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MIMIC-MultiView-Findings-Query_Optional

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Pa and lateral views of the chest provided. Midline sternotomy wires, tripolar aicd and lvad device unchanged. An area of pleural parenchymal scarring accounts for blunted appearance of the right cp angle on the frontal radiograph. There is no convincing evidence for pneumonia or edema. There is a small left pleural effusion. No pneumothorax. Cardiomegaly again noted. Mediastinal contour is normal. Bony structures appear intact.
<unk>m with lvad p/w left hand numbness
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Ap upright chest radiograph demonstrates well-expanded lungs. Cardiomediastinal silhouette is unremarkable. Linear scarring or atelectasis at the left base is unchanged. Cluster of granulomas in the mid right lung are noted. There is no focal consolidation or pleural effusion. Osseous structures are grossly unremarkable.
<unk>-year-old man with rapid irregular heart rate and chest pain.
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Multiple external electronic devices project over the chest and slightly limits assessment. Left subclavian central venous catheter tip terminates at the junction of the svc and right atrium. Marked cardiomegaly is again noted with the aorta appearing slightly tortuous. Mediastinal contours are similar. No pulmonary edema, focal consolidation, pneumothorax, or pleural effusion is present. No acute osseous abnormality is visualized.
history: <unk>m with cough
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There is questionable retrocardiac streaky opacity. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Prior right picc is no longer visualized.
<unk>m with pna // eval for pna
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Lung volumes are low. Right lung volume is somewhat improved and right lung base opacity is less. Left lung base opacity is also less. Left lower lobe mass was better evaluated on prior ct. Mildly enlarged cardiac silhouette is exaggerated by in lung volumes. Transesophageal tube courses below the diaphragm and out of view. Et tube terminates <num> mm above the diaphragm.
<unk> year old man intubated. ett moved. // eval for ett placement
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There are relatively low lung volumes. Right lower lobe consolidation is worrisome for pneumonia. No large pleural effusion is seen although a trace pleural effusion would be difficult to exclude. There is mild left base atelectasis versus possibly <unk> focus of smaller consolidation. No evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinum is not widened.
fever.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The right hemidiaphragm is mild to moderately elevated compared to the left, and there is an opacity in the right lower lobe, which could be seen with pneumonia in the appropriate clinical setting. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
left-sided chest pain as well as right upper quadrant pain.
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Ap, semi upright portable chest radiograph was provided. Patient is slightly rotated which limits evaluation. The relative opacity at the left lung base could represent an early pneumonia otherwise lungs are clear. No effusion or pneumothorax. The heart size appears normal.
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Patient is status post partial right upper lobe resection with subsequent volume loss in the right hemi thorax. Irregular interstitial markings at the right lung base on the frontal view abutting the diaphragm likely chronic based on changes on prior chest ct. There is no focal consolidation worrisome for pneumonia nor effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with fever and cough // r/o acute process
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no free intraperitoneal air. No acute osseous abnormalities.
<unk>f with history of asthma p/w <num> days of abdominal pain, fever // ? pneumonia
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Compared to the previous radiograph, the nasogastric tube has been removed. The lung volumes remain low with areas of plate-like atelectasis at the left and right lung bases. No pulmonary edema. No pneumonia, no larger pleural effusions.
cirrhosis, encephalopathy.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Rounded opacity within the posterior left aspect of the left lung base corresponds to a fat containing diaphragmatic hernia (bochdalek hernia), as seen on the prior ct abdomen and pelvis from <unk>. Apart from a linear opacity in the right middle lobe which likely reflects scarring, lungs are clear. No pulmonary vascular congestion, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
left upper quadrant pain and <num> week of distention.
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Ap portable upright view of the chest. A new a right ij catheter terminates within the right atrium. A left subclavian central venous catheter is unchanged in position. A nasogastric or orogastric tube is looped within the stomach. A right-sided vp shunt is present. The lung volumes are low, resulting in mild bilateral atelectasis. There is no pneumothorax or large effusion.
<unk> year old woman with stroke, now with seizures. post ij placement
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There is mild interstitial edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with prod cough // r/o acute process
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with chest pain // pna?
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As compared to the radiograph from a day earlier, right sided picc line in the lower svc. Moderate right-sided pleural effusion and right basal opacity have slightly worsened. Retrocardiac and lingular opacity has slightly improved. Right apical pleural fluid is also stable. No pneumothorax.
<unk> year old woman with respiratory distress, likely pe // interval change
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There is cardiomegaly. The positioning of the two esophageal stents appears unchanged from the prior radiographs. There is some atelectasis and a small right-sided pleural effusion. There are no pneumothoraces identified.
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As compared to the previous radiograph, nasogastric tube and the endotracheal tube have been removed. The lung volumes are normal. Normal size of the cardiac silhouette. No pneumothorax, mild atelectasis at the right lung base, no pleural effusions. No pneumothorax.
asthma, respiratory failure, endotracheal tube placement.
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The median sternotomy wires are well aligned. The lungs are well expanded. Mild pulmonary edema is somewhat improved. A new right pleural effusion is small. The cardiomediastinal silhouette is unchanged with mild cardiomegaly. There is no pneumothorax.
critical aortic stenosis and chf presents with worsening shortness of breath. evaluate for edema, infection, interval change.
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In comparison with study of <unk>, there again is enlargement of the cardiac silhouette with possible mild elevation of pulmonary venous pressure and bilateral pleural effusions with compressive atelectasis at the bases. Left ij catheter again extends to the area at the junction of the left brachiocephalic vein and the superior vena cava.
fractures with increased oxygen requirement.
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The heart size is within normal limits. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob, but no widening. The lungs are clear of consolidation. There is no large pleural effusion or pneumothorax. An old fracture is present at the distal left clavicle.
<unk>-year-old male with peripheral vascular disease, now here with right leg pain and white count and fever.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
pleuritic chest pain.
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Compared with prior radiographs on <unk>, diffuse bilateral pulmonary opacifications, left greater than right, are stable to slightly improved. There is no pneumothorax. Cardiomediastinal silhouette is unchanged. Right port-a-cath is unchanged.
<unk> year old man with severe lung involvement of hodgkin's and likely bleo toxicity now with confusion and tachypnea. // please evaluate for worsening edema or infectious process.
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A right picc terminates in the low svc tracheostomy tube is in adequate position. Vp shunt traverses the right hemithorax. Bibasilar opacities may reflect atelectasis versus pneumonia. Findings are more pronounced on the left than the right. Mid upper lungs appear well aerated. No convincing evidence for effusion or pneumothorax on this supine radiograph. The cardiomediastinal silhouette is unremarkable.
<unk>f with fever, // eval for pna
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Right significant pleural effusion with atelectasis has improved since thoracocentesis and is now moderate. New pigtail enters right chest wall inferiorly and ends in medial mid hemithorax. Left lung is unremarkable. Mediastinal and cardiac contours are normal. There is no pneumothorax. Small left pleural effusion is unchanged.
right thoracocentesis and pigtail. rule out pneumothorax.
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No focal consolidation is seen peer there is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with fever and sob // pna
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Frontal and lateral views of the chest were obtained. Focal opacity at the left costophrenic angle is again seen, which may be due to atelectasis/scarring, a trace pleural effusion is not excluded. Slight increase in the interstitial markings bilaterally may be due to mild interstitial edema. The cardiac and mediastinal silhouettes are stable. There is no focal consolidation.
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Pa and lateral views of the chest. There are bilateral mainly central opacities, greater at the bases, with small bilateral pleural effusions. There is fluid in the right or left major fissure, best seen on the lateral view. There are no focal parenchymal opacities concerning for pneumonia. No pneumothorax. The cardiac, mediastinal, and hilar contours are normal. The left pacemaker lead ends in the right ventricle.
shortness of breath, hypoxia, and cough, evaluate for pneumonia.
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Pa and lateral chest radiographs were obtained. Lung volumes are low. Pulmonary vascular congestion has increased since the prior exam. Mild cardiomegaly is present. A small left pleural effusion is identified. Widening of the superior mediastinum may relate to vascular engorgement. A small amount of pleural fluid is seen in the right minor fissure. Left lateral thoracic spinal fusion and intervertebral cage spacer display no evidence of hardware-related complication.
weakness, slurred speech, question pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>-year-old male with chest pain and shortness of breath, evaluate for pneumothorax.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. Metallic density projecting over the right mid abdomen on frontal view only is likely external to the patient.
<unk>-year-old female with palpitations, chest pain, back pain, and headache.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Constant low lung volumes and moderate cardiomegaly with mild overhydration. Retrocardiac atelectasis, but no evidence of pneumonia. No larger pleural effusions.
sah and herniation, intubation, evaluation for interval changes.
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Moderate cardiomegaly is noted with upper lobe vascular redistribution, compatible with pulmonary venous hypertension. There is no evidence of pulmonary edema, pleural effusion, pneumothorax, or pneumonia.
history: <unk>f with ams // eval for pna
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There is new right chest wall port with catheter tip in the region of the ra/svc junction. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with igg deficiency status post port placement with fever.
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Single portable view of the chest. The patient is rotated to the left. There is a new right ij central venous catheter with tip likely in the upper right atrium. Previously described left basilar opacity this more confluent now silhouetting the hemidiaphragm. Elsewhere the lungs are grossly clear. There is no pneumothorax.
<unk>-year-old male with central line placement.
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Ap and lateral views of the chest. Lungs are essentially clear. Minimal persistent opacity at the left lateral costophrenic angle is most likely due to atelectasis. There is no evidence of effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Vertebroplasty changes seen in the mid thoracic spine. Known compression deformities are not as clearly identified on the current exam due to technique.
<unk>-year-old female with choking several days ago and weakness. question infiltrate.
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Pa and lateral views of the chest provided. The patient is known to have a large hiatal hernia which is redemonstrated. The lungs appear clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears grossly stable. Bony structures are intact. No free air below the right hemidiaphragm.
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Low lung volumes. No pleural effusions. No focal parenchymal opacities. No pulmonary edema. Normal size of the cardiac silhouette. Suspected small hiatal hernia.
shortness of breath, pneumonia.
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Lung volumes are low. Opacity in the right lower lobe and possibly right middle lobe with silhouetting of the right hemidiaphragm consistent with pneumonia. Opacity in the left lower lobe is also consistent with pneumonia. There is mild atelectasis bilaterally. No effusion or pneumothorax. No edema. Heart size is normal.
<unk> year old man with fever // r/o pna
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
pleuritic chest pain.
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In comparison with the study of <unk>, there is enlargement of the cardiac silhouette without vascular congestion or pleural effusion. This raises the possibility of interval cardiomyopathy. No convincing evidence of acute focal pneumonia.
cough for one week, to assess for pneumonia.
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Cardiac silhouette is enlarged and is accompanied by pulmonary vascular engorgement, but there is no evidence of interstitial or alveolar edema. Right hemidiaphragm is moderately elevated, a finding that is new since an abdominal and chest ct exam of <unk>. Minor atelectasis is present at both lung bases, and there are also small pleural effusions. Surgical clips are present in right axilla.
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Single upright portable view of the chest was obtained. There is mild enlargement of the cardiac silhouette. The lungs are clear without focal or diffuse abnormality. No pneumothorax or pleural effusion. Osseous structures are unremarkable. Median sternotomy wires are intact.
<unk>-year-old male with cough and leukocytosis. evaluate for acute intrapulmonary process.
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Lung volumes are low which leads to bronchovascular crowding. The heart is severely enlarged without overt edema. Replaced mitral valve appears in unchanged position. There is no pneumothorax. Trace bilateral pleural effusions are noted. Median sternotomy wires are present.
<unk>m with dyspnea, weakness, rule out acute process.
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Frontal and lateral views of the chest were obtained. There is slight prominence of the hila which may be due to pulmonary vascular engorgement, although underlying lymphadenopathy is not excluded, particularly on the left. The patient's chin partially overlying the left lung apex. Subtle left base retrocardiac opacity is seen, which while could relate to atelectasis or aspiration, underlying consolidation is not excluded. There is no pleural effusion or pneumothorax. The aorta remains tortuous. The cardiac silhouette is mildly enlarged. Surgical clips are seen in the left upper quadrant.
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There is a small left and small right pleural effusion. The cardiac size remains mildly enlarged. Numerous post cabg and post aortic valve replacement surgical clips are seen. The patient is status post median sternotomy. Fluid is noted in the minor fissure on the right. There is minor increase in interstitial markings, improved since the prior study.
history: <unk>m with cp // overload //history: <unk>m with cp
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Previously seen endotracheal tube, right picc, right central venous catheter, and orogastric tube have been removed. The heart size is normal. The mediastinal and hilar contours are unchanged. There is minimal blunting of left costophrenic angle suggestive of a trace effusion. No pneumothorax is seen, and there is no right-sided pleural effusion. Ill-defined nodular opacities are noted within the right mid lung field, which could reflect areas of infection or inflammation. No focal consolidation is demonstrated. There is no pulmonary vascular congestion.
fever and tachycardia.
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Frontal and lateral radiographs of the chest were acquired. There are new patchy opacities in the right lower lobe, streaky in nature and probably due to minor atelectasis, although not completely specific. The lungs are otherwise clear. The heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. Minimal biapical pleural thickening is noted, unchanged. There is no pneumothorax.
chest pain. evaluate for fluid overload or mediastinal widening.
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There has been interval increase in the right-sided pneumothorax. <num> right-sided chest tubes are again seen. There has been interval increase in the left pleural effusion with complete opacification of the left lung and mediastinal shift to the left compatible with a volume loss and associated effusion/bleeding. Left chest tube is again visualized. Tracheostomy tube is seen. Bullet simple fragments are again visualized. The feeding tube tip is in the stomach.
<unk> year old man with r cts to h<num>o seal at <unk>. need cxr at <unk>-<unk>, please. // ptx increased? need cxr at <unk>.
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Pa and lateral chest radiographs were provided. The lungs are hyperexpanded with prominent interstitial markings consistent with copd. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is notable for tortuous aorta. The heart is not enlarged. Imaged upper abdomen is unremarkable. There is mild wedging of mid thoracic vertebral bodies.
history of shortness of breath for one week, evaluate for pneumonia or pulmonary edema.
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The endotracheal tube is in satisfactory position with the tip approximately <num> cm from the carina. Nasogastric tube courses below the diaphragm, the tip out of the field of view. A left subclavian central venous catheter is present with the tip at the cavoatrial junction. There is persistent mild pulmonary edema and basilar opacities, worse on the right than the left. Overall, they are not significantly changed from prior exam.
known subarachnoid hemorrhage with increasing ventilator requirements. evaluate endotracheal tube.
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Right mid lung and bibasilar patchy opacities may in part relate to overlapping structures although underlying infectious process is not excluded. There is no pleural effusion or pneumothorax. No pulmonary edema. Cardiac and mediastinal silhouettes are unremarkable.
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Ap portable single-view chest x-ray shows normal lung volumes without consolidations or nodules. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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An endotracheal tube tip is <num> cm above the carina. An enteric feeding tube courses below the diaphragm out of field of view. There is persistent bibasilar atelectasis with no new focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal.
<unk>-year-old male, intubated. evaluate for change. single frontal chest radiograph in comparison to <unk> and <unk>.
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Within the left retrocardiac region, projecting lateral to the costochondral calcifications, there is a <num> x <num> cm radiodense structure of uncertain etiology, possibly related to summation of normal thoracic structures. The lungs are otherwise clear. The heart is top normal in size. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. Marked dextroscoliosis of the thoracic spine is noted.
altered mental status with question of intracranial hemorrhage. evaluate for infiltrate.
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There has been interval placement of a right internal jugular central venous catheter with tip terminating in the lower svc. No pneumothorax is seen. Minimal kinking of the central line is noted within the neck. Again re- demonstrated are multifocal airspace consolidative opacities within the right lung compatible with multifocal pneumonia. Cardiac and mediastinal contours are unchanged. No pneumothorax is detected.
history: <unk>f with pneumonia, status post right internal jugular central line placement
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As compared to the previous radiograph, the tube has been advanced. The tip of the tube now projects <num> cm above the carina. No evidence of complications, notably no pneumothorax. Unchanged appearance of the heart and the lungs.
evaluation of endotracheal tube.
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There is a right lower lobe opacity which is worse compared with radiograph done six hours prior. Left lower lobe opacification has also developed in the interim, consistent with bilateral lower lobe pneumonias. Otherwise, there is no significant change with no pleural effusion or pneumothorax and stable appearance of the cardiomediastinal silhouette and mediastinal wires.
status post stroke with high-grade temperature, question pneumonia.
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One upright portable ap view of the chest. Left-sided pacemaker leads end in the appropriate position. Moderate cardiomegaly is unchanged. There is increased pulmonary vascular congestion and interstitial markings likely representing pulmonary edema and possibly chronic interstitial lung disease. Pleural plaques are not well seen here. There is no definite focal consolidation. There is no pleural effusion.
elevated white blood cell count, assess for infection or fluid overload.
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The cardiac silhouette is normal in size. The hila are unremarkable. Descending aorta is striking in size on the lateral view, which is stable in appearance since <unk>. This may be related to dilation or may be projectional. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The visualized upper abdomen is unremarkable in appearance. No displaced rib fractures are seen. Mild pectus deformity is noted.
<unk> year old woman with cough, left lateral rib pain, ? pneumonia // cough, left lateral rib pain, ? pneumonia
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There is again seen a right-sided device with a single lead projecting in stable location over the right ventricle. As before, the cardiac silhouette is upper limits of normal, however, evaluation of cardiac silhouette/cardiomegaly is limited by ap projection. There are no focal lung consolidations. There are no pneumothoraces or effusions.
<unk> year old man with complete heart block // signs of cardiomegaly
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Moderate-sized bilateral pleural effusions have substantially increased in size since the recent radiograph and are associated with bilateral lower lobe atelectasis and/or consolidation. Pulmonary vascular congestion has worsened. Within the imaged upper abdomen, mildly distended loops of bowel in the left upper quadrant of the abdomen are incompletely evaluated on this chest x-ray but have been more fully assessed on separately dictated abdominal radiograph under clip <unk>.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Left basilar opacity has resolved. A line along the right lateral chest suggests a skinfold rather than a pneumothorax. There is no pleural effusion.
shortness of breath and chest pain.
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Pa lateral images of the chest. The lungs are moderately decreased but the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
recent colon perforation.
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The lungs are clear where not obscured by overlying cardiac leads and wires. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with respiratory distress // pna?
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Low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
<unk>m with altered ms, concern for od // assess for infiltrate
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As compared to prior chest radiograph from <unk>, lung volumes have decreased which accentuate the cardiac silhouette and bronchovascular structures. There is no focal consolidation, pleural effusion or pneumothorax. Patient is status post lingulectomy, with surgical sutures project along the left cardiac border.
fever, cough.
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Cardiomediastinal contours are stable in appearance. No focal areas of consolidation are present within the lungs. There are no pleural effusions. Multiple healed rib fractures are again demonstrated as well as multifocal sclerotic abnormalities in the spine, consistent with metastases. No definite new rib fracture on this chest radiograph which was not tailored to evaluate the ribs
<unk> year old woman with metastatic breast cancer // left rib pain and cough, r/o fracture, pneumonia, rib mets
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Ap single view portable chest x-ray in upright position shows low lung volume without consolidation or nodules. Bulging of the right mediastinal border is due to known right paraspinal mass. Heart size is normal. There is no pleural effusion or pneumothorax.
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Left-sided port-a-cath tip terminates in the mid svc. Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Lungs are clear without focal consolidation. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Minimal scarring is seen within the lung apices. No acute osseous abnormality is identified.
history: <unk>f with cough, history of breast cancer
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Port-a-cath terminates in the right atrium, as before. The cardiac, mediastinal and hilar contours appear stable. There is elevation of the right hemidiaphragm, as before, with increased pleural effusion. Small pleural effusion on the left is similar to decreased, however. Similar patchy retrocardiac opacities probably due to atelectasis.
hypoxia. colonic distention.
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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 single view chest examination of <unk>. Heart size remains normal. No configurational abnormality is seen. Ordinary <unk> of thoracic aorta with a few calcium deposits in the wall at the level of the arch. No mediastinal abnormalities are seen. The pulmonary vasculature is characterized by absence of any congestion, but rather irregular vascular distribution with changing individual vessel diameters and areas of increased translucency. These happened to be most prominent in the lower lobe areas and coincide with rather low positioned diaphragms which appear flattened. There is no evidence of pleural effusion in either lateral or posterior pleural sinuses. Acute pulmonary parenchymal infiltrates cannot be identified; however, there exists a few scattered small diameter rounded densities, one of which is located in the right lower lobe in supradiaphragmatic position and appears unchanged. Skeletal structures of the thorax are characterized by a mild degree of s-shaped scoliosis in the thoracolumbar spine and moderately diffuse demineralization of the thoracic spine with moderately accentuated kyphotic curvature. There is no evidence of new rib abnormalities as can be identified on these standard pa and lateral chest views.
<unk>-year-old female patient with myeloma, now with new lateral chest pain, bilateral lower extremity edema, will receive vq scan to evaluate for pulmonary embolism. any abnormality?
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The left-sided central catheter terminates in the mid svc. The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are well expanded and clear. There is no evidence of pulmonary edema or vascular congestion. There is no pneumothorax or pleural effusion. The visualized osseous structures are unremarkable.
<unk>-year-old female with a history of kidney transplant, who presents for evaluation of chest heaviness.
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Heart size is normal. A large hiatal hernia is demonstrated. Hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected.
history: <unk>f with weakness and shortness of breath
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There is an opacification seen posterior to the heart which likely reflects the descending aorta. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. The hilar and pleural structures are unremarkable. The imaged upper abdomen is normal. There is no acute osseous abnormality.
left-sided chest pain, diaphoresis and near-syncope. evaluate for infiltrate.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.
chest pain and shortness of breath.
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Pa and lateral views of the chest provided. There is a retrocardiac opacity which is concerning for pneumonia, less likely hiatal hernia. Right lung is clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough. evaluate for pna.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Multilevel degenerative changes are seen along the spine.
history: <unk>f with cough, chest pain // ?pna
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There is a new small apical pneumothorax, status post removal of left chest tube. Left hilar opacity represents known mass as seen on ct. Retrocardiac opacity likely represents moderate atelectasis and left pleural effusion. Right lung is clear without pleural effusion or pneumothorax. No pulmonary edema. The heart size and mediastinal contour are normal. No bony abnormality.
female with lung cancer, status post lumbar fusion. found to have left-sided pneumothorax. assess for pneumothorax.
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Interval replacement or re-positioning of a left picc, which now terminates at the junction of the left brachiocephalic vein and superior vena cava. Cardiomediastinal contours are stable in appearance. Multifocal patchy lung opacities are present in the right upper, right lower and left mid lung regions, and may reflect patchy atelectasis, multifocal aspiration, or developing pneumonia. Short-term followup radiograph may be helpful in this regard.
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There is a subtle patchy opacity at the left lung base on frontal view, possibly projecting over the spine on lateral view. This may represent pneumonia in the right clinical setting. There is no pleural effusion. Borderline cardiomegaly is unchanged. Cervical spine fixation device is unchanged.
<unk> year old woman with resp sxs, chest pain, poor air mvmt on pe. // any sign of pna
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In comparison with the study of <unk>, there are lower lung volumes. Again, there is enlargement of the cardiac silhouette with engorgement of vessels consistent with elevated pulmonary venous pressure. Hazy opacification at the left base with silhouetting of the hemidiaphragm represents some combination of consolidation, pleural fluid, and volume loss in the left lower lobe. The right hemidiaphragm is not sharply seen, consistent with atelectasis and small right effusion. Central catheter tip is unchanged.
respiratory distress, to assess for improvement in mucous plugging.
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Previously seen large right pleural effusion is now resolved. There is no consolidation or pneumothorax. Cardiomediastinal silhouette is normal size. Tortuous aortic contour is stable.
<unk> year old woman with right pleural effusion s/p thoracentesis. // assess for ptx or other complication of thoracentesis
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Ap and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. The aorta appears tortuous. Otherwise, the cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion. Osseous structures are without acute abnormality.
<unk>-year-old male with leukocytosis.
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As compared to prior chest radiograph from <unk>, there has been slight worsening of moderate to severe pulmonary edema, with likely increased left pleural effusion. The heart is enlarged. There are no new focal consolidations.
<unk>-year-old female patient with chf and cough. study requested for evaluation of pulmonary edema/infiltrate.
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Pa and lateral views of the chest provided. The lungs are well-inflated. Mild to moderate cardiomegaly is unchanged from <unk>. Mild to moderate pulmonary edema and cephalization are new. Small, bilateral pleural effusions. There is no pneumothorax. The hilar contours are normal. Moderate degenerative changes at the glenohumeral joints is worsened, bilaterally.
<unk> year old man with sob, atrial fib + rales // chf? heart size?
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Pa and lateral chest views were obtained with patient upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is now within normal limits. The thoracic aorta is unchanged in appearance and shows rather advanced wall calcifications at the level of the arch. The pulmonary vasculature is not congested. The previously described multiple rib fractures in the right hemithorax located posteriorly and involving ribs #<num>, <num>, <num>, <num>, and <num> appear rather unchanged. The pleural effusion persists but has decreased in size. No new pulmonary parenchymal abnormalities are seen and no pneumothorax is present in the apical area.
<unk>-year-old female patient with pleural effusion, evaluate.
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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. Borderline size of the cardiac silhouette and tortuosity of the thoracic aorta but no evidence of pulmonary edema. No pleural effusions. Normal hilar and mediastinal contours. No lung nodules or masses.
fever for <num> days, rule out pneumonia.
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There has been interval placement of ng tube, the tip of which extends into the distal gastric antrum or proximal small bowel. The remainder of the exam is essentially unchanged from the prior examination. Redemonstrated are decreased lung volumes bilaterally, and large bilateral pleural effusions with adjacent atelectasis. Stable cardiomegaly is noted. There is an opacity once again identified overlying the right proximal clavicle, unchanged and appearance from prior examinations. Incidentally noted is a large gallstone in the right upper quadrant.
status post ng tube placement.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is subsegmental bibasilar atelectasis. No focal consolidation is seen. The mediastinal contours are not significantly changed, with stable ectasia of the thoracic aorta. The heart size is normal. There are no pleural effusions. No pneumothorax is seen. No free air is seen under either hemidiaphragm.
abdominal bloating. assess for free air.
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The patient is status post midline sternotomy. Lung volumes remain low. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Cardiomediastinal contours are unchanged from prior examination.
history: <unk>m with chest pain // r/o infiltrate
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Pa and lateral views of the chest provided. An azygous fissure is noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Nipple rings are present.
<unk>f with cp and dizziness.
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Heart size is top normal. The aorta is mildly tortuous with mural atherosclerotic calcifications. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. No expansile bony lesions are identified.
locally metastatic renal cell carcinoma.
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The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax.
history of tachypnea. please evaluate.
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Ap single view of the chest has been obtained with patient in semi-upright position. Available for comparison is the next preceding ap and lateral chest examination of <unk>. Heart size has not changed significantly since the preceding portable examination. Metallic structures of an implantable aortic valve device are now seen in the <unk> the heart shadow. Its location is compatible with the left ventricular outflow tract and aortic root, however, patient's slight rotation towards the left accounts for appearance to the left of the spine. The appearance of the lung fields has undergone a dramatic interval change with now diffuse haze superimposed on both lungs. The finding on this portable chest examinations suggests the possibility of advanced pulmonary edema, however, possibility that the patient is in more recumbent position resulting in drift of pleural effusion into the posterior portion of the pleural space could account for this finding. To resolve this question, the performance of a lateral view is recommended.
<unk>-year-old male patient status post transaortic valve replacement. evaluate for effusion.
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The patient is rotated which limits assessment. Heart size is likely mildly enlarged. Mediastinal contours are difficult to assess given the degree of rotation. There is no pulmonary edema. Lung volumes are low, and streaky bibasilar opacities likely reflect atelectasis. No focal consolidation is clearly evident. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.
aphasia.
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Portable frontal chest radiograph demonstrates slight interval improvement in lung volumes, as well as in bibasilar atelectasis. Subsegmental and dense retrocardiac atelectasis remains, along with moderate bilateral pleural effusions which are not significantly changed. The cardiac silhouette and mediastinal contours are unchanged. Median sternotomy wires remain intact. A right internal jugular approach sheath remains in place with its tip in the upper svc. The pulmonary vasculature is normal.
<unk>-year-old male status post type a dissection repair, evaluate for pleural effusions.
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The patient is status post tracheostomy, which appears unchanged in comparison to the prior radiograph. There is a right ij, which terminates in the mid svc. There are <num> chest tubes on the right which appear unchanged in orientation in comparison to the prior radiograph. The patient is status post gastric pull-through with retained contrast in the thoracic stomach. There is confluent opacification at the left base which appears to have increased in comparison to the prior radiograph. The bilateral pleural effusions with loculations appear unchanged. There are diffuse linear opacities, most notable in the right upper lung, which represents scarring. 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.
<unk> year old man with trach collar // evaluation
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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.
<unk>f s/p vats lll superior segmentectomy for typical carcinoid on<unk> for typical carcinoid (pt<num>an<num>). h/o hodgkin's lymphoma s/p chemo/xrt to abdomen chest (<unk>),gestational trophoblastic disease s/p chemo (<unk>), breast cancer(invasive lobular on l, cis on r) s/p b/l mastectomies (<unk>), // eval for interval change
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The lung volumes are relatively low. Moderate cardiomegaly with increase in interstitial structures and mild increase in diameter of the vascular structures. Overall, the patient has mild pulmonary edema. Peripheral reticulations, seen at the left lung bases, could suggest co-existing mild fibrotic lung disease. No acute changes such as pneumonia or pleural effusion. Calcified plaques could be present at the bases of the right lung. At the time of dictation and observation, <time> p.m., on the <unk>, the referring physician <unk>. <unk> was paged for notification.
new onset of afib, evaluation for acute process.