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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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As compared to the previous radiograph, no relevant change is seen. No pneumonia, no pleural effusions. No pulmonary edema. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta.
asthma, evaluation for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are remarkable for tortuosity of the thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No free intraperitoneal air identified in the visualized upper abdomen.
<unk>f with severe abd pain // free air?
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Frontal and lateral views of the chest were obtained. Again, evidence of pulmonary emphysema is seen. There is mild basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Comparison is made to the previous study from <unk>. There has been no interval change dating back to multiple studies. There is again seen opacities throughout both lung fields, more confluent within the left upper lobe. Support lines and tubes are stable. There are low lung volumes.
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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. No overt pulmonary edema is seen. No displaced fracture is seen.
chest pain.
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In the left mid lung, there are several focal opacities, which are new from the prior exam. These are concerning for multifocal pneumonia. No other consolidations are identified. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary edema. The right hemidiaphragm is elevated and unchanged from prior exam. The cardiomediastinal silhouette is normal and also stable. No fracture is identified.
left-sided pain and cough.
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Moderate cardiomegaly is stable and may reflect cardiomegaly or pericardial effusion. Clinical correlation is advised. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. Increased interstitial prominence at the lung bases may reflect atelectasis or pneumonitis.
<unk>f with chest pain, friction rub, pericardial effusion.
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Pigtail pleural catheter has been removed, with residual chest tube in place in the lower left hemithorax. No definite pneumothorax is visualized. Cardiomediastinal contours are stable in appearance. Slight improvement in asymmetrically distributed heterogeneous lung opacities, predominantly involving the left lung. Persistent left and possible small right pleural effusion.
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As compared to the previous radiograph, the patient has undergone a vats resection. The right chest tube is in correct position, with the tip located at the right lung apex. There is a <num> cm post-procedural pneumothorax. The extensive predominantly peripheral parenchymal opacities are unchanged. Similar opacities are seen in the contralateral left lung. Unchanged size of the cardiac silhouette. No new parenchymal opacities.
status post wedge resection, evaluation of chest tube position.
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The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Orthopedic hardware seen in the proximal left humerus. Hypertrophic changes are noted in the spine.
<unk>m with latent tb p/w fevers // eval for infection
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette. No evidence of pneumonia. Known scar at the bases of the right upper lobe. No pleural effusions. No pneumothorax. Double-lumen right central venous catheter in unchanged position.
all, status post laceration, presenting with fever, exclude pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with htn, hld, dm type ii with sudden onset chest pain with radiation to the back. // any evidence of pneumonia? widened mediastinum? any evidence of pneumonia? widened mediastinum?
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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 cough, mild hemoptysis, from <unk>
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Permanent pacemaker remains in place in the left anterior chest wall, with a similar imaging appearance of pacing electrodes including extrapericardial patches. Allowing for differences in technique and projection, the appearance of the device is unchanged since <unk>. A right picc remains in place, terminating in the lower superior vena cava. Heart size remains normal, and there is stable tortuosity or mild dilation of the ascending aorta. Lungs are clear except for linear scarring at the left base adjacent to a mildly elevated left hemidiaphragm. Minimal lateral blunting of left costophrenic sulcus favors pleural thickening over small effusion.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the level of the mid svc. Midline sternotomy wires are again noted the lower most of these appears fragmented unchanged. Multiple surgical clips in the mediastinum are noted. There is a nodular opacity projecting over the right lower lobe as seen on prior chest ct measuring approximately <num> x <num> cm. There is mild blunting of the cp angles on the lateral projection indicative of small pleural effusions. Vague opacity in the left lower lung may represent minimal atelectasis versus pneumonia. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cp and sob, metastatic pancreatic cancer.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen.
fever and cough
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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. No displaced fracture is seen.
history: <unk>m with chest pain // cardio-pulm process?
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Frontal and lateral views of the chest were obtained. Right-sided port-a-cath is again seen, terminating in the cavoatrial junction. The cardiac and mediastinal silhouettes are stable. Post-traumatic changes are again seen in the right paramediastinal upper lung. Minor left basilar atelectasis is again seen. There is persistent mild elevation of the anterior right hemidiaphragm. No new focal consolidation is seen. There is no large pleural effusion or evidence of pneumothorax.
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Frontal and lateral views of the chest were performed. The heart is mild to moderately enlarged, unchanged. Prominent and asymmetric interstitial opacities appear improved from the most recent study but similar to <unk>. A worsened appearance of the chest from <unk> is worrisome for progressive and severe fibrosis, however, a component of acute reaction to drug use cannot be excluded. The azygous vein is not enalarged and there are no pleural effusions to think this worsening is primarily related to volume overload. The mediastinal and hilar structures are normal. There are no acute osseous abnormalities.
dyspnea. evaluate for pneumonia or heart failure.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. No displaced rib fractures are identified.
history: <unk>m with pain after falling // righted pain ? rib fx
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There is no consolidation, pleural effusion, or pneumothorax. Mild to moderately enlarged cardiac silhouette is unchanged since at least <unk>.
history: <unk>f with fever and cough // rule out acute pulmonary process
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In comparison with study of <unk>, the pulmonary edema has essentially cleared. Cardiac silhouette is within normal limits and there is no evidence of acute focal pneumonia.
heart failure.
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Tip of endotracheal tube is above the level of the clavicles, terminating about <num> cm above the carina. This could be advanced several centimeters for standard positioning, as communicated by telephone to dr. <unk> on <unk> at <time> a.m. New nasogastric tube is coiled within the proximal stomach. Cardiomediastinal contours are within normal limits, and lungs are clear. No pleural effusion or pneumothorax.
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Lungs are clear. There is no focal consolidation, effusion, or edema. Cardiac silhouette is mildly enlarged. There is tortuosity of the thoracic aorta. Hypertrophic changes noted in the spine.
<unk>f with htn, dm<num> who presents with jaw pain, syncopal episode, and ekg concerning for ischemic changes // eval for pneumonia and effusion
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The lungs are hyperinflated but clear of consolidation. Blunting of the left costophrenic angle suggests small effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Degenerative changes are noted in the spine.
<unk>f with cp, cough, sob // eval for effusion,
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As compared to the previous radiograph, the patient has received a <unk> tube. The tube has a normal course. Increasing areas of atelectasis in the right perihilar areas. No other relevant changes. Endotracheal tube and right central venous access are constant.
<unk> catheter.
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Enteric tube tip is in the distal stomach. There are <num> percutaneous catheters with tips in the mid abdomen. Venous catheter tip near cavoatrial junction is partially seen. There are degenerative changes in the lower lumbar spine. There is trace right pleural effusion, new or more apparent. Chronic right rib fracture.
<unk> year old woman with metastatic cholangiocarcinoma, s/p egd unable to place peg, ng tube replaced by ercp team. // confirm placement of ng tube
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Lung volumes are low which accentuates the size of the cardiac silhouette which appears at least mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Streaky bibasilar opacities likely reflect areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is clearly visualized. No subdiaphragmatic free intraperitoneal gas is present. There are no acute osseous abnormalities.
history: <unk>m with abdominal pain, mild chest pain
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Ap upright and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal contour including tortuosity of the thoracic aorta is unchanged. Linear bibasilar opacities are unchanged and likely represent mild atelectasis. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with fever and cough.
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The lung volumes are low. There is massive cardiomegaly with enlargement of the left atrium and increase in diameter of the pulmonary vessels, suggestive of mild pulmonary edema. No pleural effusions and no pneumonia is present. However, a subtle evaluation of the lung parenchyma is limited by technical and constitutional factors. At the time of observation and dictation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification.
new shortness of breath, questionable fluid overload.
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Pa and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Subtle prominence of the right fifth anterior rib may be due to costochondral calcification. No free air below the right hemidiaphragm is seen.
<unk>m with acute on chronic renal failure
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There has been interval reaccumulation of a small right-sided pleural effusion with adjacent atelectasis. There is no left-sided pleural effusion. Redemonstrated is an unchanged interstitial abnormality within the right upper lobe, compatible with the patient's known lymphangitic spread of cancer, as per the prior chest ct examination. No new focal consolidation is identified. There is no pneumothorax or frank pulmonary edema. The heart size is normal. Mediastinal contours are normal.
dyspnea, history of lung cancer and pleural effusion.
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Portable upright study shows no interval widening or suspicious change and contours of the upper mediastinum. Taking into account ap technique, cardiac size is unchanged and no central pulmonary vascular congestion or focal parenchymal lung consolidation is seen. Small bilateral pleural effusions remain with slight increase on the right.
<unk> year old woman with of cad s/p cabg s/p stents, chf, htn, early alz dementia, htn, hld with hypoxia and new chest pain. // pna vs. mediastinal widening.
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There is a subtle rounded nodular opacity projecting over both the right and left lung base which could be nipple shadows, however, recommend repeat with nipple markers to confirm and exclude underlying pulmonary nodule. Subtle bibasilar opacities more likely represent atelectasis or aspiration rather than pneumonia.
history: <unk>m with opiate od presenting w/ fever, tachycardia // pneumonia or aspiration
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Portable ap upright chest radiograph was provided. There is a right ij central venous catheter with its tip in the region of the right atrium. The heart size is difficult to assess. There is probable mitral annular calcification. Lung volumes are low. Evaluation of the left lower lobe is limited due to patient's leftward rotation. No definite opacification is seen in the right lung. Bony structures appear intact, though demineralized. There is a sclerotic focus in the right humeral head/neck, likely an enchondroma or medullary infarct.
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The cardiac, mediastinal, and hilar contours appear unchanged. Lung volumes are low. There is no pleural effusion or pneumothorax. Surgical clips again project over the right upper quadrant. The lungs appear clear. There is no definite fracture.
status post fall. question rib fracture.
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Cardiomediastinal shadow is normal. No hilar adenopathy. No airspace consolidation. No suspicious pulmonary nodules or masses. Small bilateral pleural effusions. No sinister bony lesions.
<unk> year old woman with psc cirrhosis, being evaluated for liver transplant // evaluate for acute cardiopulmonary process
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Compared to the prior radiograph, no significant change is noted. Bilateral pleural effusions with adjacent atelectasis are unchanged. There is minimal fluid overload without overt pulmonary edema. No new focal consolidation concerning for pneumonia. The support and monitor devices are constant in position. Intact median sternotomy wires are unchanged.
<unk> year old man with resp failure. assess for change.
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Single frontal view of the chest was obtained. The heart is of normal size. An endotracheal tube terminates in the proximal right main stem bronchus. The left lower lobe is collapsed, likely related to endotracheal tube position. There is small atelectasis of the right lower lobe. Bilateral pleural effusions are seen. No pneumothorax. Ng tube terminates below the diaphragm. Calcified densities overlying the left upper quadrant may represent staghorn calculi. Irregularity of the left chest wall osseous structures may represent prior trauma or surgery.
<unk>-year-old female with subdural hematoma status post fall. assess for acute injury.
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The cardiomediastinal and hilar contours are within normal limits. The aorta is tortuous and calcified. Bilateral interstitial opacities are suggestive of an atypical infection or potentially related to fluid overload. A calcified <num> mm nodule projected over the right mid lung is consistent with a granuloma. Multiple compression deformities are seen throughout the thoracic spine of unknown chronicity.
history: <unk>f with cough // acute process?
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In comparison with the study of <unk>, the monitoring and support devices remain in place. Huge enlargement of the cardiac silhouette with right pleural effusion and volume loss in the right lower lung are again seen. Retrocardiac opacification is consistent with volume loss in the left lower lobe. The discordancy between the cardiac silhouette and pulmonary vasculature raises the possibility of cardiomyopathy or pericardial effusion.
cardiac arrest with intubation.
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The lungs are symmetrically well expanded and well aerated, without focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema or pulmonary vascular congestion. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
back pain, here to evaluate for widened mediastinum.
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There are relatively low lung volumes, which accentuate the bronchovascular markings. Bibasilar atelectasis is seen. Trace pleural effusion would be difficult to exclude, although none seen on the preceding abdomen/pelvis ct. The cardiac and mediastinal silhouettes are stable. Hilar contours are also stable. No pneumothorax seen. There is gaseous distention of the stomach.
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Rounded opacity seen projecting over the posterior left lower lobe. No large pleural effusion is seen. The right lung is clear. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. No pulmonary edema is seen. Degenerative changes are partially imaged at the partially imaged shoulder joints.
history: <unk>f with hematemesis // eval for cardiomeg
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There is a <num> mm rounded opacity projecting over the right anterior <num>th rib, which may represent a nipple shadow. <num> mm granuloma is noted in the right upper lung. Otherwise no consolidation, effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air.
<unk>-year-old male with chest pain
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There is a right perihilar mass, increased since <unk>, currently measuring about <num> x <num> cm. Tracheostomy is in place. No new lung consolidation.
<unk>-year-old with shortness of breath and cough.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Scattered calcified granulomas are noted. No acute osseous abnormality is identified.
fever and cough, evaluate for pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. There is a focal consolidation in the right middle lobe concerning for pneumonia. There also appears to be a consolidation in the right lower lobe suggestive of a pneumonia. There is no pleural effusion. There is no pneumothorax. The visualized osseous structures are unremarkable.
history of pna. rule out acute process.
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In comparison with the study of <unk>, the patient has taken a poor inspiration. Endotracheal tube measures approximately <num> cm above the carina and is positioned well above the superior margin of the clavicles. There is some increased fullness of pulmonary vessels consistent with worsening pulmonary edema. Continued enlargement of the cardiac silhouette with basilar atelectatic changes.
fever with intubation.
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Pa and lateral views of the chest. The lungs are hyperinflated. There is asymmetric left apical pulmonary opacity worrisome for underlying nodule. Surgical chain sutures seen in the right mid lung. There is also subtle increased opacity projecting over the right breast shadow, anteriorly on the lateral view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath and cough.
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Frontal and lateral radiographs of the chest show a left pectoral pacemaker with a single lead unchanged in position within the right ventricle. Bilateral apical pleural thickening is unchanged. A right lower lung granuloma is stable from the preceding radiograph. The lungs are otherwise clear without pleural effusion, focal consolidation or pneumothorax. No new pulmonary nodule is detected by radiography. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits and unchanged from <unk>.
<unk>-year-old female with history of melanoma, here to assess for interval changes.
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Right-sided port-a-cath is again seen, terminating in the low svc. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Catheter/ tubing again noted projecting over the upper abdomen.
history: <unk>m with fever, // eval for pna,
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Ap single view of the chest shows interval improvement of neoesophagus distention with resolution of air-fluid level. The collection of contrast in the distal portion of the neoesophagus has reduced, although present since <unk> and concerning for obstruction at the lower neoesophagus. Right lung volume is unchanged with stable right lung base opacity mainly due to right lower lobe atelectasis. The left lung is clear except for small linear opacity in the left costophrenic angle, probably due to a small atelectasis. Cardiomediastinal silhouette is within normal limits. There is no pneumothorax.
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Single lead defibrillator with the lead terminating in the right ventricle. There is no pneumothorax. Moderate cardiomegaly and small left pleural effusion is unchanged since <unk>. No consolidation. Cardiomediastinal borders and hilar structures are normal.
<unk> year old woman with cardiomyopathy s/p icd // r/o pnuemo and lead placement
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There has been interval removal of an enteric tube. The cardiomediastinal and hilar contours are normal and stable. The lung volumes are low. Minimal, bibasilar atelectasis is not significantly changed. There is no evidence of focal, infectious consolidation. There is a small left pleural effusion and minimal pleural fluid along the horizontal fissure on the right. There is no evidence of pneumothorax.
<unk> year old woman with new oxygen requirement // ? pna, effusions, pulm edema?
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Single portable ap chest radiograph was provided. Compared to the prior radiograph, there has been development of bilateral parenchymal opacities, worse on the right, with congestion of the central vasculature as well as the appearance of some kerley b lines on the right. There is a moderate right pleural effusion and possibly small left pleural effusion. These findings suggest that the etiology is most likely asymmetric pulmonary edema, worse on the right. However, underlying infection, particularly in the right upper and lower lobe cannot be excluded.
history of dyspnea. question pneumonia. evaluate for infiltrate or fluid overload.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Questioned free air below the diaphragm could represent massively dilated colon.
<unk> year old man with copd, increased cough and fatigue, please eval for pneumonia // please evaluate for pneumonia
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Heart size is mild to moderately enlarged. The aorta is tortuous. Widening of the superior mediastinum is likely due to supine positioning and low lung volumes. While there is mild crowding of the bronchovascular structures, no overt pulmonary edema is present. Patchy atelectasis is seen in the lung bases without focal consolidation. No large pleural effusion or pneumothorax is identified on this supine exam. No acute osseous abnormalities.
history: <unk>f with subarachnoid hemorrhage, fall // please evaluate for traumatic injury
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In comparison with study of <unk>, there is little overall change. Again there is enlargement of the cardiac silhouette with dense calcification in the mitral annulus in a patient with a single-lead pacemaker device that extends to the region of the apex of the right ventricle. No evidence of pulmonary edema. Blunting of both costophrenic angles persists with mild atelectatic changes. The discordancy between the cardiac size and the normal pulmonary vessels raises the possibility of cardiomyopathy.
dyspnea.
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Interval placement of endotracheal tube, with tip terminating <num> cm above the carina. Cardiomediastinal contours are stable in appearance. Large, partially loculated right pleural effusion appears similar to the prior study, and adjacent areas of atelectasis or consolidation in the right mid and lower lung also appear similar. However, on the left, there is an increased pleural effusion, now small-to-moderate in size with adjacent worsening opacity in the left retrocardiac region.
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Pa and lateral views of the chest provided. Left chest wall port-a-cath is again seen with catheter tip in the region of the mid svc. 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 weakness // r/o acute process
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New right ij catheter tip is near the cavoatrial junction. There is posterior spinal hardware that appears unchanged from priors. There are extensive pulmonary and osseous metastases in the chest, better characterized on same-day ct.
metastatic renal cell carcinoma. evaluation of right ij placement.
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The et tube is <num> cm above the carina. The large bore iv catheter is seen in the svc. There is vascular plethora that is increased compared to the prior study. The heart is mildly enlarged.
<unk> year old man with new ett // verify position
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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, shortness of breath// cardiomegaly? pna? effusion?
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As compared to the previous radiograph, there is a newly appeared rounded parenchymal opacity in the left upper lung. The opacity has contact to the pleura and <unk> of <num> cm. The <unk> the opacity is slightly less dense than the periphery, potentially suggesting central cavitation. Theoretically, both infectious and neoplastic processes are possible. The history of the patient, however, weights the differential diagnosis versus a neoplasm. Mild atelectasis at the left lung base. Unchanged appearance after right pneumonectomy. No pleural effusions, no evidence of hilar adenopathy. The left heart contour is constant in appearance. At the time of observation and dictation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification, and the findings were subsequently discussed over the telephone.
shortness of breath.
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Pa and lateral views the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear with no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
cough and asthma exacerbation.
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Increase in moderate left pleural effusion with stable small right pleural effusion. Left lower lobe atelectasis again seen. New opacity in the right upper lobe consistent with pneumonia. No pulmonary edema. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Median sternotomy wires and mediastinal clips again noted.
<unk> year old man with s/p cardiac surgery - returns with afib // follow-up moderate left effusion
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Tracheostomy is unchanged position. A right picc is stable. Bibasilar opacities are increased from the prior exam consistent with worsening pulmonary edema. Bilateral effusions, small on the right and moderate on the left are minimally increased from the prior examination. There is no pneumothorax. Cardiomegaly is stable.
<unk> year old man with fall, rib fractures mssa bacteremia, s/p r chest tube placement and removal now with tachycardia and hyoxemia. // interval change? new infiltrate?
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No previous images. There are relatively low lung volumes with cardiac silhouette within normal limits and no vascular congestion. There is a small amount of opacification in the retrocardiac area and at the costophrenic angle. This most likely represents atelectasis and mild effusion. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
post-operative fever.
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When compared to <unk> chest radiograph, the pulmonary vascular congestion, cephalization of pulmonary vessels, diffuse bilateral interstitial edema, and moderate size left pleural effusion have improved. Bilateral small pleural effusions persist (left greater than right.). There is interval worsening of the right basal atelectasis and severe persistent left basilar atelectasis. Post-cardiothoracic surgery mediastinal changes are stable. The tip of the right ij terminates in the upper right atrium.
<unk> year old man with s/p cabg // f/u effusions, atx
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Pa and lateral images of the chest were obtained. The lungs are clear bilaterally with no focal consolidation or congestive heart failure. There is no pneumothorax or pleural effusions. The cardiac and mediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm.
confusion.
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Et tube terminates <num> mm above the carina. Transesophageal tube terminates in the stomach. Lung volume is low. Left lower lobe collapse is persistent. Right lung base opacity is slightly increased , likely due to increased atelectasis and/or pleural effusion. No new consolidation is identified. Moderately enlarged cardiac silhouette is more pronouce than <unk> ahtough could be exagerated by lung volume. No edema. Right atelectasis better. Lef lower lobe atelectasis or pnuemina. Small effusion if any.
<unk> year old woman with hypoxemic respiratory failure secondary to aspiration of a pill, now requiring high pressure support, s/p bronchoscopy for left lobar collapse // assess for interval change
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There is a single-lead pacemaker device terminating in the right ventricle, as before. The heart is again mild-to-moderately enlarged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
dyspnea.
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As compared to the previous radiograph, there is no relevant change. Status post sternotomy. Borderline size of the cardiac silhouette without pulmonary edema. Known minimal blunting of the left costophrenic sinus, likely caused by a small pleural scar. Moderate tortuosity of the thoracic aorta. No pulmonary edema. No pneumonia. No pneumothorax.
dizziness, difficulty swallowing, possibly aspiration.
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There is no pneumothorax, no pleural effusion. Lung volumes are slightly low. There is a suture line in left lung for unknown etiology. Mediastinal and cardiac contours are normal. In the left upper quadrant the stomach is mildly dilated with a gastric band. There is no free air.
patient with shortness of breath, liver biopsy.
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Frontal and lateral chest radiographs again demonstrate multiple clips projecting over the left hemithorax. The cardiomediastinal silhouette is normal and the lungs are well-aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for acute intrathoracic process in a patient with pain on deep inspiration.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is mild interstitial abnormality but no focal opacification. The patient is status post vertebroplasty of a lower thoracic vertebral body with moderate to severe, but unchanged, loss in height.
leukocytosis and altered mental status.
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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 chest pain // ?acute intrapulmonary process
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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 pulmonary edema is seen. Some degenerative changes are seen along the spine.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture.
history: <unk>f with r side pain // rib fx? ptx?
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The lungs are hypoinflated with bibasilar atelectasis. There is elevation of the left hemidiaphragm. Apparent mild cephalization is accentuated by low lung volumes. Trace right pleural effusion is present. No left pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures are notable for thoracolumbar degenerative changes with anterior osteophytes and endplate sclerosis.
<unk>m with dyspnea on exertion. assess for pulmonary edema.
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Frontal and lateral views of the chest were obtained. A feeding tube is seen coursing below the level of the diaphragm on the left, inferior aspect not seen. The patient is rotated slightly to the left. There is a large area of right-sided opacification likely representing combination of large right pleural effusion with possible overlying atelectasis, underlying consolidation not excluded. There is likely a small left pleural effusion. No new evidence of pneumothorax is seen. Cardiac silhouette is difficult to accurately assess due to the large right pleural effusion.
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The lungs are mildly hyperinflated with flattening of diaphragms. There is vascular congestion with cephalization. Right lower lobe opacity is noted. Interval increase in small bilateral pleural effusions. No pneumothorax. Heart is top-normal in size. Mediastinal contour, and hila are unremarkable.
<unk>m with fever and cp. assess for pneumonia.
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Left picc tip terminates in the mid svc. The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
shortness of breath.
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Left chest tube points towards the apex and appears unchanged in position. There is a lucency adjacent to the left heart border extending inferiorly deep into the left lateral sulcus. This is highly suggestive of an anterior pneumothorax. Cardiomediastinal contours are unchanged. Lungs are clear. No pleural effusions.
<unk>-year-old man with left pneumothorax status post g-tube placement to suction, evaluate interval change.
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There is streaky density bilaterally most consistent with subsegmental atelectasis, as before. The heart is at the upper limit of normal in size. The aorta is mildly tortuous and calcified. Mediastinal structures are stable. The bony thorax is grossly intact.
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An endotracheal tube is in appropriate position <num> cm above the level the carina. An enteric feeding tube is seen coursing midline with tip in stomach and side ports below level of the diaphragm. The lungs are hypoinflated with crowding of vasculature and mild pulmonary edema. Bilateral lower lobe atelectasis is present. Small bilateral, left greater than right, pleural effusions. A tiny right pneumothorax as well as mild right pneumomediastinum is present. Mild mediastinal widening is likely related to patient positioning and low lung volumes.
<unk>f with ett/ogt placement; found down, + sa, od. assess endotracheal tube placement.
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Rotated supine positioning. Rotation limits direct comparison to the prior film, peptic could for assessment of the cardiomediastinal silhouette. Allowing for this, the enlarged cardiomediastinal silhouette is probably similar to the prior film. The enlarged there is upper zone redistribution and diffuse vascular plethora. Allowing for technical differences, this may be slightly worse than on the prior film. Although there is suggestion of vascular blurring as can be seen with interstitial edema, this could be accentuated by under penetrated technique and overlying soft tissues. Again seen is deformity and pleural thickening along the right chest wall of indeterminate acuity. The right costophrenic angle is excluded from the film. Left the extreme left costophrenic is obscured by overlying soft tissues.
<unk> year old man with cirrhosis and hcc s/p bleed this admission from tips complication vs new hepatic mass; now more sob w o<num> requirement, concern for effusion vs pulm edema // evidence of significant pulmonary edema
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There is atelectasis at the left lung base. Lungs are otherwise clear without consolidation, pleural effusion or pneumothorax. Heart size is normal. No abnormal mediastinal widening.
history: <unk>f with cervical disc radiculopathy add-on to or today for discectomy // preoperative x-ray
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The lungs are well inflated and clear. Heart size is normal and mediastinal contours are unremarkable. No pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>f with headache, malaise, cough // pneumonia?
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The aorta is calcified. The cardiac silhouette is not enlarged. A right humeral prosthesis is seen although not optimally evaluated. Degenerative changes are seen at the bilateral acromioclavicular joints. Surgical clips are noted overlying the left axilla.
hypotension.
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Lungs are fully expanded and clear. Patient is status post cabg with median sternotomy wires in situ, unchanged. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. Surgical clips are noted within the left upper quadrant.
history: <unk>f with cough // eval for pna
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Improvement in bilateral lung aeration since <unk>, although the bilateral lower lobe consolidation persists. Persistent small bilateral pleural effusions. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with multifocal pneumonia on broad spectrum antibiotics recently initiated on steroids for probably organizing pneumonia vs. rheum disease // ? interval improvement/worsening since prior exam
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Ap upright and lateral views of the chest provided. Patient's leftward rotation somewhat limits evaluation on the frontal projection. The previously noted right upper extremity access picc line is been removed. The heart is moderately enlarged. The mediastinal contour appears grossly unremarkable. Interstitial opacities noted bilaterally likely reflect interstitial pulmonary edema. No large effusion or pneumothorax is seen. On the lateral view, are multiple bilateral nodular opacities which may reflect on face vasculature. A chronic left fifth rib deformity is new from prior.
<unk>f with altered mental status, // ? pneumonia
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Endotracheal tube tip lies <num> cm above the carina, left subclavian line tip is at mid svc, and nasogastric tube courses below the diaphragm into the stomach and are all appropriately positioned. Consolidation in the right lung base has improved. Increased retrocardiac density likely due to a combination of atelectasis and/or consolidation is unchanged. Mild pulmonary edema of similar severity persists.
likely aspiration pneumonia, to look for interval changes in the lung.
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Pa and lateral views of the chest were obtained demonstrating no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. Faint atherosclerotic calcifications along the aortic knob are noted. The imaged osseous structures are intact. Ac joint arthropathy is noted on the right. No free air below the right hemidiaphragm.
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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 visual changes // acute process
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Normal cardiomediastinal contour. Mild coarsening of the bronchovascular markings. No airspace consolidation. No pleural effusions. No pneumothorax. Spondylotic changes of the thoracic spine.
<unk> year old woman with shortness of breath on exertion // please evaluate for etiology.
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The patient arm/soft tissue overlies the upper half of the chest on the lateral view, partially obscuring the view. Given this, the cardiac and mediastinal silhouettes are stable. Prominence and indistinctness of the hila suggest mild to moderate vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
dizziness.
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The lungs are hypoinflated with crowding of vasculature. In comparison to <unk> there has been interval resolution of a right lower lobe opacity. A new tubular <num> x <num> cm right upper lobe opacity is most consistent with mucous plugging however a small pulmonary nodule with the similar in appearance. Interval increase in a heterogeneous opacity within the superior segment of the left lower lobe worrisome for developing pneumonia. Small left pleural effusion is best assessed on lateral projection. A tracheostomy is noted. There is mild rightward deviation of the trachea likely related to the aortic arch.
<unk>m with <num> days of cough. assess for pneumonia.