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midline sternotomy wires noted. patient status post prior aortic valve replacement. there has been interval removal of a enteric tube. dense calcified pleural plaques are noted bilaterally. bibasilar opacities are better assessed on same-day ct abdomen pelvis and may represent atelectasis versus pneumonia. cardiomediastinal silhouette stable. bony structures intact.
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<unk>-year-old male with recent admission abdominal pain status post cardiac stenting and ileus which was managed conservatively. evaluate for congestive heart failure, pneumonia and bowel obstruction.
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patient is status post median sternotomy and cardiac valve replacement.cardiac and mediastinal silhouettes are stable. no focal consolidation, large pleural effusion or pneumothorax seen. no overt pulmonary edema is seen. there is persistent mild elevation the right hemidiaphragm.
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history: <unk>m with leukocytosis // eval for pneumonia
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low lung volumes accentuate the bronchovascular markings. subtle right base opacity most likely represents combination of atelectasis and vascular structures, although infection is not excluded in the appropriate clinical setting. suggest dedicated pa and lateral views when patient able for better evaluation. no pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is top-normal to mildly enlarged, likely accentuated by low lung volumes. mediastinal contours are unremarkable.
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history: <unk>f with fuo // eval for pna
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right chest wall port is again noted. the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is stable. left suprahilar fullness compatible with known hilar mass is unchanged. no acute osseous abnormalities.
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<unk>m with extensive sclc on palliative chemo w/ hemoptysis <num> months after pa embolization for frank hemoptysis. // evaluation of lung pathology
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when compared to prior, again seen are bilateral middle to lower lung somewhat nodular opacities. the appearance may be slightly progressed when compared to previous exam from <unk>. there is no significant pleural effusion. cardiac silhouette is mildly enlarged. chronic nonunion and pseudoarthrosis of the right clavicular fracture is again seen. peg tube projects over the upper abdomen.
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<unk>m with history of recurrent aspiration pneumonia p/w hypoxia, dyspnea // eval for pneumonia, congestive heart failure
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lung volumes are low, causing accentuation of the pulmonary vasculature and exaggeration of the heart size. the lungs are grossly clear aside from minimal bibasilar atelectasis. heart size is top normal. note is made of a small hiatal hernia. the mediastinal contours are otherwise normal. there are no definite pleural effusions. no pneumothorax is seen.
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chest pain, evaluate for acute cardiopulmonary process.
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the lungs are well inflated and free of consolidation. the heart is not enlarged. the osseous structures are normal for age. monitor leads overlie the chest. an inconstant device overlies the chest presumably on the chest surface. a right-sided picc line is also seen.
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<unk> year old woman with disloged picc // r picc sal <unk>
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low lung volumes are seen. there is secondary crowding of the bronchovascular markings and bibasilar opacities which are most likely atelectasis. there is no effusion or overt pulmonary edema. cardiac silhouette appears enlarged but also likely accentuated by low lung volumes and not likely change. no acute osseous abnormalities identified.
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<unk>f with occ shortness of breath at rest, fuo // eval for sob ?pna
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pa and lateral views of the chest provided. there is mild blunting of the right cp angle on the frontal view, possibly indicating a tiny effusion or pleural thickening. on the lateral view there is a convex bulge noted posteriorly partially overlapping with the lower thoracic spine which requires further evaluation with nonemergent ct chest. no signs of pneumonia or edema. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with weakness // acute process
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relatively low lung volumes noted with streaky bibasilar opacities felt most likely to represent atelectasis. superiorly, the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips are again noted. no displaced fractures identified.
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<unk>f with s/p mvc // eval for rib fractures
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the right-sided chest drain has been removed. no pneumothorax seen. there is persistent right basilar consolidation and pleural fluid. the left lung appears grossly clear except for linear atelectasis in the left mid lung.
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<unk> year old woman with pneumothorax s/p chest tube // pneumothorax status. *****please perform morning on <unk>****
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there is a moderate-sized right pleural effusion. lung volumes are low. no pneumothorax is detected. heart size may be enlarged but may be exaggerated by low lung volumes. aortic calcification is noted.
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<unk>-year-old male with abdominal tenderness.
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the aortic arch is densely calcified. otherwise, the cardiac, mediastinal and hilar contours are unremarkable. there is moderate relative elevation of the left hemidiaphragm compared to the right with patchy opacities in the left lower lung most suggestive of atelectasis. chronicity of diaphragmatic elevation cannot be assessed.
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altered mental status.
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the cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected. there are clips within the right upper quadrant compatible with prior cholecystectomy.
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right flank pain.
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there has been an increase in right-sided pleural effusion with associated collapse of right upper and lower lobe. right middle lobe appears partially inflated. there has been a corresponding mediastinal and cardiac shift to the right. left lung volume is slightly decreased with worsened left basal atelectasis. tracheostomy is seen in place with no obvious complication. a right ij double-lumen catheter is seen terminating within the right atrium. a left ij catheter is seen terminating within the low svc. an ng tube is seen entering the stomach, courses through the pylorus and then terminates near the ligament of treitz. there is extensive small bowel and stomach gas noted.
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<unk>-year-old female with history of hepatitis c, status post orthotopic liver transplant and tracheostomy. now complains of shortness of breath.
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left-sided dual-chamber pacemaker leads terminate in the right atrium and right ventricle. there is moderate enlargement of cardiac silhouette. the aorta is tortuous and diffusely calcified. mild pulmonary edema is present. no large pleural effusion or pneumothorax is identified. probable retrocardiac atelectasis is noted. there are no acute osseous abnormalities.
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shortness of breath which is worse lying down.
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an endotracheal tube is in place, approximately <num> cm from the carina. a feeding tube is seen with the tip and side port within the stomach. there is a subtle <num> mm new soft tissue contour adjacent to the calcification of the aortic knob which was not present on the prior radiograph, and is likely due to patient positioning. otherwise, the cardiomediastinal silhouette is normal. new mild hazy opacity at the left base is present, which likely represents atelectasis. there is no pneumothorax, pleural effusion, or consolidation.
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history of mva. assess for change.
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the patient is status post median sternotomy and cabg. lung volumes are reduced. the heart size remains mildly enlarged. mediastinal contours are unchanged. mild pulmonary edema is worse compared to the previous exam with peribronchial cuffing noted. retrocardiac patchy opacity could reflect atelectasis. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. left picc has been removed.
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ekg changes, asymptomatic.
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one portable ap semi-upright view of the chest. right internal jugular line ends in the distal svc. et tube is unchanged in position <num> cm above the carina. enteric feeding tube ends off inferior to the border of this image. the retrocardiac opacity and patchy opacity within the mid and lower left lung are better seen on this study, with some associated volume loss in the left lung. right lung is clear. no pneumothorax.
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<unk>-year-old male status post right internal jugular line placement.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with shortness of breath.
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the patient is status post median sternotomy and cabg. mild cardiomegaly persists. mediastinal and hilar contours are unchanged. patchy opacities in the lung bases are new compared to the previous exam. no overt pulmonary edema is present. there is no pleural effusion or pneumothorax. no acute osseous abnormality is visualized. the right internal jugular central venous catheter has been removed.
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history: <unk>m with cough, syncope
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the lungs are clear. there is no pleural effusion, pneumonia, pulmonary edema or pneumothorax. cardiac size is normal. no bony abnormalities are detected on these non-dedicated views.
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neck pain and pleuritic chest pain. question pneumothorax.
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the cardiomediastinal silhouette is probably within normal limits, mildly tortuous thoracic aorta. there are mild background emphysematous changes. there is a medial right upper lung radiodensity consistent with known mass at this location. there is suggestion of right hilar prominence. the left hilum is normal. there is no focal lung consolidation. there is no pulmonary edema. there is no pneumothorax or pleural effusion. there is diffuse subjective osseous demineralization.
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<unk>-year-old woman with right upper lobe adenocarcinoma status post endobronchial ultrasound.
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cardiac and mediastinal silhouettes are stable with significant tortuosity of the descending thoracic aorta and with mild to moderate cardiomegaly. the appearance of the descending aorta is stable as compared to prior radiograph from <unk>. no new focal consolidation is seen. there is no pleural effusion or pneumothorax.no pulmonary edema is seen.
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history: <unk>m with b/l plantar foot pain and mtp pain pls eval b/l feet for fx and <unk> joint dz // history: <unk>m with b/l plantar foot pain and mtp pain pls eval b/l feet for fx and <unk> joint dz
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pa and lateral views of the chest. no prior. the lungs are hyperinflated but clear. posterior costophrenic angles are excluded from the field of view. cardiomediastinal silhouette is within normal limits. orthopedic hardware projecting over the right axilla. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with near syncope.
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the lungs are clear. a small right pleural effusion is stable. the heart and mediastinum are within normal limits despite the projection. there is no pneumothorax.
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<unk> year old woman with lymphoma, s/p right thoracentesis // pneumothorax?
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when compared to prior, there has been interval progression in the degree of pulmonary edema. probable small bilateral effusions are noted. moderate to severe cardiomegaly is similar. left chest wall dual lead pacing device is again noted. no acute osseous abnormalities.
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<unk>m with sob // r/o acute process
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the cardiac silhouette is enlarged. there is mild pulmonary edema, possibly mildly improved since the most recent examination. no definite new consolidation is identified. there is mild bibasilar atelectasis. a right-sided chest port is in stable position, terminating in the right atrium. there is no definite pleural effusion or pneumothorax.
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<unk> year old man with end stage multiple myeloma. fever/neutropenia. // progressive myeloma. fever/neutropenia.
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compared to the prior radiograph performed <num> hours prior, the lung volumes have slightly decreased. bibasilar atelectasis and small bilateral pleural effusions are stable. mild vascular prominence is stable. there is no pneumothorax. the cardiac and mediastinal contours are stable.
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<unk> year old woman with pacs, low bp, low o<num> // evaluate for iinterval changes and for abnormalities
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endobronchial valve projects over the left hilum, similar compared to the prior study. there is persistent herniation of the right lung leftward. the appearance of the chest is without significant interval change. cardiac and mediastinal silhouettes are stable. no pleural effusion or pneumothorax is seen. no pulmonary edema is seen.
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history: <unk>f with sob // eval pneumonia vs chf
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there is been no change in the pulmonary edema pattern with bilateral effusions and cardiomegaly since prior examination. the heart is enlarged the swan-ganz catheter has been advanced and now terminates in the right main pulmonary artery.
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<unk> year old man p/w cardiogenic shock, swan replaced, please evaluate replacement // please evaluate swan position
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gastric pull-through is again seen largely unchanged. cardiomediastinal silhouette is unchanged as compared to previous. bilateral opacities have since largely cleared. mild lateral right costophrenic angle blunting.
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<unk> year old male s/p lap hernia repair // check interval change check interval change
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a nasogastric tube is seen coursing below the diaphragm and out of view on this image. the lungs are underinflated, with resultant bronchovascular crowding. streaky opacities in the left lung base greater than the right are compatible with atelectasis in this setting. the lungs are otherwise clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. mediastinal and hilar contours are within normal limits.
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postop day #<num>, status post laparoscopic robotic cystoprostatectomy with open ileal loop diversion, now with tachycardia, here to evaluate for acute cardiopulmonary process.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with weakness, ams.
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the cardiomediastinal contours normal. there is no pleural effusion or pneumothorax. there is no focal consolidation. there is no acute osseous abnormality.
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<unk>-year-old woman with chest pain.
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portable ap upright chest film <unk> at <time> is submitted.
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<unk> year old man with picc // eval for placement eval for placement
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in comparison with chest radiograph from <unk>, there has been interval resolution of a left lower lobe pneumonia. bilateral pleural effusions and bibasilar atelectasis have also resolved. hyperinflated lungs and evidence of emphysema. previous wedge resection in right upper lobe with adjacent scarring. there is no pneumothorax or pulmonary edema. mediastinal and hilar contours are normal.
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<unk> year old woman with cml, copd and pulmonary htn with recent pna // f/u up pna
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pa and lateral views of the chest provided. better visualized on same day cta head and neck, is a irregular opacity projecting over the left upper lung with adjacent lucency corresponding to a cystic and solid lesion, containing areas of calcification in the left upper lobe. elsewhere lungs are clear. cardiomediastinal silhouette is normal. no acute bony abnormalities.
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<unk>f hx carotid stenosis, moyamoya p/w new stroke-like sx please eval for infectious cause
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compared to the study from the prior day there has been improved aeration in the left upper lobe and right lower lobe. there continued to be some areas of subsegmental atelectasis but no definite infiltrate. the dual lead pacemaker is again visualized. moderate cardiomegaly is again seen
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<unk> year old woman with status post pacemaker // evaluate for lead placement
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there is relatively elevated right hemidiaphragm. linear right basilar opacities may be secondary to atelectasis. a <num> cm left mid lung nodular opacity is noted projecting over the posterior left seventh rib. the lungs are otherwise clear, there is no effusion. moderate cardiomegaly is noted. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with sob // eval for pna
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single frontal portable upright chest radiograph demonstrates stable severe cardiomegaly with increased hazy prominence of the pulmonary vasculature with multifocal opacifications bilaterally, right greater than left. no pleural effusion or pneumothorax is evident. findings may represent pulmonary edema, though infectious process is not excluded. no pneumothorax evident. sternotomy sutures are midline. stable fracture of the first sternotomy suture identified.
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cough, fever, pneumonia. evaluate for congestive heart failure.
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ap upright and lateral views of the chest provided. port-a-cath projects over the right chest wall with catheter extending to the region of the mid svc. lung volumes are low. no convincing signs of pneumonia or chf. the heart remains moderately enlarged. mediastinal contour is stable. bony structures are intact.
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<unk>f with cough, chills, history of recurrent myeloma, breast cancer // eval for pna
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portable ap chest radiograph. left-sided ij catheter tip is in the mid svc. median sternotomy wires are intact. prosthetic aortic valve is in similar position. lung volumes are still low with bibasilar atelectasis and a small pleural effusion on the right. however, there is no interstitial edema. the cardiomediastinal silhouette is stable.
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fever and right upper quadrant pain. evaluation of left ij catheter placement.
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the heart is at the upper limits of normal size. there is similar mild unfolding of the thoracic aorta. bilateral perihilar fullness is noted with increased distention of central pulmonary arteries and indistinct vascular and interstitial markings, consistent with mild-to-moderate pulmonary edema. streaky left basilar opacities suggest coinciding minor atelectasis. there is no definite pleural effusion or pneumothorax. there are similar moderate degenerative changes along the thoracic spine.
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shortness of breath and progressive weakness; history of congestive heart failure.
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a new pigtail catheter has been inserted into the left hemithorax with a substantial decrease in a left-sided pleural effusion although much of the left hemithorax remains opacified with pleural effusion and atelectasis involving much of the left lung. rightward shift has somewhat reduced. a few small foci of air in the left hemithorax are not unanticipated after chest tube placement. on the right, there is a right basilar opacity worrisome for pneumonia, similar to increased, although not definitely changed allowing for substantial differences in technique. a small pleural effusion is difficult to exclude on the right. a port-a-cath terminates in the superior vena cava.
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metastatic breast cancer and left pleural effusion status post chest tube placement.
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the heart size is normal. the hilar and mediastinal contours are normal. streaky opacities are seen at the bases of the lungs bilaterally on the frontal view. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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<unk>m with fever. please evaluate for pneumonia.
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pa and lateral views of the chest provided. the lung volumes are low. there is increased opacity the left lower lobe, which may be due to atelectasis or focal consolidation. 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 cough series evaluate for pneumonia.
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<num> left-sided chest tubes are unchanged in position. sutures are seen in the left upper lobe. mild elevation of the left hemidiaphragm likely secondary to postsurgical volume loss. there is no focal consolidation or pulmonary edema. there is no pleural effusion or pneumothorax.
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<unk> year old man s/p l apical blebectomy, pleurodesis // eval pnx
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there is mild elevation of the right hemidiaphragm and likely a small right pleural effusion. there is moderate pulmonary vascular congestion which appears mildly increased as compared to the prior study. no definite focal consolidation is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable. the patient is status post median sternotomy and cardiac valve replacement.
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chf, hypertension, presenting with increased oxygen requirement chest pain x.
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mild cardiomegaly is stable. . the lungs are clear. there is no pneumothorax or pleural effusion. ng tube tip is out of view below the diaphragm
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<unk> year old man with desats, increased secretions // ? pna
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no definite pleural effusion or pneumothorax. there is a widespread but mild interstitial prominence, including cuffed airways bilaterally. no focal consolidation. bony structures are unremarkable.
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shortness of breath.
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single portable view of the chest. endotracheal tube terminates approximately <num> cm from the carina. enteric tube tip in the gastric body with side port past the ge junction. the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old male intubated. evaluate endotracheal tube.
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the lungs are now clear. cardiac silhouette is normal in size. aorta is tortuous. pulmonary vasculature is within normal limits. there is no pleural effusion or pneumothorax or significant pulmonary edema. the patient is status post left shoulder replacement. right shoulder degenerative changes are again noted.
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crackles on exam.
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pa and lateral views of the chest provided. new elevation of the right hemidiaphragm probably facilitates migration of a loop of large bowel above the liver, chilaiditi's sign. atelectasis in the right middle lobe reflects elevated right hemidiaphragm. lungs are otherwise clear.
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<unk> year old man with new diminished breath sounds r posterior base // please assess for pneumonia/pleural effusion/hemidiaphragm elevation
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one portable ap upright view of the chest. endotracheal tube ends <num> cm from the carina. ng tube is out of view inferiorly. a left subclavian line ends in the mid svc. the cardiac, mediastinal, and hilar contours are stable. mild elevation of pulmonary venous pressure and bilateral effusions with bibasilar atelectasis is unchanged.
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intubated with chest tube now clamped. evaluate for interval changes.
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
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<unk> year old woman with aml // increased white count. assess for abnormality
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left chest wall dual lead pacing device seen with lead tips in the right ventricular apex and right ventricle. the lungs are clear without consolidation, effusion, or vascular congestion. cardiomediastinal silhouette is top-normal in size. no acute osseous abnormalities identified.
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<unk>m with cp, left shoulder pain, has ppm // r/o cardiopulm abnormality
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mild to moderate cardiomegaly is unchanged. the aorta remains tortuous and diffusely calcified. mild pulmonary edema appears slightly worse in the interval with perihilar haziness and vascular indistinctness. patchy bibasilar opacities may reflect areas of atelectasis. there are likely trace bilateral pleural effusions. elevation of the left hemidiaphragm is unchanged. no pneumothorax is present. multilevel degenerative changes are noted in the thoracic spine.
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history: <unk>m with bradycardia, shortness of breath, weakness
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right ij central line tip in the mid svc. shallow inspiration. increased heart size, accentuated by shallow inspiration, stable. mildly improved pulmonary vascularity. mildly improved bibasilar opacities. no effusion.
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<unk> year old man with sah // interval changes
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portable single frontal chest radiograph was obtained. the tip of the subclavian line terminates in the upper svc. persistent left perihilar and lower lobe opacities are unchanged. the right lower lobe opacity is improved. the heart size remains enlarged. mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax.
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patient with chest pain, rule out acute cardiopulmonary changes.
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shallow inspiration. bilateral perihilar, basilar opacities, new since prior exam, consider edema, pneumonitis/aspiration, or component of atelectasis. new mild interstitial edema. small pleural effusions.
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<unk> year old woman with tachypnea and sepsis // interval change
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pa and lateral views of the chest. low lung volumes. there is a small left pleural effusion. heart size is normal. there are no focal opacities concerning for pneumonia. the mediastinal and hilar contours are normal. no pneumothorax.
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chronic low back pain, now with pleuritic chest pain.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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chest pain and syncope.
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when compared to prior again seen is a partially cavitary left upper lobe pulmonary nodule. other known pulmonary nodules are not clearly identified. the lungs are clear of consolidation or effusion. the cardiac silhouette is enlarged but stable. no acute osseous abnormalities identified.
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<unk>f with chest discomfort // eal infiltrate, cardiomegaly, effusion
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the cardiac, mediastinal and hilar contours appear stable. there is probably a small pleural effusion on the right and it is difficult to exclude a small subpulmonic effusion on the right side. the interstitium is prominent suggesting mild pulmonary edema, but there is no focal opacification. there is no pneumothorax.
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bilateral swelling. question edema.
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the patient has had prior median sternotomy with aortic valve replacement. sternotomy wires are intact and aligned. minimal bibasilar subsegmental atelectasis is unchanged. the lungs are otherwise clear. there is no pneumothorax. the heart and mediastinum are within normal limits.
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<unk> year old man with fever cough rales // ?rll pneumonia
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pa and lateral chest radiographs demonstrate clear lungs. note is again made of a rounded density in the left posterior costophrenic angle compatible with bokdalek hernia. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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cough and shortness of breath.
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the left port-a-cath terminates in mid svc. the lung volume is small. diffuse interstitial opacities are grossly unchanged compared to prior likely representing scarring. no obvious new consolidation. no pleural effusion or pneumothorax. moderate cardiomegaly is unchanged. the mediastinal silhouette is grossly unchanged.
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<unk>-year-old female presenting for evaluation prior to v/q scan.
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the lungs are hyperinflated. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
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history: <unk>f with dyspnea // eval infiltrate, edema
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pa and lateral images of the chest demonstrate low lung volumes likely secondary to poor inspiration. again seen are bilateral pleural effusions. the right pleural effusion has improved since prior imaging. there is a large retrocardiac opacity, likely representing pleural effusion and atelectasis. there is an area of opacity at the right base which is likely atelectasis versus possible pneumonia. the lungs are otherwise clear. a left ij is seen in place with the tip in the mid svc. previously seen pigtail catheter is not well visualized on this exam. there is no pneumothorax. cardiomediastinal silhouette is obscured by pleural effusions.
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<unk>-year-old male with diastolic chf and renal insufficiency status post transplant and klebsiella bacteremia, now requiring assessment for pneumonia or pleural effusion.
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a right central venous catheter is unchanged with the tip in the upper svc. the lung volumes are low, though there is no evidence of a focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. a healed rib fracture on the right is unchanged.
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neutropenic fever. evaluate for acute process.
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pa and lateral views of the chest provided. retrocardiac opacity could represent pneumonia. a small left effusion difficult to exclude. right lung is clear. heart size is difficult to assess. mediastinal contour is normal. bony structures are intact.
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<unk>m with cough, warm to touch
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relatively low lung volumes are noted with streaky bibasilar opacities which are likely atelectasis. there is no confluent consolidation worrisome for pneumonia. there is no large effusion. the cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is again noted which is partially calcified. no acute osseous abnormalities.
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<unk>f with tachycardia // r/o pna, opther acute process
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the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with ?seizure symptoms with hx seizures. // pneumonia?
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with fever positive blood cultures
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the right internal jugular venous catheter has now been removed. hazy opacity in the left lower lung with slight blurring of the left hemidiaphragm suggests moderate left dependent pleural effusion, and is slightly increased from the prior exam. mild pulmonary edema is probably overall unchanged when accounting for redistribution. lung volumes are low, unchanged. focal region of opacity in the right lower lung is more conspicuous on today's exam and concerning for pneumonia in the setting of leukocytosis. moderate-to-severe cardiomegaly persists and is probably overall unchanged. the replaced aortic valve and median sternotomy wires appear intact and unchanged. no pneumothorax.
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<unk> year old woman with leukocytosis s/p avr. evaluate for consolidation.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with dyspnea and cough // evidence of pneumonia or pneumo
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the cardiomediastinal silhouette is stable and within normal limits. the hila are unremarkable. the lungs are clear without focal consolidation. there is a <num> mm nodule projecting over the left lung laterally between the anterior fourth and fifth ribs not seen on prior. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion. chronic/ healed right clavicular fracture is again noted. chronic left lateral rib fractures are also suspected.
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<unk>-year-old man with tachycardia, evaluate for pneumonia.
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in comparison to chest radiograph <num> day prior, position of the dobhoff tube is not significantly changed and terminates within the expected location of the gastric body. there is improved aeration of the bilateral lung bases. right supraclavicular central venous infusion catheter terminates at the superior cavoatrial junction. inferolateral aspects of the bilateral lungs are excluded from the field of view, but the visualized pleural surfaces appear normal.
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<unk> year old man with recent dobhoff placement // please assess to see if dobhoff is now post-pyloric
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there is no consolidation, pleural effusion, or pneumothorax. there is no pulmonary edema. cardiac silhouette is mildly enlarged and larger compared to <unk>. left pulmonary artery also appears larger. right pulmonary artery size is stable.
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<unk> year old man with severe asthma, heart failure with preserved ejection fraction that had gastric sleeve operation on <unk> with ? pericardial and ? pleural effusions noted on cxr. feeling better. // evaluate if has persistent pleural effusions post-operatively or other abnormalities like chf
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. no pleural effusion, pneumothorax, pulmonary edema, or focal airspace opacities are identified.
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<unk>-year-old man with chest pain status post cholecystectomy. evaluation for acute process.
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low lung volumes persist.no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with fuo // eval for pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with weakness, nausea, inability to tolerate po // ?pneumonia
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lung volumes are increased from <unk>. right moderate pleural effusion is stable from <unk>. right basilar atelectasis is mildly worse from <unk>. a concurrent right lower lobe pneumonia cannot be ruled out. persistent cardiomegaly from <unk>. engorged pulmonary vessels are seen bilaterally with mild pulmonary interstitial edema. left lung is clear. there is no pneumothorax. cardiomediastinal borders and hilar structures are normal.
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<unk> year old man with nash cirrhosis, chronic hepatic hydrothorax, admitted with refractory lower extremity edema, with increase in tbili today. // evaluate for interval change
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lung volumes are low with secondary crowding of the bronchovascular markings. the lungs appear clear. the cardiomediastinal silhouette is within normal limits. surgical clips project over the lower neck bilaterally. no acute osseous abnormalities.
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<unk>f with back pain and fever // r/o pna
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no significant interval change in lines and tubes compared to the most recent prior radiographs. persistent bilateral pleural effusions right greater than left, cardiomegaly and bibasilar atelectasis.
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<unk> year old woman s/p mvr/tvr // eval for pneumo s/p ct removal
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portable semi-upright radiograph of the chest demonstrates persistent diffuse bilateral parenchymal opacities, which is worsened over the interval. cardiomediastinal and hilar contours are unchanged. the endotracheal tube ends <num> cm from the carina. nasogastric tube courses into the stomach.
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<unk>-year-old man with fevers. evaluate for pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. there is mild hyperexpansion of the lungs, raising the possibility of chronic pulmonary disease. there are no focal consolidations, pleural effusions or pneumothorax.
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<unk>-year-old woman with crackles at right base and fever. study requested to rule out pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with fever, cough*** warning *** multiple patients with same last name! // fever, cough
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no change in the position of the left pectoral pacemaker with leads in the right atrium and right ventricle. median sternotomy wires are intact. compared with the prior radiograph, mild interstitial pulmonary edema and the right pleural effusion have improved, with better lung aeration. moderate enlargement of the heart is unchanged. no new focal consolidation or pneumothorax.
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history: <unk>f with recent cardiac surgery for hocm, s/s chf. eval for acute process, attn. to chf.
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there is no evidence of intrathoracic metallic foreign body. heart size is stable. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
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<unk> year old man to go to mri, r/o metal // to go to mri, r/o metal
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portable semi-upright radiograph of the chest demonstrates increased opacification of the bilateral bases, left greater than right, which likely represents atelectasis and/or aspiration. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. the endotracheal tube ends <num> cm from the carina. a nasogastric tube courses into the stomach and out of the field-of-view.
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history: <unk>m with etoh itoxication and agitation // eval ett placement
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ap and lateral views of the chest provided. ap upright and lateral views the chest provided demonstrate coarsened interstitial markings which could reflect chronic lung disease. no convincing signs of pneumonia. no large effusion or pneumothorax. lateral view is suboptimal due to underpenetrated technique. cardiomediastinal silhouette appears within normal limits. no acute bony abnormalities.
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<unk>f with dementia, lethargy // presence of infiltrate.
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subtle retrocardiac basilar opacity seen on the lateral view is not well substantiated on the frontal view and could be due to aspiration or subtle infectious process. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with cough, concern for stroke // evidence of pneumonia
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the cardiac and mediastinal silhouettes are normal without pleural effusion, pneumothorax, or focal consolidation.
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<unk> year old man lle ulcer and pvd presenting for lle bypass // pre op, can be portable surg: <unk> (lle bypass)
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lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar structures are unremarkable.
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optic neuritis. evaluate for an acute process.
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MIMIC-CXR-JPG/2.0.0/files/p15299325/s55913746/d8086271-0cc09c6a-f0bb99b5-a0107837-19dbcab9.jpg
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compared with <unk>, atelectasis in the right cardiophrenic region has improved. otherwise, i doubt significant interval change. as before, the aorta is calcified minimally unfolded. the heart is not enlarged. no chf, focal infiltrate, or effusion is identified. no pneumothorax is seen. the parenchymal changes identified on the <unk> chest ct (mosaic attenuation) are not appreciated radiographically.
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<unk> year old woman with shortness of breath // assess for ild, infiltrate
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the heart is mildly enlarged, as before. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged. there is a similar mild interstitial abnormality and an irregular appearance of interstitial markings in the upper lungs suggestive of emphysema. there is no pleural effusion or pneumothorax. patchy opacities in the lingula and left lower lobe suggest minor atelectasis, unchanged. the bones are probably demineralized. minimal degenerative changes are present along the thoracic spine.
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lung cancer, undergoing radiation therapy; found orthostatic at radiation today.
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pa and lateral views of the chest. the lungs are clear consolidation, effusion or pulmonary vascular congestion. linear opacities at the left lung base and right mid lung are suggestive of scarring, unchanged. cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.
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<unk>-year-old male with bilateral lower extremity edema. question congestive failure.
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ap and lateral views of the chest. the lungs are clear of consolidation. blunting of the left posterior costophrenic angle may be due to trace effusion or atelectasis. cardiomediastinal silhouette is within normal limits. calcified mediastinal nodes again noted. no acute osseous abnormality detected.
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<unk>-year-old female with left upper extremity pain. question pneumonia.
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