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ChayanM
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MIMIC-MultiView-Findings-Query

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Median sternotomy wires appear intact. A right-sided picc is again seen and likely terminates in the svc but the tip is relatively obscured. A right-sided chest tube is again seen. An esophageal drain is in unchanged position. There is stable, moderate cardiomegaly. The lung volumes are low bilaterally. Decreased left retrocardiac opacity likely reflects improving left basilar atelectasis. Obscuration of the left hemidiaphragm likely reflects a small, stable left pleural effusion. Obscuration of the right hemidiaphragm likely reflects an increasing small right pleural effusion. There is new fluid in the right minor fissure. Interval increase in opacity at the right base is consistent with postoperative changes.
<unk>-year-old man status post esophagectomy complicated by leak. evaluate for pulmonary edema, atelectasis, pneumonia, and effusion.
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The exam is limited by the patient's body habitus. Within the limitations, the lungs are show no focal consolidation or edema. There is no pleural effusion or pneumothorax. On the lateral view, there is an ovoid <num> cm calcific structure which may represent a calcified infrahilar node or calcified granuloma. The mediastinal contours are normal. The heart size is at the upper limits of normal.
subjective chills and low-grade fever. evaluate for infiltrate.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
confusion, weakness. evaluate for infection.
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Low lung volumes are present. The heart size is mildly enlarged but stable. The mediastinal and hilar contours are unchanged, with diffuse calcification of the thoracic aorta and prominence of both hila. There is mild pulmonary edema. Small bilateral pleural effusions are noted. Patchy opacities in the lung bases may reflect atelectasis but infection cannot be excluded. There are no acute osseous abnormalities detected. Loss of height of a vertebral body at the thoracolumbar junction is unchanged.
worsening lower extremity edema bilateral rales.
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The cardiac silhouette is markedly enlarged with a globular morphology, raising the possibility of a pericardial effusion. There is prominence of the perihilar vessels with vascular congestion but no overt edema. No pleural effusion or pneumothorax. No focal consolidation.
<unk>m with sob and chest pain // pulmonary edema? pneumonia?
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Streaky retrocardiac opacity is most compatible with scarring versus atelectasis. Streaky right basilar atelectasis is also noted. Azygos fissure again seen. The lungs are clear of consolidation, effusion or consolidation. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with chest pain // r/o acute process
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There is a small right pleural effusion and a right lower lobe opacity. There is also concurrent mild interstitial pulmonary edema. A fiducial marker is seen in the right upper lobe. There is no pneumothorax. Cardiac silhouette is unchanged.
<unk>-year-old woman with history of copd, lung cancer status post cyberknife, and hip replacement <num> weeks ago, presenting with dyspnea, leukocytosis, and fever. evaluate for pneumonia.
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Pacer overlies the right chest with leads extending the expected positions of the right atrium and right ventricle. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal contours are unremarkable.
history: <unk>m with confusion // eval bleeding
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Patient is status post right diaphragmatic repair. Clips are seen again projecting over the liver. There is an air-fluid level below the right hemidiaphragm. There is atelectasis of the right lower lobe. The left hemidiaphragm is slightly elevated compared to the right and is unchanged from previous. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged from previous.
<unk> f s/p echinococcal cyst removal <unk> c/b diaphragmatic hernia now s/p r diaphragmatic repair and appendectomy // assess for effusion, position of diaphragm
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Pa and lateral radiographs of the chest demonstrate mild pulmonary vascular congestion without frank pulmonary edema. No focal infiltrate, pneumothorax or pleural effusion is detected. Mild cardiomegaly is stable. Median sternotomy wires and mediastinal surgical clips are noted.
epigastric abdominal pain, nausea, vomiting, and chest pain after dialysis.
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There is a right chest wall port with its tip terminating in the mid svc. There is no pleural effusion, focal consolidation, or pulmonary vascular congestion.
<unk> year old woman with a port // check for placement
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There is a dual-lead pacemaker/icd device, which is in an unchanged position. The heart is mild-to-moderately enlarged but not well visualized. The mediastinal and hilar contours appear unchanged. There has been partial clearing of left basilar opacity that may have represented atelectasis but with persistent pleural effusions that are similar to perhaps minimally increased with suggestion of loculated components. Elsewhere, the lungs appear clear. The bony structures are unremarkable.
shortness of breath with low ejection fraction.
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There are bibasilar patchy opacities which are nonspecific and may represent atelectasis. No pleural effusion or pneumothorax is seen. Heart size is top normal. Pulmonary vascular cephalization suggests borderline congestive heart failure.
<unk>-year-old female with hypoglycemia.
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Frontal and lateral views of the chest demonstrated right pic catheter projecting over mid svc. There is blunting of the right costophrenic angle, compatible with small pleural effusion, unchanged since prior. In addition, there are persistent right lung base opacities, which may reflect atelectasis or scarring. Left lung is clear. There is no left pleural effusion. No pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. Cervical fixation hardware is noted. Chronic left shoulder dislocation is present.
assess for picc line placement.
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The lungs are clear with normal lung volumes. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax or pleural effusion.
<unk> year old woman with intermittent arthralgias // ? hilar <unk> or infiltrate
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Post median sternotomy and. No abnormality seen in the seen of the sternum compared to the previous study <unk> <unk>. The visualized ribs on the chest radiograph appears normal. The heart is normal in size. There great vessels including the aorta and pulmonary arteries are unremarkable. The lungs are clear of <unk> portion well-expanded. There is no pleural effusion or pneumothorax.
history: <unk>m with l chest and rib pain s/p fall last <unk> // ? rib fx s/p fall
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. Patchy nodular opacities in the upper lungs suggest scarring, which is unchanged. A small granuloma projects over the left upper lobe and additional smaller granulomas are also suspected in the vicinity. There is no pleural effusion or pneumothorax. Minimal degenerative changes are noted along the mid thoracic spine.
acute onset of palpitations.
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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>m with <num> wk l cva region pain, rx for kidney stone treatment, negative labs and imaging
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No focal consolidation, pleural effusion, or pulmonary edema is seen. There is possibly a left pneumothorax. There is severe dextroconvex thoracic scoliosis. The aorta is calcified and tortuous. Heart size is likely within normal limits, although suboptimally evaluated in the setting of scoliosis. Mitral annular calcifications noted.
<unk>-year-old female with recent stroke, now with weakness.
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Patient is status post median sternotomy and cabg.patchy left base opacity is re- demonstrated, similar on the frontal view and has been present since at least <unk>, however, finding may be slightly increased on the lateral view and underlying atelectasis or subtle superimposed consolidation not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with pmh of iddm and choledocholithiasis presents to the ed via ambulance c/o diffuse abd pain, fever, and chills. // does he have any infiltrates on his cxr?
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Frontal and lateral chest radiographs demonstrate unremarkable mediastinal and hilar contours. Heart is top normal in size. There are multifocal opacifications evident, particularly evident within the bilateral lung bases and right mid lung and left upper to mid lung. However, there is also a well-delineated <num>-cm bilobed nodular density evident within the inferior aspect of the right upper lung. A small nodule is evident within this location on chest ct performed <unk>. Findings are concerning for developing malignancy. Trace right pleural effusion identified. No pneumothorax present. No fracture is present.
patient with hemoptysis, evaluate for infiltrate, pulmonary edema.
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Frontal and lateral views of the chest demonstrate prominent cardiac silhouette. The mediastinal and hilar contours are unremarkable. The lungs are clear with the exception of trace streaky atelectasis in the left base. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with renal failure. question congestive heart failure.
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Assessment of the lung apices is limited as the patient's chin and neck project over and obscure this region. Heart size remains within normal limits. The aorta is tortuous. Lungs again demonstrate changes compatible copd with flattening of the diaphragms and hyperinflation. Bibasilar airspace opacities are re- demonstrated, and most likely reflect atelectasis. Blunting of the costophrenic angles on the lateral view posteriorly likely reflect small bilateral pleural effusions. No pulmonary vascular engorgement is demonstrated. No large pneumothorax is identified.
altered mental status.
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Frontal and lateral chest radiographs demonstrate volume loss within the right hemithorax consistent with patient's history of prior right lower lobe lobectomy. No residual subcutaneous emphysema. When compared to prior radiograph dated <unk>, there is decreased but persistent moderate right pleural effusion with adjacent atelectasis. There is resolution of right upper lobe consolidation. The left lung is clear. Stable cardiomediastinal and hilar contours with stable appearing prominent and tortuous aorta. No pneumothorax.
<unk>-year-old male with right lower lobe lobectomy.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Minimal degenerative change is seen in the thoracic spine.
<unk>-year-old male with shortness of breath and palpitations.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
tired with chills and positive ppd.
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Pa and lateral views of the chest provided. Lungs are hyperinflated though appear clear. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. No bony abnormalities.
<unk>f with crush injury bilateral legs // eval for acute processeval for fractures
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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 examination of <unk>. Moderate cardiac enlargement as before. Somewhat widened and elongated thoracic aorta unchanged. The pulmonary vasculature again somewhat congested, but no acute interstitial or alveolar edema is identified, nor is there evidence of pleural effusion in lateral or posterior pleural sinuses. As already identified on the preceding chest examination, there is a sizable triangular density in the mediastinal contours of the left hemithorax blending and obscuring the central half of the left-sided diaphragm. In the left basal periphery, a thin plate additional atelectasis can be seen. No pneumothorax is identified. In comparison with the next preceding examination of yesterday, the findings are stable. Review of the next preceding chest examination of <unk> demonstrates beginning changes that herald this atelectasis but still the major portion of the left lower lobe pulmonary parenchyma was aerated. Older chest examinations include that of <unk>, in which some beginning atelectasis could be seen on the left base but by no means as massive as it exists now.
<unk>-year-old female patient with cough and productive sputum, rule out process, post-hemodialysis.
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Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. The patient is status post cabg. The lungs are well expanded and clear. There is no focal consolidation concerning for pneumonia.
pulling chest pain.
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Frontal and lateral radiographs of the chest demonstrated hyperexpanded lungs. Increased pleural-based density at the right base posteriorly may represent a partially loculated hemorrhagic right-sided pleural effusion. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax. Increased soft tissue density seen in the posterior soft tissues adjacent to the pleural based abnormality on the lateral view.
<unk>m with cough, leukocytosis // acute cardiopulm diseasehematoma on physical exam, trauma.
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Frontal and lateral chest radiographs demonstrate mild pulmonary edema with top-normal heart size and small to moderate bilateral pleural effusions. There is no focal consolidation. There is no pneumothorax.
<unk>-year-old female with findings of congestive heart failure on outside hospital chest radiograph dated <unk>.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. S-shaped scoliosis is unchanged
<unk> year old man with nonproductive cough, leukocytosis, elevated lactate // eval for pna
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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.
chest pain and syncope.
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The scout view of the recent prior chest ct can be directly compared to the current radiographs. The recent prior ct, which was performed to assess metastatic disease, showed multiple pulmonary nodules and a moderate right-sided pleural effusion, also evident on this examination. It is difficult to precisely compare to the scout view allowing for differences in technique, but there is no definitive change. Overall, volume loss of the right hemithorax including elevation, mild-to-moderate degree of the right hemidiaphragm is probably similar. The cardiac, mediastinal, and hilar contours are unchanged. Bony structures were better evaluated on the recent prior examination.
increasing dyspnea on exertion.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip in the low svc region. Upper lobe lucency is compatible with known emphysema. There is a linear scarring in the right lower lung. Left lung base is poorly assessed on the frontal projection with mild bronchiectasis noted on the lateral view. Difficult to exclude a lower lobe pneumonia given underpenetrated technique on the frontal view. No large effusion or pneumothorax. Bony structures are intact.
<unk>m with lung ca, copd, worsening dyspnea/hypoxia
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Cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated suggestive of copd. Ill-defined patchy opacity within the retrocardiac region is concerning for pneumonia in the correct clinical setting. Previously noted right infrahilar patchy opacity appears improved. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath, recurrent pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Curvilinear opacity in the right middle lobe is unchanged from chest radiograph <unk> likely represents scarring. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with sudden onset of sever epigastric pain and abdominal distention one week from <unk> // eval for free air vs ptx
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No displaced rib fracture is identified. No air under the right hemidiaphragm is seen.
<unk>f with l back/flank pain s/p mvc, wosre with inspiration // r/o rib fx
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There is a heterogeneous opacity in the right middle lobe as well as more linear opacity in the left lower lobe. There is mild cardiomegaly. The hilar and mediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with cough and fever.
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Pa and lateral chest radiographs were obtained. A left lower lobe opacity obscures the left hemidiaphragm and has progressed since <unk>. Small left pleural effusion is also noted. The right lung is clear. Moderate cardiomegaly is unchanged. The tip of the tunneled dialysis catheter terminates in the right atrium. No pulmonary edema or pneumothorax is detect.
shortness of breath and pain with inspiration.
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The lungs are normally expanded and clear. There is mild cardiomegaly similar to prior studies. There is no pleural effusion or pneumothorax. Right chest wall pacemaker has a single lead in the right ventricle. Median sternotomy wires appear intact. There is a prosthetic mitral valve in place. There is no pulmonary edema.
history: <unk>m with ams // eval for infection
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When compared to prior, previous left basilar opacity is essentially resolved. Linear left basilar opacities likely scarring or atelectasis and pleural thickening are noted. Elsewhere, lungs are clear. Cardiomediastinal silhouette is within normal limits. Old healed bilateral rib fractures are noted.
<unk>m with hx seizures, cough // acute intrathoracic 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.
<unk>f with l chest pain, shortness of breath on exertion
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Compared to the prior radiograph, no definite bibasilar atelectasis is persistent with a top- normal cardiac size. Mild pulmonary edema is present. No definite infectious infiltrate. No frank consolidation or pleural effusions. No pneumothorax. The aorta is tortuous.
<unk>m with chf, worsening <unk> edema, bilateral crackles on auscultation. evaluate for consolidation or edema.
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Ap and lateral views of the chest. The lungs are clear without effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>-year-old male with chest pain.
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Pa and lateral views of the chest provided. Mildly elevated left hemidiaphragm noted. The lungs are 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.
<unk>m with cough shortness of breath productive
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A left chest wall port catheter tip terminates at the cavoatrial junction. There is no focal consolidation, pleural effusion or pneumothorax. Mild pulmonary vascular congestion has improved since the prior study. The imaged upper abdomen is unremarkable.
history: <unk>f with chronic trach, green tinged sputum // pls eval acute process, pna?
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Old healed right posterolateral rib fractures are noted. No visualized acute rib fractures.
<unk>m with fall c/o left posterior rib pain // eval rib fx on left
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There are bilateral small pleural effusions with adjacent bibasilar atelectasis. Otherwise, the lungs are without a focal consolidation. There is no evidence of pulmonary edema. Heart appears minimally enlarged. The aorta is somewhat tortuous. Evidence of prior surgery is noted in the region of the thyroid bed. Mild degenerative changes are noted throughout the thoracic spine.
dyspnea.
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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 fever and cough, failing outpatient antibiotics
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The patient is status post median sternotomy and cabg. The aorta is calcified and tortuous. The cardiac silhouette is top-normal in size. Minimal left basilar atelectasis is seen. There is no focal consolidation, pleural effusion, or evidence of pneumothorax. No pulmonary edema is seen.
dyspnea on exertion, new conduction delay.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with dyspnea // r/o infiltrates
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There are bilateral airspace consolidations affecting the mid and lower lungs. There is no pleural effusion or pneumothorax. Lung volumes are low. Heart size is normal. Mediastinal contours are prominent, possibly secondary to reactive lymphadenopathy. Osseous structures are intact.
history: <unk>m with e/o bibasilar pna // eval for extent of pna
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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>m with chest pain
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Pa and lateral chest radiographs were reviewed. Heart size is top normal. Mediastinal and hilar contours are stable. Median sternotomy wires and calcification in aortic knob are again noted. There is a small right pleural effusion, slightly increased compared to the prior study. There is also a possible small left pleural effusion. There is no focal consolidation concerning for pneumonia. There is no pulmonary edema.
ascites and lower extremity edema and lethargy.
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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 portable chest examination of <unk>. The previously documented successful right-sided thoracocentesis persists and there is no evidence of significant reaccumulation of the right-sided pleural effusion. There exist some increased linear vascular pattern on the right lung base, most likely representing interstitial edema. There is no evidence of new acute pulmonary parenchymal infiltrates and no pneumothorax is seen in the apical area. Findings in the left hemithorax are rather unchanged with obliteration of the left-sided diaphragmatic contour with blunting of the left lateral pleural sinus. The lateral view demonstrates the presence of a left-sided pleural effusion obliterating the entire posterior pleural sinus up to the level of the hila. An estimate suggests volume of about <num> liter. There is no evidence of new pulmonary parenchymal infiltrates and no pneumothorax is noted on either side. Cardiac enlargement is obvious. The appearance of the generally widened aorta with advanced wall calcifications appears unchanged.
<unk>-year-old male patient with chronic bilateral pleural effusions, status post thoracocentesis yesterday with <num> liters drained. assess changes in spiculated lesion near right cardiac silhouette.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the low svc. Mild cardiomegaly is again noted with mild interstitial pulmonary edema. No effusions or pneumothorax. No convincing signs of pneumonia. The mediastinal contour is stable. Bony structures are intact.
<unk>f with unresponsive episode // eval for pna
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The aorta is mildly unfolded. The pulmonary vascularity is normal. Minimal streaky bibasilar atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized.
multiple myeloma on treatment with fevers and cough.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted in the aorta. Anterior cervicothoracic fixation hardware is partially visualized.
<unk>f with sob // eval for pna
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As compared to the previous radiograph, no relevant change is noted. In particular, there is no evidence of vertebral compression fractures, rib lesions, or pneumothorax. In case of persisting clinical complaints, dedicated rib series may be considered as a further evaluation step. The pacemaker leads are intact. Moderate cardiomegaly is unchanged. No pulmonary edema. No pneumonia.
status post fall, pain over the left chest.
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There is a dual-lead pacemaker/icd device whose leads terminate in the right atrium and ventricle, respectively. The heart is normal in size. The main pulmonary artery contour is again enlarged. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax. Small osteophytes are similar along the thoracic spine.
left arm numbness.
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There is left lower lobe consolidation. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Chronic deformity of the posterior left eighth rib is noted.
<unk>f with cough, bodyaches, ili // ?pna
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
chest pain, shortness of breath.
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Lungs are grossly clear. There is tenting of the right hemidiaphragm. The heart size is normal. The aorta is tortuous. No pneumothorax.
<unk>m with incarcerated hernia // pre-op - r/o occult process
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk> -year-old with chest pain, dyspnea, reported active flu-like symptoms, rule out infiltrate.
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Low lung volumes are present. The heart size is normal. Mild widening of the superior mediastinum is likely related to low lung volumes. No pulmonary vascular engorgement is seen, though there is mild crowding of the bronchovascular structures. No focal consolidation, pleural effusion or pneumothorax is identified. The osseous structures are within normal limits.
fever.
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There is no focal consolidation. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable, except for clips in the right upper quadrant likely related to prior cholecystectomy.
right-sided weakness. evaluate for infection.
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Pa and lateral views of the chest provided. Lungs are hyperexpanded. 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.
history: <unk>m with sob // eval for pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal atelectasis is noted in the right lung base. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with ams, fall after seizure
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Since the prior exam, there is a new dense opacity in the posterior left lower lobe, most consistent with pneumonia. It is difficult to exclude a small amount of pleural fluid on the left. A hazy linear opacity on the right may represent atelectasis or second focus of pneumonia. There is no right pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea and fever. evaluate for pneumonia.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Multiple clips project over the right anterior hemi thorax. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with chest pain
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Mild to moderate cardiomegaly is similar to prior. Cardiomediastinal contours are stable. Lung apices are obscured by the patient's chin. Pulmonary vasculature is indistinct, compatible with edema. Bibasilar streaky opacities are consistent with atelectasis. The left costophrenic angle is obscured, compatible with a small effusion. No pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
hypoglycemia and recent falls.
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There is metallic ornamentation at each nipple site. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The osseous structures are unremarkable.
left rib pain after a fall.
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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.
<unk>f with cough, bronchial breath sounds lml/lul, bibasilar crackles, positional cough.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
chest pain.
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The previously seen right pleural effusion has increased in size since <unk> and is now moderate in size. A small left pleural effusion is relatively stable. No new opacity, pulmonary edema or pneumothorax identified. Chronic interstitial changes are stable. Old left rib and scapula deformities are again identified. The cardiac and mediastinal contours are stable.
cough. positive ppd.
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A vague round opacity is seen adjacent to the diaphragmatic surface on the lateral view only. This may represent a nodule or superimposed normal structures. Further evaluation with oblique radiographs is recommended. There is no consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of positive ppd with <num> weeks of productive cough and four months of dry cough. evaluate for pneumonia or tuberculosis.
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There has been interval removal of the right central venous catheter. The heart size is enlarged compared to prior study. The mediastinal contour continues to demonstrate calcified atherosclerotic disease of the aortic knob with a tortuous aorta. The lungs demonstrate central and perihilar ground-glass opacities extending to the base with small bilateral pleural effusions. There is no pneumothorax. A low thoracic vertebral body compression fracture with resultant kyphosis is unchanged.
<unk>-year-old female with malaise, crackles, and low-grade fever.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified.
<unk>-year-old male with head striking multiple bruises on extremities.
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Frontal and lateral views of the chest. There is new focal consolidation at the right lung base posteromedially obscuring the posterior costophrenic angle. Elsewhere, the lungs are clear. There is no pulmonary edema. Cardiomediastinal silhouette is stable. Hypertrophic changes seen in the spine.
<unk>-year-old male with chf and shortness of breath since last night.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. . No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old man with left knee infection. // pre-op for possible knee washout surg: <unk> (left knee washout)
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Pa and lateral views of the chest provided. Lungs are clear. Heart size is normal. Mediastinal and hilar contours are normal. There is no pleural effusion.
<unk> year old man with cough, x <num> wks , increased fatigue , sob, rales left base // r/o pna
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Mild tortuosity of the descending aorta is noted. Heart size is normal. There is no pulmonary edema.
patient with burning chest pain and atrial fibrillation.
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with anemia, working diagnosis of aml with chills recently. evaluate for infiltrate.
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Frontal and lateral radiographs the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
altered mental status. evaluate for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
shortness of breath.
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Right-sided port-a-cath terminates in the upper svc without evidence of pneumothorax.there is slight blunting of the left costophrenic angle which may be due to a trace pleural effusion with overlying atelectasis. Subtle opacity at the left mid lung is nonspecific, underlying infection not excluded. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with pancreatic ca here w/ <unk> edema, doe, and <unk> // pulmonary edema
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Right-sided port-a-cath is seen terminating in the region of the proximal svc, similar to prior. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Hilar contours are stable. Mediastinum is unremarkable.
history: <unk>f with hx lymphoma on chemo, p/w generalized weakness // eval for pneumonia
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There is a subtle opacity in the right medial lower lobe which is new from the prior two radiographs. No other focal consolidation is identified. There is no pulmonary edema, pleural effusion or pneumothorax. The lungs are mildly hyperinflated, similar to priors. The cardiomediastinal silhouette is normal.
history of copd with respiratory distress. evaluate for infection.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. Mild biapical pleural thickening is seen.
history: <unk>m with syncope // infiltrate?
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>f with chest pain // ? ptx
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No pulmonary opacities are seen. There is a chain suture in the right upper lung field likely from prior wedge resection. Cardiomediastinal and hilar contours are unremarkable. Mild cardiomegaly is stable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with new atrial fibrillation. please evaluate for acute cardiopulmonary process.
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Blunting of the right costophrenic angle appears unchanged compared to prior. There is increased density at the left costophrenic angle, which may represent pleural effusion. The lungs are hyperinflated with underlying emphysematous changes. Linear opacity in the left mid-lung likely represents atelectasis. Heart and mediastinal contours are stable with a densely calcified aorta. No pneumothorax is detected. Mitral annular calcification is seen.
<unk>-year-old female with copd, now with two days of worsening shortness of breath.
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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 pa and lateral chest examination of <unk>. There is status post sternotomy and the presence of multiple surgical clips mostly in the anterior left side mediastinum indicative of previous bypass surgery. The heart size is at the upper limit of normal variation with a relative prominence of a left ventricular contour. Thoracic aorta is of ordinary dimension but moderately elongated. No local contour abnormalities are seen. The pulmonary vasculature is not congested. No signs of acute parenchymal infiltrates are present. The lateral and posterior pleural sinuses are free. When comparison is made with the next preceding examinations of <unk>, the patient had post-operatively some peripheral pleural scar formations and peripheral plate atelectasis at the bases. All these changes have now normalized and there is no evidence of any acute parenchymal infiltrates. The pulmonary vasculature is not congested. No pneumothorax is seen in the apical area.
<unk>-year-old male patient with shortness of breath and cough, basilar crackles, evaluate for pneumonia.
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The lungs are hyperinflated reflective of copd. Apparent increased opacity projecting over the right lung apex correlates with posterior right fifth rib fracture with callus. Streaky bibasilar opacities likely reflect atelectasis. There is a rounded retrocardiac opacity on the frontal view which likely corresponds to vague opacity in the posterior costophrenic angle on the lateral view. There is no focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. The heart is normal in size, and the mediastinal contours are normal. High density at the left hilum may represent calcified lymph node.
<unk>-year-old female with copd, ghost heart failure, coronary are disease now presenting with hypertension, dizziness and ischemic changes on ekg with positive troponin. evaluate for pneumonia, leukocytosis.
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Pa and lateral views of the chest provided. Bibasilar atelectasis is significantly improved with increased lung volume. The lungs are otherwise clear. No pneumothorax. Small, left pleural effusion is improved. Hilar and cardiomediastinal contours are normal.
<unk> year old woman with rny gastric bypass in <unk> w/ recurrent marginal ulcers s/p vats vagotomy. // eval post-op change, s/p vats vagotomy.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Slight residual left lower lung opacity remains but improved since the prior examination from <unk>, with no definite new focal opacity. An exostosis along the course of the superior right second rib appears unchanged.
left shoulder pain and fever.
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Pa and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing accentuation of the pulmonary vasculature. The lungs are clear, aside from minimal left basilar atelectasis. Heart size is top normal. The mediastinal contours are normal. There are no pleural abnormalities.
cough. evaluate for acute cardiac or pulmonary process.
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In comparison with study of <unk>, there is continued large left pleural effusion with compressive atelectasis at the base. Right lung is clear and there is no vascular congestion or enlargement of the cardiac silhouette.
on transplant list for cirrhosis, now with fever.
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The cardiac silhouette is borderline enlarged, new since the prior examination. The pulmonary vasculature is somewhat indistinct and there is mild central pulmonary vascular congestion. Definite septal lines are not appreciated. No focal consolidation is identified there is no pleural effusion or pneumothorax.
history: <unk>f with seizure // bleed? pna