Frontal_Image_Path
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Pa and lateral views of the chest. Again seen are small bilateral pleural effusions, decreased compared to prior study. There is no focal consolidation. There is no pneumothorax. The cardiomediastinal silhouette is normal.
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bacteremia, evaluate for acute cardiopulmonary process.
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Cardiomediastinal silhouette is normal. There is no pleural effusion pneumothorax. There is no focal lung consolidation. The calcifications are present. The aorta is tortuous.
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<unk>-year-old man with chest pain evaluate for pneumonia.
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The lungs are clear. Cardiac silhouette is moderately enlarged. There is tortuosity of the descending thoracic aorta. No acute osseous abnormality. Surgical clips seen in the neck.
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<unk>f with cough, wheezing // pna?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear. A fracture is noted along the distal clavicle on the left, better described on dedicated radiographs of the same day.
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status post fall with painful contusion along the clavicle.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with fatigue, shortness of breath
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Transverse cardiomegaly. Mild pulmonary vascular congestion. No pulmonary edema. No pleural effusions. No airspace consolidation. The right lower lobe is clear. No suspicious pulmonary nodules or masses. Spondylotic changes of the thoracic spine.
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<unk> year old woman with hx rll pneumonia on <unk>. f/u for resolution // f/u for resolution
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Focal consolidation in the right middle lobe suggest pneumonia. Widespread reticular opacities are consistent with known interstitial lung disease. There is no vascular engorgement or edema. There is no effusion or pneumothorax. Mild tortuosity of the thoracic aorta is stable. Heart size is mildly improved though remains mildly enlarged.
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<unk> year old man with mm with fevers, cough, chest congetsion // ? pna
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable. Slight irregularity of the posterior lateral left <num>th rib likely due to prior fracture. Expansion of the distal right clavicle is seen, not well evaluated, correlate for history of prior trauma at this site
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hypotension.
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In comparison with study of <unk>, there are low lung volumes which may account for some of the prominence of the transverse diameter of the heart. Some indistinctness of pulmonary vessels suggests some elevation of pulmonary venous pressure. A single-lead pacer device is in place with the tip in the region of the apex of the right ventricle. No evidence of pneumothorax.
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cardiomyopathy with a pacer lead.
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In comparison with the study of <unk>, there again is prominence of interstitial markings throughout the lungs in a patient with cardiac silhouette at the upper limits of normal in size. This could well represent pulmonary vascular congestion or diffuse interstitial infiltrate such as a viral pneumonia. As on the recent ct scan, there is some fullness in the region of the ap window consistent with reactive enlarged lymph node. An area of increased opacification is again seen in the upper left lung laterally, which could be a focus of consolidation.
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community-acquired pneumonia.
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Again noted are mildly hyperinflated lungs. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the most recent examination. There is no definite consolidation. No pneumothorax or pleural effusion is noted. Chronic changes are noted at the lung bases.
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history: <unk>f with cough and sob // pna?
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The lung volumes are low. In comparison to prior study, missing short segment of the right posterior fifth rib, left acromioclavicular joint osteoarthritis, and bilateral glenohumeral joint arthritis are again seen; however, there is increased lucency and thinning of the posterior seventh rib when compared to most recent <unk> chest radiograph that may represent worsening osteoporosis given patient's debilitated and wheelchair-bound state. There are no sclerotic bone lesions noted. There is mild cardiomegaly with mild pulmonary vascular congestion and cephalization of pulmonary vessels without overt pulmonary edema. Bibasilar subsegmental atelectasis are also noted. No pneumothorax seen. Old fracture of the right fifth posterior rib unchanged from prior chest radiograph.
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<unk> year old man with cough, crackles in lungs, rhinorrhea. no fever. never smoker. h/o chf // r/o pulm edema or pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
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history: <unk>f with recurrent syncopal episodes; + cough; s/p fall //
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Pa and lateral views of the chest provided. Left basal opacity is noted which most likely represents consolidation/pneumonia. The right lung is clear. No large 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 recent pna treatment, ongoing doe/rhonchi.
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Frontal and lateral radiographs of the chest demonstrate mildly hyperexpanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with cll with suspected csf metastases here with fever and weakness // rule out infection
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Allowing for technique, no definite infiltrate is identified. Compared to the prior film, there is increase in the degree of upper zone redistribution and vascular plethora, suggesting mild fluid overload. Otherwise, no significant change is detected. No definite interstitial edema and no alveolar edema is seen. No effusions. Probable atelectasis in the lower lobe posteriorly, ? On the right, but this does not appear substantially changed. Again noted is hyperinflation consistent with copd and moderately severe cardiomegaly. Including prominence of the contour of the main pulmonary artery. Known vertebral body compression deformities <num> less well visualized on the current film due to technical differences.
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history: <unk>f with chest pain, chills // any pneumonia?
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A small amount of linear left basilar atelectasis is new. There is no consolidation, edema, pleural effusions, or pneumothorax. The cardiomediastinal silhouette is normal.
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astrocytoma and fever. 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.
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history: <unk>f with cough // r/p pna
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted at the aortic knob. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is normal. No acute osseous abnormalities visualized.
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history: <unk>m with altered mental status
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. Mild midthoracic dextroscoliosis is again seen. No acute osseous abnormality is identified.
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<unk>-year-old female with shortness of breath.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mid thoracic interspaces appear mildly narrowed with small marginal osteophytes. There has been no significant change.
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chest pain.
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Pa and lateral chest views were obtained with patient in upright position. Our records do not include a previous chest examination available for comparison. The heart size is well within normal limits. No configurational abnormality is seen. Thoracic aorta unremarkable. No mediastinal abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax grossly within normal limits. No evidence of pneumothorax in the apical area on the frontal view. Nonprominent extrathoracic soft tissue structures are noted, match the clinical information of patient's weight loss.
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<unk>-year-old male patient with weight loss and muscle weakness, evaluation for prior evidence of tuberculosis or other lesions of infectious etiology.
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Frontal and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is at upper limits of normal. Atherosclerotic calcifications noted at the aortic arch. Bridging osteophytes seen throughout the mid-to-lower thoracic spine. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old male with chest pain and shortness of breath.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
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<unk>-year-old male with two months of increasing chest pressure and shortness of breath.
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Chest ap and lateral radiograph demonstrates normal cardiomediastinal and hilar contours. Lung volumes are somewhat decreased compared to prior study, giving the appearance of prominent pulmonary vasculature, though this likely represents crowding. No overt pulmonary edema identified. Minimal atelectasis present in the bilateral lower lungs. No pleural effusion identified. Sternotomy sutures are midline and intact. No fracture is identified.
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syncope and chest pain. please assess for cardiomegaly or a pneumothorax.
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Lungs are clear without consolidation, effusion, or edema. Moderate to severe cardiomegaly is similar compared to prior. Left chest wall single lead pacing device seen with lead tip at the right ventricular apex. Median sternotomy wires are intact. No acute osseous abnormalities.
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<unk>f with recent admission for chf, cad presenting with pain x <num> hrs, troponin elevation // eval ? cardiomegaly, edema
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected. There is mild atelectasis and flattening of the hemidiaphragms at the lung bases.
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<unk> year old man s/p fall with inferior rib pain on left // please evaluate for rib fracture
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In comparison with the study of <unk>, the left chest tube has been removed, and there is no evidence of pneumothorax. Bibasilar opacifications have increased, consistent with pleural effusion and atelectasis accentuated in a patient with low lung volumes. In the appropriate clinical setting, the possibility of supervening pneumonia would have to be considered.
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vats with left lower lobe biopsy, post-chest tube removal.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a mild interstitial abnormality primarily in the lower lungs, but not as severe and similar in pattern, so acuity is uncertain. This is accompanied by a mild suspected persistent atelectasis in the right middle lobe which has however decreased.
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hiv with weakness cough and <unk> esophagitis.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. There is slight leftward convex curvature centered along the lower thoracic spine.
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chest pain.
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The heart is mildly enlarged. The aorta is slightly tortuous. The arch is calcified. Otherwise, the mediastinal and hilar contours appear unchanged. The lungs are mildly hyperinflated. There is no pleural effusion or pneumothorax. There is a vague patchy right basilar opacity, most suggestive of minor scarring or atelectasis. Otherwise, the lungs appear clear. Small osteophytes are noted along the thoracic spine.
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left arm pain.
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The lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is normal. No displaced rib fractures identified. There is a triangular shaped <num> mm density projecting over the left axillary region not localized on the lateral.
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<unk>-year-old female status post mvc.
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The lungs are hyperinflated, without focal parenchymal opacities. Biapical pleural parenchymal scarring is identified. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Two sternotomy wires and vascular stent are unchanged in position. Possible slight loss of height of a lower thoracic vertebral body is stable since <unk>.
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<unk>-year-old female with shortness of breath and left rhonchi and wheezes. evaluate.
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The cardiac silhouette is minimally increased in size compared to <unk> with redemonstration of a mildly tortuous thoracic aorta. The hilar contours are unremarkable and there is no evidence of interstitial edema. Lungs are otherwise clear. The pleural surfaces are clear without effusion or pneumothorax.
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lower extremity edema.
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The lungs are mildly hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
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chest pain and dyspnea on exertion x <num> days.
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There are relatively low lung volumes. Bibasilar atelectasis/ scarring is seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is not enlarged. Multiple surgical clips are seen overlying the right axilla.
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history: <unk>f with cough fever // pna?
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The lungs are clear. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
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<unk>-year-old man with seizure. please assess for pneumonia.
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Low lung volumes are present. Heart size is moderately enlarged, as seen previously. The aorta remains tortuous. The mediastinal and hilar contours are otherwise similar. Crowding of bronchovascular structures is present with probable mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine.
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history: <unk>f with dyspnea, fevers, chills, new o<num> requirement // pneumonia?
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The left lung is well-expanded and clear. There is elevation of the right hemidiaphragm, which results in crowding of the right cardiophrenic angle by hilar vessels limiting assessment. However, there may be patchy opacity in this region as the degree of opacification is felt to be more than expected. There is leftward shift of the mediastinum due to elevated right hemidiaphragm. Otherwise cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with shortness of breath and fever.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cough, shortness of breath // evaluate for pneumonia
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Linear opacities in right upper lobe are chronic since <unk>, probably containing also small bronchiectasis is. There is no new lung consolidation. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged.
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patient with cough since a week, history of pneumonia.
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As compared to the previous radiograph, there is no relevant change. Moderate overinflation with scarring of the lung parenchyma at both lung bases, right more than left and small atelectasis at both lung bases. Minimal apical scarring bilaterally. No evidence of focal parenchymal opacity suggesting pneumonia. No pleural effusion. No pulmonary edema. Normal size of the cardiac silhouette. Tortuosity of the thoracic aorta. Right pectoral port-a-cath in situ.
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history of bronchiectasis, cough, rule out pneumonia.
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There is no focal consolidation, effusion, or pneumothorax. The aorta is tortuous. The cardiomediastinal silhouette is top normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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history: <unk>f with <num> days of reproducible chest pain // eval for chest pain
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In comparison with study of <unk>, there is again evidence of a hilar mass with associated left upper lobe collapse. The area of the humeral head where there was a sclerotic focus previously is not definitely evaluated on this study. Shift of the mediastinum is seen towards the left. The right lung is essentially clear, and there is no evidence of vascular congestion. A nodular opacification at the left base represents prominent nipple shadow.
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lung cancer with dyspnea on exertion and known left upper lobe collapse.
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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 portable chest examination of <unk>. The heart size is at the upper limit of normal variation. There is a mild prominence of the left ventricular contour, but no other configurational abnormalities are seen. Thoracic aorta mildly widened and elongated but no local contour abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No acute parenchymal infiltrates are present. There is a mild degree of right-sided diaphragmatic elevation. A finding, however, which existed already on the preceding portable chest examination. Skeletal structures of the thorax grossly within normal limits.
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<unk>-year-old female patient with history of ovarian cancer with dyspnea, cough and sharp pain for nearly <num> weeks, assess for acute process.
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Patient is status post median sternotomy and cabg. Mild enlargement of the cardiac silhouette is decreased compared to the prior study. Similarly is, previous pulmonary edema has improved with only mild pulmonary vascular congestion seen on the current exam. The aorta is mildly tortuous. Hilar contours are unremarkable. No pneumothorax or pleural effusion is identified, with resolution of the previously seen right pleural effusion. There are multilevel mild to moderate degenerative changes noted in the thoracic spine.
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history: <unk>f with chf, diabetes on insulin presents with malaise
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is mild distention of proximal small bowel with several air-fluid levels on the lateral view, although not necessarily significant clinically. Air is visualized in the transverse colon, which is not dilated.
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tachycardia and cough, on chemotherapy.
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Pa and lateral views of the chest. There is no focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
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nausea and vomiting for <num> hours, concern for atypical pneumonia.
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This chest x-ray is read in conjunction with the ct of the chest performed on the same day. There are no focal opacities concerning for pneumonia. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. The cardiac size is within normal limits. The aortic knob is calcified.
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transient hypoxia.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
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cough and fever.
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There is a mildly tortuous thoracic aorta, similar to prior exam. The cardiomediastinal silhouettes are unchanged and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Mid thoracic spine degenerative change and kyphosis and mild thoracic spine scoliosis is unchanged.
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<unk>-year-old woman with left-sided chest pain evaluate for infiltrate or widened mediastinum.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
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chest pain
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is not engorged. The lungs remain hyperinflated. No focal consolidation, pleural effusion or pneumothorax is identified. Scattered ill-defined focal opacities within both lungs are new or worse when compared to the prior exams. For instance an ill-defined nodular opacity projecting within the right lung base measures approximately <num> centimeters. These are concerning for progression of pulmonary metastases. Diffuse osseous sclerotic lesions have also progressed when compared to the prior exam, and are seen involving the ribs bilaterally as well as the thoracic spine.
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liver transplant, prostate cancer, altered mental status.
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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 // r/o 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 stable. Vascular stenting is again seen in the upper right chest. .
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history: <unk>m with cough, abd discomfort, foot ulcer // infectious process?
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Since chest radiographs obtained approximately <num> hours prior, there is been interval removal of a left sided chest tube. Small, left, apical pneumothorax is unchanged. No mediastinal shift. Lungs are otherwise expanded and clear. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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<unk> year old woman s/p left vats blebectomy // r/o ptx post ct removal
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The heart size remains mildly enlarged. The mediastinal and hilar contours are stable, with calcification of the aortic knob again noted. Left picc appears to have been removed. There is mild pulmonary vascular congestion. Small amount of fluid is also noted tracking along the right major fissure. No left pleural effusion or pneumothorax is otherwise demonstrated. No acute osseous abnormalities seen.
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productive cough for several days, confusion.
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The lungs are well expanded, without focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Mild degenerative changes of the right ac joint are present. No bony abnormalities are identified.
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exertional chest pain associated with dizziness in a heavy smoker with history of stroke.
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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 productive cough // eval pna
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The lungs are clear without focal consolidation. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with cough // r/o infiltrate
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Dish related changes of the t-spine noted. No free air below the right hemidiaphragm is seen.
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<unk>m with confusion and dizziness. pls eval ct head for acute stroke and cxr for pna
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The patient is status post median sternotomy, and multiple mediastinal surgical clips and coronary artery stents are noted. There is mild central pulmonary vascular congestion, and the cardiac silhouette is stable in size. No focal consolidation, pleural effusion or pneumothorax is seen. Calcifications along the aortic knob are again noted. There has been interval removal of a right picc. Left axillary surgical clips are also noted.
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<unk>-year-old female with confusion. evaluate for infiltrate.
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Pa and lateral views of the chest provided. The lungs are clear bilaterally. There is no consolidation, effusion or pneumothorax. No evidence of pneumomediastinum. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>-year-old woman with recent swallowing of a chicken bone, with concern for esophageal perforation, question pneumomediastinum.
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As compared to the previous radiograph, there is unchanged evidence of two fiducial seeds in the lung. Scarring at the left lung bases. The right lung shows unchanged apical thickening. No pleural effusions. Borderline size of the cardiac silhouette. No evidence of acute lung disease.
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history of lung cancer, status post transbronchial biopsy. evaluation for interval change.
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Pa and lateral views of the chest provided. The lungs are clear aside from mild platelike left mid lung atelectasis. A fat pad effaces the left lower heart border. Lungs are mildly hyperinflated. No signs of pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette is stable. Chronic degenerative disease is noted at both shoulders. No free air below the right hemidiaphragm.
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<unk>f with fever // eval heart and lungs
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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. Several remote appearing left-sided rib deformities suggest prior fractures.
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history: <unk>m with chest pain
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Bilateral low lung volumes evident with minimally increased retrocardiac opacification, likely atelectasis. No pneumothorax or pleural effusion evident.
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fever, please evaluate for cardiopulmonary process.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Linear opacities in the lung bases most likely represent plate-like atelectasis. There is slight blunting of the costophrenic angles, suggestive of small pleural effusion. Bibasilar consolidations have significantly improved since <unk> exam. There is no pulmonary edema. No pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. Partially visualized upper abdomen is unremarkable.
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patient with chills and productive cough. assess for pneumonia.
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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.
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<unk> year old man with progressively worsening doe and largely negative cardia w/u // rule out pulmonary basis for worsening dyspnea on exertion
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Heart size remains mild to moderately enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pneumothorax is present. Minimal blunting of the costophrenic angles posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions. Clips are seen in the upper abdomen compatible with prior cholecystectomy. No acute osseous abnormality is visualized.
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history: <unk>f with hypertension, headache, chest pain
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. Mild degenerative changes noted throughout the thoracic spine.
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chest pain.
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Pa and lateral views of the chest provided. Lung volumes are low. Cardiomediastinal silhouette is unchanged with mild cardiomegaly and a markedly unfolded thoracic aorta. Bibasilar atelectasis noted. There is mild hilar congestion without frank pulmonary edema. No large effusion or pneumothorax. No evidence of pneumonia. Bony structures are intact.
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<unk>m with chest pain/sob // eval for acute process
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
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history: <unk>m with hypotension
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Lungs are clear bilaterally without pleural effusion. Mild enlargement of cardiac silhouette with normal mediastinal contours and hila. No lymphadenopathy. Aortic calcifications and mild scoliosis noted without additional bony abnormality.
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female with positive ppd. assess for intrathoracic process.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
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history: <unk>m with fall from <unk> feet
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Lung volumes are low. Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Chronic interstitial opacities with fibrosis are most pronounced in the lung bases and the periphery, not substantially changed since the previous radiograph. No definite new focal consolidation, pleural effusion or pneumothorax is present. No pulmonary edema is present. There are no acute osseous abnormalities.
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history: <unk>m with shortness of breath
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The lungs are clear on the inspiratory view. Cardiac size is mildly enlarged but there is no evidence of pulmonary edema or pleural effusions. There is no pneumothorax. There is no pneumonia.
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chest pain, evaluate chf.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There are mild interstitial abnormalities, probably chronic. Tracheal narrowing, seen with chronic lung disease. No pleural effusion or pneumothorax.
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chest pain, question acute process
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with chest pain
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Pa and lateral views of the chest demonstrate the lungs are hyperexpanded and there is persistent bilateral apical lucency, representing emphysemetous changes. The bilateral pulmonary hila are prominent, possibly representing vascular congestion, however an atypical bronchopneumonia cannot be entirely excluded. There is no pneumothorax or pleural effusions. Subsegmental linear atelectasis is seen within the right mid lung.
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productive cough and shortness of breath. evaluation for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. No pulmonary edema is seen. Mediastinal contours are unremarkable.
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history: <unk>f with chest pain, shortness of breath // eval for pna
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is top normal in size.
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history: <unk>f with chest pain // evaluate for acute process
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There are patchy interstitial infiltrates bilaterally, most consistent with mild pulmonary edema. Some of the infiltrates are more confluent, particularly on the left, and superimposed infection is difficult to exclude. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged.
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dyspnea on exertion. evaluate for chf.
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There are relatively low lung volumes. Mild bibasilar opacities may be due to atelectasis although underlying infection is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with fever // pna?
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine.
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<unk>-year-old female with shortness of breath.
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Right pectoral pacemaker with leads terminating in the right atrium and right ventricle. Minimal blunting of the right costophrenic angle suggests pleural adhesion. Normal cardiomediastinal and hilar contours. Fully expanded, clear lungs. No pneumothorax or pleural effusion. Small hiatal hernia.
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<unk>-year-old man with a history of syncope, now status post pacemaker placement. evaluate lead placement and for pneumothorax.
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema.
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<unk>m with chest pain // eval pna/ptx
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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 gravid woman at <unk> with acute onset of chest pressure and sob yesterday // e/o fluid overload, infiltrate
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Bibasilar opacities demonstrated on the next most recent chest radiograph are no longer appreciated. The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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evaluate for pneumonia. cough, and shortness of breath x<num> month.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is notable for calcifications of the aortic arch but is otherwise unremarkable. Multilevel degenerative changes of the thoracic spine are present but there are no acute fractures,
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<unk>-year-old female with lightheadedness, question pneumonia.
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The patient is status post median sternotomy and cabg. The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
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cough and shortness of breath.
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Cardiac size is normal. The lungs are clear. There is persistent enlargement of the right hilum. There is no pneumothorax or pleural effusion. Moderate degenerative changes are present in the thoracic spine
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followup right abnormality described in prior studies
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Exam is limited by markedly patient rotation on the frontal radiograph. Prominence of the right hilum and right infrahilar region on this view could potentially be due to accentuation by rotation. Heart size is normal. Tortuosity of the thoracic aorta is unchanged. Lungs and pleural surfaces are clear.
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<unk> year old woman with cough and left sided back pain. // r/o chf or pneumonia
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Pa and lateral views of the chest are compared to previous exam from <unk>. There is mild pulmonary vascular congestion without evidence of frank pulmonary edema. There is no pleural effusion or pneumothorax. Cardiomegaly has significantly increased when compared to previous exam. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with hiv and lower extremity swelling, evidence of chf.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest pain // r/o ptx
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A port-a-cath is again noted terminating within the lower svc. There is again seen a opacity at the left base posteriorly which may represent recurrence of the patient's rounded atelectasis as seen on the prior ct scan. Follow resolution is recommended. Mild cardiomegaly is unchanged.
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history: <unk>m with non-hodgkin's lymphoma currently on chemotherapy presenting with fever. // please evaluate for cardiopulmonary process.
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Interval placement of icd pacing device, with right atrial and right ventricular leads. Note is also made of an indwelling coronary artery stent. Cardiomediastinal contours are normal. Lungs and pleural surfaces are clear. No pneumothorax.
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<unk> year old man s/p ppm // ptx, leads
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In comparison with study of <unk>, the port-a-cath appears within normal limits and extends to the mid-to-lower portion of the svc. Lungs are clear and there is no evidence of hilar or mediastinal adenopathy.
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lymphoma with port malfunction.
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As compared to the previous radiograph, there is no relevant change. Minimal left pleural effusion with minimal atelectasis in the retrocardiac lung areas. Known clips in the right axillary region, with some adjacent scarring of the lung parenchyma. Unchanged mild cardiomegaly without evidence of pulmonary edema. No pneumonia. No pneumothorax. No hilar or mediastinal abnormalities.
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decreased breath sounds in the left lower lobe, evaluation for pneumonia.
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The there has been interval removal of the right picc line. The cardiomediastinal silhouette is normal. There is no focal consolidation, effusion or pneumothorax. There is no pulmonary vascular congestion. The previously identified micronodular pattern of opacification has not recurred. The bony structures of the thorax are grossly within normal limits.
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hepatitis c cirrhosis, diabetes mellitus and right foot ulcer, presenting with cough most consistent with viral bronchitis. assess for pneumonia or bronchitis.
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