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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. note is made of mild pleural thickening adjacent to the lateral left <num>th rib. there may also be a subtle non-displaced fracture of the left lateral <num>th rib.
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history of left-sided pleuritic chest pain. please evaluate for pneumothorax.
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pa and lateral views of the chest demonstrates the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no overt pulmonary edema, pleural effusion or pneumothorax. no focal consolidation is seen.
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chest pain.
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the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f w/night-time cough, recent neutropenia, please r/o pna // <unk>f w/night-time cough, recent neutropenia, please r/o pna
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single frontal of the chest. endotracheal tube terminates <num> cm above the carina. left ij central venous catheter terminates at the origin of the svc. a ng tube passes into the stomach and terminates beyond the limits of the film. the heart remains severely enlarged. upper mediastinal contours are stable. widespread bilateral pulmonary opacities are consistent with severe pulmonary edema. bibasilar consolidations are unchanged.
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intubation.
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single supine portable view of the chest. there has been interval increase in size of the right pleural effusion compared to most recent prior. there is also likely a component of atelectasis. given limitation of positioning on this exam, there has been no significant interval change of the left lung noting calcified pleural plaque again seen and possible underlying left effusion.
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<unk>-year-old male with worsening oxygen requirement. history of pleural effusion.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. no pulmonary edema is seen. no displaced fracture is identified.
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history: <unk>f with r shoulder pain, chest pain s/p mvc // eval for pneumothorax
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pa and lateral chest radiographs were obtained. lung volumes are low. there is no focal consolidation, effusion or pneumothorax. mild cardiomegaly is unchanged. there are no new abnormal cardiac and mediastinal contours. eventration of the diaphragms is stable.
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epigastric pain radiating to back
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
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<unk>m with right chest wall ttp s/p assault // r/o lung contusion
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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<unk> year old man with dm<unk> s/p kidney pancreas transplant with llq abdominal pain, chest pain. // eval for volume overload, infiltrate
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
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<unk>-year-old man with crohn's arthritis.
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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 r sided cp, cough // pna?
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lung volumes are slightly low, resulting in bronchovascular crowding. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures identified.
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history: <unk>f with patient endorsing chest pain and sob r/o pna or other intrathoracic process // patient endorsing chest pain and sob r/o pna or other intrathoracic process
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there is no focal consolidation, effusion or edema. linear opacity in the lateral view is most compatible with atelectasis, not localized on the frontal view. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with asthma exacerbation failing regular tx // ? pna
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bedside ap radiograph of the chest demonstrates persistent bilateral diffuse opacities, consistent with stable mild pulmonary edema. the lung volumes are lower on today's study, exaggerating heart size. there is no pneumothorax or pleural effusion. minimal bibasilar atelectasis is also seen. an endotracheal tube once again terminates no less than <num> cm above the carina. an orogastric tube courses to the stomach and inferiorly below the field of view.
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evaluate for interval change in pulmonary edema in patient requiring intervention during gynecologic operation for presumed flash pulmonary edema and a history of hiv.
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portable semi-erect chest film <unk> at <num> is submitted.
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<unk> year old woman s/p mvc with forehead degloving injury now complains of difficulty breathing // pulmonary changes, cardiac silhouette changes pulmonary changes, cardiac silhouette changes
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the heart is not enlarged. within limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. no chf , focal infiltrate or consolidation, pleural effusion or pneumothorax detected.
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history: <unk>m with hiv, fever, // eval for pna
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the patient is status post coronary artery bypass graft surgery. the heart is mildly enlarged. there is soft tissue fullness in the aortopulmonary window, suspected to be post-operative or due to a confluence of shadows. otherwise, the mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax. small-to-moderate anterior flowing osteophytes are noted along the mid-to-lower thoracic spine.
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multiple sclerosis, presenting with leukocytosis and weakness.
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mild enlargement of the cardiac silhouette persists. mediastinal and hilar contours are unchanged. there continues to be mild pulmonary vascular congestion, perhaps slightly worse in the interval. patchy opacities in the lung bases are increased compared to the prior study, with small bilateral pleural effusions, also increased from prior. no pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with dyspnea, congestive heart failure
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ap portable upright view of the chest. there is extensive subcutaneous emphysema within the left chest wall extending into the neck. streaky gas lucency projecting over the mediastinum is compatible with known pneumomediastinum, seen on ct of the cervical spine. there is left basal airspace consolidation with possible small pleural effusion or hemothorax. a small left pneumothorax is present without definite signs of tension. the right lung appears grossly clear though likely with mild basal atelectasis. the heart size appears grossly within normal limits. acute fractures of the left ribs <num>, <num>, <num> and <num> which appear displaced.
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<unk>m with rib fractures and b/l ptx s/p fall
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single portable view of the chest is compared to previous exam from outside hospital performed the same day and chest x-ray from <unk>. there is a retrocardiac opacity which appears somewhat more conspicuous thanon exam from earlier the same day. there is also blunting of the left lateral costophrenic angle. diffuse increased interstitial markings are seen throughout, particularly at the right lung base. cardiomediastinal silhouette is grossly unchanged as are the osseous and soft tissue structures.
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<unk>-year-old male with altered mental status.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the heart is top normal in size, but stable since the prior study. there is no pleural effusion, pneumothorax, or focal consolidation concerning for pneumonia.
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<unk>-year-old female with cough and shortness of breath. evaluation for pneumonia.
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opacities at the right mid lung and right base are worse, especially at the base. multiple other cavitary nodules in both lobes are better demonstrated on recent ct but are grossly similar in number. there is likely small right pleural effusion. there is no cardiomegaly. bilateral hilar fullness is compatible with known mediastinal lymphadenopathy. there is no pneumothorax.
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fever and cough status post chemo. please evaluate for pneumonia.
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single portable chest radiograph demonstrates mild pulmonary vasculature engorgement possibly reflecting an element of mild fluid overload. otherwise, the cardiomediastinal and hilar contours are unremarkable. there is slight asymmetric increased opacifiction projecting over the left lower hemithorax, not clearly anatomical or intraparenchymal and may be due to overlying soft tissue or technique. no pleural effusion or pneumothorax identified. increased density projecting below the left hemidiaphragm likely relates to significant splenomegaly evident on <unk> ct. no osseous abnormality identified.
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dyspnea, fevers. assess for acute cardiopulmonary process.
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et tube tip is <num> cm above the carina. ng tube and up of tube passes below the diaphragm most likely terminating in the stomach or more distally. right picc line tip is at the level of cavoatrial junction. minimal bibasal atelectasis has improved. no evidence of pulmonary edema is seen. no pneumothorax is present.
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<unk> year old man with gbm, now intubated, ?chf exac // pulm edema
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frontal and lateral views of the chest. the heart is of normal size with normal cardiomediastinal contours. pulmonary vascular markings are normal. lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
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<unk>-year-old female with chest pain. evaluate for infiltrate.
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single frontal view of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture is identified. mild dextroscoliosis of the thoracic spine is noted.
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generalized seizure with fall.
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there is tracheal deviation rightwards. the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
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<unk>m with s/p lithotripsy with tachycardia. assess for pulmonary edema or infiltrate.
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an endotracheal tube ends the mid thoracic trachea. enteric tube tip is in the stomach. lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history: <unk>m with ibtubated // confirm ett placement
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previously seen pulmonary edema has essentially resolved. there is no focal consolidation or effusion. the cardiomediastinal silhouette is stable. atherosclerotic calcifications noted at the aortic arch. old healed posterior right rib fractures are again noted.
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<unk>m with sob // eval for pna
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the lungs are relatively hyperinflated without consolidation, effusion, or vascular congestion. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with chest pain // focal infiltrate? cardiomegaly?
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the patient has had prior left upper lobectomy. aeration of the left lung has improved. bilateral pleural effusions have resolved. the tip of a right pectoral infuse-a-port extends to the low svc. there is no pneumothorax. the right lung is clear.
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<unk> year old woman with s/p lobectomy, mild ph, needs vq // pre vq scan
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heart size is top-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 right sided chest pain
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patient is status post median sternotomy and cabg. a left-sided aicd device is noted with leads in unchanged positions. abandoned leads are also noted projecting over the left chest wall. mild to moderate enlargement of the cardiac silhouette is re- demonstrated. atherosclerotic calcifications are noted within the aorta which remains mildly tortuous. mild pulmonary edema is slightly worse in the interval. there are trace bilateral pleural effusions. streaky atelectasis is noted in the lung bases bilaterally. assessment of the lung apices medially is obscured by the patient's chin projecting over this area. there are moderate multilevel degenerative changes in the thoracic spine.
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history: <unk>m with dyspnea // evaluate for pulmonary congestion
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pa and lateral views of the chest provided. faint right basal atelectasis noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with chest pain and sob
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lung volumes are low. the lateral radiograph is degraded by motion artifact. there is vascular crowding but no frank pulmonary edema. appearance of the cardiomediastinal silhouette is unchanged. there is no pleural effusion or pneumothorax.
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history: <unk>m with chest pain, hx of cocaine abuse // evaluate for acute process
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ap upright and lateral views of the chest provided. lungs are clear. heart size is stably enlarged. mediastinal contours unremarkable. no pleural effusion or pneumothorax. bony structures appear intact.
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<unk>f with chills // ? pna
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there is mild cardiomegaly, stable compared to prior exams at least dating back to <unk>. the aorta is tortuous, otherwise the hilar and mediastinal contours are stable. there is a small left pleural effusion status post left thoracentesis. no definite pneumothorax is seen. there are heterogeneous right lower lung opacities likely secondary to re-expansion edema given patient's thoracentesis on <unk>. there is mild left lower lobe atelectasis.
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<unk>-year-old female status post left thoracentesis who presents for evaluation.
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improved pulmonary edema reflected in decreased peribronchial cuffing and pulmonary vascular congestion with minimally increased cardiomegaly. bilateral small pleural effusions and atelectatic volume loss are unchanged. large granulomatous right peritracheal lymphadenopathy, heavily calcified right subclavian artery, and normal caliber mild ascending aortic calcification are noted.
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<unk> y/o f hd<num> w/ perforated appendicitis, now w/ tachypnea, decreasing o<num> saturation // eval for cardiopulmonary process
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there are relatively low lung volumes, which accentuate the bronchovascular markings. no lobar consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with recent admission for urosepsis c/b by melena now presents with syncopal episodes with crackles found on exam. // please evaluate for pneumonia
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pa upright and lateral chest radiograph demonstrates a large right pleural effusion. this appears to have been present on prior study dated <unk>, slightly increased in size. there are scattered airspace opacities throughout the left lung field new since prior study. the left aerated lung appears clear. there is a small left pleural effusion. cardiac border is obscured. aortic arch calcifications are noted.
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<unk>m with dyspnea, hypoxia // eval for acute process
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette is enlarged. surgical clips are in place and median sternotomy wires are aligned. atherosclerotic calcifications noted at the aortic arch. sclerotic focus of the proximal right humerus is partially visualized, likely infarct versus enchondroma.
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<unk>f with pmh chf s/p cabg, dvt, small cell lung cancer p/w chest pain resolved with nitro. acute cardiopulmonary process.
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left-sided pacer device is noted with leads terminate in the right atrium and right ventricle. the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. the pulmonary vasculature is not engorged. lungs appear clear. no focal consolidation, pleural effusion or pneumothorax is present. previously noted pulmonary nodules seen on chest ct are not clearly assessed on the current chest radiograph. mild compression deformity involving the superior aspect of the l<num> vertebral body appears new in the interval with the l<num> vertebral body superior endplate compression deformity appearing unchanged.
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history: <unk>f with pre-syncope
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comparison with <unk>. previously seen small left pneumothorax has decreased with small residual pneumothorax along the left lower chest. left lateral chest wall subcutaneous emphysema slightly increased. the lungs are clear without focal consolidation. no pleural effusion is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old man s/p esophagoscopy with wire-guided dilation, thoracoabdominal distal esophagectomy, and reconstruction with revision of esophagojejunostomy. // interval changes, effusion? ptx?
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>m with fever // pna
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the heart size is seen normal. mediastinal and hilar contours are unchanged with the aorta appearing mildly tortuous. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. a nodular opacity measuring <num> mm projects over the left fifth posterior rib, not changed from the previous exam. no acute osseous abnormality is detected.
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history: <unk>m with influenza like illness, cough, fever, hx hiv+
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the lungs remain clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. surgical clips in the right upper quadrant suggest prior cholecystectomy. no acute osseous abnormalities.
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<unk>f with weakness, cough // infiltrate?
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is small right pleural effusion. right lung base opacities likely represent atelectasis. linear opacity in the left lower lung zone, likely represents plate-like atelectasis. hilar and mediastinal silhouettes are unremarkable. moderate enlargement of the cardiac silhouette is new since <unk> due to cardiomegaly and/or pericardial effusion. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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patient with severe liver disease, assess for pneumonia.
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mild to moderate cardiomegaly appears relatively unchanged compared to the previous study. the aorta is mildly tortuous. the mediastinal and hilar contours are unchanged. mild interstitial pulmonary edema persists, but is slightly improved compared to the previous radiograph. small amount of fluid is seen within the fissures, but no large pleural effusion is present. no pneumothorax is identified. there are moderate multilevel degenerative changes noted in the thoracic spine. again noted is a high riding right humeral head suggestive of underlying rotator cuff disease.
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history: <unk>m with history of congestive heart failure, worsening bilateral lower extremity edema
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the lungs are hyperinflated. there is no consolidation, edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. overall, there is no significant change from the prior radiograph.
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chest pain.
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pa and lateral views of the chest provided. right lower lobe consolidation is new since prior study and is concerning for pneumonia. cardiomediastinal silhouette is normal. there is no pleural effusion.
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<unk> year old woman with abnormal lung exam cough x <num> week, evaluate for pna
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ap upright and lateral views of the chest provided. overlying ekg leads are present. there is persistent cardiomegaly with hilar congestion and worsening pulmonary edema compared with prior radiograph. bilateral pleural effusions are small to moderate in size. difficult to exclude a superimposed pneumonia in the lower lungs given increased lower lung opacity. no large pneumothorax. severe degenerative disease at both shoulders, right greater than left.
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<unk>f with hypoxia // eval for acute process
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portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. bilateral pleural effusions have increased slightly over the interval. in the setting of even lower lung volumes and larger pleural effusions, mild pulmoary edema is difficult to exclude. the cardiomediastinal and hilar contours are unchanged. the endotracheal tube ends <num> cm from the carina. the right-sided internal jugular central venous line ends in the right atrium. no pneumothorax. a nasogastric tube courses into the stomach and of the field of view.
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<unk> year old man with acute pancreatitis // interval progression
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compared to the most recent prior chest x-ray, no significant change is detected. inspiratory volumes are slightly low. again seen is increased retrocardiac density, with obscuration of the left hemidiaphragm. this area of retrocardiac opacity apparently includes the patient's known necrotic lung mass, which was better depicted on the <unk> ct scan. there is upper zone redistribution, without overt chf. there is platelike atelectasis at the right lung base medially. tubing seen overlying the left hemidiaphragm likely corresponds to the the patient's pericardial drain.
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<unk> year old man s/p pericardial window // interval changes
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an ng tube extends below the diaphragm into the stomach. the left subclavian line is in unchanged position. there has been interval removal of et tube and esophageal temperature probe. there has been an increase in retrocardiac opacity which could represent atelectasis, aspiration or consolidation. the right upper lobe opacity is unchanged. there is bibasilar atelectasis. stable appearance of the cardiomediastinal silhouette. no pleural effusion or pneumothorax.
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status post splenectomy, evaluate ng tube placement.
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there are bibasilar hazy opacities compatible with layering effusions. engorged central pulmonary vasculature is again seen. the cardiomediastinal silhouette is unchanged. prior support lines and tubes have since been removed. no acute osseous abnormalities
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<unk>m with hypoxia, chf history // eval for volume status
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the heart remains moderately to severely enlarged. the mediastinal and hilar contours are stable. there is mild pulmonary vascular congestion without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormalities are seen.
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shortness of breath.
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frontal and lateral chest radiographs were obtained. compared to prior study from <unk>, there has been no significant interval change. again appreciated is scarring at the left lung base. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. there is tortuosity of the thoracic aorta. no bony deformity is detected.
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patient with persistent cough, evaluate possible cough etiology.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old woman with cough, fever, egd on <unk>. // eval for pneumonia
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since the prior exam, there is little change. biapical fibrotic changes and mediastinal and hilar lymphadenopathy are stable, and compatible with the patient's diagnosis of sarcoidosis. there is no new focal infiltrate to suggest pneumonia. there is no pleural effusion or pneumothorax. the heart size is normal.
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copd exacerbation. evaluate for infiltrate.
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mild pulmonary edema has developed since earlier in the day moderate to severe cardiomegaly is stable. small to moderate bilateral layering pleural effusion has increased. there is no pneumothorax. the aortic arch is calcified.
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history: <unk>m with dyspnea // chf?
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the cardiac and mediastinal silhouettes are stable. overall, there are relatively low lung volumes. prominence of the central pulmonary vasculature suggests pulmonary vascular engorgement with mild vascular congestion. no pleural effusion or pneumothorax is seen.
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history: <unk>f with syncope, back pain, esrd on dialysis // evaluate for pneumonia, fluid overload, acute process
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frontal and lateral chest radiograph demonstrates well-expanded and clear lungs, unchanged in appearance <unk>. stable bulge at aortic arch corresponds to patient's known pseudoaneurysm as seen on ct chest dated <unk>. no pleural effusion or pneumothorax. heart size, mediastinal contour and hila are unremarkable.
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weakness, nausea, vomiting, palpitations. assess for acute process.
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compared with the prior radiograph, patient has been extubated with removal of the ng tube and right ij central line. the lungs are better aerated with platelike atelectasis in the right middle lobe and small bilateral pleural effusions. stable postoperative the cardiomediastinal silhouette with likely postsurgical minimal retrosternal free pleural air on the left. no focal consolidation concerning for pneumonia.
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<unk> year old man s/p cabg. eval for effusion.
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the cardiomediastinal and hilar contours are within normal limits. there is tortuosity of the descending aorta. there is calcification of the aortic knob. the lungs are well expanded. there are areas of mild linear atelectasis at the right lung base. otherwise, there is no focal consolidation, pleural effusion or pneumothorax. surgical clips are seen in the right upper quadrant.
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chest pain, status post ptca. evaluate aortic contour.
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there is a focal opacity within the right midlung, within the upper lobe and potentially component in the right middle lobe new since prior. lower lung volumes seen on the current exam. elsewhere the lungs are clear where not obscured by the left chest wall pacing device. the <num> leads are in stable position. cardiomediastinal silhouette is stable, atherosclerotic calcifications again noted at the aortic arch. no acute osseous abnormalities identified.
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<unk>m with fevers, dyspnea, chronic cough // any pneumonia?
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
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history: <unk>m with left sided chest pain status post bicycle accident. evaluate for acute injury/fracture
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the radiograph from <time> hours shows no change in the position of pre-existing bilateral chest tubes, right subclavian central venous catheter, and metallic fragments from the known gunshot wounds. the left lung remains almost completely atelectatic with increased leftward deviation of the heart and mediastinum, indicating worsening atelectasis. a pneumothorax is still present. the right lung remains clear, and the tiny right apical pneumothorax is stable. the followup radiograph from <time> hours shows worsening near complete left lung atelectasis and an increased left pneumothorax. the patient has also been intubated, and the endotracheal tube tip is just distal to the clavicles. the tiny right apical pneumothorax has resolved. the most recent radiograph from <unk> hours shows marked re-expansion of the left lung with substantial decrease in the left pneumothorax, which has essentially resolved. there is now a combination of left midlung subsegmental atelectasis and re-expansion pulmonary edema. the right lung remains clear.
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<unk> year old man with bilat chest tubes, s/p bronch // ?interval change ; <unk> year old man with intubation // ?tube placement ; <unk> year old man with bilat chest tubes, resp distress // ?collapse, ptx
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a left-sided picc terminates in the proximal svc. a nasogastric tube terminates below the left hemidiaphragm, the tip is not visualized. the cardiomediastinal contour remains enlarged, similar in appearance when compared to the prior study. unchanged mild pulmonary vascular congestion. there is persistent airspace opacity in the right upper lung and an unchanged left basal pleural effusion. no pneumothorax seen.
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<unk> year old man with right chest pigtail c/b pneumothorax // pneumothorax, please do cxr at <num>am for interventional pulmonary rounds
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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>f with fever, cough, chest pain, tachycardia // ?cpd
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again, there is a mild diffuse interstitial abnormality, which can be seen in the setting of chronic lung disease. there is a <num> cm cystic lesion in the right upper lobe, unchanged. no pneumothorax, pleural effusion or focal airspace consolidation worrisome for pneumonia. heart is normal size. mediastinal and hilar contours are unremarkable. there are severe degenerative changes of the right glenohumeral joint. deformity of the right humerus may reflect prior fracture, however, this is incompletely evaluated.
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altered mental status. evaluate for an acute cardiopulmonary process.
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in comparison to <unk> chest radiograph, there are no changes noted. there are no consolidations, opacities, masses, pneumothorax, or pleural effusion appreciated. the cardiomediastinal silhouette and hilar silhouettes are normal size. the heart size is normal.
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<unk> year old man with chest pain with deep breathing // r/o pleurisy
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the et tube terminates approximately <num> cm above the carina. there is a right-sided ij cv line which appears to terminate in the mid svc. there is apparent enlargement of the cardiomediastinal silhouette, likely secondary to technique. there is diffuse mild pulmonary edema. there is a consolidation at the right lung base likely secondary to atelectasis however aspiration cannot be excluded. there is mild bibasilar atelectasis. there is a small left pleural effusion. there is no pneumothorax.
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history of cva, intubated. please evaluate et tube placement.
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frontal and lateral radiographs of the chest demonstrate no evidence of pneumothorax. a <num>-cm right upper lobe nodule projects over the right fifth intercostal space. the lung volumes are low, accentuating bronchovascular markings. the heart is normal in size. the mediastinal and hilar contours are within normal limits. the thoracic aorta is moderately unfolded.
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<unk>-year-old male status post right lung biopsy. question pneumothorax.
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there is a dual-lead pacemaker/icd device in place with leads again terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. a coarse interstitial abnormality appears unchanged with no new focal opacification. right-sided rib deformities are unchanged as well as a prior fracture of the proximal right humerus with remodeling. there was also non-united right clavicle fracture. a mild lower thoracic anterior wedge compression deformity appears stable. the lateral view also partly depicts the cervical spine where there is slight spondylolisthesis of c<num> on c<num> and mild kyphotic angulation above the site of prior anterior fusion spanning the c<num> through c<num> levels. although there is no clear evidence for change, cervical spine findings are not optimally assessed on these images. bony findings appear unchanged.
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hyponatremia and mental status change.
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hyperinflation suggests copd. there is minimal atelectasis at the lung bases. the descending aorta is tortuous. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. multiple right-sided rib deformities suggest remote prior fractures.
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<unk>m with dizziness and unsteady gait, evaluate for pneumonia.
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interval placement of icd pacing device, with right atrial and right ventricular leads. note is also made of an indwelling coronary artery stent. cardiomediastinal contours are normal. lungs and pleural surfaces are clear. no pneumothorax.
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<unk> year old man s/p ppm // ptx, leads
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
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<unk> year old woman with two weeks of cough and fever, evaluate for pneumonia
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the cardiomediastinal silhouette is stable. the aorta is moderately tortuous. the patient status post median sternotomy with wires intact. previously seen opacities in the right upper and right lower lobes are almost completely resolved.
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history: <unk>f with recent pna. now w/ hypernatremia, leukocytosis. // pna
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two frontal images of the chest demonstrate et tube in place with the tip <num> cm above the carina. low lung volumes are seen, likely secondary to poor inspiration. left lower lobe atelectasis is seen with some elevation of the left hemidiaphragm. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable.
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<unk>-year-old male status post intubation requiring assessment of et tube placement.
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ap and lateral chest radiographs demonstrate a new focal consolidation involving the left lower lobe. there is also a focal opacity in the right mid lung. small bilateral pleural effusions are noted. there is no pneumothorax. the cardiomediastinal silhouette is unchanged. transvenous right atrial and ventricular pacer leads are in the standard position.
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cough and shortness of breath. evaluation for pneumonia.
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aside from minimal bilateral lower lobe atelectasis, the lungs are clear. the heart is top normal in size. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion.
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<unk>-year-old man with chest pain, with primary complaint of fatigue.
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moderate cardiomegaly is chronic. there is no focal consolidation or pneumothorax. mild pulmonary edema has changed in distribution but not in severity since <unk>. blunting of the right costophrenic angle again could represent trace pleural fluid versus pleural thickening. the visualized upper abdomen is unremarkable.
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evaluate for chf or pneumonia in a patient with a history of chf presenting with bilateral lower extremity swelling.
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a vague opacity projecting over the medial aspect of the right lower lobe appears to be stable since the prior radiograph. given that the prior ct showed no evidence of parenchymal abnormality, this is likely due to vasculature. a tortuous aorta is noted, also stable finding. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
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<unk>m with persistent cough,? pneumonia.
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right-sided central venous catheter seen with tip at the lower svc. the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
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<unk>f with davic's disease p/w flare // is there an acute pulmonary process?
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there is no free underneath the diaphragm. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac mediastinal contours are normal. there is a vague density projecting over the right lower lung.
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vomiting blood. evaluate for free air.
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there is a new right-sided chest tube. there is volume loss in both lower lungs. there is patchy areas of alveolar opacity but no focal infiltrate. there small bilateral pleural effusions. there is a left subclavian line with tip in the right atrium
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<unk> year old woman with gastric cancer on chemo ? lung drug rexction s/p r vats wedge resection x<num> // please assess for ptx or effusion
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a left-sided picc line terminates in the low svc. endotracheal tube terminates in the mid trachea. the moderate right pleural effusion has increased. there is no pneumothorax. a metallic device, possibly a loop recorder, projects over the left midlung. mild pulmonary edema has increased. right lower lobe collapse is not appreciably changed. moderate cardiomegaly despite the projection is unchanged. multiple old healed left rib fractures and a scapular fracture are re-demonstrated.
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<unk> year old man with chf, copd, pneumonia // eval for interval change, line placement
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old woman with history of latent tb s/p inh. // monitor for tb, occ health.
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there is stable postsurgical scarring in the right lower lobe. there is no large pleural effusion, pneumothorax or pulmonary edema. no focal consolidation concerning for pneumonia. the heart is normal in size. mediastinal and hilar contours are stable.
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<unk>f with hx lung cancer , chest pain.
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frontal and lateral chest radiographs demonstrate low lung volumes with prominence of the cardiac silhouette and bronchovascular crowding. there is atelectasis at the left base, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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epigastric pain and shortness of breath.
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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 history of pancreatitis presenting with abdominal pain for <num> days. // evaluate for pleural effusion secondary to pancreatitis
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right-sided dual lumen central venous catheter tip terminates in the proximal right atrium. the cardiac silhouette size is normal. the aorta is mildly unfolded, with aortic knob calcifications noted. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated. marked left glenohumeral degenerative changes are seen. surgical clips are noted within the upper abdomen.
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new onset fever, shortness of breath.
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there are low lung volumes. this accentuates the size of the cardiac silhouette which is top normal. mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures but no overt pulmonary edema is present. hazy and patchy opacities in the retrocardiac region and right lung base may reflect areas of atelectasis though aspiration or infection cannot be excluded. there are probable trace bilateral pleural effusions. no pneumothorax is demonstrated. there are no acute osseous abnormalities seen.
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aspiration.
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a frontal upright view of the chest was obtained portably. since <unk>, miild interstitial edema persists, but has improved. there is no focal consolidation, pleural effusion, or pneumothorax. heart size is stable. aortic tortuosity is unchanged. the left humeral head appears inferiorly subluxed with respect to the glenoid however is not visualized adequately on this film and may partially be positional.
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dyspnea and chest pain.
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lung volumes are low which leads to bronchovascular crowding. a subtle retrocardiac opacity is present. pulmonary vascular congestion is mild. the cardiac silhouette is mildly enlarged. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable.
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history of hcc presenting with a week of fever and cough, evaluate for pneumonia
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elevation of the left hemidiaphragm with gaseous distention of the splenic flexure is unchanged from the prior study with a trace left pleural effusion. there is no right-sided pleural effusion. there is no focal consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with restrictive lung disease and shortness of breath. small effusion noted <unk> year ago, evaluate for pulmonary effusion/infiltrate
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cardiac silhouette size is mildly enlarged. the aorta is unfolded. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is pronounced than on the prior study. there is increased atelectasis in the right lung base. no focal consolidation, pleural effusion or pneumothorax is present. there are moderate multilevel degenerative changes seen in the thoracic spine.
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history: <unk>f with left shoulder pain
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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 known liver disease presenting with <unk> edema and dyspnea // eval of dyspnea, <unk> edema
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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/p10294620/s51006834/4d51e439-4ca1548f-34f2be27-d10343a4-8c0050fa.jpg
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frontal image of the chest demonstrates near-complete resolution of the previously seen right lung opacities. there are still some opacities remaining in the left lung. overall, the lungs have increased in transparency. the size of the heart silhouette has decreased since last imaging. no pneumothorax is visualized on this exam.
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<unk>-year-old male with stab wound and left pneumothorax.
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