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MIMIC-CXR-JPG/2.0.0/files/p14917027/s52971075/bc568755-4c6ac2bf-875fcc8c-35d64880-695eec7d.jpg
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no osseous abnormality identified.
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cough, shortness of breath, flu-like illness. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15714226/s52305447/a81f8c30-95bf7dd2-10ad5181-0c8f046d-5d1808ad.jpg
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compared to chest radiographs from <unk>, there is no relevant change. no current pneumomediastinum. no focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette is stable.
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<unk> year old man with ?pneumomediastinum after multiple episodes of emesis // assess for interval change
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MIMIC-CXR-JPG/2.0.0/files/p15248866/s52490909/6ed73a8c-dd2751f0-b136c180-7794ce14-f2e933c6.jpg
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endotracheal tube tip is within the proximal right mainstem bronchus. an enteric tube is cold within the esophagus with distal aspect terminating in the distal esophagus. low lung volumes are present. this accentuates the size of the cardiac silhouette which appears mildly enlarged. widening of the superior mediastinal contour may be due to low lung volumes and supine positioning. crowding of bronchovascular structures is present with possible mild pulmonary vascular congestion but no overt pulmonary edema. atelectasis is noted in the lung bases. no pleural effusion or pneumothorax is identified on this supine exam. there are no acute osseous abnormalities.
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history: <unk>f found down by roommate with head injury
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MIMIC-CXR-JPG/2.0.0/files/p15904250/s53678309/8aeca13f-da3a3eeb-dcd2dcc7-408a0d9b-3d4c74a4.jpg
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ap upright and lateral views of the chest provided. midline sternotomy wires again noted. there is a left chest wall pacer device again noted with leads extending to the region the right atrium right ventricle and coronaries sinus. cardiomegaly is again noted with hilar congestion. there is mild interstitial pulmonary edema with likely small bilateral pleural effusions. no convincing evidence for pneumonia. no pneumothorax. aortic calcification again noted. bony structures appear grossly intact.
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<unk>f with systolic heart failure, increased <unk> edema
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MIMIC-CXR-JPG/2.0.0/files/p12387217/s59402231/1e0e30d4-4b8c4ec6-8600f00a-085a260b-8d16c141.jpg
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low lung volumes are seen with clear left lung. in the right hemithorax, the lobulated apical pleural contour likely reflects a loculated pleural effusion with accompanying moderate-to-large right dependent pleural effusion and associated atelectasis. supervening pneumonia cannot be fully excluded.
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question pneumonia, assess for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p16788424/s57823121/cf68b47b-ab0d9dd7-95541830-d6d404b1-352e99b1.jpg
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there is subtle increased opacity in the lung bases. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are unchanged.
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seizures, nonverbal. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15471374/s52242697/2c5b66c4-72b7722d-08766a8f-ce292b60-814f99d3.jpg
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pa and lateral views of the chest. the lungs remain clear without consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old male with cough.
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MIMIC-CXR-JPG/2.0.0/files/p14395663/s52758878/c055e217-9141eafe-63d1c12e-c1f12a1e-735ddfd8.jpg
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the et tube terminates <num> cm above the carina. ng tube courses below the diaphragm and out of view. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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<unk> year old woman with ett that was advanced and diminished breath sounds on left // ett location
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MIMIC-CXR-JPG/2.0.0/files/p16897596/s58003268/3e5a60a3-8394d963-3b1d1fdc-dab452ba-0858e448.jpg
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lungs are well expanded and clear bilaterally with no pleural effusion, focal consolidation or evidence of pneumothorax. the cardiomediastinal silhouette is within normal limits. the pleural surfaces are unremarkable.
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persistent cough.
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MIMIC-CXR-JPG/2.0.0/files/p19735459/s51096314/d5c309f9-d8d66a72-60ad897a-06fc28ab-be6885e3.jpg
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portable semi-upright radiograph of the chest demonstrates a normal cardiomediastinal silhouette. pulmonary edema is improved since the prior examination. left upper lung field opacity is similar to the prior examination. no definite new consolidation identified. there is no sizable pleural effusion or pneumothorax. there is evidence of calcific tendinosis of the right shoulder.
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<unk> year old man with pulm edema, gi bleed with anemia, s/p diuresis // eval for interval change
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are well expanded, and clear without evidence of focal consolidations concerning for pneumonia. there is no pneumothorax or pleural effusion. note is made of old right <unk> and left <num>th rib fractures. there is no pleural effusion or pneumothorax.
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history of alcohol intoxication, rule out pneumonia, aspiration.
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MIMIC-CXR-JPG/2.0.0/files/p13934827/s52244012/c75c81f6-1f5eec52-da39ae72-620874eb-48ef3243.jpg
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extensive subcutaneous emphysema throughout the thorax and visualized neck. two chest tubes project over the left hemithorax and are unchanged in position. a trace left medial pneumothorax is visualized. the endotracheal tube projects over the mid thoracic trachea and a feeding tube extends into the stomach. the size of the cardiac silhouette is within normal limits.
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<unk> year old man with left ptx // any change in chest tube placement?
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MIMIC-CXR-JPG/2.0.0/files/p14348068/s58785449/8495c44d-aa8fb4fa-f98b57c5-39d30fc1-210651cc.jpg
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there is minor basilar atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal and hilar contours are unremarkable.
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uncontrolled blood sugars, shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p10148145/s57709480/6e0c1502-8db0afac-630eb16c-681fe79a-9a40dadb.jpg
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the cardiomediastinal shadow is normal. no airspace consolidation. no pleural effusions.
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<unk> year old man with spinal stenosis // pre-op eval surg: <unk> (spinal )
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MIMIC-CXR-JPG/2.0.0/files/p15003878/s55982972/f7d140ae-11b44bf4-ce0ec2db-bf059369-9c7f893a.jpg
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one portable semi-erect ap view of the chest. compared to most recent chest radiograph, the mediastinum is more widened. given the patient's manubrium fracture, this is concerning for a mediastinal bleed. endotracheal tube ends <num> cm from the carina. there are low lung volumes and new right mid lung linear opacity probably representing atelectasis. no evidence of pneumonia. no pleural effusions. no pneumothorax. increased vascular congestion.
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status post surgery, intubated, please evaluate for pneumothorax.
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there is no significant interval change compared to the recent radiograph on <unk>. lungs remain hyperinflated. vague opacity persists over the right lung base which may represent scarring, atelectasis, or early consolidation. no signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures appear stable.
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<unk>m with weakness and sob // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p13585923/s53582255/0b9bada9-a888577f-ee6e95a5-f8237ec7-5642805b.jpg
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single frontal view of the chest. the heart size is moderately enlarged. there is a small to moderate sized right pleural effusion and a trace left pleural effusion. right base opacity could represent compressive atelectasis versus consolidation. no pneumothorax.
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<unk>-year-old female with arrythmia and cough.
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MIMIC-CXR-JPG/2.0.0/files/p19525528/s59558337/0ecb63fa-117a618f-5fa0900d-97081aab-a2485830.jpg
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there has been interval removal of the right-sided pigtail drainage catheter. no pneumothorax. a small to moderate right pleural effusion remains, decreased from <unk>. residual right lower lobe opacity is likely due to atelectasis. mediastinal contours and cardiac borders are normal. a lateral left upper lobe nodule was better characterized on recent chest ct, which also demonstrated multiple other pulmonary nodules.
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<unk> year old man with empyema sp pulling chest tube // pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p15745117/s58045399/ad07e722-e30ea432-cb60a688-e1d69902-c68d5ba9.jpg
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no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is borderline enlarged.
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<unk> year old woman with ms who presents with sepsis. // pulmonary infection a cause of sepsis?
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MIMIC-CXR-JPG/2.0.0/files/p11525254/s59586810/fb397e01-c03b5310-b45786af-b2fc1805-47fb8685.jpg
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the lungs are well-aerated without focal consolidation, pleural effusion or pneumothorax. the heart is normal size, and the mediastinal and hilar contours are normal.
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<unk>-year-old male with chest pain. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13300893/s51392090/5365b6b5-4bd86308-707ec1bf-16c5bc75-e350f370.jpg
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the tip of the right port-a-cath is in the mid svc. lung volumes are low with crowding of bronchovascular markings at the right infrahilar region. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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<unk>m with pancreatic ca, + fever, + diarrhea, llq pain
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MIMIC-CXR-JPG/2.0.0/files/p19131048/s52593128/a2ff4d6e-964799b5-3d78adb3-9cdf2e2f-3a4be2c0.jpg
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since the most recent examination, an endotracheal tube has been placed. the tip terminates approximately <num> cm above the carina. again seen is a right internal jugular catheter, with its at an in the upper to mid svc. a right subclavian line seen, with tip terminating in the right atrium. a nasogastric tube in stable position the side port extending into the stomach. no again seen is a stably enlarged cardiac silhouette rule with left lower lobe volume loss and pleural effusion. mild indistinctness of the pulmonary vasculature is noted, not significantly changed since recent examination from <num> hours prior.
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<unk> year old woman with respiratory distress, s/p intubation // ?ett placement
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MIMIC-CXR-JPG/2.0.0/files/p19943239/s55939424/b5f85f45-63ace7e5-6bd89c3b-ffbcf7b3-dc6e8329.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. a calcified granuloma in the right middle lobe is again seen and unchanged in size. no pleural effusion or pneumothorax is seen. note is made of cholecystectomy clips in the right upper quadrant.
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<unk>f with chest pain // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p13284469/s51542247/84ebd55d-915f8600-79c70852-c3292035-c3b43538.jpg
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the cardiac silhouette size is normal. the aortic knob is calcified. the mediastinal and hilar contours are within normal limits. patchy ill-defined opacity is noted within the periphery of the left lower lobe. there is no pleural effusion or pneumothorax. multilevel degenerative changes are seen in the thoracic spine. partially imaged is a inferior vena cava filter.
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fever.
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MIMIC-CXR-JPG/2.0.0/files/p16668160/s52583657/db270ebe-1140136d-309157f2-918591d8-79379dbd.jpg
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cardiomediastinal and hilar contours are stable with calcification of the aortic knob. neither costophrenic angle is fully captured on this single portable image, however, there is no large pleural effusion. there is no pneumothorax. there is no focal consolidation concerning for pneumonia. mild cephalization may be physiologic/positional. median sternotomy wires are present.
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vascular surgery, preoperative assessment.
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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<unk>-year-old woman with with chest pain, evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p19580265/s54476914/f1fce175-719738f5-e7ea3b90-833a8d99-bc9f8adb.jpg
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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 cough,fevers // pna?
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MIMIC-CXR-JPG/2.0.0/files/p11972459/s56989858/852e6af0-a86480af-a3714bce-c4aaacfa-9b8b80be.jpg
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prominent mediastinal fat is noted. the cardiac silhouette and pulmonary vasculature are largely unremarkable. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax.
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history: <unk>m with leukocytosis // evidence of pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p13815588/s58922290/d87731d9-35baff44-8868d882-575697b1-619f46ee.jpg
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
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restrictive lung disease with worsening shortness of breath for <num> weeks.
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MIMIC-CXR-JPG/2.0.0/files/p12120500/s51272615/dfdda182-c02dda7c-080260e9-c6053fd8-cf45a503.jpg
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormality seen.
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sudden onset right-sided chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14921998/s54350738/7821401b-59845f82-8b9f0df0-e51fe976-75b6d383.jpg
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a picc line terminates in the left brachiocephalic vein. the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. posterior basilar opacity in the left lower lobe could be seen with atelectasis or possibly aspiration. a left mid lung opacity has resolved.
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multiple sclerosis and aspiration risk.
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the lungs are normally expanded and clear. heart size is normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there are degenerative changes in bilateral acromioclavicular joints. there are hypertrophic degenerative changes in the thoracic spine.
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history: <unk>m with shortness of breath
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pa and lateral chest radiographs demonstrate two surgical clips overlying the right apex and posterior to the trachea. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is an circumscribed anterior opacity in the left hemithorax that probably represents the nipple.
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cough, congestion.
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there is a moderate left and small right pleural effusions have increased since the prior radigraphs. opacities overlying the left pleural effusion likely represent atelectasis. additional ill-defined opacity in the left upper lobe, not previously seen, may be infectious. a right chest wall port is seen with catheter tip in the mid-to-low svc. the cardiomediastinal silhouette is unchanged. the bony structures are intact.
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<unk>-year-old man with pseudomonas bacteremia and large pleural effusion. patient to undergo thoracentesis today, would like extent of effusion evaluated.
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MIMIC-CXR-JPG/2.0.0/files/p12118872/s58118901/f31c4705-bffa3bba-284e3714-f3436e38-04e5e5db.jpg
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as compared to the previous radiograph, no relevant change is seen. no pulmonary edema. no pneumonia, no pleural effusions. tortuosity of the thoracic aorta. known coiled intravascular a part of a right pectoral port-a-cath.
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<unk> year old man with right port-a-cath. ? central location // assess location of port tip. ? central
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MIMIC-CXR-JPG/2.0.0/files/p14498233/s50909600/fe116f0c-6f70203f-69470ce4-2f471aad-2fc44d1e.jpg
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redemonstrated is chronic moderate cardiomegaly. the mediastinal contours are stable. there is mild pulmonary vascular congestion, somewhat improved as compared to the prior examination. a small left pleural effusion is noted. there is no definitive focal consolidation or pneumothorax identified.
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altered mental status.
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there are low lung volumes which accentuates bibasilar atelectasis. cardiomediastinal silhouette and hilar contours are unremarkable. a battery pack with pacemaker leads terminating in the right atrium and right ventricle are in unchanged position. a slight increase in the retrocardiac density may be due to low lung volumes versus early infectious process.
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<unk>-year-old man with increased respiratory failure. question pneumonia.
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massive cardiomegaly is unchanged. lung volumes are low. there is mild pulmonary edema. streaky retrocardiac opacity likely represents atelectasis. no definite focal consolidation seen. no pneumothorax or large pleural effusion. sternotomy wires are intact. prosthetic aortic valve is unchanged. atherosclerotic calcifications are noted of the aortic arch.
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<unk>f with cough, evaluate for pneumonia or chf.
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MIMIC-CXR-JPG/2.0.0/files/p13497422/s53139234/5df5ecd3-f841a8af-f5b34dd7-904aed00-05a99ebc.jpg
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ap portable view of the chest demonstrates low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouette are unremarkable. heart size is normal. there is no pulmonary edema.
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worsening shortness of breath and cough, chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11058749/s51767954/fea65a4f-d980d956-837a5692-ae4703b4-b82259ce.jpg
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable with the exception of a tortuous aorta. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with epigastric, substernal chest pain radiating to the back. evaluate for pneumothorax or any other acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p13151413/s52347601/0dc1a3c7-065b99ea-e0fd8f62-d89f03d4-565b805c.jpg
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. no acute osseous abnormalities identified.
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<unk>m with left upper shoulder pain s/p mvc // eval for pneumo
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MIMIC-CXR-JPG/2.0.0/files/p17018536/s53945817/32207450-9bfb171c-1650affd-676b2e51-d453c5ef.jpg
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pa and lateral radiographs of the chest demonstrate a heterogeneous opacity in the left lower lobe. there is chronic moderate cardiomegaly. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
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confusion.
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MIMIC-CXR-JPG/2.0.0/files/p12374236/s55043598/76abd4ef-75b48925-6c336698-125c2a51-2f398695.jpg
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough, fever to <num> // please assess for pneumonia
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exam is extremely limited as a significant portion of the left hemithorax is not included. enteric tube is seen passing below lower field of view, tip not included. extremely low lung volumes are noted. surgical clips project over the right upper quadrant.
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<unk> year old man with hepatic encephalopathy s/p ngt placement // eval for ngt placement
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MIMIC-CXR-JPG/2.0.0/files/p12916835/s55551221/4d66e5f5-2ec06418-2374313d-5f18601c-3a921ac1.jpg
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frontal and lateral views of the chest demonstrate hyperexpanded lungs. there is no focal consolidation, pleural effusion, or pneumothorax. vascular deficiency in the upper lungs could be due to emphysema, even though lungs are not clearly hyperinflated. hilar and mediastinal silhouettes are unremarkable. heart size is normal. cervical fusion hardware is partially imaged. mild anterior wedge deformities of the mid thoracic vertebral bodies appear longstanding.
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patient with hypoglycemia.
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a right picc is present with tip terminating in the mid svc. there has been a change in contour of the left pleural drainage catheter, with slight retraction of the distal aspect of the tube and an area of kinking, which may be outside the patient. a small left pleural effusion is slightly smaller than on the most recent prior study. there has been improved aeration in the left lower lobe. increased haziness in the left mid lung may also reflect some pleural fluid. small right pleural effusion slightly increased compared to prior, and mild right base atelectasis persist. the cardiomediastinal and hilar contours are normal. there is no pneumothorax. lung volumes are normal, and there is no new focal consolidation concerning for pneumonia. there is no pneumoperitoneum. gaseous distension of the stomach is again noted. a cbd stent is in stable position.
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<unk> year old woman with pancreatic ca with new l sided pleural effusion with ct to suction // status of effusion
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. mild pectus deformity.
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history of chest pain, shortness of breath. please evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14862629/s55736251/c5134f2e-b330c667-870e0203-ff7044ab-5d021402.jpg
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lungs are clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with diaphoresis, n/v // ?cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p14690648/s53442274/30a88d10-cc42cff9-9d8dce5f-9e8d306b-ccf65055.jpg
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cardiac silhouette size remains moderate to severely enlarged. the aorta is tortuous with atherosclerotic calcifications noted at the aortic knob. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. elevation of the left hemidiaphragm appears chronic. calcified granulomas are again noted within the left lung base. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
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history: <unk>f with shortness of breath and leg swelling
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lung volumes are low. linear horizontal scarring in the right middle lobe is unchanged since <unk>. mild cardiomegaly is unchanged. no new consolidation, effusion or pneumothorax is present.
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<unk>-year-old woman with history of rheumatoid arthritis on methotrexate, presenting with cough and yellow sputum.
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MIMIC-CXR-JPG/2.0.0/files/p14056747/s50862279/24a6c44c-3872970b-cc7e0915-8e733827-482fc4cd.jpg
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the lungs are clear where not obscured by overlying cardiac leads. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
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<unk>f with confusion // infiltrate?
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frontal and lateral chest radiographs again demonstrate a superior right lower lobe mass, which was recently characterized on ct chest from <unk>. elevation of the right hemidiaphragm and linear opacities likely represent volume loss and atelectasis. pulmonary nodules are unchanged. the heart is normal in size. there is a moderate right pleural effusion, and no pneumothorax.
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right lower lobe non-small cell lung cancer, undergoing chemotherapy.
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MIMIC-CXR-JPG/2.0.0/files/p19795930/s58865898/442a8ee7-8070a9dd-aeb4a8a2-f689e5de-ded4af89.jpg
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compared to <unk> there is no interval change in location of endotracheal tube, enteric tube, right-sided central line or pacemaker and pacer wires. multiple ekg leads overlie the chest wall. lower lung volumes with no evidence of pulmonary edema. stable cardiomegaly.
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<unk> year old woman s/pavr // evalf or pneumo
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there is persistent, perhaps somewhat increased opacification in the posterior left lower lobe indicating atelectasis superimposed on a large rounded mass in the left posterior costophrenic sulcus which is similar in size although hard to compare to the prior ct for small possible changes. elsewhere, the lungs remain clear. additional known nodules are not well seen on radiography for the most part. there is no definite pleural effusion.
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dyspnea on exertion. metastatic renal cell carcinoma.
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the new right ij central venous catheter tip ends in the right atrium, <num> cm distal to the cavoatrial junction. the enteric tube is in unchanged position ending within a decompressed stomach. there are probably small bilateral pleural effusions with adjacent compressive atelectasis. heart size is top normal and unchanged. there is no focal consolidation or pneumothorax.
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<unk>f etoh cirrhosis, meld <unk>, h/o esophageal varices (<unk>), p/w epigastric pain, with contained duodenal perf // please evaluate for rij placement
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streaky opacities within the mid-to-lower lungs bilaterally are consistent with mild interstitial pulmonary edema. there is no focal consolidation, although subsegmental bibasilar atelectasis is not likely. there were no pleural effusions. no pneumothorax is seen. the heart size is normal. tortuosity of the descending thoracic aorta is noted.
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persistent exertional shortness of breath. assess for pneumonia or congestive heart failure.
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right port-a-cath terminates in the upper svc. the lungs are normally expanded and clear. heart size is normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
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<unk> year old woman with pancreatic cancer, nephrolithiasis and hydro p/w fever // r/o pna
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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 right sided chest pain/fatigue/ shortness of breath
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the lung volume is small. diffuse airspace opacities, right more severe than left, are unchanged. superimposed pneumonia cannot be ruled out. right basilar atelectasis is stable. no large pleural effusion. no pneumothorax. severe cardiomegaly is unchanged. the mediastinal silhouette is unchanged.
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<unk> year old man with hiv and hfpef. // want to evaluate for pna or worsening pulmonary edema.
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the lungs are well expanded. left base atelectasis/scarring is seen. no focal consolidation is seen. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with shortness of breath. evaluate for evidence of pneumonia.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is identified. unremarkable appearance of thoracic aorta. no mediastinal abnormalities are present. the pulmonary vasculature is not congested and no signs of acute or chronic pulmonary infiltrates can be seen. the lateral and posterior pleural sinuses are free from any fluid accumulation. no evidence of pneumothorax in the apical area. skeletal structures of the thorax are characterized by multiple deformities in bilateral location.they have the appearance of healed rib fractures with callus formation and are located on the frontal view in the lateral aspect of ribs #<num>, <num>, <num> and <num>. on the left side, similar injuries exist, however, slightly less marked and involve again ribs #<num> through <num>. the kyphotic curvature of the thoracic spine is unremarkable on the lateral view and there is no evidence of any vertebral body compression fracture. there is also evidence of an old fracture in mid portion of the left clavicle again with bridging callus. our records do not include a previous chest examination available for comparison.
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<unk>-year-old male patient with past history of homelessness, screening for tb prior to discharge on request of next care facility.
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a single frontal view of the chest demonstrates the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no evidence of pneumothorax, pleural effusion, pulmonary edema or focal pneumonia.
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<unk>-year-old man for preoperative evaluation.
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frontal and lateral views of the chest. the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old female with fever.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. heart size and the appearance of mediastinal structures including thoracic aorta are unchanged and stable. the pulmonary vasculature is not congested. the on previous examination identified rather nodular appearing densities located in the right upper lobe lateral segment and in the left hemithorax in a location compatible with the lingula of the left upper lobe, remain unchanged. they have not undergone any significant alteration in appearance or density. no new pulmonary abnormalities are present, no pleural effusion has developed as the lateral and posterior pleural sinuses remain free and no pneumothorax is seen in the apical area.
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<unk>-year-old female patient with nodular sarcoidosis, on prednisone treatment, follow up examination.
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there are low lung volumes, which results in bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. there is bibasilar atelectasis. heart remains enlarged. large hiatal hernia again seen. a nasogastric tube tip ends in the esophagus, proximal to the hiatal hernia.
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history: <unk>f with hiatal hernia, ng tube placement // eval ng tube placement
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pa and lateral views of the chest provided. there has been interval placement of a right ij central venous catheter with its tip in the low svc region. there is a tiny right pleural effusion. subtle ground-glass opacity in the left lateral lung base is new from prior and may represent a very early pneumonia. the lungs are otherwise clear. cardiomediastinal silhouette is unchanged. bony structures are intact.
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<unk>m with fever and reported cough
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pa and lateral views of the chest. there is increased opacity, best seen on the lateral view, localizing to the right upper lobe. there is no effusion or pulmonary vascular congestion. subcutaneous gas projects over the left axilla compatible with patient's history of recent partial mastectomy. osseous structures are unremarkable.
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<unk>-year-old female with fever postop.
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no focal consolidation, pleural effusion, evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette is top normal. coronary artery calcifications/stenting noted
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weakness, shortness of breath
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in comparison to the chest radiograph obtained <num> day prior, there is massive subcutaneous emphysema. while no pneumothorax definitively seen, the extensive subcutaneous emphysema might easily mask a pneumothorax, if present. there is extensive pneumomediastinum. the left lung is fully expanded and clear. no pleural effusions. mild cardiomegaly is unchanged without pulmonary edema.
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<unk> year old man sp right upper lobectomy // eval for pneumo
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frontal and lateral chest radiographs demonstrate a right chest port with the catheter terminating in the low svc. the cardiomediastinal silhouette is normal. there is again right hemidiaphragm elevation, unchanged with adjacent mild atelectasis in the right lung base. . no focal consolidation, pleural effusion, or pneumothorax. no acute osseous abnormality is visualized.
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history: <unk>f with dizzy and weak. hx of metastatic cancer (ovarian and thyroid). infection workup
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there has been interval placement of an endotracheal tube which is placed too inferiorly with tip terminating <num> cm cranial to the carina. there is otherwise no significant change compared to the examination from <num> hours prior.
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liver failure, alcoholic hepatitis, acute renal failure status post intubation. assess for and tracheal tube placement.
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there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. azygos lobe is noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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history: <unk>m with gait abnormality // eval for infiltrate
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support devices in place. cardiac enlargement stable. stable right pleural effusion. moderate left pleural effusion, has mildly increased. worsened left perihilar opacity, likely atelectasis or edema, consider pneumonitis in the appropriate clinical setting. stable left basilar consolidation, likely atelectasis. interstitial prominence in the right lung has mildly improved. no pneumothorax.
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<unk> year old man with lvad, new fevers // ?source
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
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<unk>m with left sided chest pain.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
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chest pain.
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in comparison to the ct chest dated <unk>, no significant changes are appreciated. there are no suspicious pulmonary nodules or masses. there is a small, linear focus of atelectasis in the right lower lobe. lungs are otherwise hyperinflated, unchanged since at least <unk>, but clear without focal consolidation, pleural effusions, or pleural thickening. heart size is normal. cardiomediastinal hilar silhouettes are normal.
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<unk> year old man with history of melanoma // please evaluate disease status
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left-sided picc is seen with tip projecting over the ra svc junction as on prior. lung volumes are relatively low there are patchy bibasilar opacities, more confluent at the left lung base than at the right. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with fever // eval for pna
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frontal radiograph of the chest. compared to the prior radiograph from two days ago, the lung volumes remain low with continued small right pleural effusion with otherwise no focal increase in opacity concerning for infection. the cardiac contour is unchanged, top normal. the aorta is still tortuous. the right subclavian catheter terminates at the cavoatrial junction. no pneumothorax is seen. additionally, there is mild increase in aeration of the right lower lobe.
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chest pain. evaluate for intrathoracic process.
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a moderate size left pleural effusion persists, similar compared to the prior study. left basilar consolidation has improved since then, but a small amount hazy opacification persists. the right lung is grossly clear. moderate cardiomegaly is stable. there is no pneumothorax or overt pulmonary edema. a left chest wall pulse generator device is unchanged in position, with leads terminating in the right atrium and right ventricle.
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<unk>f with ams // pna? sdh?
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portable ap radiograph of the chest. there is left lower lobe atelectasis. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal. severe degenerative changes of the bilateral glenohumeral and acromioclavicular joints are noted.
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altered mental status and fever.
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allowing for overlying soft tissues and low inspiratory volumes, heart size is at the upper limits of normal or slightly enlarged, with slight left ventricular configuration. doubt chf. patchy opacity is noted at both bases medially -- this could represent atelectasis, but the differential includes early pneumonic infiltrates or early areas of aspiration. these are very slightly more pronounced than on the prior radiographs. elsewhere, no focal infiltrates. no gross effusion.
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<unk> year old man s/p r crani for brain biopsy desating to <unk>'s // r/o pathology for o<num> desaturation
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some areas of peripheral scarring are noted, and are unchanged since prior study. small amount of atelectasis is present at the left lung base, however, there is no evidence of pulmonary edema, focal consolidation concerning for pneumonia, or significant pleural effusion. the heart size is stable. aortic valve prosthesis is in place.
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<unk>-year-old male with myeloma and history of chf, now with dyspnea. evaluation for fluid overload.
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ap and lateral views of the chest. the lungs are hyperinflated. there is diffuse interstitial abnormality noted with relative areas of lucency superiorly and fibrotic changes in the mid lungs bilaterally. bilateral calcified granulomas are also identified. increased interstitial markings are seen at the bases. there is no confluent consolidation nor effusion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities detected.
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<unk>-year-old female with hypoxia.
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et and ng tube have been removed. right-sided picc line overlies proximal/mid svc.no pneumothorax is detected. there are low inspiratory volumes. cardiomediastinal silhouette is similar to prior. there is patchy opacity at the left lung base and increased retrocardiac density, slightly more pronounced. some vascular crowding is present at the right lung base. small effusions would be difficult to exclude.
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<unk> year old man with drained pericardial effusion, bilateral pleural effusions // eval for interval changes
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there is a subtle opacity in the left costophrenic angle with loss of the diaphragmatic margin in that region. otherwise no focal opacities are seen elsewhere in the lungs. there is no pleural effusion. cardiomediastinal and hilar contours are unremarkable. no pneumothorax.
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patient with seizures. evaluate for acute cardiopulmonary process.
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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.
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<unk>f with coughing up blood // r/o infectious process
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the heart size is normal. the mediastinal and hilar contours are unremarkable. within the left mid lung field medially, there is a new, approximately <num>-cm focal opacity identified which is nonspecific but could reflect an area of infection. the right lung is clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is identified. multiple clips in the right upper quadrant indicate prior cholecystectomy.
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history of hiv status post seizure or syncopal episode.
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the patient is status post median sternotomy with multiple mediastinal surgical clips from prior cabg surgery. the cardiac silhouette is moderately enlarged but stable. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the previously moderate left pleural effusion has resolved but there is residual pleural thickening. the pulmonary vasculature is not engorged. the mediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. hypertrophic changes are demonstrated in the spine.heart is mildly enlarged.
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<unk> year old man with pleural effusion, post procedure r/o pneumothorax. // post thoracentesis procedure and pleural effusion
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a right picc is demonstrated with tip in the mid svc. no other central venous catheter is identified. heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. atherosclerotic calcifications are noted at the aortic knob. no pulmonary vascular congestion is demonstrated. no focal consolidation, large pleural effusion or pneumothorax is present although the extreme right costophrenic angle is excluded from the field of view. minimal atelectasis is noted in the lung bases. no acute osseous abnormalities identified.
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history: <unk>f with tunnelled central line, fever
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there is a small right pleural effusion. small patchy opacities in the right lower lung may represent pneumonia vs scarring, not prior for comparison. opacity underlying the pleural effusion in the lower portion of the right lung cannot be excluded. no pneumothorax is seen. lungs are again noted to be hyperinflated. calcified tortuous aorta is noted. heart size is top normal.
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<unk>-year-old female with hypotension.
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hyperinflated lungs with vascular deficiency in the upper lobes suggest left upper lung opacity corresponds to known left juxta hilar mass, better characterized on same-day and prior chest ct. moderate right pleural effusion, with possible loculation. no appreciable effusion on the left. no pneumothorax. no focal consolidation. bibasilar opacities suggest, though infection cannot be excluded in the proper clinical context. mild tortuosity of the thoracic aorta. otherwise, mediastinal and hilar contours are unremarkable. heart size is normal.
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<unk> year old woman with history of adenocarcinoma p/w recurrent effusion. // ptx? please <unk> <unk> <unk> <unk> once completed
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there is increased background of vascular congestion; however allowing this change, there is also increased opacification of the previously aerated left upper lobe concerning for pneumonia with secondary consideration given to increased collapse. there is redemonstration of a dense opacification involving the left mid and lower lungs, likely a combination of atelectasis and effusion. the right border of the cardiomediastinum and hilus are unremarkable.
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status post bronchoscopy with therapeutic aspiration of the lmf, check for pneumothorax.
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pa and lateral views of the chest provided. lungs are hyperinflated and lucent. no focal consolidation, large effusion or pneumothorax is seen. no congestion or edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with cough // r/o cxr
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected. there are mild degenerative changes within the thoracic spine.
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shortness of breath, burning pain from jaw to sternum, pain with deep inspiration.
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cardiac silhouette size is borderline enlarged but unchanged. aortic knob calcifications are again noted. mediastinal and hilar contours are unchanged. lungs are hyperinflated with emphysematous changes re- demonstrated, most pronounced in the upper lobes. there is no focal consolidation or pneumothorax. minimal blunting of the left costophrenic sulcus on the frontal view is unchanged, and could relate to pleural thickening. linear scarring within the left upper lobe is unchanged. mild interstitial prominence at the lung bases is improved compared to the previous exam and may reflect chronic changes. remote right-sided rib fractures are noted. no subdiaphragmatic free air.
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history: <unk>f with nausea, vomiting and abdominal pain
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. minimal atelectasis is noted in lung bases. there are no acute osseous abnormalities degenerative changes are seen within the right acromioclavicular joint and thoracic spine.
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history: <unk>m with cerebral amyloidosis presenting with fever, question of neutropenia
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. cardiomegaly is moderate, as on prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. patchy density at the right base may represent scarring or atelectasis. left perihilar density likely is a vascular structure.
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history: <unk>m with cough x<num> month // ? infiltrate, foreign body
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cardiac silhouette size is normal. the aorta is mildly tortuous but unchanged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. apart from streaky atelectasis in the lung bases, lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized. remote left-sided rib fractures are noted.
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history: <unk>m with cough, fever
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single frontal chest radiograph. lungs are well expanded. there is no consolidation, effusion, or pneumothorax. a <num> mm dense opacity projects over the lateral right lower lung, compatible with a granuloma. there are calcifications are mild. the heart is not enlarged.
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dyspnea
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a portable frontal chest radiograph demonstrates a right jugular central catheter with the tip in the low svc, an endotracheal tube in proper position, and a nasogastric tube with the tip in the stomach. there is increased pulmonary edema. bilateral pleural effusions are redemonstrated, the left increased compared to prior radiograph. there is also bibasilar atelectasis left greater than right. superimposed developing pneumonia cannot be excluded. additionally, there is a small to moderate right pneumothorax. this pneumothorax is not seen on the prior study secondary to pleural effusion surrounding the upper lobe, but is now evident.
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status post respiratory arrest. evaluate for interval change in pulmonary edema versus pneumonia.
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