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ChayanM
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MIMIC-MultiView-Findings-Query

Dataset card Data Studio Files Community
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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>f with trauma to anterior chest presenting with bilateral breast pain // eval for rib fracture
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Pa and lateral views of the chest were reviewed and compared to the prior study. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are normal. There are no concerning osseous or soft tissue lesions.
cough, dyspnea on exertion and asthma.
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As compared to the previous radiograph, the extent of the left pleural effusion is constant. Also constant is the minimal blunting of the left costophrenic sinus. However, on the right, better appreciated on the lateral than on the frontal image, a new pleural effusion has occurred. However, this effusion is limited to the costophrenic sinus. No other changes. The catheter projecting over the left lung base and left upper quadrant is constant. Constant moderate cardiomegaly and tortuosity of the thoracic aorta. Constant position of the right pectoral port-a-cath. No evidence of pneumothorax.
left pleural effusion, evaluation for interval change.
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As compared to prior ct torso, previously noted right pneumothorax is not visualized on this examination. The cardiomediastinal and hilar contours are within normal limits. Lung volumes are decreased. There is no focal consolidation or pleural effusion. Nondisplaced rib fractures seen on outside ct are not identified in this examination.
status post bike fall, had small right pneumothorax. evaluate for progression.
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In comparison with the study of <unk>, the cardiac silhouette is within normal limits. There is increased opacification at the left base, consistent with atelectasis and pleural effusion. Some atelectatic changes and probable pleural effusion also seen at the right base. No acute focal pneumonia or pulmonary edema.
abdominal surgery, to assess for pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Heart size remains normal. Thoracic aorta as before of normal <unk> but some calcium deposits are seen in the wall at the level of the arch. The pulmonary vasculature is not congested. No signs of new pulmonary parenchymal infiltrates are present and the lateral and posterior pleural sinuses remain free. No pneumothorax in the apical area. No interval change since next preceding study three days ago. Previous comment about mild bibasilar atelectasis and possible bronchial wall thickening is questioned as patient is rather adipose. Definition of subtle bronchial changes would require high definition ct examination if such examination is clinically indicated.
<unk>-year-old female patient with hepatitis. now with cough and decreased saturation, especially with walking. evaluate for possible pneumonia.
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The lungs are hyperinflated. Slight increased right basilar opacity is seen on the frontal but not definitively corroborated on the lateral. The cardiac silhouette is enlarged but not likely changed since prior given slightly lower lung volumes on the current exam. Surgical clips project over the mid upper abdomen. Chronic changes seen in the left posterior eighth rib.
<unk>m with weakness // acute process?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with history of melanoma // please evaluate disease status
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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>f with cough, fever
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is normal. Calcified granulomas in the left lung base appear unchanged. Subsegmental atelectasis or scarring is noted within the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. Mild to moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with productive cough, wheezing and subjective fever for the past <num> days. // ? pneumonia
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There has been interval removal of the right-sided pleurx catheter. Left-sided pleurx catheter remains. Moderate bilateral pleural effusions with fissural component are stable from <unk> and decreased from <unk>. Right lower lobe consolidation appears unchanged. Left basilar atelectasis is slightly improved. No pneumothorax. Port-a-cath dual lumen pacemaker appear unchanged.
<unk> year old woman with breast cancer, malignant pleural effusions with pleurx, r pleurx not draining so removed <unk>. // evaluate pleural effusions
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated without focal consolidation. Subsegmental atelectasis is noted in the lingula. Scarring is seen in the upper lobes bilaterally. No pleural effusion or pneumothorax is present. No displaced fractures are evident.
history: <unk>f status post fall onto head, now having right forehead/scalp hematoma on exam and some right rib tenderness to palpation
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Shiley catheter is seen unchanged in position and appropriately placed, terminating in the right atrium. Lungs are clear bilaterally with no pleural effusion, focal consolidation or evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable. There is a stable wedge compression seen in an upper lumbar vertebral body.
history of pleural effusion. followup evaluation.
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No focal consolidation is identified. There is moderate pulmonary vascular congestion and interstitial edema. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Included upper abdomen is unremarkable. Calcifications of the aortic arch are noted.
stroke, evaluate for acute process.
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Compared to <unk>, there is no significant interval change. Again seen is mild interstitial prominence which is likely due to an underlying background of emphysema. The lungs are fully expanded, and the pleural surfaces are normal without pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are normal. Old healed rib fracture along the lateral right seventh rib is again seen. Atherosclerotic calcification of the aortic arch is noted.
copd and shortness of breath. assess for pneumonia.
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No significant interval change as compared to the prior examination. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is top-normal in size.
history: <unk>m with ?as, chest pain, shortness of breath // evaluate for fluid overload, pneumonia, acute process
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As compared to prior chest radiograph from earlier today, the cardiac silhouette remains enlarged. Diffuse bilateral opacities could represent pulmonary edema, however underlying pneumonia cannot be excluded. There is no large pleural effusion. There is no pneumothorax. Surgical clips are seen overlying the cardiac silhouette and note is made of sternotomy wires. Widening of the ac joint on the right likely represents a chronic finding.
chf. rule out pneumonia.
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The lungs are clear without consolidation, effusion, or pulmonary edema. Cardiac silhouette is stable. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with sob // pna, pulm edema?
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated, but remain clear focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and fever with recent history of likely pneumonia.
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The right hemidiaphragm continues to be mildly elevated and lung volumes are slightly low. There is blunting of the left cp angle likely due to a small effusion. There are mild degenerative changes of the spine. There is no focal infiltrate.
status post cabg, stroke.
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In comparison with the study of <unk>, there is little change in the extensive right pleural effusion. Bibasilar atelectasis is again seen and the size of the cardiac silhouette is stable. Extensive spinal stabilization devices remain in place.
right effusion.
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A port-a-cath terminates in the uppermost part of the right atrium, as before, and the patient is status post posterior fusion surgery involving the upper thoracic spine, not completely assessed, but apparently unchanged. The heart appears mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.
febrile neutropenia.
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The cardiac, mediastinal and hilar contours appear unchanged. There is mild scarring at each lung apex, not significantly changed. There are no pleural effusions. In the setting of prior pleural effusion and atelectasis at the left lung base, patchy residual opacities are most likely due to chronic residual scarring. Elsewhere the lungs appear clear. Bony structures are unremarkable.
chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>f with back pain after coughing // evaluate for pneumothorax, pneumonia
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Small bilateral pleural effusions with overlying atelectasis. No pneumothorax identified. Minimally increased bibasilar reticulations likely correlate to the patient's known fibrotic changes. Chain sutures are noted in the right peripheral lower lung zone and left upper lobe. The size of the cardiac silhouette is mildly enlarged.
<unk>f pmh s/p redo l fem-bk pop gsv bypass <unk> c/b occlusion x<unk> s/p thrombolysis <unk>, <unk>, distal graft pta stent <unk>, now s/p l eia-pt with rgsv. re-admit for ssi <unk> here w/ fevers of unknown origin // intrapulmonary process?
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There is no consolidation, pleural effusion, or pneumothorax. Lungs are mildly hyperinflated. Cardiac silhouette is borderline enlarged and unchanged from prior. Mediastinal and hilar silhouettes are normal size. Degenerative changes of the thoracic spine is noted at multiple levels. There is new anterior compression deformity of t<num> vertebral body compared to prior.
<unk> year old man with smoking hx, cough. // evalute copd. r/o lung nodule
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with occasional sudden chest pain + sob // any evidence of pneumothorax?
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Lungs are low in volume but appear clear. Minimal linear bibasilar atelectasis is similar to that on the prior study. There is a small left pleural effusion. No pneumothorax. The heart is mildly enlarged with normal cardiomediastinal silhouette.
malaise, assess for pneumonia.
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As compared to the previous radiograph, there is an increase in interstitial markings and an increase in radiodensity at the lung bases. The lateral radiograph shows signs indicative of interstitial lung edema and bilateral pleural effusions. The size of the cardiac silhouette remains enlarged. Known old right humerus fracture.
increase in interstitial markings, evaluation for interval change.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no appreciable pneumothorax or pleural effusion. A nondisplaced sternal fracture can be seen without displacement or evidence for change since the initial study although this is not to say necessarily that it might not be healing. Detailed assessment for slight change could be better assessed with ct if needed clinically.
<unk>-year-old male with sternal pain status post known fracture. question pneumothorax.
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Clear lungs bilaterally without pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are normal. No bony abnormality.
female with new fevers and mild cough. status post pancreatic transplant <unk>. assess for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax. Widened mediastinum consistent with known extensive mediastinal lymphadenopathy as seen on previous ct. Cardiac size is normal.
<unk> year old man with high grade mantle cell lymphoma // fvo on exam with diminished bs, please evaluate for pna, pleural effusion
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Again seen low lung volumes accentuate the bronchovascular markings. Given this, no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with cough fever // eval for pna
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Heart size is mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Chronic elevation of left hemidiaphragm is again noted. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
chest pain and shortness of breath.
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In comparison with the earlier study of this date, the right chest tube has been removed and there is no convincing evidence of pneumothorax. Otherwise, little change in the appearance of the heart and lungs. The degree of subcutaneous gas along the right chest wall may be slightly less.
chest tube removal, to assess for pneumothorax.
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Pa and lateral chest radiographs demonstrate stable cardiomediastinal and hilar contours. Lungs are clear without a focal consolidation. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax.
history: <unk>m with l upper chest pain // ? acute cardiopulm 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 hypotension now resolved // ? pna
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Heart size appears borderline enlarged, unchanged. The mediastinal and hilar contours are stable with atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is not engorged. Bronchial wall thickening and peribronchial opacities involving the lower lobes is re- demonstrated compatible with bronchiectasis and airways inflammation. Compared to the previous study, and there may be a slightly worse patchy opacities in both lower lobes. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.
history: <unk>f with cough and weakness
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. No free air identified below the diaphragm.
<unk>-year-old female with right upper quadrant and left upper quadrant pain with cough.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Prior enteric tube is no longer visualized.
<unk>m with <num> day disequilibrium; prior cerebllar infarct //
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Lungs are expanded symmetrically. There is no focal opacity concerning for pneumonia. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality.
<unk>-year-old male with chest pain.
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Pa and lateral views of the chest were provided. There has been interval increase in right pleural effusion, now large, with increasing right lower lung collapse. Left lung remains well aerated. Cardiomediastinal silhouette is grossly stable though the right heart border is not visualized due to adjacent effusion. Bony structures appear intact.
<unk>-year-old man with shortness of breath, right-sided chest pain.
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Frontal and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. There is linear atelectasis at the bases. A calcified granuloma is seen in the left upper lobe. Heart size is normal. Mediastinal silhouette and hilar contours are normal allowing for patient rotation. There is no acute osseous abnormality. No free air under the right hemidiaphragm is seen.
left chest tightness.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Again noted are diffusely sclerotic appearing osseous structures, particularly in the vertebral bodies, consistent with known metastatic prostate cancer; please note that this appearance limits the evaluation for subtle parenchymal abnormalities. No acute fractures identified.
<unk>m with sob, metastatic prostate cancer // eval acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. There is no pulmonary edema.
history: <unk>f with paresthesias left arm, ?rotator cuff injury, thoracic outlet syndrome, spinal stenosis // ?cpd
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Ap upright and lateral views of the chest provided. Left chest wall aicd is again noted with lead extending to the right ventricle region. Cardiomegaly is unchanged. Lung volumes are low. Hilar congestion is again noted without significant edema. No large effusion or pneumothorax. Mediastinal contour is stable. No acute bony abnormalities. An old left clavicle midshaft deformity noted. Tiny clips project over the mediastinum.
<unk>m with fall, on <unk>, <unk> // bleed? fracture?
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Pa and lateral views of the chest provided. In comparison to prior study from <unk>, there is significant improvement in the postoperative appearance of the right hemithorax. There are residual scars in the right lung base, mild pleural thickening, and continued elevation of the right hemidiaphragm. Pulmonary vasculature is normal. Trace bilateral pleural effusion is seen. Heart size has substantially decreased in size.
<unk> year old man with r vats decortication for empyema
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Heart size is normal. The mediastinal and hilar contours are remarkable for slight fullness of the aortic pulmonary window. . The pulmonary vasculature is normal. Lungs are remarkable for linear perihilar opacities bilaterally which may reflect subsegmental atelectasis or linear scarring. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with hoarseness x past weeks.past smoker. also recent endoscopy // ? cancer
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is normal. No configurational abnormality is identified. The aortic arch is obliterated by a very large left upper lobe pulmonary mass that obliterates practically the entire upper hemithorax above the hilar region. Hilar structures prominence is suspicious for extension into vessels. Local pleural densities are observed along the entire left lateral chest wall, and the lower left lateral pleural sinus is mildly blunted. The lateral view confirms the lesion and identifies its location mostly in the anterior apical chest. The right-sided hemithorax remains normal with no pulmonary abnormalities and free pleural spaces. Skeletal structures of the thorax are grossly unremarkable.
<unk>-year-old female patient with pleural effusion. evaluate.
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Heart size is normal. Atherosclerotic calcifications are seen within the aortic knob. Mediastinal contour is unchanged. Enlargement of the right hilum is new in the interval and an underlying hilar mass is suspected. Pulmonary vasculature is not engorged. Multiple nodular opacities are seen within the right mid lung field, new in the interval. Minimal atelectasis is noted in the lung bases. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with report of pulmonary nodules from outside hospital
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A <num> mm new round well-circumscribed density in the right suprahilar region may represent a pulmonary nodule. It also may be an enlarged vessel or superimposed normal structures. Would recommend further evaluation with contrast-enhanced ct of the chest. There is no consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
asthma and mitral regurgitation.
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The heart is mild to moderately enlarged. There is similar unfolding and calcification along the aorta. Allowing for differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. There is again a moderate eventration involving the anterior right hemidiaphragm. What is new on this examination is patchy opacity in the posterior right lower lobe with suspected bilateral pleural effusions on each side. The appearance includes slight fluid or thickening of the minor fissure on the right which is new. Streaky left basilar opacities are nonspecific but could be seen with minor atelectasis. Degenerative changes are similar along the thoracic spine. Bony demineralization is suspected.
confusion.
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Pa and lateral views of the chest provided. There is right basal atelectasis. Otherwise lungs are clear. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette appears normal. No free air below the right hemidiaphragm. Bony structures are intact.
history: <unk>f with gi symptoms, fatigue // ? pna
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A dual-lead pacemaker/icd device is in a similar position. The heart is mildly enlarged. The aorta is calcified and mildly tortuous. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. A mild diffuse interstitial abnormality is not as prominent as on the prior study but suggests mild pulmonary vascular congestion. Subpleural scarring at each lung apex is unchanged. The bones are demineralized with similar s-shaped curvature and a moderate-to-severe lower thoracic vertebral body compression deformity. Mild-to-moderate degenerative changes along each shoulder are similar.
syncope. question cardiomegaly.
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Pa and lateral views of the chest demonstrate relatively low lung volumes with minimal bibasilar atelectasis. There is no pleural effusion, pulmonary edema, pneumothorax or focal opacification within the lungs. The cardiac size is mildly enlarged. Aortic knob calcifications are present as well as multilevel degenerative changes in the mid thoracic spine.
exertional chest pain.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Two adjacent spinal catheters are noted projecting over the mid thoracic spine.
history: <unk>f with tib fx. preop cxr // preop
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Small right pleural effusion or thickening, similar. Shallow inspiration accentuates heart size, pulmonary vascularity, more prominent. Thoracic kyphosis. No infiltrates.
<unk> year old woman with fistulizing crohn's disease, pod#<unk> s/p i d of superficial abscess, placement of abdominal <unk>, now with fever // please evaluate for intrathoracic pathology
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Ap and lateral views of the chest. Again, relatively low lung volumes are seen. Left chest wall dual-lead pacing device seen with lead tips in the right atrium and right ventricle. The lungs are grossly clear without consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is unchanged and accentuated due to low lung volumes. No acute osseous abnormality is identified. Median sternotomy wires and mediastinal clips again noted. There is mild cardiomegaly, likely also accentuated due to low lung volumes.
<unk>-year-old male with chest pain.
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Frontal and lateral views of the chest were performed. The lungs are clear but hyperinflated. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is top-normal in size but unchanged. The hilar structures are unremarkable and there is no evidence for pulmonary edema. The imaged upper abdomen is normal.
dyspnea on exertion, wheezing, leukocytosis and cough. evaluate for pneumonia pulmonary edema.
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Old right rib deformities are again seen. No free air below the right hemidiaphragm is seen.
history: <unk>m with ivdu p/w <num>d chest pain // any acute intrathoracic process? pneumonia?
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema.
productive cough. assess for pneumonia.
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Minimal lingular atelectasis/scarring is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
history: <unk>f with s/p mvc <num> week ago, ongoing l rib pain, // eval for rib fx
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Frontal and lateral views of the chest were obtained. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The heart size and cardiomediastinal contours are normal. No radiopaque foreign body.
<unk>-year-old female with shortness of breath and left chest wall pain. evaluate for pleural effusion.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. There is a moderate to marked enlargement of the cardiac silhouette. Pacemaker leads positioned in the right atrium and right ventricle. Bilateral low lung volumes. Obscuration of the left hemidiaphragm in combination with retrocardiac opacity may suggest atelectasis in combination with pleural effusion, however, opacification persists on lateral views raising concern for pneumonia. Streaky atelectasis identified in the right lower lung. No pneumomediastinum evident. Extensive multilevel degenerative changes with anterior osteophyte formation as well as degenerative changes at the right glenohumeral joint.
throat pain status post esophageal dilatation, please evaluate for pneumonia or pneumomediastinum.
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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 shortness of breath // eval for pna
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy ill-defined opacity is seen within the right middle lobe concerning for pneumonia. Left lung is clear without focal consolidation. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
continued cough and recent diagnosis of pneumonia.
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Frontal upright and lateral chest radiographs demonstrate low lung volumes. Right-sided port-a-cath terminates at the cavoatrial junction, unchanged. Thoracic spine fusion hardware is relatively unchanged in position. Cardiomediastinal contours are unremarkable. Basilar opacities likely reflect atelectasis. There is no pleural effusion. There is no pneumothorax.
episode of aspiration last night, now with cough and fever, evaluate for acute process.
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There is interval worsening of right-sided pneumonia, predominantly within the superior segment of the right lower lobe as well as some involvement of the lateral basal segment. No pneumothorax or significant pleural effusion is seen. The heart size is normal.
recent diagnosis of pneumonia, returning with fever.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Each hilum is mildly prominent, probably suggesting mild prominence of central pulmonary vessels, but there is no frank congestive heart failure. No focal opacification is seen aside from streaky left lower lung opacity suggesting minor atelectasis. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
fever and cough.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated somewhat. Degenerative changes and very mild loss in height among two lower thoracic vertebral bodies appear unchanged and likely of long chronicity.
myalgias and rhonchi on the left.
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Chest pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident.
increasing myoclonic jerks, concern for infectious process.
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Lung volumes are slightly low although the lungs are clear. Heart size is top normal. The mediastinal contours are normal. There are no pleural abnormalities. The patient is status post midline sternotomy and cabg. Degenerative changes of the thoracic spine are noted.
seizures, 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 chest pain // eval for structural process
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In comparison with the study of <unk>, there again are bilateral pleural effusions with underlying compressive atelectasis in a patient with previous cabg and aortic valve replacement with intact midline sternal wires. Some elevation of pulmonary venous pressure with the cardiac silhouette at the upper limits of normal in size.
metastatic breast cancer with bilateral effusions.
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Pa and lateral chest views were provided. There is no focal consolidation or pneumothorax. Mild blunting at the costophrenic angles may be due to small pleural effusions or atelectasis. The cardiomediastinal silhouette is unremarkable. There is no evidence of chf. There is no free air under the hemidiaphragm. Osseous structures are unremarkable.
<unk>-year-old woman with shortness of breath, question cardiopulmonary process.
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Unchanged mild cardiomegaly. The mediastinal and hilar contours are unchanged. Again seen is slight leftward deviation of the trachea due to known enlargement of the right thyroid gland. Lungs are hyperinflated with relative lucency suggesting emphysema. There is bibasilar atelectasis. Lungs are otherwise clear. The pulmonary vasculature is normal. No large effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with chest pain
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Heart size is normal. Multiple clips are demonstrated within the right superior mediastinal region compatible with prior esophagectomy with gastric pull-through. The hilar contours are normal. Moderate left and small right pleural effusions appear relatively unchanged compared to the prior ct from <unk>. There is adjacent atelectasis in the left lung base. No other areas of focal consolidation are seen. There is no pneumothorax. Old right-sided rib fracture is again noted.
shortness of breath.
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Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No consolidation, pneumothorax or pleural effusion seen. A skin marker was placed over the right posterior lower ribs. No underlying rib fracture is seen.
<unk> year old man with cough // cough
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips are noted in the right upper quadrant.
<unk>m with cirrhosis who presents with abdominal distention // eval for pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain and shortness of breath for <num> week.
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Assessment of the chest is somewhat limited by patient positioning, low lung volumes, and the patient's chin and neck obscuring the left apex. The cardiac silhouette size remains mildly enlarged. Mediastinal and hilar contours are grossly unchanged. Crowding of bronchovascular structures is due to low lung volumes without overt pulmonary edema. Patchy retrocardiac opacity likely reflects atelectasis, however infection is not excluded in the correct clinical setting. No pleural effusion or large pneumothorax is identified. A percutaneous gastrostomy catheter projects over the left upper quadrant of the abdomen.
history: <unk>m with lethargy, cough
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is very minimal atelectasis the left base. No pleural effusion or pneumothorax is seen.
history: <unk>m with l chest pain // ptx?
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. There may be slight atelectasis in the right lower lung. Otherwise, the lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with midsternal pain, dysphagia, evaluate for pneumomediastinum, food bolus.
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There has been interval reaccumulation of a large right pleural effusion, which involves and expands the right major fissure. There is also a small left pleural effusion. Note is made of surgical clips throughout the mediastinum as well as a sternotomy wires. There is no pneumothorax or pulmonary vascular congestion.
<unk> year old man with met rcc with recurrent right effusion s/p pleurx placement // eval
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
status post motor vehicle collision.
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The lungs are hyperinflated. Enlarged cardiomediastinal silhouette is grossly stable. There is bibasilar atelectasis without definite focal consolidation. No large pleural effusion. No evidence of pneumothorax. No overt pulmonary edema. No gross evidence of free air beneath the diaphragms.
history: <unk>m with s/p colonoscopy, found to have atrial tachycardia -> afib, protuberant abdomen // eval ? atelectesis, free air, effusion
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Heart size is mildly enlarged. Prominent mediastinum is due a least in part to a borderline enlarged ascending aorta. The hilar are unremarkable. Lung volumes are slightly low, and there is an opacity at the left lung base obscuring the left costophrenic angle, which may reflect atelectasis, small pleural effusion, or infection in the correct clinical setting. Nodular interstitial changes are also noted. On the lateral view, note is made of thickened fissures. The upper abdomen is unremarkable. The patient is status post right rotator cuff repair. Dish changes are present throughout the thoracic spine.
<unk>m with confusion, malaise // eval pna
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Compared to the prior study and allowing for differences in technique, the cardiomediastinal silhouette is probably unchanged. The posterior lower lobe opacity seen on the lateral view may be slightly denser and more confluent. Otherwise, allowing for technical differences, i doubt significant interval change in the bilateral opacities. No new superimposed opacity is identified. Doubt chf. The <num> mm rounded metallic density overlying the right upper/mid abdomen is compatible with a foreign body (question more shrapnel). On the lateral view from the prior study it lies posterior to the presumptive l<num> vertebral body.
<unk> year old man with pneumonia and likely ipf // please eval for complications of pna, interval change
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The cardiac, mediastinal and hilar contours appear unchanged including prominence of the main pulmonary artery contour on the frontal view. A right upper lobe opacity has cleared. Background reticulation of the lungs appears otherwise similar to the prior study. Patchy new right basilar opacity tenting the right hemidiaphragm suggests minor atelectasis. There is no pleural effusion or pneumothorax. Degenerative changes are present along the thoracic spine. The bones appear demineralized. There is at least one and may be more thoracolumbar compression fractures that are not well characterized on this study but with no indication for recent change since a recent prior ct.
respiratory distress. question pneumonia.
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Pa and lateral views of the chest provided. A faint linear density is noted in the left lower lung likely scarring or atelectasis. Otherwise lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with fall, back pain // eval for rib fx/injury
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There is no pulmonary vascular congestion, pleural effusion, or focal consolidation. There is a right-sided chest wall port, the tip terminates in the cavoatrial junction. Clips are noted in the right upper abdomen, suggestive of a prior cholecystectomy. Mild focal narrowing of the upper trachea suggests prior tracheostomy
<unk> year old woman with a port // confirm palcement
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Since the prior chest radiograph, there has been no appreciable difference in the size of the known left pneumothorax. No mediastinal shift or diaphragmatic depression. The lungs are otherwise clear.
<unk> year old man with spontaneous ptx s/p chest tube removal, had enlarging ptx post pull // ?status of ptxcxr at <unk> thanks
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Moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar. There is mild pulmonary edema, not substantially changed in the interval. No overt pulmonary edema is seen. Small bilateral pleural effusions are new in the interval with patchy atelectasis noted in the lung bases, more pronounced on the left. Sutures within the left apex are re- demonstrated. Multiple old left sided rib fractures are again noted with partial resection of the left fifth posterior rib.
history: <unk>m with shortness of breath // ?pulmonary edema
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with shortness of breath, cough, and sputum production.
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There is mild cardiomegaly. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. No acute osseous abnormality is detected. A vascular stent is partially visualized in the upper abdomen.
history of chest tightness and rhonchi, please evaluate.
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Persistent markedly elevation the right hemidiaphragm is demonstrated. No focal consolidation is identified. When compared to prior chest radiograph dated <unk>, the cardiomediastinal silhouette is stable. Low lung volumes are seen. There is prominence of the vascular markings suggestive of pulmonary edema. Blunting of the bilateral costophrenic angles is suggestive of small pleural effusions. There is no pneumothorax. Osseous structures are without acute abnormality.
history: <unk>f with sob, chest pain // eval for cardiopulmonary process
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Frontal and lateral views of the chest demonstrate low lung volumes. Bibasilar opacities are better assessed on ct exam of the same date. No pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The ascending aorta appears tortuous. Heart size is normal. There is no pulmonary edema. Acute kyphosis and disc obliteration at t<num>-<num> level is better assessed on the same day mri.
patient with thoracic spine epidural abscess.
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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 fever and productive cough. evaluate for pneumonia.
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Heart size is normal. The aorta demonstrates diffuse atherosclerotic calcifications. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Tiny left pleural effusion is noted. Lungs are clear without focal consolidation. No pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath, palpitations, stage v chronic kidney disease
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A right chest cardiac device is an unchanged orientation, and associated leads demonstrate a stable configuration in comparison to prior radiograph from <unk>. There is stable severe cardiomegaly. The mediastinal contours are unchanged. Lung volumes are low. There is pulmonary vascular congestion and likely moderate pulmonary edema. A retrocardiac opacity may represent atelectasis in the setting of low lung volumes, however infection cannot be excluded by radiograph. There is probably a trace left pleural effusion. There is no prior right pleural effusion. There is no pneumothorax.
<unk>f with end-stage chf, increased <unk> edema, dyspnea, evaluate for acute change, attention to pulmonary edema.