Frontal_Image_Path
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Mild cardiomegaly. Unremarkable cardiomediastinal silhouette. Stable hilar contour. Lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony abnormality.
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cough and fever.
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Pa and lateral views of the chest provided. The lungs are adequately aerated. There is a focal consolidation at the left lung base adjacent to the lateral hemidiaphragm. There is mild vascular engorgement. There is bilateral apical pleural thickening. The cardiomediastinal silhouette is remarkable for aortic arch calcifications. The heart is top normal in size.
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<unk>m with hypoxia // ?pna, aspiration.
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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>m with <num> wk worsening dyspepsia, gnawing epigastric pain // eval ? free air, hiatal hernia
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lung volumes are low with apparent crowding of bronchovascular structures. A left basilar opacity may represent pneumonia in the correct clinical setting. The upper abdomen is unremarkable.
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<unk>m with infection // r/o pna
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is only mild cardiomegaly. There is no vascular congestion or pulmonary edema. Right axilla/chest wall surgical clips are seen at. Sternotomy wires are intact.
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<unk>-year-old with confusion. please assess for pneumonia.
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There is linear atelectasis at the left lung base. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Left chest pacemaker and leads are in unchanged positions.
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<unk>m with marked dysarthria motor aphasia signficant change from baseline on d/c today from <unk>. evaluate for acute cardiopulmonary process.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal, allowing for low lung volumes. New small right pleural effusion is present with right base opacity representing either infection or atelectasis. Left lung is clear. No pneumothorax.
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cough.
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The lungs are clear. There is no pleural effusion or pneumothorax. The heart is top-normal in size.
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<unk>f with mitral valve replacement presenting with palpitations // <unk>f with mitral valve replacement presenting with palpitations
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
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<unk>-year-old female with altered mental status.
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Frontal and lateral views of the chest. There are bilateral lower lobe and right upper lobe consolidations worrisome for pneumonia. Prominence of the left hilus is likely from reactive lymphadenopathy. No pleural effusion or pneumothorax. Heart size is normal. The mediastinal contours are unremarkable.
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two days of midsternal chest pain with worsening of breathing and cough.
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Port-a-cath resides over the right chest wall with catheter tip extending to the level of the low svc. The lungs are clear bilaterally. Cardiomediastinal silhouette appears normal. No bony abnormalities. No free air below the right hemidiaphragm.
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<unk>m with luq abdominal pain/tenderness on chemo for laryngeal cancer.
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The heart size, mediastinal, and hilar contours are normal. A small, rounded, dense nodule in the right middle lung is unchanged in size since <unk> and is likely a granuloma. The lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk> year old woman with cough x <num> days, pmh of asthma. evaluate for consolidation.
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No chf, focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are within normal limits. Mild left convex curvature of the upper thoracic spine is incidentally noted.
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<unk>-year-old male with shortness of breath. evaluate for acute process. review of omr indicates a history of ulcerative colitis.
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Patient is rotated somewhat to the right. The patient is status post median sternotomy. There is moderate pulmonary vascular congestion and possible mild interstitial edema. There is a small right pleural effusion. Trace left pleural effusion is difficult to exclude. No pneumothorax is seen. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous.
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history: <unk>m with confusion // infiltrate?
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The lungs are well-expanded and clear, with minimal atelectasis in the left lung base.. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia.
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history: <unk>m with <num> days of sore throat, cough, generalized body aches, now with diarrhea
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There has been interval decrease in amount of right apical pneumothorax. Small amount of right pleural effusion is seen. There has been minimal rightward mediastinal shift. The cardiomediastinal silhouette is unchanged.
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<unk>-year-old female status post right upper lobe wedge resection.
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<num> mm calcified nodular opacity projecting over the right upper lung most likely represents a calcified granuloma. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture identified.
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history: <unk>f with rib pain after amusement park ride incident striking right chest on restraint bar. // rib fx.
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In comparison with the study of <unk>, there is little interval change and no evidence of acute cardiopulmonary disease. Specifically, no pneumonia, vascular congestion, or pleural effusion. Port-a-cath tip again terminates in the mid svc.
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melanoma with fevers, to assess for pneumonia.
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As compared to the previous radiograph, the right internal jugular vein catheter has been removed. The patient continues to show small bilateral pleural effusions, better seen on the lateral than on the frontal radiograph. Moderate cardiomegaly persists, but no evidence of pneumonia or pulmonary edema is seen. Better seen than on the previous image is a <num> to <num> mm post-operative left apical pneumothorax without any evidence of tension.
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status post cabg, rule out effusion and atelectasis.
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There has been interval removal of a previously seen right-sided picc. The cardiac silhouette is mild to markedly enlarged. Mediastinal contours are stable. There are the small bilateral pleural effusions. Mild pulmonary vascular congestion is seen. No frank focal consolidation. No pneumothorax is seen.
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shortness of breath, crackles.
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Heart size is mildly enlarged. The aortic knob demonstrates atherosclerotic calcifications. Known small right hemopneumothorax is re- demonstrated, better assessed on the prior chest ct. There is no leftward shift of mediastinal structures. Minimal blunting of the left costophrenic angle also suggests a tiny left pleural effusion. Bibasilar atelectasis is demonstrated along with probable small areas of contusion in the right lung base. Pulmonary vascularity is not engorged. Fractures of the right fifth through ninth ribs are re- demonstrated, several which are comminuted and displaced. Subcutaneous emphysema is seen within the right lateral chest wall.
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history: <unk>f with fall, headstrike, right chest injury
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Clips project over the right upper quadrant.
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new onset uppercase diplopia.
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Pa and lateral views of the chest provided. Lung volumes are low. Upper lobe lucency suggestive of emphysema. No convincing signs of pneumonia or chf. Mild retrocardiac opacity may represent atelectasis. Cardiomediastinal silhouette is grossly unremarkable. No bony injuries.
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<unk>m with abd pain s/p fall
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The previously identified right middle lobe and lingular opacities have resolved. The lungs are now clear. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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recent pneumonia, presenting with malaise.
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No focal consolidation is seen. The lungs are relatively hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right greater tuberosity proximal humeral fracture was better seen on dedicated right shoulder radiographs.
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history: <unk>f with s/p fall onto outstrechted arm // ?fracture
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with cough, hx of myeloma on chemo // eval for infiltrate
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There are low lung volumes accentuate the bronchovascular markings. Given this, there appears to be the pulmonary vascular congestion persists. No definite focal consolidation is seen. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top-normal.
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history: <unk>f with recent pna, <unk> swelling // pna?
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The lung volumes are normal. Moderate degenerative vertebral disease. Normal size of the cardiac silhouette. No pleural effusions. No evidence of lung parenchymal changes, in particular no pneumonia, pulmonary fibrosis, lung nodules or masses. Normal hilar and mediastinal contours, with the exception of mild tortuosity of the thoracic aorta.
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skin vasculitis, evaluation for lung lesions.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Left-sided picc is no longer seen. Right chest wall port is seen with catheter tip in the proximal right atrium. The lungs are clear without consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. No free air is seen below the diaphragm.
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<unk>-year-old man status post surgery for sbo, presenting with vomiting.
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Ap upright and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits and unchanged. There is no pulmonary edema, pleural effusion, or pneumothorax. There is no air under the right hemidiaphragm.
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<unk>m with neutropenia and fever // r/o infiltrate
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There are moderate bilateral pleural effusions with overlying atelectasis, underlying basilar consolidation is not excluded in the appropriate clinical setting. The cardiomediastinal silhouette is grossly stable. There is minimal pulmonary vascular congestion. No evidence of pneumothorax is seen.
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chills, cough, low sats.
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Patient is status post right upper lobectomy. Persistent postoperative changes at the right hilum are unchanged since most recent examinations and smaller when compared to radiographs obtained <unk>, most probably a fluid collection. Lungs are otherwise clear with no focal opacity convincing for pneumonia. There is no pleural effusion or pneumothorax.the heart appears within normal limits.
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<unk>-year-old male with fever status post surgery.
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Left picc line is in unchanged position in the low svc. There apparent sternotomy drains or fixation devices unchanged from the prior study. Moderate cardiomegaly persists. Double contour of the right heart border suggests left atrial enlargement, unchanged. The lungs are grossly clear. There is likely small right pleural effusion layering in the posterior costophrenic sulcus. There is no pneumothorax. The mediastinal and hilar contours are normal. Within the limitations of routine chest radiography there is no evidence of acute osseous injury.
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history: <unk>f with central chest pain after fall // eval for fracture or injury
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Frontal and lateral views of chest were obtained. Heterogeneous right lung base opacity and vague retrocardiac opacity are compatible with infection. No substantial pleural effusion or pneumothorax. The heart size and cardiomediastinal contours are normal.
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<unk>-year-old female with cough and wheezing at right base.
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Pa and lateral views of the chest provided. Lungs are clear and well inflated. 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 tachycardia
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Better characterized on same day cta chest, there is a large left pleural effusion which appears to be layering. The left hemidiaphragm is displaced inferiorly secondary to space occupying pleural effusion. There is probably a small pericardial effusion. A left upper lobe mass is better appreciated on the ct and obscures the aortic knob. The right lung is clear with no focal consolidation. There is no right-sided pleural effusion. There is no pneumothorax. Heart border is obscured.
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history: <unk>m with history of lung cancer not anticogual worseing sob and chest pain // eval for worsening left pleural effusioncta-->pe?
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Nno focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
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<unk>-year-old female with smoke inhalation.
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Pa and lateral images of the chest demonstrate well-expanded clear lungs. The heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.
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<unk>-year-old man with abdominal pain for three days, rule out free air or pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are clips seen in the right anterior chest wall. The osseous structures are unremarkable.
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<unk>-year-old woman with breast cancer, on adjuvant chemotherapy with ongoing cough, afebrile, now short of breath.
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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. Median sternotomy wires and an aortic valve prosthesis are noted.
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history: <unk>m s/p <unk> with cough/cp symptoms. *** warning *** multiple patients with same last name! // pneumonia?
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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. No pneumonia, no pulmonary edema. No other lung parenchymal pathology. No pleural effusions. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
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bronchitis, productive cough, assessment for pneumonia.
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The cardiac silhouette is moderately enlarged. There is central pulmonary vascular engorgement with indistinct margins as well as increased peripheral reticulations and increased perihilar and bibasilar opacities compatible with moderate pulmonary edema. There is no pleural effusion or pneumothorax.
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chf with worsening shortness of breath for <num> month.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Again low lung volumes are seen. Bibasilar opacities, left greater than right air likely due to secondary atelectasis. Cardiomediastinal silhouette is within normal limits for technique and unchanged. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>-year-old female with tachypnea.
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The lungs are well-expanded and clear, left apical pleural-parenchymal thickening is most likely related to prior tuberculosis. No pleural effusion or pneumothorax. The heart is mildly enlarged. Mediastinal contour and hila are unremarkable. No free intraperitoneal air.
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<unk>m with chest/epigastric pain. assess for acute cardiopulmonary process.
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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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dyspnea and chest pain.
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Pa and lateral views of the chest provided. Increased streaky opacities in the right cardiophrenic/lower lung is likely atelectasis however developing pneumonia cannot be excluded. Lung volumes are low, accentuating the cardiac silhouette and pulmonary vasculature. There is no pulmonary edema. There is no pleural effusion.
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<unk>f with palpitations, sob, evaluate for pna, chf
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
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rubbing sensation on the left side of chest. assess for pleural effusion.
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Frontal and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. There is mild central pulmonary vascular engorgement noting enlargement of the azygous vein. Cardiac silhouette is enlarged but not significantly changed. Median sternotomy wires and mediastinal clips again noted. No acute osseous abnormality detected.
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<unk>-year-old female with bilateral lower leg swelling and <unk> lb weight gain over <num> weeks. question pulmonary edema.
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Mild cardiomegaly is stable. Mediastinal contours are otherwise unremarkable. There is mild pulmonary edema with small bilateral pleural effusions and bibasilar and perihilar opacities. No pneumothorax.
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history: <unk>f s/p fall. has diffuse crackles in lungs //
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In comparison with the study of <unk>, there has been substantial decrease in the degree of right pleural effusion. Some blunting of the costophrenic angle with meniscus formation is again seen on the right. Evidence of healing about the previous rib fractures. No acute focal pneumonia or vascular congestion.
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rib fractures.
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Moderate enlargement of the cardiac silhouette is increased compared to the previous study. The aorta remains tortuous and calcified. There is no pulmonary edema. Lungs remain hyperinflated. Diffuse bronchiectasis is most pronounced in the lung bases with bronchial wall thickening re- demonstrated. No new focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
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history: <unk>f with shortness of breath
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There are bilateral small pleural effusions or pleural thickening, and the lungs are otherwise clear of focal opacities or overt pulmonary edema. The heart size is normal. There is a right picc terminating at the cavoatrial junction. The mediastinal contours are normal. Coils are again noted in the abdominal right upper quadrant.
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<unk>-year-old female with delirium status post laparoscopy.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is not engorged. Widespread patchy ill-defined nodular opacities are demonstrated predominantly involving both lung bases, but also involving the right upper lobe, findings concerning for a diffuse infectious process. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
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hyperglycemia.
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The patient is status post median sternotomy and cabg. Left-sided pacemaker device is noted with single lead terminating in the right ventricle. The heart is moderately enlarged. Lung volumes are low. Mediastinal contours are unremarkable. There is mild perihilar haziness and vascular indistinctness compatible with mild pulmonary edema, new compared to the prior study. Small bilateral pleural effusions are present, along with a retrocardiac opacity, possibly reflecting atelectasis but infection cannot be excluded. No pneumothorax is identified. There are no acute osseous abnormalities.
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shortness of breath.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
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cough, fever, asthma.
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Sternotomy wires in correct position. Interval increase in moderate left pleural effusion. No right pleural effusion. No focal consolidation, pulmonary edema, or pneumothorax. The heart size and mediastinal contours appear normal. Mild kyphosis and pectus excavatum.
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female with cabg and thoracentesis presents with shortness of breath. assess for pleural effusions or pulmonary findings.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with tachycardia, symptomatic anemia, performing basic infectious workup prior to admission
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The patient is somewhat rotated, limiting diagnostic evaluation. Pa and lateral views of the chest provided. Lung volumes are normal. There are nodular opacities in the bilateral lower lobes. There is nodular central perihilar opacities and cardiomegaly. There is increased reticular markings diffusely compatible with pulmonary interstitial edema. There is no large pleural effusion. There is no pneumothorax. Relative hyperlucency of the left lung apex is likely related to patient position and rotation.
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history: <unk>f with confusion for <num> days // ct head: ?
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>-year-old female with chest pain and pressure radiating to left arm, now resolved.
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Frontal and lateral views of the chest. The lungs are clear. There is no consolidation or effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal. There are <num> radiopaque densities projecting over the left mid to upper abdomen potentially superficial and clinical correlation suggested.
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<unk>-year-old female with right neck pain. question pneumothorax.
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Left chest wall dual lead pacing device is again seen. The lungs are clear of focal consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormality seen, right humeral head orthopedic hardware noted.
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<unk>f with cough and fever // r/o pneumonia
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Frontal and lateral views of the chest. There are increased interstitial markings throughout the lungs bilaterally. There is no confluent consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old female with bilateral infiltrates on ct scan from outside hospital.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. There small bilateral pleural effusions. Cephalization of vessels and the lack of distinctness of the hila bilaterally is consistent with moderate pulmonary edema. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or consolidation.
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history: <unk>f with sob // ?pulm edema
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Right cardiac pacemaker has <num> lead ending at the right atrium and <num> leads ending at the right ventricle, one capped. The mechanical mitral valve is in appropriate position, and the heart size is normal without pulmonary edema. The mediastinal and hilar contours are normal.
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<unk>-year-old man status post extraction of right atrium lead, capping of right ventricle lead, and implantation of new right atrium and right ventricle lead via right axillary vein. rule out pneumothorax. evaluate lead position.
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Frontal and lateral views of the chest were performed. Moderate cardiomegaly is unchanged. There is central vascular congestion, slightly worse from <unk>, without overt signs of pulmonary edema. There is no pneumothorax or focal airspace consolidation. The mediastinal contours are unchanged. The hilar and pleural structures are unremarkable.
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coronary disease presenting with chest pain.
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A catheter projecting over the stomach appears in unchanged position. Lung volumes are low and there is mild atelectasis at the lung bases bilaterally. No convincing signs of pneumonia, large effusion or pneumothorax. The heart size is difficult to accurately assess in the setting of low lung volumes, though appears grossly unremarkable. Bony structures are intact.
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<unk>m with scant wheeze left base // ? pna
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Pa and lateral views of the chest. Low lung volumes limits assessment of the lower lungs. There is no convincing consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are unchanged.
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history of cad and chf, chest pain, evaluate for acute cardiopulmonary process.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal atelectasis in the left lung base. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. There are hypertrophic changes in the lower thoracic spine
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<unk> y.o. man with history of hyperparathyroidism status post right sided parathyroidectomy in <unk> presenting with ruq abdominal pain.
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Pa view of the chest. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is top-normal in size. No acute osseous abnormalities detected.
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<unk>-year-old male with seizure. fever.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. There may be mild atelectasis at the left base without acute focal pneumonia or vascular congestion or pleural effusion. Nodular opacification seen on ct cannot be appreciated on plain radiographs.
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cough with nodules seen on prior ct.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. The patient is now extubated. The previously existing shift of the mediastinum towards the right has decreased. No new pulmonary parenchymal infiltrates are noted and the position of the fiducial marks appears unchanged. There is, however, evidence of increasing left-sided pleural effusion as the lateral pleural sinus is more blunted. Lateral view discloses a triangular-shaped pleural density originating from the right-sided minor fissure and extending into the anterior basal portions of the right hemithorax. This density has clearly increased and cannot be evaluated further as the previous examination consisted of a single ap view only. As judged from information received during a review of the latest chest ct of <unk>, this large now present atelectasis may be related to the previously identified endobronchial lesion obstructing the intermedius right-sided bronchus.
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<unk>-year-old male patient with lung cancer, evaluate.
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The lungs are hyperinflated. There is a <num> mm nodular opacity projecting over the right upper lung. The lungs are otherwise clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
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<unk>f with no pmhx here with atraumatic left side pain, no fever // eval for left lower rib fractures vs pneumonia
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The heart size is normal. The hilar and mediastinal contours are normal. There is a consolidation at the left upper lobe. There is no pleural effusion or pneumothorax.
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history of hiv with bilateral rhonchi. please evaluate.
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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Pulmonary vasculature is normal. No acute osseous abnormalities present.
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history: <unk>f with left sided chest pain // eval for widened mediastinum
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Pa and lateral chest radiographs were provided. Lung volumes are low. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. An old rib fracture is noted on the right. Multiple thoracic vertebral body compression fractures are stable.
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right flank pain. rule out pneumothorax.
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Ap upright and lateral views of the chest provided. Marked cardiomegaly is again noted. A retrocardiac opacity is most compatible with known moderate in size hiatal hernia. There is mild pulmonary vascular congestion without frank pulmonary edema. No large effusion or pneumothorax is seen. Mediastinal contour is unchanged. No acute bony abnormalities. No free air below the right hemidiaphragm.
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<unk>f with copd, chf, and increased sob.
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As compared to the previous radiograph, there is unchanged evidence of a large hiatal hernia. Lung parenchyma is unremarkable on today's examination. There is no evidence of pneumonia and no evidence of other parenchymal disease. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
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seizure, drug withdrawal, evaluation for infection.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Mediastinal clips and median sternotomy wires are in expected positions.
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chest pain.
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Ap semi upright and lateral views of the chest provided. Picc line is again noted with left arm access and tip in the low svc. Lung volumes are low with atelectasis of the right lung base. No large consolidation, effusion or pneumothorax is seen. The heart and mediastinal contours appear stable. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with history of pancreatic pseudocyst p/w fever to <num> and pseudocyst <unk> fell out // r/o pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19209462/s53910102/15ef7d76-eef35153-294c972f-acd13984-9ee8219e.jpg
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Linear opacity at the right lung base is consistent with atelectasis or scarring. There is no focal consolidation.
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<unk>-year-old woman with recent diagnosis of pleurisy presenting with chest pain and right shoulder pain, crackles at left lung base
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14086913/s52498640/7ce12cae-cc53ab0c-e43c8a97-58d28309-429bc287.jpg
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Lungs are slightly hyperinflated. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormality.
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history: <unk>f with palpitations and chills // ?pna
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The heart size is normal. The hilar mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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<unk>m with dyspnea, // any pneumonia?
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Ap upright and lateral views of the chest provided. Dual lead pacemaker unchanged with leads extending to the region of the right atrium and right ventricle. Midline sternotomy wires are present. 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>m with fever, cough, history of endocarditis // 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. S-shaped thoracolumbar scoliosis is noted.
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<unk>f with chest pain midsternal since last night. // <unk>f with chest pain midsternal since last night.
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The heart is probably at the upper limits of normal size. There is moderate tortuosity of the aorta and the archs shows patchy calcification, as before. Calcified lymph nodes in the right hilum and in the right lower paratracheal region suggest prior granulomatous exposure. A trace right-sided pleural effusion is suspected. A small effusion is difficult to exclude on the left. There is new mild relative elevation of the left hemidiaphragm. The lung volumes are low. There is new perihilar fullness as well as indistinct prominent pulmonary vascularity with a mild interstitial process, predominantly in the mid lungs, suggesting mild vascular congestion. A band-like opacity in the left upper lobe shows a slightly altered morphology and may account for by a nodular density measuring up to <unk> x <num> mm as imaged in the coronal plane by radiography, although a new nodule is possible and it may even correlate with a newly apparent posterior nodular opacity in the lateral view projecting over the mid to lower thoracic spine. Patchy basilar opacities suggest additional areas of minor atelectasis. The bones are probably demineralized. There is similar exaggerated kyphotic curvature at the thoracolumbar junction with mild degenerative changes.
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increased shortness of breath and cough.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Mild-to-moderate cardiac enlargement is present but not different in size in comparison to the previous study. Unchanged appearance of the mildly widened and elongated but heavily wall calcified thoracic aorta. No suspicion for new aneurysmatic formations. The pulmonary vasculature is not congested and the lateral and posterior pleural sinuses remain free from any fluid accumulation. Lateral view demonstrates again accentuated kyphotic curvature in the demineralized thoracic spine with at least two wedge compressed vertebral bodies, similar as seen on previous examinations.
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<unk>-year-old female patient with shortness of breath, evaluate for chf.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
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fever and right upper quadrant abdominal pain.
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Recent chest films are available. On the lateral view, there is the vague suggestion of some increased opacification posteriorly, though this is not confirmed on the frontal view. In the appropriate clinical setting, this could represent a developing consolidation. No evidence of vascular congestion or pleural effusion. Left port-a-cath extends to the mid-to-lower portion of the svc.
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cancer, on chemotherapy with leukocytosis.
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The patient is status post median sternotomy and cabg. A left-sided aicd device is noted with leads terminating in the right ventricle and in the region of the coronary sinus, unchanged from the prior exam. The heart is moderately enlarged but stable. No pleural effusion, focal consolidation or pneumothorax is present. There is mild pulmonary vascular congestion without frank edema.
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history: <unk>f with chest pain // chest pain
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MIMIC-CXR-JPG/2.0.0/files/p19197258/s53989199/61ac4f5c-30942544-78cb6a5e-68eb2591-dcd7a76f.jpg
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Heart size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
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history: <unk>m with chest pain and leukocytosis.
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MIMIC-CXR-JPG/2.0.0/files/p13722528/s55960864/96efa075-88b5082c-8576962c-dd1e4238-b16bfefd.jpg
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Pa and lateral views of the chest provided. There is left lung volume loss with increased left upper lung opacity concerning for pneumonia. Scarring in the right apex is noted. The heart is mildly enlarged. No large effusion is seen. No pneumothorax. Mediastinal contour is within normal limits. Aortic calcification is present. Bony structures are intact.
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<unk>m with hx copd and c/o increased weakness
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MIMIC-CXR-JPG/2.0.0/files/p17149544/s51824909/9c5dbd6f-3ed1821c-20fc1f08-9266b1bf-3f136333.jpg
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
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history: <unk>f with cough
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MIMIC-CXR-JPG/2.0.0/files/p19465209/s56056847/494a2efa-d23066fd-fcdb9eeb-bcf769b0-38784f5b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19465209/s56056847/80e7f6d1-eccb32f0-32737b1e-a3a997d6-ad7c2c84.jpg
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal silhouette is within normal limits. Hilar contour is normal. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. There are degenerative changes of the thoracic spine.
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<unk>-year-old female with fever.
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Frontal and lateral views of the chest. No prior. Shunt seen coursing along the right anterior chest wall without evidence of discontinuity. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Hypertrophic change is seen in the spine. No acute osseous abnormality is detected.
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<unk>-year-old male with confusion. question shunt malfunction.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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chest pain. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19227226/s59450835/2e898413-27442965-80309754-8b4d48ac-eced1c9b.jpg
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Ap and lateral chest radiographs. Median sternotomy wires are intact. Cabg clips are noted. Lung volumes are low but there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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seizures. concern for pneumonia such as aspiration.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is detected. There are multilevel degenerative changes with dish demonstrated in the thoracic spine.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p15423152/s51956425/7af0e215-1e240fc9-d5044cac-6a5ba340-e977b226.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15423152/s51956425/a77acc2a-1d6c8120-6e31bddb-34d49f29-7ef7b6dc.jpg
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The lungs are hyper expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>f with weakness // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p19585869/s57310847/7db7aff3-004301d0-a39c23e6-13ceab20-fd4b1c60.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19585869/s57310847/180de7a9-0bc6d674-de2ed2b2-93933538-1b640cb9.jpg
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Lower lung volumes seen on the current exam. There is crowding of the bronchovascular markings however superimposed pulmonary vascular congestion is probable. There is no effusion or confluent consolidation. Moderate cardiac enlargement is unchanged. Tortuosity of descending thoracic aorta is again noted. Accentuated thoracic kyphosis is seen although osseous structures are not particularly well assessed due to technique. There is suspected thoracic compression deformity which appears new since <unk>.
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<unk>f with exertional dyspnea and mild non-productive cough // eval for pna or fluid overload
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