Frontal_Image_Path
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The lungs are hyperexpanded and demonstrate bilateral upper lobe lucency, compatible with emphysema. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. A minimally displaced sternal fracture is again seen on the lateral film, unchanged from the prior examination.
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history: <unk>f with r/o pna // r/o pna
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As compared to the previous radiograph, there is no relevant change. No evident rib fractures, no pneumothorax. Normal lung volumes. Normal shape of the cardiac silhouette. Bilateral symmetrical apical thickening. No pneumonia, no pulmonary edema.
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history of osteoporosis, right anterior rib pain, questionable pneumothorax.
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The cardiac silhouette size is normal. The aorta remains tortuous calcified. Mediastinal contours are unchanged. Rounded opacities posteriorly along the diaphragmatic contours are unchanged, likely bochdalek hernias. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Remote left <unk> posterior rib fracture is again noted.
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cough and shortness of breath.
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Cardiomediastinal contours are normal. Aside from linear scarring in the left base, the lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old man with cough and fever, please check for pna or other causes // <unk> year old man with cough and fever, please check for pna or other causes
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with cough and fever. // pneumonia
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Chronic right pleural thickening or pleural effusion is unchanged. Mild pulmonary edema is also unchanged. There is no new consolidation. Left cervical and left hilar surgical clips are incidentally noted. There is no pneumothorax. The patient has had prior right upper lobe wedge resection. Left upper chest wall postsurgical changes are stable.
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<unk> year old man with hx lung cancer, hx lymphoma, and recent lung biopsy last week. scant hemoptysis started yesterday. // ?new pneumonia
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Coronary artery stenting is again noted. No displaced fracture is seen.
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chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cp // pna
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Status post placement of a left pectoral pacemaker with leads terminating in the right atrium and right ventricle. There is no fracture or displacement. The cardiac silhouette is top normal. There is no evidence for pulmonary edema. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation. Mediastinal and hilar structures are normal. The imaged upper abdomen is unremarkable.
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pacemaker implant, evaluate repositioning.
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Lung volumes are low. The heart is mildly enlarged. There is worsening left retrocardiac opacity. There are small bilateral pleural effusions, left greater than right. There is mild pulmonary vascular congestion without frank pulmonary edema. .
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history: <unk>m with nash cirrhosis p/w <num> day of lethargy and lack of bm; denies abd pain, n/v; hx of hernia repair; // ct head: eval for subduralct a/p: eval for obstruction
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Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. Moderate pulmonary edema appears worse in the interval with small left and moderate size right pleural effusions. More focal opacities in the lung bases may reflect areas of atelectasis, but infection is not excluded in the correct clinical setting. There is no pneumothorax. Assessment of the lung apices however is somewhat limited by the patient's neck and chin projecting over this area. No acute osseous abnormalities detected.
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<unk>m with shortness of breath and fever, history of pneumonia and chf in the past
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As compared to the previous radiograph, there is no relevant change. Low lung volumes with mild crowding of the basal vascular structures. No evidence of pneumonia, no pleural effusion. No pulmonary edema. Normal size of the cardiac silhouette. Unchanged position of bilateral central venous access lines.
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status post auto bone marrow transplant with intravascular lymphoma, fever.
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Ap upright and lateral views of the chest provided. Clips are noted in the low neck as on prior. Cardiomegaly is noted with stable appearance from prior. The aorta is tortuous, unfolded, and calcified. Mild cephalization is noted. Lungs are hyperinflated. No convincing signs of pneumonia. Bony structures are intact.
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<unk>f with sob
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Lung volumes are slightly low. Cardiac silhouette size is mildly enlarged but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. A vp shunt catheter is seen coursing along the right neck and right anterior chest wall, appearing to terminate in the upper abdomen.
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history: <unk>f with dyspnea
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Frontal and lateral views of the chest. Relatively low inspiratory effort seen on the frontal exam with bibasilar opacities which are not seen on the lateral and are most likely due to atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.
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<unk>-year-old female with chest pain.
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The lungs are relatively well expanded and clear. The cardiomediastinal silhouette is unremarkable. Hilar and pleural surfaces are normal.
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history: <unk>f with right flank/lower chest pain // eval for acute process
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Pa and lateral views of the chest were obtained. Lung volumes are low. Cardiomediastinal silhouette is unremarkable. Linear atelectasis in the lingula is noted. There is no focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old woman with shortness of breath, evaluate for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no evidence of pulmonary vascular redistribution or effusion. The cardiac silhouette is enlarged, potentially more so than on prior exam. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with fever, chills. history of adrenalectomy on <unk>. nausea and vomiting.
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The heart size is moderately enlarged. The aorta is tortuous. Mediastinal and hilar contours otherwise are unremarkable. There is no pulmonary vascular congestion, focal consolidation, pleural effusion or pneumothorax. Multiple old bilateral rib fractures are noted, more extensive on the left. Multilevel degenerative changes are seen within the thoracic spine. No acute displaced fractures are clearly visualized.
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weakness, fall from ground height. complaints of left rib pain.
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Abandoned pacing leads are again demonstrated within the right chest wall and extend to the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette has increased compared to the previous study and appears somewhat globular. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. New ill-defined consolidative opacity is seen in the left lower lobe with associated small left pleural effusion. Right lung is clear. No pneumothorax is demonstrated. There are mild degenerative changes noted in the thoracic spine.
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history: <unk>f with chest pain/dyspena
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Lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion comp pulmonary edema, pneumothorax, or focal consolidation.
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history: <unk>f with altered mental status and leukocytosis // r/o infiltrate
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Pa and lateral views of the chest demonstrate subpleural reticular opacities, predominantly in the right lung, consistent with underlying interstitial fibrosis. No focal opacity concerning for pneumonia is identified. There is no pleural effusion. The cardiomediastinal silhouette is unremarkable.
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<unk>-year-old female with question of abnormality on the lung seen on thoracic radiographs. evaluation for lung lesion.
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The overall appearance is similar to the prior film, particularly with regard to the opacities in the right lung. Slight interval improvement in retrocardiac opacity. Possible new faint hazy opacity in the left cardiophrenic region. No gross left effusion. The left upper and mid lung is grossly clear, without focal infiltrate or evidence of chf. Minimal scarring/bullous change at the left lung apex is again noted.
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<unk> year old woman with metastatic lung adenocarcinoma, malignant pleural effusion, s/p thoracentesis <unk>. // evaluate for interval change
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.
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diabetic ketoacidosis, cough.
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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 airspace consolidation. No subdiaphragmatic free air is noted. Gas-filled loops of transverse and descending colon are noted in the left upper quadrant.
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history: <unk>f with epigastric pain and epigastric/ruq ttp. +<unk>'s // r/o cholecystitis, perforation, pneumonia
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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is in the upper limit of normal with an apparent increase in size, likely related to timing of the cardiac cycle. Mediastinal contours are normal. No bony abnormality is detected.
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patient with history of chf, now with cough, congestion, swelling, evaluate for cause.
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There has been interval removal of the et tube and gastric tube. The lungs are well expanded. There is a small asymmetry at the right lung base which raises the possibility of pneumonia, but cannot be confirmed on the lateral view. There are no other focal opacities. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. There is calcific tendinosis of the right rotator cuff.
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fall downstairs, now with fever. rule out pneumonia.
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Bilateral interstitial opacities, predominantly at the bases, as indicative of pulmonary edema. The heart is enlarged and the pulmonary vasculature is congested. No pleural effusion is seen.
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history: <unk>m with sob // pleural edema
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The lungs are well expanded without a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable. The pulmonary arteries remain enlarged. Right hilar opacity is again noted and appears stable to minimally decreased. No acute fractures are identified.
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cough and hypoglycemia.
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A left-sided nerve stimulator device is noted with single lead coursing cephalad into the neck. Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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multiple falls.
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The heart size is top normal but unchanged. Mediastinal and hilar contours are similar with aortic knob calcifications again demonstrated. There is no pulmonary vascular congestion. Bibasilar streaky airspace opacities are worse in the interval, and could reflect atelectasis or infection. No pleural effusion or pneumothorax is seen. Kyphosis of the mid thoracic spine with evidence of prior kyphoplasty of <num> adjacent compression fractures in the mid thoracic spine is re- demonstrated. Clips are noted in the left upper quadrant of the abdomen.
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hypoxia, copd and, abdominal pain and copious diarrhea.
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There is biapical and upper paramediastinal scarring compatible with prior radiation. There are small bilateral pleural effusions, similar to prior. There is no superimposed consolidation or edema. Cardiac silhouette is top-normal, similar to prior. No acute osseous abnormalities.
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<unk>m with sob // consolidatin, effusion
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Ap and lateral views of the chest are compared to previous exam from <unk> and chest ct from <unk>. Again seen are slightly low lung volumes. Increased interstitial markings seen primarily at the bases, perhaps more conspicuous on the current exam. There is no evidence of new confluent consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male status post fall, recently treated for pneumonia. new renal failure.
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Lung volumes are slightly decreased, accentuating the cardiac silhouette. The cardiomediastinal and hilar contours are otherwise within normal limits. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
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chest pain.
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The cardiomediastinal silhouette is stable allowing for improved lung volumes on the current study compared with prior, within normal limits. The hila are unremarkable. New since the prior exam has a left mid lung hazy opacity which is concerning for developing infection. Equivocal linear opacity in the right mid lung may reflect platelike atelectasis. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax. There is a left pleural effusion. Suggestion of right mid and lower lung lateral pleural thickening was not clearly seen on the prior, however this may be due to inter-examination differences in technique, possibly focal pleural thickening or trace pleural fluid.
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<unk>-year-old man with cough, evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is crowding of vessels and possible mild bronchial wall thickening in the right lung base.
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altered mental status and hyperglycemia.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Left breast clips are most consistent with prior surgery. Limited evaluation of the osseous structures are notable for mild dextroscoliosis with apex at t<num>.
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<unk>f with chills, cough all night and left arm warmth. assess for infiltrate.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk>m with confusion, ams // infiltrate
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Heart size is normal. Mediastinal and hilar contours are unchanged. The pulmonary vascularity is not engorged. The lungs are hyperinflated. Streaky opacities in lung bases most likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine. Remote right-sided rib fracture is noted.
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cough, shortness of breath, chest pain.
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The lungs are hyperexpanded and clear. Right basal linear opacity is unchanged since <unk>. There is no pleural abnormality. The mediastinal and hilar contours are normal. The heart size is normal.
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<unk> year old man with h/o head/neck cancer // new cough
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At the upper edge of these images, cervical fixation device is noted overlying the lower cervical spine, through the level of t<num>. Heart size is at the upper limits of normal or slightly enlarged. There is minimal fluid and/or thickening at the left lung apex, of indeterminate acuity, but unchanged compare with c-spine ct from <unk>. Equivocal slight prominence of the left paratracheal soft tissues. The cardiomediastinal silhouette is otherwise within normal limits. No chf, focal infiltrate, frank consolidation, pleural effusion, or pneumothorax is detected. No findings suggestive of pneumonia.
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history: <unk>f with hypoxia s/p surgery // eval for pna, atelectasis
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with cp. rule out acute process.
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There are bilateral calcified pleural plaques as seen on prior. Underlying interstitial abnormality is also suspected and as previously described. There is no definite new focal consolidation nor effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
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<unk>m with ? pna // ? pneumonia
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Ap upright and lateral views of the chest were obtained. Lungs are clear bilateral with no focal consolidation, effusion or pneumothorax. There is no evidence of chf. Cardiomediastinal silhouette is unchanged from prior with a somewhat tortuous aorta. An old left sixth rib fracture is reidentified. Unchanged appearance of three thoracic vertebral body compression fractures. Clips are noted in the right upper quadrant.
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altered mental status and shortness of breath, question pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain.
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The lungs are clear without focal consolidation, pneumothorax, or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with presyncope, chest discomfort // eval for cardiopulmonary process
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As compared to the previous radiograph, there is no relevant change in extent and distribution of the known left pleural effusion. Effusion is still substantial and occupies around half of the left hemithorax. Subsequent extensive atelectasis at the left lung bases. On the right, the appearance of the lung parenchyma is constant. Unchanged alignment of the sternal wires, unchanged position of the pacemaker and its leads.
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pleural effusion, evaluation.
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Compared with the prior studies, new opacity in the left perihilar region is likely due to developing infection. Lungs are hyperinflated. No pleural effusion or pneumothorax. The heart size is normal.
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<unk>-year-old man with cough and shortness of breath. evaluate for pneumonia.
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Ap and lateral chest radiographs demonstrate low lung volumes and patchy retrocardiac opacities. There is no large pleural effusion or pneumothorax. Atherosclerotic calcifications are seen throughout the aorta. The heart size is normal. The right hilum is not well seen but has a rounded contour.
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altered mental status.
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Patient is status post median sternotomy. Basilar atelectasis is seen without definite focal consolidation. There is no pleural effusion. No pneumothorax is seen. Cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable.
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history: <unk>f with ild, cad s/p cabg with increasing dyspnea on exertion and ambulatory desat. // pneumonia? progression lung disease
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with headache, fever // eval for pneumonia
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The lungs are clear focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications noted within the aorta. No acute osseous abnormalities identified. Vertebral body height loss noted at mid and lower thoracic thoracic vertebral bodies unchanged since <unk>
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<unk>m with s/p fall // acute process?
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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patient with left-sided chest pain and shortness of breath. evaluate for evidence of pneumothorax.
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The lungs are poorly expanded, accounting for some bronchovascular crowding. Allowing for these limitations, there is a patchy opacity in the left lower lung field which partially obscures the left heart border. No other focal opacities are present. Previously noted right apical and upper lobe opacities in the ct torso are not clearly seen in this exam. Cardiac size appears mildly enlarged although cannot be properly assessed due to obscuration of the left heart border. There is no pleural effusion or pneumothorax.
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<unk>-year-old with shortness of breath and leg edema. evaluate for evidence of chf.
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Moderate cardiomegaly is unchanged. Low lung volumes with vascular crowding are seen. Previously seen question of pneumoperitoneum is minimal if any. If definitive answer is needed, recommend follow-up ct abdomen or ct torso for further evaluation. Small right pleural effusion is unchanged.
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<unk> year old man s/p acdf having difficulty swallowing and constipation now with recent cxr concerning for pneumoperitoneum // upright pa/lat imaging based on radiologist rec to eval for free air based on recent imaging concerning for pneumoperitoneum
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Ap and lateral views of the chest. The cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion, or pneumothorax. The lungs are hyperinflated likely from copd. Clips are seen in the left upper quadrant.
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status post fall. evaluate for cardiopulmonary process.
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Pa and lateral views of the chest demonstrate post-surgical changes related to prior left thoracotomy and left upper lobectomy. There is elevation of the left hemidiaphragm, as before. A new retrocardiac opacity in the posterior left lower lobe may be related to prior surgery, although infection cannot be excluded. The right lung is grossly clear, with persistent hyperinflation and slight leftward shift of the mediastinal structures. The heart is normal in size. An air-filled cavity within the left apex contains some fluid, similar in appearance to the prior study from <unk>. Scarring in the right lung apex is unchanged.
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<unk>-year-old man with hematemesis and prior lung resection. evaluation for pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with a preceding similar study of <unk>. The heart size is enlarged. No typical configurational abnormality is present, however, as mentioned on the previous examination, the cardiac enlargement is probably related to diffuse cardiomegaly and possibly enhanced by some pericardial effusion. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses remain free. No new acute infiltrates can be identified. In comparison with the next preceding study of <unk>, the findings are stable. Thus, no evidence of new acute infiltrates or pleural effusions in this patient with chronic myelocytic leukemia.
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<unk>-year-old female patient with history of chronic myelocytic leukemia. progressive shortness of breath, evaluate for pleural effusion or other acute causes. on sprycel.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Again seen are numerous pulmonary nodules, which appear similar to prior radiographs. The right pleural effusion is unchanged and a left pleural effusion is decreased compared to <unk>. No pneumothorax is visualized.
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status post right wedge resection. evaluate for interval change.
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Pa and lateral views of the chest are submitted with the patient's upper arms overlying the retrosternal airspace on the lateral view. Crowding of interstitial markings at both lung bases appears to be related to degree of inspiration and no definite consolidation suggestive of pneumonia is seen. No pneumothorax or rib fracture is evident. Compared to the most recent prior study from <unk> years ago (<unk>), there is irregularity of the upper humeral heads, but no suspicious focal osseous lesion is seen. Heart and mediastinal contours remain within normal limits in size and shape and thoracic vertebral bodies are of maintained height. Calcified plaque is seen in the thoracic and abdominal aorta.
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<unk>-year-old woman with unwitnessed fall and cough. question pneumonia.
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The trans subclavian right ventricular pacer defibrillator lead is continuous from the left pectoral generator. Mild to moderate pulmonary edema and mild to moderate cardiomegaly have progressed since <unk>. New consolidation at the base of the right lung could be either asymmetric edema or concurrent pneumonia. Small bilateral pleural effusions are stable. Moderate cardiomegaly has progressed
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history: <unk>f with chf and crackles on lung exam // pulmonary edema?
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Lung volumes are low, without focal consolidation. Mild atelectasis is noted at the lung bases. Again seen is prominence of the right pulmonary artery, unchanged from prior. The visualized cardiac contours otherwise unremarkable. There is no pleural effusion or pneumothorax.
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<unk>m with lethargy, bilateral crackles, evaluate for pneumonia..
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Subtle focal opacity in the right lower lobe consistent with right lower lobe pneumonia given clinical history. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old woman with <unk> wk h/o cough // pna?
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Ap and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged. There is diffuse enlargement of the thoracic aorta which is tortuous. Multiple compression deformities are seen in the mid to lower thoracic spine with an acute kyphosis.
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<unk>-year-old female with generalized weakness.
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There is persistent abnormal soft tissue density centered at the left hilum, potentially related to previously treated malignancy. Previously seen for infrahilar opacity on the left in <unk> has resolved. Biapical scarring is again noted. Elsewhere, the lungs are clear. Cardiac silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with ivdu, hx lung ca, hiv, with cough, rust / green sputum x <num>d, consititutional sxs // eval ? pna
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There appears to have been resolution of the previously described left apical pneumothorax. There is no pleural effusion. Again are noted fractures of the lateral aspects of the left ribs <num> through <num>. Additionally, on the lateral view, there is a comminuted fracture of the left humerus with a butterfly fragment and angulation of the major fracture fragments which is currently sitting within a cast.
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<unk>-year-old male with left rib fractures from mvc.
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The lungs are mildly underinflated but clear. Heart size and mediastinal contours are normal. There are surgical clips along the left heart border and intact median sternal wires compatible with prior cardiac surgery. The osseous structures are intact. A marker is placed along the left lateral abdominal wall indicating the site of the patient's pain, at which there is no discrete abnormality appreciated.
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history: <unk>m with cough, fatigue // pna
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
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<unk>-year-old female with chest pain which is reproducible over the sternum. please evaluate for pneumothorax or fracture.
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The patient is status post cabg with intact median sternotomy wires. Mild cardiomegaly is unchanged. The descending thoracic aorta is mildly tortuous. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. There is mild wedging of a mid thoracic vertebral body, stable since <unk>.
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history: <unk>m with chest tightness since yesterday with intermittent sob. // rule out acs
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The left lung is clear. However, there is subtle right infrahilar opacity which may be due to overlap of vascular structures and costochondral calcification, but underlying consolidation is not excluded. It is not well substantiated however, on the lateral view. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous.
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history: <unk>f with left sided chest pain // pna?
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air.
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<unk>m with epigastric pain, vomiting // evaluate for pneumonia, acs
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The patient is status post sternotomy. Sternotomy wires are well aligned. Surgical clips overlie the mediastinum and right upper lung field. Allowing for ap projection and rotation, the heart is upper limits of normal. Lung volumes are mildly decreased. Patchy and linear opacities are present at the left lung base. . There is no lobar consolidation, pneumothorax, or pulmonary edema. Mild blunting of the left costophrenic angle may be secondary to pleural thickening or trace pleural effusion.
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history: <unk>m with cough, hypotension // eval for pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with chest pain, dyspnea // acute process
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Assessment of the chest is slightly limited by patient rotation. Heart size is within normal size limits. The aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic knob. The pulmonary vasculature is normal. Lung volumes are lower compared to the previous exam. Patchy opacities within the lung bases, more so on the left, may reflect areas of atelectasis, but infection cannot be completely excluded in the left lung base. There may be a trace right pleural effusion. No pneumothorax is demonstrated. Biapical pleural thickening and calcification are unchanged. The osseous structures are diffusely demineralized.
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history: <unk>f with right lower quadrant pain, but with transient radiation to chest
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Interval removal of right chest tubes. There is moderate right pleural effusion, mildly increased since <unk>. Mild anterior hydro pneumothorax seen on the lateral radiograph, has increased since <unk> ct exam. Right basilar opacity, similar, likely atelectasis. . Left lung lower lobe mild atelectasis, improved since <unk>. Left lung otherwise clear. Shallow inspiration.
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<unk> year old man // assessment for pneumothorax s/p chest tube removal, please perform at <unk> pm, thank you
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Pa and lateral views of the chest provided demonstrate no focal consolidation effusion or pneumothorax. Overlying ekg leads are present somewhat limiting evaluation. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>-year-old female with right facial numbness, weakness, assess acute intrathoracic process.
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The heart size is normal. The hilar and mediastinal contours are normal. There is a focal consolidation in the right middle lobe concerning for pneumonia. There also appears to be a consolidation in the right lower lobe suggestive of a pneumonia. There is no pleural effusion. There is no pneumothorax. The visualized osseous structures are unremarkable.
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history of pna. rule out acute process.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No nondisplaced rib fractures are identified.
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<unk>f with mvc rollover, unrestrained c/o headache. endorses loc // ?bleed or fx
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette size is normal. Subtle prominence at the ap window is nonspecific and may be artifactual however underlying lymph node not excluded p
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history: <unk>m with tb screen priro to remicaide for uc // acute process/tb
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MIMIC-CXR-JPG/2.0.0/files/p10885477/s54304549/5d4aafc3-811998a1-0e3d50e2-14ad4d37-5a9a1f25.jpg
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There may be minimal pulmonary vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta remains tortuous, with stable mild prominence of the ascending portion. The cardiac silhouette is top-normal.
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chest pain.
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The lungs are clear without focal consolidation concerning for pneumonia. A linear density in the lingula likely reflects scarring or platelike atelectasis. No pleural effusion or pneumothorax is detected. There is biapical pleural thickening, which appears symmetrical. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is mildly enlarged but stable. The mediastinal and hilar contours are within normal limits. There is mild calcification of the aortic knob. The patient is status post median sternotomy with intact appearing wires. Multilevel degenerative changes of the thoracic spine are noted on the lateral view.
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dyspnea, here to evaluate for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. A bb marker indicating site of the patient's pain is noted overlying the left lateral <num>th rib. No osseous abnormality is seen in the vicinity of this marker. No displaced rib fractures are noted.
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left flank pain after trauma.
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There is persistent volume loss of the right lung with a right-sided pleural effusion which is likely at least partially loculated. Fluoro strain is stable to possibly slightly decreased as compared to the prior study. Right mid lung opacity may be combination of fissural fluid and atelectasis, but underlying consolidation is not excluded. No definite pneumothorax is seen. The left lung is clear. The cardiac and mediastinal silhouettes are similar.
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history: <unk>f with hx of nsclc cb effusion recently drained, with lle pain. // please evaluate for acute cardiopulmonary process
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Slight elevation of the left hemidiaphragm compared to the right may reflect volume loss. Otherwise, the lungs appear clear. Mild rightward convex curvature is centered along the lower thoracic spine.
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chest pain and shortness of breath.
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Ap and lateral views of the chest. Lower lung volumes seen on the frontal exam on the current study. Linear bibasilar opacities on the frontal view are likely due to atelectasis. There is no evidence of confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Elevation of the right hemidiaphragm again noted.
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<unk>-year-old male with shortness of breath.
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Ap and lateral chest radiographs were obtained. There is mild bronchovascular crowding and left basilar atelectasis likely related to low lung volumes. The cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. Medial left base retrocardiac density corresponds to known hiatal hernia, similar in appearance compared to prior study. There are chronic degenerative changes of bilateral glenohumeral joints. An old sternal fracture is again noted.
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weakness, evaluate for acute cardiopulmonary process.
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There is mild pulmonary vascular prominence without signs of overt pulmonary edema, slightly more prominent than on <unk>. Median sternotomy wires and evidence of prior cabg are noted. There is cardiomegaly, unchanged from <unk>. There is mild bibasilar atelectasis. There is no pleural effusion identified. There is a stable calcified nodule in the left lung apex.
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history of chf with shortness of breath.
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There is mild interstitial edema. There is a left upper lobe nodular opacity projects over the first rib. There is no pleural effusion, and the heart size and mediastinal contours are normal.
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<unk>-year-old female with hypoxia.
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There is a small pleural effusion, present on <unk>, but not on <unk>. There is no focal consolidation or pneumothorax. Bibasilar atelectasis is noted. The heart is normal in size. The cardiac, mediastinal, and hilar contours are within normal limits.
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history of pancreatic cancer with new bilateral lower extremity dvt. cough and crackles at the bases bilaterally.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. <num> mm nodular opacity projecting over the left upper lobe, overlying the left fifth posterior rib, may be within the osseous structures or reflect a pulmonary nodule. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with left sided weakness
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Heart size and cardiomediastinal contours are stable. Dense mitral annular calcifications are re- demonstrated. Lungs are hyperinflated, consistent with copd. No focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>f with nausea // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p15365444/s50875515/f60b7b47-2d2d6b92-77f27c4d-8e9abbd6-2c82eb2d.jpg
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No previous images. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. Specifically, no acute focal pneumonia.
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cough and fever.
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Similar small to moderate left pleural effusion with overlying atelectasis is seen. Left base opacity likely represents combination of pleural effusion and atelectasis, but underlying consolidation is not excluded in the appropriate clinical setting. No focal consolidation is seen on the right. Cardiac and mediastinal silhouettes are stable.
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history: <unk>f with decreased po, crackles in lll // eval for pna, pulmonary edema
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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal.
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<unk>m with seizure // bleed? :pna?
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Pa and lateral views of the chest provided. Lungs appear hyperinflated though clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with cough/sob x<num> days // ? pneumonia
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The heart appears mildly enlarged. The aorta is moderately tortuous and, along the arch, calcified. There is no pleural effusion or pneumothorax. Effacement of the right posterior lateral costophrenic angle suggests a small diaphragmatic hernia. The lungs appear clear.
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hypertension and dyspnea on exertion.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Post-operative changes in the mediastinum and left chest wall are stable. The chest is hyperinflated. There is possibly a trace pleural effusion on the left side only. The lungs appear clear.
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hematemesis. history of aortic dissection.
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The patient is status post median sternotomy and cabg. Mild enlargement of the cardiac silhouette is re- demonstrated. The mediastinal contour is unremarkable. Prominence of interstitial markings bilaterally appears similar compared to the prior exam and is likely chronic. No overt pulmonary edema is present. There is minimal atelectasis in the lung bases but no focal consolidation. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are seen in the thoracic spine with anterior bridging osteophytes.
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nausea, vomiting, fever
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Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the lung bases without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities detected. Remote right-sided rib fractures are present.
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history: <unk>m with hypotension, bilateral pcns, left chest rhonchus
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Again seen is elevation of the right hemidiaphragm. There is interposition of bowel loops above the liver as well. Mediastinum is secondarily shifted to the left, similar in configuration compared to prior. Streaky right basilar opacities are likely atelectasis. Lungs are otherwise clear, there is no effusion or edema. No acute osseous abnormalities.
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<unk>m with hyperglycemia, fall, urinary incontinence // any fx/bleed/enlarged ventricles
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