Frontal_Image_Path
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Limited evaluation of medial aspect of right scapula is unremarkable.
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history: <unk>m hx of ivdu with point tenderness along medial aspect of right scapula // r/o acute intraspinal process- vertebral osteomyelitis vs epidural abscess
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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 left clavicular pain status post motor vehicle collision
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Again seen is the left-sided chest tube. No appreciable pneumothorax is noted. The visualized right hemithorax is clear.
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left spontaneous pneumothorax.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. Previously seen pulmonary nodules on chest ct were better evaluated on ct, which is more sensitive. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable.
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<unk>-year-old female with cough, 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. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with cough and subjective fever
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Moderate pulmonary vascular congestion with moderate associated pulmonary interstitial edema and mild cardiomegaly are new since <unk>. There is no pleural effusion, pneumothorax, or focal consolidation.
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<unk>m with shortness breath, evaluate for pulmonary edema.
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As compared to the previous radiograph, there is unchanged evidence of a relatively diffuse subpleural parenchymal pathology with distortion of the parenchymal architecture, suggesting fibrotic changes. As a consequence, the lung volumes remain low. The lung parenchyma is otherwise unremarkable, in particular, there is no evidence of lung masses or nodules. There is borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta. Normal hilar structures.
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possible lung cancer, evaluation for pleural changes.
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Frontal and lateral views of the chest. On the frontal view, there are hazy opacities projecting over the right mid-to-lower and left mid-to-upper lung which localizes posteriorly on the lateral view and are compatible with posteriorly loculated effusions/possible empyemas on chest ct. More spiculated opacity in the left upper lung posteriorly is also seen for which followup will be necessary. There is a small amount of fluid layering dependently on both sides. There is no definite superimposed acute consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old male with chest ct from outside hospital with bilateral loculated pleural effusions and worsening cough.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
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dysphagia, on antibiotics, evaluate for pneumonia.
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There is a single-lead pacemaker device in place. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Aside from minor basilar atelectasis, lung fields appear clear. There are no substantial pleural effusions. The bones appear demineralized. The patient is status post posterior lumbar fusion, incompletely assessed. Surgical clips project over the left upper quadrant.
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shortness of breath. history of congestive heart failure.
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Ap upright and lateral views of the chest provided. Interstitial opacities within the lungs raise concern for mild edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
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<unk>m with mds presenting with acute onset dyspnea and peripheral edema
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There are moderate bilateral pleural effusions, left greater than right. Prominence and indistinctness of the hila is consistent with moderate pulmonary edema. The cardiac silhouette remains enlarged. Increased opacity along the right heart border could be due to increase in cardiac silhouette size/pericardial effusion, however, loculated effusion without possible partial collapse is not excluded. There is prominence of the superior mediastinum.
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worsening dyspnea on exertion, lower extremity edema x.
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Lung volumes are low. The cardiac silhouette appears unchanged in size as are the mediastinal contours. Continued opacification of the left lung base likely reflects a combination of a small left pleural effusion and atelectasis. Size of the pleural effusion appears unchanged. Right lung is grossly clear. No pneumothorax is identified. No acute osseous abnormality is seen.
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abdominal pain after chest tube placement and removal.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. Note is made of eventration of the right hemidiaphragm. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen in the spine without acute osseous abnormality.
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<unk>-year-old female with chest pain.
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The heart size is mildly enlarged. The aorta is slightly tortuous and calcified. There is no pulmonary vascular congestion. Hilar contours are unremarkable. There is minimal streaky atelectasis in the lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. Degenerative changes are noted involving both acromioclavicular and glenohumeral joints, which are moderate in degree. Mild-to-moderate multilevel degenerative changes are also seen within the thoracic spine.
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chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. A retrocardiac opacity is compatible with a hiatal hernia. 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 possible fish bone in esophagus; // patient points to the sternal notch when describing discomfort;
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Lung volumes are low leading to crowding of the bronchovascular structures. Allowing for this, there is no focal consolidation, pleural effusion, or pneumothorax. Allowing for projection and low lung volumes, the cardiomediastinal silhouette is unchanged from prior examination.
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history: <unk>m with left sided chest pain // rule out pe
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Pa and lateral chest radiographs were obtained. In comparison to the prior study, the right apical pneumothorax is appears larger with pleural air now seen at the right base, creating a new hydropneumothorax. There are no signs of tension. The left lung is clear. No left pleural effusions. The cardiomediastinal silhouette is stable. Subcutaneous emphysema is again noted on the right lateral chest wall.
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<unk>-year-old woman status post right upper lobectomy for lung cancer, check interval changes.
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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are stable. Again noted is a left pacemaker with leads terminating in the right atrium and right ventricle as expected. There is no pneumothorax. There is a small right pleural effusion with atelectasis. Underlying consolidation at the right lung base cannot be excluded. There is no left pleural effusion. Slight increase in interstitial markings diffusely may represent interstitial edema versus an atypical infection.
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productive cough.
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Frontal and lateral chest radiographs demonstrate well-defined <num> mm density projecting over the left <unk> lateral rib most likely granuloma. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax. Normal heart size. Large anterior posterior diameter consistent with hyperinflated lungs. Incidental note of eventration of the left diaphragm as well as rim calcified nodule in the region of the left thyroid gland. This finding correlates with thyroid ultrasound in <unk> showing left-sided rim calcified nodules.
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<unk>-year-old female with cough. evaluate for pneumonia or mass.
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As compared to the prior exam dated <unk>, the right lower lobe opacity is essentially unchanged. Given that no lesion was identified on the more recent cta exam, this focus likely represents overlying pectoral muscle. The remainder of the lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged from the prior exam.
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persistent cough.
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Ill-defined opacity at the right lateral costophrenic angle is similar compared to prior chest x-rays, potentially due to scarring given persistence over time. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Coronary artery stents are noted. No acute osseous abnormalities identified.
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<unk>f with cough // eval for pneumonia
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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>f with dyspnea on exertion while walking long distance. evaluate for pneumonia or other acute process.
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The lungs are clear without focal consolidation. No focal consolidation is seen. There is minor mid lung atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Loss of height of the superior aspect of a lower thoracic vertebral body is grossly stable compared to ct from <unk>.
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<unk> year old woman s/p kidney transplant in <unk> with cough/sore throat // pna
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Since condition required examination in sitting semi-upright position using ap frontal and left lateral views. Analysis is performed in direct comparison with the next preceding ap single view chest examination of <unk>. The patient is very heavy, a fact which detracts from the ability to assess pulmonary vasculature with confidence. Comparison is made with the next preceding ap single view chest examination of <unk>. The patient is status post orthopedic stabilization of the lower thoracic and lumbar spine <unk> rods identified. Relatively high positioned diaphragms result in crowded appearance of the pulmonary vasculature on the bases. Heart size is difficult to assess but probably mildly enlarged with a configuration favoring the left ventricle with prominence to the left and posteriorly. No significant left atrial enlargement can be identified. No new discrete pulmonary parenchymal infiltrates are seen. Comparison to the pulmonary vasculature suggests a somewhat increased upper zone redistribution pattern with more distended pulmonary veins in the upper zone area. There is, however, no conclusive evidence for any new pleural effusion and no pneumothorax is seen in the apical area.
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<unk>-year-old female patient with shortness of breath, evaluate for possible chf.
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Pa and lateral views of the chest provided. Subtle hazy projecting over the right upper lung seen only on the first image of this series, is concerning for an early pneumonia. Coarsened lung markings likely reflect chronic lung disease in this patient with known sarcoidosis. Emphysema difficult to exclude. No large effusion or pneumothorax. No convincing signs of edema or congestion. Cardiomediastinal silhouette appears grossly within normal limits. No acute bony injury. No free air below the right hemidiaphragm.
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<unk>m with n/v/d since this am, history of sarcoidosis. pt poor historian.
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Frontal and lateral radiographs of the chest demonstrate a left chest wall port with catheter terminating in the mid svc. No pneumothorax is seen. Otherwise, the lungs are clear. The cardiac and mediastinal contours are normal. Mild left basilar atelectasis is seen. No pleural effusions are detected.
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left ij port placement.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is a stable mild wedge compression deformity in the mid thoracic spine with a stable prominent osteophyte.
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history of diabetes with dka. evaluate for pneumonia.
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The cardiac silhouette size remains moderately enlarged. The aorta is tortuous. There are atherosclerotic calcifications noted at the aortic arch. There is mild pulmonary vascular congestion and small bilateral pleural effusions. Minimal atelectasis is noted in the left lung base. No pneumothorax is identified. No acute osseous abnormalities are demonstrated.
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pleural effusion noted on recent cervical spine ct.
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No pneumothorax. Right lower lung opacities are again seen. In the right mid lung, there is a new opacity which appears to be located in the superior segment of the right lower lobe, new compared to <unk> at <time>. The also a small increase in pleural fluid seen laterally in the mid lung. No left pleural effusion. The cardiomediastinal and hilar contours are stable.
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status post removal of ct placed for pneumothorax. evaluate for change.
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Since the prior radiograph, there is a new right middle lobe opacity, obscuring the right heart border, concerning for pneumonia in the correct clinical setting. There are bilateral pleural effusions without pneumothorax. Unchanged moderate cardiomegaly, left-sided pacemaker, and intact median sternotomy wires. Old healed right rib fractures are also unchanged.
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<unk> year old man on immunosuppressants w recent consecutive pna rml, rul still w cough. r/o infiltrate.
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Frontal and lateral views of the chest are compared to previous exam <unk>. Compared to prior, there has been no significant interval change. Again seen is indistinct pulmonary vascular markings but no evidence of confluent consolidation. There is blunting of posterior costophrenic angles suggesting trace effusions. The cardiac silhouette is enlarged but stable. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with history of lung cancer and effusions in the past, presents with dyspnea, question pneumonia or effusion.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
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<unk>-year-old female with weakness and falls.
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There are trace bilateral effusions. There is no overt pulmonary edema. Moderate hiatal hernia is again noted. Cardiomediastinal silhouette is within normal limits. Coronary artery stents are noted. No acute osseous abnormality is identified, vertebroplasty changes are seen in the likely lumbar spine.
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<unk>f with acute hypoglycemia, t-spine tenderness, no trauam // acute thoracic process, acute t-spine tenderness
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
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patient with cough for a week and chills for two days. assess for pneumonia.
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The lungs are clear without focal consolidation, effusion, or edema. Hazy opacity at the right cardiophrenic angle is compatible with prominent fat pad seen on ct scan. Azygos fissure is incidentally noted. Cardiac silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes are noted in the spine.
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<unk>m with viral vs. bacterial infection.// pneumonia
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The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique. On the left, there is a small pleural effusion with adjacent areas of band-like opacity suggesting coinciding atelectasis. Elsewhere, the lungs appear clear. Surgical clips project over the left upper quadrant of the abdomen. The bones appear demineralized.
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fluid overload.
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Pa and lateral views of the chest provided. Nodules seen on recent ct projecting over the upper lungs are again visualized. Please refer to recent ct report for further details regarding followup recommendations. Otherwise the lungs are clear. No evidence of pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged bony structures are intact.
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<unk> year old woman with chest pain. // any sign of cardiovascular etiology of pain or pe?
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There is a opacity in the right middle lobe, as well as one in the left lower lobe. This is most consistent with multifocal pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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cough and right lower lobe pleuritic chest pain. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Hila appear slightly prominent which may reflect central airways inflammatory process i.e. Bronchitis. Lungs are clear. No large effusion or pneumothorax. Heart and mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with c/o cough with sob // ? pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with neck and chest pain.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Gaseous distention of loops of large and small bowel is better evaluated on subsequent ct abdomen and pelvis artery performed at the time of this dictation. Mild right acromioclavicular degenerative changes are partially assessed.
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<unk>f with chest pain evaluate for cardiopulmonary process.
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The lungs are clear. Cardiac and mediastinal silhouettes are normal. There is no pleural effusion or pneumothorax. A left breast implant is identified. No acute fractures are noted.
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chest pain.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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<unk> year old woman with parenchymal opacity at the left lung base with air bronchograms is consistent with pneumonia in <unk> // evaluate for clearance of pneumonai
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Pa and lateral radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Cervical fusion hardware is noted. There are no acute skeletal abnormalities and no free air under the diaphragm.
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<unk>-year-old with dyspnea, right upper quadrant pain, evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. There is prominence of the ascending aorta which may relate to tortuosity, however, ascending aortic aneurysm is not excluded. No pulmonary edema is seen.
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history: <unk>m with agitation // eval for pna
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The cardiac silhouette is mildly enlarged. The thoracic aorta is tortuous. There is bibasilar atelectasis. No definite consolidation is seen. There is no pleural effusion or pneumothorax.
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history: <unk>m with left leg fx. pre-operative study // please evaluate for acute intrathoracic process
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The cardiomediastinal and hilar contours are stable. A right chest tube terminates at the right lung base. A moderate right pleural effusion is noted, slightly larger. There is no pneumothorax. Extensive bilateral parenchymal opacities appear grossly similar, consistent with lymphangitic spread of disease. There is no new opacity.
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<unk>m with shortness of breath.
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A new right-sided port-a-cath tip projects at the cavoatrial junction. Cardiac silhouette is normal. Previous mediastinal and hilar widening concerning for lymphadenopathy has improved, in keeping with known treatment response identified on pet-ct of <unk>. The left hilum is vague, but not enlarged. An area of opacity in the left upper lobe reflects known septal thickening. Elevation of the right hemidiaphragm is unchanged. No new focal consolidation, effusion, or pneumothorax.
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<unk> year old man with lymphoma, increasing cough, and congestion. assess for cardiopulmonary abnormality.
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Lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are notable for mild multilevel degenerative changes with anterior flowing osteophytes, disc space narrowing and subchondral sclerosis most prominent in the mid thoracic level. No displaced rib fracture.
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<unk>m with chest pain. assess for pneumonia or rib fracture.
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
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vomiting, chest pain, and dyspnea.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Linear opacity in the right mid lung and at the left lung base are most suggestive of atelectasis versus scarring. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Lower thoracic vertebral body cage and lateral screws are unchanged in position. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old female with altered mental status and weakness.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old female with cough and fever.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
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aml status post transplant, cough. evaluate for pneumonia.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardio mediastinal and hilar contours are within normal limits. The trachea is less deviated to the right than on the prior radiographs of <unk>. Surgical clips in the left lower neck are compatible with recent thyroidectomy.
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s/p thyroidectomy now with fever, here to evaluate for pneumonia.
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no pulmonary edema. Mild degenerative change is seen at the right acromioclavicular joint.
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chills and altered mental status.
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Lung volumes are low. Left lower lung opacity overlies the spine on lateral view. Mediastinal contour, hila, cardiac silhouette are normal. There is no pneumothorax or pleural effusion.
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<unk>m with dka, mild sob // eval pnuemonia
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Moderate to severe cardiomegaly is stable. The pulmonary arteries appear enlarged. The the aorta is tortuous. The lungs are hyperinflated. Bilateral pleural effusions are small unchanged. Faint opacities previously seen in the right mid lung are less conspicuous than before. Minimal opacities in the lower lobes are likely atelectasis. There is no pneumothorax. Wedge-shaped deformities of several mid thoracic vertebral bodies are unchanged
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history: <unk>m with cough // pna
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Low lung volumes bilaterally with interval increase in bibasilar plate-like atelectasis, right greater than left. No pneumothorax, pleural effusion or pulmonary edema. Heart size, mediastinal contour and hila are normal. Stable healed left lateral rib fracture with callus formation. No additional bony abnormality.
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male with chest tube removal. assess for pneumothorax.
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Patchy opacity projecting over the superior aspect of the left lower lobe is worrisome for pneumonia. There is also a patchy opacity projecting over the medial right upper lung which may in part relate to overlap of structures however, is concerning for second site of infection. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with <num>x days productive cough, sore throat // ?pna ?intrapulm process
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Allowing for the ap technique, cardiomediastinal silhouette is within normal limits. Redemonstrated are bilateral interstitial opacities with lower lobe predominance that are grossly unchanged compared to the prior radiograph, thought to represent nsip on the most recent ct. There is no consolidation or pleural effusion. No pneumothorax.
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<unk>f with cough
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A large right pleural effusion is grossly unchanged since <unk>. The left lung is clear. There is no pneumothorax. The cardiac and mediastinal contours are stable. Peripheral displacement of the bowel in the upper abdomen is likely due to known ascites. Tips identified in the right upper quadrant
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<unk>-year-old man with cryptogenic cirrhosis complicated by hepatic hydrothorax. now with increased abdominal distention and shortness of breath.
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There is severe leftward convex curvature along the upper thoracic spine with posterior fixation devices. Mild-to-moderate rightward compensatory upper lumbar curvature is noted. The heart is normal in size. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax.
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chest pain.
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Pa and lateral views of the chest provided. Clips in the upper abdomen noted. 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 syncope // eval for cardiomegaly
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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 with intermittent chest burning
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Chest, pa and lateral. The appearance of the heart and lungs is essentially unchanged from the prior study. Lung volumes are again low, and there is atelectasis at the right base. A prominent epicardial fat pad causes a hazy opacity at the left lower lung. There is no focal consolidation. Heart size normal.
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<unk>-year-old man with chest pain. evaluate for pneumothorax or pneumonia.
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The lungs are clear with no opacities, nodules, or focal consolidations. The cardiomediastinal hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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chest pain and cough.
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Lung volumes are slightly diminished. Cardiac silhouette remains mildly enlarged but unchanged. Hilar prominence is compatible with known central lymphadenopathy. The known, numerous nodular metastases are better evaluated on the recent chest ct. No pleural effusion, pneumothorax or focal airspace consolidation. Rib deformities from prior fractures are again seen.
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vascular disease and recent the diagnosed pancreatic adenocarcinoma now presenting with weakness and confusion. evaluate for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are notable for hypertrophic changes of the spine.
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<unk>-year-old female with chest pain.
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A single left-sided pleural catheter remains in place, <num> of previously seen catheters is no longer seen. Left picc tip is seen in the lower svc. Appearance of the left lung is unchanged noting volume loss. Persistent opacity in the left lung is unchanged in part due to known underlying mass lesion and possible loculated fluid. Left lung base consolidation/fluid seen posteriorly on the lateral view is unchanged. There is no large pneumothorax. There is a new small right-sided pleural effusion.
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<unk>m with lung ressec and chest tubes in place pls eval for effusion vs pna //
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Combination of mild pulmonary vascular congestion, septal interstitial lines at the right base, and bronchial cuffing, new since <unk> could be early acute cardiac decompensation or, alternatively, chronic. Heart size top-normal. No pleural effusion. Projecting over the anterior left fifth rib is a complex of small nodular opacities. Some of this could be the left nipple, but not all of it. Lung nodules are presumed and should be evaluated with chest ct scanning.
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<unk>m with ugib, epigastric tenderness, evaluate for free subdiaphgramatic air.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. There is a moderate to large hiatal hernia. The proximal esophagus may be dilated vs a possible azygous fissure.
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<unk> year old man with abd and back pain, +pallor low suspicion
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old man with dyspnea on exertion // pleural effusion, edema, mass
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Left-sided central venous catheter is stable in position. Asymmetric right greater than left reticulonodular opacities with hilar engorgement may reflect edema less likely pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Mild degenerative changes of the thoracic spine are seen.
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<unk>f with hfref, afib, presenting with <unk> swelling and bibasilar crackles
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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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history: <unk>f with sob, syncope // eval for pulm edema
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.
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<unk>-year-old woman with chest tightness.
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Pa and lateral image of the chest demonstrates significantly improved right pleural effusion suggests a repeat successful thoracocentesis. The lungs are well expanded and clear. There is no pneumothorax or other complication seen. Otherwise, there is no change in the chest radiograph from previous imaging. The appearance of the left lung is unchanged.
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<unk>-year-old male with pleural effusions.
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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 retrosternal chest pain // pna? ptx
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Cardiac silhouette size is top normal. Mediastinal contours remain unchanged with mild tortuosity of the thoracic aorta again noted. The aorta is diffusely calcified. Hilar contours are normal. Pulmonary vasculature is not engorged. Subsegmental atelectasis versus scarring is again noted within the right middle lobe and lingula, unchanged. No focal consolidation, pleural effusion or pneumothorax is detected. Lungs are hyperinflated with attenuation of pulmonary vascular markings towards the apices compatible with underlying mild emphysema. Remote right-sided rib fractures are visualized. Compression deformity of a mid thoracic vertebral body is unchanged. Mild to moderate multilevel degenerative changes are again seen in the thoracic spine.
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history: <unk>f with hemoptysis
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Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hilar contours are stable. Cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cp // r/o infiltrate
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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persistent cough.
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As compared to the previous radiograph, there is no relevant change. The patient has made a stronger inspiratory effort, resulting in volumes. Known rib fracture on the right. No pleural effusions. No pneumonia. No pulmonary edema. Normal size of the cardiac silhouette.
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cough, evaluation for pneumonia.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Minimal plate-like atelectasis is seen.
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<unk>-year-old female with cough and congestion.
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Frontal and lateral views of the chest. There is persistent blunting of left costophrenic angle laterally suggestive of underlying scarring or pleural thickening. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted.
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<unk>-year-old female with chest pain.
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As compared to the previous radiograph, no relevant change is seen. No evidence of pneumonia. No other pathologic processes in the lung parenchyma. Borderline size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. A rounded structure projects over the seventh right rib and corresponds to callus from an old fractured. In retrospect, the original fracture was already seen on the chest x-ray from <unk>. The lesion should not be mistaken as a lung nodule.
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cirrhosis, evaluation for new pneumonia.
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The cardiac and mediastinal silhouettes are stable. The mediastinum is not widened. The cardiac silhouette remains enlarged. There is mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
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<unk> year old man with hx of prostate cancer p/w non-reproducible <unk> back pain for the past week. // please evaluate for compression fracture, metastatic process, or widened mediastinum. (location of pain is lateral of low cervical, high thoracic spine).
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Pa and lateral views of the chest provided. There is again noted to be a right pleural effusion with associated lower lobe atelectasis, difficult to exclude a superimposed pneumonia. There is mild left basal atelectasis without large effusion. Clips are noted in the upper abdomen. Cardiomediastinal silhouette appears grossly unchanged. No pneumothorax.
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<unk>f with chest pain and shortness of breath // eval for pn
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In comparison to the prior examination, there has been improvement in confluent airspace disease is well is interstitial markings, consistent with improved edema. Mild indistinctness of the pulmonary vasculature and possible septal lines may represent mild residual edema. The cardiac silhouette is unremarkable. A right-sided chest port is noted, terminating in the mid to low svc. There is no large pleural effusion or pneumothorax. Linear bibasilar opacities may represent bibasilar atelectasis.
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history: <unk>f with syncope // infiltrate? fracture or bleed?
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The lung volumes are low. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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pleuritic chest pain.
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Chest, pa and lateral radiographs demonstrate tortuous or generally widened though not focally aneurysmal aorta. Otherwise, mediastinal and hilar contours are unremarkable. Heart size is normal. Lungs are clear. No pleural effusion or pneumothorax evident.
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cough, chills. please evaluate for pneumonia.
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Lung volumes are decreased. There is redemonstration of chronic atelectasis or scarring in the left lung base not significantly changed since prior study from <unk>. Blunting of the right costophrenic angle could also reflect pleural thickening. There is no focal consolidation or pneumothorax.
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<unk>m with cough and sob // r/o acute process r/o acute process
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The lungs are clear of focal opacities concerning for infection but again hyperinflated. The cardiac size is top normal and there is vascular congestion without frank edema. There is no pleural effusion. The aorta is slightly tortuous.
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syncopal episode.
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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. No displaced fracture is identified.
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history: <unk>f with mvc with head strike on wheel.
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Since the prior chest x-ray, the right-sided pneumothorax appears to have resolved. The right chest tube is unchanged in position. Again noted is a left subclavian approach catheter that terminates in the mid svc. There are no pleural effusions. Cardial mediastinal silhouette is stable. Unchanged appearance of surgical <unk> and drain overlying the epigastric region.
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<unk> year old man with chest tube in place s/p diaphragmatic injury with liver transplant. on waterseal for <num> hours // check status of pneumothorax. chest tube on waterseal
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Pa and lateral views of the chest. The lungs are essentially clear noting minimal left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old female with cough.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion, or pneumothorax. Linear opacities in the lingula are likely atelectases. The cardiomediastinal silhouette is unchanged. There are no acute bony abnormalities.
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<unk>-year-old man with shortness of breath on exertion, evaluate for pneumonia.
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Pa and lateral chest radiographs demonstrate right lower lobe opacification, consistent with pneumonia. There is also hyperexpansion and flattening of the diaphragms consistent with known copd. There are two contiguous compression fractures in the mid thoracic spine, markedly worsened from <unk>. There ap diameter of the chest has increased since this prior. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged.
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copd and lower extremity edema. concern for pneumonia or chf.
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The right-sided subclavian line has been removed. No pneumothorax. The appearance of the lungs are unchanged with a <num>mm nodule in the right lower lobe and surrounding linear opacities. There is a trace right-sided effusion. The left lung remains clear. The cardiomediastinal silhouette is unremarkable.
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<unk> year old man s/p empyema treatment with tpa-dnase with retained strings after pigtail removal. // assess interval change
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The lungs are hyperinflated with flattening of the hemidiaphragms. The lungs are clear without focal consolidation, effusion, or edema. Mild cardiomegaly is stable compared to prior. Atherosclerotic calcifications are noted at the aortic arch. Degenerative changes seen at the right shoulder.
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<unk>m with l hand numbness // eval for acute process, stroke
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is mildly prominent and increased markings are present in the upper lobes. There is blunting of the right costophrenic sulcus, which may represent a small pleural effusion. No pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
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<unk>-year-old female with shortness of breath. evaluate for chf versus pneumonia.
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