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There is new focal consolidation in the right suprahilar region projecting over the anterior right first and second ribs. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with malaise // pna?
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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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trauma.
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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.
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<unk>f with chest tightness and cough, evaluate for pneumonia.
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Lung volumes are reduced. Compared to the most recent exam, there is increased patchy opacity in the right lower lobe, best seen on the frontal views. Left basilar atelectasis is also noted. Due to the patient's kyphosis and scoliosis, the lateral views are very limited. Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged. There is no edema, pleural effusion or pneumothorax.
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<unk>-year-old man with altered mental status. question pneumonia.
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Frontal and lateral views of the chest. Mild cardiomegaly and mediastinal contours are stable. Mild pulmonary interstitial edema is present with thickening of the interlobular fissures, peribronchial cuffing, and engorgement of the pulmonary vasculature. Slight blunting of the posterior costophrenic angles is consistent with small pleural effusions. No focal consolidation or pneumothorax.
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chf with increasing shortness of breath.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Minimal scarring is noted in the lung apices. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with chest pain // eval for pneumothorax
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Pa and lateral views of the chest provided. Postsurgical changes at the peripheral right lung base are re- demonstrated in this patient status post right thoracotomy and right lower lobe resection with stable cardiomegaly in this patient status post previous coronary bypass surgery. As compared to <unk>, reticular opacities at both lung bases are are new. On the right, these are superimposed on preexisting pleural and parenchymal scarring related to the previous right lower lobe lung resection.
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<unk> year old man with history of severe emphysema,histoplasmosis /p rll lobectomy <unk>,af on result to dr. <unk>. // surveillance cxr- started amiodarone <unk>.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Percutaneous catheter is seen projecting over the midline upper abdomen.
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history: <unk>m status post whipple's procedure presenting with fever, abdominal pain, nausea, vomiting, temperature to <num> today
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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>f with sob, dyspnea, cough // eval ? edema, infiltrate
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Focal consolidative opacity seen within the lingula concerning for pneumonia. The right lung is clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
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history: <unk>m with cough, fever
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Degenerative changes noted at the right shoulder.
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<unk>f with dyspnea // r/o pna
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The patient is status post left upper lobectomy. Secondary volume loss seen in the left hemithorax and superior retraction of the left hilum. The lungs remain clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Mitral annular calcifications are identified. No acute osseous abnormality identified.
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<unk>-year-old female with stroke.
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No acute focal consolidation. Mild pulmonary edema has increased. Small bilateral pleural effusions. Fluid is also tracking along the right fissures, causing pseudo opacity in the right upper lobe. Retrocardiac opacity is likely atelectasis and unchanged. Mild cardiomegaly unchanged.
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<unk> year old man s/p colostomy takedown w/ primary anastomosis, now w/ rales rll, cough. // assess for pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Scarring within the lung apices is unchanged. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with palpitations
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The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pulmonary edema. No pneumonia.
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stroke, questionable pneumonia.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. The ascending aorta appears somewhat prominent, possibly related to mild dilation or tortuosity.
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<unk>m with chest pain.
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Heart size is normal. The aorta remains tortuous with mild atherosclerotic calcifications. The pulmonary vasculature normal. Hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. There are mild multilevel degenerative changes in the thoracic spine. Clips from prior cholecystectomy are seen in the right upper quadrant. Remote right posterior rib fracture is seen.
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ascites, cirrhosis, cough, adrenal insufficiency.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Free intraperitoneal air is seen below the diaphragm. No acute osseous abnormalities identified.
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<unk>f with ? free air, recent <unk>, outpatient x ray // eval for free air
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation. Views of the upper abdomen are unremarkable.
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<unk>f with cough and shortness of breath, evaluate for pneumonia.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The descending thoracic aorta is slightly tortuous. The hilar grossly unremarkable. A <num>-mm right lower lobe opacity is a calcified granuloma or vessel-on-end. No obvious pulmonary mass. Multilevel degenerative changes, particularly in the lower thoracic spine, are moderate. Bowel gas pattern the partially visualized upper abdomen is nonspecific. No subdiaphragmatic free air.
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<unk>-year-old man with possible new diagnosis of neoplasm. evaluate for pulmonary effusion, metastases.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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cough. rule out pneumonia
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Lung volumes remain low. The cardiac and mediastinal contours are unchanged, with the heart size appearing within normal limits. No pulmonary edema is demonstrated. Small bilateral pleural effusions are re- demonstrated, though the size of these effusions appears slightly decreased compared to the prior exam. Streaky and linear opacities in the lung bases most likely reflect atelectasis. Infection, however, is not completely excluded. No pneumothorax is seen. Remote fracture of the right mid clavicle is again seen.
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history: <unk>f with breast cancer on chemotherapy now with fever
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Increased lung markings in the right lower lobe that may be due to a focal area of volume loss or early infiltrate. Attention should be paid to this area on followup.
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hiv, pleuritic chest pain, shortness of breath.
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Elevation of the right hemidiaphragm is unchanged from the previous ct. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouete is normal. Pulmonary vasculature is normal.
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history: <unk>f with liver cancer with nausea, vomiting
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Again demonstrated is a left chest wall pacemaker with appropriately positioned right atrial and ventricular leads. Otherwise, the lungs are clear. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
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chest pain. evaluate for acute process.
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Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Apparent suture anchors are noted in the region of the right glenohumeral joint.
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history: <unk>m with fever // ?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.
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history: <unk>f presenting with seizure
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size, status post bypass surgery and partial sternal resection, remaining sternotomy wire are unchanged. Unchanged appearance of thoracic aorta. No increased pulmonary vascular congestion. Radiographic signs of advanced chronic inflammatory pulmonary disease and emphysema as before. Bullous emphysema in right upper lobe area. The next preceding examination identified acute changes described as two heterogeneous opacities in the right middle lobe area have regressed markedly. The more medially located density that had more the appearance of a pneumonic process has actually resolved. Remaining finding includes a linear atelectasis in the lower border of the right middle lobe, probably representing scar formation. When comparison is extended to examinations dated <unk> and <unk>, similar episodes of acute parenchymal infiltrates in somewhat different location existed already and had regressed. No new pulmonary abnormalities are seen on the present examination.
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<unk>-year-old male patient with recent pneumonia, right-sided infiltrates, and hemoptysis. improved clinically after treatment. assess for interval resolution.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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cough, shortness of breath for <num> weeks.
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The lung volumes are normal. No pleural effusions. No pleural abnormalities. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of hilar or mediastinal lymphadenopathy. Normal size of the cardiac silhouette. No cardiomegaly. No pneumonia, no lung fibrosis.
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evaluation for sarcoidosis.
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Pa and lateral views of the chest. The lungs are clear. There is no evidence of pneumonia. The heart, mediastinal, hilum, and pleural surfaces are normal. Calcification of the cartilage in the ribs overlies the lung. There is no pulmonary vascular congestion or pulmonary edema. No pleural effusion or pneumothorax.
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shortness of breath, evaluate for pneumonia or chf.
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There is a left retrocardiac opacity, more pronounced compared to <unk>. This may represent atelectasis, although infection should be considered in the appropriate clinical setting. There is also bronchial wall thickening, left greater than right. Mild pulmonary vascular congestion, without evidence of overt pulmonary edema. Heart size is mildly enlarged.
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history: <unk>f with wheezing, hx of copd // eval for pna
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation. No radiopaque foreign bodies seen.
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<unk>f with s/p remote mole removal, assess for residual metallic foreign body, pre mri screening.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
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dizziness when standing after trauma. evaluate for traumatic injury
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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 cp // r/o acute process
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The lungs are clear, there is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Mid thoracic dextroscoliosis noted.
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cough.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
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<unk> year old man with ?? chf // f/u chf
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old woman with four weeks of productive cough and pleuritic chest pain. question pneumonia.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is somewhat tortuous. No pulmonary edema is seen.
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history: <unk>m with cp // cp
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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.
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shortness of breath.
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Left-sided aicd device is again noted with leads terminating in the regions of the right atrium, right ventricle, and coronary sinus. Mild to moderate cardiomegaly with left ventricular predominance is again noted. The mediastinal and hilar contours are similar. There is no pulmonary edema. Increased interstitial opacities are most pronounced along the lung bases and the periphery compatible with a chronic interstitial abnormality, not substantially changed in the interval. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
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history: <unk>m with question new onset congestive heart failure and increased sputum production who presented to the ed with confusion
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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 patient is examined in upright position using pa and lateral views. In comparison with the next preceding portable chest examination, the mostly basally located hazy densities have decreased. The left lung base remains obscured by the heart shadow. No new pulmonary abnormalities are identified. Comparison is extended to the pa and lateral chest examination of <unk>. The previously existing bilateral pleural effusions have clearly improved and only a minor degree of elevation and blunting of the posterior pleural sinus remains. No new parenchymal infiltrates are seen. Previously described cardiac enlargement, status post sternotomy and multivessel bypass surgery with metallic surgical clips in unchanged position. No pneumothorax is identified and the position of the previously described dual-lumen hemodialysis catheter advanced via the right internal jugular approach remains unchanged, terminating in the lower svc.
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<unk>-year-old male patient with pleural effusion. evaluate.
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Frontal and lateral views of the chest demonstrate increased ap diameter of the chest and flattened hemidiaphragms, suggestive of underlying chronic lung disease. Linear opacities in the lung bases are stable and likely represent areas of scarring. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. No pulmonary edema.
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syncope.
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The study is slightly limited due to lordotic positioning. Accounting for this limitation, the cardiac, mediastinal and hilar contours are likely within normal limits. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is clearly noted. Amorphous soft tissue calcification adjacent to the left humeral head likely reflects calcific tendinopathy. No acute osseous abnormalities are visualized.
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mechanical fall with large laceration on the left knee.
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A battery overlies the medial mid left hemithorax. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is persistent elevation of the left hemidiaphragm.
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chest pain.
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There are low lung volumes. Diffuse bilateral pulmonary opacities, most confluent at the lung bases, but also seen in the upper lobes could relate to edema and ards, however, multifocal infectious process is not excluded. Underlying aspiration could also be present. There is bibasilar atelectasis. No evidence of pneumothorax is seen. There also likely small to moderate bilateral pleural effusions. The cardiac silhouette is top-normal. The aortic knob is calcified. Old right-sided rib deformities/prior fractures are seen.
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history: <unk>m with minimal pmh presenting with doe // evaluate for pulmonary edema versus pneumonia
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Emphysematous changes are re- demonstrated with hyperinflation of the lungs. Heart size remains mildly enlarged. The mediastinal contour is similar with previously demonstrated mediastinal lymphadenopathy better seen on ct. Hilar contours are unchanged, and there is no pulmonary vascular congestion. Small right pleural effusion appears unchanged compared to the most recent chest radiograph, and there is no pneumothorax. Streaky opacities in the right lung base likely reflect areas of atelectasis. Interstitial opacities in the left lung base appear chronic. Spiculated nodular opacity in the periphery of the left upper lobe appears relatively unchanged. There are no acute osseous abnormalities.
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history: <unk>m with history of non-small-cell lung cancer status post right lower lobectomy, having chest pain and shortness of breath // please evaluate for infectious process, effusion.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with productive cough and sputum // eval 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.
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<unk>m with hypertensive emergency, episode of chest pain // hypertensive emergency, endorgan damange, pulm edema?
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with sob // ? pna
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On the lateral view, there is blunting of the posterior left costophrenic angle which may be due to pleural effusion and/ or consolidation. No pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified.
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history: <unk>f with ams // eval for pna, ich
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The heart size is stable. The mediastinal and hilar contours are within normal limits. There is no pulmonary consolidation. Mild interstitial edema is improved. There is no pleural effusion or pneumothorax. Surgical material is present in the gastroesophageal region.
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<unk>-year-old female with chest and abdominal pain as well as productive cough.
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A a right chest wall port-a-cath ends in the low svc, unchanged. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
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<unk>-year-old man with fever and abdominal pain
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Calcified left hilar and adjacent mediastinal and cervicothoracic lymph nodes, demonstrated on prior abdominal ct from <unk>, indicate prior granulomatous infection, including tuberculosis or histoplasmosis.
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<unk>-year-old woman with elevated lfts, concern for occult infection, evaluate for pneumonia
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No pleural effusion or pneumothorax. Clear lungs.
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palpitations, question pneumonia.
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The heart is top normal in size. The mediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There are no pleural effusions, pneumothorax, focal consolidations or pulmonary edema. The osseous structures are grossly unremarkable.
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<unk>-year-old female patient with <num> days of cough, chills, abnormal breath sounds. study requested to rule out pneumonia.
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Low lung volumes are again noted. Bibasilar opacities are noted, potentially atelectasis similar to prior.there is persistent blunting of the posterior costophrenic angles suggesting small effusions. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with recent tx for pna, ongoing cough // any e/o pna
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Frontal and lateral views of the chest. There is no large confluent consolidation identified nor effusion. Indistinct pulmonary vascular markings are seen throughout with somewhat more prominent bibasilar markings potentially due to scarring given persistence over time. The cardiomediastinal silhouette is unchanged. Multiple old healed posterior left rib fractures are again seen.
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<unk>-year-old female with headache, confusion and flat affect.
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Pa and lateral radiographs of the chest demonstrate a left chest wall pacemaker generator with appropriately positioned right atrial and ventricular leads. Cardiac size is normal. Hilar and mediastinal contours are within normal limits, and a calcified aortic knob is seen. The lungs are clear and mildly hyperinflated. No pleural effusion or pneumothorax. Mild biapical scarring is noted.
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weakness and palpitations.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There is a focal eventration of the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Anterior spurring is seen through the mid t-spine. No free air below the right hemidiaphragm is seen.
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<unk>m with chest pain // r/o pneumothorax
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The patient is status post median sternotomy and cardiac valve replacement. The right transjugular swan-ganz catheter has been removed. There are moderate bilateral pleural effusions with overlying atelectasis. Superimposed infection cannot be excluded in the proper clinical context. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged.
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<unk> year old woman with avr // r/o inf, eff
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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. Clips from prior cholecystectomy are noted in the right upper abdomen. No subdiaphragmatic free air is demonstrated.
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history: <unk>f with abdominal pain after egd
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<num> views of chest show that the lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present.
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chest pain.
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. Biliary stents and surgical clips are seen in the right upper quadrant.
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fever, fatigue. question pneumonia.
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old female with mvc.
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Upright pa and lateral radiographs of the chest. The lungs are slightly underinflated, but there is no focal airspace consolidation. There are bibasilar opacities which likely reflect atalectasis. The aorta is calcified and slightly unfolded, similar to prior. There is no cardiomegaly. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Degenerative changes throughout the thoracic spine are similar to prior.
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productive cough and wheezing. evaluate for acute infectious process.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
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fever, abdominal and chest pain.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>m with chest pain. evaluate for acute process.
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Ap and lateral views of the chest. The lungs are clear of consolidation, diffusion or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Left chest wall dual-lead pacing device is seen with lead tips in the right atrium and right ventricular apex. No acute osseous abnormality is identified. No free air is seen below the diaphragm.
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<unk>-year-old female with nausea.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Increased prominence of bibasilar prominence of the interstitium likely reflecting chronic changes due to smoking. Lungs are otherwise clear. No pleural effusion or pneumothorax evident. There is stable irregular thickening of the right apex, unchanged compared to <unk>. Minimal degenerative changes are noted in the thoracic spine.
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dyspnea on exertion. long-term smoker. evaluate for chf.
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Frontal and lateral radiographs of the chest were acquired. Hazy opacification of the left mid-to-lower lobe relates to overlying soft tissue and possible costochondral calcification, stable. The lungs are clear. The heart size is normal. There is redemonstration of a hiatal hernia. There are no pleural effusions. No pneumothorax is seen.
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shortness of breath. assess for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Mild mid thoracic dextroscoliosis is noted.
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<unk>f with pericardial effusion // eval for pleural effusions
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Left-sided aicd/ pacemaker device is re- demonstrated with leads in unchanged positions in the right atrium, right ventricle, and coronary sinus. Severe enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are without substantial change. Mild pulmonary edema is worse in the interval. No focal consolidation, pleural effusion or pneumothorax is detected. There are moderate multilevel degenerative changes within the thoracic spine.
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<unk> year old woman with fever and confusion
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Lower lung volumes seen on the current exam. The lungs however remain clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest pain // eval for infiltrate
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Moderate cardiomegaly is unchanged. Moderate to large bilateral effusions right greater than left are grossly unchanged. Moderate vascular congestion is minimally increased. There is no pneumothorax. Bibasilar atelectasis have increased.
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<unk> year old woman with chf exacerbation and concern for pna on last cxr. // evidence of pneumonia?
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Heart size is unchanged and borderline enlarged. Mediastinal and hilar contours are within normal limits. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. Mild loss of height of a mid thoracic vertebral body is unchanged. No acute osseous abnormalities are otherwise detected.
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right-sided chest pain.
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The left port-a-cath tip terminates in the mid svc, unchanged since <unk>. A prior small left pleural effusion has resolved. No pneumothorax. Lungs are clear without focal consolidation concerning for pneumonia. Cardiomediastinal silhouettes are stable. A small focus of fat is seen at the right cardiophrenic angle.
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<unk> year old man with port, h/o lue dvt and pe. evaluate port placement please.
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There is minimal right lower lung atelectasis. The lungs are otherwise clear. The heart size is normal. The ascending thoracic aorta is slightly tortuous. The mediastinal contours are otherwise normal. Note is made of a saber-sheath configuration of the trachea. There are no pleural effusions. No pneumothorax is seen.
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confusion.
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The lung volumes are normal. No evidence of pneumonia. No pulmonary edema, no pleural effusion, no lung nodules or masses. Mild bilateral symmetrical apical thickening. Normal size of the cardiac silhouette. Endotracheal tube and nasogastric tube, seen in <unk>, are no longer present.
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new seizure, prior smoking, evaluation.
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<num> views were obtained of the chest. The lungs are low in volume with interval increase in mild vascular congestion. Due to poor penetration likely due to body habitus, assessment for edema is somewhat limited. The heart remains moderately enlarged with perhaps trace pleural effusions. There is no pneumothorax.
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shortness of breath and lower extremity edema. assess for chf.
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Heart size is mildly enlarged. The aorta is tortuous. A moderate size hiatal hernia is re- demonstrated. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>m with fever
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Right picc line tip near cavoatrial junction. Mildly improved bibasilar opacities since prior exam. Cardiac enlargement. Interval improvement of pulmonary vascularity. Prominent central pulmonary arteries, suggest pulmonary arterial hypertension. Coronary artery stent in place. Small pleural effusions.
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<unk>m w/ cad (s/p many pcis, last <unk> on dapt), celiac artery dz s/p des <unk>, osa on cpap, t<num>dm, admitted w/ new diagnosis of mds/raeb-<num> (now s/p <num> <num>-day cycles decitabine w/ palliative intent w/ multiple interruptions). // had evidence of pna on last chest xray. please eval for interval changes.
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Patient is status post median sternotomy and aortic valve replacement. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
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history: <unk>m with syncope // acute process?
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. Lung volumes are slightly low. An area of opacification overlying the heart on lateral view may represent focal consolidation. The lungs are otherwise clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>f with cough and pain, evaluate for pneumonia.
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Heart size is normal. The aorta is mildly tortuous with mild atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is normal. Hilar contours are unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine.
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history: <unk>m with altered mental status yesterday, possible confusion
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The lungs are hyperexpanded and the diaphragms are flattened. The cardiomediastinal silhouette is unchanged, without frank cardiac enlargement. Again seen are are intact median sternotomy wires with mediastinal clips. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf, pleural effusion or pneumothorax. Minimal atelectasis or scarring at the right lung base is unchanged. The extreme right costophrenic angle is excluded from the film.
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diaphoretic and weak. assess for acute process.
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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. Clips in the right upper quadrant of the abdomen indicate prior cholecystectomy.
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history: <unk>m with chest pain
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. A left-sided port-a-cath terminates in the right atrium, unchanged. Tracheostomy tube is also unchanged in position.
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history: <unk>f with tracheostomy from bronchomalacia with cough, green sputum production, chills, and pain at trach site // pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p10674837/s53273075/fdd35ff7-eaf34784-69bbb325-51db91d5-6ccf0ed1.jpg
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. Cardiac silhouette is at upper limits of normal. Increased density projects over the left first costochondral junction, likely due to degenerative changes. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old male with seizure and general malaise.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Anterior cervical fixation is noted. No acute osseous abnormalities.
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<unk>f with chest pain, shortness of breath // ?pe
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Right sided port-a-cath tip terminates at the svc/right atrial junction. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Electronic device is noted projecting over the heart on the lateral view, which is likely external to the patient.
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history: <unk>f with fever, history of multiple myeloma on chemotherapy
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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history: <unk>f with shortness of breath, tachycardia, low grade fever // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p17977966/s56549370/cfe7b7cd-2e30c9ab-acf3cc67-ddd23277-2ed5c2f6.jpg
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The heart is minimally enlarged. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk>f with scapular pain, arm pain, and epigastric pain // <unk>f with scapular pain, arm pain, and epigastric pain
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MIMIC-CXR-JPG/2.0.0/files/p12115127/s57278728/4e8bdb3c-3fa76880-0f2709c0-1b22c7c6-836d6fb5.jpg
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Frontal and lateral chest radiographs demonstrate mild to moderate cardiomegaly, similar compared to <unk>. Retrocardiac/lingular opacity is concerning for pneumonia. There is also mild right base atelectasis. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with shortness of breath and cough with fever/chills.
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Right upper lobe pneumonia present in <unk> has completely resolved. There is no new consolidation. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
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cough, low-grade fever on humira for crohn's, prior pneumonia in right upper lobe.
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The lungs are clear without focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
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<unk>m with cough x <num> days, wish to r/o pneumonia // ? pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18509977/s51231339/48bae1ad-46c46adf-f73da1d6-aa881c7a-b72f9e20.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with chest pain // eval pneumonia other acute process
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MIMIC-CXR-JPG/2.0.0/files/p14879730/s50549299/e3766f2c-af0e3858-1c7fea24-b36da777-9ff5e9dc.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14879730/s50549299/80544733-0c276663-3256150b-bdc2d9cf-c73318df.jpg
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Ap and lateral views of the chest were provided. There is no pleural effusion, focal consolidation or pneumothorax. Lung volumes are low and there is atelectasis at the bases. The heart is enlarged and the aorta is tortuous. There are degenerative changes seen in the thoracic spine.
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<unk>-year-old woman with hypoglycemia, rule out acute process.
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Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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<unk>-year-old man with end-stage renal disease, for pre-transplant evaluation.
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Pa and lateral views of the chest were reviewed. Small-to-moderate bibasilar atelectasis and a small left pleural effusion are unchanged since <unk>. Otherwise, the lungs are clear without evidence of vascular congestion or pneumothorax. Heart size is top normal and unchanged. Normal post-operative hila.
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evaluation for pulmonary edema in a patient status post left lower lobe wedge resection who is currently desaturating to <unk>%.
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