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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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Heart size remains moderately enlarged. The aorta remains tortuous. Mediastinal and hilar contours are similar with prominence of the right hilum again noted. Pulmonary vasculature is not engorged. Minimal patchy lower lobe opacities, more pronounced on the left, likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath, cough and recent pneumonia
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Heart size is normal. Mediastinal contours are unchanged. Mild enlargement of the hila bilaterally is compatible with underlying lymphadenopathy, as seen on the prior ct. Pulmonary vasculature is not engorged. Traction bronchiectasis and increased interstitial opacities in both lung apices and bases do not appear substantially changed in the interval and likely reflect chronic findings. No new focal consolidation, pleural effusion or pneumothorax is visualized.
history: <unk>f with history of clotting disorder, recent vascular surgery here with concern for wound infection
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Cardiac silhouette size is normal. Minimal atherosclerotic calcifications are present at the aortic knob. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax. Mild degenerative changes are seen in the lower thoracic spine.
history: <unk>f with choledocholithiasis with new hypoxia // eval ? effusion, edema, infiltrate
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Ap upright portable chest radiograph is obtained. The lungs are clear and well expanded. No focal consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contour appear normal. Bony structures appear intact.
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Lung volumes are unchanged compared to the prior study. There has been some improvement in aeration of the left mid lung, possibly due to clearing of pulmonary edema. There are persistent bilateral perihilar airspace opacities with prominence of the pulmonary vasculature consistent with pulmonary edema. Support and monitoring devices are unchanged in appearance compared to the prior study. No pneumothorax or pleural effusion seen. Calcified pleura at the left apex again noted.
<unk> year old man with ? pneumonia edema // ? pneumonia edema
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The endotracheal tube, central venous line and nasogastric tube have been removed. Mild cardiomegaly is stable. The mediastinal contours are normal. The lungs are clear without focal opacity, pleural effusion or pneumothorax.
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In comparison to the radiograph obtained <num> day prior, no significant changes are appreciated. A small amount of medial left lower lobe atelectasis is unchanged. Pleural effusions are small, if any. Lungs are otherwise fully expanded and clear. Heart size and cardiomediastinal silhouettes are unchanged. No pulmonary vascular congestion or pulmonary edema. A right-sided picc terminates the lower svc. A vp shunt descends and terminates in the right upper quadrant.
<unk> year old woman with acomm aneurysm s/p trach on vent support // interval change
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Pa and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. There is mild prominence of the central pulmonary hilar vasculature, which could indicate mild congestion. Cardiomediastinal silhouette is stable. Bony structures are intact.
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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. Elevation of the right hemidiaphragm persists.
<unk>-year-old male with cough, wheezing, and left-side rhonchi. assess 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.
history: <unk>m with cough // eval heart and lungs
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Low lung volumes are noted with secondary crowding of the bronchovascular markings. Superimposed mild pulmonary edema would be difficult to exclude. Cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk> year old man with fall // trauma
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The et tube is in standard position. An enteric tube is seen coursing towards the stomach with distal tip not visualized. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no focal opacity concerning for pneumonia, and bibasilar opacities are improved compared to <unk>. Pulmonary vasculature is within normal limits.
copd and exacerbation of respiratory failure. query pneumonia.
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Pa and lateral views of the chest were provided. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm. Clips are noted in the right upper quadrant.
<unk>-year-old female with visual changes and chest pain.
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Multiple bilateral ill-defined peripheral pulmonary opacities are increased in quantity and prominence from chest radiograph on <unk>. The heart is top-normal in size. There is no pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old woman with suspected toxic lung injury, rising wbc and fever // ?interval change
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There is minimal bilateral lower lung atelectasis as well as pulmonary vascular congestion. The lungs are otherwise clear. The heart is moderately enlarged. There are no definite pleural effusions. No pneumothorax is seen. There is a large hiatal hernia. There is no free air under the diaphragm.
hypoxia with known hiatal hernia. also with epigastric and left upper quadrant pain. history of an aortic aneurysm. evaluate for acute intrathoracic process or free air under the diaphragm.
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The heart size is top normal. Hilar and mediastinal contours are stable. No focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with dyspnea on exertion
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Interval extubation and removal of nasogastric tube. Stable cardiomediastinal widening, accompanied by mild pulmonary vascular congestion. Worsening opacity in left retrocardiac region is likely due to atelectasis and is accompanied by a small left pleural effusion.
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In comparison with the study of <unk>, there are continued bilateral pleural effusions with compressive atelectasis, enlargement of the cardiac silhouette, and pulmonary vascular congestion.
pleural effusion.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no acute osseous abnormality.
<unk> -year-old woman with productive cough.
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There has been interval improvement of the mild bilateral pulmonary edema, predominantly in the right upper and lower lobes, with a persistent opacity at the right lung base, consistent with pneumonia. The cardiomediastinal silhouette is normal. Mild emphysematous changes are persistent. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.
history of critical as, hypercarbic respiratory distress. evaluate for interval change.
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Mild cardiomegaly has been stable compared to exams dating back to at least <unk>. The patient is status post right middle lobe wedge resection with chain sutures and scarring seen along the right hilar region. No other nodules concerning for malignancy are identified; however, ct would be a more sensitive exam given the patient's history of malignancy. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of right middle lobe wedge resection. please evaluate for interval change.
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Frontal and lateral views of the chest were obtained. Since <unk>, pulmonary edema has resolved. The heart size has decreased and now is normal. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Mediastinal silhouette and hilar contours are normal. Bilateral nodules projecting over the lower lungs are nipple shadows and should not be mistaken for lung nodules.
cardiomyopathy and weakness.
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Heart size is moderately enlarged. Bilateral pulmonary vascular congestion is similar to <unk>, allowing for differences in lung volumes. No focal consolidation concerning for pneumonia is seen. No pleural effusions are appreciated. Hilar and mediastinal contour is normal.
increased jaundice and weakness. evaluate for pneumonia.
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Frontal and lateral views of the chest. The lungs are hyperinflated but clear focal consolidation. Mild biapical scarring is seen, similar to prior. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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As compared to the previous radiograph, the image now shows lower lung volumes and a general increase in density of interstitial structures. There is mild fluid marking of the minor fissure. In conjunction with mild cardiomegaly and mild peribronchial cuffing, the changes could reflect mild pulmonary interstitial edema. No focal lung parenchymal opacities suggesting pneumonia. No pleural effusions. No lung nodules or masses. The referring physician, <unk>. <unk>, was paged for notification at the time of dictation, <time> a.m., on <unk>.
stroke, likely acute process.
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Since the prior day, there is new moderate pulmonary edema evidenced by engorgement of the pulmonary vasculature and cephalization, with fluid tracking in the right minor fissure. Lung volumes are lower, and mild to moderate cardiomegaly is unchanged. No pneumothorax. No change in the left-sided pacemaker with leads projecting to the right atrium and right ventricle.
<unk> year old man with afib with rvr with acute hypoxia. evaluate for acute process.
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Patient is status post median sternotomy and cabg. A left-sided aicd/ pacemaker device is noted with leads in unchanged positions. Cardiac silhouette size is unchanged, appearing borderline enlarged. Mediastinal and hilar contours are stable. Pulmonary vasculature is not engorged. There is minimal atelectasis at the lung bases, but the lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Remote right-sided rib fractures are present. An electronic device also projects over the lower chest, just to the left of midline.
history: <unk>m with fall
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Lungs are clear. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable with top-normal heart size. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with presyncopal symptoms
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In comparison with study of <unk>, there are again low lung volumes. Monitoring and support devices remain in place. Bilateral pulmonary opacifications again are consistent with pulmonary edema. Right chest tube remains in place without evidence of pneumothorax. Multiple right rib fractures are again present. An area of increased opacification at the left base is consistent with atelectasis and effusion. Dense streak of atelectasis is seen at the right base.
multiple injuries, to assess for change.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. There is no evidence of complications, notably no pneumothorax. Otherwise, the radiograph looks unchanged, the nasogastric tube and the right picc line are in constant position. Constant bullous lesion at the right lateral lung base, accompanied by an area of parenchymal opacity. Signs indicative of pulmonary hypertension persist.
respiratory failure, intubation, evaluation.
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Frontal and lateral views of the chest. Diffuse bilateral calcified pleural plaques are seen. The lungs appear grossly clear noting that calcified pleural plaques could obscure subtle region of consolidation. There is no effusion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with asbestosis and copd. question pneumonia or effusion. shortness of breath.
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Ap and lateral upright radiographs through the chest demonstrate no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality.
<unk>-year-old female status post fall.
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Multiple surgical clips are again noted at the ge junction. Opacity projecting over the right mid hemi thorax and extending along the abdomen is most consistent with a skin fold and only seen on frontal projection. The lungs are otherwise clear. Stable mild cardiomegaly. The right main pulmonary artery is again noted to be prominent, unchanged from <unk>. Mediastinal contour is within normal limits. A tortuous aorta is present. . Extensive degenerative disease of bilateral glenohumeral joints are again noted. No displaced rib fracture identified. Multiple wedge-shaped anterior compression fractures are stable from <unk>.
<unk>f s/p fall, weakness. assess for pneumonia, fracture or bleed
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Right chest tube is unchanged. Tiny right apical pneumothorax. Right pleural effusion is unchanged. Cardiomediastinal silhouette is unchanged. Left lung is clear. Known fractured clavicle noted.
<unk>-year-old woman with chest tube on the right, reevaluate for pneumothorax.
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Portable frontal chest radiograph demonstrates persistent right moderate pleural effusion as well as minimal, if any, left pleural effusion. No pneumothorax. The left lung is clear. There is abnormal contour of the right apical pleura which is in the continuum with the mediastinum. Component of prior atelectatic right upper lobe is improved. Cardiomediastinal and hilar contour or is unchanged. Patient is status post endovascular repair of the descending aorta with heavily calcified aorta. Enlarged heart without pulmonary edema.
<unk>-year-old female with pleural effusion post thoracentesis. rule out pneumothorax.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Normal appearance of the lung parenchyma. Minimal atelectasis at the right lung base. No evidence of pneumothorax, but extensive air collections in the soft tissue and lucencies of linear shaped in the cervical area could be indicative of normal mediastinum. Close radiographic followup is recommended.
sepsis, endotracheal tube placement.
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There is evidence of slight right sided volume loss with mild rightward shift of the mediastinal structures. Opacification of the right lung base with loculated pleural effusion and associated consolidation as seen on the preceding ct of <unk>. Increased interstitial lung markings in the right lung likely reflect asymmetric edema and/ or subsegmental atelectasis. The left lung is clear. The cardiomediastinal contour is incompletely evaluated due to silhouetting of the right heart border. No acute osseous abnormality is detected.
history: <unk>m with cough/sputum production // pneumonia
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An upright portable radiograph of the chest was obtained. The base of the right hemithorax is obscured by an overlying pacemaker. The dual leads extend to the expected positions of the right atrium and ventricle. The patient is status post bilateral shoulder arthroplasties. A left base/retrocardiac opacity may represent consolidation. There may also be a small left pleural effusion. Additionally, there is a superimposed central pulmonary vascular engorgement. The cardiomediastinal contour is enlarged, as on prior exam. There is no pneumothorax.
chest pain, evaluate for pneumonia.
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The cardiac, mediastinal, and hilar contours appear unchanged, within the limitations of technique. There is again mild-to-moderate relative elevation of the right hemidiaphragm compared to the left. A right mid lung opacity has resolved since the prior study. There are, however, new streaky opacities in the right lower lobe with otherwise clear lungs. There is no pleural effusion or pneumothorax.
hypoxia and fever.
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Frontal and lateral views of the chest were obtained. The cardiac and mediastinal silhouettes are stable. Minor basilar atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. Minimal biapical pleural thickening is again seen.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
<unk> year old man with new onset wheezes on physical exam. is on amlodopine. any acute changes in chest x ray // <unk> year old man with new onset wheezes on physical exam. is on amlodopine. any acute changes in chest x ray
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. No displaced fracture is identified.
chest pain x.
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The right internal jugular central venous catheter has been removed. Mild to moderate enlargement of the cardiac silhouette is unchanged. The mediastinal contour is similar. No pulmonary edema is present, and the hilar contours are unchanged. There is minimal retrocardiac patchy opacity, likely atelectasis. No large pleural effusion or pneumothorax is detected, however, the left costophrenic angle is not completely included in the field of view.
history: <unk>f with atrial fibrillation, rapid ventricular rate, now normal sinus rhythm with oxygen requirement status post hemodialysis today.
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Lung volumes are normal. There is no focal consolidation, effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal.
history: <unk>f with ams // ?cpd
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Pa and lateral views of the chest were provided. The lungs are clear without consolidation, effusion or pneumothorax. No overt signs of edema. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old man with prior interstitial edema on chest x-ray, now status post fluid resuscitation, question worsening of pulmonary edema.
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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette appears unchanged.
history: <unk>f with hemoptysis // pna?
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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. Mediastinal clips and median sternotomy wires are in expected positions.
chest pain.
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Low lung volumes. There is mild enlargement of the cardiac silhouette, which appears unchanged. The patient is status post cabg with midline sternotomy wires. The mediastinal and hilar contours are unchanged. No definite pulmonary edema. There is bibasilar atelectasis. No large pleural effusion. No pneumothorax. There are no acute osseous abnormalities.
<unk>-year-old man with cabg <num> weeks ago. now with chest pain, hypotension. evaluate for cardiomegaly, edema.
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Pa and lateral views of the chest were obtained. Heart is normal size and cardiomediastinal silhouette is stable. Lungs are well expanded and clear. Pulmonary vasculature is normal. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain, dyspnea, evaluate for pneumonia.
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The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with intermittent chest pain // eval for chf/pneumonia
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
the patient with cough, wheezing and hemoptysis, rule out pneumonia.
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Lung are volumes are low. The cardiac, mediastinal and hilar contours appear probably unchanged although cardiac borders are obscured by recurrent nearly confluent opacity involving the mid to left lower lung. A new opacity in the right upper lobe suggests pneumonia. Volume loss has actually improved somewhat in the right lower lung, probably encroaching on the right middle lobe. Small subpulmonic effusions are not excluded.
shortness of breath. question 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 weakness // acute process
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Heart size is normal. The aorta remains mildly tortuous. Prominence of the main pulmonary artery suggests underlying pulmonary arterial hypertension. Coarse interstitial opacities with bronchial wall thickening and diffuse bronchiectasis is re- demonstrated, with patchy bibasilar airspace opacities appearing more pronounced in the lung bases compared to the previous study. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are present with chronic bilateral rib deformities again noted. Compression deformities of <unk> mid thoracic vertebral bodies appears slightly progressed compared to the previous ct.
history: <unk>f with pleuritic chest pain with history of copd // possible pneumonia vs. copd exacberation
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Lung volumes are low. Heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities are detected.
fever and liver failure.
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As compared to the previous radiograph, there is no relevant change. On the current image, there is no evidence of pneumothorax. Relatively extensive left retrocardiac atelectasis and mild cardiomegaly. There is blunting of the left costophrenic sinus, so that the presence of a small left pleural effusion cannot be excluded. Otherwise there is no parenchymal abnormality. Normal appearance of the mediastinum.
pneumothorax and chest tube, evaluation.
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There is right middle lobe opacity. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with fever/chills and cough // any pneumonia
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With the exception of improved aeration at the lung bases, there is overall no substantial change in the appearance of the chest since the recent study.
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A pigtail pleural catheter has been placed at the base of the left chest with marked reduction in a large left-sided pleural effusion. A small left apical pneumothorax is present; the pleural edge is located <num> mm from the chest wall. The heart is markedly enlarged with streaky residual left basilar opacification, although probably explained by atelectasis. The right lung remains clear aside from mild interstitial prominence in the lower lung most suggestive of mild vascular congestion, similar to the earlier exam.
chest tube placement. question pneumothorax.
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Moderate hyperexpansion is similar to the prior study there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable.
<unk>m with dyspnea, evaluate for pneumonia.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There are low lung volumes with bibasilar atelectasis. Infection cannot be excluded. Pulmonary vasculature is within normal limits.
<unk>-year-old with fever and chills body aches.
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At the time of dictation, there is no radiographic comparison. Free subdiaphragmatic air on the right, explained by the history of recent laparoscopic intervention. Bilateral areas of atelectasis at the lung bases, at overall low lung volumes. No additional parenchymal opacities that would raise the suspicion of pneumonia. However, given the lack of comparison, a short-term comparison should be obtained to reliably rule out infectious changes. Normal size of the cardiac silhouette. No pulmonary edema. No larger pleural effusions.
pneumonia, questionable opacities.
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In comparison to chest radiograph from earlier the same day, the right apical pneumothorax is no longer seen. The cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
a <unk>-year-old male with chest pain and right apical pneumothorax, evaluate for change in pneumothorax.
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Stable severe consolidation left lower lobe could be collapse or pneumonia. Right lower lobe atelectasis is unchanged. Upper lungs clear. Improve moderate cardiac enlargement. No pulmonary edema. Pleural effusions are small if any. Right jugular sheath is sharply folded in the neck and could be occluded. Bilateral pneumothoraces are stable in appearance.
<unk> year old man with s/p cabg // eval for ptx on nimv
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When compared to prior, lower lung volumes are seen with secondary crowding of the bronchovascular markings. The lungs remain clear without consolidation, effusion, or overt pulmonary edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cp // eval for infection pna
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The patient is status post coronary artery bypass graft surgery. The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is an unchanged pleural effusion on the right. Bilateral nipple shadows are visualized. Otherwise, the lung fields appear clear. There is no pneumothorax. Mild degenerative changes are similar along the thoracic spine.
weakness and fatigue.
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A bedside ap radiograph of the chest demonstrates a right chest tube in place, which is folded over on itself. There is no pneumothorax or pleural effusion. A subset of the known pulmonary nodules can be seen in the left upper lobe and superior to the right hilum, where chain sutures are visible after biopsy. Aside from these nodules, and linear atelectasis in the right lower lobe, the lungs are clear. The cardiomediastinal contours are normal. Pulmonary vascularity is normal and there is no edema.
evaluate for pneumothorax after right vats biopsy of a pulmonary nodule.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
atrial fibrillation and chest pain.
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly without overt pulmonary edema, borderline diameter of the vascular hilar structures. No evidence of pneumonia, but atelectasis are seen in the retrocardiac lung areas. The tip of the endotracheal tube still projects about <num> cm above the carina, the tube could be slightly pulled back. No new parenchymal opacities. No pleural effusions.
seizures, intubation, evaluation for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are intact.
<num>-day fever, cough, question evidence of pneumonia.
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As compared to the previous radiograph, all monitoring and support devices have been removed. The swan-ganz catheter has been replaced by a conventional right internal jugular vein catheter. As compared to the previous radiograph, there is unchanged moderate cardiomegaly. Small remnant post-surgical pneumopericardium. Minimal left pleural effusion but no evidence of larger pleural effusions or pneumothorax. No pulmonary edema. No pneumonia. Moderate retrocardiac atelectasis.
status post aortic valve repair.
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In comparison with the study of <unk>, there are slightly lower lung volumes. Dual-channel pacemaker device remains in place in a patient with intact mediastinal wires from previous cabg procedure. There is some indistinctness of pulmonary vessels, consistent with elevated pulmonary venous pressure. Mild atelectatic changes at the bases without evidence of discrete pneumonia or pleural effusion.
chf and chest pain.
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Lung volumes are slightly low. The cardiac silhouette and pulmonary vasculature are unremarkable. The central pulmonary vasculature is somewhat prominent, without overt edema. There is no pleural effusion or pneumothorax. Small bochdalek's hernia is projecting posteriorly, containing upper pole of the right kidney and fat as demonstrated on ct abdomen from <unk>.
history: <unk>f with possible cva // ?pna
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with fatigue and increased seizures. evaluate for pneumonia.
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Compared to the prior study there is no significant interval change. There continue to be moderate bilateral pleural effusions best seen on the lateral film. Lung volumes are low with compressive changes at the bases
<unk> year old man with s/p type a dissection repair // f/u pneumomediastinum, effusions
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There is linear scarring at the left lung base and at the lung apices. On the lateral view there is focal opacity projecting over the region of the undersurface of the aortic arch not clearly present on prior. The lungs are otherwise clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. There is no visualized displaced fracture.
<unk>m with s/p fall // eval for traumatic process
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Ap portable upright view of the chest. Overlying ekg leads are present. Tiny clips in the right axilla noted. A vascular stent in the left upper arm noted. The calcified vascular stent in the right upper arm noted. A dialysis catheter extends superiorly from the ivc with its tip at the level of the svc/ cavoatrial junction. Cardiomediastinal contour is unchanged. No focal consolidation, large effusion or pneumothorax. There may be mild central venous congestion. No overt edema. Bony structures appear intact.
<unk>f with dyspnea, hypotension
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The et tube now terminates approximately <num> cm above the carina. The right picc line terminates in the low svc. The two right-sided chest tubes are stable in place. Bilateral parenchymal opacities and cardiomegaly are unchanged.
right middle and lower lobe lobectomy with bronchopulmonary fistula. right picc withdrawn and et tube advanced.
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The nasogastric tube tip is not included in the examination, however the visualized tube is within the body of the stomach. The remaining support device are in good position and unchanged. Worsening mild interstitial edema. The left basal opacity and right lower lobe opacities are slightly worse, this can be worsening atelectasis or consolidation.
<unk> year old woman with ett and vascular disease // evaluate for ng placement
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When compared to prior there has been no significant interval change. There is probable small residual right-sided pleural effusion. On the lateral view there is persistent opacity posteriorly, also unchanged. Superiorly the lungs are clear without consolidation or evidence of pulmonary edema. The cardiac silhouette is enlarged, stable in configuration. Aortic valve replacement and median sternotomy wires are noted. No acute osseous abnormalities
<unk>m with shortness of breath and weight gain // r/o chf, pneumonia
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There is upper zone redistribution, without overt chf. No focal infiltrate, effusion, or pneumothorax detected. Cervical fixation hardware is partially imaged.
hypertension. evaluate for pneumonia.
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Since the prior exam performed approximately <num> hours earlier, there has been <unk>decrease in the pulmonary edema. Mild pulmonary edema persists. <unk>small left pleural effusion has slightly decreased in size. Bilateral basilar atelectasis is stable. The thoracic aorta is and tortuous and heavily calcified, unchanged from the prior exam. The cardiac silhouette is normal. The left picc terminates in the right atirum, which appears slightly lower in positioning than in the prior exam. <unk>right internal jugular hemodialysis catheter also terminates in the right atrium.
recent respiratory distress. evaluate for interval change.
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The lungs are clear. Heart size and mediastinal contours are normal. Coronary artery stents are identified. There is no pleural effusion or pneumothorax. Osseous structures are intact. No subdiaphragmatic free air.
<unk>m w/chest pain.
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As compared to the previous radiograph, there is minimal improvement of pulmonary ventilation, as reflected by slightly larger lung volumes and increased radiolucency at the lung bases. The monitoring and support devices are unchanged. No new parenchymal opacities. Known moderate cardiomegaly and bilateral areas of atelectasis. Known extensive abdominal free air.
respiratory failure, evaluation.
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Dobbhoff tube has been advanced into the proximal stomach, but portion of the radiodense tip is still likely at or above the ge junction level. Cardiomediastinal contours are stable in appearance. Interval improvement in bibasilar atelectasis and apparent slight decrease in size of a small left pleural effusion.
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The film was quite rotated, due to patient's non-cooperation. A dobbhoff tube has been placed in the interim, the weighted tip appears to pass below the level of the diaphragm, into the proximal stomach. Advancement is recommended for more secure seating. Grossly, there is no change in low lung volumes and cardiomegaly, though evaluation is limited by patient's positioning.
<unk>-year-old female with dementia and ng tube placement.
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An endotracheal tube terminates <num> cm above the carina and an orogastric tube courses below the diaphragm, with tip terminating within the gastric fundus. Low lung volumes and patient's rotated position accentuates the cardiac silhouette and mediastinal contours. An area of patchy opacity is seen in the left lung base and likely represents atelectasis. There is no pneumothorax or pleural effusion.
status post endotracheal tube placement.
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In comparison with the study of <unk>, there is little overall change. No evidence of skeletal or parenchymal metastases. Again there is evidence of prior cabg procedure and minimal streaks of atelectasis or fibrosis at the left base.
melanoma, to assess for disease status.
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The right pleural effusion may appear slightly worse with improvement of the left pleural effusion. Retrocardiac opacity and right pleural thickening reflects metastatic disease as noted on the recent ct. The patient is status post gastric pull-through and esophageal stenting. A right port-a-cath is in stable position.
<unk> year old man with pleural effusion.
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The cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are within normal limits. Lungs are hyperinflated but clear without focal consolidation. Minimal scarring is noted at the lung apices. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. There are minimal degenerative changes in the lower thoracic spine.
history: <unk>m with chest pain
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Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
history: <unk>m with tachycardia, fever
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Rotated positioning. Again seen are sternotomy wires. The cardiomediastinal silhouette appears grossly unchanged. The aorta is calcified and the aortic arch is slightly dilated measuring approximately <num> cm. The rounded contour overlying the right heart border, with thin curvilinear calcifications apparently represents the known dilated lower thoracic aorta. Calcification and suspected dilatation of the abdominal aorta is also noted. There is hazy density overlying the lower left chest. Though much of this may relate to the overlying breast implants, the possibility of retrocardiac density with underlying collapse and/or consolidation and a small left effusion is suspected. There is upper zone redistribution, without overt chf. The right lung is grossly clear, without focal infiltrate or gross effusion. No pneumothorax detected. An ng type tube is present, tip extending beneath diaphragm, off film. A single surgical clip is seen at the right upper lung laterally. Note is made of fusion hardware in the lumbar spine.
<unk> year old woman with <unk>f s/p bentall for type a aortic dissection, on coumadinwho present as a transfer after sustaining unwitnessed fall atrehab with subdural hematoma and midline shift. // prior to am rounds- interval change
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next previous available transferred chest examination dated <unk>. The time interval is about five hours. Previous examination is indicated as supine position and the tip of the ett is rather low terminating close to the level of the carina by less than <num>-cm distance. The present examination, which is obtained in semi-upright position confirms again the low position of the ett barely <num> cm above the carina. Adjustment is recommended and place it about <num>-<num> cm higher up. On the present chest examination, there is no evidence of pneumothorax in the apical area. High positioned diaphragms are observed and probably related to an abdominal condition with markedly gas distended large bowel and stomach. There is no evidence of significant pleural effusion on this single view and no acute new infiltrates can be identified.
<unk>-year-old male patient with ett, status post transfer, confirm proper placement.
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Single ap portable view of the chest was obtained. There has been interval resolution of previously seen pleural effusions, given that a lateral view was not obtained. Subtle patchy left base opacity most likely relates to atelectasis or vascular structures, although an early/mild consolidation in the appropriate clinical setting is difficult to exclude. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The aorta is calcified and tortuous.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Scarring within the lung apices appear similar. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with cough and body aches, please evaluate for pneumonia
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New bilateral lower lobe opacities suggest atelectasis vs. Pneumonia in the appropriate clinical setting. Otherwise, no significant interval change. Stable top-normal heart size. Stable mediastinal and hila appearance. Unchanged position of the dual lead pacemaker device. No pneumothorax, pleural effusion, or pulmonary edema.
<unk>-year-old man with syncope and cough; evaluate for pneumonia.
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Left chest wall dual lead pacing device is again noted. Streaky left basilar opacity is likely due to atelectasis versus scarring. The lungs are otherwise clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Surgical clips noted in the lower neck and right upper quadrant. No acute osseous abnormalities.
<unk>f with sob and fever // eval pneumonia
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Supportive a monitoring equipment is unchanged in appearance compared to the prior study. There is persistent pulmonary edema with a large right-sided pleural effusion. Lung volumes are unchanged compared to the prior study. No pneumothorax seen.
<unk> year old woman with recently diagnosed metastatic ovarian cancer s/p <num> cycle of carboplatin/paclitaxel <unk>, whose disease is complicated by ascites, sbo and terminal ileum perforation, and intraabdominal collections now being transferred to the icu for acute onset hypoxemic respiratory failure, now s/p prolong intubation // eval for interval changes
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Lung volumes are low and the lungs are clear. Mediastinal contour, hila, and cardiac silhouette are normal. There is no pneumothorax or pleural effusion. No osseous abnormality identified.
<unk>m with chest pain // eval for pna
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Cardiac silhouette is enlarged with increased bibasilar airspace opacities. There is no large pleural effusion. There is no pneumothorax. Partially imaged dobbhoff tube is seen in the stomach with the tip not visualized.
<unk> year old man with ams i am going to evaluate for pulmonary edema/and fusion.