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MIMIC-Findings-Query

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pa and lateral views of the chest provided. there is decrease conspicuity of pulmonary nodules as seen on prior exam which suggests positive treatment response. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>m with fever, history of metastatic squamous cell carcinoma.
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the cardiomediastinal and hilar contours are within normal limits. there is an area of linear atelectasis at the left lung base. lungs are otherwise clear. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old man with cough and fevers. rule out infiltrate.
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two frontal images of the chest demonstrate low lung volumes, likely secondary to poor inspiration. there is asymmetric, right greater than left, diffuse opacification of the lungs which is consistent in appearance with vascular congestion and pulmonary edema, though in the appropriate clinical context pneumonia cannot be completely excluded. there is no pneumothorax or pleural effusion. cardiomegaly is again seen.
<unk>-year-old female with diabetes and gastric cancer, now with dka and question and concern for pneumonia.
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pa and lateral views of the chest provided. pulmonary hila appear slightly prominent and engorged which could reflect central congestion. there is no frank edema, pneumonia, effusion or pneumothorax. the heart size is normal. mediastinal contour is normal. bony structures are intact.
<unk>f with chest pain
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frontal view of the chest was obtained. the heart is of normal size with unremarkable cardiomediastinal contours. lung volumes are low with small bibasilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old male presenting with ischemic stroke. evaluate.
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there is a <num> x <num> cm rounded opacity within the right upper lobe posteriorly, which may represent a round pneumonia, but is concerning for malignancy. the lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with h/o asthma w cough and congestion // r/o infiltrate
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the patient is status post coronary artery bypass graft surgery. 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. small osteophytes are noted along the lower thoracic spine.
chest pain. recent stent placement and prior cabg, also with elevated blood sugars.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no pneumoperitoneum.
<unk>m with abdominal distention/pain! // evaluate for free air under diaphragm
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pa and lateral views of the chest provided. right pneumothorax has decreased in size. the right chest tube positions are unchanged. chest subcutaneous emphysema is again seen, extending inferiorly to the abdominal soft tissues and superiorly to the cervical soft tissues. there is no focal consolidation. the pulmonary vasculature is normal, without edema or pleural effusion.
<unk> year old man status post right middle lobectomy and en bloc upper lobe wedge
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the patient is status post left upper lobe lung resection at an outside hospital with postsurgical changes of the left lateral chest cage and chain sutures seen in the left mid lung. the lungs are otherwise clear with no focal consolidation, pleural effusion, or pneumothorax.
<unk>m with sob and cp since this am worsening today
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male status post ammonia ingestion.
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pa and lateral chest radiographs were obtained. the lungs are well expanded. linear atelectasis at the left base is unchanged. elevation of the left hemidiaphragm is similar. the aortic arch calcifications are stable. mild cardiomegaly is similar. mild rightward tracheal deviation due to an enlarged left thyroid lobe is stable.
left inferior rib pain
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a right picc and enteric tube are unchanged in position. the patient is status post median sternotomy. an aortic valve prosthesis is in place. enlargement of the cardiac silhouette is stable. widening of the mediastinum is also grossly unchanged from <unk>. there is no significant interval change in the extensive moderate-to-severe pulmonary edema. there is maturation of the right upper lobe consolidation from <unk> with concern for developing cavitation. retrocardiac opacification is unchanged, likely reflecting a combination moderate left pleural effusion and underlying atelectasis.
septic shock and worsening respiratory status, here to evaluate for pulmonary edema.
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again seen are bilateral opacities corresponding to severe bilateral bronchiectasis most prominent at the bases. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. stable prominence of ascending aorta consistent with known ascending aortic aneurysm seen on most recent cta chest.
<unk> year old man with known severe bronchiectasis with worsening cough // eval for acute process
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. the cardiomediastinal and hilar contours are unchanged. the heart remains enlarged. there is no pneumothorax, pleural effusion, or consolidation. the right upper extremity picc ends in the svc. four cardiac pacemaker leads are present.
<unk> year old man s/p cs lead via l subclavian // rule out pneumothorax
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there are old bilateral rib fractures.
history: <unk>m with productive cough // eval for pneumonia
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the lungs are somewhat low in volume with decrease of pulmonary edema from the prior study. tracheal stent has been removed with mild right greater than left basilar atelectasis. cardiac silhouette and heart size are unchanged. no pleural effusions are seen.
recent removal of tracheal stent with shortness of breath.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
wrist pain, preoperative assessment.
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cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
chest pain.
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there is mild cardiomegaly. . the lungs are clear. there is no pneumothorax or pleural effusion. patient is very rotated, there is scoliosis
<unk> year old man with fever // r/o pna
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>f with rib pain after traumatic injury // ? rib fx
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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.
history: <unk>f with shortness of breath for <num> week
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax. faint opacity in the right lower hemi thorax and probably pleural thickening are stable. the osseous structures are unremarkable
<unk> year old man with h/o liver transplant now neutropenic with a productive cough. pelase eval for pna // pt with productive cough x<num> week, denies fevers neutropenic.
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the lungs are clear. cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
<unk>f with cough for <num> weeks // rule out pneumonia, or acute cardiopulmonary changes
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pa and lateral views of the chest provided. lung volumes are somewhat low though allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is notable for an unfolded thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain // eval for infiltrate
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the et tube ends approximately <num> cm from the carina. the right-sided ij ends in the mid svc. the left perihilar opacification appears stable. there has been improvement of the left-sided pleural effusion. the left lower lobe atelectasis is stable. the right lung is clear. there is no pneumothorax. the heart size is stable.
<unk>-year-old male with history of nstemi and left perihilar pneumonia who presents for followup evaluation.
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ap view of the chest. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. there is mild cardiomegaly.
esrd, on hemodialysis, no respiratory complaints, evaluate for tb.
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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. mild relative elevation of the right hemidiaphragm is noted. bony structures are unremarkable.
chest pain.
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the patient is status post median sternotomy. multiple mediastinal surgical clips are compatible with cabg surgery. the cardiac silhouette is moderately to severely enlarged, as before. the thoracic aorta is tortuous, result in prominence of the mediastinum and rightward deviation of the trachea. mild pulmonary vascular congestion is unchanged with slightly improved pulmonary edema from <unk>. no large pleural effusion or pneumothorax is seen. the lung volumes are decreased.
tachypnea and tachycardia.
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frontal and lateral chest radiographs. top normal size of the heart, unchanged from prior chest radiographs. a left pectoral dual-chamber pacer is again noted. there is no focal consolidation, pleural effusion, or pneumothorax. low lung volumes causes crowding of the bronchovascular structures, but no frank pulmonary edema is present. atherosclerotic calcifications are again noted in the aortic arch. severe degenerative changes are partially imaged in the upper lumbar spine.
cough and fever. evaluation for pneumonia.
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. lines and tubes are in standard position. surgical clips project in the right upper quadrant of the abdomen
<unk>m w/ cholangiocarinoma, neoadjuvant chemo/rads s/p right trisectionectomy with rny left hepaticojejunostomy (cj), c/b pv thrombosis s/p thrombectomy/stent placement // eval for interval change
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lung volumes are low. vascular crowding is seen in the right infrahilar region. the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is no pleural effusion or pneumothorax. no definite consolidation is identified.
<unk>m with fever, needs medical clearance for psych admission // eval for pna
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unchanged left apical granulomas. the cardiomediastinal silhouette and hila are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old with malaise.
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there is a right sided vp shunt coursing over the right hemithorax. there are relatively low lung volumes. right middle lobe atelectasis/scarring is seen. no definite focal consolidation. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.
fall.
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pa and lateral views of the chest were reviewed. small bilateral pleural effusions have slightly decreased since <unk>. bilateral lower lobe atelectasis is minimal; otherwise, the lungs are clear. there is no pnuemothorax. mild cardiomegaly and aortic calcifications are unchanged. a right subclavian line is in the upper svc, however, its entire course is not visualized. a left pectoral pacer with leads ending in the right atrium and right ventricle is unchanged.
assessment for interval change of known pleural effusions.
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frontal and lateral chest radiographs demonstrate clear well-expanded lungs without pleural effusion or pneumothorax. there is mild cardiomegaly, the mediastinal contour is notable for tortuosity and dilatation of the aorta, unchanged. the right paratracheal stripe is widened by an osteophyte. minimal right infrahilar peribronchial thickening may reflect chronic aspiration. there is multilevel degenerative change of the thoracic spine. there is no vertebral compression deformity.
<unk>-year-old female with chest pain and shortness of breath.
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as compared to prior chest radiograph from <unk>, there is an increased right lower lobe density, which obscures the right hemidiaphragm. lung volumes remain low. atelectasis of the left lung base is unchanged. there is no pneumothorax. a right picc line tip terminates in the mid to low svc, unchanged position. cardiomediastinal and hilar contours are within normal limits and unchanged.
<unk>-year-old male patient with recurrent pyogenic cholangitis, obstruction/stricture of left hepatic system, status post left hepatic lobectomy, presenting with fevers, abdominal pain, now with tachycardia, shortness of breath. study requested for evaluation of interval change.
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ap and lateral views of the chest. left chest wall pacing device is identified with a single lead whose tip is at the right ventricular apex. the lungs are clear without consolidation, where not obscured by overlying pacing device. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>-year-old male with sudden syncope and history of hocm with aicd.
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ap view of the chest. the lungs are clear of consolidation. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old male with diabetic ketoacidosis. question infiltrate.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with s/p mvc // ptx? fx?
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no focal consolidation is seen. projecting over the lateral right mid lung, there is a <num> mm calcified structure, most likely representing a granuloma. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
history: <unk>f with chest pain // eval for acute process
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since the most recent prior radiographs, there is no significant change. very small left apical pneumothorax is improved. no focal consolidation, or pneumothorax. small bilateral pleural effusions are stable. the cardiomediastinal silhouette is unremarkable. lung bases are clear. median sternotomy wires are intact.
<unk>-year-old man, status post median sternotomy and thymectomy, chest tubes, evaluate for interval change.
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left-sided dual-chamber pacemaker device is again noted with leads terminating in the right atrium and right ventricle. mild cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unchanged. mild pulmonary vascular congestion is new in the interval. no focal consolidation or pleural effusion is noted. the osseous structures are diffusely demineralized with multiple mid thoracic spine vertebral compression deformities again noted.
history: <unk>f with cough and fever
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no previous images. the heart is normal in size and the lungs are clear without vascular congestion or pleural effusion.
preoperative for ankle fracture.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. heart size is difficult to assess because of overlying left-sided pulmonary abnormalities. heart size is probably normal as there is no evidence of pulmonary vascular congestion. multiple previous chest examinations are reviewed in sequence, demonstrating that the fibrotic changes have progressed continuously since <unk>. comparison with the next preceding chest examination of <unk> demonstrates further progress to a lesser degree. again, there are bilateral, mostly basal linear changes, most marked on the left side where there also blend with the mediastinal structures and obscure the cardiac contours. on the left base laterally, in the vicinity of the chest wall, there are increased local densities identified, which are suggestive of possibly new acute processes. the diagnosis is not conclusive in light of the previously existing rather advanced changes. it is therefore suggested to treat the patient for the present acute infection and take a followup chest examination with shorter time interval (one week) to see if these changes are regressing.
<unk>-year-old female patient with idiopathic pulmonary fibrosis, cough, and fever. evaluate for possible new pneumonia.
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ap and lateral radiographs of the chest. again demonstrated is a large left-sided and small right-sided pleural effusion with no change in size compared to the prior radiograph. calcifications are noted of the aorta. no new pulmonary opacity is identified. cardiomegaly is again noted.
traumatic hemothorax. evaluate for interval change.
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multiple calcified granulomas are noted projecting over the bilateral lung fields, the largest on the right measuring <num> mm and the largest on the left measuring <num> mm, are better assessed on recent ct chest from <unk>. the lungs are otherwise clear. the heart size is normal. median sternotomy wires are intact and well aligned. no pneumothorax, pulmonary edema, or pleural effusion.
<unk> year old man with a h/o upper tract urothelial carcinoma and bladder ca.
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the dobhoff tube is below the diaphragm ending in the fundus of the stomach right ij catheter ends in the upper svc. the <num> left midline chest tubes and the pleural drain are unchanged in position. the right lung base is now partially opacified for atelectasis. there is no pleural effusion heart size is still mildly enlarged
<unk> years of man status post cabg. check dobhoff tube placement prior to tube feed start.
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pa and lateral views of the chest were obtained. the lungs are hyperinflated, as before, and there is increased ap diameter of the chest, consistent with a history of copd. the right hemithorax is slightly smaller than the left, unchanged. heart is mildly enlarged, but cardiomediastinal contour is stable. prominence of the right pulmonary arttery is again seen. there is a small right effusion, perhaps very slightly improved, with some underlying atelectasis. scarring and volume loss in the right middle lobe appears stable. again seen is a large irregular density projecting over the right lower lung which corresponds to a large unusual branching calcification or other density in the right breast (<time> on <unk> ct). minimal blunting of the left posterior costophrenic angle and minimal left base atelectasis/scarring is unchanged. no new infltrate is detected. no obvious ptx. no chf. degenerative changes are again noted in the thoracic spine. there has been interval removal of the right chest tube.
<unk>-year-old woman with copd, atrial fibrillation, presenting chest discomfort adn shortness of breath with history of pleural effusions.
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lung fields are well inflated, without nodules or consolidation. heart and vessel silhouettes are normal. there is no pleural effusion or pneumothorax.
<unk> year old man with l sided pleuritic chest pain
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portable ap chest radiograph demonstrates <num> of <num> left-sided chest tubes has been removed. there is no pneumothorax. moderate bilateral pleural effusions are not significantly changed. right-sided picc is in stable position in the low svc. the cardiomediastinal silhouette is stable.
vats decortication. one left-sided chest tube removed. evaluation for interval change.
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the heart is again mildly enlarged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. minimal degenerative changes are noted along the thoracic spine. there has been no significant change.
left-sided chest pain.
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the lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. extensive costochondral calcification is seen. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged and the aortic calcified and tortuous. partially imaged is a right humeral prosthesis. degenerative changes at the left shoulder with a possible loose body again seen.
shortness of breath, wheezing/congestion, fever.
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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.
history: <unk>f with cough, msk type chest pain // ? cardiopulmonary process
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new hazy opacities are seen in the left lung base, concerning for developing pneumonia. mild bibasilar atelectasis is noted, left greater than right. no pleural effusion, pneumothorax, or pulmonary edema.
<unk> year old man with fever // eval for infiltrate, pneumonia
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the lungs are normally expanded and clear. the heart is top normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
dyspnea, chest pain and epigastric pain. evaluate for infiltrate.
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heart size is mildly enlarged. the aorta is diffusely calcified. mediastinal and hilar contours are unchanged. the lungs are hyperinflated. pulmonary vasculature is not engorged. scarring is again noted within the lung apices. mildly increased interstitial opacities are noted diffusely, which may reflect chronic changes. no focal consolidation, pleural effusion or pneumothorax is present multiple clips are noted at the gastroesophageal junction. partially seen are screws within the proximal left humerus.
history: <unk>f with shaking and hypotension.
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cardiac silhouette size is normal. the patient is status post median sternotomy and cabg. mediastinal and hilar contours are normal. the lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with chest pain
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diffusely increased interstitial markings likely reflect chronic lung disease. focal opacity is identified in the left lung base which may reflect atelectasis, however pneumonia is possible in correct clinical setting. there is small left pleural effusion. cardiac silhouette is moderately enlarged. heavy calcification is noted in the aorta.
<unk>f with left crackles on exam // evaluate for pneumonia
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cardiac silhouette size is mildly enlarged with a coronary artery stent noted. the aorta demonstrates atherosclerotic calcifications at the arch. pulmonary vasculature and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine.
history: <unk>f with shortness of breath
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there is left apical opacity which correlates with previously seen presumably post radiation fibrosis. given differences in technique, the appearance has not significantly changed. the lungs are otherwise clear despite relatively low lung volumes. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are intact. no acute osseous abnormalities.
<unk>m with third degree heart block // acute process
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax. moderate anterior osteophytes are similar along the mid-to-lower thoracic spine.
shortness of breath and cough.
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the heart size is mildly enlarged. the aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. small hiatal hernia is re- demonstrated. the hilar contours are normal, and the pulmonary vascularity is not engorged. small bilateral pleural effusions are noted, decreased in size on the right compared to the previous exam. streaky opacities in the lung bases likely reflect areas of atelectasis. no pneumothorax is present. diffuse demineralization of the osseous structures is noted with severe compression deformities of at least <unk> mid thoracic vertebral bodies, unchanged, resulting in marked kyphosis.
history: <unk>f with altered mental status// acute process?
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frontal and lateral chest radiographs were obtained. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart is severely enlarged but stable. mediastinal and hilar contours are stable. diffuse dense calcifications are again visualized in the aortic valve. moderate-to-severe degenerative changes in the thoracic spine.
patient with aortic stenosis and cough, rule out infiltrate or chf.
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ap and lateral chest radiographs demonstrate stable positioning of the right port-a-cath. there is no pulmonary vascular congestion, pleural effusion, or pneumothorax. left apical nodule is unchanged and has been further characterized on prior ct-torso. the cardiomediastinal silhouette is normal.
nausea and vomiting.
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right ij catheter ends in the approximate region of the cavoatrial junction. no pneumothorax or pleural effusion. the heart is mildly enlarged, increased from the prior exam. there is mild cardiac vascular congestion, new from the prior exam. no focal consolidation. the lungs are clear.
<unk> year old woman s/p kidney transplant, cvl placementl // ? pnx
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. there is subsegmental atelectasis noted in both lung bases without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>f status post motor vehicle collision with generalized chest pain // eval for rib fractures
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an enteric tube terminates in the region of the stomach, likely the pylorus. of note, the tube does not appear kinked on these images. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with cirrhosis, dobhoff placed for nutrition and now clogged // evaluate if dobhoff kinked
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the lungs are clear without consolidation or edema. there are small bilateral pleural effusions, seen only on the lateral view. there is no pneumothorax. the patient is status post a sternotomy. the wires are intact. multiple clips are seen within the mediastinum. the heart size is normal.
status post pulmonary vein isolation two days prior. now with abdominal distention, dyspnea, and decreased lung sounds at the right base.
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retrocardiac opacification is evident both on frontal and lateral radiographs, concerning for pneumonia. cardiomediastinal and hilar contours are unremarkable. no overt pulmonary edema identified. no pleural effusion or pneumothorax present. no osseous abnormalities identified.
slowly worsening cough, fever. unremarkable physical exam. hypertensive urgency with blood pressure of <num> systolic. evaluate for pneumonia or other acute process.
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upright ap and lateral views of the chest provided. lung volumes are low though the lungs appear clear. 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. clips noted in the right upper quadrant.
<unk>f with bechet's on immunosuppresants with back pain, fevers // eval pna
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the lungs are borderline hyperinflated. the heart is moderately enlarged. the aorta is tortuous. no pneumothorax, pleural effusion, or consolidation. note is made of scoliosis.
history: <unk>f with epigastric pain and burning, constipation // eval for pulm pathology, signs of constipation or obstruction
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single ap upright portable chest radiograph was provided. there is increase of interstitial markings bilaterally although worse in the right lung, which may be due to asymmetric pulmonary edema. there is bibasilar atelectasis. obscuration of the right hemidiaphragm may be due to atelectasis; however, infection cannot be excluded. cardiomediastinal silhouette is unchanged. the bones are intact.
<unk>-year-old female with shortness of breath, question edema or pneumonia.
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minimal left base atelectasis is seen. there is no focal consolidation, pleural effusion, or evidence of pneumothorax. the aorta remains calcified and tortuous. the cardiac silhouette is top-normal. no overt pulmonary edema is seen. hilar contours are grossly stable. severe degenerative changes at both shoulder joints are partially imaged.
syncope, ekg changes.
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there has been some interval improvement in aeration in the left lower lobe. otherwise no substantial change.
<unk> year old man with trach mask // pna
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding portable ap chest examination <unk> <unk>. right-sided diaphragmatic elevation persists and appears unchanged. significant cardiac enlargement as before. configuration includes prominence of main pulmonary artery and consistent with previously diagnosed pulmonary hypertension. we on previous portable chest examination suspected right-sided pleural effusion with blunted right-sided lateral pleural sinuses confirmed as the present lateral view demonstrates rather extensive pleural densities reaching into the posterior pleural sinus. the left-sided pleural space remains free. there is no evidence of any pneumothorax in the apical area on either side. comparison with the pa and lateral chest examination of <unk>. the at that time existing pulmonary congestive vascular pattern does not exist anymore.
<unk>-year-old female patient with crackles, egophony at right base. evaluate for possible pneumonia.
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increased densities in the right lower lobe may be compatible with pneumonia in the correct clinical setting. less so but still present increased densities are also noted in the left lower lobe, although these appear slightly more streaky possibly compatible with atelectasis. heart size is normal. there is no pleural effusion, pneumothorax or overt pulmonary edema. mediastinal contours are within normal limits.
dyspnea and cough, question pneumonia.
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single ap portable view of the chest was obtained. large area of opacity projecting over the left lower lung is worrisome for pneumonia. there is possible associated pleural effusion. the cardiac silhouette is enlarged. the aorta is calcified and tortuous. no overt pulmonary edema is seen.
history: <unk>f with fever // r/o infiltrate
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mild pulmonary vascular congestion when compared to the prior examination. there is no pleural effusions or pneumothorax. the heart is mildly enlarged. the patient is status post midline sternotomy and cabg. there is a left-sided dual-lead pacemaker.
<unk> year old man with in <unk> swelling congestion h/o cad/htn/chf ? worsening chf // <unk> year old man with in <unk> swelling congestion h/o cad/htn/chf ? worsening chf
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the cardiomediastinal silhouette is unchanged. median sternotomy wires are intact and in normal alignment. the patient is status post mitral valve repair. a left pacer is re-demonstrated. there is no pneumothorax or pleural effusion. right juxta hilar triangular opacity corresponds to collapsed right upper lobe as seen on prior. blunting of the right costophrenic angle and irregularity along the right hemidiaphragm and right heart border are sequelae of radiation fibrosis/atelectasis.
<unk> year old woman with lung cancer, thrombocytopenia on anti-coag with worsening sob and epistaxis // assess for worsening volume overload vs. less likely alveolar hemorrhage.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. heart size is unchanged and thus stable. the same holds for the thoracic aorta, which is mildly widened and elongated, but without local contour abnormalities. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses remain free. no pneumothorax in the apical area. skeletal structures with mild pectus excavatum deformity and slightly accentuated kyphotic curvature in the thoracic spine also unchanged.
<unk>-year-old male patient with history of chronic lymphocytic leukemia and prior history of interstitial pneumonitis. has now chest pressure and dyspnea, evaluate further.
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a single portable ap chest radiograph was obtained. a moderate right pleural effusion, with adjacent right basilar opacification is unchanged. a smaller left effusion and left basilar patchy opacification is also not appreciably changed. a left-sided chest tube is in unchanged position. an esophageal stent and right hilar chain suture have not changed in position. there is no new consolidation or pneumothorax. mild pulmonary vascular congestion is again seen. the cardiac silhouette is unchanged. the tip of a left chest port-a-cath terminates in the low svc.
hypotension.
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endotracheal tube terminates <num> cm above the carina. the lungs are hyperinflated, reflecting a combination of intubation and chronic lung disease. a linear opacity at the right lung apex is thought to reflect overlying structures, rather than pneumothorax. there is no pleural effusion or focal airspace consolidation. linear atelectasis is seen at the left lung base. heart is normal size. the mediastinal and hilar structures are unremarkable. old left-sided rib fractures are noted. the stomach is distended with air.
intubated at an outside hospital, evaluate for tube placement.
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> dm male here with worsening glucose control, assessing for etiology // assess for infiltrate
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the cardiomediastinal and hilar contours are within normal limits. mild atelectasis at the lung bases. the lungs are otherwise clear. there is no pneumothorax, fracture or dislocation.
history: <unk>m with cough and hx of pneumonia // r/o pneumonia
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moderate cardiomegaly is stable. pacer leads are in standard position. bilateral pleural effusions with adjacent atelectasis are probably unchanged allowing the difference in positioning of the patient. mild pulmonary edema has markedly improved.
<unk> year old woman with dchf p/w acute cholecystitis c/b renal failure, poor uop. // eval interval change, volume overload
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the patient is rotated distorting the appearance of the right thoracic cage. tracheostomy tube is in standard position. right lower hemithorax opacity with silhouetting of the right heart border is consistent with a combination of a small pleural effusion, atelectasis, and residual but improved consolidation from infection. no pneumothorax. asymmetric edema and pulmonary vascular engorgement on the prior exam in the right lung has markedly improved. no frank pulmonary edema. pulmonary vascular engorgement is now more symmetric and minimal.
history: <unk>m with pna diagnosis who has missed some doses of abx. // ? worsening pneumonia
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with chest pain // please assess for cardiopulmonary process
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the lungs are clear. no focal consolidation, pneumothorax, or pleural effusion. compared to the prior exam, the cardiomediastinal silhouette appears increased in size; however this may be due to lack of full inspiration and different technique on this exam compared to <unk>. the hila are unremarkable. no displaced fracture is seen. the thoracic spine is appears similar to the prior exam. probable eventration of the right hemidiaphragm is overall unchanged.
<unk>-year-old woman status-post motor vehicle collision who presents with mid thoracic spine tenderness; evaluate for fracture.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
chest pain. question pneumo or new infection.
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the ng tube tip is in the esophagus, about <num> cm above the e junction, similar to prior. the remainder the appearance of the chest is unchanged with dense retrocardiac opacity compatible with volume loss/infiltrate/effusion
<unk> year old man with thoracentesis and ngt placement under fluoro yesterday // progression of pleural effusion, ngt placement (desired at ge junction)
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right picc is seen in the region of the upper svc although tip is not clearly delineated secondary to technique. the lung volumes are low with secondary crowding of the bronchovascular markings. there is however suspected superimposed pulmonary vascular congestion. there is a small moderate right pleural effusion. the mediastinal silhouette is within normal limits.
<unk>f with ams // eval for ifnection
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the lungs remain hyperinflated, flattening of the diaphragms. biapical pleural thickening/calcification is again seen. left-sided port-a-cath is again seen, stable in position. cardiac and mediastinal silhouettes are unremarkable. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. no overt pulmonary edema is seen.
history: <unk>f with sob // ?pulm edema
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. no air under the right hemidiaphragm is identified. visualized osseous structures are unremarkable.
<unk>-year-old female with chest tightness and dyspnea.
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pa and lateral views the chest provided. a tiny density projecting over the heart may be ap in full closure device. lungs are clear. no large effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
history of pfo, cva, tia is present with transient left arm numbness this afternoon.
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the lungs are hyper expanded. heart size is within normal limits.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. there is been interval removal of the right-sided port. surgical clips are again noted in the left anterior chest.
<unk> year old woman with positive quantiferon, negative cxr in the past. asymptomativc. evaluate for tb.
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the lungs are well inflated and clear. there is persistent prominence of the right paratracheal station, compatible with known lymphadenopathy. the cardiac silhouette is normal. there is no pleural effusion or pneumothorax. a right chest port-a-cath is noted terminating at the mid svc. bilateral breast implants are identified.
history of diffuse b-cell lymphoma on chemotherapy, now with fever. evaluate for pneumonia.
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the lungs are well-expanded and clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette, hila, and pleura are normal. no pneumoperitoneum.
<unk>-year-old woman, nonsmoker, with history of asthma, presenting with anterior chest discomfort and mild sob after abdominal surgery <unk>. evaluate for pneumothorax or pneumonia.
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portable single frontal chest radiograph was obtained. the lungs are fully expanded and clear. the heart size is normal. widening of the right paratracheal stripe may reflect mediastinal adenopathy. there is no pleural effusion or pneumothorax.
patient with stemi, now with leukocytosis and low-grade temps. rule out infectious process.
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there is moderate enlargement of cardiac silhouette. there is moderate pulmonary edema. no definite large pleural effusion is noted. there is no pneumothorax. mediastinal contours are within normal limits. there are no acute osseous abnormalities.
hypoxia.