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MIMIC-MultiView-Findings-Query_Optional

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There is a small right apical pneumothorax. The right pleural effusion has reaccumulated and is small to moderate in size. There continues to be pulmonary vascular redistribution with hazy alveolar infiltrate most marked in the left lung centrally and in the right lower lobe.
<unk> year old man with right pleural effusion s/p thoracentesis on <unk> with ptx on recent chest x-ray // check for interval changes in pneumothorax seen on imaging earlier
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A single frontal view of the chest was obtained portably. Low lung volumes results in bronchovascular crowding. Increased opacity at the right lung base since <unk> likely represents a pleural effusion and atelectasis but supervening infection cannot be excluded. The right upper lung zone and the left lung are clear. The cardiac silhouette is unchanged. Mediastinal silhouette and hilar contours are normal.
cirrhosis and encephalopathy.
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Frontal and lateral chest radiographs demonstrate clear lungs. There is no effusion, or pneumothorax. The heart size is normal. The mediastinal contours are normal.
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Today's radiograph is normal. All pre-existing parenchymal opacities have completely resolved. No new parenchymal opacities. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
recent pneumonia, evaluation for resolution.
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Pa and lateral views of the chest were provided. Lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. There is upper lobe lucency and suggestion of underlying emphysema which was previously detected on ct chest from <unk>. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.
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As compared to the previous radiograph, there is no relevant change. The endotracheal tube is still in situ. The left and right chest tubes are also unchanged. Nasogastric tube in place. The patient still shows a small left basal pneumothorax which, in the interval, is filled with fluid. A small apical component of this pneumothorax is newly visible. On the left, a small pneumothorax is not visible at the region of the lung apex. Unchanged appearance of the cardiac silhouette. Improved ventilation at the right lung bases.
esophageal tear, status post repair, extubation, evaluation for assessment.
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A tracheostomy tube remains in place. A right picc line ends at the origin of the svc. A feeding tube terminates in the stomach. There is no pneumothorax. Small right and moderate left pleural effusions with adjacent bibasilar airspace opacities are unchanged. The lung parenchymal abscess or consolidation likely remains unresolved. The heart and mediastinum cannot be accurately assessed on this projection.
<unk> year old man s/p ex-lap // kub to assess dobhoff position
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The cardiac silhouette remains moderately enlarged, but unchanged. The mediastinal and hilar contours are within normal limits. There is mild pulmonary vascular congestion and edema. Blunting at the right costophrenic angle is new from the most recent prior study suggesting a small right pleural effusion. No pneumothorax is present. No focal consolidation concerning for pneumonia is identified.
back pain and dyspnea on exertion, here to evaluate for pneumothorax or pulmonary edema.
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Frontal and lateral views of the chest were obtained. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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Compared with prior radiograph, technique and lung aeration are improved. There is no focal opacity and the appearance of the chest is at baseline. Moderate cardiomegaly not significantly changed from prior. There are small bilateral layering pleural effusions, right more than left. No pneumothorax. The icd is in unchanged position.
<unk>-year-old male admitted with shortness of breath and chest pain found to have pulmonary edema. evaluate for interval change.
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A right internal jugular venous catheter terminates at the cavoatrial junction. Streaky left mid to lower lung opacities appear unchanged and suggest minor atelectasis. The right hemidiaphragm is persistently elevated with blunting of the right costophrenic sulcus. The only clear change is some improvement in aeration of the right upper lobe. There is air-fluid level projecting along the right lateral and posterior parts of the outer chest, but decreased on the posterolateral view, which could be seen with redistribution of the fluid or some differences in orientation between the radiographs. However, the total extent of air and fluid is not necessarily changed. A displaced right fourth rib fracture and a non-displaced right fifth rib fracture are noted.
status post tracheobronchoplasty.
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Single portable frontal image of the chest. There are low lung volumes. An area of opacity is seen at the left lung base, which could reflect atelectasis but cannot exclude aspiration or pneumonia in the right clinical context. The lungs are otherwise clear. No large pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is mildly enlarged but similar to prior exam. The aorta is again noted to be tortuous and dilated, unchanged from prior exam. An area of calcification is seen overlying the right neck, unchanged from prior exams.
altered mental status, fever to <num>, concerning for pneumonia.
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There is no significant change from chest radiograph from <num> hr prior. The appearance of the lungs is stable. The cardiac and mediastinal silhouettes are stable. No large pleural effusion or pneumothorax. No evidence of free air beneath the diaphragm.
history: <unk>m with intermittent cp, abd pain, bilious emesis now w/ episode of hr <num>s*** warning *** multiple patients with same last name! // eval ? acute process, free air, mediastinal abnormalities
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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There is no focal consolidation concerning for pneumonia. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The heart size is top normal.
<unk> year old woman with asthma exacerbation // eval for consolidation
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Shallow inspiration, similar compared with prior exam. New bilateral mid to lower lung opacities, suggest pneumonitis in the appropriate clinical setting. Shallow inspiration accentuates heart size, similar. .
<unk> year old man hx if lupus and sarcoidosis, with aseptic meningitis, // new shortness of breath and cough
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In comparison with the study of earlier in this date, there is little overall change. Patient has taken a somewhat better inspiration with less coalescence of bilateral opacifications. The known left mass and multiple pulmonary nodules are again seen.
shortness breath.
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Single ap upright portable view of the chest was obtained. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The previously seen small left pleural effusion was only appreciated on the lateral view and the lateral view was obtained today. The cardiac and mediastinal silhouettes are stable and unremarkable.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Endotracheal tube and nasogastric tube are in standard position. Permanent pacemaker remains in place, with one lead terminating in the right atrium, and a second right atrial lead with a very tortuous course, which has been present on multiple prior radiographs and is probably unchanged allowing for the degree of patient rotation. However, attention to this on a non-rotated radiograph would be helpful for more accurate comparison to prior studies. Cardiomegaly is accompanied by pulmonary vascular congestion and slightly improved asymmetrically distributed multifocal alveolar opacities, likely a combination of pulmonary edema and pneumonia. The latter likely accounts for confluent opacities in the right upper and left mid lung regions. Small right and moderate left pleural effusions have slightly improved.
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Ap upright and lateral views of the chest were provided. There is linear density at the right lung base likely representing subsegmental atelectasis or scarring. There is no focal consolidation to raise concern for pneumonia. No effusion or pneumothorax is seen. The heart size appears grossly stable. Mediastinal contour is unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
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As compared to the previous radiograph, there is unchanged presence of a right picc line. Moderate cardiomegaly is unchanged, but minimal pleural effusions might have occurred in the interval. There are ongoing signs of mild-to-moderate pulmonary edema and atelectasis at both lung bases. No new parenchymal opacity. No pneumothorax.
asthma, copd, dyspnea, evaluation.
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Pa and lateral views of the chest. Right picc line ends in the lower svc. Lungs are clear. There is no pleural effusion or pneumothorax. Sternotomy wires are again seen. Moderate cardiomegaly is stable. Aortic valve replacement is seen. No significant change in mediastinum compared to <unk>.
<unk>-year-old male with bioprosthetic av valve replacement for endocarditis, right-sided chest pain.
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Right subclavian central catheter terminates at the junction of the right brachiocephalic vein and the svc. Heart size and cardiomediastinal contours are normal. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax.
<unk>f with subclavian line placement // evaluate for line placement
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There is a new left lower lobe airspace opacity, as well as ill-defined airspace opacities in the right mid to upper lung zones. The suggestion of cavitation in the left lower lobe, would require chest ct for confirmation. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.
<unk> year old man with hx of aml, s/p allo transplant in <unk> w/chronic gvhd now with fever and cough. please r/o pna.
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The lungs are hyperinflated and there is mild cardiomegaly, which is unchanged from the prior examination from <unk>. There is no focal consolidation, pleural effusion, or pneumothorax. Again noted are calcified densities throughout the hila bilaterally, likely indicative of prior granulomatous disease. Additionally, there is a dense nodule in the right lateral midlung, which is not well seen on prior studies, and may be sequela of granulomatous disease, however could represent a nodule.
history: <unk>f with cough. evaluate for pneumonia
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
chest pain, shortness of breath, diabetic ketoacidosis.
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Pa and lateral radiographs of the chest demonstrate mild hyperexpansion. The lungs are clear. There is no pneumothorax or pleural effusion. The hilar and cardiomediastinal contours are normal. Some atherosclerotic calcification in the aortic arch is noted. Pulmonary vascularity is normal.
<unk>-year-old man with chest pain. evaluate for acute process.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pneumothorax, or pleural effusion. Lung volumes are slightly diminished. Cardiomediastinal silhouette is unremarkable and stable from prior exam. There are no suspicious osseous lesions.
a <unk>-year-old man with dyspnea, question acute process.
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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 similar study of <unk>. Position of previously described left-sided permanent pacer connected to two intracavitary electrodes remains unchanged. Heart size has increased mildly. The thoracic aorta is unchanged and shows rather extensive walled calcifications mostly at the level of the arch. It is also moderately elongated but the contours are grossly unchanged. The pulmonary vasculature is more prominent than on preceding examination with distended venous vasculature in the lungs with perivascular haze. Similar as already seen on previous examination, there exist thin linear densities on the bases representing peripheral atelectasis or possibly scar formations. They are rather unchanged and there is no evidence of new discrete pneumonic infiltrates. Also, the lateral and posterior pleural sinuses remain free from any major fluid accumulation. No pneumothorax is seen in the apical area. Skeletal structures of the thorax are grossly unchanged and remain normal.
<unk>-year-old female patient with increasing shortness of breath, evaluate for chf.
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Heart is persistently mildly enlarged, with left ventricular configuration, and the aorta is tortuous. Lungs are clear. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough, chest pain, ?pneumonia // ?pneumonia
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Ap upright and lateral views of the chest provided.lung volumes are low limiting assessment. Bronchovascular crowding and atelectasis is noted in the lower lungs as on prior. The previously noted cholecystostomy tube is been intervally removed. No large effusion or pneumothorax. No convincing signs of pneumonia. Cardiomediastinal silhouette is similar to prior. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with history of lymphoma, perforated gb s/p recent ctube removal p/w ams, fever
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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.
chest pain.
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A poorly defined opacity at the left lung base may represent a developing infectious process. The lungs are otherwise clear and the cardiomediastinal contour is normal apart from being slightly rotated. No pleural effusion or pneumothorax.
history: <unk>m with near-syncope, sirs (+), tachy/febrile // acute pulmonary process
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Ap single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. Again, however, a small up to <num> cm wide apical pneumothorax cavity persists. No other new abnormalities. Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position.
<unk>-year-old male patient with bilateral pleural effusions, status post tap on the right side, now evaluate for pneumothorax post chest tube removal.
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Ap upright and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. The lungs are clear. Heart size is top normal. Mediastinal contour is unremarkable. No pleural effusion or pneumothorax is seen. Imaged osseous structures are intact. Dish-related changes of the lower t spine noted.
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A right chest wall port-a-cath terminates in unchanged position at the cavoatrial junction. There is minimal left basilar atelectasis. Otherwise no significant change from prior.
<unk> year old man with lymphoma // assess for port placement.
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In comparison with the study of <unk>, there again are diffuse areas of opacification bilaterally, more prominent on the right, consistent with multifocal pneumonia. Right and possibly left pleural effusions. Tracheostomy tube remains in place.
quadriplegia with pneumonia.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Single ap upright portable chest radiograph was provided. There is left basal/retrocardiac opacity which could represent pneumonia with associated effusion. The right cp angle is excluded. Otherwise, the lungs appear clear. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.
<unk>f w/chest pain and sob // <unk>f w/chest pain and sob
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Dobbhoff terminates in the distal esophagus. There is no consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is moderately enlarged. Aortic contour is tortuous. Oral contrast is in the colon.
<unk> part, confirm placement <unk> year old man with dobhoff // <unk> part, confirm placement
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There appears to be a new left lower lobe focal opacity compared to the prior exam. This could be secondary to chf exacerbation, or atelectasis, however an infiltrative process cannot be ruled out. The bilateral pleural effusions appear to be stable. The heart size is stable compared to the prior exam. There again appears to be mild cardiac congestion with mild cephalization of the pulmonary vessels. The aorta appears to be tortuous.
<unk>-year-old female with cough, wheezing and shortness of breath who presents for evaluation.
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In comparison with the earlier study of this date, there is essentially no change in the appearance of the dobbhoff tube. The long opaque tip straddles the esophagogastric junction. If this represents an attempt to push the tube forward, care should be taken to make certain that the tube does not coil within the upper esophagus or the mouth.
dobbhoff placement.
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As compared with prior examination dated <unk>, there has been no relevant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with chest pain and shortness of breath // r/o chf /pneumonia
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Single portable radiograph of the chest demonstrates elevation of the right hemidiaphragm compared to the left, and compared to the prior study from <unk>. There is mild right basilar atelectasis with no evidence of right lower lobe collapse. The remainder of the right lung and the left lung are clear. Cardiac size is mildly enlarged, likely due to portable technique. Hilar and mediastinal contours are otherwise unremarkable. No pleural effusion or pneumothorax.
dyspnea.
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Comparison is also made to prior ct scan from <unk>. Heart size is enlarged. There are bilateral pleural effusions, right side worse than left. There is a left retrocardiac opacity. There is faint if any density projecting over the mid upper esophagus. This could correlate with the retained barium seen in this location on the prior ct scan; however, it is better assessed on the ct. There is no pneumothoraces. These findings have been discussed by dr. <unk> with dr. <unk>.
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In comparison with study of <unk>, there is little overall change. Again there are three right chest tubes in place with area of gas in the upper third of the right hemithorax related to the recent surgery. Some volume loss is seen in the upper portion of the pulmonary parenchyma. Extensive subcutaneous emphysema extends from the visualized portion of the upper abdomen to the lower neck. No evidence of midline shift and the left lung is essentially within normal limits.
bullectomy and pleurodesis.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube is not included in the image. The other monitoring and support devices are constant. Constant appearance of the lung parenchyma and of the cardiac silhouette. Unchanged other monitoring and support devices and left pectoral pacemaker.
nasogastric tube placement. evaluation.
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An endotracheal tube terminates <num> cm above the carina. An orogastric tube terminates within the stomach. The lung volumes are low, exaggerating the pulmonary vasculature, however, there is mild pulmonary vascular congestion with mild edema. A new left retrocardiac opacity likely reflects atelectasis. There is no pneumothorax.
hepatitis c cirrhosis, with worsening encephalopathy.
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As compared to the previous radiograph, the effusion on the right has moderately decreased. A mild-to-moderate pleural effusion, however, is still present. There is no evidence of pneumothorax, the right chest tube is in unchanged position. Overall unchanged appearance of the large right hilar lesion with peripheral parenchymal consolidations. The left lung continues to be normal.
pleural effusion, evaluation.
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Compared to the prior study there is no significant interval change. There is a large right pleural effusion, layering posteriorly. This is increased compared to the study from the prior day. The feeding tube tip is off the film, at least in the stomach. The large bore ij catheter tip is at least in the right atrium. The tip is just at the margin of the film the left ij line tip is in the right atrium
status post liver transplant with liver failure
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Chronic deformities of the distal bilateral clavicles are seen. Oblique fractures of the proximal right humeral shaft is partially imaged better evaluated on dedicated humerus radiographs from <unk>. There is bibasilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
breast cancer with mets to bone worsening rib pain
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<num> views were obtained of the chest. Large retrocardiac opacity is unchanged from the recent comparison from<unk> but progressed from <unk>. On review of imaging in the <unk> system, the left lower lung has not been clear since surgery. The remainder of the lung is clear. Moderate cardiomegaly and mitral valve prosthesis are unchanged. Sternal wires are intact. There is no pneumothorax or right pleural effusion.
cough and low-grade temperatures.
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The lateral view of the chest is suboptimal due to overlying external artifact. Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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The patient is rotated to the low. Endotracheal tube and right ij central venous catheter grossly unchanged in position. Newly placed enteric tube ends in the stomach. Density projecting over the mid thoracic spine may represent a esophageal manometry. No significant interval change to diffuse alveolar lung opacity.
<unk> year old man with post esophageal balloon placement
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There has been interval improvement of the left pleural effusion. The cardiac silhouette is unchanged, and no signs of pulmonary congestion are noted. Left-sided central line is unchanged in position.
<unk>-year-old woman with pleural effusions and chest pain, assess for change effusions from history.
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In comparison with the study of <unk>, no definite pneumothorax is appreciated. Minimal opacification in the right apical region could reflect post-traumatic bleeding. Several displaced rib fractures are seen on the left. No evidence of acute vascular congestion or pneumonia.
multiple rib fractures, to assess for pneumothorax.
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Substantial interval increase and loculated right-sided pleural effusion which is now large with near complete opacification of the right lung. The left lung remains clear. Mild mediastinal shift to the left.
<unk> year old man with shortness of breath and pleural effusion // evaluate pleural effusion
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old male with neutropenia and inferior. question pneumonia.
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The endotracheal tube ends about <num> cm above the carina. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with nasotracheal intubation. please evaluate for tube placement.
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Pa and lateral views the chest were provided. Lung volumes are low and there is elevation of the right hemidiaphragm. There is a vague ground-glass opacity in the right lung apex which is indeterminate, possibly representing scarring though in the absence of prior imaging, a nonemergent ct of the chest may be obtained to further assess. There is mild perihilar reticulation in the left lung. No large effusion or pneumothorax. The cardiomediastinal silhouette appears upper limits of normal. Bony structures are intact.
<unk>m with months of cough // ?pna
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Ng tube ends at <num> cm from carina bifurcation can be withdrawn <num> cm. The ng tube ends in proximal gastric cavity after looping, unchanged since <unk>. Lung volume is still low with persistent bilateral opacification due to mild pulmonary edema and bibasilar pleural effusion, left larger to the right, but overall unchanged since <unk>. Heart is still mildly enlarged. There is no pneumothorax.
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Portable upright radiograph of the chest demonstrates a large amount of intraperitoneal free air lifting the diaphragm off the liver surface. Within the upper abdomen, there are severely dilated loops of colon, with the transverse colon measuring up to <num> cm in diameter. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
chronic abdominal pain and distention in a patient with a history of c. difficile colitis.
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As compared to the previous examination, the left chest tube appears to be removed. There is a small left plate-like atelectasis. No pleural effusions. No pneumonia. No pulmonary edema. The patient is extubated and the nasogastric tube has been removed. Right internal jugular vein catheter is in constant position.
status post cabg, chest tube removal, evaluation.
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Since the prior exam, the lung volumes are lower. There is an increased diffuse interstitial abnormality consistent with worsening pulmonary edema. Additionally, there is increased opacification at the right base which may be due to a consolidation, atelectasis or asymmetric edema. Bilateral pleural effusions are moderate in size, and have increased since the prior exam. The mediastinal contours are unchanged. The heart remains moderately enlarged.
altered mental status and worsening oxygen requirement.
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Comparison is made to previous study from <unk> at <time> a.m. There is an endotracheal tube which is stable. There is an orogastric tube which is not well seen due to the technique. It is seen at least to the level of the mid chest. Heart size is enlarged. There are diffuse airspace opacities and which appear stable but opacified both lung fields. There is a small amount of lung aerated in the left upper lobe.
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No pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is mild to moderately enlarged, similar to prior given differences in technique. There is pulmonary vascular congestion. No definite focal consolidation is seen.
<unk>m w/ l arm pain, cp. eval for cardiopulm change // <unk>m w/ l arm pain, cp. eval for cardiopulm change
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Compared to chest radiographs from <unk>, bilateral interstitial and airspace opacities with lower lobe predominance, better assessed on prior chest ct and consistent with nsip, have mildly improved compared to most recent chest radiographs and ct. No appreciable effusions. No pneumothorax. Moderate tortuosity of the thoracic aorta with calcification at the aortic knob. Otherwise, mediastinal and hilar contours are stable. Mild cardiomegaly is unchanged. Multiple ossific densities at the right glenohumeral joint, possibly reflecting loose bodies. Left humeral prosthesis in situ.
<unk> year old woman with melanoma, ild, new cough with sore throat, runny nose // evaluate for pneumonia
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Single ap view of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pulmonary edema, pleural effusion or focal consolidation. Surgical clips are noted in the left axilla.
chest pain. evaluation for infection or chf.
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Left-sided defibrillator remains in unchanged position. The heart is enlarged. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with history of chf coming in with progressive dyspnea on exertion, now with sob at rest. // any evidence of pulmonary edema? any infiltrates? any evidence of pulmonary edema? any infiltrates?
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Unchanged moderate bilateral pleural effusions and severe left lower lobe atelectasis. Previously seen possible left upper lobe opacity is no longer seen and likely due to overlying tubing on prior study. No pneumothorax. The mediastinal and hilar contours are stable. Et tube ends <num> cm from the carina, unchanged. Enteric tube ends off the imaged portion. Right internal jugular sheath ends just above the origin of the svc, unchanged.
status post cabg, evaluate for left-sided infiltrate.
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The cardiac, mediastinal and hilar contours appear unchanged including moderate cardiomegaly as well as mild unfolding of the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no definite change.
chest pain.
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The cardiomediastinal silhouette and pulmonary vasculature are stable since recent examination. There is no pleural effusion or pneumothorax. The lungs are clear. A right-sided port-a-cath is noted with its tip in the lower svc region.
<unk>m with pleuritic, l chest pain // eval for acute process
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Three chest tubes are unchanged in position. No definite pneumothorax is identified. There has been improved aeration at the right base, likely due to improved atelectasis. A small amount of right pleural fluid remains, though has decreased since the prior exam. Subcutaneous air along the right chest wall is likely from the recent chest tube insertions. There is mild left basilar atelectasis and a tiny left pleural effusion. Since the prior exam, vascular congestion has slightly worsened. There is no evidence of pneumonia. No left pneumothorax is identified. The mediastinal contours are normal. The cardiac silhouette is significantly enlarged, and unchanged.
hemothorax with multiple chest tubes. evaluate for change.
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As compared to the previous radiograph, there has been interval removal of a right-sided pacing hardware, placement of a left side generator with a single lead. Interval decrease in pleural effusions. Moderate cardiomegaly that is unchanged. No evidence of pneumothorax. The vertebral stabilization devices are unchanged. Pre-existing areas of atelectasis at the lung bases have decreased.
single-chamber pacemaker, evaluation for pneumothorax.
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A pacer is seen overlying the left anterior chest with intact lead terminating in the right ventricle. The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. Moderate cardiomegaly is noted.
<unk>m with s/p mechanical fall. now complaining of pain s/p fall. fracture?
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The lines and tubes are unchanged in position. The heart is stably enlarged. There is mild worsening of vascular congestion. There are stable small bilateral pleural effusions with associated atelectasis.
pancreatic pseudocyst.
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The lungs are clear. Bilateral small pleural effusions have resolved. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with metastatic bladder cancer with fatigue, malaise // r/o pneumonia
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No displaced fracture seen.
intermittent chest pain radiating to left arm for <num> weeks.
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Pa and lateral views of the chest provided demonstrate clear lungs without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Newly appeared atelectatic opacities at the right lung base. No pneumothorax. Unchanged appearance of the cardiac silhouette. No pleural effusions.
multi-trauma, rib fractures, evaluation for interval changes.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. There is mild interstitial pulmonary edema. The heart remains top-normal in size. No large effusion, pneumothorax or signs of pneumonia. Mild degenerative spurring is seen in the thoracic spine anteriorly. Degenerative changes also partially imaged at the left shoulder.
<unk>f with cp sob // ro pna
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with cough // cough
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The lung volumes are slightly low, but the lungs are clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
cough and malaise.
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As compared to the previous radiograph, the tracheostomy tube and the picc line are in unchanged position. In the interval, a peritoneal shunt has been placed. The pre-existing left and right pleural effusions are almost completely resolved. The lung parenchyma at the right lung base shows substantially improved ventilation. The retrocardiac areas of atelectasis are constant. No pneumothorax. No new parenchymal opacities. No evidence of pulmonary edema.
intracranial bleeding, evaluation for interval change.
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Lines and tubes are unchanged in position. There is no pneumothorax. There is a severe pulmonary edema similar compared to prior examination. The heart is enlarged. There are bilateral pleural effusions greater on the left.
increased o<num> requirement.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
history: <unk>f with rll crackles, ams, hypothermia // pna?
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One portable upright ap view of the chest. A right lower lobe opacity is concerning for pneumonia. There is also an area in the right lateral lung that may represent either a skinfold or possible pneumothorax. The left lung is clear. There is no pleural effusion. Cardiac, mediastinal and hilar contours are normal. A right internal jugular line ends in the upper svc.
myelodysplastic syndrome and ms, now with delirium, rule out pneumonia.
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Suture chain is noted at the right lung apex. There has been interval resolution of the patient's right apical pneumothorax. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
<unk> year old man s/p r vats blebectomy // check interval change
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In comparison with study of <unk>, there again are diffuse bilateral pulmonary opacifications in a patient with enlarged heart and evidence of previous cardiac surgery and pacer device in place. Again, this could reflect widespread pneumonia superimposed on pulmonary vascular congestion, if this were compatible with the clinical history.
chf and pneumonia.
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Left apical pneumothorax is well seen which could reflect resolution. Moderate-to-large right pleural effusion, associated atelectasis and post-radiation changes are unchanged. Calcified nodes and cardiomediastinal contours are unchanged. Severe degenerative changes in the shoulders bilaterally are unchanged.
<unk>-year-old woman with bilateral breast cancer, thyroid cancer, non-hodgkin's lymphoma, pulmonary fibrosis, status post radiation therapy, and asthma; admitted for tachycardia and respiratory distress s/p thoracentesis, assess for worsening pneumothorax.
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Compared to <num> hours prior, there is interval placement of an enteric tube, which terminates near, but probably superior to the level of the ge junction. No other significant change.
<unk> year old woman intubated s/p og // evaluate placement of og
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Cardiac device generator is in the left chest wall with intact leads in the right atrium and right ventricle. Swan-ganz catheter and nasogastric tube have been removed. There is no pneumothorax. Moderate cardiomegaly is unchanged. Lung volumes are low, but slightly increased compared to prior examination resulting in improved bibasilar aeration with there is persistent patchy opacities, likely atelectasis.
<unk> year old man with <unk> in place, agitated and pulled at catheter // ? dislocation of swan catheter ? dislocation of swan catheter
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The patient has had prior median sternotomy and cabg. Mild pulmonary vascular congestion has developed since the prior examination with peribronchial cuffing and fluid along the minor fissure. Mild cardiomegaly. Previously described ill-defined airspace opacity in the right lower lobe has improved. No significant pleural effusions or pneumothorax.
<unk> year old man with chf, acute anemia wiht blood transfusions // pulm edema?
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Ap portable upright view of the chest. A subtle opacity projecting over the right lower lung is concerning for pneumonia. Otherwise the lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk> year old man with heroine od and wbc <unk>
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The cardiomediastinal silhouette is within normal limits for age and technique and remains midline. There is atelectasis in the right upper zone, with several bandlike opacities. The right hemidiaphragm is probably slightly elevated. There is atelectasis at both lung bases. More hazy opacity at right base may reflect the presence of a small effusion. Mild vascular plethora is noted, consistent with mild chf. A left chest tube is present. No pneumothorax is detected.
<unk> year old woman with lung nodules concerning for metastasis // eval post op chnge following wedge resection
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The cardiac, mediastinal and hilar contours are within normal limits. Minimal atherosclerotic calcifications are noted at the aortic arch. No focal consolidation, pleural effusion or pneumothorax is seen. Lungs are hyperinflated compatible with history of copd. A curvilinear opacity within the left perihilar region is felt to be a summation shadows. There are no acute osseous abnormalities.
history of copd, chest pain.
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The endotracheal tube tip is between the clavicular heads. The endogastric tube courses inferiorly through the expected region of the stomach. The heart size is likely within normal limits, exaggerated by the patient's leftward rotation. The mediastinal and hilar contours are also within normal limits. Again prominent soft tissue density in the right superior mediastinal space displaces the normal midline structures towards the left; this mass likely represents a goiter. The lungs demonstrate mild bibasilar atelectasis. There is no large pleural effusion or pneumothorax.
an <unk>-year-old female with subarachnoid hemorrhage and intubation, now with crackles on lung exam today.
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The radiograph is taken in upright position. There are no relevant changes compared to the prior image. Normal lung volumes. No pleural effusions. No focal parenchymal opacities. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No evidence of acute thoracic changes.
polymyalgia. questionable consolidations.