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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with hiv, fever, cough // eval for pneumonia
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Ap portable upright view of the chest. A small chest tube projects over the right lower lung. There is persistent right pneumothorax, small without shift. Emphysema is significant. Cardiomediastinal silhouette is unremarkable. No acute bony injury. Chronic appearing right clavicular deformity noted.
<unk>m with spontaneous pneumo found at osh
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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>f with cough // eval pneumonia
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As compared to the previous radiograph, there is no relevant change. Monitoring and support devices as well as the bilateral parenchymal opacities and the size of the cardiac silhouette are constant. No newly appeared parenchymal opacities.
non-small cell lung cancer, bronchopulmonary fistula, evaluation.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is stable. No pulmonary edema is seen.
history: <unk>f with left neck pain and facial numbness // ?consolidation
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There is a fracture of the left scapula, infra-glenoid in location. 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. Small displaced bony fragment projects over the mid scapula. There is no clear evidence for rib fracture.
motor vehicle collision with pain over the left scapula, shoulder and left anterior and lateral ribs, with t<num>-t<num> tenderness.
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In comparison with study of <unk>, there is mild blunting of the left costophrenic angle that could represent a small amount of pleural fluid. No evidence of pulmonary edema or acute focal pneumonia.
transfusion reaction, to assess for fluid overload.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous structures are grossly unremarkable.
neck pain and lethargy. fever.
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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.
<unk> year old man with history of gastroesophageal reflux disease and intermittent chest pain presenting with acute onset chest pain and shortness of breath
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Lung volumes are low and the lungs are clear. Mediastinal contours, hila, and cardiac borders are normal. No pleural effusion.
<unk> year old woman with cough, fevers. // ?infiltrate
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A single portable ap supine view of the chest was obtained. There is interval placement of an endotracheal tube with tip projecting approximately <num> cm above the carina. Right internal jugular central venous catheter tip is in the mid svc. Ng tube in subdiaphragmatic. Cardiac silhouette is slightly larger. There is increased mild bilateral pulmonary edema as well as increased moderate right pleural effusion. Airspace opacification at the right lower lung zone is more prominent. The left lung is clear. There is no pneumothorax.
<unk>-year-old woman with afib, alcohol abuse, and hypoxia. evaluate right internal jugular line placement.
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Pa and lateral views of the chest are provided. Cervical fusion hardware is again seen as well as clips in the flank region. The lungs are clear. No free air below the right hemidiaphragm. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. Bony structures are intact.
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The endotracheal tube has been removed. A right central venous catheter ends at the cavoatrial junction. A dobbhoff tube ends in the stomach. Median sternotomy wires and mediastinal clips are again identified. Diffuse bilateral alveolar opacities, the combination of baseline interstitial lung disease and non cardiac edema, is generally increased, particularly in the left lower <unk>, <unk> be due slightly lower lung volumes, but worsening edema is suspected. There is a small right pleural effusion. No pneumothorax is identified. The cardiac and mediastinal contours are stable.
<unk> year old man // eval effusions
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There is rightward rotation of the patient on the current radiograph. There is essentially unchanged appearance of left-sided chest tube. The cardiomediastinal silhouettes are normal in stable in appearance. The bilateral hila are normal. There is no evidence of focal lung consolidation or pulmonary vascular congestion. There is no pneumothorax. The left-sided small subpulmonic pleural effusion is stable in size in comparison to prior radiograph. There is no right effusion
<unk> year old man with fevers and new left pleural effusion // recent thoracentesis and chest tube placement. please perform cxr at <unk> on <unk>.
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In comparison with study of <unk>, there is little overall change. Again there is enlargement of the cardiac silhouette in a patient with a dual-channel pacer device and multiple cardiac clips with intact midline sternal wires. No evidence of pulmonary vascular congestion or acute pneumonia.
chf exacerbation.
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Cardiomediastinal silhouette and hilar contours are unremarkable. There is a small-to-moderate left subpulmonic effusion with adjacent atelectasis. The left upper lung zone and the right lung are clear. There is no pneumothorax.
chest pain.
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Ap portable upright view of the chest. Overlying ekg leads are present. Lung volumes are low. Patient rotated to the right. No focal consolidation, large effusion or pneumothorax. There is mild bibasilar atelectasis. No convincing signs of edema. The overall cardiomediastinal silhouette appears unchanged allowing for differences in positioning. Bony structures are intact.
<unk>m with near syncope // eval infiltrate
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A portable frontal chest radiograph again demonstrates low lung volumes consistent with the recent left upper lobectomy. The left chest tube is unchanged in position, directed superiorly, and there is no pneumothorax. There remainder of the exam is unchanged.
status post left upper lobectomy, now with intermittent shortness of breath. evaluate for pneumothorax.
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Right picc tip terminates in at the junction of the svc and right atrium. Cardiac, mediastinal and hilar contours are unchanged. Focal consolidative opacity is seen within the right upper lobe concerning for pneumonia. Minimal streaky opacities in the lung bases likely reflect atelectasis, but additional areas of infection are not excluded. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
fever, hypoxia, tachycardia.
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Ap portable semi upright view of the chest. Et tube is seen with its tip located approximately <num> cm above the carina. Lungs are clear. Clips project over the right axilla and right chest wall. Right breast shadow is absent. Lungs are clear. Cardiomediastinal silhouette is normal. No bony abnormalities.
<unk>f with intubated // acute cardiopulm disease
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Pa and lateral views of the chest were obtained demonstrating clear lungs without focal consolidation, effusion or pneumothorax. Heart size is stable. Mediastinal contour is unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
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Interval placement of endotracheal tube is seen with tip <num> cm from the carina. Enteric tube seen with tip likely past the ge junction but with side-port in the distal esophagus. Bilateral parenchymal opacities may have slightly progressed since prior.
<unk>f with hypoxia s/p fall, <unk>, r tib plat fx, rhabdo / eval ett placement
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The lungs are well expanded. The previously seen loculated right pleural effusion now demonstrates an air-fluid level, consistent with prior drainage of the collection. No focal consolidation or mass is seen. The cardiomediastinal silhouette is unremarkable.
<unk> year old woman with pleural effusion // eval
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Heart size is mildly enlarged. Right hilar opacity is compatible with known mass and radiation treatment changes. Previously noted right upper lobe atelectasis has improved though is still present. Small right pleural effusion persists. Left lung is clear. There is no pulmonary edema. No pneumothorax is demonstrated. Mild degenerative changes are noted in the thoracic spine. The patient is status post tracheostomy.
lung cancer, shortness of breath.
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Interval resolution of pulmonary edema. Mild interstitial edema and pulmonary vascular congestion. Persistent left lower lobe atelectasis. Stable small-to-moderate dependent right pleural effusion and moderate partially loculated left pleural effusion. Probable cardiomegaly. No pneumothorax. No change in position of dobbhoff tube. Median sternotomy wires appear intact and unchanged in position.
<unk>f pmh of recurrent pancreatitis, mds, hodgkin's lymphoma s/p chemoradiation and splenectomy, cad s/p cabg (<unk>), afib (on apixaban), multiple embolic strokes, who was initially admitted on <unk> w/ pancreatitis, whose hospital course since has been complicated by atn, rue abscess, left neck infection/necrosis, lij thrombosis, hypoxic respiratory distress, anemia, malnutrition, severe pain who has since clinically improved and is now transferred to medicine service for further care. // please assess for pna as well as interval change in pulmonary edema.
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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax is present. Eventration of the right hemidiaphragm is present. There are no acute osseous abnormalities.
shortness of breath and chest pain.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. There are no acute skeletal abnormalities.
<unk>-year-old with left-sided chest pain, evaluate for acute cardiopulmonary process.
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In comparison with the study of <unk>, there is now a tracheostomy tube in place with the tip approximately <num> cm above the carina. Increased haziness of the left hemithorax suggests some increased pleural fluid. Otherwise, little overall change.
tracheostomy.
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Patient is status post median sternotomy and cabg. Moderate enlargement of the cardiac silhouette appears increased compared to the previous radiograph. There is increased perihilar haziness and vascular indistinctness compatible with mild pulmonary edema, new in the interval. More focal opacity in the left lung base could reflect atelectasis. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with chf, cad, recent questionable pulmonary hypertension diagnosis, recent gib admission, <num> days nausea vomiting, bloody stools, tachypneic and hypoxic
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There is elevation of the right hemidiaphragm, which is unchanged from the prior study. There is improved aeration of the bilateral lung bases from <unk> with no focal consolidation concerning for pneumonia. No large pleural effusion or pneumothorax is detected. There is diffuse mildly increased prominence of the pulmonary vasculature, which is improved from the prior radiograph. The size of the cardiac silhouette is difficult to evaluate, but there is unchanged left ventricular configuration with probable mild-to-moderate cardiac enlargement. The mediastinal contours remain prominent with unfolding of the thoracic aorta but appears stable in comparison to the prior study. Clips in the left neck are re-demonstrated.
dyspnea, here to evaluate for pneumonia.
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Assessment is slightly limited due to patient rotation. Heart size remains moderately enlarged. Aortic knob is calcified. Mediastinal and hilar contours are grossly unremarkable. Pulmonary vasculature is not engorged. Retrocardiac and right basilar patchy opacities may reflect areas of atelectasis, though infection cannot be completely excluded. Blunting of both costophrenic angles suggest small bilateral pleural effusions. No definite pneumothorax is visualized. No acute osseous abnormality is detected. Kyphosis and diffuse demineralization of the thoracic spine is again demonstrated.
history: <unk>f with altered mental status // acute process?
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Pa and lateral views of the chest provided. There are <num> discrete subtle nodular opacities projecting over the right lower lung on the frontal view which are indeterminate. No signs of pneumonia or edema. Hila appear slightly congested. Heart and mediastinal contours appear normal. No large effusion or pneumothorax. Imaged bony structures are intact.
<unk>m with dyspnea // r/o acute process
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Increased densities in the right lower lobe may be compatible with pneumonia in the correct clinical setting. Less so but still present increased densities are also noted in the left lower lobe, although these appear slightly more streaky possibly compatible with atelectasis. Heart size is normal. There is no pleural effusion, pneumothorax or overt pulmonary edema. Mediastinal contours are within normal limits.
dyspnea and cough, question pneumonia.
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Since the prior radiograph in <unk>, there are new dense opacities at the right lateral lung apex and base, concerning for multifocal pneumonia. The lungs are hyperinflated with flattened diaphragms, suggesting emphysema. Unchanged partially calcified parenchymal scars in the lung bases and apices. Small bilateral pleural effusions. Heart size is normal.
<unk> year old woman with copd and recent exacerbation. ?opacity ?pna
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
history: <unk>m with dyspnea
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The cardiomediastinal silhouette and hilar contour is are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. A large bore right internal jugular central venous catheter terminates at the cavoatrial junction.
hyperglycemia.
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In comparison with the study of <unk>, the position of the nasogastric tube is extremely difficult to determine on the views presented. It appears this extends to the upper stomach, though the side hole cannot be identified. Repeat study using abdominal technique would be necessary if clinically warranted. Remainder of the study is essentially unchanged, though the endotracheal tube appears to have been removed and the left central catheter pulled back into the mid to lower portion of the svc.
ng tube placement.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Mild increase in diameter of the aortic knob. This, however, might be caused by patient's rotation. The lung volumes are lower than on the previous examination, however, there is no evidence of pneumonia, pleural effusion, or relevant pulmonary edema. Unchanged appearance of the cardiac silhouette.
concern for aspiration, evaluation.
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Mild to moderate cardiomegaly is unchanged. There is no focal consolidation. There is no overt pulmonary edema. There is no pneumothorax or pleural effusion.
<unk> year old man with weakness and aflutter with rvr, evaluate for pneumonia or chf..
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The lungs are well-expanded and clear. No focal consolidations. No pulmonary edema. Normal cardiomediastinal silhouette. No pleural effusion. No pneumothorax.
history: <unk>f with cough // eval for pna
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The cardiomediastinal and hilar contours are normal. Subtle opacity at the right costophrenic angle is noted as well as in the retrocardiac space. There is no pneumothorax. There may be trace pleural effusion on the right.
<unk>-year-old female with plasmodium falciparum.
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Left lower lobe consolidation is likely atelectasis, slightly improved from prior. The lungs are otherwise clear. The left pleural effusion is slightly smaller. The small left apical pneumothorax is approximately unchanged. The cardiomediastinal silhouette is unchanged.
<unk> year old woman s/p l vats wedge // check interval change
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Heart is upper limits of normal in size in the aorta is mildly tortuous. Lungs are clear except for subsegmental atelectasis in the mid and lower lungs. There are no pleural effusions.
<unk> year old woman s/p <unk>'s,ostomy reversal, new onset of cough // compare to prior x-ray
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The lungs are clear without focal consolidation, effusion or pneumothorax. There is however linear lucency adjacent to the trachea, particularly on the lateral view and overlying the left hilar region, raising the possibility of pneumomediastinum. There is no subcutaneous gas in the neck or elsewhere. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough, new asthma exacerbation // pna?
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The newly placed dobbhoff catheter tip terminates within the mid-to-lower esophagus. The lungs remain grossly clear. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of thoracic aorta. Heart size is normal. Clips overlie the right upper quadrant. In addition, contrast is demonstrated within the partially visualized aspect of the colon, within the right mid abdomen.
<unk>-year-old female with dobbhoff placement.
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As compared to the previous radiograph, the patient is after bronchoscopy. The pre-existing right upper lobe atelectasis has almost completely resolved. The tip of the endotracheal tube is <num> cm above the carina. Minimal residual atelectasis at the bases of the right upper lobe and at the bases of the right lung. No other parenchymal abnormalities. Moderate cardiomegaly persists.
pneumomediastinum, evaluation after bronchoscopy.
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Mild enlargement of cardiac silhouette is re- demonstrated. The aorta is unfolded. There is mild pulmonary vascular congestion without frank pulmonary edema. Lungs remain hyperinflated. Streaky atelectasis is noted in the lung bases without focal consolidation. Blunting of the costophrenic angles posteriorly on the lateral view may reflect the presence of trace bilateral pleural effusions. No pneumothorax is present, and there is no focal consolidation. Mild moderate multilevel degenerative changes are present in the thoracic spine.
history: <unk>m with cough and fever
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Et tube is <num> cm from the carina. Ng tube is seen coursing below the diaphragm; however, is not completely imaged. Since the most recent prior radiograph, lung volumes are slightly lower. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unchanged. A right picc line has been removed.
<unk>-year-old woman, intubated, question interval change.
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The heart size is normal. No focal opacity suggestive of metastatic disease is seen. There is no pleural effusions or pneumothorax. The hilar and mediastinal contours are unremarkable. The visualized osseous structures are unremarkable.
<unk>-year-old male with a history of pancreatic cancer who presents for evaluation of metastatic disease.
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Heart size is mild to moderately enlarged. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal contours unremarkable. There is crowding of the bronchovascular structures due to the presence of low lung volumes with possible mild pulmonary vascular congestion but no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
history: <unk>f with altered mental status
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Heart size is normal. Bilateral peribronchial cuffing is present, as well as streaky perihilar and basilar peribronchiolar opacities. In the setting of fever, observed findings probably represent viral or other atypical pneumonia. No segmental or lobar areas of consolidation are identified, and there is no pleural effusion.
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Lung volumes are slightly low. Mid thoracic dextroscoliosis is also seen. The lungs are grossly clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with sob w/ exertion // pna vs edema
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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal. The aortic knob is calcified. There is no overt pulmonary edema.
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Low lung volumes with bronchovascular crowding. Atelectasis is again seen in the left lung base. The lungs are otherwise clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Degenerative changes are seen in the spine.
weakness.
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The lung volumes are lower. Mild pulmonary edema with moderate cardiomegaly is noted. There may be a small right pleural effusion which demonstrates loculation laterally and a small left pleural effusion. There is no pneumothorax. Accounting for differences in technique, the mediastinum is unchanged. Linear areas of scarring are seen in the left mid lung. The most inferior sternotomy wire is fractured.
fever and end-stage renal disease. evaluate pneumonia.
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Ett tube has been placed and the tip ends at <num>,<num> cm cm from the carina. The cardiomegaly is unchanged. The dobbhoff tube is still in place and extends below the diaphragm ending in mid gastric cavity. Lung volumes are reduced with new biapical opacities. Due the single ap projection and semi-supine position of the patient, a new cxr in erect position is recommended for fully characterize these opacities. The left basilar pleural effusion seems mildly increased. There is no pneumothorax
<unk>-year-old woman with herniation. indication ett placement.
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Lung volumes are low, resulting in exaggeration of the cardiomediastinal silhouette and central pulmonary vasculature. There is mild dextro convex scoliosis of thoracic spine with also alters the mediastinal contour. No focal consolidation or pleural effusion. No pneumothorax.
history: <unk>m with dyspnea, hypoxia // ? pneumonia, chf
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The lung volumes are low. Heart size is normal. Aorta remains tortuous. Mediastinal and hilar contours are otherwise stable. Pulmonary vasculature is normal. Streaky opacities in the lung bases are compatible with areas of atelectasis. No large pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with fever
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There are slightly low lung volumes, which results in bronchovascular crowding. Note is made of mild bibasilar atelectasis. Cardiomediastinal and hilar contours are unremarkable. The aorta is tortuous. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with confusion // pna?
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Cardiomediastinal contours are within normal limits except for distention of the azygos vein. Mild pulmonary vascular congestion is present, but there is no overt pulmonary edema. Lungs are clear except for minimal patchy opacities in the retrocardiac regions, most likely due to patchy atelectasis. Focal aspiration and early site of infectious pneumonia are also possible, and short-term followup radiographs may be helpful in this regard if warranted clinically.
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Monitoring and supporting devices are in standard position, unchanged since prior study. Bilateral mild-to-moderate pleural effusions with hazy opacification of bilateral hemithoraces is unchanged. Heart size, mediastinal and hilar contours are normal. No demonstrable pneumothorax. Engorgement of pulmonary vessels suggesting increased venous pressure is similar in appearance.
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Cardiac silhouette size is normal. Mediastinal hilar contours are normal. Pulmonary vasculature is normal. Patchy atelectasis seen in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. Remote left-sided rib fractures are seen.
history: <unk>m with chest pain for <num> hr
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Tip of swan-ganz catheter terminates in the right interlobar pulmonary artery about <num> cm from the central portion of the right hilum and could be withdrawn for standard positioning. Heart size remains normal. Persistent prominence of main pulmonary artery contour. Basilar predominant lung opacities appear unchanged. Lung volumes remain increased. No pneumothorax.
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The patient has received a dobbhoff catheter. The lower parts of the chest are visualized. The tip of the dobbhoff catheter projects over the middle parts of the stomach, no evidence of complications. Normal course of the device.
pneumonia, status post dobbhoff placement.
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There are low lung volumes. Bibasilar opacities could be due to atelectasis and/ or pneumonia.no large pleural effusion is seen although a trace pleural effusion is difficult to exclude. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with cirrhosis, ?ugi, dehydration // ?cpd or fluid overload
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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.
history: <unk>f with cough, chills // ? pna
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Supine portable ap view of the chest provided. Lungs appear clear without focal consolidation, effusion or pneumothorax on the supine radiograph. The heart and mediastinal contours appear normal. Old right rib cage deformities are noted. No acute fractures are seen. Scoliotic deformity of the spine is noted with an ivc filter noted in the right mid abdomen.
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In comparison to the recent chest radiograph on <unk>, there is slightly increased opacification of the left lung base, which may be due to a combination of pleural effusion and adjacent atelectasis. The right lung is essentially clear. There is no pneumothorax bilaterally. Cardiomediastinal silhouette is within normal limits. The endotracheal tube terminates <num> cm above the carina. Left subclavian line terminates at the low svc. Of note, the enteric tube has been pulled back, and now terminates in the upper esophagus.
<unk> year old man with iph, intubated // assess for interval change, ett
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Stable mild cardiomegaly, pulmonary vascular congestion but improving pulmonary edema. Additionally, a more confluent opacity in the right lower lobe has substantially improved. Dense left retrocardiac opacity is unchanged, and probably represents residual left lower lobe collapse in this patient who previously demonstrated complete left lung collapse on <unk>. Small left pleural effusion is unchanged.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>m w/fever and elevated wbc please, evaluate for occult pneumonia.
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There are slightly increased interstitial markings compared to the previous exam. There is no confluent consolidation or effusion. Prominence of the upper mediastinum is most likely due to fat and unchanged. Cardiac silhouette is enlarged but similar to prior.
<unk>m with doe // r/o chf
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Comparison is made to prior chest radiograph from <unk>. The tip of the endotracheal tube is <num> cm below the level of the aortic knob approximately <num> cm from the carina. The swan-ganz catheter, chest tubes and drains appear unchanged in position. There remains cardiomegaly and prominence of mediastinum consistent with the recent surgery. No overt pulmonary edema or focal consolidation is seen.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with c/o cough and fever // ? pna
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As compared to the previous radiograph, the lung volumes have decreased. The size of the cardiac silhouette as well as the appearance of the hilar and mediastinal structures is constant. Minimal atelectatic changes could be present at the right lung base. However, if clinical suspicion for pulmonary infection persists, and given the higher sensitivity of ct for detecting this pathology in immunocompromised patients, ct of the chest is recommended to rule out pneumonia.
status post transplant, graft-versus-host disease, evaluation for pneumonia.
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There has been interval decrease in the amount of vascular plethora. The heart continues to be mildly enlarged. There small bilateral effusions. There is volume loss at the bases.
<unk> year old woman s/p cabg, mv repair // eval for edema/effusion
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There are large rounded opacities in the right lung abutting the upper right chest wall and in the perihilar region. There is additional opacity at the right lung base and the right hemidiaphragm is obscured. Inspiratory volumes are slightly low. Some perihilar increased perihilar markings and atelectasis at the right lung base is noted. Doubt chf. No gross left effusion.
<unk> year old woman with lung cancer w/ obstructive pneumonia with continued labored breathing // concern for pleural effusions, pneumonia progression
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Nasogastric tube tip projects over the medial aspect of the right hemidiaphragm and appears to terminate within a large hiatal hernia which is distended with air and fluid. The cardiac silhouette size is moderately enlarged. The aortic knob is calcified. Bibasilar ill-defined opacities may reflect aspiration or atelectasis. Small right pleural effusion appears to be present. There is no pneumothorax or pulmonary vascular congestion. Electronic device is seen projecting over the left perihilar region. Cervical spinal fusion hardware is incompletely assessed.
volvulus with nasogastric tube placement.
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Pa and lateral views of the chest provided. Diffuse airspace opacities highly concerning for multifocal pneumonia. No large effusion or pneumothorax. The heart size appears borderline enlarged. Mediastinal contour appears normal. Hila appear prominent which could be due to enlarged lymph nodes or hilar congestion. Bony structures are intact.
<unk>f with cough // acute process?
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On the current image, a <num> cm apicolateral pneumothorax on the left is seen. In retrospect, this pneumothorax could already have been present today at <time> a.m., but was smaller than before. The chest x-ray shows no evidence of tension. The intrafissural pigtail catheter position documented on the ct examination from <unk>, <time> a.m., is not apparent on the chest radiograph. The changes in the left upper lung and the right lung are constant in appearance.
copd, pneumothorax.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusions or pneumothorax. Multiple calcified granulomas are seen in the upper lung zones. Pleuroparenchymal scarring is present in the upper lobes. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact.
<unk>-year-old woman with fall. evaluate for pneumonia.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Sternotomy wires are intact. Persistent curvature of the left hemi diaphragmatic surface is unchanged dating back to <unk>. Limited assessment of the upper abdomen is within normal limits. Severe scoliosis is again noted.
cough, recent pneumonia. assess for pneumonia.
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The patient is status post coronary artery bypass graft surgery. The heart is mildly enlarged. There is a mild diffuse interstitial abnormality with kerley b lines, which are noted primarily at the right lung base. This may reflect mild vascular congestion or a mild chronic interstitial abnormality could also be considered. A nodular density projecting over the right lower lung is suggestive of a nipple shadow. There is no pleural effusion or pneumothorax. The bones appear demineralized. Mild degenerative changes are noted throughout the thoracic spine.
chest pain.
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The lungs are mildly hyperinflated. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examinations. There is no consolidation. No pneumothorax or pleural effusion is noted. Chronic changes are seen at the lung bases.
<unk> year old woman with copd that presents with ? exacerbation // rule out pneumonia
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
shortness of breath. evaluate for pneumonia.
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In comparison with the earlier study of this date, there is no convincing evidence of pneumothorax. Continued enlargement of the cardiac silhouette with residual pleural fluid with atelectasis at the right base. Indistinctness of pulmonary vessels is consistent with some elevated pulmonary venous pressure.
small pneumothorax after thoracentesis.
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There is no consolidation, pleural effusion, or pneumothorax. There is no pulmonary edema. Mildly enlarged cardiac silhouette is not changed.
<unk> year old woman with asthma, ra on several immunosuppressants, with now cough, wheezing, and slight hypoxemia // r/o pna
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Pa and lateral views of the chest provided demonstrating no focal consolidation, effusion, or pneumothorax. The heart size is normal. Mediastinal contour is unremarkable. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
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Frontal and lateral views of the chest were obtained. There is right lower lung linear atelectasis/scarring. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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The heart is mildly enlarged. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chills and malaise.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear.
shortness of breath.
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Cardiomediastinal and hilar contours are normal. Compared to the prior study, there is a new consolidation in the right middle lung with sparing of the right upper lung. There is also likely an element of atelectasis of the right middle lobe. The left lung is clear. Pleural effusions or pneumothorax.
<unk>f with cough. evaluate for acute process.
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The lateral radiograph shows minimal flattening of the hemidiaphragms, potentially suggesting mild overinflation. Otherwise, the lung parenchyma is unremarkable, in particular there is no evidence for pulmonary edema and no evidence of pulmonary fibrosis. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. The hilar and mediastinal structures are unremarkable.
amiodarone toxicity.
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There is no evidence of free air beneath the diaphragms. There are relatively low lung volumes which accentuate the bronchovascular markings. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal, however, likely exaggerated by ap technique and low lung volumes. No overt pulmonary edema is seen.
right upper quadrant pain status post liver biopsy, evaluate for free air. technique : single ap erect portable view of the chest.
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Since the last radiograph performed earlier this morning there has been interval placement of a dobbhoff tube that terminates in the body of the stomach. The other support devices including in a pulmonary artery catheter, endotracheal tube, right sided chest tube, and left internal jugular approach hemodialysis catheter are unchanged in position. No other significant changes compared to the prior examination. There is mild bilateral pulmonary edema, right greater than left. Layering right-sided pleural effusion is unchanged. Stable cardiomediastinal silhouette.
<unk> year old man s/p liver transplant now s/p dobhoff feeding tube placement. eval for location, eventually needs to be post-pyloric. // eval dobhoff tube placement
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. The left hilus remains slightly enlarged, but unchanged. There is no pleural effusion or pneumothorax.
fever and cough, with a negative initial chest radiograph. evaluate for pneumonia post hydration.
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Mild cardiomegaly is re- demonstrated. The aorta is diffusely calcified and mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable without evidence of pulmonary vascular congestion. <num> mm nodular opacity is seen projecting over the right upper lobe not clearly seen on the previous exam. Lung volumes are low with mild bibasilar atelectasis, but no focal consolidation. No pleural effusion or pneumothorax is clearly evident. Dextroscoliosis of the thoracolumbar spine with associated degenerative changes are noted. Spiral tacks are seen in the left abdomen.
history: <unk>f with shortness of breath
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Extensive left pneumothorax causes rightward mediastinal shift. Right lung appears fully expanded with fibrotic changes stable prior studies.
<unk>m with sob // eval for ptx/pna/pulm edema
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Ett tube in standard placement. The two- lead cardiac device appears unchanged in position, with one lead in the lower right atrium and the other in the right ventricle. Interval placement of a feeding tube, which traverses the diaphragm and courses into the left upper quadrant. Stable bilateral lower lung volumes. Compared to the prior exam, the right hemithorax is now diffusely opacified. Interval increase in the left lower lung opacity. Small left pleural effusion. The heart is top-normal in size. Stable cardiomediastinal silhouette. No pneumothorax.
<unk>-year-old man with respiratory failure. evaluate for interval change.
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Heart size is normal. There is leftward deviation of the trachea at the thoracic inlet. The mediastinal and hilar contours are otherwise 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 fever/chills, tachycardia, uc on remicade // eval for infectious process
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Comparison is made to prior study from <unk>. The port-a-cath, left ij central line, left subclavian line, endotracheal tube, and feeding tube appear unchanged in position. An aortic stent is also seen. There are again seen diffuse airspace opacities throughout both lung fields, more confluent within the lung bases and within the right upper lobe. These appear stable. There are no pneumothoraces identified.