ChayanM/MIMIC-MultiView-Findings-Query_Optional

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The patient is status post endovascular repair of the aortic valve. The heart is mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

right shoulder and scapular pain after fall.

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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, interstitial opacity or pneumothorax. The cardiomediastinal silhouette is normal.

history dermatomyositis and new fever.

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Mild cardiomegaly and cardiomediastinal contours are similar to prior. Lung volumes are low. Increased left base opacity is likely related to large hiatal hernia. Vague heterogeneous opacity in the right upper lobe is similar to prior, likely residual scarring. No pneumothorax or substantial pleural effusion. Large hiatal hernia is similar to prior.

history: <unk>f with ams, fever // eval for pna

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Tip of nasogastric tube terminates in the upper stomach, but side port is in close proximity to ge junction and could be advanced a few centimeters to ensure placement distal to this location. Other indwelling devices are unchanged in position, and aortic stent graft appears similar to previous radiographs. Stable mild cardiomegaly accompanied by mild interstitial edema and small right pleural effusion as well as persistent bibasilar atelectasis. No visible pneumothorax.

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Frontal and lateral chest radiographs demonstrate low lung volumes and patient to be lordotic in position. The cardiac silhouette is prominent, but likely accentuated by ap technique. The mediastinal and hilar contours are otherwise within normal limits. The lungs are clear. Previously seen left basilar opacity has improved with better visualization of the left hemidiaphragm. There is no pneumothorax, vascular congestion, or pleural effusion. Right humeral deformity is noted, compatible with remote injury.

<unk>-year-old female with liver disease and altered mental status. question pneumonia.

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A left-sided chest tube is noted with tip projecting over the left apex. A tiny residual left apical pneumothorax is noted. Opacity within the medial aspect of the left apex likely reflects postoperative hemorrhage. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No shift of mediastinal structures is present. There are no acute osseous abnormalities. Please note that the extreme right costophrenic angle is excluded from the field of view.

<unk> year old man with recurrent pneumothorax status post vats wedge

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Pa and lateral views of the chest provided. Lung volumes are low. The heart appears top normal in size. There is noted no convincing sign of pneumonia or chf. A calcific density projecting over the right upper lung is more conspicuous than on prior exam and most likely represents calcified costal cartilage. Mediastinal contour appears unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with sudden onset cp/sob <num> hours ago. hx of viral infection.

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Combination of left pleural fluid and consolidation at the left base completely obscure the left hemidiaphragm but the opacity appears to be more related to lung consolidation or edema than to fluid currently. Cardiomegaly appears unchanged. Hemidiaphragm on the right is obscured as well though there is better aeration of the right lung compared to the previous film. Right-sided picc line is in unchanged position.

<unk> year old woman with w/o r mca stroke p/w encephalopathy <unk> uti, course complicated by chf exacerbation and now uptrending leukocyosis with increasing o<num> requirement // ? pneumonia or aspiration event or pulmonary edema

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The endotracheal tube terminates <num> cm above the carina. Increased interstitial markings are seen projecting over the lung apices and perihilar and retrocardiac regions. No dense consolidation. No obvious effusion or pneumothorax on this supine film. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with s/p intubation // ett placement

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Patient status post sternotomy. The et tube is in good position. Suture line over the left chest wall is identified where there is nonspecific increased opacity an day left basal effusion. The right-sided pigtail catheter remains in good position. No evidence of pneumothorax on either side. Degenerative changes in the visualized spine

<unk> year old woman with s/p pigtail on water seal // eval ptx

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As compared to the previous radiograph, the tip of the endotracheal tube now projects <num> cm above the carina. No evidence of complications, notably no pneumothorax. Unchanged course of the nasogastric tube. Unchanged low lung volumes with signs of bilateral basal atelectasis and mild fluid overload. Mild cardiomegaly.

meningitis. questionable tube placement.

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Single frontal view of the chest was obtained. The patient is status post median sternotomy and cabg. The lungs are hyperinflated, flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. There is left basilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. There are no acute osseous abnormalities.

chest pain.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with weakness, cp // eval for pna

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with chest pain // ? chf

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The lungs are clear without focal consolidation, effusion, or edema. Moderate cardiomegaly is noted. Triple lead pacing device is seen with lead tips within the coronary sinus, right ventricular apex and right atrium. Atherosclerotic calcifications are noted in the aorta. No acute osseous abnormalities.

<unk>f with cardiomyopathy, chest pain, sob // eval for pulmonary edema, source of chest pain

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

shortness of breath.

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Pa and lateral views of the chest. Mild cardiomegaly is unchanged. Mediastinal clips and sternotomy wires are unchanged. There is right basilar atelectasis. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable.

epigastric pain, evaluate for free air or infiltrate.

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The nasogastric tube has been repositioned, the tip is now in the stomach. A dual lead pacemaker is unchanged in appearance compared to the prior study. No consolidation, pneumothorax or pleural effusion seen. Dilated loops of small bowel are again seen in the upper abdomen. No free air seen.

<unk> year old man with ngt placed for sbo. replaced after appeared to be in ge junction on cxr. now at <num>cm // please assess ngt placement

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Left-sided port-a-cath tip terminates in the proximal right atrium. Severe enlargement of the cardiac silhouette is unchanged. There is continued mild pulmonary edema. The mediastinal and hilar contours are similar. Small bilateral pleural effusions have decreased in size compared to the previous study. Patchy opacities in lung bases may reflect compressive atelectasis. No pneumothorax is seen. There are moderate multilevel degenerative changes in the thoracic spine.

history: <unk>m with cancer, neutropenic, history of malignant effusions, decreased breath sounds bilaterally

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There is no focal consolidation or pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. There is no displaced rib fracture.

<unk>f s/p fall from bus p/w right shoulder pain evaluate for dislocation or fracture.

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There are small bilateral pleural effusions with blunting of the posterior costophrenic angles. There is mild pulmonary edema without confluent consolidation. Moderate cardiac enlargement is grossly unchanged. No acute osseous abnormalities.

<unk>f with chest pain, shortness of breath

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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable noting laparoscopic band in the left upper quadrant.

<unk>-year-old female with cough and shortness of breath after laparoscopic band surgery three days ago.

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Endotracheal tube is in standard position terminating <num> cm from the carina. Enteric tube courses below the left hemidiaphragm, into the stomach and off the inferior borders of the film. Lung volumes are low. Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy opacities in the lung bases may reflect areas of atelectasis though aspiration or infection is not excluded, particularly in the retrocardiac region. No large pleural effusion or pneumothorax is identified on this supine exam. No displaced fractures are noted.

history: <unk>m with agitated delirium

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Pa and lateral radiographs of the chest show mild opacity in the right lung base which could represent atelectasis or a developing infectious process. The rest of the lungs are clear although hyperexpanded indicative of emphysema. The hilar, mediastinal, and cardiac contours are normal. Slightly tortuous descending thoracic aorta is noted. No pleural effusion or pneumothorax.

hemoptysis and lethargy.

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In comparison with the study of <unk>, nasogastric tube has been pulled back slightly so that the tip lies at the level of the esophagogastric junction. The side hole is clearly within the lower esophagus. The degree of diffuse bilateral pulmonary opacification is quite similar to the study of <unk>.

ng tube placement.

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Tip of the endotracheal tube terminates within <num> cm of the carina, and the tip of an intraaortic balloon pump is adjacent to the superior aspect of the aortic knob, at the expected origin of the left subclavian artery. Both of these findings have been telephoned to dr.<unk> at <time> a.m. On <unk> at the time of discovery. Cardiomediastinal contours are within normal limits. Improved pulmonary vascular congestion, persistent left retrocardiac atelectasis, and bilateral pleural effusions, moderate on the right and small on the left. No visible pneumothorax, but extreme right lung apex is not visualized on this exam.

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There is a new area of irregular, branching opacification in the right lower lobe, which may represent atelectasis or aspiration. The enteric tube and endotracheal tube are unchanged compared to the prior radiograph. Low lung volumes along with the patient supine positioning likely account for apparent pulmonary vascular crowding. No pleural abnormalities detected. The heart and mediastinum are normal appearing.

status post motor vehicle accident now intubated. evaluate for pneumonia.

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Right moderate pleural effusion have significantly improved and is now minimal. Tiny pneumothorax in right apex measures less than <num> mm. The right-sided picc line ends at the cavoatrial junction. Left basal atelectasis and small pleural effusion is unchanged. Cardiac contour is normal.

patient with bilateral pleural effusions, right thoracocentesis <num> cc out, rule out pneumothorax.

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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. A mild thoracic scoliosis is unchanged.

productive cough and fever. rule out acute process.

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There has been significant improvement in the left-sided effusion with more aerated left lung, particularly at the apex. Left pleural catheter projects at the left lung base. Heterogeneous opacity in the left mid lung corresponds to tumor better seen by ct. The right lung is clear and there is likely a small right pleural effusion. Left picc terminates at the superior cavoatrial junction.

<unk> year old woman with nsclc s/p pleurx catheter. evaluate for changes.

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Bilateral main stem bronchial stents are in position. Left perihilar and medial right apical masses appear similar. There is also unchanged left basilar opacification. There has in fact been little, if any, change since the prior radiographs aside from decreased volume loss at the left base and substantially decreased pleural effusions since the prior ct on the left.

bronchial obstruction and stent placement for progressive malignancy. the patient presents with dyspnea.

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Interval placement of endotracheal tube, terminates approximately <num> cm above the level of the carina. What appears be an enteric tube courses below the level of the diaphragm, terminating in the left upper quadrant. There is moderate pulmonary vascular congestion and prominence of the central pulmonary vasculature. Left base opacity is seen which may represent combination of pleural effusion and atelectasis, however, underlying consolidation due to infection and/or aspiration is not excluded. No pneumothorax is seen. Cardiac and mediastinal silhouettes are grossly stable.

history: <unk>f with aspiration // post intubation

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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. The heart is borderline enlarged. Mediastinal contour and hila are unremarkable. Limited assessment upper abdomen is within normal limits. Visualized osseous structures are unremarkable.

<unk>m with chest pain. wbc><num>k. assess for pneumonia.

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As compared to the previous radiograph, the nasogastric tube has been advanced. The tip of the tube now projects over the gastroesophageal junction. To ensure correct position in the stomach, the tube must be advanced by another <num> cm. Unchanged position of the endotracheal tube. Unchanged moderate cardiomegaly with mild fluid overload. The extent and severity of the pre-existing right lower lung parenchymal opacity is unchanged.

nasogastric tube replacement.

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The heart is at the upper limits of normal size with left ventricular predominance. Patchy left basilar opacity obscuring the left hemidiaphragm suggests minor atelectasis. Elsewhere, the lungs appear clear. There is no definite pleural effusion or pneumothorax.

heart block. question cardiomegaly.

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Pa and lateral chest radiographs were provided. The lungs are well expanded. 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 of cough, evaluate for infiltrate.

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The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of congestive heart failure. Dish is seen along the thoracic spine, unchanged from prior exam.

abdominal pain, evaluate for infiltrate.

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Mild bibasilar atelectasis is seen. <num> cm ovoid calcification projecting over the left lung base is stable, as is an ovoid calcifications measuring <num> cm projecting over the right peritracheal region. No large pleural effusion or pneumothorax is seen. Left apical pleural thickening mild is again noted. The cardiac and mediastinal silhouettes are stable. Subtle old rib deformities are again noted.

history: <unk>m with ams // eval for infection

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There has been placement of a right-sided picc line with the distal lead tip at the mid svc. No pneumothoraces are identified. There is some mild blunting of the left cp angle suggestive of small pleural effusion or atelectasis. Calcification of the thoracic aorta is present.

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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with right upper quadrant pain radiating to the back. tachycardia.

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Pa and lateral views of the chest provided. Mild right basal atelectasis noted. Otherwise lungs are clear. 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>m with cough, mild sob // ? bronchitis/ pna

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There is persistent hyperexpansion of the lungs, without focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal.

<unk>m with confusion and lue numbness. evaluate for pneumonia.

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Frontal and lateral views of the chest were obtained. There may be trace pleural effusions. The cardiac silhouette is moderately enlarged. There is slight increase in interstitial markings bilaterally suggesting mild interstitial edema. No pneumothorax is seen.

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The lungs are slightly hyperinflated. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Increased interstitial markings are seen throughout the bilateral lungs, but particularly the bases, and may be related to a chronic interstitial process. No focal consolidation is identified. There is no pleural effusion or pneumothorax. Old healed bilateral rib fractures are noted.

<unk>m with cough // ?pna

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There has been interval removal of a right-sided picc. The cardiac silhouette is markedly enlarged. There are small bilateral pleural effusions. Prominence and indistinctness of the hila and bilateral perihilar opacities are most consistent with pulmonary edema. Additional small patchy opacities in the mid lung zones bilaterally may relate to pulmonary edema although superimposed infectious process is not excluded in the appropriate clinical setting. There is severe compression of a lower thoracic vertebral body, stable, with focal kyphosis at this level.

hypoxia

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. Nipple jewelry is incidentally noted.

injury, motor vehicle accident.

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Left pigtail pleural catheter remains in place, with no evidence of pneumothorax. Opacity involving the left mid and lower hemithorax is due to a combination of consolidation and pleural effusion. Small rounded lucency centrally in the left juxtahilar region could reflect an area of spared lung parenchyma or focal cavitation given the presence of necrotic pneumonia on earlier contrast-enhanced ct. Within the right lung, consolidation has progressed in the right lower lobe and is accompanied by an enlarging now moderate right pleural effusion.

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There is improved aeration at the right lung base. No residual focal consolidation concerning for pneumonia is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits and unchanged. There is anterior wedging of several mid thoracic vertebral bodies and multilevel degenerative change in the thoracic spine.

right lower lobe pneumonia diagnosed in <unk>, here to evaluate for interval resolution of pneumonia.

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Linear lower lung densities best appreciated on the lateral view may represent atelectasis or early bronchitis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. An accessed right pectoral port-a-cath catheter tip terminates in the low svc. A left pectoral dual-chamber pacemaker and its leads project in unchanged location. The cardiomediastinal silhouette is within normal limits.

<unk>m with fever, evaluate for infection

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Cardiac silhouette is severely enlarged. The patient is status post median sternotomy. There is minor atelectasis the right lung base. No pleural effusion or pneumothorax. No evidence of pneumonia.

history: <unk>m with chest pain after recent open heart surgery avr and aneurysm repair // eval pna //history: <unk>m with chest pain after recent open heart surgery avr and aneurysm

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

light-headedness.

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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is seen. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax are grossly unremarkable. Our records do not include a previous chest examination available for comparison.

<unk>-year-old male patient with four weeks of productive cough, evaluate for pneumonia.

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Frontal and lateral views of the chest were provided with patient positioned upright. Lung volumes are low. There are lower lobe opacities, most notable in the right and left perihilar regions. While this may in part reflect crowding of bronchovasculature, a component of pneumonia is likely present. No large effusion or pneumothorax is seen. Heart size cannot be assessed. Bony structures are intact.

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A ventriculoperitoneal shunt courses along the medial right hemithorax. The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

shortness of breath and right chest pain.

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Frontal and lateral views of the chest were obtained. Right-sided port-a-cath is again seen, terminating in the low svc. There is no pneumothorax. The lungs are clear without focal consolidation. There is no pleural effusion. No pulmonary edema is seen.

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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of pneumomediastinum is seen. No evidence of free air is seen beneath the right hemidiaphragm.

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Pa and lateral views of the chest. There is evidence of a neoesophagus which contains radiopaque material. Cardiomediastinal and hilar contours are stable. There is no focal consolidation, pleural effusion or pneumothorax. The previously seen pleural thickening and post-operative change is unchanged. No pneumothorax. No pleural effusion. Partial right fifth rib resection.

chest pain.

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.

<unk>m with shortness of breath, hematemesis.

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Calcified a rounded nodular opacities projecting over the left mid lung are most consistent with calcified granuloma is, also seen on prior study. Left hilar calcified lymph node also suggest prior granulomatous disease. There may be punctate right-sided calcified granulomas as well. The cardiac and mediastinal silhouettes are stable. Right diaphragmatic pleural linear calcifications are better appreciated on the prior study. No pneumothorax is seen. Mild right basilar atelectasis. Slight blunting of the left costophrenic angle may be due to overlying soft tissue however a very trace pleural effusion is not excluded.

<unk>m here w/perforated appendicitis also with cough // any cardiopulmonary process

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Following the procedure, there is no evidence of pneumothorax. Area of opacification at the right base is consistent with the previously described lesion with possible mild post-procedure changes. The left lung is clear.

transbronchial biopsies, to assess for pneumothorax.

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Frontal and lateral chest radiographs demonstrate a left chest wall pacer with the leads projecting over the right atrium and ventricle. The cardiomediastinal silhouette remains mildly enlarged. There is again mild vascular congestion. No focal consolidation, pleural effusion, or pneumothorax is identified.

chest pain.

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As compared to the previous radiograph, there is a right predominant increase in vascular diameters, combined to a mild degree of bronchial cuffing. Overall, these findings could be suggestive of mild-to-moderate pulmonary edema. There are no pleural effusions. The cardiac silhouette continues to be slightly enlarged. At the time of dictation and observation, the referring physician, <unk>. <unk>, was paged for notification, <time> a.m., on <unk>.

dry cough, evaluation for acute process.

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

chest pain.

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In comparison with the study of <unk>, the monitoring and support devices remain in place. Continued rotation of the patient with unchanged appearance of the mediastinum. Indistinct and engorged pulmonary vasculature is again consistent with some elevated pulmonary venous pressure. There is opacification at the right base with poor definition of the hemidiaphragm. This suggests developing pleural effusion with associated compressive atelectasis.

hepatorenal syndrome with possible worsening pulmonary process.

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Pa and lateral views of the chest were reviewed. The lungs are clear without evidence of vascular congestion, pleural effusion, or pneumothorax. There is mild cardiomegaly. Lower thoracic and lumbar spinal hardware and severe kyphosis is unchanged.

cough and fever.

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There is an ill-defined opacity visualized within the left lower lobe, concerning for consolidation in the setting of cough. No pleural effusion, pneumothorax, or pulmonary edema is seen. There is stable mild cardiomegaly. The mediastinal contours are normal. A stable wedge-shaped compression fracture is noted within the mid thoracic spine, along with associated diffuse osteopenia.

history of multiple myeloma, now with cough.

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Lung volumes are low. No pneumothorax. Normal post operative appearance with left perihilar opacity suggesting resolving hemorrhage. The left hemidiaphragm is elevated with adjacent atelectasis and possible trace left pleural effusion. The mediastinum and cardiac borders are normal.

<unk> year old woman w/ <num>mm lll nodule along w/ multiple pulm nodules s/p vats lll wedge resection. dc chest tube //?pneumo

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Lung volumes are low. Bibasilar opacities may represent dependent atelectasis. However, there are also air bronchograms at the medial right lung base which should be followed closely to exclude aspiration. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No subdiaphragmatic free air is detected.

<unk>-year-old male with severe abdominal pain, found to have acute pancreatitis.

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Moderate to severe cardiomegaly is present. There is mild asymmetric pulmonary edema which is more pronounced on the right. Mediastinal contours are within normal limits. There is no pleural effusion or pneumothorax. No acute osseous abnormalities are seen. Mild degenerative changes are noted in the thoracic spine.

atrial fibrillation with rapid ventricular rate.

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Pa and lateral views of the chest were reviewed and compared to the prior study. Lung volumes have improved since <unk> and the lungs are clear. Elevation of the left hemidiaphragm is unchanged since <unk>, small bilateral pleural effusions are also unchanged. There is prominence of the ascending aorta. The heart size is normal. Multiple nondisplaced right posterior rib fractures and humeral head orthopedic hardware are unchanged.

assessment for interval change in left-sided chylothorax in a patient status post drainage.

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Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable. There is no pulmonary edema. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. Degenerative changes are seen along the spine.

history: <unk>f with dyspnea // pulmonary edema?

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Right extrapleural mass and left extrapleural mass both associated with rib destruction appears similar compared to chest radiograph <unk>. Cardiac size is enlarged but unchanged compared to previous. Bilateral low lung volumes. There is no pneumothorax or pleural effusion. Partially visualized cervicothoracic fusion hardware in unchanged alignment and appears intact. Right port-a-cath with tip in the upper right atrium. Osseous lesions better seen on recent ct.

<unk> year old woman with myeloma. increased dyspnea. please eval on <unk> <num> bmt treatment room <num> // <unk> year old woman with myeloma. increased dyspnea. please eval. on <unk> <num> bmt treatment room <num>

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Pa and lateral views of the chest. The patient's body habitus somewhat limits detail. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax. Minimal bibasilar atelectasis

cough

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As compared to previous radiograph, there is no relevant change. The monitoring and support devices are constant. Constant bilateral massive consolidations and opacities. Constant size of the cardiac silhouette. Small bilateral pleural effusions. No pneumothorax.

three-vessel disease, now intubated.

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Single frontal view of the chest demonstrates et tube and enteric tube to be in standard position. A left transthoracic chest tube is similar in configuration as compared to prior exam, with maried angulation superiorly, and possible obstruction as correlated with prior ct dated <unk>. The cardiomediastinal silhouette is within normal limits. There may be trace lucency along the left heart boarder, which could represent air related to a small anterior pneumothorax or small pneumopericardium, not significantly changed since prior exam. The lungs are low in volume but clear. There is no pneumothorax, pleural effusion, or confluent consolidation. A nondisplaced left lower rib fracture is better delineated on prior ct dated <unk>.

<unk>-year-old male with left-sided chest tube in place, status post diaphragmatic rupture repair. question interval change in fluid status.

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Assessment is somewhat limited due to patient rotation. Endotracheal tube tip terminates <num> cm from the carina. Right internal jugular central venous catheter tip terminates in the proximal right atrium. A orogastric tube tip courses below the diaphragm, into the stomach, and off the inferior borders of the film. Lung volumes are low. There is moderate to severe cardiomegaly. Widening of the superior mediastinum may be due to low lung volumes and supine positioning. There is mild pulmonary vascular engorgement. Consolidative opacities in the lung bases are concerning for areas of infection. Patchy opacities in the left lung as well as in the right upper lung field may reflect areas of infection or aspiration. No large pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.

central line placement.

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The cardiac, mediastinal and hilar contours appear stable. The patient is status post sternotomy. Surgical clips are present in the upper anterior mediastinum. The aorta is tortuous and the heart mildly enlarged. Streaky left mid lung opacity suggests minor scarring. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax.

right-sided rib pain.

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Central line in cavoatrial juncture as previously. Increased haziness over the right hemithorax and suggesting increased pleural effusion. Left lower lobe atelectasis. There may be a small left effusion. No pneumothorax. Cardiomegaly as before.

<unk>m with a history of recently diagnosedmetastatic adenocarcinoma of unknown primary with brain, bone,liver metastases, svc syndrome s/p stenting and multiple uethrombosis on heparin drip who presented with hypotension <unk> pna or tamponade iso pericarditis and pericardial s/p pericardiocentesis course c/b <unk> and <unk> onset altered mental status // ?pneumonia vs. aspiration pneumonitis

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A portable view of the chest shows a left picc ending in the right atrium, it can be pulled back approximately <num>- <num> cm. There is increased opacification in the left midlung since prior. Appearance of right lower lobe abscesses and pleural effusions are stable. There is no pneumothorax. Cardiomediastinal silhouette is unchanged.

<unk> year old man with copd, hydropneumothorax, rll abscesses with l picc placed last admission assess positioning.

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

chest pain.

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The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are identified. Right upper quadrant surgical clips suggest prior cholecystectomy.

<unk>m with chest pain // r/o acute process

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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.

sudden onset shortness of breath and cough.

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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.

history: <unk>f with cough, sob, dizziness // presence of infiltrate

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The left picc tip persists at the lower svc. There has been interval placement of a right-sided central venous catheter whose tip terminates at the upper svc. There has been interval placement of an endotracheal tube that sits <num> cm above the carina. No endogastric tube is seen projecting over the stomach and it is not definitively seen coursing along the central chest. Otherwise, the heart size and mediastinal contours are within normal limits. The lungs demonstrate bibasilar atelectasis. A left pleural effusion is present, the extent of which is difficult to approximate on a supine exam. Assessment for pneumothorax is limited by positioning as well. The visualized portion of the upper abdomen demonstrates a stent in the right upper quadrant as well as embolization coil material and clips.

<unk>-year-old male with an upper gi bleed and recent intubation.

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The lung volumes are normal. Normal position of the hemidiaphragms. Normal size of the cardiac silhouette. No pulmonary edema, no pleural effusion. No pneumonia. The hilar and mediastinal contours are unremarkable.

chest pain, dyspnea, rule out occult process.

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Pa and lateral views of the chest. Even with low inspiratory effort, the lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.

<unk>-year-old female with <num> weeks of cough and shortness of breath.

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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> year old woman with <num> days of fever and cough // ?infiltrate

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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old with right upper quadrant pain.

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Left-sided port-a-cath terminates at the cavoatrial junction without evidence of pneumothorax. Midline tracheostomy tube is re- demonstrated, similar in appearance. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable..

history: <unk>f with cough, increase trach secretions // evaluate for pneumonia

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There is a right-sided port-a-cath, distal aspect not well seen, but may be terminating in the low svc. There has been interval development of large area of opacity projecting over the left hemithorax, particularly in the left mid-to-lower lung which may be due to infection, malignancy, and possibly underlying atelectasis. Additionally, multiple nodular opacities, projecting over the right mid-to-lower lung which may be due to pulmonary nodules and possible metastatic disease. There is likely a moderate left pleural effusion. The cardiac silhouette is not well assessed due to the large opacity. The superior mediastinum is not widened. There is also likely soft tissue thickening along the left medial mediastinum.

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In comparison with the study of earlier in this date, the monitoring and support devices are essentially unchanged. There is some increased opacification at the right base, suggesting that there is some superimposed volume loss in the right lower lobe on top of the previously described extensive changes.

septic shock.

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Single upright portable chest radiograph demonstrates a right ij line with the tip in the lower svc. Persistently low lung volumes, with bibasilar opacities which are not significantly changed. There has been interval increase in now moderate pulmonary edema. The heart size is top normal, the mediastinal contours are normal.

<unk>-year-old male with e. coli bacteremia and worsening oxygenation.

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There are mild bibasilar atelectatic changes. No consolidation, effusion, or pneumothorax detected. Cardiomediastinal silhouette is at the upper limits of normal. The aorta is minimally unfolded. The mediastinum is otherwise within normal limits.

chest pain.

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Mild cardiomegaly is present with a left ventricular predominance. Mediastinal and hilar contours are unchanged with mild atherosclerotic calcifications seen in the aortic arch and descending thoracic aorta. The pulmonary vasculature is not engorged. Increased interstitial opacities are noted diffusely with reticulation and honeycombing at the lung bases, findings compatible with a chronic fibrosing interstitial lung disease, not substantially changed in the interval. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

history: <unk>m with dizziness, fall

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There is mild to moderate cardiomegaly. The mediastinal and hilar contours are unremarkable. There are small bilateral pleural effusions. Pulmonary vasculature is again noted to be slightly engorged, especially at the lung bases. The left axillary pacer is present with tip terminating in the right atrium right ventricle as expected.

<unk>m with progressive dyspnea and increased pedal edema + doe // r/o chf

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The lungs are hyperinflated but clear without focal consolidation or large effusion. Cardiac silhouette is within normal limits. The thoracic aorta is somewhat tortuous with atherosclerotic calcifications at the arch. Of note, there is an unusual contour of the undersurface of the aortic arch with slightly medial lies atherosclerotic calcifications which do indeed raise possibility of dissection. Right chest wall dual lead pacing device is again seen.

<unk>m with chest pain to back // please eval for aortic dissection

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There is new enlargement of the cardiac silhouette compared to prior exam. There is also pulmonary vascular congestion without overt edema, consolidation or effusion. No acute osseous abnormalities.

<unk>f with lupus p/w <num> days not feeling well // eval for consolidation

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Lung volumes are low. Compared to <unk>, there is improvement although not complete resolution of the diffuse interstitial thickening bilaterally with mild engorgement of the hila and associated bilateral pleural effusions compatible with pulmonary edema. No focal opacities are identified. Cardiomediastinal contour cannot be properly assessed due to obscuring of the heart silhouette by layering effusions and bibasilar atelectases. There is no pneumothorax. There is no evidence of subdiaphragmatic free air.

<unk>-year-old male with past medical history of cirrhosis now with increasing shortness of breath and abdominal pain. evaluate for worsening pleural effusion.

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In comparison with study of <unk>, the area of linear opacifications in the right mid zone is less prominent. Hyperexpansion of the lungs is consistent with chronic pulmonary disease, though there is no evidence of acute focal pneumonia or vascular congestion.

acute dyspnea before v/q scan.