ChayanM/MIMIC-MultiView-Findings-Query_Optional

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In comparison with the study of <unk>, the monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications are again seen which could reflect pulmonary edema and pleural effusions with compressive atelectasis with substantial volume loss in the left lower lobe. In the appropriate clinical setting, superimposed pneumonia would have to be seriously considered.

pneumonia and respiratory failure with brain abscesses.

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A right upper extremity picc courses into the low svc. Mild pulmonary edema is slightly worse from yesterday morning. A moderate right pleural effusion persists. No parenchymal opacity worrisome for pneumonia. Heart remains mildly enlarged. Postoperative mediastinal and hilar contours are unchanged. No pneumothorax.

tracheobronchomalacia, daily postoperative chest x-ray.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap portable chest examination of <unk>. Marked cardiomegaly and status post sternotomy with evidence of bypass surgery as before. In the interval, the patient has received a permanent pacer located in left anterior axillary position. Connection exists with two intracavitary electrodes, one of which terminates in a position compatible with the right atrial appendage, the second lead reaches the apical portion of the right ventricle. The patient was unable to elevate her arms for the lateral view, but still well penetrated image allows exclusion of any significant pleural effusion in the posterior pleural sinuses. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema. No acute parenchymal infiltrates can be seen.

<unk>-year-old female patient with complete heart block, status post dual-chamber pacemaker via left cephalic and axillary approach. evaluate lead position.

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The heart size remains moderately enlarged with a left ventricular predominance. The aorta is tortuous and diffusely calcified. Mediastinal contours are otherwise unchanged. There is worsening pulmonary edema, now moderate in extent. Small bilateral pleural effusions are likely present. There is no pneumothorax. Compression deformity at the thoracolumbar junction is unchanged. There are multilevel degenerative changes within the thoracic spine.

chest pain.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with chest pain, cough

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded. There is no focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits.

<unk>f with hypoglycemia // eval for infiltrate

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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No evidence of acute focal pneumonia.

anterior chest pain.

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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

history: <unk>f with chest pain // ?pneumonia

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Ap upright and lateral views of the chest provided. Lungs are hyperinflated. A calcified granuloma projects over the left mid to upper lung as on prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with fall

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A right ij line is unchanged. Sternal wires are again seen. The previously described pneumopericardium is no longer visualized. The lungs are clear without infiltrate. There is a small right pleural effusion, similar in size compared to prior. The left effusion is smaller. The heart continues to be mildly enlarged.

status post avr evaluate pneumopericardium.

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Frontal and lateral chest radiographs demonstrate unchanged mild cardiomegaly and upper zone vascular redistribution, without frank edema. Lungs are moderately well aerated. A left retrocardiac opacity could represent an early pneumonia or sequela of aspiration. No pleural or pericardial effusion is identified. The visualized upper abdomen is unremarkable.

hypoxia.

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The endotracheal tube has been repositioned now being <num> mm proximal to the carina. Feeding tube in situ in the proximal stomach. Small to moderate left-sided pleural effusion.

<unk> year old man with hx of parkinsons and ischemic strokes, admitted s/p seizure, persistent ams now s/p intubation // interval change?would like to schedule study for <unk>

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Single portable ap supine chest radiograph provided. Multiple overlying ekg leads are noted limiting assessment. The endotracheal tube resides <num> cm above the carina. The endogastric tube extends inferiorly along the thoracic midline though its inferior extent is not included within the field of view. Diffuse pulmonary opacity is consistent with large volume aspiration and pulmonary edema as seen on subsequent ct.

<unk>m with massive gi bleed after hanging and cardiac arrest

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Cardiomediastinal silhouette is stable. Heart is not enlarged. Lungs are clear. No acute cardiopulmonary process. There is no pleural effusion or pneumothorax.

<unk>f with fever and cough // pneumonia?

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At the left base, there is a suggestion of a rounded opacity behind the cardiac silhouette, which was not definitely present on the prior exam. Evaluation of this region is somewhat limited due to low lung volumes. Biapical left worse than right scarring is noted. No other focal opacity is identified. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Scoliosis in the upper thoracic spine is unchanged. Fracture of the proximal right humerus is old.

hypoxia. evaluate for pneumonia.

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Frontal and lateral views of the chest were obtained. A left-sided picc is seen, distal aspect not well seen, but appears to at least enter the svc. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. A cervical hardware is seen.

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Indwelling support and monitoring devices are in standard position. Cardiac silhouette is markedly enlarged with a somewhat globular configuration. This could reflect either cardiomegaly or pericardial effusion. Pulmonary vascular congestion has improved. Moderate right pleural effusion persists, and may have a loculated component medially adjacent to the right heart border. Small left pleural effusion is also present as well as persistent bibasilar atelectasis and/or consolidation.

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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. There is no pleural effusion, focal consolidation or pneumothorax.

cirrhosis and malaise.

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Interval right upper lobectomy. Right-sided chest tube in good position. No definite pneumothorax. There is right lower lobe basal opacity likely atelectasis. There is volume loss in the right lung. The left lung is relatively clear, with crowding of the bronchovascular markings.

<unk> year old woman s/p right upper lobectomy // ptx/effusion

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with chest pain // ?pneumonia

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Heart size is mildly enlarged. The aorta is tortuous. Low lung volumes results in crowding of the bronchovascular structures without overt pulmonary edema. Patchy opacity in the right lung base may reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities visualized.

history: <unk>f status post fall. pain in left knee to mid-calf region.

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Heart size is normal. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcifications. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild to moderate degenerative changes noted in the thoracic spine.

history: <unk>m with chest pain

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The heart is moderately enlarged and is larger than on the prior exam. There is pulmonary vascular redistribution and bilateral hazy alveolar infiltrate right greater than left. There are small to moderate bilateral pleural effusions. There is dense retrocardiac opacity compatible with volume loss/ effusion/infiltrate. The et tube, ng tube, left ij line are unchanged

<unk> year old man with iph // interval changes

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Compared to the prior study, there has been interval placement of right-sided catheter with partial interval decrease in the size of the loculatedpneumothorax at the right lung base. The right hemidiaphragm remains somewhat depressed, but apparently much less so. A small component of the pneumothorax is again seen in the right paratracheal region, also decreased in size. A rind of increased density along the lower edge of the right lung is again noted, similar to the prior study-- question related to compressive atelectasis. The cardiomediastinal silhouette is near midline, with only minimal residual right ward shift. Possible small amount of right pleural fluid. Cardiomediastinal silhouette is grossly unchanged in size in contour. Linear lucency seen adjacent to the descending aorta is unchanged and likely represents artifact as there is no suggestion of pneumomediastinum in this area on the ct images from <unk>. Left lower lobe collapse and/or consolidation and small left effusion are also grossly unchanged. There is upper zone redistribution, but doubt overt chf.

<unk> year old man in persistent vegetative state s/p remote cva, s/p peg/trach on long-term mechanical ventilation now s/p ct-guided pleural catheter placement for right hydropneumothorax. // assess for worsening r hydropneumothorax, currently s/p ct-guided pleural catheter placement on low continuous wall suction.

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The cardiac, mediastinal and hilar contours appear stable. Streaky opacity at the left lung base suggests minor scarring or atelectasis. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.

multiple sclerosis with increased spasm.

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The left-sided pneumothorax has decreased in size and is now small in is best seen in the apex. The left-sided pleural catheter is again visualized .there has been resolution of the mediastinal shift. Again seen is the diffuse hazy bilateral alveolar infiltrate. There continues to be a large amount of subcutaneous emphysema however the slightly decreased compared to prior. The endotracheal tube continues to be slightly low with the tip just above the carina, pointed towards the right mainstem bronchus. The ng tube is coiled in the stomach

<unk> year old woman with pneumothorax after cvl placement s/p chest tube placement, pneumonia - chest tube tubing found to be not sealed completely // please assess interval progression of pneumothorax

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Mild linear opacity at the right lung base likely represents scarring versus atelectasis. No displaced rib fracture is identified.

<unk>-year- old woman with fall

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Left base atelectasis is seen. Lungs are relatively hyperinflated. No definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with chest pain // eval for chf/pneumonia

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The lungs are relatively hyperinflated but clear without consolidation, effusion, or pneumothorax. There is no edema. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted. Fracture of <num> of the wires is again noted. No acute osseous abnormalities. Right upper mediastinal opacity is similar compared to exam from <unk> is compatible with tortuosity of the great vessels.

<unk> year old man with sob/cp // r/o infecftion

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Improved pulmonary vascularity, heart size, in part secondary to better inspiration. Central line has been removed. Minimal interstitial prominence, improved, may represent improving edema. There are no consolidations.

<unk> year old woman with esrd on pd, dm c/b r bka, left chronic non-healing ulcer, now with fever // pna? fluid overload?

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Low lung volumes are again noted and there is relative elevation the right hemidiaphragm. Right-sided central venous catheter seen with tip over the right atrium, new since prior. There is no pneumothorax. There are diffusely increased interstitial markings throughout the lungs bilaterally. There is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with new r tunneled line // eval for line placement

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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with cough // ? pna

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. No displaced rib fractures are seen.

<unk>-year-old female status post fall with left anterior rib pain below the breast. evaluate for rib fracture.

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Interval removal of <num> chest tubes, without evidence of pneumothorax. Persistent left perihilar and retrocardiac opacities are not significantly changed compared to previous. No large pleural effusions. Stable appearance of sternotomy wires. The cardiopericardial silhouette is within normal limits.

<unk> year old man with mediastinal seminoma s/p sternotomy, excision mass // post-pull film removal l thorax <unk> x<num>, evaluate ptx/htx or other intrathoracic acute process

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Low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. There is mild cardiomegaly and the aorta appears enlarged. Degenerative changes of the thoracic spine are again seen with bridging anterior osteophytes.

history: <unk>m with fever // eval for infectious process

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Again noted is mild prominence of the interstitial markings and prominence of the pulmonary vasculature. The cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax is identified. Surgical clips in the posterior mediastinum and left lateral rib deformities are noted.

weakness and fever. evaluate for pneumonia or chf.

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate rightward convex curvature is centered along the lower thoracic spine.

palpitations.

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Lung is well inflated, without consolidation or nodules. Cardiomediastinal silhouette is normal. There is no pneumothorax or pleural effusion. Large right subdiaphragmatic air collection is likely related to recent abdominal surgery.

<unk> years old man status post incisional hernia repair, history of recurrent pleural effusion.

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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with brain ca, p/w fever // eval for pneumonia

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Patient is status post median sternotomy and mitral valve replacement. The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities identified.

history: <unk>f with worsening dyspnea on exertion

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Low lung volumes cause bronchovascular crowding and mild bibasilar subsegmental atelectasis, similar to <unk>. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable.

<unk>m with fevers, cough, and abdominal distention, evaluate for pneumonia or free air.

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The right hemi thorax is opacified and mediastinal structures are shifted to that side as before. By a right subclavian catheter and feeding tube remain in place.

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Views are expiratory and therefore evaluation is limited. Exaggerated pulmonary vascularity may be secondary to low lung volumes, however, mild interstitial edema may be present. Evaluation of heart and mediastinal contours is difficult on this study. Aortic calcifications are seen. Bilateral lower lung opacities likely reflect atelectasis, though infection is not excluded. No pneumothorax is evident on this view.

<unk>-year-old male with hallucinations.

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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. No pulmonary edema is seen.

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Pa and lateral views of the chest demonstrate there is slight elevation of the right hemidiaphragm and relatively low lung volumes. No focal consolidation is identified. There is no pleural effusion, pulmonary edema or pneumothorax. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old male with vomiting. evaluation for pneumonia.

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Cervical fusion hardware projects over the cervical spine. The heart is moderately enlarged. The hilar contours are within normal limits. There is mild pulmonary vascular congestion without frank pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax. Minimal bibasilar atelectasis.

<unk>f with chest pain, dyspnea // eval heart and lungs

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A left-sided pacemaker with leads terminating in right atrium and right ventricle is in unchanged position. Cardiomegaly is again present. A right lower lobe opacity is again present and certainly could represent pneumonia in the correct clinical setting. Other considerations to be atelectasis versus layering effusions.

<unk>-year-old man with tachypnea and tachycardia. question infiltrate.

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Sternotomy. Postoperative changes aorta. Right ij central line tip low svc. Stable left basilar opacities, likely atelectasis. Worsened right basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting. Stable heart size, pulmonary vascularity. Small left pleural effusion. No pneumothorax. Surgical clips right axilla.

<unk> year old woman with dyspnea // ? pneumothorax, edema

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There is a focal opacity in the right lower lobe. The lungs are otherwise clear. Moderate cardiomegaly is not significantly changed. The descending thoracic aorta is slightly ectatic, as before. There are no pleural effusions. No pneumothorax is seen. Degenerative changes of the thoracolumbar spine are again noted.

mental status change, evaluate for infiltrate.

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There are low inspiratory volumes. Note is made of a drain overlying the superior mediastinum and a line --<unk> picc line -- overlying the right atrium. No pneumothorax detected. Cardiomediastinal silhouette is prominent, but unchanged. The right hemi diaphragm is elevated and there is probably a small to moderate right effusion, with underlying collapse and/or consolidation. There is platelike atelectasis in the right mid lung inferiorly. No chf, other evidence of consolidation, or left-sided effusion identified.

<unk> year old woman sp mie with ct. please perform <unk> am. // routine evaluation

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Heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Again seen is a right-sided port-a-cath terminating in the mid to low svc. Old right rib fractures.

<unk> year old man with cough on chemo.

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Lung volumes are slightly low. Blunting of the costophrenic angles bilaterally may be technical or may be due to small pleural effusions. The lungs appear clear. Cardiomegaly is unchanged and is at least partially exaggerated by ap technique and low lung volumes.

<unk>-year-old female with stroke like symptoms.

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Asymmetric - right worse than left - diffuse alveolar and interstitial opacities are present, with a perihilar predominance and associated to hilar engorgement and small right-sided pleural effusion. There is no left-sided pleural effusion. There is no pneumothorax. Mild cardiomegaly is present.

<unk>-year-old male with hypoxia and crackles.

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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

history: <unk>m with fever and cough // eval for pneumonia

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Mild biapical pleural parenchymal scarring is noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with l rib pain s/p fall // r/o fx

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Mild bibasilar atelectasis. The lungs are also hyperinflated with flattening of the hemidiaphrgams. Otherwise, the lungs are clear without a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

difficulty breathing.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with sarcoidosis and asthma here with shortness of breath and pleuritic chest pain

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The tip of the left picc line extends into the right atrium. A feeding tube extends ends in the gastric body. The tip of the endotracheal tube projects <num> cm from the carina and could be advanced. Slight improvement in diffuse reticulonodular pulmonary opacification.

<unk> yo m w/ h/o asthma (no prior intubations no prior admissions for asthma), p/w <num> days uri symptoms and worsening dyspnea. today at work was very short of breath so he got checked out. he reports that he has never felt short of breath in the past. he denies chest pain, fevers, abdominal pain, nausea, vomiting, diarrhea or additional complaints. // eval extent of pneumothorax

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There is new right ij which terminates in the distal svc. New left subclavian line is seen abutting the mid svc. The prior left ij line is perhaps in a presistent svc given its configuration, however is unchanged from prior radiographs. Existing right subclavian line is in unchanged position. Lung volumes are again low. Cardiomediastinal silhouette is stable. Vascular congestion is somewhat improved. Bilateral atelectasis as well as retrocardiac atelectasis is also somewhat improved.

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The lungs are clear aside from mild left basilar atelectasis. No evidence of pneumonia.the heart is stably and mildly enlarged. Metallic coil shaped radiopaque foreign bodies overlying the right upper and mid mediastinum are likely related to prior surgical procedure. No pleural abnormality is seen.

<unk>m with hematuria, altered mental status // please assess for consolidation or infiltrate

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Despite the history of the et tube being advanced, it still appears to be at the thoracic inlet, slightly too high, <num> cm above the carina. The picc line tip continues to be in the right atrium. There continues to be elevated right hemidiaphragm, platelike atelectasis right midlung, and alveolar infiltrate in the left mid and lower lung. There are also patchy areas of infiltrate in the upper lobes has slightly increased.

et tube advanced.

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The right-sided chest tube is been removed. There is a tiny right apical pneumothorax and possible tiny loculated pneumothorax at the base of the right lung. Otherwise, i doubt significant interval change. Minimal blunting of the right costophrenic angle is again noted.

<unk> year old man s/p ct dc. please perform around <num>pm // evaluation of post pull ptx

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No previous images. Cardiac silhouette is mildly enlarged, and there is evidence of pulmonary edema which is somewhat asymmetric favoring the left. Since this is somewhat unusual, the possibility of aspiration would have to be considered. There is bibasilar opacification consistent with atelectasis and small pleural effusions. This information was discussed with the neurosurgery resident. The patient will be given respiratory toilet and treatment for the elevated pulmonary venous pressure. A repeat study can then be obtained to determine whether there is any residual opacification that could represent aspiration.

desaturation after surgery.

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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of focal opacification, pneumothorax, pleural effusion or pulmonary edema.

<unk>-year-old male status post assault.

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Mild interstitial edema has resolved. Small pleural effusions are unchanged. Heart size, mediastinal and hilar contours are normal. Mildly hyperexpanded lungs suggesting pulmonary emphysema is better evaluated on prior chest ct dated <unk>. There are no lung opacities concerning for pneumonia or pulmonary edema.

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An endotracheal tube terminates approximately <num> cm above the carinal. The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. A platelike opacity projecting over the left lower lung suggests minor atelectasis or scarring. Aeration has improved at the medial right lung base.

status post endotracheal intubation.

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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unremarkable. There is minimal pulmonary vascular engorgement without frank pulmonary edema. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with fever, cough, shortness of breath

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The lungs are clear. There is no effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with history of as s/p fall // r/o chf/pneumonia

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with chest pain, recent cough // ? pneumonia

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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 aside from streaky left basilar opacity most likely to represent slight atelectasis. Bony structures are unremarkable.

headache, fever and chills.

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Cardiac and mediastinal silhouettes are stable, with moderate cardiomegaly seen. No focal consolidation is seen. There is no large pleural effusion or pneumothorax.

history: <unk>f with n/v, acute abd pain, hypotensive // eval for sbo

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There is moderate cardiomegaly. There is pulmonary vascular redistribution with hazy ill-defined vascularity. There is volume loss at the bases. Right ij line is unchanged. There small bilateral pleural effusions.

<unk> year old woman with aml and worsening dyspnea; bronchoscopy yesterday // edema/effusion?

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There are infrahilar interstitial abnormalities, without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is mild s-shaped scoliosis of the thoracolumbar spine.

<unk>-year-old female with chest pain, cough, fevers, rule out for acute process, additionally, she has history of hiv, not on medication, as well as crack cocaine use.

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Frontal and lateral chest radiographs were obtained. Examination is limited by exaggerated thoracic kyphosis and rotation. Cardiac mediastinal silhouette is unchanged in appearance compared to the prior study. Blunting of the right costophrenic angle could be positional, but a small effusion is possible. There are no focal areas of consolidation. Pulmonary vascular engorgement and possible mild pulmonary edema noted. No large pleural effusion or pneumothorax.

chest pain and severe headaches.

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Pa and lateral views of the chest provided. Due to a severe pectus excavatum deformity, opacity in the right cardiophrenic recess is more likely reflective of epicardial fat. No convincing evidence for pneumonia or chf. No large effusion or pneumothorax. The heart appears mildly enlarged. Bony structures are intact. Mediastinal contour is normal.

<unk>f with fever, neutropenic // ?pneumonia

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The heart is mildly enlarged, but smaller when compared to the prior examination. The abdominal aorta is tortuous and there is calcification at the aortic knob. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion do or pneumothorax identified. The lungs are hyperinflated. Subtle streaky bibasilar opacities are most consistent with atelectasis. No focal consolidations are identified.

<unk>f with chest pain // eval for pneumothorax

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Compared with prior radiographs performed on the same day on <unk> at <time>, there has been interval increase in bilateral pneumothorax. Again seen is pneumomediastinum. There is no pleural effusion. Cardiomediastinal silhouette is unchanged. Et tube and ng tube are unchanged in position. Right central venous catheter terminates at the superior caval atrial junction.

<unk> year old man with c/f pcp, intubated // progression of ptx, pneumomediastinum

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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with cough // eval for pna

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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Small stellate, subpleural opacity in the apex of the right lung (level of first anterior interspace) at the end of linear scarring or atelectasis is likely a tuberculous scar, but would need documentation of <unk> years' stability before it can be considered inert. Pleural surfaces are clear without effusion or pneumothorax.

chest pain, prior mi.

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The cardiomediastinal silhouette is stable. There is thickening of the right pleural margin, consistent with known right-sided pleural-based abnormality. The right mid lung air-fluid level is no longer seen. Chronic right basilar opacity, possibly representing scarring, atelectasis, or underlying mass, and chronic volume loss of the right lung are overall not appreciably changed since <unk>, and are better assessed by ct. There may be a superimposed right pleural effusion. A hiatus hernia is seen. Multiple compression deformities involving the lower thoracic vertebrae are worsened since <unk> and <unk>, age indeterminate. There is no left pleural effusion. There is no pneumothorax. There is no evidence of pulmonary vascular congestion.

a <unk>-year-old man with a history of a right-sided pleural abnormality on prior ct, here with shortness of breath, evaluate for effusion or mass.

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Minimal left base atelectasis seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is likely exaggerated by supine position and ap technique ; given this, is likely normal in size. . Mediastinal contours are grossly unremarkable. There is no pulmonary edema.

history: <unk>f with weakness, hypotension // eval for pna

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There is extensive hazy consolidation of the central portion of the left hemithorax that appears to involve the left upper lobe and lingula. This is better characterized by the recent ct chest performed on <unk>. The right lung is essentially clear without evidence of pneumonia, pulmonary edema or a pneumothorax. No evidence of pleural effusions. The heart is enlarged. No acute osseous abnormalities.

<unk> year old man with left pna, slow to improve // eval for other process eg pleural effusion/empyema

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Patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Lungs are clear. There is no pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. Lungs remain hyperinflated. No acute osseous abnormalities demonstrated.

history: <unk>f with headache, weakness, fatigue // eval for acute intracranial process, cxr for infection

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Single semi-erect ap portable view of the chest was obtained. There are small bilateral pleural effusions with overlying atelectasis, left base consolidation cannot be excluded. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. No overt pulmonary edema is seen.

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Ap and lateral chest radiographs demonstrate an ill-defined nodular opacity in the right upper lung not seen on prior radiograph. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

history of hiv and failure to thrive. altered level of consciousness.

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Left-sided chest tube appears unchanged. There is persistent unchanged subcutaneous emphysema which has redistributed somewhat. Endobronchial valves appear unchanged along the left hilum. There is persistent extensive atelectasis of the left upper lobe with mild volume loss in the left hemithorax. There is a trace left-sided pleural effusion although not necessarily changed in degree allowing for differences in positioning.

pneumothorax status post chest tube.

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The lungs are hyperinflated and clear. There is stable right lower lobe granuloma. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.

chest tightness.

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There are linear bibasilar opacities likely due to atelectasis. The lungs are otherwise grossly clear within limitation of relatively low lung volumes. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with confusion // ?pna

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Patchy left lower lobe opacity may be due to atelectasis or pneumonia. No focal consolidation is seen on the right. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.

history: <unk>f with leukocytosis // ?pna

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The cardiomediastinal and hilar contours are within normal limits. There are small bilateral pleural effusions, best seen on lateral view. There is no definite focal consolidation suggestive of pneumonia. There is no pneumothorax. Subtle opacities over the lower lungs relate to breast implants.

left chest pain for several hours. evaluate pneumonia, effusion.

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No significant interval change. The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart is normal in size. The mediastinum is not widened. Hila are unremarkable. Calcifications of the aortic knob are unchanged. Mild degenerative changes of the visualized thoracic spine anterior osteophytes are unchanged.

<unk> year old woman with cough, hx bone marrow transplant // pneumonia

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with high lactate // ?pneumonia

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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. Rounded calcific density projecting over the right lung apex is within the soft tissues demonstrated on ct as opposed to within the lung. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

<unk>-year-old female. left-sided numbness.

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Interval decrease in right-sided pleural effusion, now small. Persistent though decreased opacifications in the right mid and lower lungs likely reflecting re-expansion. Left lung is clear. No left-sided pleural effusion. No pneumothorax present. Right-sided port-a-cath appears intact and terminates in the right atrium.

pleural effusion, status post thoracentesis, assess for pneumothorax.

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Moderate cardiomegaly is unchanged from <unk>. Mediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.

productive cough and pleuritic chest pain.

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Compared with the prior film, an ng tube has been placed. The tip and side port lie distal to the ge junction, over the expected location of the stomach. Otherwise, i doubt significant interval change. There are low inspiratory volumes, with bibasilar atelectasis.

<unk> year old man with sp shock // ngt

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The lung volumes are normal. Mild cardiomegaly without pulmonary edema. At the medial basal aspects of the right lung, a small region of peribronchial increase of interstitial structures is seen. This could reflect local bronchiectasis. Minimal scarring at the right upper lobe base. No acute changes such as pulmonary edema or pneumonia. No pleural effusions. Bilateral apical thickening that is symmetrical in appearance.

dyspnea.

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Mild cardiomegaly has been stable compared to exams dating back to <unk>. The hilar and mediastinal contours are normal. Linear atelectasis in the mid left lung is re- demonstrated. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of cough and shortness of breath. please evaluate.

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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila and pleura are unremarkable. No evidence of a fracture.

<unk>-year-old fever presenting with chest pain in the left upper chest and fevers. evaluate for acute cardiopulmonary process.

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There is mild improvement in the bilateral parenchymal opacities the remainder of the appearance the lungs are unchanged. The et tube and right-sided picc line and ng tube are unchanged.

<unk> year old man with myoclonic epilepsy post-arrest intubated // evaluate for interval change