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MIMIC-CXR-JPG/2.0.0/files/p13975693/s51516864/55b2beeb-94a6bdb9-b94b2941-bbca5bec-a0159732.jpg
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there is persistent left lower lobe and retrocardiac opacity similar to the outside radiograph of <unk> but worse since <unk> likely reflecting combination of consolidation and small effusion. the right lung appears clear. there is no pulmonary edema. heart size is normal. the mediastinal and hilar contours are normal. there is no pneumothorax.
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<unk> year old woman with severe asthma p/w chest pain and e/o pna on initial cxr. // please eval for e/o pneumonia vs atelectasis.
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heart size is mildly enlarged with evidence of prior mitral valve replacement. clips are seen projecting over the right hilum. mediastinal and hilar contours are unchanged with mild atherosclerotic calcifications noted diffusely. lungs are hyperinflated but grossly clear without focal consolidation, pleural effusion or pneumothorax. the osseous structures are diffusely demineralized. bilateral shoulder prostheses are partially imaged.
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history: <unk>f with epigastric pain, vomiting
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the dobhoff tube now curves in at least the mid stomach. right greater than left parenchymal opacities are clearing in the right lung. cardiomediastinal silhouette is unchanged. re demonstration of the known right clavicular fracture.
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<unk> year old woman with dobhoff placement. evaluate placement.
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single portable chest radiograph is provided. the patient is status post esophageal pull-through procedure, which results in the opacity adjacent to the right mediastinal border. no evidence of pneumomediastinum. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the heart size is normal.
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status post esophageal conduit dilation for anastomotic stricture, rule out mediastinal air.
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the lungs are well expanded and clear. hila and cardiomediastinal contours are normal. no pulmonary edema, pleural effusion, or pneumothorax.
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<unk>-year-old man with chronic doe // assess for cardiopulmonary disease
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bilateral lung volume is low. in comparison to <unk> chest radiograph, the suspected right apical lung opacity is not visualized in this study. there is no consolidation, pneumothorax, or pleural effusion appreciated. the cardiomediastinal silhouette and hilar silhouettes are normal size. no acute bony abnormalities nor evidence of acute fracture. .
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<unk> year old woman with cerebral palsy chronic cough and history of treated tb per notes presenting with cough for <num> week // rule out pna, prior films recommend lordotic view
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities are seen. pectus excavatum deformity is noted.
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history: <unk>m with chest pain
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heart size and pulmonary vascularity are normal. lung volumes are low, but lungs are clear. right hemidiaphragm is mildly elevated.
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<unk> year old woman with new hepatitis and imaging suggestive of possible right heart failure // baseline cxr ? pulm edema
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portable semi-upright radiograph of the chest demonstrates well expanded lungs. there is bibasilar atelectasis without definite consolidation. minimal left pleural effusion. mediastinal and hilar contours are unremarkable. there is no pneumothorax.
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<unk>-year-old female with cryptococcal meningitis and variable mental status. evaluate for infiltrate.
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there are bilateral regions of consolidation involving the right upper lobe and the left midlung, likely the lower lobe. less conspicuous opacity projects over the right lung apex as well overlying the first rib interspace. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. descending thoracic aorta is tortuous. loss of the intervertebral disc space in the mid to lower thoracic level is unchanged. no acute osseous abnormalities identified. there is no free intraperitoneal air.
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<unk>f with cough, subj fever, dec appetitis and abd pain, pls eval cxr for pna and abd for obstruc, has ileostomy
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the inspiratory lung volumes are decreased from the most recent prior study, resulting in mild bibasilar bronchovascular crowding. increased opacity in the right anterior upper lobe may represent developing pneumonia. no significant pleural effusion or pneumothorax is detected. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
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shortness of breath, productive cough and fever, here to evaluate for pneumonia.
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a small left pleural effusion and fluid in the major fissure is seen. the cardiomediastinal silhouette and hila are normal. there is no pneumothorax. no pneumonia.
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<unk>-year-old with question pneumonia.
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the lungs are clear without focal consolidation, effusion, or edema. incidentally noted is an azygos fissure. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no acute cardiopulmonary process.
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<unk>f with cough and chest pain // evaluate for pneumonia
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in the interval since the prior study, a swan-ganz catheter and <num> chest tubes have been removed. lung volumes are low however no pneumothorax is seen. small residual pneumomediastinum. there is minimal atelectasis at the left lung base. no pleural effusion seen. median sternotomy sutures are unchanged in appearance. moderate cardiomegaly is similar in appearance compared to the prior study.
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<unk> year old man s/p tiss avr and asc aortic replacement // eval for ptx s/p ct removal
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again noted is a left-sided chest to with re-expansion of the left lung. there may be a small, residual pneumothorax. again seen is extensive subcutaneous emphysema, raising the possibility for bronchial injury. no significant changes noted since most recent comparison.
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<unk> year old man <unk> s/p chest tube placement on left // eval interval change
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pa and lateral views of the chest provided. midline sternotomy wires noted. the lungs are clear though volumes are low. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. aortic calcifications again noted. imaged osseous structures are intact. bilateral shoulder arthroplasty is noted. no free air below the right hemidiaphragm is seen.
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<unk>f with hallucinations // eval for pna
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lung volumes are unchanged compared to the prior study. the cardiomediastinal contour is within normal limits. visualization of the lung bases is suboptimal due to overlapping soft tissue structures, however there appears to be increased opacity with partial silhouetting of the left heart border suspicious for lingular consolidation. a right-sided picc terminates in the mid svc.
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<unk> year old man with plasma cell leukemia // interval change
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single portable upright frontal image of the chest. lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history of copd, autoimmune hepatitis, and pneumoperitoneum after screening colonoscopy, now with shortness of breath.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.
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midsternal pain and discomfort in an ex-smoker.
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a right-sided picc tip terminates at the lower svc. a tubular structure projecting over the left hemithorax across the midline into the right hemi-abdomen most compatible with vp shunt. an endogastric tube courses inferiorly with its sideport projecting over the gastric bubble. the heart size is large, possibly exaggerated by ap technique. the mediastinal contours are within normal limits. the lungs are clear. there is no pleural effusion or pneumothorax.
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a <unk>-year-old male with craniectomy on <unk>, now with elevated white count.
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distal aspect of the right sided picc is difficult to see but likely terminates in the low svc/ cavoatrial junction. patient is status post median sternotomy and cabg.there are small to moderate bilateral pleural effusions with overlying atelectasis. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with ftt // eval for acute process
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the lungs are clear without focal consolidation, effusion or pneumothorax. increased peribronchial markings are seen in the perihilar distribution. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with hypoxia, cough, hemoptysis // ? ptx, pna
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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 chest examination of <unk>. the heart size is within normal limits. no typical configurational abnormalities identified. thoracic aorta of ordinary dimension but some calcium deposits are now present in the aortic wall at the level of the arch. 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 evidence of pneumothorax in apical area. skeletal structures of the thorax are grossly within normal limits.
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<unk>-year-old male patient, former smoker, now with cough for last six months, evaluate for abnormality.
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the heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities are present.
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right-sided pleuritic chest pain.
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frontal and lateral views of the chest were performed. the diaphragms are flat consistent with hyperinflation. the cardiomediastinal, pleural, and pulmonary structures are unremarkable. there is some linear atelectasis versus scarring at the left lung base. there are no consolidations to suggest pneumonia. there is no pneumothorax or pleural effusion. degenerative changes of the thoracic spine and median sternotomy wires are again noted.
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chest pain, rule out pneumothorax or pneumonia.
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mediastinal widening in the right paratracheal and aorticopulmonary window is accompanied by bilateral hilar enlargement with lobulated contours. there is no pleural effusion, pulmonary edema, or pneumothorax. the heart is not enlarged.
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<unk>m with fever, cough, evaluate for acute process.
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable.
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<unk>-year-old male with copd, dyspnea and leukocytosis; 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 stable.
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history: <unk>f with cough // pna?
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the heart continues to be enlarged with enlarged pulmonary arteries. there is atelectasis at the lung base, and there are no focal consolidations, pleural effusions or pneumothoraces. a left aicd is in appropriate position.
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history: <unk>m with weight gain, chf, ams // acute <unk> pulm pathology
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no consolidation. the hila and pulmonary vasculature are normal. no pleural effusions or pneumothorax. the heart size is normal. air is seen in the esophagus. the hiatal hernia is small.
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<unk> year old man with truncal hyperesthesias // eval pulmonary process
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the appearance of the left retrocardiac opacity has significantly improved, likely due to improved aeration on the current exam. right lung is clear. no pleural effusion or pneumothorax. hilar structures and cardiomediastinal silhouette is normal. there are chronic resorptive changes in the distal right clavicle.
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<unk>m with retrocardiac opacity, persistently tachycardic now s/p <num>l. // worsened 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. there are no acute osseous abnormalities.
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history: <unk>f with shortness of breath and chest pain
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the lungs are normally expanded and clear without focal airspace opacity to suggest pneumonia. the aorta is again tortuous and unfolded. the heart is top normal in size. the hilar and mediastinal contours are stable. there is no pleural effusion or pneumothorax. surgical clips project over the upper abdomen. there are mild-to-moderate degenerative changes in the thoracic spine.
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chest pain. evaluate for pneumonia, effusion.
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right-sided picc line has been removed. feeding tube has been advanced with the tip just past the gastroesophageal junction. no pneumothorax. bilateral lower lobe nodular opacities are again demonstrated representing enlarged peripheral pulmonary arteries.
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<unk> year old man with crani for meningioma, nstemi, with sob // evaluate for pna, pulm edema
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pa and lateral radiographs of the chest demonstrate hyperexpanded lungs with some cephalization of pulmonary vasculature and haziness about the hilum, consistent with mild pulmonary vascular engorgement. there is mild cardiomegaly. there are small bilateral pleural effusions. the aorta is somewhat tortuous. there is no focal consolidation or pneumothorax.
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end-stage renal disease with graft failure. evaluate for pulmonary edema.
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pa and lateral radiographs of the chest demonstrate that the right pleural effusion, which had been drained on the <unk> radiograph, has returned to the size it was on <unk>. in addition, there is right middle and lower lobe collapse. there is no shift of mediastinal structures. the visible lung fields are clear. there is no pneumothorax or left-sided effusion. moderate cardiomegaly is unchanged. pulmonary vascularity is normal. there is a right-sided chest wall port with the catheter terminating in the low svc.
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evaluate right pleural effusion.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. the visualized osseous structures are unremarkable.
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history of chest pain and left arm paresthesias. please evaluate for pneumonia.
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moderate to severe cardiomegaly is a stable. pacer lead tip is in standard position in the right ventricle. there is mild vascular congestion. bibasilar atelectasis. . there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
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<unk> year old woman with new single chamber icd // assess lead position
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ap and lateral views of the chest. tracheostomy tube is identified in place, tip approximately <num> cm from the carina. relatively low lung volumes are seen. left basilar streaky opacity is seen. this could potentially be due to atelectasis although infection or aspiration is also possible. elsewhere the lungs are clear of consolidation. there is no effusion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormality detected.
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<unk>-year-old male with tracheostomy and mucous plugging and cough. question pneumonia.
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frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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patient with epigastric pain for three days.
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the patient is status post median sternotomy and cabg. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. lung volumes are relatively low lung there bibasilar opacities. left base opacity with obscuration of the left hemidiaphragm may be due to atelectasis however, underlying consolidation and/or small effusion is not excluded. there may also be a small right pleural effusion. right paratracheal opacity without definite indentation on the adjacent trachea may be due to prominent vasculature or enlarged right lobe of the thyroid. subtle retrocardiac lucency seen most likely relates to a hiatal hernia. partially imaged high-riding left humeral head may be due to rotator cuff disease.
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weakness.
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the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. calcified right hilar lymph node and right lower lobe calcified nodule are compatible with prior granulomatous disease, better seen on the preceding ct. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. there are mild degenerative changes noted within the lower thoracic spine.
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chest pain.
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the lungs are low in volume but appear clear aside from some retrocardiac atelectasis. the heart is normal in size. normal cardiomediastinal silhouette. no pleural effusion or pneumothorax is seen. no definite rib fractures are identified.
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<unk>-year-old female with hypotension and trauma, assess for fracture or pneumonia.
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the cardiomediastinal and hilar contours are stable and within normal limits. the heart is normal in size. the lungs are hyper expanded consistent with emphysema, similar to the prior exam. calcifications project over the right upper lobe as before. again seen is asymmetric right apical pleural thickening, with crowding of vessels in scarring in the right upper zone retraction of the right hilum. clips are seen over the right axilla, unchanged in appearance from the prior study. bilateral perihilar and bibasilar opacities raise the question of mild chf, minimally increased from the prior examination. no focal consolidation is identified. no pneumothorax is seen. there is mild blunting of the posterior costophrenic angles bilaterally.
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history: <unk>f with sudden onset dyspnea // evaluate for acute process
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no definite clavicular or rib fracture is identified, though this examination is not tailored for evaluation osseous injuries. if there is significant concern for fracture, dedicated views of the ribs and clavicles can be obtained.
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history: <unk>f with pain from l clavicle to waist after injury // ? fracture
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as compared to the prior examination dated <unk>, there has been interval worsening of bibasilar atelectasis with associated bilateral pleural effusions, as well as coarsening of the the bilateral pulmonary interstitial edema. redemonstrated is a right ij catheter and a ng tube, unchanged and in standard positions. there is no evidence of associated pneumothorax. mild to moderate cardiomegaly is noted. mediastinal and hilar contours are stable.
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chf and pulmonary edema, now on diuresis. evaluate for improvement in pulmonary edema.
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portable semi-upright radiograph of the chest demonstrates low lung volumes of resulting bronchovascular crowding. there is no pleural effusion, pneumothorax, or consolidation. the heart is top normal in size. there is no widening of the mediastinum. the anterior <unk> and <num>th ribs on the right have a peculiar appearance. no displaced rib fracture is identified.
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altered mental status. evaluate for pneumonia.
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moderate to severe cardiomegaly is unchanged. widening of the superior mediastinal contour is stable. there is no pulmonary vascular engorgement. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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dyspnea on exertion.
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compared to the prior study there is no slight improvement in the alveolar edema and slight decrease in bilateral pleural effusions. however there continues to be pulmonary vascular redistribution and small bilateral effusions.
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<unk> year old man with roc s/p vf, pulm edema // pulm edeama
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman presenting with severe cough.
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a portable frontal chest radiograph demonstrates low lung volumes, with resulting prominence of the cardiac silhouette and bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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cough and fever. evaluate for pneumonia.
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lungs are well expanded bilaterally with no pleural effusion seen. there is mild left pleural scarring and left lower lobe linear opacity, most likely representing suture line. previously seen atelectasis has completely resolved. there are no areas of focal consolidation concerning for pneumonia. there is no pneumothorax. the cardiomediastinal silhouette is stable within normal limits. previously documented interstitial abnormalities are essentially unchanged at the bases.
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<unk>-year-old male status post vats, left upper and lower lobectomy.
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lung volumes are low. heart size is moderately enlarged. the left costophrenic angle is not seen due to overlying density; pleural effusion cannot be excluded. there is mild interstitial edema. the right atrial pacer lead is positioned deep, probably at the level of the tricuspid valve or right ventricle; the right ventricular lead appears appropriately positioned on this single view, but is not completely evaluated.
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<unk>-year-old male with chest pain.
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pa and lateral views of the chest. compared to most recent study, the previously seen pulmonary edema has decreased. the bilateral pleural effusions, left greater than right, are unchanged. there is no consolidation or pneumothorax. the mediastinal and hilar contours are stable. sternotomy wires are in appropriate position and surgical clips in the mediastinum are seen. aortic valve replacement is in appropriate position.
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post cabg and avr, evaluate effusions.
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the heart appears to be mildly enlarged. there is prominence of the left atrium as previously seen on ct scan. the cardiomediastinal contours remain unremarkable, otherwise. both costophrenic angles are blunted secondary to a combination of consolidation and small bibasilar pleural effusions. no pneumothorax.
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<unk>-year-old lady with left mca stroke, ? pneumonia.
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areas of linear bibasilar atelectasis/ scarring are seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. right upper lobe calcified granuloma is re- demonstrated.. pulmonary nodules <num> mm and smaller seen on prior chest ct from <unk> or better appreciated on ct.
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history: <unk>m with cholangiocarcinoma, new fever, ruq pain, perc chole drains in place // any pna, cholangitis, other signs of infection
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lungs are clear without consolidation, effusion, or pneumothorax. mediastinum, hila and pleural surfaces are unremarkable. heart size is normal.
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<unk> year old woman with osa/obesity/tobacco use, with uri characterized by cough/wheezing // please assess cardiopulmonary architecture
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of chest pain. please evaluate for pneumonia.
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no focal opacity to suggest pneumonia is seen. an opacity in the right infrahilar region has been present on prior examinations and likely represents a prominent vessel. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart size is normal.
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fever, tachycardia and cough since visit to <unk>.
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in comparison to chest radiographs obtained <unk> year prior, there are new deposits of extrapleural fat in the upper chest, right greater than left, which should not be mistaken for new pleural nodules or masses. lungs are fully expanded and clear. heart size is normal. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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<unk> year old woman with asthma, now c/o sob // ?cause
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heart size is normal. the mediastinal and hilar contours are remarkable for a tortuous thoracic aorta and moderate sized hiatal hernia. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. scoliosis is noted.
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<unk> year old woman with bladder cancer // ? lung mets
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history: <unk>f with palpitations, sob // ?cause for sob
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a right internal jugular central line ends in the upper svc. a small apical pneumothorax is stable or slightly larger in comparison to the prior chest radiograph from one day prior. the bibasilar atelectasis has resolved. there is no consolidation or edema. there is no pleural effusion. sternal wires are intact. the cardiomediastinal silhouette is stable and has a normal postoperative appearance.
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status post cabg.
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an ill-defined patchy opacity at the retrocardiac region appears similar to the recent prior study and is concerning for pneumonia in the proper clinical setting. mild hyperinflation suggesting copd is unchanged. cardiomediastinal silhouettes are normal.
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<unk>m with sob, exp wheezes bilat, and sats of <num>% on ra. evaluate for pneumonia
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours aside from prominence of the right mediastinal border which is due to a tortuous brachiocephalic vein as shown on previous chest cts.
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<unk>-year-old female with headache and syncope, assess for pneumonia.
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pa and lateral views of the chest provided. elevated left hemidiaphragm is unchanged. no focal consolidation, large effusion or pneumothorax is seen. cardiomediastinal silhouette appears stable. a tiny metallic coil projects over the posterior right chest wall. vertebroplasty changes are noted in the mid thoracic spine. cervical fusion hardware is noted in the neck.
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<unk>f with s/p fall // eval for pneumothorax
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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. no overt pulmonary edema is seen. there is no displaced fracture.
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intermittent chest pain, no prior episodes.
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right pleural drain has been removed, now with minimal, if any, right apical pneumothorax. right upper lobe collapse is new. left pleural effusion is unchanged. heart size is still enlarged. clips and aortic endoprosthesis are unchanged. left pleural drains are unchanged.
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<unk> years old man status post thoracoabdominal aortic aneurysm repair and right chest tube removal, assess for pneumothorax.
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midline surgical clips are seen inferior to the diaphragm. no pleural effusions or pneumothoraces are seen. the previously seen right perihilar opacity is mostly resolved, without consolidation in the other areas of the lungs. the heart is mildly enlarged.
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<unk> year old woman with history of pneumonia follow up
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et tube is in good position and the left picc remains in the right atrium. no pneumothorax. new right upper lobe collapse. the lung volumes remain low, with worsening left and improving right basilar atelectasis. the heart is mildly enlarged. no pleural effusions.
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<unk> year old man s/p mvc w/ c<num> cord injury, intubated planning for trach // interval change
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a right chest tube is in unchanged position. a small apical pneumothorax is unchanged. there is no evidence of tension. a right subclavian hemodialysis catheter terminates in the upper-to-mid svc. a right internal jugular central venous catheter ends at the atriocaval junction. ng tube is seen curled within the stomach with the tip out of the field of view. a second cathether overlies the mid abdomen, also unchanged. a stent is in place in the heart and consistent with the core valve device. sternal wires are intact. a linear patchy opacity at the right base is unchanged, most consistent with atelectasis. left basilar atelectasis is also unchanged. there is no new consolidation to suggest pneumonia. a small left pleural effusion is unchanged. there is no right pleural effusion. there is no evidence of pulmonary edema. cardiomegaly is unchanged. the mediastinal contours are normal.
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status post core valve replacement. elevated white count.
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded. there is no focal consolidation against a background of diffuse, prominent interstitial markings. the heart is moderately enlarged but stable. mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax.
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patient with chest pain, eval acute process.
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there is mild cardiomegaly, similar in degree when compared to prior exam. subtle opacity in the retrocardiac region in the posterior left costophrenic angle on the lateral view is new since prior. elsewhere, the lungs are clear. no acute osseous abnormality.
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<unk>f with sickle cell, chest pain // infiltrate?
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the heart is top-normal in size but stable from the prior chest radiograph in <unk>. as before, the thoracic aorta is markedly tortuous however it is stable in appearance from the radiographs in <unk> and best delineated on prior ct from <unk>. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>f with thoracic aortic annuerysm, palpitations // evaluate for acute process
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the lungs are clear bilaterally, without consolidations, effusions or pneumothorax. the mediastinum, hila, and heart are within normal limits. no acute osseous abnormalities.
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<unk> year old man with cirrhosis s/p transplant p/w dyspnea // ?effusion, edema, pna
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the lungs are well inflated. a right lower lobe opacity and small right pleural effusion are new since <unk>. there is no pneumothorax. cardiac and mediastinal contours are normal.
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<unk>-year-old woman with fever and dyspnea.
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single frontal view of the chest demonstrates an et tube extending approximately <num> mm into the proximal right main bronchus. the enteric tube extends into the region of the stomach with side port below the ge junction. an ivc filter is in expected location. mildly prominent cardiac silhouette is accentuated by low lung volumes and ap technique. mild mediastinal prominence is likely due to supine technique, although in the setting of trauma, vascular injury should be correlated with cross-sectional imaging. mild atherosclerotic calcifications are seen in the aortic arch. interstitial markings are prominent, likely due to crowding related to low lung volumes. trace effusions cannot be excluded. there is mild irregularity along the anterolateral aspect of the left eighth and ninth ribs, to be correlated with focal tenderness.
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<unk>-year-old male with subarachnoid hemorrhage status post intubation. question tube placement.
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pa and true lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, nodule, effusion, or pneumothorax is present. the heart and mediastinal contours are normal. multilevel anterior osteophytosis is noted in the thoracic spine.
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<unk>-year-old woman with upper abdominal pain, evaluate for pneumonia.
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interval removal of a swan-ganz catheter. left pectoral pacemaker is noted with acute intact leads seen terminating in unchanged locations. interval increase in the degree of bilateral hilar prominence, pulmonary edema, and small bilateral pleural effusions, compatible with volume overload. there is no pneumothorax. moderate-severe cardiomegaly is unchanged from prior examination.
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history: <unk>m with syncope, cardiac history // eval heart and lungs
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single frontal image of the chest demonstrates low lung volumes, likely secondary to poor inspiration. the right upper lobe opacity is unchanged from previous imaging. bilateral opacities at the bases, right greater than left, are essentially unchanged from previous imaging. bilateral pleural effusions are unchanged. a chest tube is again seen in place on the left. there is no pneumothorax. cardiomediastinal silhouette is unchanged. visualized osseous structures are unremarkable.
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<unk>-year-old male with recurrent left pleural effusion with chest tube.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. as noted on the prior day's radiograph, consolidation is seen in the posterior segment of the right lower lobe, slightly more prominent than the prior study. small right apical infiltrates are also again seen, of uncertain chronicity, though new since <unk>. the pulmonary vasculature is unremarkable. there is no pleural effusion or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign bodies are seen.
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<unk>-year-old man with tachycardia and fever. history of hiv. rule out acute process.
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portable upright study shows no interval widening or suspicious change and contours of the upper mediastinum. taking into account ap technique, cardiac size is unchanged and no central pulmonary vascular congestion or focal parenchymal lung consolidation is seen. small bilateral pleural effusions remain with slight increase on the right.
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<unk> year old woman with of cad s/p cabg s/p stents, chf, htn, early alz dementia, htn, hld with hypoxia and new chest pain. // pna vs. mediastinal widening.
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an endotracheal tube is in satisfactory position, approximately <num> cm from the carina. a nasogastric tube courses below the diaphragm with the tip out of the field of view. in comparison to the prior exam, there is worsening diffuse opacification, most prominent on the right. there is very mild engorgement of the pulmonary vasculature. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged.
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history of recent liver transplant with worsening shortness of breath.
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study limited by low lung volumes and motion. allowing for changes due to low lung volumes, the cardiomediastinal silhouettes are stable. the bilateral hila are within normal limits. there is crowding of the normal bronchovascular structures. there is no pulmonary vascular congestion or pulmonary edema. there is right greater than left bibasilar atelectasis. there is no focal lung consolidation. there is no pneumothorax or pleural effusion.
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<unk> -year-old woman with chest pain, rule out pneumonia or pulmonary edema.
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there is a large left-sided pleural effusion, increased in size compared to prior examination with associated compressive atelectasis. determination of the heart size is not possible due to obscuration by this large pleural effusion. there is no large right-sided pleural effusion. there is mild central vascular pulmonary congestion with slight increased interstitial markings compatible with mild pulmonary edema. there is no pneumothorax.
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hypoxia.
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status post median sternotomy and mitral valve repair. a left chest wall dual lead pacemaker is present. the tip of the swan ganz catheter extends into the right pulmonary artery slightly beyond the right mediastinal border. bibasilar chest tubes are present. the mediastinal drains have been removed as has the endotracheal tube and feeding tube. low bilateral lung volumes and bibasilar opacities, likely reflective of atelectasis. a small left pleural effusion is present. no pneumothorax identified. the appearance of the cardiac silhouette is unchanged.
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<unk> year old man s/p mvr/cabg and ct removal // r/o ptx
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assessment of the chest is somewhat limited by patient positioning, low lung volumes, and the patient's chin and neck obscuring the left apex. the cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are grossly unchanged. crowding of bronchovascular structures is due to low lung volumes without overt pulmonary edema. patchy retrocardiac opacity likely reflects atelectasis, however infection is not excluded in the correct clinical setting. no pleural effusion or large pneumothorax is identified. a percutaneous gastrostomy catheter projects over the left upper quadrant of the abdomen.
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history: <unk>m with lethargy, cough
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patient is status post median sternotomy and cardiac valve replacement. no focal consolidation, pleural effusion, or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. minimal vascular congestion may be present.
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<unk> year old man with extensive cardiac history, pre-op for vascular operation // intrathoracic process, pre-op surg: <unk> (r toe amputation)
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding pa and lateral chest examination of <unk>. heart size is unchanged and within normal limits. thoracic aorta mildly elongated but otherwise unremarkable. the pulmonary vasculature is not congested. comparison is made with the next preceding chest examination. there exist some hazy right-sided basal densities in supradiaphragmatic position. these include a local <num> x <num> cm density which appears to be a parenchymal infiltrate. comparisons made of the lateral projections demonstrate a hazy density occupying the area close to the lower portion of the right-sided major fissure, thus locating the process to either the lower aspect of the right middle lobe or adjacent anterior segment of the right lower lobe. under any circumstances, a followup after treatment in about a week or so is recommended to see normalization of these findings to a status as they existed on the preceding chest examination of <unk>, which was considered to be within normal limits.
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<unk>-year-old male patient with two weeks' cough and productive yellow sputum. pe discloses bibasilar focal wheezes and right upper field rhonchi and e to a changes. evaluate for pneumonia.
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portable supine radiograph of the chest demonstrates a substantial left sided pleural effusion and smaller right sided pleural effusion, both with adjacent atelectasis. the mediastinal and hilar contours are unchanged. there is no pneumothorax. a right-sided internal jugular central venous line ends at the cavoatrial junction. endotracheal tube ends <num> cm from the carina. nasogastric tube is coiled in the stomach; radiographically the discontinuity of this tube is likely secondary to patient motion.
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<unk>-year-old man with sepsis from pancreatic leak status post whipple. evaluate for interval change.
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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 chest pain status post motor vehicle collision
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the patient is status post median sternotomy, cabg, and aortic valve replacement. heart size is moderately enlarged. the aorta appears tortuous. there is mild pulmonary vascular congestion. prominence of the hila bilaterally is noted. small bilateral pleural effusions are present. retrocardiac opacity likely reflects atelectasis. there is no pneumothorax. there is no acute osseous abnormalities are present.
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aphasia.
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ng tube terminates in the region of the stomach. midline sternotomy wires again noted. svc stent appears unchanged. lungs are well expanded and clear. postoperative mediastinum, hila, cardiac silhouette are normal. no pleural effusion or pneumothorax.
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<unk>f with ngt placement // eval placement
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no acute focal consolidation. mild interstitial edema persists and a small left pleural effusion is stable. mild cardiomegaly is unchanged. chronic right rib deformity. no pneumothorax.
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<unk> year old woman with fever, ams, no clear consolidation on cxr <unk> but s/p ivf. // rule out consolidation, evidence of pneumonia.
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right chest tube is unchanged in position and mediastinal drain are unchanged. nasogastric tube with side port at level of superior anastomosis is unchanged in position. minimal right apical pneumothorax with right sided subcutaneous emphysema. mild improvement in lung volumes with mild decrease in bilateral pleural effusions, small on right and moderate-sized on left. stable moderate left lower lobe atelectasis. no pulmonary edema or focal opacity. neoesophagus is unchanged and projects along the right heart border. heart size and hila are otherwise normal. no bony abnormality.
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<unk>-year-old female with esophageal adenocarcinoma status post esophagogastrectomy and chest tube placement.
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there are low lung volumes. left base opacity may be due to atelectasis versus pneumonia or aspiration in the appropriate clinical setting. no large pleural effusion is seen although a trace pleural effusion is difficult to exclude. no pneumothorax is seen. cardiac and mediastinal silhouettes are stable. right-sided vascular stent is again seen.
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history: <unk>m with ams // pna?
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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. no displaced fracture is seen.
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chest pain.
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single portable ap view of the chest. calcified nodules in the right upper lung appear unchanged compared to the prior exams. the heart is top-normal in size. aorta is tortuous and calcified. no consolidations are worrisome for pneumonia. there is no pneumothorax, pulmonary edema or pleural effusion.
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hypotension and chest pain
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MIMIC-CXR-JPG/2.0.0/files/p17815790/s50759835/80bcaeb0-7b32e519-22cc0bb6-e57dc727-071a5886.jpg
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pa and lateral chest radiographs are compared to prior examination dated <unk>. there has been interval increase in left-sided pleural effusion which layers superiorly over the lung apex. a right-sided pleural effusion is not significantly changed in size. a left chest port is present, its tip which terminates at or just below the cavoatrial junction. a right picc is present and terminates at approximately the same level. an esophageal stent is noted. heart border is obscured. there is no pneumothorax.
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<unk>f with dyspnea since <unk>, s/p thoracentesis, r sided decreased breath sounds // ?pleural effusion
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MIMIC-CXR-JPG/2.0.0/files/p14463777/s55844889/24d9b28d-1efa8b6c-f611a771-48ae3ab3-1595ff7c.jpg
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there are bibasilar opacities more conspicuous on the frontal view than on the lateral. there is no effusion. superiorly, the lungs are clear. slight cardiac enlargement is noted. no acute osseous abnormalities.
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<unk>m with confusion // eval for infiltrate
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