Frontal_Image_Path
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Picc tip projects over the expected location of the distal svc. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits. Surgical clips project over the right upper quadrant. Mild anterior wedging of a mid thoracic vertebral body is unchanged since <unk>.
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<unk>-year-old female with left upper extremity pain and chest tightness during tpn infusion.
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Frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged. The thoracic aorta is mildly tortuous, also unchanged. Lateral left rib deformities of t<num> through t<num> ribs are unchanged from <unk>.
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<unk>-year-old male with coronary artery disease, diabetes, and hypertension who presents with pleuritic chest pain.
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The cardiomediastinal and hilar contours are within normal limits. Of note, the heart is mildly enlarged, but stable in size from the prior examination. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>m with cp, sob // r/o acute process
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Lung volumes remain low. Cardiac silhouette size is top normal in size, unchanged. Mediastinal contour is unremarkable. Crowding of bronchovascular structures is present without overt pulmonary edema. Streaky and patchy bibasilar airspace opacities most likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present.
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history: <unk>m with history of esrd, copd, with <num> day of cough, fevers
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs remain hyperinflated. Biapical scarring is unchanged. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
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flu-like symptoms for <num> weeks
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of tachycardia, leukocytosis, please evaluate for pneumonia.
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The left costophrenic angle not fully included on the frontal view. Given this, no large pleural effusion is seen. There is no focal consolidation. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Aortic calcifications are seen.
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history: <unk>f with r ankle fx, to or tomorrow // preop cxr
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
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mid thoracic pain, worse with breathing.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A small hiatal hernia is noted. The imaged upper abdomen is unremarkable. The bones are intact.
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<unk>f with weakness // r/o infiltrate
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Decreased prominence of bilateral opacities and mediastinal vascular engorgement suggest improved pulmonary edema. Heart size is unchanged. A moderate right pleural effusion is stable.
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<unk> year old man with pleural effusions and pneumonia
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Pa and lateral views of the chest provided. Dense airspace consolidation is noted within the right upper lobe mostly within the posterior segment consistent with pneumonia. Elsewhere, lungs are clear. Cardiomediastinal silhouette is stable. Bony structures appear intact.
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<unk>f with recurrent presyncope found to be orthostatic. please eval for any cardiopulmonary change
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The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
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productive cough
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There is a small right-sided pleural effusion. There is a suggestion of a pulmonary nodule seen on the lateral chest radiograph, but it is not seen on the frontal projection. The descending aorta is focally dilated with heavy calcification, and the cardiac silhouette is moderately enlarged. There is no pneumothorax.
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<unk>-year-old woman with copd and cad.
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Cardiomegaly is stable. Hilar congestion and mild interstitial pulmonary edema are noted. No convincing signs of pneumonia. No large pleural effusion. No pneumothorax. Mediastinal contours are stable with atherosclerotic calcifications at the aortic knob. The bony structures appear intact.
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<unk>m with cp
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As compared to the previous radiograph, there is no relevant change. Signs of mild overinflation. Borderline diameter of the right hilus. No evidence of acute lung disease such as pneumonia or pulmonary edema. Mild tortuosity of the thoracic aorta. The size of the cardiac silhouette is at the upper range of normal.
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evaluation for pneumonia and pulmonary edema.
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Frontal and lateral radiographs of the chest show an opacity in the left upper lobe causing bulging of the fissure on the lateral radiograph. The appearance of the left upper lobe lesion is not appreciably changed when compared to the preceding radiograph of <unk>. The lungs are otherwise clear without pleural effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged. Degenerative changes of the thoracic spine with bridging osteophytes are noted.
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<unk>-year-old male with lymphoma, status post stem cell transplant with known left upper lobe lesion, here to reevaluate for interval changes.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is at the upper limits of normal in size or slightly enlarged. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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left chest pain.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Right chest wall dual lead pacing device is again noted.
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<unk>m with cp/sob/cough // acute process
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There is no evidence of pneumonia. Focal area of bulla is seen in left upper lobe. The mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
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patient with hiv, aids, cough, wheezing, pleuritic chest pain,
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Mild increase in the right medial lung base and retrocardiac opacities, which may represent atelectasis, but cannot exclude aspiration or pneumonia in the right clinical setting. Probable left pleural effusion. Mild cardiomegaly.
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<unk> year old woman with palpitations, recent cabg // r/o edema, consolidation
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The cardiomediastinal silhouette is stable from prior exam consistent with a least moderate cardiomegaly. Lower lobe lobe opacity best seen on the lateral radiograph. There is no pulmonary edema. There may be a trace residual right pleural effusion, smaller from prior exam. There is no left pleural effusion. There is no pneumothorax. Right chronic posterior rib deformities representing healed fractures.
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<unk> year old man with asthma, shortness of breath, cough.
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Frontal and lateral chest radiographs again demonstrate a left chest port. The cardiomediastinal silhouette is normal and the lungs are well aerated and clear. There is no pleural effusion or pneumothorax.
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metastatic rectal cancer with fevers and chills. evaluate for pneumonia.
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Pa and lateral views of the chest are obtained. There is interval improvement in the right pleural effusion with some underlying atelectasis at the right lung base. The previously seen left pleural effusion is unchanged. The cardiomediastinal silhouette is unremarkable. There is no evidence of pulmonary edema or pneumothorax.
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<unk>-year-old female with cough and fever. effusion seen on recent chest x-ray. evaluation for interval change.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Left chest wall single lead pacing device is again seen with lead tip in the right ventricular apex. No acute osseous abnormalities.
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<unk>m with recent dx of rml pna p/w dyspnea and increasing weakness // assess for interval changes, pulmonary edema
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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. Multiple clips project over the left breast.
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<unk>f right upper quadrant/chest pain for <num> days with tenderness to deep palpation at right upper quadrant on expiration
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The lungs are clear without focal consolidation, effusion, or edema. Moderate severe cardiomegaly is unchanged. Tortuosity of the thoracic aorta is again noted. Compression deformity of a lower thoracic vertebral body is unchanged.
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<unk>f with recent pneumonia, cough // r/o pneumonia
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with chest pain.
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There is a peribronchial opacity in the right lower lobe. The left lung is hyperinflated suggestive of chronic pulmonary disease. Mild blunting of the right costophrenic angle is chronic and similar to prior exams, likely representing scarring. Calcification of aortic arch is once again demonstrated. Mediastinal and hilar contours are normal. Stable degenerative changes and chronic compression fractures of thoracic spine.
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<unk> year old woman with wheezing, sob, // r/o pna vs bronchitis
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Scarring at the mid left lung is stable thoracic dextroscoliosis is noted. There is no pleural effusion or pneumothorax. Mildly enlarged cardiac silhouette is unchanged.
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history: <unk>f with extreme nasuea/abd pain // acute process
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Patient is status post median sternotomy and cabg. Moderate cardiomegaly is re- demonstrated. The mediastinal contour is unchanged with tortuosity of the thoracic aorta again noted. Mild pulmonary vascular congestion appears slightly improved compared to the prior study. There appears to be a small left pleural effusion with bibasilar atelectasis. No pneumothorax is identified. There are no acute osseous abnormalities detected. A right picc tip terminates at the svc/right atrial junction.
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history: <unk>m with hypoxia
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Frontal and lateral chest radiographs demonstrate minimal right basilar linear atelectasis, with otherwise clear lungs. The cardiac silhouette is notable for a prominent epicardial fat. The retrosternal clear space is opacified, which may be due to prominent mediastinal fat although lymphadenopathy or mass could also have this appearance. A nerve stimulator device is noted. The pulmonary vasculature is normal.
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<unk>-year-old male with history of smoking, complaining of dyspnea on exertion.
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Pa upright and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
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syncope
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Low lung volumes are noted with secondary crowding of the bronchovascular markings. There is no confluent consolidation or effusion. The cardiomediastinal silhouette is likely within normal limits. Atherosclerotic calcifications noted at the aortic arch. Degenerative changes seen at the shoulders.
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<unk>f with cough shortness of breath and back pain similar to prior symptoms of pna. // rule out pneumonia.
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Right base atelectasis is seen. Left base opacity may be due to atelectasis and overlying soft tissue, but underlying consolidation due to infection and/or aspiration not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The right humeral head appears inferiorly subluxed in relation to the glenoid which could be due to true subluxation versus a joint effusion.
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history: <unk>f with schizoaffective disorder presents with abdominal pain, somnolence, brbpr. // please assess for acute abnormality
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There is a hyperdense linear-appearing lesion projecting over the left heart border in between the eighth and ninth posterior ribs only seen on the pa view which has been stable since <unk> and may be within the chest wall. The osseous structures are otherwise intact.
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<unk>-year-old female with shortness of breath, evaluate for pneumonia, chf.
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Frontal and lateral radiographs of the chest show mildly improved, but persistent bibasilar opacification on the left worse than the right, but not obscuring the heart borders. A small left pleural effusion is present. No pneumothorax is seen. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged.
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<unk>-year-old male with history of copd, now with five-day history of productive cough and dyspnea, here to reassess for interval changes.
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Patient status post right lower lobe resection. Low lung volumes bilaterally. Right pleural effusion with right base atelectasis noted. Linear atelectasis in the left lung base is noted. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged and cardiomegaly stable.
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<unk> year old woman s/p robotic assisted rll // check interval change
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The lungs are well-expanded. A few streak like, linear scarring is noted in the right and left mid lung. Slight blunting of the costophrenic angles bilaterally seen only on the frontal view may reflect some pleural thickening and/or scarring. No focal consolidation, edema, large effusion, or pneumothorax. There is a superior vertebral body compression deformity in the thoracolumbar spine, age indeterminate in the absence of priors.
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history: <unk>m with posterior r superior cw pain. // cw trauma
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. Linear opacities in the bilateral lung bases are compatible with atelectasis, as before. There is no definite focal consolidation or pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for pneumonia or chf in a patient with shortness of breath.
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Pa and lateral chest radiograph demonstrates a triangular opacity on the lateral view which corresponds to an opacity projecting within the medial left lower lung zone. This appears more conspicuous relative to prior chest radiograph dated <unk>. This likely corresponds to region of bronchiectasis, mucoid impaction, and peribronchiolar nodules as described on ct dated <unk>. Nodular opacities are additionally present projecting over the right upper lobe additionally worrisome for airspace disease. Disease at the right cardiophrenic angle is also more conspicuous. Cardiomediastinal and hilar contours are within normal limits. Blunting of the left costophrenic angle may reflect a trace pleural effusion.
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<unk>f with fever and cough // pneumonia?
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Pa and lateral views of the chest provided. There has been interval thoracentesis with persistent elevation of the left hemidiaphragm with left basal atelectasis. Left pleural effusion is decreased in the interval. No pneumothorax. Right lung remains clear. Port-a-cath is unchanged with tip in the low svc likely within the right atrium.
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<unk>m with s/p thoracentesis with <num>l removal
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
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left arm pain.
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Since prior, volumes are lower, but lungs are grossly clear. There is minimal linear atelectasis in the right lower lung zone. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.
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<unk> year old woman with new onset fever, tachycardia and desaturations, assess for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. Cardiomediastinal hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with cp // eval for cp
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Frontal and lateral views of the chest were obtained. There has been near complete resolution of previous right lung basal pneumonia and mild edema, but mild pulmonary vascular congestion persists even though heart size is normal and there is no pleural effusion.
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<unk>-year-old male with bilateral knee pain and chest pain.
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There has been interval improvement of the right-sided pleural effusion. The pleural effusion on the left side remains stable. There is a new peribronchial opacification in the left lower lobe which could be secondary to atelectasis or pneumonia. The aeration in the right upper lung appears to have improved. No free subdiaphragmatic gas, pneumoperitoneum or pneumomediastinum. The heart size is normal. The hilar and mediastinal contours are unremarkable. There is no pneumothorax.
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<unk>-year-old male status post exploratory laparotomy for a perforated ulcer who presents for followup of pleural effusions seen on previous chest radiograph.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is left basilar atelectasis, as demonstrated on prior ct. There is no focal lung consolidation concerning for pneumonia.
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<unk>-year-old woman with asthma presenting with worsening shortness of breath, evaluate for pneumonia
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema.
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history: <unk>f with seizure // ? infectious process
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Pa and lateral views of the chest provided. There is a faint opacity in the right medial lung base with a corresponding opacity on the lateral view. In the correct clinical setting, findings could represent pneumonia or aspiration. Clinical correlation is advised. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Port-a-cath tip is again seen near the level of the cavoatrial junction. Upper abdominal fiducial markers are again seen.
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<unk>f with pmh bile duct carcinoma presents with fevers/chills and ha // pna eval
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. The aorta is tortuous and calcified. There is no pleural effusion or pneumothorax. There are surgical clips in the abdomen.
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fever, cough, asthma.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are hyperinflated and there is flattening of the diaphragms, suggestive of copd. There is lower lobe predominant emphysema. There are no focal consolidations, pleural effusions, pulmonary edema or pneumothorax. There is mild scoliosis.
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<unk>-year-old female patient with worsening dyspnea, myeloma. study requested for evaluation of pneumonia, infiltrate.
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The lungs are hyperinflated and and clear. There is no superimposed consolidation or mass. Linear streaky opacities in the lower lungs posteriorly could reflect known bronchiectasis, as better assessed on prior ct. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
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productive cough for <num> week.
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The lungs are relatively hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Aortic knob calcification is seen. Mediastinal contours unremarkable. No pulmonary edema is seen.
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history: <unk>f with cp/sob on exertion. // acute process?
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Frontal and lateral views of the chest. No prior. The lungs are clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with left-sided chest pain.
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Both lungs are well expanded and clear. There are no opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
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to rule out pneumonia.
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There are multiple bilateral calcified nodular opacities, more numerous in the right lung, ranging up to <num> mm in the right mid lung region. There are also multiple calcified bilateral hilar and mediastinal lymph nodes. Otherwise, cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No focal consolidation worrisome for pneumonia.
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<unk>-year-old male with one week of cough and bibasilar rales, with his partner being treated for pneumonia. evaluate for infiltrate. patient also reports history of histoplasmosis as a child.
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<num> cm right middle lobe mass is again seen and grossly unchanged in size since <unk>. Otherwise no parenchymal opacities concerning for pneumonia. Cardiac size is top normal. Trace left pleural effusion. No pneumothorax.
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fever.
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Ap upright and lateral views of the chest provided. Lung volumes are low. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. No overt edema. 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 cough, sputum, dyspnea // eval for pneumonia
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There are relatively low lung volumes. Numerous patchy nodular opacities seen in the lung fields bilaterally most likely relate to patient's known metastatic disease. More confluent patchy opacities in the left mid to lower lung could be due to areas of focal consolidation from infection or pulmonary contusion in the setting of trauma. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No obvious displaced rib fracture seen although the study has low sensitivity for the detection of such.
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history: <unk>f with recent fall, face and head pain, knee and lower leg pain on right, pain on chest with palpation, left shoulder pain // face and head pain, knee and lower leg pain on right, pain on chest with palpation, left shoulder pain
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The heart size is normal. Mild tortuosity of the aorta is unchanged.
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history: <unk>f with cough // r/o acute infectious process
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old female with persistent cough and recurrent respiratory infections.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with tachycardia, fever // ? infectious 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 polysubstance abuse p/w palpitations, cp
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Lungs are clear. Mild bibasilar atelectasis is noted. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are noted. There are no acute osseous abnormalities.
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<unk>f with chest pain and hyperglycemic // ?pneumonia
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Ap upright and lateral views of the chest provided. Lung volumes are low. Cardiomegaly is unchanged. Basal atelectasis again noted. No large effusion or pneumothorax. No overt signs of edema. Mediastinal contour is unchanged. Bony structures are intact.
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<unk>m with fever, recent pna and uti.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. Pleural thickening at the apex of the left hemithorax appears similar. A posterior basilar opacity has resolved. There is no definite pleural effusion or pneumothorax. Bony structures are unremarkable.
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dyspnea.
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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax or pulmonary edema is seen. Heart size is normal. Again seen is a widened right paratracheal stripe, likely represents tortuous brachiocephalic vessels. Surgical clips are again visualized in the right lower neck. No bony abnormality is detected.
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history of chest and abdominal pain, with upper midline chest mass. eval for midline mass.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
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subjective fever and non-productive cough.
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Patient is status post median sternotomy and cabg. Severe enlargement of the cardiac silhouette process. The aorta remains unfolded. Mild pulmonary vascular congestion is similar to that seen on the prior study. No pleural effusion or pneumothorax is identified. Patchy atelectasis is noted in the lung bases. No pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine.
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<unk> year old woman with fall shoulder pain
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In comparison to the prior study, lung volumes have slightly improved. Cardiomediastinal contour is stable. A small right pleural effusion is new. There is no focal consolidation. No pneumothorax.
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<unk> year old man s/p lap hernia repair and colles <unk> // check interval change
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
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fever, chills, right upper back pain with cough. rule out pneumonia.
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Cardiac silhouette size remains mildly enlarged. The aorta is unfolded. There is mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is present. Mild multilevel degenerative changes are seen in the thoracic spine.
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history: <unk>m with altered mental status
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Frontal and lateral chest radiograph demonstrates well-expanded lungs. There has been placement of a fiducial marker which projects over with a right lower lung zone. There is no focal consolidation. There is no pneumothorax or pleural effusion. Heart size is top-normal. Mediastinal and hilar contours are within normal limits.
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<unk>-year-old female with recent lung fiducial placement.
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Compared to the prior study there is near complete clearance of the right lower lobe opacity. No new focal consolidation, pleural effusion or pneumothorax. Normal heart size, mediastinal and hilar contours.
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history: <unk>m with cough, cp, sweats // eval for pna
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Ap and lateral views of the chest are compared to prior chest ct from <unk>. Again seen is biapical scarring with superior retraction of the hila. There is also patchy opacity in the right upper lung laterally which appears stable compared to scout films from prior ct. Lungs are otherwise noted to be hyperinflated, but there is no pleural effusion. Cardiomediastinal silhouette is within normal limits. Lower thoracic/upper lumbar levoscoliosis is noted. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old female with fever, weakness.
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Pa and lateral views of the chest provided. Apical pleural thickening is again noted, grossly unchanged from prior study. Lungs are hyperinflated with prominent retrosternal clear space, likely due to underlying copd. 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. Again seen is a mild anterior wedge deformity in the mid thoracic spine, grossly unchanged from comparison study.
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<unk>m with productive cough // eval for pna
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Air is seen tracking within the soft tissues of the neck and within the mediastinum. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>m with cough/fever/dyspnea // r/o acute process
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is a right port-a-cath is in place, with the tip terminating near the cavoatrial junction. Better visualized on recent comparison ct are numerous pulmonary nodules, largest seen in the left mid lung measuring approximately <num> cm in diameter. No definite signs of pneumonia. No acute osseous abnormalities. Clips project over the right hemidiaphragm. No free air below the right hemidiaphragm.
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<unk>m with abd pain and diarrhea // r/o acute infectious process
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In comparison to prior study, there is new left basilar opacity, projecting posterior to the major fissure on the lateral view, compatible with a left lower lobe pneumonia. There is no associated effusion. Possible additional opacity is noted on the pa view at the right lung base. The remainder of the lungs are well aerated. Hilar and cardiomediastinal contours are normal. There is no pulmonary vascular congestion or edema. No free air is seen under the hemidiaphragm, and there are no acute osseous abnormalities.
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<unk>-year-old female with persistent cough and dyspnea. evaluate for pneumonia.
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Heart size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. There are anterior flowing osteophytes within the thoracic spine compatible with diffuse idiopathic skeletal hyperostosis.
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history: <unk>m with sudden onset weakness
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with chest pain and sob x <num> minutes // r/o chf/pneumonia r/o chf/pneumonia
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Patient is no longer intubated an the ng tube has been removed. Lung volumes have improved. The lungs are clear. The heart is mildly enlarged, unchanged. The mediastinum is not widened. No pneumothorax.
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<unk>-year-old woman with chills. evaluate for infiltrate.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
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<unk>-year-old male with <num> days of chest pain. please evaluate for pneumonia or cardiomegaly.
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Frontal and lateral views of the chest. Extremely low lung volumes are seen with secondary crowding of the bronchovascular markings. Superimposed intersitial edema is also possible. There is blunting of the posterior costophrenic angle, potentially due to small effusion or potentially a bochdalek's hernia. There is also slightly more focal opacity at the right lung base potentially atelectasis although infection is not excluded. Cardiomediastinal silhouette is likely within normal limits. No acute osseous abnormalities detected. Repeat exam can be performed with improved inspiratory effort to further characterize all of the above findings.
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<unk>-year-old male with intermittent chest pain and dyspnea on exertion for <num> week.
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There is a new large right-sided pleural effusion causing right lower lobe collapse. There is no significant midline shift. The left lung is clear. The right chest wall port catheter tip ends at the cavoatrial junction. There is no suspicious lesion, focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with met lung ca // more sob.? increasing rt effusion
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The heart is top normal in size. The mediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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chest pain, question acute process.
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Pa and lateral views of the chest provided. Port-a-cath again seen overlying the right chest with its tip in the region of the mid svc. 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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history: <unk>m with <unk> sirs criteria, hx of stage iv colon ca // eval for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are grossly unchanged, allowing for differences in technique and inspiratory effort. There is no pneumothorax, pleural effusion, or consolidation. Left-sided pectoral power port projects over the mid svc. Note is made of <num> old healed left rib fractures.
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<unk> year old man with rectal cancer on chemotherapy with relative leukocytosis and bandemia // ?infiltrate
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Cardiac size is top-normal. Small left effusion is unchanged. There is no pneumothorax. Bibasilar atelectasis are minimal. The upper lungs are grossly clear
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<unk> year old woman with severe copd with acute exacerbation. chf is stable at present // please evaluate for any change in chronic effusion, chf, copd, or new infiltrate
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In comparison to chest radiographs dated <unk>, there is new complete opacification of the left hemithorax with rightward mediastinal shift caused by a large pleural effusion, which has substantially increased in size since <unk>. The left pleural masses seen on prior radiographs and ct are obscured by the pleural fluid. The partially calcified right upper lobe nodule is unchanged.
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<unk> year old man with metastatic melanoma with new left-sided pleural effusion, loculated // please evaluate effusion, and for infiltrate and edemacan perform on <unk> am
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
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evaluation for a new kidney transplant.
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Cardiomediastinal silhouette is top-normal in size. Hilar contours are normal. Again appreciated is left pacemaker with transvenous leads leading to the right atrium and right ventricle. Multiple patchy opacities are seen throughout the right lung. The left lung is clear. There is no effusion or pneumothorax. No acute bony abnormality is identified.
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status post motor vehicle collision with reported rib fractures.
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The lung volumes are stable. A right cardiophrenic opacity slightly obscures the medial right hemidiaphragm appears chronic in unchanged since <unk>. Mild cardiomegaly is stable. The mediastinal and hilar contours are normal. Interval development of a small left pleural effusion. The small right apical pneumothorax persistent. The right chest tube is intact and terminates in the right upper lung.
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<unk> year old woman with rll nodule s/p vats wedge biopsy, ct x<num>. air leak on chest tube // interval change
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Lung volumes are low causing accentuation of bronchovascular structures and cardiac silhouette. There is no focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema.
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<unk>-year-old female with chest pain. evaluate for pneumonia.
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No radiographs available for comparison. Lung volumes are low and there are multiple adjacent anterolateral right ribs with abnormal contours concerning for fractures. Lungs are otherwise clear with no focal consolidation. Heart size is top normal without pulmonary vascular congestion and pulmonary edema. No pleural effusions or pneumothorax.
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<unk> year old woman s/p fall <num> weeks ago with t<num> compression fracture c/o r chest pain, worsened after transfer. assess for fracture. // assess for rib fx
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Redemonstrated is a right-sided picc line with the tip terminating at the cavoatrial junction. Multiple bilateral parenchymal opacities are noted, some of which demonstrate areas of central lucency and are compatible with the patient's known multifocal septic pulmonary emboli. More confluent consolidation in the right lung base has partially improved, and a right pleural effusion has decreased in size. The cardiomediastinal silhouette is unchanged.
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history: <unk>f with new fever // r/o pna
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The lungs are well-expanded and clear. No focal consolidation, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. This exam is not dedicated for imaging of the osseous structures. Within this limitation, no obvious rib fracture is identified. Levoconvex scoliosis of the thoracic spine mild and could be positional.
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<unk>-year-old woman presenting after a door fell on her. evaluate for fracture.
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The heart size is normal. Tortuosity of the aorta is present. No focal consolidations concerning for infection is identified. Lungs are hyperinflated suggestive of underlying copd. There is no pleural effusion or pneumothorax. Diffuse demineralization of the osseous structures is present, and a moderate compression deformity of a mid thoracic vertebral body is age indeterminate.
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history of syncope. please evaluate heart and lungs.
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MIMIC-CXR-JPG/2.0.0/files/p16649269/s51783919/1fab0218-196ff0fc-496374f5-4928d2a3-44a020e3.jpg
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax.
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history: <unk>f with cp and sob and sudden onset ha. recent cold. // cardiopulmonary process
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MIMIC-CXR-JPG/2.0.0/files/p14931360/s55391096/c98de2ad-f63ffd8a-76c5b18d-c8b54054-e3a84b23.jpg
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Frontal and lateral radiographs of the chest demonstrate persistent moderate right-sided pleural effusion. Stable abnormal contour of the right apical pleura, which is in continuum with the mediastinum. Heart is mildly enlarged. Trace left-sided pleural effusion. Patient is status post endovascular repair of the descending aorta, which is heavily calcified.
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<unk>-year-old female with pleural effusion.
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