Frontal_Image_Path
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In comparison with the earlier study of this date, there has been placement of a picc line that extends to the mid portion of the svc. Continued low lung volumes with prominence of the cardiac silhouette and left ventricular configuration. No definite vascular congestion or acute pneumonia.
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picc placement.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
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<unk>f with tachypnea.
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The right picc line with tip in the distal svc is unchanged. There continues to be a small amount of subcutaneous emphysema bilaterally. Sternal wires and cardiac valve are unchanged. There are tiny bilateral pleural effusions. The heart size is mildly enlarged.
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status post cardiac surgery, question pneumothorax.
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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. Vascular stent is present in the right axillary region.
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<unk> year old woman with fever, productive cough. // focal opacity, specifically in lower right lobe?
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Again seen is widespread, multifocal areas of parenchymal opacity, not appreciably changed in comparison to prior radiographs, most recently <unk>. No new lobar consolidation is present. The cardiomediastinal silhouettes are stable. The bilateral hila are obscured, and not well evaluated. There is no definite evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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history: <unk>f with sapho syndrome and ?tb or pjp, now with leukocytosis // acute process
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Ett in standard position. Left cardiac pacemaker device is unchanged. Median sternotomy wires and multiple mediastinal clips are unchanged. Heart remains moderate to severely enlarged. Lung volumes remain low. Moderate edema persists, with interval increased opacity in the right upper lobe; this asymmetric edema can be seen in the setting of mitral regurgitation. No large pleural effusion. No pneumothorax.
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<unk> year old man s/p cardiac arrest this morning // interval change
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An endotracheal tube ends approximately <num> cm above the carina. Orogastric tube tip projects over the stomach. Cardiomediastinal silhouette is unremarkable. Multifocal patchy opacities are again demonstrated, and likely represent pneumonia. Basilar opacities are slightly less conspicuous then prior x-ray from same day. There is no pleural effusion or pneumothorax. Percutaneous transhepatic biliary catheters are seen within the upper abdomen and percutaneous gastrostomy catheter is partially imaged.
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<unk>m with new endotracheal and orogastric tube, evaluate for position.
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Portable supine chest radiograph demonstrates low lung volumes. There is increased airspace opacity in the right upper lung. Opacity in the right lung base appears to be associated with volume loss and likely represents atelectasis. There are small bilateral pleural effusions, and there is consolidation at the left base. The heart remains enlarged, made more striking by portable technique. The mediastinal contours are notable for calcification of the aortic arch.
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An icd is in place. <num> lead overlies right atrium and an other overlies the right ventricle. The third lead courses posteriorly and lies in the expected location of the coronary sinus. There is a small effusion at the right costophrenic angle. There is probable atelectasis with a small curvilinear sliver of air in between. This is less likely to represent a right lung base pneumothorax, as there is no corresponding abnormality on the lateral view. Left costophrenic sulcus is clear. No overt chf or focal infiltrate identified. No apical pneumothorax detected. Background hyperinflation likely present, similar to prior
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<unk> year old man with icd // eval for lead placement
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Evidence of a large hiatal hernia is seen. The patient is rotated somewhat to the left. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Chronic changes at the shoulder joints are similar to prior and only minimally imaged on the left.
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history: <unk>f with hypoxia // pna
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Pa and lateral views of the chest. Right chest tube has been removed. Persistent elevation of the right hemidiaphragm. Small right pleural effusion. The cardiomediastinal and hilar contours are stable. Small right apical pneumothorax is not significantly changed. New mild streaky left basilar atelectasis. A previously seen right upper lobe opacity medially has decreased. Fullness in right mediastinal border is cleared.
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evaluate for pneumothorax status post chest tube removal, status post right vats and right upper lobe wedge resection.
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As compared to the previous radiograph, the pre-existing left pleural effusion has completely resolved. However, multiple metastatic lesions have newly appeared in the thorax. The largest of these lesions is located in the left lower lobe and measures <num> cm in diameter. The lesions are visible in all parts of the lung. A note was added to the radiology dashboard.
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stage iv colon cancer, malaise, questionable pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are slightly low which accentuate bronchovascular markings. Streaky bibasilar opacities are most consistent with atelectasis. No focal consolidation is identified. No pleural effusion or pneumothorax is seen. Of note, the patient's arm is down on the lateral view which somewhat limits evaluation.
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<unk>m with ams // eval for pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
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dyspnea and fever.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear left basilar opacities are again seen and could represent atelectasis versus scarring. Elsewhere, the lungs are clear. There is no consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old male with lethargy.
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In comparison with study of <unk>, there is little change in the appearance of the heart and lungs. There is a small area of increased opacification at the left base adjacent to the hemidiaphragm. This most likely represents some atelectasis, though in the appropriate clinical setting, a developing consolidation cannot be definitely excluded. The dobbhoff tube has been removed. The image does not go low enough to determine whether the ivc filter is still present.
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cough.
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There has been placement of a dobbhoff tube that is coiled in the stomach and that has not passed the pylorus. Otherwise, there has been no significant interval change and no new parenchymal infiltrates. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
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<unk>-year-old woman with right mca infarct on ct, evaluate for post-pyloric placement of dobbhoff tube.
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As compared to the previous radiograph, there is marked improvement with substantial decrease in extent of the pre-existing parenchymal opacities. Relatively large opacities, however, are still seen predominating in the lower lungs, right more than left. There is unchanged borderline size of the cardiac silhouette. A mild fluid overload may not be excluded. No pleural effusions. No pneumothorax.
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crack cocaine lung injury, status post recent hospitalization, resolution of opacities.
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No focal consolidation or evidence of pneumothorax is seen. There is focal oblong opacity projecting over the region of the left lateral mid hemi thorax which may be pleural thickening, new since the scout image from ct torso from <unk>. Old right-sided rib fractures are again seen. Eventration of the bilateral diaphragms is again noted. The cardiac and mediastinal silhouettes are unremarkable. Cervical surgical hardware is seen but not well evaluated.
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fall from forefeet with tenderness and ecchymosis on right anterior chest.
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Frontal and lateral views of the chest were obtained. Again, there is prominence of the interstitial markings, particularly projecting over the mild to lower lungs as well as the periphery of the right upper lung, slightly more prominent as compared to the prior study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The mediastinum is not widened.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Punctate hyperdensities in the right lower lung likely represent en face vessels or calcified granulomas. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm.
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In comparison with study of <unk>, there is again hyperinflation of the lungs consistent with emphysematous changes. However, no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
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copd exacerbation.
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A single frontal radiograph of the chest was acquired. There is lucency of the upper lungs with splaying of the vasculature, consistent with emphysema. Streaky linear opacities within both lower lobes are not significantly changed in appearance compared to the prior study from <unk>, thought to represent subsegmental atelectasis. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. No definite pleural effusions are seen. There is no pneumothorax.
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shortness of breath.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Aortic calcifications are noted.
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status post knee surgery earlier today, now with weakness. assess for infiltrate.
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Cardiac and mediastinal contours are normal. Coarse interstitial abnormalities are again demonstrated diffusely with bronchiectasis, bronchial wall thickening, and ill-defined nodularity. Overall, these findings appear progressed within the right upper lobe and left lung base. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged.
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history: <unk>m with cystic fibrosis presents with altered mental status, cough, wbc <unk>
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air.
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<unk>-year-old female with epigastric pain
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The lung volumes are low. Basilar atelectasis is not significantly changed from the prior exam. There is no focal consolidation to suggest pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A right-sided picc is present with tip in the upper right atrium.
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subjective fever and orthostasis.
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In comparison with the study of <unk>, the cardiac silhouette remains within upper limits of normal in size. No definite vascular congestion. There is some asymmetry of opacification at the bases, with more prominence on the right. This could reflect an area of aspiration or developing pneumonia.
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hypoxia.
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A port-a-cath terminates in the superior vena cava. The cardiac, mediastinal and hilar contours appear stable. Lung volumes are low. There are persistent small pleural effusions, greater on the left than right, not significantly changed. There is associated posterior basilar opacity which is somewhat increased but probably due to atelectasis.
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dyspnea.
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The endotracheal tube tip is <num> cm above the carina. The right ij central catheter terminates in the lower svc. No pneumothorax. No significant change in the vascular engorgement and bilateral interstitial pulmonary edema, worse on the left. It is difficult to decipher how much of this is due to chronic interstitial disease. Cardiac silhouette is unchanged, as is the right pacer/defibrillator with leads in the right atrium and right ventricle. Left subclavian and left ij stents are also unchanged.
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<unk> year old man with chf, tachypnea, recent trauma. evaluate for interval change.
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The lungs are clear without consolidation or effusion. Blunting of the right lateral costophrenic angle could be due to pleural thickening or atelectasis. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact.
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<unk>f with chest pain // pneumothorax or infiltrate
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There are low lung volumes and mild bibasilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
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history: <unk>m with cirrhosis, crackles r lung base // eval for pna or pulm edema
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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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<unk>-year-old man with cough and sputum. evaluate for infiltrate
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The lungs are well expanded and clear. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The hila and pleura are normal. No acute osseous abnormalities demonstrated.
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<unk>-year-old woman with new-onset jaundice, and ? liver failure; evaluate for pulmonary effusion, edema, pna.
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In the right parahilar region, there is a <num> cm rounded opacity which may represent vascular structure, underlying pulmonary nodule not excluded. It is not clearly seen on the lateral view. Otherwise, no focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Mild degenerative changes are seen along the spine.
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fever.
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Patient is intubated. The tip of the endotracheal tube projects <num> cm above the carina. Satisfactory position of the nasogastric tube. Two left-sided chest tubes are in correct position. There is a small basal pneumothorax, no apical pneumothorax is visualized. Skin folds overlie both lung apices. Unremarkable right hemithorax with exception of a healed rib fracture. Normal size of the cardiac silhouette.
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diaphragmatic repair after left upper quadrant surgery, evaluation of chest tube position.
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Interval placement of an ett, with the tip approximately <num> cm from the carina. Interval placement of a nasogastric tube, which traverses the diaphragm and ends in the stomach with the side hole just distal to the gastroesophageal junction. The lungs are hyper-expanded. Increased opacity in the left lower lung with silhouetting of the lateral border of the descending aorta but preservation of air bronchograms, new since the exam earlier on the same day. Right basilar atelectasis. No pleural effusion, pneumothorax, or pulmonary edema. The cardiac and mediastinal contours as well as hila and pleura are unchanged. Incidental interposition of the colon between the right hemidiaphragm and liver. No sub-diaphragmatic intra-abdominal free air. No acute osseous abnormality.
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<unk> year old man s/p cardiac arrest.
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In comparison with study of <unk>, there has been placement of a nasogastric tube which coils in the fundus of the stomach. Continued low lung volumes enhance the transverse diameter of the heart. There is increasing fullness of ill-defined pulmonary vessels, consistent with increased pulmonary venous pressure. More coalescent appearance at the right base could reflect a developing infiltrate in the appropriate clinical setting.
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ng placement.
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As compared to prior chest radiograph from <unk>, a left-sided pigtail catheter has apparently slightly changed in position. Left-sided pleural effusion demonstrates interval improvement with near complete resolution. There has been interval increase of a left perihilar opacity, for which differential diagnosis includes post-obstructive pneumonia. There is atelectasis of the left lung base. The right lung is hyperinflated and clear.
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<unk>-year-old male patient with post-obstructive pneumonia, pleural effusion with chest tube in place. study requested for evaluation of interval change.
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Portable ap chest radiograph. Small right apical pneumothorax is not significantly changed. Small bilateral pleural effusions and atelectasis are stable. Pneumoperitoneum beneath the right hemidiaphram may be related to the pericardial drain, possibly representing an air leak.
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pericardial window performed, complicated by pneumothorax. evaluation for interval change.
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The cardiac silhouette is persistently enlarged, similar compared to <unk>. Right greater than left hilar prominence is re- demonstrated. Right greater than left perihilar opacities are again seen in this patient with suspicion of sarcoidosis. The right perihilar opacities appear increased as compared to the prior study, and superimposed infectious process is not excluded. No pleural effusion or pneumothorax is seen. There is persistent elevation of the right hemidiaphragm.
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history: <unk>f with sob, hypoxia // acute process
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Pa and lateral views of the chest provided. The heart is mildly enlarged. Mediastinal contour is normal. The hila appear congested. There is subtle opacity in the right lower lobe which could represent pneumonia. Mild pulmonary edema is difficult to exclude. A small right pleural effusion is present. No pneumothorax. Bony structures are intact.
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<unk>m with <num> weeks gradually worsening doe, recent illness
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In comparison to the prior radiograph performed earlier on the same date, there has been no significant interval change. Again noted are bilateral calcified pleural plaques. Otherwise, no focal lung consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. Aortic core valve device appears unchanged in position.
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history: <unk>m with new onset afib, pnd, new oxygen requirement // eval for pulm edema
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The lungs are well inflated and clear. No pleural effusion. Mild cardiomegaly as before. Linear metallic densities project over the lower neck as before. Surgical clips project over bilateral axillae as before. Left picc terminates at the cavoatrial junction. Enteric tube tip terminates in the proximal stomach. Ekg leads overlie the chest wall.
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<unk> year old woman with dyspnea, poor nutrition and altered mental status. // eval for diagphragmatic paralysis <unk> refeeding.
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Lung volumes are low leading to crowding of the bronchovascular structures. Mild prominence to the central pulmonary vasculature is similar as compared to <unk>. No focal consolidation, large pleural effusion, or pneumothorax is identified. The patient is status post left mastectomy, and surgical clips overlie the left lung base. The cardiomediastinal silhouette is unchanged from the prior examination. A large hiatal hernia is noted.
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history: <unk>f with left-sided pleuritic chest pain // eval for structural process
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Stable calcified left thyroid nodule. No evidence of foreign bodies along the airways or the esophagus. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. The lungs are clear.
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<unk>-year-old woman with history of cva; foreign body after choking.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. There is no free air. Mild degenerative changes are noted along the mid thoracic spine near the site of maximum mild-to-moderate rightward convex curvature.
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right upper quadrant pain.
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The heart appears mildly enlarged. The aortic arch is partly calcified. There is similar slight relative elevation of the left hemidiaphragm. Streaky opacity suggests minor atelectasis in the lingula, little if at all changed. There is a nodular focus projecting over the left costophrenic angle possibly a nipple shadow. Otherwise, the lung fields appear clear. Moderate degenerative changes are noted along the mid thoracic spine, as before, including large anterior osteophytes along several adjacent levels.
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dyspnea and shortness of breath.
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Partially calcified bilateral breast implants mimic underlying parenchymal opacities in the lungs. There is however no definite consolidation. There is no pleural effusion or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips seen at the lower neck.
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<unk>f with dyspnea // evidence of pneumonia
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A small left pleural effusion and a moderate right pleural effusion are new from the prior study. An opacity at the right lung base more likely represents early consolidation and atelectasis. There is no pneumothorax, pulmonary vascular congestion, or pulmonary edema. A dual-chamber pacemaker and its leads project in expected location. Sternotomy <unk> and mediastinal clips are noted. Moderate cardiomegaly is somewhat obscured by effusion but appears generally stable.
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<unk>m with dyspnea, evaluate for chf.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. An opacity projecting just medial to the cardiophrenic border may represent a diaphragmatic hernia or paraspinal abnormality.
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chest pain.
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There has been interval increase in right lung base opacity. In addition, diffuse increase in interstitial markings bilaterally suggests mild interstitial edema. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. Sternotomy wires are intact. An icd monitor is seen overlying the left hemithorax, with a single lead ending in unchanged position in the inferior wall of the heart.
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<unk>-year-old male with dyspnea. evaluate for pneumonia or chf.
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. Bibasilar opacities, left greater than right, have increased from <unk>. Blunting of the right costophrenic sulcus is unchanged and may be due to pleural scarring or tiny effusion. There is probably a small left pleural effusion. The heart is enlarged. Mediastinal silhouette is stable. No pneumothorax.
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Ap upright and lateral views of the chest provided. Subtle opacity obscuring the left inferior heart border likely reflects a small epicardial fat pad. There is no pulmonary edema, 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 back pain // r/o pna
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The patient is status post median sternotomy. Left-sided icd with single lead terminating in the right ventricle is seen noted. Heart size is mildly enlarged. Rounded calcified structure projecting over the left apex is compatible with a calcified left ventricular aneurysm. Mediastinal and hilar contours are unchanged. Small bilateral pleural effusions are present, left greater than right. Bibasilar airspace opacities may reflect atelectasis though infection is not excluded. No pneumothorax is seen and there is no pulmonary vascular congestion.
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recent left ventricular perforation.
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Ap upright and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the low svc. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Anchors are noted in the right humeral head which appears medially subluxed. Otherwise, the imaged bony structures appear intact. No free air below the right hemidiaphragm is seen. A metallic stent projecting over the right upper quadrant resides within the cbd.
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<unk>f with hx of pancreatic cancer, iddm, sent in for glucose ><num> // r/o pna
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In comparison with study of <unk>, the patient has taken a better inspiration. Cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion or acute focal pneumonia. Minimal atelectatic changes are seen at the bases.
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pancreatic cancer with increased shortness of breath.
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Portable upright chest radiograph demonstrates an endotracheal tube with its tip at the level of the clavicular heads. An ng tube passes through the stomach, and a right subclavian central venous catheter tip is at the cavoatrial junction. There is an interval decrease in lung volumes; small bilateral pleural effusions and bibasilar atelectasis is mild and increased. The cardiac silhouette is enlarged and unchanged. The mediastinal contours are little changed. Pulmonary vasculature is normal and improved.
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<unk>-year-old male with intracranial hemorrhage, now status post external ventricular drain placement.
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There is pulmonary edema with basilar opacity likely atelectasis. No pneumothorax. Heart size appears stable. Left effusion, possibly small right effusion noted.
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<unk>-year-old female with shortness of breath.
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Pa and lateral radiographs of the chest reveal bilateral lower lobe and lingular atelectasis. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The hilar and cardiomediastinal contours are normal.
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<unk>-year-old woman with fever.
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The lungs are hyperexpanded, consistent with the diagnosis of copd. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. There are no acute osseous abnormalities.
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prolonged copd exacerbation within episodes of sputum production. assess for pneumonia bronchiectasis.
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Pa and lateral views of the chest are obtained. Unchanged port-a-cath position with catheter tip in the expected location of the distal superior vena cava. Mild interstitial edema is noted with stable linear densities in the right lower lung and left mid lung which could represent areas of scarring. There is no large pleural effusion. Heart size is mildly enlarged. No pneumothorax. Bony structures are intact. Ivc filter partially imaged in the upper abdomen.
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Lung volume is low. Bibasilar opacities are similar to before and likely atelectasis. Cardiac silhouette is mildly enlarged. There is no pneumothorax or pleural effusion. Bronchial wall is thickened, similar to before.
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history: <unk>f with dyspnea, cpb/l leg swelling, r leg pain // eval for acute processeval for dvt
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size mildly enlarged. Lung volumes are low with linear and streaky opacities in the lung bases, most likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There is no pulmonary vascular congestion. No acute osseous abnormalities are visualized.
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chest pain.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Patchy opacity in the right lung base likely reflects atelectasis and crowding of bronchovascular structures. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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shortness of breath.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
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<unk>-year-old with productive cough for <num> days and subjective fever.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
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chest pain.
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Evaluation is somewhat limited by the patient's body habitus. At the right base, there is localized pleural and parenchymal scarring with volume loss, which appears similar to prior exams. No new consolidation is identified. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal.
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fever. evaluate for pneumonia.
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A frontal upright view of the chest was obtained reportedly. A new right pigtail catheter overlies the right lower hemithorax. The right pneumothorax is improved and remains moderate in size. The fiducial in the right upper lobe mass is again seen. The left lung is clear without pneumothorax or effusion. Elevation of the left hemidiaphragm is unchanged since <unk>. The mediastinum is more midline than on the prior study. Heart size is normal. A well-circumscribed density in the left glenoid is a bone island as seen on prior ct <unk>.
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<unk>-year-old woman with pneumothorax status post chest tube placement.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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chest pain.
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In comparison with the study of <unk>, there is little change in the postoperative appearance. Sternal wires are intact and there is again extensive tortuosity of the aorta. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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aortic dissection with repair, to assess for pneumonia.
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The cardiomediastinal silhouettes are normal. There is a tortuous and calcified thoracic aorta. The bilateral hila are unremarkable. Patchy opacities at the lung bases likely reflect atelectasis. Additionally, an ill-defined opacity within the left lower lung appears new since <unk>, and may reflect superimposition of overlying structures. Otherwise, there is no focal lung consolidation. There is no pulmonary vascular congestion. There is biapical pleuroparenchymal scarring. There is no pneumothorax or effusion.
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a <unk>-year-old man with hypotension, vomiting, and dizziness, evaluate for infiltrate, pneumothorax, or mediastinal air.
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Portable semi-upright radiograph of the chest demonstrates interval placement of left-sided chest tube. There has been resolution of the previously seen small left-sided pneumothorax. There is mild widening of the superior mediastinum, which is unchanged from the prior exam. A linear lucency projecting over the cardiomediastinal silhouette raises concern for pneumomediastinum. There is no substantial pleural effusion or focal lung consolidation. Heart size is normal. There has been interval increase in the degree of massive subcutaneous emphysema extending into the supraclavicular soft tissues and into the neck.
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<unk>-year-old female with pneumothorax, status post chest tube placement.
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The left heart border is not well-defined, perhaps due to an epicardial fat pad. Lung volumes are also low, causing bronchovascular crowding and accentuation of the heart size. No definite focal consolidation identified. No pleural effusion or pneumothorax.
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<unk>f with sob, ruq pain. evaluate for pneumonia.
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Persistent leftward shift of the cardiac silhouette with dense left retrocardiac opacity indicates volume loss in the left lower lobe. There is likely a small left pleural effusion. There is no pneumothorax or right pleural effusion. The mediastinal and hilar contours remain stable. Pulmonary edema has improved. Enteric tube is present in standard position. Additionally, a left internal jugular line is present with tip in the left brachiocephalic vein. An enteric tube is presentin the stomach with distal tip off the film. An additional catheter is seen overlying the midline overlying the trachea with a dense distal tip, which may correlate to an esophageal temperature probe.
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query change in pulmonary edema.
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Feeding tube is slightly coiled within the upper stomach with distal tip at the level of the fundus. Heart size, mediastinal and hilar contours are within normal limits, and lungs are clear except for minimal linear atelectasis at the left base.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with chest pain, palpitations, syncope // any evidence of infection, pneumo?
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Cardiac silhouette is obscured by low lung volumes and elevated diaphragm. The bibasilar opacities, more pronounced on the left, are likely atelectasis, however pneumonia is possible in correct clinical setting. Upper lungs are clear and there is no pulmonary edema. There is no appreciable pleural effusion or pneumothorax.
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<unk> year old man with tachycardia and <num>l oxygen requirement. // evaluate for pneumonia
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As compared to the previous radiograph, there is no change. Cardiomediastinal silhouette is stable. A tiny apical pneumothorax measuring <num> mm is noted, which appears to be stable. Lungs are clear.
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<unk>-year-old man with hcv cirrhosis, status post recent rfa and new small left pneumothorax, evaluate change in pneumothorax.
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Mild to moderate enlargement of the cardiac silhouette is unchanged since <unk>. Lung volumes are low. There is mild peribronchial cuffing and prominence of the pulmonary vasculature consistent mild fluid overload. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. The lungs are mildly hyperinflated.
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history: <unk>f with n/v, lightheadedness, crackles on lung exam r >l w/ no prior hx lung disease // eval ? infiltrate, edema
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Ap portable supine view of the chest. Endotracheal tube is seen with its tip residing approximately <num> cm above the carina. The og tube courses into the left upper quadrant with the distal side port seen just beyond the gastroesophageal junction. Lungs appear essentially clear on this supine portable radiograph.
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<unk> year old woman with bloody ouput from ngt // assess position of ogt
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The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. There is mild bibasilar atelectasis. Medial right lung base opacity is similar to prior and may represent atelectasis or epicardial fat pad. The cardiac and mediastinal silhouettes are stable. There is no new focal consolidation. No pleural effusion or pneumothorax. There may be a hiatal hernia.
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altered mental status.
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Endotracheal tube is low in position, terminating approximately <num> cm above the level of the carina. Recommend withdrawal by <num> to <num> cm for more optimal positioning. Og tube is coiled in the mid esophagus. The ed is aware of both of these findings at <time> p.m., and per the emergency department dashboard, adjustment of the endotracheal tube was made, and the og tube was replaced. There was mild elevation of the right hemidiaphragm. Patchy medial right basilar opacity most likely relates to atelectasis, although a small amount of aspiration is not excluded. Left lung is clear. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
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Hyperinflation is mild and unchanged. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumonia. Mildly enlarged heart is stable.
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<unk>f with dizziness, nausea, vomiting, hx vertigo, prior stroke/mi, evaluate for acute process.
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Patient is status post median sternotomy and prior aortic root dissection repair. Aneurysmal dilatation of the ascending and descending thoracic aorta is unchanged compared to the previous radiograph. Moderate cardiomegaly is again demonstrated with left ventricular predominance. Lungs are hyperinflated with mild pulmonary vascular engorgement again demonstrated. Small right pleural effusion with bibasilar patchy opacities are new. No pneumothorax is present. Multiple clips project over the right superior chest.
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history: <unk>f with shortness of breath
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Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Apparent suture anchors are noted in the region of the right glenohumeral joint.
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history: <unk>m with fever // ?pna
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The lung volumes are low. Hazy opacities overly the lower lung fields bilaterally possibly representing a combination of effusion and consolidation. The cardiomediastinal silhouette and hilar contours are unremarkable. There is no pneumothorax. The et tube terminates <num> cm from the carina. The ng tube is seen below the diaphragm but the tip is beyond the imaged field.
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et tube placement. evaluate for pneumonia.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Compared to the most recent prior study of <unk>, there has been interval resolution of the pulmonary edema. Residual opacities in the right lower lung are most likley atelectasis, however, infection cannot be excluded. There is no pleural effusion or pneumothorax. Medain sternotomy wires are aligned and intact. Left pectoral pacer and defibrillator leads end in the expected locations of the right atrium, right ventricle, and left ventricular apex. Right supraclavicular line ends in the right atrium. Severe cardiomegaly and the mediastinal contours are unchanged.
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cough in a patient status post antibiotics.
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Pa and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. No signs of pulmonary edema. Cardiomediastinal silhouette is normal. There is a subtle nodular opacity projecting over the left mid lung, seen only on the frontal view, which is of unclear etiology. This finding was not seen on prior exam. Bony structures are intact.
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Opacification and scarring of the right upper lung and right hilum is compatible with prior radiation changes with deviation of the trachea to the right. Lung parenchyma is otherwise grossly clear and hyperexpanded. There is no focal consolidation concerning for pneumonia. Note is made of a hiatal hernia.
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history of lymphoma with back pain. ? lung pathology, interval change.
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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 no confluent consolidation. Overlying the left pulmonary hilum is a <num>-mm hyperdensity without definite correlate on the lateral view. This could potentially represent vessel seen en face, but appears more dense than expected. This could be further assessed by oblique view.
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<unk>-year-old male with recent bleach and alkaline ingestion, with hematemesis. question mediastinal widening.
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There has been interval placement of a left-sided hemodialysis catheter, the tip of which projects over the right atrium. The cardiac silhouette is moderately enlarged. There is no appreciable pulmonary edema. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with mssa bacteremia and fevers, question acute process.
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Interval extubation and removal of nasogastric tube. Cardiomediastinal contours are stable. Heterogeneous opacities in the right upper and right lower lobes show slight improvement in the right lung base. Observed findings may be due to multifocal infection or aspiration.
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As compared to the previous radiograph, the patient has received an endotracheal tube. The tip of the tube projects <num> cm above the carina. The orogastric tube passes into the stomach, the tip is not included in the current image. Small retrocardiac atelectasis. Mild cardiomegaly without evidence of pulmonary edema or pneumonia. No pleural effusions. No pneumothorax.
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evaluation for position of endotracheal tube and orogastric tube.
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No focal consolidation, pleural effusion, or pneumothorax is evident on this view. There is no evidence for pulmonary edema. Heart size is enlarged, similar compared to prior. Aortic calcifications are seen. Old left rib fractures are again noted. Surgical clips project over the right upper quadrant.
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<unk>-year-old female with congestive heart failure and acute shortness of breath.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. High-density material is partially imaged in left upper quadrant viscus, may have been ingested.
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history: <unk>m with cough // eval for infiltrate
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There is a large rounded opacity projecting over the left mid lung, measuring approximately <num> x <num> cm. Additionally, there is a right perihilar opacity, the medial portion of which is not well assessed, but which measures approximately at least <num> x <num> cm. There is mild left base atelectasis/scarring. No large pleural effusion is seen although trace pleural effusion will be difficult to exclude. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. The patient is rotated slightly to the left. There may also be a subtle opacity projecting over the anterior right fourth rib. There is mild elevation of the left hemidiaphragm.
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Ap upright and lateral views of the chest were obtained. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart is mildly enlarged. There is curvilinear calcification projecting over the mid heart likely mitral annular calcifications. Aorta is slightly unfolded with atherosclerotic calcifications along the aortic knob. Bony structures appear demineralized but intact. No free air below the right hemidiaphragm.
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The cardiomediastinal silhouettes are normal. The bilateral hila are normal. A linear opacity in the right lower lung is compatible with platelike atelectasis. Otherwise, the lungs are clear. There is no pneumothorax or effusion.
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a <unk>-year-old man with hypertension, concern for pneumonia.
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A single view ap chest view has been obtained with the patient in semi-upright position. There is considerable cardiac enlargement, although this may be exaggerated by the portable technique. No typical configurational abnormalities identified. Thoracic aorta of ordinary <unk> but calcium deposits are present in the wall at the level of the arch. The pulmonary vasculature shows a mild degree of perivascular haze, but there is no evidence of interstitial alveolar edema. Large soft tissue structures are overlying the lung bases, but no gross pulmonary abnormalities can be identified and the lateral pleural sinuses appear free. Our records do not include a previous chest examination available for comparison.
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<unk>-year-old female patient with end-stage renal disease, on hemodialysis with calciphylaxis, infectious workup for increasing white blood count. evaluate for pneumonia.
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