Frontal_Image_Path
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Pa and lateral views of the chest were obtained. The previously demonstrated right upper lobe scarring and associated volume loss is unchanged since the prior study. There is no evidence of new focal consolidation, pleural effusion or pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable.
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<unk>-year-old man with multilobular process and eosinophilia. evaluation for interval change.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Surgical hardware overlying the right humeral head is noted.
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<unk>m with difficulty breathing. evaluate for pneumonia
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An endotracheal tube terminates <num> cm above the carinal. A right internal jugular catheter terminates at the cavoatrial junction. A nasogastric tube is coiled within the stomach. The cardiomediastinal and hilar contours are stable from the most recent prior exam. Bibasilar opacities, which could be related to atelectasis or aspiration are stable. There is no evidence of pneumothorax. There is decreased interstitial prominence from the prior examination consistent with improved pulmonary edema.
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<unk>f with r ij cvl placement // eval line placement
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The heart continues to be top normal in size, and the patient is status post median sternotomy and mitral valve replacement. Healed right-sided rib fractures are noted. A left-sided cardiac pacer has its leads terminating over the right atrium and right ventricle. The lungs are clear of focal consolidation or pneumothorax. There continues to be left pleural thickening, and there is no overt pulmonary edema.
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<unk> year old man with cad and mitral stenosis s/p cabg and mitral valve replacement in <unk>, av block, cm, chf, htn, also recent icd placement at complicated admission involving hemothorax and <unk>, p/w tachypnea and dyspnea.
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The mediastinal drains are in satisfactory position. The right ij catheter terminates in mid svc. The sternotomy wires are intact without evidence of dehiscence. No pulmonary edema, pneumothorax, pleural effusion, or consolidation. The cardiomediastinal silhouette is mildly enlarged compared to prior, consistent with postoperative changes.
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<unk> year old man with anterior mediastinal germ cell tumor now s/p resection via median sternotomy. // evaluate tube position
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There is slight blunting of the right costophrenic sulcus, which may represent combination of atelectasis and very small pleural effusion. Also, at the lateral aspect of the right hemidiaphragm is apparent slight focal concavity or lobulation of the diaphragm, which may represent adjacent airspace opacity or normal contour of the diaphragm.
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new onset right-sided back pain with coarse rhonchi on exam. evaluate for pneumonia/abscess or obvious fracture.
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In comparison with the study of <unk>, there is little change in the appearance of the monitoring and support devices. Again there is diffuse bilateral pulmonary opacifications that appear even worse than on the previous study, consistent with some combination of widespread pneumonia, pulmonary edema, or possibly even ards.
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endotracheal tube placement.
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Prior left picc is no longer visualized. There is volume loss in the right hemi thorax with right apical scarring and superior traction of the hilum. This is unchanged from prior. Surgical chain sutures seen at the lingula. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with kidney injury // pneumonia? effusion?
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The patient is status post median sternotomy with multiple intact appearing sternal wires. Multiple mediastinal surgical clips are compatible with prior cabg surgery. The cardiac silhouette is incompletely evaluated due to obscuration of the left heart border. Calcification of the aortic knob is unchanged. There is interval increased size of a large left pleural effusion with underlying opacification of the left mid to lower lung representing atelectasis or consolidation. Mild interstitial edema is not significantly changed from the most recent prior study. No pneumothorax is detected. Loss of height of a vertebral body at the thoracolumbar junction is unchanged. No acute osseous abnormality is detected.
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history of afib, chf and cad, now with paroxysmal nocturnal dyspnea.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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<unk>m with chest pain // eval for pneumothorax
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
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<unk>-year-old with shortness of breath and cough.
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Ap upright and lateral views of the chest provided. Port-a-cath again noted residing over the left chest wall with catheter extending into the mid svc region. The heart appears stable and top-normal in size. The lungs are clear. No large effusion or pneumothorax is seen. Mediastinal contour is stable. The imaged bony structures are intact.
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<unk>m with bradycardia, lightheadedness
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A right-sided port-a-cath terminates at the cavoatrial junction. The cardiomediastinal and hilar contours are within normal limits and stable. There is no focal consolidation, pleural effusion, pulmonary edema or pneumothorax.there are degenerative changes involving the left glenohumeral joint, not completely visualized.
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history: <unk>m with rapid afib, low bp // eval for consolidation
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The lungs are well expanded and clear. A small calcified granuloma is noted at the left base. There is no pleural effusion or pneumothorax. The cardiac silhouette is at the upper limits of normal in size.
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history: <unk>m with chest pain // r/o cardiopulmonary process
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion pneumothorax. The lungs are well-expanded and clear without focal consolidation. The upper abdomen is unremarkable.
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<unk>f with shortness of breath.
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There is no evidence of pulmonary edema or pleural effusions. Lung volumes are low causing areas of focal atelectasis such as of the right middle and lower lobe. The right lower lobe atelectasis on the frontal radiograph appears slightly nodular. There is no evidence of pneumonia. Cardiomediastinal sillouette is normal.
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shortness of breath. question pneumonia.
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As compared to the previous radiograph, pre-existing right pneumothorax appears to have completely resolved. No pneumothorax is seen on today's image. Unchanged course and position of the right port-a-cath, decreasing extent of the pre-existing right lateral soft tissue air collection. The cardiac silhouette and the left lung are normal.
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esophageal cancer, starting neoadjuvant chemotherapy, pneumothorax last week.
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Persistent cardiomegaly and mild pulmonary vascular congestion accompanied by minimal interstitial edema. Chronic elevation of right hemidiaphragm with adjacent linear right basilar scarring.
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Two views of the chest were obtained. The lungs are relatively well expanded with small left pleural effusion as seen on outside hospital ct from <unk>. Nodular opacity in the right mid lung could reflect an infectious process. The heart is normal in size with normal cardiomediastinal contours.
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<unk>-year-old male with nausea and vomiting. assess for infiltrate. of note, per the omr, the patient is status post liver transplant for alcohol cirrhosis and hernia repair on <unk> with readmission for diarrhea/c. diff on <unk>.
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Endotracheal tube terminates <num> cm above the carina. Lucencies projecting over the left neck are again seen, raising concern for subcutaneous emphysema. There may also be a tiny focus of soft tissue gas projecting over the right neck. Pneumomediastinum along the trachea is not excluded. Streaky left base opacity is most likely due to atelectasis. No definite focal consolidation is seen. No large pleural effusion or pneumothorax. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
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history: <unk>m with intubation // post intubation
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There is a small right pleural effusion. There is no left pleural effusion. There is no evidence of pneumothorax. The lungs are clear without a consolidation or edema. Linear calcifications along the left mid lung zone and right base are most consistent with calcified pleural plaques. There is a minimally displaced lateral ninth rib fracture. The lower ribs are not included in the field of view.
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hemothorax diagnosed at an outside hospital. please evaluate.
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Single frontal view of the chest demonstrates persistent low lung volumes, likely accentuating the cardiac contour and mildly prominent hilar vessels. Mild component of upper zone pulmonary edema is similar. A tiny left pleural effusion is unchanged. There is stable to slightly increased compressive atelectasis in the left lung base. There is no pneumothorax or confluent consolidation. There is no large pleural effusion. The tracheostomy tube is in standard position. The airway is midline.
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<unk>-year-old female with congestive heart failure. question interval change.
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When compared to prior radiograph obtained <num> hr previously, there is been little interval change in the appearance of bilateral lungs. Cardiomediastinal and hilar contours remain stable. There is been interval placement of a right internal jugular central line its tip which appears to project over the right atrium. There is no pneumothorax. No large pleural effusion is seen.
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<unk>-year-old male with recent placement of central line.
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There is moderate to severe enlargement of the cardiac silhouette. There is prominence of the interstitial markings without large effusion or confluent consolidation. Median sternotomy wires are intact. There is a left-sided venous catheter identified extending to the midline but the tip is not clearly delineated. No acute osseous abnormalities.
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<unk>f with pulm htn, s/p <num>l and <num>u prbc // eval for pulm edema
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Frontal chest radiograph is markedly rotated to the right side. Thoracic scoliosis also limits the study. Extensive pleural calcifications throughout the right hemithorax are of unknown chronicity. Additionally, a pleural effusion is likely present on the right, but the size is difficult to determine due to positioning. The left lung is clear and there is no pneumothorax. Heart size is not well evaluated due to patient positioning. Superior subluxation of the right glenohumeral joint is noted.
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fall and pelvic fracture. pre-operative evaluation.
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As compared to the previous radiograph, there is improved ventilation of both the left and the right lung base. Moderate cardiomegaly persists. The tortuosity of the thoracic aorta and the position of the right central venous access line is constant. No pneumothorax. No pleural effusions. No pneumonia.
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shortness of breath, evaluation.
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Severe cardiomegaly is overall unchanged compared to the prior exam. Subtle increase in opacification at the right lung base may be secondary to atelectasis. There is mild left basilar atelectasis. The hilar and mediastinal contours are otherwise stable. There is no large pleural effusion. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.
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history of aspiration. please evaluate for pneumonia.
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The heart is normal size and cardiomediastinal silhouette is unchanged. Calcifications are again noted in the aortic arch. Pacemaker leads are unchanged in position. Lungs are clear. In comparison to the prior examination, the pulmonary interstitial markings are more prominent, particularly along the periphery of the bases. Small pleural effusions are new. There is no pneumothorax.
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history: <unk>f with malaise // rule out pneumonia
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Single portable view of the chest. There has been interval placement of an endotracheal tube whose tip is <num> cm from the carina. Enteric tube passes into the gastric body with tip past the ge junction. Again, low lung volumes are seen; however, there is no evidence of confluent consolidation. Cardiomediastinal silhouette is stable as are the osseous structures.
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Single ap supine portable view of the chest was obtained. Right-sided dual-lead pacemaker is again seen, unchanged in position. The patient is status post median sternotomy. There is minimal pulmonary vascular congestion. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No displaced fracture is seen.
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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.
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<unk>m with chest pain, cough // ?pna
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Pa and lateral views of the chest provided. Overall, there is no change from yesterday's pet-ct scan. Patient is known to have a large left hilar mass which encases the central bronchovascular care. There is a large left effusion which appear similar to pet-ct performed yesterday. Right lung remains clear. No shift of midline structures. No pneumothorax.
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<unk>m with dyspnea, concern for effusion
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A density projecting over the cervical spine and the lower neck is compatible with recent anterior cervical spine fusion hardware. The inspiratory lung volumes are decreased. There is retrocardiac opacification of the left lung base predominantly which may reflect atelectasis or consolidation. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiomediastinal silhouette is accentuated due to low lung volumes but is likely related in part to technique.
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fever, here to evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left basilar atelectasis, likely representing atelectasis or aspiration. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are remote left rib fractures.
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history: <unk>m with sob // ? infiltrate
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Heart size is normal with mild tortuosity of the thoracic aorta. There is prominence of the central pulmonary vasculature with trace interstitial pulmonary edema. There are increased somewhat nodular opacities in the right greater than left lung bases. Pleural surfaces are clear without effusion or pneumothorax.
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dyspnea, hypoxia and renal failure.
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When compared to prior, there has been no significant interval change. Pulmonary vascular congestion persists. There is no superimposed consolidation. The cardiomediastinal silhouette is stable, pulmonary arterial enlargement is again noted. Median sternotomy wires, several of which are fractured are unchanged. Atherosclerotic calcifications noted at the aortic arch. Hardware in the proximal right humerus is partially visualized.
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<unk>f with confusion // eval for pna, pulm edema
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Left pectoral neurostimulator device is unchanged. The lungs are clear. There is no pneumothorax. Moderate cardiomegaly despite the projection is unchanged.
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<unk> year old man with increase seizure frequency // infection?
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The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with chest pain and sob // eval for infiltrates
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Low volumes exaggerate the pulmonary vasculature. There is no focal consolidation, pneumothorax, or large effusion. The heart size remains top normal. The hilar and mediastinal contours are within normal limits.
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hypoxia.
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Pa and lateral views of the chest were reviewed and compared to the prior study. Right internal jugular vein catheter tip ends in the distal superior vena cava and is unchanged in location. Compared to the prior study there is a new retrocardiac opacity. The cardiac silhouette is slightly more prominent compared to the prior study. The mediastinal contour is normal and there is no evidence of pleural effusions or pneumothorax. No concerning osseous or soft tissue lesions.
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evaluation for pneumonia in a patient with dyspnea.
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Ng tube tip is in the stomach. The et tube is no longer visualized. The appearance of the lungs and bilateral effusions and mediastinal shift is unchanged.
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new ng tube.
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Moderate cardiomegaly is stable. Mild to moderate pulmonary edema is new. Right lower lobe opacities are likely atelectasis. There is pleural small right effusion. There is no evident pneumothorax. Catheter projects in the right upper quadrant of the abdomen
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<unk> year old woman with epigastric pain s/p perc chole, now with hypoxia // cause for new hypoxia
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Pa and lateral chest radiographs demonstrate persistent left lower lobe opacity, unchanged from multiple priors. The lungs are otherwise clear. No pulmonary edema is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.
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bilateral lower extremity swelling for three days. evaluation for interstitial or intrathoracic process.
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As compared to the previous radiograph, the lung volumes have clearly increased, reflecting improved ventilation. There is no evidence of a pneumothorax or another post-surgical complication. However, there is a slight opacity at the bases of the medial aspect of the right lung obscuring the right heart border. In addition, a minimal atelectasis is seen at the right lung bases. These changes could, in the appropriate clinical setting, reflect early pneumonia. No pulmonary edema. Borderline size of the cardiac silhouette. Normal hilar and mediastinal structures. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were discussed a few minutes later over the telephone.
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status post right vats thymectomy, evaluation for interval change.
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Pa and lateral views of the chest provided. Left basilar linear density is most compatible with atelectasis. There are multiple left rib fractures which appear subacute as these were present on the prior ct from outside hospital performed <unk>. These appear to involve the left fifth through ninth ribs posterolaterally, all of which appear mildly displaced. There is no pneumothorax. No large effusion. Right lung is clear. Cardiomediastinal silhouette is stable.
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history: <unk>m with chest pain after a fall // r/o pneumothorax or obvious rib fracture
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A single portable chest radiograph was obtained. Moderate bilateral pleural effusions have progressed since <unk>. The patient has been extubated. The tip of a nasogastric tube terminates in the distal esophagus and must be advanced approximately <num> cm to ensure that the side hole is in the stomach. The tip of a right-sided picc line is at the cavoatrial junction. Moderate cardiomegaly and aortic calcifications are unchanged. There are extensive surgical clips along the left chest wall. A vp shunt courses along the right chest.
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ng tube placement.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with fever, cough // r/o infiltrate
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
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history: <unk>f with cp,sob // pna?
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Right-sided chest tube is again visualized. There has been interval decrease in the right pleural effusion which is now small. There is a small amount of volume loss in both lower lungs. The heart is mildly enlarged. There is mild pulmonary vascular redistribution.
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<unk> year old woman with right pleural effusion s/o chest tube placement // evaluate for ptx, tube placement. at <unk> am.
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The first provided radiograph demonstrates a dobbhoff tube in the lower esophagus. The subsequent radiograph demonstrates advancement of the catheter, with its tip in the upper stomach. There is mild residual pulmonary edema. The cardiomediastinal silhouette is unchanged.
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<unk> year old man with cirrhosis, need ngt // ngt placement
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The patient is status post esophagectomy and pull-up procedure. Cardiomediastinal contours are stable in the postoperative period. Worsening homogeneous opacity in the right lower hemithorax bordered superiorly by the minor fissure. This probably reflects a combination of moderate pleural effusion and postoperative atelectasis, but coexisting infectious pneumonia is possible in the appropriate clinical setting. No change in left retrocardiac atelectasis and small left effusion.
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Pa and lateral chest radiographs show no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. The cardiomediastinal silhouette is otherwise normal.
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fever and headache. evaluate for acute cardiopulmonary process.
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Pa and lateral views of the chest provided. The heart appears top-normal in size. There is subtle prominence of the main pulmonary artery contour. The hila appear minimally congested. The lungs are clear. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact.
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<unk>f with dyspnea // acute process
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The lungs are moderately hyperinflated with a clear left lung. Tubular and heterogeneous radiopacities within the right lower lobe are consistent with aspirated contrast from prior oropharyngeal video swallow. Right lower lobe atelectasis is noted. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Intact median sternotomy wires and sternal clips are consistent with prior history of cabg.
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<unk>m with cough, fatigue. assess for aspiration or pneumonia
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Ap and lateral views of the chest. The lungs are hyperinflated. There is diffuse interstitial abnormality noted with relative areas of lucency superiorly and fibrotic changes in the mid lungs bilaterally. Bilateral calcified granulomas are also identified. Increased interstitial markings are seen at the bases. There is no confluent consolidation nor effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities detected.
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<unk>-year-old female with hypoxia.
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There is mild increase in bilateral interstitial markings suggestive of mild increase in central venous pressure. The cardiomediastinal silhouette appears stable to minimally enlarged in comparison to prior study. The aorta appears tortuous. Otherwise, the lungs are clear and without a focal consolidation, effusion, or pneumothorax.
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shortness of breath.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is stable. No bony abnormalities. No free air below the right hemidiaphragm.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cough // eval for pna
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Cardiac silhouette remains enlarged with upper zone vascular redistribution, peribronchial cuffing, and overall worsening of diffuse reticular and nodular opacities bilaterally. Additionally, there are a few larger poorly defined nodular opacities in the mid and lower lungs which appear slightly more pronounced than on the prior study. There are no segmental or lobar areas of confluent consolidation. Small bilateral pleural effusions are present, with some extension of fluid into the fissures. Unchanged compression deformity in the lower thoracic spine.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.
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near syncope.
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As compared to the previous radiograph, there is no relevant change in position of the endotracheal tube. The tip of the tube projects approximately <num> cm above the carina, the tube could be advanced by <num>-<num> cm. No evidence of complications, unchanged position of the nasogastric tube and the right internal jugular vein catheter. Moderate cardiomegaly with bilateral pleural effusions of moderate extent, no evidence of newly appeared focal parenchymal opacities.
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renal artery stenosis, evaluation for endotracheal tube position.
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The right heart border is obscured by the elevated right hemidiaphragm. Again seen are persistent coarse reticular opacities in the right upper and right middle lobes, likely secondary to residual tumor and/or radiation fibrosis. Widened mediastinum is consistent with extensive lymphadenopathy. There has been significant interval improvement of the large right pleural effusion compared to the recent ct; however, with residual elevation of the right hemidiaphragm. The left lung appears clear. There is no evidence of pneumothorax. There is a left-sided port-a-cath which terminates in the cavoatrial junction.
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history of metastatic lung cancer with new right-sided thoracentesis. please assess for pneumothorax and/or residual right-sided effusion.
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As compared to the previous radiograph, the image shows a subtle but newly appeared parenchymal opacity at the medial aspects of the lung bases. On the lateral radiograph, the opacity can be located in the posterior portions of the right lower lobe. The opacity is not very well defined and shows subtle air bronchograms. In the appropriate clinical setting, the changes are likely reflecting pneumonia. Otherwise, the radiograph is unremarkable. Normal size of the cardiac silhouette. No pleural effusions. No pulmonary edema. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were discussed over the telephone.
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cough, questionable pneumonia.
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Heart size is mildly enlarged. Aorta is tortuous but unchanged. There are diffuse calcifications of the thoracic aorta. The pulmonary vascularity is normal. Linear opacities within the left lower lobe may reflect subsegmental atelectasis versus scarring. Calcified granuloma in the right upper lobe is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities identified.
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audible wheeze, dry cough and shortness of breath.
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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. Lines and tubes: iabp tip is more proximal, less than <num>cm below the aortic arch. More standard positioning may be achieved by pulling it back at least <num> cm. Pa catheter tip position is similar to yesterday.
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<unk> year old man with h/o aml s/p allo-sct, relapse, most recently received dli, now w/ multisystem organ failure with decompensated chf, <unk>, sig. transamnitis. // progression of heart failure
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Et and ng tubes are in standard, unchanged positions. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or large pleural effusion. Lung volumes remain low, and there is a new right basilar opacity which may represent atelectasis, aspiration, or pneumonia. There is no evidence for pneumonia or edema in the upper lungs.
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<unk> year old woman with intubated // new pathology
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In comparison with the study of <unk>, the monitoring and support devices are in unchanged position. The endotracheal tube is at the upper clavicular level and could be pushed forward several centimeters. Large right apical mass is again seen with associated rib destruction, consistent with a primary lung malignancy. Progressive decrease in the bibasilar opacification.
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fluid overload after surgery.
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Lungs are free of focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities are identified. Degenerative changes are noted throughout the thoracic spine, including anterior osteophytes.
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history: <unk>m with mm, weakness // eval for acute process, attn to pna
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Dual-chamber pacemaker with generator is in left pectoral region with leads ending in right ventricle and body of right atrium. Distal tip of right internal jugular line is at origin of right brachiocephalic vein. Sternotomy wires are in correct placement. Increase in bilateral basilar pleural effusions left greater then right. No focal consolidation, pulmonary edema, or pneumothorax. Heart size and mediastinal contours are normal.
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female with new pacemaker. assess for lead placement and pneumothorax.
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Since <unk>, right basilar opacity appears worse but this may be attributable to supine positioning of patient and combination of layering pleural fluid and moderate basilar atelectasis. The left basilar opacity is present since at least <unk>, and may represent atelectasis or pneumonia. The heart size is unchanged. The tip of the ett is seen <num> cm above the carina. A right picc line is seen in the low svc.
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<unk> year old man with hypoxemic respiratory failure // <unk> year old man with hypoxemic respiratory failure
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Right ij catheter tip projects over the lower svc. There is no focal consolidation. Increased interstitial markings throughout the lungs have also improved since prior, potentially due to resolving infection versus decreased pulmonary edema. The cardiomediastinal silhouette is within normal limits. Dense atherosclerotic calcifications are noted. No acute osseous abnormalities.
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<unk>-year-old woman with low grade temp, leukocytosis. evaluate for pneumonia.
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Pleural based opacity along the mid right lateral chest corresponds to that seen on recent prior pet-ct. There is blunting of the posterior right costophrenic angle consistent with small right pleural effusion with overlying atelectasis, underlying pleural lesion better assessed on ct. Prominence of the right hilum is similar to prior chest ct. No definite new focal consolidation. No evidence of pneumothorax. Cardiac and mediastinal silhouettes are stable.
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history: <unk>f with dyspnea // ? acute cardipulm process
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The inspiratory lung volumes are decreased from the most recent prior study. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits. The trachea is midline.
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cough and dyspnea with wheezing, here to evaluate for pneumonia.
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Ap upright and lateral views of the chest are provided. A left chest wall pacer with single lead is unchanged. The heart is markedly enlarged. There is mild pulmonary ground-glass opacity which could reflect pulmonary edema. There could be a tiny left pleural effusion. No pneumothorax. Bony structures are intact.
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The lung are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
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<unk>-year-old with palpitations.
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There are low lung volumes. The cardiomediastinal silhouette is unchanged, reflective of a top-normal heart size. The hila are unremarkable. There is retrocardiac opacity which is new since prior exam and concerning for pneumonia. Elsewhere, the lungs are clear. There is no pulmonary venous congestion. There is no pneumothorax or pleural effusion.
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<unk>-year-old woman with cough and fever, evaluate for pneumonia.
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Nasogastric tube extends well into the stomach. Otherwise, little change from the earlier study of this date.
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ng tube placement.
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Single portable frontal chest radiograph demonstrates moderately well inflated clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures demonstrates no displaced rib fracture.
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<unk>f with s/p mvc w trauma. assess for fracture.
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As compared to the previous radiograph, the patient has been extubated. The other monitoring and support devices remain in constant position. Unchanged moderate cardiomegaly with retrocardiac atelectasis but without current evidence of pulmonary edema. No pleural effusions. No focal parenchymal opacities suggesting pneumonia.
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stroke, extubation, evaluation.
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There is a slightly suboptimal inspiratory effort and low lung volumes. Allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. The thoracic aorta is mildly tortuous. The bilateral hila are unremarkable. The lungs are clear, although subtle hazy opacity at the lung bases is likely reflective of crowding of bronchovascular structures in the setting of low lung volumes. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. Again seen are multifocal osseous abnormalities involving several bilateral ribs, likely reflecting myelomatous involvement, unchanged from prior.
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<unk>m with multiple mylemoa on active chem p/w general maliase, evaluate for pneumonia.
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Moderate bilateral pleural effusions left more right are unchanged. Heart size difficult to evaluate. Mediastinal contours are otherwise unchanged. Lungs are clear. Right ij catheter is no longer seen. Hiatal hernia noted.
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<unk> year old man with s/p cardiac surgery // evaluate for acute process
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Left-sided port-a-cath catheter terminates in the right atrium, not significantly changed from prior examination. The cardiomediastinal and hilar contours are within normal limits. Within the right upper lung note is made of a <num> x <num> cm focal opacity which is enlarged when compared to prior ct torso from <unk>. Left lower lobe nodule is better assessed on prior ct examinations. There is no new areas of focal consolidation, pleural effusion or pneumothorax.
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metastatic colon cancer. rule out pneumonia.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Ap and lateral views of the chest. The lungs are relatively hyperinflated, but clear of confluent consolidation. There is no large effusion. Calcified granuloma identified at the right lung base. The cardiomediastinal silhouettes are within normal limits given rotation to the left. Old right clavicular fracture is identified. The bones are diffusely osteopenic, limiting evaluation for subtle fracture. Kyphoplasty changes seen in the lumbar spine.
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<unk>-year-old female with osteoporosis and monoclonal gammopathy presents with bilateral back 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.
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<unk>f with cough and fever // pneumonia?
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Both lungs are well expanded. No opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
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Pa and lateral chest radiographs were obtained. The right hemidiaphragm is substantially elevated. Colon interposed underneath the right hemidiaphragm indicates there is no subpleural subpulmonic effusion. The left lung is normal. The left cardiac contours are normal. There is no pneumothorax, effusion, or consolidation.
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hyperglycemia.
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In comparison with the study of <unk>, allowing for differences in technique, there may be mild improved expansion of the left hemithorax. There is still some shift of the mediastinum to the left. Right lung remains essentially clear. There are air-fluid levels seen in the upper right abdomen laterally that appear anteriorly on the lateral view. This could merely reflect loops of colon interposed between the liver and hemidiaphragm. Long air-fluid level in the stomach could reflect some gastric dilatation.
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left lower lobe pneumonia and collapse, to assess for change.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. Patchy scarring at the left lung apex is stable. A nipple shadow is visualized on the right. The lungs appear otherwise clear. There is no evidence for pleural effusion or pneumothorax. Slight degenerative changes along the thoracic spine are similar.
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syncope.
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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged low lung volumes with moderate cardiomegaly and bilateral areas of atelectasis. No overt pulmonary edema. No pneumothorax, no larger pleural effusions. No evidence of pneumonia.
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status post exploratory laparoscopy, intubation, assessment for interval change.
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. On lateral view a roughly <num> cm extrapleural density is seen immediately posterior to the sternal angle.
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chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
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chest pain.
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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 similar study of <unk>. The heart size is unchanged and remains within normal limits. Similar as seen on preceding examination is a hazy density on the left base superimposed over the cardiac apical area, clouding slightly the left lateral pleural sinus. There is, however, no evidence of any pleural effusion in the lateral pleural sinus and the posterior pleural sinuses are seen to be clear on the lateral view. Thus, this finding is compatible with an apical extra pericardial fat pad that appears unchanged in both frontal and lateral view on previous and present examination. Review of an older chest examination of <unk>, demonstrated also unchanged and stable appearance of this finding. The pulmonary vasculature is not congested. There exists a somewhat irregular peripheral vascular distribution in both lungs, suggestive but not conclusive for copd. Acute parenchymal infiltrates cannot be identified and there is no pneumothorax in the apical area. Skeletal structures of the thorax are grossly within normal limits, however, on the lateral view, one can identify a mildly anterior wedge-shaped vertebral body in the lower thoracic spine, probably t<num>. This finding existed; however, already on the preceding study. Additional bilateral decubitus films were obtained as specifically requested by the referring physician. There is no evidence of any pleural effusion layering in the lateral dependent pleural spaces on either side. The performance of decubitus films in this case was redundant as the lateral film excluded any pleural effusion accumulating in the posterior pleural sinuses with patient in upright position. Referring physician, <unk>. <unk> <unk> was contacted by <unk>.
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<unk>-year-old female patient with copd, new infiltrate and enlarging effusion, evaluate effusion. requires pa, lateral and decubitus films.
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The right-sided chest tube is again seen. There is a moderate right apical pneumothorax that is slightly larger than on the study from the prior day. The right ij line is unchanged. There continues to be retrocardiac and right lower lobe subsegmental atelectasis.
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<unk> year old woman with s/p cardiac surgery- right pneumothorax, ct clamped at <num>am // evaluate for pneumothorax
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The heart size has left ventricular prominence. There are no signs for overt pulmonary edema. There are some hazy densities at the left base likely representing atelectasis as opposed to focal infiltrates. No pneumothoraces are identified. Bony structures demonstrate old healed fractures of the left lateral clavicle and degenerative changes of the left glenohumeral joint.
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Ap upright and lateral views of the chest provided. Tracheostomy tube projects over the superior mediastinum. A clip projects over the left upper lung. There is no lobar consolidation, effusion or pneumothorax. The hila appear somewhat prominent which could reflect the presence of prominent lymph nodes. Overall appearance is not significantly changed. Heart size is within normal limits. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with h/o subglottic stenosis s/p trach p/w <num> month of cough // consolidation
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Lungs are hyperinflated compatible with mild emphysematous changes. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.
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history: <unk>m with abdominal ascites, dyspnea
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Ap portable supine chest radiograph demonstrates low lung volumes. An endotracheal tube, its tip which terminates <num> mm above the level of the carina in appropriate position. There is no pneumothorax, pleural effusion, or pulmonary edema. Heart size is exaggerated secondary to the lung volumes. Blunting of the left costophrenic angle is likely sequela of atelectasis. There is mild bronchovascular crowding. No air under the right hemidiaphragm is seen.
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<unk>m with gi bleeding, hypotension // assess tube placement post intubation
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MIMIC-CXR-JPG/2.0.0/files/p13450784/s51879945/910e9900-02b2e78b-bc36913a-231c667f-e4489e73.jpg
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The cardiomediastinal and hilar contours are within normal limits. The heart is mildly enlarged but stable. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with mi recent stenting p/w chest pain and rash. // acute cardiopulmonary process
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