Frontal_Image_Path
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MIMIC-CXR-JPG/2.0.0/files/p12579739/s59253197/367b85bc-ec00eab6-ed01b2d4-b969298a-dfc15290.jpg
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is similar mild relative elevation of the right hemidiaphragm, although less striking. The lungs appear clear. A feeding tube courses through the esophagus and visualized upper port of the stomach, although its more distal course is not imaged on this exam.
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nasojejunal tube placement.
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Low lung volumes cause bronchovascular crowding and bibasilar platelike atelectasis. Linear opacity projecting above the left hemidiaphragm is unchanged from prior studies and likely represents chronic scarring. There is no pleural effusion, pulmonary edema, focal consolidation, or pneumothorax. The cardiomediastinal silhouette is unchanged.
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<unk> year old man with new o<num> requirement, evaluate for acute pulmonary process
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A left-sided dialysis catheter is in place, again terminating in the upper right atrium. The patient is also status post coronary artery bypass graft surgery. The heart is again mild-to-moderately enlarged. The cardiac, mediastinal and hilar contours appear not significantly changed. There is no evidence for pleural effusion or pneumothorax. Streaky opacity in the left mid lung suggests minor atelectasis or scarring, probably located within the lingula. There are new slightly displaced left posterolateral seventh and eighth rib fractures that appear acute.
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status post fall with pain.
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Heart size is at the upper limits <unk> <unk>. The aorta is mildy unfolded. No pleural effusion, pneumothorax, pulmonary edema or evidence of pneumonia. The lateral view suggest mild anterior hyperinflation of the lungs. Mild t-spine degenerative changes noted.
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right shoulder pain. question pneumonia.
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There is a right ij port-a-cath with tip in the mid svc. The heart is upper limits normal in size. There are bilateral pleural effusions, right greater than left. There is pulmonary vascular congestion. There are patchy areas of alveolar infiltrate, most marked in the right lower lung. It is unclear how much of this is from fluid overload or if a superimposed infectious infiltrate is present.
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transfer from outside hospital with fever.
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A left-sided picc line courses into the chest. Its tip is not well visualized but it appears to terminate in the left brachiocephalic vein, similar to prior findings. Partly visualized cervicothoracic fusion shows no definite change. The cardiac, mediastinal and hilar contours appear state unchanged. An increasing opacity is noted in the left retrocardiac area with bronchograms. There is no definite pleural effusion or pneumothorax. The lungs appear otherwise clear.
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shortness of breath.
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Ap portable upright and lateral views of the chest provided. There is focal fibrosis in the right upper lobe accounting for the slightly coarsened reticular opacities noted at that level. There is mild pulmonary edema which appears new from prior exam. No effusion or pneumothorax. Heart is mildly enlarged. Mediastinal contour appears normal. Bony structures are intact.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal patchy right opacity in the right lower lobe is present. Remainder the lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with sudden onset pain right lateral chest with deep deep breathing //evaluate for pneumothorax
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Left picc terminates in the proximal-to-mid superior vena cava. Heart size, mediastinal and hilar contours are normal. Lungs are clear except for minimal linear scarring at the lung bases. Radiodense foreign body is again visualized overlying the t<num> vertebral body level.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is noted. Mediastinal and hilar contours are grossly unremarkable. Pulmonary vasculature is not engorged. There may be minimal atelectasis in the left lung base without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Degenerative changes of the left glenohumeral joint are incompletely assessed.
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history: <unk>f with confusion
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As compared to the previous radiograph, there is a further increase in extent of a left pleural effusion with increased atelectatic opacities at the left lung base. The lung volumes have further decreased, causing increased vascular markings, likely aggravated by mild pulmonary edema. The feeding tube has been pulled back. The course of the left picc line is constant and unchanged.
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pancreatic pseudocyst, pleural effusions, increased shortness of breath, evaluation for interval change.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Mild degree of aortic widening and elongation is present but no local contour abnormalities are seen. The pulmonary vasculature is not congested. No evidence of new acute parenchymal infiltrates can be identified. The pleural spaces are free laterally and posteriorly. No pneumothorax is present in the apical area on the frontal view. Review of multiple previous studies indicates that the patient had a left lower lobe atelectasis in retrocardiac position of <unk>. Chest ct examination two days later demonstrated findings of bronchiectasis in this area compatible with chronic infection. There existed also multiple bilateral patchy confluent infiltrates which most likely represented gvhd in this patient who is undergoing stem cell transplant. As there is presently no evidence on the plain chest examination that the latter type of infiltrates persist in the area of the left lower lobe, a crowded vascular pattern with some interstitial prominent structures remain and most likely represent scar formations after the left lower lobe posterior segment pneumonia.
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<unk>-year-old male patient after allogenic sct with wheezing and shortness of breath, assess for infiltrates.
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Previous device in the right internal jugular vein has been removed. Previous moderate cardiomegaly is improved now mild. There is no new focal airspace opacity. Mild bibasilar atelectasis is not significantly changed. There is no pneumothorax or large pleural effusion. The mediastinal and hilar contours are normal. Lobulated soft tissue obscuring the contour of the descending thoracic aorta and paraspinal line is likely a hiatal hernia.
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<unk> year old woman with pe w/ekos catheter placement // s/p ekos, interval change, pneumothorax?
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Portable ap view of the chest. Very limited due to patient rotation. A portion of the right chest is not visualized due to technique. A right-sided central venous catheter ends in the upper right atrium. There is no focal consolidation, pleural effusion, or pneumothorax.
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cough.
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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. Thoracic scoliosis is seen. No pulmonary edema is seen.
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history: <unk>f with possible seizure // r/o chf/pneumonia
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. A linear density projects in the left mid lung likely an area of scarring are plate-like atelectasis. No large pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette appears unremarkable, though heart size may be top normal. Focal eventration of the right hemidiaphragm is noted. The imaged osseous structures appear intact. There is no free air below the right hemidiaphragm.
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There is no evidence of pneumothorax. Cardiac size remains stable. Persistent interstitial abnormalities are noted. The aortic knob is calcified and the aorta is unfolded.
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<unk> year old woman s/p bronchoscopy // r/o ptx post bronch //<unk> year old woman s/p bronchoscopy
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>f with chest tightness, evaluate for infiltrate.
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Subcutaneous emphysema persists but is diminishing over time. No distinct pneumothorax or pneumomediastinum, however is evident. Small bilateral pleural effusions also persist. Positioning of right-sided central venous catheter is unchanged.
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<unk> year old man s/p cabg, left chest removal ><num>hrs // eval for pneumo
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with s./p mvc, ? loc, ha. upper chest wallpain // ich, ptx
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Frontal view shows an area of consolidation in the left lung, which corresponds to the lingula. Additionally, lateral view demonstrates opacification of the lower thoracic spine, suggesting pneumonia affecting one or both lower lobes. There are no pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk> year old man with cough for <num> weeks // rhonchi over lll - ? pnemonia
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As compared to the previous examination, the lung volumes remain low. Nevertheless, the lung bases are more radiolucent than on the previous image, likely reflecting improved ventilation. No interval appearance of focal parenchymal opacities suggestive of pneumonia. No pleural effusions. Normal size of the cardiac silhouette.
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pneumonia, rising white blood cell count, evaluation for interval change.
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Tracheostomy tube is again seen. Relatively low lung volumes are noted. Linear bibasilar opacities right greater than left likely due to atelectasis. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk> year old woman with <unk> cancer and tracheostomy - fevers and sputum // chest infection.
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In comparison with the study of <unk>, there are somewhat lower lung volumes. There is little change in the areas of interstitial prominence bilaterally, more prominent on the right, seen to reflect interstitial lung disease on the recent ct scan. Biapical scarring and pleural calcifications are again seen.
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lymphoma with increased dyspnea.
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Widespread bony metastases from prostate cancer limits evaluation. Diffuse interstitial pattern predominantly in the upper and mid lung fields, an worse in the bilateral lower lungs, may be due to atypical pneumonia or pulmonary hemorrhage, given no new heart enlargement suggesting failure. Cardiomediastinal and hilar contours are unchanged. No large pleural effusions.
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<unk>m with hemoptysis. evidence of infection.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. There is a faint subdiaphragmatic lucency on the right, more conspicuous on lateral view, which corresponds with free intraperitoneal air seen on subsequent ct.
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<unk>-year-old female with diffuse abdominal pain. question free air.
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The inspiratory lung volumes are appropriate. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. Cardiac silhouette is normal in size. The aorta is calcified and elongated, unchanged from prior examination. The mediastinal and hilar contours are within normal limits.
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<unk>-year-old female patient with ongoing cough for more than four weeks, not improving. study requested for evaluation of lung abnormality and to rule out pna.
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Ap and lateral views of the chest. There is mild indistinctness of the pulmonary vasculature more pronounced than prior portable film from <unk>. The lungs are clear of confluent consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with hypoglycemia.
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There has been interval placement of an et tube with tip in satisfactory position <num> cm above the carina. An enteric tube is seen with tip coiled in the stomach. Left picc line position is stable with tip terminating at the origin of the svc. The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. There is no new focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
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respiratory arrest status post intubation, evaluate et tube placement.
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The endotracheal tube and ng tube have been removed. The right-sided picc line is again seen with tip at the cavoatrial junction. There continues to be mild cardiomegaly with pulmonary vascular redistribution. There is volume loss in both lower lobes, left greater than right. The left hemidiaphragm is completely obscured and it is unclear if this is due to only volume loss or if there is an associated effusion or infiltrate, with less extensive findings are also present on the right. Compared to the prior study, the volume loss in the lower lobes is increased.
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status post avr. evaluate for effusion.
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An et tube ends <num> cm above the carina. An enteric tube ends within the stomach. Again seen is a background of severe emphysema with biapical bulla and bronchiectasis with worsened ground-glass reticular opacifications now diffuse bilaterally. Stable cardiomediastinal contours.
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respiratory failure status post intubation. assess for new et tube placement.
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Pa and lateral views of the chest provided. There is no focal consolidation. There is no pulmonary edema. Heart is top normal. Mediastinal and hilar contours are normal. Left pleural thickening is unchanged. Sternotomy wires are in normal alignment. Residual coil from lvad is in unchanged position.
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<unk> year old woman with heart transplant <num> weeks ago, evaluate infiltrate, pulmonary edema
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Port-a-cath terminates in the lower svc. Cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax. Multiple surgical clips project over the mediastinum. A new surgical clip projecting over the left hemidiaphragm was not present on the prior radiograph or ct and may have been dislodged from the mediastinum.
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<unk> year old man with lymphoma // fever; body aches. assess for pneumonia.
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. There is a somewhat vague asymmetry of opacification at the bases, with more opacity on the left, which could represent a developing consolidation in the appropriate clinical setting.
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post-operative fever.
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The patient is status post sternotomy and presumably coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. The heart is mildly enlarged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear unchanged with mildly exaggerated kyphotic curvature and small-to-moderate anterior osteophytes. There has been no significant change.
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cough, chest pain, and shortness of breath.
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Single portable upright chest radiograph was obtained. There is no significant change in the moderate right and small left pleural effusions. Pulmonary edema has improved, particularly at the right base. There are no new abnormal mediastinal or hilar contours. Endotracheal tube and enteric catheter remain in satisfactory positions. A pigtail catheter projects over the right mid abdomen.
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<unk>-year-old man with pulmonary edema, intubated, now status post <num> liter fluid removal with dialysis.
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As compared to chest radiograph from earlier today, left pigtail catheter has been removed. Tiny left apical pneumothorax has increased millimetric since the prior examination. Small left pleural effusion. Nodular opacity in the left upper lobe likely post biopsy hemorrhage. The cardiomediastinal contours are unremarkable.
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<unk>f w/ stage iv endometrial cancer, p/w l ptx s/p ct guided bx of nodules lul // please evaluate for interval change s/p chest tube removal. please obtain @ <time>am
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As compared to the previous examination, the pre-existing right pleural effusion has minimally increased in extent. The lateral image suggests that the effusion is loculated. Also slightly increased is the minimal subsequent atelectasis. Otherwise, there is no relevant change. Unremarkable size and shape of the cardiac silhouette. Unremarkable left lung.
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pleural effusion, evaluation.
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Comparison is made to previous study from <unk>. Intra-aortic balloon pump, endotracheal tube, and nasogastric tube are unchanged in position. Again, the side port of the nasogastric tube is at the ge junction and this could be advanced <num> cm for more optimal placement. There are unchanged small bilateral pleural effusions and a left retrocardiac opacity.
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Compared to the prior examination, lung volumes are decreased. Lungs are clear. No pleural abnormality. Accounting for differences in lung volumes, heart size is unchanged. Cardiomediastinal hilar silhouettes are normal.
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<unk> year old man with new onset fever on pod <num>
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Single frontal view of the chest was obtained. A left-sided port-a-cath is seen terminating in the proximal-to-mid svc. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.
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<unk>f with cough // r/o infiltrate
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. There is probable mild bibasilar atelectasis. Cardiomediastinal silhouette is stable. No bony abnormalities. No free air below the right hemidiaphragm.
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| null |
The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the upper abdomen.
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<unk>m with stroke // acute process?
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Pa and lateral views of the chest provided. Port-a-cath again seen residing over the left chest wall with catheter tip in the region of the low svc. 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 sickle cell crisis // ? infiltrate
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As compared to the previous radiograph, there is no relevant change. Unchanged monitoring and support devices. Unchanged extent of the bilateral pleural effusion with subsequent areas of atelectasis. Unchanged size of the cardiac silhouette.
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bilateral effusions, evaluation for interval change.
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A nodular opacity in the right mid lung is unchanged from prior studies, likely representing stable atelectasis. Subsegmental atelectasis in the peripheral left lung is also unchanged. There are small pleural effusions bilaterally. Mild pulmonary vascular congestion is present without frank pulmonary edema. There is no pneumothorax or focal consolidation. The cardiomediastinal silhouette, including moderate cardiomegaly, is unchanged. Median sternotomy wires, multiple mediastinal clips, and a prosthetic aortic valve are noted. Chronic appearing left-sided rib fractures and severe osteoarthritic changes of the right shoulder are stable.
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<unk>f with progressive dyspnea, pod#<unk> s/p cabg w aortic valve replacement, evaluate for pulmonary mid.
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The cardiomediastinal and hilar contours are stable from the prior examination. Postoperative changes involving the left hemi thorax and left upper lobe collapse are again noted , there is no pneumothorax or pleural effusion. An endobronchial valve projects over the left hilus as before. Aeration of the left lung is much improved. The right lung is hyperinflated, as before.
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<unk> year old woman with endobronchial valve placement for elvr. // ? ptx,
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Ap view of the chest provided. Lungs are clear. Severe cardiomegaly is again seen. There is no pleural effusion. Left-sided central line terminates in the distal svc.
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<unk> year old man with ams, sepsis, evaluate for pneumonia.
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As compared to the previous radiograph, the bilateral small apical pneumothoraces are unchanged. The monitoring and support devices, including the hemodialysis catheter on the right and the pigtail catheter in the pleural space on the right are unchanged. No new parenchymal opacities. Unchanged aortic valvular replacement. Retrocardiac atelectasis with minimal left pleural effusion.
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sternal plating, evaluation.
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Pa and lateral views of the chest were obtained. Slight elevation of the right hemidiaphragm is noted. The lungs are clear without focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal contour is unremarkable. Bony structures are intact. There is no free air below the right hemidiaphragm. No significant degenerative changes are seen in the imaged portion of the thoracic spine.
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The lungs are well expanded and clear. The hila and pulmonary vasculature are normal. No pleural abnormalities or pneumothorax. Heart size is normal. The aorta is tortuous. The mediastinum is normal.
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<unk> year old woman with acute crao // eval pulmonary process
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Cardiomediastinal contours are normal. Lungs are clear, and there are no pleural effusions. Scoliosis is noted as well as degenerative changes in the spine.
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<unk> year old man with slurred speech and h/o of lung nodule // lesions?
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There is mild pulmonary vascular congestion without evidence of frank pulmonary edema. The lungs are hyperinflated with fine interstitial lung markings at both lung bases, which may be due to emphysema or mild vascular congestion. Mild cardiomegaly is present. There is no pneumothorax. A dual-lead left pectoral pacemaker sends leads to the right atrium and right ventricle. The ascending aorta is dilated. Generalized osteopenia and multilevel loss of vertebral body height likely contribute to mild dextroscoliosis of the thoracic or lumbar spine.
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<unk>f with history of dvt/pe, chf, af and bradycardia s/p st. <unk>'s pacer, now admitted for chf exacerbation. complains of right chest wall pain. // assess for pulmonary edema and etiology of right chest wall pain
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The aorta is calcified. Heart appears mildly enlarged. The chest is hyperinflated. Postsurgical changes are noted along the lower right hemithorax. Bronchovascular irregularity suggests emphysema. Patchy retrocardiac opacity suggests opacification in the left lower lobe with mild associated volume loss. Mild loss in height of t<num> is noted.
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dyspnea.
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Ap and lateral views of the chest demonstrate low lung volumes with small pleural effusions. No focal consolidation. Hilar and mediastinal silhouettes are unremarkable. The aorta appears tortuous. Heart size is normal. There is no pulmonary edema. Right fourth, fifth and sixth rib fractures are seen. No pneumothorax.
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patient with reported history of rib fractures. assess for pneumothorax.
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Ap upright and lateral views of the chest provided. Minimal platelike lower lung atelectasis noted. The heart appears mildly enlarged. The hila appear slightly engorged though there is no frank edema. No large effusion or pneumothorax. No convincing signs of pneumonia. Mediastinal contour is unchanged. Bony structures are intact. Implanted cardiac monitor is seen in the left anterior chest wall as on prior.
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<unk>m s/p falls x<num>. on coumadin. eval for intracranial bleed, spinal injury, cardiopulm change / rib fx
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Right-sided picc terminates at the junction of the svc and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities within the left lung base likely reflect subsegmental atelectasis. Scarring within the lung apices is noted. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
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history: <unk>f with chronic immunosuppression with extreme fatigue and elevated wbc
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
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<unk>-year-old male with cough, dyspnea. evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
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<unk>-year-old female with chest tightness and palpitations.
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The right effusion is decreased compared to the ct scan from the prior day. There continues to be some volume loss in the right lower lung and underlying infectious infiltrate in this region cannot be excluded. There is a diffuse alveolar infiltrate in the left lung, medial greater than lateral, likely infectious in etiology. This infiltrate appears more extensive than on the ct from the prior day and is new compared to the study from a month prior.
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pleural effusion status post thoracentesis.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with mild cough and fevers. abdominal pain.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There may be a minimal anterior mid lung atelectasis seen on the lateral view. The cardiac silhouette remains top-normal. Mediastinal contours are stable. No evidence of free air is seen beneath the diaphragms.
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right upper quadrant pain, history of pancreatitis but lipase is normal today, question referred pain x.
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Pa and lateral views of the chest are compared to previous exam from <unk> and <unk>. When compared to prior, there has been interval resolution of the opacity in the anterior segment of one of the upper lobes. However, when compared to older normal chest x-ray from <unk>, there may be persistnet subtle opacity at the right lung base laterally, potentially within the right lower lobe. Posterior costophrenic angles are sharp. The cardiac silhouette which is enlarged is stable. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female status post kidney transplant <unk> years ago, presenting with chills and chest pain since last night. question infiltrate.
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Right chest wall port is seen with catheter tip over the lower svc as on prior. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with l shoulder pain // r/o pulmonary process or fracture
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| null |
Lung volumes are stable with improvement in bilateral lower lobe opacification previously ascribed to aspiration pneumonia. There has also been interval decrease in pleural effusions; however, a mild increase in vascular congestion is observed with stable cardiomegaly. There is no pneumothorax. There is characteristic widening of the ascending aorta consistent with severe aortic stenosis better seen on prior ct imaging.
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<unk>-year-old male with increased oxygen requirement and history of copd.
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The lung volumes remain low. There are bibasilar opacities with mild interval improvement compared to the most recent prior radiograph. Small left pleural effusion persists. No pneumothorax noted. There is stable cardiomegaly and postsurgical changes in the form of sternotomy wires and surgical clips projecting over the midline and left hemi thorax. Right-sided catheter, likely a ventriculoperitoneal shunt remains unchanged. Bony thorax is unchanged.
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<unk> year old woman history of cad status post cabg in <unk> and recent medically managed nstemi, systolic heart failure/ischemic cardiomyopathy (lvef of <num>%), atrial fibrillation on warfarin, right <unk> cva with hemorrhagic transformation status post suboccipital craniotomy in <unk> and hydrocephalus status post vp shunt placement with multiple revisions in <unk>, insulin-dependent diabetes mellitus type <num>, hypertension, hyperlipidemia, chronic kidney injury, and seizure disorder who presents with shortness of breath, now w/ vomiting and concern for aspiration
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Pa and lateral views of the chest provided. A lateral projection a small nodular opacity projects over a lower thoracic vertebral body, possibly a calcified granuloma or bone island. Otherwise the lungs appear clear. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm.
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<unk>m with fever and chest pain // r/o infiltrate, effusion
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The left pleural effusion has substantially decreased following drainage. Multiple pulmonary nodules corresponding to known metastases are unchanged. There is no appreciable pneumothorax. The heart and mediastinum are within normal limits despite the projection. An old left rib fracture has healed.
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<unk> year old man with pain // pain after <unk>
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The endotracheal tube now lies <num> cm above the carina and may have been slightly withdrawn or be secondary to differences in patient positioning. The nasogastric tube overlies the stomach. The heart is mildly enlarged. The pulmonary vasculature is normal. There is no pneumothorax, consolidation, or pleural effusion.
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altered mental status.
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Indwelling support and monitoring devices are unchanged in position. Cardiomediastinal contours are stable. Improving right juxtahilar opacity likely due to atelectasis. Minimal residual atelectasis in the left perihilar and basilar region. Otherwise, clear lungs. No visible pneumothorax on this semi-upright radiograph.
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Marked interval improved aeration of the left lung, which was previously nearly completely opacified, with residual airspace opacities most prominent in the central, perihilar and left retrocardiac regions. The degree of volume loss in the left hemithorax is also improved with some residual shift to the left. Within the right lung, poorly defined opacities in the right upper lobe and right infrahilar region have slightly worsened. Otherwise, no relevant short interval change since recent radiograph.
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The patient has a history of multiple lung nodules secondary to metastases from breast cancer. Bilateral pleural effusion, more prominent on the left side, has slightly increased. There is no pneumothorax. The mediastinal and cardiac contours are within normal limits. Left subclavian line is in adequate position.
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patient with pleural effusion, evaluation.
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The patient remains intubated, with the tip of the endotracheal tube positioned <num> cm from the level of the carina. An ng tube is in place, though the tip and side hole are not seen. There is interval improvement from <num>am in severe bilateral alveolar opacity, with small bilateral pleural effusions. The cardiac silhouette remains markedly enlarged reflecting known moderate pericardial effusion. A left internal jugular central venous catheter has been placed in the interim, the tip projects over the mid svc. There is no pneumothorax on this limited supine film.
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<unk>-year-old female with history of left ij central venous catheter placement.
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Single portable view of the chest. There is dense right basilar consolidation and patchy opacity in the left mid to lower lung as well. The cardiac silhouette is difficult to assess given silhouetting from the right parenchymal abnormality. Left chest wall dual-lead pacing device is again seen. Median sternotomy wires and mediastinal clips again seen.
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<unk>-year-old male with generalized weakness.
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Pa and lateral chest radiographs are provided. Exam is limited by underpenetration but there is no overt focal consolidation, pleural effusion, or pneumothorax. Cervical fusion hardware is present. Cardiomediastinal silhouette is unremarkable. No acute skeletal abnormalities.
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<unk>-year-old with fever, cough. evaluate for pneumonia.
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The patient is rotated. But could not be moved for additional imaging. The endotracheal tube terminates <num> cm above the level the carina. A right internal jugular catheter terminates in the proximal svc. A nasogastric tube terminates in the stomach. There is unchanged cardiac enlargement and pulmonary vascular congestion. The degree is broadly similar when compared to the prior study. No free air seen under the diaphragm.
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<unk> m in shock, rising lactate // pls eval for free air
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Supine portable ap single chest radiograph demonstrates an endotracheal tube approximately <num> cm above the level of the carina in appropriate position. An enteric tube descends along the expected course of the esophagus, terminating in the right upper quadrant. A temperature probe is identified. Lung windows demonstrates bilateral patchy ill-defined opacities which may reflect a component of aspiration or alternatively, in the appropriate clinical setting, contusions. Patient is rotated. Allowing for this, the cardiomediastinal and hilar contours appear within normal limits. No large pleural effusion is identified. Allowing for suboptimal technique, no pneumothorax is identified. Osseous structures are without acute abnormality.
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<unk>-year-old male post arrest status post intubation.
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Compared with the prior study, a dobbhoff tube has been placed. The radio-opaque portion of the tube overlies the lower mediastinum/lower esophagus and has not yet passed beyond the ge junction. Otherwise, no significant change is detected.
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<unk> year old woman with recent dobhoff placement. please assess prior to advancement // <unk> year old woman with recent dobhoff placement. please assess prior to advancement
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Patchy left lower lobe opacity is concerning for pneumonia. No pleural effusion or pneumothorax is seen. Remote left-sided rib fractures are again seen.
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low-grade fevers, tachycardia.
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Chest, ap and lateral: right chest wall port terminates at the superior cavoatrial junction. No pneumothorax. Small right pleural effusion. New mild pulmonary edema with prominent pulmonary and azygos veins, as well as numerous kerley b lines. No focal consolidation. Borderline cardiomegaly is unchanged. Mild acromioclavicular arthropathy.
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metastatic endometrial cancer, altered mental status.
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| null |
The endotracheal tube terminates <num> cm above the carina. The ng tube terminating in the stomach and the right picc line terminating at the cavoatrial junction are unchanged. No change in the bilateral pleural effusions or known bilateral rib fractures.
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<unk> year old man with sdh s/p craniotomy for sdh evacuation. eval ett status.
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The cardiomediastinal and hilar contours are within normal limits. As compared to chest radiograph from <unk>, lungs remain clear. There are no new focal consolidations concerning for pneumonia. No pleural effusions or pneumothorax. Visualized osseous structures are intact.
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<unk>-year-old woman with history of multifocal pneumonia in <unk>, completely resolved by <unk>, now with two weeks of cough, diffuse wheezing and low-grade temp. no history of smoking. study requested to rule out a pneumonia.
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Compared to the study from the prior days the lung volumes are smaller, there is increased pulmonary vascular distribution and increased alveolar infiltrate most likely secondary to increased chf. An underlying infectious infiltrate can't be excluded.
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aneurysm fevers question pneumonia.
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The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. Cervical hardware is again noted. There is contrast in the renal collecting systems from recent intravenous contrast administration for ct.
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history: <unk>f with cough and chest tightness
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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.
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history: <unk>f with cough and tachycardia
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The lungs are clear without focal consolidation, effusion, or edema. Linear opacity in the left lower lung is likely atelectasis. Cardiomediastinal silhouette is stable and there is tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the arch. Degenerative changes are noted at the left shoulder and there is a chronic left fourth rib fracture posteriorly. Postoperative changes of bilateral mastectomies with left breast prosthesis are noted.
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<unk>f with syncope with headstrike. normal mental status // fx bleed
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Right-sided port-a-cath tip terminates in the low svc. The heart size remains moderately enlarged. A large hiatal hernia is re- demonstrated. Aortic knob is calcified. Mediastinal and hilar contours are unchanged. The pulmonary vascularity is normal. Small right pleural effusion is unchanged. Linear opacities in the left lung base likely reflect subsegmental atelectasis. No new focal consolidation is identified, and there is no pneumothorax. Multilevel degenerative changes in the thoracic spine are again noted.
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fever.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes noted in the spine.
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<unk>m with cough, dyspnea // eval for pna, acute process
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| null |
Lung volumes are low. There is no significant changed since the recent prior aside from the interval placement of a right sided internal jugular venous catheter and possible small left pleural effusion versus atelectasis. Again noted is mild edema. The tip terminates in the lower svc. Enteric and endotracheal tubes terminate in the appropriate position. Internal fixation hardware is again seen of the right clavicle.
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history: <unk>m with cardiac arrest*** warning *** multiple patients with same last name! // evaluate for central line placement
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. Moderate cardiomegaly as before. Upper mediastinal structures are obscured by the presence of two <unk> rods each with <num> penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is moderately more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area.
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<unk>-year-old female patient with diastolic heart failure, pulmonary hypertension, on chronic oxygen with rales at right base and increasing oxygen requirements, evaluate for fluid overload.
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Frontal and lateral views of the chest demonstrate normal cardiac silhouette allowing for low lung volumes but vascular engorgement ant and mild basal edema reflect cardiac decompensation. The thoracic aorta is unfolded with dense arch calcifications. The lung volumes are low, accentuating bronchovascular crowding. However, the lungs are clear. There is no pneumothorax or pleural effusion.
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<unk>-year-old female with dementia, found walking outside. question pneumonia.
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Pa and lateral chest radiographs were obtained. The lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
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left chest pain
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| null |
Single frontal view of the chest was obtained. Endotracheal tube now terminates <num> cm above the carina. The cuff of the endotracheal tube is slightly hyperinflated. Enteric tube terminates within the stomach. Findings are otherwise unchanged since the exam <num> minutes prior with right lung base nodular opacities, which are concerning for metastases; left lung base collapse; and a moderate-sized left pleural effusion.
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<unk>-year-old female with right mainstem intubation, status post repositioning. evaluate endotracheal tube placement.
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| null |
As compared to the previous radiograph, the patient has received a new right-sided chest tube. A second chest tube is also in place. The position of the chest tube is now correct. No pneumothorax is seen. The opacities in the right lung are constant. Unchanged normal left lung. Unchanged moderate-to-severe cardiomegaly and tortuosity of the thoracic aorta.
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chest tube insertion, evaluation.
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| null |
There has been interval removal of the left internal jugular catheter. Right picc and <num> left chest tubes appear similarly positioned. Right pleural effusion has decreased. Moderate left vascular congestion, edema, and atelectasis appear unchanged. Small left pleural effusion persists. No pneumothorax is detected, aside from a sliver of left pleural air. Heart and mediastinal contours appear unchanged.
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<unk>-year-old female with left empyema status post vats decortication.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary edema.
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history: <unk>m with chest pain // chest pain
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Right chest wall deformity is again noted and unchanged in appearance, likely a combination of post-traumatic and post-surgical findings. Right pleural thickening and bronchiectasis is likewise unchanged. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with atherosclerotic calcification seen in the aortic arch. Surgical clips are seen in the left upper quadrant from nephrectomy. Nodular opacity seen over the left lung is increased in size to <num>mm. Other nodules seen on subsequent chest ct not as well seen on the radiograph.
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| null |
Two portable views of the chest were obtained several minutes apart, the sedond after adjustment of the endotracheal tube. First image shows endotracheal tube in close proximity to the carina and should be withdrawn. Nasogastric tube below the diaphragm, side port likely near the ge junction. On a second view, endotracheal tube is seen approximately <num> cm from the carina, in appropriate position. Low lung volumes are again seen. There is no confluent consolidation or definite pulmonary vascular congestion. There is prominence of the superior mediastinum, which could be due to tortuous vessels and technique. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male, was transferred from outside hospital, intubated.
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| null |
There relatively low lung volumes. Given this, no definite focal consolidation is seen. The be difficult to exclude a trace left pleural effusion. Cardiac and mediastinal silhouettes are grossly unremarkable. No overt pulmonary edema is seen. No evidence of pneumothorax is seen.
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history: <unk>m with n/v from <unk> // ? infectious process
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