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ChayanM
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MIMIC-MultiView-Findings-Query

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Left-sided port-a-cath tip terminates in the svc/right atrial junction. Right basilar chest tube is demonstrated with a moderate size right pleural effusion, not substantially changed from <unk>. Right basilar opacification likely reflects atelectasis, not substantially changed in the interval. Innumerable nodules within the lungs are compatible with metastatic disease. Cardiac and mediastinal contours appear unchanged with widening of the right paratracheal stripe compatible with known lymphadenopathy. No left-sided pleural effusion or pneumothorax is identified. No definite pulmonary edema seen.
history: <unk>f with known effusions, pleurexes not draining, dyspnea
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Stable moderate to severe enlargement of the cardiac silhouette with minimal increase in small left pleural effusion in comparison to previous examination. Stable moderate right pleural effusion. Mediastinal contour and hila are unremarkable. Interval increase in heterogeneous opacities bilaterally most consistent with worsening pulmonary edema. Atherosclerotic calcification of the aortic arch are noted. Limited assessment of the upper abdomen is within normal limits.
past medical history of congestive heart failure presenting with weakness, worsening shortness of breath and headache. assess for pneumonia or congestive heart failure.
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There is a tortuous thoracic aorta. Otherwise, the cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. There are slightly low lung volumes. Bronchial thickening is most conspicuous in the left lower lung, suggestive of small airways disease. There is no focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>-year-old man with a three-week history of dyspnea on exertion, evaluate for acute cardiopulmonary process.
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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette is relatively unchanged compared to the previous exam. The aorta remains tortuous and diffusely calcified. There has been interval development of mild pulmonary edema with small bilateral pleural effusions, slightly increased in size on the right. Bibasilar atelectasis is noted. No pneumothorax is identified. Lung volumes are low. Mild multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with chest pain
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In comparison with the study of <unk>, there is no evidence of acute cardiopulmonary disease. There does appear to be some irregularity about several of the mid thoracic ribs in the mid axillary line. These could reflect healing rib fractures. Elevation of the distal right clavicle with respect to the acromion is again seen. No evidence of pneumothorax.
motor vehicle collision three weeks previously, to assess for rib fractures.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with fever and cough // eval for pna
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Old atelectatic changes at the anterior right lung bases and on the left at the level of the hilus. No pneumonia, no pleural effusions. A minimal blunting of the right costophrenic sinus has already been present, last examination and is completely unchanged. No pulmonary edema. Normal size of the cardiac silhouette. Tortuosity of the thoracic aorta.
wheeze, crackles, evaluation for pneumonia.
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No new opacities is identified in the lungs. Postoperative changes in the right mid to low lung zone is less conspicuous compared to prior. Right lung is better ventilated compared to prior. There is no pleural effusion or pneumothorax. Cardiac silhouette is normal size.
<unk> year old man with h/o stage ia invasive mucinous adenocarcinoma s/p robotic assisted right lower segmentectomy // assess for interval change
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of right upper-sided back pain. please evaluate for pneumothorax.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified. There is no free air below the hemi-diaphragms.
kick to the right chest. evaluate for injury.
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Heart size is normal. An esophageal stent is re- demonstrated in unchanged position. Known esophageal tumor is better assessed on the previous ct. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. Blunting of the costophrenic angles bilaterally are compatible with small bilateral pleural effusions, unchanged. No focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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The lungs are well inflated. Hazy parahilar densities seen is well as a right basilar infiltrate. The pulmonary vasculature is increased when compared to the previous examination. The heart size is enlarged. Aortic arch calcification is present. The descending aorta is prominent in size. It is not changed from the previous study.. The osseous structures are normal for age.
<unk> year old woman with esrd // r/o infection/ malignancy pre kidney transplant
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Pa and lateral chest views were obtained with the patient in upright position. Comparison is made with the next preceding similar study of <unk>. Massive cardiac enlargement as before. Most advanced is the enlargement of the left atrium typical double contours on the frontal image, and massive extension of the posterior contour posteriorly on the lateral view resulting in corresponding deviation of the descending thoracic aorta. Right cardiac structures and position of pacemaker electrode also indicate extensive enlargement of the right atrium as well. The permanent pacer remains in unchanged position in the left anterior axillary area and the single intracavitary electrode terminates in a position compatible with the apical portion of the enlarged right ventricle. The pulmonary vascular pattern again shows typical upper zone redistribution pattern consistent with longstanding chronic pulmonary congestion. There appear now also interstitial markings on the bases consistent with interstitial edema, but no evidence of acute central edema is identified. No new local discrete pneumonic infiltrates are identified. Comparison with the next preceding study of <unk> demonstrates increased accumulation of fluid in the lateral as well as posterior pleural sinuses finding which was not present at least to the same extent on the previous study. Search for intracardiac calcifications on the lateral view showed suspicious mitral valve calcifications which were confirmed also on the next preceding chest ct examination of <unk>.
<unk>-year-old male patient with severe diastolic chf, atrial fibrillation on coumadin, rhd, cad, copd, severe mitral and tricuspid regurgitation, now with hypoxia. evaluate for pneumonia versus edema.
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Pa and lateral chest radiographs were obtained. Other than the horizontal atelectasis at the right base, the lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Ectasia of the ascending aorta is unchanged.
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.
history: <unk>m with cp, sob sudden onset // eval for pneumothorax, cause of chest pain
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There is a small left pleural effusion with adjacent atelectasis, similar in appearance to <unk>. There is otherwise no focal consolidation. Minimal pleural thickening along the superolateral right chest wall could reflect mild residual pleural thickening at a site of prior pneumothorax. No pneumothorax is detected. No pleural effusion is seen on the right. Cardiomediastinal silhouette is within normal limits. There are postoperative changes from prior cabg procedure. Median sternotomy wires are intact. Mild anterior wedging of what is probably the l<num> vertebral body with slight kyphotic angulation at t<num>/l<num> is unchanged.
history: <unk>m with weakness, diaphoresis, recent cabg // eval for acute process
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In the short interval from prior exam, the interstitial markings are ill-defined and prominent compatible with interstitial pulmonary edema. Hilar congestion is also new in the interval. Patient is known to have background fibrosis. No large effusions or pneumothorax. No acute bony abnormalities. Clips noted in the upper abdomen.
<unk>m with recent e.coli bacteremia; p/w ? allergic recation. evaluate for cardiopulmonary process.
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There are low lung volumes which again accentuate the bronchovascular markings. Mild bibasilar atelectasis without definite focal consolidation. The cardiac and mediastinal silhouettes are stable given differences in lung volumes. Hilar contours are also stable. No pleural effusion or pneumothorax.
history: <unk>f with fevers // ? process
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Lung volumes are normal. No consolidation to suggest pneumonia. Small right-sided pleural effusion. No pleural effusion a left. No pneumothorax. Cardiomediastinal contours are normal. There is no subdiaphragmatic free air.
history: <unk>f with pulled own picc line out, // eval for fb
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The patient is status post left thoracotomy and pneumonectomy. Pa and lateral radiographs demonstrate continued and expected leftward shift of the mediastinum and elevation of the left hemidiaphragm with a slight increase in the amount of pleural fluid. There is persistent air within the pleural space as well. A large amount of subcutaneous emphysema in the left hemithorax extending into the neck is also unchanged. The right lung remains clear and there is no right-sided pneumothorax or effusion.
evaluate for interval change in patient status post left thoracotomy and pneumonectomy.
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The lungs are clear without infiltrate or effusion. The cardiac silhouette is normal. There is increased opacity in the midline projecting over the heart that could represent a hiatal hernia but comparison is recommended with other studies.
alcoholic pancreatitis with large necrotic pseudocyst with fever.
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Minor basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air beneath the diaphragm.
history: <unk>m with abdominal pain after manipulating jtube // eval for any free air under diaphragm
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The lung volumes are normal. Normal size of the cardiac silhouette. At the medial aspect of the right lung bases, seen in the right lower lobe on the lateral radiograph, is an area of increased radiodensity with air bronchograms. In the appropriate clinical setting, this could reflect pneumonia. No other changes. No pleural effusions. Normal hilar and mediastinal structures. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification and the findings were discussed over the telephone.
chest pain.
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The lungs are clear. No pneumothorax. No pleural abnormalities. The hila and pulmonary vasculatures are normal. The heart size is top normal but exaggerated by decreased lung volume. The mediastinum is normal. No fractures.
<unk> year old man with right pneumothorax // check interval change
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with fever // eval infiltrate
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Pa and lateral views of the chest provided. Increased interstitial opacities, right greater than left noted which could represent asymmetric pulmonary edema though clinical correlation is advised. There is no focal opacity concerning for pneumonia. No effusion or pneumothorax is seen. The heart size appears normal. Mediastinal contour is unremarkable. There is irregularity of the right <unk> posterior rib arch, could represent an old injury. Otherwise the bony structures are intact.
<unk>m with tachycardia, rapid afib
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. A retrocardiac opacity is consistent with known small hiatal hernia. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Surgical anchor a is seen projecting over the left humeral head. Widened right ac interval is unchanged. No free air below the right hemidiaphragm is seen.
<unk>m with cough // acute process?
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Lung volumes are low. The cardiomediastinal and hilar contours are within normal limits. The visualized lung fields are clear. There is no pneumothorax, acute fracture or dislocation. A well marginated calcific density projecting over the distal clavicle and seen only on the pa view likely due to degenerative change. Limited assessment of the abdomen is unremarkable.
history: <unk>m with fall onto right wrist and chest // eval for fx
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Ap and lateral views of the chest. Low lung volumes are seen on the current exam, particularly on the lateral view. The lungs, however, are grossly clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits, noting a tortuous descending thoracic aorta. Surgical clips are identified in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old male with coronary artery disease with recurrent chest pain, cough, fevers and dyspnea on exertion.
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In comparison with study of <unk>, the tip of the pheresis line extends to the upper portion of the right atrium. No evidence of pneumothorax. No acute focal pneumonia, vascular congestion, or pleural effusion.
line insertion.
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The patient is status post median sternotomy and cabg. Moderate cardiomegaly is unchanged as is tortuosity of the thoracic aorta. Diffuse thoracic aortic calcifications are again demonstrated. There is perihilar haziness with vascular indistinctness compatible with mild pulmonary edema, similar when compared to the prior study. Blunting of the costophrenic angles bilaterally is compatible with the presence of small bilateral pleural effusions. No pneumothorax is present. Retrocardiac opacity likely is reflective of atelectasis. No acute osseous abnormalities are seen.
inability to swallow or handled secretions.
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In comparison with study of <unk>, there are slightly improved lung volumes. There are substantial right and small pleural effusions with compressive atelectasis at the bases. The right cardiac border remains obscured. There are some left paramediastinal parenchymal opacities with fibrotic or atelectatic streaks extending to the left lateral wall. According to the recent ct, this could reflect prior radiation therapy. There is displacement of the lower cervical trachea to the left, raising the possibility of a thyroid mass.
bilateral effusions.
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Ap and lateral views of the chest are compared to previous exam from <unk>. As on prior, there are indistinct pulmonary vascular markings seen throughout. There is, however, no confluent consolidation or large effusion. Cardiac silhouette is enlarged but stable. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with possible infection or pneumonia, shortness of breath.
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The cardiac and mediastinal silhouettes are stable. There is minor left basilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. No evidence of free air is seen beneath the diaphragms.
epigastric pain.
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Frontal and lateral views of the chest were obtained. The heart is of top normal size. Lung volumes are low, exaggerating prominence of the pulmonary vasculature. There has been interval removal of a left chest tube. Small to moderate sized bilateral pleural effusions are again seen although the left-sided effusion has decreased somewhat. No new focal lung consolidation is present. No pneumothorax. The catheter of a right chest wall port terminates in the right atrium. Two mediastinal clips and multiple right anterior chest wall clips are seen. Several clips overlie the upper abdomen.
<unk>-year-old female status post fall, now with tachycardia. rule out pulmonary process, status post recent pleurodesis.
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Ap and lateral chest radiographs were obtained. Comparison is made to prior radiograph dated <unk>. Mildly prominent central vessels are noted as well as peripheral interstitial markings compatible with mild interstitial edema. Heart size is within upper limits of normal though ap is a sub optimal technique. Blunting of bilateral costophrenic angles is most consistent with small pleural effusions. Multilevel degenerative changes are noted throughout the thoracolumbar spine. Osseous structures are otherwise unremarkable.
<unk> year old woman with dizziness, pain r ribs after fall two weeks ago
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The cardiac, mediastinal and hilar contours appear unchanged. Within the limitations of technique, the lungs appear clear aside from questionable vague increased posterior density suggesting minor atelectasis or crowding of bronchovascular structures. Evaluation is somewhat limited, however, by low lung volumes.
hypoxia. question pneumonia.
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The heart size is normal. Aortic knob is calcified. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities present.
hypotension.
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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.
<unk>f with fever cough // eval for pna
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There is cardiomegaly with a tortuous aorta, stable from prior.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is no vascular congestion.
<unk> year old man with chf and <num> days of fever and fatigue, now improving but still very fatigued // ?pneumonia, chf exacerbation?
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. .
history: <unk>m with substernal cp // r/o infectious process
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In comparison with study of <unk>, there is little overall change. Continued bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the right. The lucency in the upper mediastinum at the thoracic inlet again is seen, most likely reflecting dilatation of the trachea. Ct would be necessary if there is concern for a post-surgical complication.
status post surgery.
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There is mild biapical scarring. The lungs are otherwise clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with shortness of breath // eval for acute process
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Cardiomegaly is stable widening of the mediastinum is grossly unchanged from prior study improved from <unk>. Vascular congestion has continue to improved. Small bilateral effusions are probably unchanged allowing the difference in positioning of the patient. There is no evident pneumothorax. Bibasilar atelectasis have increased. Sternal wires are aligned
<unk> year old woman s/p chest tube removal // @<unk> on <unk> effusion? ptx?
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A right port-a-cath ends in the low superior vena cava. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
<unk> year old woman currently with all curently day <unk> of chemotherapy. with sob with activity // infection? fluid?
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Pa and lateral views of the chest provided. Lungs are grossly clear. The volume of air in the large, persistent hydropneumoperitoneum has decreased. No pneumothorax. Small, bilateral pleural effusions are unchanged. There is no pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old man with cirrhosis, recent umbilical hernia repair // assess change in free air
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Compared with prior radiographs on <unk>, there has been interval resolution of a small right apical pneumothorax.the lungs are clear without focal consolidation. There is no pleural effusion. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with right ptx, s/p vats blebectomy, pleurodesis // check interval change
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As compared to the previous radiograph, the two left chest tubes are in constant position. Constant pleural thickening at the left chest wall. On today's image, there is a previously invisible rounded opacity in the right lung apex, projecting over the fourth right rib, that was documented on pet-ct examination from <unk>. Normal appearance of the cardiac silhouette. No change in extent of the known left pleural effusion. No new parenchymal changes.
lung cancer, status post pleurodesis. evaluation.
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Frontal and lateral views of the chest demonstrate top normal heart size. The mediastinal and hilar contours are within normal limits. The lungs are clear with the exception of likely right greater than left basilar subsegmental volume loss. There is no large effusion, vascular congestion, or pneumothorax. Displaced distal right clavicular injury is likely chronic, with evidence of healing.
<unk>-year-old female with neck pain and history of clavicle pathology. question acute cardiopulmonary process.
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Frontal and lateral chest radiographs demonstrate mild enlargement of the cardiac silhouette, stable compared to the prior studies. Mediastinal contour is otherwise unremarkable. Pacemaker projects over the left anterior chest and calcifications are again seen within the aortic arch. Lungs are well expanded. Linear streaky opacity in the left lower lung is likely due to atelectasis. There is no pulmonary edema. No pleural effusions and no pneumothorax.
history of chf, recently weight gain, and edema. evaluate for signs of chf exacerbation on chest x-ray.
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Again seen is the right chest tube, similar in position. The right hemidiaphragm remains elevated. Extensive subcutaneous emphysema along the right chest and abdomen is again noted. No obvious pneumothorax is detected. Patchy opacity along the mid and lower right chest wall and atelectasis at the right base again noted, grossly similar to the prior study. The possibility of a small amount of pleural fluid is suspected, also similar to the prior study. Minimal atelectasis in the left costophrenic region appears slightly more pronounced on the current study. Equivocal minimal blunting at the left costophrenic angle noted , without gross effusion. Doubt overt chf. Cardiomediastinal silhouette is partially obscured, but grossly unchanged.
<unk> year old woman s/p right upper lobectomy and right middle lobe wedge resection // interval change
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The overall heart size has not undergone any significant interval change. There are, however, some pleural changes such as the less marked stability of minor and major interlobar fissure, as well as the mild blunting of the lateral pleural sinuses have regressed. This may indicate some hemodynamic improvement with less wetness in the pleural spaces following correction of heart rhythm. No evidence of new pulmonary parenchymal infiltrates and no pneumothorax is seen.
<unk>-year-old female patient status post cardioversion, presents with dyspnea on exertion, crackles at the bases. assess for pulmonary edema.
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Status post left pneumonectomy, with near-complete opacification of the left lung, and normal filling the left lung. A left-sided port is seen with the tip at the cavoatrial junction. The patient is at prior right axillary lymph node dissection. No acute focal consolidation within the right lung. No pneumothorax or significant effusion within the right lung.
<unk> year old woman with lung cancer and neutropenia with new o<num> requirement // evaluate for cause of hypoxia
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Heart size is normal. The aorta remains tortuous. Mediastinal and hilar contours are unchanged with mild enlargement of the left pulmonary artery again noted. Pulmonary vasculature is normal. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal subsegmental atelectasis is noted in the left lower lobe. Mild degenerative changes are seen in the thoracic spine.
history: <unk>m with <num> hours of severe chest burning
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Heart is moderately enlarged, unchanged from <unk>. There is mild interstitial pulmonary edema. No pleural effusion or pneumothorax. No focal airspace consolidation or pneumothorax.
hypotension and cardiomyopathy. evaluate for edema or pneumonia.
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Frontal and lateral radiographs of the chest show a right supraclavicular dual-channel catheter unchanged in position with the tip terminating at the cavoatrial junction. Anterior cervical fixation hardware is unchanged. The heart is top normal in size. The mediastinal and hilar contours are within normal limits and unchanged with a tortuous thoracic aorta. The inspiratory lung volumes are persistently low with increased bibasilar atelectasis compared to <unk>. A new linear opacity in the right mid lung likely represents atelectasis but followup is recommended. No pleural effusion or pneumothorax is present. Mild pulmonary vascular congestion is noted.
<unk> year-old male with graft versus host disease with worsening dyspnea, here to evaluation for pleural effusion or pneumonia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. Bilateral saline implants are noted.
<unk>-year-old female with dyspnea.
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The left lung remains mostly clear but again shows several nodules which are not clearly changed although difficult to compare directly for small possible size changes using radiography. The right hemidiaphragm is again elevated with pleural thickening and right apical paramediastinal consolidation with dilated airways, often seen after radiation therapy. This appearance includes an unchanged small collection of air and fluid at the right lung apex. The only clear change is somewhat decreased aeration of the residual right lung which may be due to unilateral edema, lymphatic congestion or possibly an increased pleural effusion. A dilated segment of small bowel is visualized in the epigastric region measuring up to <num> cm in diameter. The patient is status post posterior thoracic spinal fusion with no clear change.
chest pain and shortness 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.
<unk>f with cough, chills // please eval for pna
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A pacer unit projects in the left upper chest with leads in the right atrium and right ventricle. Post-cabg changes are present. The cardiomediastinal contours are unchanged compared to prior exam. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain.
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Hyperinflated lungs noted. The lungs are otherwise clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are seen.
history: <unk>m with ankle fracture // pre-op cxr
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The lungs are well-expanded. Streaky opacities with air bronchograms in the right infrahilar region are overall similar dated <unk> and most likely reflect atelectasis, however are early aspiration in the appropriate clinical setting cannot be excluded without a lateral view. Other than minimal left basal atelectasis, which is improved in the interim, the left lung is clear. No edema, effusion, or pneumothorax. Slight blunting of the right costophrenic angle may reflect pleural thickening and/or scarring, similar to <unk>. The heart is normal in size, unchanged. The mediastinum is not widened. The descending thoracic aorta may be slightly tortuous and/or ectatic, unchanged.
<unk>-year-old man presenting with recurrent orchitis, right testicular pain, swelling, and fevers x <num> days status post left orchiectomy. evaluate for etiology of fevers.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap and lateral chest examination performed four hours earlier during the same day. The on previous examination identified two fiducial markers remain in unchanged position. There is now a third fiducial marker identified and seen at a lower level of the left hemithorax overlying posterior contour of the thoracic vertebral column. Location of this third fiducial marker corresponds to the posterior inferior segment of the lll. No significant post-procedural pneumothorax can be identified.
<unk>-year-old female patient with fiducial marker placement, evaluate for possible pneumothorax.
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Pa and lateral chest radiographs are markedly limited by the patient's body habitus. Linear opacities projecting over the lungs are most likely attributable to soft tissue. Bibasilar atelectasis is mild. The hila are well defined. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal. Ill-defined rounded opacities along the right anterolateral ribs may represent callous from prior fractures.
<unk>-year-old woman with shortness of breath, question pulmonary edema.
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Minimal left lower lobe atelectasis is noted. There is no focal consolidation, pneumothorax, pleural effusion, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
history of left periscapular myxofibrosarcoma.
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There has been interval removal of endotracheal and enteric tubes. A right-sided porta cath is again seen, terminating in the low svc/ cavoatrial junction. There are low lung volumes, which accentuate the cardiomediastinal silhouette. There appears to be persistent loss of volume of the right lung with linear opacities seen scattered throughout which may be due to atelectasis. No evidence of pulmonary edema is seen on the left. There is mild elevation of the left hemidiaphragm. While there is subtle left basilar retrocardiac opacity, this region appears better aerated/improved compared to the prior study. Chronic appearing deformity of the right midclavicle.
history: <unk>m with dyspnea // eval for worsening pna/pulmonary edema
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There has been no significant interval change since the prior study. The cardiac and mediastinal silhouettes are stable. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Thoracic spine stimulator is re- demonstrated.
history: <unk>f with copd chest pain, pleuritic in nature and sob // ?consolidation
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Frontal and lateral views of the chest. No prior. Opacity at the left cardiophrenic angle would be compatible with a pericardial fat pad, especially given appearance on the lateral. Lungs are clear and costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Degenerative changes noted at the acromioclavicular joints and hypertrophic changes are seen in the spine.
<unk>-year-old male with right upper quadrant pain and crackles at the bases. question pneumonia or atelectasis.
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The lungs are grossly clear noting over penetration of the film of the lung apices on the frontal view. There is no effusion, consolidation or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cirrhosis with cough and fever // eval for pneumonia
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
unremitting cough and fatigue.
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Cardiomegaly is a stable. Pacer leads are in standard position. There is no pneumothorax or pleural effusion. Right pleural thickening is unchanged. The lungs appear hyperinflated. There are moderate degenerative changes in the thoracic spine. The sternal wires are aligned. Patient is status post cabg
<unk> year old man with mobitz ii underwent ppm placement. please eval for lead position and post procedure complications. // <unk> year old man with mobitz ii underwent ppm placement. please eval for lead position and post procedure complications.
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No evidence of pneumothorax. Multiple left-sided rib fractures are again seen. The area of linear opacity adjacent to the left chest wall in the left mid lung, corresponding to the original pigtail catheter site, appears unchanged. Left basilar atelectasis is increased over the interval, as has a left-sided pleural effusion, which is now small to moderate size. Cardiac silhouette is unchanged.
<unk> year old woman multitrauma, w l side pneumothorax, self d/c pitail tube, w l anterior <unk> ribs fxs, l post <unk> fx // eval inter change
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The lungs are clear. The heart is normal in size. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. No definite rib fractures are identified.
left chest wall tenderness along the mid clavicular line at the second through fourth ribs. evaluate for rib fracture.
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The cardiac, mediastinal and hilar contours appear unchanged, including mild cardiomegaly. Leftward rotation of the cardiac and mediastinal structures appears similar. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
productive cough and hypoxia.
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There are low lung volumes. Small bilateral pleural effusions are seen, best appreciated on the lateral view. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. Coils are noted overlying the right upper abdomen.
history: <unk>f with hx liver ca s/p radiation/chemo, p/w syncope and right abdominal pain // eval for acute process
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Pa and lateral views of the chest provided. Lung volumes are low. There is platelike left mid lung atelectasis. The heart remains mildly enlarged. The aorta is unfolded as on prior. No focal consolidation concerning for pneumonia. No signs of congestion or edema. No large effusion or pneumothorax. Bony structures are intact.
<unk>f with cough, sob
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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.
<unk>m w/dizziness, nausea, crackles in lll please eval for occult pna
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Ap and lateral views of the chest. Focal opacity at the left costophrenic angle maybe due to atelectasis or adjacent fat pad. The lungs are otherwise clear and there is no pneumothorax. The cardiac silhouette is enlarged but stable in configuration and in part likely due to prominent mediastinal fat. Median sternotomy wires and mediastinal clips are again noted as well as coronary artery stents. Degenerative changes noted at the shoulders.
<unk>m with fall and l rib pain // ? rib fx, ? acute process
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Pa and lateral views of the chest were reviewed. Compared to the most recent study of <unk>, there has been complete resolution of left lower lobe pneumonia. A residual pleural-based opacity likely represents a granuloma or post-infectious scarring; othwerwise, the lungs are clear. The cardiac and mediastinal contours are normal.
followup of left lower lobe pneumonia diagnosed one month ago.
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There is severe thoracolumbar scoliosis. Likely basilar atelectasis is seen and there is evidence of a large hiatal hernia. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is calcified. Cardiac silhouette size is difficult to accurately assess.
history: <unk>f with new onset confusion // ? pneumonia or other cardiopulm process
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The heart size is top-normal, with evidence of coronary calcifications. The aorta is tortuous, with a bulge in the right mediastinal contour, concerning for an ascending aortic aneurysm. Pleural plaques are seen bilaterally. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax.
history: <unk>m with history of fever, stroke. please evaluate.
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There is a left chest wall port catheter tip terminating at the cavoatrial junction. There is no focal consolidation or pneumothorax. There is mild elevation of the left hemidiaphragm and small bilateral pleural effusions. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with weakness // eval pna
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with shortness of breath // eval for acute process
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. Lungs are hyperinflated but appear clear without focal consolidation. There may be bronchiectasis in the anterior segment of one of the upper lobes seen on lateral view. There is no pulmonary vascular congestion or pulmonary edema. There is no pleural effusion or pneumothorax. There is diffuse osseous demineralization.
<unk>-year-old woman with altered mental status, evaluate for infection.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality identified. Tubing projecting over the right chest wall is compatible with a shunt catheter.
<unk>-year-old male with vp shunt and headache, dizziness and chills.
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Heart size is normal. The mediastinal silhouette is unremarkable. There is increased right perihilar density with lobular lucencies which correspond to previously identified subpleural consolidation with adjacent cavitation in the posterior right lower lobe. A <num> cm nodular opacity in the right lower lobe appears increased in size compared to prior ct. A <num>-mm nodule in the left mid lung field and another <num>-mm nodule in the ap window correspond to nodules previously identified on ct. There is no focal consolidation worrisome for pneumonia. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
fever. metastatic esophageal cancer.
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Lung volumes are slightly low. The lungs remain clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest pain // ?pna, consolidation
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Ap upright and lateral views of the chest provided. On the frontal view patient's leftward rotated. Allowing for this, the lungs are clear. Cardiomediastinal silhouette is normal. Chronic deformity of the left humeral head noted.
<unk>m with etoh dependence, withdrawaling, sob. concern for pna.
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The patient has received a new left pectoral pacemaker device with two leads coursing through the left transvenous approach and ending into right atrium and right ventricle respectively. Coronary artery stent is seen, and in addition, there are multiple surgical clips in the mediastinal region from the prior surgery. Both lungs are clear, no opacities concerning for pneumonia or pulmonary edema or aspiration. There is no pleural abnormality. Heart size is top normal. No pneumothorax.
to look for lead positions of a dual-chamber pacemaker.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with s/p mechanical fall, midline c-spine pain, left sided chest wall tenderness // rule out fracture or ich
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The lungs are well expanded. Lungs are clear. The heart is mild-to-moderately enlarged, but unchanged compared with prior exam. There is no hilar retraction or any other hilar abnormality. No overt pulmonary edema is seen. No pleural effusion or pneumothorax. Bilateral moderate degenerative changes of the shoulder joints are noted.
<unk>-year-old female with failure to thrive and right eyelid droop. evaluate for evidence of pneumonia or any other cardiopulmonary process.
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The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiac silhouette is within normal limits. Hypertrophic changes are noted in the spine. Postoperative and degenerative changes also seen at the right shoulder.
<unk>m with tachycardia, ischemic ekg changes // eval ? edema, cardiomegaly
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Lung volumes are low, resulting in bronchovascular crowding. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with new onset paf and palpitations // ? effusion, ? pna
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Mild cardiovascular congestion and pulmonary edema are perhaps slightly improved compared to the prior exam when accounting for differences in technique. The cardiac silhouette remains enlarged. In particular, the left atrium, left main pulmonary artery, and right atrium remain prominent and are probably not appreciably changed. No focal consolidation, pleural effusion, or pneumothorax. The replaced mitral valve as well as median sternotomy wires and surgical clips projecting over the mid trachea appear intact and unchanged in position.
<unk>-year-old man with a history of congestive heart failure who presents with weight gain; evaluate for pulmonary edema or interval change.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
history: <unk>f with htn and palpitations // r/o pneumothorax
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Pa and lateral chest radiograph demonstrates no focal opacification concerning for pneumonia. When compared to prior radiograph dated <unk>, there is been little interval change. Stable cardiomediastinal and hilar contours are identified. There is no pleural effusion. Patient is status post left total shoulder arthroplasty as well as plate and screw fixation of a left distal humeral fracture.
<unk>m with seizure disorder, hypertension, prediabetes, presenting with fall today and elbow fracture//
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No focal consolidation, pleural effusion, or pneumothorax is seen. The lungs are hyperinflated as seen previously, suggestive of emphysematous changes. Aortic calcification is again seen. Heart size and mediastinal contours are otherwise within normal limits.
<unk>-year-old female with shortness of breath and cough.
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In comparison with the study of <unk>, the right pneumothorax has effectively cleared. Post-surgical changes are again seen with continued opacification at the right base consistent with some combination of atelectasis and pleural fluid. The effusion at the left base has cleared and the left lung is essentially clear at this time.
right lobectomy.
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Ap and lateral chest radiographs. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Severe cardiomegaly is unchanged. Coarse calcifications at the cardiac apex correspond with known lv aneurysm. Dual chamber pacing leads sternotomy wires and post bypass changes are stable.
hypoxic
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There is a new moderate left-sided pneumothorax. There is no shift of mediastinal structures. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain, dyspnea // ptx, acute process