ChayanM/MIMIC-MultiView-Findings-Query_Optional

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A port-a-cath terminates in the superior vena cava. 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.

known breast cancer with metastatic disease. question infection.

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There are low lung volumes resulting in crowding of the bronchovascular structures. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.

fever, evaluate for pneumonia.

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The endotracheal tube ends <num>-<num> cm above the carina. A nasogastric tube terminates in the stomach. A right internal jugular line ends at the cavoatrial junction. There is marked bilateral interstitial abnormality and diffuse parenchymal opacity consistent with moderate pulmonary edema. There are small bilateral pleural effusions. No pneumothorax is identified. The cardiac and mediastinal contours are stable.

<unk> year old woman with chf, intuabted // eval for edema

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Right pectoral port-a-cath. Borderline size of the cardiac silhouette. No pleural effusions.

three months of cough, evaluation for pneumonia.

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There is no focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits.

<unk>-year-old female with fever.

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Portable semi-upright radiograph of the chest demonstrates hyperexpanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. The right-sided internal jugular central venous line ends at the cavoatrial junction. No pneumothorax.

<unk> year old woman s/p renal transplant. eval line position. // eval placement r ij. retracted <num>cm upon arrival to pacu (since prior film)

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There has been interval placement of a left-sided internal jugular central venous catheter terminating at the proximal svc/brachiocephalic-svc junction. Low lung volumes persist and there are increasing perihilar opacities worrisome for worsening pulmonary edema. Bilateral pleural effusions are again seen. Again, left base retrocardiac opacity is seen which may be due to combination of pleural effusion and atelectasis; however, underlying consolidation due to infection or aspiration is not excluded. There is no evidence of pneumothorax.

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Interval placement of a right central venous line, which ends at the svc/ra junction. Endotracheal tube terminates <num> cm above carina may be pulled back <num> cm for more standard positioning. A right upper lobe consolidation is unchanged from the study <num> hours prior.

history: <unk>f with s/p central line placement, ett drawn back // eval central line placement, ett 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. No pulmonary edema is seen.

productive cough.

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Comparison is made to previous study from <unk>, at <time> a.m. There has been placement of an endotracheal tube whose distal tip is <num> cm above the carina. There is unchanged left-sided chest tube. A tiny left apical pneumothorax is seen. A feeding tube device is seen with the distal tip just below the ge junction. This could be advanced a few centimeters for more optimal placement. There is improved aeration at the right base where there are areas of consolidation. Elevated left hemidiaphragm obscures portions of the left retrocardiac area.

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Hyperinflated lungs and exaggerated thoracic kyphosis is unchanged from <unk>. Moderate cardiomegaly is chronic and mild vascular cephalization may not indicate acute decompensation. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. A right humeral head replacement is partially imaged.

general malaise.

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Lung volumes remain low. Heart size is normal. The aorta is tortuous and diffusely calcified. Previously noted widening of the superior mediastinal contour has improved. Hilar contours are normal, and pulmonary vasculature is within normal limits. Small bilateral pleural effusions are not substantially changed in the interval. Subsegmental atelectasis is seen within the right middle lobe. Minimal patchy opacity is also seen within both lower lobes. No pneumothorax or focal consolidation is present. There are no acute osseous abnormalities. Partially imaged is a percutaneous jejunostomy catheter in the upper abdomen.

history: <unk>m with history of stroke <unk>, recent aspiration pneumonia now with likely c difficile, j tube difficulties, coarse lung sounds

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In comparison with study of <unk>, there is no interval change or evidence of acute pneumonia. Continued globular enlargement of the cardiac silhouette without vascular congestion or pleural effusion.

history of tb exposure, now coughing.

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Portable ap radiograph of the chest demonstrates the right lung is well expanded and clear. The left lung is partially imaged. There is no evidence of focal opacity within the visualized portions of the left lung. The cardiomediastinal silhouette is unremarkable. There is no evidence of pleural effusion on the right. No right pneumothorax is present. No apical pneumothorax is present on the left.

chest pain. evaluation for pneumonia.

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In comparison with the study of <unk>, the tip of the endotracheal tube lies approximately <num> cm above the carina. Nasogastric tube again extends well into the stomach. There are again bilateral layering pleural effusions, more prominent on the right with compressive atelectasis at the bases. The possibility of supervening pneumonia, especially at the right base, cannot be excluded in the appropriate clinical setting. The right ij catheter has been removed. The left lung is essentially clear.

intubation, to assess for et tube and pleural effusion.

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Ap and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.

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In comparison with the study of <unk>, the picc line is unchanged with the tip in the mid portion of the svc. There is increased opacification at the left base, consistent with volume loss in the left lower lobe. Some indistinctness of pulmonary markings, especially at the right base, raises the possibility of some asymmetric pulmonary edema.

shortness of breath.

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Relative elevation the right hemidiaphragm is similar compared to prior. Linear right basilar atelectasis is again seen. Calcified granuloma seen left mid lung laterally, unchanged. There is no confluent consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.

<unk>f with ar, afib on coumadin / asa s/p fall // r/o chest process, occult infection

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Single frontal portable radiograph demonstrates a left subclavian approach central venous catheter with tip in cavobrachiocephalic junction. An enteric tube traverses inferiorly out of view. The lung volumes remain low, accentuating massive enlargement of cardiac silhouette, which could reflect a component of a failure and/or pericardial effusion. Perivascular congestion is mildly improved. Right upper lung opacity is re-demonstrated, compatible with underlying chronic apical mass. Left lower lobe consolidation is re-demonstrated, likely associated with a component of atelectasis. Small bilateral pleural effusions are not excluded.

<unk>-year-old male with pneumonia and end-stage dementia.

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Pa and lateral views of the chest were provided. Midline sternotomy wires and prosthetic cardiac valve are again noted. The heart and mediastinal contour is stable. Lungs are clear. No effusion or pneumothorax. Bony structures are intact.

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Frontal and lateral views of the chest were obtained. Per the radiology technologist, patient unable to raise arms for lateral image. Best films provided. There is mild blunting of the right costophrenic angle consistent with a small right pleural effusion. Trace left pleural effusion is difficult to exclude. No definite focal consolidation is seen. There is no pneumothorax. Evidence of prior vertebroplasty in the lower thoracic spine is again seen. The cardiac and mediastinal silhouettes are stable. The left humeral head again appears medially subluxed in relation to the glenoid.

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Again noted are pleural thickening and calcified pleural plaques, one area in particular projecting over the right mid lung is more apparent on today's study than on prior images, but is felt to be a projectional area of increased opacity due to pleural plaques. Attention should be paid to this area on followup. Right ij line is unchanged. Cardiac and mediastinal silhouettes are unchanged.

followup effusions and atelectasis.

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A portable frontal chest radiograph demonstrates interval placement of a left picc, which likely terminates at the cavoatrial junction. There is improved aeration of the bilateral lungs, with unchanged bilateral parenchymal opacities consistent with known metastatic disease. Bilateral small to moderate pleural effusions are unchanged. There is no pneumothorax.

evaluate picc positioning.

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The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiac silhouette is mildly enlarged, unchanged. No acute osseous abnormalities.

<unk>f with alzheimers dementia, lymphoma, dm htn who presents after a fall at assisted living facility, with unclear if headstrike. now with bilateral knee pain // ?unwittnessed fall, unclear if headstrike, denies loc, c/o bilateral knee pain.

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Single frontal view of the chest was obtained. Per the radiology technologist, the patient with altered mental status and unable to follow directions, best image possible. The patient is rotated to the right. Minimal left mid lung linear atelectasis/scarring is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged. The aorta is tortuous.

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Portable ap chest radiograph. Diffuse opacities throughout the right lung and left lower lobe are unchanged. There are probably small bilateral pleural effusions. There is no pneumothorax.

multifocal pneumonia. evaluation for interval change.

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In the interval, the patient has been extubated and the nasogastric tube has been removed. Lung volumes have returned to normal. However, in the right lung base, triangular opacity with subtle air bronchograms is visualized. In the appropriate clinical setting, this area could represent pneumonia. No pleural effusions. No pulmonary edema. Normal hilar and mediastinal contours. Normal size and shape of the cardiac silhouette. At the time of image acquisition, a wet read was delivered.

new onset of fever, questionable pneumonia.

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Chest pa and lateral radiographs re-demonstrates known right paratracheal mass with what appears to be a stable critical compression and deviation of the trachea. No significant change in mass <unk> identified. The hilar and cardiac contours are unremarkable. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax evident.

intrathoracic mass with increasing shortness of breath, please evaluate for mass or acute process.

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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 identified.

<unk>m with headache, chest pain with radiation to the back // r/o acute intracranial process, aortic dissection

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There is mass-like opacity in the left lower lobe, measuring approximately <num> cm. There is elevation of the right diaphragm, consistent with history of right diaphragmatic paralysis. Heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pleural effusion, or pneumothorax.

<unk> year old man with ipf and right sided diaphragm paralysis now with one month of cough and shortness of breath. please evaluate for interval change.

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In comparison with the earlier study of this date, there is little change. No evidence of pneumothorax related to the central catheter. The other monitoring and support devices are unchanged. As on the previous studies, there is prominence of the superior mediastinum. This may well reflect the portable technique and size of the patient. If there is any clinical suspicion for a position of the catheter outside of the vena cava, ct could be considered.

central line placement.

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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old man with cough and weakness.

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Left lower lung opacity seen laterally. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with cough, tachypneic // consolidation, effusion ptx

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk>-year-old female with dyspnea on exertion for <num> day. evaluate for pneumothorax.

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Frontal and lateral views of the chest were obtained. Relatively low lung volumes accentuate the bronchovascular markings. Given this, no pleural effusion, focal consolidation, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. Mediastinal contours are unremarkable given low lung volumes. There may be very minimal central pulmonary vascular engorgement, although the pulmonary markings are likely accentuated by low lung volumes. Minimal mid lung atelectasis is seen.

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Patient is status post left upper lobectomy, with surgical clips noted near the left hilus. This results in volume loss of the left hemithorax. Streaky bibasilar opacities may represent atelectasis or scarring. No other consolidation, sizable pleural effusion or pneumothorax. Heart size is normal. No acute osseous abnormalities are identified.

history: <unk>m with sob // eval for pna

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Lung volumes are normal. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal. The patient is status post median sternotomy and cabg. There are degenerative changes of the thoracic spine.

<unk>-year-old woman with presumed als presenting with increased dyspnea for <num> week. evaluate for infection and inspiratory effort.

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A right-sided picc line terminates at the cavoatrial junction. The patient remains intubated, with the endotracheal tube terminating about <num> cm above the carina. An orogastric tube terminates in the stomach. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Streaky retrocardiac opacity appears unchanged and most suggestive of minor atelectasis.

intubated with fever.

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Right-sided port-a-cath ends at lower svc. Since <unk>, moderate left pleural effusion which is partially loculated and left basilar consolidations have unchanged; however, the right infrahilar consolidation and probable small right pleural effusion has worsened. Upper lungs remain clear. Normal heart size. Mediastinal and hilar contours have been stable. Biapical pleural parenchymal scarring is similar. Bilateral hilar prominence and mild mediastinal widening from known mediastinal and hilar lymphadenopathy are better evaluated on prior chest cts.

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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. Calcified granuloma again seen at the right lung base. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Pneumomediastinum identified on prior chest ct is not definitively identified by this chest x-ray. There is no subcutaneous gas identified in the neck. There is no free intraperitoneal air. Osseous structures are unremarkable.

<unk>-year-old female with chest pain, worsening on deep breathing. pneumomediastinum seen at outside hospital.

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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately <num> cm above the carina. There is no evidence of complication, notably no pneumothorax. Relatively low lung volumes and moderate cardiomegaly without pulmonary edema. No pleural effusions. No major atelectasis.

intubation for airway protection, evaluation for interval changes.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with intermittent chest tightness and palpitations. // enlarged silhouette? pe findings?

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Lung volumes have improved when compared to the prior study. There is unfolding of the right pigtail catheter where it enters the pleural space. There is improved aeration of the right lung however there is residual airspace opacity possibly reflecting re-expansion pulmonary edema. Scattered air bronchograms are noted. The left lung is relatively clear with patchy areas of airspace opacity in the left base. The left-sided pigtail catheter is similar in appearance when compared to the prior study. A tunneled right intern middle jugular catheter terminates near the cavoatrial junction. No pneumothorax seen.

<unk> year old man with cts // ct placement

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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Surgical clips are again seen in the left upper quadrant.

wheezing and cough.

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The heart is of normal size with normal cardiomediastinal contours. The lungs are hyperinflated but are otherwise clear without focal or diffuse abnormality. Pulmonary vasculature is unremarkable. There is mild wedging of the body of a lower thoracic vertebrae, similar to <unk>. The osseous structures are otherwise unremarkable. No pleural effusion or pneumothorax. Two screws overlie the right humeral head.

<unk>-year-old female with syncope. evaluate for pneumonia.

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Cardiac size is moderately enlarged and stable compared to <unk>. Mild bilateral interstitial pulmonary edema slightly worse compared to <unk>. No large pleural effusions. No pneumothorax. Feeding tube traverses past the diaphragm beyond the inferior margins of this film. Left picc tip terminates in the upper svc.

<unk> year old woman with alcoholic hepatitis and renal failure. now with fluid overload. // cxr to eval for pulm edema/pleural effusion to weight risk/benefit of diuresis in suspected atn.

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Pa and lateral views of the chest were obtained. There is stable consolidation in the left upper lobe and lingula compatible with known lung malignancy. There is increased opacity in the left lower lobe best seen on the lateral projection which could represent a superimposed pneumonia. No definite consolidation on the right. Cardiomediastinal silhouette is stable. Overall, cardiomediastinal silhouette appears stable. Bony structures appear intact with right ac joint separation again noted.

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Lung volumes are low, exaggerating bronchovascular markings. There is no overt pulmonary edema, focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies.

<unk>-year-old male with left shoulder pain after fall and reporting lower extremity weakness. evaluate for fracture.

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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema.

history: <unk>f with seizure // ? infectious process

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Pa and lateral views of the chest were obtained. The heart is top normal size, and mediastinal contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old man with cough, evaluate for pneumonia.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits aside from mild unfolding along the descending thoracic aorta and patchy calcification along the arch. The lungs appear clear. There are no pleural effusions or pneumothorax. Small-to-moderate osteophytes are noted along the mid-to-lower thoracic spine. There has been no significant change.

chest pain.

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Lungs appear well inflated and clear. The cardiomediastinal and hilar contours are unchanged. The patient is status post cabg, with intact median sternotomy wires. No pneumothorax, pleural effusion, or consolidation.

history: <unk>f with chest pain, pls eval pna and edema // history: <unk>f with chest pain, pls eval pna and edema

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Pa and lateral views of the chest provided. There is hilar congestion, without evidence of frank pulmonary edema. There is no focal consolidation, effusion, or pneumothorax. The heart size is mildly enlarged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. A gallstone is noted in the upper abdomen.

<unk>f with cough, palp, a fib w rvr // pna?

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Frontal and lateral views of the chest. There are increased interstitial markings seen in the lungs bilaterally predominantly in a peripheral distribution. On the lateral view, is more dense opacity overlying the spine inferiorly. Superiorly the lungs are clear of confluent consolidation. The cardiac silhouette is mildly enlarged. Median sternotomy wires and mediastinal clips are identified.

<unk>-year-old male with pneumonia versus chf. shortness of breath.

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No focal consolidation or pleural effusion currently pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is questionable mild prominence of the left hilum on the frontal view, which may be artifactual, but underlying lymphadenopathy is not entirely excluded.

seizure.

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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 rad/median nerve sx on l // acute process, mass

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Dual lead left-sided aicd is stable in position, with leads extending to the expected positions of the right atrium and right ventricle. The cardiac and mediastinal silhouettes are stable. Overall, there has been no significant interval change. No new focal consolidation is seen. There is no pleural effusion or pneumothorax.

fatigue, cough.

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As compared to the previous radiograph, the signs suggestive of pulmonary edema are constant. The pleural effusions have decreased in severity, which is more obvious on the right than on the left. Bilateral basal areas of atelectasis persist. Moderate cardiomegaly. No pneumothorax.

dyspnea on exertion, questionable pulmonary edema.

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The tip of a left -sided picc line ends in the low svc. The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. The patient has had prior cervical spine fusion.

<unk> year old man with febrile neutropenia // ? infiltrate / pna

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As compared to the previous radiograph, a new dobbhoff has been placed. The course of the new tube is unremarkable, the tip projects over the middle parts of the stomach. No evidence of complications, notably no pneumothorax. The pleural effusions, low lung volumes and areas of atelectasis as well as the extent of the cardiomegaly is unchanged.

status post removal of the dobbhoff with new dobbhoff placement.

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On the current radiograph, there is a millimetric left apical pneumothorax. No evidence of tension. Marked reduction in extent of the left pleural effusion after thoracocentesis. The appearance of the right lung is unchanged. Unchanged size of the cardiac silhouette. Unchanged evidence of barium in the intestine and of massive bilateral degenerative shoulder disease.

chest tightness after thoracocentesis, evaluation for potential pneumothorax.

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New retrocardiac left lower lobe collapse may be due to mucous plugging or aspiration. Small left pleural effusion. Opacity in the left mid lung likely pneumonia. No pulmonary vascular congestion. There is no pneumothorax. Cardiac size is normal. Hilar contours are unchanged.

<unk> year old man with multifocal pneumonia, <unk>'s // ?interval change, ? mucous plugging

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When compared to prior, there has been interval placement of a left-sided central venous catheter. Tip is in the region of the ra svc junction. Otherwise, there has been no change. There is no pneumothorax. Dense right basilar opacitiy is likely due to combination of consolidation, atelectasis and effusion. Left basilar opacity is less extensive, likely due to similar process. There is prominence of the upper mediastinum particularly on the right.

<unk>f with new l ij // eval l ij

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Pa and lateral views of the chest were provided. Lung volumes are low. Allowing for this, no definite signs of focal consolidation, effusion, or pneumothorax. No overt chf. Cardiomediastinal silhouette is normal. Bony structures appear intact.

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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding portable chest examination of <unk>. On the present portable examination, a right-sided chest tube is identified, seen to be advanced through the right lower lateral chest wall and reaching with its tip at the apical portion of the right hemithorax. No pneumothorax or any other significant abnormality can be identified. No evidence of pleural effusion as both lateral pleural sinuses are free and no pneumothorax in the apical area.

<unk>-year-old male patient status post superior segment nodule removal. evaluate position of chest tube and lung.

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Pa and lateral chest radiographs were provided. The right picc has been removed. There is no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema is present. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.

history of liver transplant with fever.

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As compared to the previous radiograph, the nasogastric tube has been removed. A new platelike and a new retrocardiac atelectasis are seen, but these changes are subtle. Overall, the lung volumes have minimally decreased. There is no pneumonia. The heart is at the upper range of normal, but no pulmonary edema is present.

new fever, evaluation for pneumonia.

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Ap upright and lateral chest radiographs were obtained. Large right pleural effusion is unchanged. Linear density along the right apex with medial lucency is equivocal for possible pneumothorax; particularly as no prior studies have demonstrated the presence of an azygos fissure. The left lung is largely clear. The portions of the cardiomediastinal contour the can be assessed appear unremarkable; although the right mediastinal border is poorly evaluated due to presence of large effusion.

possible pneumothorax.

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Lung volumes are low. This accentuates the size of the cardiac silhouette which is top normal. Mediastinal and hilar contours are unremarkable. Crowding of the pulmonary vasculature is likely due to low lung volumes. There is no overt pulmonary edema. Patchy opacities are seen within the lung bases, which may reflect atelectasis. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

mild hypoxia

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Since the previous exam, the patient has been extubated and the swan-ganz and the ng tube have been removed. There is still a surgical drain in the upper right abdomen. There is no pneumothorax and no pleural effusion. The cardiac and mediastinal contours are normal. There is still redistribution of the pulmonary vessels suggestive of mild volume overload. Bronchovascular crowding at the lung bases compatible with atelectasis.

patient with liver transplant for <unk> disease.

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Moderate cardiomegaly is seen with mild pulmonary edema. There is also opacification at the left lung base obscuring the hemidiaphragm concerning for a moderate pleural effusion and atelectasis, but the effusion appears decresaed. An underlying pneumonia cannot be fully excluded. A small right pleural effusion is noted. Median sternotomy wires are again noted, and right axillary surgical <unk> are seen. An aortic valve replacement is noted.

dyspnea, evaluate for pneumonia.

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There was underpenetration during the study and the lateral view is limited by motion. There is no focal consolidation, effusion, or pneumothorax. Previously described calcified granuloma seen on chest radiograph <unk> and chest ct <unk> is not able to be appreciated on today's study. Elevation the right hemidiaphragm is minimally changed from <unk>. Heart size is top normal, unchanged. Imaged osseous structures are intact.

<unk>m with episode of tachycardia in intoxicated patient // ? pneumonia

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The lung volumes are normal. There is a vague opacity in the right lower lobe which could reflect atelectasis or pneumonia, depending on the clinical setting. No pleural effusion or pneumothorax. The heart is normal size. The mediastinal and hilar structures are unremarkable. Cholecystectomy clips are noted.

asthma presenting with dyspnea. evaluate for pneumonia.

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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. Bony structures are unremarkable. There is no evidence for radiodense foreign body.

dysphagia. question foreign body.

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There are low lung volumes and bibasilar atelectasis. Trace pleural effusions were better assessed on ct. The cardiac silhouette is mildly enlarged. Slight prominence of the right peritracheal mediastinum is similar and may be due to prominent vasculature. No underlying lymphadenopathy was seen on ct. No pneumothorax is seen. No overt pulmonary edema is seen.

history: <unk>f with dyspnea // eval for edema

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Pa and lateral views of the chest provided. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. There is biapical pleural parenchymal scarring noted. The heart and mediastinal contours appear normal. Bony structures are intact.

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Low lung volumes are noted, and there are streaky bibasilar opacities which likely reflect atelectasis. No focal consolidation or pleural effusion is seen. There is no overt pulmonary edema, and the cardiac silhouette is normal in size.

<unk>-year-old female with shortness of breath and cough. evaluate for pneumonia.

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Frontal and lateral radiographs of the chest. The moderate right pleural effusion is unchanged with associated atelectasis. There is interval improvement in pulmonary edema. Stable mildly enlarged cardiac silhouette. No right pleural effusion. No pneumothorax.

leukocytosis evaluate for pneumonia.

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As compared to the previous radiograph, the right internal jugular vein catheter has been removed. The patient has a picc line on the left. The course of the line is unremarkable, the tip of the line projects over the upper-to-mid svc. There is no evidence of complications, notably no pneumothorax. No pleural effusions. External pacemaker projecting over the upper quadrant. Moderate cardiomegaly. No pulmonary edema. No pneumonia.

pre-existing picc line, evaluation.

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This is a series of <num> films demonstrating interval placement of a feeding tube with the final film showing the feeding tube being from with the tip at least in the stomach. Right ij cordis, right chest tube, mild cardiomegaly, and right effusion are all similar compared to prior exam

<unk> year old woman s/p dht placement // eval for position

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Hardware within the cervical spine is partially imaged on this exam.

history: <unk>f with left-sided chest pain.

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Pa and lateral views of the chest provided demonstrate clear well-expanded lungs without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. Anchors are partially imaged at the right humeral head.

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with chest pain // assess for pna

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Support and monitoring devices are in standard position, and cardiomediastinal contours are stable in appearance. Persistent left retrocardiac atelectasis and/or consolidation with adjacent small left pleural effusion. Right lung is clear.

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Lung volumes are low. This accentuates the size of the cardiac silhouette which is top normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema. Patchy bibasilar opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine. Partially imaged are biliary stents within the right upper quadrant.

history: <unk>m on chemo, with fever

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Platelike atelectasis is seen at the left lung base. A adjacent area of lingular airspace opacity may relate to atelectasis however, consolidation due to pneumonia is not excluded in the appropriate clinical setting. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

history: <unk>m with hx renal xplant now rfank hematuria x <num> days, sob // eval ? edema

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A right-sided chest tube is in-situ. There is a persistent moderate-sized right pleural effusion, not significantly changed when compared to the prior study. No pneumothorax seen. Right middle and right lower lobe atelectasis, superimposed infection cannot be excluded. The left lung is grossly clear.

<unk> year old man with cirrhosis, hepatic hydrothorax, loculated pleural effusion, s/p chest tube placement on <unk> // interval change? chest tube placement?

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Compared with <unk>, there is no significant interval change identified. Again seen is hyperinflation, with flattened diaphragms, suggestive of copd. Also again seen are multiple calcified pulmonary granulomas, unchanged in appearance. There is biapical pleural thickening, probably with some biapical scarring. The lungs are otherwise grossly clear. Stable mild widening of the mediastinum the thoracic inlet due to tortuous vessels and mediastinal fat deposition. No pleural effusion or pneumothorax detected. Heart size, mediastinal contour, and hila are unchanged.

chest pain. assess for acute process.

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There is no evidence of pneumomediastinum or pneumothorax. Heart is upper limits of normal in size. Lungs are remarkable for a possible <num> cm diameter nodule in the right upper lobe, difficult to localize and characterize on this single portable view. The patient has had a neck ct on <unk>, but this did not extend to this level. It did, however, demonstrate extensive pulmonary emphysema.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Patchy scarring at each lung apex, particularly the left, appears unchanged. The heart and mediastinal contours are stable with mild cardiomegaly and calcified tortuous aorta.

<unk>-year-old female with cough and fever.

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Cardiomediastinal silhouette is within normal limits. Lungs are clear. Multiple surgical clips project over the periphery of the right mid lung and the right lower lung. There is no pleural effusion or pneumothorax.

history: <unk>f with chest pain // eval for pna

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Pa and lateral views of the chest. The lungs are clear. There is no evidence of pneumonia. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are normal.

<unk>-year-old man presents with dizziness and right-sided numbness, question pneumonia.

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.

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A new small caliber chest tube has been placed, terminating at the right lung apex. A right-sided pneumothorax is dramatically smaller and perhaps fully resolved, although potentially with trace lucency near the tip of the tube. The right lung is reexpanded with mild residual atelectasis of the right upper lobe. Mediastinal shift has resolved. The left lung remains clear.

pneumothorax; follow up after chest tube placement.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.

chest pain with respiration.

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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. The course of the pacemaker leads is unremarkable, the generator is implanted in the left pectoral region. One of the leads projects over the right atrium, the other one over the right ventricle. There is no evidence of pneumothorax. A minimal rounded opacity projecting over the right lung apex, between the posterior aspects of the second and the third rib, is seen in unchanged manner and has not increased in shape or size as compared to the previous radiograph.

new pacemaker, evaluation for pneumothorax.

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A right ij line is present. It extends straight in a vertical vertical along the right chest, with it is tip overlying the right upper quadrant of the abdomen, presumably in the ivc. Of note, there is a subsequent film from <unk> at <time>, which shows that this line has been repositioned and follows a more typical swan-ganz catheter course --<unk> see separate report of that subsequent examination. A right-sided central line is present, tip overlying mid svc/ra junction. No obvious pneumothorax is detected. Biapical pleural fluid and/or thickening is likely present. Cardiomegaly, sternotomy wires, and background copd present. Hazy density likely reflects some pulmonary vascular plethora as well as artifact due to technical factors.

<unk> year old man with new swan cordis // cvl position

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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. A mild interstitial pulmonary abnormality could be acute, either edema or interstial pneumonia, but since there is a suggestion of a milder interstitial abnormality in <unk>, this may be the progression or recurrence of a longstanding process. Heart is mildly enlarged, including a dilated left atrium both increased since <unk>. Partially imaged upper abdomen is unremarkable.

cough and sore throat for one week.

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Prior left picc is no longer visualized. Previously seen right-sided pleural effusion has near completely resolved. Hazy right greater than left basilar opacities on the frontal may be due to atelectasis and there is no definite correlate on the lateral view. Lungs are otherwise clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.

<unk>m with sob, productive cough, pls eval for pna vs edema //

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Heart size is normal. The aorta is mildly tortuous but unchanged. There are minimal atherosclerotic calcifications of the aortic arch. Mediastinal and hilar contours are otherwise normal. Pulmonary vasculature is normal. There is minimal atelectasis within the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is seen. Partially imaged is posterior fusion hardware within the lower thoracic and upper lumbar spine.

<num> day of acute on chronic shortness of breath.