ayyuce/chexpert-subset · Datasets at Hugging Face

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	single frontal chest demonstrates an unchanged feeding tube. dense retrocardiac opacity and moderate left pleural effusion, unchanged. healing left rib fractures. old clavicular fractures.
	single ap view of the chest is limited as the lung apices are not included on the exam. a tiny left apical pneumothorax cannot be excluded. redemonstration fo a left chest tube and mild subcutaneous emphysema along the left lateral chest wall. the visualized lung parenchyma appears clear.
	no evidence of pneumonia. i have personally reviewed the images for this examination and agreed with the report transcribed above.
	a right ij cvc terminates in the right atrium. no pneumothorax is seen. mildly prominent reticular pattern in the lungs, which can reflect mild worsening in diffuse ground glass since the 1-28-2016 ct thorax. this may represent atypical infection, mild pulmonary edema, or drug reaction. "physician to physician radiology consult line: (727) 911-1426" i have personally reviewed the images for this examination and agreed with the report transcribed above.
	smaller right pneumothorax now small in quantity. interval development of bibasilar consolidations, nonspecific, which may represent atelectasis however an evolving infectious process including aspiration is not excluded. recommend clinical correlation for infectious symptoms. i have personally reviewed the images for this examination and agreed with the report transcribed above.
	low lung volumes, small left-sided pleural effusion and bibasilar opacities, and mild pulmonary edema. no pneumothorax.
	portable radiograph of the chest demonstrates stable positioning of support lines and tubes, including a right internal jugular swan-ganz catheter with the tip terminating in the main pulmonary artery, endotracheal tube, right chest tube, mediastinal drains, weighted tip feeding tube, left internal jugular hemodialysis catheter, and left chest wall 3-lead pacemaker/icd. stable postoperative changes with unchanged positioning of a left ventricular assist device; median sternotomy wires remain intact and in midline. unchanged enlargement of the cardiac silhouette with persistent, but improving pulmonary edema. small to moderate bilateral pleural effusions with associated opacities at the bilateral lung bases persist.
	supporting devices in place as described. since 7-1-2011 at 2015 hours interval development of multifocal air space opacities as described above. differential diagnosis includes infection and/or aspiration. no evidence of pulmonary edema or pneumothorax.
	right-sided internal jugular catheter is noted with tip projecting over the superior vena cava. no pneumothorax is seen. nasogastric tube with tip projecting near the gastroesophageal junction. epidural catheter noted with tip not visualized. redemonstration of azygos lobe with stable cardiomediastinal silhouette and grossly clear lungs.
	endotracheal tube, right internal jugular catheter, left subclavian central venous line (mediport), two chest tubs, nasogastric tube are in place, unchanged. no significant change in cardiopulmonary status with persistent diffuse reticular opacities bilaterally, consistent with diffuse edema, infection, or diffuse lung injury (pneumonitis, ards).
	unchanged right chest port and postsurgical findings of the chest. the lungs are clear without focal consolidation. normal cardiomediastinal silhouette.
	otherwise, supportive equipment is stable. retrocardiac atelectasis and left pleural effusion is stable.
	single frontal radiograph of the chest demonstrates an endotracheal tube with the tip 5.6-cm above the carina and nasogastric tube with the tip beneath the diaphragm in the stomach. lungs demonstrate patchy opacities of the left mid and lower lung zones which may represent aspiration or consolidation. no pleural effusions. no pneumothorax. visualized osseous structures and soft tissues unremarkable.
	low lung volumes on the current exam. rightward bowing of the trachea is unchanged with unchanged apparent density over the superior mediastinum. if clinical concern ct may be of value. similar marked mitral annular calcification. no focal consolidation. recommend pa and lateral radiograph.
	left ij central venous catheter terminates in the mid svc. left greater than right basilar consolidation, suggestive atelectasis or aspiration. "physician to physician radiology consult line: (553) 106-1293" i have personally reviewed the images for this examination and agreed with the report transcribed above.
	interval postsurgical changes with aortic valve prosthesis as described. interval extubation. no pneumothorax. physician to radiologist consult line (982) 814-6238 i have personally reviewed the images for this examination and agreed with the report transcribed above.
	no significant interval change. next impression status post thoracotomy the several skin staples in place. redemonstration of an ng tube, right chest tube, left chest tube and epidural catheter. stable small left-sided pneumothorax. a bilateral airspace opacities in the midlung zone. a right-sided coma partially loculated pleural fluid
	interval repositioning of left upper extremity picc line, with the tip now seen in the distal superior vena cava. a nasogastric tube is again seen coursing below the level of the left hemidiaphragm, with the tip beyond the inferior margins of the study. stable redemonstration of low lung volumes, moderate left-sided pleural effusion, and left retrocardiac opacity/atelectasis. there is mild blunting of the right costophrenic angle, denoting a possible right pleural effusion. stable cardiomediastinal silhouette. redemonstration of degenerative changes of the right shoulder.
	cardiomegaly and pulmonary interstitial edema compatible with moderate congestive heart failure.
	interval placement of an endotracheal tube and nasogastric tube in satisfactory position. interval development of mild interstitial pulmonary edema, bilateral pleural effusions, and left lower lobe atelectasis.
	no evidence of pneumothorax. interval improvement in pulmonary edema. small left pleural effusion with worsening opacity at the left lung base. "physician to physician radiology consult line: (630) 666-1390"
	placement of right pigtail chest catheter with decreased right pleural effusion and unchanged right basal opacity. the left lung still appears clear. large pulmonary artery is seen consistent with pulmonary hypertension.
	single frontal view of the chest demonstrates stable positioning of the support equipment and unchanged appearance of the left anterior chest wall single-lead aicd. slight interval increase in retrocardiac opacity with a small left pleural effusion. interval decrease in mild pulmonary edema with stable cardiomegaly.
	a left arm picc line with its tip pointing upward into the right innominate vein. complete opacification of the left lung, with evidence of left mediastinal shift suggesting lung collapse. right lung volume is small and there is evidence for mild interstitial pulmonary edema.
	single semi-erect ap view of the chest is limited by rotation of the patient to the right and respiratory motion. interval placement of a left internal jugular central venous catheter whose distal tip is not clearly visualized but which is seen at least to the proximal left brachiocephalic vein. no definite pneumothorax, though, again, the exam is limited. stable positioning of an endotracheal tube, nasogastric tube, feeding tube, right upper extremity picc line, and right axillary catheter. lower lung volumes with redemonstration of patchy opacities bilaterally and small bilateral effusions.
	other lines and tubes are unchanged. persistent retrocardiac opacity, may represent atelectasis versus consolidation, unchanged. no pneumothorax.
	stable positioning of right upper extremity picc. catheter tip positioned within the mid svc. linear medial basilar parenchymal opacities, unchanged. no new focal consolidation.
	status post placement of endotracheal tube. no pneumothorax. redemonstration of chronic pleural thickening, scarring, and pleural calcifications in the right hemithorax. the left lung remains clear.
	stable positioning of the left-sided picc line. lungs are clear, no evidence of effusion, consolidation, or pneumothorax.
	no obvious pneumothorax is seen in either hemithorax. stable appearance of the chest. some mild retrocardiac atelectasis is noted and unchanged when compared to 10/15/2001. right internal jugular central line, unchanged.
	a single semi-supine view of the chest demonstrates a stable tracheostomy cannula in place. status post cervical spine fusion. no evidence of focal consolidations or significant pleural effusions, no pulmonary edema.
	0601 hours compared with 8/2/2010. progression of pulmonary parenchymal opacity, now with more extensive alveolar opacity involving the right mid and upper lung. patchy heterogeneous opacities distributed in the left lung are similar in overall appearance. negative for pneumothorax. partially seen is a pigtail catheter projecting in the midline of the upper abdomen.
	patient is status post left fore-quarter amputation. there is a small remaining portion of the proximal left clavicle. surgical staples projecting over the left side of the chest. no evidence for pneumothorax. normal heart size. right lung clear. there is patchy opacity in the left lung apex which may be post surgical in nature.
	insertion of lead into coronary sinus. remaining 3 leads unchanged in position. no pneumothorax identified. lung parenchyma clear
	surgical clips are seen projecting over the left upper quadrant. lung volume remain low with a unchanged appearance to the small left pleural effusion. there is a new sub-pulmonic effusion at the right base. redemonstration of a rounded density at the retrocardiac region. pa and lateral films are recommended for further evaluation. differential includes pneumonia/atelectasis versus mass.
	no radiographic evidence of acute fracture or pneumothorax. no focal consolidation. 3
	opacification of the right lower lobe likely representing collapse. mild pulmonary edema, with bilateral pleural effusions. left basilar atelectasis. et tube well positioned.
	small left pleural effusion, increased compared to the 3/6/2021 study. otherwise, no acute cardiopulmonary process is appreciated.
	portable upright view the chest demonstrates stable positioning of a right-sided central line. left upper extremity picc is also demonstrated with tip approximately 5 cm below the carina. interval increase is appreciated in the small to moderate right pleural effusion. small left pleural effusion is stable. low lung volumes are again demonstrated with right greater than left basilar opacities.
	pa and lateral views of the chest demonstrate interval new vertebral plana of a lower thoracic barr body which appears new since 12-15 ct of the thorax, where on sagittal view series 289 image 64, this vertebral body appeared intact. otherwise, there is stable chest radiograph with baseline mild diffuse reticular pattern and no focal consolidation. stable marked degenerative change in the left shoulder and prominent aortic knob.
	stable right internal jugular double lumen central venous catheter, endotracheal tube ,ng, mediastinal drain, and two chest tubes. stable cardiomediastinal silhouette. increased lung volume is noted with persistence of retrocardiac opacity and stable left-sided pleural effusion.
	cardiomegaly with a large main pulmonary artery. right internal jugular venous catheter with tip in the superior vena cava as well as right upper extremity picc line noted
	interval extubation. remaining lines and tubes are unchanged in position. no significant change in cardiopulmonary status, with persistent mild pulmonary edema and retrocardiac opacity.
	decrease in size of right pleural effusion. tiny right apical pneumothorax.
	stable position of right-sided central venous catheter with tip in the lower svc. stable cardiomediastinal silhouette. no evidence of effusion or consolidation to suggest acute cardiopulmonic process.
	other lines and tubes unchanged. unchanged mild pulmonary edema and bibasilar infiltrates concerning for ongoing infection. unchanged left greater than right bilateral pleural effusions.
	diffuse chronic interstitial lung markings bilaterally, with more focal opacity in the left retrocardiac region, stable to slightly improved as compared to yesterday's exam. small left pleural effusion. mild cardiomegaly. calcified mitral annulus. cervical acdf.
	the endotracheal tube is unchanged in position with its tip approximately 6 cm from the carina. the right internal jugular catheter, left subclavian catheter, and feeding tube are stable in position. there are low lung volumes. there is bibasilar atelectasis and small bilateral pleural effusions, which are unchanged. there is persistent mild pulmonary edema.
	bibasilar consolidation, atelectasis or pneumonia. "physician to physician radiology consult line: (858)301-6958"
	left lower lobe consolidation. blunting of the left costophrenic sulcus, which may represent a small left pleural effusion. cardiomegaly. prominent pulmonary vasculature, which may represent mild interstitial pulmonary edema. degenerative changes of the thoracic spine with a minimal scoliosis convex to the right.
	small to moderate size loculated right pleural effusion with areas of probable necrosis in the right upper lobe, and possibly within the left midlung periphery. consider ct for further characterization.
	persistent low lung volumes with interval decrease in pulmonary edema. patchy opacities persist at the bilateral bases. right ij line unchanged in position.
	frontal radiograph of the chest demonstrates stable right-sided picc as well as right pigtail pleural catheter. there are stable bi-basilar opacities. the lung volumes are low and there may be mild pulmonary edema versus vascular crowding due to low volumes. the heart size is stable. there is a persistent small right apical pneumothorax.
	right picc with its tip 4.2 cm below the carina. no consolidation
	tunneled right central line remains in place with tip projecting over the cavoatrial junction. lung volumes have decreased with increased multifocal diffuse air space opacities most prominent within the lung bases. increased right-sided pleural effusion which appears to be somewhat loculated within this erect film. the right cardiac border is silhouetted by the right base opacity. increased pericardial effusion cannot be ruled out based on this study. overall this constellation of findings are concerning for infectious etiology including atypical infections, lymphangitic spread which may be related to patient's underlying lymphoma and pulmonary edema. these results were reported at 1320 on 02-14-2020.
	no evidence of rib fracture or pneumothorax. the cardiac silhouette is unremarkable and the lung zones are clear.
	increased small bilateral effusions. stable right upper lung zone consolidation, bilateral nodular opacities, and biapical effusion versus pleural thickening. heart size is normal. stable position of the tracheostomy tube, left upper extremity picc, and epicardial pacer wires.
	semiupright portable chest x-ray demonstrates low lying endotracheal tube with its tip projecting 2 cm above the carina. nasogastric tube and feeding tube are stable in position. stable cardiomediastinal silhouette. left picc tip is not well visualized. stable appearance of left basilar opacity and left pleural effusion. no edema. no new focal airspace disease.
	interval placement of a right internal jugular central venous catheter. no evidence of pneumothorax. low lung volumes with no focal consolidation or pleural effusions. unremarkable cardiomediastinal silhouette.
	semiupright frontal chest radiograph demonstrates an endotracheal tube in place, the tip projecting 3 cm above the carina. an ng tube courses in projection of the stomach although the distal tip is not seen. right internal jugular line tip projects over the lower svc. cardiomediastinal silhouette is normal. there may be mild pulmonary edema. lungs are otherwise clear. no pneumothorax. no acute osseous findings.
	no significant interval change, with redemonstration of right suprahilar mass with overlying clips 2. this could represent acute pneumonia or scarring. summary code:
	no focal pulmonary consolidation. mild cardiomegaly.
	redemonstration of right eighth and ninth rib fractures with slightly more prominent adjacent parenchymal opacity, which likely represents pulmonary contusion. no pneumothorax.
	interval decrease in right pleural effusion and increased aeration of right base. improved aeration of left base.
	compared to yesterday's film, there is small prominent pulmonary vasculature, ill defined pulmonary markings, consistent with mild pulmonary edema. very low lung volumes with left lower lobe atelectasis versus consolidation.
	thoracolumbar spine fixation device, endotracheal tube, nasogastric tube, and right chest tube remain. right subclavian central line also remains. no pneumothorax. left lower lobe atelectasis and/or consolidation with likely a left pleural effusion, are unchanged. a fine linear metallic device, possibly a catheter, again is seen extending vertically from the right superior aspect of the above mentioned thoracolumbar spinal stabilization device. divided and/or fractured lower right ribs are again identified.
	right-sided chest tube unchanged in position. no definite pneumothorax identified on today's study. persistent, stable, subcutaneous emphysema. left basilar opacity persists, unchanged.
	other supportive equipment unchanged. there is a suggestion of a possible tiny apical right pneumothorax. additional views (such as left lateral decubitus) could be performed for further evaluation if clinically indicated. large right pleural effusion.
	mild pulmonary edema. otherwise no significant interval change. i have personally reviewed the images for this examination and agreed with the report transcribed above.
	two views of the chest demonstrate a left shoulder prosthesis, sternotomy wires and multiple mediastinal clips, status post cabg. small right pleural effusion with redemonstration of bibasilar opacities, likely atelectasis.
	normal radiographic examination of the chest. interval resolution of left apical pneumothorax. interpreted by attending radiologist: md cuinn - july 2014 i, the attending signed below, have personally reviewed the images and agree with the report transcribed above. interpreted by attending radiologist: collaco cuinn, md authored by : collaco, md approval date : july 30 2014
	the right tunne line, sternotomy clips, and right pigtail catheter are unchanged in position. there is a persistent right pleural effusion with a right basilar air-space opacity. opacification of the left hemithorax is unchanged with stable thoracotomy changes of the ribs.
	diffuse patchy airspace disease throughout the lungs, with tiny residual apical pneumothorax.
	s-shaped scoliosis of the thoracolumbar spine are demonstrated. low lung volumes. left basilar opacity may reflect atelectasis or consolidation with blunting of the bilateral costophrenic angles. stable osteotomy of the right sixth rib. i have personally reviewed the images for this examination and agreed with the report transcribed above.
	normal heart size and pulmonary vascularity. no focal consolidation, pleural effusion, or pneumothorax. no osseous or soft tissue abnormalities.
	again noted is marked cardiomegaly. there are slightly low lung volumes. there is obscuration of the right costophrenic angle which may be due to overlying soft tissue versus pleural fluid. no definite evidence of interstitial edema. the visualized osseous structures are grossly unremarkable. as this is a semi-erect portable plain film, if patient can toleratean upright full pa and lateral further evaluation of the chest can be performed.
	right-sided chest tube is in place, with associated right flank emphysema. subtle lucency at the right lateral hemithorax may represent a tiny pneumothorax. lung volumes are low. there is moderate pulmonary edema. no evidence of focal consolidation, or significant pleural effusion.
	upright pa and lateral radiographs of the chest were obtained. the cardiomediastinal silhouette is stable in size and configuration. a left central venous catheter is unchanged in position, terminating approximately 2 cm below the carina in the lower superior vena cava. no pulmonary edema or pleural effusions. stable mid and lower lung zone predominant reticular nodular opacities. no acute osseous abnormality.
	redemonstration of stable appearing interstitial lung disease, slightly more prominent in the right upper lobe. no evidence for new or focal consolidation. stable suture material in the left lower lung base. the cardiomediastinal silhouette is within the norm and unchanged.
	frontal radiograph of the chest demonstrates stable position of a pacemaker, midline sternotomy wires, and a prosthetic aortic valve. mild pulmonary edema and trace left pleural effusion. mild cardiomegaly. anasarca.
	single frontal view of the chest demonstrate a normal cardiomediastinal silhouette. the lungs demonstrate coarse diffuse interstitial markings, possibly related to edema. no evidence of focal consolidation or effusion. visualized osseous structures are unremarkable.
	low lung volumes with increased hazy opacification throughout the left lung field compatible with edema, atelectasis or consolidation. i have personally reviewed the images for this examination and agreed with the report transcribed above.
	there has been interval placement of a left subclavian central venous catheter. there is no evidence of pneumothorax. the endotracheal tube, nasogastric tube, right peripherally inserted central catheter remain stable. there is persistent mild pulmonary edema and bibasilar opacities but no significant change to the cardiopulmonary status.
	findings suggestive of cardiomegaly with moderate pulmonary edema. bibasilar atelectasis or consolidation. would recommend clinical correlation and pa and lateral views when able. moderate left pleural effusion.
	ap portable semi-upright view of the chest demonstrates right-sided central line and nasogastric tube, both of which appear stable. stable appearance of persistent low lung volumes and right-sided pleural effusion which is small.
	interval increase in lung volumes with decrease in the size of the cardiac silhouette. no evidence for pulmonary edema or pleural effusions. endotracheal tube, nasogastric tube, feeding tube, and left internal jugular venous catheter in stable position.
	aside from supporting devices, there has been no significant interval change in the extensive alveolar opacities seen throughout both lungs. this finding is consistent with significant pulmonary edema. physician to physician radiology consult line: (933) 258-9103
	endotracheal tube is not visualized. there is stable positioning of right ij catheter, right chest tube and two mediastinal drains/ epicardial pacer leads remain in place. stable retrocardiac opacity and small left-sided pleural effusion. no obvious pneumothorax.
	new lines and tubes as stated above. persistent low lung volumes, but no pneumothorax. decreased left pleural effusion.
	single view of the chest demonstrates residual linear opacities, which may represent scar. no evidence of consolidation, effusion, or pneumothorax. pulmonary vascularity is within normal limits. minimal aortic calcification is noted. the cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormality.
	no pneumothorax is seen. no other cardiopulmonary abnormalities seen.
	blunting of the costophrenic angles on lateral view likely reflects a component of small bilateral pleural effusions. fluid identified within bilateral major fissures on lateral view. mild multilevel degenerative changes are identified in the thoracic spine.
	frontal and lateral views of the chest in the semi-upright position demonstrate slight increase in cardiomegaly and mild cardio pulmonary congestion. no effusion, consolidation, mass or pneumothorax seen. the visualized soft tissues and osseous structures are without focal abnormality.
	stable right ij catheter position. stable prominent cardiomediastinal silhouette, right pleural effusion, right middle and lower lobe atelectasis.
	frontal view of the chest demonstrates unchanged large pneumoperitoneum. unchanged position of right ij central venous catheter. a linear opacity overlies the inferior vena cava, this may represent a vascular line versus external object. unchanged low lung volumes. no new focal opacities. no pleural effusions. no pneumothorax.
	bilateral patchy, reticular nodular airspace opacities with initial interval worsening followed by interval improvement in aeration. no significant change in subcutaneous air within the left lateral chest wall. "physician to physician radiology consult line: (337) 158-3721" i have personally reviewed the images for this examination and agreed with the report transcribed above.
	postsurgical changes of the chest, with left lower lobe atelectasis. small left pleural effusion. the endotracheal tube tip is in the lower trachea.
	multiple left sided rib fractures with a suggestion of a small left apical pneumothorax. a right lateral decubitus would be confirmatory. right mid clavicular fracture. these findings were discussed with the surgical team shortly after the completion of the study.
	portable chest radiograph demonstrates vp shunt overlying the right hemithorax and coursing below the diaphragm. cardiomediastinum is significant for a minimally prominent ascending aorta. lungs demonstrate no focal consolidation, no pneumothorax, no pleural effusion.
	lines and tubes a described above. tip of the swan-ganz catheter is difficult to evaluate. recommend follow-up imaging if clinically indicated. this finding was discussed with the patient's nurse on the morning of 4-28-2012. interval increase in pulmonary edema and bilateral pleural effusions.

single frontal chest demonstrates an unchanged feeding tube. dense retrocardiac opacity and moderate left pleural effusion, unchanged. healing left rib fractures. old clavicular fractures.

single ap view of the chest is limited as the lung apices are not included on the exam. a tiny left apical pneumothorax cannot be excluded. redemonstration fo a left chest tube and mild subcutaneous emphysema along the left lateral chest wall. the visualized lung parenchyma appears clear.

no evidence of pneumonia. i have personally reviewed the images for this examination and agreed with the report transcribed above.

a right ij cvc terminates in the right atrium. no pneumothorax is seen. mildly prominent reticular pattern in the lungs, which can reflect mild worsening in diffuse ground glass since the 1-28-2016 ct thorax. this may represent atypical infection, mild pulmonary edema, or drug reaction. "physician to physician radiology consult line: (727) 911-1426" i have personally reviewed the images for this examination and agreed with the report transcribed above.

smaller right pneumothorax now small in quantity. interval development of bibasilar consolidations, nonspecific, which may represent atelectasis however an evolving infectious process including aspiration is not excluded. recommend clinical correlation for infectious symptoms. i have personally reviewed the images for this examination and agreed with the report transcribed above.

low lung volumes, small left-sided pleural effusion and bibasilar opacities, and mild pulmonary edema. no pneumothorax.

portable radiograph of the chest demonstrates stable positioning of support lines and tubes, including a right internal jugular swan-ganz catheter with the tip terminating in the main pulmonary artery, endotracheal tube, right chest tube, mediastinal drains, weighted tip feeding tube, left internal jugular hemodialysis catheter, and left chest wall 3-lead pacemaker/icd. stable postoperative changes with unchanged positioning of a left ventricular assist device; median sternotomy wires remain intact and in midline. unchanged enlargement of the cardiac silhouette with persistent, but improving pulmonary edema. small to moderate bilateral pleural effusions with associated opacities at the bilateral lung bases persist.

supporting devices in place as described. since 7-1-2011 at 2015 hours interval development of multifocal air space opacities as described above. differential diagnosis includes infection and/or aspiration. no evidence of pulmonary edema or pneumothorax.

right-sided internal jugular catheter is noted with tip projecting over the superior vena cava. no pneumothorax is seen. nasogastric tube with tip projecting near the gastroesophageal junction. epidural catheter noted with tip not visualized. redemonstration of azygos lobe with stable cardiomediastinal silhouette and grossly clear lungs.

endotracheal tube, right internal jugular catheter, left subclavian central venous line (mediport), two chest tubs, nasogastric tube are in place, unchanged. no significant change in cardiopulmonary status with persistent diffuse reticular opacities bilaterally, consistent with diffuse edema, infection, or diffuse lung injury (pneumonitis, ards).

unchanged right chest port and postsurgical findings of the chest. the lungs are clear without focal consolidation. normal cardiomediastinal silhouette.

otherwise, supportive equipment is stable. retrocardiac atelectasis and left pleural effusion is stable.

single frontal radiograph of the chest demonstrates an endotracheal tube with the tip 5.6-cm above the carina and nasogastric tube with the tip beneath the diaphragm in the stomach. lungs demonstrate patchy opacities of the left mid and lower lung zones which may represent aspiration or consolidation. no pleural effusions. no pneumothorax. visualized osseous structures and soft tissues unremarkable.

low lung volumes on the current exam. rightward bowing of the trachea is unchanged with unchanged apparent density over the superior mediastinum. if clinical concern ct may be of value. similar marked mitral annular calcification. no focal consolidation. recommend pa and lateral radiograph.

left ij central venous catheter terminates in the mid svc. left greater than right basilar consolidation, suggestive atelectasis or aspiration. "physician to physician radiology consult line: (553) 106-1293" i have personally reviewed the images for this examination and agreed with the report transcribed above.

interval postsurgical changes with aortic valve prosthesis as described. interval extubation. no pneumothorax. physician to radiologist consult line (982) 814-6238 i have personally reviewed the images for this examination and agreed with the report transcribed above.

no significant interval change. next impression status post thoracotomy the several skin staples in place. redemonstration of an ng tube, right chest tube, left chest tube and epidural catheter. stable small left-sided pneumothorax. a bilateral airspace opacities in the midlung zone. a right-sided coma partially loculated pleural fluid

interval repositioning of left upper extremity picc line, with the tip now seen in the distal superior vena cava. a nasogastric tube is again seen coursing below the level of the left hemidiaphragm, with the tip beyond the inferior margins of the study. stable redemonstration of low lung volumes, moderate left-sided pleural effusion, and left retrocardiac opacity/atelectasis. there is mild blunting of the right costophrenic angle, denoting a possible right pleural effusion. stable cardiomediastinal silhouette. redemonstration of degenerative changes of the right shoulder.

cardiomegaly and pulmonary interstitial edema compatible with moderate congestive heart failure.

interval placement of an endotracheal tube and nasogastric tube in satisfactory position. interval development of mild interstitial pulmonary edema, bilateral pleural effusions, and left lower lobe atelectasis.

no evidence of pneumothorax. interval improvement in pulmonary edema. small left pleural effusion with worsening opacity at the left lung base. "physician to physician radiology consult line: (630) 666-1390"

placement of right pigtail chest catheter with decreased right pleural effusion and unchanged right basal opacity. the left lung still appears clear. large pulmonary artery is seen consistent with pulmonary hypertension.

single frontal view of the chest demonstrates stable positioning of the support equipment and unchanged appearance of the left anterior chest wall single-lead aicd. slight interval increase in retrocardiac opacity with a small left pleural effusion. interval decrease in mild pulmonary edema with stable cardiomegaly.

a left arm picc line with its tip pointing upward into the right innominate vein. complete opacification of the left lung, with evidence of left mediastinal shift suggesting lung collapse. right lung volume is small and there is evidence for mild interstitial pulmonary edema.

single semi-erect ap view of the chest is limited by rotation of the patient to the right and respiratory motion. interval placement of a left internal jugular central venous catheter whose distal tip is not clearly visualized but which is seen at least to the proximal left brachiocephalic vein. no definite pneumothorax, though, again, the exam is limited. stable positioning of an endotracheal tube, nasogastric tube, feeding tube, right upper extremity picc line, and right axillary catheter. lower lung volumes with redemonstration of patchy opacities bilaterally and small bilateral effusions.

other lines and tubes are unchanged. persistent retrocardiac opacity, may represent atelectasis versus consolidation, unchanged. no pneumothorax.

stable positioning of right upper extremity picc. catheter tip positioned within the mid svc. linear medial basilar parenchymal opacities, unchanged. no new focal consolidation.

status post placement of endotracheal tube. no pneumothorax. redemonstration of chronic pleural thickening, scarring, and pleural calcifications in the right hemithorax. the left lung remains clear.

stable positioning of the left-sided picc line. lungs are clear, no evidence of effusion, consolidation, or pneumothorax.

no obvious pneumothorax is seen in either hemithorax. stable appearance of the chest. some mild retrocardiac atelectasis is noted and unchanged when compared to 10/15/2001. right internal jugular central line, unchanged.

a single semi-supine view of the chest demonstrates a stable tracheostomy cannula in place. status post cervical spine fusion. no evidence of focal consolidations or significant pleural effusions, no pulmonary edema.

0601 hours compared with 8/2/2010. progression of pulmonary parenchymal opacity, now with more extensive alveolar opacity involving the right mid and upper lung. patchy heterogeneous opacities distributed in the left lung are similar in overall appearance. negative for pneumothorax. partially seen is a pigtail catheter projecting in the midline of the upper abdomen.

patient is status post left fore-quarter amputation. there is a small remaining portion of the proximal left clavicle. surgical staples projecting over the left side of the chest. no evidence for pneumothorax. normal heart size. right lung clear. there is patchy opacity in the left lung apex which may be post surgical in nature.

insertion of lead into coronary sinus. remaining 3 leads unchanged in position. no pneumothorax identified. lung parenchyma clear

surgical clips are seen projecting over the left upper quadrant. lung volume remain low with a unchanged appearance to the small left pleural effusion. there is a new sub-pulmonic effusion at the right base. redemonstration of a rounded density at the retrocardiac region. pa and lateral films are recommended for further evaluation. differential includes pneumonia/atelectasis versus mass.

no radiographic evidence of acute fracture or pneumothorax. no focal consolidation. 3

opacification of the right lower lobe likely representing collapse. mild pulmonary edema, with bilateral pleural effusions. left basilar atelectasis. et tube well positioned.

small left pleural effusion, increased compared to the 3/6/2021 study. otherwise, no acute cardiopulmonary process is appreciated.

portable upright view the chest demonstrates stable positioning of a right-sided central line. left upper extremity picc is also demonstrated with tip approximately 5 cm below the carina. interval increase is appreciated in the small to moderate right pleural effusion. small left pleural effusion is stable. low lung volumes are again demonstrated with right greater than left basilar opacities.

pa and lateral views of the chest demonstrate interval new vertebral plana of a lower thoracic barr body which appears new since 12-15 ct of the thorax, where on sagittal view series 289 image 64, this vertebral body appeared intact. otherwise, there is stable chest radiograph with baseline mild diffuse reticular pattern and no focal consolidation. stable marked degenerative change in the left shoulder and prominent aortic knob.

stable right internal jugular double lumen central venous catheter, endotracheal tube ,ng, mediastinal drain, and two chest tubes. stable cardiomediastinal silhouette. increased lung volume is noted with persistence of retrocardiac opacity and stable left-sided pleural effusion.

cardiomegaly with a large main pulmonary artery. right internal jugular venous catheter with tip in the superior vena cava as well as right upper extremity picc line noted

interval extubation. remaining lines and tubes are unchanged in position. no significant change in cardiopulmonary status, with persistent mild pulmonary edema and retrocardiac opacity.

decrease in size of right pleural effusion. tiny right apical pneumothorax.

stable position of right-sided central venous catheter with tip in the lower svc. stable cardiomediastinal silhouette. no evidence of effusion or consolidation to suggest acute cardiopulmonic process.

other lines and tubes unchanged. unchanged mild pulmonary edema and bibasilar infiltrates concerning for ongoing infection. unchanged left greater than right bilateral pleural effusions.

diffuse chronic interstitial lung markings bilaterally, with more focal opacity in the left retrocardiac region, stable to slightly improved as compared to yesterday's exam. small left pleural effusion. mild cardiomegaly. calcified mitral annulus. cervical acdf.

the endotracheal tube is unchanged in position with its tip approximately 6 cm from the carina. the right internal jugular catheter, left subclavian catheter, and feeding tube are stable in position. there are low lung volumes. there is bibasilar atelectasis and small bilateral pleural effusions, which are unchanged. there is persistent mild pulmonary edema.

bibasilar consolidation, atelectasis or pneumonia. "physician to physician radiology consult line: (858)301-6958"

left lower lobe consolidation. blunting of the left costophrenic sulcus, which may represent a small left pleural effusion. cardiomegaly. prominent pulmonary vasculature, which may represent mild interstitial pulmonary edema. degenerative changes of the thoracic spine with a minimal scoliosis convex to the right.

small to moderate size loculated right pleural effusion with areas of probable necrosis in the right upper lobe, and possibly within the left midlung periphery. consider ct for further characterization.

persistent low lung volumes with interval decrease in pulmonary edema. patchy opacities persist at the bilateral bases. right ij line unchanged in position.

frontal radiograph of the chest demonstrates stable right-sided picc as well as right pigtail pleural catheter. there are stable bi-basilar opacities. the lung volumes are low and there may be mild pulmonary edema versus vascular crowding due to low volumes. the heart size is stable. there is a persistent small right apical pneumothorax.

right picc with its tip 4.2 cm below the carina. no consolidation

tunneled right central line remains in place with tip projecting over the cavoatrial junction. lung volumes have decreased with increased multifocal diffuse air space opacities most prominent within the lung bases. increased right-sided pleural effusion which appears to be somewhat loculated within this erect film. the right cardiac border is silhouetted by the right base opacity. increased pericardial effusion cannot be ruled out based on this study. overall this constellation of findings are concerning for infectious etiology including atypical infections, lymphangitic spread which may be related to patient's underlying lymphoma and pulmonary edema. these results were reported at 1320 on 02-14-2020.

no evidence of rib fracture or pneumothorax. the cardiac silhouette is unremarkable and the lung zones are clear.

increased small bilateral effusions. stable right upper lung zone consolidation, bilateral nodular opacities, and biapical effusion versus pleural thickening. heart size is normal. stable position of the tracheostomy tube, left upper extremity picc, and epicardial pacer wires.

semiupright portable chest x-ray demonstrates low lying endotracheal tube with its tip projecting 2 cm above the carina. nasogastric tube and feeding tube are stable in position. stable cardiomediastinal silhouette. left picc tip is not well visualized. stable appearance of left basilar opacity and left pleural effusion. no edema. no new focal airspace disease.

interval placement of a right internal jugular central venous catheter. no evidence of pneumothorax. low lung volumes with no focal consolidation or pleural effusions. unremarkable cardiomediastinal silhouette.

semiupright frontal chest radiograph demonstrates an endotracheal tube in place, the tip projecting 3 cm above the carina. an ng tube courses in projection of the stomach although the distal tip is not seen. right internal jugular line tip projects over the lower svc. cardiomediastinal silhouette is normal. there may be mild pulmonary edema. lungs are otherwise clear. no pneumothorax. no acute osseous findings.

no significant interval change, with redemonstration of right suprahilar mass with overlying clips 2. this could represent acute pneumonia or scarring. summary code:

no focal pulmonary consolidation. mild cardiomegaly.

redemonstration of right eighth and ninth rib fractures with slightly more prominent adjacent parenchymal opacity, which likely represents pulmonary contusion. no pneumothorax.

interval decrease in right pleural effusion and increased aeration of right base. improved aeration of left base.

compared to yesterday's film, there is small prominent pulmonary vasculature, ill defined pulmonary markings, consistent with mild pulmonary edema. very low lung volumes with left lower lobe atelectasis versus consolidation.

thoracolumbar spine fixation device, endotracheal tube, nasogastric tube, and right chest tube remain. right subclavian central line also remains. no pneumothorax. left lower lobe atelectasis and/or consolidation with likely a left pleural effusion, are unchanged. a fine linear metallic device, possibly a catheter, again is seen extending vertically from the right superior aspect of the above mentioned thoracolumbar spinal stabilization device. divided and/or fractured lower right ribs are again identified.

right-sided chest tube unchanged in position. no definite pneumothorax identified on today's study. persistent, stable, subcutaneous emphysema. left basilar opacity persists, unchanged.

other supportive equipment unchanged. there is a suggestion of a possible tiny apical right pneumothorax. additional views (such as left lateral decubitus) could be performed for further evaluation if clinically indicated. large right pleural effusion.

mild pulmonary edema. otherwise no significant interval change. i have personally reviewed the images for this examination and agreed with the report transcribed above.

two views of the chest demonstrate a left shoulder prosthesis, sternotomy wires and multiple mediastinal clips, status post cabg. small right pleural effusion with redemonstration of bibasilar opacities, likely atelectasis.

normal radiographic examination of the chest. interval resolution of left apical pneumothorax. interpreted by attending radiologist: md cuinn - july 2014 i, the attending signed below, have personally reviewed the images and agree with the report transcribed above. interpreted by attending radiologist: collaco cuinn, md authored by : collaco, md approval date : july 30 2014

the right tunne line, sternotomy clips, and right pigtail catheter are unchanged in position. there is a persistent right pleural effusion with a right basilar air-space opacity. opacification of the left hemithorax is unchanged with stable thoracotomy changes of the ribs.

diffuse patchy airspace disease throughout the lungs, with tiny residual apical pneumothorax.

s-shaped scoliosis of the thoracolumbar spine are demonstrated. low lung volumes. left basilar opacity may reflect atelectasis or consolidation with blunting of the bilateral costophrenic angles. stable osteotomy of the right sixth rib. i have personally reviewed the images for this examination and agreed with the report transcribed above.

normal heart size and pulmonary vascularity. no focal consolidation, pleural effusion, or pneumothorax. no osseous or soft tissue abnormalities.

again noted is marked cardiomegaly. there are slightly low lung volumes. there is obscuration of the right costophrenic angle which may be due to overlying soft tissue versus pleural fluid. no definite evidence of interstitial edema. the visualized osseous structures are grossly unremarkable. as this is a semi-erect portable plain film, if patient can toleratean upright full pa and lateral further evaluation of the chest can be performed.

right-sided chest tube is in place, with associated right flank emphysema. subtle lucency at the right lateral hemithorax may represent a tiny pneumothorax. lung volumes are low. there is moderate pulmonary edema. no evidence of focal consolidation, or significant pleural effusion.

upright pa and lateral radiographs of the chest were obtained. the cardiomediastinal silhouette is stable in size and configuration. a left central venous catheter is unchanged in position, terminating approximately 2 cm below the carina in the lower superior vena cava. no pulmonary edema or pleural effusions. stable mid and lower lung zone predominant reticular nodular opacities. no acute osseous abnormality.

redemonstration of stable appearing interstitial lung disease, slightly more prominent in the right upper lobe. no evidence for new or focal consolidation. stable suture material in the left lower lung base. the cardiomediastinal silhouette is within the norm and unchanged.

frontal radiograph of the chest demonstrates stable position of a pacemaker, midline sternotomy wires, and a prosthetic aortic valve. mild pulmonary edema and trace left pleural effusion. mild cardiomegaly. anasarca.

single frontal view of the chest demonstrate a normal cardiomediastinal silhouette. the lungs demonstrate coarse diffuse interstitial markings, possibly related to edema. no evidence of focal consolidation or effusion. visualized osseous structures are unremarkable.

low lung volumes with increased hazy opacification throughout the left lung field compatible with edema, atelectasis or consolidation. i have personally reviewed the images for this examination and agreed with the report transcribed above.

there has been interval placement of a left subclavian central venous catheter. there is no evidence of pneumothorax. the endotracheal tube, nasogastric tube, right peripherally inserted central catheter remain stable. there is persistent mild pulmonary edema and bibasilar opacities but no significant change to the cardiopulmonary status.

findings suggestive of cardiomegaly with moderate pulmonary edema. bibasilar atelectasis or consolidation. would recommend clinical correlation and pa and lateral views when able. moderate left pleural effusion.

ap portable semi-upright view of the chest demonstrates right-sided central line and nasogastric tube, both of which appear stable. stable appearance of persistent low lung volumes and right-sided pleural effusion which is small.

interval increase in lung volumes with decrease in the size of the cardiac silhouette. no evidence for pulmonary edema or pleural effusions. endotracheal tube, nasogastric tube, feeding tube, and left internal jugular venous catheter in stable position.

aside from supporting devices, there has been no significant interval change in the extensive alveolar opacities seen throughout both lungs. this finding is consistent with significant pulmonary edema. physician to physician radiology consult line: (933) 258-9103

endotracheal tube is not visualized. there is stable positioning of right ij catheter, right chest tube and two mediastinal drains/ epicardial pacer leads remain in place. stable retrocardiac opacity and small left-sided pleural effusion. no obvious pneumothorax.

new lines and tubes as stated above. persistent low lung volumes, but no pneumothorax. decreased left pleural effusion.

single view of the chest demonstrates residual linear opacities, which may represent scar. no evidence of consolidation, effusion, or pneumothorax. pulmonary vascularity is within normal limits. minimal aortic calcification is noted. the cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormality.

no pneumothorax is seen. no other cardiopulmonary abnormalities seen.

blunting of the costophrenic angles on lateral view likely reflects a component of small bilateral pleural effusions. fluid identified within bilateral major fissures on lateral view. mild multilevel degenerative changes are identified in the thoracic spine.

frontal and lateral views of the chest in the semi-upright position demonstrate slight increase in cardiomegaly and mild cardio pulmonary congestion. no effusion, consolidation, mass or pneumothorax seen. the visualized soft tissues and osseous structures are without focal abnormality.

stable right ij catheter position. stable prominent cardiomediastinal silhouette, right pleural effusion, right middle and lower lobe atelectasis.

frontal view of the chest demonstrates unchanged large pneumoperitoneum. unchanged position of right ij central venous catheter. a linear opacity overlies the inferior vena cava, this may represent a vascular line versus external object. unchanged low lung volumes. no new focal opacities. no pleural effusions. no pneumothorax.

bilateral patchy, reticular nodular airspace opacities with initial interval worsening followed by interval improvement in aeration. no significant change in subcutaneous air within the left lateral chest wall. "physician to physician radiology consult line: (337) 158-3721" i have personally reviewed the images for this examination and agreed with the report transcribed above.

postsurgical changes of the chest, with left lower lobe atelectasis. small left pleural effusion. the endotracheal tube tip is in the lower trachea.

multiple left sided rib fractures with a suggestion of a small left apical pneumothorax. a right lateral decubitus would be confirmatory. right mid clavicular fracture. these findings were discussed with the surgical team shortly after the completion of the study.

portable chest radiograph demonstrates vp shunt overlying the right hemithorax and coursing below the diaphragm. cardiomediastinum is significant for a minimally prominent ascending aorta. lungs demonstrate no focal consolidation, no pneumothorax, no pleural effusion.

lines and tubes a described above. tip of the swan-ganz catheter is difficult to evaluate. recommend follow-up imaging if clinically indicated. this finding was discussed with the patient's nurse on the morning of 4-28-2012. interval increase in pulmonary edema and bilateral pleural effusions.