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ChayanM
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MIMIC-MultiView-Findings-Query_Optional

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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. The left clavicle appears intact.
<unk>-year-old man with left mid clavicular chest pain, tender to palpation, evaluate for fracture or pneumothorax.
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A nasogastric tube has been advanced since the prior exam and now folds back on itself in the fundus of the stomach before extending inferiorly below the field of view. Right internal jugular central line tip terminates at the cavoatrial junction. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax.
<unk>-year-old man with new ng tube.
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Pa and lateral chest radiographs were obtained. The lungs are slightly hyperinflated with flattening of the diaphgragm suggestive of copd. No focal opacity is seen. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
chest pain, evaluate for infiltrate.
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Chest, pa and lateral. The lungs are clear. Nodular opacities over the lung bases most consistent with nipple shadows. A large hiatal hernia is redemonstrated. Otherwise, the hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
chest congestion and cough in a patient with a history of bronchiectasis, worst in the left lower lobe.
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Two pa and one lateral radiographs of the chest were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac contours are normal.
chest pain after marijuana inhalation.
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Lung volumes are improved. Patchy right basilar opacities are similar to prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is top-normal. No free air below the right hemidiaphragm is seen. The left hilum is prominent, likely due to the enlarged main pulmonary artery seen on prior ct.
history: <unk>f with cp // eval for infiltrate,
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with chest pain, pneumonia <unk>.
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The cardiac, mediastinal and hilar contours appear stable. This study suggests there may be at least trace pleural effusions. Parenchymal opacities have increased. Although these are somewhat more conspicuous in the right lower lung than elsewhere, likely etiology is pulmonary edema.
severe respiratory distress.
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Left central venous catheter ends in the upper svc. No pneumothorax. Right infrahilar opacity has improved compared to prior. No focal lung consolidation. Pleural effusion is small, and any.
<unk> year old woman here with sepsis, evaluate for interval change
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Right chest tube remains in place with apparent slight increase in size of a small-to-moderate right pneumothorax, best seen laterally. Homogeneous opacity persists in the right upper hemithorax in this patient status post recent right upper lobe resection, and note is again made of a moderate-sized right pleural effusion, partially loculated at the apex. Worsening opacities are also present at both lung bases, and note is made of increasing subcutaneous emphysema in the right chest wall.
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Ap upright and lateral views of the chest provided. Lung volumes are low. 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 sob s/p mvc, head strike // ? fx, bleed
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Pa and lateral views of the chest were obtained. Diffuse reticular opacity which is new from prior exam and could reflect interstitial edema or less likely an atypical infection. No large pleural effusion or pneumothorax is seen. Heart size and mediastinal contour appear unchanged. Bony structures are intact.
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Rotated positioning. An et tube is present. The tip lies at the mid clavicular heads, <num> cm above the carina. An ng tube is present, tip overlying gastric fundus. The sideport not well visualized, but may lie above the level of the ge junction. Allowing for positioning, mild prominence the cardiomediastinal silhouette, with prominence of the right paratracheal venous vasculature, is probably unchanged. There is upper zone redistribution, without overt chf. No focal infiltrate or effusion is detected. Minimal bibasilar atelectasis.
<unk> year old man with history of respiratory failure, alcohol withdrawal // eval interval change
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The lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. Hilar contours are unremarkable. Partially imaged is a coarse calcification projecting over the soft tissue lateral to the right humeral head, likely represents calcific tendinosis.
<unk> year old woman with myelodysplastic syndrome and fever, considered neutropenic by bmt // acute intrathoracic process?
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Apparent increase in cardiac size may be due to technique as pulmonary edema has slightly improved since yesterday. Right basilar atelectasis not significantly changed. No focal consolidation. Normal hila, mediastinum and pleural surfaces.
hiv, idiopathic cardiomyopathy, asthma presents with shortness of breath and hypoxia requiring bipap and nebs. evaluate for pneumonia, pulmonary edema, hyperinflation.
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Frontal and lateral views of the chest were obtained. Cardiomediastinal silhouette is stable. Slight prominence of the right hilum is also stable. There are relatively low lung volumes. Given this, patchy bibasilar opacities are seen, which while could relate to underlying edema, raises a concern for multifocal infection. There is also mid lung atelectasis. There is prominence of interstitial markings bilaterally. This may be due to underlying edema. No large pleural effusion or pneumothorax is seen.
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The lungs are well expanded and clear. Otherwise, no focal opacities identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with chest pain. evaluate for evidence of infiltrates.
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The two right perihilar lung masses are less defined with more surrounding opacities. The upper lesion is more cavitated. Left lung is unremarkable. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contour are within normal limits.
patient with known metastatic non-small cell carcinoma, under chemo, rule out pneumonia.
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Low lung volumes are again noted. Bibasilar opacities which are more conspicuous on the frontal view which demonstrates the lower lung volumes. These are likely atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain, fever, recent travel // ?pneumonia
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The cardiac silhouette remains top-normal. Mediastinal contours are stable. Bilateral calcified granulomas are noted. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema.
history: <unk>f with syncope // pna?
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
chronic cough
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There is no consolidation, pneumothorax, or large pleural effusion. There is no pulmonary edema. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old man with cranial hemorrhage, now perspiring and sallow. // ?pna
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. A perfectly round nodular opacity projecting just lateral to the right hilum is external. Pleural surfaces are clear without effusion or pneumothorax.
chest pain, abdominal pain and presyncope.
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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.
history: <unk>f with shortness of breath. // please evaluate for cardiopulmonary process.
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As compared to the previous radiograph, the lung volumes have decreased. There are no acute findings such as pneumonia, pleural effusions, pulmonary nodules or pulmonary edema. Normal size of the cardiac silhouette. Newly implanted right pectoral port-a-cath. No pneumothorax.
history of metastatic renal cell carcinoma, evaluation for acute process.
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The heart is stably enlarged. There is mild central vascular congestion. Lungs are hyperinflated. No large pleural effusion. No pneumothorax. Osseous structures are demineralized and the wedge compression fracture in the lower thoracic/upper lumbar spine is unchanged.
history: <unk>f with dyspnea on exertion, weight gain, chf // pulm edema?
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In comparison with the study of <unk>, there is some increasing opacification at the bases, especially on the right, which could well represent a combination of loculated effusion and consolidation. Ct would be of value to further assess this appearance. Smaller left effusion with atelectatic changes at the left base. Evidence of pulmonary vascular congestion with enlargement of the cardiac silhouette that is accentuated in view of the low lung volumes.
cirrhosis and worsening mental status, to assess for aspiration or pulmonary edema.
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A portable frontal chest radiograph demonstrates a right central catheter with the tip in the mid svc. The heart is top normal in size and the lung volumes are low. Multiple pulmonary nodules are better evaluated on recent ct chest. Fullness of mediastinal and upper lobe pulmonary vessels may be secondary to change in patient position and a more lordotic view. There is no large pleural effusion, and no pneumothorax.
metastatic melanoma, now with new right upper quadrant pain and anterior chest pain.
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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. Hilar contours are stable.
history: <unk>f with cough/fever // cough
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Single frontal semi-erect view of the chest was obtained. Dobbhoff tube now terminates in post-pyloric position, with the tip coiled in the second part of the duodenum. Otherwise, no relevant change since the study seven hours prior. Cardiomediastinal silhouette is stable. Lungs are clear without pleural effusion or focal consolidation. No pneumothorax.
<unk>-year-old male status post fall with head injury. assess dobbhoff placement.
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Single ap upright portable chest radiograph demonstrates several healed fractures involving the right ribs. Opacity at the left lung base may reflect atelectasis or alternatively scarring. An early pneumonia cannot be excluded. The remaining lungs are clear. Cardiomediastinal and hilar contours are within normal limits allowing for patient positioning.
<unk>f with hypoixa
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Frontal radiograph of the chest demonstrates interval repositioning of the right picc line which now terminates in the low svc. Previously demonstrated left lower lobe atelectasis is unchanged since the prior radiograph. There is no pneumothorax or large pleural effusion. The cardiomediastinal silhouette is unchanged from the prior study.
<unk>-year-old man with picc line has been pulled back <num>-<num> cm. evaluation for placement.
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Ap and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there has been interval development of more confluent consolidation identified in the right lower lobe. Indistinctness of the pulmonary vasculature is again seen throughout both lungs. Obscuration of the left lateral costophrenic angle could be due to fat pad or atelectasis. Cardiac silhouette is enlarged but stable. Osseous and soft tissue structures are unchanged.
<unk>-year-old male with chronic kidney disease, chf, and dyspnea. question change since prior.
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Ap portable upright view of the chest. Clips in the right axilla again noted. A left subclavian and axillary stent is in place. Calcified pleural plaque accounts for calcified density projecting over the right mid lung. Cardiomediastinal silhouette is stable. There is mild hilar congestion and mild interstitial pulmonary edema. Lower lung subtle opacities raise potential concern for a superimposed pneumonia. No large effusion or pneumothorax. Bony structures are intact.
<unk>f with new fever, crackles right side // eval for infiltrate, change from prior
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The lungs are hyperinflated and the diaphragms are flattened. There is increased lucency in the retrosternal clear space. There is no focal consolidation or pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal.
<unk>m with presyncope // eval for pnemonia
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A new left the icd with lead in the expected location of the right ventricle is seen. Compared with most recent prior radiographs of <unk>, left pleural effusion has resolved. The heart size is normal with stable aortic tortuosity. No focal consolidation, pleural effusion or pneumothorax is present. Healed right rib fractures are chronic.
status post single chamber icd confirm lead positioned.
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A bedside ap radiograph of the chest once again demonstrates marked cardiomegaly as well as a moderate right and small left pleural effusion. The left cardiac border and left hemidiaphragmatic contour remain obscured, likely by a combination of atelectasis and effusion, although pneumonia cannot be excluded depending on the clinical setting. There is stable widening of mediastinum, consistent with elevated central venous pressure. An endotracheal tube terminates no less than <num> cm above the carina with the patient's neck significantly flexed. An og tube courses into the stomach and out of field of view and a right picc terminates within the right atrium, and could be pulled back <num> cm to ensure seatment in the lower one-third of the svc.
respiratory failure. evaluate for interval change.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Prominence of the hila is stable.
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In comparison to the most recent radiograph performed earlier on the same date, the right sided pneumothorax appears minimally enlarged. No pneumothorax on the left. There is severe upper lobe predominant emphysema. Bibasilar interstitial abnormalities are overall similar in appearance. Remainder of the lungs are otherwise free of consolidation. Heart size is normal.
<unk> year old man with pneumothorax, s/p pneumostat // evaluate for ptx, acute change; please perform at <unk>, thank you!
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There has been interval placement of a right pleurx catheter with substantial improvement of the right effusion, now with small remnant fluid. There is a likely small left pleural effusion. There is mild pulmonary edema and vascular congestion relatively unchanged from prior exam. Enlarged cardiac silhouette and hilar contours are stable. A left pectoral pacer is unchanged in position. There is no pneumothorax.
status post pleurx catheter placement. evaluate right pleural effusion.
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Lung volumes are low and there is increased volume loss/collapse of both lower lobes there bilateral effusions left greater than right the et tube, ng tube, and right-sided picc line are unchanged
<unk> year old man with difficulty weaning vent // interval change
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Pa and lateral chest radiographs were obtained. The lungs are clear. No effusion, pneumothorax or consolidation is present. Heart and mediastinal contours are normal.
<unk>-year-old woman with right hand numbness, evaluate for acute process.
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Since the prior cxr performed yesterday morning, has been interval removal of the endotracheal tube and enteric tube. There are new diffuse alveolar opacities, most likely pulmonary edema. Engorgement of the azygous vein also confirms fluid overload. No large pleural effusions or pneumothorax. Heart size is top normal.
<unk> year old man with roc s/p vf, intubated // ? pulm edema / lines
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Ap portable upright view of the chest. Since the <unk> <time> examination there has been interval near-resolution of a right pneumothorax, with trace remnant at the apex. A right-sided thoracostomy tube is present. A left subclavian central venous catheter terminates at the mid svc. The heart size remains normal. There is no focal consolidation or pleural effusion.
<unk> year old man s/p liver txp and diaphragmatic injury with chest tube currently on water seal, increased ptx on prior cxr now with slightly increased chest tube output and leak // ptx size, effusion
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Atelectasis at the right lung base appears minimally improved. Opacities at the left lung base have increased. There is a new, small right apical and right basilar pneumothorax. Pneumoperitoneum appears unchanged, though subcutaneous emphysema has increased compared to prior. An enteric tube terminates in the distal esophagus, unchanged in position. A right-sided drainage catheter is unchanged in position.
<unk> year old woman pod<unk> s/p mie // evaluate for interval change
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are within normal limits. There is minimal upper zone vascular redistribution, but the previously noted pattern of pulmonary edema has resolved. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Multiple calcified vessels are seen within the supraclavicular regions. No acute osseous abnormality is detected.
history: <unk>f with <unk>, leukocytosis
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The patient is status post coronary artery bypass graft surgery. The heart is normal in size. Coronary arteries appear calcified, possibly with stents. The lungs appear clear. There are no pleural effusions or pneumothorax. Small osteophytes are noted along the mid thoracic spine. There has been no significant change.
chest pain.
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Prior median sternotomy and avr. No acute consolidation or interstitial edema. No pleural effusions or pneumothorax. Mild cardiomegaly.
<unk> year old man with above // s/p avr now with r posterior chest pain, no sob
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A portable frontal chest radiograph demonstrates an unchanged cardiac silhouette and tracheostomy, similar in position. Lung volumes are slightly low, with prominence of the hila bilaterally. This is similar in appearance compared to <unk>. No new focal consolidation, pleural effusion, or pneumothorax is seen.
evaluate for pneumonia in a patient with mild cough, new fever, and tracheostomy.
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Lung volumes are slightly low. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal.
<unk>-year-old woman with chest pain, assess for abnormalities.
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Compared with the film from earlier the same day, i doubt significant interval change. The cardiomediastinal silhouette appears stable. Left-sided <num> lead pacemaker type device is present, similar to the prior study. Again seen is left lower lobe collapse and/or consolidation, possibly slightly improved. Also again seen is a left chest tube. No obvious pneumothorax or gross effusion is detected. Subcutaneous emphysema along the lower left chest wall is again noted. There is atelectasis and/or vascular plethora in the left upper lung, similar to the prior study. Right infrahilar atelectasis is unchanged. No gross right effusion.
<unk> year old man with recurrent vt s/p sympathectomy with ct in place. // interval changes
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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 pulmonary edema is seen.
history: <unk>m with fatigue and sob/e, found to have elevated sbp to <num>'s. // assess for signs of chf
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Endotracheal tube ends approximately <num> cm above the carina and is adequately positioned. An orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Known loculated air at the right lung base is now replaced with fluid. Bilateral lower lung atelectasis and presumed small left pleural effusions are unchanged. Mildly enlarged heart size, mediastinal and hilar contours have a similar appearance. Right-sided internal jugular line ends at cavoatrial junction.
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There is no pneumothorax or pleural effusion. There is partial right upper lobe collapse. Within the left lower lobe there is also ill-defined nodular opacity. Remainder of the lungs are unremarkable. The previously seen mediastinal adenopathy is not well appreciated on today's examination. The heart is not enlarged.
<unk> year old woman with mediastinal lad s/p ebus tbna of left-sided nodes // ptx? pneumomediastinum?
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An ap and lateral view of the chest shows small bilateral pleural effusions, larger on the left than the right. A faint reticular opacity at the right base is improved from the prior exam, and most consistent with atelectasis. There is no pulmonary edema or pneumothorax. The patient is status post a median sternotomy with multiple clips and stents in the mediastinum. The sternal wires are intact. The cardiomediastinal silhouette is unchanged. The cardiac size is at the upper limits of normal.
tachypnea. status post recent cabg.
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There is persistent opacity at the right base which is essentially unchanged. No new airspace opacity is detected. The lungs are normally expanded. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
cough, evaluate for pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax.
history of cough and hemoptysis. please rule out tuberculosis or pneumonia.
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Frontal and lateral chest radiographs demonstrate decreased bibasilar pleural effusions with persistent small left pleural effusion with associate adjacent atelectasis. Within the right lower lobe, there is minimal interstitial lung abnormalies, less likely to be secondary to cardiac etiology and more likely chronic changes. No pneumothorax. No new focal consolidation. Patient is significantly rotated. Allowing for this and differences in technique, the cardiomediastinal and hilar silhouette is stable.
<unk>-year-old female status post paraesophageal hernia repair. evaluate for interval change.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
history of fever. please evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. The left costophrenic angle is probably due to minor atelectasis. There is no convincing evidence for pleural effusion on the lateral view. The lungs appear otherwise clear.
chest pain.
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There has been interval improvement of the large left pleural effusion and bilateral pulmonary edema. The small right pleural effusion is stable. Again, the cardiac silhouette is enlarged, however, obscured by the left pleural effusion. The tracheostomy tube is in place. The left pic line terminates in the mid svc. There is no pneumothorax. The right displaced shoulder fracture is unchanged.
<unk>-year-old female with mdr pneumonia and pleural effusions who presents for evaluation of interval change status post diuresis.
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Pa and lateral views of the chest provided. Subtle consolidation is seen in the right medial lung base. Otherwise the lungs are clear. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Dish related changes of the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>m with sob, fevers // eval pna
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Patient is slightly rotated to the right. The heart is moderately enlarged. The mediastinal contours unchanged since prior exams. A large hiatal hernia is redemonstrated. Lung volumes remain low. There is moderate compressive atelectasis. No definite consolidation is noted. No pulmonary edema or pneumothorax.
history: <unk>f with multiple surgeries, frequent obstructions; c/o abd pain //
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion, pneumothorax is present. There are no acute osseous abnormalities.
hypertension, gerd, sleep apnea with shortness of breath and tachycardia.
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Single ap view of the chest provided. Right picc ends in the low svc. Patient is status post tracheostomy. Bilateral airspace opacities are moderately improved. No pneumothorax. Mild left pleural effusion is improved. Moderate to large right pleural effusion is worsened. Hilar and cardiomediastinal contours are normal.
<unk> year old man with inifiltrate // int change?
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Relatively low lung volumes are seen. There is, however, a confluent consolidation identified at the right lung base compatible with a right lower lobe pneumonia. Elsewhere, the lungs are clear noting some bronchovascular crowding due to low lung volumes. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with right upper quadrant pain.
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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal.
<unk>m with fatigue // pneumonia
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As compared to the previous image, after chest tube removal, a <num> cm left apical pneumothorax is now clearly visible. There is no evidence of tension. The air collections in the left-sided soft tissues are constant in appearance. Minimal atelectasis at the left lung base. Normal size of the cardiac silhouette, normal appearance of the right lung. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. The findings were subsequently discussed over the telephone a few minutes later.
status post motor vehicle rollover with multiple pelvic fractures. chest tube removal, evaluation for pneumothorax.
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Subtle areas of opacity involving the right upper lobe and left upper to mid lung are similar in distribution compared to previous. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough, history of sarcoid // eval for pneumonia
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There is an opacity at the right lung base, consistent with known lung malignancy. However, there are additional subtle opacities note is slightly more superiorly in the right midlung, and left lung base which are new compared to the prior ct on <unk>. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old female with right middle lobe lung cancer, presenting with cough and subjective fever. wbc <unk>.<num>. evaluate for pneumonia.
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Compared to the previous radiograph, the pre-existing basal pneumothorax on the right is no longer visible. However, a moderate pleural effusion that occupies approximately one-third of the right hemithorax, has newly appeared. Unchanged moderate cardiomegaly. Left pectoral pacemaker in situ.
aml, recurrent pleural effusions, evaluation for interval change.
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Cardiomediastinal contours are stable. Lungs are clear except for minor areas of atelectasis at the bases. Apparent interval resolution of small right pleural effusion. Minimal blunting of left lateral costophrenic sulcus probably reflects pleural thickening given absence of pleural effusion on recent chest cta.
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In comparison with study of <unk>, the monitoring and support devices are essentially unchanged. Continued widening of the mediastinum with severely enlarged thoracic aorta. The right basilar opacification has essentially cleared. However, on the left, there is opacification consistent with volume loss in the lower lobe and pleural effusion.
aneurysm repair with reintubation for mucus plugging.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with dec. uop; hx of ascites; eval for infx // eval for consolidation
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart remains top-normal in size. Mediastinal contours are unchanged. Degenerative changes of thoracic spine are mild-to-moderate.
<unk>-year-old woman with cough and chills. evaluate for pneumonia.
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Again seen are extensive parenchymal opacities, with more confluent opacity at the lung bases. Although there may be subtle differences, the overall appearance is essentially unchanged. Again noted is the right subclavian picc line overlying the proximal svc.
<unk> year old woman with severe as s/p tavr with hf exacerbation. // evaluate for interval change
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Indwelling support and monitoring devices are stable and in appropriate position. Lung volumes are extremely low with bibasilar atelectasis. Cardiomegaly, pulmonary edema, and small left pleural effusion are unchanged from <unk>. No pneumothorax.
<unk> year old woman s/p vhr, component separation intubated due to respiratory distress. // assess interval change
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In comparison with the study of <unk>, there are lower lung volumes. No evidence of post-procedure pneumothorax. Multiple nodular opacities are again seen bilaterally.
bronchoscopy, to assess for pneumothorax.
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There is relative elevation of the right hemidiaphragm as on prior. The lungs remain clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted.
<unk>m with h/o cabg, renal transplant, now w/dyspnea and shortness of breath // evaluate heart size, eval for pulm edema, pna/consolidation
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Frontal view of the chest demonstrates interval placement of a left pleural tube. There are two curvilinear opacities which are seen projecting over the left apex, but are difficult to discern secondary to projection of the bony structures in this area. This may represent a small apical pneumothorax. The left-sided port remains in standard position, unchanged since the prior study. Multiple bilateral parenchymal opacities are again seen, consistent with metastatic breast cancer. The heart size is unchanged.
<unk>-year-old woman with malignant pleural effusion status post placement of left pleurx catheter. rule out pneumothorax.
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Endotracheal tube remains in place with the tip projecting <num> cm cranial to the carina. There has been interval increase in size of the cardiac silhouette as well as distention of the mediastinal vasculature, compatible with congestion without interstitial edema. Lung volumes are low with associated bibasilar atelectasis. A left picc remains in place with the tip projecting over the upper svc. There is no pleural effusion or pneumothorax.
trauma with endotracheal tube placement.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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The lungs are clear without focal consolidation, effusion, or vascular congestion. Cardiac silhouette is top normal in size. Hypertrophic changes are noted in the spine. No displaced rib fractures identified.
<unk>f with l flank pain // evidence of mass or fracture
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The lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No displaced rib fractures identified. No evidence of pneumoperitoneum.
history: <unk>m s/p rugby injury with tenderness medial r clavicle // r/o fx
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There has been interval advancement of the endotracheal tube, which now ends <num> cm above the carina. An esophageal catheter traverses below the diaphragm with tip projecting over the l<num> vertebral body, likely within the distal stomach. The left costophrenic angle is not included in this image. Within this limitation, there is no evidence for focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits. Pulmonary edema has nearly resolved.
<unk>-year-old male status post trauma with desaturation.
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The cardiomediastinal silhouettes are unchanged in appearance. The hila are unchanged in appearance appear there is a new right lower lobe opacity which, given the patient's productive <unk>, <unk> represent pneumonia. Additionally, this is also seen on lateral view overlying the posterior lower lobes, and it is not seen on prior lateral radiograph. There is evidence of interlobular septal thickening consistent with known sarcoidosis. There are no focal lung consolidations. There is slight interval decrease in the prominence of the right perihilar region in comparison to prior radiograph. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or effusion.
<unk> year old woman with productive <unk> // sarcoidosis, please assess
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As compared to prior chest radiograph from <unk>, diffuse interstitial lung disease with associated low lung volumes appear similar and essentially unchanged. Tracheostomy tube is in unchanged position. A left picc line terminates in the upper-to-mid svc, unchanged in position. There is no superimposed acute process.
<unk>-year-old man with aids, opportunistic infections, and diaphoresis. question worsening pneumonia.
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There has been previous median sternotomy and cardiovascular surgery. Stable post-operative appearance of cardiomediastinal contours. Improved lung volumes compared to the previous study with improving aeration at the lung bases. Residual partial atelectasis of left lower lobe, and persistent small bilateral pleural effusions, left greater than right. No visible pneumothorax.
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On the lateral view, opacity projecting over the inferior spine may represent a basilar pneumonia in the appropriate clinical setting. The heart size is normal, and there is no overt pulmonary edema or pleural effusion. The mediastinal contours are normal.
<unk>-year-old female with cough, evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate well-expanded lungs. In comparison to the prior study, there is no focal consolidation. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with fevers, cough, rule out pneumonia.
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Right-sided picc terminates in the low svc without evidence of pneumothorax.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with aml presenting with low grade temperatures // eval for infiltrate
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In comparison to the chest radiograph obtained approximately <num> hours prior, there has been interval placement of an enteric tube, which passes into the stomach and outside the field of view. The et tube tip terminates approximately <num> cm above the carina with the chin flexed. A left-sided picc terminates in the lower svc and a right-sided port and central venous catheter terminating near the superior cavoatrial junction. Small, bilateral pleural effusions decreased in size. Mild pulmonary edema has resolved. Cardiomediastinal hilar silhouettes otherwise unchanged.
<unk> year old woman with og tube // og tube placement
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The lungs are well expanded. There is a hazy opacity in the retrocardiac area, which likely represents atelectasis but could reflect pneumonia or aspiration in the right clinical setting. There are trace bilateral pleural effusions. There is no pneumothorax. The cardiomediastinal silhouette is stable.
history: <unk>m with r sided weakness // ? acute process
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The patient is status post median sternotomy and coronary bypass surgery. Heart size is normal. Thoracic aorta is markedly tortuous with an apparent dilation in the distal ascending aorta and adjacent proximal arch, without change. Lungs are hyperinflated, and areas of bibasilar linear scarring are again demonstrated. No new areas of consolidation
<unk> year old man with cough and shaking chills // r/o pneumonia
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette. Elevation of the lateral aspect of the hemidiaphragm on the right raises the possibility of subpulmonic effusion. No definite vascular congestion or acute focal pneumonia.
dementia with cough and lethargy.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube projects over the gastroesophageal junction. The tube should be advanced by approximately <num>-<num> cm. No complications, notably no pneumothorax.
encephalopathy, status post nasogastric tube placement.
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Frontal and lateral radiographs of the chest were acquired. As before, the patient is status post midline sternotomy and cabg. Marked elevation of the left hemidiaphragm is not significantly changed. Heterogeneous opacities in the right mid to lower lung have substantially decreased compared to the prior study from <unk>, likely atelectasis. There is also volume loss at the left lung base. The heart size is difficult to assess but does not appear significantly changed. The mediastinal contours are not significantly changed. Multilevel degenerative changes of the thoracic spine are noted. There is redemonstration of a mitral valve annuloplasty. There may be small bilateral pleural effusions. The air-filled gastric bubble is identified in an appropriate retrocardiac position.
evaluate for effusion and assess gastric bubble.
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Massive enlargement of the pulmonary arteries is again noted consistent with known pulmonary arterial hypertension. This is accentuated by low lung volumes and bronchovascular crowding. No definite consolidation or edema is noted. The cardiac silhouette is stable in size. No effusion or pneumothorax is noted. The osseous structures are grossly unremarkable. There is linear atelectasis in the left perihilar region.
cough and right upper quadrant pain.
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Since prior, there has been interval increase of a right pneumothorax. Right pericardial tube is unchanged in position. The left lung is clear. Right perihilar and upper lobe opacity is essentially stable. The left lung is grossly clear. Cardiomediastinal silhouette is unchanged.
<unk> year old woman with hypoxia, evaluate pneumothorax.
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Ap view of the chest provided. There is no focal consolidation. Cardiomediastinal and hilar structures are normal. The left hemidiaphragm is slightly elevated, likely due to distended stomach. There are no obvious rib fractures.
<unk> year old woman with cardiac arrest