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portable upright chest <unk> at <time> is submitted.
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<unk> year old woman with resp insuffiency and brain bleed // ? fluid status ? fluid status
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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. the cardiac silhouette is not enlarged. aorta is calcified and tortuous. no displaced fracture is identified.
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fall.
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of the is post median sternotomy and cabg. dense mitral annular calcifications are again noted. mild cardiomegaly with the left ventricular predominance is re- demonstrated. the aorta is unfolded with atherosclerotic calcifications noted at the aortic knob. pulmonary vasculature is mildly engorged, but improved compared to the previous radiograph. no focal consolidation, pleural effusion or pneumothorax is seen. the lungs are hyperinflated. dense vascular calcifications are noted within the left upper quadrant of the abdomen. extensive degenerative changes are noted involving both shoulders.
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history: <unk>f with tachypnea, history of congestive heart failure
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. bilateral nipple rings are present.
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chest pain.
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et tube and right picc line are unchanged in position. since the most recent prior radiograph, there is no new parenchymal infiltrate or no significant interval change. opacification of the left base with mild blunting of both costophrenic angles most likely represent small amount of fluid and atelectasis. there is no pneumothorax. cardiomediastinal silhouette is unremarkable.
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<unk>-year-old man with respiratory failure, evaluate for interval change.
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the heart is mildly enlarged, not significantly changed from the prior study, allowing for ap technique. intact median sternotomy wires, mediastinal clips, left chest wall pacemaker device with leads terminating in the right atrium and right ventricle, and right axillary vascular clips are unchanged compared to the prior. the lungs are relatively well expanded and clear. no large pleural effusion, overt pulmonary edema, or focal airspace opacity is identified. there is no pneumothorax.
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history: <unk>f with dyspnea fever // pna
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single portable chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. compared to prior chest radiograph there are slightly lower lung volumes with a slighlty more conspicuous retrocardiac opacification is seen with faint bronchograms identified, new compared to recent ct and may represent developing atelectasis or aspiration in setting of known t<num> burst fracture. the small pneumothorax identified on ct is not identified on radiography, which is less sensitive. no pleural effusion present. endotracheal tube and enteric tube well positioned.
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known small pneumothorax evaluate after positive pressure ventilation.
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since the prior exam, there is no significant change. an endotracheal tube is in place <num> cm from the carina. an orogastric tube is present coursing below the diaphragm with the tip out of the field of view. a left picc is in place with the tip in the upper svc. there is stable opacification at the right base, unchanged from prior exam. there is no new opacity. there is no evidence of pulmonary edema, pleural effusions, or pneumothorax. the cardiomediastinal silhouette is normal.
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known subarachnoid hemorrhage and pneumonia. evaluate for interval changes.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones are probably demineralized.
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leukocytosis.
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the lungs are clear but mildly hyperinflated with flattened diaphrams consistent with airtrapping due to emphysema or small airway obstruction. there is no evidence of pneumonia. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal.
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cough for <num> weeks with productive sputum. evaluation for pneumonia.
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a picc line has been removed. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. there is no free air. bony structures are unremarkable.
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waxing and waning nausea and vomiting status post chemotherapy.
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sternotomy wires are intact and aligned. lung volumes are low, but the lungs are grossly clear. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection.
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<unk> year old man with pneumonia. // interval change
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pa and lateral views of the chest provided. prominent fat pad partially obscures the left heart border. the lungs are clear without focal consolidation or edema. no pleural effusion or pneumothorax. the heart size is within normal limits allowing for prominent fat pad. mediastinal contour is normal. osseous structures are intact. no free air under the right hemidiaphragm.
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<unk>-year-old male with chest pain, sob // please eval for pna
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new in the interval are diffuse bilateral ground-glass pulmonary opacities which could reflect developing edema. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. no definite acute bony at abnormalities were seen. no acute bony abnormalities.
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<unk>m with mm on revlamid/dexamethasone p/w <num> days of cough, diarrhea, weakness.
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since <unk>, right lung base opacity has mildly improved, consistent with slow resolving pneumonia.the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pleural effusions.
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<unk> year old woman with right lung base opacity // <unk> year old woman with right lung base opacity
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the ett terminates <num> cm above the carina with neck flexion. ng tube with side hole in the region of the ge junction. left picc in the mid subclavian. left ij in the mid svc. bilateral perihilar opacities and bibasilar atelectasis are unchanged in comparison to the prior chest radiograph dated <unk>. the lungs are otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
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<unk> year-old woman with a history hfref (nyha iii/iv, ef <unk>%), cad s/p lad stent (not done at <unk>, no cath images) with recurrence of poorly differentiated stage iiib nsclc diagnosed in <unk> s/p chemo/rt previously in remission, but now with recurrence, severe oxygen-dependent copd (fev<num> <unk>%, <unk>l o<num>), and multiple admissions for dyspnea now with ?pna // interval change, pulm edema?
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the inspiratory lung volumes are low. the cardiac silhouette is moderately enlarged, but stable from the prior study. the mediastinal and hilar contours are not significantly changed from the prior radiograph allowing for patient rotation on the current examination. no significant pleural effusion or pneumothorax is detected. a small amount of fluid is noted in the right minor fissure. mild pulmonary edema is present. a right dual-chamber dialysis catheter is in position with the tip terminating at the cavoatrial junction or proximal right atrium. the visualized upper abdomen is gasless.
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history of congestive heart failure and renal failure, now with chest pain during dialysis.
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the cardiac, mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones appear demineralized. post-traumatic deformity appears unchanged along the proximal left humerus. as noted previously, there is a recent left distal clavicle fracture. in addition, on this study, irregular nondisplaced lucency in the medial left clavicular head are consistent with a fracture, although these are similar and retrospect to a recent prior ct of the cervical spine from <unk>, although hard to visualize on recent prior dedicated left shoulder radiographs.
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status post fall with chest wall pain.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. during the latest examination interval, the patient has been extubated and the ng tube has been removed. a right-sided internal jugular approach central venous line remains. the heart size is unchanged. no pulmonary vascular congestion is observed. no pneumothorax can be identified. no new infiltrates.
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<unk>-year-old male patient status post aortic valve replacement and chest tube removal, evaluate for pneumothorax.
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the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.
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<unk>m with chest pain for several days. please evaluate.
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one ap view of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is top normal. otherwise, the mediastinal and hilar contours are unremarkable. the aorta is tortuous.
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hypothyroidism, smoking history, preop for left femoral orif.
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portable ap chest film <unk> at <num> <num> is submitted.
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<unk> year old man with pulmonary nodules s/p r vats wedge resections x <num> // rule-out pneumothorax, hemothorax rule-out pneumothorax, hemothorax
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is normal. prior bilateral rib fractures are again seen. mild degenerative change of the acromioclavicular joints. osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old male with productive cough for two weeks. question pneumonia.
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pa and lateral views of the chest provided. there are linear opacities in the left lower lobe likely representing subsegmental atelectasis. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen.
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history: <unk>f w no significant pmh w intermittent sob. // does she have any cardiopulm abnormalities?
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the patient is rotated somewhat to the right. additionally, the patient's overlying chin partially obscures the medial lung apices. given the above, there is mild bibasilar atelectasis with platelike atelectasis. no definite focal consolidation is seen. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. skin folds are noted overlying the left hemi thorax.
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history: <unk>m with sob, tachycardia // pna?
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there has been interval worsening of diffuse heterogeneous opacification of the right lung. poorly defined opacities in the left mid and lower lung are new. these findings are superimposed on chronic reticular opacities. there is no pleural effusion or pneumothorax. the heart is normal in size. bilateral small pleural effusions are present, right greater than left. the patient is status post median sternotomy with fractures of the two superior most sternal wires again seen.
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<unk>-year-old man with dyspnea. evaluate for acute process.
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no new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with fever // ?pna
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portable ap upright chest radiograph was obtained. large left pneumothorax is identified with rightward deviation of the mediastinum concerning for tension physiology. no acute rib fractures are identified although subtle fracture could be missed, with old right rib fractures and small right pleural effusion or pleural scarring noted. cardiomediastinal contours aside from slight rightward shift are unremarkable.
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pneumothorax.
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the cardiomediastinal silhouette is unremarkable. there is no pleural effusion or pneumothorax. the lung fields are clear. the upper abdomen is unremarkable.
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history: <unk>m with productive cough // eval for pneumonia
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the left-sided pleural effusion is slightly smaller compared to <unk>. right lung is free of consolidations, pleural effusion or pneumothorax. the left port-a-cath terminates in the distal svc. a left chest tube is unchanged in position. minimal subcutaneous emphysema adjacent to the left lateral chest wall, unchanged. destruction of entire right clavicle, unchanged since <unk>.
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<unk> year old woman h/o breast ca s/p r mastectomy, pleural effusion // eval
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. chronic right-sided rib deformities from prior fractures are again seen. no pulmonary edema is seen.
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history: <unk>f with hypertension r/o hypertensive emergency // evaluate for pulmonary edema, chf
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lung volumes are low. aeration of the right lung appears slightly worse. a large right pleural effusion has increased. the appearance of the left lung is overall unchanged. small left pleural effusion is slightly increased. the heart borders are not well seen secondary to effusion, but is probably overall unchanged in size. no pneumothorax. pulmonary vascular congestion is moderate and worse. left picc line is unchanged. enteric tube traverses the midline its tip seen, but the side port projects over the left upper quadrant.
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<unk> year old woman with hypoxemia, fluid overload, copd, s/p <num> chest tubes and on lasix gtt. evaluate for interval change in effusion and consolidation.
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the degree of airspace opacity has increased when compared to the prior study, particular at the left lung base although there is likely also involvement of the right lower lung. no pneumothorax. no pleural effusion. the cardiomediastinal contour is normal. the visualized bony structures demonstrate moderate multilevel degenerative change.
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this is an <unk>-year-old gentleman with a h/o chronic low back/leg pain, ckd, rcc s/p cyberknife in <unk>, and mild cognitive impairment/alzheimer's who presents with syncope and vomiting. // reassess interval changes with prior lower lobe opacities
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the lung volumes are low. there is interval improvement in bilateral diffuse interstitial opacities. persistent bibasilar opacities noted. metallic stent projects over the lower mediastinum. stable cardiomegaly. no pleural effusion or pneumothorax noted. bony thorax is stable.
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<unk> year old woman with chf exacerbation and possible pna. // is there an underlying infectious process?
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cardiomegaly is mild. there is left lower lobe opacity concerning for pneumonia. lateral view would aid in overall assessment. no large effusion is seen. mild hilar congestion difficult to exclude. no pneumothorax. mediastinal contour is normal. bony structures are intact.
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<unk>m with hypoxia // eval for pna, chf
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cardiomediastinal contours are normal. lungs and pleural surfaces are clear.
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<unk> year old woman with pmh significant for acne, anorexia nervosa, requires cxr for screening purposes to obtain a visa for foreign study. // r/o tb; no sx or concern for infection.
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there is a linear opacity in the right mid lung zone, which is likely due to scarring from the prior lung abscess. there is an ill-defined patchy consolidation at the right medial base. the lungs are otherwise clear. there is no pulmonary edema or pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is normal. there are multiple prominent air-filled loops of presumably large bowel in the left upper quadrant. there is no free intraperitoneal air.
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severe upper abdominal pain.
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moderate to large left hydropneumothorax appears relatively unchanged compared to the previous exam. there is no contralateral shift of mediastinal structures. subcutaneous emphysema within the left lateral chest wall and abdominal wall is unchanged. numerous left-sided rib fractures are again demonstrated as well as orthopedic hardware within the left clavicle and cervical spine. right lung remains clear.
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recent pneumothorax with hypoxia.
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sternotomy wires appear intact and appropriately aligned. a right-sided dialysis catheter terminates in the right atrium. there is vascular congestion, but no frank pulmonary edema. the linear opacities at the left lung base likely reflect atelectasis. no focal consolidations. stable enlargement of the cardiomediastinal silhouette. no pleural effusions. no pneumothorax.
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history: <unk>f with abd pain, n/v // please evaluate for acute process
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the previously noted wire is no longer seen, presumably external to the patient. the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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<unk> year old woman with ? stroke with ? wire in chest // repeat to reassess wire
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moderately low lung volumes persist. previously noted patchy opacities in the left lower lung and bandlike atelectasis in the right lower lung have improved. residual bibasilar opacities likely reflect atelectasis. there is no evidence of consolidation. no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable. a thick horizontally oriented radiodensity projecting over the heart relates to vertebroplasty material as seen on the ct from <unk>.
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<unk>m with epistaxis
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no significant change since <unk>. the lungs are clear without focal consolidation or pulmonary edema. no pleural effusion or pneumothorax. the heart size is normal, and the mildly dilated or tortuous descending aorta and is unchanged since at least <unk>. mediastinal contours, hila, and pleura are normal.
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<unk>-year-old woman with cough after inhaling food. evaluate for evidence of aspiration.
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ap and lateral views of the chest were compared to previous exam from <unk>. low lung volumes again seen. secondary crowding of the bronchovascular markings are seen. there is no evidence of large consolidation. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
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<unk>-year-old female with lupus with recent kidney biopsy and subcapsular hematoma, now with fever and right upper quadrant pain.
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et tube tip ends <num> cm above the carina. right-sided picc line and right internal jugular line are in unchanged position in the distal superior vena cava. an ng tube extends below the diaphragm. unchanged appearance of severe cardiomegaly with bilateral atrial enlargement and mitral valve repair. no change in small bilateral pleural effusions with atelectasis.
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septic shock, intubated. evaluate for interval change.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. clips in the right upper quadrant of the abdomen indicate prior cholecystectomy. no acute osseous abnormalities are visualized. remote left-sided rib fractures are noted.
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history: <unk>f with chest pain
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there is no consolidation, effusion or pneumothorax. cardiomediastinal and hilar contours are normal. fusion hardware projects over the lower cervical spine. left shoulder arthroplasty is partially imaged.
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history: <unk>f with sudden onset severe chest pain, retrosternal // eval for acute process
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperexpanded and grossly clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old woman with cough and peripheral edema // r/o infiltrate or vascular congestion
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the endotracheal tube is approximately <num> cm above the carina. however, the patient's neck is in flexion and the patient is positioned lordotically. a left picc line ends in the upper svc. an enteric tube projects over the stomach. the appearance of the cardiac silhouette is stable. the lungs are clear. no focal consolidation, effusion or pneumothorax is present.
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<unk>-year-old woman with intraparenchymal hemorrhage, intubated, question of endotracheal tube positioning on ct.
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heart size is 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. mild degenerative changes are noted within the lower thoracic spine.
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diabetes, coronary artery disease status post stenting with chest pain.
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heart size is normal with unremarkable cardiomediastinal silhouette and hilar contour. a new nodular opacity in the left lower lung is visible only on the pa projection without a lateral correlate and is likely extrathoracic. again appreciated is bronchiectasis with bronchial wall thickening and slight nodular opacities particularly in the right upper lung unchanged from prior exam. persistent leftward deviation of the trachea at the level of thoracic inlet is likely due to goiter.
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history of pneumonia followup examination.
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interval placement of a dobhoff feeding tube which extends into the body of the stomach. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with malnutrition. s/p dobhoff tube placement // please evaluate placement of dobhoff. thank you
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study is limited due to underpenetration but no overt consolidation is identified. the cardiomediastinal silhouette is unchanged. there is no pleural effusion or pneumothorax.
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<unk>-year-old woman with fever and altered mental status. evaluate for acute cardiopulmonary process.
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inspiratory volumes are slightly lower. cardiomegaly is again seen, similar to prior. as before, there is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation. suspect small left effusion. there is also hazy opacity at the right base, an blunting of the right costophrenic angle, consistent with atelectasis and small effusion. there is vascular plethora, slightly more than on the prior exam. note made again made of a dual-lumen right-sided catheter with lead tips over the right atrium an <unk> dilute and a left-sided dual lead pacemaker, similar in configuration. no pneumothorax detected. prominent rounded lucency overlying left cardiac silhouette is probably unchanged. no air was seen within the pericardium on the ct from <unk>. this likely represents air within the lung, adjacent to the heart.
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<unk> year old woman with critical as, rca dissection, hypotension and chest pain with hd increasing o<num> requirement // worsening pulm edema, effusion?
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there is biapical partially calcified scarring with superior retraction of the hila particularly on the right. the lungs are clear of consolidation, effusion, or edema. opacity at the left posterior costophrenic angle, may be atelectasis or bochdalek's hernia. the cardiomediastinal silhouette is within normal limits. old healed left posterior rib fractures are noted. no acute osseous abnormalities.
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<unk>f with headache, imbalance, ams // pna
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left-sided pacer terminates in the right atrium and right ventricle. moderate left-sided effusion slightly increased since the prior. there is adjacent atelectasis. the right lung remains clear. the heart size is normal. no pneumothorax.
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<unk> year old man with autoimmune encephalitis and increasing seizures presents for mri with pacemaker // pacemaker lead evaluation for mri
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frontal and lateral chest radiographs again demonstrate linear lucency along the anterior mediastinum and superior cardiac silhouette, best seen on lateral view. this is similar in appearance compared the prior chest radiograph, with any changes in configuration likely related to redistribution of existing air. no increased or additional lucency is identified. the lungs are again clear, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for interval change in a patient with chest pain and pneumomediastinum seen on recent chest radiograph.
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as compared to chest radiograph from <num> day prior, widespread reticular opacities have increased. . no significant pleural effusions. the cardiomediastinal contours are stable. cardiac size is normal. right-sided port-a-cath with the tip in the right atrium
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<unk> year old man with hypoxemia, increased o<num> requirement. // pulmonary edema?
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a left-sided pacemaker with leads terminating in the right atrium, right ventricle and coronary sinus remain in unchanged position. the heart remains moderately enlarged. increased density at the right lung base is not clearly identified on the lateral view and may be partially due to overlying soft tissue, pulmonary edema and atelectasis. however an underlying infectious process cannot be entirely excluded. there is a there is mild to moderate interstitial pulmonary edema. no pleural effusion or pneumothorax identified.
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history: <unk>m with cad, chf presents w/ weight gain, worsening dyspnea // ? pulmonary congestion, pna ? pulmonary congestion, pna
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heart size is normal. aorta is mildly tortuous. the pulmonary vasculature is normal and the hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. the pulmonary vasculature is normal. clips are demonstrated within the right upper quadrant of the abdomen.
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fever.
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in comparison with the study of <unk>, there is little interval change. there is hyperexpansion of the lungs with flattening of the hemidiaphragms, consistent with chronic pulmonary disease. there is accentuation of interstitial markings, consistent with chronic process as well. however, no evidence of acute pneumonia or vascular congestion. blunting of the costophrenic angle on the left is essentially unchanged.
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copd and cough.
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frontal and lateral views of the chest were obtained. the lungs are slightly hyperexpanded. there is no focal consolidation or pneumothorax. blunting of the left costophrenic sulcus may represent a tiny effusion. there is no right effusion. heart size is upper limits of normal. mediastinal silhouette is normal. healed right posterior seventh and eighth rib fractures are seen. a fracture of the lateral third rib is noted without callus formation, of unknown chronicity.
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<unk>-year-old woman with recent syncope with injury from fall and crackles on exam. evaluate for pneumonia, chf or rib fracture.
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cardiac, mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vasculature is normal. there is minimal atelectasis in the left lung base, as seen previously. no new areas of consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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chest pain.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
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history: <unk>m with chest pain, h/o etoh/emesis (restrained)
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the bony structures appear within normal limits.
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fever after recent periorbital infection.
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pulmonary edema, pleural effusion, or pneumothorax. bones and the upper abdomen are grossly unremarkable.
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<unk>m with shortness of breath
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frontal and lateral views of the chest. there is no confluent consolidation. there are however mildly prominent interstitial markings in the lungs bilaterally. the cardiac silhouette is slightly enlarged and the aorta is tortuous. median sternotomy wires and mediastinal clips are noted. there is mild wedge deformity of a lower thoracic vertebral body. osseous structures are otherwise unremarkable.
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<unk>-year-old male with slurred speech. question pneumonia.
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brain stimulator projecting over the left hemithorax.surgical clips again noted in the upper anterior chest. the lungs are clear without focal consolidation. significant decrease in left pleural effusion and near resolution. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.
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hx of chf, re-evaluate for pulmonary edema and pleural effusion and compare to prior study. // hx of chf, re-evaluate for pulmonary edema and pleural effusion and compare to prior study.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia.
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<unk>-year-old male with fever for <num> days of unknown source. evaluation for effusion or infiltrate.
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the lungs are relatively well expanded. increased retrocardiac opacity compared to the prior study is compatible with developing/focal left lower lobe pneumonia. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pneumothorax or pulmonary edema.
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history: <unk>m with chest pain // ?pneumonia
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the endotracheal tube is <num> cm from the carina. the nasogastric tube first side port is at the lower esophagus needs to be advanced. status post right upper lobectomy with interval improved aeration of the lungs bilaterally. stable postoperative changes at the right hilum and tenting of the right hemidiaphragm. subcutaneous emphysema and left apical pneumothorax.
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<unk>m, pmh myotonic dystrophy, new diagnosis mantle cell lymphoma s/p rul lobectomy // s/p intubation
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
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chemical exposure now with shortness of breath, evaluate for pneumonia.
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single view of the chest was obtained. the heart is normal with normal cardiomediastinal contours. right apical opacity is unchanged across multiple examinations. no focal consolidation is seen. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign bodies.
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<unk>-year-old female with chest pain. evaluate for pneumothorax.
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again a catheter seen terminating in the right axilla, possibly a midline vascular access catheter, unchanged in appearance compared to the prior study. there are persistent bilateral perihilar airspace opacities with prominence of the upper lobe vasculature consistent with pulmonary edema and pulmonary vascular congestion. the extent is similar when compared to the prior study. silhouetting of the left hemidiaphragm consistent with left lower lobe atelectasis. probable bilateral pleural effusions poorly visualized on this semi-erect ap view. no pneumothorax seen.
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<unk> year old man with dyspnea after getting <num>l ivf in ed // eval for fluid overload
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there has been interval placement of an enteric tube coursing below the diaphragm, terminating in the expected location of the stomach. large hiatal hernia with air-fluid level is seen. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with sbo and new ngt // eval for ngt placement
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the heart size is normal. mediastinal and hilar contours are unremarkable and unchanged. lungs are clear and mildly hyperinflated. no focal consolidation is identified. minimal blunting of the left costophrenic angle on the posterior view may suggest a trace left pleural effusion. no right-sided pleural effusion is demonstrated, and there is no pneumothorax. no acute osseous abnormalities are present.
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homogeneous and cough.
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frontal and lateral radiographs of the chest demonstrates a right chest wall pacemaker with unchanged position of leads. the mid thoracic compression fracture appears stable. the lungs are clear with no nodules. increased ap diameter along with diaphragmatic flattening and vascular deficiency in the apices is consistent with chronic emphysema. the heart, mediastinal and hilar contours are unchanged. no pleural abnormality is identified.
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melanoma. evaluate disease status.
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increased density with well-defined inferior margin projects over the right upper lung laterally which correlates with pleural-based fat in the major fissure seen on prior chest ct. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f withchest pain // pneumonia
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the lungs are clear noting relatively low lung volumes. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with hyperglycemia // eval heart and lungs
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with chest pain.
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single portable view of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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hiv with pml. weakness and rales on exam.
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the lung volumes are low and accentuates the heart size and the interstitial markings. there is obscuration of the bilateral heart borders, which is likely due to atelectasis. heart size is within normal limits. mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, consolidation, pleural effusion, or pneumothorax.
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<unk> year old man with neutropenia and fever. evaluate for pneumonia.
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pa and lateral chest radiographs demonstrate left retrocardiac opacity. the heart size is top normal and the ascending aortic arch appears prominent. right hilar prominence if of unclear significance given abscence of prior radiographs. there is no pleural effusion or pneumothorax.
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dyspnea and cough for one month.
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there is minimal left pleural effusion posteriorly. there is no consolidation or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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<unk> year old man with elevated wbc // evaluate for pna
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lungs are clear without focal consolidation, effusion, or vascular congestion. cardiomediastinal silhouette is normal. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with asthma p/w dyspnea/cough with yellow sputum, minimal relief with inhalers/nebulizers/prednisone // evaluate for pneumonia or other acute cardiopulmonary process
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with cp // eval for pna, ptx
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dual-chamber pacemaker appears in standard position. elevation of the right hemidiaphragm is chronic.no focal parenchymal consolidation of pleural effusion, pneumothorax. mild right infrahilar atelectasis. moderate cardiomegaly is stable.
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history: <unk>f with weakness. evaluate for pneumonia
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a single portable ap chest radiograph was obtained. left-sided picc line terminates in the low svc. lung volumes are low. the cardiac silhouette remains mildly enlarged. widening of the superior mediastinum is likelye due to prominent vessels. left retrocardiac opacity and left greater than right small pleural effusions are unchanged. no new consolidation to explain decreased breath sounds at right base. aortic arch calcifications are unchanged. a dahboff tube has been removed.
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<unk>-year-old woman with altered mental status, decreased breath sounds at the right base, rule out aspiration.
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the lungs remain hyperinflated. there is thoracic scoliosis. the cardiac silhouette is enlarged. no focal consolidation is seen. no large pleural effusion or pneumothorax is seen. there is no pulmonary edema. the aorta is calcified. there is a least <num> left-sided rib fracture, involving the posterior lateral left sixth rib. the study is not sensitive for detection of rib fractures ; if there is clinical concern for additional injury, ct is more sensitive. severe degenerative changes at the shoulder joints partially imaged.
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history: <unk>f with fall onto left side // r/o fx, ich
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a right picc ends at or just beyond the atriocaval junction. to be confident that it would end in the svc, could pull back <num> cm. the large right pleural effusion has increased in size. the large left pleural effusion is stable. bibasilar associated atelectasis is unchanged. given the large effusions, cannot exclude underlying pneumonia or other parenchymal abnormalities. the cardiac silhouette is stably enlarged. there is no pneumothorax.
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history of aml with pneumonia and pleural effusions. worsening cough.
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pa and lateral views of the chest. right chest tube has been removed. persistent elevation of the right hemidiaphragm. small right pleural effusion. the cardiomediastinal and hilar contours are stable. small right apical pneumothorax is not significantly changed. new mild streaky left basilar atelectasis. a previously seen right upper lobe opacity medially has decreased. fullness in right mediastinal border is cleared.
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evaluate for pneumothorax status post chest tube removal, status post right vats and right upper lobe wedge resection.
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heart size top-normal, unchanged. the previously seen opacities in the lingula and left upper lobe have resolved. no new focal consolidations or opacities. no pleural effusions. the mediastinum and hila are normal.
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<unk>-year-old man with aml status post allog transplant < <num> days on immunosuppression. low grade fevers. eval for pneumonia.
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the lungs are clear. previously-seen effusions have resolved. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and prosthetic aortic valve are noted.
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<unk>m with nausea, vomiting, weight loss, s/p av-repair // evaluate for pneumonia
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the lungs are clear without focal consolidation. mild elevation of the right hemidiaphragm is again seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with nash, ascites, cough*** warning *** multiple patients with same last name! // ? pneumonia, effusion
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pa and lateral views of the chest provided. subtle lower lung opacities are potentially concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with hx of mm presenting with persistent uri symtpoms and fever despite being treated with <num> days azithromycin //
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intra-aortic balloon pump is approximately <num> cm from the roof of the aortic arch and is probably too low. remainder of the support devices are unchanged, with the swan-<unk> catheter tip persisting to be in a right lower lobe pulmonary artery. again seen is retrocardiac opacity with possible small left pleural effusion. there is otherwise no change in parenchymal findings. cardiomediastinal silhouette is stable.
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evaluate position of the intra-aortic balloon pump.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. bilateral opacities seen in <unk> have resolved. stable left apical granuloma is present. cardiomediastinal silhouette is normal. bony structures are intact.
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<unk>-year-old man with chest pain, question pneumonia.
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there is a <num> mm round opacity overlying the right anterior second rib, which is also seen on the lateral view. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year-old woman with recent myasthenia <unk> exacerbation, now feeling unwell // please evaluate for pneumonia
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interval removal of right chest tube with decrease in subcutaneous emphysema and resolution of right apical pneumothorax. the esophagus remains large and fluid filled with vascular clips noted at the superior anastomosis site. interval decrease in bilateral pleural effusions with residual small pleural effusions. mild left lower lobe atelectasis is unchanged. heart size, left mediastinal contour and left hilum are normal. no bony abnormality.
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female status post minimal invasive esophagectomy.
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as before the lungs are mildly hyperexpanded. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation.
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history: <unk>m with c/o cough and fever/chills // ? pna
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. there is a calcified right hilar lymph node.
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<unk>-year-old male with dizziness and influenza like illness. evaluate for pneumonia.
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