Frontal_Image_Path
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Pa and lateral views of the chest. Left picc is no longer visualized. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
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<unk>-year-old female with wegener's about to start steroids. question acute cardiopulmonary process.
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A left pigtail catheter is unchanged in position. The lung volumes are low. A left apical pneumothorax is again seen, which is essentially unchanged in size. There is no evidence of pneumonia. There is a small right effusion. The cardiomediastinal silhouette and hilar contours are normal.
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evaluate chest tube placement.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Imaged upper abdomen demonstrates no air under the right hemidiaphragm.
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<unk>-year-old female with history of hypertension who presents with shortness of breath.
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There is a new dobbhoff tube which appears to terminate in the first part of the duodenum. The heart size is normal. There has been interval worsening of the consolidations overlying the right mid and lower lung zones. There is a stable small left pleural effusion, however slight interval worsening of the mild bibasilar atelecatsis and small right pleural effusion. Note is made of slight interval worsening of the pulmonary vascular congestion. The visualized osseous structures are unremarkable.
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history of cirrhosis and <unk> with new dobbhoff placement. please evaluate position of the dobbhoff tube.
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Endotracheal tube terminates approximately <num> cm above the level of the carina. Enteric tube courses below the diaphragm, terminating in the expected location of the proximal stomach, side port may be at the ge junction. Interval placement of a right internal jugular central venous catheter, terminating at the cavoatrial junction without evidence of pneumothorax. Cardiac mediastinal silhouettes are stable. Pulmonary vascular congestion persists. .
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history: <unk>m with intubation new cl*** warning *** multiple patients with same last name! // eval right ij placement
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The right-sided picc line tip overlies the mid/distal svc, similar to prior. The cardiomediastinal silhouette is unchanged, with sternotomy wires noted. There is persistent retrocardiac opacity, with obscuration of left hemidiaphragm and bibasilar atelectasis. There are small bilateral effusions, best seen on lateral view. Clips noted about the trachea at the level of the thoracic inlet, unchanged. No pneumothorax or new focal infiltrate is identified. No significant chf.
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<unk> year old woman with s/p cabg // f/u effusions, atx
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Frontal and lateral views of the chest were obtained. There has been interval removal of a right internal jugular central venous catheter. There is persistent elevation of the right hemidiaphragm and low volume on that side. There has been interval decrease in previously seen bilateral pulmonary opacities with right infrahilar/right middle lobe opacity persisting, which may in part relate to atelectasis, although underlying consolidation may also be present. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with calcified mediastinum and hilar nodes again seen.
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Ap portable upright view of the chest. Lungs are hyperinflated and lucent possibly reflecting emphysema. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
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<unk>m with fall, rectal bleeding // ?consolidation
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Lung volumes are slightly low, but the lungs are clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. Nipple rings are noted.
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<unk>-year-old male with chest pain and fever.
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Frontal and lateral chest radiograph demonstrate slightly hyperexpanded lungs. Again seen is biapical pleural thickening/scarring, similar to previous examination. No additional focal opacity. No pleural effusion or pneumothorax. Heart size and mediastinal contour are otherwise stable. Limited assessment of the upper abdomen is unremarkable and visualized osseous structures are within normal limits.
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history: <unk>m with ams. assess for pneumonia.
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Single portable view of the chest. There is a large left-sided pneumothorax with atelectasis of the left lung and mediastinal shift to the right. Endotracheal tube still remains low with tip approximately <num> cm from the carina. The enteric tube is seen with tip in the region of the gastric fundus, side port not visualized, but potentially in the lower esophagus. Increased opacity in the right lung is likely due to atelectasis.
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<unk>-year-old male with left subclavian attempt. evaluate for pneumothorax.
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Numerous bilateral pulmonary nodules are grossly unchanged. A left-sided port-a-cath is present with distal tip terminating near the the superior cavoatrial junction. No pleural effusions or pneumothorax.
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<unk> year old man with met rectal cancer with malfunctioning port // assess port placement/kinking
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Et tube tip is <num> cm from the carina. The enteric tube tip is just past the ge junction with the side-port in the distal esophagus and should be advanced. The lungs are clear without focal consolidation, large effusion or pneumothorax based on a portable film. Dense atherosclerotic calcifications noted at the aortic arch. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with ett placed // ett
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Lungs are mildly hyperexpanded. Heart size and mediastinal contours are stable. No pulmonary edema are pleural effusion. No evidence of pneumonia.
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<unk>f with horseness and cough // infectious process or other acute
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Pa and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, 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.
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<unk>m with chest pain
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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.
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history: <unk>m with vomiting // eval infiltrate
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Since the most recent prior radiograph, there has been interval removal of bilateral chest tubes. There is no pneumothorax. There has otherwise been no significant interval change. A swan-ganz catheter is seen within the main pulmonary artery. Left chest wall pacemaker leads are unchanged in position. Ng tube courses below the diaphragm. Et tube is unchanged in position. Again seen is retrocardiac opacity and a small left pleural effusion. There is no other focal consolidation.
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<unk>-year-old woman status post mvr, tvr, chest tubes discontinued; evaluate for pneumothorax.
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Two pa and one lateral view of the chest. The lungs are essentially clear noting linear opacity at the left lung base which mostly clears on repeat exam and is most likely atelectasis. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.
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<unk>-year-old male with left thoracic pain since last night.
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Heart size is decreased, compared to <unk>. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk>f with chest pain. evaluate for pneumonia
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Ap portable view of the chest. The right port-a-cath ends in the low svc. A left-sided aicd leads are in appropriate position. There is a slight increase in size of the pulmonary vasculature which may indicate mild pulmonary vascular congestion. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
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pancreatic cancer and pulmonary embolism, fevers and hypotension.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The right hemidiaphragm is elevated. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No acute displaced rib fracture. Contour abnormality of the left posterolateral <num>th rib is consistent with a chronic fracture.
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<unk>-year-old male with sudden onset of headache and palpitations.
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The lungs are clear without focal consolidation, effusion, or edema. Mild cardiac enlargement is again noted. Additional contour in the retrocardiac region adjacent to the left heart borders compatible with a large hiatal hernia. No acute osseous abnormalities.
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<unk>f with chest pain, hypotension, afib // eval for consolidation
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Pa and lateral views of the chest provided. Lung volumes are low which limits assessment. There is mild left basal/retrocardiac opacity which could represent atelectasis versus an early pneumonia. The right lung appears clear. No large effusion is seen. No pneumothorax. No signs of congestion or edema. The heart appears mildly enlarged. Mediastinal contour appears normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with chest pain
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Patient is status post aortic valve replacement. No pulmonary edema is seen.
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history: <unk>f with amsa // eval for acute process
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There is an opacity at the right base. The lungs are otherwise clear. There is likely a small right pleural effusions. There is no left pleural effusion. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is mildly enlarged. Incidentally noted is a total right shoulder arthroplasty, unchanged from prior exams.
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fever. evaluate for pneumonia.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained eight hours earlier during the same day. The patient remains intubated, the ett in unchanged position. No pneumothorax can be identified. Similar as the most previously portable obtained chest films, the examination remains of limited quality in this apparently morbidly obese patient. Only with the knowledge of a new tube placement and manipulation of image density is one able to identify portions of an og line overlying the left upper abdominal quadrant. Thus, there is evidence that the line has reached below the diaphragm. Position of side port cannot be evaluated.
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<unk>-year-old male patient with respiratory failure, intubated, now with orogastric tube in place. evaluate position.
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Since the prior radiograph, there has been interval placement of a right-sided port that terminates in the mid-svc. Except for mild bibasilar atelectasis, there are no new changes. Specifically, there are no suspicious areas of focal consolidation, pleural effusions or pneumothorax. The mediastinum and hila are within normal limits. The heart is enlarged, unchanged from <unk>. No acute osseous abnormalities.
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<unk> year old woman with aplastic anemia, now with fevers in the setting of neutropenia // r/o pneumonia
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Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities identified.
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history: <unk>m with altered mental status on chronic encephalopathy, found down, poor ability to provide history // evaluate for pneumonia or other infiltrate
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As compared to the previous radiograph, there is no relevant change. Lung volumes remain low, there is mild cardiomegaly and mild to moderate pulmonary edema. The tracheostomy tube and the right picc line are in unchanged position. Mild atelectasis at the left lung bases. No new parenchymal opacities. No larger pleural effusions.
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questionable pneumonia.
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Pa and lateral views of the chest provided. Lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. Stable blunting of the left cp angle likely reflect mild pleural thickening as this is stable since <unk>. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with hiv, b/l hand cellullitis, infection workup // pna?
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Ap and lateral views of the chest. There is severe dextroscoliosis, which may be causing a tortuous aorta. The cardiac borders are unremarkable. The mediastinal and hilar contours are unremarkable. The lungs are clear. There is no definite effusion. There is no pneumothorax.
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<unk>-year-old male, shortness of breath, history of chf, evaluate for effusions or infection.
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There are bilateral low lung volumes with prominent pulmonary vasculature and interstitial markings most likely representing worsening pulmonary edema; however, atypical pneumonia cannot be excluded but is much less likely. No areas of focal consolidation concerning for infection. There is a small right pleural effusion. No pneumothorax is identified. Pleural surfaces are unremarkable. The heart is stably enlarged with the proximal electrode of a left-sided pacer device extending from the svc into the low right atrium, unchanged in longstanding position. The lead terminates at the apex of the right ventricle. Median sternotomy wires are again noted in alignment and with no evidence of failure.
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<unk>-year-old man with systolic heart failure, ejection fraction of <num>%, and history of coronary artery disease. presents with shortness of breath.
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Portable chest radiograph again demonstrates the right perihilar mass with no increase in volume in the right upper lobe. There is interval increased atelectasis in the right middle lobe and continued elevation of the right hemidiaphragm. Left lung is clear and the cardiac contour is unchanged.
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stent. evaluate for stent placement.
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The et tube tip is <num> cm above the carina. The ng tube tip is in the stomach. Aeration is improved compared to the preintubation film however there continues to be pulmonary vascular redistribution and patchy areas of alveolar infiltrate and probable small bilateral pleural effusions.
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og tube placement and et tube placement.
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Cardiomediastinal and hilar contours are within normal limits. There may be minimal consolidation at the bases bilaterally. No pneumothorax or pleural effusion. There is a diffuse interstitial prominence and some peribronchial wall thickening suggestive of a atypical infectious process/airways inflammation. Interstitial edema is considered less likely given lack of change known heart size and pulmonary vessels compared to baseline chest radiograph.
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history: <unk>m with cough // acute process?
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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Again visualized are the multiple pulmonary nodules, representing metastatic disease, better visualized on the prior chest ct. There is bony destruction of the right eighth posterior rib, and the hazy opacity at the right lung base is thought to reflect this process. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old man with recent treatment for pneumonia and cough, renal cell ca // ? pneumonia
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Pa and lateral views of the chest are obtained. Increased right basilar atelectasis is noted. The heart is moderately enlarged. No definite signs of pneumonia. There may be a trace right pleural effusion. No pneumothorax. Mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
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Single portable view of the chest is compared to previous exam from <unk>. Exam is extremely limited secondary to portable technique and patient body habitus. There is no definite confluent consolidation identified. Cardiac silhouette is grossly stable.
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<unk>-year-old female with cough. question pneumonia.
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As compared to the previous radiograph, there are new bilateral pleural effusions of mild-to-moderate extent. The signs of massive centralized pulmonary edema are seen in almost unchanged manner. Increasing retrocardiac atelectasis. Unchanged monitoring and support devices.
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flash pulmonary edema, evaluation for interval change.
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Ap and lateral views of the chest. There are low lung volumes which exaggerate the interstitial markings and size of the heart. Mild cardiomegaly and moderated hiatus hernia are unchanged. There are no focal consolidations. There is no pleural effusion or pneumothorax.
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chest pain. evaluate for infiltrate.
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As compared to the previous radiograph, there is no relevant change. Vertebral stabilization devices and bridging components of vertebral bodies. The lung volumes are normal. A mild elevation of the posterior aspect of the left hemidiaphragm is known and virtually unchanged. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. Normal size of the cardiac silhouette.
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multiple myeloma, pre-bone marrow transplant, evaluation.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the proximal parts of the stomach. No evidence of complications, notably no pneumothorax. Otherwise, the radiograph is unchanged.
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nasogastric tube placement.
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The mass in the medial aspect of the right lower lobe appears slightly decreased in size. Right-sided pleural effusion is essentially unchanged in size. Interstitial thickening involving the right mid and lower lung zones is slightly increased. Right apical pleural thickening is unchanged. Right-sided prepectoral port-a-cath in situ with the tip in the proximal right atrium. Cardiomediastinal shadow is unchanged. Unfolding of the thoracic aorta. No left-sided pleural effusion. Surgical material in situ in the left lung. Background hyperinflation.
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<unk> year old man with germ cell tumor, s/p chemotherapy. presents with chronic cough. // increase in left pleural effusion, pleural effusion in right
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The heart continues to be mildly enlarged with bilateral alveolar infiltrates, upper lobe greater than lower lobe. The pulmonary vessels are ill-defined. A few kerley b lines are seen. There are no definite effusions. It is unclear if this is due to pulmonary edema or underlying infection.
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shortness of breath, question pulmonary edema versus pneumonia.
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Right chest dual-lumen infusion port is unchanged with distal tip terminating in the right atrium. Decreased esophageal dilation and surgical clips overlying the upper abdomen and central breast are consistent with prior gastroesophagectomy. Left lower lung opacification is improved from prior examination.
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<unk> year old woman with port // location, prior to access
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A right endobronchial stent is noted but incompletely evaluated. There is new right middle lobe collapse from <num> days prior, which obscures the known right hilar malignancy. Consolidation in the right upper lobe is unchanged. Mild pulmonary edema has developed in the interim. Heart is moderately enlarged but unchanged. The contours of the mediastinum are unchanged. There is persistent elevation of right hemidiaphragm. Multiple rib fractures and a right humeral head fracture are again noted. Left shoulder hardware is incompletely imaged. Heavy calcifications involve the abdominal aorta.
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lung cancer status post stent replacement, evaluate for interval change.
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The lung volumes are normal. Moderate scoliosis. Normal size of the cardiac silhouette. Fibrotic, right more than left, changes in the upper lobes, likely in the context of past exposure to tb, associated with mild-to-moderate pleural thickening. No evidence of active tb. No pleural effusions. No other parenchymal changes. Normal size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta.
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history of tb, treated in the past, now crackles at the lung bases.
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There is no focal consolidation, pleural effusion or pneumothorax. There may be minimal atelectasis at the left lung base. Heart size is mildly enlarged. An enteric tube terminates in the fourth portion of the duodenum. No acute osseous abnormalities identified.
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<unk>-year-old male with hepatitis b, now presenting with dizziness
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Pa and lateral views of the chest demonstrate the a focal area of consolidation in the posterior left lower lobe, consistent with pneumonia. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, or pneumothorax.
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<unk>-year-old female with pancreatitis and reported pneumonia from outside hospital.
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Et tube terminates approximately <num> cm above the carina. Enteric tube is present with tip in the stomach. A right internal jugular line is present with tip in the right atrium. Left subclavian dialysis catheter remains with tip also in the right atrium. The heart remains enlarged. Mediastinal and hilar contours remain unchanged. Again seen are bilateral pleural effusions with bibasilar atelectasis, unchanged since the most recent prior. There is new mild pulmonary edema.
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intubated with new fevers, query pneumonia.
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Single portable view of the chest. Extremely low lung volumes are seen. Patchy opacities seen in the lungs bilaterally, specifically in the right mid lung and at the bilateral bases which could be chronic. Tracheostomy tube is identified. Cardiomediastinal silhouette is within normal limits for technique and low inspiratory volumes. No acute osseous abnormality is detected. Mid thoracic dextroscoliosis is noted.
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<unk>-year-old female with tracheostomy and desaturations.
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In comparison with the study of <unk>, there is even further opacification in the right hemithorax consistent with a combination of a large collection of pleural fluid as well as neoplastic mass with post-obstructive collapse. Contralateral pulmonary nodules are again seen on the left.
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lung cancer with effusion and shortness of breath.
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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.
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history: <unk>f with chest pain/epig pain // chest pain evaluation
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The lung volumes are low. Moderate cardiomegaly without pulmonary edema or other abnormalities. No pleural effusions. No pneumonia, no pulmonary edema.
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pain in the left upper chest.
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Interval since prior study, the patient is a developed extremely extensive subcutaneous emphysema affecting the entire visual chest wall and extending into the supraclavicular region. In addition there is air tracking along the posterior mediastinum. The appearances are highly suspicious for an esophageal perforation. The extent of subcutaneous air limits assessment of the lungs, however no pneumothorax is visualized. An endotracheal tube is in-situ, the tip terminates approximately <num> cm above the level the carina. Small left pleural effusion and left lower lobe atelectasis. The right lung is grossly clear.
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<unk> year old woman with new crepitus andn suspected esophageal perf // evaluate for pneumothorax or esophageal perf
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As compared to the previous radiograph, there is a decrease in volume of the right middle lobe, as manifested by the displacement of the minor fissure. The lung parenchyma of the middle lobe, however, shows unchanged appearance in radiodensity. There is no evidence of pneumonia. No other relevant change. Known borderline size of the cardiac silhouette. No pleural effusions. Known healed rib fractures. No pulmonary edema.
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hypoxemia, evaluation for right lower lobe.
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Lungs are hyperinflated. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
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<unk>m with syncope without prodrome. please evaluate for cardiopulmonary change // <unk>m with syncope without prodrome. please evaluate for cardiopulmonary change
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
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history weakness, fevers, chills. please evaluate for acute intrathoracic abnormalities.
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The lungs are well expanded and clear of consolidation. There is a <num>cm nodular opacity projecting over the left lung base which persists on two frontal views but not seen on the lateral. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with chest pain. evaluate for fractures.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. There is mild pulmonary vascular congestion.
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<unk>-year-old female with altered mental status, question pneumonia.
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The heart is moderately enlarged. The mediastinal and hilar contours are within normal limits. Again seen is a retrocardiac opacity, consistent with known large hiatal hernia. Lungs are hyperinflated, in keeping with known diagnosis of copd. There is no large pleural effusion or pulmonary edema. No focal consolidation concerning for pneumonia.
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history: <unk>f with generalized weakness // r/o pneumonia r/o pneumonia
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Esophageal catheter courses into the left upper quadrant with tip projecting over the midline, likely within the distal stomach. Lung volumes are low with persistent elevation of the right hemidiaphragm basilar atelectasis. There has been interval improvement or resolution of the right pleural effusion. No pneumothorax is detected. Heart and mediastinal contours are stable. Mediastinal surgical clips are again noted. Biliary stent and right upper quadrant pigtail catheter are again noted. Surgical <unk> project over the upper abdomen.
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<unk>-year-old female with cirrhosis, status post liver transplant with complicated postoperative course including insufficient caloric intake; assessment of feeding tube placement is requested.
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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.
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history: <unk>m with c/f endocarditis (strep viridans in urine) // eval for widened mediatstium
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Frontal and lateral views of the chest were obtained. The heart is normal size with normal cardiomediastinal contours. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
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<unk>-year-old male with chest pain and shortness of breath. evaluate for pneumonia.
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A pigtail catheter projects over the right mid upper hemithorax and another projects over the left lower hemithorax, unchanged in position overall. Tiny right apical pneumothorax without evidence of tension has perhaps decreased in size, but is not larger and has been replaced in part by fluid. Large right pleural effusion with severe atelectasis has decreased since yesterday but is still substantial. The heart size cannot be adequately assessed, but is probably moderately enlarged and overall unchanged. No appreciable left pleural effusion. Lung volumes remain low. No left pneumothorax. Interval decrease in left edema. The possibility of lymphangitic spread cannot be excluded given the clinical history. Prominence of the right hilar region may reflect lymphadenopathy given history of metastatic cancer and recent cta.
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<unk> year old woman with metastatic cancer // assess right lung and chest tubes and concern for ptx
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Cardiomediastinal contours are unchanged with widened mediastinum and moderate cardiomegaly. The upper lungs are clear. There is no pneumothorax. Small bilateral effusions larger on the left side have improved on the left. There is no pulmonary edema. . There are mild degenerative changes in the thoracic spine sternal wires are aligned
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<unk> year old man pod<num> asc ao replacement // evaluate for effuson/atelectasis
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Comparison is made to prior study from <unk> at <time> p.m. Swan-ganz catheter, endotracheal tube and enteric tube have been unchanged in position. Mediastinal drain is also seen. There is a persistent left retrocardiac opacity and left-sided pleural effusion. Small right effusion is seen. Atelectasis and mild prominence of the pulmonary vascular markings remain.
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All the monitoring devices are unchanged in standard position. The widespread lung opacification for non-volume dependent lung edema is overall stable. Heart size is still mildly enlarged, but smaller since yesterday. There is no pleural effusion, pneumothorax.
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evaluation for interval changes.
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The patient is rotated. The newly placed left internal jugular venous-approach catheter tip projects over the expected region of the low svc. Lung volumes are slightly lower. Left mid and lower lung parenchymal opacities persist, consistent with pneumonia with interval increase in opacity the lingula. Right lower lobe infrahilar opacity persists and is more conspicuous, concern for aspiration and/or concurrent pneumonia. No pneumothorax. The
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<unk>-year-old woman status post left ij central line placement. evaluate line placement.
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There there are bilateral lower lobe airspace opacities. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
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<unk>-year-old man with cough and fever.
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The previously seen right-sided chest pigtail catheter is no longer seen. Small to moderate right pneumothorax persists, difficult to accurately assess change in size given lack of recent lateral view however, there is concern that it may be slightly increased in size. Right basilar opacities again seen likely due to atelectasis. There is persistent blunting of the left costophrenic angle likely due to small left pleural effusion. Bibasilar opacities are again seen suggestive of atelectasis. Bilateral calcified pleural plaques for better assessed on the prior chest ct from <unk> cardiac and mediastinal silhouettes are stable.
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dislodged pigtail catheter.
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Lung volumes are low. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Bilateral pleural effusions are small. No focal consolidation or pneumothorax.moderate atelectasis in bilateral lower lobes.
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<unk> year old woman p/w sbo pod<unk> s/p exlap, resection of ischemic bowel, with fever <num> // ?acute process
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Frontal and lateral views of the chest were obtained. The lungs are well expanded. Right basilar opacity may be atelectasis but could represent infection in the appropriate clinical setting. There is no pleural effusion or pneumothorax. Blunting of the left costophrenic sulcus is unchanged from prior studies. Cardiac and mediastinal silhouettes are stable.
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copd, cough status post renal transplant with acute on chronic productive cough. evaluate for pneumonia.
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Endotracheal tube terminates approximately <num> cm from the carina. An enteric tube tip is within the stomach, though side port is above the gastroesophageal junction. Cardiac and mediastinal contours are within normal limits. Pulmonary vasculature is normal. There is likely minimal atelectasis in the left lung base. No focal consolidation, pleural effusion or large pneumothorax is present. No acute osseous abnormalities identified.
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history: <unk>m status post fall, intubation
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As compared to the previous radiograph, there is no relevant change. The lung volumes are low. Moderate cardiomegaly with mild fluid overload. The right upper lobe opacity with air bronchograms, likely reflecting pneumonia, is constant in appearance and severity. The pigtail catheter in the left pleural space is unchanged. There is no evidence of a left pneumothorax. Bilateral basal atelectasis continued to be present in unchanged manner.
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respiratory distress, likely pneumonia.
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Lungs volumes are normal. Subtle opacity in the left lower lobe could reflect early pneumonia. No pleural effusion or pneumothorax. Heart is normal size. Mediastinal and hilar contours are unremarkable.
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cough, rule out pneumonia.
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Lungs are well expanded and with left lower lobe peribronchial infiltration of uncertain chronicity. There is no pleural effusion or pneumothorax. The heart is normal in size, normal cardiomediastinal contours.
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<unk>-year-old gentleman with lightheadedness. assess for acute process.
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Mild pulmonary edema and small left pleural effusion. No pneumothorax. Heart size is mildly enlarged with mediastinal vein dilatation. Mediastinal contour and hila are otherwise normal. No pneumothorax. No bony abnormality.
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status post attempted port-a-cath placement. assess for pneumothorax.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy opacities are demonstrated in both the lingula and right middle lobe concerning for pneumonia. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with fever, cough // eval for pneumonia
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The lungs are clear without focal consolidation or edema. There is no large effusion visualized. The cardiomediastinal silhouette is within normal limits. Changes partially visualized at the left shoulder may be degenerative or posttraumatic.
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<unk>f w/failure to thrive // <unk>f w/failure to thrive
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Pa and lateral views of the chest were compared to previous exam from <unk>. Right chest dual-lumen port is again seen with catheter tip in the mid svc. Clip seen within the left upper lobe with associated linear opacity. There has, however, been interval resolution of previously identified parenchymal opacities in the left upper lung. There is no new region of consolidation or pleural effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with history of non-small cell lung cancer, now with increased seizure activity.
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The patient is status post mitral valve replacement. The cardiac, mediastinal and hilar contours appear unchanged including suspected enlargement of the left atrial appendage. The lungs appear clear. There is no pleural effusion or pneumothorax.
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chest pain, pleuritic in nature, with crackles at the lung bases.
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Left-sided pacemaker device is noted with single lead terminating in the right ventricle. There is mild to moderate cardiomegaly, unchanged. The aorta is mildly tortuous. Mediastinal contour is otherwise stable. There is mild pulmonary vascular congestion. No focal consolidation or pneumothorax is seen. Patchy opacity within the lower lobes may reflect atelectasis. There appears to be trace bilateral pleural effusions posteriorly on the lateral view. No acute osseous abnormalities seen.
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chest pain and shortness of breath.
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The lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with lightheadedness // eval for chf, pneumonia
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with syncopal episodes, and cp pls eval for cardiomeg and effusion, do not sit patient u{ must be supine
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A right picc is present with the tip in the mid svc, not significantly changed from the prior exam. Patchy bibasilar opacities appear new from the prior exam, and are likely due to bibasilar atelectasis. There is no focal consolidation. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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hypotensive. evaluate for pneumonia.
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In comparison with study of <unk>, there is little overall change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is at the upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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fever and leukocytosis, to assess for pneumonia.
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Compared to chest radiographs from <unk>, right-sided pleural effusion has minimally improved. Left-sided pleural effusion, with fissural fluid, appears loculated and is unchanged. Lungs are hyperinflated with flattening of the bilateral hemidiaphragms, suggestive of emphysema. There is mild central vascular congestion without overt pulmonary edema. No focal consolidation. No pneumothorax. Cardiomediastinal silhouette is stable. Left pectoral cardiac pacing device with dual leads following their expected courses to the right atrium and ventricle, respectively.
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<unk> year old man with esrd with increased sob, cough and anorexia. // r/o pulmonary edema versus pneumonia
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The ng tube is at the gastroesophageal junction, slightly too high. At the time of dictating this film, subsequent study had already been performed. The heart is moderately enlarged, increased compared to prior. There is pulmonary vascular re-distribution. There are bilateral lower lobe greater than upper lobe alveolar infiltrates. There are small bilateral effusions. The overall impression is that of fluid overload. Underlying infectious infiltrate cannot be excluded. Sternal wires and mediastinal clips are again seen.
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sepsis and dilated stomach, now with ng tube placement.
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Interval resolution of pulmonary edema. Stable bilateral lower lung volumes. No focal consolidation, pleural effusion, or pneumothorax. Stable cardiomegaly and mediastinal contours.
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<unk>-year-old man s/p orif left ankle with sats in low <num>s and mild fever. evaluate for pneumonia.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. Continued low lung volumes with elevated pulmonary venous pressure. Little change in the multiple pulmonary opacifications with areas of cavitation.
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bacteremia and septic emboli.
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Right internal jugular venous catheter terminates in low svc. Et tube terminates <num> mm above the carina. A pigtail catheter is in unchanged position projecting over the cardiac apex and left lower chest. Moderate bilateral pleural effusion and moderate left lower lobe atelectasis are similar as before. There is mild right lower lobe atelectasis. There is no pneumothorax or pulmonary edema. No new consolidation is identified. Enlarged cardiac silhouette is stable and consistent with known pericardial effusion.there is no distention of mediastinal veins to suggest presence of hemodynamically significant pericardial effusion.
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<unk> year old man with history of bilateral pleural effusions, pericardial effusion, here with hypoxemic respiratory failure and intubated // assess interval change
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Single lead left-sided aicd is stable in position. The cardiac silhouette is mild to moderately enlarged. No pleural effusion or pneumothorax is seen. Increased vascular markings suggest moderate pulmonary vascular congestion with mild interstitial edema. Mediastinal contours are unremarkable.
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history: <unk>f with dysppnea // eval for acute process
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Cardiac and mediastinal silhouettes are grossly stable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. There is persistent mild biapical pleural thickening. Persistent slight blunting of the right costophrenic angles also noted.
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history: <unk>m with dyspnea, hypoxia // eval ? pna, pneumothorax, edema
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In comparison with the study of <unk>, the coronary sinus lead has been removed. The pacer leads extending to the right atrium and apex of the right ventricle are unchanged. No evidence of post-procedure pneumothorax or acute cardiopulmonary disease.
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lead revision.
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Since the prior exam, there is a new opacity involving the central portions of the right lung. Other than mild left basilar atelectasis, the left lung is clear. There is no pleural effusion or pneumothorax. The heart is mildly enlarged, and appears slightly bigger than in the prior exam. The mediastinal contours are normal. The known left lower lobe granuloma is not well evaluated on this exam.
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history of a prior liver transplant with cough, malaise, and hemoptysis.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with <num> week intermittent chest pain with radiation to back
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly with moderate fluid overload and retrocardiac atelectasis. Blunting of the left costophrenic sinus so that the presence of a small left pleural effusion cannot be excluded. No pneumothorax. No newly occurred parenchymal opacities. Unchanged course of the pacemaker leads.
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status post stroke and pneumonia.
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Compared to the prior film, i doubt significant interval change. Again seen is a moderate left effusion, with underlying collapse and/or consolidation. There is also minimal blunting at the right costophrenic angle consistent with a small right pleural effusion, very slightly larger. Chf may be very slightly improved.
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<unk> year old woman s/p l iliac thrombectomy // eval for pleural effusions
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