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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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Frontal and lateral views of the chest were obtained. There is minimal interstitial edema. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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There is increased opacity at both bases. While some of this may be due to volume loss, an early infiltrate can't be excluded. This has a slightly worsened appearance compared to the study from the prior day.
<unk> year old woman with elevated wbc and positive sputum cx // ? pneumonia
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Again noted are prominent interstitial markings with indistinctness of the pulmonary vasculature, minimally increased in comparison to the prior study. There is blunting of bilateral costophrenic angles suggestive of small bilateral pleural effusions. Moderate cardiomegaly is stable. The right hemidiaphragm remains elevated. The aorta is tortuous and has calcifications at the arch. No acute fractures are identified.
shortness of breath.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
cirrhosis and cough.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is a mild interstitial abnormality including horizontal reticular lines in the right costophrenic sulcus suggesting mild vascular congestion, but much less striking than on the prior radiographs. There is no pleural effusion or pneumothorax. A vertebroplasty has been performed in a thoracolumbar vertebral body, probably l<num>.
shortness of breath.
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube courses below the left hemidiaphragm, off the inferior borders of the film. Heart size is mildly enlarged. Atherosclerotic calcifications are seen in the aortic arch and descending thoracic aorta. Both hila are slightly enlarged, which can be seen with pulmonary hypertension. Emphysema is noted. Scarring within the lung apices is present, with bullous disease in the right apex. Patchy opacities within the lung bases, more so on the left, may reflect atelectasis though aspiration is not excluded. No pleural effusion or pneumothorax is clearly noted on this supine exam, though the left costophrenic angle is not completely included in the field of view.
history: <unk>m with intubated // confirm tube placement
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There is a new left ij line with tip at the cavoatrial junction. The heart is mildly enlarged. There is pulmonary vascular redistribution and hazy alveolar infiltrate and a few <unk> b-lines.
<unk> year old woman with l ij central line, ? placement, ? pulmonary edema // ? left ij placement, ? pulmonary edema
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Pa and lateral views of the chest. The lungs are clear of consolidation. Linear opacity at the left lung laterally suggestive of atelectasis. There is no effusion. Cardiomediastinal silhouette is within normal limits. Surgical clips seen in the right upper quadrant. No acute osseous abnormalities detected.
<unk>-year-old female with shortness of breath, question pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperexpanded but grossly clear. No pleural effusion or pneumothorax is seen. Bones are demineralized, and note is made of slight decrease in height of a mid thoracic vertebral body.
<unk> year old woman with intraparenchymal hemorrhage // please evaluate for cardiopulmonary process
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Cardiomediastinal contours are within normal limits. Low lung volumes accentuate the bronchovascular structures. Lungs are grossly clear allowing for this factor, and there are no acute pleural abnormalities.
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Cardiac and mediastinal silhouettes are stable. There is mild right base atelectasis without definite focal consolidation. No large pleural effusion or pneumothorax is seen. Gastrostomy tube is noted overlying the left abdomen. Surgical clips are again seen overlying the left lung apex.
history: <unk>m with agitation // eval pna
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>f with chest pain // r/o acute process
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Frontal and lateral views of the chest. Left picc is seen with tip now in the upper svc and the current exam. Linear opacity at the left lung base most suggestive of atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected. No free air seen below the diaphragm.
<unk>-year-old female with crohn disease presents with <num> days of abdominal pain and fever.
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As compared to the previous radiograph, there is decreased inspiration, resulting in lower lung volume and increased density at the lung bases. The pre-existing right hilar enlargement and new left perihilar mass are constant. The size of the cardiac silhouette is at the upper range of normal. There is no evidence of pulmonary edema. Unchanged tortuosity of the thoracic aorta. No pneumothorax, no larger pleural effusions.
new lung mass, evaluation.
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Ng tube terminates in the stomach however the last side port is above the ge junction. Low lung volumes accentuate the pulmonary vasculature however no pneumonia is present. No effusions pneumothorax or pulmonary edema.
cerebral palsy. new ng tube.
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Minimal non-acute interstitial abnormalities are grossly unchanged since prior exam <unk>. The lungs are clear. No effusion, pneumothorax, or consolidation is identified. Heart and mediastinal contours are normal.
<unk>-year-old man with question hypoxia, fever, cardiopulmonary process.
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The lung volumes are normal. The lung shows normal structure and transparency. With the exception of a small atelectasis at the left lung bases the lung parenchyma is free of parenchymal opacities. No lung nodules or masses. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures on both the frontal and the lateral image.
<unk> year old man with long history of smoking and now with myopathy // evaluate for mass
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Portable ap chest radiograph shows unchanged elevation of the left hemidiaphragm and no parenchymal consolidation to suggest pneumonia. Heart and mediastinal contours are within normal limits. Note no radiodense vp shunt tubing is visible in the view of this film.
<unk> year old man with vp shunt now with fevers // eval pneumo
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Comparison is made to prior study from <unk>. Heart size is enlarged. There is again seen a right-sided pleural effusion, part of which is layering along the right lateral chest wall extending towards the apex. There is also pulmonary edema. There is a very large gastric air bubble with elevation of the left hemidiaphragm. There is air seen throughout loops of colon and small bowel, which <unk> not appear dilated. No extraluminal bowel gas is present. There are no pneumothoraces identified.
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A right basilar pigtail catheter is unchanged. Large right pleural effusion is slightly decreased in volume with mildly increased aeration of right lower lung. No new area of consolidation. Prominent pulmonary vasculature is suggestive of pulmonary vascular congestion. There is no pneumothorax.
interval change in pleural effusion? positioning of catheter
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The heart size is normal. Again seen are hilar and mediastinal lymphadenopathies which appear unchanged when compared to prior examination. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable.
<unk>-year-old male patient with lymphoma, shortness of breath and fatigue. study requested for evaluation of any abnormality.
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As compared to the previous radiograph, the esophageal line has been replaced. The tip is not included in the image. There is no evidence of complication. In unchanged manner, the massive bilateral parenchymal opacities, right more than left, are again visualized. Moderate cardiomegaly. Likely moderate right pleural effusion.
nasogastric tube placement.
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Newly placed enteric tube terminates in the stomach. Rest of the findings are unchanged compared to then most recent prior radiograph
<unk> year old man with chf exacerbation, right sided pleural effusion and iabp s/p ngt placement // eval ngt placement
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As compared to the previous radiograph, there is no relevant change. Unchanged opacities at the right lung base and in the retrocardiac lung areas. Unchanged mild cardiomegaly. No overt pulmonary edema. Tracheostomy tube and right picc line are constant.
trauma, assessment for interval change.
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In comparison with the study of <unk>, there is little change in appearance of the heart and lungs. On this image, there is no definite evidence of elevated pulmonary venous pressure, pneumonia, vascular congestion, or pleural effusion.
stem cell transplant for myeloma, now with cough and sputum.
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Patient is status post median sternotomy and cabg. The heart size remains mildly enlarged. Mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. Coronary artery stent is also re- demonstrated. Pulmonary vasculature is not engorged. Lung volumes are low with minimal bibasilar atelectasis, but no focal consolidation. No pleural effusion or pneumothorax is identified. There are mild multilevel degenerative changes in the thoracic spine.
history: <unk>m with chest pain and dizziness
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The et tube is been removed. Og tube tip is in the proximal stomach. , slightly high, similar in appearance compared to prior study. The subclavian line is unchanged with tip in the svc. Again seen is mild pulmonary vascular redistribution the right mediastinal asymmetry is unchanged there continues to be volume loss at the bases
<unk> year old woman with copd and uti now with hypoxemia // pulmonary edema
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Since prior there has been improvement of previously seen pulmonary vascular congestion. Multiple support tubes and lines and prior are no longer visualized. Lung volumes are low. There is no effusion or consolidation. The cardiomediastinal silhouette is within normal limits. Degenerative changes seen at the shoulders bilaterally.
<unk>f with altered mental status s/p fall.
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There has been interval placement of an orogastric tube with tip in the stomach. The endotracheal tube remains in standard position. Remainder of the examination is unchanged with continued mild pulmonary edema, small left pleural effusion, and bibasilar airspace opacities. No pneumothorax. Cardiac and mediastinal contours are unchanged.
history: <unk>m with chf. evaluate for og tube placement.
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Endotracheal tube, ng tube, and right ij catheter positions are unchanged. Confluent bilateral airspace opacities with moderate bilateral pleural effusions appear progressed from <unk>. Cardiac and mediastinal contours remain normal. There is no azygous distention, the central pulmonary vasculature is normal in caliber.
<unk>-year-old female with pneumonia and ards as well as chf.
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Since <unk>, there is a new t<num> compression deformity. There is a chronic mild compression deformity at t<num> grossly unchanged from prior. A healed right eighth posterior rib fracture is seen which correlates to ct dated <unk>. Linear bibasilar opacities are seen, but no discrete mass is seen. . The heart is at the upper limit of normal.
<unk> year old woman with no symptoms // hyponatremia, ? siadh hyponatremia, ? siadh
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The patient is status post median sternotomy and cabg. Left-sided pacemaker device is noted with leads terminating in the regions of the right atrium and right ventricle. The heart size is at least mild to moderately enlarged. Atherosclerotic calcifications are demonstrated in the aortic knob. Moderate pulmonary edema is demonstrated along with a moderate left and small right pleural effusion. Bibasilar airspace opacities likely reflect compressive atelectasis. No pneumothorax is demonstrated though the lung apices is somewhat obscured by the patient's neck projecting over this area. Multilevel degenerative changes are seen within the thoracic spine.
history: <unk>m with shortness of breath, concern for stemi
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There are low lung volumes, however the lungs are clear. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax.
history: <unk>f with concern for infection // pna?
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly is unchanged. Mediastinal silhouette and hilar contours are normal. Surgical clips in the upper abdomen are again noted. Dish in the thoracic spine is similar to the prior study.
hyperglycemia.
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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 displaced rib fractures are seen. No free air below the right hemidiaphragm is seen.
<unk>f with mvc <num> days ago, progressively worse, right chest pain worse with deep breathing, and right shoulder pain, worse with movement.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. Continued low lung volumes accentuate the transverse diameter of the heart. There is mild indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. There is increasing opacification at the left base with silhouetting of the hemidiaphragm. Although much of this could represent volume loss and pleural effusion, in the appropriate clinical setting, supervening pneumonia would have to be seriously considered.
tracheostomy with increased secretions.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with sob with ambulating, + l-leg pain //
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Frontal and lateral images of the chest. There is an opacity in the right lung base concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. A large hiatal hernia is seen.
productive cough and fever.
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Portable view of the chest demonstrates a <num> cm apical right pneumothorax, not definitely present on the radiograph from <unk> at <time>pm. Right subcutaneous emphysema as well as basilar atelectasis is essentially unchanged. The cardiomediastinal contour is stable. Right pigtail is unchanged in position.
recurrent pneumothorax status post pleurodesis with worsening shortness of breath.
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Cardiomegaly is accompanied by pulmonary vascular congestion and mild interstitial edema. No definite confluent areas of consolidation are identified to suggest pneumonia, but standard pa and lateral chest radiographs may be helpful to more fully evaluate the right lung base. Probable small right pleural effusion may also be better assessed by that study
<unk> year old woman with fever, hypotension, looking for infectious source // please eval for e/o pneumonia
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with severe dyspnea // eval for pneumothroax
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In comparison with the study of <unk>, there are lower lung volumes. The tip of the endotracheal tube lies approximately <num> cm above the carina and is positioned so that it effaces the right wall of the trachea. Nasogastric tube extends to the stomach with the side hole distal to the esophagogastric junction. Some atelectatic changes are seen at both bases.
hypoxic respiratory arrest, to assess for et tube placement.
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Lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>f with cp // eval for ptx
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There has been interval removal of the spinal hardware. The aortic stent graft is again visualized. There increased bilateral pleural effusions layering posteriorly, left much larger than right. There is volume loss at both bases. Drains overlie the upper thorax bilaterally.
<unk> year old woman with now s/p surgery // interval change, pulm edema?
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A beside ap radiograph of the chest shows apparent interval enlargement of the pulmonary vasculature and mediastinum which may represent hypervolemia or be artifactual due to ap technique. The lungs are clear and the hilar contours are normal. There is no pneumothorax, pulmonary edema, or pleural effusion.
worsening dyspnea and hypoxia in patient with possible pneumonia and a history of copd.
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Pa and lateral views of the chest were obtained. No focal consolidation, effusion or signs of chf. An ovoid hyperdensity projects in the right upper lung measuring approximately <num> x <num> cm, possibly a pulmonary nodule or external structure. Cardiomediastinal silhouette is normal. Bony structures are intact.
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Right lower lobe densities secondary to biopsy seen on prior exam has completely resolved. The lungs are now clear. Mediastinal and cardiac contour are now normal with less dense left hilum and resolution of enlargement of the azygos vein region. There is no pleural effusion or pneumothorax.
patient with sarcoid, evaluation for change.
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There is persistent mild elevation of the right hemidiaphragm. Slight increase in opacity at the lung bases is felt to most likely be due to overlying soft tissue, which could be confirmed with pa and lateral views. No focal consolidation, large pleural effusion or pneumothorax seen. The mediastinal width is normal and not widened. The cardiac silhouette is not enlarged. Hilar contours are within normal limits.
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Frontal and lateral chest radiographs demonstrate stable hyperinflation of the lungs with relative lucency of the bilateral upper lungs consistent with emphysema. No focal opacification concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. Aortic arch vascular calcifications evident. No pleural effusion or pneumothorax identified.
shortness of breath in setting of hypertension. evaluate for acute process.
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There has been interval placement of a right internal jugular catheter with tip projecting over the expected level of the mid superior vena cava. No pneumothorax is detected. Right pleural effusion tracking into a fissure persists. Lung volumes are low. Heart and mediastinal contours are stable. A stent projecting over the right upper quadrant is partially imaged. Subtle left mid-lung opacity is more apparent than on prior chest radiograph.
<unk>-year-old male with new right internal jugular catheter.
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Single chest portable radiograph demonstrates unremarkable mediastinal and hilar contours. Stable enlarged cardiac silhouette present. Interval reduction in right pleural effusion, now small in size, with stable adjacent right lower lung atelectasis. No pneumothorax evident. No focal opacification concerning for pneumonia identified.
right pleural effusion after thoracentesis, please evaluate post thoracentesis.
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Prominence of the hila again seen, consistent with enlargement of the pulmonary arteries and pulmonary hypertension. Core-valve prosthesis is again seen. The lungs are relatively hyperinflated. There is blunting of the bilateral costophrenic angles, which may be due to trace pleural effusions. The cardiac silhouette remains enlarged. No pneumothorax or definite focal consolidation is seen.
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Right internal jugular venous catheter terminates in low svc. Lung volume remains low. Left pleural effusion is small. Left lower lobe aeration is improved. Bibasilar opacities are likely secondary to atelectasis. Sternotomy wires are intact. Cardiomediastinal silhouette has normal postop appearance.
<unk> year old man s/p cabg // eval for effusions
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The lungs are mildly hyperexpanded but clear. Heart size is normal. The mediastinal and hilar contours are normal. Minimal blunting of the posterior costophrenic sulci could reflect small pleural effusions similar to the prior study. There is no pneumothorax. Bridging anterior osteophytes likely reflect dish. There are degenerative changes in bilateral acromioclavicular joints.
history: <unk>f with b/l leg swelling and pain. concern for chf. pitting edema, lungs fairly clear. // cardiopulmonary process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. The chest is mildly hyperinflated. A prominent anterior osteophyte is noted along a lower thoracic interspace; mid thoracic interspaces appear mildly narrowed.
intermittent shortness of breath.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Chest radiograph is insensitive in the detection of subtle trauma to chest cage, but no displaced rib fracture is identified. The lateral left lower ribs are excluded on this film.
status post assault.
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There no pleural effusions or pneumothorax. Mild loss in height among several lower thoracic vertebral bodies appears chronic and unchanged.
chest and back pain.
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The cardiac enlargement is similar. The mediastinal and hilar contours appear unchanged. There are patchy bibasilar opacities suggesting minor atelectasis or scarring which are quite similar for the most part. A new band-like opacity projecting along the posterior right lower lobe is suggestive of atelectasis, while a pleural effusion has resolved on the left. A small right-sided pleural effusion appears unchanged, however. The pulmonary vascularity is unremarkable.
bilateral swelling and history of diastolic heart failure. question pulmonary edema.
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Large-bore left-sided central venous catheter is grossly stable in position. The cardiac and mediastinal silhouettes are stable. Coarse calcification is seen along the aorta. There is increased in the bibasilar opacities may be due to combination of pleural effusion and atelectasis low underlying consolidation is difficult to exclude. Bilateral perihilar opacities in vascular prominence suggests pulmonary edema.
history: <unk>f with esrd with cp // eval chf or pna
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Frontal and lateral views of the chest were compared to previous exam from <unk>. The lungs remain clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous structures again notable for hypertrophic changes in the spine and prior left lateral rib fractures.
<unk>-year-old female with chest pain.
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The patient has been extubated, enteric tube has been removed. Left picc terminates in the distal svc. Well inflated lungs with right para cardiac and left retrocardiac opacities representing atelectasis or developing pneumonia, aspiration pneumonitis is a possibility. No pleural effusion or pneumothorax. No change in cardiomediastinal silhouette or bony thorax.
<unk> year old woman with polysubstance abuse, recent thalamic stroke, ams // r/u focal consolidation/worsening aspiration pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
altered mental status.
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Pa and lateral views of the chest are provided. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal and stable. The imaged osseous structures are intact. No free air below the right hemidiaphragm.
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Rotated positioning. An et tube is present, tip <num> cm above the carina, borderline low. An enteric type tube is present, tip extending beneath diaphragm, off film. On the prior film, there was a right-sided picc line that coursed cephalad into the neck. This has been retracted. The picc line is seen over the axilla. The tip is not well delineated -- it either overlies the axilla immediately outside the right chest wall or overlies the upper right lung. It does not reach the svc. There are moderate left-greater-than-right effusions, with underlying collapse and/or consolidation, similar to the prior film. This, together with the patient rotation, makes it difficult to evaluate the cardiomediastinal silhouette, but no obvious change is identified. Prominence of the left paratracheal soft tissues is well less well delineated due to rotation, but is likely still present. There is chf with vascular plethora and vascular blurring. Note is made of relative lucency at the right lung apex, but there is no lining of the lung edge to suggest a pneumothorax there.
<unk> year old female with etoh cirrhosis, etoh hepatitis being treated for<unk> transferred to the micu for bleeding oropharngeal mass now with brbpr // interval assessment
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Heterogeneous opacification of the left upper lobe in the paramediastinal region likely reflects combination of bronchiectasis and consolidation, and obscures the aortic knob. The right lung is clear. The cardiomediastinal silhouette is within normal limits. There is a small left pleural effusion. No pneumothorax.
<unk> year old man with cirrhosis with worsening hyponatremia, cough, congestion. evaluate for pneumonia.
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The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. Biapical pleural thickening is re- demonstrated. There are increased bilateral lower lung opacities worrisome for pneumonia. A more focal opacity in the right mid lung was also present on the prior study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. A right port-a-cath terminates in the distal svc without evidence of pneumothorax.
history: <unk>f with fever, cough // r/o infectious process
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear without focal consolidation concerning for pneumonia. A calcified granuloma is again noted in the left lower lobe. The upper abdomen is unremarkable.
history: <unk>f with abd pain // air under diaphragm
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There are low lung volumes that accentuate the bronchovascular markings. Given this, there is persistent mild elevation of the left hemidiaphragm. Left perihilar opacities are seen, which are nonspecific but could be due to infection or aspiration. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Degenerative changes are partially imaged at the right greater than left shoulder joints.
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A dobbhoff courses in the midline leading to at least the distal stomach; however, the tip including the weighted distal end is excluded. Otherwise, there is no significant change compared to earlier exam from <num> hours prior, with persistent widespread opacity involving most of the left lung and the right lower lung and bilateral pleural effusions. There is no pneumothorax. A right dual-lumen catheter is unchanged.
evaluate dobbhoff placement. history of alcoholic hepatitis and ards.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest pain.
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Et tube in situ with the tip at the level of the medial clavicles approximately <num> mm proximal to the carina. Background right middle and lower lobe airspace opacification with an associated effusion unchanged. Ng tube in situ.
<unk> year old woman with et tube which has now been pulled back <num>cm. // positioning of et tube
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. There is again opacification at the left base somewhat obscured by the cardiac silhouette and consistent with lower lobe pneumonia. If the condition of the patient would permit, a lateral view would be most helpful to better assess this process. The right lung is essentially clear and the monitoring and support devices remain in good position.
left lower lobe pneumonia, to assess progression.
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There is slight tortuosity and calcification along the thoracic aorta. The heart is probably at the upper limits of normal size. There is vague patchy hilar opacification on each side, which may suggest slight congestion. Patchy retrocardiac opacity, probably in the left lower lobe, is most suggestive of minor atelectasis.
malaise and bradycardia.
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Pa and lateral views of the chest. A bochdalek hernia is seen. A screw is seen in the left clavicle. There is eventration of the right hemidiaphragm. Faint opacity over the heart seen on the lateral view may represent pneumonia in the lingula.
cough and shortness of breath, right lower lobe crepitus and dullness, remote smoker, rule out pneumonia.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal aside from a tortuous descending aorta. No pleural abnormality is detected.
aml and neutropenia with shortness of breath. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. There is no focal consolidation, effusion, or pneumothorax. The heart remains mildly enlarged. Mediastinal contour is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever and + bcx // pna
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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.
<unk>f with chest cold, eval heart and lungs
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Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion and asymmetrical right perihilar opacities as well as bilateral peripheral interstitial abnormality. Observed findings most likely represent asymmetrical pulmonary edema, but followup radiograph after diuresis would be helpful to ensure resolution and to exclude other process in the right lung such as infection or aspiration. Bilateral small pleural effusions are also evident as well as a linear focus of atelectasis at the right base.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is normal size, and the mediastinal contours are normal. There is no pulmonary edema. Surgical hardware of the left clavicle and humerus is again noted.
<unk>-year-old male with left chest pain. evaluate for acute process.
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As compared to the previous radiograph, there is no relevant change. Mild cardiomegaly with mild fluid overload but no evidence of pneumonia or overt pulmonary edema. No pleural effusions. No evidence of pneumonia. The monitoring and support devices are in constant position.
foci of hemorrhage, evaluation for interval change.
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Enlargement of the cardiomediastinal silhouette is stable. Evidence of a large hiatal hernia is again seen. No convincing evidence of pneumonia is seen. There is no large pleural effusion or pneumothorax. No pulmonary edema is seen.
history: <unk>f with syncope and cp // cp and sob, screen for disection
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities are re- demonstrated within the mid lung fields bilaterally, with slight interval improvement in previously noted patchy opacities in the left upper and lower lung fields. More focal opacity is noted within the right upper lobe, which appears more conspicuous than on the previous radiograph. No new focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Moderate multilevel degenerative changes are again seen.
history: <unk>f with liver disease, weakness
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Midline tracheostomy tube and right-sided picc are re- demonstrated. There moderate bilateral pleural effusions, similar as compared to prior study. The cardiac and mediastinal silhouettes are stable.
<unk> year old woman with multiple abdominal surgeries, hypotensive, ?infection // infection
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Lungs are well-expanded and clear. No pleural effusion. Moderate cardiomegaly is unchanged. Cardiomediastinal and hilar silhouettes are unremarkable. Dense aortic calcifications are noted. A a left pectoralis pacemaker with right atrial and right ventricular leads is unchanged.
<unk> year old woman with hx of chf // left sided crackles
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Lung volumes are low. The patient is status post median sternotomy and cabg. Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are stable. Pulmonary vasculature is normal. Apart from minimal atelectasis in the left lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with weakness
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Compared with prior radiographs on <unk>, there has been interval resolution of a small right apical pneumothorax.the lungs are clear without focal consolidation. There is no pleural effusion. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with right ptx, s/p vats blebectomy, pleurodesis // check interval change
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In comparison with the study of <unk>, there is little change. Again there is a large hiatal hernia. No acute focal pneumonia or vascular congestion. No definite metastases identified. However, there is the vague suggestion of opacification overlying the most posterior portion of the left fifth rib just above the level of the aortic arch. An apical lordotic view could be considered to determine whether this represents a true finding. At the same time, repeat pa view could be helpful to see whether this appearance merely reflects a fortuitous overlap of shadows. Of incidental note are calcifications in the region of the carotid bifurcations bilaterally.
metastatic prostate cancer, to assess for pulmonary lesions.
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A single portable frontal chest radiograph was obtained. The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with sharp left arm pain and shoulder pain, history of ehlers-danlos.
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The cardiac, mediastinal and hilar contours appear stable. Lobular thickening along pleural surfaces in the right lung, particularly along the right upper lung suggests malignancy and is more extensive. There is probably a small pleural effusion on the right. There is a new small-to-moderate left-sided pleural effusion with patchy basilar opacity, probably due to atelectasis. Lung fissures are thickened. The interstitium throughout the right lung is also prominent suggesting fluid overload, lymphatic congestion, or possibly carcinomatosis. A medial right basilar opacity appears more dense and confluent than on prior studies, although not clearly more extensive.
tachypnea and shortness of breath.
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Since the prior exam performed approximately one day prior, there is no significant change. Two right-sided chest tubes are unchanged in position. An enteric tube courses below the diaphragm with the tip overlying the expected region of the stomach and the side port near the gastroesophageal junction. A left picc terminates in the mid svc. A right subclavian central venous catheter also terminates in the mid svc. Cutaneous <unk> are noted overlying the right chest. A left pleurx catheter is stable. No pneumothorax. Opacities in the bilateral lower lobes and right middle lobe are unchanged, most consistent with mild pulmonary edema and atelectasis. The mediastinum is widened and stable, consistent with expected post-operative changes. The cardiac silhouette is normal. There is no pleural effusion or pulmonary edema.
status post esophagectomy complicated by leak requiring anastomotic repair. evaluate for interval change.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is minimal bilateral lower lobe atelectasis. The lungs are otherwise clear. The heart remains moderately enlarged. The vascular pedicle is markedly widened, increased compared to the most recent radiograph from <unk>. There are no pleural effusions. No pneumothorax is seen. Loss of height of vertebral bodies along the thoracolumbar spine do not appear substantially changed compared to the prior study from <unk>.
status post fall. assess for acute intrathoracic process.
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Mild to moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged with chronic elevation of the left hemidiaphragm. Hilar contours are normal, and pulmonary vasculature is not engorged. Linear opacities at the lung bases likely reflect atelectasis and/ or scarring without focal consolidation. Hyperinflation of the lungs persists, suggestive of copd. Blunting of the left hemidiaphragm posteriorly suggests a small left pleural effusion, new in the interval. There are moderate degenerative changes noted throughout the thoracic spine.
history: <unk>m with confusion
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Single ap portable radiograph demonstrates patchy opacities throughout the right hemi thorax which when compared to prior study dated <unk> is not significantly changed. New opacity at the left lung base may reflect early pneumonia. There are bilateral pleural effusions. There is no pneumothorax. A tracheostomy tube is in unchanged position. Persistent rightward shift of the mediastinal structures is again noted.
<unk>m with hypoxia
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The cardiac silhouette size is normal. The aorta remains tortuous, and the hilar contours are stable. The pulmonary vasculature is normal. Streaky opacities in the lung bases are re- demonstrated, similar compared to the prior exam, and most likely reflective of atelectasis. Infection is not completely excluded. No pleural effusion or pneumothorax is seen. Partially imaged is cervical spinal fusion hardware. Mild elevation of the right hemidiaphragm is re- demonstrated, along with multiple clips in the right upper quadrant of the abdomen.
cough.
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Portable semi-upright radiograph of the chest demonstrates slight improvement in bibasalar pleural effusions and adjacent atelectasis. Cardiomediastinal and hilar contours are unchanged. A right-sided internal jugular central venous line ends at the cavoatrial junction. There is no pneumothorax. A subdiaphragmatic drain is in unchanged position.
<unk>-year-old man status post liver transplant now with increased oxygen requiring. evaluate for cause of increased oxygen requirement.
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There has been interval placement of a right pleurx catheter with improved aeration of the right lung base and decrease in the right pleural effusion. There is a small right apical pneumothorax, and there are no new consolidations. The patient is status post median sternotomy and cardiac surgery.
<unk> year old man with metastatic rcc with recurrent right effusion status post pleurx placement
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The heart size is mildly enlarged. Aortic knob is calcified. Perihilar haziness and vascular indistinctness is compatible with mild pulmonary edema. More focal patchy opacity in the right lung base may reflect asymmetric pulmonary edema but an area of infection or aspiration is not excluded. No pleural effusion or pneumothorax is seen. Contrast material is noted within the colon.
shortness of breath.
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Single semiupright ap image of the chest. There are low lung volumes with bronchovascular crowding. Prominent interstitial markings are seen, left greater than right, which are increased from prior exam and are consistent with increased moderate pulmonary edema. The previously seen bibasilar opacities have decreased slightly from prior exam. These opacities likely represent atelectasis, but cannot exclude pneumonia or aspiration in the right clinical setting. No large pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is very enlarged, similar to prior exams.
chf exacerbation status post cholecystectomy.
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Midline sternotomy wires and lvad device are again noted with a left chest wall aicd extending to the region of the right ventricle. Cardiomegaly is again noted, severe and not significantly changed. Hilar congestion is noted without overt pulmonary edema. No large effusion or pneumothorax is seen. No convincing evidence for pneumonia.
<unk>m with lvad low flow, icd firing