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MIMIC-CXR-JPG/2.0.0/files/p19477853/s57155370/bc892323-707cca4d-b569202b-4ef1026c-51516f85.jpg
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there is no appreciable interval change in complete whiteout of the right hemithorax despite the presence of a right sided chest tube. there is new mild pulmonary edema involving the left lung. the trachea and mediastinal structures are not significantly displaced. a moderate layering left pleural effusion has increased. the heart and mediastinum cannot be accurately assessed.
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<unk> year old woman with nsclc, large pleural effusion with pleurex in, hypoxia. // pleural effusion, interval change.
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no significant interval change. right hemodialysis catheter tip projects over the expected region of the low svc, unchanged. aortic stent graft appears unchanged. median sternotomy wires are also unchanged. bilateral pleural effusions, greater on the left compared to the right, with adjacent relaxation atelectasis persist, unchanged. no pneumothorax. cardiomediastinal silhouette appears similar.
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<unk> year old man with b/l pleural effusions. please eval for interval change.
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pa and lateral views of the chest. the lungs are clear. there is no evidence of pleural effusion or pneumothorax. the cardiac, mediastinal and hilar contours are normal.
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shortness of breath. evaluate for pneumonia.
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positioning of right-sided picc line is unchanged, again in the upper right atrium appearing as though it has not yet been pulled back. slight elevation of left hemidiaphragm is not changed and the lungs remain clear and heart and mediastinal contour stable.
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<unk> year old man with questionable picc placement (unclear if ever pulled back the <num> cm that was recommended) // please assess whether picc line was pulled back as recommended
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lungs are hyperexpanded. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
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<unk> yo m pmh hypothyroidism presents after fall and witnessed seizure. found to have <num>cm mass in the left temporal lobe with edema and <num>mm r midline shift. // pre-op planning surg: <unk> (craniotomy left for tumor resection)
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patient positioning limits evaluation of right lung. there is interval increase in left chest wall and neck subcutaneous emphysema concerning for air leak. a left basilar pleural chest tube is again seen. a second chest tube is seen terminating in the apex of the left lung. no left pneumothorax is seen.
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<unk> year old man with l side chest tube,could not be seen on previous cxr, has extensive subcutaneous air // chest tube placement
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there is no acute focal consolidation, pleural effusion, or pneumothorax. again seen is nodular opacity in the left upper lobe corresponding to calcified nodules seen on the recent chest ct. calcified pleural plaques are again noted. cardiomediastinal silhouette is stable. osseous structures are unremarkable.
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<unk>-year-old woman with chronic cough x<num> weeks. evaluate for pneumonia.
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ap upright and lateral views of the chest were provided. within the upper abdomen partially imaged is an ivc filter. the lungs appear clear without focal consolidation effusion or pneumothorax. the heart and mediastinal contours appear normal. the imaged osseous structures appear intact. there is no free air below the right hemidiaphragm.
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<unk>-year-old female with back pain, evaluate for rib fractures or pneumonia.
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. mild dextroscoliosis of the thoracic spine is stable.
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<unk> year old woman with crohns on immunosuppresion. here with abdominal pain, fevers at home. // please eval for evidence of infection
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the lungs are hyperexpanded. there is a possible developing opacity in the right mid lung zone. there is no pulmonary edema. blunting of the right costophrenic angle is likely due to the small pleural effusion, which was better assessed on the lateral chest radiograph from one day earlier. there is no definite left pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is normal. the slight apparent enlargement of the heart is likely due to the ap technique.
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history: <unk>m with worsening tachycardia, rising lactate // presence of developing pna presence of developing pna worsening tachycardia and rising lactate. evaluate for pneumonia.
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ap portable upright view of the chest. please note, low lung volumes and slight rightward rotated limits assessment. airspace consolidation is present in the left lower lung concerning for pneumonia. the right lung appears essentially clear. a tiny left pleural effusion is difficult to exclude. no pneumothorax. the heart size and mediastinal contour appear grossly stable allowing for slight rotation. bony structures are intact.
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<unk>f with esrd on hd with sob // eval edema
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lung volumes are normal. two discrete nodules in the right upper lobe measure up to <num> mm and are better characterized on same-day ct as infectious nodules due to mycobacterial infection. reticular opacities in this area likely reflect bronchiolar wall thickening and mild bronchiectasis, better characterized on same-day ct. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
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<unk> year old man with possible mac, rul nodules // can these opacities be seen on cxr for monitoring?
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an endotracheal tube has been placed with the tip terminating in the lower trachea. a nasogastric tube is also in position with the tip extending below the diaphragm with the tip projecting over the gastric bubble in the left upper abdomen. there is an unrecognized helical metallic device projecting over the descending thoracic aorta. the patient is status post aortic valve replacement. multiple mediastinal and right lateral hemithorax surgical clips are unchanged in appearance from the prior study. the inspiratory lung volumes are decreased compared to <unk>. there is no significant change in the dilatation at the aorta. the mediastinal and hilar contours appear stable. the heart is top normal in size, which is accentuated by the patient's low lung volumes. within these limitations, the lungs appear clear with no significant focal consolidation, pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
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elective intubation, here to evaluate endotracheal tube placement.
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ett ends <num> cm from the carina. enteric tube extends to the left upper quadrant though the tip is excluded from view. portable supine technique limits evaluation of the cardiomediastinal silhouette. lower lung opacities are noted likely representing atelectasis and possible aspiration. no acute bony injury.
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<unk>f with hypoxia and ich.
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the cardiac and mediastinal silhouettes are within normal limits. there no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. osseous structures are unremarkable. when compared to the prior examination, there is improvement in the right middle lobe changes without new opacity.
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productive cough for <num> days. past history of vocal cord cancer and pulmonary nodule. question pneumonia.
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there is diffuse emphysema. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. dual chamber pacing and defibrillator leads project over unchanged positions. median sternotomy wires are intact. chain suture at the right lung apex and right fifth rib changes are stable.
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chest pain.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. pulmonary vasculature is unremarkable. chronic scarring is present in the right middle and lower lobes. lungs are otherwise clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable. orthopedic hardware of an upper extremity is incompletely imaged. status post acdf of the lower cervical spine. surgical clips project over the right upper quadrant.
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<unk>-year-old male with copd and now productive cough. evaluate for pneumonia.
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. increased vascularity and hilar opacities are compatible with edema. cardiac silhouette is normal in size. there is no evidence of rib fracture on these non dedicated views; irregularities of the third through sixth right lateral rib looks similar to the prior study.
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broken ribs?
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low lung volumes are present. this accentuates the size of the cardiac silhouette which is likely mildly enlarged. the mediastinal and hilar contours are otherwise relatively unchanged. there is no pulmonary vascular congestion. bibasilar patchy opacities likely reflect atelectasis. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.
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chest pain.
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heart size is borderline enlarged. 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 present.
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history: <unk>m with fever and cough
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ap portable view of the chest. the endotracheal tube ends <num> cm from the carina. the left subclavian line ends in the low svc. the lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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carotid dissection and stroke. fever. evaluate for pneumonia.
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right-sided chest tube is overall in similar position compared to the prior exam; however, there has been interval improvement of a moderate right-sided pleural effusion with opacification of the right lung base likely secondary to re-expansion edema. there has been interval increase in the atelectasis at the left lung base. there may be a tiny right apical pneumothorax. the remainder of the left lung is clear. the cardiomediastinal contours are unchanged. again seen is a ventriculoperitoneal shunt coursing across the chest to the right of midline.
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history of pleural effusions, status post chest tube placement. please evaluate for interval change in effusion.
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the lungs are mildly hypoinflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
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<unk>f with dyspnea. assess for acute process
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pa and lateral chest radiograph demonstrate slightly low lung volumes, resulting in bronchovascular crowding. no opacity convincing for pneumonia is present. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are within normal limits. there is no air under the right hemidiaphragm.
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history: <unk>m with nonprod cough. // pna?
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ap upright and lateral views of the chest provided. dual lead pacer is unchanged with lead extending to the region the right atrium and right ventricle. lung volumes are somewhat low though lungs appear clear. unchanged eventration of the right hemidiaphragm is noted. no large effusion or pneumothorax. cardiomediastinal silhouette is stable and within normal limits. bony structures are intact.
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<unk>f with syncope // ? infectious process
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the heart remains moderately enlarged with left atrial enlargement. mediastinal and hilar contours are stable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
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chest pain.
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ap and <num> lateral views of the chest. based on the frontal view, the lungs are clear. however, on the lateral view there is increased density projecting posteriorly, better seen on <num> view than on the other. this could be due to technical factors given change between the <num> views. the cardiomediastinal silhouette is stable as are the osseous structures.
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<unk>-year-old male with altered mental status.
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monitoring and support devices are in unchanged position. the lung volume is small. pulmonary edema has improved. no new consolidation. small bilateral pleural effusion is unchanged. bilateral mid lung atelectasis is stable. no pneumothorax. severe cardiomegaly is unchanged
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<unk> year old man s/p cabg/mvr/tv repair // eval for pleural effusions
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. there is no air under the right hemidiaphragm.
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<unk>m with chest pain // edema, effusion, infiltrate
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ap view of the chest. there is a healed fracture in a right posterior rib. the right subclavian central venous line ends in the upper svc, which appears slightly pulled back compared to <unk>. low lung volumes. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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auto transplant, check line placement.
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bibasilar airspace opacities have increased. there is no pneumothorax. small bilateral pleural effusions are new. there is stable mild cardiomegaly despite the projection.
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<unk> year old man with increased oxygen requirement and previous cxr notable for left lower lobe infiltrate, with altered mental status s/p fall. please evaluate for volume overload/pneumonia.
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lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. osseous structures are grossly intact.
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chest pain, evaluate for acute process
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a left ij access central venous catheter continues to terminate in the right atrium. a vascular stent projects over the right upper mediastinum likely within the right brachiocephalic vein. the cardiac silhouette is stable. mild interstitial pulmonary edema is noted. no pleural effusion, focal consolidation or pneumothorax is seen. the visualized upper abdomen is unremarkable.
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<unk>-year-old female with chest pain. evaluate for pulmonary edema or pneumonia.
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multiple support tubes and lines are in unchanged position. since the most recent exam from <unk> at <time>, the lung volumes are lower. there is new left lower lobe collapse with a tiny left pleural effusion. this is similar to the prior radiogrpha from <unk> at <time>. minimal right basilar atelectasis is unchanged. there is no right pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is unchanged.
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respiratory failure. evaluate for pneumonia or effusions.
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heart size is mildly enlarged, unchanged. the aorta is calcified diffusely. mediastinal and hilar contours are similar. mild pulmonary vascular congestion is present. no focal consolidation, pleural effusion or pneumothorax is identified. known nodular opacity in the right lower lobe with adjacent bronchiectasis is better assessed on previous ct. patchy atelectasis is seen in the lung bases. there are no acute osseous abnormalities.
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history: <unk>m with new confusion.
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portable ap semi-upright chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with new hypoxia // r/o pulm edema, pleural effusions worsening, or pneumonia r/o pulm edema, pleural effusions worsening, or pneumonia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with fever to <num>.
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the cardiac silhouette is enlarged is stable when compared to previous studies. the mediastinum and hila are unremarkable. there are probable small bilateral pleural effusions. a new focal opacity is seen the overlying the right lung base suggestive of a developing pneumonia. again seen are compression deformities of thoracic spine which are grossly stable from previous studies.
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<unk> year old woman with diffuse wheezing. remote smoker // r/o pneumonia
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the endotracheal tube sits <num> cm above the carina. a staple line is noted over the right neck soft tissues with a drain in place. there does not appear to be soft tissue asymmetry along the two sides of the neck. there is no apical cap or mediastinal widening. the heart size is within normal limits. the lungs are clear. there is no pleural effusion or pneumothorax.
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<unk>-year-old female status post carotid surgery.
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chronic fibrotic changes in the upper lobes and severe emphysema in the lower lobes are again noted. heterogeneous opacity in the posterior aspect of left lower lobe is similar to <unk>, however it has been increasing since <unk>. no new opacity is identified since <unk> to suggest pneumonia. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unchanged.
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history: <unk>m with sarcoidosis, dyspnea // pna?
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frontal and lateral chest radiograph demonstrates clear lungs. no pleural effusion or pneumothorax evident. cardiomediastinal and hilar contours are unremarkable. no osseous abnormality evident.
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three weeks of cough, evaluate for pneumonia.
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venous catheter has been removed since prior. mildly increased heart size is stable. borderline pulmonary vascularity. lungs are clear. no effusion.
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<unk> year old woman pod <unk> s/p right craniotomy for tumor resection with new cough // assess for pneumonia vs atelectasis
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cardiac, mediastinal and hilar contours are normal. coronary artery stents are re- demonstrated. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. there are mild degenerative changes noted in the thoracic spine.
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history: <unk>f with chest pain, palpitations
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there are low lung volumes accentuate the bronchovascular markings. given this, there appears to be the pulmonary vascular congestion persists. no definite focal consolidation is seen. no large pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is top-normal.
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history: <unk>f with recent pna, <unk> swelling // pna?
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right-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. mild enlargement of the cardiac silhouette with a left ventricular predominance is re- demonstrated. the aorta remains tortuous. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. streaky and linear opacities in the lung bases likely reflect areas of minimal atelectasis. no acute osseous abnormality is detected.
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history: <unk>m with altered mental status
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in comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
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<unk> year old man with history of renal transplant <unk> with three weeks of cough, malaise, sweats, basilar crackles // rule out pneumonia or tb
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there is striking interval increase in airspace opacity within the right greater than left lung. differential diagnosis includes hemorrhage, asymmetric edema, or aspiration. a right ij catheter is in place with its tip in the lower svc. an endotracheal tube is in place with its tip <num> cm from the carina. an ng tube tip and side hole are within the stomach. there is no large pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours remain normal.
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<unk>-year-old female status post intubation, question line placement.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. significant soft tissue attenuation does limit fine parenchymal detail. cardiac and mediastinal contours are normal.
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cough.
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endotracheal tube is new, terminating approximately <num> cm from the carina, at the level of the thoracic inlet. nasogastric tube tip is suboptimally positioned with the tip terminating above the gastroesophageal junction. the heart remains moderate to severely enlarged. the patient is status post median sternotomy and mitral valve replacement. left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right right ventricle. worsening bilateral parenchymal opacities predominantly in a perihilar distribution are noted with increased confluence, likely reflective of pulmonary edema which is moderate to severe. bibasilar opacities likely reflect atelectasis though infection cannot be excluded. small right pleural effusion is re- demonstrated. no pneumothorax is identified.
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intubation.
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lung volumes are low. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated. multiple clips are seen within the right upper quadrant of the abdomen.
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<unk> year old woman with metastatic intrahepaticcholangiocarcinoma in the setting of primary sclerosingcholangitis and ulcerative colitis currently on modified folfox (c<num>d<num> on <unk>) presenting with fever.
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there is increased heart size and pulmonary vascularity, mildly improved since prior exam. no consolidations. probable tiny right pleural effusion. acities.
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<unk> year old man with decompensated heart failure // ? volume overload
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since most recent prior radiograph, there is increased opacity at the left base which is concerning for infection. lung volumes are low. there is no pleural effusion or pneumothorax. moderate cardiomegaly is stable. the monitoring and support devices are unchanged. left chest tube is unchanged. again seen is extensive subcutaneous air in the left soft tissues.
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<unk>-year-old man with meningitis, intubated, new emesis and concern for aspiration, please evaluate for aspiration.
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the patient is status post median sternotomy. left-sided icd with single lead terminating in the right ventricle is seen noted. heart size is mildly enlarged. rounded calcified structure projecting over the left apex is compatible with a calcified left ventricular aneurysm. mediastinal and hilar contours are unchanged. small bilateral pleural effusions are present, left greater than right. bibasilar airspace opacities may reflect atelectasis though infection is not excluded. no pneumothorax is seen and there is no pulmonary vascular congestion.
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recent left ventricular perforation.
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lung volumes are low. the cardiac, mediastinal and hilar contours are within normal limits. lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities are detected.
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tachycardia.
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in comparison to the prior radiograph, there is a new retrocardiac opacity which may represent atelectasis or infection. the lungs are otherwise clear and moderate cardiomegaly is unchanged. no pleural effusion or pneumothorax.
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history: <unk>f with <num>d hematemesis, now with sob // eval for consolidation
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there is increased airspace opacification at the right base. a new band-like opacity at the left base is likely due to worsening infection or atelectasis. over although the fine reticular nodular pattern of abnormality is not appreciably changed since the radiograph of <num> days prior. there is no new pleural effusion or pneumothorax. the heart and mediastinum are within normal limits.
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<unk> year old woman with atpyical vs viral pna // assess for interval radiographic change
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there is hyperinflation of the lungs, flattening of the hemidiaphragms, and relative lucency of the upper lung zones consistent with patient's known copd. there are no consolidations or pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is normal. there is stable calcification of the aortic arch. clips in the left lower lung zone reflect prior wedge resection and are unchanged.
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history of copd with new cough and shortness of breath. evaluate for pneumonia.
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since the most recent examination there has been development of small bilateral apical pneumothoraces. in addition there has been development of a small left layering pleural effusion. there is unchanged pulmonary vascular congestion with no new focal opacities concerning for pneumonia. the cardiomediastinal and hilar contours are stable, demonstrating stable cardiomegaly. the patient is status post median sternotomy and aortic valve replacement. in addition the patient is status post bilateral chest tube placement. diffusely sclerotic bones are re-demonstrated. there has been interval removal of the right internal jugular approach swan-ganz catheter.
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<unk>-year-old male status post avr. evaluate for effusion.
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a right-sided port catheter terminates in the low svc. the mediastinal contours are within normal limits. the heart is normal in size. there is a small to moderate left pleural effusion and adjacent atelectasis. please note underlying pneumonia difficult to exclude. there is a rounded nodular opacity seen in the right lower lobe, consistent with known pulmonary metastasis measuring <num> cm, characterized on prior ct. the opacity is seen projecting over the thoracic spine on the lateral view. there is no evidence of pneumothorax. surgical clips are noted in the left axilla.
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<unk>f with sob s/p chemo, patient has a history of myxofibrosarcoma with lung metastasis // infiltrate
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there has been interval placement of a right ij central line whose tip projects over the cavoatrial junction. a newly placed enteric tube coils within the stomach. there is no pneumothorax. the lungs are clear. the left costophrenic angle has been excluded from the field of view. the heart and mediastinum are within normal limits despite the projection. no bony or soft tissue abnormality is identified.
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<unk> year old woman with dm s/p pancreas transplant // eval for effusions, position of rij cvl
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again seen is the area of lucency in the prior region of the endotracheal tube balloon. this was compared with the ct scan done on <unk> which demonstrated a patulous trachea. if further delineation is desired this would best be done by repeat ct
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<unk> year old woman recently extubated with very subtle inspiratory <unk>, hypodensity on prior cxr at approximate site of ett cuff - unclear if artifact or paratracheal air. // eval lucency in mid-trachea seen on plain film. please perform upright portable film.
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there is mild cardiomegaly. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. there is mild vascular congestion. the upper abdomen is unremarkable.
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history: <unk>m with fever of unclear etiology // evaluate for infection
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hyperinflation with coarse interstitial markings, likely reflecting interstitial lung disease. minimal opacification at the right lung base likely reflects atelectasis. no additional focal consolidations to suggest pneumonia. no pulmonary edema. stable appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
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history: <unk>f with cough // eval for pna
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frontal and lateral views of the chest are compared to previous exam from <unk>. there is apparent right basilar scarring, unchanged from prior. the lungs are clear of consolidation or effusion. calcified node projects over the region in the ap window, unchanged. cardiomediastinal silhouette is unchanged. prior healed clavicular and upper thoracic compression fractures are again seen.
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<unk>-year-old female with shortness of breath and cough. history of asthma.
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ap upright and lateral chest radiograph demonstrate eventration of the right hemidiaphragm anteriorly, unchanged when compared to radiograph dated <unk>. no focal consolidation convincing for pneumonia is identified. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no evidence of overt pulmonary edema. no acute osseous abnormality is identified.
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<unk> year old female with hypoxia.
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one portable supine ap view of the chest. endotracheal tube ends in the right main bronchus, approximately <num> mm below the carina. right lung is clear. the left upper lobe and likely left lower lobe opacities concerning for pneumonia are again seen. no pleural effusion. low lung volumes. no pneumothorax. cardiac and mediastinal contours are stable.
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status post intubation, et tube placement.
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ett tip is approximately <num> cm from the carina. the film has the appearance of a more apical lordotic technique. the contours of the left hemidiaphragm are not clearly defined and there is a retrocardiac opacity. these could reflect atelectasis although infection cannot be excluded. no pneumothorax. the heart is mildly enlarged. aortic knob is calcified. patient is status post median sternotomy and several of the sternotomy wires are fractured. a partially visualized enteric tube traverses the hemidiaphragm into the left upper quadrant but its tip is beyond the scope of this imaging. several radio-opaque surgical material projects just to the left of the thoracic spine in the mediastinum.
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history: <unk>f with massive gi bleed, intubated // ett
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compared with <unk>, there has been progression of diffuse bilateral opacities. there is more pronounced confluence in the left upper lung and slight oblique greater areas of confluence of the right lung. as before, the right hemidiaphragm is elevated. the cardiac silhouette is obscured by the opacities more so than on the prior study. no gross left effusion. doubt gross right effusion. clips again seen in the right upper abdomen. clips also noted adjacent to the left shoulder. left-sided line overlies the mid svc, similar prior.
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<unk> year old woman with hypersensitivity pneumonitis and hypoxic respiratory failure. also chf // rule out worsening pulmnonary edema versus hp versus aspiration pna
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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history: <unk>m with fever // pna?
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pa and lateral views of the chest provided. the lungs appear hyperinflated and hyperlucent with flattened diaphragms suggestive of underlying copd/emphysema. the heart is top-normal in size. no focal consolidation, effusion or pneumothorax is present. there is subtle prominence of the main pulmonary arterial mobile along the left mediastinal border. please correlate for pulmonary arterial hypertension. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with cough prod of yellow sputum x <num> week // eval pna
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there is a small right-sided pleural effusion. adjacent consolidation is likely could combination of atelectasis and infection. more rounded consolidation seen in the right mid lung, likely right middle lobe. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with r sided cp // r/o pna
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pa and lateral views of the chest provided. lung volumes are low which somewhat limits the evaluation. allowing for this, there is no convincing evidence for pneumonia or edema. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with chest pain // ?pneumonia
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pa and lateral views of the chest provided. left port-a-cath terminates in the right atrium. postsurgical changes are stable. bilateral, opacities along the lateral chest wall are not significantly changed given differences in lung volumes no pneumothorax. right-sided pleural effusion is better seen on ct from earlier today. hilar and cardiomediastinal contours are normal.
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history: <unk>f with n/v // eval for infiltrate
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there is a new endotracheal tube with the tip in the mid trachea at approximately <num> cm away from the carina. a nasogastric tube is visualized with the tip traversing through the stomach but out of the field of view. lung volumes remain low. areas of patchy atelectasis as well as bilateral small pleural effusions, left greater than right persist. however, the area of patchy atelectasis on the right may be representative of a pnuemonia in the proper clinical setting. moderate pulmonary edema also appears stable.
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evaluation of patient with respiratory failure, now status post intubation for endotracheal tube positioning.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pneumothorax.
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history: <unk>f with asthma, sob // ? ptx, acute process
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the cardiac silhouette is enlarged. the pulmonary vasculature is unremarkable. no pleural effusion or pneumothorax is identified. faint opacity is noted in the retrocardiac region, which may represent early pneumonia. there is dextroscoliosis of the visualized thoracic spine.
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history: <unk>f with ili, cough, r back pain, swelling // pna? effusion? ptx?
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pa and lateral views of the chest provided. lung volumes are low. allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with cp // evidence of pneumothorax or pneumonia
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. no free air. there is an apparent long standing anatomic anomaly of t<num>/t<num> vertebra.
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colicky abdominal pain.
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pa and lateral radiographs of the chest once again demonstrate a right apical pneumothorax which has not changed substantially in size from the prior study. aside from the stable appearance of the right hilar and mediastinal mass, the lungs are clear. there is no effusion or pulmonary edema. elevation of the right hemidiaphragm is unchanged.
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evaluate for interval change in right pneumothorax in patient with mediastinal mass status post vats biopsy.
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a right-sided picc line terminates at the cavoatrial junction. the patient has been extubated and an enteric tube has been removed. the lung volumes are low. vague retrocardiac opacity is not well characterized or specific, but would most often be seen with atelectasis. pleural effusions are difficult to exclude. there is mild perihilar opacification suggesting fluid overload.
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pancreatitis and diabetic ketoacidosis. decreased left-sided breath sounds.
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ap and lateral views of the chest. the lungs remain clear consolidation or effusion. cardiac silhouette is enlarged but stable in configuration. dual lead pacing device is again noted within some expected locations of the right atrium and right ventricular apex. there is no evidence of lead wire fracture. coronary stent is noted. median sternotomy wires and mediastinal clips are also noted. no acute osseous abnormality detected.
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<unk>-year-old male with aicd fire, question lead fracture.
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the newly placed ett tip is in standard position with the neck extended. the distal most aspect of the ett appears to contain some hyperdense material, perhaps hemorrhage or secretions. the enteric tube traverses the hemidiaphragm its tip is beyond the scope of this image. the right hemidiaphragm is elevated, similar the prior exam. cardiomediastinal silhouette is unchanged. no pneumothorax. no pleural effusion or focal consolidation. pulmonary vascular congestion is minimal. edema it is mild, new from the prior exam. no acute osseous abnormality.
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history: <unk>m with s/p intubation // intubated
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heart size is normal. the mediastinal contour is unchanged with mild atherosclerotic calcifications noted at the aortic arch. hilar contours are similar compared to the prior chest ct with an infrahilar opacity re- demonstrated. the lungs are hyperinflated with severe emphysematous changes again seen. while scarring within the lung apices is again noted, there is a new patchy opacity seen within the left upper lobe concerning for an area of infection. no pleural effusion or pneumothorax is identified. no acute osseous abnormality seen.
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history: <unk>m with dyspnea // ?pna
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single frontal view of the chest demonstrates top normal cardiac size, likely accentuated by ap technique and supine positioning. there is minimal unfolding of the thoracic aorta. the mediastinal and hilar contours are unremarkable. despite slightly low lung volumes, the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. no displaced osseous injury is evident.
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<unk>-year-old male with altered mental status.
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pa and lateral views of the chest reviewed. cardiomediastinal and hilar contours are stable. left axillary pacemaker defibrillator is present with leads terminating in right atrium and right ventricle as expected. there is no pleural effusion or pneumothorax. lungs are well expanded and clear. apparent bilateral hazy opacities seen on ly on the fronatl view are likley due to overlying soft tissue and are unchanged from prior. there is no pulmonary edema.
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cad, chf with dyspnea for <num> days.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
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cough.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions. previously described left retrocardiac opacity is not seen.
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cough // recent pneumonia continued cough
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compared to the prior chest radiograph of <unk> bilateral lower lobe opacities have improved. new opacities in the right middle lobe and lingula are identified. there is no pleural effusion or pneumothorax the cardiac and mediastinal contours are stable.
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<unk>-year-old woman with fever. evaluate for infiltrate.
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patient is status post median sternotomy and cabg.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
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history: <unk>m to or for hand surgery, preop cxr requested // preop
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pa and lateral chest radiographs were provided. the endotracheal tube is in the mid trachea, approximately <num> cm from the carina. nasogastric tube courses below the diaphragm within the stomach. support device overlies the lung fields, obscuring view. there is no evidence of pneumomediastinum. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
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<unk>-year-old woman with bleach ingestion, concern for esophageal erosion, evaluate for free air.
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in comparison to prior study from <unk>, there has been an interval increase in left lower lobe opacity. otherwise, right lower lobe opacity appears stable. lungs are without a pneumothorax. emphysematous changes are again noted. cardiomediastinal silhouette is normal. kyphosis of the thoracic spine is again noted with post-vertebroplasty changes and vertebral body compression fracture.
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dyspnea.
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frontal and lateral views of the chest are compared to previous exam from <unk>. there is no confluent consolidation. there is, however, indistinct pulmonary vascular marking seen throughout. there is blunting of the left costophrenic angle suggestive of small pleural effusion. right costophrenic angle is sharp. the cardiomediastinal silhouette is stable. bilateral deep brain stimulator devices project over the chest. median sternotomy wires are also noted. osseous and soft tissue structures are otherwise notable for hypertrophic changes in the spine.
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<unk>-year-old male with shortness of breath, chest pressure.
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mild cardiomegaly is stable. the mediastinal and hilar contours are normal. central pulmonary vasculature congestion is not significantly changed. retrocardiac opacity with air bronchograms is not significantly changed. left effusion is tiny. no pneumothorax. lines and tubes: the ett tip is approximately <num> cm above the carina. a left ij venous line tip is in the upper svc. orogastric tube passes into the stomach and extends out of view.
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<unk> year old man with intraparenchymal hemorrhage, intubated, pna // ?worsening of infiltrates, ?pulm edema
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as compared to prior radiograph from <unk>, there has been interval placement of a left chest drain. a small left apical lateral pneumothorax is identified. there is bibasilar atelectasis and interstitial edema. there are no pleural effusions. the heart is normal in size. free intraperitoneal air is seen below both hemidiaphragms, likely related to recent surgery.
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<unk>-year-old male patient status post left wedge resection. study requested for evaluation of effusion, pneumothorax.
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frontal and lateral radiographs of the chest show a grossly intact right pectoral subclavian port-a-cath, tip in the low svc. the <unk> x <num> mm spherical mass in the posterior right lower lobe was <unk> x <num> mm on <unk>. lungs are otherwise clear. there is no pleural effusion or evidence of central adenopathy. cardiomediastinal and hilar silhouettes are normal and the pulmonary vasculature is not engorged.
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<unk>-year-old male with right-sided port, now with discomfort in the port vicinity status post mvc, here to evaluate for interval changes in the catheter.
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a left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. the patient is status post median sternotomy and cabg with an aortic corevalve device again noted. fractures of several median sternotomy wires are re- demonstrated. the heart remains mildly enlarged. mediastinal contour is similar. there is mild pulmonary vascular congestion. patchy opacity in the left lung base could reflect an area of atelectasis though infection or aspiration is not excluded. no pneumothorax is identified.
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<unk> year old man with subarachnoid hemorrhage , dyspnea
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MIMIC-CXR-JPG/2.0.0/files/p17381647/s57309466/13e4bda5-2c2b8c41-28f1a578-8a4cdd4b-9c34071e.jpg
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portable semi-upright frontal images of the chest. the lungs are well expanded. a small focus of mild peribronchial infiltration is seen in the right lung base. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. median sternotomy wires and mediastinal clips are noted.
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history of cabg and diabetes, now with cough.
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feeding tube tip is in the mid stomach. heart is enlarged, stable. borderline pulmonary vascularity, stable. no pulmonary edema. minimal left basilar opacity, likely atelectasis.
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<unk> year old woman with multiple brainstem and cerebellar infarcts. // eval dobhoff tube placement.
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left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. heart size is mildly enlarged. the aortic knob is calcified. mediastinal and hilar contours are unchanged. focal aneurysm of the descending thoracic aorta is again noted, and better assessed on the previous ct. previously noted left pleural effusion has substantially decreased in size while the right pleural effusion also appears minimal. pulmonary vasculature is normal. no focal consolidation or pneumothorax is present. the lungs are hyperinflated. patient is status post bilateral mastectomies with clips demonstrated overlying the chest wall bilaterally. multiple clips are also noted in the right upper quadrant of the abdomen. known diffuse osseous metastatic lesions are better appreciated on the previous ct.
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history: <unk>f with productive cough, dyspnea
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. widened mediastinum is consistent with patient's known type a aortic dissection. the heart is mildly enlarged. status post median sternotomy. metallic clips project over the right apex and axilla. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with dizziness, code stroke // intrapulm process
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