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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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Endotracheal tube is <num> cm from the carina. The lungs are clear without focal consolidation or large effusion. Cardiac silhouette is enlarged likely due to combination of technique and underlying cardiomegaly. Median sternotomy wires and mediastinal clips are again seen.
<unk>m with ich intubated // confirm ett placement, ? worsening ich
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Pa and lateral views of the chest were reviewed. Compared to the prior study, the right-sided chest tube has been removed. Expected esophagectomy changes including air-fluid level in the right hemithorax are unchanged. The left subclavian port-a-cath is unchanged in position. The lungs are clear and there is no evidence of vascular congestion, pleural effusion or pneumothorax. The heart and mediastinal contours are unchanged.
evaluation for interval change, status post chest tube removal in a patient status post esophagectomy.
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Lungs are clear. Cardiac silhouette is normal. There is no pleural effusion, pneumothorax, pulmonary edema or evidence of pneumonia. There is no free air. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with fevers chills myalgias // acute cardiopulmonary disease
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Equivocal minimal prominence of markings at the left lung base. No obvious infiltrate and no consolidation is identified. No effusion.
<unk> year old man with recent emesis and now fever/cough // evaluate for pneumonitis vs pna
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As seen on the prior chest ct and prior radiograph, there are layering bilateral pleural effusions, moderate in size, with continued collapse of the left and right lower lobe. The right chest wall port catheter, right internal jugular central venous line, and endotracheal tubes are standard in position. No new parenchymal opacity or pneumothorax. Stable cardiomegaly.
<unk> year old man with respiratory failure. evaluate interval change
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Comparison is made to prior study from <unk> at <time> p.m. There is a right-sided pigtail catheter which is unchanged in position. There is a tiny residual right apical pneumothorax. There are low lung volumes with crowding of the pulmonary vascular markings. Atelectasis at lung bases is seen. There is a right mid clavicular shaft fracture as well as right-sided rib fractures. There is a small right-sided pleural effusion. Overall, these findings are all stable.
<unk>-year-old man with right rib fractures.
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As compared to the previous radiograph, the endotracheal tube has been advanced. The tip of the tube now projects <num> cm above the carina and is in correct location. No evidence of complications, no other radiographic changes.
right lower lobe pneumonia, assessment for endotracheal tube placement.
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There is slight prominence of central vascularity and perihilar fullness suggesting slight to very mild congestion or fluid overload. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the mid-to-lower thoracic spine where small anterior osteophytes can be seen.
chest pain, status post recent stent placement.
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Single frontal view of the chest demonstrates interval retraction of a right internal jugular approach central venous catheter, now with tip at the cavoatrial junction. The cardiomediastinal silhouette is within normal limits allowing for low lung volumes. There is no pneumothorax or pleural effusion. Previously seen perihilar vascular congestion has improved in the interim. There may be trace retrocardiac subsegmental atelectasis.
<unk>-year-old male with central venous catheter placement. question line placement.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with edema and sob // r/o acute cp process
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Single portable frontal chest radiograph demonstrates well-expanded lungs. Heart is normal in size, and cardiomediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. Small calcified granulomas are again noted. The lungs are otherwise clear. Lower cervical fusion hardware noted.
fever, evaluate for pneumonia.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Old left-sided rib fractures are seen. Partially imaged right shoulder prosthesis. Re- demonstrated compression deformity of a vertebral body at the lumbosacral junction.
<unk>f w/chest pain, multiple episodes of n/v, please eval for pna // <unk>f w/chest pain, multiple episodes of n/v, please eval for pna
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Mild-to-moderate edema is new. The opacity in the right lower lobe with silhouetting of the right hemidiaphragm costophrenic angle is concerning for new airspace opacity such as infection and/or edema. Increased opacity in the left lower lobe may reflect a combination of edema, concurrent infection, and atelectasis. Persistent elevation of the left hemidiaphragm is unchanged. Bilateral pleural effusions hernia. Left lower lung pleural calcifications are unchanged since at least <unk>. Sub- <num> mm opacities projecting over the left upper lobe are unchanged since at least, likely granulomas.
history: <unk>m with cough, hemoptysis // ? pneumonia
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No displaced rib fractures identified.
<unk>-year-old male status post mvc with left chest wall tenderness.
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Again, the lungs are hyperinflated. There is no focal opacity to suggest pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
shortness of breath. evaluate for pneumonia.
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Compared to prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is top-normal. There are degenerative changes in the spine.
<unk> year old woman with cough and sputum x few weeks, rare wheezing // r/o pna
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There is persistent elevation of the hemidiaphragm. Mild basilar atelectasis is seen. No large pleural effusion. No definite focal consolidation. Cardiac and mediastinal silhouette is stable as compared to <unk>. Rib fractures were better assessed on preceding ct.
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Ng tube tip is off the film, at least in the stomach. Bilateral pleural effusions are slightly worse. There continues to be mild cardiomegaly. There is lower lobe volume loss/infiltrate slightly worse than before as well.
hemoptysis, ng tube replaced.
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The cardiomediastinal and hilar contours within normal limits. There is redemosntration of mild elevation of the right hemidiaphragm. There is no focal consolidation, pleural effusion or pneumothorax. No overt traumatic findings. However if clinical concern, further evaluation can be obtained with dedicated rib series.
status post fall. question evidence of infection.
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The lung volumes are low, exaggerating mild to moderate cardiomegaly and mild vascular engorgement. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Patient is status post total arthroplasty of the right shoulder with the humeral component projecting inferiorly in relation to the glenoid component. Left-sided icd leads project over the right atrium and the left ventricle.
<unk>f with hypoxia. evaluate for pneumonia.
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Cardiac, mediastinal and hilar contours are unremarkable and unchanged. Heart size is normal. Pulmonary vasculature is normal. Minimal atelectasis is noted in the lung bases. No focal consolidation is demonstrated. No large pleural effusion or pneumothorax is noted, though the right costophrenic angle is not included in the field of view. No acute osseous abnormalities identified.
history: <unk>m with hypotension
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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There has been interval removal of the nasogastric tube and right ij central venous catheter. The lungs are clear. Nipple shadows are seen projecting over the low bilateral lower lungs. The appearance of tortuous descending aortic status post stent placement is unchanged. No pneumothorax or pulmonary edema. No focal consolidation to suggest pneumonia. Blunting of the left costophrenic angle may be due to a small pleural effusion or pleural thickening.
<unk>m with chills and cough // infiltrate
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Ap and lateral views of the chest were obtained. The heart size is normal. Calcification in the aortic arch is noted. The hila are unremarkable. There is no pleural effusion or pneumothorax. Increased bilateral interstitial markings, slightly more so throughout the right lung field are seen. Additionally, more focal opacities are appreciated on the frontal view in the right mid lung field.
history of pneumonia, status post treatment with increased tremors and lethargy.
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Since the prior radiograph, there are new loculations of the moderate left pleural effusion, overlying the left upper lobe. The right upper lobe consolidation has slightly improved, although pneumonia can cavitate and produce a similar appearance. A moderate right pleural effusion is unchanged. Mild to moderate cardiomegaly is unchanged, with persistent pulmonary edema. Unchanged tracheostomy tube in standard position and left picc line in the upper right atrium.
<unk> year old woman with pneumonia. evaluate evolving pneumonia.
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained <num> hours earlier during the same day. During the examination interval, all the left-sided chest tube has been removed. No evidence of pneumothorax in the left apical area and the lung fields are clear. The patient remains intubated with the ett in unchanged position. Also, the ng tube remains. The same holds for the right-sided chest tube terminating close to the superior mediastinum in the right apical area. No new pulmonary parenchymal infiltrates are seen and the lateral pleural sinuses remain free.
<unk>-year-old male patient status post left-sided chest tube removal, evaluate for interval development of pneumothorax.
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An endotracheal tube is in satisfactory position. The enteric tube courses along the esophagus and terminates at of the field of view, likely within the stomach. A left pigtail chest tube is unchanged. The superior vena cava stent traversing the known large right upper lung mass is unchanged. There is increased consolidation at the right lung base. The small left pleural effusion is unchanged. There is no pneumothorax. The cardiac silhouette is normal.
adenocarcinoma status post og tube placement.
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Moderate pulmonary edema is slightly improved. The endotracheal tube ends <num> cm above the carina. Right-sided jugular line ends in the mid svc. The ng tube is in adequate position. The mediastinal contour is normal. Cardiac contour is slightly enlarged and unchanged.
evaluation for infiltrate or effusion. the patient with intubation.
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No focal consolidation is seen. There is slight increase in interstitial markings diffusely bilaterally which may be due to mild interstitial edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // pulm edema?
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In comparison with the study of <unk>, the monitoring and support devices are unchanged. No evidence of residual pulmonary edema. No appreciable pneumothorax. The left chest tube again has the sidehole outside of the thoracic cavity.
bilateral pneumothorax after intubation attempts at outside hospital.
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The lungs are grossly clear besides mild bibasilar atelectasis. The cardiomediastinal silhouette is within normal limits. There is no effusion or pneumothorax. Proximal right humerus fracture is partially visualized. Posterior lumbar spine fixation hardware is partially seen. Compression deformity of a lower thoracic vertebral body is grossly unchanged since <unk>.
<unk>f with s/p fall wbc <unk> // eval ? infection. eval axillary shoulder view
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A left lateral approach chest tube projects over the mid lung and descends inferiorly. The previously seen large left pleural effusion is substantially evacuated and no pneumothorax is seen. Lateral view would be helpful in assessing the anterior component of the previous hydro pneumothorax. . The cardiac and mediastinal contours are stable. The right lung is clear. There are multiple displaced left rib fractures.
<unk>-year-old man status post chest tube. evaluate placement.
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Lung volumes are low and exaggerate the pulmonary vascular markings. Et tube is in the lower trachea at <num> cm from the carina. Right ij tip is in the upper svc. Enteric tube traverses to the stomach. While the heart size is exaggerated due to technique, it is still enlarged. The superior mediastinum also appears prominent. There is enlargement of the pulmonary arteries and azygous vein. There is no pneumothorax or pleural effusion.
intubated transfer with left lower lobe opacity.
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No focal consolidation, effusion or pneumothorax are present. There is unchanged appearance of moderate cardiomegaly and tortuous aorta.
right acetabular fracture and oxygen saturation drop in operating room. please do portable, patient unable to stand. rule out pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
fever and headaches. rule out 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. Bony structures are unremarkable.
cough and fever.
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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.
chest pain.
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Lungs are clear. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears stable with unchanged hilar prominence. No bony abnormalities.
<unk>m with weakness, // eval for pna
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The patient has been intubated since this morning and et tube ends <num> cm above the carina. New ng tube is in the stomach. Diffuse airspace opacities have slightly worsened since previous exam and is still severe. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal.
patient with end-stage liver disease, aspiration and intubation.
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There is mid left lung parenchymal opacity. The right lung parenchyma is unremarkable. There is no pleural effusion or pneumothorax. Heart size is again mildly enlarged. There is heavy calcification of the aortic knob.
history: <unk>f with cough, hypoxia // pna?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart size is enlarged as on prior. Mediastinal contour is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever, infectious work-up // eval pna
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Pa upright and lateral views of the chest were provided. Sternotomy hardware is noted. Clips are noted in the anterior mediastinal space. Underpenetrated technique limits evaluation of the lower lungs. Allowing for these limitations, the lungs appear clear. No convincing signs of free air below the right hemidiaphragm. No effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Imaged osseous structures appear intact.
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Left chest tube has been removed, and a pigtail pleural catheter has either been replaced or repositioned in the left hemithorax. Interval development of a small lateral left pneumothorax, but apparent decrease in extent of loculated left pleural fluid in the left hemithorax. Multiple small loculated hydropneumothoraces are again demonstrated, with interval worsening of loculated hydropneumothoraces at the left base. Mediastinal and hilar lymphadenopathy are again demonstrated as well as extensive bronchovascular thickening and peripheral interstitial thickening in the right hemithorax, previously attributed to kaposi sarcoma. Dense left retrocardiac opacity appears unchanged as well as a small right pleural effusion.
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Single frontal view of the chest demonstrates interval intubation with et tube terminating <num> cm above the carina. There is an enteric tube traversing into the stomach with side port below the ge junction. Median sternotomy wires are intact. Cardiomediastinal silhouette appears within normal limits. Lungs are clear, without pneumothorax or pleural effusion.
<unk>-year-old male with et tube placement.
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Support and monitoring devices are in standard position. The patient is severely rotated towards the right, limiting assessment of cardiomediastinal contours. Apparent worsening opacity in the right lower lobe with associated partial obscuration of right heart border favors atelectasis, but coexisting infectious pneumonia is possible in the appropriate clinical setting. Adjacent right pleural effusion is probably not changed.
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Comparison is made to previous study from <unk>. There is a single-lead left-sided pacemaker. There are no signs for hardware-related complications. The lungs are clear without focal consolidation, pleural effusions or pulmonary edema. There are no pneumothoraces. The cardiac size is enlarged, but stable. There is a large hiatal hernia.
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Moderate cardiomegaly is unchanged from prior studies. There is mild pulmonary vascular congestion with vascular redistribution to the upper lungs. There is no frank pulmonary edema. There is no focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal contour is normal.
<unk> year old man with multiple prio rstrokes, ef<num>%, recent changes in diuretic medications, presenting with worsening <unk> from baseline <num> to <num>, increasing sob, increased <unk> edema, elevated bnp, evaluate for etiology of shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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Ap and lateral views of the chest are provided. There is plate-like left lower lung atelectasis versus scarring. No signs of pneumonia or chf. No effusion or pneumothorax. The cardiomediastinal silhouette is stable with mild atherosclerotic calcification noted along the aortic knob. Bony structures are intact. No free air below the right hemidiaphragm. A deformity of the left mid shaft clavicle is noted, likely chronic.
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Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old woman with pneumothorax s/p bx and rfa. now s/p chest tube // evaluate for resolution of pneumothorax
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Lungs are clear without consolidation or effusion. Nipple shadows project over the lung bases bilaterally. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with chest pain shortness of breath // eval for pna
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are similar along the lower thoracic spine.
palpitations.
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Compared with the immediate prior study of <unk>, multiple pulmonary metastases have grown. The right-sided subclavian line has been removed. There is no pneumothorax. There is no focal consolidation, pleural effusion, or pulmonary edema. The heart is stably enlarged.
<unk> year old man with metastatic melanoma // eval for consolidation
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Tracheostomy tube appears to be in unchanged position. Left-sided port-a-cath tip terminates in the proximal right atrium, unchanged. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Marked gaseous distension of the colon is noted within the upper abdomen. There are no acute osseous abnormalities.
history: <unk>f with chronic tracheostomy secondary to tracheomalacia here with green sputum out of trach, odynophagia, dysphagia, and cough // any evidence of pneumonia or neck findings that could explain odynophagia/dysphagia?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with known pe, worsening cp/sob // eval for acute process
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There bilateral pleural effusions right greater than left. There is volume loss in both lower lungs. A few air bronchograms are seen on the right. There is fluid in the right major fissure. The air-fluid level seen on the prior study is no longer as evident. It could have just been fluid in the fissure rather than a hydro pneumothorax. The right central line is unchanged. The upper lungs are clear
<unk> year old woman with worsening sob, recent cxr with recent ? air fluid levels in rll, pls re-eval. please do upright (last film was semi-upright) // eval for signs of abcess, hydropneumothorax
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The cardiac silhouette is borderline enlarged. Again noted is calcified the apical scarring bilaterally. The mediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. No focal consolidation is identified.
history: <unk>f with c/f aspiration events // eval for acute process, aspiration pna
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The previously demonstrated right apical pneumothorax is no longer definitively identified. There are right-sided postsurgical changes again noted. Multiple bilateral lung nodules, better evaluated on prior chest ct, are once again noted. No focal consolidation, pleural effusion, or pulmonary edema is identified. The heart size is normal. Mediastinal contours are normal.
history of lung cancer status post wedge resection, now with pneumothorax following chest tube removal.
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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.
three weeks of cough as well as fever and left basilar crackles. assess for pneumonia.
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Increased opacities at the right lung base, moderate retrocardiac atelectasis. No evidence of pneumothorax. Borderline size of the cardiac silhouette.
status post bronchoscopy, rule out pneumothorax.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable. There are low lung volumes.
<unk> year old woman with hiv (well controlled) and recently productive cough // ? pna
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The lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. The heart and mediastinal contours are normal. No rib fractures are seen.
chest pain, status post mvc. dyspnea with inspiration, evaluate for rib fracture or acute cardiopulmonary process.
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There is a port-a-cath terminating in the cavoatrial junction. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is mild central pulmonary vascular prominence as well as indistinctness in upper zone redistribution suggesting mild fluid overload. There is a nodular opacity projecting over the right lower lung. An additional one also projects near the site of a port-a-cath device in the right mid abdomen. The possibility that these may reflect metastatic disease should be considered.
renal failure. history of colon cancer. question pneumonia.
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The patient is status post coronary artery bypass graft surgery. A right-sided pacemaker device has been placed, terminating in the right ventricle. There is a moderate pleural effusion on the left with associated opacity, probably due to atelectasis, including volume loss and mild leftward shift of mediastinal structures. Aside from streaky and band-like opacities in the right lower lung suggesting minor atelectasis, the right lung appears clear. There is no pleural effusion of the right or pneumothorax. There is no definite evidence for free air.
gastrointestinal bleeding.
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Since the recent study of <num> day earlier, left internal jugular vascular catheter is been placed, terminating in the proximal superior vena cava, with no visible pneumothorax. Exam is otherwise unchanged in the extent of pulmonary edema and small bilateral effusions. Tracheostomy in good position.
<unk> year old man with trach collar, acute on chronic respiratory failure // evaluate trach tube
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. Bilateral saline implants are noted.
<unk>-year-old female with dyspnea.
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Dobhoff tube in situ with the tip projecting over the stomach. Left-sided picc line in situ with the tip in the mid to distal svc. Left pleural effusion. Low lung volumes. Increased bronchovascular markings in the lungs bilateral in keeping with fluid overload/ pulmonary edema. Subsegmental atelectatic changes in the lung bases bilateral (left larger than right. Spondylotic changes of the thoracic spine. Metallic device projecting over the left upper abdomen.
<unk> year old man with brain mass, s/p dobhoff placement // dobhoff placement
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The left ventricle is moderately enlarged. The mediastinal silhouette is normal.
fever.
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Compared with the prior radiograph, the degree of right pulmonary edema has decreased, and overlying surgical <unk> of been removed. Severe atelectasis of the left lower lobe and left pleural effusion are unchanged. Cardiomegaly is stable, as are intact median sternotomy wires and mediastinal clips. Thoracostomy tube is unchanged.
<unk> year old man with s/p descending aorta repair. now hypoxic. evaluate for cause.
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The patient is intubated. The endotracheal tube terminates near the thoracic inlet. The lung volumes are very low. However, there is no evidence for focal opacification. There is no pleural effusion or pneumothorax. The upper half of the abdomen is included and shows marked colonic dilatation, which is incompletely characterized, although pneumatosis is visible in large bowel. Portal venous gas is widespread within the liver. There is no definite free air collection.
pea arrest.
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Lines and tubes: left-sided picc terminates at the cavoatrial junction. Lungs: well inflated and clear. Pleura: there is no pleural effusion or pneumothorax mediastinum: persistent cardiomegaly and prominence of hilar vasculature. Bony thorax: prosthetic cardiac valve sternal sutures and surgical clips remain unchanged in position.
<unk> year old man with endocarditis, continued fevers // eval for new pneumonia or other pulmonary process
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The heart size is normal. Mediastinal and hilar contours are unremarkable except for mild atherosclerotic calcifications of the aortic knob. The lungs are clear with the exception of subsegmental atelectasis in the right lung base. No focal consolidation, pleural effusion or pneumothorax is visualized. Mild loss of height of two adjacent vertebral bodies at the thoracolumbar junction compatible with compression deformities are age indeterminate.
left-sided chest pain.
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Compared with the prior radiograph, no significant change in the right lung base opacity and moderate cardiomegaly. The left costophrenic angle is not fully imaged. Calcified aortic arch is unchanged. Mild pulmonary vascular congestion without pulmonary edema is unchanged. Calcified aortic arch is also seen.
<unk>f with hypoxia. evaluate for focal consolidation.
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As compared to the previous radiograph, there is no relevant change. Evidence of mild overinflation and pulmonary emphysema, but no evidence of pneumonia, pulmonary edema or other acute lung pathology. Normal size of the cardiac silhouette. No pneumothorax.
post-vascular surgery, questionable pulmonary edema.
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One portable supine ap view of the chest. This study is severely limited due to overpenetration. Within that limitation, there is no obvious pneumothorax, consolidation, or effusion. Cardiac, mediastinal and hilar contours appear within normal limits.
<unk>-year-old male with chest pain, shortness of breath.
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As compared to the previous radiograph, there are new bilateral minimal pleural effusions. Areas of atelectasis are seen at both lung bases. There is no evidence of free intra-abdominal air. No pulmonary edema. No pneumonia. No pneumothorax.
abdominal distention after colonoscopy, evaluation for air under the diaphragm.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.
shortness of breath, asthma, new <unk> lb weight loss
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever, cough*** warning *** multiple patients with same last name! // fever, cough
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A tracheostomy is in place. Sternotomy wires appear intact and appropriately aligned. A left picc terminates in the low svc. There are extensive multifocal opacities throughout the lungs bilaterally. Heart size is normal. The mediastinal and hilar contours are normal. There may be small bilateral pleural effusions. No pneumothorax.
<unk>f with resp failure and hemoptysis // eval for pna
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There is moderate pulmonary edema, increased from the prior study. Moderate bilateral pleural effusions are seen with overlying atelectasis. Basilar consolidation is difficult to exclude. There is enlargement of the cardiomediastinal silhouette. No pneumothorax is seen.
history: <unk>m with weakness and sob // eval pneumonia vs chf
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. Right tenth rib fracture is again seen.
<unk> year old woman with ronchi on r and sob, pt s/p po vanco rx for c. diff and recent r sided rib fractures (please call dr. <unk> with wet <unk> // rule out pneumonia
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There are relatively low lung volumes. Pulmonary vascular congestion is again seen. There is left mid lung atelectasis/scarring. No definite focal consolidation is seen although study is slightly underpenetrated due to patient body habitus. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with recent stemi now presenting after <num> wk with hypoxia, fever // eval ? pneumonia, chf
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The heart size is top normal. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with productive cough // ?pneumonia ?pneumonia
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Since the prior exam, the endotracheal tube has been removed. A new tracheostomy tube sits <num> cm from the carina. An enteric tube and right picc are unchanged. The opacity at the right base appears slightly improved since the prior exam, while an opacity at the left base appears worse. These changes may be due to patient rotation. Small bilateral pleural effusions are not significantly changed. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is poorly evaluated due to patient rotation.
status post tracheostomy. evaluate tracheostomy location.
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Cardiac, mediastinal and hilar contours are unchanged. Heart size is within normal limits. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Clips from prior cholecystectomy are seen in the right upper quadrant of the abdomen. There are no acute osseous abnormalities.
history: <unk>f with dysphagia
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Status post left pneumonectomy, with near-complete opacification of the left lung, and normal filling the left lung. A left-sided port is seen with the tip at the cavoatrial junction. The patient is at prior right axillary lymph node dissection. No acute focal consolidation within the right lung. No pneumothorax or significant effusion within the right lung.
<unk> year old woman with lung cancer and neutropenia with new o<num> requirement // evaluate for cause of hypoxia
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Portable ap upright chest radiograph provided. Dual lead aicd is noted with leads extending to the region of the right atrium and right ventricle. There is moderate pulmonary edema with mild cardiomegaly. No large effusions are seen. Bony structures intact.
<unk>-year-old man with hypoxia.
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Enteric feeding tube is seen coursing midline with tip coiled in stomach and side ports below the level of the diaphragm. A right porta cath tip is seen in the low svc. The lungs are hypoinflated with crowding of vasculature. Bibasilar atelectasis is present. Mild cardiomegaly is likely accentuated due to low lung volumes and patient positioning. No pleural effusion or pneumothorax. Multiple clips and percutaneous gastrojejunostomy catheter is partially imaged. Limited assessment of the upper abdomen again demonstrates multiple mildly dilated air-filled loops of small bowel measuring up to <num> cm.
<unk>f with ngt d/t bowel obstruction. assess ng tube placement.
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Pa and lateral views of the chest provided. Left chest wall pacer device is noted with <num> leads extending to the region the right atrium and right ventricle. There is no focal consolidation, effusion, or pneumothorax. No signs of congestion or edema. Cardiomegaly is mild. Aortic calcification noted. No free air below the right hemidiaphragm is seen. Surgical clips are seen within the expected location of the gallbladder fossa. Imaged osseous structures are intact. Moderate to severe degenerative changes are seen in the right ac joint.
<unk>-year-old female with right shoulder and chest pain.
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Lungs are fully inflated and clear. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. The enteric tube terminates within the gastric body.
<unk>f with abdominal pain, nausea, vomiting, rule out pneumonia and confirm ng tube placement.
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Lung volumes are slightly low. A small to moderate left pleural effusion may be minimally decreased compared to <unk>. Adjacent atelectasis and/or consolidation persists. Lungs are otherwise clear. No pleural effusion on the right. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with hx abdominal abscess with complicated hx presenting with left sided pain. evaluate for worsening effusion.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. No rib fractures. Exuberant costochondral calcification.
history: <unk>m with chest pain
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The lungs are hyperinflated but clear. There is mild levoconvex scoliosis of the thoracic spine. Heart size and mediastinal contours are normal. No compression fractures of the thoracic spine.
history: <unk>f with confusion, hypotension at home // please evaluate for pneumonia
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In comparison with study of <unk>, there has been placement of a nasogastric tube which extends to the upper body of the stomach. The right ij catheter has been removed. Continued and possibly increasing opacification at the left base with silhouetting of the hemidiaphragm. This is consistent with pleural effusion and atelectasis. There may be several streaks of atelectasis at the right base as well. No evidence of pulmonary vascular congestion.
ng tube placement.
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Right cardiac pacemaker has <num> lead ending at the right atrium and <num> leads ending at the right ventricle, one capped. The mechanical mitral valve is in appropriate position, and the heart size is normal without pulmonary edema. The mediastinal and hilar contours are normal.
<unk>-year-old man status post extraction of right atrium lead, capping of right ventricle lead, and implantation of new right atrium and right ventricle lead via right axillary vein. rule out pneumothorax. evaluate lead position.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
stroke. concern for pneumonia.
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Comparison is made to previous study from <unk>. There is a right-sided central line with the distal lead tip in the mid svc. There is again seen cardiomegaly which is stable. There has been interval increase in the size of the bilateral pleural effusions. There are areas of consolidation in the left base which appear stable. No pneumothoraces are seen.
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Portable ap chest radiograph demonstrates a left-sided picc tip terminating and in the right atrium. There is no pneumothorax. The visualized lung the lungs are clear. The right costophrenic sulcus is not imaged. The cardiomediastinal silhouette is normal.
new left picc placement.
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Tip of endotracheal tube terminates approximately <num> cm above the carina. Cardiomediastinal contours are within normal limits allowing for rotation. The aorta is tortuous, and the heart demonstrates left ventricular configuration. Lungs are clear except for linear left basilar atelectasis or scar. Moderate gastric distention is present.
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In comparison with study of <unk>, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with prosthetic valve in place and single-channel pacemaker lead that extends to the region of the apex of the right ventricle. Continued large pleural effusion with substantial volume loss in the right middle and lower lobes. There may be a small left effusion. Increasing engorgement of pulmonary vessels, consistent with more prominent pulmonary edema.
worsening effusion.