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MIMIC-CXR-JPG/2.0.0/files/p12762827/s56838588/2de70501-e4649622-1b65aac9-24f46f52-53a09243.jpg
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the heart is at the upper limits of normal size. the lung volumes are low. allowing for change in lung volumes, the mediastinal and hilar contours are probably unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.
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epigastric pain.
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vague opacity projecting over the anterior right fourth rib is compatible with nodule better seen on prior ct scan. additional nodules were better seen on ct scan. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with <num> on immunotheapry for metastatic melanoma // r/o pneumonia
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patient is post cabg with median sternotomy wires in place. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.
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<unk> year old man with coronary disease, recent weight gain and question of rales and dullness at bases. // is he in chf?
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MIMIC-CXR-JPG/2.0.0/files/p14590377/s53043431/7bf54f1a-ce9664e4-a71eb891-2fb1c40e-f9b2750f.jpg
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a moderate-sized hiatal hernia, with air-fluid level is again seen. the lungs are relatively well expanded and clear. the cardiomediastinal silhouette is stable. there is no pneumothorax or pleural effusion. known right eighth and ninth rib fractures are poorly assessed on this ap view due to soft tissue attenuation, however no new displaced rib fractures are identified within these limitations.
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history: <unk>f with right chest wall pain // eval for rib fracture, ptx
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MIMIC-CXR-JPG/2.0.0/files/p14246614/s54266458/fa72a36c-deb8547f-8970651d-d26e540b-681089f0.jpg
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lung volumes are persistently low. there has been interval increase in size of the cardiomediastinal silhouette consistent with increasing cardiomegaly or small pericardial effusion, although there is no radiographic evidence of tamponade. mild pulmonary edema is increased from prior study. a small left-sided effusion is unchanged. there is no pneumothorax. a right internal jugular central venous catheter, left internal jugular dialysis catheter, endotracheal tube and upper enteric tube remain in unchanged position.
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treated pneumonia, awaiting dialysis, interval change in pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p16994307/s52746574/3df13d70-9198e945-191fe356-b956c784-8d654044.jpg
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the cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p17696123/s58480323/401cbd7f-627b8eb4-0b338b53-5c8d4933-02eb2e07.jpg
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the lungs are clear without consolidation, effusion, or edema. nodule projecting over the left lung base is most likely a nipple shadow. cardiomediastinal silhouette is within normal limits. old healed bilateral rib fractures are noted.
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<unk>f with epigastric abdominal pain, n/v // eval pnuemonia
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the heart is at least moderately enlarged, though difficult to accurately determine the size of due to the presence of a moderate right and small left pleural effusion. there is mild pulmonary edema. bibasilar airspace opacities could reflect compressive atelectasis, but infection or aspiration cannot be completely excluded. no pneumothorax is identified. no acute osseous abnormalities are seen.
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recent myocardial infarction, pneumonia with acute episode shortness of breath.
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portable semi-upright chest radiograph demonstrates interval withdrawal of an endotracheal tube which is now seen within the mid trachea, <num> cm from the carina. lung volumes are low, with slight interval increase in bibasilar atelectasis and retrocardiac opacity. bilateral effusions are small, if any. pneumomediastinum and subcutaneous gas in the shoulder girdle and up the neck demonstrates interval resorption. an ng tube is in place with its tip and sidehole within the stomach. there is mild pulmonary edema.
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<unk>-year-old male with pneumonia, evaluate interval change.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. incidental note is made of a left-sided cervical rib.
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<unk> year old woman with untreated htn, migraine, intermittent cp/sob/back pain // ?pna/other acute intrathoracic process
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MIMIC-CXR-JPG/2.0.0/files/p16942853/s52933933/aa678f37-2090bcc4-eac84811-637bb4f7-f96c6370.jpg
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
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chest pain.
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the heart size is top-normal. intrathoracic lymph node enlargement in subtle interstitial lung abnormalities are consistent with patient's known sarcoidosis. there is new increased diffuse opacity overlying the left lung, with tenting of the diaphragm, consistent with left upper lobe collapse. on the lateral view, there is an opacity anteriorly, with anterior displacement of the oblique fissure, also consistent with left upper lobe collapse. there is no large pleural effusion, or pneumothorax.
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history: <unk>f with dyspnea // evidence of pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12454697/s57386502/5f7c5a4a-9408c48f-b0101ca4-85649357-dc4f18de.jpg
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there are persistent increased interstitial markings, particularly at the lung apices which correspond with centrilobular micronodules identified on prior chest ct. left base pulmonary nodule also projects over the cardiac silhouette, grossly unchanged. there is no new consolidation or large effusion. there is no pneumothorax. cardiomediastinal silhouette is stable. median sternotomy wires are noted as well as a coronary artery stent. degenerative changes partially visualized at the shoulders bilaterally. there is possible right shoulder dislocation.
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<unk>f with dyspnea, fall // eval for ptx, hemothorax
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MIMIC-CXR-JPG/2.0.0/files/p12668169/s56579816/4cfd3e46-3b27809a-bece6ee5-34187e97-4ebebd02.jpg
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pa and lateral chest radiographs. there is an old fracture of the posterior left eighth rib. there is no pneumothorax. there is a small left pleural effusion with associated atelectasis. there is mild cardiomegaly without evidence of volume overload.
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alcoholic hepatitis and decompensation. concern for pneumonia or volume overload.
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as compared to the prior examination dated <unk>, there has been no significant interval change. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal. redemonstrated is a wedge shapped deformity a lower thoracic vertebral body.
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productive cough, but clear chest examination.
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both lung volumes are low. tracheostomy tube is in standard position. increased retrocardiac density reflecting left lower lung atelectasis is unchanged since yesterday. mild right basal atelectasis has improved. bilateral small pleural effusions appear similar. no new lung opacities of concern moderately enlarged heart size, mediastinal and hilar contours are unchanged.
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evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11383297/s56684670/44b75d9b-43a6d951-023a76bf-c1d64f80-bb72d3bf.jpg
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pneumothorax, pleural effusion or pulmonary edema. no focal opacity is identified within the lungs.
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preoperative evaluation for pneumonia or evidence of congestive heart failure.
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MIMIC-CXR-JPG/2.0.0/files/p17170716/s55331999/58b033df-0a4ad6bc-6450e8e1-8e3202c1-16e5f8f4.jpg
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et tube terminates <num> cm above the carina. ekg leads overlie the chest. the lungs are moderately well inflated and clear. no pleural effusion noted. there is a soft tissue opacity in the left paraspinal region at t<num> and <num> levels, of questionable cause. visualized bony thorax is unremarkable.
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<unk>f w. h/o etoh abuse presented to osh with altered mental status found to have l sdh s/p l crani for sdh evacuation. // et position
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MIMIC-CXR-JPG/2.0.0/files/p17371025/s55976769/20cab967-bc08d1d3-da11f627-f93fe151-19e61272.jpg
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. consolidative opacity within the right upper lobe is compatible with pneumonia. left lung is clear. no pleural effusion or pneumothorax is seen although the left costophrenic angle is excluded from the field of view. no acute osseous abnormalities detected.
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alcoholic cirrhosis with dyspnea, hypotension and abdominal swelling.
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new et tube terminates <num> cm from the carina. enteric tube remains in the stomach. lung volumes are low. opacities in the right lung likely reflect known pulmonary contusions. the heart is slightly larger than on the prior studies and there may be mild early pulmonary edema. the mediastinal and hilar contours are normal. there is no large pleural effusion or pneumothorax.
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et tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p12147946/s57113333/f03d0e35-9c424bea-956235a6-018dd285-266b3791.jpg
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mild cardiomegaly is unchanged since <unk>. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
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cough, fevers and chills with positive ppd.
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frontal and lateral views of the chest were obtained. lung volumes are low, exaggerating heart size. cardiomediastinal contours are stable. indistinct right costophrenic angle may represent a small right pleural effusion. no focal consolidation or pneumothorax. sternotomy wires are intact.
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<unk>-year-old male with peripheral vascular disease here with leukocytosis. evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p13500179/s54005579/1ac55c57-00e374fb-39a22d03-6d663ce7-18e32190.jpg
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the patient is status post median sternotomy and cabg. left-sided pacemaker device is noted with leads terminating in unchanged positions, within the right atrium and right ventricle. mild to moderate cardiomegaly is increased in size compared to the previous exam. the aorta remains tortuous. there is mild pulmonary edema, new compared to the previous exam. small bilateral pleural effusions are also present. bibasilar atelectasis is visualized. there is no pneumothorax. mild degenerative changes are visualized within the thoracic spine.
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chest pain and palpitations.
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MIMIC-CXR-JPG/2.0.0/files/p16257317/s50714822/9e18a390-580aad4a-86249e5b-6018e809-7c08a624.jpg
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the cardiac, mediastinal and hilar contours appear within normal limits. the lung volumes are low and the right hemidiaphragm is moderately elevated compared to the left. this appears substantial and may be due to an eventration of the right hemidiaphragm, enlarged liver or phrenic nerve paralysis. the lungs appear clear aside from streaky right basilar opacity associated with the elevated hemidiaphragm on the right. there is no pleural effusion or pneumothorax.
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hypotension and pre-syncope.
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MIMIC-CXR-JPG/2.0.0/files/p10502580/s54912268/f472c301-040c031b-ac360c26-d9ba963c-00a95373.jpg
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the lungs are clear without consolidation, effusion, or edema. nipple shadows project over the lung bases bilaterally. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities, hypertrophic changes noted in the spine.
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<unk>m with cough and chest pain // ?infectious process
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ap view of the chest provided. lung volumes are low. in comparison to the prior study, bilateral opacities appear much worse. there is also increase in pleural effusion on the left.
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<unk> year old man with influenza and pneumonia with new o<num> requirement
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portable ap radiograph of the chest demonstrates relatively low lung volumes compared to the prior study with persistent interstitial prominence and minimal pulmonary vascular engorgement without overt pulmonary edema. no pleural effusion or pneumothorax is present. hazy opacity in the right lung base likely represents atelectasis, however underlying infection cannot be completely excluded. the cardiac silhouette is stable.
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dyspnea.
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evaluation is limited by body habitus. there is a tracheostomy in similar position. lung volumes are low causing accentuation of the central bronchovascular structures. the heart is enlarged, and there is no pulmonary edema. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>-year-old male with history of tracheostomy presenting with dyspnea. evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p17610143/s58686351/aace0617-c9804690-089dd8e4-ae5b8489-91d82e12.jpg
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ap portable semi upright view of the chest. tracheostomy projects over the superior mediastinum. the lungs are clear and hyperinflated. no focal consolidation, large effusion or pneumothorax seen. cardiomediastinal silhouette appears normal. no acute bony injuries.
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<unk>f with h/x of pneumonia, aneurysms and head bleed. patient non-verbal // h/x of pneumonia. h/x of aneurysms and head bleed.
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the right basilar pneumothorax is perhaps minimally increased in size compared to the prior. a right apical chest tube is unchanged. pneumomediastinum and extensive subcutaneous emphysema are unchanged. a small left pleural effusion is stable.
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<unk> year old woman with s/p mini mvr/sc air // eval ptx/pneumostat placed
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new compared to prior bilateral hazy perihilar opacities. better seen on the lateral view is a focal rounded opacity projecting posteriorly, overlying the lower lobes, likely localizing to the right on the frontal view. additional nodular opacity projects over the anterior right third rib laterally, new since prior. it is uncertain if this is due to rib changes or underlying parenchymal abnormality. there is no large pleural effusion. cardiomediastinal silhouette is within normal limits. median sternotomy wires are intact. no acute osseous abnormalities
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<unk>m with sob and cough // infiltrate. patient has history of lung cancer, per the electronic medical record.
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stable right middle lobe opacity obscuring the right heart border. no new focal opacity, pleural effusion, pneumothorax or pulmonary edema. heart size, mediastinal contour and hila are normal. no bony abnormality.
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<unk>-year-old male with hiv and fever. assess for pneumonia.
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single frontal view of the chest. low lung volumes and portable technique exaggerate heart size. cardiac and mediastinal contours are stable. pulmonary vascular congestion has worsened since <unk>. right middle lobe and retrocardiac opacities are nonspecific and may represent atelectasis and dependent edema, but pneumonia precipitating edema is a possibility. no large pleural effusion or pneumothorax.
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altered mental status.
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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. thoracic scoliosis is noted.
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<unk> year old woman with diarrhea and brbpr, leukocytosis // eval for pneumonia
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there is minimal basilar atelectasis. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
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dizziness and syncope.
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no focal consolidation is seen. a punctate millimetric linear radiopaque structure projecting at the level of the right diaphragm on the lateral view has been present since at least <unk>. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p15340425/s54917313/61a2ea75-898adf77-fa3fdc06-6830beeb-25ca1f55.jpg
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the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. there is a patchy left mid lung opacity, although elsewhere, the lungs appear clear. lung volumes are again low. there is no definite pleural effusion or pneumothorax. moderate degenerative changes involve the each acromioclavicular joint.
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altered mental status.
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the lungs are clear of any focal opacities concerning for an infectious process. cardiac silhouette is enlarged. no pleural effusion or pneumothorax is identified.
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<unk>-year-old female with hypertension and ekg changes, question pneumonia or chf.
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MIMIC-CXR-JPG/2.0.0/files/p16291864/s52109748/8aafdcad-078d68ee-ef3500cd-7856725c-86ecebec.jpg
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there has been interval placement of an endotracheal tube ending approximately <num> cm above the carina. an enteric tube courses below the diaphragm and out of view on this image. a left pectoral pacemaker with dual leads terminating in the right atrium and right ventricle is unchanged. the lungs remain hyperinflated with flattening of the bilateral hemidiaphragms, compatible with copd. small bilateral pleural effusions are unchanged. there is no interval change in mild pulmonary vascular congestion/interstitial edema. streaky opacities in the bilateral bases likely reflect atelectasis. the cardiac silhouette is enlarged but stable. the mediastinal and hilar contours are within normal limits.
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respiratory failure requiring intubation and og tube placement.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
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<unk>-year-old male with shortness of breath. evaluate for edema.
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the heart is mildly enlarged. the mediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
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<unk>-year-old woman with altered mental status, evaluate for pneumonia
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given slightly low lung volumes, the lungs appear clear. cardiac size is within normal limits. there is no pleural effusion, pulmonary edema or pneumothorax. the lateral view is limited due to overlying soft tissues and the low lung volumes. l-shaped metallic density along with <num> other small densities, one projecting right of the trachea the other near the left shoulder are presumed to be external to the patient.
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productive cough x<num> days
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single portable view of the chest. lower lung volumes seen on the current exam and patient is rotated to the left. increased interstitial markings throughout the lungs are seen and thought to be chronic in nature. please note that lung apices are obscured due to patient's chin. median sternotomy wires and mediastinal clips are noted.
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<unk>-year-old female with fever and dyspnea.
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no interval change. the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. a left pacer device is seen with lead tips in the right atrium and right ventricle. ekg leads overlie the chest wall.
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<unk>f with dementia, found to have altered mental status with ct head at osh showing acute midbrain hemorrhage.
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there is a large hiatal hernia, with adjacent atelectasis. the lungs are otherwise clear. no focal consolidation concerning for pneumonia is identified. there is no pleural effusion or pneumothorax. the heart is normal in size.
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history: <unk>f with dyspnea // acute process
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two frontal images of the chest demonstrate ng tube coiled in the hypopharynx. et tube is again seen in appropriate position. bibasilar atelectasis is seen. there are low lung volumes, likely secondary to poor inspiration. there is no pneumothorax or other complications.
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<unk>-year-old male with right stroke and intubation, now requiring assessment for ng tube placement.
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pa and lateral views of the chest. no focal consolidation, pleural effusion, or pneumothorax. mild to moderate cardiomegaly. the left pulmonary artery contour is enlarged, also seen on recent pet ct from <unk>.
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history of lymphoma and asthma, wheezing.
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there is an opacification seen posterior to the heart which likely reflects the descending aorta. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. the hilar and pleural structures are unremarkable. the imaged upper abdomen is normal. there is no acute osseous abnormality.
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left-sided chest pain, diaphoresis and near-syncope. evaluate for infiltrate.
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the cardiac, mediastinal and hilar contours appear unchanged. there has been an increase in posterior left lower lobe and right middle lobe opacification. there is no definite pleural effusion or pneumothorax. the chest is hyperinflated with irregular bronchovascular markings in the upper lungs.
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shortness of breath. question pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. patchy left basilar opacification has decreased. there is no pneumothorax. there is a patchy non-specific right infrahilar density, as mentioned previously, not significantly changed. patchy right infrahilar density appears unchanged. based on effacement of the posterior left costophrenic sulcus, there is potentially a very small pleural effusion. the lungs appear hyperinflated. bony structures are unremarkable.
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chest pain.
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frontal and lateral chest radiographs demonstrate persistent retrocardiac and left mid lung opacification which may represent atelectasis, though pneumonia is still a consideration. there is interval improved aeration of the right lung base likely due to improved inspiration. cardiomediastinal and hilar contours are unremarkable. no pleural effusion or pneumothorax.
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cough, history of multifocal pneumonia. assess for cardiopulmonary disease or infiltrate.
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there is mild cardiomegaly and mild pulmonary edema. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. icd lead ends in the right ventricle.
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<unk>-year-old with chest pain.
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moderate sized left pleural effusion is similar to <unk> with left base atelectasis. small right base atelectasis. multiple pulmonary nodules previously seen on better appreciated on ct. no new consolidation, large mass, pneumothorax. heart size is normal.
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history: <unk>f with dyspnea // infiltrate? edema?
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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chest pain.
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portable semi-upright radiograph of the chest demonstrates interval placement of a left-sided pleurx catheter. there has been interval decrease in left-sided pleural effusion. in the apex and lateral left chest wall, there are areas of increased lucency, which may represent a pneumothorax versus expanded lung. stable-appearing interstitial abnormality in the right lung may represent pulmonary edema versus dissemination of tumor. again seen is a discrete metastatic mass in the right upper lobe.
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<unk>-year-old female with metastatic lung cancer status post placement of left pleurx catheter. evaluate for pneumothorax.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the lungs relatively hyperinflated. the cardiac silhouette is top-normal to mildly enlarged. the aorta is calcified and tortuous. no overt pulmonary edema is seen.
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hypertension
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the patient has had prior median sternotomy and cabg. no complications of the sternal wires. interval insertion of a left-sided defibrillator with the tip in the right ventricle. no pneumothorax. the lungs are clear. mild-to-moderate cardiomegaly. no pleural effusions.
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<unk> year old man with cardiomyopathy s/p icd // evaluate for lead placement
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ornamentation projects over the left upper chest. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is a small but confluent opacity projecting over the left lower lung seen on the frontal view, probably within the lingula, concerning for pneumonia. bony structures are unremarkable.
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type <num> diabetes and fever, cough, shortness of breath.
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moderate to large right and small left pleural effusions have increased compared with the prior study. pulmonary vascular congestion is mild, also increased with moderate associated edema. severe cardiomegaly is unchanged with left pectoral dual-chamber pacemaker and aortic valve replacement projecting in unchanged position. there is no pneumothorax or focal consolidation.
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<unk> year old man with afib s/p avj ablation, schf, acutely altered mental status, evaluate for pna
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endotracheal tube tip ends approximately <num> cm above the carina and right picc line tip is at cavoatrial junction/lower svc. over the last <num> hours, there have not been much changes in the lungs. bibasal atelectasis and small bilateral pleural effusions are unchanged. there is no pulmonary edema or pneumonia. no pneumothorax.
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history of hemorrhagic pancreatitis, respiratory failure, to look for progression of the lung disease.
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the lungs are clear of focal consolidation, effusion, or pneumothorax. there is mild cardiac enlargement and tortuosity of the descending thoracic aorta. no displaced fractures seen. degenerative changes noted at the right glenohumeral joint.
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<unk>f with fall // eval for rib fractures
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the sternotomy wires appear intact and appropriately aligned. the patient is status post mitral and tricuspid valve replacement. there are <num> right-sided chest tubes, which appear unchanged in orientation in comparison to the prior chest radiograph. the loculated right pleural effusion appears unchanged in comparison to the prior chest radiograph. there are linear opacities at the left base, which reflect atelectasis. the left lung is otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with right sided chest tubes for empyema and s/p decortication on <unk>.and decortization vats <unk> // evaluate for interval change
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flattening of the diaphragms is consistent with known history of emphysema. increased vascular marking with upper redistribution and interstitial thickening is present. ill defined opacities are noted in both lung bases. small bilateral pleural effusions are also noted, left worse than right, with concurrent bibasilar atelectases. there is no evidence of pneumothorax. mild cardiomegaly and severe degenerative changes of the right ac joint are again seen.
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<unk>-year-old female with history of copd, now presenting with dyspnea and cough. evaluate for evidence of pneumonia vs. pulmonary edema.
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cardiomediastinal and hilar contours are within normal limits. again noted is an air-filled distended stomach which projects across the midline and of the right hemidiaphragm. there is a dense retrocardiac opacity concerning for infection. the right lung appears clear. there is no pneumothorax or pleural effusion identified.
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history: <unk>m with malaise, lethargy, cough x <num>d // lll pna
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overall, appearances are very similar when compared to the prior study. even allowing for the projection, the heart is enlarged. there is persistent opacity at the left lung base likely reflecting a combination of pleural effusion and atelectasis, superimposed infection cannot be excluded. the right upper lobe consolidation is not as clearly seen as on the prior study. no pneumothorax seen.
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<unk> year old woman with tachypnea to <unk> // interval evaluation of changes post transfusion earlier today now with tachypnea
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portable chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with orthopnea overnight, known l and r pleural effusions. // interval worsening of known pleural effusions interval worsening of known pleural effusions
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the lungs are poorly expanded accounting for some vascular crowding. bilateral hilar prominence is related to supine positioning rather than vascular engorgement. cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax. the endotracheal tube ends approximately <num> cm above the carina but the patient's neck is seen to be in flexion. a nasogastric tube has the side port in the stomach and the tip out of view.
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<unk>-year-old female status post intubation and sepsis. evaluate tube placement as well as pulmonary processes.
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supine portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. bibasilar opacities, right greater than left, are essentially unchanged since study obtained one day prior, compatible with atelectasis. there no pulmonary edema. hilar and mediastinal silhouettes are unchanged. heart size is normal. no pneumothorax. small pleural effusions are likely. patient is status post medial sternotomy and cabg. aortic arch calcifications are noted. lumbar spine fixation hardware is in place and incompletely characterized.
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hypotension.
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there are low lung volumes and mild left base atelectasis. left base opacity has decreased as compared to the prior study. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.
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history: <unk>m with liver failure septic with unknown source // pneumonia
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there is mild pulmonary vascular congestion. there is no focal consolidation, effusion or pneumothorax. there is mild atelectasis at the right base. 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 uri symptoms x <num> wk, asthma, non-productive cough // rule out significant pulmonary infiltrate, evidence of pneumonia
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the patient is status post sternotomy. the cardiac, mediastinal and hilar contours appear unchanged. the heart is at the upper limits of normal size. patchy left lateral basilar opacities suggest minor atelectasis that is unchanged. there is a newly apparent round nodular opacity projecting over the right lung apex measuring about <num> mm in diameter. although the area is difficult to evaluate due to overlapping bony structures, and it is known that scarring is present in the area from a prior ct of the cervical spine, the possibility of superimposed pulmonary nodule cannot be excluded by this study. there is no pleural effusion or pneumothorax. small osteophytes are similar along the thoracic spine.
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lightheadedness.
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pa and lateral views of the chest provided. severe cardiomegaly is noted with mild pulmonary edema. there may be a component of underlying interstitial pulmonary fibrosis. no large effusion is seen. there is a retrocardiac opacity containing gas most likely a large hiatal hernia. no pneumothorax or large effusion is seen. bony structures are intact.
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<unk>f with sob, hypoxia // infiltrate?
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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. the lungs appear clear. bony structures appear within normal limits.
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esophageal foreign body sensation. question pneumomediastinum.
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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>f with hx of seizures presenting with ? seizure. // ? pneumonia / acute cardiopulmonary process
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lordotic positioning, with low inspiratory volumes. the lower lateral left hemidiaphragm and left costophrenic angle are excluded from the film. compared to the prior study, the right ij central line has been removed. again seen is a dual lead pacemaker type device, with <num> lead tip over the right atrium. the second lead does not appear changed, but the distal tip is excluded from the film. allowing for considerable differences in positioning, no definite change is identified. as noted, the lateral half of the left hemidiaphragm and left costophrenic angle are excluded from the film. upper zone redistribution is noted, but doubt overt chf. no focal consolidations seen in the visualized portion of the lung. minimal blunting of the right costophrenic angle, without gross right effusion. incidental note made of findings consistent with a chronic left shoulder rotator cuff tear.
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<unk> year old woman with rising wbc count // pna?
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the lungs remain hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. there is mild basilar atelectasis/scarring without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is somewhat tortuous. the left humeral head appears slightly inferiorly subluxed in relation to the left glenoid although not well assessed on this study.
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history: <unk>f with syncope // syncope
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the cardiac, mediastinal and hilar contours appear unchanged. there is again borderline cardiomegaly. allowing for rotation as well as scoliosis, the cardiac, mediastinal and hilar contours are probably unchanged. there is similar mild relative elevation of the left hemidiaphragm. there is no definite pleural effusion or pneumothorax. the lungs appear clear. a picc line terminates in the lower superior vena cava.
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history of ischemic colitis status post right hemicolectomy and ileocolic anastomosis, presenting with feculent material at surgical wound site. question picc line placement.
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an endotracheal tube is in-situ, the tip is approximately <num> cm above the level the carina. a right internal jugular catheter terminates in the proximal svc. a left internal jugular catheter terminates in the distal svc. a nasogastric tube terminates in the stomach. lung volumes remain low. there are persistent bilateral airspace opacities, more extensive on the right than the left were there is a small pleural effusion tracking along the lateral chest wall. left lower lobe atelectasis versus consolidation.
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<unk> year old woman with ett, ?deep // ett position?
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the endotracheal tube ends <num> cm above the level of the carina, not significantly changed. a right subclavian central venous catheter ends in the mid svc, unchanged. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. there has been an improvement in the degree of aeration of the left lower lung, although moderate retrocardiac atelectasis persists. mild right lower lung atelectasis has improved. the remainder of the lungs is clear. moderate cardiomegaly is unchanged. enlargement of the pulmonary arteries at the level of the hila is unchanged. the mediastinal contours are unchanged.
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evaluate for pneumonia or asthma.
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a single portable semi-upright view of the chest was obtained. cardiomediastinal silhouette is stable. allowing for slightly rotated positioning, a right-sided internal jugular central venous catheter or sheath terminates in the upper svc. lungs are grossly clear, without cjf or focal infiltrate. there is no pleural effusion or pneumothorax. hyperinflation is suggestive of background copd.
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<unk>-year-old woman with aaa rupture and line placement.
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low lung volumes are noted. bibasilar opacities are likely secondary to atelectasis. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
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<unk>m with syncope // eval for infiltrate
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patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged and the aorta calcified and tortuous. coarse calcification in the right breast is again noted. no focal consolidation is seen. there is no pleural effusion or pneumothorax. suggestion of possible hiatal hernia is seen.
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history: <unk>f with copd exacerbation // eval for pneumonia
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the portable upright chest radiograph demonstrates a small right apical pneumothorax. there is unchanged elevation of the right hemidiaphragm. a right chest tube is in place, the tip directed at the right lung apex. note is again made of a large right hilar mass with widening of the mediastinum, and associated consolidation in the right middle lobe.
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<unk>-year-old female status post right vats mediastinal biopsy.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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chest pain.
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left-sided central venous catheter tip projects over the upper svc. lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings. there is no confluent consolidation or large effusion. there is no pneumothorax. the cardiomediastinal silhouette is stable.
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<unk>f with s/p cvl // eval for <unk>
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ap upright and lateral views of the chest provided.underpenetrated technique limits evaluation. allowing for this, there is no convincing evidence for pneumonia or chf. no large effusions or pneumothorax. the cardiomediastinal silhouette is top normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with chest pain
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. a nodular opacity identified in <unk> is no longer seen. the cardiomediastinal silhouette is within normal limits.
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abdominal pain.
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ap and lateral chest radiograph demonstrates low lung volumes. a right internal jugular central line appears to terminate at the cavoatrial junction. blunting of bilateral costophrenic angles suggests scarring or alternatively small pleural effusions. obscuraion of the left hemidiaphragm likely atelectasis though infection cannot be excluded. patient is status post median sternotomy. heart is top-normal in size. there is no overt pulmonary edema.
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<unk>-year-old female status post cabg.
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
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<unk>-year-old female, status post seizure with hypoglycemia.
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pa and lateral upright chest radiograph demonstrates clear lungs bilaterally. focal consolidation is identified. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are unremarkable. visualized osseous structures demonstrates no acute abnormality.
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<unk>-year-old female with recent assault and rib pain on right side.
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endotracheal tube tip terminates approximately <num> cm from the carina. enteric tube tip courses below the left hemidiaphragm and into the stomach, with tip off the inferior borders of the film. moderate enlargement of the cardiac silhouette is demonstrated. mediastinal contour is prominent superiorly, likely due to supine positioning and low lung volumes. bilateral perihilar opacities, more pronounced on the right, suggests moderate pulmonary edema. more focal opacity in the right upper lobe could reflect infection or aspiration. layering right pleural effusion is also noted and there is likely a small left pleural effusion.no displaced fractures are demonstrated.
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history: <unk>m with intubated
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ap upright and lateral views of the chest provided. lungs are clear. mild scarring at the right lung apex is again seen. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. vertebral body compression fractures are noted with levels of vertebroplasty in the lower thoracic and mid lumbar spine. bony structures appear demineralized.
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<unk>f with chest pain // acute process?
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pa and lateral views of the chest provided. multiple buckshot fragments are again seen projecting over the chest and upper abdomen unchanged from prior. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with shortness of breath // eval heart and lungs
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with sob // infiltrate?
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ap and lateral chest radiographs were obtained. extensive interstitial lung disease has worsened radiographically since <unk>. there is diffuse bibasilar honeycombing compatible with a history of uip. nodular opacities, calcifications and fibrotic changes in the upper lobes are consistent with history of prior tuberculosis exposure. there is no definite consolidation, edema, effusion or pneumothorax. there are no new abnormal cardiac and mediastinal contours.
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altered mental status.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. minimal atelectasis is noted within the right lung base, as seen previously. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
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history: <unk>f with recent pneumonia, presenting with worsening hypoxia, cough, wheezing
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bilateral reticulonodular opacities appear worsened compared with the recent radiograph <unk>. there has also been worsening of pulmonary edema. however, superimposed infection cannot be excluded. heart size and mediastinum are stable. no pneumothorax is identified.
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<unk>m with hypoxia and recent pna. r/o acute process.
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again seen is the left subclavian picc line, with tip over upper most right atrium. there is mild to moderate cardiomegaly. the aorta is calcified and slightly unfolded. prominence of right paratracheal soft tissues likely reflects vascular structures in someone of this age. there is upper zone redistribution and possible mild vascular plethora. there is bibasilar atelectasis, overall similar to <unk>. no frank consolidation is identified. no gross effusion. incidental note is made of a partially imaged right shoulder reverse total prosthesis and severe left glenohumeral osteoarthritis, with findings suggestive of chronic left rotator cuff tear.
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<unk> year old woman with leukemia and new fever // eval fever
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the cardiomediastinal and hilar contours are stable with unchanged position of valve replacements and median sternotomy wires. there is unchanged position of a left brachiocephalic vein stent. blunting of the right costophrenic angle is unchanged. there is a new blunting of the left costophrenic angle since <unk>, indicative of a small pleural effusion. there is no pneumothorax. lungs are well expanded. minimal linear atelectasis is present at the right lung base. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
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end-stage renal disease, presenting with hypotension.
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redemonstrated are biapical scarring and a calcified right middle lobe granuloma. there has been interval progression of the right lower lobe volume loss, with associated pleural thickening and effusion. a small left-sided pleural effusion is noted as well. the left lung is grossly unremarkable. the heart size is at the upper end of normal. compared to the prior examination, the trachea is somewhat more deviated towards the right.
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history of bronchiectasis, now with ongoing respiratory symptoms.
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