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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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The heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history of myocardial infarction, now with chest pain.
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Lung volumes are decreased. There is susbtantial bibasilar atelectasis and small bilateral pleural effusions, as seen on outside chest ct. No focal abnormality concerning for pneumonia is identified. Air-filled loops of large bowel are seen within the upper abdomen.
hypoxia. question acute process.
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Lung volumes remain low. The convex lateral opacity in the right lung corresponds to a loculated right pleural effusion documented on ct from <unk>. Right lower lobe atelectasis is overall similar to the prior exam. Probable small left pleural effusion and atelectasis. Mild central pulmonary vascular congestion without edema. No pneumothorax. Slight prominence of the bilateral hila may reflect lymphadenopathy, better appreciated on the chest ct from <unk>. The large hiatal hernia is unchanged.
<unk> year old man with shortness of breath, wheezing, prior abnormal cxr // please eval for interval change -- more wheezing, sob today
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Pa and lateral views of the chest were provided. The previously detected opacity in the left lower lobe has essentially resolved with minimal linear density in its place likely representing atelectasis. No definite signs of pneumonia or chf. The cardiomediastinal silhouette appears stable. Bony structures are intact.
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Pa and lateral views of the chest provided. Mild hilar engorgement may reflect aggressive fluid resuscitation. There is no frank pulmonary edema. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. The cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m with sob after <num> l ns // ?flash pulm edema
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // pna?
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Frontal and lateral chest radiographs demonstrate a moderately enlarged heart and elevated right hemidiaphragm. There is no focal consolidation, pleural effusion, or pneumothorax.
evaluate for pneumonia in a patient with klebsiella bacteremia.
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The cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal atelectatic changes are seen in the lung bases, with no focal consolidation, pleural effusion or pneumothorax identified. Scarring within the lung apices is re- demonstrated. There is no acute osseous abnormality seen.
chest pain.
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The cardiac silhouette continues to be moderately enlarged. Low lung volumes accentuate the pulmonary vasculature. There are no overt signs of pulmonary edema or pleural effusion. There are no focal opacities or pneumothorax. The mediastinal contours are normal.
weakness status post dialysis. evaluate for infection.
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Pa and lateral views of the chest provided. Moderate left pleural effusion and moderate compressive atelectasis are improved from the prior study on <unk>. There is no pneumothorax. The left hilum is enlarged, better evaluated on ct <unk>, however is unchanged from prior study on <unk>. Atelectasis in the left lower lung obscures lung lesions better evaluated on ct <unk>.
<unk> year old woman with left pleural effusion s/p thoracentesis // r/o ptx
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The left posterior <num>th rib fracture is minimally displaced. There is obscuration of the left hemidiaphragm laterally. This is likely due to a combination of volume loss and small effusion. No pneumothorax is identified.
motor vehicle accident with known tiny apical pneumothoraces.
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Frontal and lateral views of the chest were obtained. There is posterior basilar opacity on the lateral view seen on various multiple prior studies, may be due to morgagni hernia/focal eventration without definite focal consolidation seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette top normal and the aorta tortuous. Mild prominence of the hila is stable. Slight rightward tracheal deviation may be due to patient's known goiter.
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Portable ap view of the chest. Right internal jugular central venous line projects over the distal right internal jugular vein just superior to the right brachiocephalic vein. There is suture material seen in the right upper lobe, unchanged. Fibrotic changes seen in the lungs, particularly at the lateral aspect of the right mid lung suggesting chronic underlying diease. There is no focal consolidation, pleural effusion or pneumothorax. There is fullness in the right hilum which may be due to mass, lymphadenopathy, or enlarged right pulmonary artery. Heart size is normal.
central line placement, question pneumothorax.
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The patient is severely rotated to the right, leading to unfolding of the mediastinum. Allowing for differences in patient positioning, there has been no significant change as compared to the prior examination. A dual lead pacemaker is noted with leads terminating in the right atrium and right ventricle, respectively. The lung volumes remain low, resulting in the appearance of pulmonary edema. Bibasilar atelectasis and a small right pleural effusion are present. There is no evidence of pneumonia or pneumothorax.
history: <unk>m with weakness and diaphoresis pls <unk> <unk> pna // history: <unk>m with weakness and diaphoresis pls <unk> <unk> pna
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Pa and lateral views of the chest. No prior. There are bilateral infiltrates identified in the apical segments of the lower lobes. Lungs are otherwise elsewhere clear without effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male, previously healthy, returned from <unk> two weeks ago with three days of fever, chills and sweats. nonproductive cough.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.
history: <unk>m with heroin od, now hypoxia // r/o pna, aspiration
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy opacity is demonstrated in the left lower lobe which may reflect an area of developing infection. No focal consolidation, pleural effusion or pneumothorax is present. A bb marker overlies the right eleventh rib. No acute osseous abnormalities are seen in the vicinity of this marker. No rib fracture is detected.
<unk> year old woman with right lower rib pain after playing rugby. also with persistent productive cough (two separate process).
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The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chronic cough and reproducible chest wall pain // any pna
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. The bony structures are grossly unremarkable.
iv drug user with hypoxia, concern for septic emboli.
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Portable ap upright view of the chest provided. Lung volumes are somewhat low, though allowing for this, no convincing sign of pneumonia, effusion, or pneumothorax. The heart appears top normal in size, though this appears stable. No evidence of pulmonary edema or congestion. Bony structures are intact.
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Pa and lateral views of the chest provided. Azygous fissure noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is a nodular density overlying the left sixth rib along the anterolateral arch as on prior likely representing a healed rib fracture. No free air below the right hemidiaphragm is seen.
<unk>m with fever, cough, hx of renal transplant
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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 chest pain // r/o acute process
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Tracheostomy tube in place. Volume loss in the right lung. New right mid and lower lung opacities noted, concerning for pneumonia. The left lung is clear.
<unk> year old man with pna, urosepsis // eval interval change
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The heart is normal in size. The mediastinal and hilar contours are within normal limits. There is marked hyperexpansion of the lungs, in keeping with a known history of asthma. There is however no consolidation or pleural effusion.
<unk>-year-old female with asthma exacerbation and crackles on exam. question infection.
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When accounting for redistribution and patient positioning, no significant interval change. Bilateral extensive patchy opacities in the setting of essentially normal heart size suggests ards. However, some nodularity to the opacities could be infection. No change in position of support devices including ett (tip <num> cm from carina), right internal jugular venous catheter (tip in the mid svc), and enteric tube (in stomach). No pneumothorax.
<unk> year old man with hypoxemic respiratory failure, cirrhosis, ain // please evaluate for interval change in infiltrates
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Compared with the prior radiograph, new right lower lobar opacity, particularly appreciated on the lateral view, is concerning for developing infection, in the correct clinical setting. There is no new pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk>f with chest pain that started this morning. evaluate for acute cardiopulmonary process.
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There has been interval removal of the endotracheal and nasogastric tubes. Airspace consolidation is dense within the left lower lobe and is concerning for pneumonia. Right lung is clear. Cardiomediastinal silhouette stable. Bony structures intact.
<unk>-year-old female with fever and headache. evaluate for pneumonia.
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There is a small right effusion, with thickening of the minor fissure and right base atelectasis. There is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation and small left effusion, progressed compared with <unk>. There is upper zone redistribution and mild vascular plethora. No pneumothorax detected.
<unk> year old woman with right effusion s/p <unk> (-<num>l) // r/o ptx
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On the third and final view of the chest, the endotracheal tube tip is seen <num> cm from the carina. Enteric tube passes off the inferior field of view. Otherwise, no significant interval change. Low lung volumes with dense left lung opacity again noted.
<unk>f with intubation // evaluate post-intubation
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Chest, portable. There is a small opacity overlying the left costophrenic sulcus, which may represent atelectasis. The lungs are otherwise clear and hyperinflated. Scarring in the lung apices is unchanged. Heart size is normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There are atherosclerotic calcifications in the aortic arch. Old right sided rib fractures are noted.
<unk>-year-old man presenting with acute onset left-sided chest pain.
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Initial image history foot placement of the duct cough tube. Subsequent image cysts the double of tube ends study left with its tip projecting over the left mediastinum proximal to the gastroesophageal junction. Yet another subsequent radiograph shows the dobhoff tube tip in the approximate region of the ge junction or just slightly distal. The final image shows the dobhoff tube tip in the stomach just distal to the ge junction. Otherwise, no significant change. Bibasilar atelectasis, greater on the left is slightly worse. The lungs are otherwise clear. No focal consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is overall unchanged with prominence of the thoracic aorta. No significant change in small left pleural effusion.
<unk> year old man with poor swallow s/p dobhoff // placement of dobhoff. staged approach.
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The et tube terminates in the mid trachea. A nasogastric tube courses into the stomach, distal tip not visualized. A right picc line terminates in the upper right atrium. Bilateral airspace opacities have increased on the left and at the right base. Small layering pleural effusion and basilar subsegmental atelectasis are stable. The cardiomediastinal silhouette is magnified by the projection but stable. Gaseous distention of the stomach has increased despite the presence of a nasogastric tube.
<unk> year old woman with fever and aspiration // worsening pna
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There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits. An old left eighth rib fracture is noted.
history of frequent pneumonias and bronchitis.
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Slightly rotated positioning. Tubing overlies the extreme upper right lung apex. An et tube is present. The tip lies approximately <num> cm above the carina. An og type tube is present, tip beneath diaphragm, off film. The patient is status post sternotomy, with mediastinal clips. There is a moderately large left pleural effusion, which obscures the left heart border and left hemidiaphragm and which tracks along the left chest wall and into the left lung apex. The aortic knob is not well delineated, in part due to rotation, but also due to the left apical fluid. The cardiomediastinal silhouette remains midline. On the right, there is possible minimal upper zone redistribution. Patchy opacity at the right cardiophrenic angle is noted. No frank consolidation is identified. No effusion. No pneumothorax is detected. No displaced rib fracture is identified.
history: <unk>m intubated and og tube // og and ett placement?
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As compared to chest radiograph from earlier today, right apical pneumothorax has decreased and is now small. No evidence of tension. Right chest wall subcutaneous emphysema has substantially increased. Right-sided chest tube in similar position and new right-sided pigtail catheter. Stable opacity in the right lung and left lower lobe.
<unk> year old man with persistent right ptx s/p apical pigtail placement, now with minimal air leak // ? resolution of ptx
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The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. There is bibasilar atelectasis. No definite new focal consolidation is seen. Central pulmonary vascular engorgement persists, similar compared to prior. No large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Chronic deformity at the proximal left humerus again seen.
history: <unk>f with doe // r/o chf, pna
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Heart size is top normal. The aorta is unfolded. Pulmonary vascularity is normal. Focal <num> mm opacity within the left apex appears new compared to the prior study, and could reflect progressive pulmonary parenchymal scarring. Mild scarring is also noted within the right apex, similar compared to the prior exam. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
bradycardia and cough.
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The patient is status post right-sided pacemaker placement with leads terminating in the right atrium and right ventricle, unchanged. Left-sided central venous catheter tip terminates in the upper svc, also unchanged. Heart size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes are noted in the thoracic spine.
fall.
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Lungs are well expanded. Blunting of the left costophrenic angle may represent a small residual pleural effusion or pleural thickening. Linear opacities along the left lung base likely represent atelectasis or scarring. The lungs are otherwise clear, without focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal.
history of cough and fatigue for <num> days and history of empyema.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is a small left pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable. Mild left basilar atelectasis.
history: <unk>f with etoh hepatitis with worseing ascites // *assess pv with dopplers
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Left-sided port-a-cath tip terminates in the mid to low svc. Heart size is top normal with a left ventricular configuration. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacities are seen within the right lower lobe with a possible trace pleural effusion. The left lung is clear. No pneumothorax is identified.
esophageal cancer with acute jaundice and increased white blood cell count.
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Relatively low lung volumes are again noted. Overlying the right mid to upper lung projecting over the posterior right sixth rib is a <num> cm and nodular opacity. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with dyspnea // pna?
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Residual small right pleural effusion status-post thoracentesis. Associated focal right lower and right middle lobe opacity that is most consistent with residual atelectasis and re-expansion pulmonary edema post-thoracentesis, less likely aspiration or developing infection. Stable small left pleural effusion with adjacent left retrocardiac opacity with air bronchograms. The left lung is otherwise clear. No pneumothorax. Stable cardiomediastinal silhouette.
<unk>-year-old woman with a new right pleural effusion, now status-post thoracentesis. re-evaluate the pleural effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is mild elevation of the left hemidiaphragm which may in part be positional.
history: <unk>f with syncopal episode, altered mental status // pneumonia?
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Lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No displaced rib fractures are identified. Thoracic spine aligns normally without compression deformity.
<unk>f with rib pain after a fall (l sided t<num>-<num>), evaluate for fracture.
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As compared to the previous radiograph, there is no relevant change. No acute lung changes, notably no pneumonia or pulmonary edema. No pleural effusions. Bilateral paramediastinal fibrosis, presumably caused by radiation therapy after hodgkin's disease. Clips projecting over the upper abdomen. Normal hilar contours.
history of hodgkin's, pericarditis, chronic cough, evaluation.
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There is improved aeration in the left upper lobe and in the right lung. Opacification of the left lower lobe with obscuration of the diaphragm is consistent with persistent left lower lobe atelectasis. The mediastinum is no longer shifted to the left consistent with improved volume loss in the upper lobe. There are no definite pleural effusions. There is a left central venous catheter which is kinked on introduction to the chest.
<unk>-year-old woman with bilateral subarachnoid hemorrhage, ventilator requirement, recent left lung collapse on chest x-ray, now status post bronchoscopy with aspiration of mucus plug from left lower lobe bronchus with lower lobe collapse improved.
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Single ap upright portable view of the chest was obtained. There is mild bibasilar atelectasis without definite focal consolidation. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. There may be mild vascular congestion. Right infrahilar patchy opacity may relate to overlying vascular structures, although a small underlying consolidation is not entirely excluded.
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As compared to the previous radiograph, the extent of the known left pneumothorax is unchanged, with the pleural gap of approximatively <num> cm. A small air-fluid level is seen at the left lung bases. On the right, unchanged appearance of the lung parenchyma. Unchanged position of the left chest tube. Moderate cardiomegaly. Unchanged position of the right internal jugular vein catheter, unchanged appearance of the cardiac silhouette.
status post cabg, evaluation for pneumothorax.
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Et tube ends <num> cm above the carina. There are minimal bibasilar atelectatic bands. The lungs are otherwise clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. There is an ng tube below the diaphragm.
pain with drug overdose, intubated, considering intubation.
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In comparison with the study of <unk>, the left ij catheter now extends to the upper-to-mid portion of the svc. Hazy opacification of the left hemithorax with obliteration of the hemidiaphragmatic contour is consistent with substantial layering pleural effusion. There is evidence of elevated pulmonary venous pressure associated with enlargement of the cardiac silhouette. The increased opacification in the right mid and upper zone is not definitely appreciated on this study, though different obliquity of the patient somewhat makes evaluation somewhat more difficult.
post-surgery.
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Frontal and lateral views of the chest. There has been interval resolution of previously seen pulmonary edema. Calcific densities projecting over the right mid lung are compatible with calcifications in the region of the overlying soft tissues. Right apical scarring is again noted. There is no new focal consolidation. The cardiomediastinal silhouette is within normal limits. Right axillary surgical clips again seen.
<unk>-year-old female with shortness of breath.
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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> year old man with uri sx, r/o pna. // assess for pna
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In comparison with study of <unk>, there has been placement of a nasogastric tube, which coils in the fundus of the stomach and then extends to at least the upper body of the stomach where it crosses the lower margin of the image. Left picc line extends to the mid portion of the svc. No evidence of acute focal pneumonia or vascular congestion. Gastrostomy tube is in place.
ng tube placement.
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Left subclavian central line overlies the mid svc. No pneumothorax is detected. Enteric tube extends beneath the diaphragm off film. Again seen is cardiomegaly, similar prior. Doubt chf. Minimal bibasilar atelectasis. No frank consolidation identified. No gross effusion. No pneumothorax detected.
<unk> year old woman pod<num> ex lap, enterocutaneous and end colostomy takedown, ventral hernia repair w/ component separation, now with tachycardia (<num>s) // pulmonary edema
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The 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.
chest pain.
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There is haziness of the pulmonary vasculature and perihilar opacities suggestive of mild pulmonary edema. Cardiomediastinal silhouette is normal. Additionally, there is an increased opacity overlying the right upper lobe. No acute fractures are identified. There is a small right pleural effusion. No other consolidations or pneumothoraces.
evaluation of patient with shortness of breath.
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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 intermittent lightheadedness
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with chest pain cough // eval for pna
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Since <unk>, bibasilar opacifications are unchanged and may be due to a combination of pleural effusion and volume loss with possible superimposed pneumonia. Unchanged positioning of right internal jugular central line. Endotracheal tube tube is seen <num> cm above the carina. Heart size is normal. No pneumothorax. Rib fractures of unknown chronicity are again seen.
<unk> year old man with pneumonia // ? consolidation, ptx, effusion
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The lungs are normally expanded and, aside from a clinically insignificant calcified right lower lobe granuloma, clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Gaseous distention of the stomach is resolved.
history: <unk>m with generalized weakness // eval for cardiopulmonary process
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Frontal and lateral views of the chest demonstrate hyperextended lungs. There are trace bilateral pleural effusions. No focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. There are aortic valve calcifications. The aorta appears tortuous. Heart is mildly enlarged. Multilevel degenerative disc disease and vertebral body height loss is noted in the thoracic spine.
chest pain. assess for pneumonia.
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Pa and lateral views of the chest were provided. The lung volumes are low, limiting evaluation, with subtle opacity increased at the lower lungs likely representing bronchovascular crowding. No large effusion or pneumothorax is seen. There is no evidence of pulmonary edema. The heart is top normal in size. The mediastinal contour is unremarkable. The bony structures are intact. No free air below the right hemidiaphragm is seen.
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There is slightly increased density of the right hemithorax on the frontal view, which is more pronounced than on prior examinations. On the lateral view, there is not an obvious correlative focus of consolidation. The cardiac and mediastinal silhouettes appear unchanged overall and within normal limits given technique. There is no evidence of pleural effusion or pneumothorax. Osseous structures appear unremarkable.
cough, abnormal physical examination suspicious for aspiration pneumonia.
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A single frontal upright view of the chest was obtained portably. Heterogeneous opacity at the right lung base may represent pneumonia or aspiration. There is no pleural effusion or pneumothorax. Pulmonary vasculature is engorged and the azygous vein is larger. The cardiac silhouette is larger than on the prior study. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm.
syncope and hypotension.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours and hilar contours are normal. Redemonstrated is a left humeral head prosthesis, and extensive degenerative changes noted within the right glenohumeral joint. There is no displaced rib fracture identified. Multi-level degenerative changes are noted within the thoracic spine, as well as an unchanged lower thoracic vertebral body wedge shaped deformity. Diffuse idiopathic skeletal hyperostosis is noted along the anterior aspect of multiple thoracic vertebral bodies
bilateral chest wall pain and left paraspinal tenderness.
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. No free intraperitoneal air seen below the diaphragm.
<unk>-year-old male with vomiting blood.
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Portable chest radiograph demonstrates dobbhoff tube with the tip near the distal stomach, and a second radiodensity which projects over the dobbhoff tube, which may represent the guidewire, is noted. Left chest wall pacemaker and leads and median sternotomy wires are stable. The heart is enlarged, but stable and the lung parenchyma is clear. Head positioning partially obscures the right lung apex. No pneumothorax.
stroke with nasogastric tube placement. evaluate position of nasogastric tube.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Eventration of the right hemidiaphragm is noted. No acute osseous abnormalities seen. No displaced fracture is identified.
history: <unk>m with motor vehicle collision. sternal pain.
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There is a radiopaque device projecting over the left shoulder. There is a linear opacity in the right lower lung, which likely represents atelectasis. There is a more confluent opacity at the left lung base. There is a small left pleural effusion. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with new leukocytosis // r/o pulmonary source
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As demonstrated on the prior chest ct, there are diffuse nodular opacities spread throughout both lungs with a right greater than left predominance. There is no interval development of pneumothorax or pleural effusion. The cardiomediastinal and hilar contours demonstrate changes related to median sternotomy and cabg. The heart is within the upper limits of normal. Pulmonary vascularity is not increased.
<unk>-year-old male with abnormal chest ct, status post transbronchial biopsy. evaluate for pneumothorax. single frontal chest radiograph.
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The cardiomediastinal silhouette is mildly enlarged. The pulmonary vasculature is unremarkable. A stent is seen in the trachea. There is no pleural effusion or pneumothorax. No focal consolidation is seen.
<unk> year old woman s/p bronchoscopy and stent placement // ptx
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The swan ganz catheter projects near the pulmonic valve. Right picc terminates in mid to upper svc, unchanged from prior. Left sided single-chamber icd is unchanged in position. There is stable moderate to severe cardiomegaly and mild increase in caliber of pulmonary vasculature without pulmonary edema.
<unk> year old man with chf and swan. please evaluate for acute changes and swan placement.
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Pa and lateral chest radiograph demonstrates no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are stable in appearance when compared to prior study dated <unk>. The leads of a right pectoral pacemaker are unchanged in course for at least a year. Heavy mitral annulus calcification is chronic. When compared to most recent study dated <unk>, there has been interval removal of a right internal jugular central catheter. There is no pleural effusion. Vascular clips denote prior upper abdominal surgery.
<unk>f with malaise, immunosupp, pls eval for pna
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Bibasilar airspace opacities have increased. There is no pneumothorax. Small bilateral pleural effusions are new. There is stable mild cardiomegaly despite the projection.
<unk> year old man with increased oxygen requirement and previous cxr notable for left lower lobe infiltrate, with altered mental status s/p fall. please evaluate for volume overload/pneumonia.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.
<unk>-year-old woman with fatigue shortness of breath. evaluate for pneumonia.
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No evidence of consolidation to suggest pneumonia is seen. There is some retrocardiac atelectasis. A small left pleural effusion may be present. No pneumothorax is seen. No pulmonary edema. A right granuloma is unchanged. The heart is mildly enlarged, unchanged. There is tortuosity of the aorta.
altered mental status and headache.
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There is marked thoracic dextroscoliosis. There are relatively low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is minimal left base retrocardiac atelectasis. The cardiac silhouette is not enlarged. The mediastinal and hilar contours are unremarkable. There is gaseous distention of the partially imaged stomach.
altered mental status.
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Frontal and lateral views of the chest were obtained. The cardiac silhouette is mildly enlarged. There is no pleural effusion. Mild right base atelectasis is seen without definite focal consolidation. Mediastinal contours are stable. No overt pulmonary edema is seen.
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A single frontal view of the chest demonstrates slightly increased lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The ascending aorta appears tortuous. Aortic valve calcifications are noted. Heart size is mildly enlarged. There is no pulmonary edema. Opacity at the cardiophrenic angle likely corresponds to pericardial fat pad better seen on prior ct. Pacemaker leads project over right atrium and right ventricle.
shortness of breath.
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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. Surgical clips are noted in the upper abdomen.
<unk>f with chest pain // r/o ptx,
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No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Aortic knob is calcified. No pulmonary edema is seen.
history: <unk>f with cirrhosis, orthopnea // please evaluate for acute abnormality
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There are patchy regions of consolidation throughout the right lung. There is also a nodular opacity projecting over the left mid clavicle over the left upper lung. Linear left basilar opacity is most likely atelectasis. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with bibasilar crackles // pna?
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>m w/ alcoholism presenting with a cough.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Slight prominence of the left hilum is stable as compared to <unk>.
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An ap upright chest radiograph shows new airspace consolidation in the right mid lung field, probably in the superior segment of the right lower lobe and the findings, together with the patient's clinical history, suggests pneumonia. The cardiac silhouette is large, and, even taking into account ap projection may be slightly larger than on the persists patient's previous study but central pulmonary vasculature is not congested. A small right pleural effusion may be present superimposed on known the pleural thickening and calcified plaques.
<unk> year old man with leukocytosis and chills // eval for evidence of pneumonia
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Mild bibasilar atelectasis is seen without definite focal consolidation. Incidental note is again made of an azygos lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with full body shake, ? rigor, no uri sx // eval for pna
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
left-sided chest pain.
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The lungs are hyperexpanded but clear of focal opacities. Left base scaring is present, unchanged. Cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Old right-sided and left-sided rib fractures are again seen.
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Heart is normal size and cardiomediastinal contour is within normal limits. Lungs are clear. There is mild pulmonary venous engorgement without pulmonary edema. There is no pleural effusion or pneumothorax. Bones and the upper abdomen are grossly unremarkable.
history: <unk>m with weakness // pna? edema?
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Since yesterday's exam, endotracheal tube has been placed with tip seen approximately <num> cm from the carina. Left-sided central venous catheter tip projects over the right atrium as on prior. Left picc tip projects over the axilla as on yesterday's exam. Enteric tube tip projects over the stomach, side-port just past the ge junction. Left pleural effusion is noted with retrocardiac opacity may be due to atelectasis. There is also likely a small right pleural effusion. There is pulmonary vascular congestion. Cardiomediastinal silhouette is stable.
<unk> with pmh of ckd, t<num>dm, depression/anxiety, htn, hld, cad, as, ms, recently s/p <unk> for cabg, avr, mvr presents with rlq pain and ams, found to acute cholecystitis // please evaluate for acute process
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Ap view of the chest. A small right apical pneumothorax is slightly increased in size. Endotracheal tube is unchanged in position. Right internal jugular central venous line ends in the low svc. Right-sided pigtail appears unchanged in position. Small bilateral pleural effusions are unchanged. Opacification in the right mid and lower lung is unchanged. No new consolidations. Cardiomediastinal and hilar contours are stable.
right tension pneumothorax and worsening hypercarbia, increasing peak airway pressures. evaluate pneumothorax or infiltrate.
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The et tube is <num> cm above the carina this volume loss at both bases. There is mild pulmonary vascular redistribution but no overt pulmonary edema. Dual lead pacemaker is again visualized. Ng tube tip is in the stomach.
axilla intubated check ett.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is detected. No acute osseous abnormalities seen.
right upper quadrant pain and point tenderness.
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Right-sided port-a-cath has been repositioned since previous exam and is now in adequate position ending in lower svc. There is no kink. The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with glioblastoma port-a-cath.
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A tracheal stent projects over the the thoracic inlet, higher in position than on the prior radiograph. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is within normal limits.
<unk> year old man with esophageal mass, s/p stent revision and external fixation // tracheal placement
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Pa and lateral views of the chest provided. Single lead aicd is unchanged with lead extending into the region the right ventricle. The heart remains markedly enlarged. There is no pulmonary edema or focal consolidation to suggest pneumonia. No large effusion or pneumothorax. The mediastinal contour is stable. Hilar configuration is stable and normal. Bony structures are intact.
<unk>m with htn and doe/orthopnea // acute process
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Tracheostomy tube is present, tip approximately <num> cm above the carina. An ng tube is present, tip overlying the gastric fundus. Looped tubing overlying the right upper abdomen and a portion of what is likely an aortic stent are noted. No free air seen beneath the diaphragms on this semi supine view. Inspiratory volumes are low. There is cardiomegaly, which appears slightly less pronounced than on the prior film. There is upper zone redistribution. Again seen is a left base opacity with air bronchograms consistent left lower lobe collapse and/or consolidation. Patchy opacity at the right infrahilar region is similar, possibly slightly improved. No gross effusion.
<unk> year old man with vap // interval change
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The heart is at the upper limits of normal size, although with a left ventricular configuration. The mediastinal and hilar contours are unremarkable. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear. Minimal degenerative changes are noted along the thoracic spine.
leukocytosis and infected toe. question pneumonia.
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There is increased opacity in the left lower lobe projecting over the heart on the lateral view. Normal heart size, mediastinal and hilar contours. No pleural effusion or pneumothorax.
<unk> year old woman with cough, sob // r/o pna