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portable supine chest radiograph demonstrate clear lungs bilaterally. there is no pneumothorax or pleural effusion. cardiomediastinal and hilar contours are within normal limits. chronic appearing posterior eighth right rib fracture is noted and better appreciated on same date chest ct. there is no air under the right hemidiaphragm. cervical fusion hardware is noted.
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history: <unk>m with mcc // r/o trauma
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the lungs remain relatively hyperinflated. midline tracheostomy is again seen. 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 sob // acute process
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no displaced rib fractures are present. the sternum appears intact on the lateral view. no subdiaphragmatic free air is appreciated.
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<unk>-year-old female with left sternal chest pain.
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frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is upper limits of normal. mediastinal silhouette and hilar contours are normal. no acute osseous abnormality is identified. there is no free air under the diaphragm.
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<unk>-year-old man with chest pain.
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lung volumes are improved compared to the prior study. heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. previously noted patchy bibasilar airspace opacities have improved, with only minimal residual atelectatic changes seen. no focal consolidation, pleural effusion or pneumothorax is seen. <unk> fiducial markers are again seen within the liver.
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poor inspiratory effort on last chest radiograph, suboptimal study, with difficulty speaking and walking.
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heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal streaky opacities at the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormality is detected.
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history: <unk>f with sudden onset of left hand weakness yesterday
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there is an enteric tube which extends below the diaphragm with the tip in the body of the stomach. there is a left-sided pic line which terminates in the right atrium. the lung volumes are low exaggerating the cardiomediastinal contours; however, mild cardiomegaly has been stable compared to exams dated back to <unk>. there is mild perihilar vascular congestion with overall unchanged mild pulmonary edema. small bilateral pleural effusions are persistent. there is mild bibasilar atelectasis, increased compared to the prior exam. dilated loops of bowel within the abdomen are consistent with patient's known small bowel obstruction. deformity of the left humeral head is stable.
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history of small-bowel obstruction, tachypnea. please evaluate for pneumonia or pulmonary edema.
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compared with prior radiographs on <unk>, there has been interval worsening of moderate pulmonary edema, which is also accentuated by low lung volumes. there is a small left pleural effusion and bibasilar atelectasis. no pneumothorax. cardiomegaly is stable. a left subclavian port-a-cath is at the cavoatrial junction.
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<unk> year old woman with metastatic breast cancer complicated by cirrhosis with crackles on exam. // evaluate for effusion, any consolidation?
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pa and lateral views of the chest provided. stable thickening of the minor fissure. new retrocardiac opacity could simply be atelectasis, however in the appropriate clinical setting may represent pneumonia. no pneumothorax. probable, minimal bilateral pleural effusions are mildly worsened. hilar and cardiomediastinal contours are normal.
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<unk> year old man with asthma, now with recurrent desaturations // r/o new focal infiltrate
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frontal and lateral views the chest demonstrate low lung volumes with resulting bronchovascular crowding. linear opacities within both lungs likely represent atelectasis or scarring. there is mild enlargement of the hila and cephalization of pulmonary vasculature, consistent with mild interstitial edema. there is no focal consolidation or pneumothorax. a right-sided pacemaker device is noted at the leads terminating in the right atrium and right ventricle. trace bilateral pleural effusions are present. the cardiomediastinal and hilar contours are unchanged. there is mild calcification of the aortic knob.
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evaluate for pneumonia.
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right internal jugular venous catheter terminates in right brachiocephalic vein. tracheostomy tube is in unchanged position. transesophageal tube courses below the diaphragm and out of view. right picc terminates in low svc. left midline catheter projects over the left axilla. diffuse pulmonary edema is improved. mild bibasilar opacities are likely due to atelectasis. there are probable small bilateral pleural effusions. cardiac silhouette is normal size.
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<unk> year old woman s/p mutliple abdominal surgeries now w/ trach, ards vs pna // interval change
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the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm or evidence of pneumomediastinum. no acute osseous abnormality is detected.
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right-sided pleuritic chest pain and hemoptysis, here to evaluate for pneumothorax or pneumonia.
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the left picc line may be traced to the origin of the left brachiocephalic, but the tip is not be visualized. there is worsening bibasilar opacification. the upper lung zones are clear. there is no pneumothorax. the cardiomediastinal and hilar contours are stable.
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<unk>-year-old with abdominal surgery with productive cough and leukocytosis.
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left picc has been removed. right picc terminates in the low svc. heart size is not well evaluated. cardiomediastinal silhouette and hilar contours are normal. lung volumes are extremely low but otherwise are clear. pleural surfaces are clear without effusion or pneumothorax.
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<unk> year old man with picc line going for mri needs confirmation of the picc line placement. patient is in the surgical preop area slot <num> // confirm picc line placement surg: <unk> (mri)
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there are low inspiratory volumes. note is made of a drain overlying the superior mediastinum and a line --<unk> picc line -- overlying the right atrium. no pneumothorax detected. cardiomediastinal silhouette is prominent, but unchanged. the right hemi diaphragm is elevated and there is probably a small to moderate right effusion, with underlying collapse and/or consolidation. there is platelike atelectasis in the right mid lung inferiorly. no chf, other evidence of consolidation, or left-sided effusion identified.
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<unk> year old woman sp mie with ct. please perform <unk> am. // routine evaluation
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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 chest examination of <unk>. the heart size remains unchanged and is within normal limits. no typical configurational abnormality is present. thoracic aorta of ordinary dimension but mildly elongated. no local contour abnormalities are seen. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. on the frontal view, a few metallic dense tiny structures are identified in the thyroid area possibly relating to previous surgery in this area. these findings existed already on the previous chest examination and are unaltered.
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<unk>-year-old female patient with end-stage renal disease, on dialysis, requires chest examination to receive dialysis in <unk>. evaluate for any possible active pulmonary disease.
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the patient is status post median sternotomy and cabg. coronary artery stenting/calcification seen on the lateral view. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there is no overt pulmonary edema.
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hyperglycemia, confusion.
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there are moderate to moderately large bilateral pleural effusions, which have increased compared with <unk>. there is likely underlying collapse and/or consolidation. the right midzone/base infiltrate seen on the prior film is partially obscured by the right pleural effusion on today's exam. again seen is upper zone redistribution and mild vascular plethora, consistent with chf. cardiomediastinal contours are obscured by the effusions, but appear overall similar. a calcified granulomas seen in the right mid zone laterally. again seen is the right-sided catheter. previously identified pigtail catheters are not clearly visible on the current exam --? interval removal. background osteopenia and degenerative changes again noted.
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history: <unk>f with leucocytosis // r/o infiltrate
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frontal and lateral chest radiographs were obtained. there is interval improvement in the left retrocardiac opacity. there is now an increased opacity over the right upper lobe. no pleural effusion, pneumothorax, or pulmonary edema is seen. there is stable mild cardiomegaly. mediastinal and hilar contours are normal.
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patient with cough, fever, admission chest x-ray with retrocardiac opacity, eval for pneumonia.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. there are no concerning osseous lesions.
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<unk>-year-old woman with dka, evaluate for pneumonia.
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frontal and lateral views of the chest. relatively low lung volumes are seen with streaky basilar opacities suggestive of atelectasis. elsewhere the lungs are clear. there is no effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is seen.
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<unk>-year-old female with altered mental status. question infection.
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the lung volumes are appropriate. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
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history of non-hodgkin's lymphoma, now with fever, chills and unclear infectious source.
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pa and lateral views of the chest provided. previously noted consolidation in the right lower lung has resolved. there is also been complete resolution of pulmonary edema seen on prior. lungs appear clear without focal consolidation, large effusion or pneumothorax. there are areas of subtle nodularity projecting over the bilateral mid and upper lungs which could represent scarring or granulomatous disease. there is no congestion or edema. cardiomediastinal silhouette appears normal. bony structures are intact.
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<unk>m with sob // pulmonary edema, hydro?
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compared with prior radiograph, lung volumes are lower accentuating the moderately enlarged cardiac silhouette. indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion and there is mild pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. multiple lines and drains overlie the lower thorax and upper abdomen, likely relating to recent surgery.
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status post <unk> with acute-onset chest pain. acute pulmonary process?
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lung volumes are low. a right pleural effusion is moderate in size, increased from the prior exam. a left pleural effusion is small. there is probably adjacent compressive atelectasis that is worse on the right. the degree of atelectasis at the right base has increased since the prior exam. pulmonary vascular congestion is mild. no overt edema. cardiomediastinal silhouette is unchanged. thoracic aorta is tortuous and calcified throughout. no pneumothorax.
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history: <unk>f with hypoxia*** warning *** multiple patients with same last name! // evaluate for pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with palpitations // ? effusion, consolidation, ptx
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old man with occasional shortness of breath, congestion // ? copd, mild shortness of breath
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the patient is status post median sternotomy and cabg. there is mild cardiomegaly which is unchanged. the mediastinal and hilar contours are relatively stable with tortuosity of the thoracic aorta again noted. there is mild diffuse calcification of the thoracic aorta. mild pulmonary vascular congestion is slightly increased when compared to the prior study. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. degenerative spurring is seen within the left acromioclavicular joint as well as within the thoracic spine.
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increased swelling of the legs.
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the cardiomediastinal and hilar contours are stable with mild tortuosity of the descending aorta. there is no pleural effusion or pneumothorax. hyperinflation and flattened hemidiaphragms may be indicative of a chronic pulmonary process. a <num> mm density is seen in the left lower lung, stable since the prior study and probably a calcified granuloma, is likely of no clinical significance. note is made of an old right clavicular fracture.
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cough for two weeks.
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pa and lateral views of the chest. moderate cardiomegaly is unchanged. calcification in the aortic knob is unchanged. compared to study of <unk>, the pulmonary edema has resolved. there is no focal consolidation or pleural effusion or pneumothorax. there is mild scarring at the apices.
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shortness of breath.
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a right-sided chest tube has been removed. there is mild bibasilar atelectasis. no focal consolidation concerning for pneumonia. the heart is top normal in size. there is no large pleural effusion or pneumothorax. a pigtail catheter is seen in the right upper quadrant. there is no overt pulmonary edema.
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<unk> year old man with cad, recent cholecystitis, status post biliary stenting; with sob // ? pneumonia vs chf ? pneumonia vs chf
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low lung volumes account for minimal atelectasis. there is a small left pleural effusion. no focal opacities concerning for pneumonia. cardiac silhouette is normal in size. no obvious pneumothorax.
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<unk>-year-old male with hypotension. evaluate for pulmonary edema.
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mildly enlarged cardiac silhouette, mediastinal silhouette and hilar contours are stable. previously noted right lower lung heterogeneous opacities have fully resolved with baseline right middle lobe and lingular scarring which is unchanged compared to <unk>. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
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right lower lobe pneumonia six weeks ago with persistent cough.
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single portable view of the chest. right lung base opacity with elevation of the hemidiaphragm is unchanged. there is indistinctness of the pulmonary vascular markings suggesting pulmonary vascular congestion. there is no confluent consolidation. there is no definite large effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
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<unk>-year-old male with hypoxia.
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lung volumes are low. this accentuates the size of the cardiac silhouette which is top normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary edema. patchy bibasilar opacities likely reflect atelectasis. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine. partially imaged are biliary stents within the right upper quadrant.
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history: <unk>m on chemo, with fever
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pa and lateral views of the chest provided. there is hilar congestion, without evidence of frank pulmonary edema. there is no focal consolidation, effusion, or pneumothorax. the heart size is mildly enlarged. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. a gallstone is noted in the upper abdomen.
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<unk>f with cough, palp, a fib w rvr // pna?
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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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history: <unk>f with r shoulder mass // acute process
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opacities at the right lung base have decreased compared to the preceding radiographs from <unk> and <unk>. the remainder of the lungs are clear. mild cardiomegaly is unchanged. the mediastinal contours are unchanged. blunting of the right costophrenic angle suggests a tiny effusion. there is no definite left-sided effusion. no pneumothorax.
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fever. assess for pneumonia.
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endotracheal tube tip terminates <num> cm from the carina. an enteric tube is noted with tip in the stomach, and side port just below the gastroesophageal junction. right picc tip is in unchanged position in the mid svc. volume loss in the right lung persists with rightward shift of mediastinal structures. cardiac and mediastinal contours are unchanged. there is no pulmonary vascular congestion. streaky opacity in the right lung base likely reflects atelectasis. no pleural effusion or pneumothorax is seen. percutaneous catheter projecting over the left upper quadrant of the abdomen.
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history: <unk>m with intubation
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pulmonary hyperinflation is identified. post appreciated on the lateral view some patchy consolidation posteriorly, representing a left lower lobe pneumonia. no additional definitive finding is noted. there is degenerative change in the thoracic spine. followup after antibiotic treatment in <num> weeks time is suggested.
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<unk> year old man with two weeks of productive cough // r/o infiltrate.
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lung volumes are slightly better. there is no focal consolidation, pleural effusion or pneumothorax. mild pulmonary edema is not any worse. platelike atelectasis at the left lung base is improved. mediastinal and hilar contours are stable. heart size is normal. a right tunneled line terminates in the right atrium.
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<unk> year old man with dry cough and rhinorrhea // ?acute process ?pna
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the right chest port-a-cath terminates in the right. lung volumes are low and the lungs are clear. mediastinal contour, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax. no osseous abnormality within the limits plain radiography.
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<unk>f with right upper chest wall tenderness and hemoptysis s/p port placement today // effusion? infection? fracture?
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frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. eventration of the hemidiaphragms is seen. a wedge compression deformity in the lower thoracic spine is unchanged from <unk>.
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chest congestion and dyspnea. evaluate for pneumonia.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no displaced fractures are visualized.
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fall from <unk> feet.
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the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. note is made of asymmetric eventration of the right hemidiaphragm, as seen on the ct performed on the same day.
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history: <unk>f with wbc <unk> and gib // pneumonia?
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nasogastric tube terminates with side hole above the gastroesophageal junction, tip in the stomach. lung volumes are low and there are bibasilar, left greater than right, opacities consistent with atelectasis, though aspiration or infection can have a similar appearance. no pleural effusion or pneumothorax. heart size and cardiomediastinal contours are unremarkable.
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history: <unk>m with abdominal pain, vomiting, a transfer from outside hospital with small bowel obstruction diagnosed on ct // correct ng tube placement
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slightly decreased lung volumes leads to crowding of the bronchovascular structures. allowing for differences in inspiration, mild cardiomegaly is unchanged. there is no overt pulmonary edema, large pleural effusion, pneumothorax, or lobar consolidation identified.
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history: <unk>m with sob // eval for chf
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the heart size is top normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is an enteric tube which extends below the diaphragm with the tip in the body of the stomach. the visualized osseous structures are unremarkable.
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history of ng tube placement. please evaluate.
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the lung parenchyma is unchanged in appearance. the pulmonary vasculature is normal. there is stable enlargement of the cardiomediastinal silhouette. there are no large pleural effusions. there is no pneumothorax. there is stable levoconvex scoliosis of the thoracic spine. a moderate-sized hiatal hernia is re- demonstrated.
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<unk> year old woman with history of bladder cancer, af, htn, now presenting with hypoxia and multiple pes // eval for edema, pneumonia
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the inspiratory lung volumes are appropriate. there is increased hazy opacification of the left mid lung zone compared to the right, which likely corresponds to the left upper lobe on the corresponding lateral view and is concerning for developing infection. no pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen is unremarkable.
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fever and cough for the past several days ago, here to evaluate for pneumonia.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. a circumscribed area of sclerosis along the anterior superior endplate of t<num> vertebral body is consistent with a bone island, as correlated with prior mri dated <unk>. t<num>-<unk> anterior endplate sclerosis is related to degenerative disease. trace left costophrenic angle dependent atelectasis is noted.
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<unk>-year-old female with syncope. question pneumonia.
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there has been interval removal of the left-sided pigtail drainage catheter. moderate to large left-sided pleural effusion is loculated and larger than on <unk>. opacification at the left lung base is unchanged from <unk>. the right lung is well expanded and clear. mediastinal contours, hila, and cardiac silhouette are stable from <unk>. no pneumothorax.
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<unk>f with lung cancer, desats at home // ? recurrent effusion
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cardiomediastinal shadow is normal. no hilar adenopathy. no airspace consolidation. no suspicious pulmonary nodules or masses. small bilateral pleural effusions. no sinister bony lesions.
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<unk> year old woman with psc cirrhosis, being evaluated for liver transplant // evaluate for acute cardiopulmonary process
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the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. radiopaque densities project over the anterior abdominal wall. no free intraperitoneal air.
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<unk>m with bullet wounds // eval for bullet s
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
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new onset seizure, headache, neck pain, tachycardia.
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frontal and lateral chest radiographs were obtained. lungs are well expanded and clear. cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. no bony abnormality is detected.
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recent pneumonia, eval for resolution of infiltrate.
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sequential images of the thorax demonstrate advancement of a dobhoff feeding tube into the gastric body. small bilateral pleural effusions with overlying atelectasis. no pneumothorax identified. the size of the cardiac silhouette is unchanged. multiple metallic coils are seen in the right upper quadrant.
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<unk> year old woman with failure to thrive, needs dobhoff // will need to place dobhoff at bedside. you can reach dr <unk> on <unk>
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. in addition to vague opacity probably localizing to the left lower lobe there is an extensive right perihilar consolidation primarily involving the right upper lobe, most consistent with pneumonia.
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cough and fever.
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the patient is status post median sternotomy and aortic valve replacement. mild enlargement of the cardiac silhouette is again noted. mediastinal lymphadenopathy is again noted, most pronounced within the region of the ap window. pulmonary vasculature is normal. increased interstitial markings are seen within the periphery of the lung bases compatible with chronic lung disease, better characterized on the recent ct. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted within the thoracic spine.
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history: <unk>f with neutropenia, cough
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pa and lateral chest radiograph demonstrates clear lungs bilaterally with no focal opacity concerning for pneumonia. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits. no osseous abnormality is identified.
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<unk>-year-old female with dka.
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the lungs are well inflated without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart size is normal. the mediastinal and hilar contours are normal.
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<unk>-year-old female with chest pain with radiation to the left arm. evaluate for acute cardiopulmonary process.
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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. surgical clips are noted in the mediastinum from likely prior thymus resection.
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<unk>f with myasthenia <unk> with weakness, evaluate for infection.
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the lungs are well-expanded and clear. no focal consolidations. no pulmonary edema. stable appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
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history: <unk>m with sscp, ischemic ekg changes // eval ? cardiomegaly, edema
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<num> portable ap supine view of the chest. lung volumes are increased, in keeping with history of copd. bronchial wall thickening may reflect acute or chronic bronchitis. new left lower lobe patchy opacity. bibasilar reticular opacities are unchanged.
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cough and hypoxemia.
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the lungs are hyperinflated. calcified left hilar lymph nodes are unchanged and compatible with prior granulomatous disease. cardiac, mediastinal and hilar contours otherwise are unremarkable. calcified granuloma within the lingula is unchanged. minimal patchy opacity within the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. there is no pneumomediastinum is evident.
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schatzki's ring with increasing frequency of symptoms.
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pa and lateral views of the chest provided. in this patient with chronic interstitial lung disease, the overall pattern of peripheral reticular opacity is unchanged. there is no definite evidence for a superimposed pneumonia. no large pleural effusion or pneumothorax is seen. the heart is unchanged in size. mediastinal contour appears unchanged. bony structures are intact. tiny clips project over the right upper quadrant.
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<unk>m with weakness
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pa and lateral views of the chest. there are small bilateral pleural effusions. there is a left lower lobe consolidation. the upper lung zones are clear. the cardiomediastinal and hilar contours are unremarkable.
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cough and weight loss.
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the lungs appear clear without evidence of focal consolidation. there is no evidence of pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette and hilar contours are normal. there is diffuse dilatation of multiple loops of small bowel, which is incompletely evaluated on this non dedicated exam. there is equivocal appearance for free intraperitoneal air in the left upper quadrant. evaluation for intraperitoneal free air will be resolved with ct abdomen, which will be obtained shortly later today.
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history: <unk>f with ?abdominal pain // eval for free air
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is no pleural effusion or pneumothorax. in the right infrahilar region and along the left heart border, opacities are noted, which, in the appropriate clinical context, may represent pneumonia.
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<unk> year old woman with right side cp // ro worsening pna, fx
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the lung volumes are low, accentuating the heart size, which is persistently mildly enlarged. there is mild pulmonary vascular congestion. the right subclavian vein stent is in place. there is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia. no evidence of subdiaphragmatic free air.
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history: <unk>f with abdominal pain // infiltrate? air fluid levels of free air
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right-sided port-a-cath tip terminates in the svc. heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. several clips again noted within the midline upper abdomen.
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fever, recent chemotherapy.
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endotracheal tube tip is <num> cm from the carina. enteric tube passes below the inferior field of view with side-port in the gastric body. the lungs are clear without consolidation, large effusion or edema. the cardiomediastinal silhouette is within normal limits. no displaced fractures.
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<unk>f with ett
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lung volumes are relatively low with bibasilar atelectasis, similar compared to prior. there is no effusion or consolidation worrisome for pneumonia. probable calcified granulomas identified at the right lung base. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are again notable for fracture of the superior most wire. no acute osseous abnormalities.
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<unk>m with doe // r/o acute process
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ap view of the chest. ap and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. the cardiac silhouette is within normal limits for technique. no acute osseous abnormality is identified.
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<unk>-year-old female with hypertension and diabetes with lethargy and weakness.
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in the right upper lobe, there are two thick-walled cavitary lesions, which allowing for changes in technique, appear similar to the chest ct from <unk>. they have definitely worse and become more thick walled since the prior radiograph on <unk>. no new cavitary lesions or discrete nodules are identified. there is unchanged scarring and atelectasis at the right base. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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persistent cough.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding ap and lateral chest examination of <unk>. the present frontal view again demonstrates the previously described marked cardiomegaly. appearance of pulmonary vasculature has changed markedly with now prominent perivascular haze mostly over the bases with general distended pulmonary vasculature (plethora) indicating development of pulmonary congestion since the next preceding examination. mild blunting of the left lateral pleural sinus may have increased slightly, indicating small amounts of pleural effusions. there is no evidence of pneumothorax. there is some evidence of contrast material location in a vertebral body of the upper thoracic spine, but skeletal detail on this portable chest examination is suboptimal.
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<unk>-year-old female patient with recent vertebroplasty of t<num> and now severe back pain and abdominal pain. any interval change post-vertebroplasty.
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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>. mild-to-moderate cardiac enlargement is present but not different in size in comparison to the previous study. unchanged appearance of the mildly widened and elongated but heavily wall calcified thoracic aorta. no suspicion for new aneurysmatic formations. the pulmonary vasculature is not congested and the lateral and posterior pleural sinuses remain free from any fluid accumulation. lateral view demonstrates again accentuated kyphotic curvature in the demineralized thoracic spine with at least two wedge compressed vertebral bodies, similar as seen on previous examinations.
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<unk>-year-old female patient with shortness of breath, evaluate for chf.
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the lungs appear hyperexpanded suggestive of chronic obstructive pulmonary disease. a focal nodule is noted posterior to the sternum. additionally, there is enlargement of the left main pulmonary artery. cardiac silhouette is normal. bibasilar opacities are visualized likely representative of bronchiectasis and fibrosis. calcifications of the origin of the great vessels are noted.
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evaluation of patient with copd, cough and hypoxia.
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an opacity in the lingula with mild volume loss appears unchanged and consistent with chronic scarring. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouette is within normal limits. the visualized osseous structures are unremarkable.
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cough, rule out pneumonia.
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pa lateral images of the chest. the lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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cp and known history of cad on cath
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated. there is no subdiaphragmatic free air.
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abdominal pain.
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an ng tube is seen crossing midline and then coiling to point back towards the midline. the patient is moderately left rotated right. allowing for that, the cardiomediastinal silhouette appears largely unchanged. allowing for differences in positioning, the lung parenchyma is unchanged. no definite pleural effusion is seen.
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<unk> year old man with ngt, confirm placement // confirm ngt placement, acute process confirm ngt placement, acute process
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single lead left-sided pacer device is stable in position. the cardiac and mediastinal silhouettes are stable. there is central pulmonary vascular engorgement and mild pulmonary vascular congestion. minimally basilar atelectasis is re- demonstrated. no definite focal consolidation. there is no pleural effusion or pneumothorax.
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history: <unk>m with chf and dyspnea // eval for worsening effusion, congestion
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there has been interval placement of a right sided chest tube with near-resolution of the right pneumothorax. there may just be a minimal right residual pneumothorax, similarly to the left side, which also has a chest tube in place. the previously described needle-like opacity projecting over the right axilla is no longer present. there is stable severe cardiomegaly.
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<unk> year old woman with mvr/tv ring. s/p r ct placement.
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there is a known right upper lobe mass, which was thought to be due to aspergillosis when biopsied in <unk>. there is also a small left pleural effusion. no findings suggestive of acute pneumonia. no pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk> year old man with cll, weakness, chills, night sweats, fever // assess for infiltrate or other abnormalities
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single portable view of the chest is compared to previous exam from <unk>. exam is limited secondary to patient positioning, her chin overlies the right upper lung and jewelry obscures the left upper lung. there is suggestion of faint patchy opacity in the retrocardiac region. this could potentially represent atelectasis; however, developing consolidation is not excluded. nodular opacity identified at the right lung base. included visualization of the right lung is otherwise grossly clear. cardiac silhouette is stable. post-vertebroplasty changes identified in the lower thoracic spine. osseous structures are otherwise grossly unremarkable.
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<unk>-year-old female with nausea, vomiting and diarrhea for several days now with decreasing saturation.
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frontal and lateral views of the chest. the lungs are hyperinflated. surgical chain sutures projected over the left apex. the lungs are clear of consolidation or effusion. cardiac silhouette is enlarged but unchanged. hilar contours remain stable. no acute osseous abnormality detected.
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<unk>-year-old female with chest pain.
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frontal and lateral radiographs of the chest demonstrate well-expanded lungs. an area of opacification is seen at the base on the lateral view only. a tiny right-sided pleural effusion is present. the cardiomediastinal and hilar contours are unremarkable. the heart is top normal in size. there is no pneumothorax.
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<unk>-year-old man status post transplant with cough for two weeks. evaluate for pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with dyspnea // r/o acute process
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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. osseous structures are grossly intact.
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cough, chest congestion, evaluate for acute cardiopulmonary process.
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normal heart, mediastinum, hila, and pleural surfaces. an <num> mm rounded density projects over the mid thoracic spine. lungs are otherwise clear without focal consolidation, effusion, pneumothorax.
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<unk> year old man with increased cough after the flu <unk>. rule out pneumonia.
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ap portable upright view of the chest. the endotracheal tube is positioned with its tip <num> cm above the carina. the ng tube is seen extending just beyond the ge junction. there is right lower lobe collapse. elsewhere, lungs are clear. no supine evidence for effusion or pneumothorax.
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<unk>m with ett s/p arrest
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lung volumes are low. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. minimal atelectasis is demonstrated in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. no subdiaphragmatic free air is demonstrated.
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history: <unk>f with chest/ abdominal pain
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cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are hyperinflated. patchy opacities noted in the right lung base. this could reflect atelectasis but infection is not excluded. left lung is clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities seen. remote left-sided rib fractures are noted. extensive degenerative changes of the left glenohumeral joint are partially imaged.
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history: <unk>m with cough, subjective fevers and shortness of breath
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. biliary stent is noted in the right upper quadrant of the abdomen.
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recent liver and kidney transplant with cough.
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the left pneumothorax has resolved. there has been improvement in right pleural effusion but no changed in the left moderate pleural effusion. the cardiac silhouette remains mildly enlarged compared to <unk> and there is mild pulmonary edema. a hiatal hernia is again seen. right internal jugular central line terminates in the distal svc.
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status post cabg with a known left pneumothorax.
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cardiomediastinal and hilar contours unremarkable. again seen is a right lower lobe mass with increased opacification at the right lung base with a small right pleural effusion, which are expected changes post-bronchoscopy. there is no left pleural effusion. emphysematous changes at the lung apices limits assessment, but no pneumothorax is seen.
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status post bronchoscopy for right lower lobe mass, assess for pneumothorax.
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low lung volumes accentuate vascular markings. normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. a <num> cm round density projecting in the right supraclavicular region is likely external to the patient.
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<unk> year old woman with recent depo injection presenting with r sided back pain, shortness of breath with inspiration. // please eval for fracture, focal consolidation
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
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shortness of breath technique portable.
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MIMIC-CXR-JPG/2.0.0/files/p14910538/s54905008/82b6f185-b0b9875e-4e0bf439-560e5cfb-80622942.jpg
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the heart size is normal. the hilar and mediastinal contours are normal. there is no evidence of focal consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of pleuritic chest pain and cough, rule out pneumonia.
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