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MIMIC-CXR-JPG/2.0.0/files/p16056287/s57508048/37307db8-990e2992-23498de4-ab67c80a-a88f39b1.jpg
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the heart size is normal. the aortic knob is calcified. mediastinal and hilar contours are within normal limits. lungs are clear. mildly elevated right hemidiaphragmatic contour is unchanged. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected.
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syncope. on hemodialysis.
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single portable ap upright chest radiograph demonstrates interval placement of a chest tube within the right hemithorax which medially projects over the midline. previously seen right pneumothorax is no longer appreciated. lungs are hyperinflated with flattening of the hemidiaphragms suggestive of emphysematous changes. cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormalities detected. there is no pleural effusion.
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<unk>-year-old male with pneumothorax status post chest tube.
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MIMIC-CXR-JPG/2.0.0/files/p12405899/s56969568/53919cf6-50edb71f-067c148c-24c63bd3-233e9d70.jpg
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pa and lateral views of the chest provided. midline sternotomy wires again noted, fragmented along the superior margin. the heart is mildly enlarged. scattered calcified pleural plaque noted likely accounting for speckled opacities overlying both lungs. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax is seen. the mediastinal contour is normal. bony structures are intact. cervical fusion hardware noted.
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<unk>f with likely stroke, cough // acute process?
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with chest pain // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p10304606/s57133543/0e04486e-0ada3b0c-4005cde1-d1a95a81-8af06bf7.jpg
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significant rpo rotation of the patient limits evaluation. right dialysis catheter and left jugular catheter both terminate within the mid svc. tracheostomy tube is midline. no pneumothorax, pleural effusion, or mediastinal widening. persistent low lung volumes. mild if any pulmonary interstitial edema is unchanged from <unk>. there is no pneumothorax. mild to moderate cardiomegaly.
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<unk> year old woman with chf, fluid overload // pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p15335227/s56584292/e59d0594-5b166221-439b98a6-b46bccdf-e273048d.jpg
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pa and lateral views of the chest provided. volumes are low limiting assessment. there is blunting of the left cp angle consistent with a small left pleural effusion. the hila appear slightly congested though there is no frank pulmonary edema. no focal consolidation concerning for pneumonia. no pneumothorax. mediastinal contour appears normal. bony structures appear intact with mild disc disease in the mid thoracic spine.
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<unk>m with chest pain, shortness of breath, hx of chf, clinically volume overloaded, diminished breath sounds
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portable chest radiograph demonstrates interval placement of tracheostomy tube. no evidence of pneumomediastinum or pneumothorax, however a pneumoperitoneum is evident. unchanged contours of the cardiomediastinal and hilar borders. right-sided subclavian catheter with tip in the distal svc. lungs are clear. no pleural effusion or pneumothorax.
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left basal ganglia iph/ivh sinus status post tracheostomy. please evaluate for any pneumomediastinum.
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the cardiomediastinal silhouettes are normal. the bilateral hila are normal. subtle opacities at the lung bases are compatible with minimal dependent atelectasis. the lungs are hyperinflated. otherwise, there are no focal lung consolidations. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or effusion.
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history: <unk>m with ruq pain // ?cholecystitis
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MIMIC-CXR-JPG/2.0.0/files/p13920236/s52131917/c4d2436d-001fffad-35fa9ffd-5a563d19-c4104576.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. coronary stenting/ calcification again noted. no displaced rib fracture is seen.
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history: <unk>m with r sided cp after kicked by horse // r/o r ribfx after horse kick
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with chest pain // ?pneumothorax
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layering bilateral pleural effusions are small to moderate in size. lower lobe compressive atelectasis likely present, cannot exclude a component of aspiration/ pneumonia. hilar congestion is noted. no pneumothorax. heart size is mildly enlarged. bony structures intact.
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an <unk>-year-old woman with a subarachnoid hemorrhage, wheezing, hypoxia, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15439220/s58359569/340dfbef-ee6c6519-993a047a-cfe6a157-7a958a9f.jpg
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cardiomediastinal contours are stable. lungs and pleural surfaces are clear.
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<unk> year old woman with smoking history, wheezing // ?pna, ?mass
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patient is status post thoracentesis with decreased right-sided pleural effusion, but incomplete reexpansion of the right lung base with small basal pneumothorax. retrocardiac atelectasis is likely also present. mild vascular engorgement is seen with normal cardiomediastinal contours.
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<unk>-year-old woman status post right thoracentesis, assess for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p18676440/s55015304/b335277b-c3b01b0a-208f204b-f0a58e96-495e23a5.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
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history: <unk>m with pleuritic cp // pna?
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MIMIC-CXR-JPG/2.0.0/files/p12464244/s51817779/1015a280-036aa9d3-7a996513-df673665-93385cc3.jpg
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improved lung volumes bilaterally.the lungs are clear without focal consolidation. previously noted left base opacity has improved. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right port-a-cath position unchanged.
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<unk> year old woman with leukemia - ? infection // r/o consolidation
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right middle lobe linear atelectasis/scarring is again seen. there has been interval resolution of previously seen left lower lobe pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no evidence of free air beneath the diaphragms.
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abdominal pain question free air.
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the lungs are hypoinflated with crowding of vasculature. persistent retrocardiac opacity is unchanged over multiple examinations and consistent with known hiatal hernia. no pleural effusion or pneumothorax. there is persistent mild cardiomegaly, likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable.
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<unk>m with hx of pericarditis and recurrent pleural effusion. with complaints of pleurisy chest pain at the right side. assess for pleural effusion worsening cardiomegaly.
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frontal and lateral views of the chest were obtained. cardiac sihouettle is mildly enlarged, slightly accentuated by low lung columes. cardiomediastinal contours are otherwise unremarkable. focal opacity seen in the left lower lobe, best seen on the lateral view. there is no other focal consolidation, pleural effusion, or pneumothorax. the upper abdomen and bones are grossly unremarkable.
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<unk>-year-old male with chest pain.
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frontal and lateral chest radiographs demonstrate pain heart which is top-normal in size, unchanged. opacity in the left infrahilar region is without definite correlate on lateral view. this appears slightly improved compared to <unk>. a retrocardiac opacity likely represents a left lower lobe bronchus en face. there is no appreciable pleural effusion or pneumothorax.
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increasing cough in a patient with aml and gvhd.
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MIMIC-CXR-JPG/2.0.0/files/p18830695/s58314141/cbee1732-86894ad9-b516b1fc-d85b4729-b9847f22.jpg
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lung volumes are slightly low. heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. streaky atelectasis is seen in the left lung base. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
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history: <unk>f with fall, subarachnoid hemorrhage, possible preoperative radiograph
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compared to the prior study there is no significant interval change.
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<unk> year old woman s/p avj ablation and ppm on <unk> // pacemaker lead placement
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bilateral parenchymal scarring is again identified, most extensive in the right mid lung where there are adjacent chain sutures. there is no new confluent consolidation nor effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with chest pain // eval infiltrate, effusion, cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p16859226/s57100380/41691a00-05cfd915-efbbab48-32106061-4e41f4f2.jpg
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an endotracheal tube is stable in position. enteric tube in the distal esophagus. cardiomediastinal and hilar contours are stable. there are low lung volumes. right lower lobe consolidation and elevation of the right hemidiaphragm are unchanged. there is liekly increased pulmonary vascular congestion.
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history of chf, laminectomy, evaluate for pulmonary edema.
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there is increase in size of the cardiac silhouette, now mildly enlarged with small bilateral pleural effusions and new pulmonary edema. no focal consolidation or pneumothorax.
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history: <unk>f with chest pain and hypoxia // pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p14145573/s59410772/634893a2-6201e40b-3b0aad52-2292d8fa-4f852c41.jpg
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pa and lateral chest radiographs. median sternotomy wires are intact. retrosternal air is post-surgical. small left pleural effusion has developed. however, there is no pneumothorax. the heart size is normal.
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post-cabg. evaluation for effusion.
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the endotracheal tube terminates <num> cm above the carina. a right internal jugular central venous line terminates at the level of the brachiocephalic vein, but is now apparently curved back on itself and the tip has moved away from the heart over time. an orogastric tube courses into the stomach and inferiorly out of the field of view. there is persistent bilateral lower lobe atelectasis, right greater than left. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
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<unk> year old male with new onset seizures currently intubated. evaluate for tube placment and acute cardiopulmonary process.
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lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. streaky opacity in the left lung base is likely atelectasis. mediastinal and hilar contours are normal. heart size is normal. atherosclerotic calcifications of the aortic arch are again seen.
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<unk> year old woman with cough and rales at left base // r/o infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p10819242/s50961503/daeddc5c-e3cb9b59-907897da-3ad91f54-ba3e35a8.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p11601553/s59125150/6e77723f-40caf122-b4154dad-8034ddae-62ba8930.jpg
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left picc line tip near cavoatrial junction. increased heart size, pulmonary vascularity is stable. interstitial prominent disc, may be from edema, stable. left basilar opacity has worsened, likely atelectasis, consider pneumonitis if clinically appropriate. mild right basilar opacity, likely atelectasis. probable small pleural effusions, similar. percutaneous gastrostomy tube. degenerative changes spine, lumbar curve convex to the right. no pneumothorax.
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<unk> year old woman sah, hx of asthma with increased oxygen requirement in setting of recent fever, leukocytosis. recent cxr without consolidation. // pls eval for interval development of consolidation vs pulm edema.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. bilateral clavicle fixation hardware is noted. multiple compression deformities of the mid thoracic spine are noted, chronicity indeterminate.
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<unk> year old man with mandibular fracture, preop chest radiograph.
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as compared with the prior exam dated <unk>, there has been minimal interval change. redemonstrated are low lung volumes and diffuse, bilateral reticular opacities consistent with the patient's known pulmonary fibrotic disease. there has been no significant interval progression in the patient's parenchymal findings. there are no acute findings of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. stable, mild cardiomegaly is noted. mediastinal and hilar contours are stable.
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history of systemic sclerosis and interstitial lung disease, now with diminished breath sounds over the left lung base. evaluate for effusions or infiltrates.
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diffuse mild interstitial opacities are slightly increased from the most recent prior study of <unk>. increased opacification of the right lung base is noted. the lung volumes remain low. no pneumothorax is detected. blunting of the bilateral costophrenic angles is compatible with small bilateral pleural effusions. the mediastinal and hilar contours are unchanged. the aortic knob remains densely calcified. a prosthetic aortic valve is again noted and unchanged in position. the patient is status post median sternotomy with wires appearing intact. dense mitral annular calcifications are again noted.
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history of cholangitis, now with fever and abdominal pain, here to evaluate for pneumonia.
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an endotracheal tube ends <num> cm above the carina. an orogastric tube is seen with the side port below the gastroesophageal junction and the tip out of view. other tubes and wires are likely external to the patient. otherwise, there are low lung volumes, accounting for some bronchovascular crowding. there is likely mild pulmonary vascular engorgment and a trace right pleural effusion. ill-defined linear opacities in both lung bases may reflect bibasilar atelectasis. no pneumothorax is identified. cardiomediastinal and hilar contours are unremarkable.
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<unk>-year-old male status post intubation. evaluate placement of the endotracheal tube.
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the patient is status post median sternotomy and cabg. a coronary artery stent is noted. there is biapical scarring with no focal consolidation, pleural effusion or pneumothorax. coarsened lung markings are compatible emphysema as noted on prior ct. the cardiac, mediastinal and hilar contours are within normal limits.
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<unk> year-old male with confusion.
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again seen are multiple median sternotomy wires and mediastinal surgical clips. there are low lung volumes. allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no evidence of pneumothorax or pleural effusion.
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<unk>m with stroke, evaluate for chf or pneumonia.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. there is no free air under the diaphragm.
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abdominal pain, epigastric in nature, with abdominal distention and lactate of <num>. assess for pneumonia, abdominal free air, or other acute process.
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supine portable chest radiograph demonstrates an endotracheal tube tip positioned <num> cm from the level of the carina. an ng tube is in place, positioned over the stomach, but the tip is not seen. retrocardiac and left lower lobe atelectasis is little changed and results in leftward mediastinal shift. there are small pleural effusions. hilar adenopathy is unchanged.
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<unk>-year-old man with pulmonary <unk>-<unk> disease and respiratory failure.
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a tracheostomy tube is in-situ, placement appears appropriate. apparent widening of the superior mediastinum is likely due to patient positioning. even allowing for the projection, the heart is mildly enlarged. there is left lower lobe atelectasis. prominence of the bilateral hila and pulmonary vasculature consistent with congestive heart failure and pulmonary edema. there is hazy opacity in the left lung, likely reflecting pulmonary edema. there is linear atelectasis at the left lung base.
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<unk> year old man with new trach // ? ptx
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lung volumes are low-normal. there is no focal consolidation, effusion, or pneumothorax. there is no pulmonary vascular congestion or overt pulmonary edema. there is platelike atelectasis in the left lower lung zone. mediastinal and hilar contours are normal. heart size is normal. spinal hardware is seen overlying the thoracic and lumbar spine. posterior displacement of the rods superiorly is more fully characterized on same-day ct.
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<unk>f with spinal hardware malposition needs preop cxr per ortho // please eval for consolidation, infiltrate, edema
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MIMIC-CXR-JPG/2.0.0/files/p10867166/s50570766/ed450b7d-838f7a73-4072af79-956a4820-99540ba5.jpg
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no significant interval change. the intra-aortic balloon pump is unchanged in position, still with tip approximately <num> cm too low. moderate cardiomegaly with moderate pulmonary edema is overall unchanged accounting for fx of reduced true radiation and positioning. lung volumes remain low. no pneumothorax. mediastinum and hilar contours are grossly unchanged.
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<unk> year old man with intra-aortic balloon pump, hf, cad. // iabp
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ap and lateral views of the chest. there is a new left lower lobe consolidation. there is also some right basilar opacity seen anteriorly on the lateral view. superiorly, the lungs are unchanged. tenting of the right hemidiaphragm is again seen. probable changes from right-sided lobectomy is unchanged. bilateral shoulder arthroplasties are seen.
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<unk>-year-old female with copd and bronchitis presents for shortness of breath and cough. question pneumonia.
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pa and lateral views of the chest. the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is normal. osseous structures demonstrate no acute abnormality.
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<unk>-year-old female with shortness of breath and history of pneumonia.
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mild enlargement of the heart is demonstrated. minimal atherosclerotic calcifications are noted at the aortic knob. mild pulmonary edema is demonstrated without pleural effusion. no pneumothorax is identified. minimal atelectasis is seen in the lung bases, without focal consolidation. degenerative changes are noted in the thoracic spine.
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history: <unk>m with bradycardia
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there is patchy opacity adjacent to the left heart border raising concern for lingular consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is not enlarged. the mediastinal and hilar contours are unremarkable.
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focal left upper lobe wheezing and dyspnea.
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there is a moderate-to-large left-sided pleural effusion, new since the prior study. there is no shift of mediastinal structures. probably, there is substantial associated atelectasis involving the left lower lobe and possibly parts of the lingula. the pulmonary vasculature is mildly prominent. there is no pleural effusion on the right. no pneumothorax is identified.
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shortness of breath. question pleural effusions.
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pa and lateral views of the chest provided. left chest wall pacer device is noted with leads extending into the region of the right atrium and right ventricle. midline sternotomy wires are noted. increased interstitial opacities most compatible with interstitial pulmonary edema. no large effusion or pneumothorax. heart size is normal. mediastinal contours unremarkable. bony structures are intact.
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<unk>f with sob // ?chf vs. pe?
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tracheostomy tube is midline in appropriate position. the lungs are clear without consolidation, pleural effusion or pulmonary edema, and the cardiac, mediastinal and hilar contours are normal.
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<unk>-year-old man status post posterior craniotomy now with drainage from incision. pre-op chest x-ray for revision procedure.
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there is a new retrocardiac opacity. a right ij has been removed. small bilateral pleural effusions are seen. cardiomediastinal silhouette is unchanged compared to prior.
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<unk> year old woman with caroli's disease, here with sepsis, new fever spike, ? new lung pathology // ? pneumonia
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there diffuse interstitial opacities in the left lung with a nearly normal appearance of the right lung. cardiomediastinal and hilar contours are unremarkable. there is a tortuous aorta with some atherosclerotic calcifications of the aortic knob. there is no pleural effusion or pneumothorax.
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cough, nausea, and vomiting. evaluate for pneumonia.
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the patient is rotated. the lungs are hyperexpanded, consistent with background chronic pulmonary disease. interstitial edema is mild. central pulmonary vascular congestion is also mild. the heart is mildly enlarged given the hyperexpanded lungs. blunting of the left greater than right costophrenic angle suggests probable trace pleural effusions. tiny amount of fluid tracks in the minor fissure. no definite focal consolidation. no pneumothorax. the mediastinum is not widened. aortic knob calcifications are mild. slight asymmetric opacity along the left lateral mid hemi thorax just below the tip of the scapula persists and may reflect a developing pneumonia (was previously obscured by external ventillation device). no acute osseous abnormality.
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<unk>-year-old woman with nstemi, increased work of breathing. evaluate for pulmonary edema.
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left porta cath is in constant position. there is a new stent in the right bronchus intermedius. since the study earlier today there may be slightly improved aeration of the right lower lobe. extensive right upper lobe opacity is otherwise unchanged representing known mass and pleural effusion. there is no evidence of pneumothorax. the heart is not enlarged.
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<unk> year old man s/p stent placement and thoracentesis // r.o ptx
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left pectoral infusion port is unchanged in position and terminates at mid svc. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. mild dextroscoliosis of thoracic spine is unchanged.
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<unk> year old man with poc for chemo administration. // port placement prior to attempting tpa
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there has been interval removal of the endotracheal tube nasogastric tube.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac, hilar and mediastinal silhouettes are unremarkable. the stomach is significantly distended with air and fluid.
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<unk> year old man s/p assault attempted hanging, having clavicular pain // r/o fracture
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. no focal consolidation is identified. there is no pleural effusion or pneumothorax.
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<unk>f s/p fall with left orbital floor tenderness. historically thrombocytopenic, r/o intracranial bleed. left elbow tenderness.
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patchy left lower lobe opacity is seen, raising concern for pneumonia. this opacity appears less extensive as compared to the prior chest radiograph from <unk>. bibasilar atelectasis is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with fever and cough // r/o acute infectious process
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cardiomediastinal and hilar silhouettes and pleural surfaces are normal. lungs are fully expanded and clear without focal consolidation, effusion, or pneumothorax.
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<unk> year old woman with hx of pos ppds and treatment with inh in <unk> without confirmatory cxr. evaluate for active or latent tb.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
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<unk>-year-old male with chest tightness.
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heart is top-normal in size. mediastinal contours normal. there is no focal lung consolidation. no overt pulmonary edema seen. <num> mm nodular opacity at the right lung base, likely corresponds to nipple shadow.
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<unk>m with mild hypoxia, evaluate for pulmonary edema.
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a single portable chest radiograph was obtained. lung volumes remain low. there is increased opacity at the hila and fullness of the azygos vein.
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<unk>-year-old woman with alcoholic cirrhosis, persistent altered mental status and fever.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. status post sternotomy, bypass surgery, permanent pacer with dual intracavitary electrode system is unchanged. moderate widening and elongation of thoracic aorta with calcium deposits in the wall, as before. the overall heart size has increased slightly when comparing the frontal views. the lateral view again demonstrates some calcium deposits at the aortic valve area. these findings have not progressed markedly. pulmonary vasculature does not demonstrate any acute vascular congestive pattern nor is there any evidence of acute interstitial or central alveolar edema. in comparison with the next previous study, the only sign of some increased chronic congestion is a very mild degree of blunting of the left lateral pleural sinus that did not exist on the previous examination. right-sided pleuritic scar formation remains unchanged in appearance and there is no evidence of pneumothorax in the apical area. nowhere in the lung fields is there any sign of a new pulmonary parenchymal pneumonic infiltrate.
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<unk>-year-old male patient with history of severe chf with increased edema, no weight change.
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a portable frontal chest radiograph again demonstrates multiple intact sternal wires, mediastinal clips, and a central line terminating in the upper right atrium. heart size remains severely enlarged. retrocardiac opacity is persistent but improved compared to chest radiograph from the day prior. previously seen mild pulmonary edema is improved as well. there is no focal consolidation or appreciable pleural effusion or pneumothorax.
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evaluate for pneumonia in a patient with leukocytosis and nausea/ vomiting of unknown etiology.
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a left mid lung mass with a clip is reidentified with associated thoracotomy changes. in the background of diffuse bilateral interstitial thickening, there are areas of ill defined patchy opacities in the right lower lung. obscuration of the margin of the left hemidiaphragm suggests left lower lobe consolidation. a spine sign as well as patchy opacities in the posterior costophrenic sulci are seen in the lateral view. mild cardiomegaly is unchanged. there might be a small left sided effusion.
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patient with dyspnea. evaluate for 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 seen.
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history: <unk>f with right rib pain, anterior just below breast s/p fall // rib fx? ptx?
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the heart is moderate to severely enlarged with a globular configuration. the right costophrenic sulcus is not entirely imaged posteriorly, but there is no evidence for pleural effusion. there is no pneumothorax. the lungs appear clear. mild degenerative changes are noted along the thoracic spine.
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high fever.
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the cardiac, mediastinal and hilar contours appear stable. there is a small residual right-sided loculated pleural effusion but decreased with associated streaky opacities suggesting minor associated atelectasis. overall, however, aeration is much better than the more recent of the prior radiographs. mild degenerative changes affect the lower thoracic spine.
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dyspnea on exertion.
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the lungs are clear focal opacities concerning for infection. there is no evidence of pneumothorax or pulmonary edema. blunting of the left costophrenic angle is chronic related to scarring as seen on the prior ct from <unk>. the right costophrenic angle is clear. numerous surgical clips in the abdomen are imaged. the heart size is normal.
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history: <unk>m with chest pain, etoh withdrawal // ? r/o intrathoracic process, chest pain //history: <unk>m with chest pain, etoh withdrawal
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. there is no pneumothorax, focal infiltrate, vascular congestion, or pleural effusion.
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<unk>-year-old female with palpitations and chest pain. question acute process.
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portable supine chest film <unk> at <time> is submitted.
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<unk> year old woman with recent intubation // ?tube placement ?tube placement
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. degenerative changes are noted within both acromioclavicular joints as well as within the thoracic spine.
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history: <unk>m with dyspnea, hypoxia
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pa and lateral views of the chest provided. low lung volumes limits the evaluation. there is bibasilar atelectasis. no convincing signs of pneumonia. heart size cannot be assessed. mediastinal contour is normal. bony structures are intact.
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<unk>m present from clinic w/ incr wbc and persistent bibasilar densities
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. a pericardial drain projects over the cardiac silhouette. there is a small amount of new pneumopericardium. increased opacification of the retrocardiac space likely represents atelectasis. there is no pneumothorax.
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<unk> year old man with s/p pericardial drain and ptx // confirm drain placement and interval change in ptx
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pa and lateral chest radiographs were obtained. hyperinflation of the lungs is unchanged. biapical pleural scarring is also stable since the most recent exam in <unk>. vascular clips from right breast surgery are noted. the heart and mediastinal contours are normal.
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<unk>-year-old woman with chest pain, shortness breath, question acute process.
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lung volumes are low. heart size is mildly enlarged but similar compared to the previous study. the mediastinal and hilar contours are unremarkable. bronchovascular structures are crowded without overt pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax. hypertrophic changes are re- demonstrated in the thoracic spine.
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<unk> with past medical history of pbc and autoimmune hepatitis, diabetes mellitus, hypertension who presents with altered mental status and gait instability
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low lung volumes causing bronchovascular crowding, unchanged from multiple prior studies. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette, including mild cardiomegaly, is unchanged. a rounded opacity in the left lower lung may represent a pulmonary nodule or superimposition of normal structures.
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<unk>m with l sided chest pain, pleuritic evaluate for pulmonary edema, pneumonia, or pneumothorax.
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endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, in the field of view. left-sided subclavian central venous catheter is stable in position. there has been interval increase in left infrahilar opacity. right base opacity persists. external leads overlie the right upper lung, making evaluation in this region suboptimal. no pleural effusion or pneumothorax seen. enlargement of the cardiomediastinal silhouette is stable.
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<unk> year old man with worsening appearance of cxr this am // pls eval any interval change since this morning's cxr
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prior right-sided central venous catheter is no longer visualized. there is a small left pleural effusion which is grossly unchanged from prior prior right-sided pleural effusion has now resolved. the lungs are clear. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities.
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<unk>m with new afb // eval for pna
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right chest wall port is again seen. linear lingular opacity is compatible with atelectasis versus scarring. the lungs are otherwise clear. lower esophageal stent is new since <unk>. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with recent esophageal stent placement here w. fever // ?aspiration pna ?pneumomediastinum ?mediastinitis
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since the prior exam, the endotracheal tube and enteric tube have been removed. additionally, the left-sided chest tube has been removed. a right internal jugular central venous catheter is in unchanged position with the tip in the mid svc. post-surgical changes from a prior cabg are noted in the mediastinum. there is minimal left basilar atelectasis and a possible tiny left pleural effusion. there is no focal airspace consolidation. there is no right pleural effusion. no pneumothorax is identified. the mediastinal contours are unchanged, and consistent with a normal post-operative appearance. the heart size is mildly enlarged, and unchanged.
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status post chest tube removal. evaluate for pneumothorax.
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the heart is not enlarged. there is no chf, focal infiltrate or effusion. no pneumothorax is detected. curvilinear lucency immediately above the right hemidiaphragm likely represents <unk> artifact. limited assessment of the upper abdomen shows multiple gas-filled loops of bowel, not fully evaluated. no definite free air is identified. right upper quadrant surgical clips are noted.
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<unk> year old man with schizophrenia, hepatitis c presented with uti, confusion now with hypotension and abdominal distention // ? free air, obstruction
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comparison is made to radiograph dated <unk>. pa and lateral chest radiographs were obtained. previously suspected small right pneumothorax along the right costophrenic angle has resolved, or may have been artifactual on the prior study. there is no new pneumothorax identified. lungs are clear bilaterally with no focal consolidation. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion. osseous structures are without an acute abnormality.
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<unk>-year-old female with pneumothorax. evaluate interval change.
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a right chest tube remains in place, a small right pneumothorax is seen. the lung volumes are slightly decreased from prior, and there has been interval slight worsening in pulmonary edema. the left costophrenic angle is excluded on this film. cardiac and mediastinal contours are unchanged. a right subclavian central venous catheter tip is unchanged in position within the mid svc. there has been interval further resorption of right thoracic wall subcutaneous gas.
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<unk>-year-old male with right pneumothorax. tube to waterseal.
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compared with prior radiographs on <unk>, there is a new very subtle asymmetric <unk> in the right mid lung, seen only on frontal view. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old man with cough // r/o pneumonia
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cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. multiple clips are noted projecting over the left upper chest. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is normal. there are no acute osseous abnormalities.
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history: <unk>f with chest pain and palpitations. history of laparoscopic lung cancer removal <unk> year ago.
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there is no focal consolidation. the cardiac silhouette is normal. mediastinal contour is unchanged. there is no pleural effusion or pneumothorax.
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<unk> year old man with cough, evaluate for pneumonia.
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frontal views of the chest were obtained. severe cardiomegaly, mediastinal contours, and elevation of the left hemidiaphragm are not appreciably changed since <unk>. no new focal consolidation, pleural effusion, or pneumothorax. sternotomy wires are intact.
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<unk>-year-old male with chest pain.
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limited assessment of the chest is unremarkable. enteric tube extends below the diaphragm with the tip in the body of the stomach. there is no evidence of subdiaphragmatic free air. the bases of the lungs demonstrate mild bibasilar atelectasis and small bilateral pleural effusions. the visualized osseous structures are unremarkable.
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history of rapid afib, left-sided chest pain. please evaluate for acute process.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with gallstone pancreatitis. hcg at osh negative // eval for effusion
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frontal and lateral radiographs of the chest were acquired. images are slightly limited due to the patient's body habitus. lung volumes are low. the heart is mildly enlarged, not significantly changed compared to the prior study from <unk>, allowing for differences in patient rotation. there are diffuse bilateral interstitial opacities with a perihilar predominance, most likely mild interstitial pulmonary edema. there is subsegmental bibasilar atelectasis. elevation of the right hemidiaphragm is similar in appearance to the prior radiograph from <unk>. there are no definite pleural effusions. no pneumothorax is seen. the vascular pedicle is widened.
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shortness of breath. evaluate for evidence of pneumonia.
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there are low lung volumes. chronic blunting of the left costophrenic angle may be due to trace pleural effusion. there are also likely atelectatic changes at the left lung base. no definite focal consolidation is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable. the patient is status post median sternotomy and cabg. dual lead right-sided pacemaker is seen, placed in the interval since the prior study, with leads extending the expected positions of the right atrium and right ventricle.
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history: <unk>m with fever // pna?
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compared to the study from the prior day there is no significant interval change.
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secondary pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with syncope, lightheadedness // acute cardiopulmonary process
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the endogastric tube courses inferiorly out of the field of view. the endotracheal tube sits <num> cm above the carina. the heart size is at the upper limits of normal. the mediastinal contours are not widened. worsening right-sided airspace opacity is present. there is no large pleural effusion or pneumothorax.
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<unk>-year-old male with pneumonia, now requiring intubation for respiratory distress.
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frontal and lateral chest radiograph demonstrates new right icd with single lead terminating in standard position within the right ventricle. no pneumothorax. left pleural abnormality which may represent loculated fluid versus pleural thickening. mildly enlarged heart. no pulmonary edema. a left port-a-cath is seen terminating in the mid svc. incidental note is made of saber sheath trachea, likely secondary to longstanding pulmonary disease.
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<unk>-year-old male with new single lead icd.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are well inflated and clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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left anterior chest pain techniquepa and lateral views of the chest.
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the heart is top-normal in size exaggerated by low lung volumes. the hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with shortness of breath // acute process? acute process?
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endotracheal tube tip terminates in the right mainstem bronchus. left chest wall port catheter terminates in the right atrium. heart size and cardiomediastinal contours are normal. small left pleural effusion is noted with associated basilar atelectasis. the lungs are otherwise clear without focal consolidation or supine evidence for pneumothorax. bony structures appear intact. a catheter prior overlies the right upper quadrant.
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<unk>f s/p arrest w/ ett in position // eval ett
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lungs are hyperinflated. a vague rounded opacity in the right base is consistent with a nipple shadow. the pulmonary vasculature is indistinct, compatible with pulmonary vascular congestion. no overt pulmonary edema or pleural effusion is noted. no focal pulmonary consolidation or pneumothorax. the heart size is normal. osseous structures are unremarkable. no radiopaque foreign body.
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shortness of breath.
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single portable chest radiograph was acquired. the swan-ganz catheter is present with the tip in the right main pulmonary artery at the edge of the mediastinal contour. endotracheal tube is in the mid trachea in appropriate position. there is no focal consolidation or pneumothorax. bibasilar opacities including a left pleural effusion are similar to the prior study. the heart remains enlarged. median sternotomy wires are intact. staple line is seen down the mid thorax.
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<unk>-year-old woman status post mvr and chest bleeding with elevated white blood cell count. evaluate for interval change.
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status post left upper lobe rfa. tiny loculated left-sided pneumothorax has not substantially changed since post biopsy ct. increasing ground-glass opacity surrounding the fiducial marker and site of rfa. there is a moderate amount of subcutaneous emphysema along the left lateral chest wall extending to the neck. the lungs remain hyperinflated with bibasilar atelectasis. heart size is normal.
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<unk> year old man s/p lul lung rfa // evidence of ptx? patient is in the pacu. please do at <time>
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the femoral temporary pacer lead appears to be malpositioned with an indeterminate location. a possible location could be within the pulmonary outflow tract. the lungs are hyperinflated with paucity of the pulmonary vasculature, particularly in the upper lobes suggestive of underlying emphysema. the cardiomediastinal and hilar contours are normal. the pleural surfaces are normal. .
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<unk> year old woman with chb, s/p l groin temp wire placement // evaluate temporary pacer wire placement
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