Frontal_Image_Path
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
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palpable purpura in bilateral lower extremities, joint pain, and cold-like symptoms <num> week ago.
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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 sternal chest pain
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As compared to the previous radiograph, no relevant change is seen. Borderline size of the cardiac silhouette with minimal tortuosity of the thoracic aorta. No pulmonary edema. No pleural effusion. No pneumonia, no pneumothorax.
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persistent cough, evaluation.
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There is no radiopaque foreign body. The lungs are clear. There is no pneumothorax or pleural effusion. Mild cardiomegaly is stable. The thoracic aorta is tortuous as in the past.
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<unk> year old man may have swallowed dental bridge // r/o foreign body
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Lung volumes are slightly low. Streaky bibasilar opacities may be secondary to atelectasis. Superiorly, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with lupus presenting with fever, fatigue // eval for pneumonia
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Limited study due to underpenetration. Lung volumes are low. A right picc is seen, with the distant portion not well visualized, though likely terminating in the lower svc. There is moderate central vascular engorgement without overt pulmonary edema. No focal consolidation, effusion or pneumothorax. Platelike atelectasis is seen in the left mid lung. Mediastinal and hilar contours are stable. Moderate cardiomegaly is unchanged, though somewhat exaggerated by technique. There is calcification of the aortic knob.
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history: <unk>f with anemia, sob, orthopnia // pulmonary edema?
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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chest pain.
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The heart appears borderline in size and a mildly bulging posterior contour suggestive of left atrial enlargement. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
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cough and fever.
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Ap upright and lateral views of the chest provided. There is tracheal deviation to the right due to known thyroid goiter. Lungs are clear. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.
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<unk>f with increased confusion and weakness // ? pna
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with productive cough x<num>wk, fever today
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Streaky opacity in the left lung base may reflect atelectasis. Subsegmental atelectasis is also noted in the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified. Multiple clips are seen within the right axilla compatible prior lymph node dissection.
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history: <unk>f with severe abdominal pain, vomiting x <num> hours.
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Lung volumes are low which accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Atelectasis is noted in both lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
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history: <unk>f with chest pain
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Frontal and lateral radiographs of the chest show an ill-defined peripheral wedge-shaped opacity in the right lung base at the level of the right fifth rib. There is increased opacification at the left lung base compared to the preceding radiograph of <unk>. Irregular wedge-shaped peripheral opacities at that time were present in the left lung base. Small bilateral pleural effusions are present. No pneumothorax is appreciated. The pulmonary vasculature is not engorged. The cardiac silhouette is slightly increased in size from the prior study with new prominence of the azygos vein. The mediastinal and hilar contours are otherwise within normal limits.
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<unk>-year-old female with hypoxia, wheezing, and low-grade fever, here to evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate hyperinflated, but clear, lungs. The cardiac size is top normal. The thoracic aorta is unfolded. Slight blunting of the left costophrenic angle may be due to a small amount of scarring rather than pleural effusion. Lobulation of the right hemidiaphragm is present. There is no free air.
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<unk>-year-old female with chest pain.
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The heart is enlarged but stable from the prior exam. The hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. There are hilar calcifications as before.
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<unk> year old man with cough and fever // cough and low grade fever x <num> days, with striking rhonchi in posterior lower lung fields --> r/o pneumonia
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The lungs are clear without consolidations or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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confusion and subjective fevers.
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There is subtle opacity in the right lung partially obscuring the right cardiac margin also seen on the lateral view suspicious for subtle pneumonia. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits.
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<unk>m with dyspnea // eval for acute process
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Coronary artery stent is noted. There is slight angulation of the anterior left sixth rib raising possibility of fracture. Mild anterior vertebral body height loss of likely t<num> not seen on prior ct.
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<unk>f w/fall, please eval for rib fx, ptx
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a normal postoperative appearance status post right upper lobectomy. There is no focal consolidation, pleural effusion or pneumothorax.
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<unk> year old man with nsclc and cough, ? pna // <unk> year old man with nsclc and cough, ? pna
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Scattered nodular opacities throughout the lungs are consistent with granulomas suggesting prior granulomatous disease. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
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<unk>m with new onset atrial fibrillation, evaluate for cardiomegaly.
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Left-sided pacemaker device is noted with leads terminating the right atrium and right ventricle. The patient is status post median sternotomy and aortic valve replacement. Heart size remains severely enlarged. The aorta is tortuous and calcified at the aortic arch. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Patchy opacities are seen within both lung bases, likely atelectasis. Calcified granuloma in the right upper lobe is unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. Osseous structures are diffusely demineralized with compression deformities of <num> adjacent vertebral bodies at the thoracolumbar junction appearing unchanged.
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history: <unk>f with cough
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Bibasilar atelectasis is mild. Cardiomegaly and large hiatal hernia are not significantly changed. Spine hardware seen is not well assessed on this study. No free air below the right hemidiaphragm is seen.
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<unk>f with several hours of chest pain // r/o pna
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As compared to the previous radiograph, the lung volumes have increased. The size of the cardiac silhouette is still at the upper range of normal. The radiographic evidence of mild pulmonary edema is still present but less severe than on the previous image. Minimal right pleural effusion, causing blunting of the right costophrenic angle. Minimal areas of atelectasis at the right and left lung bases. No pneumothorax.
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status post fusion, elevated temperature, assessment for lung pathology.
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Cardiac silhouette size is normal. Aortic knob is calcified. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
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history: <unk>f with sudden onset shortness of breath with left back pain
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation or pleural effusion. No fracture is detected, although this technique is not optimized for evaluation for osseous trauma.
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shoulder pain. concern for pneumothorax.
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Moderate cardiomegaly is again noted as well as significant tortuosity of the aorta, particularly at its distal descending portion. The lungs are clear without consolidation, effusion, or edema. No acute osseous abnormalities.
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<unk>m with new onset exertional dyspnea, fatigue // eval for acute process, pulm edema
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. Patient is status post cervical fusion.
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chest pain, evaluate for acute process.
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Heart size is mildly enlarged. The aorta is tortuous and demonstrates atherosclerotic calcifications of the arch. The hilar contours are normal. Lungs are hyperinflated with flattening of the diaphragms suggestive of copd. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine. Remote right rib fracture is again seen.
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history: <unk>m with tia // eval for pna
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Since the prior chest radiograph, there has been interval placement of a right-sided dialysis line, with tip in the right atrium. There are persist bilateral pleural effusions, moderate on the left and small on the right, as well as unchanged moderate cardiomegaly and pulmonary vascular congestion. Adjacent bibasilar atelectasis is unchanged. Aortic arch calcifications and left distal clavicular deformity from remote fracture are unchanged.
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<unk>f with dyspnea. eval for acute process.
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Asymmetric increased density and interstitial vascular prominence at the right lung base compared to the left lung base. Otherwise, the lungs are clear. No pleural effusion. No pneumothorax. The descending aorta is tortuous, but stable compared to the prior exam. The cardiomediastinal silhouette and hila are unchanged. No acute osseous abnormality.
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<unk> year old woman with h/o lung cancer, now with cough, sputum, low grade temp // ?pneumonia
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In comparison to earlier study of this date, there are lower lung volumes with little change in the degree of small-to-moderate left pneumothorax. Opacification in the retrocardiac region is consistent with atelectasis. Right lung is clear and there is no evidence of vascular congestion.
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pneumothorax in the setting of rib fracture.
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There has been interval removal of the enteric tube. Heart size and mediastinal contours are stable. Left pleural effusion has improved, now trace. Right lung is clear and the left lung persistently demonstrates considerable parenchymal abnormality and atelectasis.
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<unk> year old woman with s/p left vats and avr aortic root enlargement // eval for effusion or infiltrate
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Prominence of the right hila is due to prominent normal vascular structures. This finding was confirmed on a subsequent ct of the abdomen and pelvis. The heart size is at the upper limits of normal.
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epigastric pain and fever. evaluate for pneumonia.
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Cardiac silhouette size is normal. The aorta remains mildly tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Two masses in the right lung, one within the right middle lobe, and a second within the right lower lobe appear grossly unchanged compared to the previous examinations. Severe emphysema seen in the left upper lobe unchanged. Subsegmental atelectasis is noted in the left lung base. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>f with weakness, history of cancer // eval for infiltrate
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Ap and lateral views of the chest. Low lung volumes crowd the pulmonary vasculature; however, there is mild pulmonary vascular engorgement. No definite signs of edema. No pleural effusion or pneumothorax. Cardiac, mediastinal, and hilar contours are stable. No focal consolidation concerning for pneumonia.
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unwitnessed fall and confusion, evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. Heart size is mildly enlarged. The mediastinal contours are normal. A <num> mm rounded nodule in the lateral right lung base overlying the right <unk> anterior rib could represent a pulmonary nodule or a skin lesion. No pleural effusion, pneumothorax, or focal consolidation. No displaced rib fracture.
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<unk>-year-old female with pain status post motor vehicle collision. rule out rib fracture.
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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 pulmonary edema is seen.
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history: <unk>f with dyspnea // eval for cardiopulmonary process
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Frontal and lateral views of the chest demonstrates two right-sided chest tubes, unchanged in position. Small right apical pneumothorax is unchanged. There is a re-accumulation of the right basal pneumothorax, which is comparable to chest radiograph obtained prior to second chest tube placement. Large amount of subcutaneous gas remains in the right chest wall and the neck. There is slight leftward shift of mediastinal structures. The left lung is essentially clear. There is no left pleural effusion or pneumothorax.
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patinet status post right upper lobe wedge resection, now with pneumothorax. assess for interval change.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with fevers, midsternal chest pressure // eval edema, effusion
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Unchanged appearance of the spine on the lateral chest radiograph. No pneumonia, no pulmonary edema. No pleural effusions. An old left lateral rib fracture is again noted.
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<unk>m with dry cough and sob x <num> week with crackles in lml, lll.
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Assessment is limited by patient rotation and the patient's neck obscuring the left apex. Heart size appears moderately enlarged accounting for limitations in technique. There is diffuse calcification of the aorta. Mediastinal contour is difficult to assess given the degree of rotation, but does not appear substantially changed from the previous study. Mild pulmonary edema is present. Small left pleural effusion may be minimally increased in size compared to the prior study. A small right pleural effusion is also likely present. Bibasilar airspace opacities may reflect atelectasis but infection is not excluded. No pneumothorax is identified. There are moderate degenerative changes in the thoracic spine.
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history: <unk>f with uncontrolled hypertension
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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. Mild dextroscoliosis of the t-spine is unchanged. No free air below the right hemidiaphragm is seen.
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history: <unk>f with chest pain // ?pleural effusion, cardiomegaly
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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 unchanged. Heart size is normal. There is no pulmonary edema.
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fever. assess for pneumonia.
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Frontal and lateral chest radiographs demonstrate clear well-expanded lungs without focal consolidation or pleural effusion. The cardiac silhouette is moderately enlarged, the mediastinal contours are normal. The pulmonary vasculature is normal.
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<unk>-year-old male with atypical chest pain.
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The lateral radiograph is limited by motion. Lungs are normally expanded and clear. The heart is not enlarged. The mediastinal hilar contours are normal. There is no pleural effusion or pneumothorax.
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history: <unk>f with ams // r/o infection
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Pa and lateral views of the chest. There is evidence of an old rib fracture in the left fourth posterior rib. There is no focal consolidation, pleural effusion, or pneumothorax. There is persistent elevation of the right hemidiaphragm. The known left lower lobe pulmonary nodule is not as well seen on this study compared to chest ct from <unk>. Three fiducial seeds are seen in the left lower lobe. Mediastinal and hilar contours demonstrate fibrotic changes in the paramediastinal lungs bilaterally again seen.
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metastatic non-small cell lung cancer, left posterior chest pain, evaluate for fracture.
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Sternotomy wires and surgical clips are stable. 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> year old man with egoph l>r ahd dry rales r base // abnl ex doe, fatigue
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Compared to the prior study the stomach is no longer distended. There are small bilateral pleural effusions . Pacemaker is unchanged. Overall the appearance of the lungs is similar compared to prior.
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left upper lobe that is evaluate for pneumothorax.
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No pulmonary nodule is seen. There is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. The cardiac, hilar, and mediastinal contours are within normal limits. The heart is normal in size.
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left renal mass. evaluation for possible metastases.
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Lungs well expanded and clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is top-normal in size.
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history: <unk>f with ? stroke recrudescence // eval for acute infectious process
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. No acute osseous abnormalities identified.
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<unk>m with upper back pain status post motor vehicle crash // rule out pneumothorax
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Compared to prior, there has been no significant interval change given differences in positioning and technique. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted as well as dense atherosclerotic calcifications at the arch. Compression deformity of a lower thoracic vertebral body is unchanged.
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<unk>f with weakness, altered mental status // eval for acute process, attn to pna
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Blunting of the posterior costophrenic angles as compatible small bilateral effusions perhaps mildly improved since prior. Left picc terminates in the lower svc. The lungs are clear of consolidation. The cardiomediastinal silhouette is stable. Calcified mediastinal and hilar nodes are identified. The bones are osteopenic limiting evaluation.
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<unk>f with copd, sarcoid, complex history presents with somnolence, sob, cough productive of white sputum // ? pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with flu-like illness*** warning *** multiple patients with same last name! // r/o pna
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The lungs are well-expanded and clear. No pleural effusion pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
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<unk>f with left parasternal chest pain. assess for structural problem.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.
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cough, fever.
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Bilateral pleural effusions are small, if present at all, and unchanged from the immediate prior study. Elevation of the left hemidiaphragm has improved. Numerous nodular opacities and heterogeneously increased vertebral body density are compatible with known widespread metastatic breast cancer. The right chest wall port catheter tip ends at the cavoatrial junction. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with pleural effusion // eval
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The lungs are clear. Mediastinal and cardiac contours are unchanged and within normal limits. There is no pleural effusion or pneumothorax.
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patient with ankle pain, swelling, evaluate high level sarcoid.
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Frontal and lateral views of the chest demonstrate top normal cardiac size. The mediastinal and hilar contours are within normal limits. There is mildly increased interstitial markings raising question of mild edema, which is excluded on subsequent ct. Subtle aspiration cannot be excluded. There is no confluent consolidation to suggest definite pneumonia. No pneumothorax or pleural effusion.
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<unk>-year-old male with altered mental status. question pneumonia.
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The heart is normal in size. The aortic arch is partly calcified. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Several mild-to-moderate compression deformities are noted along the thoracic spine, probably chronic, although new since the prior radiographs.
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productive cough and wheezing.
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Pa and lateral views of the chest provided. There are linear opacities in the left lower lobe likely representing subsegmental atelectasis. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen.
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history: <unk>f w no significant pmh w intermittent sob. // does she have any cardiopulm abnormalities?
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Left chest wall dual lead pacing device is seen in stable position. Median sternotomy wires and mediastinal clips are again noted. Cardiomediastinal silhouette is stable. The lungs are clear. No acute osseous abnormalities. Degenerative changes noted at the right acromioclavicular joint.
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<unk>m with recent ppm placement (<unk>) who presents with unilateral ue swelling in the arm on the ipsilateral side as ppm // any clot in the brachial or subclavian veins?
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Subtle left basilar retrocardiac opacity seen on the frontal view, not substantiated on the lateral view is felt to most likely represent atelectasis. Cardiac and mediastinal silhouettes are stable.
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right upper quadrant pain, fevers, question pneumonia.
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There is mild interstitial edema. The lungs are hyperinflated consistent with copd. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
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<unk>m with palpitations, evaluate for cardiopulmonary disease.
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The lungs are hyper expanded and clear. The cardiomediastinal silhouette is stable. A prosthetic mitral valve is unchanged in position. Stable blunting of the bilateral costophrenic angles is possibly due to tiny pleural effusions or thickening. There is no pneumothorax, pulmonary edema, or focal airspace opacification.
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<unk> year old woman with pleural effusion // eval
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There is extreme acute lumbar kyphosis l<num> and l<num> better characterized on prior mr, limiting assessment. The cardiomediastinal and hilar contours are grossly unremarkable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
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chest pain.
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There relatively low lung volumes and bibasilar atelectasis. Left base opacity has improved since the prior study and most likely represents atelectasis although infectious process is not entirely excluded in the appropriate clinical setting. No large pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cough, fever. recent procedure. // pneumonia?
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The lungs are clear without focal consolidation, effusion, or edema. Cardiac silhouette is mildly enlarged as on prior. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormality. Right cervical rib is incidentally noted.
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<unk>f with sob // r/o acute process
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Frontal and lateral views of the chest were obtained. The heart size is top normal. Mediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old female with syncope.
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Chronic emphysematous lung changes are again present. On today's exam, there are increased opacities around the right hila which on the lateral view project over the anterior portion of the heart, localizing to the right middle lobe. There are also opacities near the right costophrenic angle, likely related to scarring which are stable since <unk>. There is no pulmonary edema, pleural effusion or pneumothorax.
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fever and cough.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with borderline cardiac enlargement. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain and subjective fevers // ?pneumonia
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. No displaced rib fractures are detected.
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overdosed with respiratory arrest status post cpr, now with new cough and right-sided wheeze, here to evaluate for aspiration pneumonia, rib fracture or pneumothorax.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable noting moderate cardiac enlargement. There is tortuosity of descending thoracic aorta. No acute osseous abnormalities.
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<unk>f with shortness of breath, crackles on lung exam // evaluate for pulmonary congestion
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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 back pain // r/o pneumonia
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As compared to chest radiograph from <num> day prior, left-sided icd terminates in the right ventricle. No pneumothorax or pleural effusion. Mild bibasilar atelectasis. Moderate cardiomegaly. Prior median sternotomy and avr.
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<unk> year old man with icd placement // eval for lead placement
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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.
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near syncope.
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Lung volumes are low with bibasilar atelectasis. There is no focal consolidation. There is no pneumothorax or pleural effusion.
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<unk>-year-old man with altered mental status, evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with chest pain // acute process
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A left-sided tripolar pacemaker/ defibrillator with <num> leads terminating in the coronary sinus, right atrium and right ventricle are unchanged. Since the prior exam, there is development of small bilateral pleural effusions and mild interstitial edema. The cardiomediastinal silhouette is stable with atherosclerotic calcifications along the aortic knob. No pneumothorax is seen. No convincing evidence for pneumonia. Bony structures are intact.
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<unk>m with dyspnea // eval infiltrate or fluid overload
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The heart is probably enlarged. The mediastinal and hilar contours appear unchanged. There is slight unfolding of the thoracic aorta. A small epicardial fat pad is noted along the cardiac apex. Streaky right medial basilar atelectasis has mostly resolved. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
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fever.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch. Hypertrophic changes seen in the spine. Right upper quadrant surgical clip is identified. Degenerative changes are seen at the right acromioclavicular joint.
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<unk>-year-old female with confusion.
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A left pectoral pacemaker is again seen with leads terminating in the right atrium and right ventricle. There is no evidence of lead fracture or discontinuation. Mediastinal clips, coronary artery stents and sternotomy wires are constant. The lungs are hyperinflated, compatible with known copd. Cardiac silhouette remains moderately enlarged. There is a new right perihilar mass, which warrants further investigation with ct. Small bilateral pleural effusions with overlying atelectasis are new. There is no focal airspace consolidation worrisome for pneumonia. No pneumothorax. There are moderate degenerative changes of the thoracic spine.
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chest pain.
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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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<unk> year old man with atrial fibrillation // amiodarone toxicity
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Patient is status post median sternotomy and cabg. Heart size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the left lung base. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine. Spinal stimulator device leads are noted overlying the lower thoracic spine.
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history: <unk>m with chest pain / syncope
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The cardiomediastinal silhouettes are stable, and within normal limits. The bilateral hila are unremarkable. There is probably minimal left basilar atelectasis. There is a left lung base opacity which is more conspicuous since prior from <unk>. Elsewhere, there is no focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pleural effusion or pneumothorax.
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<unk>-year-old man with weakness, rule out acute process.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old male hiv positive with nausea, vomiting, mild shortness of breath.
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The heart is mild to moderately enlarged. There is unfolding and calcification along the aorta. There is no pleural effusion or pneumothorax. There is relatively prominent caliber of upper zone pulmonary vessels but without frank congestive heart failure. Moderate anterior osteophytes are noted along the thoracic spine.
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new atrial fibrillation and shortness of breath.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no shift of mediastinal structures. There is a large right-sided pleural effusion, which has increased since the earlier radiographs and perhaps slightly since the more recent ct. There is no pneumothorax. The left lung remains clear.
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fatigue and recurrent pleural effusion. status post recent thoracentesis.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no evidence of pneumothorax, pulmonary edema, or pleural effusion. The cardiomediastinal silhouette is unremarkable. No focal opacities are seen.
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right-sided chest pain. evaluation for pneumothorax.
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Frontal and lateral chest radiograph demonstrate unremarkable mediastinal and hilar contours. Heart size is top normal with a configuration suggesting left ventricular hypertrophy. No lobar opacification is evident within the lungs. However, there are faint reticular nodular opacifications in the left lung possibly due to underlying atypical, possibly viral infection. No findings to suggest emphysema. No pleural effusion or pneumothorax. Port-a-cath terminates in the upper right atrium.
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fever, weakness, evaluate for infiltrate.
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The patient was imaged in a lordotic position, which distorts the mediastinal contours. Within that limitation, the lungs are clear without consolidation or edema. The mediastinum is otherwise unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. No displaced fractures are evident.
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post bicycle accident with syncopal episode.
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<num> views of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. Surgical clips are noted in the upper abdomen.
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fall with loc and pain.
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Upright pa and lateral radiographs of the chest. 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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chest pain, evaluate for cardiomegaly process.
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There is no focal consolidation, pleural effusion, pneumothorax, or evidence of hilar adenopathy. The cardiomediastinal silhouette is normal. There is no interstitial abnormality. Osseous structures are unremarkable.
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<unk>-year-old woman with skin lesions on hand and nose, question lupus pernio, please assess for pulmonary sarcoidosis
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Pa and lateral views of the chest provided. The heart remains mildly enlarged. There is a similar overall pattern of right hilar prominence. No large effusion or pneumothorax. No signs of edema or pneumonia. Left shoulder arthroplasty partially visualized as well as degenerative changes at the right shoulder.
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<unk>f with productive cough
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Pa and lateral views of the chest provided. Chronic scarring at the left lung base is essentially stable from prior ct abdomen pelvis from <unk>. Upper lobe lucency with hyperinflated lungs suggests underlying emphysema. No focal consolidation to suggest pneumonia. No definite effusion or pneumothorax. The cardiomediastinal silhouette appear stable. Evidence of prior left seventh rib resection noted. No acute bony injuries.
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<unk>f w/ h/o bronchiectasis with r sided chest pain // ? intrapulmonary process
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Pa and lateral views of the chest. As on prior, there are coarse interstitial markings seen throughout the lungs particularly identified at the periphery and at the bases. There is no superimposed new consolidation nor effusion. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality detected.
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<unk>-year-old female with cough and fever.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest pain // eval for chf/pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with chest pain and cough // eval for pneumonia
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Frontal and lateral views of the chest. When compared to prior, there has been interval progression of the opacity in the right lung, which had been previously resolving pneumonia. There are now increased parenchymal opacities on the left as well. Small bilateral pleural effusions are identified, some of which appears loculated along the left chest laterally. Dual-lead right-sided chest wall pacing device is again seen. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormality is detected.
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<unk>-year-old male with shortness of breath. question pneumonia.
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