. diffuse airspace opacities have not significantly changed when compared to the prior. the heart is not significantly enlarged.
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<unk> year old man with <unk> year old man s/p chest tube // interval change
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the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with left-sided chest pain, retrosternal cp // ptx?
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pa and lateral chest radiographs. lungs are mildly hyperexpanded, but clear with the exception of scarring in the subpleural right upper lobe. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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history: <unk>f with aml and recent viral infection. mouth sores // eval for pna
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frontal and lateral views of the chest. the heart is mildly enlarged, similar to prior, with stable cardiomediastinal contours. left apical scarring is similar to prior. lungs are otherwise clear without focal or diffuse abnormality. no pleural effusion or pneumothorax is visualized. the pulmonary vasculature is unremarkable. left humeral head screws are incompletely imaged.
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<unk>-year-old female with cough and subjective fever.
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pa and lateral chest views were obtained with patient in upright position. there is status post sternotomy. the presence of multiple surgical clips in the anterior left-sided mediastinum are indicative of previous bypass surgery. heart size is not significantly enlarged. no pulmonary vascular congestive pattern is identified. no evidence of acute or chronic pulmonary infiltrates is present and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area.
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evaluate for pulmonary infiltrates. the patient had history of clinical pneumonia in <unk>. chest examination report was positive. followup examination.
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ap and lateral views of the chest. streaky biapical and left basilar opacities are most compatible with scarring. the lungs are clear of confluent consolidation. there is no effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
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<unk>-year-old male found down with fever.
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lung volumes are slightly low. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are stable. abdominal surgical clips are noted.
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<unk>-year-old male with recent abdominal surgery, now with fever.
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ap upright and lateral views of the chest provided. right upper extremity picc line is noted with its tip in the region of the cavoatrial junction. lungs remain clear. no focal consolidation effusion or pneumothorax is seen. the cardiomediastinal silhouette is stable. bony structures are intact.
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<unk>f with fever // acute process?
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the lungs remain clear. there is no consolidation, effusion or vascular congestion. moderate to severe cardiomegaly is again noted. median sternotomy wires are noted. no acute osseous abnormalities.
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<unk>m with chest tightness, cough for several weeks // please evaluate for infectious process
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the cardiac silhouette size is top normal. the mediastinal and hilar contours are unchanged. atherosclerotic calcifications are noted throughout the thoracic aorta. pulmonary vasculature is normal. lungs are hyperinflated. known spiculated lesion within the right lower lobe persists, but better assessed on the prior ct. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. prior bilateral rib fractures are again seen.
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chest pain.
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patient is status post median sternotomy, cabg, and aortic valve replacement. heart size remains mildly enlarged. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. small bilateral pleural effusions are present, increased in size on the left, and similar in size on the right. patchy opacities in the lung bases likely reflect areas of compressive atelectasis. previously demonstrated left apical pneumothorax appears resolved. there are no acute osseous abnormalities.
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history: <unk>m with dyspnea
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the enteric tube including the side hole project over the stomach. right internal jugular central venous catheter is at the cavoatrial junction. lungs are clear. diffuse pulmonary vascular engorgement is unchanged. no pleural effusion or pneumothorax.
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<unk> year old woman with ng tube in place > <num> liters output daily // assess placement of ng tube
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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 and unremarkable.
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history: <unk>m with etoh, p/w abd pain and cp pls eval cxr for edema vs pna
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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syncope.
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the heart is upper limits of normal. there is no pleural effusion. lung fields are clear. vascular calcifications are dense and there is tortuosity of the thoracic aorta.
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<unk>f with leukocytosis // eval for pna
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frontal and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal allowing for low lung volumes. no displaced rib fracture is seen. no clavicular abnormality is identified on this frontal radiograph.
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status post assault with pain over left clavicle and left upper ribs.
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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 chronic cough for several weeks.
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frontal on lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
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shortness of breath like pneumonia. assess for pneumonia.
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dual lead left-sided pacer device is stable in position, with leads extending to the expected positions of the right atrium and right ventricle, stable. the cardiac and mediastinal silhouettes are stable. mild left base atelectasis is seen without focal consolidation. there is no pleural effusion or pneumothorax.
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history: <unk>f with pacemaker malfunction // pacemaker lead placement?
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low lung volumes are present. the cardiac and mediastinal contours are unchanged, with mild pulmonary vascular congestion again noted, similar compared to the prior exam. bibasilar airspace opacities may reflect atelectasis but infection is difficult to exclude. right mid lung field peripheral opacity appears unchanged compared to the prior study and is nonspecific, potentially an area of infection. no pneumothorax is detected. multiple calcified gallstones are again seen within the right upper quadrant the abdomen.
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hypoxia, shortness of breath.
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pa and lateral views of the chest were reviewed and compared to the prior study. the lungs are mildly hyperinflated and the diaphragms are flattened consistent with the provided history of copd. a suggestion of increased opacity in the right lung base on the frontal view could not be not confirmed on the lateral view. there is no pulmonary edema, vascular congestion, pleural effusion or pneumothorax. unchanged cardiac and mediastinal contours.
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increasing dyspnea on exertion in a patient with a history of copd.
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the heart size is normal. the mediastinal and hilar contours are unchanged, with moderate calcification of the aortic arch and descending aorta noted. there is no pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. scarring within the lung apices, right more so than left, is stable. fractures of the right humeral neck and left-sided ribs are remote. moderate dextroscoliosis of the thoracolumbar spine is re- demonstrated.
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hypoglycemia.
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right port-a-cath terminates at the cavoatrial junction. new left internal jugular central venous catheter terminates in the low svc. et tube is <num> cm from the carina. enteric tube courses into the stomach and beyond the field of view. heart size is normal. the mediastinal and hilar contours are stable. there is mild worsening of left basilar opacity which may reflect combination of atelectasis and pleural effusion. right basilar atelectasis is unchanged. mild pulmonary edema is unchanged. there is no pneumothorax.
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<unk> year old man in septic shock, hodgkin's lymphoma, ischemic bowel, high airway pressures // interval change
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there is a large air-fluid level in the left hemi thorax with near complete white out of the lung. findings are concerning for left-sided hydropneumothorax. the right lung is well expanded and clear. there is no right pleural effusion or pneumothorax. the cardiomediastinal silhouette displaced to the right secondary to the hydropneumothorax.
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history: <unk>m with nsclc, left lung pathology // pna, effusion?
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portable upright chest radiograph was obtained. endotracheal tube, dobbhoff tube, right picc and bilateral apically-directed chest tubes are in unchanged position. waxing and waning right upper lobe opacification is slightly improved on the current examination, likely due to improved aeration and decreased pleural effusion. retrocardiac atelectasis is unchanged with decreased now small left pleural effusion. right apical pneumothorax is unchanged to minimally improved. left apical pneumothorax is unchanged. cardiac size and silhouette are unremarkable. small amount of left lateral chest wall subcutaneous emphysema is noted.
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intubation with chest tubes, assess for change.
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severe heterogeneous consolidation throughout the left lung and right mid and lower lung zones unchanged, consistent with widespread pneumonia or pulmonary hemorrhage. there is persistent lucency in the left apex can be a small pneumothorax. there is no appreciable pleural effusion. heart size is normal. et tube in standard position. nasogastric tube ends in the stomach.
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<unk> year old man with ptx, rul lobectomy // eval for interval change in ptx
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in comparison to <unk> portable chest radiograph, the small left apical pneumothorax is increased in size from <num> mm to <num> mm. . the right lung well expanded and clear. the cardiomediastinal silhouette, hila, and pleural surfaces are normal.
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<unk> year old man with r ptx // check interval change
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no distracted fracture is identified.
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left-sided chest pain.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lung volumes are low. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
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trauma.
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interval placement of an endotracheal tube, which terminates approximately <num> cm above the carina. the right middle and lower lobes are nearly completely re-expanded. focal linear opacities likely reflect residual linear atelectasis the right lung base. new, trace fissural fluid is present. left lower lobe atelectasis has increased and a small left pleural effusion is likely unchanged. median sternotomy wires and spinal fusion hardware are again noted. probable left breast implant is also noted.
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<unk> year old woman with new ett // eval for ett position, interval change
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the lungs are clear of focal consolidation, effusion, or overt pulmonary edema. cardiac silhouette is enlarged but stable in configuration. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities identified.
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<unk>m with chest pain, recent hx of pna // ?resolution of pna
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. no free intraperitoneal air is detected.
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<unk>-year-old male with sharp chest pain and epigastric pain.
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pa and lateral views of the chest. lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. mild lower thoracic dextroscoliosis is identified. no acute osseous abnormalities are seen.
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<unk>-year-old female with chest pain.
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frontal and lateral views of the chest demonstrate low lung volumes accentuating cardiomediastinal silhouette which is likely within normal limits. minimal tortuosity is present along the thoracic aorta, with arch calcifications. there is mild peribronchial cuffing and interstitial opacities which could represent atypical infection in the appropriate clinical setting. there is no confluent consolidation, pneumothorax, or pleural effusion. small amount of dependent atelectasis is present in the left base. diffuse osteopenia is present, allowing for which no compression fracture is evident.
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<unk>-year-old female with altered mental status. question infectious process.
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there is persistent moderate-sized right pleural effusion with compressive atelectasis. no left pleural effusion is seen. right lower lung underlying consolidation cannot be excluded. no pneumothorax is seen. heart size is likely enlarged but difficult to evaluate in the setting of overlying right pleural effusion. right upper quadrant pigtail catheter seen. diffuse osteopenia is noted. lower thoracic vertebral body compression deformity is unchanged compared to multiple recent prior exams.
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<unk>-year-old female with shortness of breath.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. a drain is seen within the region of the right axilla.
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history: <unk>f with chest pain and ?pneumothorax from prior lung biopsy // pneumothorax?
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right picc line is unchanged in satisfactory position. compared with most recent prior radiograph, there is increased opacity at the right base consistent with a right lower lobe pneumonia. the right upper lobe opacity is stable or slightly improved. there is no change in the cardiomediastinal silhouette. no pneumothorax is present.
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aml with fevers, shortness of breath. evaluate for pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of chest pain, dyspnea. please evaluate for pneumothorax.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. lower thoracic posterior fixation hardware is identified. there is a right picc. the tip is not identified on the frontal view, obscured by orthopedic hardware. based on the lateral view, it is likely in the upper right atrium and could be retracted approximately <num> cm to be in the lower svc.
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<unk>m with picc line // picc placement
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single portable ap view of the chest. there are bilateral parenchymal opacities centered in the upper lungs, more confluent on the right than on the last. lung bases are grossly clear in. cardiomediastinal silhouette is within normal limits. osseous structures demonstrate no acute abnormality.
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<unk>-year-old male with shortness of breath. elevated white blood cell count.
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single portable chest radiograph was provided. a tracheostomy tube is appropriately positioned. the dobbhoff feeding tube tip terminates within the oropharynx. the right picc is within the upper svc. again seen is mild-to-moderate pulmonary edema, similar to the prior exam. areas of consolidation at the bases, right greater than left, may represent pneumonia and are unchanged since the previous exam allowing for patient rotation. cardiomediastinal silhouette is unchanged.
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history of dobbhoff placement.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with arm weakness and tingling // eval infiltrate, cardiomegaly
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frontal ap upright and lateral radiographs of the chest were obtained. the left hemidiaphragm and left hilus are markedly elevated due to collapse or prior resection of the left upper lobe.with left lung volume loss. a rim-calcified structure projecting over the left lung apex is most likely an artery. the right lung is hyperinflated due to emphysema. no definite consolidation is seen to suggest pneumonia. no significant pleural effusion or pneumothorax is detected. the cardiac silhouette is distorted by the left hemidiaphragmatic elevation. the thoracic aorta is calcified.
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status post fall with head strike, here to evaluate for infectious process.
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