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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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Since the prior radiograph performed <num> hour earlier, there has been interval placement of a chest tube in the right lung base. The previously noted pneumothorax is no longer appreciated. No pneumothorax on the left. There has otherwise been no significant interval change. The upper lungs appear hyperlucent, related to severe underlying emphysema as demonstrated on the recent ct chest.
<unk>-year-old male with known pneumothorax, evaluate after chest tube placement.
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Right internal jugular central venous catheter is malpositioned, coursing laterally within the right subclavian vein and subsequently terminating in the expected location of the junction of the subclavian and axillary vein. At the time of this dictation, the catheter has been successfully repositioned, as documented on separately dictated chest x-ray of clip <unk>. Please see that report for full details.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No osseous abnormality is identified. There is no free air under the diaphragm.
chest pain.
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The lungs are well expanded. In the retrocardiac area on the lateral image, there is increased opacity, which could represent atelectasis, or possibly pneumonia or sickle lung in the right clinical setting. There is small left pleural effusion. The there is no pneumothorax. The cardiomediastinal silhouette is unremarkable. A right-sided central line catheter terminates in the right atrium. Sclerosis in the left humeral head and mildly h-shaped veterbrae aer seen, consistent with known sickle cell disease.
sickle cell, pain, cough.
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Heart is upper limits of normal in size with left ventricular configuration. The aorta is calcified, indicating atherosclerosis. The aorta is tortuous. 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.
<unk>f with ataxia and right eye palsy. evaluate for ich, vessel occlusion
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Left-sided port-a-cath is seen with catheter distal tip in the right atrium. There is minimal left lower lobe linear atelectasis/scarring. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. No pulmonary edema. The cardiac silhouette is top normal to mildly enlarged.
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Severe cardiomegaly is re- demonstrated with similar mediastinal contours. Mild pulmonary vascular congestion is slightly improved compared to the previous study. Moderate to large right pleural effusion which is loculated partially laterally appears increased from the previous study. Worsening opacification of right lung base may reflect atelectasis, however infection is not excluded. There is a small left pleural effusion with left basilar atelectasis. No pneumothorax is identified.
history: <unk>m with altered mental status
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Streaky bibasilar opacities likely represent atelectasis. Since the prior radiograph of <unk> is slightly progressed particularly at the right lung base. No consolidation or pleural effusion. Heart size and mediastinal contours are normal.
<unk>f with ar, als, p/w presyncope with marked onset of dyspnea // infiltrates/ masses
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
intermittent chest tightness.
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Lung volumes are low, resulting in bronchovascular crowding. An ovoid metallic density having the shape of a bullet projects over the right hemidiaphragm. Cardiac silhouette is top-normal in size. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with fever // fever
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Heart size has increased from prior as have pulmonary vascular markings. There are bibasilar airspace opacities and small bilateral pleural effusions, left greater than right. Calcification of the aortic knob is unchanged.
<unk>-year-old woman with dyspnea on exertion for <num> week
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Prominence of the right hila is due to prominent normal vascular structures. This finding was confirmed on a subsequent ct of the abdomen and pelvis. The heart size is at the upper limits of normal.
epigastric pain and fever. evaluate for pneumonia.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Left chest wall pacing device is seen with single lead tip projecting over the right ventricular apex. Osseous and soft tissue structures are unremarkable.
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Frontal and lateral views of the chest. There is elevation of the right hemidiaphragm. There is retrocardiac opacity and additional streaky left basilar opacity is seen more laterally. Superiorly the lungs are clear. Cardiomediastinal silhouette is within normal limits given patient rotation and midthoracic dextroscoliosis. The bones are diffusely osteopenic but there is no acute osseous abnormality detected.
<unk>-year-old female with restrictive lung disease and known collapsed right lower lobe from childhood with <num> week of upper respiratory symptoms and low oxygen saturation.
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Frontal and lateral chest radiographs demonstrate a left port-a-cath with the tip in the low svc. There is mild cardiomegaly with mild pulmonary edema, as well as small bilateral pleural effusions. No focal opacity concerning for pneumonia is identified. There is no pneumothorax.
productive cough. evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. Mild interstitial prominence is chronic, and unchanged. Previously demonstrated bilateral fat-containing bochdalek hernias are better assessed on prior ct of the chest. The heart is mildly enlarged. Otherwise, the cardiomediastinal silhouette is unremarkable. Multilevel degenerative changes are noted throughout the thoracic spine, with calcification of the anterior longitudinal ligament.
<unk>-year-old man with lightheadedness and weakness. evaluation for pneumonia.
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As compared to the previous radiograph, the patient has developed massive bilateral parenchymal opacities. These could be caused by edema or bleeding. For aspiration, the extent and severity of the opacities could be unusual. The <unk> tube is unchanged as compared to the previous, the balloon is partially inflated in the stomach.
gastrointestinal bleeding. <unk> <unk> <unk> tube.
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Interval removal of nasogastric tube. Cardiomediastinal contours are stable. Minor areas of atelectasis are present at both lung bases with otherwise clear lungs. Possible small pleural effusions, but no evidence of pneumothorax.
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Lungs: increased bibasilar pulmonary markings not altered. Pleura: there is no pleural effusion. Mediastinum: a tracheostomy and is seen heart: the heart is not enlarged. Osseous structures: the patient is status post sternotomy additional findings: tracheostomy remains. Monitor leads overlie the chest.
<unk> year old man s/p cabg now w/tachypnea // interval change
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Pa and lateral views of the chest provided. Interval removal of a pigtail catheter from the right hemi thorax. Moderate subcutaneous emphysema along the right chest wall is unchanged. A large left upper lobe mass appears unchanged, however was better evaluated on ct chest <unk>. An additional <num> mm left lower lobe pulmonary nodule is not seen. A tiny right apical pneumothorax appears unchanged. Hilar contours are normal. Mild cardiomegaly is unchanged.
<unk> year old woman with lung cancer. // eval post chest tube removal change. please do the exam at <time> pm today.
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The lung volumes are slightly low. The lungs are clear. The heart size is normal. The descending thoracic aorta is slightly tortuous. Aortic calcifications are noted. The mediastinal contours are otherwise unremarkable. There are no pleural effusions. No pneumothorax is seen. There has been interval removal of the right ij catheter and right picc.
feculent emesis, from nursing home. diffuse abdominal pain. evaluate for acute intrathoracic process.
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Ap view of the chest was obtained. There is a single lead left-sided aicd with lead in the expected position of the right ventricle, unchanged. The cardiac silhouette is moderately moderately enlarged, appears increased in size since the prior study, may in part relate to technique. There is no overt pulmonary edema. Previously noted medial right base opacity is still seen, but less apparent than on the prior study and most likely relates to vascular structures. Findings could be better evaluated with pa and lateral views if patient able. No new focal consolidation is seen. There is no evidence of large pleural effusion or pneumothorax.
<unk>-year-old male with chest pain, possible icd firing.
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with new afib. ?pna // eval for new onset afib
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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.
history: <unk>f with t<num>dm status post pancreas transplant with lower extremity edema, dyspnea on exertion, and jvp <num>cm
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There are diffusely increased bilateral interstitial markings, with associated bibasilar focal consolidations, right worse than left, that obscure the margins of both hemidiaphragms and the right heart border. There is no evidence of pneumothorax. Heart size cannot be accurately assessed due to obscuration of sillouhette by basilar consolidations. Severe atherosclerotic calcification of the aorta is present.
<unk>-year-old male with shortness of breath and history of congestive heart failure. evaluate.
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Pa and lateral views of the chest provided. There is a large retrocardiac opacity again seen containing air compatible with a large hiatal hernia. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. The heart is top-normal in size. Mediastinal contour is unchanged. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough x <num> mo's, no fevers, now w/anemia weight loss // eval for pna, mass
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In comparison with the earlier study of this date, following the procedure there is no evidence of pneumothorax. Extremely low lung volumes with little change from the previous study.
hypoxia with bronchoscopy, to assess for pneumothorax.
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Frontal and lateral views of the chest are obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, as are the hilar contours. No pulmonary edema is seen.
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The lung volumes are low. No focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
history: <unk>m with cp and dyspnea // eval cardiomegaly, infiltrate
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The enteric tube extends into the stomach with side port beyond the ge junction and tip out of view however near the pylorus. The lung volumes are low. The heart is mildly enlarged. Left basilar atelectasis is again seen. As compared to the radiograph from <unk>, widening of the vascular pedicle and bilateral hilar opacities are consistent with increased vascular congestion. There is no pneumothorax. There is no significant pleural effusion.
<unk> year old woman with dysphagia/s/p cva // ngt placement
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As compared to the previous radiograph, there is no relevant change. Moderate fluid overload and low lung volumes and extensive areas of atelectasis, notably in the retrocardiac lung regions. Mediastinal widening, slightly exaggerated by the slight rotation of the patient. Nevertheless, change requires radiologic followup. In the interval, the patient has received a vertebral stabilization device in the cervical region. The endotracheal tube and nasogastric tube are in unchanged position. Unchanged size of the cardiac silhouette.
intubation, evaluation for interval change.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
right upper quadrant pleuritic pain, assess for right lower lobe infiltrate.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. There is minimal atelectasis at the lung bases. No pleural effusion, focal consolidation or pneumothorax is visualized. No acute osseous abnormalities are seen.
shortness of breath.
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The patient is status post tracheostomy. A picc line terminates in the lower superior vena cava. The patient is status post aortic and mitral valve replacements. There is also a pacemaker/icd device with leads in the right ventricle and coronary sinus. The heart is moderately enlarged. Retrocardiac opacification persist, and now there is also increasing hazy opacity suggesting a layering effusion on the left, possibly moderate in size. New focal opacities in the right upper and probably lower lobes are concerning for pneumonia, although there is also background of suspected mild vascular congestion and a small newly apparent right-sided pleural effusion. There is no pneumothorax. Impression: <num>. New multifocal opacities suggesting pneumonia. <num>. Persistent retrocardiac opacification, atelectasis versus potentially pneumonia. <num>. Suspected vascular congestion.
cough and fever.
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Bilateral lung volumes are lower, but there are no lung opacities of concern. Heart size is top normal, and mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
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Pa and lateral views of the chest provided demonstrate mild cardiomegaly without signs of failure. No definite signs of pneumonia, effusion, or pneumothorax. Mediastinal contour appears normal. Degenerative changes are noted at both shoulders. Clips in the right upper quadrant noted. No free air below the right hemidiaphragm.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.
motor vehicle collision this morning with worsening neck pain.
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Streaky opacities at bilateral lung bases as well as the mid left lung are stable and consistent with atelectasis and scarring. No pleural effusion or focal consolidation on the present x-ray. Cardiac size is stable. Mediastinal contours are unremarkable. No pneumothorax. Previous cervical spinal hardware is noted in the area of the neck. A heterogeneous opacity projects over the the left scapula/lateral left upper rib. This was present on the most recent prior exam as well but not dating further back and it is not clear if this represents a rib or scapular abnormality. If there is concern for metastatic prostate cancer, a bone scan would be helpful to evaluate this area.
<unk>-year-old man with prostate cancer, presenting with left flank pain.
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Pa and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain.
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Compared with the immediate prior radiograph, the left pleural effusion is substantially decreased with re-expansion of the left lung. There is a residual moderate left pleural effusion. The endotracheal tube ends <num> cm the carina, the right ij central venous catheter ends in the lower svc. The enteric tube ends within a decompressed stomach. There is probably a small to moderate right pleural effusion. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f w/ large bowel obstruction/ischemic colon s/p total abdominal colecotmy and ileo-rectal anastomosis presents to the icu with septic shock likely secondary to pna. // please evluate ngt placement
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Right lower lobe consolidation is worrisome for pneumonia. There may be trace bilateral pleural effusions. No large pleural effusion is seen. No definite focal consolidation is seen on the left. There is increase in central pulmonary vasculature suggesting mild to moderate pulmonary vascular congestion.
history: <unk>m with dyspnea // dyspnea
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The lungs are mildly hyperexpanded and there is some flattening of the diaphragms. There is mild reticulation throughout both lungs consistent with copd. There is an opacity at the base of the right lung which is worrisome for pneumonia. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is a small effusion on the left. There is no pneumothorax.
fever and cough.
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Left-sided aicd device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is unchanged. Aortic knob calcifications are present. The mediastinal and hilar contours are similar. Mild interstitial pulmonary edema is demonstrated with a probable trace left pleural effusion, although the posterior costophrenic angles are excluded on the lateral view. No pneumothorax is present. Patchy atelectasis is again seen in the lung bases. Moderate multilevel degenerative changes are present in the thoracic spine.
<unk>m with chest pain, crackles in left lower lung, no cough, no fever
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The patient is status post median sternotomy and mitral valve replacement. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
history: <unk>m with hypotension
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The patient is status post previous median sternotomy and cardiovascular surgery. Cardiac silhouette is mildly enlarged. Persistent widening of mediastinum, corresponding to lymphadenopathy on recent chest cta of <unk>. Worsening pulmonary vascular congestion is accompanied by perihilar haziness and increasing peripheral interstitial edema. Patchy and linear left lower lobe opacity is likely due to atelectasis. Bilateral small pleural effusions are present with slight interval increase on the left.
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The a in the tip of the gastric tube projects over the stomach. Left basal atelectasis. No pleural effusion or pneumothorax identified.
<unk> year old man with og tube placed post ercp // ?tube placement
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There is a new right internal jugular central venous catheter with the tip in the mid svc. There is no evidence of associated pneumothorax. Endotracheal tube tip remains in the mid trachea. An enteric tube is visualized with the tip in the stomach. The heart is normal in size. Atherosclerotic calcifications are again noted at the aortic arch. Blunting of the left costophrenic angle is again noted, suggestive of a small effusion or perhaps chronic scarring. Moderate relative elevation of the right hemidiaphragm is again noted without any focal consolidation. Increased opacifcation at the right bse medially. This raises the possibility of a developing pneuimonia
evaluation of patient status post right internal jugular hemodialysis line placement.
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Frontal and lateral views of the chest were obtained. A right-sided vp shunt catheter is partially seen coursing over the right hemithorax and coursing into the right abdomen, full extent not seen. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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Endotracheal tube is in unremarkable position. Enteric tube tip passes below the diaphragm and out of view. There is no focal consolidation or pneumothorax. The cardiac silhouette is enlarged. There is pulmonary vascular congestion. There is moderate retrocardiac atelectasis and mild right basilar atelectasis.
history: <unk>m with ams apneic anticoagulated*** warning *** multiple patients with same last name! // bleed vs mass
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Portable ap chest radiograph. Right-sided picc probably terminates in the right subclavian. Pulmonary vascular congestion and severe interstitial edema are present without large pleural effusions. The heart size is not enlarged. There is no pneumothorax.
shortness of breath. evaluation for pneumonia.
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Ap and lateral views of the chest. No radiopaque foreign body is seen in the lungs or airways. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal. No free air.
tooth knocked out during endoscopy, question aspiration.
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The ett is <num> cm above the carina. Ng tube is in the stomach. There is volume loss/early infiltrate at both bases. Heart size is mildly enlarged. There is a small left effusion.
intubated for sedation for procedures.
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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.
history: <unk>m with syncope
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The heart size is top normal. The hilar and mediastinal contours are normal. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of right shoulder and neck pain. please evaluate.
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Patient is status post median sternotomy and cabg. Heart size is mildly enlarged, which accounting for differences in rotation is likely unchanged compared to the prior study. The aorta is diffusely calcified. Mediastinal and hilar contours are unremarkable. Mild pulmonary vascular congestion is present without frank pulmonary edema. Small bilateral pleural effusions are visualized along with minimal atelectasis in the lung bases. No focal consolidation or pneumothorax is seen. Left shoulder arthroplasty is incompletely imaged. There are multilevel mild to moderate degenerative changes noted in the thoracic spine.
history: <unk>m with dyspnea
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk> year old woman with severe asthma, complains of new cough. on exam sounds diffusely wheezy consistent w/ baseline, but has some expiratory rales in r base. // rule out pneumonia
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Single ap portable view of the chest was obtained. There are slightly low lung volumes. Bibasilar atelectasis is seen. Relative opacity projecting over the costophrenic angles most likely relates to overlying soft tissue. No radiopaque foreign body is seen. Cardiac and mediastinal silhouettes are unremarkable.
foreign body.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Moderate degenerative changes seen at the right ac joint.
patient with epigastric pain.
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As compared to the previous radiograph, there is no relevant change. Left and right fiducial markers with surrounding parenchymal consolidations. Known mild peribronchial parenchymal opacities at the right lung base that have slightly decreased in the interval. Pleural adhesions at the left lung bases. Bilateral slightly asymmetrical apical thickening that is unchanged as compared to the prior examination. The upper contour of the fifth right rib is irregular and should not be mistaken for a pneumothorax. Unchanged size of the cardiac silhouette.
history of head and neck cancer treated for pneumonia, evaluation.
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Ap upright portable chest radiograph obtained. Lung volumes are low and the patient is rotated to the right, which limits the evaluation. There is bibasilar atelectasis with probable small bilateral pleural effusions. The heart appears enlarged, though this could be in part magnified due to technique. Possibility of pneumonia at the lung bases cannot be excluded, though atelectasis is favored. No pneumothorax is seen. Mediastinal contour is difficult to assess. No bony abnormalities.
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Frontal and lateral view of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouettes are unremarkable.
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The cardiomediastinal silhouette is stable with severe cardiomegaly and central vascular engorgement. Moderate pulmonary edema is stable. No pleural effusions seen. Ett is seen with the tip terminating approximately <num> cm superior to the carina. A right ij cvc is again seen unchanged in position with the terminal tip in the right atrium. The enteric tube is again seen with the terminal tip projecting beyond the lower margin of the field view. No pneumothorax is seen.
<unk> year old man with sah , intubated with pneumonia // ? ett
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Severe, abnormal convexity of the right mediastinal border with visualization of the pulmonary vessels is consistent with the known anterior mediastinal mass. Interval change in the size of the right mediastinal mass cannot be adequately determined due to the differences in lung volume and technique compared to the prior exam from <unk>; however, the mass appears grossly larger on the lateral view. Recommend ct chest with contrast for better assessment. Interval improvement in bibasilar atelectasis. Stable, mild cardiomegaly. Left hilar contours are normal. No pneumothorax or pleural effusion.
<unk>-year-old woman with a mediastinal neuroendocrine tumor. evaluate for interval growth of mediastinal mass. clinical concern for early svc syndrome.
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Right lower lobe opacity raises concern for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough, abd pain, s/p sbo's // pneumonia, or perforation
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with exertional dyspnea. evaluate for acute process.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Minimal degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain // acute process?
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Following left thoracentesis, a left pleural effusion has decreased in size with only a very small residual effusion remaining, and no visible pneumothorax. Pulmonary vascular congestion has slightly worsened in the interval, and a small right pleural effusion has slightly increased in size. Finally, note is made of persistent malpositioning of a left picc, with tip coursing cephalad in the right brachiocephalic vein, at the superior aspect of the medial aspect of the right clavicle. Dr. <unk> was telephoned to discuss this result at <time> p.m. On <unk> at the time of discovery.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with orthostatic hypotension, doe // eval for acute process, attn to pna
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Again noted is chronic elevation of left hemidiaphragm. A prosthetic aortic valve is in stable position. Sternal closure hardware is intact. Obscuration of the right heart border is likely a function of the pectus deformity. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. Lungs are hyperinflated. Moderate cardiomegaly is stable.
history: <unk>m with palpitations, atrial fibrillation.
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A hiatal hernia is again noted projecting over the cardiac shadow. Heart appears to be enlarged. Thoracic aorta is tortuous. Cardiomediastinal contours are unchanged compared to the prior study. Lungs are clear with no evidence of focal infiltrates. No pleural effusions and no pneumothorax.
<unk>-year-old gentleman with cough, evaluate for pneumonia.
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The patient is status post median sternotomy and cabg. Severe cardiomegaly is re- demonstrated, unchanged. Mediastinal and hilar contours are stable. There is mild pulmonary vascular congestion which appears to be chronic. No overt pulmonary edema is seen. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest tightness.
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As compared to the previous radiograph, the selective left bronchial intubation has been removed and replaced by a new endotracheal tube. This new tube is located at the orifice of the right main bronchus. There is no evidence of complication. As compared to the previous image, there is increasing atelectasis of the middle lobe and at the right lung bases, likely the consequence of right selective intubation. Left lung base is unchanged. Known left small pleural effusion. A small right pleural effusion has newly developed. The double-lumen catheter on the left is constant. At the time of observation and dictation, <time> p.m. On <unk>, the referring physician, <unk>. <unk> was paged and the findings were discussed over the telephone. The discussion revealed that the right bronchial intubation was not intentional and it was agreed that the endotracheal tube would be pulled back by about <num> cm.
bleeding, ett replacement.
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Right-sided port-a-cath is again seen, terminating in the low svc. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No definite findings to suggest free air is seen beneath the diaphragms. Lucency under the left hemidiaphragm likely the gastric bubble. Lucency under the right hemidiaphragm likely due to overlying bowel and seen on <unk>, chest radiograph. If high clinical concern for free air, ct is more sensitive.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. A few air-fluid levels are seen in bowel in the upper abdomen.
history of immunosuppression and low blood pressure, evaluate for pneumonia.
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Heart size is moderately enlarged but unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities detected.
history: <unk>f with c<num>-<num> tenderness to palpation, pain radiating down left arm; pain down back; right hip pain
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Linear opacities in the left lower lung represent scarring or focal atelectasis. Otherwise, the lungs are clear without evidence of pneumonia. Normal heart, mediastinal and pleural surfaces.
evaluation for pneumonia in a patient with rheumatoid arthritis and bronchiectasis.
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Cardiomegaly remains unchanged. A dual-lead left-sided pacemaker is in adequate position with leads terminating in the right atrium and right ventricle. Increased pulmonary vascular congestion persists with increased right basal opacity. There is no definite pneumothorax or pleural effusions.
<unk>-year-old man with cad status post cabg, chf, diabetes type <num>, nsvt, afib status post cardiac cath with acute dyspnea. study requested to assess an explanation for acute dyspnea.
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Frontal and lateral chest radiographdemonstrates well expanded lungs with mild equalization of blood flow.no pleural effusion or pneumothorax. Mild cardiomegaly is noted. Mediastinum contour and hila are unremarkable.
shortness of breath. assess for acute process.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube is coiled in the stomach. No evidence of complications, notably no pneumothorax. Moderate cardiomegaly without pulmonary edema. Atelectasis at the right lung base. No pneumonia, no pulmonary edema.
encephalopathy.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a <num> x <num> cm opacity projecting over the right midlung. Lungs are elsewhere clear. No pleural effusion or pneumothorax is seen.
history: <unk>m with dyspnea on exertion, known tight aortic stenosis. evaluate for pulmonary edema , infiltrate, effusion.
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Compared with <unk>, there has been slight clearing of the consolidation and effusion at the left base. Otherwise, no definite change. Again seen is background hyperinflation/ copd. A port-a-cath is in place, tip overlying right atrium. Cardiomediastinal silhouette is unchanged. There is upper zone redistribution, but doubt overt chf. There is increased opacity at both bases, consistent with left lower lobe collapse and/or consolidation, and on the right, small effusion and underlying atelectasis. No definite consolidation at the right base.
<unk> year old woman fever, productive cough // eval for pneumonia/effusion/other sources of infection
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Single frontal view of the chest was obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Left acromioclavicular joint degenerative changes are severe, similar to prior. No radiopaque foreign body.
<unk>-year-old female with altered mental status.
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In comparison with the study of <unk>, there again are low lung volumes with elevation of the right hemidiaphragmatic contour. Picc line has been removed. Otherwise, little interval change. No evidence of discrete pneumonia. Mild basilar atelectatic changes.
septic shock with crackles on examination.
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There is apparent elevation of the right hemidiaphragm associated right basilar atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.
<unk>f w/ hx of etoh abuse presents with abd distention, pain, and jaundice // eval for pna
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes, which accentuate the bronchovascular markings. Bibasilar opacities are seen, in part relate to costochondral calcifications, although increased since the prior study and may be secondary to aspiration and/or infection. There is blunting of the left costophrenic angle which may be due to a trace pleural effusion or pleural thickening. Cardiac and mediastinal silhouettes are stable. Old posterolateral right seventh rib fracture is seen. There is mild pulmonary vascular congestion. Compression deformity of upper lumbar/lower thoracic vertebral body is again seen without significant interval change.
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No focal consolidation or pleural effusion is identified. There is a persistent lucency projecting over the peripheral right lung base which may reflect the basal pneumothorax. The right apical pneumothorax is not definitively identified. The size of the cardiac silhouette is within normal limits. There is mild unfolding of the thoracic aorta.
<unk> year old man with spontaneous ptx, s/p pigtail removal at <num> am. // interval change. please complete at <num> pm
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The patient is status post endovascular aortic valve repair. Cardiac, mediastinal and hilar contours appear stable. Lung volumes are low. There is no definite pleural effusion or pneumothorax. The lungs appear clear.
shortness of breath.
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In comparison with study of <unk>, the cardiac silhouette remains within overall normal limits. Minimal indistinctness of pulmonary vessels raises the possibility of increased pulmonary venous pressure. There is suggestion of some increased opacification at the right base and in the retrocardiac region on this side. This could merely reflect crowded vessels or atelectasis and a lateral view would be ideal if clinically possible to better assess for possible pneumonia.
seizure and syncope with unresponsiveness, to assess for pneumonia.
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Endotracheal tube is seen with tip approximately <num> cm from the carina. Enteric tube passes below the field of view and tip is seen projecting in the region of the gastric fundus. There is a new right ij line with tip projecting over the mid svc. Multifocal regions of consolidation involving the right upper lung and bilateral lung bases are compatible with multifocal pneumonia. No pneumothorax.
<unk>-year-old female with new right ij line.
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Ap upright and lateral views of the chest provided. Left chest wall port-a-cath is again noted with leads extending into the region of the right atrium and right ventricle. Lungs are clear. On the lateral view only, retrocardiac opacity is noted though there is no correlate opacity in the frontal per projection. Thus, findings may reflect atelectasis. Cardiomediastinal silhouette is normal. No large effusion or pneumothorax. Bony structures are intact.
<unk>m with pre-syncope and fatigue. infx workup // pna?
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The heart is enlarged and there is engorgement of the pulmonary vasculature as well as mild pulmonary edema. There is thickening of major fissure on the right, which may represent fissural fluid. Again seen are bilateral pleural effusions with atelectasis at the lung bases. There is no evidence of new focal consolidation. No pneumothorax is seen. Again seen is thoracic spinal fusion hardware, unchanged in appearance.
<unk> year old woman with severe diastolic heart failure, on home o<num>, now with increasing o<num> requirement and new cough. // r/o pneumonia, heart failure. lung exam unchanged.
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Pa and lateral images of the chest were obtained. The lungs are clear bilaterally with no focal consolidation or congestive heart failure. There is no pneumothorax or pleural effusions. The cardiomediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm. Clips are seen within the upper abdomen.
chest pain radiating to the back.
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Ap and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Imaged osseous structures are intact. Multiple metallic densities project over right glenoid fossa. Partially imaged upper abdomen is unremarkable.
pleuritic chest pain and difficulty breathing.
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No acute focal consolidation. Marked hyperinflation of the lungs in keeping with history of copd. The cardiomediastinal silhouette is unremarkable. Large bochdalek hernia on the right is stable. No pleural effusions or pneumothorax.
<unk> year old man with asthma and history of cop; persistent sxs // lung stability since prior imaging
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are clear of confluent consolidation. Cardiac silhouette is enlarged but stable. Hypertrophic change is seen in the spine. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with arrhythmia, question pneumonia.
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The lungs are relatively hyperinflated, with flattening of the diaphragms, which can be seen in chronic obstructive pulmonary disease. There is mild left base atelectasis. No focal consolidation, large pleural effusion or evidence of pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is top-normal to mildly enlarged. No overt pulmonary edema is seen. The bones are diffusely osteopenic. A drain is partially imaged overlying the upper abdomen.
malaise.
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As compared to the previous radiograph, the appearance of the lung parenchyma and of the cardiac silhouette is unchanged. The only new component of the film are newly appeared bilateral pleural effusions. These effusions are better assessed on the lateral than on the frontal image. The effusions are overall mild to moderate and are restricted to the area of the costophrenic sinuses. Minimal atelectasis at the lung bases. No new infectious or edematous changes.
productive cough, resolving septic shock, evaluation.
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Chronic stable blunting of left costophrenic angle only seen on lateral is likely from scarring. Linear opacity in the left lower lobe is likely atelectasis or scar and is unchanged. No new focal opacity, pleural effusion, pneumothorax or pulmonary edema. Heart size, mediastinal contour and hila are normal. Anterior cervical fusion is again noted without additional bony abnormality.
<unk>-year-old male with chest pain. assess for occult process.
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The lungs are hyperinflated and there are bilateral pleural effusions, larger on the right. Superiorly, the lungs are clear. There is no definite consolidation or pulmonary edema. Moderate cardiac enlargement is unchanged. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities, hypertrophic changes are noted in the spine.
<unk>m with afib with rvr // eval for infiltrate, edema, heart size
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As compared to the previous radiograph, there is no relevant change. Mild fluid overload. Cardiomegaly, extensive right pleural effusion with subsequent right middle and lower lung consolidations, likely to represent atelectasis, pneumonia, or a combination of both. Unchanged right picc line. No pneumothorax.