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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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The patient is not in full inspiration. Overall, no significant change compared to the prior exam. Overall stable multi-focal bilateral opacities, without clear evidence of new focal opacities. Stable small bilateral effusions with some tracking in the major fissures. Stable moderate pulmonary edema. Stable cardiomegaly and mediastinal contours. No pneumothorax. The sternotomy wires and cardiac valve devices appear intact and unchanged in position. No acute osseous abnormality.
<unk>-year-old man with history of chf and multi focal pneumonia, now presenting with worsening shortness of breath; evaluate for pulmonary edema.
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Endotracheal tube terminates <num> cm above the carina. Newly placed og tube terminates in the stomach. Ekg leads overlie the chest wall. There is interval worsening of pulmonary edema and haziness in the left mid and lower zones. Parenchymal hemorrhages a possibility given the history of trauma. The left pleural effusion noted. The known pneumothorax these are not clearly visualized on this single ap radiograph.
<unk> year old woman with trauma // please evaluate for known b/l ptx's, as well as position of ogt
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
weakness.
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In comparison to the study from <unk>, there has been interval worsening of bilateral pulmonary opacities most prominent at the left upper lung and right lower lung. Moderate cardiomegaly is unchanged. Small bilateral pleural effusions are unchanged.
<unk> year old woman with dementia and aspiration pneumonia. // question of worsening pna
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A well-defined, dense right mid lung opacity is once again demonstrated and appears similar to prior exams since <unk>, likely representing a calcified pleural plaque. There are also partially calcified left pleural plaques. No focal pulmonary consolidations. No pleural effusions. No pneumothorax. Stable mild cardiomegaly. The mediastinal and hilar contours are normal. Stable degenerative changes of the thoracic spine.
<unk> old man with history of melanoma // please evaluate disease status
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with leg swelling, compartment syndrome // pre-op
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As on prior, low lung volumes are seen. There has, however, been interval clearance of the retrocardiac opacity seen on the previous lateral view. Cardiomediastinal silhouette is unchanged and likely within normal limits given positioning and low lung volumes. No acute osseous abnormality is identified.
<unk>-year-old male with fevers for one day.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions or pneumothorax. Bony structures are unremarkable.
chest and right upper quadrant pain.
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Portable semi-upright radiograph of the chest demonstrates continued enlargement of the cardiac silhouette with areas of increased opacification involving the bilateral lung bases. Though the right basilar opacity has remained relatively stable since the prior examination, there has been progressive opacity at the left lung base. Though some of this may represent edema with atelectasis, underlying aspiration or pneumonia is not excluded. There are bilateral pleural effusions, unchanged since the prior examination.
history: <unk>m with hypoxia, recent pna // pna?
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Pa and lateral views of the chest provided demonstrate marked cardiomegaly, not significantly changed. Vascular stent grafts are present within the left brachiocephalic vein and superior vena cava, unchanged. There is interval development of interstitial edema. No large effusions or pneumothorax. No focal consolidation to raise concern for superimposed pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.
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Comparison is made to previous study from <unk>. There is a right ij central line with distal lead tip in the proximal svc. Heart size is enlarged but stable. There is a persistent left retrocardiac opacity and left basilar subsegmental atelectasis. There are no pneumothoraces identified. There is improvement of the pulmonary interstitial edema as well as the basilar opacity at the right base.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. The vague opacification at the left base suggested previously is not visualized. No pneumonia, vascular congestion, or pleural effusion.
surveillance for patient with previous malignancy.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart is top normal in size. The aorta is slightly unfolded. No signs of chf. Bony structures intact. No free air below the right hemidiaphragm.
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In comparison with the study of <unk>, the patient has taken a slightly better inspiration. The cardiac silhouette is within upper limits of normal in size. There is indistinctness of engorged pulmonary vessels, consistent with elevated pulmonary venous pressure. Opacification at the right base is consistent with pleural effusion and compressive atelectasis. Less prominent atelectatic changes with smaller effusion is seen on the left. In the appropriate clinical setting, supervening pneumonia would have to be considered.
postoperative intubation.
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The lungs are clear without focal consolidation or edema. There is no large effusion noting that the left costophrenic angle is excluded from the field of view. Cardiomediastinal silhouette is within normal limits. Old posterior left rib fractures are noted.
<unk>m with crackles b/l bases, afib rvr pls eval edema // history: <unk>m with crackles b/l bases, afib rvr pls eval edema
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Pa and lateral views of the chest provided. Lungs are clear. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable with partially calcified aneurysm at the level of the aortic isthmus partially visualized though better assessed on prior ct. Multiple old right rib cage deformities are noted. There is a chronic compression deformity of a lower thoracic vertebra. Deformities involving the distal clavicles noted bilaterally.
<unk>m with cp, si // assess for infiltrate
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm or evidence of pneumomediastinum. No acute osseous abnormality is detected.
right-sided pleuritic chest pain and hemoptysis, here to evaluate for pneumothorax or pneumonia.
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The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is top normal in size but unchanged. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
chest pain, here to evaluate for acute cardiopulmonary process.
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Ap and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
<unk>-year-old female with chest pain.
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Lung volumes are normal. No focal consolidation. Moderate to severe cardiomegaly with mild pulmonary vascular congestion. Minimal to mild interstitial edema. No pleural effusions and no pneumothorax.
<unk> year old man presented w/ stemi s/p cath w/ des placed // pulmonary edema
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no definite pleural effusion or pneumothorax. The aorta is somewhat tortuous.
history: <unk>f with chest pain // eval for pneumonia
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Bilateral rib fractures again noted. Worsening opacities in the left mid lung and right base likely represents worsening infectious process. Bilateral pulmonary edema with also worse compared to <unk>. . Cardio mediastinal silhouette is unchanged. No pneumothorax or significant pleural effusions. Interval removal of the et tube and ng tube.
<unk> year old man with known pna, recent extubation, now febrile // please evaluate for worsening pna, interval change since extubation
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Frontal chest radiographdemonstrates mildly hyperinflated clear lungs with flattening of the diaphragms. Pleural surfaces are normal. Stable mild cardiomegaly is again noted. Mediastinal contour and hila are unremarkable. Dextroscoliosis of the thoracic spine is again noted.
difficulty breathing. assess for pneumonia.
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The cardiac, mediastinal and hilar contours are relatively unchanged, with the heart size appearing top normal. There is mild pulmonary edema, minimally worse when compared to the prior study. Moderate size right and small left pleural effusions are relatively unchanged. There are patchy bibasilar airspace opacities, likely reflective of atelectasis though infection cannot be completely excluded. No pneumothorax is identified. Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws is unchanged. There are multiple clips also demonstrated within the mid back.
congestive heart failure, hypoxic on room air.
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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>m with dizziness // infiltrate?
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Ap portable upright view of the chest. The heart size is normal. The hilar mediastinal contour or is are within normal limits. There is no mild prominence of the central pulmonary vessels, without overt edema. There is no pneumothorax, focal consolidation, or pleural effusion.
<unk> year old woman with fever, pyelonephritis, mild desats. // r/o pna
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Heart size is normal. The hilar and mediastinal contours are normal. Linear bibasilar opacities, more pronounced at the left lung base, are compatible with atelectasis. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of persistent cough. please evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. A slight contour abnormality is noted posterior to the left ventricle on the lateral view, in the expected location of the inferior vena cava. Otherwise, the cardiomediastinal silhouette is unremarkable. The heart is normal in size. There is no pleural effusion, pneumothorax, pulmonary edema, or focal airspace consolidation.
<unk>-year-old female with chest tightness. evaluation for cardiomegaly or other pathology.
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Little change in comparison to prior study from <unk>. The lungs are clear with no focal consolidation, effusions, or pneumothorax. Hyperlucency of the apices is again noted suggestive of emphysema. Cardiomediastinal silhouette is normal. Bilateral humeral prostheses are again noted.
evaluation of patient with history of cough and wheezing.
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As compared to the previous examination, the lung volumes have decreased. At both lung bases, band-like consolidations are seen. Their extent is better visualized on the lateral than on the frontal radiograph, they predominate in the lower lobes. Overall, the size of the cardiac silhouette is within normal limits. The patient has no pleural effusions. The hilar and mediastinal contours are unremarkable.
complains of cough and bibasilar crackles. evaluation.
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There are low lung volumes. The right lung is clear. A dense retrocardiac opacity suggests left lower lobe atelectasis. Linear opacities across the left lung field represent discoid atelectasis, but no new confluent consolidations are noted in the left lung. The heart size is top normal, although assessment is limited in this ap radiograph. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Again seen is a port-a-cath catheter with the tip ending at the level of the lower svc. There is no evidence of abdominal free air.
<unk>-year-old male with severe abdominal pain. evaluate for evidence of free air or any other acute cardiopulmonary process.
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Lines and tubes: unchanged position of right picc, enteric tube and right-sided chest tubes. Lungs: lower lung volumes with no interval change in the right paramediastinal and lower lobe opacities. Pleura: unchanged right pleural effusion. There is no right pneumothorax status post water seal placement of the chest tubes. Mediastinum: unchanged cardiomediastinal silhouette. Bony thorax: no change.
<unk> year old man s/p redo anastamosis esophagectomy with chest tubes, now to waterseal // interval change
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Elevation of the right anterior hemidiaphragm is again prominent with streaky opacities suggestive of minor associated atelectasis. However, otherwise the lungs appear clear. Surgical clips project over the right breast. Incidental note is made of mild distention of the transverse colon.
lower extremity swelling.
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Heart size is normal. The aorta remains tortuous. Mediastinal and hilar contours are stable. Pulmonary vasculature is normal. Minimal subsegmental atelectasis is noted in the lingula. Mild elevation of the right hemidiaphragm is unchanged. Right axillary clips and tissue expander within the right chest wall are noted. Mild degenerative changes are seen in the thoracic spine.
history: <unk>f with surgical site infection
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Ap upright and lateral views of the chest were provided. The lungs are clear and well inflated. There is no sign of pneumonia, chf, effusion, or pneumothorax. The heart and mediastinal contour are normal, though calcification at the aortic arch is noted. Bony structures are intact. No free air below the right hemidiaphragm.
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Frontal and lateral chest radiograph demonstrates clear lungs bilaterally. The hilar and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
<unk>-year-old male with fever and headache.
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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.
history: <unk>m with chest discomfort // pna?
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Opacification in the left lower lobe and lingula consistent with pleural effusion and consolidation as seen on the concurrent ct. Linear opacification in the right middle lobe may reflect atelectasis or consolidation. No pneumothorax. Stable heart size and mediastinal contours.
history: <unk>f with cough/pna // acute process
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Supine portable chest radiograph was obtained. Endotracheal tube is in satisfactory position in the mid trachea. Nasogastric tube courses into the stomach and out of view. Lungs are low in volumes with resultant bronchovascular crowding; however, more increased opacification in the left base could reflect aspiration. No pneumothorax or pleural effusion is seen. Cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with intoxication, providing intubation, assess ett placement.
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Pa and lateral images of the chest demonstrate right picc line in place with tip in the low svc. There is no pneumothorax or other complication seen. There is some decreased lung volume, likely due to poor inspiration. The lungs are grossly unchanged from previous examination. There is some blunting of the costophrenic angles which could possibly be due to atelectasis or small pleural effusion. Cardiomediastinal silhouette is unchanged.
<unk>-year-old male with picc line placement.
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Left perihilar opacity is worrisome for pneumonia. Mild right base opacity is similar to prior, but increased compared <unk>, and could represent additional site of infection. No pleural effusion or pneumothorax is seen. The cardiac silhouette size is grossly stable. Mediastinum is grossly stable.
history: <unk>m with sob/cough/tachycardia // acute process
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Comparison is made to previous study from <unk> at <time> a.m. There is an orogastric tube whose side port is above the ge junction. This could be advanced several centimeters for more optimal placement. Bilateral deep brain stimulator devices are seen. The heart size is within normal limits. There is calcification of the thoracic aorta. There is some improvement of atelectasis at the right lung base. There remains some prominence of the pulmonary interstitial markings without overt pulmonary edema, unchanged. No pneumothoraces are identified.
<unk>-year-old man status post battery change for deep brain stimulator. evaluate nasogastric tube placement.
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Mild vascular congestion is present. Localized right infrahilar consolidation. Chain sutures are seen within left upper lobe consistent with prior partial left lung resection. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
fever and productive cough x<num> weeks. assess for pneumonia.
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Frontal views of the chest. Diffuse prominent reticular interstitial lung markings are consistent with known emphysema/interstitial lung disease. Increased pulmonary vascular markings and apparent cephalization are consistent with pulmonary vascular congestion with mild edema. Bilateral lower lobe opacities are most consistent with atelectasis. The heart size is normal.
<unk>-year-old male with hypotension and fever.
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As compared to the previous radiograph, there is no evidence of pneumothorax. The endotracheal tube and the nasogastric tube has been removed. There is a newly developed atelectasis in both the middle lobe and at the bases of the right upper lobe. An atelectatic change is also seen in the retrocardiac lung areas. The size of the cardiac silhouette is at the upper range of normal, but no evidence of pulmonary edema is present. The vertebral fixation devices are in constant position.
hypoxia, rule out pneumothorax.
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Fine detail is limited by the overlying soft tissues. The cardiac silhouette is unchanged and normal. Mediastinal contours are unremarkable. There is no pleural effusion, pneumothorax or airspace consolidation. The lung volumes are slightly lower than prior, resulting in crowding of the bronchovascular structures.
syncope, evaluate cardiomegaly.
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Compared to prior, there has been improvement of previously seen bilateral opacities. The lungs are mildly hyperinflated. There are residual linear opacities in the right mid lung, may represent impacted bronchi or atelectasis. There is no significant pleural effusion. The heart size is unchanged. The mediastinal and hilar contours are unchanged. A small sclerotic focus in the left humerus and diffuse sclerotic rib lesions likely represent metastatic foci.
<unk> year old man with severe persistent asthma with acute exacerbation // any change in previously noted opacities?
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The lung volumes are slightly low, with persistent slight elevation of the right hemidiaphragm, unchanged compared to prior studies. There is no pleural effusion, pulmonary edema, pneumothorax, or focal opacification worrisome for pneumonia. A left chest wall port-a-cath and tracheal stent device are unchanged in position. Vascular clips projecting over the right chest and cervical spinal fusion hardware is also unchanged in position. Multiple right-sided rib deformities are again seen.
history: <unk>f with hx tracheal stent, lower chest pain // eval for acute process
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Frontal and lateral views of the chest are obtained. Single-lead right-sided pacemaker is again seen with lead extending to the expected position of the right ventricle. The lungs remain hyperinflated, flattening of the diaphragms, which may be due to chronic obstructive pulmonary disease. There is a slight blunting of the left costophrenic angle, which may be due to a trace effusion. There has been interval decrease in the prominence of bilateral interstitial markings since the prior study. Chronic right upper lobe interstitial prominence may be due to scarring. No focal consolidation. No evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal and the aorta is calcified and tortuous.
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Pa and lateral views of the chest were provided. The lung volumes are low, though allowing for this, the lungs appear clear. Cardiomediastinal silhouette is normal. 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 moderate left apical pneumothorax that is new. There is volume loss at both bases. The et tube has been removed. Right ij line tip is in the right atrium. There is volume loss in both lower lungs
<unk> year old man // eval for pneumo
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In comparison with the study of <unk>, there is an endotracheal tube in place with its tip approximately <num> cm above the carina. Obliquity of the patient makes it difficult to compare the mediastinal structures. Cardiac silhouette appears to be enlarged with tortuosity of the aorta. Some elevation of pulmonary venous pressure. The basilar regions are very difficult to assess due to overlying soft tissues. The hemidiaphragms are not well seen, suggesting a combination of volume loss and pleural effusions bilaterally. Repeat study could be helpful. A nasogastric tube extends to the stomach.
critical as with prior chf after arrest.
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There is retrocardiac opacity compatible with volume loss/infiltrate/effusion. There is pulmonary vascular re-distribution. The heart is mildly enlarged. There is a small right apical pneumothorax.
altered mental status.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear of consolidation or effusion. Cardiomediastinal silhouette is stable. There is a suggestion of possible left lateral rib fractures; however, due to significant overlying soft tissues and ap technique, the acuity of these is uncertain. Dedicated rib series could be performed if clinically desired. There is no pneumothorax. Osseous structures are otherwise unremarkable.
<unk>-year-old female status post fall with tender along left lateral chest wall.
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Pa and lateral views of the chest were obtained. Since the prior exam, there has been no significant change. The right pleural effusion with right basal atelectasis is essentially stable. An air-fluid level in the right upper quadrant corresponds with a collection in the right hepatic lobe, better assessed on the prior ct scan. The left lung remains clear. No definite signs of new consolidation. No pulmonary edema. Overall, cardiomediastinal silhouette appears stable. Bony structures are intact.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough, asthma // r/o acute process
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Cardiomediastinal contours are stable in appearance with indwelling icd pacer leads unchanged. Pulmonary vascularity is normal considering low lung volumes. Homogeneous opacity persists adjacent to lower left heart border, with blunting of left costophrenic sulcus. Correlative ct of <unk> shows this is due to a prominent pericardial fat pad and not a pleural effusion. Right lung and pleural surfaces are clear.
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As compared to the previous radiograph, there is evidence of a mild-to-moderate left pleural effusion, with blunting of the left costophrenic sinus and partial left lower lobe atelectasis. A coexisting pneumonia, however, cannot be excluded. No other relevant changes. Borderline size of the cardiac silhouette without overt pulmonary edema. Vertebral stabilization devices are in unchanged position. The referring physician, <unk>. <unk> was not pageable at the time of dictation. Therefore, a notification by e-mail was performed, at the time of dictation and observation, <time> p.m., on <unk>.
chest discomfort, status post thoracotomy.
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Pa and lateral views of the chest. No focal consolidation or pneumothorax. Trace pleural effusions if any. Cardiomediastinal and hilar contours are normal.
vats blebectomy, pleurodesis, and discontinued chest tubes.
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An endotracheal tube terminates <num> cm above the carina. An enteric tube descends below the field of view. A right internal jugular catheter terminates in the upper svc. There is no pneumothorax or pleural effusion. Focal consolidation at the base of the left lung.
history: <unk>f with intubated xfer // check tube
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Streaky retrocardiac opacity suggests minor atelectasis or perhaps chronic scarring. Otherwise the lungs appear clear. There is no pleural effusion or pneumothorax.
syncope.
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Frontal and lateral views of the chest are obtained. A right-sided port-a-cath is seen, terminating in the distal svc. No pneumothorax is seen. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Degenerative changes are seen along the spine.
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Streaky opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest pain, fatigue, fevers, nausea, vomiting
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An endotracheal tube terminates <num> cm above the carina. An orogastric tube courses below the diaphragm, tip is seen in the gastric fundus. The cardiac silhouette is enlarged. Pulmonary vascular engorgement and pleural effusion have improved. There are small pleural effusions, if any. There is redemonstration of chronic pulmonary fibrosis, with superimposed bilateral diffuse opacities, worse at the right lower lobe and left upper lobe and progressed since prior examination, concerning for worsening multifocal pneumonia.
acute respiratory failure. question acute cardiopulmonary process.
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Large consolidation is seen overlying the right lung, likely involving the upper, middle and lower lobes. There is also patchy opacity involving the left upper lobe, lingula and left lower lobe to a lesser extent as compared to the right. Findings are worrisome for multifocal pneumonia. No large pleural effusion is seen, although there is subtle blunting of the right costophrenic angle and trace right pleural effusion is difficult to exclude. No pneumothorax.
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Swan-ganz catheter has been placed via a right internal jugular approach, and terminates in the interlobar portion of the right pulmonary artery. It could be withdrawn approximately <num> cm to terminate more centrally in the right hilar region. Cardiomediastinal contours are stable in appearance with prominent main pulmonary artery contour, likely due to provided history of pulmonary arterial hypertension. Mild interstitial edema is present within the lungs. Previously reported basilar lung opacities have improved.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough.fever // r/p pna
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Pa and lateral views of the chest provided demonstrate midline sternotomy wires. The lungs appear clear. No focal consolidation, effusion or pneumothorax is seen. Atherosclerotic calcifications are again noted along the aortic knob. The heart size is stable. Bony structures are intact. No free air below the right hemidiaphragm. There are no displaced rib fractures identified.
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Portable ap upright chest radiograph obtained. Suture material in the right mid and upper lung, as well as projecting over the right hemithorax, are again noted. There is a right sixth rib partial resection again seen. The left lung is clear, with possible minimal subsegmental left lower lobe atelectasis. There is right pleural effusion, which is overall unchanged in distribution and size. There is extensive scarring in the right lung, which is not significantly changed from prior exam. Please note, given the extent of underlying distortion and scarring, a subtle pneumonia would be impossible to exclude. The overall cardiomediastinal silhouette appears grossly stable. No acute bony abnormalities are seen.
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The heart is again mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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Pa and lateral views of the chest. There is subtle opacity at the left lung base laterally which partially obscures the left heart border with focal opacity confirmed on the lateral view. Blunting of the posterior costophrenic angles may be due to small effusions. Elsewhere, the lungs are clear. The cardiac silhouette is moderately enlarged. There is a <num> mm rounded density projecting over the left lung laterally which is likely calcified given density and could represent a calcified granuloma. No acute osseous abnormalities.
<unk>-year-old female with cough and green sputum.
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Ap view of the chest provided. Vague opacities are seen in the left upper lobe, likely postoperative. There is a small left apical pneumothorax, again expected in the immediate postoperative setting. Left-sided chest tube is noted. There is bibasilar atelectasis. There is no large pleural effusion.
<unk> year old woman postop day <num> status post left upper lobe wedge resection for spiculated mass. s
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is vascular congestion without frank pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax is appreciated. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with chest pain.
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Cardiomediastinal contours are stable with tortuosity of the thoracic aorta. Lungs are clear except for minimal scarring in the mid and lower lungs. No new areas of consolidation or pleural effusion are evident. Postoperative changes in the spine are again demonstrated as well as healed bilateral rib fractures, likely related to history of myeloma. High-grade compression deformity in the upper lumbar spine is also noted with similar appearance on ct chest of <unk>
<unk> year old man with myeloma // increasing cough. assess for pneumonia.
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A tracheostomy is in-situ. A left-sided internal jugular catheter and right-sided picc are unchanged in appearance compared to the prior study. An aortic valve prosthesis is also unchanged in appearance. Median sternotomy sutures are unchanged. Left lower lobe atelectasis and a layering left-sided pleural effusion are similar when compared to the prior study. The right lung appears grossly clear. No pneumothorax seen.
<unk> year old man with cabg/avr // check l sided eff
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Moderate cardiomegaly is stable. Mediastinal contours are unchanged. . Large right pleural effusion is stable. There has been interval increase in right lower lobe and right parahilar atelectasis. Retrocardiac opacity a combination of atelectasis and effusion is stable. Sternal wires are aligned. Mild subcutaneous emphysema is again noted. There is no pulmonary edema
<unk>m s/p ascending aortic replacement <unk> for type a dissection now re-admitted for hypoxia, known b/l pes.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
pain after a fall.
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As compared to the previous radiograph, the left pigtail catheter in the pleural space has been slightly advanced. There is no substantial change in the dimension of the left pneumothorax, that is best seen in the apicolateral aspects of the left hemithorax. Small air inclusions at the site of catheter insertion. Minimal flattening of the left hemidiaphragm. The appearance of the heart and the right lung are constant.
history of left pneumothorax, status post chest tube placement, evaluation for interval change.
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Previously visualized right apical pneumothorax is not appreciated on today's radiograph. Multiple right-sided rib fractures are noted, but better visualized on prior ct. Slightly more prominent opacification of the right lung base, likely related to atelectasis. Small right pleural effusion unchanged. Cardiomediastinal silhouette within normal limits.
<unk> year old man with mcc, with right rib fractures and a right apical ptx // please assess for interval change ( please do x-ray <unk>)
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The right-sided central line has been removed. Heart size is within normal limits. There is no focal consolidation, pleural effusions, or signs for acute pulmonary edema. No pneumothoraces are seen. There is mild wedging of <num> lower thoracic vertebral bodies, unchanged from the chest ct from <unk>
<unk> m with history of hcv cirrhosis s/p liver-kidney transplant in <unk> complicated by hepatic artery thrombus, biliary anastomotic stricture, perinephric abscess (mdr e.coli, cdiff) and recent episode of acute cellular rejection requiring change in immunosuppressants, as well as diabetes, recently started harvoni and ribavirin on <unk>, presenting from home with fevers and dry heaves. // is there any evidence of pneumonia?
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The heart size is normal. The aorta is mildly tortuous. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No focal consolidation is identified. No acute osseous abnormalities are present.
cough, shortness of breath, low-grade fever.
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As compared to the previous examination from <unk>, the patient has been extubated and has received a tracheostomy tube. Position of the tracheostomy tube is unremarkable. There is currently no indication for the presence of a pneumothorax or pneumomediastinum. Aortic stent graft is in unchanged position. Moderate cardiomegaly, low lung volumes, atelectasis at the left and right lung bases and minimal fluid overload.
ventilator and feeding dependency, evaluation of tracheostomy tube.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
history: <unk>m with chest pressure // acute cardiopulm process
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In comparison with the study of <unk>, there is now a left chest tube in place without evidence of pneumothorax. Post-surgical changes are seen on the left with elevation of the left hemidiaphragm and there is subcutaneous gas along the left lateral chest wall. Mild atelectatic changes are seen on the right.
lobectomy, to assess postoperatively.
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The nasogastric tube is not visualized within the thorax. Left sided picc remains in the upper svc. The lungs are otherwise unchanged in appearance with moderate cardiomegaly and unfolding of the thoracic aorta.
<unk> year old woman with h/o recurrent dvts and known pe and pneumoperitoneum concerning for possible bowel/stomach perforation. // confirm ngt correct placement; may have become dislodged.
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Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are similar. Mild pulmonary edema is not substantially changed in the interval. Minimal, if any, bilateral pleural effusions are present. No focal consolidation, or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine with mild loss of height of a vertebral body at the thoracolumbar junction. Marked degenerative changes are also seen involving both glenohumeral joints with a surgical anchor incompletely imaged within the left humeral head. Several clips are noted within the medial aspect of the right anterior chest wall.
history: <unk>m with alzheimer's presenting after syncopal episode
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Heart size appears moderately enlarged, similar to the prior study. The aorta and demonstrates atherosclerotic calcifications diffusely. There is mild pulmonary edema, worse in the interval with small bilateral pleural effusions, slightly increased on the right. Patchy opacities in the lung bases, more so on the right may reflect areas of atelectasis but infection is not excluded. There is no pneumothorax. Mild to moderate degenerative changes are noted in the thoracic spine.
history: <unk>f with likely chf exacerbation
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Underpenetration associated with soft tissue attenuation limits assessment. The patient is status post sternotomy. The cardiac, mediastinal and hilar contours appear unchanged. The heart size is difficult to assess due to a suspected cardiac fat pad, which also obscures the left lung base. Mitral annular calcifications are prominent. It does appear, however, that in the right lower lung there is increased opacity while streaky right mid lung opacities have resolved. It is difficult to exclude small pleural effusions. There is probably mild fluid overload but this may be at baseline.
leukocytosis and cough. frequent upper respiratory tract infection. history of chronic lymphocytic leukemia.
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With the patient's neck in flexed position, the tip of the endotracheal tube ends approximately <num> cm from the carina and is appropriate in position, right internal jugular line tip is at upper svc and orogastric tube courses below the diaphragm into the stomach, but its distal end is out of radiographic view. Since yesterday, the left mid and lower lung consolidation has improved. Increased retrocardiac density likely atelectasis and/or consolidation is no different. Heart size, mediastinal and hilar contours are stable.
pneumonia, to look for interval changes.
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The lungs are hyperinflated with attenuation of vascular markings towards the apices compatible with known emphysema. Lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>f with shortness of breath, dyspnea on exertion
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Pa and lateral views of the chest were reviewed. There is severe cardiomegaly. The mediastinal and hilar contours remain stable. There is no pleural effusion or pneumothorax. Bibasilar opacities, right greater than left, may reflect atelectasis, although an underlying infectious process is not excluded. Mild vascular congestion is present. Again noted are right axillary surgical clips.
chest pain, shortness of breath.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There appears to be a right-sided aortic arch. The cardiac silhouette is not enlarged.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes. There has been interval resolution of the previously seen subtle reticulonodular opacities in the right upper lung. Again seen is a right lower lobe opacity which is more prominent on the current radiograph. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
<unk>-year-old female with history of breast cancer and recent pneumonia with ongoing shortness of breath and cough.
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In comparison with study of <unk>, there has been placement of a right pigtail catheter with some decrease in the amount of pleural effusion. Otherwise, little change except for some improvement in pulmonary vascular status. No evidence of pneumothorax.
right effusion with pigtail placement.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with epigastric pain, fever // fever, epigastric pain; eval for pna
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As compared to the previous radiograph, the lung volumes have slightly increased, reflecting improved ventilation. Although minimal atelectasis might be present at the lung bases, there is no clear sign of pneumonia. No pleural effusion. Scoliosis with subsequent asymmetry of the rib cage. Moderate cardiomegaly without pulmonary edema. No pneumothorax.
fever, rule out pneumonia.
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There is a new tracheostomy tube. The ng tube is been removed. The <num> left-sided chest tubes are unchanged. Left ij line tip is in the proximal svc. There is no change in appearance of the right lung. There continues to be moderate cardiomegaly the appearance of the left upper lobe is unchanged
<unk> year old man with trach // sp trach, placement
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Pa and lateral views of the chest are provided. There is increasing consolidation within the right lower lung which is concerning for pneumonia and atelectasis. There is slightly increased atelectasis at the left lung base. The upper lungs appear well aerated. The heart size is stable and normal. Mild hilar prominence is unchanged. There is no pneumothorax. Bony structures are intact.
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Since the prior examination there has been interval re-development of a large left-sided pneumothorax with suggestion of tension and mild rightward displacement of the mediastinal structures. A left apical chest tube remains in place. There is extensive left-sided subcutaneous emphysema with tracking along the pectoralis. There is no right pneumothorax or pleural effusion. The cardiomediastinal and hilar contours are otherwise stable. There are no new focal occurring opacities concerning for pneumonia. Pulmonary vascularity is not increased.
<unk>-year-old female with status post rib fracture with left chest catheter. with decreased oxygenation. evaluate for pneumothorax.
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Due to the technique of the film, it is difficult to visualize the ng-tube in its entirety. The distal portion is seen within the stomach likely within proximal port above the gastroesophageal junction. Contrast is seen in the colon.
displaced ng tube.