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portable ap upright chest radiograph <unk> at <time> is submitted.
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<unk> year old woman w/ chronic resp failure, s/p t-tube trial now with trach back in place, newly tachypnic with coarse breath sounds, concern for aspiration vs pneumonia // ? pneumonia? ?aspiration? ? pneumonia? ?aspiration?
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the et tube terminates approximately <num> cm above the carina. left-sided ij terminates at the upper-to-mid svc. small bilateral pleural effusions, left greater than right, are overall stable compared to the prior exam. moderate cardiomegaly is unchanged compared to exams dated back to <unk>. there has been interval improvement in the mild-to-moderate pulmonary edema. there is no evidence for pneumothorax. the visualized osseous structures are unremarkable.
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history of nash cirrhosis and epilepsy. please evaluate for pulmonary edema.
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the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. cervical fusion hardware is incompletely assessed.
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chest pain. pain developed after having injection for a bone scan earlier today.
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linear left basilar opacity is likely atelectasis. elsewhere, the lungs are clear without consolidation, effusion or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with weakness // r/o acute process
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left -sided port-a-cath terminates in the mid svc. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk>f with fever, on chemo
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. pulmonary edema seen on <unk> <unk> resolved. right-sided healed rib fractures are noted. there is no pleural effusion or pneumothorax. the heart size is top normal.
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cough. intoxicated.
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cardiac silhouette size is normal. the aorta is tortuous. the hilar contours are unremarkable. there is no pulmonary edema. streaky opacities in the lung bases likely reflect atelectasis. no pleural effusion or pneumothorax is identified. there are multilevel degenerative changes in the thoracic spine.
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history: <unk>f with presyncopal episode // ?infection
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focal opacification of the left lower lobe is concerning for pneumonia. linear opacities in the lingula and right lung base are compatible with areas of subsegmental atelectasis. a small left pleural effusion is noted. the cardiac and mediastinal contours are unchanged and the heart size within normal limits. the pulmonary vasculature is not engorged. no pneumothorax is present. there are no acute osseous abnormalities visualized.
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history: <unk>f with fevers, cough sent from clinic for t<num>, tachycardia and possible left lower lobe rales, concern for pneumonia
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the cardiac, mediastinal and hilar contours appear unchanged. there is a streaky right lower lung opacification, probably in the right lower lobe, but similar to earlier examinations and suggestive of minor atelectasis or scarring. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax.
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confusion.
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pa and lateral views of the chest were obtained. there are increased interstitial markings at the bilateral bases, more prominent on the right than the left. this is likely attributable to some underlying lung disease, but given the change from the prior ct, also likely represents mild pulmonary edema. the upper lung zones are relatively hyperlucent due to the severe emphysematous disease. there are small bilateral pleural effusions, slightly larger on the right than the left. there is no pneumothorax. the cardiomediastinal silhouette is normal. atherosclerotic calcifications are noted in the aortic arch.
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shortness of breath, lower extremity edema and crackles. evaluate for chf.
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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.
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<unk> year old man with fever and cough // r/o infiltrate
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pa and lateral views of the chest. the lungs are clear. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male status post seizure, question pneumonia.
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serial radiographs of the thorax demonstrate advancement of the dobhoff feeding tube into the stomach. a gastric tube is also noted within the stomach. the tip of the endotracheal tube projects over the mid thoracic trachea. a right internal jugular central venous catheter projects over the upper to mid svc. unchanged bibasilar opacities. no pneumothorax or pleural effusion identified. the size of the cardiac silhouette is enlarged but unchanged.
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<unk> year old man s/p dobhoff placement // evaluate for dobhoff placement
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frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
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shortness of breath. evaluate for infiltrate
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. there has been no significant change.
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palpitations.
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the right hemidiaphragm is markedly elevated. there is slight blunting of the posterior right costophrenic angles may be due to a trace pleural effusion and/ or atelectasis. no definite focal consolidation is seen. there is minimal left base atelectasis. there is no pneumothorax. the aortic knob is calcified. cardiac silhouette is not enlarged.
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history: <unk>m with hep c cirrhosis c/b he // ? consolidation
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as compared to prior chest radiograph from <unk>, there has been interval removal of a right pigtail catheter and placement of two right chest tubes which appear in adequate position. a small right apical pneumothorax is still identified. the left lung is clear. cardiomediastinal and hilar contours are within normal limits. mediastinum is midline. there are no pleural effusions, pulmonary edema or focal consolidations concerning for pneumonia.
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<unk>-year-old male patient with recurrent pneumothorax. study requested for evaluation of the lungs and chest tube placement.
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frontal and lateral chest radiographs demonstrate dense opacifications bilateral apical opacifications, left greater than right, concerning for pneumonia. cardiomediastinal and hilar contours are unremarkable. no pleural effusion or pneumothorax evident.
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eosinophilic pneumonia, now off prednisone since mid <unk>. assess for return of infiltrates.
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frontal and lateral radiographs of the chest demonstrate interval improvement in pulmonary edema with continued diffuse parenchymal opacities bilaterally. these along with bibasilar calcifications are consistent with a history of asbestosis and interstitial lung disease. cardiomediastinal contour is unchanged. small bilateral pleural effusions are likely.
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evaluate for improvement in pulmonary edema.
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there are low lung volumes with left base atelectasis. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with ams // evidence of pneumonia
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the monitoring and support devices are unchanged, as is the chronic area of increased opacification in the right mid zone. there is a curvilinear up opacification at the right base that was not previously seen with lucency below at. although this could represent an unusual type of atelectasis, when accompanied with the relatively lucent opacification of soft tissues in the abdomen is worrisome for pneumoperitoneum.
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<unk>f w/history of lung ca, s/p left vats and lul wedge resection in <unk>, right vats w/rul wedge resection in <unk>, found to have residual cancer at staple line, now s/p right-sided thoracotomy with rul resection on <unk> with significant intra-operative blood loss. prolonged and complicated icu course. // interval eval
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. small apical scarring is similar to prior. aortic valve prosthesis is in similar position to prior. median sternotomy wires are intact.
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<unk>-year-old male status post aortic valve replacement. evaluate for fluid overload.
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there appears to be interval increase in bilateral moderate pleural effusions. there is stable bilateral moderate to severe pulmonary edema. there appears to be slight interval worsening of bibasilar atelectasis. moderate-to-severe cardiomegaly persists as well as evidence of an stable, enlarged left pulmonary artery. there is a right-sided pic line which terminates in the low svc. there is no evidence of a pneumothorax. the aortic stent demonstrates creases and apparent protrusion of the mid-segment, however this appears overall stable compared to studies dated back to <unk>.
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history of critical as status post recent corevalve placement during the last hospitalization from <unk> to <unk>. please evaluate.
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the lungs are well expanded and clear. there is no pleural abnormality. the heart size is normal. the hilar and mediastinal silhouette are normal. there is a small hiatal hernia, minimally increased in size since <unk>.
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<unk>f w/sob, please eval for pna // <unk>f w/sob, please eval for pna
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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 // acute process?
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heterogeneous opacities overlying the left mid lung field and silhouetting the left heart border are increased since <unk>. the patient is status post left lower lobectomy for volume reduction with stable mild leftward shift of the mediastinum. blunting of the left costophrenic angle is compatible with a small pleural effusion. the right lung is grossly clear. no pneumothorax. the heart size appears normal. no radiopaque foreign body.
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shortness of breath and dyspnea on exertion. history of alpha <num> antitrypsin disease.
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<num> views of the chest. port-a-cath terminates in the distal svc. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart and mediastinal contours are unremarkable.
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nausea. assess for pneumonia.
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heart size is normal with mild tortuosity of the thoracic aorta. there is mild central pulmonary vascular congestion without frank interstitial edema. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. there is a rounded midline retrocardiac density unchanged from prior examination which could represent a small hiatal hernia.
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found down with altered mental status.
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pa and lateral views of the chest demonstrate the lungs are hyperinflated, suggesting underlying emphysema. a linear area of atelectasis in the left lung base has slightly improved since the prior study. there is no evidence of pulmonary edema, pleural effusion, pneumothorax or focal consolidation concerning for pneumonia. the cardiomediastinal silhouette is stable.
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<unk>-year-old male with chest pain. evaluation for pneumonia.
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a picc line terminates in the lower superior vena cava. the heart is normal in size but with a left ventricular configuration, as before. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.
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worsening lethargy and weakness. patient with renal cell carcinoma.
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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 fall // ? traumatic injury
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with congestion/cough x <num> weeks // ?pneumonia
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heart size is moderately enlarged but unchanged. the aorta is tortuous and diffusely calcified. mediastinal contour is stable. the pulmonary vasculature is not engorged. minimal subsegmental atelectasis is noted in the left lung base. the lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. remote left-sided rib fracture is noted.
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chest pain, elevated troponin.
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the heart size is normal. mediastinal contours are unchanged. worsening consolidative opacities are identified within both lung bases concerning for recurrent aspiration pneumonia. new small right pleural effusion is present. radiation changes are again re- demonstrated within the right apex. no pulmonary vascular congestion or pneumothorax is present. there are no acute osseous abnormalities.
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recent pneumonia, hypoxic.
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frontal and lateral views of the chest. no pleural effusion, pneumothorax, or focal airspace consolidation. cardiac silhouette is normal in size, and unchanged accounting for technique. the lung volumes are low which results in crowding of the bronchovascular structures. despite this, there is mild pulmonary edema with bronchial cuffing, indistinctness of the hilar borders and vascular redistribution. there is mild prominence of the right hilus, thought to reflect a dilated main pulmonary artery. there is no focal airspace consolidation worrisome for pneumonia.
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cough and congestion. rule out an infectious process.
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ap upright and lateral views of the chest provided. port-a-cath over the right chest wall is again noted with catheter tip in the region of the low svc. cardiomediastinal silhouette is unchanged. lungs are clear. no large effusion or pneumothorax. bony structures are intact peer
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<unk>m with fever, history of multiple myeloma.
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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 vertigo, are respiratory tract infection symptoms x <num> week, now worsening dyspnea, vertigo
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no displaced rib fracture identified.
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status post fall with pain just over left breast, feels like a prior rib fracture. evaluate for rib fractures.
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pa and lateral views of the chest show well expanded and symmetric lungs. cardiomediastinal silhouette including mild cardiomegaly is unchanged. in comparison to the prior examination, however, there is increased diffuse bilateral opacities with perihilar predominance, consistent with worsening mild pulmonary edema. a horizontal linear band of opacification in the mid left lung likely represents a focus of atelectasis. there is no focal consolidation. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with dyspnea for four days, rule out pneumonia or effusion.
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cardiomediastinal silhouette is stably enlarged. right-sided pleural effusion is improved. there has been interval development of mild pulmonary edema with a perihilar opacities and peribronchial cuffing. there is no pneumothorax.
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status post thyroidectomy with shortness of breath and oxygen requirement.
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mild hyperexpansion with flattening of the diaphragms is noted. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary process identified. the heart size is normal. mediastinal contours are normal. there are no acute bony abnormalities detected.
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left renal mass, evaluate for metastatic disease.
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the cardiomediastinal silhouettes are stable, reflective of moderate to severe cardiomegaly. known hiatal hernia is not as clearly seen on today's exam. there are low lung volumes. when compared to the prior, there is increased opacity projecting over the left lung base on the frontal view. there is no clear correlate on the lateral view. the right lung is clear. there is evidence of pulmonary vascular congestion without overt pulmonary edema. there is no pneumothorax. lower thoracic and upper lumbar compression deformities are similar compared to prior.
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<unk>-year-old woman with a recent fall and low oxygen saturation, no evidence of chest wall trauma on exam, evaluate for acute cardiopulmonary process.
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broad levoconvex curvature of the thoracic spine, possibly secondary to positioning. heart size within normal. mediastinal widening, secondary to known lymphadenopathy. no focal consolidation. no vascular congestion. there is a question of small right apical pneumothorax.
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<unk> year old woman s/p anterior mediastinotomy (chamberlain procedure) // ?ptx
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low lung volumes are seen with secondary crowding of the bronchovascular markings. hazy opacities throughout the lungs may secondary to atelectasis although superimposed underlying parenchymal opacity is possible. cardiac silhouette is accentuated by low lung volumes. no acute osseous abnormalities.
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<unk>f with asthma, increased sob/doe // shortness of breathe
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status post right vats wedge. no appreciable pneumothorax. left retrocardiac atelectasis. the right lung is relatively clear. subcutaneous emphysema in the right chest wall is minimal. right <unk> tube in good position.
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<unk> year old man with s/p r vats wedgex<num> with <unk> // eval for ptx
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heart is upper limits of normal in size and the thoracic aorta is mildly tortuous. lung volumes are slightly increased with relative flattening of the hemidiaphragms suggesting the possibility of copd. several well-marginated calcifications are present most notably in the periphery of the left upper hemithorax in along the left hemidiaphragm contours, suggestive of calcified pleural plaques. bilateral healed rib fractures are present and note is made of a asymmetric opacity at the right lung base adjacent to a site of a rib fracture. it is uncertain whether this represents superimposition of healed fractures and adjacent scarring or potentially a discrete lung nodule.
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<unk> m w alcohol abuse p/w a r displaced olecranon fx // pre-op surg: <unk> (orif)
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postsurgical cardiomediastinal silhouette and hilar contours are unchanged. moderate cardiomegaly is unchanged, accentuated by very low lung volumes. there is associated bibasilar atelectasis. lungs are otherwise clear without focal consolidation. there is no definite pleural effusion or pneumothorax. median sternotomy wires are intact. several cabg clips are re- demonstrated. the bones are diffusely osteopenic.
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altered mental status.
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the radiograph from <time> hours shows no change in the position of pre-existing bilateral chest tubes, right subclavian central venous catheter, and metallic fragments from the known gunshot wounds. the left lung remains almost completely atelectatic with increased leftward deviation of the heart and mediastinum, indicating worsening atelectasis. a pneumothorax is still present. the right lung remains clear, and the tiny right apical pneumothorax is stable. the followup radiograph from <time> hours shows worsening near complete left lung atelectasis and an increased left pneumothorax. the patient has also been intubated, and the endotracheal tube tip is just distal to the clavicles. the tiny right apical pneumothorax has resolved. the most recent radiograph from <unk> hours shows marked re-expansion of the left lung with substantial decrease in the left pneumothorax, which has essentially resolved. there is now a combination of left midlung subsegmental atelectasis and re-expansion pulmonary edema. the right lung remains clear.
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<unk> year old man with bilat chest tubes, s/p bronch // ?interval change ; <unk> year old man with intubation // ?tube placement ; <unk> year old man with bilat chest tubes, resp distress // ?collapse, ptx
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right lung lucency is from prior right mastectomy. no interval change in mild streaky opacities in the right upper lung likely related to prior radiation therapy. no new focal opacity, pleural effusion or pulmonary edema. heart size, mediastinum and hilar contours are normal. mild aortic arch calcifications are noted with a mildly tortuous aorta.
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<unk>-year-old female with cough. assess for pneumonia.
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heart size is normal. the mediastinal and hilar contours are remarkable for a multifocal lymphadenopathy, seen to better detail on recent ct of <unk>. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with a history of cll now with non productive cough. please evaluate for infiltrate. // <unk> year old man with a history of cll now with non productive cough. please evaluate for infiltrate.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. density at the left lung base is unchanged and likely represents pericardial fat pad. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
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left-sided facial droop with low oxygen saturations.
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left chest tube has been removed since prior. improved bibasilar atelectasis. there are small pleural effusions, similar. no definite pneumothorax. shallow inspiration accentuates heart size. normal pulmonary vascularity. sternotomy. small volume retro xiphoid air, in keeping with recent surgery.
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<unk> year old man with s/p cabg- ct d/c'd // f/u effusions, atx
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lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. crowding of the bronchovascular structures is demonstrated without overt pulmonary edema. minimal streaky opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is seen. moderate multilevel degenerative changes are seen in the thoracic spine.
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history: <unk>m with als umn restrictive disease now with hypoxia, dyspnea, tachypnea, cough x several days
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is top normal in size with normal cardiomediastinal contours.
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new onset hypoglycemia. assess for infectious process.
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there are low lung volumes and elevation of the right hemidiaphragm with overlying right basilar atelectasis. no definite focal consolidation is seen. no large pleural effusion or pneumothorax is seen. the cardiac mediastinal silhouettes are stable. chronic healed lateral left-sided rib fractures again noted.
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history: <unk>f with chest pain // ?cause for chest pain
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heart size is at the upper limits of normal or slightly enlarged, with a left ventricular configuration. the aorta is minimally unfolded. there is possible slight upper zone redistribution, but no overt chf. there is minimal atelectasis at both lung bases. no gross effusion. the extreme costophrenic angles are excluded from the film. no pneumothorax is identified. there are ununited fractures of the right eighth and ninth posterior ribs, with slight displacement, that appears subacute or chronic. incidental note is made of effacement of the acromial humeral interval in both shoulders, consistent with bilateral chronic rotator cuff tears.
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<unk> year old man with altered mental status // presence of pleural effusions or interstitial process
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the lungs are hyperinflated and clear. no pleural effusion or pneumothorax. a tiny rounded nodular opacity projecting over the right upper lung is unchanged from <unk>. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are notable for mild degenerative changes of thoracolumbar spine. no displaced rib fracture.
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<unk>m with shortness or breath. assess etiology shortness of breath.
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there is moderate pulmonary edema. bilateral pleural effusions are also noted, right greater than left. the cardiac silhouette is mildly enlarged. there is no pneumothorax. a left chest aicd and leads are in unchanged positions.
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<unk>m with sob/doe and history of chf with crackles on exam. evaluate for pulmonary edema.
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calcific densities seen in the right lower lobe, likely calcified granulomas. the lungs are otherwise clear without consolidation, edema, or large effusion. cardiac silhouette is minimally enlarged. no acute osseous abnormalities.
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<unk> year old woman with productive cough // r/o pna
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since <unk>, the left small pleural effusion has slightly increased in size, with associated mild increase in compressive atelectasis. otherwise, no significant change. the right lung is clear. no pneumothorax. cardiomediastinal silhouette and hila are unchanged.
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<unk> year old man with hx of pleural effusion s/p trauma, now with new onset shortness of breath. // ? increased pleural effusion
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the cardiomediastinal silhouette and hilar contours are unchanged in appearance with stable rightward mediastinal shift. again appreciated is a right dual-lumen port with the tip terminating at the cavoatrial junction. there has been slight interval improvement in the widespread parenchymal opacities particularly in the right mid and lower lung and now appears back to baseline in appearance similar to that of <unk> study. multiple nodular opacities are again seen in the left lower lung, better appreciated on recent ct torso examination. there is no new focal consolidation worrisome for infectious process. there is no pleural effusion or pneumothorax.
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lymphoma with fevers, chills and cough.
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ap portable upright view of the chest. multiple overlying ekg wires are presence somewhat limiting evaluation. skin <unk> along the left flank region noted. there is mild elevation of the left hemidiaphragm. given the lack of the lateral projection, left lower lobe pathology difficult to exclude. there is likely a small left effusion with left basal atelectasis. right lung appears clear though the right cp angle is excluded. the heart is top-normal in size. the mediastinal contour is stable with tortuosity of the thoracic aorta noted. no pneumothorax is present. bony structures are intact.
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<unk> year old man with s/p open aaa repair who is now s/p chest tube removal.
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left port-a-cath in stable position. moderate to severe cardiomegaly is unchanged. mild to moderate pulmonary edema has slightly progressed. there is no large pleural effusion or pneumothorax. there is likely a small right pleural effusion.
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<unk> year old woman with hht, asthma and chf with recent pulm edema now with worsening hypoxemia // worsening hypoxemia
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heart size is top normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. there is no pneumoperitoneum. small bowel air-fluid levels are noted on the lateral view.
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abdominal pain.
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ap portable upright view of the chest. aicd again seen with lead extending into the region the right ventricle. cardiomegaly is again noted with stable mediastinal contour. hila are slightly congested though there is no frank edema. mild basal atelectasis without convincing signs of pneumonia, effusion or pneumothorax. bony structures are intact.
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<unk>m with hypoxia // eval for acute process
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frontal and lateral views of the chest are normal. the cardiomediastinal, pleural, and pulmonary structures are unremarkable. there is no pneumothorax or pleural effusion.
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cough with history of tb exposure.
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the cardiac, mediastinal and hilar contours are unchanged, and within normal limits. the pulmonary vascularity is not engorged. the lungs are clear. no pleural effusion or pneumothorax is present. ventriculoperitoneal shunt catheter courses along the right anterior hemithorax. no acute osseous abnormalities are detected.
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gram negative rods in blood
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the lungs are clear aside from minimal bibasilar atelectasis. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. more than expected elevation of the right hemidiaphragm is noted. there is no free air under the diaphragm.
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<unk>-year-old woman with acute onset severe abdominal pain. evaluate for free air.
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cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion, or pneumothorax is visualized. there is evidence of prior kyphoplasty of t<num>.
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history: <unk>f with cough
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bibasilar opacities are noted. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
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<unk>m with hx hepatic encephalopathy, illicit drug usage, now w/ bruise on r chest, lung fields clear // evaluate for trauma, infiltrate
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lung volumes are low causing bronchovascular crowding. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. note is made of a ventriculoperitoneal shunt.
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<unk> year old woman with hypotension in setting of panhypopituitarism // ? intrathoracic process
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asymmetric pulmonary vascular engorgement in the right lung with minimal vascular engorgement in the left lung which may be asymmetric pulmonary edema or gravitational edema and less likely superimposed pneumonia, correlate clinically. bilateral pleural effusions. cardiac size appears slightly enlarged compared to previous with widening of the mediastinal contours, but this may be related to positioning. there is no pneumothorax.
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<unk> year old man with new onset co<num> retention and edema // pneumonia, edema
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. heart size is top-normal. mediastinal contour is unremarkable. imaged osseous structures are intact. chronic right clavicular midshaft deformity noted. no free air below the right hemidiaphragm is seen.
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<unk>m with luq pain, nontender abdomen // evaluate for acute process
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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subarachnoid hemorrhage. evaluate for pneumonia.
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mild enlargement of the heart is re- demonstrated. mediastinal contours are unchanged. there is mild pulmonary edema, with asymmetric opacity in the right lung compared to the left which may reflect asymmetric pulmonary edema. small bilateral pleural effusions, right greater than left are also noted, with bibasilar atelectasis. no pneumothorax is detected. moderate multilevel degenerative changes are noted in the thoracic spine.
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history: <unk>m with shortness of breath
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the lungs are well expanded and clear. a linear opacity across the right lower lung field is compatible with subsegmental atelectasis. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with dyspnea and pancytopenia. evaluate for evidence of infiltrate.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. thin round calcifications are noted projecting over the left upper quadrant/lung base, not seen on the lateral view, and could reflect costochondral calcification.
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<unk>f with chest pain lasting <unk>min without clear trigger over the past <num>h
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patient is status post cabg, with intact mediastinal wires and mediastinal clips. a cardiac stent is visualized. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen.
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<unk>f with l sided chest pain
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with etoh abuse with chest pain // eval pna
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there is elevation of the right hemidiaphragm, with fissural fluid seen on the lateral view, which likely represents a subpulmonic pleural effusion, that is not significantly changed in comparison to the prior chest radiograph. there are multiple bilateral ill-defined patchy opacities, mostly in the upper lung fields. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with afib // chf
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no focal consolidation, pleural effusion, pneumothorax or pulmonary edema is detected. heart and mediastinal contours are within normal limits. clip projecting over the right upper quadrant is seen.
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<unk>-year-old female with chest and abdominal pain.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. cardiomegaly is mild. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f w/dizziness, epigastric pressure, please eval for occult pna
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a single upright ap view of the chest demonstrates the lungs are well expanded, with no evidence of pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. there is mild pulmonary vascular congestion and streaky opacities at the lung bases. the heart size is mildly enlarged. the mediastinal silhouette is unremarkable. there is no subdiaphragmatic free air.
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<unk>-year-old female with altered mental status. evaluation for pneumonia.
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first radiograph shows the dobbhoff in the mid esophageal region. the left sided internal jugular line point cranially, probably within the right brachiocephalic. dobbhoff itself is then advanced distally through its tip lies just beyond the gastric esophageal junction. . a final image than shows further advancement of the dobbhoff so its its tip is well within the stomach. left internal jugular vein remains unchanged
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<unk> year old man s/p liver transplant // confirm dobhoff placement
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pa and lateral chest radiograph demonstrate low lung volumes. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema, pneumothorax, or pleural effusion. no focal consolidation within the lungs is identified. imaged upper abdomen is unremarkable.
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<unk>-year-old male with pleuritic chest pain.
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the lungs are clear noting that the left costophrenic angle is excluded from the field of view. there is no pneumothorax based on this supine film. cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
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<unk>m s/p <num>foot fall c/o left chest pain
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single portable upright frontal image of the chest. pacemaker, leads, median sternotomy wires, and mediastinal surgical clips are stable. the lung volumes are low with associated bronchovascular crowding. the lungs are clear. there is no large pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged from prior exam.
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hypotensive, shortness of breath.
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the lung volumes are low. pleural effusions are associated at each lung base with parenchymal opacities. the size of the effusions is difficult to quantify, but most likely at least small-to-moderate with suspected associated atelectasis. lucency along the left lateral chest with vertical orientation suggests a skinfold rather than a pneumothorax. the pulmonary vasculature is hazy with an interstitial abnormality, overall suggesting mild pulmonary edema, including thickening of the minor fissure.
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shortness of breath.
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left-sided picc terminates in the mid svc without evidence of pneumothorax. minimal left see. duly low lung volumes without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hilar contours are also stable.
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history: <unk>m with dyspnea // eval for pna , picc line
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the endotracheal tube ends <num> cm from the carina. an enteric tube ends off the inferior portion of the image. a pacemaker is seen in place. there is moderate cardiomegaly. there are bilateral diffuse streaky opacities likely representing atelectasis or aspiration. no pneumothorax or pleural effusion.
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fall. et tube placement.
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the iabp pump radiopaque tip may be very slightly lower, but remains positioned high, overlying the upper portion of aortic knob. there remains chf with vascular plethora, interstitial edema and bibasilar atelectasis, but the appearance is improved compared with the earlier film. no gross effusion. multiple tubes overlie the neck, but the et tube making it difficult to visualize the et tube. et tube tip appears to lie a <num> cm above the carina, at the lower edge of the clavicular heads. the ng tube and sideport in the overlie the expected site of the gastric fundus.
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<unk> year old woman with balloon, shock // pls eval for interim change
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cardiac silhouette size is moderately enlarged, similar compared to the prior study. mediastinal contours are unchanged. mild interstitial pulmonary edema is not substantially changed in the interval, and hilar contours are similar. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>m with dyspnea. history of congestive heart failure off meds.
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sutures overlie the left lung apex in keeping with prior surgical resection. there is hyperinflation of the lungs with irregularity of the peripheral vasculature compatible with copd. there are no focal opacities concerning for pneumonia. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is not increased. there has been interval callus formation involving a right mid thoracic rib fracture since <unk>. there are findings compatible with diffuse idiopathic skeletal hyperostosis.
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<unk>-year-old female with history of lung cancer, now presenting with cough and rhonchi.
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accessed right-sided port-a-cath is identified. the port-a-cath is stable in position terminating in the mid svc. there is no evidence of kinking or break in the port-a-cath. cardiomediastinal and hilar contours are clear. the kidneys are unremarkable. lungs are clear. no pleural effusion or pneumothorax present. no osseous abnormality identified. left mastectomy noted.
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breast cancer and port unable to flush today, check port placement.
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the lung volumes are slightly low, with pulmonary vascular congestion and peribronchial cuffing, compatible with mild pulmonary edema. streaky opacity in the left midlung could reflect atelectasis with superimposed edema, however infection cannot be excluded. the cardiac silhouette is unremarkable. there is no pneumothorax.
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<unk>f with sidden sob // r/o chf
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the left subclavian approach picc tip projects in the expected region of the low svc. persistent, overall similar low lung volumes with bronchovascular congestion. mild edema, overall unchanged. retrocardiac opacity with air bronchograms likely reflects
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<unk> year old man with etoh cirrhosis, requiring multiple transfusions, wth hypoxia and evaluate for pulmonary edema.
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. two nodular opacities project over the right anterior second rib.
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<unk>-year-old male with nausea, vomiting, leukocytosis, tachycardia, and possible heroin use.
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the heart is at the upper limits of normal size with a left ventricular configuration. mild unfolding and calcification are noted along the aorta. the lung volumes are low. there is no pleural effusion or pneumothorax. although there is no focal opacity, the interstitium is mildly prominent suggesting slight fluid overload. a crowding of interstitial markings suggests atelectasis associated with low lung volumes and mild elevation of the right hemidiaphragm. a severe lower thoracic compression deformity includes nearly complete collapse of the vertebral body and mild retropulsion, of uncertain chronicity.
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left-sided shaking and leukocytosis.
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the lungs are clear without focal consolidation. pre seen opacity projecting over the right upper hemi thorax is no longer seen, consistent with external artifact/hair on the prior study. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with rul infiltrate on prior <unk>, <unk> be hair tie. please ask to take off hair braid prior to <unk> // eval rul infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p16614887/s56123357/138f0fc1-75b2d09f-4fe5e9d1-81f0731b-20a20c23.jpg
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there has been a mild improvement in pulmonary edema with otherwise little change overall in comparison to the prior study from yesterday. again visualized is stable retrocardiac opacity and small left pleural effusion. there is no evidence of new consolidations or pneumothoraces. the cardiomediastinal silhouette remains stable and moderately enlarged. osseous structures are normal.
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evaluation of patient with respiratory failure for interval change.
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