Chest x-rays

 

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CLINICAL DETAILS:

Chronic GVHD. Recurrent chest infection. Sinusitis.

CHEST:

The lungs are mildly hyperinflated which would be in keeping with obliterative bronchiolitis. However no parenchymal pulmonary abnormality seen and there is specifically no consolidation. Heart size is normal, the pleural spaces are clear.

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CLINICAL DETAILS:

Tracheo-oesophageal fistula.

CHEST + LATERAL:

There is patchy opacification of the anterior segment of the right upper lobe evident there is associated fibrosis with elevation of the right hilum. The remainder of the lung fields are clear and the cardiac shadow is within normal limits.

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CLINICAL DETAILS:

Mild asthma. B cell lymphoma. Pulmonary deposits.

CHEST:

There are poorly defined soft tissue opacities in both lungs. The cardiomediastinal contour is normal. The pleural spaces are clear. The appearance is consistent with lymphomatous deposits in the lung parenchyma.

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CLINICAL DETAILS:

LV dysfunction, ischaemic heart disease. Previous CABG.

CHEST:

Sternotomy wires consistent with previous CABG. There is loss of volume in the right apex with elevation of the right hilum. There is some pleural effusion/pleural reaction at both lung bases.

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CLINICAL DETAILS:

Emphysema.

CHEST:

The heart size is normal and the lungs are clear.

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CLINICAL DETAILS:

SOB. Cough. Bronchiectasis.

CHEST:

There is patchy change at the left base in keeping with infection superadded on known bronchiectasis. Pulmonary arteries are noted to be enlarged. There is loss of height of multiple thoracic vertebral bodies and I note that the patient has longstanding osteoporosis.

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CLINICAL DETAILS:

Recurrent bronchogenic cyst previously aspirated then deroofed and injected with alchohol. Now airflow disruption. ?Cyst reoccurrence.

CHEST:

Previous mediansternotomy noted.

There is distortion of the carina, which is widened with mild narrowing of the proximal aspect of both left and right main bronchae. The lung volumes are normal.

The appearances are consistent with recurrence of the previously documented subcarinal bronchogenic cyst.

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CLINICAL DETAILS:

Ca. breast. Extensive local recurrence. Pain in left shoulder.

CHEST:

There is a round opacity at the left hilum. I cannot identify this on the lateral view. However, on the lateral view there is an unusual lack of lung markings in the anterior in the retrosternal space and the possibility of a loculated pneumothorax should be considered, but perhaps the increased density of the retrosternal space is due to loss of soft tissue on the left side of the chest.

 

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CLINICAL DETAILS:

Lymphoma NHL.

CHEST:

The heart is not enlarged. The pulmonary hila appear a little prominent but are not particularly dense nor nodular and I suspect there is no adenopathy at present. The mediastinum certainly appears of normal contour. The lung fields are clear.

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CLINICAL DETAILS:

Haemathorax 3 weeks' ago. ? resolved.

CHEST:

The previously documented right pneumothorax is largely resolved although a tiny slither of pleural gas may still be present. Apical pleural thickening is noted bilaterally. The lungs remain hypoinflated. No new features.

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CLINICAL DETAILS:

Haemathorax 3 weeks' ago. ? resolved.

CHEST:

The previously documented right pneumothorax is largely resolved although a tiny slither of pleural gas may still be present. Apical pleural thickening is noted bilaterally. The lungs remain hypoinflated. No new features.

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CLINICAL DETAILS:

Right lower zone opacity? NG. Left lower lobectomy more than thirty years ago for empyema.

CHEST + LATERAL:

There has been improvement in the appearances of the consolidation at the right base. No focal mass lesion is identified. An approximately 7mm diameter well defined rounded density is projected over the right lower zone, which is most likely to represent a nipple shadow. The long standing changes at the left base with elevation of the left hemidiaphragm are again noted. The proximal pulmonary arteries are dilated bilaterally with some open "pruning" of the peripheral vasculature, consistent with a degree of pulmonary artery hypertension. Heart size is within normal limits. The long standing destruction of the posterior left 6th rib is again noted and appears unchanged. No new bony lesions identified.

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CLINICAL DETAILS:

Hodgkin's disease.

CHEST:

There is enlargement of the transverse diameter of the heart. There is a peripheral linear atelectasis in the left lower zone (has the patient had irradiation of the spleen?). There is mild upper lobe blood diversion. The lungs are otherwise clear. There is no evidence of mediastinal lymphadenopathy.

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CLINICAL DETAILS:

COAD.

CHEST + LATERAL:

There is volume loss within the right hemithorax with evidence of right lower lobe collapse, manifest as increased density behind the right cardiac silhouette and effacement of the right hemidiaphragm. No central lesion is however seen. Bronchial wall thickening and crowding of lung markings are also noted in this region. Gynaecomastia is noted.

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CLINICAL DETAILS:

Dermatomyositis with lung involvement.

CHEST + LATERAL:

There is mild cardiac enlargement. There is left upper zone linear interstitial type change.

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CLINICAL DETAILS:

Undergoing RT for lower oesophageal Ca. Pain right lower ribs and chest.

CHEST:

There is a focal bulge to the inferior portion of the azygo-oesophageal recess, consistent with a lower oesophageal Ca. No definite rib abnormality is seen. The apparent sclerosis of the right third rib is likely to be due to overlying pleural change. The right hemidiaphragm is slightly elevated raising the possibility of underlying hepatomegaly. There is some blurring of the right perihilar bronchovascular.

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CLINICAL DETAILS:

Haemoptysis. CREST syndrome. Pulmonary nodules.

CHEST + LATERAL:

there is a cavitating, posteriorly based right pulmonary mass, which abuts the posterior chest wall. There is an area of confluent opacification in the right posterior CP. Pulmonary haemorrhage could cause this appearance.

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CLINICAL DETAILS:

Pre op hernia repair. Ca lung.

CHEST + LATERAL:

A rounded mass lesion in the right middle is seen, which measures 4.5cm.

 

 

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CLINICAL DETAILS:

Carcinoid. ? bronchial primary. Resolving pneumonia.

CHEST:

Right hilar mass and elevated right hemidiaphragm noted. In addition soft tissue nodules are projected over the cardiac silhouette on the lateral projection. No upper and mid mediastinal lymphadenopathy is visible on the CXR. Partial effacement of the right cardiomediastinal contour is consistent with resolving right middle lobe consolidation. No skeletal lesion seen.

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CLINICAL DETAILS:

Pneumonia.

CHEST:

AP film rotated to the right. Pacemaker with left subclavian wire noted with tip projected over right ventricle. There is loss of volume and fibrotic changes in the right upper lobe unchanged from the previous film. There is evidence of pulmonary venous hypertension and peribronchial cuffing however no interstitial or alveolar shadowing. There is a skin fold projected over the right lower zone laterally. Blunting of the right costophrenic angle is consistent with a small pleural effusion. Surgical clips noted projected over the roof of the neck. ?Sympathectomy.

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CLINICAL DETAILS:

Persisting haemoptysis. TB 1964. Chest Xray shows left-sided pleural thickening. Disease left lower lobe. Right lung opacities. ? Cavitation.

CHEST:

There are extensive changes in the left haemothorax and the right upper lobe. Anterior herniation of the right upper lobe to the left is seen.

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CLINICAL DETAILS:

Persisting haemoptysis. TB 1964. Chest Xray shows left-sided pleural thickening. Disease left lower lobe. Right lung opacities. ? Cavitation.

CHEST:

There are extensive changes in the left haemothorax and the right upper lobe. Anterior herniation of the right upper lobe to the left is seen.

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CLINICAL DETAILS:

SOB. Cough and yellow sputum.

CHEST:

The heart is enlarged in transverse diameter (CTR 179/334). The aorta is markedly unfolded. The pulmonary vascular pattern is normal. There is no active consolidation or evidence of pulmonary oedema. The pleural spaces are clear.

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CLINICAL DETAILS:

Mitral valve disease.

CHEST:

This patient has had previous cardiac surgery. The heart is a little larger than normal. Some upper lobe blood diversion is present but there is no evidence of interstitial pulmonary oedema. The lung fields are clear.