Frontal_Image_Path
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal.
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history of bcg vaccination, no clinical symptoms. evaluate for active tb.
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Assessment is limited due to patient rotation and low lung volumes. An enteric tube tip appears to be within the stomach, though side port appears to be just superior to the gastroesophageal junction and would recommend advancement by approximately <num> cm for optimal positioning. Right-sided port-a-cath tip terminates in the upper svc. Lung volumes are low. Cardiac and mediastinal contours are unchanged with tortuosity of the thoracic aorta noted. Pulmonary vasculature is not engorged. Patchy atelectasis is noted in the right lung base. Centrilobular nodular opacities in the right upper lobe seen on previous chest ct are not well assessed on the current radiograph. There are no acute osseous abnormalities. Multiple clips are noted in the right upper quadrant of the abdomen. Inferior vena cava filter is partly imaged in upper abdomen, just to the right of midline.
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history: <unk>m with ng tube placed // ng tube placement in proper position
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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 tachycardia to <num>s, pleuritic left sided chest pain// eval ? pneumothorax, effusion
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Comparison is made to prior study from <unk>. There has been placement of a dobhoff feeding tube. The distal tip is within the fundus of the stomach; however, there is a loop within it. The heart size is upper limits of normal. There is a left-sided central line with lead tip at the cavoatrial junction. There is some atelectasis at the lung bases and small bilateral pleural effusions. No pneumothoraces are identified.
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Tip of a left-sided picc line ends at lower svc. Both lungs are well expanded and there are no opacities concerning for pneumonia or aspiration or pulmonary edema. Both pleural spaces are normal. Heart size is normal, mediastinal and hilar contours are unremarkable.
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to look for the picc position.
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Pa and lateral chest radiograph is compared to prior radiograph dated <unk>. The chest overall is unchanged in appearance. No focal opacity convincing for pneumonia is present. Obscuration of the right heart border is unchanged relative to prior examination and when correlated with cta performed <unk> appears to be correlate with mediastinal fat. Lungs are slightly hyperinflated with emphysematous changes. There is no large pleural effusion. There is no pneumothorax or evidence of pulmonary edema. Heart size is top normal. Vasculature is slightly engorged relative to prior examination.
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<unk>-year-old female with cough and shortness of breath.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation or pneumothorax. Fullness in the perihilar regions in the setting of cardiomegaly and a small pleural effusions with <unk> b-lines is compatible with mild interstitial pulmonary edema. The mediastinal silhouette is stable.
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lower extremity edema.
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Ap upright and lateral views of the chest provided. Lung volumes are low. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. No overt edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cough, sputum, dyspnea // eval for pneumonia
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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back and chest pain, pleuritic in nature. assess for pneumonia.
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Pa and lateral views of the chest provided. Surgical clips are again noted projecting over the mediastinum. Clips are also noted in the right upper quadrant. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with c/o weakness // ? pna
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Frontal and lateral views of the chest were obtained. There are low lung volumes, which accentuate the bronchovascular markings. There may be minimal pulmonary vascular congestion without overt pulmonary edema. No definite focal consolidation is seen. There is no large pleural effusion. The lateral view is underpenetrated, likely due to patient body habitus. Cardiac and mediastinal silhouettes are stable.
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Stable chest x-ray examination with extensive scarring in the right suprahilar region. The superimposed consolidation or edema is evident. The mediastinum is otherwise unremarkable. There is a prominent right epicardial fat pad. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The osseous structures are unremarkable. A mid diaphyseal left clavicular deformity is again present and also stable.
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chest pain.
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As compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma. No evidence of pneumonia. No pleural effusions. No hilar or mediastinal abnormalities.
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history of pneumonia.
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No previous images. The heart is normal in size and there is no evidence of vascular congestion or acute focal pneumonia. Mild atelectatic changes and possible blunting of the costophrenic angle on the left.
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post-operative fever.
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Pa and lateral chest views have been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size is at the upper limit of normal variation but unchanged when comparison is made with previous studies. No typical configurational abnormalities identified. The aorta is of ordinary <unk> and does not show any local contour abnormalities or walled calcifications. The pulmonary vasculature is not congested. There are no signs of acute or chronic pulmonary parenchymal densities. The pleural spaces are free. There is no fluid in lateral or posterior pleural sinuses. No pneumothorax is present in the apical area seen on the frontal view. Skeletal structures of the thorax grossly unremarkable.
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<unk>-year-old female patient with worsening cough, evaluate for pneumonia.
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Ap upright and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits and unchanged. There is no pulmonary edema, pleural effusion, or pneumothorax. There is no air under the right hemidiaphragm.
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<unk>m with neutropenia and fever // r/o infiltrate
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<num> mm rounded calcified right upper lobe granuloma is stable. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are stable and unremarkable. Is no pulmonary edema.
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<num> weeks of worsening chest 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. There is no evidence for rib fracture. A previously reported sternal fracture based on ct imaging is not well demonstrated on this examination.
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multiple rib fractures.
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As compared to the previous radiograph, there is unchanged evidence of free subdiaphragmatic air. Massive cardiomegaly and signs of moderate pulmonary edema have slightly increased in the interval. Also increased is a left pleural effusion and subsequent areas of atelectasis in the left lung. No pneumothorax.
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fever, questionable pneumonia.
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Interval removal of endotracheal tube and nasogastric tube. Increased interval width of cardiomediastinal contours including the azygos vein and vascular pedicle, accompanied by worsening pulmonary vascular congestion. Increasing perihilar haziness and development of asymmetrical right perihilar alveolar opacity; the latter may reflect asymmetrical edema, but aspiration and infectious pneumonia are important additional considerations given the clinical suspicion for these entities. Short-term followup radiographs after diuresis may be helpful in this regard.
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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Areas of mild left base linear atelectasis are seen. Particularly over left mid lung, between the posterior left seventh and eighth ribs, is a <num>-mm nodular opacity, which may represent overlapping structures, however pulmonary nodule is not excluded and further evaluation with oblique chest radiographs is recommended. The remainder of the lungs appear clear. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen in the right acromioclavicular joint.
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The cardiac silhouette is mildly enlarged. A tortuous thoracic aorta is noted. No focal lung consolidation is seen. Streaky right basilar and retrocardiac opacities likely secondary to atelectasis. Increased interstitial markings bilaterally may represent mild interstitial edema. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with cough and shortness of breath, evaluate for volume overload..
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In comparison to the previous examination, the right lung base opacity is no longer visualized. The cardiomediastinal silhouette is unremarkable. The lungs are otherwise clear.
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history: <unk>f with chest pain and shortness of breath // repeat cxr for olbique rulse
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Pa and lateral views of the chest provided. Left chest wall pacer device is noted with leads extending into the region of the right atrium and right ventricle. Midline sternotomy wires are noted. Increased interstitial opacities most compatible with interstitial pulmonary edema. No large effusion or pneumothorax. Heart size is normal. Mediastinal contours unremarkable. Bony structures are intact.
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<unk>f with sob // ?chf vs. pe?
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There is moderate-to-severe cardiomegaly without pulmonary edema, which has resolved from the prior study. There is no evidence of pneumonia, nor pleural effusion. There are old left-sided rib fractures and rib cage deformities.
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orthopnea, question volume overload.
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The lungs are well expanded and clear. There is no pneumothorax, pleural effusion, or focal consolidation. The heart is normal in size. Normal cardiomediastinal contours.
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<unk>-year-old man with chest pain, shortness of breath, epigastric burning and reportedly a history of vomiting. assess for pneumonia, pneumothorax, free air or pneumomediastinum.
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Left subclavian venous line terminates at mid svc. Et tube terminates <num> cm above the carina. Ng tube courses below the diaphragm and out of view. There is increased mild pulmonary vessel congestion and pulmonary edema. There is moderate bilateral pleural effusions, slightly increased compared to <unk>. Mild cardiomegaly is unchanged.
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<unk> year old man with ivh, hospital acquired pneumonia now intubated // compare to prior
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There is no evident pneumothorax. There is elevation of the left hemidiaphragm. Bibasilar atelectasis are larger on the left side. There is no enlarging pleural effusions. Pneumopericardium and pneumomediastinum are better seen on the lateral view. The sternal wires are intact. There is no pulmonary edema
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<unk> year old man with s/p cabg, cts d/c'd // evaluate for pneumothorax
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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chest wall pain.
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Moderate scoliosis of the thoracic spine is unchanged when compared to previous studies. The cardiomediastinal silhouette is stable compared <unk> study with a normal heart size. The left pulmonary artery appears prominent and may be enlarged but is likely in part attributed to anatomical changes. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.
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<unk> year old man with htn, diabetes, ckd, presenting with episodes of syncope // eval for pneumonia, cardiac size
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting evaluation. Airspace consolidation is noted within the right middle lobe partially obscuring the right heart border, concerning for pneumonia. There is basilar atelectasis noted bilaterally. No large pleural effusion or pneumothorax. The heart size appears enlarged and unchanged. The mediastinal contour is unchanged with an unfolded thoracic aorta noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cough, fever
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Cardiac silhouette size is mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
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history: <unk>f with cough and fever
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Tracheal stent is unchanged in appearance and position. The lungs are hyperinflated and there is a large right lower lobe consolidation concerning for pneumonia. Additionally, the lower pole of the right hilus appears fuller from the prior study and could represent another area of consolidation. There is also a cluster of small, irregular opacities at the base of the left lung status also concerning for infection. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
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hemoptysis.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of <unk>. On the present examination, the patient is slightly rotated to the right, which accounts for somewhat different presentation of the tracheostomy cannula. It is seen to terminate in unchanged position in the trachea. No pneumothorax is present. The heart size remains unchanged and is within normal limits. No pulmonary congestive pattern and no new acute infiltrates. Lateral pleural sinuses remain free.
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<unk>-year-old female patient with encephalitis, prolonged intubation, evaluate for interval change.
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Pa and lateral views of the chest were provided. A right arm picc line tip extends deep into the right atrium, tip not clearly visualized. Recommend retraction by at least <num> cm. Lungs are clear. There is mild bibasilar atelectasis. No pneumothorax. Cardiomediastinal silhouette is stable.
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The lungs are fully expanded and clear. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Views of the upper abdomen are unremarkable.
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<unk>f with wheezing, evaluate for pneumonia.
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Hyperexpanded lungs with cardiomegaly, particularly left atrial enlargement. No opacities are noted concerning for infectious process. S-shaped scoliosis along with calcified trachea is noted. Tortuous aorta is also noted. No pleural effusion or pneumothorax.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Position of the icd remains unchanged. The heart size is normal. The cardiomediastinal silhouette is normal. Retrocardiac linear density is stable, likely scarring. Visualized bony structures are normal.
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<unk>f with cough
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Tip of nasogastric tube terminates in the lower thoracic esophagus, approximately <num> cm above the thoracoabdominal junction level. Dr. <unk> has been paged to discuss this finding at <time> p.m. On <unk> at the time of discovery. Allowing for differences in technique and projection, the exam is otherwise unchanged since the recent study of one day earlier.
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Moderate right and small left pleural effusions are seen with overlying atelectasis. Medial right base opacity may be due to combination of pleural effusion and atelectasis, but underlying consolidation due to pneumonia is not excluded in the appropriate clinical setting. Subtle lateral left mid lung opacity projecting over the posterior left seventh rib is most likely due to overlap of structures ; previously seen left upper lung opacity is much less conspicuous on the current study.
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history: <unk>m with increase shortness of breath // eval for pna
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Patient is status post median sternotomy and cardiac valve replacement. Lungs remain hyperinflated suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No displaced fracture is identified.
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history: <unk>f s/p mvc // please evaluate for acute injury
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Frontal and lateral views of the chest. There is increased perihilar opacity when compared to prior. This could potentially be posttreatment changes noting that underlying mass lesion or infection cannot be excluded. Right pleural thickening is seen circumferentially. Increased opacity projecting over the lower lobes on the lateral could be due to pleural fluid or thickening although underlying consolidation is not excluded. The left lung is clear. No acute osseous abnormality is detected.
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<unk>-year-old female with left-sided shoulder and chest pain. history of adenocarcinoma. status post vats with right lower lobectomy and chemoradiation.
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The lung volumes are hyperinflated. Consolidation of the right upper lobe and right lower lobe are either worsened or new than prior exam, which may represent recent aspiration if the latter. Left lower lobe atelectasis is present and appears unchanged. The enlarged cardiomediastinal and hilar contours are stable. Probable small pleural effusions bilaterally. Pacemaker is intact and leads are in the appropriate position. Stable degenerative changes of thoracic spine.
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<unk> year old man with sbo, hcap now emesis x<num>, increased o<num> requirement. // interval change rul, lll, rll consolidations? aspiration?
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Single ap portable radiograph of the chest. There has been interval removal of the swan-<unk> catheter. The left-sided picc line is unchanged. Stable cardiomegaly. Again seen is pulmonary vascular congestion and small bilateral pleural effusions, indicative of pulmonary edema, which is slightly improved compared to the prior radiograph. No focal consolidation is identified.
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status post vf arrest. assess for pulmonary edema.
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Supine ap portable view of the chest provided. Endotracheal tube is seen with its tip residing <num> cm above the carina. The orogastric tube is coiled in the hypopharynx and removal and repositioning is needed. Lung volumes are low, though the lungs appear clear. Cardiomediastinal silhouette appears grossly stable. No acute bony abnormalities are seen.
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A right picc is present with tip terminating in the cavoatrial junction. Cardiomegaly is moderate. Increased enlargement azygos vein is new. A small left pleural effusion with atelectasis is stable in appearance. There is no large right pleural effusion. There is no pneumothorax. Lung volumes are low. Pulmonary edema is mild. The opacity projecting over the left mid lung is better assessed by ct. There is no pneumoperitoneum.
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<unk> year old man with lung ca + mets, femoral head fx, hypoxemia, dvt s/p ivc filter placement // interval change
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
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<unk>-year-old male with cervical stenosis undergoing preoperative evaluation.
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The lungs remain hyperinflated. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>f with cp // evidence of pneumothorax or pna
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There is extensive bilateral pulmonary opacities which may be due to severe pulmonary edema or infection. More confluent opacity in left mid lung raises concern for consolidation due to infection. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cough // r/o pneumonia
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The endotracheal tube is been pulled back and is now <num> cm above the carina. The right ij line is unchanged. This is a rotated film and therefore it is difficult to assess for the degree of right lower lobe volume loss. A <num> cm rounded opacity is seen projecting to the right of the spine. It is unclear where this originates from. Is not been visualized on prior studies however we have not had a prior exam in this rotation. A ct scan would be needed for further assessment.
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<unk> year old woman with chf // tube placement
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Compared to chest radiographs from <unk>, large left pleural effusion has significantly improved with re-expansion of the left lung. Left chest tube remains in place. The right lung is clear. No appreciable effusion on the right. No pneumothorax. No focal consolidation. No pulmonary edema. Cardiomediastinal silhouette is normal.
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<unk> year old man with chest tube; s/p pleurx catheter placement // pneumothorax
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An et tube is in place, tip lies approximately <num> cm above the carina. An ng tube is present, difficult to trace. It appears to extend to the inferior edge of this film. However, the inferior edge of this film lies above the expected level of the ge junction. The side port likely lies immediately above the ge junction. The cardiomediastinal silhouette is similar to the prior film. Sternotomy wires and pacemaker again noted. Again seen is left lower lobe collapse and/or consolidation. Right cardiophrenic atelectasis is also present. There are low lung volumes, with mild vascular plethora. Small bilateral effusions cannot be excluded.
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<unk> year old man s/p ppm placement, intubated, ngt in place. // is ngt / et tube in appropriate position?
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Ap and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal. There is no fracture identified.
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motor vehicle collision, right chest pain.
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The lungs are well expanded and clear besides right apical scarring. No pleural effusion. No pneumothorax. There is cardiomegaly, as before. The aorta is calcified, indicating atherosclerosis. The aorta is tortuous. No bony abnormalities.
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<unk>f with chest pain
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There are no old chest films available for comparison at this institution. The heart is upper limits normal in size. There is mild pulmonary vascular re-distribution. The pulmonary metastatic disease is better visualized on the outside ct. There is pulmonary vascular redistribution; however, there are no effusions. A port-a-cath is seen with tip crossing midline in the svc. Degenerative changes are noted in the spine.
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new oxygen requirement, shortness of breath, dyspnea .
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The lung volumes are decreased, leading to crowding of the bronchovascular structures. There are increasingly prominant, patchy opacities in the right lower lobe, which may represent atlectasis versus pneumonia. Redemonstrated is moderate cardiomegaly with small bilateral pleural effusions. Mild peripheral emphysema with adjacent scaring is most prominant in the right upper lobe. Minimal left lower lobe atelectasis is noted. There is no pneumothorax or overt pulmonary edema. Mediastinal and hilar contours are stable.
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persistent shortness of breath.
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No visualized pneumothorax. Right-sided chest tube with the tip projecting medial at the level of the first rib anteriorly. Widespread interstitial opacities with slight basilar predominance may represent superimposed pulmonary edema. Mild cardiomegaly.
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<unk> year old man s/p right vats lung biopsy // eval ptx, effusion, tube placement
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Relatively low lung more volumes are noted with bibasilar opacities which may be due to atelectasis in the setting of low lung volumes. There is enlargement of the cardiac silhouette likely accentuated by poor inspiratory effort with possible superimposed mild cardiomegaly. Elevation of the left hemidiaphragm is noted. Dense atherosclerotic calcifications noted at the aortic arch. Old healed right posterior rib fracture is noted. There is no acute osseous abnormality. No free intraperitoneal air.
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<unk>m with chf, cholangitis // eval ? free air, pulm edema
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In comparison with the study of <unk>, the tip of the picc line is difficult to see, though probably is in the upper to mid portion of the svc. Right ij catheter has been removed. Continued enlargement of the cardiac silhouette with some element of elevated pulmonary venous pressure. Continued atelectatic changes at the bases with probable small effusions.
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picc placement.
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Frontal and lateral views of the chest were obtained. The lungs are remain relatively hyperinflated, with flattening in the diaphragms, which may be due to chronic obstructive pulmonary disease. The mediastinal contours are stable. The hilar contours are also stable. The cardiac silhouette is not enlarged. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Subacute to old lateral right-sided rib fractures involving the right eighth and ninth and possibly tenth ribs are again seen. No new fracture is identified.
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The lungs are well aerated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are notable for chronic left clavicular fracture.
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<unk>m with history of alcoholism and seizure disorder presenting with absence seizure // aspiration or pneumonia
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm from the carina. The tube could be pulled back by another centimeter to avoid accidental intubation of the right main bronchus. No evidence of complications, notably no pneumothorax. Otherwise, unchanged appearance of the heart and the lung parenchyma, with sternal wires and post-surgical material in situ.
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likely upper gastrointestinal bleed, status post intubation.
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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 woman with hemoptysis // r/o pul cause
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Severe cardiomegaly and unfolding of the thoracic aorta is unchanged. Hilar contour is demonstrates central pulmonary vascular congestion. There is no frank interstitial edema. Lungs are again mildly hyperinflated but otherwise clear without dense consolidation. Pleural surfaces clear without effusion or pneumothorax.
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fever and cough
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In comparison with the study of <unk>, the dobbhoff tube is just distal to the esophagogastric junction. Central catheter remains in place. Otherwise, little change to the appearance of the heart and lungs.
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ng tube placement.
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Endotracheal tube terminates <num> cm above the carina. Right ij central venous catheter is at the cavoatrial junction. Left ij catheter is at he origin of svc. Ng-tube projects over the stomach, tip not imaged. There is diffuse homogenous bilateral airspace opacification. No large effusion or pneumothorax.
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<unk> year old woman with pmh recurrent pna, currently intubated for respiratory failure. transfer from osh // please assess placement of lines and tubes/acute processes
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Pa and lateral chest radiographs were obtained. The lungs are overexpanded. Hyperlucency in the lung apices is compatible with emphysema. Since <unk>, linear opacities at both lung bases have become more prominent. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
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shortness of breath.
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The radiograph from <time> hours shows no change in the position of pre-existing bilateral chest tubes, right subclavian central venous catheter, and metallic fragments from the known gunshot wounds. The left lung remains almost completely atelectatic with increased leftward deviation of the heart and mediastinum, indicating worsening atelectasis. A pneumothorax is still present. The right lung remains clear, and the tiny right apical pneumothorax is stable. The followup radiograph from <time> hours shows worsening near complete left lung atelectasis and an increased left pneumothorax. The patient has also been intubated, and the endotracheal tube tip is just distal to the clavicles. The tiny right apical pneumothorax has resolved. The most recent radiograph from <unk> hours shows marked re-expansion of the left lung with substantial decrease in the left pneumothorax, which has essentially resolved. There is now a combination of left midlung subsegmental atelectasis and re-expansion pulmonary edema. The right lung remains clear.
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<unk> year old man with bilat chest tubes, s/p bronch // ?interval change ; <unk> year old man with intubation // ?tube placement ; <unk> year old man with bilat chest tubes, resp distress // ?collapse, ptx
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There is progression of the left basilar opacity silhouetting the hemidiaphragm. Vague right basilar opacity is also seen but unchanged and potentially atelectasis. Bilateral perihilar opacities are likely due to scarring as seen on prior ct. Moderate cardiac enlargement is again noted. Dense atherosclerotic calcifications are seen in the aorta as well as lower thoracic kyphoplasty changes.
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<unk>f with tachynpea // shortness of breath
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No focal consolidation or pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal. Mild overinflation is again seen.
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history: <unk>m with hematemesis // eval for widened mediastinum
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A left nipple piercing is visualized. 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 cough // please eval for infectious process
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Small right apical pneumothorax measuring up to <num> cm in greatest extent has slightly increased in size compared to the previous study. Remainder of the lungs are clear. The cardiac, mediastinal and hilar contours are unchanged, and no leftward shift of mediastinal structures is present. There is no pleural effusion. No acute osseous abnormality is visualized.
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history: <unk>m with spontaneous pneumothorax. admitting to thoracic // enlargement of pneumothorax?
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Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are unchanged. Low lung volumes are present. Bronchovascular structures are crowded as result of low lung volumes, but there is no pulmonary edema. Chronic interstitial opacities are noted bilaterally, most pronounced at the periphery. There is no focal consolidation, pleural effusion or pneumothorax. Re- demonstrated is a comminuted fracture of the right proximal humerus. Multiple surgical anchors are seen over the projecting over the left humeral head.
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history: <unk>f with hypoxia
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Compared to the most recent study from <unk>, a small to moderate right apical pneumothorax has not significantly changed in size. The right-sided chest presumed pericardial catheter is unchanged in position. Right-sided perihilar opacification is unchanged. There is minimal left lower lung atelectasis. There are no definite pleural effusions. No left-sided pneumothorax.
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status post pericardial effusion drainage.
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The patient is status post transbronchial biopsy. An area of subpleural thickening projecting over the right upper lateral hemithorax appears to have resolved, which may be due to disappearance of a focal loculated fluid collection. There is no definite pneumothorax. There has been no other significant change.
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status post transbronchial biopsy on the right. question pneumothorax.
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Lung volumes are low. Mitral annular calcifications are present. The heart is mild to moderately enlarged. The aortic arch is partly calcified. The mediastinal and hilar contours appear unchanged. Blunting of the left costophrenic angle suggests a small effusion. There is mild-to-moderate interstitial abnormality suggesting pulmonary vascular congestion. The bones appear demineralized. Moderate degenerative changes are noted along each shoulder. Mild degenerative changes and slightly exaggerated lordotic curvature are present throughout the thoracic spine.
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diffuse rhonchi and hypoxia.
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Pa and lateral views of the chest provided. Right-sided chest tube has been removed. Small amount of pleural air is seen in the right lung base, unchanged since prior study before the chest tube was removed. There is no apical pneumothorax. Postoperative appearance of the right lung base is stable, including small amount of atelectasis or local hematoma surrounding suture chain. The left lung base opacity is more clear. Cardiomegaly appears chronic. There is no evidence of cardiac decompensation.
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<unk> year old woman with lung nodule now postop day <num> status post right lower lobe wedge resection, evaluate for pneumothorax status post chest tube removal
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax.
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status post liver transplant. rule out infection.
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The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. A band-like opacity projecting over the left lower lung, within the lingula has partly resolved. There is also right perihilar opacity suggesting atelectasis or scarring predominantly in the right middle lobe, which is fairly similar and possibly of longer chronicity. Calcifications are present within the right breast. A pleural effusion has decreased in the right hemithorax. The lateral view indicates small subpulmonic bilateral pleural effusions on this examination. The lungs are hyperinflated. A faint nipple shadow can be preserved on the right side. The bones appear demineralized. Moderate anterior osteophytes are present along the mid thoracic spine.
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shortness of breath, hypoxia, recent pleural effusion and productive cough.
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The lungs appear clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
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history of dyspnea.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm seen.
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The pulmonary vasculature is slightly indistinct. Mild bilateral hazy opacities may reflect fluid overload. Heart size is exaggerated by ap technique, however there is likely mild cardiomegaly. There is a left retrocardiac opacity likely atelectasis. There is no definite pneumothorax or pleural effusion.
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history: <unk>m with cp // r/o cardiomegaly, ptx, pleural effusion
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There has been interval endotracheal intubation with the tip terminating <num> cm cranial to the carina in standard position. A large bore right internal jugular central venous catheter remains with the tip positioned in the right atrium. Cardiomediastinal silhouette and hilar contours are unchanged. There is mild central vascular congestion without frank interstitial edema. Reticulonodular opacities throughout all right lung fields have intervally increased with associated small right-sided pleural effusion. The left lung remains essentially clear. There is no pneumothorax.
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diffuse large b-cell lymphoma with hypoxia requiring intubation.
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The lungs are normally expanded and clear. The heart size is normal. The mediastinal hilar contours are normal. There is no pleural effusion or pneumothorax. There is a small to moderate hiatal hernia. Partially imaged fixation screws are seen in the proximal left humerus.
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history: <unk>m with fractures of the left tibia and fibula. //
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. There is stable mild left base atelectasis/scarring and right middle lobe scarring. No pleural effusion is seen. There is no pneumothorax. No focal consolidation is seen. Cardiac and mediastinal silhouettes are stable. Mild degenerative changes are seen along the spine.
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Right internal jugular catheter terminates at the cavoatrial junction. Heart is enlarged, and diffuse mediastinal and hilar widening are present, likely due to a combination of distended vessels and lymph node enlargement. Pulmonary nodules and masses have rapidly grown since the prior pet-ct with a dominant mass in the left lower lobe now measuring approximately <num> cm in diameter. New confluent opacities in the right perihilar and basilar region probably represent a combination of airspace disease and solid masses. . Note is also made of small bilateral pleural effusions which are apparently new from the prior pet-ct.
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<unk> year old man with <num> day shortness of breath, hypoxemia // please eval for evidence of edema, pna
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There is prominence of the vasculature which has increased from prior. Additionaly, patchy opacities at the lung bases is more conspicuous on this study. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal. The imaged upper abdomen is unremarkable. Cervical orthopedic hardware is partially imaged.
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increased lethargy. evaluate for aspiration.
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Slightly rotated positioning. Compared to the prior study, there has been considerable clearing of the previously seen right apical opacity, suggesting that it represented atelectasis. The right base effusion is probably slightly larger. Again seen is upper zone redistribution and diffuse vascular blurring, consistent with chf, with small right-greater-than- left pleural effusions and underlying bibasilar collapse and/or consolidation. The presence of pneumonic infiltrate at the bases cannot be excluded. Left pigtail catheter, with extensive left-sided subcutaneous emphysema is again noted. No pneumothorax is identified. Et tube the carina is not well delineated, but the et tube probably lies between <num> and <num> cm above the carina. An ng tube is present, tip extending beneath diaphragm, off film. The sideport overlies the stomach. Right ij line is again seen, tip at cavoatrial junction.
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<unk> year old woman with acute respiratory failure, pna // interval change
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>m with cough, l lung base crackles and rhonchi. also with new r frontal brain mass concerning for tumor, question of primary in lung. evaluate for consolidation or mass.
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| null |
Cardiac silhouette size appears moderately enlarged with a large hiatal hernia present. Diffuse calcification of the thoracic aorta is noted. There is mild to moderate pulmonary edema noted with perivascular indistinctness, upper zone vascular redistribution, and perihilar haziness. There is likely a trace right pleural effusion. Patchy opacities in lung bases may reflect atelectasis. No large pneumothorax is detected. Multilevel moderate degenerative changes are seen within the imaged thoracolumbar spine.
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history: <unk>f with pulmonary edema, history of chf, on bipap
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As compared to the previous radiograph, the right picc line is completely removed. There is no evidence of pneumothorax. Otherwise, normal chest radiograph.
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intraventricular bleed, right picc line, assessment for pneumothorax.
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There are subtle new opacities in the right lower lobe. Multiple biapical calcified granulomas and biapical scarring are again seen. A calcified granuloma in the lateral left lower lung is also again seen. Calcified mediastinal lymph nodes are better assessed on recent ct. There is mild cardiomegaly. Cardiomediastinal hilar silhouettes are unremarkable. No pleural effusion or pneumothorax. A presumed vp shunt catheter is unchanged in position.
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<unk>f with cough // pna
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The lungs are well expanded and clear. Left basilar atelectasis is present. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with fever on chemotherapy. evaluate for pneumonia.
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There is atelectasis at the left lung base, with tenting of the left hemidiaphragm, likely a result of subsegmental volume loss in the left lower lobe. This is new compared with one <unk> no focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
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history: <unk>f with dyspnea, productive cough, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18232511/s52439293/d4abcbae-1fa51680-d859413d-5b202701-9ed068e4.jpg
| null |
Limited radiograph. The tip of the nasogastric tube is in the stomach. Thoracic and spinal hardware are incompletely evaluated. The pre-existing left basal consolidation appears stable.
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confirmation of nasogastric tube placement.
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The lungs continue to have bilateral pulmonary nodules which appear to have increased in size and possibly number. No focal consolidation is seen. There is no evidence of pulmonary edema, pleural effusions or pneumothorax. The cardiac and mediastinal contours are stable.
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falls and history of metastatic melanoma. evaluate for infiltrate.
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| null |
Portable ap upright chest radiograph obtained. The lungs appear clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No signs of chf or pulmonary edema. Bony structures are intact.
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MIMIC-CXR-JPG/2.0.0/files/p19972172/s52358948/96c4a894-4e139e22-06e54b16-dacb0c2c-e4e1c53b.jpg
| null |
There has been interval decrease in the size of the right pleural effusion status post drainage. There is a new small right apical pneumothorax. A nasogastric feeding tube courses below the hemidiaphragm, tip not visualized. Mild pulmonary edema is unchanged. Small left pleural effusion with associated left lower lobe atelectasis are unchanged. Surgical skin <unk> and metallic hardware in the cervical region are unchanged.
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<unk> year old man s/p tapping the r lung, pls eval for interval improvmenet of atelec/vasc congestion
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| null |
The moderate right and moderate to large left pleural effusions have slightly increased since <unk> and markedly increased since <unk>. There is bibasilar atelectasis. The upper lungs are clear. There is no pleural effusion or pneumothorax identified. The aortic knob is calcified. The cardiac contours are not well seen.
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<unk> year old woman with pancr. adenoca, also bilat effusions // eval change in effusions, r/o pulm edema
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