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MIMIC-CXR-JPG/2.0.0/files/p18388859/s58767740/ed001810-83811d57-cf20572e-31101d54-7b5bb9dc.jpg
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An endotracheal tube is seen in standard position. A left-sided central venous catheter is seen terminating in the mid svc. The feeding tube is seen passing into the stomach and below the field of view. No significant change from the prior exam. Again seen is a significant left lower lobe atelectasis. There is no evidence of pneumonia or pulmonary edema. The cardiomediastinal and hilar contours are grossly unchanged. There is no evidence of pneumothorax.
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evaluation for pulmonary edema and pneumonia.
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Portable semi-upright view of the chest provided. Lungs are clear. Cardiomediastinal silhouette appears normal. Bony structures are intact. No pleural effusion or pneumothorax. No free air below the right hemidiaphragm.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
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syncope.
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The lungs are clear without focal consolidation large effusion, or edema. The cardiomediastinal silhouette is within normal limits. Deformity of a posterior right lower rib is compatible with prior fracture. Chronic deformity of the right humeral head is noted. No acute osseous abnormalities.
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<unk>f with asthma, cough // eval for pna
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Pa and lateral radiographs of the chest demonstrates clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
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chest pain. evaluate for pneumonia.
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There is elevation of the right hemidiaphragm, with fissural fluid seen on the lateral view, which likely represents a subpulmonic pleural effusion, that is not significantly changed in comparison to the prior chest radiograph. There are multiple bilateral ill-defined patchy opacities, mostly in the upper lung fields. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old man with afib // chf
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Single upright portable view of the chest demonstrates relatively low lung volumes, with mild prominence of the hilar structures and perihilar interstitial markings, compatible with mild pulmonary edema. A small left pleural effusion is noted, along with mild biapical pleural thickening. There is no pneumothorax. No focal airspace opacity is detected. The heart is mildly enlarged. Otherwise, the cardiomediastinal silhouette is unremarkable. Median sternotomy wires and mediastinal clips are noted.
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<unk>-year-old male with respiratory distress. evaluation for pneumonia or pulmonary edema.
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There is a persistent and perhaps somewhat increased pattern of hazy lung opacification and prominent reticular markings suggesting moderate pulmonary vascular congestion. Pleural effusions are not excluded and a right-sided pleural effusion may be suspected based on slight blunting of the right costophrenic angle. There is no pneumothorax.
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weight gain. question congestive heart failure.
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Ap and lateral views of the chest. The lungs are clear without consolidation or effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is unchanged. Dense mitral annular calcifications are again noted. Osseous structures demonstrate no acute abnormality.
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<unk>-year-old female with shortness of breath.
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The lungs remain hyperinflated consistent with emphysema. Nonspecific bibasilar opacities, right greater than left are again noted and appear similar in comparison to multiple prior studies, with the most recent from <unk>. There are no new opacities. There are no pleural effusions or pneumothoraces. Cardiomediastinal and hilar contours are stable with stable tortuosity of the aorta and with atherosclerotic calcifications. Heart size is normal. Pulmonary vasculature is normal.
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evaluation of patient with dyspnea.
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A right apical chest tube is in place. There is no evidence of pneumothorax. An endotracheal tube tip lies <num> cm above the carina. There are scattered areas of bilateral atelectasis with low lung volumes. There are small bilateral pleural effusions. There are no focally occurring opacities concerning for pneumonia. Cardiomediastinal and hilar contours are stable with mild cardiomegaly exaggerated by technique. Multiple surgical clips are demonstrated within the abdomen with the patient status post spinal fusion, partially imaged.
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<unk>-year-old male status post thoracotomy.
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The cardiomediastinal silhouette is normal. The lungs are clear without focal consolidation, effusion or pneumothorax.
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chest pain, rule out infiltrate.
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In comparison with study of <unk>, there is again chronic elevation of the right hemidiaphragm with atelectatic changes at the right base. Streaks of atelectasis are again seen at the left base and there is continued tortuosity of the descending aorta. No evidence of acute focal pneumonia.
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pneumonia, to assess for resolution.
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In comparison with the earlier study of this date, there is little overall change. Again there is extensive right pleural effusion with compressive atelectasis at the base. Smaller effusion is seen on the left. Enlargement of the cardiac silhouette persists with pulmonary vascular congestion. Tracheostomy tube remains in place.
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bronchoscopy, to assess for change.
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As compared to the prior study dated <unk>, there has been minimal interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Minimal retrocardiac atelectasis is noted. The cardiomediastinal silhouette is within normal limits. Calcifications are seen at the aortic arch. Dextroscoliosis is noted, centered at the mid thoracic spine. No acute osseous abnormalities are detected.
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history: <unk>f with dizziness // ?infection
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Right-sided chest tube remains in place with a persistent area of loculated pleural fluid at the right apex. No definite pneumothorax. Cardiac silhouette remains enlarged. Lung volumes are slightly improved compared to the prior radiograph. Mild pulmonary vascular congestion is present. Bibasilar areas of atelectasis persist, left greater than right, as well as a small to moderate left pleural effusion. Subcutaneous emphysema in the right chest wall is again noted.
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Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are stable in appearance. Slight improvement in small right pleural effusion with adjacent right lower lobe opacity which probably reflects atelectasis. Left lung is grossly clear except for minimal linear atelectasis at the left base.
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Ap upright and lateral views of the chest provided. Lung volumes are quite low limiting assessment. Mildly increased ground-glass opacities are seen throughout both lungs with relative sparing of the apices which could reflect edema versus atypical infection in the right clinical setting. No large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly stable allowing for differences in technique. Bony structures appear intact. No free air below the right hemidiaphragm is seen.
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<unk>f with unsteady gait // evaluate for pneumonia
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As compared to the previous radiograph, the pleural effusion on the left has substantially increased. The lateral diameter of the effusion is now approximately <num> cm, as compared to <num> cm on the previous examination. However, the lung volumes have overall improved and the transparency of the right mid and lower lung has increased. The calcification in the right lung apex is stable. Unchanged status post cabg, the sternotomy wires are in correct alignment. Borderline size of the cardiac silhouette without evidence of pulmonary edema.
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status post cabg, evaluation for pleural effusions.
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There has been no significant change since the most recent radiograph of <unk>. The heart size and mediastinum are stable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Opacity overlying the left hemi thorax is probably due to soft tissue attenuation and patient rotation.
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<unk>m with fever, panc ca, confusion. eval for pneumonia.
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Right upper lobe atelectasis is of unknown chronicity without older radiographs for comparison. If it is acute, it could be due to a mucus plug in the bronchus; however, an obstructing mass is also possible, especially considering slight rounded contour and increased density of the right hilum. Minimal interstitial lung markings at lung bases, also of unknown chronicity, could reflect atelectasis or focal scarring/fibrosis. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are unremarkable.
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<unk>-year-old with elevated troponin, evaluation for pneumonia.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
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chest discomfort.
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The lungs are clear. There is no evidence of pneumothorax based on this supine film. The cardiomediastinal silhouette is normal. No displaced fractures are identified.
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<unk>m with trauma // ? ptx
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The lungs are hyperinflated.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with cough // pna?
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In comparison with the study of <unk>, there is increasing opacification at both bases, slightly more prominent on the right. This is consistent with pleural effusions and volume loss in the lower lobes. Engorgement of pulmonary vessels is consistent with some elevated pulmonary venous pressure. Nasogastric tube extends into the stomach. The left subclavian catheter tip has not yet reached the superior vena cava.
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sah after coiling.
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Single frontal view of this semi-upright patient demonstrates low lung volumes accentuating bronchovascular crowding. There appears to be increased mild perihilar vascular congestion without frank edema. A rounded density in the right cardiophrenic angle may corresponding to a pulmonary mass in the right lung base is seen on same-day reference ct. The heart is normal in size. The thoracic aorta is mildly unfolded. There is no pneumothorax or pleural effusion.
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<unk>-year-old male with elevated troponin and white count. question acute process.
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Eventration of the anterior right diaphragm is re- demonstrated. No pleural effusion is seen. Patchy right base opacity is seen which could be due to atelectasis or pneumonia in the appropriate clinical setting. Left apical pleural thickening is re- demonstrated. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cough x <num> days and low grade fever upon arrival to ed. // r/o acute process
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The lungs are well-expanded, with interval improvement in aeration of the right lower lobe compared to the prior study. Prominent interstitial markings persist bilaterally compatible with a chronic interstitial abnormality, thought to reflect nsip on prior ct. There is no focal opacification concerning for pneumonia, pleural effusion, or pneumothorax. There is no overt pulmonary edema. The cardiomediastinal silhouette is stable in appearance, with stable configuration of tavr and ascending aortic endo graft. A moderate hiatal hernia is again noted. Multiple mild thoracic vertebral compression deformities are unchanged.
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history: <unk>f with altered mental status
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained five hours earlier during the same day. Patient remains intubated. Comparison with the previous study, an ng tube can now be identified, seen to pass well below the diaphragm. Chest findings remain unaltered. Subclavian central venous line on left side, atelectasis in left lower lobe area, pulmonary congestive pattern as before.
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<unk>-year-old female patient with past medical history significant for dementia, copd who presented with encephalopathy. evaluate for ng tube placement.
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A central venous catheter terminates in the upper superior vena cava. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. A linear opacity in the left lower lung suggests minor unchanged atelectasis in the lingula. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
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pancytopenia and fatigue. patient with acute myelogenous leukemia, status post stem cell transplant.
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Pa and lateral views of the chest provided. The lungs are 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 severe dyspnea
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There are persistent bilateral pleural effusions, small on the right and small to moderate on the left, similar to prior. There is no visualized pneumothorax. Diffuse sclerotic metastases limits evaluation of the underlying parenchyma. The cardiomediastinal silhouette is within normal limits. Diffuse sclerotic metastases are seen throughout the bones.
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<unk>m with prostate ca and recent pleural effusions presenting with sinus tachycardia and sob, decreased breath sounds on left // ?effusion
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The left subclavian port extends to the mid portion of the svc. No evidence of pneumothorax. Relatively low lung volumes most likely account for the increased prominence of the transverse diameter of the heart and fullness of pulmonary vessels. Of incidental note is calcification in the region of the carotid bifurcation on the left.
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subclavian port placement.
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In comparison with study of <unk>, there has been substantial clearing of the opacification at the right base medially. Mild retrocardiac opacification consistent with atelectasis and effusion persists. There is a vague suggestion of some asymmetry in opacification in the upper zone, more prominent on the right. This could represent a developing focus of consolidation and should be carefully checked on subsequent radiographs.
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pneumonia, to assess for change.
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Et tube ends <num> cm above carina. Left jugular line is in adequate position in mid svc. Ng tube is in the stomach. Bilateral widespread opacities are unchanged with left lower lobe collapse. Small pleural effusions are stable. There is no pneumothorax.
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patient with multifocal pneumonia, multiple intubations, currently intubated. progression of multifocal pneumonia.
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Lung volumes are low, resulting in bronchovascular crowding. The cardiac silhouette is enlarged. There is upper zone redistribution and diffuse vascular blurring the some confluent opacity at the right base. Allowing for technical differences, this is likely similar to the film from <unk> at <unk>:<unk> and is compatible with chf. Again seen is increased retrocardiac density with obscuration left hemidiaphragm, consistent with left lower lobe collapse and/or consolidation. Probable small to moderate left and at least small right pleural effusions appear similar to prior. Bibasilar opacities, greater on the left, appear more prominent as compared to the prior study. A right internal jugular swan-<unk> catheter is present, with the tip ending in the region of the right main pulmonary artery, similar to prior. There has been interval placement of a left internal jugular central venous line, with the tip ending in the right brachiocephalic vein. The endotracheal tube ends approximately <num> cm from the carina.
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<unk> year old man with hemodialysis line placement // eval line placement
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Of note, patient body habitus and positioning somewhat limited evaluation. A right-sided picc is in stable position. An enteric tube terminates in the stomach. The cardiac silhouette is stable. A large loculated right-sided pleural effusion is again demonstrated and is not significantly changed in size from the prior study done yesterday. Adjacent compressive atelectasis is noted. Left basal opacity is minimally increasing from the prior examination and may represent atelectasis and a small effusion. There is no pneumothorax.
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<unk> year old woman with cirrhosis, encephalopathy, s/p dobhoff placement staged procedure // please assess dobhoff placement.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear but sligtlty hyperexpanded possibly due to underlying emphysema. No pleural effusion or pneumothorax present.
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distal aortic occlusion. chest radiograph requested per vascular surgery. assess for acute abnormality.
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Since <unk>, right moderate basilar pleural effusion and adjacent atelectasis are again seen. Slightly increased prominence of opacities in the right lower lung base can be concerning for pneumonia in the right clinical setting. The left basilar opacity is not seen on this exam, likely atelectasis. The heart size is stable. No pneumothorax. Unchanged positioning of the right picc line.
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<unk> year old man with hypoxemic respiratory failure // <unk> year old man with hypoxemic respiratory failure
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Ap and lateral views of the chest were provided. There is marked kyphotic angulation in the mid thoracic spine at the level of a markedly compressed mid thoracic vertebral body which appears to have been present on prior imaging, though may be increasingly kyphotic in the interval. Given this evaluation is limited, there is no focal consolidation, large effusion or pneumothorax seen. The heart size is difficult to assess, although it appears essentially stable. Mediastinal contour is similar. Patient is slightly leftward rotated which limits evaluation somewhat. No acute osseous abnormality is detected.
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The patient is status post median sternotomy and cabg. Heart size remains mildly enlarged, unchanged. Moderate size hiatal hernia is re- demonstrated. Aortic knob calcifications are present. The mediastinal and hilar contours are unchanged, and there is no pulmonary vascular congestion. Linear opacities in both lung bases likely reflect subsegmental atelectasis. Minimal blunting of the left costophrenic sulcus suggests a trace left pleural effusion. No pneumothorax is identified.
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coronary artery disease, vascular dementia with mechanical fall.
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There increased interstitial markings in the lungs bilaterally similar to prior. There is some more confluent left basilar opacity projecting posteriorly on the lateral view. There is no large pleural effusion. Cardiomediastinal silhouette is grossly unchanged. Aortic core valve device and median sternotomy wires are unremarkable.
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<unk>m with productive cough // eval for pneumonia
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Cardiomediastinal contours are within normal limits. 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 autoimmune hepatitis // new liver transplant evaluation. please assess for any cardiopumlonary abnormalities
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Et tube ends <num> cm above the carina. Right jugular line ends at the cavoatrial junction and left jugular line is in mid svc. Ng tube is in the stomach. Moderate pulmonary edema has improved and is now minimal. There is residual right middle lobe atelectatic band. There is no pleural effusion or pneumothorax. Mild cardiac enlargement is stable.
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patient with liver failure, intubated, please evaluate for interval change.
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There is mild to moderate cardiomegaly, unchanged in appearance from the prior study. There is pulmonary vascular engorgement consistent with chronic anemia. The lungs are clear and there is no evidence of pulmonary edema. The pleural surfaces are normal.
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history of sickle-cell disease now with chest pain. evaluation for pneumonia and acute chest syndrome.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. No pulmonary edema. Partially imaged upper abdomen is unremarkable. Gallstone is noted in the right upper abdomen.
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epigastric pain. assess for pneumonia.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. There is continued enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure and bibasilar atelectasis with probable small pleural effusions.
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dyspnea, to assess for change.
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As compared to the previous radiograph, there is no relevant change. Areas of scarring and atelectasis at the lung bases, slightly improved lung volumes, reflecting improved ventilation. No new parenchymal opacity suggestive of acute pulmonary edema or pneumonia. No pleural effusions. Known bilateral apical thickening that is symmetrical. Severe degenerative left shoulder changes are better seen than on the previous examination.
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increased shortness of breath, expiratory wheezing, evaluation for pneumonia.
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As compared to the previous radiograph, the vena cava device and the endotracheal tube are in unchanged position. The nasogastric tube is new. The course of the tube is unremarkable, the tip is not included in the image. Extent and severity of the bilateral parenchymal opacities is minimally improved as compared to the previous radiograph.
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evaluation for tubes and lines.
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Pigtail pleural catheter has been exchanged for a pleurx catheter in the left hemithorax. Moderate left pleural effusion has slightly decreased in size with slight improvement of adjacent opacities in the left mid and lower lung. Within the right hemithorax, a small right pleural effusion has slightly increased in size, and juxtahilar linear atelectasis has worsened. Subcutaneous emphysema in left supraclavicular region is new, and a small amount of subcutaneous emphysema is also seen in the left chest wall near the external portion of the pleurx catheter.
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Compared to chest radiographs <unk>: lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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<unk> year old woman with spondyloarthropathy on humira. having productive cough x <num> days, chills, rales left posterior lung base. // ? cap,
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Aortic contour is tortuous. Left fifth rib resection is again noted.mild left tracheal deviation is unchanged.
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<unk> year old man with above // cough and wheezing ? infiltrate
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly and mild-to-moderate pulmonary edema, no evidence of pleural effusions on the frontal and lateral radiograph. Minimal atelectasis at both the left and the right lung bases. No pneumonia. No pneumothorax.
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diabetes, chronic heart failure, exacerbation, evaluation.
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The patient is rotated. The right internal jugular venous catheter tip ends in the mid svc. Et tube tip that the upper margin of the clavicles is no less than <num> cm from the carina with the chin in neutral or mild flexion. It could be advanced <num> cm for more secure seating. . Lung volumes remain low. Pulmonary vessels are prominent. Pulmonary edema has progressed and is moderate. Small left pleural effusion is overall unchanged. No right effusion. The heart is mild-to-moderately enlarged, unchanged. Respiratory tubing projects over the left upper hemithorax, limiting evaluation. No pneumothorax.
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<unk> year old man with ugib // intubated. assess lungs.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Irregularity and attenuation of lung markings in the upper lungs is consistent with a emphysema. There are also cuffed dilated airways in each upper lung, more so on the right than left. Although vague there is widespread increased density in the right mid to upper lung compared to the left suggesting pneumonia with an predominantly interstitial pattern.
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fever, cough and malaise.
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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 displaced fracture is seen.
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left rib pain after trauma during hockey game.
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The heart appears normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. No fracture is identified. Mild reversed s-shaped curvature is noted along the thoracic spine.
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traumatic fall. question rib fractures.
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The patient's overlying arm on the lateral view partially obscures the view and makes evaluation of the lateral view suboptimal. Left greater than right biapical scarring is noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Multiple surgical clips are noted overlying the left hemi thorax and the left axilla. Difficult to assess for medial left clavicular injury, nondisplaced fracture not excluded.
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history: <unk>f s/p fall backwards on stair, has + prox l clavicle deformity // eval for clavicle dislocation
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Frontal and lateral views of the chest were obtained. Single-lead left-sided aicd is again seen with lead extending to the expected position of the right ventricle. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal to mildly enlarged.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Right pectoral port-a-cath in constant position. Mild cardiomegaly without pulmonary edema. No evidence of pneumonia, no pleural effusions. No pulmonary edema. Azygous lobe is normal anatomic variant. The bilateral axillary clips are constant.
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history of breast cancer and lymphoma, status post transplant, evaluation for pneumonia.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are normal.
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evaluation of patient with cough and hyperglycemia.
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The patient is status post mitral valve replacement. There is also a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively, as before. The heart is moderately enlarged. There are new vaguely defined but dense bilateral mid lung opacities which are worrisome for multifocal pneumonia, as well as a retrocardiac opacity. In addition, there is new elevation of the right hemidiaphragm with an increasing pleural effusion, probably of moderate size. Increasing streaky right basilar opacification with volume loss suggesting a component of associated atelectasis at the right lung base. There is no pneumothorax.
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hypoxia. question infiltrate or worsening effusion.
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There is moderate to severe cardiomegaly which is unchanged. Again noted is mild interstitial edema in both lungs. They picc line is seen with its tip at the cavoatrial junction. There is some atelectasis at the lung bases. No large pleural effusions. There is no pneumothorax.
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<unk> year old woman with chf, stump infection with plan for debridement // pre-op surg: <unk> (debridement of amputation site)
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Compared to the study from the prior day there is no significant interval change in the appearance of the lungs. The ett, ngt and right ij line have been removed..
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hypoxia aspiration pneumonia with sepsis.
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As compared to the previous radiograph, the patient has been intubated and received a nasogastric tube. The main finding, however, is a huge tension pneumothorax of the right lung that requires immediate attention. Deviation of the mediastinum and the heart to the left, depression of the right hemidiaphragm, mild pulmonary edema in the left lung. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification.
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evaluation for endotracheal tube placement.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no new focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
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lymphoma, on chemotherapy with cough.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the thoracic spine. Minimal wedging of a mid thoracic vertebral body appears unchanged since at least <unk>. There has been no significant change.
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chest pain.
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The lungs are height there inflated. Mild biapical scarring is again seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with cough // ? pna
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The lungs are low in volume with unchanged calcified right pleural plaque perhaps related to prior trauma. Mild pulmonary edema may be present with stable cardiomegaly. There is no pleural effusion or pneumothorax.
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hypotension and hypoxia.
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Portable chest radiograph demonstrates new consolidaiton in the left lowre lung, likely pneumonia. Right lower lung opacification may be atelectasis exaggerated by low lung volumes, alternatively representing a multifocal bilateral pneumonia is a consideration. Cardiac silhouette is somewhat obscured by opacification, but appears normal. Mediastinal and hilar contours are unremarkable. No pneumothorax evident. Blunting of the left costophrenic angle may represent a small pleural effusion. Posterior spinal fusion hardware identified. Tip of a right-sided central venous catheter is obscured but is seen as far as the cavoatrial junction.
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fever, altered mental status, evaluate for pneumonia.
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Ap upright 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>m with liver transplant n/vd reported shortness of breath
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Status post tavr. Mild interval increase in the pulmonary vascular and interstitial markings, in keeping with mild pulmonary interstitial edema superimposed on chronic lung disease. Small left pleural effusion. No pneumothorax identified. The size the cardial mediastinal silhouette is within normal limits.
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<unk> year old woman s/p tavr, hx hfpef, p/w hypoxemia and volume overload. // ? pulmonary edema, ? pneumonia
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A a right subclavian picc line is present. The tip lies in the region of the cavoatrial junction, unchanged. Again seen are extensive predominantly interstitial opacities throughout both lungs. No gross change is identified. There may be slight increase in the degree of opacification in the right mid and infrahilar zones. Extensive lucency at the right lung apex likely reflects extensive bullous change. Cardiomediastinal silhouette is unchanged. No gross effusion is identified, though minimal blunting of both costophrenic angles is again noted.
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<unk> year old man with recurrent aspiration pneumonia, continued oxygen requirement // interval change?
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The lungs are clear. There is no effusion, pneumothorax her vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with chest pain // acute process?
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Right-sided chest port is seen terminating in the lower svc. The patient is post bilateral mastectomy with surgical clips in place. No definite pleural effusion is seen on this portable film. No pneumothorax. Platelike atelectasis is seen in the left mid and lower lung. Cardiomediastinal silhouette is unremarkable.
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<unk> year old woman with b/l breast reconstruction w/ latissimus flap // rule out extensive atelectasis or pneumonia. rule out extensive atelectasis or pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of chest pain, please evaluate for pneumothorax.
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There is obscuration of the left hemidiaphragm compatible with left lower lobe pneumonia and parapneumonic effusion. The right lung is clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pneumothorax.
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<unk>-year-old woman with cough, evaluate for acute process.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. No acute changes. Borderline diameter of the azygos vein. Spinal stimulator devices in situ. Normal size of the cardiac silhouette. No evidence of pneumonia.
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cough, rule out pneumonia.
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Right lower lung cavity is unchanged measuring <num> x <num> cm. Rapidly changing bilateral lung opacities which appeared after cardiac arrest of <unk> are moderate-to-severe and have worsened on today's exam. Et tube is in adequate position. Right jugular line ends in lower svc. There is a neurostimulator of the upper thoracic spine. Left pleural effusion is small. There is no pneumothorax.
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patient with right lower lobe cavitary pneumonia, sepsis.
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Comparison is made to previous study from <unk>. There is prominence of the pulmonary interstitial markings, consistent with pulmonary edema, which is moderate in severity. Heart size is enlarged. There are no pneumothoraces. No focal consolidation is present.
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Heart size is normal. The aorta is mildly tortuous with mild atherosclerotic calcifications. Increased interstitial opacities bilaterally suggests mild interstitial pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. Right humeral prosthesis is partially imaged. There is diffuse demineralization of the osseous structures.
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history: <unk>f with hematemasis, tachycardia // eval for infiltrate or aspiration
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The esophageal probe is noted within the distal esophagus. No pneumomediastinum is identified. The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Metallic clips appear to be partially imaged in the right upper abdomen.
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gerd, placement of esophageal ph probe with intermittent progressive sharp chest pain radiating to the throat and jaw.
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In comparison with the study of earlier in this date, the tip of the endotracheal tube measures approximately <num> cm above the carina.
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tylenol toxicity for intubation.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The tortuous aorta is unchanged from chest radiograph <unk>. Moderate size hiatal hernia is again noted. Mild cardiomegaly is unchanged. No overt pulmonary edema is seen. No significant interval change.
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<unk> year old woman with sob, chest pain // ?edema, pneumonia
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Lung volumes are low. Elevation of the right hemidiaphragm is of unknown chronicity. Mild enlargement of cardiac silhouette is present. The mediastinal and hilar contours are unremarkable given the presence of low lung volumes. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
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history: <unk>m with productive cough/wheezing
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Ap upright 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>m with s/p fall from ladder, +etoh, no recollection of event.
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The patient is status post median sternotomy and multiple midline skin <unk> are noted within the anterior chest. The heart size is normal. The aorta is mildly tortuous but unchanged. There is no pulmonary vascular congestion. Streaky opacities in the left lung base likely reflect atelectasis with a trivial left pleural effusion. There has been interval improvement in the aeration of the right lung base with minimal residual atelectasis noted. No new areas of focal consolidation are seen. No pneumothorax is identified. Old bilateral rib fractures are noted. Mild loss of height of a low thoracic vertebral body is unchanged.
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hematocrit drop, history of chest surgery.
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| null |
The heart size, mediastinal, and hilar contours are normal.the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. Previously seen bibasilar atelectasis has resolved. Unchanged dextroscoliosis of the thoracic spine.
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<unk> year old man with r aka stump pressure necrosis, scheduled for revision <unk>.
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| null |
Chest, portable. There is left lower lobe atelectasis. A more heterogeneous opacity in the right lower lobe with possible air-bronchograms is more suspicious for infection. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
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<unk>-year-old woman with shortness of breath and wheezing. evaluate for pneumonia.
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Lungs are fully expanded and clear. Bilateral hilar adenopathy and mild cardiomegaly are unchanged. No pleural effusion. Overall, radiographic examination of the chest is unchanged.
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<unk> year old woman with sarcoidosis // worsening dyspnea and inflammatory markers in patient with sarcoidosis. assess for worsening cxr
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no overt pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.
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progressive, intermittent chest pressure.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
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<unk> year old man with adult onset still's, on methotrexate, s/p uri, with r crackles // evaluate for pna vs. mtx pneumonitis
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An ng type tube is present, extending beneath the diaphragm off the film. A right subclavian picc line is present, tip over distal svc. No pneumothorax is detected. The cardiomediastinal silhouette is at the upper limits of normal unchanged, unchanged. The previously seen dense opacity at the right base is less dense, though there remains are relatively coarse patchy consolidation. Probable small right effusion. On the left, there is patchy opacity which is slightly more pronounced, as well as a small left effusion.
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<unk> year old woman with ald and new leukocytosis with coughing // pna?
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| null |
Portable supine frontal radiograph of the chest demonstrates the et tube ending <num> cm above the carina. A swan-ganz catheter is in unchanged position. The enteric tube passes below the diaphragm with tip out of view at the inferior edge of the image. The venous ecmo cannula has been removed. Small bilateral pleural effusions with mild pulmonary edema is slightly improved compared to prior. There is persistent retrocardiac atelectasis.
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intubated with fever risk and purulent sputum. rule out focal consolidation.
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| null |
Right-sided picc terminates in the upper svc. A right-sided vp shunt appears unchanged in position. Lung volumes are low. Mediastinal and hilar contours are unchanged. There is no pulmonary edema. The right heart border and right hemidiaphragm are obscured by a heterogeneous consolidation with air bronchograms concerning for pneumonia versus atelectasis. Left basilar atelectasis is unchanged compared to prior study. There may be a small left pleural effusion, unchanged compared to prior study. There is no pneumothorax.
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<unk> year old woman h/o dwarfism, dementia and hydrocephalus s/p mult abd surg/vhr, now s/p bilateral flank te removal, component separation, vhr with mesh. assess interval change.
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Cardiac size is top-normal. Widening of the mediastinum has improved. Right ij catheter tip is in the right atrium. There is no evident pneumothorax. Small right and moderate left pleural effusion associated with adjacent atelectasis. Sternal wires are intact. Patient is status post cabg
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<unk> year old woman with cabg // eval post op effusion
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| null |
The cardiac silhouette is prominent, but likely accentuated by ap technique. Mediastinal and hilar contours are within normal limits. There is mild unfolding of the thoracic aorta with arch calcifications. Rightward displacement of the trachea is unchanged since multiple prior exams. There is mild perihilar vascular engorgement without frank edema. There may be segmental atelectasis in the left base, and a small left effusion cannot be excluded. A moderate hiatal hernia is present.
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<unk>-year-old female with tachycardia and atrial fibrillation. question acute process.
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A left-sided pacemaker is seen with dual leads in unchanged position. Bilateral pleural catheters are again seen. Blunting of the left costophrenic angle and retrocardiac opacity are similar in appearance to the prior study and consistent with a small left pleural effusion with adjacent atelectasis. There is no pleural effusion seen on the right. The cardiomediastinal and hilar contours are unchanged. There is no evidence of pneumothorax.
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<unk>m with pt with bilat pleur-ex, drop in hgb <num> to <num> over <num> days with guaiac neg stools.
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Pa and lateral view of chest. Low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
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fever and cough.
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| null |
As compared to the previous radiograph, patient is now in massive pulmonary edema. The size of the cardiac silhouette is enlarged and the entire lung parenchyma shows peribronchial cuffing and an increase in vascular diameters. In the lung bases, the changes are starting to consolidate and show air bronchograms. No pleural effusions are seen. At the time of dictation and observation, at <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. Findings were discussed a few minutes later over the telephone.
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endocarditis, depressed ejection fraction, evaluation for pulmonary edema.
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