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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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Findings
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A single portable ap chest radiograph was obtained. Low lung volumes accentuate vascular markings. Despite these limitations, there is no obvious consolidation. No effusion or pneumothorax is present. Cardiac silhouette is exaggerated by ap technique and low lung volumes. Mild increase in heart size cannot be excluded due to differences in technique.
<unk>-year-old man with chest pain, evaluate for cardiopulmonary process.
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There is a right-sided picc line with tip in the right atrium. The position of line and recommendation to withdraw <num> cm to be in the cavoatrial junction was communicated by dr. <unk> on <unk>. There is bilateral lower lobe volume loss, pulmonary vascular re-distribution, perihilar haze and small bilateral effusions left greater than right. It is unclear if all of the findings are due to pulmonary edema or if there is superimposed infection in the lower lobes.
renal failure, picc line.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette allowing for ap projection and low lung volumes. Patient is slightly lordotic in position and right convex thoracic scoliosis and multiple rib deformities on the right are redemonstrated. There is no pneumothorax or large pleural effusion. Linear opacities in the left greater than right base are consistent with atelectasis although aspiration could have a similar appearance. There is no confluent consolidation to suggest pneumonia.
<unk>-year-old male with alcohol intoxication with low oxygen saturation. question infiltrate.
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The trachea is central. The cardiomediastinal contour is within normal limits. The heart is not enlarged. Mild elevation of the right hemidiaphragm is similar when compared to the prior study. No consolidation, pneumothorax or pleural effusion seen. No free air seen under the diaphragm. Visualized bony structures are unremarkable in appearance.
history: <unk>f with back pain and epigastric pain after endoscopy/colonoscopy // eval free air
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Right chest drain overlies the right mid hemithorax. No pleural effusion or pneumothorax. Small right chest wall emphysema relates to the chest tube placement. Upper lobe predominant emphysematous and bullous changes are redemonstrated. The cardiomediastinal and hilar contours are normal.
copd and right pneumothorax, status post chest tube placement.
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>f with shortness of breath and chest pressure, cough, no improvement s/p inhalers and azithromycin evidence of pna? other intra-thoracic process to explain sob and chest pressure?
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Pa and lateral chest radiographs are obtained. Opacities seen on the prior exam are no longer well visualized. Low volume lungs with bibasilar atelectasis are clear otherwise. Heart is normal size and cardiomediastinal contours are unremarkable. No significant pleural effusions and no pneumothorax.
<unk>-year-old woman with patchy opacity seen on prior radiograph, rule out pneumonia.
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The heart size is mildly enlarged. The aorta is tortuous and diffusely calcified. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is not engorged. Minimal linear opacities in the left lung base are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Partially imaged left humeral head prosthesis as well as posterior spinal fusion hardware within the lumbar spine is re-demonsrated. No acute osseous abnormality is detected.
weakness.
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Pa and lateral views of the chest provided. Spinal stimulator projects over the thoracic spine. Lungs are clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough and fever // pneumonia
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In comparison with study of <unk>, the opaque portion of the dobbhoff tube is just distal to the esophagogastric junction. It should be pushed further for optimal use. Little change in the appearance of the heart and lungs.
dobbhoff placement.
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Patchy lateral left lung base opacity is seen, which could relate to atelectasis and overlying soft tissue, underlying consolidation is not excluded. No focal consolidation is seen in the right lung. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are stable.
shortness of breath, immunosuppressed.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged, again featuring enlarged central pulmonary arteries raising concern for pulmonary arterial hypertension that could be seen with intrinsic lung disease. Markedly irregular lung architecture with areas of multifocal scarring and hyperinflation suggest severe emphysema. There is no pleural effusion or pneumothorax. What is new is superimposed opacity in the right lower lobe suggesting pneumonia.
worsening dyspnea.
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As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Moderate cardiomegaly and tortuosity of the thoracic aorta. Areas of atelectasis at both lung bases. No evidence of pneumonia, pulmonary edema or pleural effusions.
multiple comorbidities, rule out pneumonia or pulmonary edema.
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Mild cardiomegaly is noted. Bibasilar atelectasis is seen on the ct from the same day. No pleural effusion. A small pericardial effusion is noted from the ct from the same day. No pneumothorax. Cervical spine hardware is noted.
history: <unk>m with pericardial effusion // eval cardiomegaly, pleural effusion
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A right subclavian port-a-cath ends at the cavoatrial junction. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. An old right ninth rib fracture is again noted.
history: <unk>f with weakness, frequent falls // acute process?
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Dual lead left-sided pacemaker is seen with leads extending the expected positions of the right atrium and right ventricle. The patient is somewhat kyphotic in position. There are low lung volumes. Opacities projecting over the left lung base may relate to vascular congestion however, consolidation due to infection is also possible. The cardiac silhouette is top-normal. The aorta is unfolded. No large pleural effusion is seen, although trace pleural effusion would be difficult to exclude. No evidence of pneumothorax. Chronic deformity of posterior right upper ribs are again noted.
history: <unk>m with worsening hypoxiam, shortness of breath. // any evidence of pna? pulmonary edema?
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The lungs are clear except for minimal atelectasis at the right lung base. A left-sided picc line still ends at the junction of brachiocephalic vein and superior vena cava. There is no pleural effusion or pneumothorax. The stomach is moderately distended. The aorta is tortuous and dilated as shown on recent ct.
patient with acute respiratory distress, tachypnea, interval change.
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In comparison to <unk> chest radiograph, the previously seen small left apical pneumothorax and left lower lung atelectasis have resolved. Blunt left costophrenic angle may represent small left pleural effusion versus pleural thickening. The cardiomediastinal and hilar contour are normal.
<unk> year old woman s/p left thoracotomy and sleeve lower lobectomy // check interval change
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The lung volumes are low. Bilateral areas of parenchymal opacities are visualized, this could represent atelectasis or pneumonia. Moderate cardiomegaly. No pulmonary edema. No pleural effusions. The nasogastric tube is in correct position. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician <unk>. <unk> was paged for notification.
shortness of breath and fever, questionable pneumonia.
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Status post median sternotomy. There has been interval removal of the right internal jugular central venous catheter. Retrocardiac capacity reflects a combination of a small pleural effusion and atelectasis. The trace right pleural effusion is also present. No pneumothorax identified. The size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old man with cabg // r/o inf, eff
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There has been interval intubation of the patient, with et tube terminating in standard position approximately <num> cm above the carina. A left port-a-cath is in unchanged position with tip in the upper svc. Bilateral perihilar opacities are slightly progressed compared to the prior exam, which remain concerning for asymmetric pulmonary edema or multifocal pneumonia. There is no pneumothorax or large pleural effusion. The mediastinal and hilar contours are stable.
<unk>m with hypoxia, intubated. // confirm intubation tube placement
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The heart size, mediastinal, and hilar contours are normal.the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old woman, <unk> weeks pregnant with chest pain. mediastinal widening.
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Supine portable radiograph of the chest demonstrates hazy multifocal opacities involving the right upper and lower lobes as well as the left lower lobe which have increased in density since the prior study. The endotracheal and nasogastric tubes are in appropriate position. A right subclavian central venous catheter is unchanged in position, terminating in the low svc. There is no pneumothorax or pleural effusion.
<unk>-year-old man found down with fever. evaluation for pneumonia.
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Cardiomediastinal contours are stable in appearance. New left retrocardiac opacity is present, and could reflect atelectasis or aspiration. There is no evidence of pulmonary edema.
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Frontal and lateral chest radiographs demonstrate similar size to globose enlargement of the cardiac silhouette consistent with known pericardial effusion, accounting for differences in technique. Linear atelectasis and retrocardiac opacity is not significantly changed from <unk>. There are small bilateral pleural effusions, also unchanged. The mediastinal contours remain normal. The pulmonary vasculature is normal.
<unk>-year-old female with pericardial effusion.
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One portable ap semi-upright view of the chest. Right internal jugular line ends in the distal svc. Et tube is unchanged in position <num> cm above the carina. Enteric feeding tube ends off inferior to the border of this image. The retrocardiac opacity and patchy opacity within the mid and lower left lung are better seen on this study, with some associated volume loss in the left lung. Right lung is clear. No pneumothorax.
<unk>-year-old male status post right internal jugular line placement.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains normal. No configurational abnormality is present. Thoracic aorta is markedly widened and elongated but no local contour abnormalities are identified. Remarkable is the absence of any significant wall calcifications in this generally widened and elongated aorta. Pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area.
<unk>-year-old male patient with cough for two and a half weeks, fever daily since <unk>. nonsmoker, crackles in bilateral lower lung fields, no wheezing or pleural rub, no leg swelling or jugular vein distention, evaluate for pneumonia.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
chest pain.
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Pa and lateral views of the chest were compared to plain film from <unk> and ct chest from <unk>. There are diffusely increased interstitial markings seen throughout the lungs with a component of architectural distortion. There is no confluent consolidation identified. On the lateral view, posteriorinerior blebs are identified. There is no pneumothorax. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with left-sided chest pain.
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There has been improvement opacification at the left lung base, with residual linear atelectasis and partial left lower lobe collapse. The right lung is clear. Heart size is normal and there is a small left pleural effusion. Small amount of air adjacent to the left heart border maybe a small amount of pneumomediastinum. Pleural catheter marginates the mediastinum at the level of the ap window. No appreciable pneumothorax..
<unk> year old man s/p fall and with pulmonary contusion. evaluate interval change in pulmonary contusion.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is not engorged, though there is crowding of the bronchovascular structures. No pleural effusion or pneumothorax is identified. Clips are seen within the left breast and axilla. No acute osseous abnormalities are identified.
palpitations, shortness of breath.
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Single supine ap radiograph demonstrates an endotracheal tube which appears to terminate <num> cm above the level of the carina. An enteric tube descends the thorax in an uncomplicated course, its tip projecting over the right upper quadrant in appropriate position. Relative to prior study, enteric tube has been advanced. Subtle left perihilar and lower lobe opacity could reflect aspiration. There is no pleural effusion identified. There is no pneumothorax.
<unk>-year-old female with subarachnoid hemorrhage, intubated.
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Ap portable upright view of the chest. Midline sternotomy wires are again noted. There is mild lower lungs subsegmental atelectasis. No large consolidation concerning for pneumonia. No effusion or pneumothorax is seen. The cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>m with abdominal pain and pancreatitis
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Dobbhoff tube ends into the stomach with its tip positioned approximately in the pyloric region. Left picc line tip is at mid svc. Right lung is clear, and the left lower lung is incompletely imaged due to off centering. Mildly enlarged heart size, mediastinal and hilar contours have stable appearance since at least <unk>.
dobbhoff placement.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with intractable hiccups for the past <num> days.
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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema or focal consolidation concerning for pneumonia.
<unk>-year-old female with right-sided chest pain. evaluation for pneumothorax.
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The tip of the endotracheal tube terminates <num> cm above the carina in appropriate position. Remaining support and monitoring devices including bilateral chest tubes, right ij central venous catheter are in unchanged positions. The tip of the nasogastric tube courses out of the field of view of this study. There is unchanged moderate cardiomegaly as well as mild pulmonary vascular congestion. Previously seen layering right pleural effusion has largely cleared but this appearance could also be due to upright positioning of patient.
<unk> year old woman with s/p cardiac surgery- reintubated, evaluate for endotracheal tube position.
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax is evident. Multiple posterior healed rib fractures are identified on the left. No acute displaced rib fractures are visualized.
generalized weakness, evaluate for pneumonia.
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A portable supine view of the chest is limited by the overlying trauma board. The lung volumes are low, accentuating bronchovascular structures and mediastinum. There is no pneumothorax or pleural effusion. The cardiac contours are normal. No displaced rib fracture is evident.
alcohol use an unrestrained motor vehicle collision.
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Mild cardiac enlargement is unchanged. There is mild vascular congestion with enlargement of the pulmonary arteries. There is a probable small right pleural effusion. There is no pneumothorax.
<unk> year old female with history of chf (lvef <unk>%), cad s/p stemi with pci to rca, and dm who presents with progressive dyspnea over the past <num> months, now with new hypoxia to <unk>%ra in the setting of fluid administration.
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Bilateral chest drains are unchanged in position when compared to the prior study. No pneumothorax seen. There are persistent bilateral moderate-sized pleural effusions with associated atelectasis. A right-sided picc terminates in the distal svc or upper right atrium. This is unchanged compared the prior study.
<unk> year old woman with trach, ? sepsis // ? interval change
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The lung volumes are low. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced rib fracture is seen.
pleuritic chest pain after falling onto chest.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. Fusion hardware is seen at the lower cervical spine. Clips in the right upper quadrant noted. No free air below the right hemidiaphragm.
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As compared to the previous radiograph, the endotracheal tube, the nasogastric tube and the right subclavian catheter are in unchanged position. The mild-to-moderate pulmonary edema is constant. Constant moderate cardiomegaly. Bilateral basal areas of atelectasis. No larger pleural effusions. No parenchymal opacities. No evidence of pneumothorax.
intracranial hemorrhage, evaluation for interval change.
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Single pacemaker lead from right pectoral pacemaker device ends at the expected location of the right ventricle. Right lung base opacity and mild-to-moderate right pleural effusion have worsened since <unk>. Given the clinical history, this may likely represent pneumonia/atelectasis. Left lower lung atelectasis and presumed small left pleural effusion have decreased since <unk>. Upper lungs are clear. Heart size, mediastinal and hilar contours are unchanged.
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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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Pacemaker wires end in the right atrium and right ventricle. There are mild atherosclerotic calcifications of the aortic arch. The cardiomediastinal silhouette and hila are otherwise normal. There is no pleural effusion, no pneumothorax. Prominent right thyroid lobe.
<unk>-year-old with chest pain.
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A right pacer has <num> leads terminating in the right atrium and right ventricle respectively. A moderate right pleural effusion is unchanged. The cardiomediastinal silhouette is unchanged with moderate cardiomegaly. A prosthetic aortic valve is again seen. There is mild vascular congestion. There is no pneumothorax.
aortic stenosis status post valve repair. any change in size of pleural effusion?
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Comparison is made to previous study from <unk>, at <time> p.m. There is a pigtail catheter in at the right base. There is a tiny right apical pneumothorax, which has decreased in size since the previous study. The right ij line has its distal lead tip in the distal svc, unchanged. Heart size is within normal limits. There is a small left-sided pleural effusion, unchanged. The rest of the lung fields are grossly clear.
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An endotracheal tube terminates <num> cm above the carina. A left-sided picc line tip terminates at the level of the mid svc. The cardiomediastinal and hilar contours are within normal limits. Diffuse parenchymal opacities have improved on current chest x-ray when compared to recent and more remote examinations. There are no new focal consolidations. No pleural effusion or pneumothorax identified.
<unk>-year-old man with hiv and toxoplasmosis. study requested for evaluation of new infiltrate in the setting of new fever.
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At the base of the right hemithorax have been present since <unk>. It may be necessary to obtain lateral radiographs or even chest ct <num> distinguish between these possibilities. Heart is normal size. Thoracic aorta is generally large and somewhat calcified but not clearly focally aneurysmal. Left pic line ends at the origin of the svc. Heart is not enlarged. There is no pneumothorax. Large and small bowel in the upper abdomen are distended but not fully evaluated by this study. There is no evidence of pneumoperitoneum. <unk> final report
<unk> year old man s/p removed ngt, s/p egd today, new onset tachypnea and desats // ?acute process ?acute process
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Left lung collapse is still severe, and has worsened since previous exam. Right lung is unremarkable. There is no pneumothorax.
copd, chf, left lower lobe collapse?
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Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for slightly larger lung volumes on today's exam. Mild pulmonary vascular congestion is present as well as a persistent area of increased opacity in the left retrocardiac region, which may reflect atelectasis and/or consolidation accompanied by a small-to-moderate left pleural effusion.
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Left hemodialysis catheter is still pointing upward toward the distal right subclavian vein and not the superior vena cava. Mild pulmonary edema has worsen since the previous exam. The increase in right lower lobe opacity could be related to asymmetric pulmonary edema, pleural effusion, atelectasis, new aspiration or pneumonia. Moderate cardiomegaly is stable. Tracheostomy is in adequate position. There is no pneumothorax.
patient with recent placement of dialysis catheter.
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Mediastinal widening is improved. Moderate cardiomegaly is stable. Mild pulmonary edema has improved. There is mild pulmonary vascular congestion. There is a small pleural effusion at the right lung base. There is no pneumothorax. There has been interval removal of the endotracheal tube. A right ij catheter terminates in the upper origin of the svc. Patient is status post tavr.
<unk> year old woman with chf, aortic stenosis s/p tavr // interval change, pulmonary edema
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Low lung volumes are present. Heart size is normal. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present with perhaps mild pulmonary vascular congestion but no overt pulmonary edema. Elevation of the right hemidiaphragm is of unknown chronicity. Patchy atelectasis is seen in the lung bases without focal consolidation. No pneumothorax is present. Right anterior shoulder dislocation is demonstrated.
history: <unk>m with right shoulder pain similar to prior episodes of dislocation. syncope x <num> in ed
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Specifically, no hilar or mediastinal adenopathy or interstitial prominence to radiographically suggest sarcoidosis. There is a curious appearance of the medial cortex of the right humeral diaphysis. Specific views of this region and the right shoulder are suggested, and any comparison studies that would contain this region should be urgently sought.
sarcoid with shortness of breath.
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The feeding tube tip is in the distal stomach there remainder the appearance of the lungs are unchanged. The right cp angles off the film
<unk> year old man with with ngt repositioning please check placement. // <unk> year old man with with ngt repositioning please check placement.
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In the interim from the prior examination, a nasogastric tube has been placed with tip in the stomach and side port still within the distal esophagus. An endotracheal tube is in standard position. The lungs appear grossly clear with mild basilar atelectasis. The cardiomediastinal silhouette is normal.
status post intubation.
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As compared to the previous examination, the signs of pulmonary edema have decreased. Currently, no signs of pulmonary edema are present. However, bilateral pleural effusions have newly appeared. These effusions cause atelectasis at both lung bases. The size of the cardiac silhouette continues to be moderately enlarged.
systolic heart failure, worsening shortness of breath, evaluation for pulmonary edema.
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The lungs are well expanded and clear. The aorta is noted to be tortuous. The heart size is at the upper limits of normal. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
<unk>-year-old female with fever.
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Frontal and lateral chest radiographs demonstrate decreased lung volumes from prior, with new left lower lobe opacity and pleural effusion concerning for pneumonia. There is no pneumothorax. The pulmonary vasculature is normal. The cardiac silhouette is top normal in size, the mediastinal contours remain normal. There is an unchanged position of an esophageal stent, and peg tube within the stomach.
<unk>-year-old male with history of esophageal cancer and possible tracheoesophageal fistula who presents with increased cough, question infiltrate.
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Focal consolidation in the right middle lobe suggest pneumonia. Widespread reticular opacities are consistent with known interstitial lung disease. There is no vascular engorgement or edema. There is no effusion or pneumothorax. Mild tortuosity of the thoracic aorta is stable. Heart size is mildly improved though remains mildly enlarged.
<unk> year old man with mm with fevers, cough, chest congetsion // ? pna
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Indwelling support devices are unchanged and in appropriate position. Residual diffuse opacities are likely unchanged from <unk> at <unk> and substantially improved from <unk> at <time>. Small bilateral pleural effusions. No pneumothorax or pulmonary edema.
<unk> year old woman with multifocal pna/ards, intubated // intubated, tube placement, interval change
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Fracture of the sternum with superior and anterior displacement of the distal fracture fragment is noted with adjacent retrosternal density likely reflecting a small hematoma or soft tissue thickening. The heart size remains mildly enlarged. The aorta is tortuous. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There is a moderate compression deformity at the thoracolumbar junction which appears new compared to the prior radiographs from <unk>.
mid sternal pain.
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Again seen is a right ij sheath overlying the proximal svc. An ng tube is present the tip likely overlies the gastric fundus. Inspiratory volumes are low. The cardiac silhouette is enlarged, but unchanged sternotomy wires and mediastinal clips are noted there is engorgement of the central vascular sure, upper zone redistribution, diffuse vascular plethora and vascular blurring, and peribronchial cuffing consistent with chf and interstitial edema. Again seen is increased retrocardiac opacity consistent with left lower lobe collapse and/or consolidation. Is also patchy opacity at the right lung base similar to the prior film. There is a small to moderate left-sided effusion pleural effusion and a small right pleural effusion. These are essentially unchanged, possibly slightly larger on the right.
<unk> year old man s/p aaa repair // pulm edema
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The right picc line terminates in the right subclavian. Known hiatal hernia is not well seen. On this portable film the lung parenchyma are without obvious consolidation. There is no pleural effusion. Cardiomediastinal silhouette is stable as compared to prior examination.
<unk> year old woman with aplastic anemia rm <num> <num> <unk> outpatient // please confirm picc line placement please confirm picc line placement
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A right-sided picc line terminates in the superior vena cava. Again noted is a dual-lead pacemaker/icd device, which appears unchanged. The heart is mildly enlarged. The mediastinal and hilar contours are stable. The right-sided pleural effusion appears decreased, but there is again a predominantly central widespread interstitial abnormality with indistinct pulmonary vasculature, most consistent with moderate-to-severe pulmonary edema. In addition, the left hemidiaphragm is obscured by retrocardiac opacity, although not completely specific, most often due date coinciding atelectasis.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Linear opacity at the right lung base likely represents atelectasis. No focal consolidation to suggest pneumonia. No displaced rib fractures are seen.
<unk>f with shortness of breath after fall <num> days ago and left upper rib pain.
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As compared to the previous radiograph, an anterior and lateral radiograph is not provided. The leads are in expected anatomical position. The course of the leads is unremarkable. There is no pneumothorax. The lateral radiograph, however, reveals minimal dorsal pleural effusions limited to the dorsal aspect of the costodiaphragmatic sinuses. No evidence of pulmonary edema.
evaluation for lead placement.
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Compared to the prior study, there is minimal bibasilar atelectasis, which is new. No chf, focal consolidation or effusion. No pneumothorax detected. The cardiomediastinal silhouette is unchanged. Rounded right paratracheal density is noted, not appreciated on the prior film --?artifact due to confluence of bone and vascular shadows.
<unk> year old man pod<unk> s/p <unk> bypass with fever // ?acute process
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In comparison with study of <unk>, there is little overall change in the post-drainage appearance. No definite pneumothorax is appreciated.
recent empyema status post drainage.
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Since most recent prior, there has been interval reaccumulation of the left-sided pleural effusion which is moderate in size. Consolidation in the left lower lung is also more conspicuous, likely due to known underlying lesion with superimposed component of atelectasis. The right lung remains clear. Left sided cardiac margin is obscured. No acute osseous abnormalities identified.
<unk>f with sob, hypoxia // pna
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Patient is status post median sternotomy and cabg. Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated. Aortic knob calcifications are present. Mediastinal contour is unremarkable. Low lung volumes cause crowding of the bronchovascular structures. There may be mild pulmonary vascular congestion without overt pulmonary edema. Linear opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine.
history: <unk>f with hypoglycemia
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Portable ap upright chest radiograph was provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air is seen below the right hemidiaphragm. There are left rib cage deformities again noted.
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Ap portable semi upright view of the chest. In this patient with known mass in the right lower lung and known right pleural effusion seen on prior ct, there is increasing pulmonary vascular congestion as well as increasing bilateral pleural effusions. Heart and mediastinal contours remain stable. Aortic atherosclerotic calcifications noted. Bony structures are intact.
<unk>m with hypotension // eval for pneumonia
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
breakthrough seizures.
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The cardiac, mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen, and no focal consolidation is demonstrated. There are no acute osseous abnormalities. No free air is demonstrated beneath the diaphragm.
severe abdominal pain.
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The lungs are well inflated. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No areas concerning for consolidation seen. No destructive bony lesions seen.
<unk> year old man <num> mo s/p renal transplant here with neutropenic fever c/o pleuritic cp. // ?interval change
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Left pectoral infusion port terminates at cavoatrial junction. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with cough, hypoxia // presence of infiltrate
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Heart is top-normal in size. Cardiomediastinal and hilar contours are within normal limits. Minimal blunting of the right costophrenic angle could represent a trace pleural effusion pleural thickening. Increasing pulmonary opacities throughout the right lung, particularly at the right base suggest atelectasis or infection in the appropriate setting. There is mild pulmonary vascular congestion. No pneumothorax. As before, pleural plaques suggest prior asbestos exposure.
<unk> year old man with weakness // ?evaluate subtle opacity since on portal, please schedule on <unk> am
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In comparison with study of <unk>, the nasogastric tube has been pushed forward with the tip extending at least to the lower body of the stomach where it crosses the lower margin of the image. Little change in the appearance of the heart and lungs.
for ng tube placement.
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The endotracheal tube ends <num> cm above the carinal. A right central venous line ends at the cavoatrial junction. A transesophageal tube ends in the stomach. Postoperative atelectasis in the right lower lobe is moderately severe. The left lung is clear. There is no pleural effusion or pneumothorax. The mediastinum is markedly widened by the generally large and elongated thoracic aorta, less so by the dilated pulmonary arteries, as confirmed by the the same-day chest cta. Heart is mildly enlarged. There is no pulmonary edema. Air beneath the chronically elevated right hemidiaphragm reflects recent abdominal surgery.
<unk> year old woman // eval line/effusions.
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There has been slight interval retraction of a right-sided chest tube which now projects over the mid right lung field. The inferior chest tube projects over the lower lung. Right-sided subcutaneous emphysema persists. Small right apical pneumothorax is unchanged. Large known upper lobe consolidation on the right appears similar to the prior exam with persistent mild right basilar atelectasis. Mild plate-like atelectasis is seen at the left lung base; otherwise, the left lung is clear. There is no interval change in the appearance of the cardiac silhouette. Small right-sided pleural effusion is persistent. The visualized osseous structures are unremarkable.
history of right pleurodesis and pleurx catheter. please evaluate for interval change.
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Lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Obscuration of the right heart border is likely secondary to the pectus excavatum. The heart is normal size. The mediastinal and hilar structures are unremarkable. There is no pulmonary edema. Right picc is no longer seen.
fevers and cough. evaluate for pneumonia
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Frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. No displaced rib fractures present. There is likely mild interval progression of lower thoracic compression deformities as compared to <unk> radiograph.
chest pain, assess for pneumonia.
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Frontal and lateral chest radiographs demonstrate a right hemodialysis catheter and a left port-a-cath in appropriate position. There is no pneumothorax or pleural effusion. Lungs are clear without focal consolidation. The cardiomediastinal and hilar silhouettes are unremarkable. Patient is status post sternotomy with several fractured wires.osseous structures are unremarkable.
<unk>-year-old male with history of multiple myeloma prior to bone marrow transplant.
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The et tube and left picc terminate in the standard position. The ng tube courses outside the field of view and reenters in the right upper quadrant. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
large left mca infarct with new onset fevers.
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In comparison with the earlier study of this date, there is little overall change in the diffuse bilateral pulmonary opacifications, which could well represent either infection or pulmonary hemorrhage. Otherwise, little change.
pneumonia with worsening hypoxia.
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The lungs are clear without focal consolidation. There is slight blunting of the bilateral posterior costophrenic angle suggesting trace pleural effusions. No pneumothorax is seen peer the cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>m with chest pain and sob // r/o pna, chf
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Cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No displaced fracture is identified. Degenerative changes are seen at the partially imaged glenohumeral joints.
history: <unk>f with fall, hypoxia // ?pna
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As compared to the previous radiograph, the left pleural effusion has largely resolved. There is a small pigtail catheter at the left lung base. No evidence of pneumothorax. The pre-existing large right pleural effusion has increased in extent. Unchanged lymph node calcifications, unchanged degenerative shoulder disease. Unchanged size and shape of the cardiac silhouette.
pleural effusion, status post thoracocentesis, rule out pneumothorax.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with history of aml and increased congestion, assess for abnormalities.
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Cardiomediastinal contours are normal. Lungs and pleural surfaces are clear except for minimal linear atelectasis at the left base. Postoperative changes are seen in the cervical region.
<unk> year old woman with episode of unresponsiveness in rehab (s/p cervical fusion) // ?pna
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with sob and cp pls eval for pna or edema // history: <unk>m with sob and cp pls eval for pna or edema
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Portable frontal chest radiograph demonstrates an et tube tip located <num> cm from the level of the carina. A right ij central venous catheter tip remains approximately <num> cm beyond the cavoatrial junction and should be pulled back by approximately <num> cm. An enteric tube is in position. The heart size and mediastinal contours are unchanged. Multifocal bilateral parenchymal opacity little changed with probable superimposed pulmonary edema and small bilateral pleural effusions is unchanged. There is no pneumothorax.
<unk>-year-old female with mechanical ventilation.
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There has been interval advancement of the ng tube which is now properly placed with the side port residing in the proximal stomach and the tip in the mid gastric body. There is otherwise no significant interval change compared to exam from four and half hours prior.
ng tube placement advanced.
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An enteric tube terminates within the stomach and could be advanced <num> cm. The heart is mildly enlarged, but stable in size. The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with dysphagia, failed video swallow, dobhoff placed, please evaluate placement.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. Overall, there has been no significant interval change since the prior study.
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There is a new right lower lobe infiltrate. There small bilateral effusions right greater than left
<unk> year old man with fever of <num> // please r/o pneumonia vs. atelectasis