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The upright portable chest radiograph is obtained. Low lung volumes limit evaluation. Probable bronchovascular crowding accounts for opacity at the right medial lung base. No definite signs of pneumonia, aspiration, effusion, or pneumothorax. No signs of pulmonary vascular congestion. Cardiomediastinal silhouette is normal. Bony structures are intact.
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As compared to the previous radiograph, there is substantially improved ventilation, as reflected by high lung volumes. There is a left subclavian venous catheter in correct position. No parenchymal opacity suggesting pneumonia. No pulmonary edema. No other acute lung changes. Normal size of the cardiac silhouette.
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fever, rule out pneumonia.
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Pa and lateral views of the chest provided. Interval placement of left icd with a single lead ending in the right ventricle. The lungs are well-inflated and grossly clear. There is no pleural effusion, or pneumothorax. Prominent right atrium, unchanged from <unk>. The hilar contours are normal. Mild levoscoliosis is unchanged from <unk>.
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<unk> year old woman s/p icd // ptx, leads
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Dobhoff tube tip is still at the thoracoabdominal junction. The dobbhoff tube curls into the stomach with the tip is still at the thoracoabdominal junction. No focal consolidation, pleural effusion, or pneumothorax is present. Again seen is the leftward mass effect on the trachea and right paratracheal opacity caused by the patient's known thyroid goiter. Bibasilar opacities are likely due to atelectasis.
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<unk>-year-old man with advanced dobbhoff tube.
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The lung volumes are normal, no pleural effusions. No pneumonia. No lung nodules or masses. No pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
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cough, rule out pneumonia.
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Pa and lateral views of the chest were provided. There has been interval removal of the right upper extremity picc line. There is a small left pleural effusion with residual opacity in the left lower lobe, which could represent atelectasis or possibly pneumonia. The cardiomediastinal silhouette is stable. No pneumothorax. Bony structures are intact.
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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.
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<unk> year old woman with pmh esrd on hd, cad, dm<num> p/w dry hacking cough and associated back pain // acute pulmonary process?
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Pa and lateral views of the chest demonstrate a mildly enlarged cardiac silhouette. There are diffuse atherosclerotic calcifications of the aorta. There is mild opacification of the left lung base that may represent an area of atelectasis. An old compression deformity of the mid thoracic spine is unchanged.
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cough. evaluate for pneumonia.
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The lungs are clear of consolidation, edema, or pneumothorax. Small bilateral pleural effusions are seen with blunting of the posterior costophrenic angles. The cardiomediastinal silhouette is within normal limits. Degenerative changes noted at the left shoulder and there is a mid thoracic dextroscoliosis. Cervicothoracic posterior fixation hardware is partially visualized. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with pre op xray // pre op
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Opacity in the left lower lobe was present in <unk> and most likely represents subsegmental atelectasis. There is no new opacity, pulmonary edema, pleural effusion or pneumothorax. The heart size is normal. The aorta is mildly tortuous.
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history: <unk>f with hx asthma r/o pna // fever and sob
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated but are clear of consolidation. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old man with copd, complains of worsening shortness of breath.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>-year-old man with palpitations, near syncope, evaluate for acute cardiopulmonary process.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with <num> days cough // r/o pna. likely is bronchitis with bronchospasm
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The swan-ganz catheter terminates in a branch of the descending right pulmonary artery, advanced in position compared to chest radiograph from <unk>. The heart is severely enlarged, unchanged compared to prior study from <unk> but increased compared to radiograph from <unk>. The mediastinal silhouette is unremarkable. There has been interval resolution of pulmonary edema compared to chest radiograph from <num> days prior. There is no pneumothorax or pleural effusion.
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<unk> year old man with pmhx hiv, p/w hf with pa catheter in // catheter placement
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There has been interval placement of a left internal jugular central venous catheter which terminates at the mid-to-distal svc. There is otherwise no short-term interval change compared to earlier examination.
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left central line placement.
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Left subclavian central venous catheter is stable. Lung volumes are reduced, and the cardiomediastinal contours are unchanged. Basilar lung haziness is likely fluid or atelectasis. No evidence of pneumonia or pulmonary edema.
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<unk> year old woman with cholangitis s/p ercp, with cough and sputum // assess intrapulmonary procees, r/o pna
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Right-sided port-a-cath is seen terminating in the distal svc. No focal consolidation or pleural effusion is seen. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen. No displaced fracture is seen.
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altered mental status and chest pain.
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The new right ij central venous catheter ends at the cavoatrial junction. There is no pneumothorax. There is mildly increased density at both lung bases, which is likely due to atelectasis, but in the right clinical setting could be due to pneumonia.there is no pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with dural avf s/p repair // eval line placement
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Ap upright and lateral views of the chest provided. Lung volumes are low. The patient's chin projects over the superior mediastinum. Lungs are clear. 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.
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<unk>m with cirrhosis and altered mental status
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Left picc terminates in the region of the cavoatrial junction. Mild cardiomegaly is accompanied by improving pulmonary vascular congestion and decreasing perihilar edema. Previously reported focal right upper lung opacity has resolved. Improving left retrocardiac opacity likely due to resolving atelectasis.
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The endotracheal tube terminates <num> cm above the carina. There is an enteric tube coursing below the diaphragm with the sidehole within the stomach. The heart is mildly enlarged. There are low lung volumes, with evidence of bibasilar atelectasis. No definite evidence of focal consolidations concerning for infection is identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of brain cancer and altered mental status who presents for evaluation of acute cardiopulmonary process.
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Cardiomegaly again noted. Thoracic aorta is generally large and tortuous, but not focally aneurysmal. Right-sided picc line in place with the tip in the mid to lower svc. The first of <num> radiographs shows no focal pulmonary consolidation; the second was performed at a lower level of inspiration. No pleural effusion. No pneumothorax.
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<unk> year old man with htn emergency and nstemi now with hcap on vanc/cef now with new fever // change in infiltrate
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There has been interval increase in the left effusion which is now moderate in size. The left lower lobe cannot be assessed secondary to this effusion. There is hazy alveolar infiltrate in the right lower lung in the left mid lung that could be due to fluid overload. The appearance of the heart mediastinum and lung clips are unchanged
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<unk> year old woman with rapid atrial fibrillation,chst heaviness // effusion, infiltrate?
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Frontal and lateral views of the chest are obtained. There is bibasilar atelectasis/scarring. No definite focal consolidation is seen. The cardiac silhouette is mildly enlarged. The aorta is tortuous. No large pleural effusion is seen. There is no evidence of pneumothorax. There is marked gaseous distention of the stomach.
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A chest tube overlies the right hemi thorax in similar position to the prior exam. A moderate right-sided hydro pneumothorax is largely stable from <unk> despite the presence of a chest tube. Minimal opacity at the base of the left lung likely reflects a small effusion and adjacent atelectasis. As before, the colon is distended.
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<unk>m with htn, anoxic brain injury, frequent pnas presenting from his group home with hypoxia due to presumed aspiration pna requiring intubation and chest tube placement, now s/p extubation and chest tube removal permitting transfer out of the micu. now s/p vats with decortication and ct placement with thoracics on <unk>. // interval assessment after vats with decortication of r pleura and chest tube placement to waterseal. please notify team when on the floor so the patient, who postures due to anoxic brain injury, can be properly positioned. thanks!
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is unchanged. No conclusive evidence of significant cardiac enlargement. The pulmonary vasculature is now quite normal, thus no evidence of pulmonary congestion or edema. The lateral pleural sinuses remain free. Tissue densities overshadow the apical area in marked lordotic position, but there is no evidence of pneumothorax. When comparison is made with the next preceding study, the earlier existing pulmonary vascular distended pattern has now regressed and is normal. No pneumothorax seen.
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<unk>-year-old male patient with chf and wheezing, evaluate for pulmonary edema/congestion.
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As compared to the previous radiograph, the patient has received a new right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the lower svc. The nasogastric tube is also newly placed, the tip projects over the distal parts of the stomach. The position of the endotracheal tube is unchanged. Unchanged moderate cardiomegaly. The massive bilateral parenchymal opacities are slightly improved as compared to the previous image, likely due to increased ventilatory pressure. No larger pleural effusions.
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status post cardiac arrest, evaluation.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation or pneumothorax. Loculated fluid in the right major fissure is similar to <unk>. There is no left pleural effusion. Calcific density projecting over the right paratracheal region may represent a calcified lymph node, unchanged. A calcified granuloma in the right lower lung is also unchanged. There is no new opacity. Moderate cardiomegaly, aortic tortuosity and aortic knob calcifications are unchanged. Degenerative change is seen in the shoulder girdles bilaterally.
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<unk>-year-old man with dyspnea and cough.
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Right jugular catheter ends in lower svc; et tube ends <num> cm from carina. Ng tube ends in proximal gastric cavity and can be advanced <num> cm. Lung volumes are still low with increased opacification due to vascular congestion but not overt pulmonary edema. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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<unk> years old man intubated with high minute ventilation and increasing sedation requirement; tachypnea, unclear etiology; please evaluate for interval changes.
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A right chest port is present with tip in the cavoatrial junction. The cardiomediastinal and hilar contours are normal. There is no pneumothorax. The lungs are well expanded. Right upper lobe opacity abutting the major fissure is consistent with pneumonia. Additional opacity at the left lung base may also represent an infectious process.
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<unk>f with pna, increasing sob // any effusion? progression of pneumonia
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The exam was somewhat limited by the patient's body habitus. Within the limitations, the lungs are clear. There is no consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged. Again noted is a prominent pericardial fat pad.
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cough and subjective fevers. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Lung volumes are low. Mild right hemidiaphragmatic elevation is unchanged. Vague opacity in the left lower lung could in part reflect bronchovascular crowding, difficult to exclude a very early pneumonia. Upper lungs are well aerated. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. No radiopaque foreign body. The trachea is midline.
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<unk>f with difficulty breathing // ? infectious process
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Streaky linear opacities within the lung bases most likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine.
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als, dyspnea.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding available portable chest examination of <unk>. Evidence of previous thoracotomy probably related to bypass surgery similar as on previous examination. Heart size not conclusively enlarged on this portable chest examination. There is no evidence of pulmonary vascular congestion, and no acute parenchymal infiltrates can be identified. The lateral pleural sinuses are free. The drooping head obscures portions of the apical area, but there is no suspicion for any significant pneumothorax.
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<unk>-year-old male patient with acute on chronic right-sided subdural hematoma. pre-operative chest examination.
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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. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal. No pulmonary edema is seen.
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cough.
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As compared to the previous radiograph, all pre-existing parenchymal opacities have completely resolved. The current radiograph shows no evidence of acute infectious or cardiac lung disease. Moderate cardiomegaly, status post sternotomy and valvular replacement. No pulmonary edema. No pleural effusion.
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left lung crackles, evaluation for pneumonia.
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Mediastinal contours are stable, within normal limits. Heart size is top-normal. The bilateral hila are unremarkable. Subtle opacity at the right cardiophrenic angle likely reflects crowding of normal bronchovascular structures, although may be slightly more prominent in comparison to radiograph from <unk>. The lungs are otherwise clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Again noted is a tips stent overlying the right upper quadrant.
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<unk>-year-old woman with ascites, weakness, evaluate for pneumonia.
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Ap upright and lateral views of the chest were provided. Lung volumes are low material lying for this there is invaded ground-glass opacity in the lower lungs bilaterally which is concerning for pneumonia. There is also likely a superimposed component of atelectasis. There is no large effusion or pneumothorax. Heart size is difficult to assess. The mediastinal contour is prominent but this is stable and likely reflects unfolded thoracic aorta. No definite bony abnormality. Chronic degenerative disease of the right shoulder is noted.
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<unk> year old female with shortness of breath, question pneumonia.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. The aortic knob is calcified. Note is made of mild left acromioclavicular arthropathy.
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<unk>-year-old woman with hypotension evaluate for acute process
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As compared to the previous radiograph, the signs indicative of overinflation are present in unchanged manner. In addition, the known right lower lung pneumonia is unchanged in extent and severity. No other parenchymal opacities. Moderate cardiomegaly without pulmonary edema. Mild tortuosity of the thoracic aorta.
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copd, hypoxemia and shortness of breath, evaluation.
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As compared to the previous radiograph, the patient has developed a new parenchymal opacity at the bases of the right lung, the location of the opacity as well as its morphology showing air bronchograms and ill-defined margins, suggest pneumonia or status post aspiration. Unchanged atelectasis in the retrocardiac lung areas. Unchanged minimal fluid overload and moderate cardiomegaly. At time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification.
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dyspnea, leukocytosis, evaluation for pneumonia.
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Portable chest radiograph demonstrates interval removal of endotracheal tube and nasogastric tube. Stable bilateral pleural effusions, left greater than right with unchanged associated atelectasis, left greater than right. Possible minimal pulmonary edema is unchanged. Left heart border is somewhat obscured by overlying colon; otherwise cardiomediastinal borders are normal. No pneumothorax evident. Stable severe scoliosis and thoracolumbar fusion hardware.
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recent extubation. please assess for interval change.
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Heart size and cardiomediastinal contours are stable. Substantial left lower pleural abnormality is not significantly changed compared to <unk>. Diffuse interstitial lung abnormality is similar to prior and there is persistent confluent scarring of left upper lobe with retraction of the pulmonary artery. No new consolidation or pleural effusion. No pneumothorax.
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history: <unk>f with fever recent bopsy // ? pna
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. A prominent pericardial fat pad is present, but otherwise aside from patchy bibasilar atelectasis, the lungs appear clear. There is no pleural effusion or pneumothorax. Hyperinflation is present.
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copd and severe asthma with headache and chest pain.
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Allowing for differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. There are no pleural effusions or pneumothorax. Streaky opacity suggests atelectasis at the left base. The patient is status post sternotomy. There has been no significant change.
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chest pain.
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As compared to the previous radiograph, the cavitary structure in the right lower lung has not substantially changed. The lesion is better seen on the lateral than on the frontal radiograph. No change in appearance of the remaining lung parenchyma at the left and right apex as well as at the left lung bases. Borderline size of the cardiac silhouette. No pleural effusions.
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right lung cavity, evaluation for interval change.
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Assessment is slightly limited by patient rotation. The heart size remains mildly enlarged. The aorta remains tortuous. Hilar contours are unremarkable, and pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. The osseous structures are diffusely demineralized. Multiple chronic appearing right-sided rib and bilateral clavicular fractures are noted.
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history: <unk>m with reported atraumatic left femoral neck fracture on outside radiographs
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Single frontal view of the chest was obtained. Indistinct appearance of the pulmonary vascular markings is consistent with mild pulmonary edema, improved in comparison with <unk>. No focal consolidation, substantial pleural effusion, or pneumothorax. Top normal heart size is stable. Aortic knob calcifications are re- demonstrated.
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<unk>-year-old female with shortness of breath.
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Similar as on preceding examination of <unk>, the patient had to be examined in sitting position using ap frontal and left lateral views. The right-sided pigtail end catheter remains in unchanged position. A small amount of pleural effusion has further diminished, results in an isolated small fluid accumulation in the posterior pleural sinus. The pigtail end catheter is in anterior direction on the right base and this area is completely drain free. The remaining apical pneumothorax cap is minimal in size and does not become wider than <num> cm. Bilateral plate small peripheral atelectasis are unchanged and no new pulmonary parenchymal abnormalities are seen. Previously described left-sided picc line remains in unchanged position. Osseous defect status post surgical intervention in distal half of right-sided clavicle unchanged.
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<unk>-year-old male patient with chest pigtail drainage catheter in place. worsening apical pneumothorax reported yesterday. assess right pleural effusion and right apical pneumothorax.
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There are increasing patchy opacities and volume loss in the right lower lobe. Chronic coarsening of the reticular opacities and mild hyperinflation related to chronic pulmonary disease. The cardiac silhouette is enlarged. There is unfolding and prominence on ascending thoracic aorta. No pneumothorax or pleural effusions. A minimally displaced posterior <num>th rib fracture is seen.
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<unk> y/o m s/p fall, l posterior <num>th rib fx and possible <unk>, <unk> and <unk> fx // r/o any new fx, r/o ptx and pna
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There has been interval removal of the right chest tube. A moderate right pneumothorax with a small apical component and a larger component at the right costophrenic angle is noted. Opacities in the right midlung and lung bases may represent atelectasis and/or aspiration.
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<unk> year old man s/p r vats wedge biopsy w/ r chest tube // do at <num>am on <unk>. r/o ptx
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There is new placement of a pacemaker with leads terminating in the right atrium and right ventricle. The right ventricular lead has an anterior course. Heart size is normal. The aorta is tortuous but stable. Hilar contour is normal. The lungs are well expanded and clear. There is no pulmonary edema, pleural effusion, or pneumothorax.
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<unk>-year-old with new pacemaker placement.
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Multiple tubes have been removed. Right ij central line remains present, tip near svc/ra junction. No pneumothorax detected. There are low inspiratory volumes, slightly smaller than seen on <unk>. Small bilateral effusions and underlying collapse and/or consolidation is likely similar, allowing for differences in positioning, inspiratory volumes and technique. Small right effusion may be slightly increased. Cardiomediastinal silhouette and vascular engorgement is likely unchanged, allowing for technical differences.
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<unk> year old man pod<num> cabg ct removal // evaluate for ptx
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Ap portable upright view of the chest. There has been interval removal of multiple lines and tubes. Previously noted pulmonary edema has resolved significantly. The heart remains top-normal in size. The mediastinal contour is normal. There is equivocal mild interstitial edema. No large effusion or pneumothorax. Bony structures are intact.
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<unk>f with confusion.
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An endotracheal tube ends in the lower thoracic trachea. There is hyperinflation of the lungs. Extensive airspace opacities are worse at the right lung base and right midlung. A pleural plaque or calcification is noted in the lateral right midlung. An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. The heart size is mildly increased and there is engorgement of the pulmonary vasculature. The hila are enlarged right greater than left.
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history: <unk>f with ett pls eval *** warning *** multiple patients with same last name! // history: <unk>f with ett pls eval
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The lungs are clear without infiltrate. There is a minimal blunting of the right cp angle that could represent a small amount of volume loss or tiny effusion. The cardiac and mediastinal silhouettes are normal. There is no definite infiltrate.
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fever and altered mental status.
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Ap and lateral views of the chest were provided. The heart is stable and mildly enlarged. There is mild bibasilar atelectasis. No large effusion or pneumothorax is seen. No overt chf. Mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm. Please note, the ap view is an upright projection.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
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left-sided abdominal pain.
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Ap view of the chest provided. Right ij line ends in the mid svc. Lung volumes are low. Pulmonary vessels are engorged, however the lungs are grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. Moderate cardiomegaly is unchanged from <unk>. Mild rightward deviation of the trachea, persistent from <unk> suggests a possible large goiter.
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<unk>f s/p renal transplant, r bka, and l tma and multiple debridements p/w lethargy and foul smelling wound s/p <unk> l tma debridement and rij cvl placement s/p l bka <unk> // rising white count
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There is mild to moderate pulmonary vascular congestion and interstitial edema. The cardiac silhouette remains mildly enlarged. There are trace bilateral pleural effusions. No pneumothorax is identified. A right subclavian approach dialysis catheter terminates within the right atrium in unchanged position. Median sternotomy wires are surgical clips are again noted. No acute osseous abnormality is identified.
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<unk>f with bibasilar crackles, dialysis dependent, evaluate for volume status.
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There are low lung volumes, which accentuate the bronchovascular markings. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No definite displaced rib fracture is identified, however, this study is low in the sensitivity of detection of such.
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history: <unk>m with s/p assault left rib pain // eval for trauma
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In comparison with the study of <unk>, there is improved aeration without evidence of pulmonary vascular congestion or acute focal pneumonia. Postoperative scarring is again seen in the right lung and there is continued elevation of the left hemidiaphragmatic contour.
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lung cancer with current smoking, now with increasing productive cough.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>m w/stroke, please get baseline cxr for icu admission, eval for pna, aspiration // <unk>m w/stroke, please get baseline cxr for icu admission, eval for pna, aspiration
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified.
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chest palpitations, evaluate for abnormalities.
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Patient is status post median sternotomy and cabg. Triple lead left-sided aicd is seen with leads in the expected positions of the right atrium, right ventricle, and coronary sinus. Endotracheal tube is seen terminating approximately <num> cm above level of the carina. Enteric tube courses below the diaphragm however the side port appears in the distal esophagus/ ge junction and should be advanced so that it is well within the stomach. Left base opacity may be due to pleural effusion and atelectasis, underlying consolidation not excluded. No overt pulmonary edema is seen.
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history: <unk>m with cardiac arrest, intubated // eval ett position
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Lung volumes are low. There is perihilar haziness with moderate pulmonary edema, new compared to the prior study. Small right pleural effusion is present. The heart size is mildly enlarged. Mediastinal contours are unchanged. No pneumothorax is seen.
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chest pain.
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Ap upright and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, 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.
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<unk>f with shortness of breath.
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No focal consolidation is seen. Calcification at the lateral right lung base has been present since at least <unk>. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>f with recent watery bm and weakness after eating at a friends house // cardiopulmonary process
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Single ap view of the chest shows a left chest wall port with the catheter terminating at the lower svc. Please note there is a loop in the proximal aspect of the catheter. The heart size, hilar and mediastinal contours are normal. Lungs are clear and there is no pleural effusion or pneumothorax.
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sickle cell disease with left lateral chest pain.
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The known dialysis catheter is unchanged, with its tip in the right atrium. There is mild cardiomegaly and evidence of central pulmonary vascular congestion, new since <unk>. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis.
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<unk>m with slurred speech and unsteady gait. eval for stroke and focal consolidation.
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As compared to the prior examination, there has been an interval increase in the patient's left pleural effusion, now moderate in size. A consolidative process within left lung base, better characterized on the recent ct chest examination, is not well evaluated on this exam. The patient's right pleural effusion is small and unchanged from prior exam. The mid and upper lung fields are relatively clear without focal consolidation, pneumothorax, or overt pulmonary edema identified. Stable, moderate cardiomegaly is noted. A vascular stent is seen projecting over the mediastinum, unchanged in appearance.
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follow up pleural effusion.
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As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly with very low lung volumes, minimal areas of atelectasis persist, but no evidence of pneumonia or pleural effusions. The nasogastric tube is unchanged. The left central venous access line has been removed.
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multiple cranial bleeds, evaluation for right lower lobe opacity.
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Lung volumes remain low, but have improved from the recent radiograph of one day earlier. The cardiac silhouette is upper limits of normal in size. Persistent pulmonary vascular congestion. Improved bilateral interstitial opacities, which may have reflected interstitial edema. Residual streaky peribronchiolar opacities are nonspecific, but could relate to the clinical diagnosis of rsv infection.
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Frontal and lateral chest radiograph demonstrates moderate left pleural effusion and likely a small right pleural effusion. There is no new focal consolidation or significant change when compared to chest radiograph dated <unk>. There is no pneumothorax. Cardiomediastinal and hilar contour or stable in appearance. No overt pulmonary edema.
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<unk>-year-old male with dyspnea and acute kidney injury. decreased air lumen at the bases. evaluate for pleural effusion.
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Recently placed endotracheal tube terminates in the right main bronchus about <num> cm below the carina, as communicated by telephone with dr. <unk> at <num> p.m. On <unk> at the time of discovery. Nasogastric tube terminates in the body of the stomach. Cardiomediastinal contours are stable in appearance, but there has been interval worsening of pulmonary vascular congestion accompanied by apparent asymmetrical pattern of pulmonary edema affecting the left lung to a greater degree than the right. Moderate right pleural effusion is similar to the prior study, but a moderate left pleural effusion has increased in size with adjacent atelectasis or consolidation in the left lower lobe.
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<num> views are obtained of the chest. The lungs are well expanded and clear without pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal contours.
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right-sided chest pain with deep breathing and diaphoresis.
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Ap upright and lateral views of the chest provided. The lungs remain largely clear. Please note, the subtle tree-in-<unk> opacity seen on ct performed earlier today, not clearly visualized. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.
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<unk>m with fall // eval infiltrate
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
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<unk>f with bradycardia // acute process?
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Ap upright and lateral views of the chest were provided. Emphysema is noted with a right upper lobe opacity with adjacent scarring. This opacity pas persisted since prior exam from <num> months earlier. Ct is recommended to exclude underlying mass. Emphysema is noted. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. Clips in the right breast noted.
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The hemidiaphragm are well visualized; no subdiaphragmatic masses nor free air noted. Trachea is midline,carina is visualized. Mediastinal structures appear normal and are unchanged compared to prior study. Cardiac size is normal, cardiac borders are well visualized, the cardiomediastinal silhouette appears normal. Bony structures appear normal without any evidence of acute fractures nor abnormality. Bilateral lung fields are clear without any opacities, nodules, nor consultation appreciated. Costophrenic angles are sharp and well visualized.
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<unk> year old man with family h/o lung cancer now with lue heaviness // nodule/mass
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As compared to the previous radiograph, no relevant change is seen. Normal lung volumes. Borderline size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pulmonary edema. No pneumonia.
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history of hiv, worsening left-sided weakness, evaluation.
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The cardiac, mediastinal and hilar contours are normal, with the heart size within limits. The pulmonary vasculature is normal. Lungs are hyperinflated. Apart from subsegmental atelectasis in the right middle lobe, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Degenerative changes are noted in the thoracic spine. Remote right-sided rib fracture is again noted.
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chest pain and shortness of breath.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are stable and unremarkable. No pulmonary edema is seen.
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history: <unk>f with weakness // infiltrate?
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Cardiac, mediastinal and hilar contours are normal. Lung volumes are low. Minimal atelectasis in the left base is noted. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vascularity is normal. Partially imaged are bilateral humeral head prostheses.
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shortness of breath.
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Single frontal view of the chest. Heart size and mediastinal contours are normal. Medial right lung base and retrocardiac opacities are new and consistent with multifocal pneumonia. A spiculated nodule in the left upper lobe is similar to prior. Other known nodules were better evaluated on prior ct. Indistinct appearance of the left hemidiaphragm suggests the presence of a small pleural effusion. No pneumothorax.
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fevers and crackles on exam.
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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. No radiopaque foreign body identified.
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history: <unk>m with bone swallowed // please assess for esophageal foreign body or perforation
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There is no significant interval change. The et tube, bilateral ij lines, ng tube. There has been interval partial clearing of the dense right-sided alveolar infiltrate but there still continues to be a diffuse right alveolar infiltrate with pulmonary vascular redistribution and perihilar haze compatible with asymmetric pulmonary edema versus infection.
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<unk> year old man with legionella pneumonia and intubated // confirm tube placement and eval for interval change in pna
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Slight worsening of cardiomegaly and mild-to-moderate pulmonary edema, accompanied by increasing moderate left pleural effusion and persistent small right pleural effusion. Indwelling support and monitoring devices are unchanged in position, including a proximally located left picc, terminating at the junction of the left axillary and subclavian veins.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Medial right base opacity at the cardiophrenic angle is felt to most likely be due to overlapping vascular structures with possible some underlying atelectasis. No definite correlate is seen on the lateral view. There is no definite focal consolidation. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable.
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Frontal and lateral radiographs of the chest were acquired. There are ill-defined bilateral lower lobe opacities, likely secondary to a chronic inflammatory process, as seen on prior high-resolution ct from <unk>. There is no focal consolidation. The heart size is top normal. There are no pleural effusions. No pneumothorax is seen.
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fever, leukocytosis, status post bone marrow transplant. assess for pneumonia.
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Single portable view of the chest. No prior. Exam is limited secondary to patient's low lung volumes. There are multiple posterior left rib fractures involving the posterior third through at least seventh ribs. There is no definite pneumothorax identified. Cardiomediastinal silhouette is grossly within normal limits for technique and low inspiratory effort.
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<unk>-year-old man with scooter accident and chest wall crepitus. question pneumothorax.
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Mild cardiomegaly, no radiographic evidence for lymphadenopathy. No acute lung parenchymal process. No pleural effusions.
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nonischemic dilated cardiomyopathy of unknown origin, questionable evidence of hilar adenopathy.
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As compared to the previous examination, the lung volumes have decreased. The patient has developed a right basal pleural effusion with a relatively large adjacent atelectasis. This atelectasis, however, could also be combined with pneumonia. The lung volumes remain low. The size of the cardiac silhouette is enlarged, and there is unchanged moderate pulmonary edema. Atelectasis at the left lung bases. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician <unk>. <unk> was paged for notification and the findings were discussed <num> minute later over the telephone.
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lethargy, questionable pneumonia.
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Although the appearance of the left-sided picc line has improved, it remains angled at its tip. Given its location, this could indicate that it extends into the azygos vein and should therefore be repositioned. No pneumothorax is detected. Otherwise, no significant changes identified.
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<unk> year old man with l picc malpositioned // l picc retracted <num>cm and <unk> <unk> <unk>
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There is a band-like opacity in the right lower lobe (best seen on the lateral view) which is not characteristic for pneumonia and likely represents atelectasis. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
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cough.
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The cardiac silhouette is enlarged. The pulmonary vasculature is engorged and indistinct. Mild peribronchial cuffing is noted. No definite focal consolidation is identified. Small left pleural effusion is present.
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history: <unk>f with chest pain // ?pneumonia
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Pa and lateral views of the chest provided. Right lung volume loss reflects recent right lower lobectomy. There is persistent right pleural effusion not significantly changed from prior. Left lung remains clear. The cardiomediastinal silhouette is unchanged from prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with gbs and recent dx of lung ca presenting with numbness and tingling. h/o right lower lobectomy.
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As compared to the previous radiograph, there is no substantial change. The pre-existing minimal right pleural effusion might have slightly decreased in extent. Nodular structures are projecting over the left costophrenic sinus in almost unchanged manner. The pulmonary nodules documented on the chest ct examination from <unk>, as well as the known right posterior chest wall lesion are not well visualized on the current image.
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renal cell cancer, worsening hypoxia.
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Heart size and pulmonary vascularity are normal. New moderate bilateral pleural effusions are partially layering on this semi-upright study. Dense left retrocardiac opacity may reflect atelectasis and/or infectious consolidation.
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