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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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There are <num> right chest tubes with tips oriented superiorly in the apex, similar to prior. There is mild right pulmonary vascular congestion and mild right interstitial edema. There is a small right pleural effusion. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Left picc tip is in the lower svc, similar to prior.
<unk> year old woman with mrsa bacteremia and chest tube s/p vats decortication. // interval chest tube change
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Interval increase in the transverse cardiac diameter with pulmonary vascular congestion and parahilar peribronchial cuffing suggesting pulmonary edema. No obvious kerley b lines or pleural effusions. Surgical material again noted projecting over the left lung apex.
<unk> year old man with hx of recurrent bronchitis, admitted with campylobacter enteritis now with increased cough // evidence of pneumonia?
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As compared to the previous radiograph, the lung volumes are increased, likely reflecting improved ventilation. There is a mild rightward scoliosis and a normal size of the cardiac silhouette. No pleural effusions and no pulmonary edema is seen. Normal hilar and mediastinal contours.
substance abuse, concerning for pneumonia.
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The cardiac, mediastinal and hilar contours appear within normal limits. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain. question pneumonia.
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As compared to the previous radiograph, there is substantial improvement of the pre-existing bilateral opacities. The size of the cardiac silhouette is minimally smaller than on the previous examination. A minimal right pleural effusion persists. No newly appeared focal parenchymal opacities. Unchanged left pacemaker.
dyspnea, evaluation.
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In comparison with the earlier study of this date, the intestinal tube has been redirected with the opaque tip just distal to the esophagogastric junction.
ng placement.
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As compared to the previous radiograph, the extent and severity of the pre-existing known right lower lobe opacity has decreased. However, the opacity is still clearly visible on both the frontal and the lateral radiograph. The size of the cardiac silhouette continues to be mildly enlarged, without, however, evidence of pulmonary edema. No pleural effusions. Normal hilar and mediastinal contours.
low-grade fever and tachycardia, concerning for infection. evaluation for pneumonia.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Low lung volumes, but no focal consolidation.
<unk>m with productive cough, evaluate for pneumonia.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. The tracheostomy tube, the nasogastric tube and the left subclavian access line are in constant position. The size of the cardiac silhouette is unchanged. There is unchanged evidence of air inclusions in the left and right lateral soft tissues. The pre-existing parenchymal opacities, notably in the left upper lobe and at both lung bases, are stable. There is no evidence of newly appeared parenchymal opacities. The diameter of the pulmonary vessels still indicates a minimal fluid overload.
chest tube, evaluation for interval change.
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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.
<unk>f with fall, chest pain // eval for ptx, hemothorax
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Ap upright and lateral views of the chest provided. The lungs appear hyperinflated with left mid lung opacity which is compatible with atelectasis better assessed on the cta performed concurrently. Emphysematous changes are noted. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.
<unk>f with right chest pain and cough. history of copd.
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Frontal view of the chest demonstrates low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is mild perihilar vascular congestion. Partially imaged upper abdomen is unremarkable.
patient status post seizure.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is mildly enlarged, similar to before.
history: <unk>f with palpiations, new afib // eval for cardiomegaly
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Endotracheal tube is seen with tip <num> cm from the carina, between the clavicular heads. Enteric tube passes to the inferior aspect of the field of view with side-port in the region of the stomach. Bilateral regions of consolidation are again noted. The cardiomediastinal silhouette is stable.
<unk>m with new et tube, og tube, ij line // ett tube? og? ij?
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In comparison with study of <unk>, there is slight blunting of the right costophrenic angle. This could reflect a tiny pleural effusion or merely be a manifestation of the ap rather than pa technique. Remainder of the study shows the cardiac silhouette to be within normal limits without vascular congestion or pleural effusion.
wheezing.
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Two frontal images of the chest demonstrate et tube in place with the tip <num> cm above the carina. Low lung volumes are seen, likely secondary to poor inspiration. Left lower lobe atelectasis is seen with some elevation of the left hemidiaphragm. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable.
<unk>-year-old male status post intubation requiring assessment of et tube placement.
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In comparison with the study of <unk>, there is again increased opacification in the right upper zone consistent with progressive right upper lobe consolidation representing pneumonia. Increasing opacification at the left base could well represent atelectasis, though supervening consolidation in this region would also have to be considered. Again, the nasogastric tube extends to the stomach, though the side hole is above the esophagogastric junction.
recurrent fever.
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Endotracheal tube is seen <num> cm above the level of the carina. A right porta cath tip is in the right atrium. <num> left-sided drains project over the left hemithorax. No unexplained radiopaque foreign body, specifically subtle linear density seen along the left upper abdomen is consistent with a bowel loop rather than radiopaque foreign body. The lungs are hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. Heart size is top normal, likely accentuated due to patient positioning. Mediastinal contour and hila are unremarkable. Mild left basilar opacity, likely atelectasis.
in or. missing item count.
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The lungs are clear, no pulmonary edema or pneumonia. Moderate cardiomegaly. No pleural effusions or pneumothorax.
<unk> year old woman with <num>vd s/p cardiac cath with crackles in lungs // <unk> year old woman with <num>vd s/p cardiac cath with crackles in lungs
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is increased leftward displacement of the trachea which may reflect enlargement of the thyroid.
history: <unk>f with fall, seizure // eval infiltrate
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The cardiomediastinal and hilar contours are within normal limits. Bibasilar opacities likely relate to atelectasis, however an underlying infectious process cannot be entirely excluded. No large pleural effusion or pneumothorax is identified.
cough, shortness of breath. evaluate for pneumonia.
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Moderate hiatal hernia, which exaggerates heart size, borderline in size. No pleural effusion. No pneumothorax or focal consolidation.
<unk> year old woman with persistent cough over <num> month, no fever // lesions?
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In comparison with the study of <unk>, there is little change. Endotracheal tube remains in good position. No evidence of acute focal pneumonia or vascular congestion. Right paramediastinal clips and dense calcification of the mitral annulus are again seen.
variceal bleeding, on mechanical ventilation.
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The lungs are clear without effusion, consolidation, or edema. Moderate cardiac enlargement and tortuosity of the descending thoracic aorta are again noted. Left shoulder arthroplasty changes in degenerative changes at the right ac joint are seen. Surgical clips project over the upper abdomen.
<unk> year old man with chest/epigastric pain // evaluate for acute process
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Frontal and lateral views of the chest. Somewhat linear opacity is seen at the right lung base. Retrocardiac mixed lucency and density is most suggestive of a hiatal hernia. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Accentuated thoracic kyphosis is noted. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with dizziness. question pneumonia
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The patient is status post mitral, aortic, and tricuspid valve replacement. The median sternotomy wires appear to be intact and well aligned. Mild cardiomegaly is stable. There is mild pulmonary vascular congestion an mild pulmonary edema. Linear atelectasis is seen in the mid right lung and left lower lobe, as well as a more confluent opacity in the right lower lobe note is made of a small right pleural effusion. There is no pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with likley fluid overload, recent valve replacements, pls eval.
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There are low lung volumes. There is persistent elevation of the right hemidiaphragm with overlying atelectasis. The patient is status post right upper lobectomy. Left perihilar and infrahilar opacity could relate to vascular congestion however, \pneumonia may be present in the appropriate clinical setting. No large pleural effusion is seen. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy with again seen fractured at least upper <num> sternal wires
history: <unk>m with cp // ?pna
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Ap and lateral views of the chest. There are diffusely increased interstitial markings seen throughout the lungs but no confluent consolidation. Blunting of the posterior costophrenic angle suggests small effusion, potentially on the left. Cardiomediastinal silhouette is upper normal limits. Median sternotomy wires and mediastinal clips are noted. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with confusion, headache, difficulty walking.
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Frontal and lateral chest radiographs demonstrate hypoinflated lungs with crowding of vasculature. Heterogeneous opacity in the right lower lobe is noted. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
altered mental status. focal infiltrate.
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The et tube terminates approximately <num> cm above the carina. There is mild bibasilar atelectasis. No focal consolidations concerning for pneumonia are identified. There is mild pulmonary vascular congestion. The enteric tube extends below the diaphragm likely in the stomach. There is no evidence of pneumothorax. No fractures are seen.
history: <unk>m with intubated, replaced og tube, confirm placement // confirm placement of og tube
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Right-sided subclavian line has been pulled back with the tip in the low svc. In comparison with the earlier study of this date, there is little overall change. Again there is enlargement of the cardiac silhouette in a patient with a dual-channel pacer with leads extending to the right atrium and apex of the right ventricle. No change in the degree of pulmonary edema and the bilateral layering pleural effusions with compressive atelectasis at the bases, worse on the right. The right rib fractures are difficult to see on this study, but there is no evidence of pneumothorax.
<unk>f polytrauma s/p fall from <num> stairs c<num> spinous process fx s/p c<num>-t<num> cervical laminectomy(c<num>-<num>) and fusion c<num>-t<num>, r <num>,<num>,<num> rib fxs, t<num> comp fx, r orbital wall fx, acute splenic infarct, scalp laceration now s/p chest compression x<num> for asystole after metop <unk>mg x<num> given for afib w/ rvr s/p line repositioning // line withdrawn, check position
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Pa and lateral chest radiographs are provided. The lungs are well expanded. There is no focal consolidation or pneumothorax. Blunting of the posterior costophrenic angles suggests small efusions. Elevated left hemidiaphragm is unchanged. Cardiomediastinal silhouette is unchanged. Upper abdomen is unremarkable. A rounded density projecting over the middle of the mediastinum is external to the patient.
diplopia. evaluate for cardiopulmonary process.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is identified. No subdiaphragmatic free air is seen. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.
history: <unk>f with painegdatus post egd // evaluate for free air
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Pa and lateral views of the chest provided. Low lung volumes. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stably prominent with an unfolded thoracic aorta. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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The lungs are clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with syncope, recent fatigue. evaluate for occult pneumonia.
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Interval development of a large area of left lower lobe atelectasis, with associated elevation of the left hemidiaphragm and reduced left lung volume. Small adjacent left pleural effusion. The right lung is otherwise unremarkable. No specific area of focal consolidation. There is no pneumothorax. The heart size is normal. The left picc line is intact and unchanged in position. Surgical hardware from the right shoulder replacement and cervical spine fixation appear intact. No acute osseous abnormality. No sub-diaphragmatic intra-abdominal free air.
<unk>-year-old woman with celiac and gi bleed s/p exlap, jejunal resection <unk>, w/ gi bleed s/p ex lap w/ intraop enteroscopy and ileocecectomy ( <num> feet of ileum) <unk>, now with fever and leukocytosis. evaluate for pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Poor inspirational effort results in relatively high-positioned diaphragms obscuring partially the heart shadow. There is, however, no significant difference in heart size when comparison is made with the previous study. The high-positioned diaphragms result in a crowded appearance of the pulmonary vasculature on the bases with possibly a linear density in retrocardiac position on the left base suggestive of a peripheral plate atelectasis. Acute parenchymal infiltrates, however, cannot be identified and the lateral and posterior pleural sinuses are free from any fluid accumulation. The pulmonary vascular pattern is not congested and no pneumothorax is identified in the apical area on the frontal view. No gross skeletal abnormalities on the standard views. When comparison is made with the chest examination of <unk>, findings are stable short of the poor inspirational effort on today's examination. Suggestion of trace plate linear atelectasis on the left base was already mentioned on the preceding study.
<unk>-year-old male patient with newly diagnosed acute myelocytic leukemia, now with persistent cough and fever, evaluate for pneumonia.
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There is small right pneumothorax adjacent to the right lung base. There is possible slight mass-effect at the right cardiophrenic angle. Right internal jugular line terminates at mid svc. Previously seen multi focal opacities have improved. There is mild interstitial lung disease. Cardiomediastinal silhouette appears normal size.
<unk>m with cvl placement. // eval for line placement
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Left infusion port unchanged, ending in the mid svc. Interval improvement in left basilar atelectasis since <unk> with no change in right basilar atelectasis. Normal heart size and mediastinal contour with no displacement of aortic knob calcification. Normal hilar and pleural surfaces.
aml, chest pain radiating to mid back, hemodynamics stable, any findings of enlarged mediastinum or dissection?
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Ap single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. On the present examination, a left-sided picc line is identified, seen to terminate overlying the right-sided mediastinal structures at a level <num> cm below the carina. This is compatible with the lower third of the svc. The termination point appears to be just above the expected entrance into the right atrium. No pneumothorax is identified. Chest findings of the single view demonstrate a heart size within normal limits and no evidence of acute pulmonary infiltrates. A local deformity of the seventh right-sided rib in posterior lateral location indicates an old healed rib fracture. On the previous chest examination of <unk>, a left-sided picc line had deviated into the left jugular vein and re-positioning was recommended. Referring physician, <unk>, was paged to transmit findings at <time> p.m.
<unk>-year-old female patient with picc line for outpatient antibiotics, re-admitted, confirm picc placement.
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The tip of the endotracheal tube projects over the mid thoracic trachea. A feeding tube extends to the gastric body. A right picc line extends into the right atrium. Interval decrease in size of the bilateral pleural effusions and pulmonary edema, now mild in extent. No pneumothorax identified. Patchy opacities in the left lower lung zone may reflect atelectasis. The size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with sdh // r/o pulmonary edema
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In comparison with the study of <unk>, the right ij catheter has been removed. Low lung volumes again most likely account for the prominence of the transverse diameter of the heart. Extensive scattered radiation obscures the image, though no definite vascular congestion or acute focal pneumonia is identified.
rising white blood count, to assess for pneumonia.
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Mild pulmonary edema is new since previous exam. Right jugular line has been removed and right subclavian line is in adequate position in mid svc. Left small pleural effusion and atelectasis have increased since the previous exam. Moderate cardiomegaly is unchanged.
patient with sigmoidectomy, <unk>, acute desaturation.
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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
reports shortness-of-breath with normal examination.
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Left-sided picc line terminates in the lower variant left sided superior vena cava as confirmed with <unk> spine mri. Mediastinal and hilar contours are unchanged. There is moderate cardiomegaly. Lung volumes are low with minimal bibasilar atelectasis. No pleural effusion or pneumothorax is evident.
complicated medical issues on antibiotics for mssa bacteremia. please confirm placement of picc line.
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In comparison with study of <unk>, there is again some enlargement of the cardiac silhouette, though the degree of increased pulmonary venous pressure is substantially less. Bilateral pleural effusions with compressive atelectasis at the bases. No evidence of acute focal pneumonia.
chf.
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Ap upright and lateral views of the chest are provided. There is top normal heart size with mild hilar congestion and apparent cephalization of the pulmonary vasculature in the upper lobes of the bilateral lungs. There is no overt edema, large effusion, or pneumothorax. There is no definite evidence of pneumonia. The nodular opacities in the right perihilar region are likely end on pulmonary vessels. A compression fracture of the lower thoracic vertebral body is again seen and grossly unchanged from chest radiograph <unk> no free air below the right hemidiaphragm is seen.
<unk>f with <num> weeks left foot pain
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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Pa and lateral views of the chest. Left chest wall dual lead pacing device is again seen with leads in stable position. The lungs are clear of focal consolidation or effusion. There is no pneumothorax. Cardiomediastinal silhouette is stable. No acute osseous abnormality. No free air seen below the diaphragm.
<unk>-year-old male with vomiting.
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The lungs are clear. There is mild cardiomegaly the lung volumes are low with mild secondary widening of the cardiomediastinal silhouette. There is no pleural effusion and no pneumothorax. There is no pneumonia or pulmonary edema. The fourth right rib is missing.
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In comparison with the study of <unk>, there has been a right thoracentesis with removal of some pleural fluid. Specifically, there is no evidence of post-procedure pneumothorax. There are lower lung volumes with continued prominence of the transverse diameter of the heart.
right thoracentesis.
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The cardiomediastinal contours remain unchanged, secondary to known aortic dissection. A right-sided internal jugular venous approach central venous catheter terminates at the upper svc. Mild atelectasis is again seen at the lung bases bilaterally. No new focal consolidation or pneumothorax identified.
evaluate central venous line placement.
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Ap and lateral images of the chest. There are low lung volumes. Prominent pulmonary vasculature and interstitial markings are consistent with mild pulmonary edema. Small bilateral pleural effusions are seen. There is no pneumothorax. The cardiomediastinal silhouette is enlarged, similar to prior exam.
dyspnea.
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The lungs are slightly hyperinflated. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta, but no evidence of pulmonary edema. No pleural effusions. There is widening of the bronchial structures and peribronchial thickening, predominating in the left upper lobe and the right lower lobe. However, both the frontal and the lateral radiograph shows zones of diffusely increased parenchymal density, as expected in pneumonia. Several calcified granulomas of millimetric <unk> in the left upper lobe. No other pulmonary nodules or masses.
bronchiectasis, exacerbation, evaluation for pneumonia.
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The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain, shortness of breath // eval heart and lungs
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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There no masses seen in the lung apices.
<unk> year old woman with complaints of right arm pain/paresthesias involving medial distribution of arm, assess for right apical mass.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Left chest wall port is again seen in unchanged position. No acute osseous abnormalities noting chronic changes of the right ribs.
<unk> year old woman with h/o mm s/p autosct, admitted for pancytopenia, with w/ fevers, uri sx and lll bronchial breath sounds // evidence of pna?
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Dobhoff tube tip projects over the stomach. Thickened cavitating there mid upper abdomen. There is a small free air under the right hemidiaphragm. Persistent atelectasis in the right lower lobe. Bilateral pleural effusions, larger on the left as previously. Right central line projects over the cavoatrial juncture, possibly in the superior right atrium
<unk> year old woman w/ new placement of dobhoff // location of dobhoff tube
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Pa and lateral radiographs were acquired. As before, there is a left pacemaker with an associated right ventricular lead, not significantly changed in position. There is a new moderate right pleural effusion with evidence of lateral loculation. Fluid extends into the minor fissure. There is associated right basilar compressive atelectasis. Additional heterogeneous opacities in the right mid-to-lower lung, best seen on the pa projection, is concerning for an infectious process. The lungs are otherwise clear. There is no pneumothorax. The heart is moderately enlarged, not significantly changed in size. The mediastinal contours are unchanged with fullness of the superior mediastinum and indentation upon the right aspect of the trachea, possibly due to a substernal goiter, unchanged. Aortic calcifications are seen. Bilateral carotid artery calcifications are noted.
cough and fever. evaluate for pneumonia.
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Ap portable upright view of the chest. Overlying ekg leads are present. Patient's chin partially obscures the superior mediastinum and lung apices. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with sudden onset chest pain, inability to move legs.
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In comparison to the most recent prior radiograph, there appears to have been interval improvement in the multifocal opacities scattered throughout the lungs. The most prominent one remains in the left upper lobe. A picc line is in appropriate positioning. No large pleural effusions. The endotracheal tube has been removed.
<unk> year old woman with mrsa/gnr pna. // ? change in infiltrate //<unk> year old woman with mrsa/gnr pna.
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Pa and lateral views of the chest provided. Since the prior exam, the right lower lobe consolidation appears to have resolved. However, there is persistent prominence of the right pulmonary hilum which is concerning for underlying mass. Lungs are clear. No large effusion or pneumothorax. Heart size is normal. Mediastinal contour is normal. Bony structures are intact.
<unk>m with elevated wbc
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Frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. Apparent widening of the mediastinum is felt to be secondary to rotation of the patient. The cardiac silhouette is normal in size.
syncope or seizure.
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The heart is top normal in size. The mediastinal and hilar contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is identified.
chest pain, syncope.
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There is a linear right basilar opacity most likely due to atelectasis versus scarring. The lungs are otherwise clear. Cardiac silhouette is top normal. No acute osseous abnormalities identified.
<unk>f with cough // r/o pna
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The lung volumes are higher than the prior exam with improvement of bibasilar atelectasis. There is no significant change in the bilateral ground-glass opacities. Tracheostomy and left-sided picc line are in adequate position. There is no significant pleural effusion or pneumothorax. Mediastinal and cardiac contours are unchanged.
patient with ventilation dependence, evaluation for change.
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Portable ap upright chest radiograph was provided. There is diffuse ground-glass opacity which is concerning for pulmonary edema superimposed on the background of pulmonary fibrosis. Hilar congestion is also noted. No pneumothorax. Evaluation for effusion or subtle pneumonia is limited. Bony structures appear grossly intact.
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As compared to the previous radiograph, the lung volumes have decreased. As a result, the size of the cardiac silhouette is slightly increased and there is crowding of the vascular and bronchial structures at the lung bases. However, no focal parenchymal opacities suggesting pneumonia are seen. No pleural effusions. No pulmonary edema.
recurrent aspiration, rule out pneumonia.
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There is rotated positioning. Probable background copd. Mild cardiomegaly, with calcified slightly unfolded aorta. There is slight upper zone redistribution, but i doubt overt chf. There is atelectasis the left lung base, without definite consolidation. No gross left effusion. There is hazy obscuration of the right lung base raising the question of a small effusion and/or atelectasis. No definite consolidation. Due to patient rotation, the previously seen large right-sided thyroid mass, possibly a goiter, which compresses and displaces the trachea, is less well delineated, but probably similar to the prior study. Known recent fracture of the left anterior second rib is not well depicted radiographically.
<unk> year old woman with advanced dementia now with new fever. concern for aspiration pna. // pls evaluate for consolidation
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In comparison with the study of earlier on this date, there is an endotracheal tube in place with its tip approximately <num> cm above the carina. Otherwise, little change in the appearance of the heart and lungs.
mental status change.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Patchy left basilar opacification has decreased. There is no pneumothorax. There is a patchy non-specific right infrahilar density, as mentioned previously, not significantly changed. Patchy right infrahilar density appears unchanged. Based on effacement of the posterior left costophrenic sulcus, there is potentially a very small pleural effusion. The lungs appear hyperinflated. Bony structures are unremarkable.
chest pain.
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The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. Mediastinal and hilar contours are within normal limits.
<unk>-year-old female with chest pain, here to evaluate for acute intrathoracic pathology.
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The lungs are moderately well inflated. There is mild vascular congestion. Interval improvement in bilateral pleural effusions and cardiomegaly. No significant interval change in bony thorax.
<unk> year old woman with cirrhosis, new onset wheezing // r/o volume overload
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The patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina, the tube should be pulled back by approximately <num>-<num> cm to avoid intubation of the right main bronchus. The radiograph shows, in unchanged manner, minimal atelectasis at the left lung bases, but no evidence of pneumonia. The heart is normal. No pleural effusion, no pneumothorax. Normal course of the nasogastric tube, the tip of the tube is not included in the image.
fever, questionable pneumonia.
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Pa and lateral views of the chest. No prior. Lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with asthma and cough. rule out pneumonia.
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Linear atelectasis in the lower lung zones is best visualized on the pa view. There is compression deformity of the mid thoracic vertebral body as well as angular kyphosis. Radiopaque cement is noted in a lower thoracic vertebral body. The cardiomediastinal silhouette is within normal limits. There is no pleural effusion or pneumothorax.
thick purulent cough and history of positive ppd.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with dyspnea on exertion, chest pressure // evaluate for acs/ pneumonia
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. No evidence of pulmonary edema or pulmonary infection. No pleural effusions. The size and shape of the cardiac silhouettes are normal. Normal hilar and mediastinal contours.
dry coughs, weight loss, evaluation.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. The bones appear demineralized.
unresponsive episode. question aspiration.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. Borderline size of the cardiac silhouette without evidence of pulmonary edema. Normal course of the nasogastric tube, the tip is not included on the image. Normal appearance of the lung parenchyma.
asthma, status post intubation.
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Pa and lateral views of the chest provided. An azygos fissure is seen. Calcification of the aortic knob again 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.
<unk>m with weakness // evidence of pneumonia
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Left basilar opacity has improved. Esophageal hiatal hernia. Left picc line tip in the low svc. Postoperative change left shoulder. Normal heart size, pulmonary vascularity.
<unk> year old man with new cough, ?aspiration // r/o pna
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An endotracheal tube is placed. The tip of the tube projects approximately <num> cm above the carina. Tube could be removed by a centimeter. The other monitoring and support devices are in correct position. Minimal right pleural effusion cannot be excluded. Unchanged appearance of the cardiac silhouette.
copd, intubation, evaluation.
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As compared to the previous radiograph, there is worsening massive cardiomegaly. The severity of the pre-existing pulmonary edema has, if any, minimally decreased. The vascular diameters are still enlarged. There is unchanged atelectasis in the retrocardiac lung areas. The presence of minimal pleural effusions cannot be excluded. No focal parenchymal opacity suggesting pneumonia.
pulmonary edema, evaluation for interval change.
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No evidence of post-procedure pneumothorax. In comparison with the study of <unk>, there is increased opacification at the right base partially silhouetting the heart border, consistent with substantial volume loss in the right lower lobe.
bronchoscopy with biopsy, to assess for pneumothorax.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with pancreatitis // eval for acute process
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Pa and lateral chest radiograph demonstrates hyperinflated lungs compatible with emphysematous changes. A subtle streaky opacity in the right lower lobe is identified potentially pneumonia. The remainder of the lungs appear clear. The cardiomediastinal and hilar contours are unremarkable. Persistent blunting of the right costophrenic angle is slightly increased suggestive of a very small right sided pleural effusion. There is no pneumothorax. Osseous structures are without acute abnormality.
<unk>-year-old female with dyspnea and cough.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough.
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Pa and lateral views of the chest provided. Lung volumes somewhat low. There is no focal consolidation, effusion, or pneumothorax. The heart size appears top-normal. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cp/sob
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Ap, upright and lateral views of the chest were provided. Increasing consolidation in the left lower lobe is concerning for pneumonia. There may also be a small left pleural effusion. There is a hyperdense focus again seen projecting over the right lower chest wall, likely residing within the posterior soft tissues as best seen on the lateral projection. Also noted is a small hyperdense focus in the left axilla. Coarsened lung markings are noted in the right lung, which may reflect mild interstitial edema. The heart size is top normal. The mediastinal contour is stable with an unfolded thoracic aorta. The imaged bony structures are intact.
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Small right pleural effusion is stable. There is no evidence of pneumothorax, lobar consolidation, or pulmonary edema. No left-sided pleural effusion. The cardiomediastinal silhouette is unchanged from the prior examination.
history: <unk>m s/p thoracentesis with bleeding at site // please assess for hemothorax
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Lungs are clear without focal consolidation, edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Extensive s-shaped thoracic scoliosis is noted. No acute osseous abnormalities.
<unk>f with cp // pna?
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There is anterior eventration of the right hemidiaphragm. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. There are multilevel hypertrophic changes in the thoracic spine.
history: <unk>f with cp // r/o pneumonia
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As compared to the previous radiograph, there is no relevant change. Bilateral predominantly alveolar opacities at the lung bases. They are of unchanged extent and severity. Unchanged moderate cardiomegaly with signs of minimal fluid overload. Unchanged course of the nasogastric tube. No new opacities. No pneumothorax.
chronic heart failure, evaluation.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
chest pain.
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The initial radiograph shows that the feeding tube has been advanced into the stomach. The lungs remain clear. There is no pneumothorax. The heart and mediastinum are within normal limits. The followup radiograph shows replacement of the feeding tube with a nasogastric tube, which courses below the hemidiaphragm, tip not visualized. The lungs remain clear. There is no other relevant change.
<unk> year old man with tachypnea, fever. + uti. // concern for aspiration event in setting of somnolence. r/o infectious source causing sirs response. pt unstable to travel at this time. <unk> yo m struck by vehicle while raking leaves, bilateral sdh with righward shift <num>mm // evaluate for aspiration event
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There are low lung volumes, resulting in bronchovascular crowding. Architectural distortion and paraseptal emphysema are seen within the left upper lobe. The heart is not enlarged. The hilar contours are within normal limits. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with h/o hiv and pcp pneumonia <unk>/w back pain and abdominal pain*** warning *** multiple patients with same last name! // ?pna
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The lungs are well expanded and clear. Previously seen left lung nodule is not seen on this exam. No pleural effusion is seen. Heart size is normal. The mediastinal and hilar contours are unremarkable.
<unk> year old woman with possible lung nodule vs ekg lead // please remove all external leads
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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 evidence of free air is seen beneath the diaphragms.
epigastric pain.
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Frontal and lateral chest radiographdemonstrates hyperinflated lungs with flattening of the diaphragm. Subtle heterogeneous right mid lung nodular opacities are similar to ct dated <unk> , consistent with patient's known bronchiolitis and diagnosis <unk> <unk>. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
chest pain, shortness of breath. assess for chf exacerbation or pneumonia.