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ChayanM
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MIMIC-MultiView-Findings-Query

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The cardiomediastinal and hilar contours are within normal limits. As before, there is a linear masslike density which projects over the left mid lung consistent with tuberculous bronchiectasis as characterized on prior chest ct from <unk>. There is minimal bibasilar atelectasis, right greater than left. There are no new focal consolidations. There is no pleural effusion or pneumothorax.
fever. rule out infectious process.
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There is an apparent acute fracture of the right seventh rib. The basilar opacifications seen on the study of <unk> are no longer present. No definite acute focal pneumonia or pulmonary edema at this time.
chest pain, to assess for fracture or pulmonary edema.
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Pa and lateral views of the chest. The patient is rotated to the left. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits given rotation. No acute osseous abnormality is detected. Hypertrophic changes are noted in the spine.
<unk>-year-old female with new brain mass.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal patchy opacity is noted in the left lung base, with the remainder of the lungs appearing clear of focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
history: <unk>f with history of hiv presents with cough. diagnosed with pneumonia <num> month ago. did not complete antibiotic course.
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As compared to the previous radiograph, the position of the right chest tube is unchanged. On the right, extent of the known pneumothorax has minimally increased, on the left, the extent of the pneumothorax is unchanged. The appearance of the lung parenchyma and of the cardiac silhouette is constant.
bilateral pneumothorax, status post left chest tube removal.
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Rotated positioning. Allowing for this, the cardiomediastinal silhouette is probably unchanged compared with <unk>, though the aorta could be somewhat more tortuous, even allowing for patient rotation. There is background hyperinflation, compatible with copd. No chf, focal infiltrate or effusion is identified. No pneumothorax is detected. A retrocardiac density is consistent with a moderate hiatal hernia, in keeping with findings on the <unk> chest x-ray. There is moderate kyphosis of the thoracic spine with multilevel loss of vertebral body height. Incidental note made of probable healed left proximal humeral fracture.
history: <unk>f with chest pain // pna or ptx?
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In comparison with the study of <unk>, there is little overall change. Substantial scoliosis convex to the right is again seen. Enlargement of the cardiac silhouette without evidence of acute focal pneumonia. Blunting of the costophrenic angles persists. Atelectatic changes are seen at the bases, though no definite acute pneumonia. Ventriculoperitoneal shunt is again seen on the right.
cough with crackles, to assess for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.lungs are hyperinflated.
history: <unk>m with hx of fall on left chest, with pain with inspiration // please evaluate for rib fracture
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. Air is noted throughout the abdomen.
evaluation of the patient with dyspnea.
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The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal. No sub-diaphragmatic intra-abdominal free air. No evidence of hiatal hernia. Overall, no significant change from the prior exam.
<unk>-year-old woman presenting with a weeks of cough, general malaise, bilateral rib pain. evaluate for pneumonia.
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Upright ap and lateral views of the chest provided. Mild basal atelectasis noted. There is no evidence of pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with fever, n/vd
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Pa and lateral chest radiograph demonstrate streaky opacity at the left lung base likely secondary to atelectasis. No consolidation convincing for pneumonia is identified. Cardiomediastinal and hilar contours appear within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality. No air under the right hemidiaphragm is identified. A left chest pacer defibrillator device is identified, its leads which appear intact and in appropriate position within the right atrium and ventricle. Two biliary stents are noted projecting over the right upper quadrant.
<unk>-year-old female with fever.
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Ap upright and lateral views of the chest provided. The lungs appear clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures are intact. No displaced rib fracture is identified.
<unk>f with trauma to r ankle, tenderness midfoot. also cough and anterior chest wall tenderness // eval for fracture, acute process
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Bibasilar atelectasis is minimal; otherwise, the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. Heart size is top normal and the mediastinal and hilar contours are normal. There are no concerning osseous or soft tissue lesions.
recent fever and <num> month of cough pain in patient with poorly controlled diabetes.
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Interval removal of right-sided chest tube is seen without appreciable pneumothorax. Post-wedge resection changes are seen without pleural effusion or atelectasis. Heart is normal in size, with normal cardiomediastinal silhouette.
status post right vats wedge resection of metastatic sarcoma, now status post right chest tube removal, assess for pneumothorax.
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The lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. Left apical pleural thickening is mild. There is pulmonary vascular prominence. The heart is top-normal in size.
<unk>-year-old man with nausea, leukocytosis, elevated lactate. evaluate for pneumonia.
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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>f with sob // eval pneumonia
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Lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous abnormalities identified.
<unk>m with elevated wbc // mass, infection
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The lungs are well expanded. No focal opacities are identified. There are bilateral diffuse interstitial opacities, with associated <unk> a lines and bilateral hilar indistinctness suggesting interstitial pulmonary edema. There is mild cardiomegaly, stable from prior. Otherwise, cardiomediastinal and hilar contours are unremarkable. There is a small left-sided pleural effusion. There is no pneumothorax. Compression deformity of a mid thoracic vertebra is identified.
patient with history of liver cirrhosis with fatty, black stools. evaluate for evidence of acute cardiopulmonary process.
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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>m with syncope // eval for acute process
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In comparison with the study of <unk>, there is increased opacification at the right base with poor definition of the hemidiaphragm. This most likely represents pleural effusion with compressive atelectasis. However, the possibility of a focus of consolidation just above this cannot be excluded. Less prominent changes are seen on the left. Central catheter remains in place.
rising white count, to evaluate for pneumonia.
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Incidental note is made of a calcified granuloma in the peripheral left upper lobe. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is dextrocurvature of the lower thoracic spine. No radiopaque foreign body identified.
<unk>-year-old female with retrosternal globus sensation after taking a large calcium carbonate pill
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There is a subtle increase in opacity overlying the mid to lower left lung compared to the prior exam. Re demonstrated is mild hilar prominence, with cephalization of the vessels in the upper lungs, which may be secondary to mild congestion. The heart size is normal. The aorta is tortuous. There is no large pleural effusion, or pneumothorax. Multiple compression deformities appear stable compared to prior exam from <unk>.
history: <unk>f s/p fall, cbc with leukocytosis, nonfocal lung exam // ?acute cp process
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Pa and lateral chest views were obtained with patient in upright position. The heart size within normal limits. No typical configurational abnormalities identified. Thoracic aorta mildly widened but no local contour abnormalities are seen. Tiny small calcifications are seen in the wall at the level of the arch. The patient has a permanent pacer in left anterior axillary position connected to a single icd electrode terminating in a position compatible with the right ventricular apical portion. The pulmonary vasculature is not congested. Relatively low positioned and somewhat flattened diaphragms as well as thin linear densities on the bases, more on the right than the left are suggestive of copd. Acute parenchymal infiltrates cannot be seen. No evidence of pneumothorax in the apical area. Skeletal structures of the thorax show mild degenerative changes within the thoracic spine without evidence of vertebral body compression. Otherwise, grossly unremarkable skeletal findings. A preceding chest examination obtained during the same day showed a right-sided picc line which was advanced into the right jugular vein in retrograde fashion. This line has been removed at the time of the present examination.
<unk>-year-old male patient with history of systolic heart failure, now with wheezing, presence of infiltrates versus pulmonary edema.
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Heart size is mildly enlarged but unchanged. The aorta is mildly unfolded and demonstrates atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unchanged. There is no pulmonary edema. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is identified. There are mild degenerative changes noted in the imaged thoracolumbar spine. Multiple clips are again demonstrated in the right upper quadrant of the abdomen. .
history: <unk>f with dyspnea // eval for cardiopulmonary process
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There is a small right pleural effusion. No focal consolidation or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with cough.
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The patient is status post cabg with intact sternotomy wires. The orientation of the left chest wall pacer is inverted compared to the prior exam, but leads are in stable position. Minimal cardiomegaly is similar to prior. The cardiomediastinal contours are otherwise unremarkable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with weakness // eval for pna
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The cardiomediastinal and hilar contours are within normal limits. No definite large pleural effusion, pneumothorax or focal consolidation.
dyspnea for <num> days. rule out infection, edema.
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The patient is status post median sternotomy and cabg. The upper <num> sternotomy wires appear intact and appropriately aligned. The lower <num> sternotomy wires appear angulated and laterally displaced on the frontal view. They appear anteriorly displaced on the lateral view. Stable enlargement of the cardiac silhouette. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk> year old man with s/p cabg // please eval sternal bone
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Pa and lateral views of the chest. There is patchy consolidation in the left upper lobe/lingula. Elsewhere, the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old female with cough.
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The cardiomediastinal and hilar contours are within normal limits. There is tortuosity of the descending aorta. The lungs are hyper expanded and there is flattening of the diaphragms, likely related to chronic lung disease. There is an area of increased opacity at the right lung base which is concerning for an infectious process. There is no pneumothorax or pleural effusion.
cough, dyspnea. evaluate for pneumonia.
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Pa and lateral views of the chest were obtained. Lungs are fully expanded and clear. Heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain, evaluate for pneumothorax or chf.
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A right chest wall port-a-cath is in unchanged position ending in the right atrium. No focal consolidation, pleural effusion or pneumothorax. Normal heart size, mediastinal and hilar contours. Diffuse osseous metastatic disease not significantly changed from prior. Calcified mass in the left chest wall also unchanged.
history: <unk>f with confusion // eval for pna/bleed
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There is a large air-fluid level in the left hemi thorax with near complete white out of the lung. Findings are concerning for left-sided hydropneumothorax. The right lung is well expanded and clear. There is no right pleural effusion or pneumothorax. The cardiomediastinal silhouette displaced to the right secondary to the hydropneumothorax.
history: <unk>m with nsclc, left lung pathology // pna, effusion?
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Since the prior radiograph, the amount of subcutaneous emphysema has slightly decreased. Post-surgical changes are seen at the right base adjacent to the pericardial surface. There is no definite pneumothorax, although a small pneumothorax cannot be excluded as it would be obscured by the subcutaneous air. The right lung has increased hazy opacification in comparison to the prior exam, which is most likely technical due to the degree of penetration. Less likely, it could be a new large pleural effusion, but given that it is not present on the lateral exam, it is likely technical. Moderate cardiomegaly is unchanged. There has been slight increase in the left basilar atelectasis.
subcutaneous emphysema after chest tube removal. evaluate for interval change.
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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen abdomen is unremarkable.
chest pain. evaluate for acute process.
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Pa and lateral views of chest demonstrate clear lungs. The cardiac, hilar and mediastinal contours are normal. No pleural abnormality is seen.
subjective fever and cough.
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Ap upright and lateral views of the chest provided.lung volumes are low with bibasilar atelectasis and bronchovascular crowding. Low no large effusion or pneumothorax. Note convincing signs of congestion or edema. Heart appears mildly enlarged, unchanged, though not fully assessed. Mediastinal contours unremarkable. Bony structures appear intact.
<unk>m with fever, ams // eval for pna
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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.
<unk> year old woman h/o tobacco abuse and works with homeless population, p/w sob over past two days and found to have inspiratory wheeze/noise at lll. pf <num>. // is there evidence of pna?
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Right upper moderate cardiomegaly and moderate pulmonary edema as well as small left greater than right pleural effusions are seen. There is a right upper lobe opacity. There is no pneumothorax.
<unk>-year-old with hypertension and leg swelling.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal aside from a tortuous descending aorta. No pleural abnormality is detected.
aml and neutropenia with shortness of breath. evaluate for pneumonia.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>m with chest pain
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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.
<unk> year old woman with emphysema and productive cough // r/o infiltrate
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The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
shortness of breath and palpitations
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
history: <unk>m with sepsis, status post recent cerebral angioembolization; likely urinary source with dysuria
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Dual lead left-sided pacemaker is stable in position.there is mild elevation of the right hemidiaphragm and mild right basilar atelectasis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.. Multilevel osteophytes are seen along the thoracic spine, most prominent in the lower thoracic spine.
history: <unk>m with pacer, parox afib, recent pacer interrogation w/ palpitations, presyncope, chest tightness // eval ? edema, infiltrate
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Heart size is mildly enlarged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. There are bilateral pleural effusions, which have improved in comparison to the prior chest radiograph. There is an area of linear focal scarring seen at the left lung base. No pneumothorax is seen. There is an expansile lesion of the left <unk> posterolateral rib, which appears more expansile is in comparison to the prior chest radiograph.
<unk> year old man with metastatic prostate cancer // having pleuritic chest pain
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged.
history: <unk>f with l sided sensory changes, weakness, r sided facial droop // ? acute abnormality
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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 dizziness // acute process
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Heart size is borderline enlarged. Mediastinal hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacity in the left upper lobe is compatible with subsegmental atelectasis. Right lung is clear. No focal consolidation, pleural effusion or pneumothorax is seen. Mild degenerative changes are present in the thoracic spine.
history: <unk>f with cough
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Ap upright and lateral view of the chest were provided. Cardiomegaly is noted with partially layering bilateral pleural effusions. Pulmonary edema is noted. No pneumothorax. Bony structures intact.
<unk>m with altered mental status, abd pain // eval for acute process
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with chest pain, evaluate for pneumonia.
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A fiducial marker is noted in the inferior periphery of the left apical lung mass. There has been interval removal of the left base chest tube with no evidence of remnant pneumothorax. The lungs are otherwise clear. There is no pleural effusion.
pneumothorax status post left apical mass fiducial feed placement.
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Lungs are well-expanded and clear. Heart is mildly enlarged. Hilar contours are unremarkable. There is no evidence of widening of the mediastinum. No pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures.
<unk>f w/chest pain, please eval for mediastinal widening, occult ptx, occult pna // <unk>f w/chest pain, please eval for mediastinal widening, occult ptx, occult pna
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Heart size is top normal. The mediastinal silhouette and hilar contours are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
hyperglycemia and chills.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
left lateral chest pain.
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Frontal and lateral views of the chest. Leads of a left chest wall pacer are in stable position. Lung volumes are low, exaggerating heart size which has a left ventricular configuration. Aortic knob calcifications are unchanged. Mediastinal contours are otherwise unremarkable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
vertigo.
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There has been interval removal of a left-sided internal jugular central venous line and nasogastric tube. A large, rounded opacity involving the left upper lobe correlates with the left upper lobe mass seen on chest ct dated <unk>, which appears to have enlarged in the interval. The heart remains moderately enlarged and demonstrates moderate central pulmonary vascular congestion without overt interstitial pulmonary edema. No evidence of pneumothorax or pleural effusion.
<unk>m with renal failure presents with worsening lethargy and weakness for the past <num> days // pneumonia or edema
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Normal size of the cardiac silhouette. Left pectoral pacemaker, the leads are in expected position in the right atrium and right ventricle. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No hilar or mediastinal lymphadenopathy.
pacemaker lead position.
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The patient is status post median sternotomy and cabg. Lung volumes are low which accentuates the size of the cardiac silhouette. The heart size does appear at least mild to moderately enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Crowding of the bronchovascular structures is demonstrated with probable mild pulmonary vascular congestion but no overt pulmonary edema. Minimal blunting of the right costophrenic sulcus suggests a trace right pleural effusion. No pneumothorax is present. Streaky opacities are seen within the lung bases, likely atelectasis. Mild to moderate multilevel degenerative changes are noted in the thoracic spine. Remote bilateral rib fractures are noted.
history: <unk>f with chest pain/ back pain
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Ap upright and lateral views of the chest provided. Lungs appear hyperinflated. 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>m with knee injury // preop
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As compared to the previous radiograph, the pre-existing pneumothorax on the left has decreased in extent. Also decreased is the dimension of the known air-fluid level close to the chest wall. However, both changes are still clearly visible. There is no evidence of tension. The lateral radiograph shows signs of basal atelectasis and pleural effusions. The radiodense material projecting over the liver as well as the clips in the left perihilar region are constant in appearance. Unchanged size of the cardiac silhouette. No pulmonary edema.
status post vats and chest tube removal, evaluation.
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Pa and lateral radiographs were acquired. Lung volumes are low, causing accentuation of the pulmonary vasculature and exaggeration of the heart size. No focal consolidations. Heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest pain, now for the past two days, non-radiating and worse with exertion. the pain is mainly right sided and is associated with shortness of breath, dyspnea on exertion, and nausea.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Lung volumes are low. The lungs appear clear. Bony structures are unremarkable.
altered mental status.
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The lungs are clear. Cardiac silhouette is normal in size. No pleural effusion or pneumothorax.
<unk>-year-old male with left chest pain.
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No focal consolidation, pleural effusion or pneumothorax is detected. Heart and mediastinal contours are within normal limits. Left-sided port-a-cath appears similarly positioned.
<unk> year old male with sickle cell disease, now with shortness of breath and shoulder pain.
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Heart size is mildly enlarged. Mediastinal contour is unremarkable. Diffuse alveolar opacities are noted bilaterally, most pronounced and consolidated within the upper lobes. Mild indistinctness of the pulmonary vasculature is also present. Small bilateral pleural effusions are noted. No pneumothorax. Multilevel degenerative changes are seen in the thoracic spine with loss of height of several upper and mid thoracic vertebral bodies of indeterminate age. Fracture deformity of the right proximal humerus is re- demonstrated, better assessed on recent dedicated right shoulder radiographs.
history: <unk>m with hallucinations, report elevated wbc // eval for infection
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vascularity is not engorged. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities seen.
dyspnea.
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<num> views were obtained of the chest. The lungs are well expanded with a left lower lobe opacities which may reflect developing infectious process. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.
cough with yellow phlegm, assess for pneumonia.
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Cardiomediastinal contours are stable with dilatation of the ascending aorta. Enlargement of the pulmonary arteries better seen in prior ct. Right lower lobe lung nodule is below the resolution of these radiograph. There are no obvious lung nodules. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures have moderate degenerative changes
<unk> year old man with hx of metastatic melanoma on trametinib therapy with improved neck masses on rx // evaluate for growth in rll lung nodule
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with chest pain. evaluate for pneumonia.
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As compared to the prior examination dated <unk>, there has been no significant interval change. Multiple areas of linear atelectasis are noted within the right middle, right lower, and left lower lobes, similar as compared to the prior examination. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Right hemidiaphragmatic eventration is unchanged. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with chest pain // ?pna
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Pa and lateral views of the chest. The lungs remain clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Mild mid thoracic dextroscoliosis is noted. No acute osseous abnormality detected.
<unk>-year-old female with chest pain for <num> days with persistent mild cough, nonproductive. radiation to the back.
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Pa and lateral views of the chest provided. A retrocardiac opacity is again seen likely with representing known hiatal hernia. The lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear intact. Focal eventration of the right hemidiaphragm is noted.
<unk>f with with cp and sob pls pna vs edema.
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As compared to the previous radiograph, there is now visibility of a triangular zone of increased density located in the right lower lobe. The abnormality is better seen on the frontal than on the lateral image. In the appropriate clinical context, the abnormality could represent a non-recent pneumonia. No evidence of other abnormalities. Normal size of the cardiac silhouette. No pleural effusions, no pneumothorax. At the time of dictation, <time> a.m., this observation was made and referring physician, <unk>. <unk>, was paged for notification.
history of copd and dyspnea as well as productive cough.
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The lungs are hyperexpanded. In combination with relative hyperlucency superiorly and linear opacities, there is likely underlying copd. No focal consolidation worrisome for infection, edema nor effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with failure to thrive, cough // infiltrate?
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Lung volumes are low, but the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal.
history: <unk>m with fever // pna?
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. There is no focal consolidation, effusion, or pneumothorax. No signs of congestion or edema. The cardiomediastinal silhouette is normal. Curvilinear calcification on the lateral view projecting over the heart likely represents mitral annular calcification. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with bp <unk> asymptomatic
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There is no consolidation, pleural effusion, or pneumothorax. Faint opacity in the lingular region is similar to prior and likely chronic scarring. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old man with hx of cll. cough. please r/o pna. // <unk> year old man with hx of cll. cough. please r/o pna.
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In the upper lungs are clear. Subtle bilateral retrocardiac opacities may be of clinical importance however it is difficult to correlate without prior studies and are slightly obscured by the hiatal hernia. Bowel contents are traversing the diaphragm through the hiatus and is likely due to a prior gastroesophageal surgery. Otherwise, the cardiomediastinal and hilar contours are normal. Mild blunting of the right costophrenic angle may represent a small pleural effusion or chronic scarring. The left pleural surfaces are normal. No evidence of pneumothoraces. The right pacemaker is intact with leads located in the right atrium and right ventricle.
<unk> year old man s/p right sided pm implantation // check for pnx and lead location
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Heart size is mildly enlarged with a left ventricular predominance. The aorta is diffusely calcified and tortuous. No mediastinal widening is otherwise noted. Pulmonary vasculature is not engorged. Hilar contours are normal. Linear opacities in both lung bases are compatible with areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes seen in the thoracic spine.
history: <unk>f with history of cad, chf, who presents with chest pain and new twi, concern for new cardiac ischemia.
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The heart size is normal. The hilar and mediastinal contours appear unremarkable. A right central line is seen with the tip terminating in the mid-to-low svc. No focal consolidations concerning for infection are identified. There are no pleural effusions or pneumothoraces.
history of lymphoma with fever and neutropenia. please evaluate for abnormalities.
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Interval removal of the left chest tube. A possible left tiny pneumothorax is seen. There is stable focal pleural thickening in the left upper lobe. There is a small left pleural effusion that has decreased. The left basal opacity has also decreased. A small amount of subcutaneous emphysema in the left chest wall. The left lung remains clear.
<unk> year old man s/p chest tube removal // please evaluate for interval change (perform exam at <unk>)
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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. The gastric lap band is noted in appropriate positioning in the left upper quadrant of the abdomen.
history: <unk>f with <num> days of nausea and vomiting, particularly at night, <num> day of chest pain and shortness of breath with exertion
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The lungs are hyperinflated with lucency and attenuation of the pulmonary markings towards apices compatible with underlying emphysema. The heart size is normal. The mediastinal contours are unchanged. Prominence of the pulmonary arteries could suggest underlying pulmonary artery hypertension. There is no pulmonary vascular congestion. Focal patchy opacity within the right lung base is new compared to the <unk> exam. Findings are concerning for infection. Linear opacities within the left lung base likely reflects scarring or atelectasis. There is no pneumothorax. There is loss of height of several mid and lower thoracic vertebral bodies which are age indeterminate. There is diffuse demineralization of the osseous structures.
shortness of breath. copd.
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Best seen on the lateral view is an increase in opacities overlying the anterior heart. This may correspond to areas of bronchial thickening seen in the right medial hemithorax on the frontal radiograph. No pleural effusion. Normal cardiac size and hilar contours. No pneumothorax. A calcified nodule in the right mid lung is noted.
history: <unk>f with dyspnea, fever // evaluate for acute process
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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.
history: <unk>m with some mild shortness of breath and chest pain
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Ap upright and lateral views of the chest provided. There is subtle linear opacity abutting the left heart border which could represent atelectasis versus in early inferior lingular pneumonia. Otherwise the lungs are clear. The heart is mildly enlarged. Mediastinal contour is normal. Bony structures are intact.
<unk>m with increasing lft's
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The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal silhouette is within normal limits and unchanged with mild tortuosity of the thoracic aorta. The hilar contours are within normal limits. Chronic compression fractures at the t<num> and t<num> vertebral bodies are unchanged from the prior radiograph and dating back to mri of the lumbar spine dated <unk>.
fever, here to evaluate for pneumonia.
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Left-sided pacer is re- demonstrated with lead terminating in the right ventricle. Mild cardiomegaly is again noted, and likely accentuated by and the presence of low lung volumes. A moderate size hiatal hernia is also present. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. There is streaky atelectasis in the retrocardiac region without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with altered mental status
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Frontal and lateral chest radiographs demonstrate well expanded lungs. Previously identified linear retrocardiac opacity unchanged, likely minimal atelectasis. Mildly dilated or tortuous descending aorta. Pulmonary vasculature otherwise unremarkable. Minimal right pleural effusion best seen on lateral view. Mildly enlarged heart stable since prior examinations. No pneumothorax.
<unk>-year-old female with productive cough.
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Both lungs are clear. There are no lung opacities of concern. Very minimal bibasilar opacity is probably attributed to suboptimal inspiratory effort and is likely bibasilar atelectasis. No lung opacities concerning for pneumonia. Left posterior costophrenic angle blunting is likely from combination of effusion and pleural thickening, unchanged since <unk>. Top normal heart size, mediastinal and hilar contours are unchanged since <unk>.
fluid overload and shortness of breath, to assess for the lung changes.
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Frontal lateral views of the chest. Linear opacity at the left lung base is compatible with scarring. Additional retrocardiac opacity seen and could be due to atelectasis or scarring as well. The lungs are otherwise clear of consolidation or effusion. Surgical clips again noted in the mediastinum. Posttraumatic changes seen along the right chest wall. Hypertrophic changes noted in the spine.
<unk>-year-old male with male syncope. cough and shortness of breath.
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Lung volumes are very low, resulting in bronchovascular crowding, and accentuating the mediastinal contours. Heart is top-normal in size. Aorta is mildly tortuous. No pneumothorax, pleural effusion, or consolidation
<unk>m with h/o cva p/w agitation // ?consolidation
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Again appreciated are small-to-moderate bilateral pleural effusions; the amount on the left unchanged and decreased on the right, expected after thoracentesis. There is no pneumothorax. Again appreciated are perihilar and bibasilar opacities and vascular congestion compatible with edema. Longstanding appearance of paramediastinal fibrosis is compatible with history of radiation therapy.
status post right thoracentesis and pericardial stripping.
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Sternotomy wires are intact. Lungs are fully expanded. Mild left lower lobe plate-like atelectasis with no additional focal opacity, pneumothorax, pleural effusion or pulmonary edema. Heart is top normal in size with normal mediastinal contour and hila. No bony abnormality.
male with coronary artery disease, status post cabg, end-stage renal disease, here for initiation of dialysis. assess for pneumonia or tuberculosis.
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Compared to the prior radiograph from <unk>, there has been interval improvement in bibasilar opacities with the residual low opacity of the right middle lobe which could represent atelectasis. The heart size, hilar, and mediastinal contours are normal. No pleural effusion or pneumothorax. Compression deformity in the midthoracic spine is unchanged since <unk>.
<unk> year old man with severe asthma, clinical diagnosis of pna, on abx, with a question of a nodule vs infiltrate seen on outside cxr.
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Ap view of the chest provided. Left-sided chest tube has been removed. There may be a tiny left apical pneumothorax. There is new substantial subcutaneous emphysema on the left, concerning for possible air leak. Right upper lobe atelectasis continues to improve. Cardiomediastinal and hilar contours are stable. There are no large pleural effusions.
<unk> year old woman s/p lul resection, evaluate for pneumothorax post ct removal
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Lungs are clear without focal consolidation, effusion, or vascular congestion. Cardiomediastinal silhouette is normal. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with asthma p/w dyspnea/cough with yellow sputum, minimal relief with inhalers/nebulizers/prednisone // evaluate for pneumonia or other acute cardiopulmonary process
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The lungs are clear. There is no consolidation or pulmonary edema. Left chest wall dual lead pacing device is again seen. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified.
<unk>f with substernal chest pain // r/o chf/pneumonia