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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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The cardiac, mediastinal and hilar contours appear stable. Patchy opacity at the left base suggests minor atelectasis. There is no pleural effusion or pneumothorax. Fissures are mildly thickened. However, there is no convincing evidence for parenchymal edema. Bony structures are unremarkable.
altered mental status. hepatic encephalopathy.
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Left chest tube has been removed. There is no pneumothorax. Et tube ends <num> cm above carina. Ng tube is in unchanged position. Bilateral moderate pleural effusion with bibasilar atelectasis has slightly increased on the right side. The mediastinal and cardiac contour mild enlargement is stable in this patient with recent sternotomy. Right-sided swan-ganz has been removed and catheter sheath is ending in the upper svc. There is no pneumothorax.
patient with chest tube removal, evaluation for pneumothorax.
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Endotracheal tube tip terminates <num> cm from the carina. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acutely displaced fractures are seen.
intubated.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. No air under the right hemidiaphragm is seen.
history: <unk>f with fever, cough // eval for consolidation
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A right-sided picc terminates in the low svc. Pacemaker with multiple lead wires is unchanged from the prior study. Lungs are hyperinflated. No pleural effusion or pneumothorax.
<unk>-year-old man with infected pacer site, now with picc placement.
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Ap semi upright and lateral views of the chest provided. There is a left chest wall aicd again noted with lead extending into the region of the right ventricle. The heart remains mildly enlarged. The hila are congested and there is mild to moderate pulmonary edema. Overall extent of edema appears slightly less than that seen on prior radiograph. No large effusion or pneumothorax. Bony structures are intact. Small pleural effusions are present.
<unk>m with rf leg pain worsening chf?
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Lung volumes are normal. No consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities. No subdiaphragmatic free air.
<unk>-year-old male with dyspnea
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Et tube terminates <num> cm above the carina. Transesophageal tube terminates in the stomach. No consolidation, pneumothorax, or large pleural effusion is identified. Cardiac silhouette is exaggerated by low lung volumes.
history: <unk>f with ett // ? tube placement
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Comparison is made to the ct from <unk>. There has been placement of a feeding tube whose distal tip and side port are within the body of the stomach with a single loop in the fundus. The cardiac silhouette and mediastinum is normal. Lungs are clear. There is no free air in the abdomen.
patient with ng tube placement. high-grade sbo.
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Left upper lobe lung mass is again seen, better evaluated on recent prior ct. Lung volumes are low. There is decreased right paratracheal opacification compared to prior, likely representing decreased known paratracheal lymphadenopathy. There has been interval placement of a port-a-cath with tip projecting at the level of the low superior vena cava. No focal consolidation, pleural effusion, pneumothorax or pulmonary edema is detected. Heart and mediastinal contours are stable.
<unk>-year-old female with substernal chest pain.
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Lung volumes are normal. No consolidation to suggest pneumonia. Small right-sided pleural effusion. No pleural effusion a left. No pneumothorax. Cardiomediastinal contours are normal. There is no subdiaphragmatic free air.
history: <unk>f with pulled own picc line out, // eval for fb
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Interval placement of an endotracheal tube terminating <num> cm above the level of carina. A nasogastric tube terminates within the stomach. The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
history: <unk>f with intubation tube placement // confirmation of intubation tube
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There are minor bibasilar atelectatic changes, greater on the right than the left. Otherwise, the lungs are without a focal consolidation or effusion. There is no pneumothorax. Right chest wall port appears stable with catheter tip at the mid svc. Surgical clips are noted in the left chest anteriorly.
fever.
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New opacity in the lingula is worrisome for pneumonia. The remaining lung fields are clear and normally expanded. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with lightheadedness, drowsiness, borderline leukocytosis // eval for pna
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Cardiac silhouette size is mild to moderately enlarged, decreased from the previous study. The mediastinal contours are unchanged. Mild pulmonary edema with perihilar haziness and vascular indistinctness is present, similar compared to the previous exam. There may be small bilateral pleural effusions, though the left costophrenic angle is excluded from the field of view. No large pneumothorax is detected.
history: <unk>f with asthma, dchf, presents with dyspnea. // eval for pneumonia, pulmonary edema
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Since <unk>, new borderline pulmonary edema and unchanged mild bibasilar atelectasis are seen. Mild to moderate cardiomegaly appears worse. No pneumothorax. Right picc line tip terminates in the low svc.
<unk> year old man with anemia and fall with new oxygen requirement // eval for new effusions
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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation, or pneumothorax is identified. No acute osseous abnormality is detected. Marked degenerative changes of both glenohumeral joints, left greater than right, are re- demonstrated.
history: <unk>f with shortness of breath
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Single portable view of the chest. Dual lumen right-sided central venous catheter is slightly retracted since prior, now with distal tip in the mid svc. The lungs remain clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected. No free air seen below the diaphragm.
<unk>-year-old male with severe left-sided abdominal pain and hyperglycemia, on dialysis.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air is identified below the hemidiaphragms.
epigastric pain.
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Moderate to severe cardiomegaly is unchanged. The aortic knob remains calcified. Mediastinal and hilar contours are similar. Moderate size left pleural effusion appears minimally increased compared to the prior study. Opacification of the left lung base likely is due to compressive atelectasis. Mild pulmonary vascular congestion appears similar. Trace right pleural effusion is relatively unchanged. No pneumothorax is identified.
generalized weakness.
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A right port-a-cath is unchanged in position with the tip terminating in the upper to mid svc. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal silhouette is top normal in size but stable. Evidence of dish is noted in the thoracic spine.
weakness, here to evaluate for pneumonia.
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Heart size normal. Abnormal left paramediastinal line at the level of the aortic arch and poor visualization of the aortic arch. Obliteration of the retrosternal space on the lateral radiograph (may be seen in patients with increased bmi). No pulmonary edema. No airspace consolidation. No suspicious pulmonary nodules or masses. No pneumothorax. No pleural effusion. Spondylotic changes of the thoracic spine. Mild kyphotic deformity of the lower thoracic spine.
<unk> year old woman with cough x <num> weeks // r/o cap vs other
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Tracheostomy tube is in standard position. Allowing for differences in technique and projection, there has been no substantial interval change in the appearance of the chest since the recent study, when consideration is made for slightly larger lung volumes on today's exam.
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Right mid to lower lung opacity, centered in the right lower lung is again seen, with mild improvement in aeration since the prior study. Mild left perihilar opacities again concerning for additional site of infection, as also seen on <unk>, with possible superimposed mild edema. The posterior costophrenic angles are slightly blunted which may be due to trace pleural effusions. Left-sided <num> lead pacemaker is stable in position. The patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable.
shortness of breath.
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. No subdiaphragmatic free air.
<unk>-year-old female with left lower extremity pain and chest discomfort after long flight
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As compared to the previous radiograph, there is an increased loss of transparency of the left and right lung parenchyma, likely caused by mildly increasing fluid overload. The left lower lobe atelectasis that preexisted is unchanged. Unchanged aspect of the cardiac silhouette. Unchanged left and right central venous access lines.
evaluation for pulmonary edema.
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There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. There is again seen abnormally enlarged contour of the right hilum consistent with lymphadenopathy on prior studies, unchanged.
metastatic brain cancer, fall.
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Postoperative rightward widening of mediastinum is stable in appearance in this patient status post esophagectomy and pull-up procedure. Partially loculated, moderate-sized right pleural effusion with substantial intrafissural component, with adjacent slight worsening right middle and right lower lobe atelectasis and/or consolidation. Left lung is grossly clear, and there is no change in small left pleural effusion.
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The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. The left picc line is stable in terminates at the cavoatrial junction.
<unk> yo man with a history of multiple myeloma now sp auto transplant. picc line not drawing. please evaluate for placement. // <unk> yo man with a history of multiple myeloma now sp auto transplant. picc line not drawing. please evaluate for placement.
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In comparison with the earlier study of this date, there are again diffuse bilateral pulmonary opacifications. The appearance is most suggestive of pulmonary edema, though supervening pneumonia or ards would have to be considered in the appropriate clinical setting. Monitoring and support devices remain in place.
fever.
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Ap upright portable chest radiograph is obtained. Lung volumes are low, though there is no focal consolidation, large effusion, or pneumothorax. The heart is mildly enlarged. No signs of chf or edema. Bony structures are intact.
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Pa and lateral chest geographic is compared to radiograph dated <unk>. Relative to prior examination, prior central bronchovascular and diffuse interstitial prominence is less conspicuous compatible with improved pulmonary edema. Likely mild heart failure persists. A small right pleural effusion and likely left pleural effusion is present. Elevation of the left hemidiaphragm appears to have been present on radiograph dated <unk>. Though this may reflect eventration of the hemidiaphragm, somewhat lateral displacement raises suspicion of a sub pulmonic effusion. Hilar and mediastinal contours are stable in appearance. Tortuous descending aorta is stable. No acute osseous abnormality is detected.
<unk>-year-old male with fevers and substernal chest pain.
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Slight interval increase in the right moderate sized pleural effusion with adjacent compressive atelectasis. Trace subpulmonic left pleural effusion. No pulmonary edema. Within the limitation of a large pleural effusion, no focal consolidation is seen. The heart mildly enlarged. Mediastinum is not widened. Mild, right greater than left, apical pleural thickening. No pneumothorax.
<unk> year old woman with <unk> year old woman with right sided effusion. evaluate effusion.
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The heart appears moderately enlarged. There is mild unfolding and calcification along the aorta. Mild relative elevation of the left hemidiaphragm compared to the right is noted. There are also several small calcified nodules projecting over the left mid lung suggesting granulomas. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax. Bony structures are difficult to assess, but there is apparently a moderate wedge compression deformity along the lower thoracic spine, as well as moderate degenerative changes throughout the visualized thoracic spine with narrowed interspaces.
worsening shortness of breath and orthopnea.
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Left base atelectasis is seen. There is blunting of the left costophrenic angle which may be due to a trace pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
history: <unk>f with acute onset left sided chest pain // pneumothorax?
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A left-sided picc line terminates in the low svc. Endotracheal tube terminates in the mid trachea. The moderate right pleural effusion has increased. There is no pneumothorax. A metallic device, possibly a loop recorder, projects over the left midlung. Mild pulmonary edema has increased. Right lower lobe collapse is not appreciably changed. Moderate cardiomegaly despite the projection is unchanged. Multiple old healed left rib fractures and a scapular fracture are re-demonstrated.
<unk> year old man with chf, copd, pneumonia // eval for interval change, line placement
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Patient is slightly rotated to her left. There is mild right basal atelectasis. Otherwise, the lungs appear clear. The cardiomediastinal silhouette appears grossly stable with an unfolded thoracic aorta again noted. No large effusion or pneumothorax. The imaged bony structures are intact.
<unk>f with weakness, falls // ?infection
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In the interval, the patient has been extubated and the nasogastric tube has been removed. The swan-ganz catheter, however, stays in unchanged position. There is a moderate right pleural effusion with subsequent areas of atelectasis. The evidence of mild-to-moderate pulmonary edema persists. Moderate cardiomegaly with improvement of the retrocardiac atelectasis.
biliary cirrhosis, status post liver transplant.
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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 sharp chest pain // eval for acute process, ptx
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
history of cad and asthma, now with cough and shortness of breath.
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The cardiomediastinal contours are within normal limits and without change. No new areas of consolidation are evident within the lungs to suggest an acute pneumonia. The focal linear atelectasis is incidentally noted in the periphery of the left lower lobe.
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Frontal and lateral views of the chest. The lungs are clear without effusion, consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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Ap single view of the chest has been obtained with patient in supine position. Comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. Previously described left subclavian central venous line in unchanged position. Left-sided chest tube apparently has been exchanged and the new line seen to reach the apical area of the left hemithorax more medially than on the previous line that terminated in the shoulder area. The line appears to be in good position. No new parenchymal abnormalities are seen and no pneumothorax has developed. The patient is now intubated, the ett terminating in the trachea <num> cm above the level of the carina. No pneumothorax has developed. There is a diffuse haze over the right hemithorax with the patient in supine position. Most likely, this represents pleural effusion that is layering in the posterior compartment of the pleural space.
<unk>-year-old male patient status post replacement of left chest tube and intubation. evaluate for correct position of devices.
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As compared to the previous radiograph, there is slight increase in density of a pre-existing right apical post-surgical scar. The linear opacity proximal to the scar is unchanged. New left pleural adhesion leading to blunting of the left costophrenic sinus. Normal size of the cardiac silhouette. Unchanged bilateral symmetrical apical thickening. No current lung nodules or masses.
metastatic melanoma, evaluation for pneumonia.
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Cardiomediastinal silhouette is unremarkable. Lung volumes are slightly low and there is persistent eventration of the right hemidiaphragm, limiting evaluation of the right lower lobe. There is bibasilar atelectasis without large pleural effusions, focal consolidation, or pneumothorax.
<unk> year old woman with fever. evaluate for pneumonia.
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Right-sided central venous catheter is again noted. There is relative elevation of right hemidiaphragm as on prior. The lungs remain clear consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with sob, vomiting coffee ground emesis, abd pain // infiltrate? free air under diaphragm?
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The heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is not engorged. Scarring within the lung apices is unchanged. There is no new focal consolidation, pleural effusion or pneumothorax identified. Diffuse demineralization of the osseous structures is present with thoracic levoscoliosis again noted. Multiple old left-sided rib fractures are again seen. There are multiple anterior wedge compression deformities within the thoracic spine with thoracic kyphosis, unchanged.
altered mental status.
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The lungs are clear. No consolidation, effusion, or pneumothorax identified. The heart and mediastinal contours are normal. Streaky left basilar atelectasis is stable.
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The right ij line tip is in the proximal right atrium. There is increased patchy alveolar infiltrate lower lobe greater than upper lobe. Pulmonary vasculature is indistinct. Heart size is mildly enlarged. There tiny bilateral pleural effusions.
<unk> year old woman with nash cirrhosis and other comorbidities here for severe anemia s/p <num> transfusions now with slowly progressing hypoxia and cough. // please evaluate for pulmonary edema, pneumonia, or other etiology of hypoxia and cough
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Frontal and lateral views of the chest demonstrate normal lung volumes, which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. There is a right lung base opacity, which is likely atelectasis. Partially imaged upper abdomen is unremarkable. There is no pulmonary edema.
patient with altered mental status. assess for pneumonia.
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Lung volumes are low. Heart size is mildly enlarged with a left ventricular predominance. Mediastinal contours are unremarkable. There is no pulmonary vascular congestion. Patchy opacity is noted within the right lower lobe concerning for pneumonia. Minimal patchy opacities also noted within the right perihilar region. There is prominence of the left hilum. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain and dyspnea.
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The patient is status post sternotomy. The heart is normal in size. Mediastinal and hilar contours are unremarkable. Lung volumes are low. Streaky opacities in the lingula are most consistent with minor scarring or atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax.
fever and shortness of breath.
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Et tube is <num> cm above the carina. The a dual lead pacemaker is again visualized. Sternal wires are again seen. The heart is upper limits normal in size. There is hazy alveolar infiltrate most marked in the right lower lobe that is increased compared to prior. It is unclear if this is asymmetric pulmonary edema or an infectious infiltrate. There is a left-sided chest tube. Ng tube tip is off the film, at least in the stomach.
recent surgery, open abdomen comment check tube placement.
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Lung volumes are decreased, accentuating the pulmonary vasculature and cardiac contour. There is moderate cardiomegaly, which is stable. Complete retrocardiac opacification is indicative of lobar collapse, however superimposed infection is not excluded. Heterogeneous opacities in the right infrahilar region are concerning for infection. Small left pleural effusion is likely.
history: <unk>m with w/ ams, fall with headstrike // bleed? fx? pna?
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Pa and lateral views of the chest provided. Cardiomegaly is unchanged. There is increased retrocardiac opacity concerning for pneumonia. There is a small left pleural effusion. Right lung is clear. Mediastinal contour is grossly unremarkable. Bony structures are intact.
<unk>m with chest pain and dyspnea on exertion
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The nasogastric tube is still coiled within the distal esophagus and is kinked. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
history: <unk>m with new ng tube placed // ng placement?
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Stable enlarged cardiac silhouette. Minimal bibasilar atelectasis is relatively unchanged compared to next preceding study. Otherwise, lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.
history of pulmonary hypertension, wheezing, shortness of breath, please evaluate for cardiopulmonary process.
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On review of single ap view, there has not been much change in the lungs over last eight to nine hours. Previously described bibasilar opacities are unchanged. No new lung opacities. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
new onset fever, to look for infection.
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There are numerous bilateral pulmonary nodules which have progressed in size and number when compared to prior. More confluent consolidation identified in the right lower lobe as well. Blunting of posterior costophrenic angle the right suggests small effusion. Cardiomediastinal silhouette is grossly unchanged. No acute osseous abnormalities.
<unk>m with rcc and confusion // mass? blood?
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In comparison with the study of <unk>, there is again substantial enlargement of the cardiac silhouette with some elevation in pulmonary venous pressure and bilateral effusions with compressive atelectasis at the bases. The central catheter tip is in the mid-to-lower portion of the svc. No evidence of pneumothorax.
pericardiocentesis, to assess for postoperative change.
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The change since the previous exam. Left pleural effusion. Again seen. Right lower lobe atelectasis also seen. The heart is enlarged and the aorta is tortuous as previously.
<unk> year old woman with pleural effusion and ctx // ? ctx interval eval
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In comparison with the study of <unk>, there is further opacification of the lower half of the right hemithorax. This is consistent with worsening volume loss in the right lower lobe and pleural effusion. In the appropriate clinical setting, supervening pneumonia could certainly not be excluded. There is evidence of some increased pulmonary venous pressure, but no definite consolidation in the left lung.
lung cancer with pulmonary collapse and effusion.
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There has been interval placement of an endotracheal tube, terminating approximately <num> cm above the level the carina. Enteric tube has also been placed, which appears to course below the level of the diaphragm, into the left upper quadrant, presumably within the stomach. There is now complete opacification of the left hemi thorax and shift of the mediastinum to the left, worrisome for extensive lung collapse ; underlying consolidation or small pleural effusion not excluded. The right lung is clear. The cardiac and mediastinal silhouettes are not assessed as they are shifted to the left and obscured by the overlying left hemi thorax opacification.
history: <unk>m with post intubation // eval ett
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Pa and lateral views of the chest provided. There has been interval removal of the right pigtail chest tube. Lungs remain clear. No pneumothorax or effusion.
<unk>m with ptx, ct removed today.
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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.
seizure versus syncope.
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As compared to the previous radiograph, the dobbhoff tube has been re-positioned. The tube shows a normal course, the tip projects over the middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. The other monitoring and support devices are constant.
nasogastric tube in place, evaluation of dobbhoff tube placement.
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Interval placement of a right internal jugular catheter with tip in the right atrium. Heart size is normal and unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is bibasilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>f with hypotension. now w r ij cvl // confirm r ij cvl
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fracture is identified.
pain in the right chest wall and distal forearm after trauma. evaluate for fracture.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and stable since prior examination. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>m with chest pain // eval for pna
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As compared to the previous image, pre-existing bilateral parenchymal opacities show a tendency to confluate. Their overall extent, however, has not increased. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices. Unchanged bullous disease at the right lung apex.
status post aaa repair.
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Compared with prior radiographs on <unk>, patient is status post bronchoscopy, with interval increase in aeration right lower lung, and resolution of mediastinal shift. An et tube terminates approximately <num> cm above the carina. Left basilar atelectasis is unchanged. Left pleural drain is stable in appearance.
<unk> year old man with mucus plug s/p bronchoscopy // eval aeration of r lung, et tube position
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Left-sided chest tube is in unchanged position. There is a persistent, unchanged loculated left pleural effusion with patchy aeration of underlying left lung. Right lung is clear. No change in cardiomediastinal silhouette. Bony thorax is unchanged.
<unk>m s/p l vats hematoma evacuation lul hematoma and mediastinoscopy ln sampling <unk> s/p <num> chest tube removal // please obtain at <time>am, s/p chest tube removal, pneumothorax?
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Cardiac silhouette size remains unchanged, appearing moderately enlarged. Mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. Mild pulmonary edema is re- demonstrated. Moderate to large right and moderate left layering bilateral pleural effusions are present, not substantially changed a interval, with associated bibasilar atelectasis. Additionally, bronchiectasis with wall thickening is noted in the left lung base. No pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with nausea, abdominal rlq tenderness to palpation
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In comparison with the earlier study of this date, there is no evidence of post-procedure pneumothorax. Diffuse bilateral pulmonary opacifications persist.
bronchoscopy, to assess for pneumothorax.
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Lung volumes are low. Heart size mediastinal contours are normal. The lungs are clear there is no pulmonary edema, pleural effusion, or consolidation. No displaced rib fractures appreciated.
<unk>m with ms <unk>/p fall today with left shoulder pain
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An endotracheal tube terminates about <num> cm above the carina. An orogastric tube courses into the stomach, extending beyond the inferior margin of the field of view. The heart appears normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Degenerative changes appear substantial along each glenohumeral joint and several calcifications project along the left axillary pouch suggesting loose bodies on the left side.
status post endotracheal intubation.
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Pa and lateral views of the chest show new left pectoral pacemaker with two leads following the expected course and ending in right atrium and right ventricle respectively. Lung volume is moderate with stable left lung base opacity due to atelectasis and small pleural effusion. Heart size is still top normal. There is no pneumothorax.
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Lung volumes are low with bronchovascular crowding. Nonetheless, there is moderate central pulmonary vascular in interest facial edema. Probable full small bilateral pleural effusions. No pneumothorax. The heart is moderately enlarged. Aortic knob calcifications are noted.
<unk> year old woman with increased wbc count // pna, infiltrate, compare with previous study
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multiple clips are noted in the left upper quadrant of the abdomen.
history: <unk>m with seizures, concern for infection causing breakthrough symptoms
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Again seen is the left-sided chest tube. No appreciable pneumothorax is noted. The visualized right hemithorax is clear.
left spontaneous pneumothorax.
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Ap upright and lateral views the chest were provided. Lung volumes are low limiting assessment. Allowing for this, no definite signs of pneumonia or edema. No effusion or pneumothorax. Stable prominence of the mediastinum, reflecting vascular ectasia. Heart size is normal. Bony structures are intact.
<unk>m with fever cough // eval for interval change
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Single frontal view of the chest demonstrates low lying et tube with tip <num> cm below the upper margin of the clavicle, extending to the region of the carina, likely accentuated by kyphotic position of the patient. This could be retracted by <num>-<num> cm cm to ensure safe positioning. An enteric tube traverses below the diaphragm out of view. The lung volumes are low, accentuating bronchovascular crowding. There is no pneumothorax.
<unk>-year-old male status post trauma. question interval change.
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As compared to the previous radiograph, there is no relevant change. Minimal atelectasis at the left lung base. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pulmonary edema. No pneumonia, no pleural effusion.
hypotension, questionable cardiopulmonary process.
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Lung volumes remain persistently low postoperatively with associated prominent bibasilar atelectasis. The patient is status post cabg with median sternotomy wires in place and mediastinum does not appear widened. Cardiac silhouette is difficult to evaluate due to obfuscation by low lung volumes and atelectasis. There has been interval removal of a left-sided chest tube without evidence of pneumothorax. There is no large pleural effusion. A right internal jugular central venous catheter remains at the level of the upper-to-mid svc.
recent cabg, status post removal of chest tube.
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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. No evidence of free intraperitoneal air. A metallic cbd stent projects over the right upper abdominal quadrant.
<unk>f with nausea vomiting, fever, active cancer, evaluate for pneumonia, free air under diaphragm.
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Heart size appears borderline enlarged, likely accentuated due to low lung volumes. Mediastinal and hilar contours are unremarkable with mild atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is normal. Patchy opacities are demonstrated in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
history: <unk>m with cough, fever
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In comparison with the study of <unk>, there is little change. Pacer leads remain in position. No evidence of acute focal pneumonia or vascular congestion. Mild enlargement of the cardiac silhouette persists.
pneumonia.
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The heart and mediastinal contours are stable. There is elevation of the left hemidiaphragm with the gastric bubble projecting within it. Left basal atelectasis is present with small left pleural effusion. There is no pneumothorax.
<unk>-year-old male with recent left pleural effusion, status post decortication of pleural space.
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Compared with <unk>, retrocardiac opacity with may have increased slightly, consistent with increased left lower lobe collapse and/or consolidation. There is also slight blunting of left costophrenic angle which is more pronounced and could reflect an accumulating small left pleural effusion. Minimal blunting of the right costophrenic angle is similar to the prior study. There is upper zone redistribution, but no overt chf. Previously seen vascular plethora is slightly improved. Cardiomediastinal silhouette is grossly unchanged. Known left-sided rib fractures are not well visualized sclerotic density overlying the t<num> or l<num> vertebral body could reflect prior vertebroplasty.
<unk> year old female with chf (ef <unk>%), cad (s/p stent in <unk> at <unk>), atrial fibrillation on coumadin, and alzheimer's dementia who presents as a transfer from <unk> with worsening dyspnea, fatigue, and lower extremity swelling, hypotension and bradycardia found to have a unilateral effusion with concern for malignancy. // reaccumulation of effusion?
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A tracheostomy tube is in place. Pneumoperitoneum is again identified but may be mildly decreased. There is improving bilateral parenchymal opacity consistent with resolving pulmonary edema or hemorrhage. A small left-sided pleural effusion is again noted. The cardiomediastinal silhouette is stable.
intraparenchymal hemorrhage and question free air in abdomen
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The patient is status post sternotomy and aortic valve replacement. There has probably also been coronary artery bypass graft surgery judging from the pattern of clips along the left upper cardiac border. A central venous catheter terminates in the upper atrium. The cardiac, mediastinal and hilar contours appear stable. There is persistent layering pleural effusion projecting over the right lower lung, which is similar to increased, probably moderate in size. Coinciding right basilar atelectasis is likely and probably unchanged. A very small pleural effusion is likely on the left. Engorged indistinct pulmonary vessels suggests mild vascular congestion.
hypoxia, dyspnea, and new oxygen requirement.
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In comparison with study of <unk>, there is little overall change in the appearance of the heart and lungs with evidence of chronic lung disease compatible with the patient's known interstitial fibrosis. Dobbhoff tube extends well into the stomach. Liver shunt is seen.
dobbhoff placement.
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Right pleural catheter remains in place with persistent small right pleural effusion and a slightly improving small right apical pneumothorax. Otherwise, no relevant short interval change since recent study of the same date.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. There are low lung volumes. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
dizziness, nausea and arm pain/numbness. question acute cardiopulmonary disease.
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Heart size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with chest pain and leukocytosis.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Marked degenerative changes of the left glenohumeral joint are visualized with subchondral cysts and sclerosis.
chest pain, possible st changes on ekg.
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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.
<unk>f s/p lul lobectomy <unk> for lung cancer, p/w n/v/sob/cp. // sob/chest pain, chills - eval for acute cardiopulm process
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is no free air under the diaphragm.
<unk>-year-old woman with epigastric and left upper quadrant abdominal pain. evaluate for pneumoperitoneum or pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Again noted is mild prominence of the right hilum, which is not significantly changed since the prior radiographs. There is no pleural effusion or pneumothorax. No definite consolidation is identified.
history: <unk>f with productive cough // ?pneumonia