Frontal_Image_Path
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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. Fusion hardware is partially imaged in the lumbar spine. There is mild but stable elevation of the right hemidiaphragm.
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<unk> year old woman with worsened cough/wheeze/sob during ivig infusion. evaluate infiltrate/pulmonary edema // <unk> year old woman with worsened cough/wheeze/sob during ivig infusion. evaluate infiltrate/pulmonary edema
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Ap portable upright view of the chest. Lung volumes are low. There is mild interstitial edema. The heart size is borderline enlarged. The mediastinal contour is slightly prominent likely reflective of an unfolded thoracic aorta and appearing unchanged. Mild hilar congestion is noted. There is vague increased opacity in the right upper <unk> which is indeterminate though consideration for dedicated pa and lateral views to better assess this area would be advisable. Bony structures appear intact. No free air below the right hemidiaphragm.
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<unk>m with abdominal pain and fullness // r/o free air
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Right chest wall dual lumen central venous catheter is again seen. There is hazy left basilar opacity which is more conspicuous compared to the prior exam. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Stent is identified in the upper abdomen on the lateral view.
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<unk>m with cough // fever
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Mild to moderate cardiomegaly is stable. Transvenous pacemaker leads terminate in a standard positions in the right atrium, right ventricle and through the coronary sinus. Patient is status post cabg. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned, breakage of the fourth sternal cerclage wire from the top is again noted.
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<unk> year old man s/p biv icd placement // ptx, leads
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Left <unk> and <unk> lateral rib fractures are noted. Other known fractures involving the left-sided ribs are not clearly delineated on the current exam. Old right tenth rib fracture is redemonstrated. Multilevel degenerative changes are seen in the thoracic spine.
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known rib fractures involving left <unk> through <num>th ribs with increasing pain.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position, except for the endotracheal tube that has been advanced by approximately <num> cm. The extent of the pleural effusion is constant. Atelectasis at both lung bases. Unchanged size of the cardiac silhouette.
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cirrhosis, respiratory failure, assessment for endotracheal tube placement.
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Pa and lateral views of the chest were provided. The lungs are clear and well inflated. There is air below the right hemidiaphragm which is of unclear etiology and may reside within interposed bowel loops adjacent to the liver though the possibility of free air is also a concern. Correlation with left lateral decubitus views or ct recommended. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Old right rib deformities are again noted.
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There is a small right pleural effusion. Small patchy opacities in the right lower lung may represent pneumonia vs scarring, not prior for comparison. Opacity underlying the pleural effusion in the lower portion of the right lung cannot be excluded. No pneumothorax is seen. Lungs are again noted to be hyperinflated. Calcified tortuous aorta is noted. Heart size is top normal.
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<unk>-year-old female with hypotension.
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Frontal and lateral views of the chest were obtained. Small right pleural effusion has increased in the interval. There may be a trace left pleural effusion. There is bibasilar atelectasis without definite focal consolidation. The cardiac, mediastinal, and hilar contours are stable.
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Since the prior exam, there are new small bilateral pleural effusions and mild associated basilar atelectasis. There is no focal opacity to suggest pneumonia. There is no pulmonary edema or pneumothorax. The mediastinal contours are normal. Atherosclerotic calcifications are noted at the aortic arch. The heart size is at the upper limits of normal, and unchanged from the prior exam. Moderate degenerative changes are noted in the spine.
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fever and decreased breast sounds on the right. evaluate for pneumonia or effusions.
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The heart size is normal. Cardiomediastinal silhouette and hilar contours are unchanged. A large bore tunneled right ij central venous catheter terminates at the low svc. There is increased heterogeneous consolidation at the left lung base, worrisome for infection. The right lung is essentially clear. There is no large pleural effusion or pneumothorax.
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aml status post allogenic stem cell transplant complicated by deep neck soft tissue infection and now desaturating.
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Pa and lateral views of chest demonstrate clear lungs. The cardiac silhouette is normal. Right-sided central venous catheter tip terminates in the mid svc. Small right pleural effusion is noted. No pulmonary edema. Calcified implant is noted on the right. Thoracolumbar junction compression deformities are again seen.
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altered mental status.
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There has been interval marked decrease in now small left pleural effusion after thoracentesis. There is no pneumothorax. There is elevation of the left hemidiaphragm. Left lower lobe opacities could be remaining atelectases but other pathology cannot be totally excluded attention in followup is recommended. Cardiomediastinal structures are midline
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<unk> year old woman with pleural effusion // ?ptx s/p medical <unk>
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The patient is intubated and the et tube terminates <num> cm from the carina. Enteric tube courses to at least the level of the distal esophagus but is then beyond the field of view. Lung volumes are low with worsening bilateral opacities. The partially visualized heart is grossly normal in size. The mediastinal hilar contours are normal. Kyphotic positioning limits the evaluation, however there is likely a new layering right pleural effusion.
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history: <unk>m with intubation // tube placement?
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Mild to moderate cardiomegaly and tortuous aorta are unchanged. Pacer leads are in standard position with tips in the right atrium and right ventricle. . The lungs are clear. There is no pneumothorax . Bilateral effusions are small. Sternal wires are aligned
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<unk> year old woman s/p ppm implant // ptx, leads
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The tip of the left picc line projects over the junction of the left jugular and brachiocephalic veins. New bilateral hilar enlargement with prominent reticular markings throughout both lung fields suggestive of pulmonary interstitial edema. Retrocardiac opacity, likely reflecting atelectasis. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged. Small amount of pneumoperitoneum identified under the right hemidiaphragm as seen on recent ct.
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<unk> year old man with cough some subjective sob // interval change
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Minimal pneumomediastinum distributed along the aortic knob is consistent with the recent pericardiocentesis. Normal heart size is unchanged since <unk>. Left mid and lower lung opacity, which is combination of loculated pleural effusion, atelectasis and/or consolidation, has minimally improved since <unk>. Mild-to-moderate right pleural effusion is appreciated on chest ct dated <unk> is not really redemonstrated on the chest radiograph and for its evaluation, please refer to the dedicated chest ct. No evidence of pneumothorax.
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<unk>-year-old man with recent pneumonia, parapneumonic effusion, pericardial effusion, status post pericardiocentesis.
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The tip of the swan-ganz catheter is in unchanged position. A left ij central venous catheter terminates at the superior svc. The tip of the et tube is in appropriate position terminating <num> cm above the carina. The course of the nasogastric tube cannot be fully assessed due to scatter radiation. The cardiomediastinal silhouette remains enlarged. There is bibasilar atelectasis and pleural effusions, increased on the right. There is persistent mild vascular congestion. No pneumothorax is seen.
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<unk> year old man s/p cabg/pericardectomy, evaluate for pericardial effusion.
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Single portable view of the chest is compared to previous exams from <unk>. Despite improved inspiratory effort on the current exam, there is evidence of increased interstitial markings throughout, with more confluent opacity at the right lung base and on the left laterally. Dense mitral annular calcifications are seen. Cardiomediastinal silhouette is otherwise unremarkable. Right subclavian central line is seen with tip at the ra-svc junction. Degenerative changes are seen at the shoulders bilaterally.
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<unk>-year-old female with upper abdominal pain, pneumonia?
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Mild pulmonary edema is unchanged. Right-sided swan-ganz has been removed. Jugular sheath is still in position in upper svc. Moderate cardiomegaly with left-sided pectoral atrioventricular pacemaker is in adequate position. Bilateral pleural effusions are mild to moderate and unchanged with bibasilar atelectasis that has slightly increased on the right side. There is no pneumothorax.
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patient with non-stemi getting diuresis, evaluation for volume overload.
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There are fractures of the posterior left <unk> and <num>th ribs, as well as multiple other fractures which are not well seen. The degree of displacement in the <num>th rib fracture appears more pronounced. There is a moderate left pleural effusion, which has increased in size from one week ago. In addition, on the lateral view, the sharp demarcation between the opacity and aerated lung raises concern for left lower lobe collapse. Moderate cardiomegaly is unchanged. There is no pneumothorax. Pulmonary vascularity is normal.
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<unk>-year-old man with history of multiple myeloma, presenting with left-sided chest pain and a history of known rib fractures. evaluate for pneumonia, atelectasis,
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As compared to the previous radiograph, there is a slight increase in size of the cardiac silhouette and a newly appeared plate-like atelectasis on the right. Moderate retrocardiac atelectasis. The presence of a small left pleural effusion cannot be excluded. Unchanged position of the endotracheal tube.
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pneumonia, effusions, evaluation.
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Mild pulmonary edema is increased since the prior study. Dilatation of the bilateral pulmonary arteries is compatible with pulmonary arterial hypertension. Cardiac silhouette is moderately enlarged. No focal consolidation, pleural effusion, or pneumothorax is seen. A left chest pacemaker and leads are in unchanged positions. Tricuspid and mitral valves replacements are again seen.
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<unk> year old woman with reduced ef, interval change.
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In comparison with the study of <unk>, there is little change in the diffuse granular and interstitial pulmonary abnormality, which again could represent an infectious process or pulmonary drug reaction.
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interstitial process.
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Pa and lateral chest views were obtained with patient upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. Our records do not include a previous chest examination available for comparison.
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<unk>-year-old male patient with positive ppd, evaluate for tuberculosis for health employment form.
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Frontal and lateral views of the chest were obtained. There is persistent elevation of the right hemidiaphragm, slightly increased. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable with some calcification at the aortic knob.
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Two frontal and one lateral chest radiograph were obtained. There is a background of bullous emphysema. Opacity previously seen projecting over the lower portion of the spine may represent a focal consolidation. No other areas of concerning consolidation are identified. There is linear opacity at the right base. Otherwise, the lungs are clear. The appearance of the heart and mediastinum are unchanged.
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productive cough.
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A trauma board slightly limits evaluation of this radiograph. The left costophrenic angle is excluded from this radiograph. The lungs are clear. The cardiac and mediastinal contours are normal. There is no right pleural effusion. No pneumothorax. The bony thorax is grossly intact. A <unk>-mm round density overlying the lateral aspect of the t<num> vertebral body is likely within the patient's garment, although correlation with physical exam is recommended.
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status post bicycle accident. evaluate for acute process.
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Since <unk>, slightly increased opacity and size of the mass in the a right perihilar region. The right lower lung mass appears unchanged since <unk>. No new focal consolidation to suggest pneumonia. No pleural effusion, pneumothorax, or pulmonary edema. Stable cardiomediastinal silhouette and hila. The left port-a-cath appears intact and unchanged in position. Stable elevation of the left hemidiaphragm.
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<unk> year old woman with hx metastatic breast canecr w/known pulmonary mets with temp up to <num> not neutropenic; evaluate for pneumonia.
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Low lung volumes are noted. Linear opacities at the bases may be secondary to atelectasis. There is no effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. Contrast seen in the right renal pelvis from recent ct scan. Height loss of a lower thoracic vertebral body is unchanged from prior exam.
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<unk>f with myasthenia with sob // eval pna, edema
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No displaced fractures are evident.
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history: <unk>m with left sided chest pain after reported fall, but has tenderness on both sides of chest wall. no point tenderness to palpation, no ecchymoses. // assess for chest wall injury
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The heart size is normal and the mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The patient is status post left lower lobectomy. Blunting of the left costophrenic angle is chronic, and likely reflective of pleural thickening. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are visualized.
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right rib pain and bruising for <num> days after fight.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The aorta is somewhat tortuous.
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chest pain.
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Ett tube in standard placement. The newly placed og tube crosses the diaphragm and terminates in the expected region of the stomach in the left upper quadrant. Persistent left lower lung collapse with silhouetting of the left hemidiaphragm, unchanged. No focal consolidation, pulmonary edema, or pneumothorax. Minimal streaky densities, most likely subsegmental atelectasis, in the right infrahilar region.
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<unk>-year-old man status post cardiac arrest; evaluate og tube placement.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of injury status post motor vehicle accident. please evaluate for fracture.
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Pa and lateral images of the chest show no consolidations or infiltrates. There are no pleural effusions or pneumothoraces. The cardiomediastinal silhouette is within normal limits. There is no cardiomegaly. The osseous structures are unremarkable.
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history of leukemia, status post transplant with rising white count and cough.
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As suspected on the previous radiograph, the right lower lung opacity is highly suspicious for pneumonia. The opacity has not changed in appearance since yesterday's image. Also unchanged is relatively extensive left lower lobe atelectasis. Moderate cardiomegaly, overall low lung volumes. Unchanged monitoring and support devices, with the exception of newly introduced nasogastric tube. No larger pleural effusions. At the time of dictation and observation, the referring physician, <unk>. <unk>, was paged for notification. Findings were discussed on the telephone.
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status post aortic valve replacement, questionable pneumonia.
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There is slight improvement in the left lower lobe retrocardiac opacity with residual opacity and cystic lucencies persisting. There is no new focal consolidation. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is unchanged. There is no evidence of pulmonary vascular congestion.
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thrombocytosis and abnormal findings on cta chest from <unk>. evaluate for acute change, evaluate for pneumonia.
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Compared to the study from the prior day chest tubes been removed. The hazy opacity projecting over the right upper lung is similar. <unk> b-lines are seen in the right lower lung and there is substantial alveolar patchy infiltrate on the right and the left lung continues to be clear. There is mild cardiac enlargement.
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talc pleurodesis.
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Diffuse interstitial prominence with moderate cardiomegaly is consistent with moderate pulmonary edema. More linear area of focal consolidation within the right lower lobe is unchanged and is thought to reflect scarring/atelectasis. There is chronic elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. While the patient has known mediastinal lymphadenopathy, this and mediastinal lipomatosis, are better appreciated on the prior ct. Clips within the left upper abdomen are unchanged.
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dyspnea and hypoxia. delayed for fluid or pneumonia.
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Portable upright frontal view of the chest. A new right internal jugular line ends in the low superior vena cava. The lung volumes are low. There is no focal opacities, pleural effusion or pneumothorax. The aortic knob is calcified. The pulmonary arteries are enlarged. The heart size is normal. There is no free air beneath the hemidiaphragms.
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<unk>f with diabetic ketoacidosis. confirmation of line placement.
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As compared to the previous radiograph, the monitoring and support devices are constant. The atelectasis at the right lung base, combined to a small parenchymal opacity, is less severe than on the previous image. On the other hand, the opacity on the left has slightly increased in severity and has a new consolidative component. No other changes are noted. No pleural effusions, no pneumothorax. Unchanged size of the cardiac silhouette.
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pneumonia, evaluation for progression.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. A calcified granuloma projects over the right mid lung, not significantly changed. There is similar mild-to-moderate relative elevation of the right hemidiaphragm. Bony structures are unremarkable.
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right thoracic pain over the lower ribs. no history of trauma. past medical history of amyloidosis.
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There is complete opacification at the left lung base obscuring the left costophrenic angle, which is new from the prior study. A small left pleural effusion is difficult to exclude on this single ap view. The right lung is relatively clear. No pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is incompletely evaluated due to opacification of the left lung base. The mediastinum appears prominent compared to the most recent prior study, which is in part related to technique; however, there is indistinctness at the aortic knob for which further evaluation with chest cta is warranted.
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chest pain and hypotension, here to evaluate for widening of the mediastinum.
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Frontal and lateral views of the chest. The lung volumes are decreased compared with <unk> and the right hemidiaphragm is again elevated. There are minimal bibasilar opacities which most likely represent atelectasis. There is no frank consolidation. No pulmonary edema, pleural effusion or pneumothorax is detecetd. The low lung volumes accentuate the heart site; however, the heart size is likely not enlarged. The aortic knob is calcified.
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The patient is status post median sternotomy and cabg. Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus, all in unchanged positions. The heart remains moderately enlarged. Tortuosity of the thoracic aorta is again seen, and the mediastinal contours remaining unchanged. No overt pulmonary edema is present. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. Old right-sided rib fractures are present.
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congestive heart failure and cough.
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The patient is less rotated than on the prior study, and cardiomediastinal contours are stable in appearance when allowances are made for these positional differences. Interval improvement in extent of left retrocardiac opacity, which may be due to improving atelectasis. Development of poorly defined opacities in periphery of the left mid and lower lung, a nonspecific finding, for which short-term followup radiographs may be helpful to exclude a developing infection in this region. Small left pleural effusion is also noted.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
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<unk>-year-old female with chest pain and shortness or breath.
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There is very slight rotated positioning. Multiple lines and tubes are present, nominal in position. The right ij swan-ganz catheter tip may lie in the rv or at the origin of the pulmonary outflow tract. No pneumothorax detected. Again seen is cardiomegaly, with sternotomy wires and prosthetic valve. The aortic valve is indistinct, but not clearly changed compared with the most recent prior film. Equivocal slight convexity is seen in the region of the aortopulmonary window, in the setting of air bronchograms and consolidation around the lobar and segmental airways. Mild vascular plethora is again noted, grossly unchanged. Also again seen is left lower lobe collapse and/or consolidation, with obscuration left hemidiaphragm. This has probably increased slightly compare with the prior film. The possibility of a small left effusion cannot be excluded. Minimal atelectasis at the right base is slightly increased. No gross effusion identified.
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<unk> year old woman with avr/mvr/tvr, asc ao // interval change in fullness around aorta
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Pa and lateral views of the chest. There is vague opacity projecting over the right lung apex. In addition, there is thickening along the right pleura at the anterior junction line. Overall this is suggestive of pleural-based disease. Elsewhere, the lungs are clear without focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable without visualized displaced rib fracture.
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<unk>-year-old female status post fall with left lateral rib pain over a month ago. pneumonia.
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Frontal and lateral views of the chest. Peribronchial cuffing, cephalization of the pulmonary vascular and interstitial edema are new since <unk>. Small bilateral pleural effusions are also new. The mediastinum is mildly widened and the heart size is mildly enlarged.
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cad now s/p complicated lhc on <unk> and <unk> with bms placement today now with recurrent chest pain. evaluate interval change in mediastinum/cardiac silhouette.
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Lungs volume are low with minimal bibasilar atelectasis. The lungs are otherwise clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
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patient with rigors, intense epigastric pain. rule out perforation.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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history: <unk>f with fevers, chills, productive cough // ? pneumonia
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In comparison with study of <unk>, there is increased opacification in the retrocardiac region consistent with atelectasis or, in the appropriate clinical setting, supervening pneumonia. Some enlargement of the cardiac silhouette persists.
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diabetes, with worsening oxygenation.
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Lung volumes are low. The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>m with new ascites and osh ct showing ? pneumonia on right. // eval for prior right sided densities on osh ct. also new dx of cirrhosis and new ascities over one week. eval portal vein.
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Bilateral pleural drains are in unchanged in position. No pneumothorax is identified. There are persistent small bilateral pleural effusions. Central parenchymal opacities have slightly improved since the prior exam, likely due to a reduction in the amount of pleural fluid. A linear opacity in the left upper lung zone is unchanged. There is no new opacity. The cardiomediastinal silhouette is normal.
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bilateral drains. evaluate for pneumothorax.
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As compared to the previous radiograph, the swan-ganz catheter has been slightly pulled back. The tip now projects over the outflow tract of the pulmonary trunk. No evidence of complications. Unchanged moderate cardiomegaly. No pneumothorax or pleural effusions.
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evaluation for catheter placement.
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There is no consolidation, pleural effusion or pneumothorax. There is focal pleural thickening at left posterior lung base. Cardiomediastinal and hilar silhouette are normal size.
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<unk> year old woman with ongoing pneumonia and parapneumonic effusion // interval change
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The mid to lower lungs are relatively underpenetrated, presumed due to patient body habitus. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. Mild prominence and indistinctness of the central pulmonary vasculature suggests pulmonary vascular engorgement without overt pulmonary edema.
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history: <unk>f with dyspnea // acute process
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Previous median sternotomy noted. A dual lead pacemaker and valve prosthesis are unchanged in appearance compared to prior study. A right-sided picc is unchanged in appearance terminating likely in the right atrium. An endotracheal tube and nasogastric tube are unchanged in appearance. Lung volumes remain low. Probable layering pleural effusion at the left lung base with associated atelectasis. The right lung is clear.
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<unk> year old man with cervical-spine epidural hematoma // routine cxr
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Lungs are hyperinflated. Increased interstitial markings are seen in the lungs, particularly with an upper lobe distribution. There is retrocardiac opacity and silhouetting of the left hemidiaphragm. Some of this may be due to atelectasis given volume loss and leftward shift of the mediastinum. Superimposed consolidation is possible. Cardiac silhouette is grossly unchanged in size. No acute osseous abnormalities. Might no height loss of mid thoracic vertebral bodies are unchanged.
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<unk>f with fever, cough, copd // please eval pneumonia
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Single frontal view of the chest was obtained. There is right <unk>- and infra-hilar opacity projecting over the right lower hemithorax, infectious process or aspiration not excluded. No large pleural effusion is seen. The cardiac silhouette is mildly enlarged. Mild pulmonary vascular congestion is likely present. There is moderate compression of a mid thoracic vertebral body, stable since at least <unk>.
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New dobbhoff tube with the tip at the first portion of the duodenum. Surgical clips are again noted in the left upper mediastinum. Otherwise, there is little change in comparison to prior study. There is continued elevation of the right hemidiaphragm with liver enlargement. Mild right basilar atelectasis as well as small right pleural effusion are again noted. Additionally, mild pulmonary edema persists. Otherwise, no new consolidations, effusions, or pneumothoraces.
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evaluation of patient with new dobbhoff tube placement.
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Chest, pa and lateral. The lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
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chest pain. evaluate for pneumonia.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Minimal atelectasis is seen in the left lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. No displaced fractures identified.
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history: <unk>m with lower rib pain // evaluate for pneumonia
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. There is no pulmonary vascular congestion or overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta. Partial calcification at the aortic knob is noted. No acute osseous abnormality is detected.
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dyspnea on exertion, here to evaluate for pneumonia.
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Compared with earlier the same day, at <time> and allowing for technical differences, no significant change is detected. No pleural effusion, pneumothorax or focal airspace consolidation. Possible atelectasis at left base. Heart is moderately enlarged but unchanged. Upper zone redistribution, but no overt chf, as better seen on the recent ct thoracic spine. No displaced rib fracture detected on these lung technique films .
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fall. evaluate for traumatic process.
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Endotracheal tube, nasogastric tube, swan-ganz catheter, and chest tubes are unchanged in position. Appearances of the cardiac silhouette and mediastinum are unchanged, along with trace left pleural effusion and mild pulmonary edema.
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<unk>-year-old man with drop in bp after high volume chest tube output after cardiac surgery, assess for widened mediastinum.
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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 appear intact. An old deformity of the left mid clavicular shaft is noted. No free air below the right hemidiaphragm.
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A nasogastric tube cannot be followed but presumably ends in the stomach. A left pectoral pacer defibrillator has leads ending in the right atrium. A right internal jugular line ends in the cavoatrial junction. A right subclavian port-a-cath ends in the mid svc. Multiple other wires are presumably external. Compared to the prior chest radiograph of <unk> the heart size has markedly increased and is now moderately to severely enlarged. Pulmonary vascular congestion and perihilar interstitial opacities consistent with moderate pulmonary edema are stable. There are no large pleural effusions or pneumothorax.
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<unk>m w chf s/p whipple w increased resp distress, tachypnea, desaturation // ? fluid overload/effusions
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Multiple mediastinal clips are noted. No acute osseous abnormalities. Anterior cervicothoracic fixation hardware is partially visualized.
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<unk>m with cad s/p cabg*<num> <unk> // pulmonary edema
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Mild cardiomegaly without pulmonary edema. Mild tortuosity of the thoracic aorta. No acute changes, notably no pneumonia, no pulmonary edema and no pleural effusions.
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pre-operative chest x-ray.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear and well expanded. There is no pleural effusion, pneumothorax, or focal opacity. The osseous structures are unremarkable, except for slightly worsened degenerative osteophytic changes of the thoracic spine, best seen on the lateral view.
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<unk> year old woman with <num> days of respiratory congestion, left sided chest pain. pneumonia?
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Frontal and lateral radiographs of the chest were acquired. Within the left upper lobe there is a <num> x <num> cm opacity, concerning for a neoplastic process. The lungs are otherwise clear. The heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted.
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right first mtp pain, found to have bibasilar crackles and coarse breath sounds diffusely. evaluate 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 seen. There is no subdiaphragmatic free air noted. No acute osseous abnormalities demonstrated.
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abdominal pain after endoscopy.
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Pa and lateral views of the chest were obtained. The lungs are clear and well expanded. No focal consolidation, effusion, or pneumothorax is seen. Heart size is normal. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Indwelling support and monitoring devices are unchanged in position, including bilateral chest tubes, with no visible pneumothorax. Cardiomediastinal contours are difficult to assess due to patient rotation but are probably stable allowing for this factor. Worsening opacity in left retrocardiac region is likely a combination of atelectasis and effusion. Mild perihilar haziness is attributed to edema, and a patchy infrahilar opacity on the right could reflect dependent edema, atelectasis or aspiration.
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No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. Relative rounded left base retrocardiac opacity with at least a couple of lucencies within has appearance suggestive of a hernia containing bowel/stomach. Upon discussion with the resident taking care of the patient, the patient does not currently have a cough or other pulmonary symptoms. The cardiac silhouette is mildly enlarged. Right paratracheal opacity without indentation on the trachea most likely relates to prominent vasculature and/or mediastinal fat. The cardiac silhouette appears enlarged. Degenerative changes are seen in the bilateral glenohumeral joints.
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history: <unk>f with r ear pain, dizziness // eval for pneumonia
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Heart size is top normal. The mediastinal and hilar contours are normal. The lungs are clear with no evidence of pulmonary edema. No pleural effusion or pneumothorax is seen. Again seen is a tips projected over the liver.
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<unk>m with previous pulm edema <num> days now s/p lasix // improvement of pulm edema?
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>f with <num> day history of cough and chills // r/o pneumonia
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Lungs are hyperinflated with a paucity of vasculature seen in the upper lobes, suggesting emphysema. No pleural effusion. Heart is normal size. No pulmonary edema. Mediastinal and hilar contours are unremarkable. Old-appearing clavicular fractures bilaterally are noted. A tendon anchor is present in the right shoulder.
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weakness. evaluate for pneumonia.
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Pa and lateral views of the chest were provided. Lungs are clear. No focal consolidation, effusion, or pneumothorax is seen. The cardiomediastinal silhouette appears normal. No pleural parenchymal scarring is noted. The heart and mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear of focal consolidation worrisome for pneumonia. On the lateral view, there are linear opacities in the retrosternal clear space which likely localize to the left lung which demonstrates fibrotic changes laterally on the frontal exam, unchanged dating back to <unk>. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>f with seizure, denies seizure hx // please eval for any pna
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Again, there is evidence of pectus excavatum deformity accounting for subtle opacity at the right heart border, less conspicuous as compared to the prior study. No overt pulmonary edema is seen. No displaced fracture is identified.
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Portable single frontal chest radiograph was obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Again noted is angulation of the right <unk> and <num>th ribs which may represent prior trauma.
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confusion, evaluate for acute process.
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In comparison with study of <unk>, there is no evidence of appreciable improvement in the significant volume loss in the left lower lobe. There is continued bilateral pleural effusion, more prominent on the right, with underlying compressive atelectasis. Monitoring and support devices remain in place. Some engorgement of pulmonary vessels is consistent with elevated pulmonary venous pressure in a patient with enlargement of the cardiac silhouette.
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hepatic failure with intubation and previous lll collapse, to assess for interval improvement after peep.
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Heart size remains moderately enlarged. Large hiatal hernia is re- demonstrated. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax. No subdiaphragmatic gas is visualized. Moderate multilevel degenerative changes are seen within the imaged thoracic spine.
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history: <unk>f with epigastric pain
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A left internal jugular line and mitral valve are unchanged. Elevation the right hemidiaphragm appears chronic. The cardiac and mediastinal contours are stable. There is mild pulmonary vascular congestion which is new since <num> days ago. No focal consolidation, pleural effusion or pneumothorax.
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(k) <unk>f w/ chronic hepatitis c, esrd secondary to htn, (hd <unk> via rue av graft), cad, hld and a mechanical mitral valve (on coumadin) here for ddrt. now with interval nausea and tachypnea.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
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<unk>-year-old male with chest pain and report of recent lung infection.
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Pa and lateral views of the chest were provided, demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Frontal and lateral views of chest demonstrate normal cardiac and mediastinal silhouette. Despite low lung volumes, the lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old female with chest tightness.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. Note is made of mild pleural thickening adjacent to the lateral left <num>th rib. There may also be a subtle non-displaced fracture of the left lateral <num>th rib.
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history of left-sided pleuritic chest pain. please evaluate for pneumothorax.
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Ap frontal and lateral radiographs were obtained. These demonstrate clear lungs bilaterally with no focal consolidation. The patient is status post large paraesophageal hernia repair. A retrocardiac density within the left lower hemithorax may relate to prior paraesophageal repair. Heart size is normal. Significant atherosclerotic calcifications are identified within the aortic arch. Visualized osseous structures are without acute abnormality. No evidence of pneumothorax. There is no right-sided pleural effusion. Obscuration of the left hemidiaphragm is suggestive of a small pleural effusion.
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<unk>-year-old male status post fall and confusion.
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No previous images. The dobbhoff tube extends into the upper stomach, before coiling back on itself so that the opaque tip is pointing upward at about the level of the cardioesophageal junction. The cardiac silhouette is somewhat enlarged without definite vascular congestion or acute pneumonia. Atelectatic changes are seen at the left base. Of incidental note, the outermost portion of the right hemithorax has been excluded from the image.
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dobbhoff placement.
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As compared to the previous radiograph, the patient has received a left chest tube. The tube is in correct position. The extent of the pre-existing left pleural effusion has substantially decreased. A small effusion at the level of the costophrenic sinus persists. Correct position of the left pigtail catheter. There is no evidence of pneumothorax. Otherwise, the radiograph is unchanged, with moderate cardiomegaly, mild fluid overload, and axillary left-sided clips.
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left chest tube, evaluation for pneumothorax.
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Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours appear unchanged with unchanged rightward shift of mediastinal structures compatible with right-sided volume loss. Linear opacities within the right lung base with right costophrenic angle blunting likely reflect areas of scarring. No new focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormality is seen.
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history: <unk>f with fever and change in mental status
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The right ij central line terminates in the mid to distal svc, unchanged in position. The tracheostomy tube appears unchanged in position. There is persistent leftward mediastinal shift. The left heart border is also obscured consistent with atelectasis of the lingula. The left basilar opacity has increased consistent with worsening atelectasis and pleural effusion. There may be a small right pleural effusion as well.
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<unk> year old man with rf s/p failed extubation // l lung collapse ? mucous plugging?
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The ng tube tip is in the stomach. Dilated loops of small bowel are again visualized. Right-sided picc line in diffuse pulmonary opacities are unchanged
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<unk> year old woman s/p ngt // confirm ngt placement
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Pa and lateral views of the chest provided. Overlying ekg leads are present somewhat limiting assessment. Minimal right infrahilar opacity could represent mild atelectasis. The heart size is top-normal. Aortic calcifications at the knob noted. No pneumothorax or pleural effusion. Bony structures are intact.
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<unk>f with sob // eval pna
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Frontal and lateral views of the chest. Again seen are multiple bilateral pulmonary nodules compatible with metastatic disease. There is a small right-sided pleural effusion similar to prior. There is no definite new consolidation. Elevation of the right hemidiaphragm is similar to prior. The cardiomediastinal silhouette is unchanged. No definite acute osseous abnormality or fracture identified on this nondedicated exam.
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<unk>-year-old male with left lower rib tenderness status post fall.
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