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pa and lateral views of the chest provided. clips are noted in the left chest wall. 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 weakness and chills h/o bronchietasis // r.o infiltrate
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are hyperinflated but clear of confluent consolidation. there are small bilateral pleural effusions. in addition, there has been engorgement of the central pulmonary vasculature with indistinct pulmonary markings. cardiac silhouette has enlarged since previous exam. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with new afib. question infection.
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moderate pulmonary vascular congestion with cephalization of the vasculature and mild interstitial edema at the lung bases. the heart is moderately enlarged. the pulmonary artery is more prominent compared to most recent prior study consistent with volume overload, however a pulmonary embolus cannot definitively be ruled out.
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<unk> year old woman with chf, afib here with loss of consciousness // ?volume overload
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pa and lateral chest radiographs were obtained. there is no focal consolidation, effusion, or pneumothorax. an increased density within the retrosternal space is not changed since <unk>. no discrete mass is indentified.
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smoking history cough and wheezing.
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there has been no significant interval change. moderate left and small right pleural effusions are again noted. increased interstitial markings are similar in appearance. more dense bibasilar opacities may be due to atelectasis. cardiomediastinal silhouette is grossly unchanged. electronic device projects over left chest wall as on prior. surgical clips project over the neck. no acute osseous abnormalities.
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<unk>f with dyspnea, bilateral crackles lung bases // eval for worsening pulm edema
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again, there are diffuse interstitial abnormalities, with an upper lobe predominance. they are not significantly changed from the prior chest radiograph or ct. there is no new opacity. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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worsening dyspnea on exertion.
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frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with crowding of vasculature and mild left lower lobe atelectasis. no pleural effusion or pneumothorax. the heart is mildly enlarged. mediastinal contour and hila are unremarkable.limited assessment of the upper abdomen is within normal limits.
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new onset afib with rvr. assess for acute cardiopulmonary process.
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the lungs are hyperinflated inflated. there is no consolidation there is no pleural effusion. the heart size is normal. there is mild scoliosis convex right
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history: <unk>f with cough, fevers // ? pna
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a new right-sided internal jugular central venous catheter terminates in the uppermost right atrium. there is no pneumothorax. each renal collecting system is now opacified with recently administered intravenous contrast, now depicting mild hydronephrosis and hydroureter on the left. otherwise there has been no significant change in the appearance.
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status post central line placement.
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the lungs are symmetrically well-expanded and well-aerated. increased density projecting over the right lung base most likely represents superimposition of normal structures including an anterior rib, a posterior rib, and the right nipple. no focal consolidation concerning for pneumonia is detected. there is no significant pleural effusion or pneumothorax. mild biapical pleural thickening is noted. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. bilateral pectoral deep brain stimulator devices are in place. no displaced rib are identified. mild to moderate multilevel degenerative changes of the thoracic spine are re- demonstrated.
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status post fall with left flank pain, here to evaluate for rib fractures.
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a portable frontal chest radiograph again demonstrates bilateral chest tubes, a nasogastric tube, and right picc, all of which are unchanged in position. the left central catheter has been exchanged. increased right lower lung linear opacities likely represent increased atelectasis. there is improved aeration of the left lower lobe, but increased lingular atelectasis. a small to moderate loculated left pleural effusion is persistent, and there is a small right pleural effusion which is new or slightly increased. there is no pneumothorax.
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empyema, ventilator associated pneumonia, and bilateral chest tubes, on mechanical ventilation. evaluate for interval change.
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in comparison to chest radiographs obtained <unk> year prior, no significant changes are appreciated. lungs are fully expanded and clear. heart size is normal. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. there is no evidence of intrathoracic malignancy.
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<unk> year old woman with hx of melanoma // please evaluate disease status
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the heart size is normal. the mediastinal and hilar contours are within normal limits. lungs are hyperinflated with flattening of the diaphragms compatible with emphysema, as seen on the prior chest ct. bibasilar streaky opacities likely are reflective of atelectasis. faint ill-defined micronodular pattern is seen diffusely, and may relate to a smoking related chronic interstitial lung disease as noted on the prior chest ct. no mass or focal consolidation is demonstrated. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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hyperglycemia, dizziness.
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frontal and lateral radiographs of the chest show a left apical pleural pigtail catheter unchanged in position. a <num>-cm left apical pneumothorax is unchanged in size or distribution. otherwise, the lungs are clear without focal consolidation or pleural effusion. the inspiratory lung volumes are appropriate. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
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<unk>-year-old male with left pneumothorax, here to reevaluate for interval changes after <num> hours on waterseal.
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mild pulmonary hyperinflation is chronic. heart size is normal and there is no pulmonary vascular congestion or focal pulmonary abnormality. patient has had t avr and mitral valve replacement. there is no pleural abnormality.
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<unk> year old woman with copd, o<num> dependent and increased sob // r/o volume overload and consolidation
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the heart is mildly enlarged, not significantly changed from prior examination. there is redemonstration of a moderate hiatal hernia. mediastinal and hilar contours are within normal limits. lungs are hyperexpanded, most likely due to chronic lung disease. there is no pulmonary vascular congestion. patchy bibasilar and airspace opacities likely reflect atelectasis. there is no pleural effusion or pneumothorax. there is redemonstration of compression deformities of the mid thoracic spine. old rib fractures are seen on the right.
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syncope. evaluate for acute process.
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ap semi-erect chest film <unk> at <time> is submitted.
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<unk> year old man with trach and peg now in resp distress // pulm eddema? pna? pulm eddema? pna?
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the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk>f with chest pain and dyspnea on exertion // evaluate for pulmonary vs. vascular causes of chest pain.
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since the prior radiograph performed on <unk>, the enteric tube has been removed. the right-sided chest tube is unchanged in position. the small right pleural effusion and bibasilar atelectasis are unchanged in appearance. there is no pneumothorax. cardiomediastinal silhouette has remained stable. no acute osseous abnormalities.
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<unk> year old man with mie // f/u mie day <num>
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the lungs are slightly hyperexpanded, similar to the prior study with lucent areas, predominantly at the apices, suggesting emphysema. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema.
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chest pain. evaluate for pneumonia, edema or effusion.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with fevers/cough // 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. no subdiaphragmatic free air is noted.
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history: <unk>m with history of ulcerative colitis presenting with <num> weeks abdominal pain, tenesmus, cramping, bloody stool and moderate dyspnea on exertion
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a small right apical pneumothorax has minimally decreased, now measuring <num> mm in maximum width. a small right pleural effusion and right basal atelectasis are unchanged, with a catheter in the right basal pleural space. the left lung is clear, without effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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<unk>-year-old man with pneumothorax, to evaluate for interval change.
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
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<unk>m with left sided chest pain after mcc on <unk>, tenderness to left lateral <num>th rib // eval for pna, rib fracture
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the lungs are hyperinflated suggestive of underlying chronic obstructive pulmonary disease. a focus of linear scarring is again noted in the right middle lobe. otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. atherosclerotic calcifications are noted at the aortic arch. no acute fractures are identified.
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evaluation of patient with rapid atrial fibrillation with dyspnea.
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the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. no displaced fractures identified.
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<unk>m with r sided anterior chest wall pain // ? acute intrathoracic process
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mildly improved bibasilar atelectasis. lungs again appear hyperinflated suggestive of copd. no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.
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<unk> year old woman with myeloma. having intermittent low grade fevers. please eval. // <unk> year old woman with myeloma. having intermittent low grade fevers. please eval.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old man with for the past <num> weeks // evaluation for lung lesion
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unchanged elevation of the right hemidiaphragm. mild left basilar atelectasis adjacent to a large hiatal hernia. small left pleural effusion is possible. no pneumothorax. heart size top-normal. cardiomediastinal and hilar silhouettes are unremarkable.
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<unk> year old woman with new onset hypoxia and o<num> requirement // ? consolidative process or pulm edema
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single portable chest radiograph was provided. there is no focal consolidation, pleural effusion or pneumothorax. there is minor left basilar atelectasis. the cardiomediastinal silhouette is unchanged.
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history of dry cough for <num> days. evaluate for pneumonia.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. descending aorta is mildly tortuous. there is no pulmonary edema. old left-sided rib fractures are again noted.
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patient with confusion.
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streaky right lower lobe atelectasis/scarring is re- demonstrated, with slight improvement in aeration of the right lung base. there is also minor left base atelectasis/ scarring. no definite new focal consolidation is seen. persistent blunting of the right costophrenic angle is seen, which may be due to a small pleural effusion. there is no left pleural effusion. no pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
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history: <unk>m with hcc and hepatic encephalopathy fell this morning after feeling dizzy. // intracranial bleed from fall?
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. a coronary artery stent is noted.
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<unk>-year-old male with shortness of breath. evaluate for acute process.
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frontal and lateral chest radiograph demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax identified.
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pre-syncope, assess for cardiopulmonary abnormality.
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left-sided aicd with dual leads following their expected course to the right atrium and right ventricle, respectively. lungs are fully expanded. volume loss and pleural thickening in the left upper lobe, better appreciated on cta from <unk> are consistent with prior chest radiation for hodgkin's disease. there is no focal consolidation, effusion or pneumothorax. probable minimal left pleural calcification. mild unfolding of the descending thoracic aorta is stable. heart size is normal.
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<unk> year old woman with a mass seen in the lul on film of the thoracic spine at cha. // ? definition
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the lung volumes are low, but clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with chest pain, epigastric pain // ptx
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compared to prior, there is increased bilateral interstitial opacities as well as focal increase in retrocardiac opacity, likely due to worsening pulmonary edema as well as aspiration or atelectasis. severe cardiomegaly is unchanged. wide mediastinal and hilar contour are unchanged. left-sided infusion port terminates in the right atrium. no pneumothorax.
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<unk> year old woman with altered mental status and o<num> req // ? consolidation or aspiration
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as before, there is a right central venous catheter with tip in the right atrium. there is a left chest pacemaker with electrodes in expected positions. the patient is status post midline sternotomy. unchanged cardiomegaly. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is prominent, consistent with volume overload. there is a focal consolidation in the right lower lung. small right pleural effusion. no pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with cabg <num> months ago. now with <num> week of increased dyspnea on exertion, cough, hypoxia. evaluate for pulmonary edema or effusion.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. low lung volumes. lungs are clear, except for bibasilar atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with cough, fever // ?pna
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dual lumen right-sided central venous catheter tip terminates in the mid svc, unchanged. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. clips are noted in the right upper quadrant of the abdomen. no acute osseous abnormality is demonstrated.
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history: <unk>f with right central line not pulling back. // evaluate central line
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previously seen left lower lobe pneumonia has appeared to decrease in the interval however there is right base opacity worrisome for right base pneumonia. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. mediastinal contours are stable.
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history: <unk>m with pmhx significant for copd, bronchiectasis, mild oropharyngeal dysphagia, recurrent pna and mac pna, recent admission on <unk> for pneumonia, p/w fever, chills, confusion, shortness of breath, productive cough. // evidence of pneumonia?
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single supine view of the chest. endotracheal tube is seen with tip approximately <num> cm from the carina. there is hazy opacity projecting over the right hemithorax suggesting layering effusion. detailed evaluation of the parenchyma is limited due to motion however there is suggestion of pulmonary vascular congestion. cardiac silhouette appears enlarged. no definite acute osseous abnormality detected.
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<unk>-year-old female intubated with pneumonia.
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overyling material limits evaluation to some degree. lungs are low in volume with mild apical scarringand increased interstitial markings suggesting preexisting interstitial lung disease. no definite effusion or pneumothorax is seen. the heart is likely top normal. irregularity of t<num> and t<num> on the frontal projection is compatible with the fracture seen on the outside imaging.
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<unk>-year-old woman status post fall.
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mild cardiomegaly, mediastinal, and hilar contours are stable. lungs are clear without focal consolidation or effusions. no change in the position of the continuous left pacemaker leads. stable right upper quadrant abdominal surgical clips.
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<unk> year old woman with cough, productive, with scattered rales and rhonchi. evaluate for pneumonia.
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the tip of a new et tube is seen <num> cm above the carina. there is no pneumothorax. interval removal of previously noted central venous line from <unk>. there is mild cardiac enlargement with interval increase in mild pulmonary vascular congestion. increased bibasilar opacities are increased since <unk> with loss of the bilateral hemidiaphragms, which may be due to a combination of atelectasis and effusions. in the right clinical setting, developing pneumonia cannot be excluded. redemonstrated hardware fusion device in the lower cervical and upper thoracic spine.
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<unk> year old man with new et tube. // please evaluate location of et tube.
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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. partially imaged hardware in the lumbar spine.
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history: <unk>m with dyspnea // infiltrate
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opacities in the right mid lung field and right hilum corresponds to an abnormality seen on prior pet-ct from <unk>. the left lung is grossly clear. there is no pneumothorax or pleural effusion. a left chest wall port-a-cath ends in the low svc.
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<unk>-year-old woman with a history of lung cancer, presenting with fever.
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as on prior, there is moderate pulmonary edema. relatively linear left base opacities could be due to edema or atelectasis. there is enlargement of the cardiac silhouette which is unchanged. there is no pleural effusion. no acute osseous abnormalities. vascular stent projects over the right subclavian region.
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<unk>f with esrd dialysis w/ ams, fistula extrav since improved // eval ? fluid overload, infiltrate
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since <unk>, moderate to severe pulmonary edema has worsened and severe cardiomegaly is unchanged. no pneumothorax. small pleural effusions are presumed but unchanged. median sternotomy wires are intact and aligned.
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<unk> year old male with a history of coarctation repair, aortic valve repair and ultimately avr , now with shortness of breath // to rule out any acute intrapulmonary process surg: <unk> (avr)
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portable ap upright view of the chest was reviewed. compared to the most recent prior of <unk>, lung volumes have increased but moderate bibasilar atelectasis and possible small bilateral pleural effusions persist. the left chest tube ends in the apex and all the side ports are in the hemithorax. there is no pneumothorax. the right subclavian line ends in the mid superior vena cava. moderate cardiomegaly is unchanged. median sternotomy wires are intact and unchanged compared to the most recent post operative film.
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evaluation for pneumothorax in a patient status post cabg and aortic valve replacement.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal opacities identified convincing for pneumonia. cardiomediastinal and hilar contours are within normal limits. no pleural effusion is identified. there is no pneumothorax. visualized osseous structures demonstrates no acute abnormality.
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<unk>f with hx diabetes presenting with left flank pain.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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chest pain.
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pa and lateral views of the chest shows clear lungs with no focal opacity, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there are prominent gas-filled loops of bowel in the abdomen.
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dyspnea.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with chest pain // ?pneumonia ?pneumonia
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right upper lobe opacity is again seen; as recommend on the prior study, nonurgent chest ct work above the right upper lobe nodular opacity is recommended. linear left mid lung atelectasis/scarring is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cirrhosis bilateral lower leg edema cough // eval for pn
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portable semi-upright radiograph of the chest demonstrates hyperexpanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation. the right-sided internal jugular central venous line ends at the cavoatrial junction. no pneumothorax.
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<unk> year old woman s/p renal transplant. eval line position. // eval placement r ij. retracted <num>cm upon arrival to pacu (since prior film)
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the heart is at the upper limits of normal size. the aortic arch is partly calcified. the mediastinal, hilar contours appear unchanged. the chest is mildly hyperinflated. there is no pleural effusion or pneumothorax. the lungs appear clear. suspected bony demineralization and mild thoracic spinal degenerative changes are similar.
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pain in the left chest wall after a recent fall.
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a right picc is noted, with tip in the axillary vein. a left chest wall pulse generator with pacemaker leads terminating in the right atrium and right ventricle is unchanged. mild cardiomegaly bibasilar atelectasis, and left pleural effusion are similar compared to the prior study.
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history: <unk>m with picc accessed // eval picc tip
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low lung volumes are noted with secondary crowding of the bronchovascular markings. there is no definite consolidation or overt pulmonary edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with hypoxia // pneumonia?
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heart size is normal. mediastinal and hilar contours are unchanged. there are atherosclerotic calcifications noted within the aortic arch. the pulmonary vasculature is normal. patchy opacity within the lateral aspect of the left lung base likely reflects a combination of previously demonstrated scarring or fibrosis. no new focal consolidation, pleural effusion or pneumothorax is seen. previously described pulmonary nodules on ct are not well assessed on the current exam. there are mild degenerative changes in the thoracic spine.
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history: <unk>f with chest pain
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a right ij central venous catheter terminates at the superior cavoatrial junction. a left chest aicd and leads are unchanged. no consolidation, pleural effusion, or pneumothorax is present. the cardiac silhouette is top normal. mediastinum is not widened. right pleural thickening is chronic.
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<unk> year old woman with hypotension, evaluate for pneumonia.
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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.
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<unk> year old woman with pulmonary nodule // post bronch
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frontal and lateral views of the chest demonstrate low lung volumes. bibasilar opacities likely represent atelectasis. no pleural effusion, focal consolidation, or pneumothorax is seen. partially imaged upper abdomen is unremarkable.
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chest pain.
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frontal and lateral views of the chest. no prior. the lungs are clear without effusion or pneumothorax. note is made of an azygos fissure. cardiomediastinal silhouette is within normal limits. soft tissues notable for two left anterior chest wall dermal piercings. osseous structures are unremarkable.
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<unk>-year-old female status post mvc with pain and tenderness of the left clavicle and shoulder.
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cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear with no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
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left arm numbness and chest heaviness. question pneumonia.
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the heart size is top normal. the aorta appears mildly tortuous, otherwise, the hilar and mediastinal contours are unremarkable. dual-lead left-sided pacemaker is again seen, with leads terminating in the right atrium and right ventricle. opacity at the left lateral lung base has slightly increased compared to the prior exam, likely secondary to atelectasis. there is no large pleural effusion or pneumothorax. deformity of the distal right clavicle appears similar compared to the exam from <unk>. old healed lateral left eighth and ninth rib fractures are stable compared to the ct chest from <unk>.
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history of chest pain. please evaluate for pneumonia.
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pa and lateral chest radiographs were obtained. apparent bibasilar interstitial opacities, new since <unk>, may be due to low lung volumes, and summation of soft-tissue shadows. no effusion or pneumothorax is present. the heart size is normal.
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<unk>-year-old woman with dyspnea on exertion, question chf.
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given for differences in technique, the overall appearance of the lungs are unchanged since <unk>. no acute focal pneumonia, moderate cardiomegaly chronic central vascular enlargement can be pulmonary venous or arterial enlargement. no pleural effusions. no significant interstitial edema.
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<unk> year old man with acute cholecystitis, hx of chf, concern for acute exacerbation // eval for pulmonary edema
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the right perihilar opacification and bilateral pleural effusions have resolved. the lungs are clear, though there is plate atelectasis at the right lung base. the heart size is normal, but the pulmonary vasculature is still mildy engorged. the cardiac, hilar, and mediastinal contours are within normal limits.
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pneumonia in <unk>. evaluation for resolution.
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there are relatively low lung volumes. right base opacity may represent combination of atelectasis with underlying consolidation, particularly medially. somewhat rounded retrocardiac opacity with subtle lucency is consistent with patient's known hiatal hernia. adjacent atelectasis may be present. there is slight blunting of the left costophrenic angle and a small pleural effusion is not excluded. the cardiac silhouette is top normal. the aorta is calcified. there is no pneumothorax. there is no evidence of free air beneath the diaphragms.
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left upper quadrant pain, splenic laceration, question free air.
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lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with altered mental status. evaluate for acute process.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart is top normal in size. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. there is gaseous distention of the stomach.
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shortness of breath and chest pain with rhonchorous breath sounds. assess for pneumonia.
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the patient is status post sternotomy. mitral annular calcifications are prominent. the heart is again markedly enlarged. the mediastinal and hilar contours appear unchanged. there is a mild-to-moderate interstitial abnormality corresponding to pulmonary edema, which appears worse than on the prior radiographs. a small-to-moderate left-sided pleural effusion is suspected, but difficult to compare to the prior studies. on the right, aeration has improved, but there is probably still patchy right lower lobe opacification, suggesting atelectasis, but not specific. a small pleural effusion is also suspected on the right. there is no pneumothorax.
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atrial fibrillation. shortness of breath.
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the lungs are symmetrically expanded and well aerated with no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. the pleura is within normal limits. there is no pulmonary vascular congestion or pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline.
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chest pain, here to evaluate for cardiopulmonary disease or infiltrate.
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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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<unk> year old woman with ulcerative colitis and new fever // please evaluate for consolidation
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pa and lateral views of chest. the lungs, heart, pleural surfaces, mediastinum are all normal.
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cough
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cardiac size is top-normal. . the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine
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<unk> year old man with cough, wheeze, rhonchi // r/o pna
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frontal and lateral radiographs of the chest. the lungs are clear. the cardiac and mediastinal contours are normal. no nodules or masses are seen. again seen is the deformity of the third and fourth right ribs, unchanged. no pleural abnormality is seen.
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non-seminoma status post chemo and retroperitoneal lymph node dissection. evaluate for metastatic disease.
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cardiomegaly is stable. the aortic arch stent as well as tricuspid and mitral valve hardware are again seen. the pulmonary vasculature is normal. given the patient's clinical presentation, linear lucency inferior to the heart is likely air within a loop of bowel rather than pneumomediastinum or pneumoperitoneum. no pleural effusion or pneumothorax.
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<unk> year old man with esrd seen in clinic today without any pain or other symptoms for pre kidney transplant evaluation // r/o malignancies, nodules, infections
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tracheostomy again seen. a right subclavian picc line tip overlies the svc/ra junction. right-sided chest tube again present. compared to the prior film, i doubt significant interval change. residual contrast noted in the gastric fundus which lies above the level of the left hemidiaphragm. small right effusion is better seen on today's chest x-ray. minimal patchy opacity in the right cardiophrenic region is slightly more pronounced. right upper zone opacity is similar to the prior film. increased retrocardiac opacity is also similar. the lateral left hemidiaphragm and costophrenic sulcus are excluded from the current film.
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<unk> year old man s/p remote esophagectomy w/mediastinitis, pancreatitis, being diuresed // ?interval change
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lungs are again hyperinflated. heart size is normal. extent of central lymphadenopathy is not well appreciated on this conventional radiograph and is better seen on cta from this morning at <time>. the pulmonary vasculature is mildly congested and early edema is seen at the lung bases. tiny right effusion. no focal consolidation or pneumothorax.
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<unk> year old man with dyspnea after ivig // eval for infiltrates, pulmonary edema
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lung volumes are low with increased bibasilar opacities. retrocardiac atelectasis persists. the cardiomediastinal contours are unchanged. there is diffuse sclerosis of the bones concerning for metastatic disease, correlate with history of malignancy.
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<unk> year old man with left frontal sdh and left frontal seizures, evaluate lung fields..
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ap supine and lateral views of the chest provided. lungs are clear. cardiomediastinal silhouette is normal. bony structures are intact.
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<unk>f with headache, n/v, multiple recent falls with pain/tenderness // eval for ich, mass, trauma
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chest wall pacer-defibrillator has leads terminating in the right atrium and right ventricle. median sternotomy wires appear grossly intact. the lung volumes are low. there are moderate bilateral pleural effusions. the heart is moderately enlarged, similar to prior studies. there is mild-to-moderate pulmonary edema. there is no pneumothorax. inferior displacement of the minor fissure suggests some volume loss in the middle lobe.
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cough, fever. evaluate for pneumonia.
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ap semi upright 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 chest pain s/p mvc // eval for structural injury
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pa and lateral chest radiographs again demonstrate the ill-defined opacity in the superior segment of the right lower lobe. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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fever and cough. probable pneumonia described on radiograph of <unk>.
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there is bilateral parahilar airspace opacification in a typical batwing distribution with associated bilateral pleural effusions (right larger than left). transverse cardiomegaly. right-sided ijv cvp in situ and with the tip <num> cm distal to the cavoatrial junction. the previously noted pulmonary airspace consolidation/ nodule on ct in the left upper lobe is not clearly visualized on this study. spondylotic changes of the thoracic spine.
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<unk> year old man with tachypnea // pleural effusions?
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chronic elevation of the right hemidiaphragm. stable, blunting of the left costophrenic angle likely reflects pleural adhesion. low lung volumes with interval improvement in pulmonary vascular congestion. curvilinear skin fold overlies the right hemithorax. no pneumothorax or acute focal pneumonia. normal cardiac silhouette.
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<unk>-year-old woman with a history of chf and concern for discitis or osteomyelitis at t<num>. evaluate for pulmonary edema.
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ap single view of the chest has been obtained with patient in semi-upright position. the patient remains intubated, the ett terminating in the trachea <num> cm above the level of the carina. no pneumothorax is seen. heart size remains unchanged. no increased pulmonary congestion. the on the next previous examination of <unk> identified left lower infiltrate, partially in retrocardiac position, persists rather unchanged. there is no evidence of pleural effusion as the left lateral pleural sinus remains free. there is no reoccurrence of any infiltrate in the right hemithorax.
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<unk>-year-old male patient with new intubation, assess for ett placement, rule out pneumothorax.
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patient is status post rml lobectomy and rul wedge resection. postoperative changes are noted in the right upper lung with lines of <unk> seen. there is increased opacity in the superior segment of the right lower lobe which may reflect a possible pneumonitis and may be further evaluated with routine oblique views bilaterally or with a ct chest.there is right apical pleural thickening. the right and left hila appear elevated. there is also elevation of the right hemidiaphragm. lungs otherwise are clear. cardiac contours are unremarkable. no pleural effusion or pneumothorax is seen.
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<unk> year old woman with lung cancer on pembro with worsening shortness of breath // ? pneumonitis
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there is increased soft tissue density within the superior mediastium and in the retrosternal space on the lateral projection with partial loss of the paratrachial stripe that is concerning for mass. there is no focal consolidation, pleural effusion, or pneumothorax. double contour of the aortic knob is also concerning for underlying mass. there are no acute skeletal abnormalities.
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<unk>-year-old man with muscle weakness, rule out lung mass or thymoma.
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the left lower pneumonia has resolved, and now there is no focal consolidation, pneumothorax or pulmonary edema noted. the cardiac and mediastinal silhouettes are within normal limits, and there are no bony abnormalities noted.
|
<unk>-year-old male with recent left lower lobe pneumonia, follow up left lower lobe pneumonia
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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.
|
history: <unk>f with chest pain
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there is mild cardiomegaly. diffusely increased opacities in the lungs bilaterally, with interstitial thickening, is likely secondary to mild pulmonary edema. the hilar and mediastinal contours are unremarkable.
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history: <unk>f with abd pain, cp and irregular heart beat, pls eval cxr for pna
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frontal and lateral chest radiographs demonstrate substantial increase in rightward tracheal deviation and mediastinal widening since <unk>, concerning for enlarged aorta with or without hematoma or dissection. patient has a history of aortic graft placement as demonstrated on the ct torso dated <unk>. with this information, the aforementioned findings raises the concern for possible endograft leak, dissection, or aneurysm. moderate bilateral pleural effusion and severe, basal atelectasis, new since <unk> are worse since earlier in the day. there is no focal consolidation or pulmonary edema, and no pneumothorax.
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<unk>-year-old male with cough and dyspnea.
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pa and lateral chest radiographs. lung volumes are low with bibasilar atelectasis and a small pleural effusion on the left. mild interstitial edema is also apparent. there is no definite focal consolidation or pneumothorax. the cardiomediastinal silhouette is normal. sagittal elongation of the trachea is noted.
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history of cll, presenting with cough.
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pa and lateral views of the chest: the lungs are clear. cardiac silhouette and hilar contours are normal. no pleural effusion or pneumothorax.
|
chest pain.
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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 similar study of <unk>. as observed on preceding examination, patient's accentuated kyphosis in the chest and anterior flexion of neck obscures markedly the apical areas of the lung on the frontal view. no significant interval change can be identified and pneumothorax in the area is unlikely. as before, there exists cardiac enlargement without typical configurational abnormality and the thoracic aorta is widened and elongated. no local contour abnormalities are identified. a permanent pacer in left anterior axillary position is again seen and demonstrates unchanged position of two intracavitary electrodes terminating in locations compatible with right atrial appendage and right ventricular apical portion correspondingly. the pulmonary vasculature is not congested. no new acute infiltrates are seen. mild blunting of the right lateral pleural sinus is still present and unchanged and indicates scar formation rather than pleural effusion. the posterior pleural sinuses remain free. no new acute infiltrates can be seen. the, on previous examination, identified left-sided rib injuries are again seen and have not changed in appearance. no increase of the, at that time, suspected pleural density has occurred.
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<unk>-year-old female patient with dyspnea and increased rales on left side. evaluate for chf.
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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.
|
history: <unk>f with acute pancreatitis
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there is mild eventration/irregularity of the right hemidiaphragm. mild streaking bibasilar atelectasis is noted. the heart size is mildly enlarged. there is no focal consolidation, pleural effusion, or pulmonary edema. no pneumothorax. mild height loss of a lower thoracic/upper lumbar vertebral body is new since <unk>.
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<unk>f with sudden onset chest pain and dyspnea. now hypoxic on ra. non-productive cough today. // pna?
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