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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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Findings
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The heart size, mediastinal and hilar contours are normal and without change. The lungs are clear, and there are no pleural effusions or acute skeletal abnormalities.
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The patient is intubated, the tip of the endotracheal tube projects <num> cm above the carina. The nasogastric tube is in correct position. Moderate cardiomegaly without overt pulmonary edema. No pneumonia. No areas of atelectasis. No pleural effusions. No pneumothorax.
generalized seizure, status post partial parathyroidectomy, right thyroid lobectomy, intubation for airway protection.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>f with chest pain // ? ptx
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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. The lungs appear clear. Incidental note is made of left-sided cervical rib.
cough and fever.
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Cardiomediastinal and hilar contours are unchanged with stable rightward mediastinal shift. Tubular opacity projecting over the right hemithorax likely represents a structure extrinsic to the patient and severely limits assessment of the right lung. Likely stable bibasilar opacities with a right juxtaphrenic peak suggesting stable right lower lobe volume loss. No pneumothorax.
<unk>-year-old woman with known lung cancer, now with pneumonia and possible copd exacerbation. evaluate for interval change.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
syncope.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Calcified granuloma projects over the left upper lung. The cardiomediastinal silhouette is normal. Imaged osseous structures are unremarkable. No free air below the right hemidiaphragm is seen.
<unk>f with weakness, hx of chf // assess for edema, infiltrate, effusion
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Support devices: there is an implanted pacemaker with leads in unchanged position. There is increased heterogeneous opacity in the left lower lobe, most apparent on the lateral view. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
history: <unk>m with sob. evaluate for pulmonary edema or pneumonia.
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Portable semi-upright chest radiograph was obtained. Aicd device is unchanged with tip extending into the expected location of the right atrium and right ventricle. Midline sternotomy wires and multiple mediastinal clips are again noted. Diffuse pulmonary ground-glass opacities are most likely secondary to pulmonary edema. There is a small right pleural effusion. A tiny left pleural effusion cannot be entirely excluded. Cardiomegaly is stable. No pneumothorax. Bony structures appear intact.
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There is similar appearance of the right lung with right-sided volume loss, interstitial fibrotic changes and pleural thickening. The left lung is relatively clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary edema is seen. The heart is stable in size. The mediastinum is first tract into the right
<unk> year old man with crackles at right base and recent upper respiratory infection. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. The port-a-cath terminates at approximately the cavoatrial junction.
history: <unk>m with a history of stomach cancer, now presenting with weakness // eval heart and lungs
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As compared to the previous radiograph, the picc line has been advanced. The tip of the line now projects over the mid svc. There is no evidence of complication, notably no pneumothorax. Otherwise, the image is unchanged.
picc line placement.
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Right-sided port-a-cath tip terminates at the svc/right atrial junction. Lung volumes remain low with bibasilar atelectasis appearing unchanged. Cardiac and mediastinal contours are similar. Pulmonary vasculature is not engorged. No pneumothorax or pleural effusion is detected. A percutaneous biliary catheter is noted coursing through a biliary stent. Multiple clips are noted about the midline abdomen and right upper quadrant of the abdomen. No subdiaphragmatic free air is noted.
history: <unk>m with pancreatic cancer, recent stent, worsening abdominal pain
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Diffuse bilateral opacities, including more confluent opacities at the lung bases bilaterally are worsened from ct <unk>. Bilateral pleural effusions are small. The cardiomediastinal silhouette is unremarkable. No pneumothorax.
history: <unk>m with ersd // eval for pna
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Single supine portable view of the chest was obtained. The endotracheal tube terminates approximately <num> cm above the level of the carina. Nasogastric tube is seen coursing below the level of the diaphragm, with the side port at the ge junction and distal tip likely terminating within the stomach, suggest advancement so that the side port is well within the stomach. Extensive bilateral perihilar opacities likely relate to edema, although underlying consolidation may also be present. No large pleural effusion or pneumothorax is seen. The patient is status post median sternotomy and cabg. Left-sided aicd is stable in position.
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Pa and lateral views of the chest were provided. There is mild bibasilar atelectasis. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
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Pa and lateral chest views obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormalities identified. Thoracic aorta unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No prior chest examinations in our records are available.
<unk>-year-old male patient with chronic hpv with pleuritic chest pain and dyspnea for the past month, worsening over past week. fevers, crackles at base on examination, evaluate.
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Left picc tip position in mid svc. There is no malpositioning or kinking of the picc throughout its course. Cardiac size is normal. Tortuous aorta. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old male w/ recurrent aml // lue picc site significantly swollen, evaluate for placement
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The heart size remains top normal. The aorta is moderately tortuous but unchanged. The pulmonary arteries remain enlarged, suggestive of pulmonary arterial hypertension. There is minimal atelectasis in the lung bases. Blunting of the costophrenic angles posteriorly on the lateral view may be due to chronic pleural thickening. The lungs are hyperinflated compatible with copd. No pneumothorax or large pleural effusion is otherwise demonstrated. There are mild multilevel degenerative changes in the thoracic spine with slight loss of height of several mid and lower vertebral bodies.
copd and history of pneumothorax.
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion or pneumothorax. Note is made of an azygos fissure. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures demonstrate no acute abnormality.
<unk>-year-old male with chest pain radiating to left arm.
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A right-sided chest tube is noted, with the tip outside of the thoracic cage. There is some subcutaneous emphysema along the right thoracic wall. Otherwise, there is nearly complete opacification of both lungs. A moderate pneumothorax is noted in the right. Assessment of the heart could not be performed as the heart silhouette is obscured by pulmonary opacifications. Mediastinal clips and sternotomy wires are sequela of a prior cardiothoracic surgery.
patient status post chest tube placement. evaluate for location of the chest tube.
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There has been interval placement of an endotracheal tube, the tip terminates <num> cm above the level the carina. Again seen are patchy bilateral airspace opacities in a predominately perihilar distribution consistent with pulmonary edema, infection cannot be excluded. The extent of parenchymal changes similar when compared to the prior study. No definite effusion seen. A right internal jugular catheter terminates in the mid svc. An nasogastric tube terminates below the left hemidiaphragm. The tip is not visualized on this study. Degenerative changes in the bilateral shoulder joints.
<unk> year old woman with urosepsis with resp failure. // ett placement
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Heart size is mildly enlarged. Aorta is tortuous and diffusely calcified. Moderate hiatal hernia is demonstrated. Hilar contours are normal. There is no pulmonary vascular congestion. Patchy bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is present. Multiple compression deformities are noted within the mid thoracic spine and at the thoracolumbar junction, of unknown chronicity.
near-syncope.
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The previously noted two fiducial seeds in the left upper lung are again noted. Despite indication stating procedure is post procedure, no new fiducial seen. There is a stable <num> cm nodular density in the left lower lung as well as an <num> mm nodular density in the right lower lung. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax or pleural effusion evident.
status post lung fiducial and biopsy. patient is in radiology care unit. assess for pneumothorax.
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Both lungs are well inflated. The blunt left costophrenic angle previously described in prior study is again seen and unchanged. This likely reflects left lower lung subpleural parenchymal scarring seen on <unk> chest ct. There is no effusion seen on lateral view. There are no consolidation, masses, nor pneumothorax. The cardiomediastinal silhouette and hilar silhouettes are normal.. There is no acute bony abnormality nor evidence of acute fracture.
<unk> year old woman who underwent routine cxr for work tb screening, had a positive ppd, and a cxr which noted "mild left cp angle blunting which may be chronic" // confirm findings, and next steps
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As compared to the previous radiograph, there is no relevant change. The lung volumes have slightly increased, potentially indicating improved ventilation. Pulmonary nodules are again visualized, but are better depicted on the ct from <unk>. No acute changes. No pleural effusions, no pneumothorax.
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There is a large right and small left pleural effusion with associated atelectasis. Extension of the right pleural abnormality over the apex of the lung could be due to pleural thickening, in addition to the effusion. Left basilar interstitial markings may reflect edema. The lungs are hyperinflated, and there is no focal consolidation. The heart size is normal.
<unk>-year-old male with hypoxia.
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The lungs are clear. Cardiac size is top normal with left ventricular prominence. There is no pleural effusion, pneumothorax or pulmonary edema.
productive cough.
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Cardiac size is exaggerated by low lung volumes but likely normal. There is no pleural effusion, pneumothorax, edema or evidence of pneumonia.
cough five days.
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The heart size is mildly enlarged, slightly increased in size compared to the exam from <unk>. 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.
history of altered mental status, recurrent hypoglycemia. please evaluate for infiltrate.
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with mvc.
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Frontal and lateral views of the chest were obtained. There are small bilateral pleural effusions with overlying atelectasis, underlying consolidation is not excluded. The aortic knob is calcified. The cardiac silhouette is top normal. There is widening of the right acromioclavicular joint, which appears chronic.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiac silhouette is enlarged secondary to prominent pericardial fat. No acute osseous abnormalities are seen.
<unk>-year-old female with dyspnea, cough, wheeze.
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No focal consolidation is seen. Small nodule opacities seen on chest ct are not as well appreciated on chest radiograph. Chronic subtle opacity in the right upper to mid lung, also demonstrated on chest ct performed earlier this same date. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with left facial numbness and chest pain // eval for ich, chf, pneumonia
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Pa and lateral views of the chest provided. Dual lead aicd appears unchanged in position. There is no focal consolidation, edema or pneumothorax. Trace right pleural effusion is noted. Cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with dyspnea // r/o acute process
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Right internal jugular dialysis catheter terminates in right atrium. Prosthetic aortic valve is noted. Tracheostomy tube is in unchanged position. There is no large pleural effusion. Cardiomediastinal silhouette is normal size. A pigtail catheter is noted overlying the mid abdomen. Mild left upper lung opacity is similar to before and may reflect asymmetric clearing of pulmonary edema or pneumonia in correct clinical setting.
history: <unk>m with difficulty ventilating, trach'ed // ? acute cardiopulm process
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. No subdiaphragmatic free air is visualized. Clip is seen projecting over the gastroesophageal junction.
history: <unk>f with upper gi bleed
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A right chest wall power injectable port-a-cath is present, unchanged. Interval increase in the amount of left pleural fluid, now moderate to large in extent, with adjacent atelectasis. Minimal atelectasis at the right costophrenic angle. No pneumothorax identified.
<unk> year old man with metastatic gastric cancer // looking for pneumonia
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The inspiratory lung volumes are decreased from the most recent prior study. There is no focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits. The trachea is midline.
history of migraines, now with worsening sharp pleuritic chest pain, here to evaluate for pneumonia or pleural effusion.
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Single portable view of the chest. Endotracheal tube is seen with tip approximately <num> cm from the carina. Enteric tube seen passing below the inferior field of view with side port past the ge junction. Increased interstitial markings seen throughout the lungs, suggestive of edema. The cardiac silhouette is mildly enlarged, given positioning and technique. No acute osseous abnormality is identified.
<unk>-year-old female status post intubation.
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The patient is status post median sternotomy and aortic valve replacement, with sternotomy wires seen intact and well-aligned. A vascular stent is projects over the anterior mediastinum. Bilateral hilar prominence is likely chronic. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
cough.
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Mild cardiomegaly is similar compared to the previous examination. There has been interval resolution of the previously noted mild pulmonary edema. The mediastinal and hilar contours are unremarkable. Minimal atelectasis is seen in the retrocardiac region without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present.
history: <unk>m with dementia, with worsening delirium undergoing infectious workup
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Pa and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk>. On the present examination, one can identify a newly placed permanent pacer in left anterior axillary position, seen to be connected with two intracavitary electrodes terminating in a position compatible with mid anterior portion of the right atrial wall and the second terminating in the apical portion of the right ventricle.thus the position is good provided that good contact has been established. The heart size is mildly enlarged with a configuration favoring the left ventricle. The thoracic aorta is moderately widened and elongated but no local contour abnormalities are seen. The pulmonary vasculature is not congested, and no acute pulmonary infiltrates are seen. An unclear finding consists of a double large size metallic ring structure overlying the heart shadow on the frontal view. On the lateral view, a metallic singe ring projects in the <unk> the heart shadow and another square metallic structure is located posteriorly to it. It is concluded that all these metallic structures are not belonging to the pacemaker device, but most consistent of external devices that have been moved between the taking of the frontal and lateral views.
<unk>-year-old male patient, status post dual-chamber permanent pacer implantation. evaluate lead position.
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The tortuous descending aorta is more bulbous than on a prior pa and lateral chest radiographs, and may have developed a small aneurysm. Heart size is top normal. Mild pulmonary vascular congestion seen on <unk> exam has resolved. Pacemaker leads are in unchanged position.
cough.
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Pa and lateral chest radiographs are provided. Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged. There is no evidence of chf.
<unk>-year-old man with chest pain, evaluate for cardiopulmonary process.
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Heart size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
history: <unk>f with palpitations // ? acute intrathoracic process
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Endotracheal tube terminates approximately <num> cm above the level of the carina. Enteric tube courses below the diaphragm and coils in the expected location of the stomach. There are low lung volumes, which likely in part accentuate the cardiomediastinal silhouette. The superior mediastinum is widened. If there is clinical concern for acute mediastinal injury, suggest chest cta. Difficult to exclude small left pleural effusion. Relative opacity over the right lung is nonspecific but underlying pulmonary contusion not excluded.
history: <unk>m with post arrest*** warning *** multiple patients with same last name! // eval ett
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The new endotracheal tube tip projects in the region of the mid thoracic trachea. Unchanged positioning of the swan-ganz catheter, right picc line, and left chest tube. Mediastinal clips are unchanged in position. The ng tube projects over the left upper quadrant. There is new complete collapse of the right lower lobe with compensatory hyperexpansion of the remaining right lung. Vascular engorgement is unchanged. Aortic knob contour is similar in appearance. Small left-sided effusion is unchanged.
<unk> year old man s/p thoracic aneurysm repair with ett replaced. eval for ett position.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. There is mild bibasilar atelectasis. No focal consolidations concerning for pneumonia are identified. There is no large pleural effusion or pneumothorax. Note is made of possible minimal thickening, less likely very trace fluid within the minor fissure.
history of dyspnea, chest pain. please evaluate for acute cardiopulmonary process.
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There is stable severe cardiomegaly with a new large right-sided pleural effusion. The left lung is well inflated, without focal opacities but vascular cephalization is apparent - although improved from prior. A pacemaker is noted in the left axilla with leads ending in the right atrium and right ventricle, unchanged.
<unk>-year-old male with hypoxia and elevated jugular venous distention. evaluate for evidence of chf.
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Frontal and lateral views of the chest demonstrate moderate cardiomegaly, increased since prior exams. The thoracic aorta is unfolded, with atherosclerotic calcifications. There is mild perihilar vascular congestion without frank edema. The mediastinal and hilar contours are within normal limits. There is no pneumothorax or large effusion.
<unk>-year-old female with exertional chest pain and shortness breath. question acute process.
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Pa and lateral views of the chest provided. There is no free air below the right hemidiaphragm. There is mild linear atelectasis the right lung base. Otherwise the lungs are clear. No large effusion or pneumothorax. The heart appears top-normal in size. Mediastinal contour appears normal. Bony structures are intact.
<unk>f with constipation, obstipation x <num>d, large periumbilical hernia, tense
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As compared to the previous radiograph, no relevant change is seen. The lung volumes are low. Minimal atelectasis at both lung bases. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. Moderate tortuosity of the thoracic aorta. No evidence of pneumonia. No pneumothorax.
new fever, assessment for pneumonia.
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Right-sided picc line ends in the mid svc. The enteric catheter traverses past the diaphragm; however, coiling is noted within the throat region. Consolidation in the left lobe is seen and is described in further detail in other imaging reports. No pleural effusion or pneumothorax is noted. The cardiac silhouette and mediastinal contours are unchanged from previous radiographs. No definite bony abnormalities are noted.
<unk>-year-old male with hepatitis c cirrhosis status post transplant, worsening tachypnea, evaluate for aspiration or developing pneumonia.
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Lungs are clear without focal consolidation, effusion, or edema. Increased density projecting over the right side of the mediastinum and hilum are compatible with known calcified nodes. No acute osseous abnormalities.
<unk>m with chest pain // eval for pna, chf
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Lung volumes are normal. Parenchymal opacity in the posterior aspect of the left lower lobe is consistent with pneumonia. There is no effusion or pneumothorax. Mediastinal and hilar contours are normal. Heart size normal. Mid thoracic dextroscoliosis is noted.
<unk>f with fever, tachycardia // ? pneumonia
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There are mild increased retrocardiac opacities. Mild increase interstitial findings are noted and may represent minimal pulmonary edema. The patient is status post mitral valve surgery with intact median sternotomy wires and mitral valve prosthesis. The lungs are clear with no evidence of a focal consolidation. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
upper abdominal pain.
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Pa and lateral views of the chest were provided. Low lung volumes limit the evaluation, though allowing for this, there is no definite evidence for focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears stable with borderline cardiomegaly noted. Bony structures are intact. No free air below the right hemidiaphragm.
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Surgical clips project over the left hemithorax. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>m with cough // rule out pneumonia
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There is no evidence of free air. Cardiac size is normal. Pleural surfaces are unremarkable with no pleural effusion. Trachea is midline. No focal consolidations concerning for pneumonia. Accentuation of the vasculature is likely due to low lung volumes.
<unk>-year-old female with epigastric pain. evaluate for free air.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion, pneumothorax, pulmonary edema. No focal consolidations are noted.
history: <unk>m with left sided chest pain // eval pneumonia, other acute process
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Ap and lateral views of the chest. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with right upper quadrant pain.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
<unk>m with palpitation, diaphoresis // eval for acute process
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Minimal elevation of the right hemidiaphragm is seen. Slight opacity projecting over the inferolateral right lower lung on the frontal view may relate to scarring or atelectasis, not substantiated on the lateral view. Small rounded opacities projecting over the bilateral lower thorax at the same level bilaterally are most consistent with nipple shadows. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
cough and fevers.
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The cardiac silhouette is enlarged and appears slightly larger when compared to <unk> study that may be exaggerated secondary to low lung volumes. Mild bibasilar atelectasis is seen. No pulmonary vascular congestion or pulmonary edema is seen. No focal consolidations, pleural effusions, or pneumothorax are seen.
<unk> year old woman with dm, htn, severe doe, hypoxemia at rest, pnd, exertional chest pain, morbid obesity, untreated osa and likely pulm htn // assess for chf or any other pulmonary parenchymal disease to explain sat of <num>% on ra
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Frontal and lateral views of the chest were obtained. Right apical scarring is similar to the prior ct. Left basilar opacity is new from <unk> and may represent atelectasis or infection. There is no pleural effusion or pneumothorax. Heart size is normal. The aorta is tortuous with aortic knob calcifications. Hilar contours are stable.
tia. evaluate for pneumonia.
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Stability of the bilateral lower lobe atelectasis/consolidation. The rounded focal opacity is unchanged in the right middle lung. There is no pneumothorax and no significant pleural effusion. The endotracheal tube is in adequate position at <num> cm above the carina. There is a right jugular line projecting in the cavoatrial junction. The nasogastric tube and the feeding tube are also in adequate position. The mediastinal and cardiac contours are unchanged and within normal limits.
patient with cirrhosis, esophageal varices. hypoxemia and pneumonia.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
cough, high fever. rule out pneumonia.
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Pa and lateral chest views have been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Also unchanged appearance of thoracic aorta. No pulmonary vascular congestion is present. The right-sided hemithorax is unchanged and does not demonstrate any new infiltrates, masses or pleural effusion. On the left side, the previously identified mass lesion in the proximal portion of the left lower lobe has increased in size. It involves now also the periphery of the left lower lobe and reaches the pleural space. On the lateral view, one can identify a moderate amount of pleural effusion surrounding the mass. There is no evidence of any secondary metastases and no pneumothorax is identified in the apical area.
<unk>-year-old female patient with copd and known lung mass, now with low oxygen saturation, hemoptysis and dyspnea, infiltrates. evaluate for progression of lung mass.
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Allowing for differences in positioning, the et tube ng tube and <num> right ij lines are probably similar in position. Again seen is mild to moderate cardiomegaly and chf with vascular plethora an interstitial edema. Small amount of alveolar edema would be difficult to exclude. Retrocardiac opacity consistent with left lower lobe collapse and/or consolidation is unchanged. There is increased hazy density over the right over lower half of the right lung and to some degree at the left base. I suspect this reflects layering pleural effusions. Presence of progressed collapse and/or consolidation at the right base laterally cannot be excluded.
<unk> year old man s/p cardiac arrest, started on crrt, remains intubated // interval change?
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A central venous catheter again terminates in the right atrium, passing through a left brachiocephalic stent, as before. The patient is also status post right shoulder replacement, as before. The cardiac, mediastinal and hilar contours appear unchanged including tortuosity and calcification along the aorta and a left ventricular configuration to the cardiac contour. The lung volumes are low, with streaky basilar opacities, which are more extensive in the left retrocardiac region than right and probably attributable to atelectasis. Pleural effusions and pneumonia are not completely excluded, however. There is no evidence for pneumothorax.
hypotension.
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The heart is moderately enlarged. Hilar contours are within normal limits. There is mild pulmonary vascular congestion and mild pulmonary edema. There is bibasilar atelectasis. Blunting of the costophrenic angles is likely secondary to a small amount of pleural fluid. No definite focal consolidation identified. There is no pneumothorax.
history: <unk>f with sob // please eval for pul edema vs pna please eval for pul edema vs pna
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Cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are unremarkable. Patchy and somewhat nodular opacities within the right lung base and right mid lung field, likely involving the upper lobe, are concerning for infection. No pulmonary edema is clearly noted. There is no pleural effusion or pneumothorax.
history: <unk>m with chest pain, shortness of breath
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As compared to the previous radiograph, lung volumes have slightly increased, potentially reflecting improved ventilation. An atelectasis seen on the previous image, located at the right lung base, is no longer visible. The atelectasis in the retrocardiac lung region is constant in appearance. Moderate cardiomegaly persists in unchanged manner.
tachypnea, shortness of breath, evaluation for pulmonary edema.
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Et tube tip approximately <num> cm above the carina. Ng tube tip extending beneath diaphragm, off film. Left ij central line tip at svc /innominate junction. Tubing overlies the upper left chest immediately inside the chest wall --<unk> this represents a picc line it has not reached the central venous vasculature. No pneumothorax detected . Background hyperinflation is consistent with copd. Cardiomediastinal grossly unchanged. Compared with <unk>, there is increased opacity at the left lung base with new obscuration of the left hemidiaphragm consistent with left lower lobe collapse and/or consolidation and small effusion. Better seen on the prior film, the the patient has a rib fracture in this area. There is some patchy opacity in the left suprahilar region, which is unchanged. (this was described as a chronic fibrotic lesion in the left lobe ani prior report possibly post radiation.). Mild vascular plethora, without overt chf. Atelectasis the right lung base. There is minimal blunting of the right costophrenic angle.
<unk> year old woman with copd, lung cancer, pna // daily cxr previous reports refers well to chf and nsclc
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A moderate size left pleural effusion has increased since the previous radiograph. Left basilar opacity likely reflects compressive atelectasis. Heart size is difficult to ascertain given the presence of the left pleural effusion. The mediastinal contours are similar with diffuse atherosclerotic calcification of the aorta again noted. Pulmonary vasculature is normal. No pneumothorax is detected. A trace right pleural effusion is similar compared to the prior study. There is minimal atelectasis in the right lung base. Mild degenerative changes are seen in the thoracic spine.
history: <unk>m with fever
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is not engorged. Widespread patchy ill-defined nodular opacities are demonstrated predominantly involving both lung bases, but also involving the right upper lobe, findings concerning for a diffuse infectious process. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
hyperglycemia.
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Minimal basilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.
history: <unk>f with acute on chronic psychosis // r/o pneumonia or incracranial process
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain.
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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>m with <num> day cp, sob, hx hiv.
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Chest tube has been removed. No pneumothorax. Improved subcutaneous emphysema in the low neck. Mildly worsened right lower lateral chest wall emphysema. Normal heart size, pulmonary vascularity. Left lung is clear. Stable mild opacities right mid lung laterally.
<unk> year old woman with r thoracotomy and bronchoplasty s/p chest tube removal. // eval for interval change. perform at <num>pm.
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A right pulmonary arterial catheter is unchanged in position from yesterday morning, likely terminating within the main pulmonary artery. The left pectoral pacemaker with leads terminating in the right atrium and through the coronary sinus is unchanged. The degree of cardiac silhouette enlargement is similar to <unk>. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. No pulmonary edema. Mediastinal and hilar structures are unremarkable.
heart failure requiring hemodynamic monitoring and placement of a pac.
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Right ij swan-ganz catheter similar in configuration. Cardiomegaly is also grossly unchanged. Please note that pericardial fluid would be difficult to exclude on this study. Again seen is left lower lobe collapse and/or consolidation with obscuration of the left hemidiaphragm suggestive of a small left effusion. This is similar to the film from <num> day earlier, but degree of increased retrocardiac density and obscuration of left hemidiaphragm has increased. Also again seen is a right pleural effusion, now somewhat larger -- moderate in size -- and extending into the minor fissure, with underlying collapse and/or consolidation. Mild upper zone redistribution is not significantly changed.
<unk> year old man with heart failure of unknown etiology and <unk> // pulmonary edema
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Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings. Focal left basilar opacity is noted. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities.
<unk>m with rle edema/<unk> edema // acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta remains calcified. The cardiac silhouette is not enlarged. No overt pulmonary edema is seen.
increased weakness, rule out pneumonia.
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Mild to moderate cardiomegaly appears slightly increased in size compared to the prior study. Moderate pulmonary edema is substantially worse in the interval with moderate to large bilateral pleural effusions, right greater than left. Bibasilar airspace opacities, more pronounced on the right, likely reflect areas of compressive atelectasis though infection is not excluded. No pneumothorax is present.
history: <unk>m with hiv, left heel ulcer with osteomyelitis, presents with chills, shaking concerning for rigors.
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The mediastinum is widened an enlarged and tortuous of the thoracic aorta. Elevation of the right hemidiaphragm is unchanged. Heart size is normal. There is no pleural effusion or pneumothorax. There is no evidence of focal consolidation. Right axillary clips are again seen. Partially imaged hardware within the lower thoracic spine. A cervical rib is noted on the right.
<unk>f with dizziness, nausea and vomiting, evaluate for acute process..
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Marked transverse cardiomegaly. Unfolding of the thoracic aorta. Mild cephalization of pulmonary blood flow but no overt pulmonary edema. No pleural effusions. Pulmonary overinflation. No suspicious pulmonary nodules or masses. Spondylotic changes of the thoracic spine.
<unk> year old man with dyspnea on exertion // r/o acute cp process
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Chronic left-sided rib fractures are unchanged in appearance.
history: <unk>m with intoxication p/w dyspnea // ?acute cardiopulmonary process
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Pa and lateral views of the chest are provided. There is a large retrocardiac air and soft tissue density structure, compatible with known large hiatal hernia. The lungs are clear. No signs of pneumonia or chf. No effusion or pneumothorax. The mediastinal contour is normal. The overall heart size appears stable. Bony structures are intact.
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Compared with the prior film and allowing for differences in technique, there may be a new small left pleural effusion. Otherwise, i doubt significant interval change. Again seen is background copd, with cardiomegaly, chf with interstitial and alveolar edema, an slight elevation left hemidiaphragm. Patchy opacity in the right infrahilar region is also again seen.
<unk> year old woman with pmhx of chf, copd and multiple recent admissions for bi-p for mrsa pna who presents with sob // eval for pulmonary edema, pna
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified.
patient is status post assault with right scapular pain and chest pain. evaluate.
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The heart is mildly enlarged. The aorta is slightly tortuous. The arch is calcified. Otherwise, the mediastinal and hilar contours appear unchanged. The lungs are mildly hyperinflated. There is no pleural effusion or pneumothorax. There is a vague patchy right basilar opacity, most suggestive of minor scarring or atelectasis. Otherwise, the lungs appear clear. Small osteophytes are noted along the thoracic spine.
left arm pain.
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Pa and lateral chest views obtained with patient in upright position demonstrate again a residual right-sided pneumothorax located to the axillary region. No significant interval change can be identified when comparing the multiple chest examinations obtained during <unk>, <unk> and <unk>. The general findings of advanced pulmonary metastases remain and superior mediastinal mass also unchanged.
<unk>-year-old female patient with metastatic renal cell carcinoma, known right-sided pneumothorax, evaluate for change in pneumothorax size.
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Pa and lateral views of the chest provided. A subtle focal hazy opacity projecting over the right mid lung is new from prior may represent an early focus of pneumonia. There is mild left basal atelectasis. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No free air below the right hemidiaphragm peer
<unk>f with ? pseudoaneurysm s/p recath yesterday p/w hypotension and cp
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Interval advancement of endotracheal tube. Bilateral chest tubes remain in place, with no visible pneumothorax. Cardiomediastinal contours are stable. Bibasilar atelectasis has worsened, and small-to-moderate left pleural effusion has slightly increased in size. Small right pleural effusion is apparently new.
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The right-sided chest tube is again visualized. There is new opacity at the right base compatible with a new right lower lobe infiltrate. The heart is mildly enlarged. There is mild pulmonary vascular redistribution.
<unk> year old man s/p blebectomy and mechanical pleurodesis // interval change, please do at <unk>
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Right picc tip terminates in the mid svc, minimally withdrawn by approximately <num> cm. Patient is status post median sternotomy and cabg. Left-sided pacemaker device with leads terminating in the right atrium, right ventricle, and region of the coronary sinus is unchanged. Severe cardiomegaly is re- demonstrated. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Small right pleural effusion with right basilar atelectasis is similar. No new focal consolidation, left-sided pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Partially imaged in the upper abdomen is a stent within the proximal aorta.
history: <unk>m with question of dislodged picc
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Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. Radiographically dense suture material is seen projecting over the left apex. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. .
<unk> year old man with pneumo/hemothorax in <unk>, now with increasing pain and sob. // is there evidence of worsening hematoma or other pulmonary disease?
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Portable semi-upright radiograph of the chest demonstrates increased consolidation at the bilateral bases, consistent with pulmonary edema superimposed on pneumonia. Small bilateral pleural effusions are slightly increased in size. Cardiomediastinal and hilar contours are unchanged. The right internal jugular central venous terminates at the cavoatrial junction. There is no pneumothorax.
<unk>-year-old female with pneumonia. evaluate for interval change.