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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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The dobbhoff tube is in the proximal stomach and has not been advanced compared to the prior. There continues to be a large left and moderate right pleural effusion with vascular redistribution compatible pulmonary edema. The cardio mediastinal silhouette is unchanged
<unk> year old woman with multiple medical problems s/p re-insertion of dobhoff // please assess dobhoff placement.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>f with chills, nausea, vomiting persistent cough // pna
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The heart is mildly enlarged with a left ventricular configuration. Streaky left mid lung opacities suggest minor unchanged atelectasis or scarring. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax.
one day of constant right upper quadrant pain.
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Ap portable upright view of the chest. Since the <unk> examination there has been interval extubation and removal of an orogastric tube. A left picc terminates at the lower svc. The heart size is top normal. There is central pulmonary vascular congestion with minimal edema, overall unchanged since <unk>. A small left pleural effusion has decreased in size. There is no pneumothorax.
<unk> year old man, facial trauma managed non-operatively, transferred with current active issues including alcohol withdrawal, copd/respiratory distress, pseudomonas pneumonia, and afib, for increased respiratory distress // evaluate for pulmonary vascular congetsion.
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As compared to the previous radiograph, there is no relevant change. No pleural effusions. No pneumonia, no pulmonary edema. Borderline size of the cardiac silhouette.
urosepsis, cough, evaluation for pneumonia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with s/p mvc // ptx? fx?
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. No definite hiatal hernia is identified.
<unk>f with abdominal pain, h/o hiatal hernia, evaluate for hiatal hernia
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Frontal and lateral chest radiograph demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified.
pre-syncope, assess for cardiopulmonary abnormality.
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A frontal and lateral view of the chest confirms that the left picc ends in the mid-distal svc. There is no pneumothorax. The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion.
left picc placement.
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The feeding tube has been removed. Limited evaluation of the left lower lung zone and given the presence of to large hiatal hernia. No focal consolidation in the right lung. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is unchanged.
<unk> year old woman with l mca stroke w/ dysphagia // evaluate for pulmonary infxn in light of aspiration risk and recent elevated wbc count
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There is volume loss of the right upper lobe as delineated on the prior chest ct secondary to a right upper lobe mass. The visualized left lung is grossly clear of focal consolidation, pleural effusion or pneumothorax. Scarring/fibrotic changes are noted in the left upper lobe. There is no pulmonary edema. The heart is normal in size. Thoracic spinal metastases are better seen on prior cross sectional imaging.
<unk>-year-old female with non-small cell lung cancer and dyspnea. please evaluate for acute abnormality.
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The et tube and ng tube have been removed. The right ij catheter with tip in the mid svc is again seen. Again seen are diffuse alveolar infiltrates compatible with pulmonary edema/ards. While there has been some partial clearing in the right mid lung, the remainder of the appearance of the lungs is unchanged. Some of this may be due to ards and some of it may be due to pulmonary edema.
respiratory distress, question pulmonary edema.
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Heart size is normal. The aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
<unk> year old man with history of melanoma // please evaulate disease status
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Low lung volumes exaggerate the cardiomediastinal silhouette however no hilar or mediastinal abnormalities are identified. Note is made of mild bibasilar atelectasis. There is no pleural effusion or pneumothorax.
history of chest pain. please evaluate for consolidation or effusions.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Nipple rings are noted.
cough and myalgia. evaluate for acute intrathoracic process.
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There is prominence of the bilateral hila with increased interstitial markings, consistent with mild volume overload. There are no focal airspace opacities to suggest pneumonia. There are small bilateral pleural effusions. There is no pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged.
shortness of breath. evaluate for cardiomegaly or chf.
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The heart is mildly enlarged. There is no focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema.
<unk> year old man with aids, scabies, fever, cough. evaluate for pneumonia.
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In comparison with study of <unk>, there again are low lung volumes, which accentuate the prominence of the transverse diameter of the heart. Mild atelectatic or fibrotic changes seen at the left base as on the previous study. No evidence of acute focal pneumonia or pulmonary edema.
cholangioma with increased oxygen requirement and sepsis.
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The lungs are moderately well inflated with bibasilar platelike opacities. No pulmonary edema. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>m with sob. assess for consolidation.
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The swan-ganz catheter tip is near the origin of the right middle lobe pulmonary artery. It can be withdrawn approximately <num> cm to be in more standard position. A right picc line is seen, terminating in the mid to lower svc. Midline sternal wires are intact and well aligned. The cardiac silhouette is stably enlarged. There is mild vascular congestion, overall similar the most recent examination. There are bilateral pleural effusions, moderate on the left and small on the right. Associated bibasilar atelectasis also seen. There is no pneumothorax.
<unk> year old woman with severe ischemic cardiomyopathy ef <unk>%, here for tailored therapy // assess pa catheter location
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Interval increase in lung volumes. The heart size is normal. Prominent central pulmonary arteries could reflect pulmonary arterial hypertension in this patient with copd who is status post placement of multiple endobronchial coils. Upper lobe predominant emphysema is present. Previously reported basilar lung opacities have nearly completely resolved. Questionable small pleural effusions are difficult to assess due to portable technique and dense overlying breast tissue.
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Pa and lateral views of the chest were obtained. Bibasilar atelectatic changes are again noted in the lower lungs. No large effusion or pneumothorax. No definite signs of pneumonia. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.
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The left-sided chest tube is been removed. There is a small left pleural effusion and volume loss in the left lower lobe better new compared to prior. There is no pneumothorax. There is a small right effusion as well
<unk> year old man s/p lll wedge biopsy. w l sided ct d/c'd <unk> // please eval for post pull ptx
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New dobbhoff tube extends into the right mainstem bronchus. Ng tube has been removed. Right internal jugular catheter in unchanged position. Bilateral pleural effusions with associated atelectasis worsened since yesterday. Mild pulmonary edema worsened from the <unk> to <unk> but subtly improved today. Minimal improvement in left lower lobe collapse. Stable cardiomegaly. No pneumothorax
new dobbhoff placement. position in lung?
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Ap and lateral radiographs of the chest demonstrate clear lungs with mild bibasilar atelectasis. The cardiac, mediastinal, and hilar contours are stable since the prior study. Mitral valve replacement is noted in the lateral view and intact median sternotomy wires are seen. No pneumothorax or pleural effusion. Ossification of the anterior longitudinal ligament indicative of dish.
chest pain. evaluate for widened mediastinum.
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Frontal and lateral views of the chest were obtained. There has been no significant interval change since the prior study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, as are the hilar contour. There is no evidence of free air beneath the diaphragms.
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There has been no interval change in the orientation of the accessed left pectoral mediport, which terminates in the low svc. The catheter continues to loops in the left supraclavicular soft tissues, possibly within a left subclavian venous branch. There is no kink or discontinuity along its course. There is no pneumothorax. The lungs are clear. The descending thoracic aorta is tortuous as in the past. The heart and mediastinum are within normal limits. A partially imaged biliary stent projects over the right upper quadrant.
<unk> year old man with pancreatic cancer and poc with c/o tightness in neck. make sure line hasn't migrated. // check line placement. please wet read and <unk> <unk> <unk>
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable and unchanged. Lungs are clear. There is no pleural effusion or pneumothorax.
fever.
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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is no evidence of a displaced rib fracture or other osseous abnormality.
<unk>-year-old man with motor vehicle collision, evaluate for fracture.
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Compared to the prior study there is no significant interval change. There continue to be bilateral lower lobe hazy infiltrates
<unk> year old woma<unk> year old woman with cad s/p pci of lm (<unk>), lad and diag (<unk>), pad s/p bilateral renal artery stenting and sfa stenting, copd, dchf, and stage iii ckd admitted to ccu for dyspnea requiring high o<num> via oxymizer.n with // <unk> year old woman with cad s/p pci of lm (<unk>), lad and diag (<unk>), pad s/p bilateral renal artery stenting and sfa stenting, copd, dchf, and stage iii ckd admitted to ccu for dyspnea requiring high o<num> via oxymizer.
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In comparison with the earlier study of this date, the tip of the picc line is somewhat difficult to demonstrate. It probably extends to or just past the level of the cavoatrial junction and could be pulled back about <num> cm to definitely be within the superior vena cava.
picc placement.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with uc/psc being evaluated for liver tx. // pre-transplant assesssment
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There has been interval removal of a right-sided pacemaker. There is pulmonary vascular congestion, without interstitial edema. The heart is mild-to-moderately enlarged, decreased compared to the prior study. The mediastinal contours are normal. There is minimal bibasilar atelectasis. There is no pneumothorax. No definite pleural effusions are seen.
history of chf and chronic kidney disease, presenting with shortness of breath and weakness. evaluate for infiltrate or evidence of fluid overload.
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Left-sided picc terminates in the low svc without evidence of pneumothorax.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with picc line in l arm. here for workup of numbness/tingling // pls eval for picc line. also eval for pna or other cardiopulm process
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Pa and lateral chest radiographs show the large right pleural effusion has increased considerably from <unk>. There is also new left basilar segmental atelectasis. There is there is no pneumothorax. The cardiomediastinal silhouette is stable.
right parapneumonic effusion, status post thoracentesis. evaluation for interval change.
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The cardiomediastinal silhouette is normal. Previously seen patchy retrocardiac opacity has resolved. The lungs are clear without focal consolidation. There is no pneumothorax or pleural effusion. Views of the upper abdomen are unremarkable.
<unk>m with sob, evaluate for pneumonia.
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Ap portable upright view of the chest. Overlying ekg leads are present. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Calcification overlying the heart is again seen likely corresponding with mitral annular calcification. Imaged osseous structures are intact.
<unk>f with dyspnea // eval for acute process
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Pa and lateral views of the chest. There is moderate cardiomegaly and mild pulmonary vascular engorgement and cephalization of the pulmonary vasculature and kerley b lines indicating mild interstitial pulmonary edema. There is no distinct consolidations concerning for pneumonia. No pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath, evaluate fluid status.
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The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
productive cough
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Dual lead left-sided pacemaker is seen with lead extending to the expected positions of the right atrium and right ventricle. The lungs are relatively hyperinflated with flattening of the diaphragms suggesting chronic obstructive pulmonary disease. Mild basilar atelectasis is seen without definite focal consolidation. The cardiac silhouette is top-normal. The aorta is slightly tortuous. No overt pulmonary edema is seen. The bones are osteopenic.
subarachnoid hemorrhage.
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Comparison is made to previous study from <unk>. There is unchanged cardiomegaly. There are bilateral pleural effusions which are likely unchanged allowing for differences in patient positioning. There is a left retrocardiac opacity. There is mild pulmonary edema. There are no pneumothoraces.
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Again seen is a small left pleural effusion with unchanged appearance of the left lower lobe scar-like opacity, more fully characterized on ct of <unk>. Severe right basal emphysema and right upper lobe linear scarring are also unchanged. No pneumothorax is seen. The heart size is normal. The mediastinal and hilar contours are unchanged.
<unk> year old man with cough x several days. h/o pleural effusion // evaluate interval change
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Frontal view of the chest was obtained. The heart is mildly enlarged. Instinct pulmonary vasculature is compatible with mild edema. Small bilateral pleural effusions are present with adjacent atelectasis. No focal consolidation or pneumothorax. Median sternotomy wires appear intact.
<unk>-year-old male with chest pain. evaluate for chf.
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As compared to the previous radiograph, the lung volumes have decreased. The patient has received a nasogastric tube. The tip of the tube projects over the middle parts of the stomach. The patient has also received a left-sided subclavian line. The tip projects over the confluence of the bracheocephalic vein and the superior vena cava. No evidence of complications, notably no pneumothorax. Areas of atelectasis are visible at both lung bases.
whipple procedure, line placement, evaluation.
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There is an ng tube with the tip and side hole below the diaphragm. There is a moderate size right pleural effusion, which persists since <unk>, and now appears partially loculated. There is a small left pleural effusion. There is confluent opacification in the right midlung. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with s/p ng // eval for ng tube placement
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Pa and lateral views of the chest were provided. A nodular density residing in the right lower lung is most compatible with a nipple shadow. There is no free air below the right hemidiaphragm. There is no focal consolidation, large effusion or pneumothorax. The heart is top normal in size. The mediastinal contour is normal. The imaged osseous structures are intact.
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Heart size is mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Lungs are mildly hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.
<unk> year old man with shortness of breath, weakness, headache
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Portable ap chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are unremarkable.
hypoxia. recent fall.
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Pa and lateral chest radiographs were obtained. Low lung volumes accentuate the interstitial markings. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild. Cardiac and mediastinal contours are normal.
bike accident.
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The lungs are clear with post-surgical changes and chain suture noted in the right mid lung. The lungs are obscured in part due to dense irregular calcified pleural plaques as seen on previous ct from <unk>. Previously described interstitial edema has resolved. There is no pleural effusion or pneumothorax. Median sternotomy wires and changes from prior mitral valve replacement are noted. The heart is normal in size. Normal cardiomediastinal silhouette.
nausea and ekg changes. assess for cardiopulmonary abnormality.
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain and fever.
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No significant interval change. Lung volumes are normal. The heart is mildly enlarged, unchanged. The descending thoracic aorta slightly tortuous. Right curvature of the thoracic spine is mild. No focal consolidation, effusion, edema, or pneumothorax. Degenerative changes in both ac joints are noted. Multi-level degenerative changes of thoracic spine are severe with prominent anterior osteophytes.
<unk>-year-old woman presenting with right-sided flank pain. evaluate for cardiopulmonary disease.
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Frontal and lateral views of the chest. There is no confluent consolidation. There are however mildly prominent interstitial markings in the lungs bilaterally. The cardiac silhouette is slightly enlarged and the aorta is tortuous. Median sternotomy wires and mediastinal clips are noted. There is mild wedge deformity of a lower thoracic vertebral body. Osseous structures are otherwise unremarkable.
<unk>-year-old male with slurred speech. question pneumonia.
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The lungs are hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. Heterogeneous right lower lobe opacity is noted. Heart size, mediastinal contour, and hila are unremarkable. A right porta cath tip is in the low svc. In comparison to <unk> there is a new severe anterior wedge compression deformity of a mid thoracic body with increased sclerosis. Two chronic severe compression fractures of the mid thoracic spine are similar in appearance to <unk> ct.
<unk>f with fever on chemotherapy. assess for pneumonia.
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Nasogastric tube coils within the stomach with distal tip directed back towards the ge junction. Cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion and minimal interstitial edema.
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Mild interstitial pulmonary edema, possible small left pleural effusion, and mild bibasilar atelectasis are seen. The heart is moderately enlarged.no pneumothorax.
<unk> year old man with history of smoking, atrial fibrillation who presents with stroke and is wheezing; copd vs cardiac etiology // please evaluate for cardiopulmonary process including pulmonary edema
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As compared to <unk>, there is an improvement of the extent and severity of the bilateral parenchymal opacities, notably at the level of the lung bases. At the lung bases, however, there is unchanged evidence of a combination of opacities and parenchymal atelectasis, reflecting a combination of edema and likely pneumonia. In the interval, the patient has been extubated and the nasogastric tube have been removed. Lung volumes have minimally decreased.
gastric cancer, aspiration, evaluation.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated but clear of focal consolidation. Cardiomediastinal silhouette is stable. There is a severe compression deformity of the mid thoracic vertebral body which was not present on ct torso from <unk>. Osseous and soft tissue structures are otherwise grossly unremarkable.
<unk>-year-old female with altered mental status and urinary incontinence.
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The lung volumes are low. Minimal pleural-parenchymal scarring is noted at the lung apices. Streaky atelectasis at the left lung base is noted. There is otherwise no focal consolidation. Pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Incidental note is made of fusion of several left-sided ribs, better demonstrated on prior chest ct.
<unk> year old man with iii stage melanoma // please evaluate disease status
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal atelectasis is noted in the left lung base. Scarring within the lung apices is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
cough productive of yellow sputum.
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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.
<unk>f with cp/cough // ?cough
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The right subclavian central line has been removed. The endotracheal tube, left-sided picc line, and enteric tubes are unchanged in position. A right upper quadrant ivc filter is partially imaged. There is no pneumothorax. Minimal biapical scarring and platelike right lung atelectasis are unchanged. The lungs are otherwise clear. The heart and mediastinum are within normal limits despite the projection.
<unk>-year-old female with sah, status post craniotomy with fever.
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As compared to the previous radiograph, the lung volumes have overall increased. The ventilation of the left lung has improved. On the right, the large pleural effusion persists, as do the subsequent areas of atelectasis. Unchanged appearance of the cardiac silhouette.
history of cirrhosis, evaluation in change of the pleural effusion.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
cough and fever.
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The endotracheal tube ends <num> cm above the carina. An enteric tube has been removed. Extensive bilateral parenchymal opacities are increased in density from <unk> with decreased lung volumes since that time. Low lung volumes accentuate the cardiac silhouette. No pleural effusion or pneumothorax is seen.
ards, here to evaluate for interval change.
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Lungs well expanded. There is a hazy opacity in the right lateral lung base, which could represent atelectasis or pneumonia in the right clinical setting. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged.
history: <unk>f with sob and cough // r/o infiltrate
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The cardiomediastinal and hilar contours are unchanged. Enteric tube ends in the stomach. Right picc ends in the mid svc. Right mid and lower lung consolidations are unchanged. Increasing left lung opacities may represent new developing areas of pneumonia. No pneumothorax.
sbo, likely aspiration.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old man with hiv and cough + shortness of breath, having tachycardia with pacs, has hx of a.fib // acute process
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Frontal and lateral views of the chest were compared to previous exam from <unk>. Biapical scarring is again noted. The lungs are otherwise clear without consolidation or large effusion. Cardiac silhouette is enlarged but stable. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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Triple lead left-sided aicd is again seen with leads unchanged in position. There are low lung volumes. The aicd battery pack obscures the low lateral upper hemithorax in the frontal view. Mild blunting of the posterior bilateral costophrenic angles is consistent with trace of small bilateral pleural effusions. There is minimal pulmonary vascular congestion. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. No pneumothorax is seen.
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Single portable view of the chest. There has been interval placement of a left pigtail catheter which overlies the mid left lung. Size of the left-sided pneumothorax has not significantly changed. Lungs are otherwise unremarkable. Cardiomediastinal silhouette remains within normal limits.
<unk>-year-old male with left pigtail placement.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant, unchanged severity and extent of the known severe bilateral diffuse parenchymal opacities. No change in appearance of the cardiac silhouette.
followup.
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Single frontal view of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, pneumothorax. Mid thoracic scoliosis is not accompanied by obvious vertebral body or disc space abnormality. Clinical evaluation recommended.
cough.
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Tracheostomy tube in situ. The patient also has a right subclavian vein catheter, the tip of the catheter projects over the upper svc. The patient has received a left pectoral pacemaker, the course and position of the leads is unremarkable. In the interval, the patient has developed a volume loss of the left lung, associated to a diffuse fibrotic process and pleural thickening. In addition, a parenchymal opacity at the right upper lobe base is seen. This opacity might be more recent and infectious in origin. The heart continues to be mildly enlarged. Mild fluid overload is present. The parenchymal processes, if clinically relevant, could be further evaluated by ct.
ventilator-dependent fevers, evaluation for infection.
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There continues to be a large left pleural effusion; however, the complete whiteout of the left chest is no longer present and there is some aeration in the right upper lobe consistent with the patient's history of recent thoracentesis; however, large amount of fluid remains. The mediastinal shift is slightly less. The right lung is clear. Feeding tube tip is off the film, at least in the stomach. There is no pneumothorax.
status post thoracentesis.
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Radiograph centered in the lower chest was obtained for assessment of a nasogastric tube, which terminates within the stomach. The sideport, however, is at or just above the ge junction level. Within the chest, heart is mildly enlarged but stable in size. Bibasilar patchy and linear opacities are present, right greater than left. These findings favor atelectasis but aspiration and infection should also be considered in the appropriate clinical setting. Small bilateral pleural effusions are also demonstrated. Healed left rib fracture is incidentally noted.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk>. As before, relatively high positioned diaphragms obscure partially the cardiac silhouette, but significant increase of the heart size is unlikely. Thoracic aorta, as before, mildly widened and elongated but without local contour abnormalities or advanced wall calcifications. Pulmonary vasculature is not congested, and no new acute parenchymal infiltrates can be identified. Also, the lateral pleural sinuses are free and the same holds for the posterior pleural sinuses on the lateral view. Again, no new parenchymal infiltrates are seen. On the preceding examination, the right basal lung portion was considered to be improved in comparison with a more remote study of <unk>, but no reoccurrence of infiltrates has occurred. A chest ct of <unk> is also reviewed, and the findings reported the diagnosis of scattered inflammatory processes in the lower lobe area as seen on chest examination of <unk>. Today's followup examination does not show any reoccurrence of the acute infiltrates in this patient with general findings compatible with copd. Centered at kyphotic curvature related to a vertebral body compression fracture of old date is again seen and appears stable.
<unk>-year-old female patient with history of recent pneumonia, routine followup to evaluate for resolution.
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The heart is normal in size but demonstrates left ventricular configuration. The aorta is tortuous and calcified, without change. Recently described left lower lobe abnormality has rapidly improved with small residual opacity remaining. Additional right retrocardiac opacity has slightly improved as well. Bilateral pleural effusions are small and similar to the recent radiograph. Bones are diffusely demineralized.
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There is increased hazy opacification in the posterior lower lung zones, likely in the right lower lobe, which is seen only on the lateral view. This is new from the prior radiograph and may indicate possible infection. There is no edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air below the hemidiaphragms.
hiv and altered mental status.
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The lungs are clear without evidence of consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The thoracic aorta is unfolded. The appearance is not changed from prior exam of <unk>. The cardiomediastinal silhouette is otherwise unremarkable.
chest pain. evaluate for mediastinal widening.
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The <unk> radiograph from <time> shows increased near-complete opacification of the left hemithorax. Two left chest tubes remain in place. The aerated right lung is grossly clear. The heart and mediastinum cannot be accurately assessed. The followup radiograph from <time> shows slightly increased gaseous distension of the stomach, and no other significant interval change. The <unk> radiograph shows decreased gaseous distention of the stomach, and no other relevant change.
<unk> year old man s/p vats evac of hematoma // r/o effusion ; <unk>m s/p l vats hematoma evacuation lul hematoma and mediastinoscopy ln sampling <unk> // interval assesment ; s/p vats hematoma evacuation // interval assesment s evac of hematoma // r/o effusion
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Lung volumes are low. The heart size is borderline enlarged, but the size is accentuated due to low lung volumes. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
somnolent, drug overdose.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no focal consolidation. No large pleural effusion is seen. There is no pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The ascending aorta appears tortuous. Aortic arch calcifications are seen. Heart size is normal. There is no pulmonary edema.
cough. assess for pneumonia.
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Et tube ends at <num> cm above the carina. Ng tube is in the stomach. The lung volumes are low. Left lower lobe collapse has improved since <unk>. There is only minimal bibasilar opacity, mostly compatible with atelectasis. No pleural effusion or pneumothorax.
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Pa and lateral views of the chest provided. Mediastinal clips and fragmented sternotomy wire are again noted. There is no focal consolidation, effusion, or pneumothorax. No convincing signs of edema. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with anginal type cp // eval for mediastinum
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Frontal and lateral views of the chest were obtained. There is minimal interstitial edema. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The aorta is calcified. In the inferior aspect of the lateral view, there appears to be cement within the vertebral body, not fully imaged, but presumed due to prior vertebroplasty/kyphoplasty. The bones are osteopenic diffusely.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
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The heart is probably at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
left arm and leg shaking.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. No other pathologic findings except for bilateral mild apical thickening and an azygous lobe as a normal variant.
evaluation for pneumonia.
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Endotracheal tube terminates <num> cm above the carina. Enteric tube courses below the diaphragm, terminating in the left upper quadrant. There has been interval placement of right internal jugular central venous catheter which terminates in the lower svc, without evidence of pneumothorax. Cardiac and mediastinal silhouettes are stable. Mild interstitial edema persists. Patchy left base retrocardiac opacity is again seen which may be due to atelectasis although infection or aspiration are not excluded in the appropriate clinical setting. No large pleural effusion is seen although small pleural effusion, particularly on the left, difficult to exclude.
history: <unk>f with urosepsis // confirm cvl placement
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Relatively low lung volumes are seen however the lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with dyspnea // eval for pna
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As compared to the previous radiograph, there new parenchymal opacities at the right lung bases. The pre-existing opacities on the left are constant in appearance. Also constant is a left retrocardiac atelectasis. The findings are strongly suggestive of pneumonia. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
dyspnea, rule out pneumonia.
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Ap portable view of the chest. The tiny left apical pneumothorax is not significantly changed. Lungs are clear otherwise. Left-sided chest tube is unchanged in position, ending in the lower hemithorax. Heart size is top normal. The cardiomediastinal and hilar contours are normal.
left-sided chest tube and pneumothorax, evaluate for change.
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As compared to the previous radiograph, there is a newly appeared plate-like atelectasis at the right lung bases. No other changes are noted. No larger pleural effusions. No pneumonia. No pulmonary edema. Borderline size of the cardiac silhouette and tortuosity of the thoracic aorta persist. Status post sternotomy with unchanged alignment of the sternal wires.
fever, evaluation for acute process.
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Indwelling support and monitoring devices remain in stable position. Bilateral asymmetrically distributed airspace opacities affecting the right lung to a greater degree than the left have slightly worsened, and may reflect a combination of pulmonary edema and pneumonia. Moderate-to-large right and small-to-moderate left pleural effusions are unchanged.
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Pa and lateral images of the chest were obtained. Right middle lobe pleural effusion, seen as a round opacity contiguous with the minor fissure, has significantly increased in size since previous imaging. The previously seen left lower lobe opacity, which likely represents a loculated pleural effusion, has also increased in size since previous imaging. Bibasilar pleural effusions are seen. There is no pneumothorax. Cardiomediastinal silhouette is unchanged. Visualized osseous structures are unremarkable.
<unk>-year-old female with left pleural effusion.
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Interval intubation with tip of tube terminating <num> cm above the carina. Cardiomediastinal contours are stable. Mild pulmonary vascular congestion is present, as well as new patchy and linear bibasilar lung opacities, left greater than right. These findings may be due to atelectasis and/or aspiration. Small left pleural effusion is new. No visible pneumothorax.
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The heart is mildly enlarged with a left ventricular configuration. The aorta is tortuous. The arch is calcified. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is new asymmetric opacification of the left suprahilar region concerning for pneumonia. There are perhaps patchy additional vague opacities in the right mid and lower lungs but not as definite.
cough. report of left hilar infiltrate.
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Ap portable upright view of the chest. Lungs appear hyperinflated with upper lobe lucency consistent with emphysema. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>m with ercp yesterday, fever.
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Clips are noted within the right upper quadrant of the abdomen compatible with prior cholecystectomy.
upper respiratory tract infection symptoms and fever.