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Cardiomediastinal and hilar contours are unremarkable. Minimal bibasilar and right mid lung atelectasis noted. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax identified. Suggestion of pleural thickening bilaterally corresponds with extrapleural fat on prior ct. No osseous abnormality evident.
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shortness of breath. new t-wave inversions, evaluate for pneumothorax, pneumonia or aortic contour abnormality.
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As compared to the previous radiograph, the extent of the moderate right pleural effusion is unchanged. On the left, the effusion has decreased in extent and the ventilated portions of the left lung have increased. No new parenchymal opacities. Unchanged course of the left pectoral pacemaker wires.
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tachypnea, hypoxia, evaluation for pneumonia.
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In comparison to prior examination, there has been significant reduction in the large right-sided pleural effusion. A chest tube is now seen at the right lung base. There is an equivocal pneumothorax of the right lung. The left lung remains essentially clear. Cardiomediastinal silhouette and hilar contours remain unchanged and are unremarkable.
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Frontal and lateral views of the chest demonstrate left pic catheter tip projecting over mid svc. Right-sided pic catheter has been removed. Lung volumes are low, exaggerating the caliber of normal vessels. Lungs are clear except right basal scarring or atelectasis around bronchiectasis. Moderate cardiomegaly and a generally large and tortuous aorta are chronic. No pleural effusion or pneumothorax is seen. Right lung base opacities are noted.
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altered mental status, assess for pneumonia.
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The patient is status post median sternotomy and cabg. Mild cardiomegaly is demonstrated. The aortic knob is calcified. Mediastinal contours otherwise are unremarkable. There is mild perihilar haziness and vascular indistinctness compatible with mild pulmonary edema. Small bilateral pleural effusions are noted with bibasilar airspace opacities likely reflective of compressive atelectasis. No pneumothorax is seen though assessment of the lung apices is somewhat obscured due to the patient's chin projecting over this region. Deformity of the left proximal humerus is partially imaged and reflective of a remote healed fracture.
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congestive heart failure, elevated troponin, dyspnea.
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Previously seen multifocal pneumonia has slightly improved. Left mild pleural effusion is unchanged, and low lung volumes persist. The cardiac silhouette is mildly enlarged, accentuated by the portable radiograph technique. The right ij central venous line ends at approximately the cavoatrial junction, and the gastric tube ends in the stomach. Et tube seems to end in the right main stem bronchus. Median sternotomy wires are intact. Impression: mild improvement in multifocal pneumonia. Et tube appears to end in right mainstem bronchus. Findings were conveyed to dr. <unk> <unk> telephone on <unk> at approximately <time> a.m. By dr. <unk> <unk> following discovery.
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<unk>-year-old man with multifocal pneumonia, intubated. please evaluate interval change.
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Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Vascular catheter remains in place, unchanged in position.
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There is bibasilar atelectasis. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No definite osseous abnormality is identified.
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trauma, hit by a bus, evaluate for rib fractures.
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Single portable frontal image of the chest. Et tube is in adequate positions. Ng tube passes into the stomach, but distal tip not included on the image. The lungs are well expanded. Bibasilar opacities are seen, likely representing atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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overdose on seroquel, intubated at osh.
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The left infrahilar opacification with poor definition near the left heart border is consistent with previously described mass and appears larger compared to <unk>. There is volume loss and/ or consolidation at the lingula. Parenchymal opacity at the right lung base is similar to prior. Cardiomediastinal silhouette is unchanged.
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<unk> year old man with hx of scca lul with decreased breath sounds lll, possibly new // assess for obstruction to lll bronchus with lll atelectasis vs new left pleural effusion
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Diffuse asymmetric interstitial changes, worse on the left and at the right apex, are unchanged over multiple prior studies. There is again prominence of the left hilum which is better evaluated on ct chest <unk>. The cardiac silhouette is stable. There is no pneumothorax. There is no pulmonary edema.
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history: <unk>m with liver failure, sob // any vascular congestion, fluid overload
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In comparison with study of <unk>, there has been the development of left pleural effusion seen on the lateral view. Otherwise, there is no evidence of vascular congestion or acute focal pneumonia. The pheresis right subclavian line again extends to the region of the cavoatrial junction.
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cough, to assess for pneumonia.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Patchy opacities in the lung bases may reflect aspiration, atelectasis or pneumonia. No pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. No acute osseous abnormalities detected.
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seizure, confusion.
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An enteric tube is in unchanged position with the tip in the stomach. A right internal jugular central venous catheter is unchanged with the tip in the mid svc. Again, there is bibasilar atelectasis, greater on the left than the right. No new opacities identified. There is no definite pleural effusion. There is no pneumothorax. The pneumatocele at the right base is unchanged. The mediastinal contours are normal in size. The heart size is at the upper limits of normal. Again, there is a small amount of pneumomediastinum, though it appears to have decreased since the prior exam.
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small-bowel obstruction. evaluate for change.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with r chest pain // acute process?
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Pa and lateral views of the chest provided. There are linear opacities in the left lower lobe likely representing subsegmental atelectasis. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen.
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history: <unk>f w no significant pmh w intermittent sob. // does she have any cardiopulm abnormalities?
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The thoracic aorta is mildly calcified and tortuous, similar to prior exam. Otherwise, the cardiomediastinal silhouettes are unchanged and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>-year-old man with hypertension, evaluate for pneumonia.
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A right-sided port-a-cath terminates in the right atrium. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The mediastinal and hilar silhouettes are normal.
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<unk> year old woman with pancreatic cancer and an osh port. eval poc.
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Severe cardiomegaly is a stable. The aorta is tortuous. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old woman with cough // eval for pneumonia, aspiration
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Since the prior exam, the bibasilar consolidations have improved. No new opacity is identified to suggest pneumonia. Small bilateral pleural effusions are unchanged. No pneumothorax is identified. The cardiomediastinal silhouette is mildly enlarged. A left pacemaker with leads in the right atrium and right ventricle is unchanged.
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atrial fibrillation with rapid ventricular response and an elevated white count. evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is a feeding tube in place with its tip at the ge junction. Advancement is recommended to ensure tip positioned in the stomach. Lungs are clear. There is no focal consolidation, large 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 fevers, sob // pna
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Cardiomediastinal contours are normal. Bibasilar atelectasis larger on the left side are grossly unchanged. New faint opacities in the right perihilar region could represent infection given the clinical symptoms. There is no pneumothorax or pleural effusion. Port a cath tip is in the cavoatrial junction. Catheter in the left upper quadrant of the abdomen is in place.
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<unk> year old woman with fever // eval for pna
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In comparison with the study of <unk>, the hemidiaphragms are less sharply seen with increased opacification at the left base. Findings are consistent with pleural fluid and volume loss in the lower lobes in a patient with low lung volumes. In the appropriate clinical setting, supervening pneumonia would have to be seriously considered. No evidence of vascular congestion or abnormality involving the upper zones.
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fever, to assess for pneumonia.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Two transvenous pacemaker leads, continuous from the left pectoral generator, are unchanged in position since <unk> when they were newly inserted. The right atrial lead follows the usual course. The right ventricular lead is oriented obliquely upward to the anterior wall of the right ventricle at the origin of the pulmonary outflow tract. Moderate right pleural effusion and thickening, are chronic, accounting for stable volume loss in the right lung since <unk>. There is no left pleural effusion, pneumothorax, or mediastinal widening. Mild cardiomegaly is chronic. Previous mild pulmonary edema in the right lung has changed in distribution but not entirely cleared, and pulmonary vascular congestion persists.
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<unk>-year-old female with recent pacemaker placement and left upper extremity swelling.
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The lungs are clear, the cardiomediastinal shilhouette and hila are normal. There is no pneumothorax and no large pleural effusion.
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<unk>-year-old with cough.
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The right lung is clear. Patient is status post left lower lobectomy. There is elevation of the left hemidiaphragm, unchanged. Retrocardiac and lateral left basilar opacity laterally is not definitely changed and may be due to scarring. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is unchanged. There are calcifications of the aortic knob. The bones are again notbale for thoracotomy chages, left <num>th rib not seen posteriorly.
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<unk>-year-old female with copd. evaluate for pneumonia.
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Again seen is a right hydropneumothorax, and associated right chest wall subcutaneous emphysema, that is not significantly changed when compared to the most recent study. Right lung and lower left lobe opacities are grossly unchanged though appear slightly more consolidated on today's study which is likely secondary to positional changes. Small to moderate left pleural effusion is unchanged right chest tube remains unchanged in position terminating at the apex of the lung. A dobhoff tube remains unchanged in position.
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<unk> year old woman with ptx s/p r chest tube placement // evaluate for evolution of ptx
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The previously malpositioned dobbhoff catheter has been removed and replaced by a new catheter. The course of the new catheter is unremarkable, the tip of the catheter projects over the distal parts of the stomach. There is no evidence of complications, notably no pneumothorax. The pre-existing parenchymal opacities in the lung and the left pleural effusion appear to have decreased minimally.
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stroke, dobbhoff placement.
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There is increased opacification of the right lung base suggestive of an early developing infectious process. Minimal opacity is also noted in the left lung base and likely atelectasis. Right pleural effusion has resolved with a small left pleural effusion may now be present. Moderate cardiomegaly is stable. No acute fractures are identified.
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chf and copd with worsening dyspnea.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Right lung base opacities are slightly more conspicuous since prior.
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patient with shortness of breath.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacity at the bilateral lung bases may be due to scarring, unchanged. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with multiple abscesses. rule out infiltrate.
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Cardiac silhouette size is top normal. The mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
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history: <unk>f with dyspnea on exertion, dizziness
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Ap upright and lateral views of the chest provided. The lungs appear hyperinflated. 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 lightheadedness // eval for infiltrate
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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.
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epigastric pain and shortness of breath.
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Pa and lateral views of the chest were provided. The lung volumes are low, though allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacity in the left lung base is new from prior, and may relate to scarring as there are multiple chronic rib deformities noted in the left chest wall. Right lung is clear. No focal consolidation, pleural effusion or pneumothorax is seen. Fusion hardware within the cervical spine is incompletely assessed.
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history: <unk>f with history of chf presents with left arm, pain, swelling
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Vague opacities projecting over lung bases on the frontal view and are likely due to overlying soft tissues. The lungs are clear of consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
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<unk>f with chest pain and cough after breathing fumes in apartment // eval edema
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As compared to the previous radiograph, there is no relevant change. No acute process on the current chest x-ray, notably no evidence of pneumonia, pulmonary edema, pleural effusions, or pneumothorax. Minimal scars at the level of the right hilus persist, there is unchanged evidence of small calcified granulomas in the right upper lobe. Minimal flattening of the hemidiaphragms on the lateral image, mild tortuosity of the thoracic aorta.
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rule out acute process.
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In comparison with study of <unk>, the left ij swan-ganz catheter again extends well into the left pulmonary artery. This could be withdrawn a few centimeters for standard positioning. Otherwise, little change in the diffuse bilateral pulmonary opacifications.
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volume status and signs of infection.
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Veil like opacity overlying the right lung is consistent with known moderate right hemothorax. No pneumothorax is seen on this supine radiograph. The cardiac and mediastinal silhouettes are unremarkable.
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<unk>m with stab wound // trauma
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Endotracheal tube remains in standard position. Tip of nasogastric tube is in the region of the gastroesophageal junction and could be advanced several centimeters for standard positioning. Left-sided chest tube remains in place, terminating at the left apex with no definite pneumothorax. Cardiomediastinal contours are stable in appearance. Improving opacities at both lung bases with residual patchy and linear opacities which may reflect residual atelectasis or resolving aspiration.
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The newly placed left pacemaker defibrillator has <num> tip in the right atrium the other in the expected region of right ventricle. A right ij catheter tip projects over the expected region of the proximal right atrium, unchanged. Lung volumes remain low. A large right pleural effusion with compressive atelectasis has slightly increased in the interim. Left pleural effusion with compressive atelectasis appears to increased in the interim. There may be a tiny right apical pneumothorax. No evidence of tension. Cardiomegaly, unchanged.
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<unk> year old man s/p dual chamber icd. // assess lead placement and r/o ptx.
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Blunting of the left costophrenic angle may reflect focal atelectasis or trace pleural fluid. Left retrocardiac airspace opacity appears slightly more conspicuous compare to prior. The upper lung fields are clear bilaterally. There is no right pleural effusion, pneumothorax, or frank pulmonary edema. The heart remains mildly enlarged. The descending thoracic aorta is ectatic, and calcifications are seen at the aortic arch. Multilevel degenerative changes are noted throughout the visualized thoracic spine.
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<unk>f with weakness // eval chf, infiltrate
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Aeration of the right middle lobe is improved since <unk>. Right middle and lower lobe opacities persist consistent diagnosis of pneumonia. Small right greater than left pleural effusions are stable from <unk>. No pneumothorax.
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<unk>f with chest pain // please eval for infiltrates, pneumo
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Hyperinflated lungs and vascular deficiency, mostly in the upper lobe zones, due to emphysema. Greater radiodensity in lower lungs is likely due to physiologic redistribution of blood. There is no focal consolidation, effusion, or pneumothorax. Specifically, there is no evidence of intrathoracic metastatic disease. Scarring in the left suprahilar area accounts for elevation of left hilus compared to the right. Mediastinal and cardiac silhouettes are normal. Old rib fractures on right.
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<unk> year old man with history of bladder cancer, smoking history // please evaluate for suspicious nodules concerning for metastatic disease
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. Mid thoracic spine degenerative disease is mild.
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Stability since <unk> of right upper lobe pneumonia and mediastinal mild widening. If we compare to <unk>, the consolidation is denser. The left lung is unremarkable. Right mild pleural effusion is stable. There is no pneumothorax. Mediastinal drain is unchanged. Cardiac contour is within normal limits.
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patient with gastric cancer and mediastinitis, evaluation for change.
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There may be mild left base atelectasis without definite focal consolidation. There may be minimal scarring along the lateral right upper hemi thorax. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with uri symtpoms, pleuritic chest pain. // rule out pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated but clear noting interval resolution of previously identified left lung consolidation. Cardiomediastinal silhouette is unchanged. Right-sided venous stent is again noted. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with altered mental status.
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Compared with prior radiographs on <unk>, there has been interval placement of an ng tube, which is looped in the stomach, with the tip terminating near the gastroesophageal junction. The visualized portions of the lung bases appear unchanged. Mediastinal silhouette is unchanged.
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<unk> year old woman with stroke, new ng tube placement, please do @ <time> // ngt placement
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old female with chest pain.
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As compared to the previous radiograph, the monitoring and support devices are constant and in good position. Mild cardiomegaly. Asymmetric right greater than left pulmonary interstitial edema has improved in is now mild. Bibasilar atelectasis, right greater than left. . No pneumothorax.
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<unk> year old man with respiratory failure, cirrhosis and ams, currently intubated // eval for interval change
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Single frontal view of the chest. Tracheostomy and right-sided central venous catheter are stable. Left picc is now oriented appropriately, terminating in the upper-mid svc. Pulmonary vascular markings are more indistinct in comparison to the prior exam with increased vessel engorgement. Moderate-sized right pleural effusion with adjacent atelectasis is stable since the prior exam. Left lower lobe collapse and small left pleural effusion are stable. The cardiomediastinal contours are unchanged.
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fever.
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As compared to the previous radiograph, there is no relevant change. Extensive post-surgical left lung changes with reduction in volume of the left hemithorax, extensive probably post-tuberculous changes in the right apex, known moderate parenchymal changes at the left lung bases. No new focal parenchymal opacity. Normal size of the cardiac silhouette.
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chronic heart failure, lung cancer.
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Enteric tube tip is seen within the gastric body, side-port just past the ge junction. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. High-density material in the colon is likely from recent enteric contrast administration.
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<unk>f with sbo s/p ngt placement // confirm position of ngt
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There is a retrocardiac opacity best seen on the lateral view concerning for pneumonia or aspiration. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
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<unk>-year-old woman with shortness of breath and cough, evaluate for pneumonia.
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Interval resolution of the previously demonstrated superior right lower lobe and left mid lung opacities. Redemonstrated is right-sided volume loss and a small pleural effusion, in addition to postsurgical changes seen following right upper and middle lobectomies. Again seen is a posterior right rib resection, stable in appearance. There is no new, focal consolidation, pneumothorax, or pulmonary edema. The heart is normal in size. Mediastinal contours are stable.
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recent egd with likely aspiration pneumonia, <num> weeks prior. assess for interval change.
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Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. A heterogeneous opacity overlying the lower thoracic spine on the lateral radiograph could be atelectasis, although pneumonia cannot be excluded. The lungs are otherwise clear. Heart size is normal. The descending thoracic aorta is tortuous, as before. The mediastinal contours are otherwise normal. There is a small right pleural effusion. No pneumothorax is seen. Elevation of the right hemidiaphragm is chronic. Old right posterior rib fractures are again seen.
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fever and abdominal pain. evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Partially visualized hardware in the lumbar spine noted. No free air below the right hemidiaphragm is seen.
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<unk>f with appendicitis // pre-op
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Comparison is made to previous study from <unk>. The heart size is normal. There is atelectasis at the lung bases without focal consolidation. No pleural effusions or pneumothoraces are identified. Bony structures are intact.
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Ap and lateral views of the chest are compared to previous exam from <unk>. There is blunting of the right costophrenic angle suggestive of an effusion. There is also likely a small left effusion as well. There is mild pulmonary edema. Significant cardiomegaly is again noted. Dual-lead pacing device is in unchanged position. No acute osseous abnormality is detected.
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<unk>-year-old male with fatigue and volume overload.
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Low lung volumes likely exaggerate crowding of bilateral vasculature. Increased bilateral pulmonary edema with associated mild widening of the vascular pedicle. Stable right and left extrapleural mass with associated rib destruction. There is no pneumothorax or pleural effusion. Cardiac size is mildly enlarged but stable. Cervical thoracic fusion hardware partially visualized and appears intact. Right port-a-cath tip in the upper right atrium. Osseous lesions better seen on recent ct.
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<unk> year old woman with multiple meyleom admitted with worsening respiratory distress and cough and tachycardia // eval respiratory distress
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The patient is status post median sternotomy. The cardiac size is enlarged, and there is mild engorgement of the vasculature. Bibasilar opacities in context of low lung volumes likely representing atelectatic change. No focal consolidations concerning for pneumonia. There are no pleural effusions and there is no pneumothorax.
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two days of fever, rule out acute cardiopulmonary process or fluid overload.
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Pa and lateral chest radiograph demonstrate minimal atelectasis versus scarring at the left lung base. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. Patient is status post posterior spinal fusion of the lower thoracic spine and visualized lumbar vertebrae. Osseous structures are otherwise unremarkable.
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<unk>-year-old male with dyspnea on exertion.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear without focal consolidation concerning for pneumonia.
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<unk>-year-old male with acute cholecystitis, preop examination.
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As compared to the previous radiograph, the nasogastric tube has been removed. The other monitoring and support devices are constant. Unchanged lung volumes. Minimal right pleural effusion that has newly appeared. Minimal atelectasis at the right lung base. Unchanged size of the cardiac silhouette. Unchanged appearance of the left lung.
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evaluation for interval change.
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There is minimal interstitial edema. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There may be a hiatal hernia.
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history: <unk>f with edema // r/o chf
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. A right pectoralis dual lead cardiac pacemaker is unchanged in position with leads projecting over the expected locations of the right atrium and right ventricle.
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<unk>m w/ cp x<num>h approx. <num>h prior now cp free.
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Linear opacity in the right midlung is most suggestive of atelectasis versus scarring. There is no consolidation worrisome for pneumonia. Cardiomediastinal silhouette is within normal limits. Tortuosity seen of the descending thoracic aorta. Mild anterior height loss of a lower thoracic vertebral body is age indeterminate.
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<unk>m with stroke sx, rule out infxn // eval for pneumonia
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There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar opacities likely represent atelectasis and are are slightly increased at the right base. The cardio mediastinal silhouette is unchanged. A left picc terminates in the mid svc. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>f with cp // evidence of pneumothorax or pneumonia
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Lung volumes are normal. Streaky bibasilar opacities most likely represent atelectasis. No focal consolidation to suggest pneumonia. There is no pneumothorax or pleural effusion. Heart size is normal.
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history: <unk>m with cough // evaluate for pneumonia, acute process
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Heart size is normal. Again noted are bilateral central perihilar opacities which are slightly improved on the right, but slightly worse on the left. There is no pleural effusion or pneumothorax. A right picc remains in place in the low svc. An endotracheal tube is in appropriate position, <num> cm cranial to the carina. An ng tube is in appropriate position with tip in the distal stomach.
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traumatic brain injury.
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Mild enlargement of the cardiac silhouette has slightly increased in the interval. The mediastinal contours are unremarkable. Mild pulmonary vascular congestion is new from the prior study. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities seen.
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history: <unk>m with ekg changes
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Cardiomediastinal contours are stable. Appearance of the lungs is similar to the prior study with no new areas of consolidation to suggest presence of pneumonia. There are no pleural effusions or acute skeletal changes. Mild elevation of left hemidiaphragm is again demonstrated.
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<unk> year old man with acute productive cough. lungs are clear, but pls eval for occult pna. // eval for pneumonia
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Since earlier same day chest radiograph, opacities in the right middle and right lower lobe appear less obvious but continue to persist, and in the right clinical setting can be concerning for developing pneumonia. Moderate cardiomegaly is unchanged. No evidence of pneumothorax.
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<unk> year old man with subdural hemorrhage, p/w confusion, infiltrate seen on prior cxr but low lung volumes - // opacity - pna vs aspiration
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There are moderate right and small left pleural effusions. Pulmonary edema is mild. Right lower lobe is severely atelectatic. . The hilar and upper cardiomediastinal contours are normal. There is no pneumothorax. . There is a right picc terminating at the cavoatrial junction.
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<unk>-year-old woman currently being treated for urosepsis with iv antibiotics via picc, transferred from rehab facility for concerning lesions on left. the patient has no respiratory symptoms, is afebrile, and is without leukocytosis. evaluate picc positioning.
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a minimal interstitial abnormality that appears less prominent than on the earlier examination. Otherwise, the lungs appear clear. There are no definite pleural effusions or pneumothorax. The chest is hyperinflated. Surgical clips project along the base of the left neck. There is no evidence for free air. Mild rightward convex curvature centered along the lower thoracic spine is similar. The bones are probably demineralized. Slight degenerative changes are similar along the thoracic spine.
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vomiting.
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The patient is slightly rotated. The lungs are clear without a focal airspace consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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altered mental status.
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Bilateral pigtail pleural catheters are in unchanged position. Right picc line terminates at mid to low svc. Cholecystostomy tube is in place. Sternotomy wires are intact. Moderately enlarged cardiac silhouette is exaggerated by the low lung volumes. There is small loculated right pleural effusion. Left pleural effusion is minimal, if any. There is no pneumothorax.
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<unk> year old man with bilateral loculated pleural effusions s/p b/l chest tube placement // interval change
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. The patient is examined in upright position using pa and lateral views. In comparison with the next preceding portable chest examination, the mostly basally located hazy densities have decreased. The left lung base remains obscured by the heart shadow. No new pulmonary abnormalities are identified. Comparison is extended to the pa and lateral chest examination of <unk>. The previously existing bilateral pleural effusions have clearly improved and only a minor degree of elevation and blunting of the posterior pleural sinus remains. No new parenchymal infiltrates are seen. Previously described cardiac enlargement, status post sternotomy and multivessel bypass surgery with metallic surgical clips in unchanged position. No pneumothorax is identified and the position of the previously described dual-lumen hemodialysis catheter advanced via the right internal jugular approach remains unchanged, terminating in the lower svc.
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<unk>-year-old male patient with pleural effusion. evaluate.
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The right picc tip now appears to terminate in the right atrium and should be retracted <num> cm to place in the low svc. A tracheostomy tube is unchanged in position. Multiple mediastinal wires are aligned and intact. A tricuspid valve ring is noted. In comparison to the most recent prior study, there has been interval right thoracentesis with significant decrease in size of right pleural effusion, now with small residual pleural fluid in the right lung base. The right lung is well aerated. No pneumothorax is detected. The left lung base demonstrates persistent opacification, likely a combination of pleural fluid and underlying atelectasis. Mild residual atelectasis is present in the right lung base. There is persistent mild pulmonary edema. The cardiomediastinal silhouette is stably prominent.
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status post right thoracentesis, here to evaluate for pneumothorax and evidence for lung reexpansion.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with cough, recent fever // eval for pneumonia eval for pneumonia
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| null |
Lordotic positioning. Previously seen picc line is no longer present. The heart is not enlarged. The cardiomediastinal silhouette is within normal limits, allowing for mild unfolding of the ascending aorta. No chf focal infiltrate or effusion is detected. Within the limits of plain film radiography, no hilar mediastinal lymphadenopathy or pulmonary nodule is detected. Calcified granulomas reported on the <unk> chest ct are not appreciated radiographically.
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<unk> year old woman with disc herniation // pre op surg: <unk> (discectomy)
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| null |
An endotracheal tube terminates <num> cm above the carina. An enteric tube courses below the diaphragm, the tip is not included in this examination. There is mild distension of the upper stomach. Mild cardiomegaly remains unchanged since <unk>. Low lung volumes accentuate the bronchovascular structures. Increased opacity at the left lung base could be related to a small amount of pleural fluid or could represent a more focal finding, such as early developing pneumonia. There is engorgement of the mediastinal veins. There is no pulmonary edema.
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<unk>-year-old man with ethanol cirrhosis, esophageal varices status post tips presenting with hematemesis. study requested for confirmation of og tube.
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Pa and lateral views of the chest were provided. The lungs are clear and well inflated. No signs of pneumonia or chf. No pleural effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact.
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Overlying ekg leads are noted. Heart is normal size and cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Imaged osseous structures appear intact. No free air below the right hemidiaphragm.
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<unk>f with chest pain // eval for cardiopulmonary process
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Heart size is borderline enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. No acute osseous abnormality is visualized.
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history: <unk>m with infectious arthritis // pre op
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with cough fever // cough fever
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Frontal and lateral chest radiographs demonstrate clear lungs with no focal consolidation. Patient is status post left lower lobe wedge resection with associated volume loss. When compared to chest radiograph dated <unk>, lung volumes are improved. There is persistent deviation of the trachea rightward secondary to tortuous ascending aorta demonstrated on recent ct dated <unk>. Heart, mediastinal and hilar contours are otherwise within normal limits. There is a moderate left somewhat loculated pleural effusion. There is no right pleural effusion. There is no pulmonary edema or pneumothorax.
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<unk>-year-old male with pulmonary nodule status post vats which biopsy. assess for interval change.
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The lungs are clear. There is no pneumothorax. The right hemidiaphragm is eventrated. Sternotomy wires are intact and aligned. A left pectoral pacemaker sends leads to the right atrium and right ventricle. Incidentally, the right ventricular lead curves upward, as opposed to along the floor of the ventricle as is typically seen.
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<unk> year old man s/p pacemaker // confirm lead placement
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Lung volumes are slightly decreased. Blunting of the costophrenic sulcus posteriorly on the lateral view may suggest the presence of trace pleural thickening or pleural effusions. There is no focal consolidation or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Slightly widened mediastinum with unfolding of the thoracic aorta is similar. Moderate-to-severe cardiomegaly is unchanged. There are moderate calcifications of the aortic knob.
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history: <unk>m with weakness, abdominal pain
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Diffuse reticular and nodular opacities bilaterally are unchanged from the prior study. More focal opacity in the lingula has slightly increased from <unk>, but is similar to <unk> and may represent a waxing and waning abnormality. There is no new consolidation, and no pleural effusion or pneumothorax. Biapical pleural thickening is unchanged. The cardiac and mediastinal silhouettes and hilar contours are stable.
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bronchiectasis with new worsening cough and sputum. evaluate for pneumonia.
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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.
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fever.
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| null |
Ap view of the chest. There are new bilateral patchy opacities, mainly central and in the lower lobes. There is a more confluent opacity in the left mid lung. There are new moderate bilateral pleural effusions, right greater than left. No pneumothorax. The heart is not well evaluated.
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shortness of breath.
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Heart size is mildly enlarged. There is no pleural effusion or pneumothorax. The thoracic aorta is mildly tortuous. There is streaky retrocardiac opacity, not largely changed from <unk>, most compatible with atelectasis. No definite focal consolidation seen. Surgical clips noted at the left lung apex. No acute osseous abnormality is seen. Multiple thoracic compression deformities, not significantly changed from <unk>.
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<unk>f with dyspnea, cough, evaluate for pneumonia..
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As compared to <unk> chest radiograph, cardiomegaly and tortuosity of the thoracic aorta appear unchanged. Right-sided partially loculated pleural effusion appears slightly increased in size with adjacent increased opacity at the right lung base. Small left pleural effusion is new.
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<unk> year old man with dyspnea and cough // r/o chf, r/o pneumonia
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormality is identified.
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<unk>-year-old male with back pain radiating to the chest. question widened mediastinum.
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In comparison with the study of <unk>, the opacification at the right base has decreased and the right heart border is now visible. This most likely reflects glaring consolidation or possible area of volume loss. There are areas of atelectatic change at the bases, though no evidence of acute focal pneumonia or vascular congestion at this time.
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pancreatic cancer and septicemia, now with possible previous pneumonia.
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The lung volumes are slightly increased compared to prior. Increased interstitial opacities represent new mild pulmonary edema. A right lower lung opacification may represent pulmonary edema and a pneumonia is less likely considering similar appearance on prior exams. Moderate cardiomegaly is stable. The mediastinal contours are stable. Stable calcifications of the aortic arch. Interval decrease in moderate left pleural effusion and small right pleural effusion.
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<unk> year old man with chf, aspiration // r/o pneumonia
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