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MIMIC-Findings-Query

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frontal and lateral radiographs of the chest show an ill-defined peripheral wedge-shaped opacity in the right lung base at the level of the right fifth rib. there is increased opacification at the left lung base compared to the preceding radiograph of <unk>. irregular wedge-shaped peripheral opacities at that time were present in the left lung base. small bilateral pleural effusions are present. no pneumothorax is appreciated. the pulmonary vasculature is not engorged. the cardiac silhouette is slightly increased in size from the prior study with new prominence of the azygos vein. the mediastinal and hilar contours are otherwise within normal limits.
<unk>-year-old female with hypoxia, wheezing, and low-grade fever, here to evaluate for pneumonia.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with esrd qnd liver transplant presenting with chest pain // does this patient have pna or rib fracture
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heart size is unchanged, and within normal limits. the mediastinal and hilar contours are within normal limits. postsurgical changes in the right upper lung field are re- demonstrated. the pulmonary vascularity is not engorged. there are no focal consolidations. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen.
metastatic thyroid cancer with headache, dizziness, lightheadedness.
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the heart is normal in size. the hilar and mediastinal contours are normal. previously described heterogeneous opacities in the right upper lung have resolved. the lungs are well expanded and clear. no new focal consolidations are identified. there are no pleural effusions or pneumothorax. bilateral shoulder prostheses are incompletely imaged.
<unk>-year-old female patient with recent hospitalization for sepsis and uti, with incidental right upper lobe ground-glass process. study requested for followup of right upper lung process.
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the lungs are clear. the heart size is normal. the mediastinal contours are unchanged. there are no pleural effusions. no pneumothorax is seen.
<unk> year old woman with edema, and rales. // r/o pulmonary congestion
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the cardiac, mediastinal and hilar contours appear stable. there are probably trace pleural effusions. a mild interstitial abnormality appears unchanged. fissures appear more thickened, but there is no evidence for parenchymal edema.
cough and chest pain.
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there is mild vascular congestion. focal opacity obscures the right heart border compatible with right middle lobe opacity. the heart is mildly enlarged. mediastinal contours are stable. the aorta remains tortuous. there is no pleural effusion or pneumothorax. a right humeral replacement hardware and exaggerated thoracic lordosis are unchanged.
<unk>-year-old man with cough, rule out acute process.
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left lower lobe consolidation is worrisome for pneumonia. subtle medial right base opacity may be due to atelectasis versus less likely an additional site of infection. no pleural effusion or pneumothorax is seen. there is no pulmonary edema. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough, high fevers // ? pneumonia
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the cardiac, mediastinal and hilar contours appear unchanged. the heart appears normal in size. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no significant change.
suspected diabetic ketoacidosis.
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frontal and lateral radiographs of the chest demonstrate bibasilar atelectasis with decreased lung volumes compared to the prior study. small right pleural effusion is likely. this accentuates the cardiac contour and pulmonary vasculature. no acute consolidation is seen. no pneumothorax is seen. of note, mild undulation in the right hemidiaphragm is unchanged since <unk>.
continued o<num> requirement on postop day <num>. evaluate for pneumonia.
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all the monitoring devices are unchanged. in particular, dual-channel right jugular catheter ends in upper svc. et tube ends at <num> cm from carina. ng tube is below the diaphragm but the tip is not visualized as compared to prior chest x-ray, there are no major changes; slight improvement of the right infrahilar and stable left retrocardial opacity, which are consistent with known pneumonia. there is no pleural effusion. cardiomediastinal silhouette is unchanged. there is no pneumothorax.
worsening.
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the lungs are fully expanded and clear. the cardiomediastinal and hilar contours are normal. there are small bilateral pleural effusions. there is no pneumothorax. visualized osseous structures are unremarkable.
<unk>m with fever x <num>week to <num>, evaluate for pneumonia.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. the pulmonary vasculature is within normal limits.
weakness and fatigue, rule out pneumonia.
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there is improved aeration at the left lung base with persistent retrocardiac opacity, concerning for aspiration or pneumonia. pulmonary vascular prominence with minimal interstitial haze may be secondary to mild fluid overload. no pneumothorax is detected. heart size appears mildly enlarged, which may be exaggerated by ap technique and slightly low lung volumes. mediastinal contours are within normal limits.
<unk>-year-old male with acute hypoxia.
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again seen is a persistent small right apical pneumothorax, overall unchanged in size compared to the prior exam. right-sided pigtail catheter terminates along the medial pleural surface, unchanged in position. there is mild subcutaneous emphysema. small right pleural effusion and minimal bibasilar atelectasis is persistent. the left lung is clear. subcutaneous emphysema extends into the soft tissues and neck on the right.
history of fall from bike two days ago with right-sided rib fractures and pneumothorax. the patient is status post pigtail insertion. please evaluate for interval change.
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the heart is mildly enlarged. there is no focal infiltrate or effusion. there are mild degenerative changes of the thoracic spine. the hilar contour is normal.
lethargy wheezes and rhonchi.
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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>m with seizures
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the lungs are relatively hyperinflated. no focal consolidation is seen. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with hypotension // pna?
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there is stable location and appearance of multiple discrete collections of surgical clips as seen previously. the cardio mediastinal silhouette is unchanged from prior radiograph. there is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. the bilateral hila are unchanged in appearance. there has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. there is stable size and appearance of previously described right lower lung zone <num> cm nodule. there is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. there are no pneumothoraces.
<unk> year old man with follow up infiltrate on xray // follow up infiltrate
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the lung volumes are low. there are linear opacities in bilateral lower zones left greater than right, likely atelectasis. there is no pleural effusion. cardiomediastinal silhouette is normal. cholecystectomy clips project over the right upper quadrant.
<unk> year old woman with acute pancreatitis, reporting sob and cough // assess for pna/aspir pna
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
history: <unk>m with cough // cough
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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. there is no free air.
vomiting and small amount of hematemesis with low-grade temperatures and chest pain.
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pa and lateral chest views were obtained with patient in upright position. there is status post sternotomy and evidence of previous bypass surgery. moderate cardiac enlargement is present. thoracic aorta is of ordinary <unk> but shows rather extensive calcifications in the wall at the level of the arch. pulmonary vasculature does not show any upper zone redistribution, interstitial alveolar edema, but bilateral moderate amounts of pleural effusions are still present and blunt the lateral and posterior pleural sinuses. there is no evidence of new discrete pulmonary parenchymal infiltrates of pneumonic nature. no pneumothorax is present in the apical area on the frontal view. when comparison is made with the next preceding portable chest examination of <unk>, the at that time observed perivascular haze has regressed.
shortness of breath, status post bypass surgery and stent placement, evaluate for chf.
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. minimal patchy left lower lobe opacity could reflect atelectasis, but infection is not excluded in the correct clinical setting. right lung is clear. no pleural effusion or pneumothorax is present. mild degenerative changes are noted in the thoracic spine. bowel loops within the left upper quadrant the abdomen are distended with gas.
<unk> year old man with fever
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heart size is top normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. there has been interval improvement in aeration of the left lower lobe with resolution of the previously demonstrated left lower lobe contusion. remainder of the lungs are clear. no pleural effusion or pneumothorax is seen. subacute left inferior rib fractures are re- demonstrated.
history: <unk>m with cryptogenic cirrhosis now with gradual increasing hepatic encephalopathy, worsening liver disease vs secondary etiology
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few punctate nodules are noted bilaterally, suggestive of previous visualized multiple bilateral nodules measuring up to <num> mm and better delineated on dedicated ct chest from <unk>. otherwise, the lungs are without a focal consolidation, effusion, or pneumothorax. cardiac silhouette is within normal limits. no acute fractures are identified.
cough.
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lungs remain clear. cardiomediastinal silhouette is within normal limits. left chest wall port is again seen. no acute osseous abnormalities.
<unk> year old man with stage iv pancreatic ca s/p splenectomy with fevers to <num> // please evaluate for evidence of consolidation or pna
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endotracheal tube terminates <num> cm above the carina. nasogastric tube terminates within the body of the stomach. right internal jugular catheter ends in the lower svc. previously described right upper lung opacity is less conspicuous than on the prior. bibasilar opacities are larger and could reflect atelectasis or an aspiration event. worsening infection cannot be excluded. small left pleural effusion is likely also present. the heart is normal in size, normal cardiomediastinal silhouette.
pe, status post pea arrest, hypothermia protocol. assess for edema or infection.
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. increased prominence of bibasilar prominence of the interstitium likely reflecting chronic changes due to smoking. lungs are otherwise clear. no pleural effusion or pneumothorax evident. there is stable irregular thickening of the right apex, unchanged compared to <unk>. minimal degenerative changes are noted in the thoracic spine.
dyspnea on exertion. long-term smoker. evaluate for chf.
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compared to the study from the prior day there is no significant interval change in the appearance of the calcified pleural plaques. the heart continues to be moderately enlarged. there are no new infiltrates or effusions.
chf.
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ap portable upright view of the chest. no free air seen below the right hemidiaphragm. chronic scarring at the right lung base with associated pleural thickening is similar to prior ct. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. no acute osseous abnormality. surgical anchors of the left humeral head noted.
<unk>m s/p colonoscopy, now with abdominal pain // free air?
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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>m with history of cad, subacute chest pain over last week, intermittent shortness of breath. // widened mediastinum?
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is identified on this supine exam although the left costophrenic sulcus is not included in the field of view. no acute osseous abnormality is identified. old left-sided rib fractures are noted.
history: <unk>f with fall on face, sustained unstable c spine fx. may need to go to or tonight. // acute pulm process/baseline emphysema. also ? rib fx
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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.
<unk>f s/p vats lll superior segmentectomy for typical carcinoid on<unk> for typical carcinoid (pt<num>an<num>). h/o hodgkin's lymphoma s/p chemo/xrt to abdomen chest (<unk>),gestational trophoblastic disease s/p chemo (<unk>), breast cancer(invasive lobular on l, cis on r) s/p b/l mastectomies (<unk>), // eval for interval change
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. there is no free air under the diaphragms.
abdominal pain and fevers. evaluate for pneumonia or free air.
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the heart size is mildly enlarged. aortic knob is calcified. the mediastinal and hilar contours otherwise are unremarkable, and no pulmonary vascular congestion is present. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are low lung volumes noted. there are no acute osseous abnormalities.
weakness.
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a small right pleural effusion with mild adjacent basilar atelectasis is seen. moderate cardiomegaly is stable. left pectoral pacemaker is unchanged with a transvenous lead seen in the right ventricle. no pneumothorax or pulmonary edema. a fiducial marker is seen adjacent to the known left upper lobe adenocarcinoma with expected surrounding post-radiation changes.
<unk> year old man with systolic heart failure s/p lvad recent rfa ablation for adenocarcinoma -lul // hemoptysis
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there is a subtle opacity in the left lung base adjacent to the left heart border on the frontal projection. there is no other focal consolidation, pleural effusion, pulmonary edema, or pneumothorax seen. the heart and mediastinal contours are normal.
cough and dyspnea, evaluate for pneumonia.
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the cardiomediastinal and hilar contours are stable with moderate to severe enlargement of the cardiac silhouette in widening of the mediastinum. calcified mediastinal lymph nodes are stable in appearance. known calcified pericardium is not well visualized on the current study appear there is a small to moderate right pleural effusion and a small left pleural effusion, not significantly changed. lung volumes are low, and diffuse airspace opacities are not slightly improved at the lung bases. these may represent combination edema, but superimposed infection is not excluded. ett and right internal jugular line are in unchanged, standard positions.
<unk> year old man intubated, diuresing for heart failure // please assess for change in pulmonary edema
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pa and lateral views of the chest provided. left chest wall port-a-cath is again seen with catheter tip extending into the region of the right atrium. lungs are clear. no focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with r flank pain and crackles on exam
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the dobbhoff tube is seen to project over the neck and is likely coiled in the oropharynx although this is off the film. the severe rotoscoliosis with acute angulation in the upper lumbar spine is again seen this angulation is similar compared to <num> days ago but is worse compared to <unk> the heart is mildly enlarged. there is a small right effusion.
<unk> year old woman with stable sdh // dobhoff tube placement
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single lead left-sided aicd is in place and unchanged. mild lateral left base atelectasis/scarring is again seen. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are stable.
shortness of breath.
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pa and lateral chest views were obtained with patient upright position. comparison is made with the next preceding similar study of <unk>. the heart size is normal. no configurational abnormality is present. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area. skeletal structures of the thorax grossly within normal limits. as shown on previous examination surgical clips are seen in the right upper abdominal quadrant consistent with previous cholecystectomy.
prolonged fevers.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with pneumonia effusions // interval change interval change
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pa and lateral chest radiographs demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. there is no air under the right hemidiaphragm.
history: <unk>f with cp, abd pain, radiation to left scapula and back // any infection, volume oveload
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single upright view of the chest and upper abdomen. no prior. relatively low lung volumes are seen. the lungs, however, are grossly clear. the cardiomediastinal silhouette is within normal limits given low inspiratory effort. no acute osseous abnormality identified. no free air is seen below the diaphragm.
<unk>-year-old female with significant abdominal pain. question free air.
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no discrete pneumothorax identified. there is blunting of both costophrenic angles as well as bibasilar atelectasis. unchanged septal thickening, likely chronic in nature. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with small apical ptx after chest tube removal // severity of ptx prior to discharge --> x-ray should be done at <unk> thanks
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lung volumes normal and lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. no pulmonary edema. mediastinal and hilar contours are unremarkable.
recent in increase in baseline seizure activity. evaluate for underlying infection.
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the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<unk>f awoke with left-sided headache and facial pain, chest tightness. evaluate for stroke, acs
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there is been interval resolution of the previously described subtle opacity in the right lower lobe, consistent with resolved pneumonia. no new areas of consolidation are seen. there is mild bronchial wall thickening and dilatation, consistent with right lower lobe bronchiectasis. the heart is not enlarged. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion.
history: <unk>m with chest pain*** warning *** multiple patients with same last name! // eval for structural 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.
<unk>m with fall from bicycle <num> weeks ago. complaining of right shoulder and clavicle pain
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portable upright view of the chest demonstrates normal lung volumes without pleural effusion, focal consolidation or pneumothorax. previously noted pulmonary edema has resolved. the hilar and mediastinal silhouettes are unremarkable. heart size is mildly enlarged. partially imaged upper abdomen is unremarkable.
patient with chest pain. assess for cardiomegaly.
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the cardiomediastinal silhouette is within normal limits. within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. no chf, focal infiltrate, effusion, or pneumothorax is detected. small (<num> mm) rounded density adjacent a right heart border is thought to represent a vessel seen on-end. a small calcified granuloma is considered less likely. minimal atelectasis in the right cardiophrenic angle is noted.
<unk>f with cough, bronchospasm, no history of asthma, evaluate for pneumonia.
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pa and lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. a fracture of the proximal right humerus shaft is partially seen on this exam.
cough.
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ap and lateral views of the chest. low lung volumes are again noted. there is secondary crowding of the bronchovascular markings. there is no large confluent consolidation or effusion. the cardiomediastinal silhouette is stable. dense mitral annular calcifications are noted. right picc is seen; however, the tip is not clearly delineated. drain identified in the left upper quadrant. right upper quadrant drain is no longer seen. peripherally calcified structures suggestive of gallstones seen in the right upper quadrant.
<unk>-year-old female with worsening muscle spasm, prior stroke. question shortness of breath.
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aside from left lower lobe atelectasis, lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. again noted is blunting of the posterior costophrenic angles suggestive of pleural thickening or chronic effusions. pulmonary vascularity is normal.
<unk>-year-old woman with metastatic pancreatic cancer, fever, altered mental status.
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there is a small pleural effusionno focal consolidation is seen. no pneumothorax identified. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with abd pain, umbilical hernia // evidence of umbilical hernia strangulation
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. extensive bilateral opacities are consistent with widespread pulmonary metastatic disease, with mild improvement of the left lung. there is a new small to moderate right pleural effusion. no obvious focal consolidation is identified, although a small focus would be difficult to identify given background parenchymal opacities. the visualized upper abdomen is unremarkable.
evaluate for infection in a patient with metastatic rcc with extensive lung involvement, presenting with low-grade fever and cough.
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lungs are clear. mild bibasilar atelectasis is noted. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidations are noted. there are no acute osseous abnormalities.
<unk>f with chest pain and hyperglycemic // ?pneumonia
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heart size is top-normal. mild calcifications of the aortic knob. fluid filled neoesophagus is unchanged. the cardiomediastinal silhouette and hilar contours are unremarkable. right subclavian approach port-a-cath tip terminates in the distal svc. lungs are clear. no pleural effusion or pneumothorax. no pneumomediastinum or subdiaphragmatic free air.
vomiting. history of esophageal cancer. evaluate for pneumoperitoneum or pneumomediastinum.
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a poorly defined opacity at the left lung base is new compared to prior studies. appearance of the lungs is otherwise unchanged, and cardiomediastinal contours are also stable.
<unk> year old woman with psc cirrhosis, p/w fevers // r/o pneumonia
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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. no evidence of the pneumomediastinum is anterior
history: <unk>f with severe spasmodic chest pain x <num> day. // evaluate for esophageal pathology, perf?
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compared to <unk>, there is no significant change. the lungs are well expanded and clear. moderate cardiomegaly is stable, though substantially decreased since <unk>. there is no pleural abnormality. mediastinal and hilar contours are unchanged. left-sided single chamber icd is unchanged in positioning.
<unk> year old man with s/p single chamber icd. eval for post procedure complications including pneumothorax. // <unk> year old man with s/p single chamber icd. eval for post procedure complications including pneumothorax.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with malaise // eval heart and lungs
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portable single frontal chest radiograph was obtained with patient in semi upright position. there has been interval removal of the chest tube, et tube, swan-ganz catheter, and ng tube. the left apical area is now filled with fluid. there are new bilateral pleural effusions with associated bibasilar atelectasis. stable opacity is present in the left supra-aortic region at the site of recent surgery. the heart size is normal.
eval status post chest tube removal.
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pa and lateral chest radiographs were obtained. the lungs are low in volume but clear. there is no pleural effusion or pneumothorax. the heart is top normal in size with normal mediastinal and hilar contours.
chest pain, assess for pneumonia.
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there is increase in bilateral pleural effusions with bibasilar atelectasis. pneumomediastinum slightly increased compared to previous. no pneumothorax. cardiac silhouette is enlarged.
<unk> year old woman s/p avr and ct removal // r/o ptx
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pa and lateral views of the chest. there is faint retrocardiac opacity which could potentially be due to atelectasis. elsewhere, the lungs are clear. the cardiomediastinal silhouette is stable. tortuous descending thoracic aorta is seen. no acute osseous abnormality is identified.
<unk>-year-old male with cough and left-sided chest pain.
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the cardiac, mediastinal and hilar contours appear stable. elevation of the left hemidiaphragm is similar, including elevation of the stomach bubble. this appearance may correspond to a bochdalek hernia, but does not appear changed. streaky associated opacities can probably be explained by atelectasis. the lung fields appear otherwise clear. the chest is hyperinflated. trace pleural effusions are difficult to exclude. the bones appear demineralized. a prior fracture of the proximal left femur appears stable. mild s-shaped curvature to the thoracolumbar spine appears unchanged.
dyspnea on exertion.
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the cardiomediastinal and hilar contours are within normal limits. note is made of increased opacities at the lung bases bilaterally. there is no large pleural effusion or pneumothorax. no definite evidence of free air.
vomiting and chest pain. rule out free air.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>f with dyspnea // r/o infiltrate
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the endotracheal tube is <num> cm above the carina. a right internal jugular catheter courses to the level of the mid svc. enteric tube overlies the stomach, however, the tip was not imaged. the lung volumes remain low. diffuse prominence of markings is indeterminate on this supine film. retrocardiac opacity is unchanged and is presumably atelectasis. no pleural effusion or pneumothorax detected.
intubation and line placement.
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frontal and lateral views of the chest. the heart size and cardiomediastinal contours are normal. the lungs are clear without no focal consolidation, pleural effusion, or pneumothorax.
possible tb. evaluate for active tb.
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pa and lateral views of the chest are compared to previous exam from <unk>. dual-lead pacing device is again seen with lead tips in stable position. right upper lobe/suprahilar opacity with fiducial marker is again seen, not significantly changed from exam from two weeks prior. left side pleural effusion which is seen with loculation posteriorly. there is mild pulmonary vascular congestion without frank pulmonary edema. free air seen below the right hemidiaphragm is compatible with daily peritoneal dialysis. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with increased shortness of breath, especially with lying flat. rule out chf or pneumonia. also, per medical record patient is on peritoneal dialysis.
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cardiac silhouette size is normal. the aorta remains tortuous. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is not engorged. patchy bibasilar opacities likely reflect areas of atelectasis without focal consolidation. no pleural effusion or pneumothorax is present. there are mild degenerative changes seen in the imaged thoracolumbar spine.
history: <unk>m with chest pain and tachycardia
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old male with left-sided chest pain.
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portable supine chest radiograph. nasogastric tube courses into the stomach. endotracheal tube terminates <num> cm above the carina and should not be advanced any further. while it is likely in satisfactory position, it is difficult to ascertain on this image if the head is flexed or extended. the lungs are slightly low in volume. multifocal interstitial and parenchymal abnormalities are nonspecific and could reflect asymmetric pulmonary edema with a slight left-sided predominance. fullness of the ap window and hila may reflect coexistent adenopathy, which could be confirmed with post-treatment radiographs. there is no pleural effusion or pneumothorax. the heart is enlarged, particularly the left atrium given splaying of the carina.
altered mental status, intubated. assess for pneumonia and tube placement.
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pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk> year-old male with cough and dyspnea.
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vague opacity in the right lower lung adjacent to the cardiac silhouette is new since <unk>. no pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there are old left rib fractures.
history: <unk> homeless with <num> months worsening sob, ? copd diagnosis, // r/o pna, atypical / chronic respiratory infections, eval copd
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frontal and lateral radiographs of the chest demonstrate intact median sternotomy wires. compared to the prior radiograph there has been interval increase in lung volumes with continued bibasilar atelectasis and small bilateral pleural effusions. there has been interval resolution of the left apical pneumothorax. no focal consolidation is identified. stable cardiomegaly is again noted. prosthetic aortic valve is seen on the lateral view. expected post operative mediastinal air is noted.
status post aortic valve replacement. evaluate for effusions or pneumothorax.
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interval removal of the left pigtail catheter. no pneumothorax is identified. there is unchanged atelectasis and volume loss in the left lower lobe as well as persisting borderline interstitial edema. the size of the cardiac silhouette is enlarged.
<unk> year old woman with l sided ptx, s/p chest tube removal // interval change in ptx? assess at <num> pm
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lungs are clear. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
<unk> year old woman with history of multiple myeloma and smoking history who presents with shortness of breath // eval for copd, pneumonia
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the heart is enlarged but stable in size from prior examinations. the aorta is markedly tortuous, but overall similar in size and appearance to prior exams. lung volumes are somewhat low. there is mild bibasilar atelectasis. no pneumothorax. compared to the prior study, rightward tracheal bowing appears increased, most likely due to positioning and degree of inspiration. large ossific density inferior to the left humerus is again noted. right seventh rib fracture is re- demonstrated. there is no pleural effusion. no evidence of pulmonary edema.
<unk>f with shortness of breath and cough // evaluation for pneumonia
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lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. linear atelectasis is seen in the region of the lingula. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with fever
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the lungs are grossly clear within limitation of portable technique and patient body habitus. there is no large pleural effusion or confluent consolidation. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with chest pain, cough // r/o pna, edema
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ap and lateral views of the chest. again seen is a large hiatal hernia, unchanged. there is a right lower lobe opacity which may represent atelectasis. lung volumes are low. there are tiny if any bilateral pleural effusions. a mid thoracic vertebral compression fracture is unchanged.
nausea and cough.
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ap upright and lateral views of the chest provided. hilar congestion is noted with pulmonary edema and pleural effusions, small layering bilaterally. compressive lower lobe atelectasis is noted bilaterally though difficult to exclude a superimposed subtle pneumonia. the heart is within normal limits of size. the mediastinal contour is normal. no acute bony abnormalities. degenerative changes at both shoulders noted.
<unk>m with shortness of breath hypoxia // eval for pna
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. the heart size is normal. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is visualized. several clips are seen in the left axilla.
metastatic cancer with shortness of breath.
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portable chest radiograph demonstrates new consolidaiton in the left lowre lung, likely pneumonia. right lower lung opacification may be atelectasis exaggerated by low lung volumes, alternatively representing a multifocal bilateral pneumonia is a consideration. cardiac silhouette is somewhat obscured by opacification, but appears normal. mediastinal and hilar contours are unremarkable. no pneumothorax evident. blunting of the left costophrenic angle may represent a small pleural effusion. posterior spinal fusion hardware identified. tip of a right-sided central venous catheter is obscured but is seen as far as the cavoatrial junction.
fever, altered mental status, evaluate for pneumonia.
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the heart is moderately enlarged. the aortic arch is calcified. again noted is mild prominence of the main pulmonary artery contour in the aortopulmonary window. there is no pleural effusion or pneumothorax. there is persistent minor atelectasis at the left lung base, but otherwise, the lungs appear clear.
bradycardia and shortness of breath.
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heart size is normal. mediastinal silhouette and hilar contours are unremarkable. lungs are clear, albeit slightly hyperinflated. pleural surfaces are clear without effusion or pneumothorax.
shortness of breath for two weeks.
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a portable frontal chest radiograph again demonstrates a left upper extremity approach catheter terminating within the right atrium. an enteric tube terminates within the stomach. the cardiac silhouette is mildly enlarged, increased compared to <unk>. the lungs are well aerated, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is again notable for a calcification in the right upper quadrant, consistent with a known renal mass.
evaluate ng tube placement in a patient with sbo.
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the cardiomediastinal contours are stable. previously noted hilar prominence is improved on the current study. there is no pleural effusion or pneumothorax. lungs are well-expanded without new focal consolidation concerning for pneumonia.
<unk>m with pe <num>wks ago, here with chest pain of <num> day duration // evaluate for pulmonary infarct, effusion, or infiltrate, evidence of volume overload
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the lungs are well-expanded and clear. there is no focal consolidation or pulmonary edema. cardiomediastinal silhouette is unremarkable. hilar and pleural surfaces are normal. median sternotomy wires are unchanged.
<unk>m with cough/dyspnea // cough
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tracheostomy tube remains in satisfactory position. the feeding tube has been removed. lungs are grossly clear with no evidence of focal airspace consolidation, pleural effusions, pneumothorax or pulmonary edema. a rounded punctate <num> mm calcified granuloma projecting over the right upper lung with is unchanged. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with s/p trach, productive cough // eval for pneumonia
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frontal and lateral chest radiograph demonstrates well expanded and clear lungs. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. no focal opacity. limited assessment of the upper abdomen is within normal limits.
<unk>m with episode of chest pain, numbness in r ue. assess for acute cardiopulmonary changes
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heart size is mildly enlarged. mediastinal and hilar contours are unchanged. there is atherosclerotic calcification of the aortic knob. no pulmonary edema seen. linear opacity within the right lung base is compatible with subsegmental atelectasis. minimal patchy left basilar opacity is also likely atelectasis. no pleural effusion, focal consolidation or pneumothorax is identified. a surgical anchor projects over the right humeral head.
chest pain, shortness of breath
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. bilateral nipple shadows are visualized. the lungs appear clear. there are no pleural effusions or pneumothorax. surgical clips project over the left upper quadrant corresponding to prior splenectomy. bony structures are unremarkable.
status post stem cell transplant for recurrent hodgkin's lymphoma with upper respiratory symptoms.
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diffuse bilateral reticular opacities which are consistent with edema persist. these increasing density in the right lung base consistent with an increasing pleural effusion. blunting of the role left costophrenic sulcus is consistent with pleural fluid as well and is unchanged. the heart and mediastinal structures are stable. the patient is status post median sternotomy as before. a tracheostomy tube and <num> left-sided central venous catheters remain in place.
eval for collapse / mucus plugging, consolidation
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right infrahilar, and left basilar opacity is unchanged, with a small left pleural effusion also unchanged. the cardiac silhouette remains moderately enlarged. there is mild engorgement of pulmonary vasculature. there is no pneumothorax. the mediastinal contours are notable only for a tortuous aorta. a pigtail catheter is noted in the right upper quadrant.
<unk>-year-old female with rising white count and desaturation, evaluate for pneumonia.