ChayanM/MIMIC-MultiView-Findings-Query · Datasets at Hugging Face

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Patchy opacities, left greater than right raise concern for underlying aspiration and/or infection. Prominence of the central pulmonary vasculature suggests pulmonary vascular congestion. The cardiac silhouette is mildly enlarged. The mediastinal contours are stable. No pleural effusion or pneumothorax is seen.

renal status.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with fever // evaluate for pneumonia

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Heart size is top normal. Mediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.

fever and cough.

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is within normal limits. There is no pleural effusion, pneumothorax, or focal consolidation.

history: <unk>m with <unk> year hx sarcoidosis with left chest pain/burning and copious white sputum. // consolidation?

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The g tube is not well visualized. No free air is seen under the hemidiaphragms.

g-tube site pain.

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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. Blunting of the left costophrenic sulcus posteriorly may suggest a trace left pleural effusion. There is no pneumothorax. No acute osseous abnormalities identified. Mild loss of height of a mid thoracic vertebral body is re- demonstrated as is diffuse osteopenia.

chest pain, scapular pain.

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Heart size remains mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky and patchy opacities in the lung bases likely reflect areas of atelectasis, no pleural effusion or pneumothorax is present. No acutely displaced rib fractures are identified.

history: <unk>f with right hip, knee and ankle pain after a fall.

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Right-sided picc tip terminates in the svc. Heart size is normal. Mediastinal and hilar contours are unremarkable. Small right pleural effusion with right basilar opacity likely reflecting atelectasis is re- demonstrated. Known left upper lobe rounded lesion measuring approximately <num> cm is unchanged compared to the prior ct from <unk>. Remainder of the left lung is clear. No left-sided pleural effusion is present. There is no pneumothorax. Catheter is seen projecting over the right upper quadrant of the abdomen. Drains are seen within the biliary system.

picc line, diminished breath sounds at the right base.

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Pa and lateral chest radiograph demonstrates clear lungs. Heart size is top-normal. Mediastinal and hilar contours are otherwise unremarkable. Elevation and flattening of the left diaphragmatic pleural surface, is due to pleural scarring, reflected in blunting of the pleural sulcus and calcification.

<unk>-year-old male with new seizure and cough.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.

right-sided pleuritic chest pain.

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There is a large right-sided pleural effusion, mildly increased. The patient is status post coronary artery bypass graft surgery and aortic valve replacement. Parenchymal opacity in the right lung could be explained as associated atelectasis. There is no clear evidence for parenchymal edema. The left lung remains clear, without left-sided pleural effusion, aside from streaky opacities suggesting mild fluid in the major fissure.

shortness of breath with exertion.

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Once again identified are the right lower lobe opacities which continue to be concerning for pneumonia. The heart size remains normal. A prominent fat pad versus atelectasis is noted in the left lower lobe. Mild compression deformities of the mid thoracic vertebral bodies are unchanged since <unk> given differences in modality. There is no free air.

question 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 consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of chest pain. please evaluate.

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

<unk>m with word finding difficulty //

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There is an area of increased opacification within the right middle lobe, concerning for pneumonia. Cardiomediastinal hilar contours are unremarkable. No pneumothorax or pleural effusion.

history: <unk>f with subtle rll pna on osh hospital cxr, ?increased infilitrate after fluid resuscitaiton // ?developing pna

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Patchy right lower lobe opacity is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with weakness, confusion // evidence of infection

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. No nondisplaced rib fracture is identified.

evaluate for rib fractures in a <unk>-year-old man status post motor vehicle collision.

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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. The visualized osseous structures are unremarkable.

history of chest pain, shortness of breath. please evaluate for pneumothorax.

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The heart size is normal. The mediastinal contour is unchanged with a small to moderate size hiatal hernia again noted. The aorta remains tortuous and diffusely calcified. Hilar contours are normal. There is no pulmonary vascular congestion. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Multiple old left-sided rib fractures are again demonstrated.

weakness, cough.

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Low lung volumes are noted. The lungs remain clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk>f with <num> days of cough // please eval for pna

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

near-syncope.

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The right hemidiaphragm is elevated, as before, with a moderate right pleural effusion, and a small amount of pleural fluid tracking along the horizontal fissure. Bibasilar atelectasis is greater on the right. The left lung is otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is stable. The heart is top-normal in size. There is mild pulmonary vascular congestion.

history: <unk>f with cough, fever // infiltrate?

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The cardiac silhouette appears mildly enlarged, not significantly changed since prior examination. Lung volumes remain low, accentuating the bronchovascular structures. However, as compared to prior examination, pulmonary vasculature appears slightly more prominent. Mild bibasilar atelectasis is present. No focal consolidation concerning for pneumonia is identified. Tiny bilateral pleural effusions could be present if any.

left lateral pleuritic chest pain.

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The heart is of normal size. The aorta is mildly unfolded. Cardiomediastinal contours are otherwise normal. Pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. Osseous structures are unremarkable.

chest pain and shortness of breath.

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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Minimal scarring at the right upper lobe bases. No recent parenchymal opacity suggesting pneumonia. Borderline size of the cardiac silhouette. Normal hilar and mediastinal structures. No pulmonary edema.

copd, wheezing, evaluation for abnormality.

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Pa and lateral views of the chest provided. The lungs appear somewhat hyperinflated on the lateral projection. No focal consolidation, effusion or pneumothorax is seen. The heart is moderately enlarged. The mediastinal contour appears normal. No acute osseous abnormalities.

<unk>f with doe, afib // acute pulm pathology

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As seen on recent ct, there is a <num> cm lingular nodule. Blunting of the right costophrenic angle suggests small effusion. The lungs are hyperinflated but otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with bradycardia, dyspnea // eval for pleural effusions

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Pa and lateral chest radiograph demonstrates top-normal heart size. Hilar contours are stable when compared to prior radiograph dated <unk>. There is no pleural effusion or pneumothorax.punctate density projecting over the sixth right rib anteriorly most likely represents a calcified granuloma as seen on ct dated <unk>. Asymmetry of the apical pleura corresponds to right apical pleural thickening additionally seen on ct. History x-rays demonstrates no acute abnormality. No air is seen under the right hemidiaphragm.

<unk>-year-old male with chest pain.

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Heart size is mildly enlarged but unchanged. Aorta is unfolded. Mediastinal and hilar contours otherwise are unremarkable. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Scarring within the right lung apex is unchanged. There is no pneumothorax or pleural effusion. No acute osseous abnormalities are detected.

altered mental status.

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Multiple fractured sternotomy wires are again seen. The heart size is top normal. Upper mediastinal contours are unremarkable. Lung volumes are low but the lungs appear clear without focal consolidation, pleural effusion, or pneumothorax.

<unk>m with chronic cough, weakness, lightheadedness, hyponatremia. // any pulmonary edema, pneumonia

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Pa upright and lateral chest radiographs demonstrate well-expanded lungs. Heart is top normal in size and cardiomediastinal contour is unremarkable. Again seen are linear opacities at the right lung base with streaky opacities also seen in the retrocardiac region on the lateral view which could reflect atelectasis, scarring, or infection. Increased density in the inferolateral aspect of the right lung and potentially posterior aspect of the left lung could relate to pleural thickening. There is no pleural effusion and no pneumothorax. Again, note is made of sternotomy wires and a pacemaker with leads in appropriate position.

chest pain, evaluate for pneumonia.

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Pa and lateral views of the chest demonstrate unchanged s-shaped scoliosis of the thoracic spine. The lungs are well expanded and clear, with no evidence of pleural effusion, pulmonary edema, pneumothorax or focal consolidation. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old female with dyspnea. evaluation for infectious process.

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Left-sided pacemaker device is noted with leads in unchanged positions, terminating in the right atrium and right ventricle. Heart size remains mildly enlarged but unchanged. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities present. There is no subdiaphragmatic free air.

history: <unk>f with chest pain and abdominal pain

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The lung volumes are normal. Mild to moderate enlargement of the cardiac silhouette is unchanged from chest radiograph <unk>. Bilateral hilar enlargement is compatible with enlargement of the bilateral pulmonary arteries as seen on ct chest <unk>. There are bibasilar opacities which likely represent atelectasis, however an infectious etiology cannot be ruled out. Degenerative changes of the lower thoracic spine. Mild pulmonary vascular congestion without frank pulmonary edema or pleural effusions is demonstrated. No pneumothorax.

history: <unk>f with chest pain and cough

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As compared to the prior chest radiographs, most recently dated <unk>, there has been no significant interval change. Low lung volumes result in crowding of bronchovascular structures at the bases. The remainder of the lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with chest pain // ?pna

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Heart size is mildly enlarged with a left ventricular predominance. The aorta is unfolded. There may be a small hiatal hernia. Mediastinal and hilar contours are otherwise unremarkable. Hyperinflation of the lungs with flattening of the diaphragms may suggest underlying copd. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

cough.

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Lung volumes are slightly low, similar to the prior exam and resultant bronchovascular crowding. No focal consolidation, edema, effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. The hila are unremarkable. Heart size is normal. No evidence of acute osseous abnormality. Surgical clips in the right upper quadrant likely correspond to history of "cholecystectomy.

history: <unk>f with cough and subjective fever // eval pneumonia

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Mild cardiomegaly is stable since <unk>. The aorta is unfolded. The lungs are clear without focal opacity. Peribronchial cuffing and haziness of the right hilar are consistent with mild pulmonary edema. No pleural effusion or pneumothorax.

<unk>-year-old man with tachycardia. evaluate for pneumonia.

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Pa and lateral views of the chest. Low lung volumes. Cardiomediastinal and hilar contours are stable. Low lung volumes accentuate the bronchovascular markings. No focal consolidation, pleural effusion or pneumothorax.

chest pain.

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In comparison with the study of <unk>, there appears to be some decrease in the degree of left pleural effusion. Smaller effusion is seen on the right. Bibasilar atelectatic changes are evident. The large right goiter with leftward displacement of the trachea is again seen. No vascular calcification or discrete focal pneumonia.

pleural effusion.

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The heart size is mildly enlarged. The aorta is mildly is tortuous, unchanged. Mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema. Small bilateral pleural effusions, right greater than left, are demonstrated. Patchy right basilar opacity likely reflects compressive atelectasis. No pneumothorax is demonstrated. There are no acute osseous abnormalities.

cough.

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The patient is status post coronary artery bypass graft surgery. Sternal wire dishiscences appear unchanged. The cardiac, mediastinal and hilar contours appear stable. The parenchyma shows mild congestive changes but no focal opacification. The patient is status post open reduction and internal fixation of the proximal right humerus, which is incompletely characterized. The bones appear demineralized.

dyspnea.

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Lung volumes are low. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman with cough, chills blood tinged sputum.

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The lungs are clear without focal consolidation or edema. There is blunting of the posterior costophrenic angles. Cardiomediastinal silhouette is within normal limits. Nonspecific air-fluid levels noted in the bowel. Partially visualized stent noted in the right upper quadrant.

<unk>m with fever // eval for pneumonia

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The lungs are clear without any focal opacity, pleural effusion, pulmonary edema or pneumothorax. The heart and mediastinal contours are normal.

right-sided chest lesion. evaluate for acute process.

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Left-sided aicd/pacemaker device is re- demonstrated with leads in unchanged positions. There has been interval placement of <num> clips in the region of the mitral valve. Cardiac silhouette size remains markedly enlarged, slightly increased in the interval. The mediastinal contour is unchanged. There is perihilar haziness with mild to moderate pulmonary edema, new in the interval, along with small bilateral pleural effusions, also new. No pneumothorax or focal consolidation is present. Bilateral cervical ribs are incidentally noted. Surgical screws project over the left shoulder.

history: <unk>m with severe mitral regurgitation presents with progressive dyspnea on exertion

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Right picc is no longer visualized. Moderate right-sided pleural effusion is again noted. There is a small left pleural effusion. Irregular interstitial markings seen in the right lung and at the left lung base. While these may be in part due to chronic underlying copd, possibility of superimposed interstitial edema is possible. Surgical chain sutures project over the right mid lung. Focal nodular opacities projecting over the lung bases likely to represent nipple shadows. There is apparent increase in size of the cardiac silhouette particularly along the right. This could be due to medially loculated effusion but incompletely characterized.

<unk> year old woman with junky cough and doe // r/o acute process

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Pa and lateral views of the chest provided. Lungs are hyperinflated though appear clear without focal consolidation, large effusion, pneumothorax or signs of edema/congestion. Cardiomediastinal silhouette is unchanged with atherosclerotic calcifications along the aortic knob. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with confusion // ? pna. ? stroke

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Pa and lateral views of the chest provided. Aicd is unchanged in position with leads extending to the region the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. Lung volumes are low. Crowding of bronchovascular markings in the lower lungs likely accounts for the subtle opacities noted, unchanged significantly from prior. Difficult to exclude mild bibasilar atelectasis or a component of mild aspiration/pna. The heart remains mildly enlarged. Mediastinal contour is normal. No large effusion or pneumothorax.

<unk>m with chest pain, possible dyspnea (poor historian) // evaluate for acute process

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Pa and lateral chest radiograph demonstrates a moderate left sided layering pleural effusion with opacification of the left hemidiaphragm. No focal opacity is identified within the lungs. When compared to prior radiograph dated <unk>, the left-sided of pleural fusion appears increased in size. No frank pulmonary edema is identified. The cardiomediastinal silhouette appears stable when compared to prior study. No acute osseous abnormality is identified.

<unk>-year-old female with chest pain.

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Pa and lateral views of the chest provided. As seen on prior ct chest, there is a right lower lobe mass measuring approximately <num> x <num> cm, better characterized on prior ct. Otherwise the lungs appear clear without evidence of pneumonia. No effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Bony structures are intact.

<unk>m with dizziness, known lung ca // presence of infiltrate

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The lungs remain clear. There is no effusion, pneumothorax, or consolidation. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk>f with ruq pain, pleuritic component // evaluate for pulmonary edema, pleural effusion, acute process

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

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

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Hilar fullness likely represents pulmonary vascular congestion in the setting of mild-to-moderate pulmonary interstitial edema. The right hilum was full on the prior right shoulder radiograph. The cardiomediastinal contour is otherwise unremarkable without appreciable cardiomegaly. There is no focal consolidation, pleural effusion, or pneumothorax.

<unk>m with sob, cp evaluate for acute cardiopulmonary process.

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The patient is status post mitral valve replacement. The patient is also status post coronary artery bypass graft surgery, noting surgical clips along the anterior mediastinum to the left of midline. Two surgical clips also project over the left mid hemithorax. The heart is mild-to-moderately enlarged. There is no pleural effusion or pneumothorax. No free air is seen. The lungs appear clear. Small anterior osteophytes are present along the thoracic spine.

pleuritic chest pain and dyspnea on exertion.

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Frontal and lateral chest radiographs were obtained. A right hemodialysis catheter terminates in the lower svc. The lungs are fully expanded and clear. The heart size is top normal. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

patient with new initiation for dialysis, eval for tuberculosis.

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The heart size is normal. The aorta is tortuous. The mediastinal and hilar contours otherwise are unremarkable. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Compression deformities of at least <num> vertebral bodies at the thoracolumbar junction are age indeterminate.

altered mental status.

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The patient is status post aortic valve replacement and left subclavian vein stent placement. There is a fracture through the inferior-most sternotomy wire, which is unchanged since <unk>. Otherwise, the remaining sternotomy wires are intact and appropriately aligned. There is stable enlargement of the cardiomediastinal silhouette. Lungs are well-expanded and clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk>m with esrd on dialysis, hyperk cp sob // ?cpd

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The right-sided chest tube has been removed with subcutaneous emphysema in the chest wall. No definite pneumothorax. Curvilinear opacity in the right upper lobe, at the track of prior chest tube. The lung volumes are very low with increasing basal atelectasis. The right hilar opacity also appears more prominent could be related to postoperative changes and should be followed up on subsequent imaging. Mild pulmonary vascular congestion is new.

<unk> year old man s/p chest tube pull // please evaluate for interval change - please perform exam at <unk>

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

dyspnea on exertion.

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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours. Left clavicular fracture is better assessed on concurrently obtained dedicated clavicle views.

fall. arm and clavicular pain.

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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidations, pneumothoraces or pleural effusions. The visualized osseous structures are unremarkable.

history of left lower chest wall pain. rule out pneumonia.

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Frontal and lateral views of the chest were obtained. Mild cardiomegaly is chronic. Cardiomediastinal contours are stable. Pulmonary vascular markings are normal. No focal consolidation, pleural effusion, or pneumothorax. Leads of a left chest wall pacer terminate in similar position to prior.

<unk>-year-old male with palpitations. evaluate for infection or chf.

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The moderate left pleural effusion is unchanged. Bibasilar atelectasis. Indeterminate cardiac silhouette. Normal mediastinal and hilar contours. The right lung is clear. No pneumothorax. No evidence of pneumonia.

<unk> year old man with cll // known pleural effusion, tachycardia, r/o pe + evaluate effusion

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The inspiratory lung volumes are appropriate. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Ill-defined nodular densities projecting over the right anterior third rib are of uncertain etiology. Calcified right paratracheal and right hilar lymph nodes suggest prior granulomatous infection. The cardiomediastinal contours are within normal limits. Partial calcification of the aortic knob is redemonstrated. No acute osseous abnormality is detected.

fever, cough and gi symptoms, here to evaluate for pneumonia.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

bilateral arm paresthesias.

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In comparison with study of <unk>, there is little interval change. Severe scoliosis and kyphosis greatly obscure the imaging detail. However, there is no evidence of acute pneumonia, vascular congestion, or other abnormality.

weight loss.

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Frontal and lateral views of the chest demonstrate top normal heart size. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pneumothorax, vascular congestion or pleural effusion.

<unk>-year-old female with chest pain and difficulty breathing. question pneumonia.

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Heart size remains mildly enlarged. The aorta is diffusely calcified and tortuous. Mediastinal and hilar contours are relatively unchanged. Low lung volumes cause crowding of the bronchovascular structures without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Mild atelectasis is noted in the lung bases. Degenerative changes are again seen in the thoracic spine.

history: <unk>f with esrd status post renal transplant now with right flank and back pain for <num> week and positive urinalysis

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. Right tenth rib fracture is again seen.

<unk> year old woman with ronchi on r and sob, pt s/p po vanco rx for c. diff and recent r sided rib fractures (please call dr. <unk> with wet <unk> // rule out pneumonia

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

chest pain.

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Ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size again noted. Imaged osseous structures are intact. No definite acute osseous injury. No free air below the right hemidiaphragm is seen.

<unk>m with multiple falls and headstrike // eval acute injury

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Pa and lateral views of the chest provided. Dual lead pacemaker is unchanged though right ventricular lead tip is not imaged. Midline sternotomy wires and mediastinal clips again noted. There is mild pulmonary edema. Low lung volumes somewhat limit the assessment. There is a small left pleural effusion noted. No pneumothorax. Heart size is stable and appears mildly enlarged. Mediastinal contour is unremarkable. Hilar engorgement is noted. Bony structures are intact.

<unk>m with hypotension // edema? pna?

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There is bibasilar bronchiectasis and fibrosis, more so on the left than the right, which is better characterized on the recent ct, and consistent with post-radiation changes. At least one of the known pulmonary nodules is identified on the left measuring <num> mm. The other small pulmonary nodules are difficult to evaluate. There is no new opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous destruction and the soft tissue metastasis in t<num> and t<num> are unchanged. An expansile lucent lesion in the left sixth rib is unchanged. No new osseous lesions are identified.

renal cell carcinoma.

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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Minimal streaky opacities are noted in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are seen the thoracic spine.

<unk> year old woman with history of copd, recurrent infections, mild tbm presenting with increased dyspnea, nausea

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In comparison with study of <unk>, there is little overall change. Mild enlargement of the cardiac silhouette persists with tortuosity of the aorta appearing. The pacer and defibrillator leads remain in position. On the lateral view, there is suggestion of some increased opacification in the retrocardiac region anterior to the lower thoracic spine. No definite correlation is seen to this finding on the frontal view. The possibility of a developing consolidation would have to be considered in the appropriate clinical setting.

chf and active smoking with decreased breath sounds at the left base.

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Pa and lateral views of the chest. Moderate cardiomegaly is unchanged. Calcification in the aortic knob is unchanged. Compared to study of <unk>, the pulmonary edema has resolved. There is no focal consolidation or pleural effusion or pneumothorax. There is mild scarring at the apices.

shortness of breath.

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Moderate degenerative changes of the thoracic spine.

history: <unk>m with postoperative r thumb infection // preop

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with tachycardia and chest pain // eval for edema or other pathology

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusions or pneumothorax. Bony structures are unremarkable.

waxing and waning right upper quadrant pain, productive cough, and fever.

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In comparison with the study of <unk>, there are lower lung volumes. There has been the development of increased opacification at the right base posteriorly, consistent with pleural effusion and compressive atelectasis. No evidence of pneumothorax or definite rib fracture. The left lung is essentially clear with minimal atelectatic changes at the base.

rib pain and hemoptysis.

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The lungs are poorly expanded accounting for vascular crowding. There is increased interstitial thickening bilateral, with upper vascular redistribution but no focal opacities. Moderate-to-severe cardiomegaly is not significantly changed compared with prior exam. There is no evidence of pleural effusion or pneumothorax. Multiple thoracic surgical clips are noted. Sternotomy wires are intact. Leads from a pacemaker in the right hemithorax end in the right atrium and right ventricle in unchanged position compared with prior exam.

<unk>-year-old female with cough. evaluate for pneumonia.

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Pa and lateral views of the chest provided. Lungs appear hyperinflated. No convincing evidence for pneumonia, edema, effusion or pneumothorax lung markings appears slightly coarsened. Cardiomediastinal silhouette appears stable and normal. Chronic deformities involving the right sixth, seventh and eighth ribs noted with prominent bony callus. No free air below the right hemidiaphragm is seen.

<unk>m with shortness of breath, dry cough // evaluate for early pneumonia

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In comparison with the study of <unk>, there is little change. Continued enlargement of the cardiac silhouette with substantial tortuosity of the aorta. However, no acute pneumonia, vascular congestion, or pleural effusion. The impression on the lower left side of the cervical trachea is less appreciable at this time.

cough with left lower lobe rales.

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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with right pleuritic chest pain, evaluate for acute process.

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Lungs are hypoinflated. No acute infiltrates, edema, effusion or pneumothorax are seen. Multiple sternotomy wires again noted. The cardio-mediastinal silhouette is unremarkable.

history: <unk>m with fall with left anterior rib pain // assess for rib fx /pneumo

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Heart size is normal with mild unfolding of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Cervical fixation hardware is noted on the frontal view.

chest pain.

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Patient is post cabg, with intact median sternotomy wires. Compared with the prior radiograph, no significant change. Lungs are grossly clear without focal consolidation or pneumothorax. Blunting of the left costophrenic angle is unchanged, previously described is possibly pleural thickening. Heart size is stable.

<unk>f with l sided numbness. eval for acute process.

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The lungs are well expanded and clear. There is indistinctness of the right paratracheal stripe. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old male with alcohol intoxication, coughing with scattered rhonchi. evaluate for aspiration or an infiltrate.

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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Visualized upper abdomen is within normal limits.

<unk>f with chest pressure associated with coughing. assess for congestive heart failure or pneumonia.

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Left picc line ends in the mid svc. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.

<unk> year old man with aml d+<unk> from allo transplant now with fever of <num>. // day + <unk> from allo transplant.

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Lungs are normally expanded and clear. The heart is not enlarged. The mediastinal contours are normal. There is no pleural effusion or pneumothorax. Within the limitations of routine radiography the included osseous structures are grossly intact.

<unk>-year-old male status post assault. evaluate for injury.

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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Previously seen right picc is no longer visualized. No acute osseous abnormalities detected.

<unk>-year-old male with increased peripheral edema.

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In comparison with the study of <unk>, there has been complete clearing of the right lower lobe pneumonia. At this time, there is no evidence of acute cardiopulmonary disease.

right lower lobe pneumonia.

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No significant interval change other than perhaps slightly lower lung volumes. No focal consolidation, edema, effusion, or pneumothorax. Mild cardiomegaly persists, overall unchanged. The descending aorta may be slightly tortuous, unchanged. Appearance of the thoracic spine with degenerative changes and some loss of vertebral body height is overall similar to the prior exam. Slight eventration of the right hemidiaphragm is also overall unchanged.

<unk>m w/sob, doe, and dry cough.

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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 cough, evaluate for acute process.

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There is marked elevation of the left hemidiaphragm. Subsequent compression of the left lung base. The right lung appears unremarkable. No evidence of pulmonary edema or pneumonia. Healed right rib fractures, unremarkable right subclavian venous access.

paralyzed left hemidiaphragm, history of pneumonia. evaluation for acute process.

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Low lung volumes limit assessment of the lung bases. The heart size is top normal. The mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures but no overt pulmonary edema is present. Streaky opacities in the lung bases may reflect atelectasis but infection cannot be excluded. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine.

shortness of breath.

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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Retrocardiac streaky opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

history: <unk>m with dyspnea, fatigue, shortness of breath, dyspnea

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified with old healed left posterior rib fractures again noted.

shortness of breath.