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MIMIC-CXR-JPG/2.0.0/files/p11666315/s51970217/80e473da-b34021fc-131541b7-72cecaf6-93f155b5.jpg
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the patient is status post median sternotomy and cabg. tracheostomy tube remains in unchanged position. cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are unchanged. lung volumes are reduced compared to the previous exam. new alveolar opacities are demonstrated within the left upper and lower lung fields as well as a patchy opacity within the right lung base. no pleural effusion, pulmonary vascular congestion, or pneumothorax is identified. remote fracture of the left <num>nd rib is again seen. there are vascular calcifications noted.
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shortness of breath.
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there has been a slight improvement in bibasilar lung aeration as well as mild pulmonary edema. however, moderate pleural effusions persist bilaterally. atrioventricular pacer defibrillator remains in the left hemithorax. there is no evidence of new consolidation, effusions, or pneumothoraces.
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evaluation of patient with a history of aca hypoperfusion, hypothyroidism, hodgkin's lymphoma, and third-degree heart block for interval change.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
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history: <unk>f with dry cough for one month // acute process/pna
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MIMIC-CXR-JPG/2.0.0/files/p18642923/s58761623/471f5233-457e393a-30c94489-792a83b9-bd212a59.jpg
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the heart is at the upper limits of normal size. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
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cough and chills.
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portable ap upright chest film <unk> at <num> <num> is submitted.
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<unk> year old man with fevers, ?seizures // ? pneumonia or aspiration ? pneumonia or aspiration
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MIMIC-CXR-JPG/2.0.0/files/p12060567/s54694853/f80a5cc8-5646ea1c-9b7e30d3-63f030d4-9c00fbe9.jpg
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there has been interval placement of endotracheal tube which terminates <num> cm above the carina. round lucency overlying the cervical spine may be overly inflated endotracheal tube balloon. right jugular line is unchanged. moderate to severe pulmonary edema is slightly improved compared to <unk>. cardiomediastinal silhouette is unchanged.
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<unk> year old man with ett // intubated tube placement surg: <unk> (peg placement)
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MIMIC-CXR-JPG/2.0.0/files/p16798209/s59640498/54d36b9e-a0009c38-c5239fcb-c06fc687-87ba03c2.jpg
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the heart and mediastinal contours are within normal limits. the lungs are clear. there is no pleural effusion or pneumothorax. the posterolateral aspect of the left seventh rib shows a subtle defect concerning for a nondisplaced fracture.
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<unk>-year-old female with pain and shortness of breath since a fall on <unk>.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with sob // eval for ptx, pna
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linear left basilar atelectasis is noted. nodular densities over lung bases are most compatible with nipple shadows. lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. old healed left posterior rib fractures are noted. partially visualized catheter projects over the upper abdomen.
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<unk>m with fever // pna?
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lower lung volumes seen on the current exam with secondary right basilar atelectasis. there is no consolidation worrisome for infection nor effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. chronic changes at the left acromioclavicular joint.
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<unk>f with hypotension // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15167464/s56588619/881aac14-acc17f91-8134bc1f-5781de29-3d16d435.jpg
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heart size is normal. the aorta demonstrates atherosclerotic calcifications at the knob. the mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. minimal linear opacities within the lung bases, more pronounced on the left, likely reflect areas of subsegmental atelectasis. a small left pleural effusion is likely present. there is no focal consolidation or pneumothorax. there are mild degenerative changes noted in the thoracic spine. no definite displaced rib fracture noted.
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history: <unk>m with fall and left rib pain // eval rib fractures
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the cardiac, mediastinal and hilar contours are within normal limits, and the heart size is normal. focal ill-defined opacities are demonstrated predominantly within the perihilar regions of both upper lobes, as was noted on the prior ct, but new when compared to the prior chest radiograph. no pleural effusion or pneumothorax is present, and there is no pulmonary vascular congestion. there are no acute osseous abnormalities.
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intoxication, chest tightness and cough.
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MIMIC-CXR-JPG/2.0.0/files/p19499830/s52682671/037122ff-c3b2f3bf-be970795-375bbdf8-284ad46f.jpg
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there is redemonstration of the enlarged cardiac silhouette, possibly related to cardiomegaly, though as previously mentioned pericardial effusion is not excluded. there is increased prominence of the interstitial markings, particularly in the perihilar distribution, likely due to increased pulmonary edema. a moderately sized left pleural effusion is identical in appearance to chest radiogrpah performed <num> days earlier, though less apparent on intervening radiogrpah, likely due to positioning. retrocardiac opacity likely represents a combination of effusion and atelectasis, though infectious process cannot be excluded. there has been interval removal of the endotracheal tube. the central venous catheter terminates in the mid superior vena cava. no pneumothorax evident. sternotomy sutures are midline and intact. no osseous abnormalities identified.
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patient with shortness of breath and tachypnea, please evaluate for pulmonary edema.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. mild rightward convex curvature is centered along the lower thoracic spine.
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epigastric pain.
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a moderate right pleural effusion is unchanged. there is a new small left pleural effusion. prominent interstitial markings increased artery-to-bronchial ratios are compatible with mild pulmonary edema. mild cardiomegaly despite the projection is unchanged. metallic anchors at the right humeral head denote prior rotator cuff repair. the bones are markedly osteopenic.
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<unk> year old woman with new hypoxia // r/u effusion, pneumonia
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the lungs are mildly hyperinflated. the cardiac silhouette is mildly enlarged. the pulmonary vasculature is unremarkable. there is no pleural effusion or pneumothorax. no focal consolidation is identified. bilateral breast implants have been removed.
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<unk>f with atrial fibrillation starting <num> days ago. // cardiopulmonary process aggravating afib
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ap upright view of the chest provided. ill-defined opacity in the right lung base could represent pneumonia. there is a small effusion the left base. no pneumothorax. cardiomegaly is mild. imaged osseous structures are intact. irregular appearance of the left humerus may be due to old fracture. old right eighth rib fracture is seen. no free air below the right hemidiaphragm is seen.
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history: <unk>m with new aphasia // eval for chf, pneumonia
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the lungs are well inflated. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is normal size. the mediastinal and hilar structures are unremarkable. a right upper paratracheal opacity is unchanged from <unk> and is likely vascular. mediastinal clips are noted. there is no displaced rib fracture.
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fall with right hip pain. evaluate for fracture.
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MIMIC-CXR-JPG/2.0.0/files/p11273854/s59941105/2de8de2a-b3d9e000-eb352c74-53657cba-4af4d56e.jpg
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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. left-sided pectoral icd is present with the lead in the region of the right atrium.
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<unk>-year-old female with recent icd placement. evaluate for pneumothorax and assess lead position.
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findings the cardiac size is normal. there is increased interstitial markings with pulmonary vascular redistribution, small bilateral effusion, <unk> <unk> b-lines. this is worsened compared to the study from <num> days prior
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<unk> year old woman with hx of copd, cad, dm with new sob, hypoxia, in setting of hypertension // eval for acute sob, hypoxia, concern for pulm edema
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frontal and lateral views of the chest demonstrate low lung volumes. there is no focal consolidation, pleural effusion, or pneumothorax. hilar and mediastinal silhouettes are unchanged. aortic arch calcifications are again noted. heart size is normal. there is no pulmonary edema.
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productive cough.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a coarse interstitial abnormality involving the mid-to-lower lungs to a greater degree on the left than right. how much of this appearance may be associated with pre-existing subpleural abnormalities that were partly visualized on the prior ct is uncertain since no prior radiographs are available for comparison. mild-to-moderate relative elevation of the right hemidiaphragm compared to the left is similar to the prior examination. there are multiple air-fluid levels, probably in both small and large bowel seen in the upper abdomen, but no free air. severe degenerative change involves the right shoulder including apparent effacement of the acromiohumeral interval, spurring along the glenohumeral joint and mild acromioclavicular narrowing.
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hypotension.
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exam is limited by patient positioning with the patient's chin obscuring a portion of the right apex. low lung volumes are demonstrated. the heart size is difficult to assess, but is likely within normal limits. the aorta is tortuous. opacification of the right lung base likely reflects a combination of consolidation with small right pleural effusion. there is mild pulmonary vascular congestion. no pneumothorax is demonstrated. there is gaseous distention of the stomach. severe s-shaped scoliosis of the thoracolumbar spine is demonstrated with multilevel degenerative changes. partially imaged are severe degenerative changes of the right glenohumeral joint. remote left-sided rib fractures are again noted.
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dyspnea and weakness.
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MIMIC-CXR-JPG/2.0.0/files/p14866013/s56323929/8d6224c9-95249c16-433eed12-2883eae5-cf9ecda5.jpg
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no focal consolidation is seen. there is slight blunting of the posterior left costophrenic angle which may be due to a trace pleural effusion versus pleural thickening. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with jaundice, known hx autoimmune hepatitis, completing an infectious w/u // concern for infectious process
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MIMIC-CXR-JPG/2.0.0/files/p18372408/s57104004/114ea9b0-13608113-41ec1b96-a23a3a06-3439e72e.jpg
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sternotomy wires are demonstrated. 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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cough and copd.
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MIMIC-CXR-JPG/2.0.0/files/p11139755/s57345382/4d38f1d2-6bb2a53d-533f1bce-85ce1c1c-137aebc4.jpg
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no free air is identified below the hemidiaphragms. gas is noted in the colon at the splenic flexure.
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abdominal pain and recent j-tube revision. evaluate for free air.
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compared to the prior study there is no significant interval change.
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<unk> yo pmhx of cad s/p cath/pci <unk> bms x <num> via right radial, hiv, hcv cirrhosis, and copd with worsening (low) back pain, increased troponins and ck-mb // evidence of dissection?
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lung volumes are low. there is mild pulmonary edema. cardiomediastinal silhouette is mildly enlarged, which likely reflects ap position and low lung volumes. there is no pneumothorax or pleural effusion. the stomach is air-filled and distended. degenerative changes are noted of the right acromioclavicular joint.
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<unk>f with a fib and shortness of breath // evaluate for chf .
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shallow inspiration. chest tube has been removed. probable tiny left apical pneumothorax, stable. stable <num> cystic cavities in the left chest consistent with pneumatoceles. stable fractures. stable bibasilar atelectasis, and small right, and tiny left pleural effusions. stable mild elevation of the right hemidiaphragm. gastric distension.
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<unk> y/o m s/p l chest tube removal // interval change
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the lungs are well expanded. cephalization of the pulmonary vasculature is seen without overt pulmonary edema. there is also an enlarged cardiac silhouette. slight blunting of the posterior costophrenic angles is seen on the lateral view which may be due to trace pleural effusions.
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history: <unk>m with chest pain // ? acute process
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compared to the prior film and allowing for technical differences, i doubt significant interval change. mild vascular crowding in the right infrahilar region is compatible with changes seen on the prior film. minimal atelectasis at the left base is also again noted. no chf, focal consolidation or effusion is identified. the cardiomediastinal silhouette is unchanged.
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<unk> year old man with dyspnea; ? evidence of chf // chf; other cause for dyspnea
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pa and lateral views of the chest. no prior. the lungs are hyperinflated but clear of consolidation or effusion. the cardiac silhouette is at upper limits of normal. degenerative changes are noted at the acromioclavicular joints. the osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old female with change in mental status.
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the lungs are otherwise . cardiomediastinal silhouette is stable, tortuosity of the descending thoracic aorta again noted. no acute osseous abnormalities are seen. surgical clips are seen in the upper abdomen.
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<unk>m with malaise // eval infiltrate
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an endotracheal tube terminates approximately <num> cm above the level of the carina. an enteric tube terminates below the view of this radiograph. the heart is normal in size, and opacity at the left lung base may reflect atelectasis or aspiration. no pleural effusion or pulmonary edema is seen. mild central pulmonary vascular congestion is seen.
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<unk>-year-old male who is intubated and transferred to this hospital. evaluate endotracheal tube placement.
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single portable view of the chest. low lung volumes are noted. known right hilar mass is redemonstrated. linear right basilar opacity is likely due to atelectasis superimposed on a right-sided effusion which has not significantly changed. left upper lung nodular opacities concerning for metastatic disease as previously seen on ct. there is no definite new consolidation. azygos lobe is again noted.
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<unk>-year-old female with lung cancer and hypoxia with altered mental status.
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the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
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<unk>m with fever. assess 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. there are no acute osseous abnormalities. compared to <unk>, there is a new vagal nerve stimulator overlying the left chest.
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<unk>m with epilepsy presenting w/ intractable sz x <num> hrs - ongoing workup for underlying etiology such as infection // eval ? infiltrate
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hila and pleura grossly unremarkable. no acute osseous abnormality. a prominent anterior osteophyte is noted in the lower thoracic spine. no loss of vertebral body height in the visualized thoracic spine. there is probable calcification of the anterior longitudinal ligament in the thoracic spine.
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<unk>-year-old man presenting with syncope.
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lung volumes are relatively low with secondary crowding of the bronchovascular markings. there is right basilar opacity which may also be due to atelectasis though there is somewhat of a nodular appearance. there is no effusion.cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch.
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<unk>f with headache, lung ca // eval for intracranial bleed or large mass, cxr symptoms
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left-sided pacer device is again noted with leads terminating in the regions of the right atrium and right ventricle. lung volumes are persistently low. heart size is mildly enlarged. the aorta remains tortuous and diffusely calcified. crowding of bronchovascular structures is likely due to low lung volumes. no overt pulmonary edema is present. patchy atelectasis is seen in the lung bases without focal consolidation. no large pleural effusion or pneumothorax is identified. the osseous structures are diffusely demineralized with multilevel moderate degenerative changes and dextroscoliosis.
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history: <unk>f with right shoulder pain status post fall. +headstrike
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there are low lung volumes, and a suboptimal inspiratory effort. cholecystectomy clips are noted in the right upper quadrant. the cardiomediastinal silhouettes are stable and within normal limits. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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history: <unk>f with chest pain // please eval for pna
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dual lead left-sided pacer device is stable in position. there is persistent left-sided pleural effusion. left base opacity/ left-sided volume loss are similar in appearance compared to the prior study. small left apical pneumothorax persists. extensive left-sided subcutaneous emphysema has decreased slightly in the interval.
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history: <unk>f with effusion on xray. recent lung biopsy and segmental removal // eval for effusion
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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<unk>f with substernal chest pain radiating to the back.
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pa and lateral views of the chest provided. the lungs are mildly hyperinflated and the diaphragms are flattened. an opacity at the left lung base is new. no pneumothorax. probable small left pleural effusion. hilar contours are normal. moderate cardiomegaly is unchanged.
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<unk> year old man with lymphoma, treated with chemotherapy, with persistent cough, fatigue, inspiratory crackles at l base. // assess for pneumonia
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both lungs are well expanded and clear. there are no lung opacities of concern. heart size, mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
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<unk>-year-old man status post trauma, fall; evaluate for consolidation/effusion.
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. opacity in the lingula suggests pneumonia. elsewhere the lungs appear clear.
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fever and malaise.
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on the lateral view, there is increased opacity projecting over the anterior margin of the heart which likely localizes to the right cardiophrenic angle on the frontal view. while this may be a prominent fat pad, a had not been present on remote prior exam and is more conspicuous when compared to more recent prior exam. otherwise, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with chest tightness // ? acute cardiouplm process
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pa and lateral views of the chest. the lungs are clear. there is no large effusion, consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
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<unk>-year-old female with chest pain.
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the right picc has since been removed. a right-sided port-a-cath is now with in place ending in the region of the cavoatrial junction. the lungs are clear. no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. no significant change in the appearance of the mediastinal contours and hila. the heart size is normal. <unk> projecting over the midline have been removed.
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<unk> year old woman with burkitt's lymphoma, getting r-ivac. temperature to <num>.<unk> yesterday. // looking for evidence of infiltrate or infection
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pa and lateral views of the chest provided. a faint linear density abuts the right heart border as on prior. otherwise, lungs are clear. 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 sob and leg edema pls eval for pulm edema
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the previously described left upper lobe mass is not seen on this radiograph. linear opacities in the left upper lobe can be and a sequelae of prior treatment lung carcinoma. no pulmonary edema, pleural effusion or pneumothorax. the cardiomediastinal contours are unchanged.
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<unk> year old man with l shoulder pain, known mass l upper lone on pet scan, ?bigger. // ?l upper lobe mass
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pa and lateral views of the chest were reviewed and compared to the prior study. lung volumes have decreased since <unk> and linear opacity in the lingula represents atelectasis; otherwise, the lungs are clear. there is no pulmonary edema, vascular congestion, pleural effusion, or pneumothorax. the cardiac and mediastinal contours are unchanged since <unk>.
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cough and pleuritic chest pain.
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the heart size and interstitial lung markings are increased without pulmonary edema. no focal consolidation. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
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history: <unk>m with esrd who missed dialysis today. // evaluate for pulmonary edema
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single portable upright chest radiograph is compared to radiograph dated <unk>. overall appearance of the chest is not significantly changed. heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear without a focal opacity convincing for pneumonia. deformity of the left seventh and eighth lateral ribs again noted with adjacent pleural and parenchymal scarring. there is no pleural effusion or pneumothorax.
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history: <unk>m with chest pain // lungs clear?
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opacity projecting over the right hemithorax persist, which could be due to chronic inflammatory or infectious process, underlying neoplastic process not excluded. subtle left base opacity also persists. . no large pleural effusion is seen. there is no pneumothorax. cardiac and mediastinal silhouettes are stable.
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<unk>m w/tachycardia, please eval for pulm edema // <unk>m w/tachycardia, please eval for pulm edema
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lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
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chest pain, evaluate for infection.
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portable ap chest radiograph. the et tube is in appropriate position. the ng tube courses below the diaphragm and terminates outside the field of view. the ng sidehole is at the level of the diaphragm. the heart is moderately enlarged, and there is mild interstitial pulmonary edema. the pulmonary artery is also prominent. there is no pleural effusion or pneumothorax.
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patient intubated. evaluate et tube position.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. punctate calcification in the right apex likely reflects a granuloma. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no subdiaphragmatic free air is demonstrated.
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history: <unk>f with left upper quadrant pain and subjective fevers
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the right chest wall port catheter is unchanged. bilateral pleural effusions are essentially unchanged in size. no evidence of pneumothorax. bilateral micronodular appearance of the lung parenchyma is unchanged.
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<unk> year old woman s/p thoracentesis. evaluate for pneumothorax.
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portable semi-upright radiograph of the chest demonstrates persistent left upper lobe and right perihilar opacities, which are slightly improved as compared to the prior study. the cardiomediastinal and hilar contours are unchanged. a nasogastric tube ends in the stomach. the tip of the endotracheal tube is obscured by the overlying cervical collar. there is no pneumothorax, significant pleural effusion, or consolidation.
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<unk>-year-old female status post pea arrest after drug ingestion. evaluate for interval change.
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single portable frontal chest radiograph demonstrates enteric feeding tube coursing mid line with tip in stomach and side ports above the gastroesophageal junction. right ij tip is in mid svc. intact median sternotomy wires, mediastinal clips, and chain suture material projecting over the right mid lung. the lungs are moderately well inflated. elevation of the left hemidiaphragm with retrocardiac opacity is most consistent with atelectasis. right lung is clear. no pleural effusion or pneumothorax. stable mild cardiomegaly. mediastinal contour and hila are unremarkable. limited assessment of the upper abdomen demonstrates <num> stacked mildly dilated loops of bowel within the left upper quadrant.
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right ij. assess right ij placement.
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there has been interval reaccumulation of a mild-to-moderate size right-sided pleural effusion. large pneumothorax component persists, in the right lung remains completely collapsed, likely due to trapped lung. pigtail catheter in situ in the right hemithorax. mediastinal shift is decreased compared to priors done on the morning of <unk>. linear atelectasis in the left lingula unchanged. no new left-sided airspace consolidation. no left-sided effusion. sclerotic change of the thoracic spine.
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<unk> year old man with likely malignant effusion s/p chest tube placement // r/o pleural effusion expansion, r/o pulm edema
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frontal and lateral chest radiograph demonstrates clear lungs bilaterally without focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are unremarkable.
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<unk>-year-old female with multiple myeloma and cough for months. evaluate for pneumonia.
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pa and lateral views of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are essentially unremarkable, noting surgical clips in the right upper quadrant suggesting prior cholecystectomy.
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<unk>-year-old female with productive cough and shortness of breath. history of asthma.
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the cardiac silhouette is borderline enlarged. midline sternal wires are well aligned and intact. the patient is status post cabg. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
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history: <unk>m with chest pain // ?acute cardiopulmonary process
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there is moderate cardiomegaly but no pulmonary edema. there is severe dextroscoliosis of thoracic spine. the costophrenic angles are slightly blunted, unchanged from <unk>, likely due to fibrotic changes. there is no pneumothorax.
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<unk>-year-old woman with abdominal pain. please evaluate for infiltrate.
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the patient is status post coronary artery bypass graft surgery. a dialysis catheter terminates in the upper right atrium. the cardiac, mediastinal and hilar contours appear unchanged. there is very mild pulmonary congestion with interstitial changes at the lung bases and mild perihilar congestion but not highly striking and not nearly as severe as on prior presentation. on the prior chest ct discrete nodules were identified. these are not well assessed with this technique. accordingly, if no other intervention is planned short-term follow-up ct should be considered.
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end stage renal disease on hemodialysis, presenting with shortness of breath.
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the heart is normal in size. the aorta is moderately tortuous. otherwise, the mediastinal and hilar contours appear unchanged. there is a trace pleural effusion on the right. a trace pleural effusion is difficult to exclude on the left side. fissures are slightly thickened. aside from vague opacity suggesting minor atelectasis along posterior costophrenic sulci, the lungs appear clear without findings suggestive of parenchymal edema. mild degenerative changes affect the thoracic spine.
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lower extremity edema and swelling.
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portable frontal radiograph of the chest demonstrates peripheral wedge-shaped opacification in the left upper lobe, consistent with a small amount of post-procedural hemorrhage after recent ebus. there is no evidence of pneumothorax. the right lung is grossly clear. the cardiomediastinal silhouette is unremarkable.
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<unk>-year-old female with left upper lung mass status post ebus. evaluation for post-operative change.
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the heart size is normal. mediastinal and hilar contours are unremarkable. a moderate to large right pleural effusion is noted with right basilar patchy opacity likely reflective of compressive atelectasis. minimal left basilar atelectasis is also noted. there is crowding of the bronchovascular structures, with possible mild pulmonary vascular congestion. no pneumothorax is seen. there are no acute osseous abnormalities.
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chills, liver cancer.
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there is stable mild enlargement of cardiac silhouette. no focal consolidation, pleural effusion or pneumothorax. there is pulmonary vascular congestion without overt edema.
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history: <unk>m with chest pain // eval for acute process
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inspiratory volumes are low. heart size is borderline or slightly enlarged. the pulmonary hila are both slightly prominent, similar to prior. there is a small left effusion with underlying collapse and/or consolidation. mild vascular plethora may relate to low inspiratory volumes. doubt overt chf. some patchy right infrahilar opacity most likely represents atelectasis. however, an early infiltrate or area of aspiration could have a similar appearance. there is possible minimal blunting of the right costophrenic angle with atelectasis at the right lung base. no frank consolidation or gross effusion in the right lung
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<unk> year old man with ?lll pna and parapneumonic effusion on osh ct abd/pelvis // any e/o pna or effusion?
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when compared to prior, there has been no significant interval change. interstitial edema is again noted. there is no focal consolidation nor effusion. moderate cardiac enlargement is unchanged. tortuosity of descending thoracic aorta is again noted. no acute osseous abnormalities.
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<unk>m with dyspnea, chf, copd // infiltrate, effusion, edema, pneumothorax
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the upper lobe predominant peripheral mixed interstitial alveolar process appear similar compared to prior imaging. cardiomediastinal shadow unchanged. no new airspace consolidation. no pleural effusions. spondylotic changes of the thoracic spine with an age indeterminate compression fracture of the superior endplate of l<num>. chronic midshaft fracture of the right clavicle.
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<unk> year old woman with pneumonia, felt to be organizing pneumonia vs. eosinophil pneumonia, starting steroids on <unk> // see if any interval change in pulm infiltrates once steroids started
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. minimal streaky opacities are noted within the lung bases. this could reflect atelectasis. prominent nipple shadow is seen on the left. no pleural effusion, focal consolidation or pneumothorax is identified. clips are noted in the right upper quadrant of the abdomen denoting prior cholecystectomy. <num> additional clips are also seen projecting over the right inferior hemithorax.
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found down.
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the lungs are clear without focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
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<unk> year old man with hx myeloma. recent line which has since been d/c'd. pt reporting shortness of breath. please assess for pneumothorax or other acute process.. // <unk> year old man with hx myeloma. recent line which has since been d/c'd. pt reporting shortness of breath. please assess for pneumothorax or other acute process..
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there is again a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle. the heart is again moderately enlarged. there is perhaps minimal similar upper zone redistribution of pulmonary vessels without frank pulmonary edema. noting that the left hemidiaphragm is obscured by a pacer device, the area is not well evaluated, making it difficult to exclude a pleural effusion in particular. there is no evidence for pleural effusion on the right.
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shortness of breath. question congestive heart failure.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is nearly total collapse of a lower thoracic vertebra seen in the lateral view which is unchanged from <unk>. a compression of approximately <unk>% of the thoracic vertebra right above the diaphragmatic margins in the lateral view is also unchanged from prior.
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<unk>-year-old male with multiple myeloma and hypertension with five hours of chest pressure at rest. evaluate for cardiomegaly, widened mediastinum.
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ap and lateral views of the chest. no prior. there is increased opacity projecting over the right hilum within the right lower lobe. elsewhere, lungs are clear. there is no effusion. cardiac silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with bilateral lower extremity edema and tachycardia. question pulmonary edema. recently traeted pneumonia.
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new dense consolidation in the left lower and nodular opacities in the right lung. this is superimposed on background enlargement of the hila. hilar enlargement related to known kaposi and thickening of the bronchovascular interstitium. no pleural effusions or pneumothorax. heart size is normal.
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<unk> year old male with ks. new bloody cough. please evaluate. // <unk> year old male with ks. new bloody cough. please evaluate.
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the endotracheal tube is in the mid trachea, <num> cm above the carina and should not be withdrawn any further. the post-pneumonectomy changes with opacification of the right hemithorax with volume loss are unchanged with left basal opacity compatible with pneumonia. no pleural effusion or pneumothorax is identified.
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<unk>-year-old man status post intubation, assess tube placement.
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cardiomediastinal contours are within normal limits. patient is status post cabg. . the lungs are clear. there is no pneumothorax or pleural effusion. left shoulder arthroplasty is noted
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<unk> year old man with severe cough and shortness of breath
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. severe scoliosis and associated distortion of the rib cage appear unchanged.
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epigastric pain, nausea, and vomiting. question free air.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. no rib fractures are seen.
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history: <unk>m with assault // please eval for any evidence of trauma
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single portable view of the chest. the lungs are clear of consolidation or large effusion. the cardiac silhouette is slightly enlarged compared to prior likely in part due to portable technique. no acute osseous abnormalities detected.
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<unk>-year-old male with hypoxia and hypotension, shortness of breath.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk> y/o f with dyspnea, subjective wheeze but normal lung exam.
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as compared to <unk> radiograph, postoperative alterations in the right hemi thorax are stable in appearance in this patient who is undergone previous wedge resections. fibrotic lung disease previously attributed sarcoidosis also appear similar as well as a dominant left upper lobe nodule measuring <num> cm, more fully characterized on recent ct of <unk>. lungs are otherwise similar in appearance to recent studies except for a worsening opacity in the left retrocardiac region. heart size is normal, and intrathoracic lymphadenopathy is stable in appearance.
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<unk> year old man with rales and peripheral edema // r/o chf
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the moderate left pleural effusion is unchanged. bibasilar atelectasis. indeterminate cardiac silhouette. normal mediastinal and hilar contours. the right lung is clear. no pneumothorax. no evidence of pneumonia.
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<unk> year old man with cll // known pleural effusion, tachycardia, r/o pe + evaluate effusion
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the visualized lung fields are clear without any focal opacity, pleural effusion or pneumothorax. mild cardiomegaly is again noted, and a tortuous aorta is again seen. the mediastinal silhouette is stable.
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weakness, evaluate for infiltrate.
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frontal and lateral radiographs of the chest demonstrate clear lungs with no acute infiltrate. the hila are not enlarged compared to prior radiograph, and the mediastinal and cardiac contours are normal. chronically elevated left hemidiaphragm is noted all the way back to <unk>. no pleural effusion or pneumothorax is seen.
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polyarthralgias and myalgias. evaluate for hilar lymphadenopathy or infiltrates.
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moderate to severe cardiomegaly appears slightly increased in size compared to the previous radiograph. the patient is status post median sternotomy and cabg. there is mild pulmonary edema, worse when compared to the previous study, as well as enlargement of the vascular pedicle. small bilateral pleural effusions are likely present. patchy bibasilar airspace opacities likely reflect areas of atelectasis. no pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>m with esrd with peritoneal dialysis now failing, ed evaluation for emergent hemodialysis line placement
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. height loss of several mid thoracic vertebral bodies is unchanged from prior.
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<unk>m with shortness of breath, hiv // eval pna
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frontal and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear of focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with lightheadedness. question infection.
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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 displaced fracture is identified.
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history: <unk>f s/p heimlich <num>d ago, now w/ chest wall pain // evaluation for fracture
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there is extensive patchy consolidation versus atelectasis in the left base with retrocardiac opacity and silhouetting of the left hemidiaphragm. there is a small left effusion. free air underneath the diaphragm is identified in this patient who is status post recent surgery. there is atelectasis in the right lung base persists and cystic fluid in a fissure. the lung parenchyma otherwise appears
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<unk> year old man s/p lap subtotal colectomy with slight shortness of breath // please evaluate for pulmonary edema or other respiratory process
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the lungs are mildly hypoinflated with crowding of vasculature. right lower lobe opacity is most consistent with atelectasis and only seen on frontal projection. no pleural effusion or pneumothorax. moderate cardiomegaly is stable. mediastinal contour and hila are unremarkable. a dual chamber left-sided pacemaker with leads in expected positions of the right atrium and right ventricle.
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<unk>f with sss, chf s/p pacer, bibasilar crackles, baseline aphasia, with generalized weakness without clear source, non-productive cough, no fever. evaluate for infiltrate, evaluate volume status
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portable frontal chest radiograph demonstrates improving right lower lobe opacification with persistent retrocardiac left lower lobe opacification, likely atelectasis. there is no overt pleural effusion. the lungs overall appear better aerated. the cardiomediastinal and hilar contours are stable in appearance. mild pulmonary vascular congestion, improved since prior.
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<unk>-year-old male with pulmonary edema and possibly multi focal pneumonia.
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the heart size is normal. the median sternotomy wires are normal. there is a small decrease in the left lung base lucency, of uncertain clinical relevance given the absence of prior imaging. the right lung is clear. there is no pneumothorax or pleural effusions. the hilar and mediastinal contours are otherwise unremarkable. the median sternotomy wires appear intact.
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<unk>-year-old male with a history of aortic repair and pneumonia, who presents for followup evaluation of resolution of pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified.
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chest pain after a motor vehicle crash. evaluate for fracture.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with rhonchi bilaterally, cough x <num> days, chills // r/o acute process
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