Frontal_Image_Path
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, there is no evidence of cervical rib. No acute pneumonia or vascular congestion.
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left arm swelling, to assess for cervical rib.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings.
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back and chest pain.
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There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, no definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with fever and shortness of breath // please eval for pna
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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. Upper to mid thoracic scoliosis is noted.
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history: <unk>f with elevated wbc count and no clear source // eval for infection
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Lung volumes are low. Heart size is accentuated as result of the low lung volumes appearing mildly to moderately enlarged. The mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present with possible mild pulmonary vascular engorgement. Streaky opacities in the lung bases likely reflect areas of increasing atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
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<unk> year old woman with shortness of breath
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Frontal and lateral radiographs of the chest demonstrate mildly low lung volumes. The cardiac and mediastinal contour is normal. No pleural abnormality is detected. No osseous abnormality is seen, particularly in the right anterior sixth rib.
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right anterior chest wall focal pain from motor vehicle accident three weeks ago. evaluate for fracture or abnormality of the right anterior sixth rib.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with shortness of breath, multiple myeloma // please eval for pleural effusion
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When compared to prior, there has been no significant interval change. Cardiac silhouette is enlarged and atherosclerotic calcifications are noted at the aortic arch. Prosthetic valves and median sternotomy wires are again noted. Hilar engorgement with increased interstitial markings seen throughout, similar to prior. There is no pleural effusion.
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<unk>m with h/o chf and pneumonia dyspnea today, some fevers, and cough, crackles on exam // ?acute cardiopulmonary changes
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Heart size is normal. The aorta is tortuous, unchanged. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
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history: <unk>f with hypotension and copious diarrhea, status post stenting
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Heart size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Ill-defined consolidative opacity is noted within the right upper lobe concerning for pneumonia. Patchy opacities in the lung bases may reflect areas of atelectasis, but additional sites of infection are not excluded. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
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history: <unk>f with week uri symptoms persistent cough, possible asthma exacerbation vs pneumonia
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The lungs are well expanded and clear. Left-sided apical pleural calcifications are re-identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A new right-sided port-a-cath catheter ends at the cavoatrial junction.
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cough.
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The lungs are hyperinflated consistent with underlying copd/emphysema. There is no focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
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history: <unk>f with chest pain. // rule out infiltrate/pna
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As compared to the previous radiograph, the lung parenchyma shows no relevant change. There is no evidence of pneumonia, pulmonary edema, pleural effusion or pneumothorax. Normal size of the cardiac silhouette. However, on the frontal radiographs only, a rounded structure has newly appeared. The structure projects over the dorsal part of the eighth rib and has a diameter of <num> cm. It is not visible on the lateral radiograph. Given that this structure has newly occurred, it is likely reflecting a foreign body or object outside the patient. A repeat radiograph should be performed to confirm this.
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gastroparesis, malaise, evaluation for pneumonia.
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Frontal and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is within normal limits. Moderate hiatal hernia is again noted. No acute osseous abnormality detected. Surgical clips in the upper abdomen again seen.
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<unk>-year-old male with back and chest pain.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>f with fleeting cp // ? pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal.
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history: <unk>f with retrosternal chest pressure, associated dyspnea // eval for acute process
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with chest pain, ha, htn // r/o acute process
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The lungs are well-expanded. Bronchial wall thickening is a mild, and may relate to acute bronchial inflammation. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with cp and cough // eval for cause of cp
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No focal opacity to suggest pneumonia is seen. No pneumothorax or pulmonary edema is present. There may be a trace right pleural effusion. The heart size is top normal. There is mild tortuosity of the aorta.
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nausea and vomiting.
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Ap upright and lateral chest radiographs were obtained. The lungs are well expanded and clear with the exception of retrocardiac faint opacity which is most likely atelectasis. There is no pleural effusion or pneumothorax. Subtle gas lucency projecting over the heart at the midline could represent air in the distal esophagus or a subtle hiatal hernia. The heart is normal in size with normal cardiomediastinal contours. No displaced rib fractures are identified.
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seizure disorder and seizure with fall.
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No focal consolidation is seen. Small pulmonary nodules reported on prior chest ct from <unk> were better assessed on that more sensitive study and follow-up recommendation per that study remains. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>f with c/o cough with back pain/thoracic pain // ? pna
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Lung volumes are increased with minimal bibasilar atelectasis and mild pulmonary edema improved from <unk>. Near complete resolution of previously described the left lower lung opacity. Small bilateral pleural effusions are stable. Postoperative mediastinal contours and moderate cardiomegaly are unchanged. No pneumothorax.
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<unk>m h/o esrd <unk> diabetic nephropathy (t<num>dm) on hd s/p ddrt w/ delayed graft fxn now with sob/hacking cough with cxr <unk> with increased lll opacification // eval lll for pneumonia
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Pa and lateral views of the chest. The lungs are clear of focal consolidation orsignificant effusion. The cardiomediastinal silhouette is within normal limits. Changes seen in the spine without acute osseous abnormality.
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<unk>-year-old male with left facial droop. question stroke.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A pectus deformity of the chest is stable.
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hyperglycemia. evaluate for pneumonia.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>m with fever, tachy // eval for pna
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Lungs remain hyperinflated with mild emphysematous changes most pronounced in the apices. Scattered linear opacities are noted within the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine. Remote bilateral rib fractures are noted.
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chronic alcoholism, copd with recurrent pneumonia, increasing shortness of breath.
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Pa and lateral views of the chest. Again seen is elevation of the left hemidiaphragm. Bibasilar linear opacities are most suggestive of atelectasis or scarring although a superimposed infection cannot be completely excluded. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old male with shortness of breath. question pneumonia.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged, without evidence of hilar lymphadenopathy. Again demonstrated are bi apical linear opacities suggestive of scarring with architectural distortion, unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. Aeration of the lung bases appears improved compared to the prior chest radiograph. No acute osseous abnormalities are seen.
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hiatal hernia, gastroesophageal reflux disease, cough with foreign body sensation. possible prior sarcoidosis.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There appear to be chronic rib deformities at the anterior lateral right upper chest.
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history: <unk>m with copd and dm<num> presenting with intermittent chest pain, dyspnea, cough x <num> week // rule out pneumonia
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The aeration of the right upper lobe appears slightly improved. The right lung base remains densely opacified, with a probable small to moderate right pleural effusion with superimposed atelectasis or consolidation. There may be a small left pleural effusion as well. There is mild to moderate pulmonary edema in the left lung, with moderate pulmonary edema in the right upper lobe. There is no pneumothorax. The postoperative subcutaneous air is unchanged, if slightly redistributed.
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<unk> year old man with increased o<num> requirement after rml lobectomy and rll wedge. // pls perform pa and lateral films to eval for effusion
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Pa and lateral chest views were obtained with patient in upright position. The heart is markedly enlarged. No typical configurational abnormalities are identified, however, on the lateral view, suspected aortic valve calcifications are seen. In addition, some calcium deposits are also seen in the wall of the aorta. The pulmonary vasculature is congested with perivascular haze and beginning central edema. Mild blunting of the lateral and posterior pleural sinuses is also noted. There is no evidence of additional discrete local parenchymal infiltrates, which would be suggestive of pneumonia. No pneumothorax is present in the apical area. Skeletal structures demonstrates rather marked demineralization of the vertebral bodies of the thoracic spine with accentuated kyphotic curvature, but no conclusive evidence of local vertebral body compression fracture. Our records do not include a previous chest examination available for comparison.
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<unk>-year-old female patient with shortness of breath, evaluate for chf.
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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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Pa and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Relative to prior study dated <unk>, cardiomediastinal and hilar contours are stable in appearance, within normal limits. There is no pneumothorax or pleural effusion. Blunting of the left costophrenic angle is thought likely secondary to atelectasis. No acute osseous abnormality is detected.
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<unk>-year-old male with altered mental status.
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Pa and lateral views of the chest provided. No free air below the right hemidiaphragm is seen. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with an unfolded thoracic aorta again noted. Imaged osseous structures are intact.
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<unk>m with ruq pain and cholelithiasis
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. Pulmonary vascularity is normal. No pleural effusions or pneumothoraces. No acute osseous abnormalities are present.
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bilateral pitting edema.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
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history: <unk>f with tia symptoms // infiltration?
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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.
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pre-operative clearance. history of hiv.
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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>m with chest pain
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Pa and lateral views of chest. The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumonia, pulmonary edema or pneumothorax. A port-a-cath terminates in the mid svc and on today's exam demonstrates a small loop near the clavicle; this was not present on the prior radiograph and may simply be projectional.
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sickle cell and chest pain
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Frontal and lateral views of the chest. Relatively low lung volumes are seen with crowding of the bronchovascular markings. The lungs, however, are grossly clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>-year-old female with chest 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. The mediastinum is not widened. No displaced rib fracture is seen.
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<unk> year old man with mva on <unk> p/w continue chest discomfort. // please evaluate for e/o fracture vs. widened mediastinum.
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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. Bone island within the right anterior sixth rib is unchanged.
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history: <unk>f with neurologic symptoms
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with chest pain, headache x<num> days // ?pna
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
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white count.
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Heart size is normal. Abnormal contour at the gastroesophageal junction corresponds to known metastatic lesion seen on previous ct. There is worsening opacification of the left lung base, a component of which is attributable to confluent metastatic disease with atelectasis in the lingula, but infection is strongly suspected. Additionally there is a small left pleural effusion. Linear atelectasis in the right lung base is also demonstrated. There is no pneumothorax. No acute osseous abnormalities detected. Partially imaged in the left upper quadrant of the abdomen is a percutaneous gastrostomy catheter.
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history: <unk>f with fever, cough
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
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<unk>m with prior cva, syncope. assess for pneumonia, head bleed
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Frontal and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine. Severe degenerative changes noted at the left shoulder with rounded calcific densities projecting over the scapula, potentially intra-articular bodies.
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<unk>-year-old female status post fall versus syncope on <unk>.
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There is bibasilar atelectasis. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No definite osseous abnormality is identified.
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trauma, hit by a bus, evaluate for rib fractures.
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Enlargement of cardiac silhouette may reflect cardiomegaly or pericardial effusion. Nonspecific pleural and parenchymal opacities at the left apex are difficult to assess due to patient rotation and superimposition of adjacent ribs. Lungs are otherwise clear, and there are no pleural effusions. Mild scoliosis is noted.
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<unk> year old woman with history positive ppd testing, needs screening for tuberculosis // evaluate signs of tb
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Heart size is mildly enlarged, but stable. 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>f with chest pain // r/o infiltrate
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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with l sided cp // pneumothorax
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Numerous surgical clips are seen in the right upper quadrant as before.
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chest pain.
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The cardiomediastinal contours are mildly exaggerated secondary to low lung volumes, otherwise are unremarkable. New retrocardiac opacity may be due to pneumonia or atelectasis. There is persistent blunting of the right costophrenic angle. There is no evidence of a pneumothorax.
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history of fevers, productive cough. please evaluate for infiltrates.
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Upright pa and lateral radiographs of the chest. Right pacer projects over the right lateral chest wall with lead in the right ventricle. Tracheostomy tube is in stable position terminating in the mid thoracic trachea. There has been waxing and waning opacity in the left base since about <unk>. Compared to the next most recent study <num> days ago, the left base is better aerated with some residual opacity and blunting of the costophrenic sulcus. There is chronic streaky atelectasis at the right base. No new focal airspace consolidation is detected. The cardiomediastinal silhouette and hilar contours are stable. There is no pneumothorax.
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<unk>-year-old male with trach and shortness of breath. evaluate for pneumonia.
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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with chest pain, sob // presence of ptx, infiltrate
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal atelectasis in the left lung base. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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chest pain.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old with chest pain for three days.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures appear within normal limits.
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right upper quadrant and chest pain.
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Pulmonary vascular congestion is mild. There is moderate streaky bibasilar atelectasis. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild, as on prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk> year old woman with cough // r/o pna
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged.
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<unk>-year-old female with back pain and history of pneumonia seven weeks ago.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pneumothorax or pleural effusion. The lungs are clear without consolidation however there is evidence of perihilar peribronchial wall thickening.
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<unk>m with c/o cough
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The lungs are clear without infiltrate or effusion. The bony thorax is normal. The cardiac and mediastinal silhouettes are normal.
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shortness of breath and elevated white count.
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Upright ap and lateral views of the chest provided. Left chest wall aicd is noted. With lead extending into the right ventricle. Midline sternotomy wires and mediastinal clips are noted. The heart is mildly enlarged. The lungs are clear and hyperinflated. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with chest pain, shortness of breath // eval pna, ptx
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Frontal lateral views of the chest. Lower lung volumes are seen on both views on the current exam. There is secondary crowding of the bronchovascular markings. Some degree of vascular congestion is also possible. Cardiomediastinal silhouette is unchanged given differences in technique. Osseous structures are unremarkable.
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<unk>-year-old female with altered mental status and slurred speech.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain shortness fo breath // eval for pna
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Pa and lateral views of the chest. The previously reported possible lung nodule is not seen on these films. However, there has been increase in heart size as well as increased distention of the azygous vein and cephalization of the pulmonary vasculature which suggests development of mild chf. There is no evidence of pneumonia. There are no pleural effusions or pneumothorax. Opacity seen on prior study concerning for possible nodule is no longer seen today.
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question nodule versus shadow on prior chest x-ray in <unk>. evaluate for change.
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There is mild interstitial edema and pulmonary vascular congestion. No focal consolidation is seen. The heart remains mildly enlarged. Median sternotomy wires and surgical clips are noted. There is no pleural effusion or pneumothorax.
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<unk>-year-old woman with shortness of breath, evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Cardiomediastinal silhouette is unchanged with prominent heart size again noted. A retrocardiac opacity likely represents a hiatal hernia. There is mild basal atelectasis. No convincing evidence for pneumonia, edema, effusion or pneumothorax no acute fractures seen.
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<unk>f with s/p fall, possible headstrike. l wrist pain. ams.
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The patient is status post median sternotomy and cabg. The heart size is unchanged, and top-normal in size. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Streaky opacity in the left lung base likely reflects atelectasis. An approximately <num> cm nodular opacity within the right lung base persists, unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.
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palpitations.
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Pa and lateral chest views were obtained with patient upright position. The heart size is within normal limits. No configurational abnormality is seen. Thoracic aorta unremarkable. No mediastinal abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on frontal view. Skeletal structures of the thorax grossly within normal limits. There exists no prior chest examination in our records available for comparison.
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<unk>-year-old male patient with chronic hepatitis c workup prior to therapy. history of smoking.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>m with dizziness // eval for pneumonia
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There is suggestion of a large hiatal hernia and likely diaphragmatic eventration or morgagni hernia, evidenced by bowel projecting over the low anterior chest on lateral view; this limits evaluation at the lung bases. Within this limitation, no pleural effusion, pneumothorax, or pulmonary edema is detected. Mild interstitial change in the left upper lung and minimal opacification of the posterior lung base on lateral view are non-specific; chronicity cannot be determined in the absence of prior imaging. Heart size is difficult to evaluate in this setting. The aorta is tortuous and calcified. Prominence of the ascending aorta may be due to patient position, but ascending aortic aneurysm cannot be excluded. Loss of vertebral body height in the thoracic spine with thoracic kyphosis is age indeterminate.
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<unk>-year-old female with cough.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Linear opacities at the bases bilaterally, left greater than right, likely reflect atelectasis. There is no pneumothorax or pleural effusion. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema. No air under the right hemidiaphragm.
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history: <unk>f with tia*** warning *** multiple patients with same last name! // evidence of pneumonia or infiltrate
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Since prior, there has been increased opacification at the left lung base with interval development of a left pleural effusion. The right lung is grossly clear. The cardiomediastinal contour or is normal. There is calcification at the aortic arch. Multiple compression fractures are present, some have mildly progressed from <unk>.
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<unk> year old woman with fever to <num>, productive cough, and dyspnea, evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Surgical anchors project over the right humeral head.
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history: <unk>m with dyspnea // r/o acute process
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No focal consolidation is seen. The lungs remain relatively hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.. Evidence of dish is seen along the spine. No definite sternal fracture is identified, however, please note that ct is more sensitive.
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history: <unk>m with eipgastric pain, tenderness over xipoid. // rule out acs, evaluate for possible xiphoid fracture
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are well inflated and clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Axillary clips are noted bilaterally.
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history: <unk>f with chest pain
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Frontal lateral views of the chest. And external fixation device remains status post aortic valve replacement. The cardiac and mediastinal contours are stable. Mild vascular congestion is relatively unchanged since <unk>. No new focal opacity identified. Small bilateral effusions have decreased since <unk>. No pneumothorax is identified.
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<unk> year old man with fever.
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Since the radiographs obtained <num> days prior, there has been interval removal of a swan-ganz catheter and placement of a tunneled central venous catheter, which terminates in the lower svc. Pulmonary vascular prominence is less marked and there is no evidence of pulmonary edema or effusion. No focal consolidations or masses. There is linear focus of atelectasis in the left lower lung. Moderate cardiomegaly is unchanged.
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<unk> year old woman with pulmonary hypertension, desatting with ambulating. // any changes from previous films? pulmonary vasculature?
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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 are unremarkable.
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cough, fever and myalgia.
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Slightly asymmetric increased opacity in the left lower lobe persists but appears to have improved compared to the prior exam, likely reflecting atelectasis. No definite focal consolidation, pleural effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The aortic knob is calcified. Extensive distension of multiple loops of bowel with inter in the visualized that abdomen is noted. There is free air under the diaphragm. Surgical clips project over the right upper abdomen, perhaps related to cholecystectomy.
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<unk> year old woman with esophageal adenocarcinoma and concern for aspiration in setting of egd now with fever to <num>, evaluation of pna. patient had peg placed this morning.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. Elevation of the right hemidiaphragm is unchanged. No pleural effusion or pneumothorax is present. Remote bilateral rib fractures are visualized.
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history: <unk>m with unknown past medical history who presents with ethanol intoxication, lacerations/bruises on forehead, and left upper quadrant abdominal pain
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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chest 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>f with chest pain // ?pneumonia
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The cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine. Cholecystectomy clips are present within the right upper quadrant of the abdomen.
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bandlike chest pain similar to anginal equivalent.
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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 are unremarkable.
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chest pain.
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Lung volumes are low. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures but no overt pulmonary edema is present. Retrocardiac streaky opacity could reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is noted. There are multilevel degenerative changes in the thoracic spine with anterior osteophyte formation.
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cough, fever.
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Compared to the prior study there is increased opacity at the right middle lobe suspicious for pneumonia. A calcified nodule in the right upper lobe is unchanged dating back to <unk>. There is stable enlargement of the cardiac silhouette. Likely small bilateral pleural effusions are not significantly changed. No pneumothorax.
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history: <unk>f with cough poor historian // eval for dvtcxr eval for pna
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Right-sided port-a-cath tip terminates in the mid svc. Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. A biliary catheter appears to be partially imaged in the right upper quadrant.
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fever, possible neutropenia.
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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 with ekg changes, please assess for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear of confluent consolidation or pleural effusion. Cardiomediastinal silhouette is stable. Again seen are multiple old posterior right rib fractures. Hypertrophic change is also seen in the spine. Osseous and soft tissue structures are otherwise unchanged.
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<unk>-year-old woman with change in mental status. question pneumonia or chf.
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Patchy right mid-lung opacity silhouettes the right heart border, compatible with right middle lobe airspace infiltration. No diffuse pulmonary abnormality is present. The heart is of normal size. No pleural effusion or pneumothorax. No radiopaque foreign body. Osseous structures are unremarkable.
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<unk>-year-old male with dyspnea on exertion, coughing up blood. rule out acute process.
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The heart size is mildly enlarged. The aorta is tortuous. Right hilum remains prominent, compatible with enlargement of the pulmonary artery as seen on the prior ct scan. There is no pulmonary vascular congestion. Bandlike right upper lobe opacity likely reflects subsegmental atelectasis. Additionally, bibasilar streaky opacities likely reflect atelectasis. There is no focal consolidation. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine.
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shortness of breath, coarse breath sounds.
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Heart size is mildly enlarged. The aorta remains tortuous. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. The osseous structures are diffusely demineralized with multilevel degenerative changes.
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history: <unk>f with dementia, cva, presenting with balance issues concerning for infection // evidence of infiltrate
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Pa and lateral chest radiographs were provided. Lung volumes are low. Perihilar interstitial opacities are consistent with mild-to-moderate pulmonary edema. Hazy opacity is present in the region of the left hilus which may represent developing pneumonia. There are moderate bilateral pleural effusions. There is no pneumothorax. The heart is mildly enlarged. Dense material is noted in the left upper quadrant of uncertain etiology.
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history of shortness of breath and anasarca. evaluate for pulmonary edema or pneumonia.
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The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
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<unk>f with ha relapsing remitting fevers // r/o intrapulm process
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Pa and lateral views of the chest provided. There is marked prominence of the mediastinal contour in this patient with known aortic dissection aneurysm. Overall appearance appears similar to the prior chest radiograph. Lungs are clear without signs of pneumonia or edema. No large effusion or pneumothorax is seen. No acute osseous abnormality is seen.
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<unk>m with c/o cp and hx aorta disection s/p sma embolectomy
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There are bilateral opacities within the right upper lobe and lower lobe and left perihilar region concerning for multifocal pneumonia. Atelectasis in the right upper lobe with upward deviation of the minor fissure is concerning for possible right central lesion. The heart is stable in size.
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<unk>-year-old female with dyspnea.
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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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
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<unk>m with fall r rib pain and r thigh pain // ? fx or ptx
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Heart size is top-normal in size. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities detected.
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history: <unk>f with left jaw swelling, odynophagia, increased rr
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