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ChayanM
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MIMIC-MultiView-Findings-Query

Dataset card Data Studio Files Community
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As compared to the previous radiograph, the left lung has increased in volume, likely reflecting improved ventilation. Opacity at the left lung bases, partly obliterating the left costophrenic sinus and potentially associated with a small left pleural effusion is unchanged in appearance. This change likely reflects the known pneumonia. On the right, the pre-existing small pleural effusion has completely resolved. The appearance of the cardiac silhouette is unchanged.
status post left lower lobe vats, status post pneumonia, evaluation.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality, chronic changes the posterior left third rib are noted.
<unk>f with fever // assess for pna
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Frontal and lateral radiographs of the chest show asymmetric opacification at the left base in response to a retrocardiac opacification on the lateral view. In the appropriate clinical setting, this likely represents pneumonia of the left lower lobe. No other areas of focal opacification are noted. Mild right basilar atelectasis is seen. No pleural effusions or pneumothorax is appreciated. The cardiac and mediastinal contours are normal and unchanged since <unk>.
dyspnea and cough. evaluate for air trapping or infection.
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Since the prior exam, the interstitial markings have become coarser, consistent with progression of underlying chronic lung disease. There is stable hyperinflation and flattening of the hemidiaphragms. There is no consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of chronic lung disease and tobacco use with worsening cough and dyspnea.
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are within normal limits. The pleural surfaces are clear without effusion or pneumothorax. There is no lymphadenopathy appreciated.
history of fever.
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Stable post sternotomy changes. The mediastinal contour appears similar compared to the previous radiograph. Linear atelectatic changes with volume loss involving the left lower lobe unchanged. Mild elevation of the left hemidiaphragm. Increase in the ap diameter of the chest suggest pulmonary overinflation. Spondylotic changes of the thoracic spine. No pneumothorax.
<unk> year old woman s/p median sternotomy, thymectomy // please evaluate for interval change.
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Pa and lateral views of the chest provided. The lungs are mildly hyperinflated, but grossly clear. The diaphragms are flattened, bilaterally. There is no pleural effusion, or pneumothorax. The hilar and cardiomediastinal contours are normal.
<unk> year old woman with history of asthma and dm, cough for one week, sob, wheezing. r basilar crackles // r/o pna
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The heart is normal in size. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable.
<unk>-year-old male patient with bronchiectasis, pneumonia <unk>, with persistent cough. study requested for evaluation of any infiltrate.
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A left pectoral pacer has leads ending in the right atrium and right ventricle. Minimal left lower lobe opacities most likely represent atelectasis; otherwise, the lungs are clear without pulmonary edema, pleural effusions or pneumothorax. Aortic knob is calcified. The heart size is normal. There is no free air beneath the right hemidiaphragm.
<unk> year old woman with s/p ppm // r/o ptx, lead position
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The heart is again mild-to-moderately enlarged.there is new confluent opacification in the left upper lobe, particularly near the apex with lesser involvement elsewhere. To a lesser degree, there is also new right apical opacification. A right lower lung opacity is similar to improved, however. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
cough and body ache.
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Lung volumes are slightly increased compared with the immediate prior study with unchanged enlargement of the cardiac silhouette and moderate left and small right pleural effusions. Subsegmental atelectasis in the right mid lung and left upper lung are unchanged, allowing for differences in projection. There is no focal consolidation or pneumothorax.
<unk> year old woman with shortness of breath abdominal evaluate effusion.
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There is no residual pneumomediastinum, pneumopericardium, or pneumothorax. Left lower neck residual subcutaneous air has decreased. The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion.
patient with asthma, pneumothorax, and pneumomediastinum, evaluation.
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Pa and lateral chest radiographs. Tracheostomy tube is in appropriate position. A left-sided port-a-cath tip is in the right atrium. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
tracheostomy tube in place. concern for tracheitis.
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The patient has been extubated. Interval insertion of left pectoral transvenous pacemaker with tip terminating in the right ventricle. No pneumothorax. The sternotomy wires and surgical clips are unchanged. Right lower lobe atelectasis is persistent. The lungs are otherwise clear. No pleural effusion. The cardiomediastinal silhouette is unchanged.
<unk> year old man with new single chamber icd // lead placement
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The heart size is top normal. The aorta is mildly tortuous and demonstrates calcifications of the aortic knob. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No displaced rib fractures are seen.
fall with right rib pain.
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Aortic valve replacement is noted. Dual lead left-sided pacemaker is stable in position. There is blunting of the bilateral posterior costophrenic angles consistent with small bilateral pleural effusions. Right basilar atelectasis is seen. There is also linear left mid lung atelectasis/scarring. No focal consolidation. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with cough*** warning *** multiple patients with same last name! // pneumonia
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The patient is status post median sternotomy, aortic valve replacement, and left-sided pacemaker device placement with leads terminating in the right atrium and right ventricle. The heart size is normal. The aorta is tortuous and diffusely calcified. The mediastinal and hilar contours are similar. Linear opacities in the lower lobes are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. Degenerative changes of the left glenohumeral joint and throughout the thoracic spine are again observed.
possible stroke.
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>f with history of of stroke <unk> year prior to presentation with recent functional decline and multiple falls at home.
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Frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with bilateral heterogeneous interstitial opacities suggestive of edema. Opacities in the posterior costophrenic angles suggestive of small bilateral effusions. No pneumothorax. Persistent moderate cardiomegaly is seen. Coronary artery stents are identified. Mediastinal contour and hila are otherwise unremarkable. Calcification of the aortic arch is stable. Limited assessment upper abdomen is within normal limits.
tachycardia. assess for cardiopulmonary process.
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Pa and lateral views of the chest. The lungs are hyperinflated but clear consolidation or effusion. Cardiomediastinal silhouette is within normal limits. There is no free air below the diaphragm. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male status post hemorrhoidectomy with abdominal distention and pain.
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Frontal and lateral views of the chest. Previously seen right pleural effusion is no longer visualized. The lungs are now clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with altered mental status and elevated lactate.
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The heart size is top normal, overall stable compared to the prior exam. The hilar and mediastinal contours are stable. There is mild blunting of the costophrenic angles bilaterally. The aorta is mildly tortuous and calcified. There is increased opacification at the left lung base compared to the prior exam. There is no evidence of pneumothorax.
history of c. diff colitis who presents for evaluation of shortness of breath and wheezing.
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The left hemidiaphragm remains elevated. Opacity projecting over the left cardiophrenic angle may be due to atelectasis, less likely consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with chest pain // eval for pna
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Pa and lateral views of the chest demonstrate hyperinflated lungs and flattening of hemidiaphragms. There is no focal consolidation or pleural effusion. There is no pulmonary edema. The hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Large retrocardiac opacity, likely represents the patient's known hiatal hernia. There is relative paucity of gas within imaged upper abdomen. Visualized osseous structures appear intact.
patient with history of hiatal hernia and recent volvulus, now presents with nausea and decreased p.o. tolerance. patient is scheduled for planned repair tomorrow. assess for hernia.
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Ap upright and lateral views of the chest provided. Lung volumes are low. There is bibasilar atelectasis. No large effusion or pneumothorax. No signs of pneumonia or edema. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with fevers // r/o acute process
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Since the chest radiographs obtained <num> days prior, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. A left-sided port central venous catheter terminates in the lower svc.
<unk> year old woman with hx of lymphoma. neutropenic with low grade fevers. please r/o pna. // <unk> year old woman with hx of lymphoma. neutropenic with low grade fevers. please r/o pna.
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Pa and lateral chest radiographs demonstrate hyperexpanded and clear lungs without a focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. A right chest port terminates within the right atrium. There is no pleural effusion or pneumothorax. Mild compression deformity at the thoracolumbar junction is of indeterminate age.
history: <unk>f with hx of pancreatic adenocarcinoma s/p whipple, afib on coumadin presents with <num> day hx of sob and substernal chest pain with tachycardia to the <num>s // please evaluate for pneumonia, volume overload, cardiopulmonary process
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Moderate cardiomegaly is unchanged. Mild to moderate pulmonary vascular congestion is similar to the prior study with a slight increase in the size of small bilateral pleural effusions. There is no focal consolidation or pneumothorax.
<unk>f with nausea, poor breath sounds evaluate for pneumonia.
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Right-sided chest tube has been removed. Loculated right-sided hydro pneumothorax has changed slightly in morphology with increasing air-fluid level and convexity of the opacity extending in the right fissure. Although the volume of pleural fluid has marginally increased. The left lung is clear. Multiple fractures, lateral right lower lobe ribs, in various stages of healing, most unfused. Moderate cardiomegaly.
<unk> year old man with pleural effusion // eval
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Pa and lateral radiographs of the chest demonstrate minimal heterogeneous opacity in the left lower lobe, more obvious on the lateral view. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. A trace left pleural effusion is present, as evidenced by blunting of the left costophrenic angle. Bilateral breast implants are in place. The minimally displaced right <unk> and <num>th rib fractures seen on the prior ct are not apparent on this study.
worsening headache and vomiting following motor vehicle collision.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with diarrhea and nausea. white blood cell count of <num>.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. There is mild left basal atelectasis. No focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with hfpef presents with tachycardia, throat pain, and shortness of breath
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As compared to the previous radiograph, the lung volumes are unchanged. Unchanged position of the left pectoral pacemaker, unchanged course of the pacemaker leads. The transparency of the lung parenchyma has increased as compared to the previous examination, an improved ventilation. There is no evidence of pneumonia. However, lateral radiograph now documents mild-to-moderate bilateral pleural effusions. Unchanged mild cardiomegaly persists. No pulmonary edema.
questionable consolidation.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are stable with mild cardiomegaly. Single-lead cardiac pacemaker appears similarly positioned. Hardware overlies the left upper outer chest, limiting evaluation of the underlying lung parenchyma.
<unk>-year-old female with acute chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. Patchy calcification is noted along the aortic arch. There is similar mild-to-moderate relative elevation of the right hemidiaphragm compared to the left. The right minor fissure is slightly thickened. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are similar along the thoracic spine. The patient is status post right shoulder hemiarthroplasty.
left-sided back pain and cough. question pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. As on prior the, there are prominent peripheral reticular opacities in the bilateral lower lungs, may represent mild fibrosis. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Surgical clips are seen within the right upper quadrant.
<unk>f with recurrent hypoglycemia // eval for pna
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The lungs are clear without focal consolidation. Is small peripheral opacity in the left mid lung is unchanged compared to the prior study and likely reflects an area of atelectasis or scarring as seen on the prior ct chest. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Compression deformity of the lower lumbar spine is unchanged.
history: <unk>f with sob smoke inhalation // pneumonitis?
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or focal consolidation.
<unk>f w/hx of pe in <unk> and stable liver hemangiomas who presents with r flank pain/lateral chest pain. // eval for infection
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with history of asthma, recurrent pneumonia on the left side, today presenting with fever, rule out pneumonia.
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A port-a-cath terminates in the superior vena cava, not significantly changed. The cardiac, mediastinal and hilar contours appear stable. There are streaky opacities at both lung bases, new on the right and improved on the left, suggesting minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Surgical clips project over the right upper quadrant of the abdomen. There is again very mild rightward convex curvature to the thoracic spine.
lupus and shoulder pain.
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No consolidation. No pulmonary edema or pulmonary venous congestion. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old woman with thyroid cancer s/p iodine treatment // evaluate for other sites of disease
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Since the prior study, there has been interval increase in the left-sided pleural effusion which is now large in size. There is also a small right pleural effusion. Multiple known metastatic lesion secondary to breast cancer are again seen. A left-sided port-a-cath is in standard position, unchanged since the prior study. A right-sided pleurx catheter is again seen.
<unk>-year-old female with bilateral effusions. evaluation for recurrence.
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There is a new small left pleural effusion compared to the prior study. There appears to be an adjacent opacification. There is no pneumothorax. The cardiomediastinal contours are otherwise unremarkable. The visualized osseous structures are unremarkable.
history of severe left-sided pleuritic chest pain. please evaluate.
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The cardiac, mediastinal and hilar contours appear unchanged including moderate unfolding of the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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In comparison with study of <unk>, there is little change. Again there is hyperexpansion of the lungs consistent with chronic pulmonary disease. However, no acute pneumonia, vascular congestion, or pleural effusion.
shortness of breath.
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Ap and lateral chest radiographs demonstrate mild cardiomegaly. Hilar contours are normal. Central vascular congestion is without over pulmonary edema. There is no large pleural effusion. There is no pneumothorax. Relative to prior examination dated <unk>, there has been no appreciable changes.
<unk>f with chf p/w worsening sob, increased <unk> swelling // ? infectious process
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The lungs are minimally hyperinflated but 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 with a history of hiv and hepatitis-c presenting with prolonged palpitations and left shoulder pain. evaluate for pneumothorax.
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Again seen are bibasilar opacities, left greater than right, slightly progressed on the left, likely atelectasis. No pleural effusion. No pneumothorax. Left-sided aicd device is again seen and unchanged. Mildly enlarged heart is again seen and unchanged. Mild pulmonary vascular congestion is unchanged and is chronic. Mediastinal clips are unchanged. Elevation of the right hemidiaphragm is chronic.
chest pain. evaluate for acute process.
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Again seen is the loculated left lower pneumothorax with pigtail catheter in place. There is an air-fluid level compatible with a hydropneumothorax with the effusion layering posterior to the lung. The right lung is clear. Compared to the prior study, the pneumothorax is of similar size.
follow up pneumothorax.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. The airway is midline. No obvious osseous deformity.
<unk>-year-old male with hypertension. question edema.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. Postsurgical changes are seen in the lungs. There is no pleural effusion and no pneumothorax.
<unk>-year-old woman with cough.
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There is a moderate cardiomegaly and a large hiatal hernia. The lungs are clear. No pleural effusion or consolidation. Mildly tortuous descending thoracic aorta is noted. Heavily calcified aortic arch seen. Osseous structures are demineralized.
<unk> year old woman with chest pain// eval for acute pathology
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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. Right port-a-cath is stable in position, terminating in the low svc.
history: <unk>f with sle on immunosuppresion // please evaluate for infectious process
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<num> views were obtained of the chest. The lungs are low in volume with small right pleural effusion. Right basal atelectasis is likely also present. No focal consolidation or pneumothorax identified. The heart is top-normal in size with normal mediastinal and hilar contours. The right internal jugular port-a-cath terminates in the mid svc.
vomiting and belly pain.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with sob, asthma flare // ?infiltrate
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Ap and lateral views of the chest are compared to previous exam from <unk>. Again, diffuse fibrotic changes are noted in the lungs. There is no evidence of new consolidation, nor effusion. Cardiomediastinal silhouette is stable in appearance. There is no visualized displaced rib fracture; however, examination is limited due to technique and osteopenia.
<unk>-year-old female with left chest wall pain.
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Pa and lateral chest radiographs were obtained. Tracheostomy tube is in unchanged position. Trach mask projects over the right lower chest. The heart is normal size, and cardiomediastinal contours are unremarkable. The lungs are well expanded and clear except for minimal linear atelectasis in the left base. No pleural effusions and no pneumothorax.
<unk>-year-old woman with history of larynx cancer and rhonchi, please check for any obvious infection/nodules.
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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.
possible stroke, question pneumonia.
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The patient's condition required examination in sitting upright position using ap frontal and left lateral view. Analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. In comparison, the previously existing bilateral pulmonary congestive pattern, marked perivascular haze and beginning central edema have markedly improved. No new discrete parenchymal infiltrates can be identified and the lateral pleural sinuses are now almost completely free. A small amount of pleural effusion still blunts the lateral pleural sinus and comparison of the lateral views demonstrates marked regression of the pleural effusions that had accumulated in the posterior pleural sinuses. Also, the fluid accumulation in the major interlobar fissures has cleared up. Moderate cardiac enlargement including prominence of left atrial contour still remains and the pulmonary congestive pattern has not yet completely normalized. Presence of large-sized breast prostheses make it more difficult to assess pulmonary congestive pattern. Clearly improvement since the next previous examination has been documented. No evidence of new discrete pulmonary pneumonic infiltrates.
<unk>-year-old female patient with history of chf, now with worsening shortness of breath. assess for pneumonia versus fluid overload.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history: <unk>m with chest pain // eval for pneumo
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There is no focal consolidation, pleural effusion, or pneumothorax. There is flattening of the left hemidiaphragm, and less flattening of the right hemidiaphram only on the pa view, consistent with hyperinflation. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old woman with copd, recent gyn surgery at <unk> and postop course with hypoxemia, pleural effusions, and status post three liters diuresis, assess for persisting pleural effusions and infiltrates.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are vague medial upper lung opacities bilaterally with small lucencies suggesting air bronchograms but possibly lung cysts. These may be due to the history of prior pneumocystis infection. There is also small focal retrocardiac opacity with cuffed basilar airways. There is no pleural effusion or pneumothorax.
history of pneumocystis pneumonia, presenting with chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. There is persistent mild prominence of the central pulmonary vasculature suggesting central pulmonary vascular engorgement without overt pulmonary edema.
history: <unk>m with cirrhosis presenting with worsening lft's and abd pain // c/f pna
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There is still extensive but slightly reduced subcutaneous emphysema seen globally. Mediastinal emphysema may be slightly worse than prior study. No pneumothorax is identified, however, given the subcutaneous emphysema, it is difficult to completely assess. Lungs are well inflated with no obvious areas of focal consolidation. There is no pleural effusion. The aorta is slightly tortuous and mildly calcified. Cardiac silhouette is within normal limits. The pleural surfaces are unremarkable.
<unk> y/o male status post fall, pneumothorax, subcutaneous emphysema, and rib fractures.
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The lungs are clear without consolidation, effusions, or congestion. The cardiomediastinal silhouette is within normal limits for technique. Chronic degenerative change seen at the left shoulder with large osteophytes of the humeral head. Widening of the right ac joint appears chronic.
<unk>m with b/l rib pain // r/o broken ribs
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Sutures are present in the right mid lung zone and unchanged from prior exams, consistent with patient's prior history of surgery. There is stable elevation of the right hemidiaphragm, likely from volume loss. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchange. Aortic calcifications are noted in the aortic arch. There is an unchanged compression deformity in t<num> with evidence of a prior vertebroplasty. No new compression fractures are visualized.
dyspnea and leg swelling. evaluate for acute process.
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Again, multiple metallic bbs overlie the left chest and shoulder.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with hematemsis // r/o acute process
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Frontal and lateral chest radiographs demonstrate unchanged cardiomediastinal and hilar contours. Streaky opacification in the retrocardiac space is not significantly changed compared to <unk> and likely represents atelectasis. Small amount of left costophrenic angle blunting, similar to prior study without pleural effusion on lateral view suggests scarring. No pneumothorax evident.
history of cavernous hemangioma and recurrent pneumonia, presents with altered mental status, evaluate for cough or pneumonia
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain for one week after motor vehicle accident. evaluate for traumatic injury.
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No pleural effusion or evidence of pneumothorax is seen. There is mild left base retrocardiac linear atelectasis/scarring. No definite focal consolidation is seen. Cardiac and mediastinal silhouettes are unremarkable, with the cardiac silhouette top-normal.
fever status post tonsillectomy.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with pleuritic left-sided chest pain and dyspnea.
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There are relatively low lung volumes. Increased interstitial markings bilaterally suggests mild vascular congestion/edema. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. The aorta is tortuous..
history: <unk>f with bilateral flank pain with radiation to the back, worse with inspiration // ?pneumonia, mediastinal widening
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Frontal and lateral views of the chest demonstrate hyperexpanded lungs. There is no focal consolidation, pleural effusion or pneumothorax. No pulmonary edema is present. Minimal biapical scarring is noted. Hilar and mediastinal silhouettes are unremarkable. The heart size is normal. Visualized osseous structures are intact.
chest pain.
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There are intact median sternotomy wires and a left-sided chest wall pacemaker with leads terminating in the right atrium, right ventricle, and left chest wall. The heart is enlarged. There is no evidence of left lower lobe pneumonia, consolidation, or effusion. Osseous structures are unremarkable.
<unk> male history of ischemic cardiomyopathy with schf, recent nstemi <unk> in the setting of pna, dm, ckd, afib, and recent brain iph after fall while on coumadin who was sent from his cardiologist's office due to ekg changes as well as chest pain, sob for roughly <num> week. cxr at osh with left lower lobe pneumonia although no clical signs of pna. r/o pneumonia, pulmonary edema; please perform in am of <unk>.
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There is no consolidation, pleural effusion or pneumothorax. No pulmonary edema. Mediastinal contours are normal. Heart is top-normal in size. No subdiaphragmatic free air. No acute osseous abnormalities.
history: <unk>f with cp // r/o acute process
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough and shortness of breath.
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Pa lnd lateral views of the chest. No prior. On the lateral view, there is a vague nodular opacity projecting over the aortic arch which may localize to the right upper lung. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with new onset of afib.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
altered mental status.
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A right internal jugular dialysis catheter is unchanged in appearance compared to the prior study. No pneumothorax seen. There is persistent elevation of the right hemidiaphragm with associated volume loss. No pleural effusion seen. There is mild cardiomegaly even allowing for the projection. There is prominence of the pulmonary vasculature but no frank pulmonary edema. No consolidation seen. There is a compression deformity at the thorax lumbar junction, unchanged in appearance compared to a prior cta from <unk>.
<unk> year old woman w/ hd dependant esrd s/p <unk>'s procedure // please assess for interval change, special attention to fluid status of lungs
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Mild left base atelectasis/ scarring is seen. There is no focal consolidation worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Possible minimal pulmonary vascular congestion.
history: <unk>f with shortness of breath x <num> week // eval for pna
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. There are no suspicious osseous lesions.
<unk>-year-old woman with chest pain x<num> days and mild cough, rule out infectious process.
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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. Moderate dextroscoliosis of the thoracic spine is noted.
history: <unk>f with dyspnea // eval for acute process
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The overall appearance of the chest is unchanged from <unk>. There is persistent elevation of the right hemidiaphragm. A meniscus level and blunting at the right costophrenic angle suggest a small right pleural effusion, unchanged. No new focal consolidation concerning for pneumonia is seen. No significant pneumothorax or left pleural effusion is detected. The cardiomediastinal silhouette is within normal limits and unchanged from the prior study. The pulmonary vasculature is not engorged. Slightly increased opacification at the bilateral lung fields is likely related to bronchovascular crowding and slightly decreased lung volumes.
history of hepatocellular carcinoma, now with fever and respiratory desaturation, here to evaluate for pneumonia.
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Pa and lateral views of the chest. No prior. The lungs are mildly hyperinflated but clear of confluent consolidation. Biapical scarring seen, right greater than left. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and new myositis. question pneumonia.
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Ap upright and lateral views of the chest provided. Cardiomegaly is again noted with a unfolded thoracic aorta. Airspace consolidation within the right mid to lower lung is concerning for pneumonia likely residing in the right lower lobe. There may be a small right pleural effusion. The left lung is clear. No pneumothorax is seen. Degenerative changes of the shoulders is again noted.
<unk>m with fever, coarse breath sounds // pna?
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormalities identified. Thoracic aorta unremarkable. No mediastinal abnormalities are seen. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Mildly accentuated kyphotic curvature in the thoracic spine as seen on the lateral view is related to a mild anterior wedge-shaped deformity of a vertebral body in the mid portion of the thoracic spine, probably t<num>. No other skeletal abnormalities are identified. Comparison is made with the next preceding available pa and lateral chest examination of <unk>. The findings are completely unchanged. Thus, no evidence of reoccurring apical pneumothorax. Also, the mild deformity of a mid thoracic spine vertebral body appears unchanged. Review is extended to two preceding chest examination of <unk> and the diagnosis of a tiny apical pneumothorax made at that time is questionable.
<unk>-year-old male patient with chest pain, evaluate.
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Right chest wall port is seen with catheter tip at the lower svc. Vague nodular opacities project over the right mid and lower lung not definitely changed from prior. Focal nodular opacity at the retrocardiac region abutting the descending thoracic aorta again seen. Other bilateral pulmonary nodules detected by ct are not clearly delineated by chest x-ray. Slightly enlarged hilar contour compatible with adenopathy particularly on the right is unchanged from prior. There is no definite superimposed acute process. There is increased density over a lower thoracic vertebral body compatible with known metastatic disease.
<unk>m with h/o metastatic nsclc p/w fevers // ? pna
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The previously noted hazy pulmonary edema and bilateral pleural effusions have largely resolved although small residual effusions remain present. There is hyperexpansion which has been noted on multiple prior exams. Similarly, there is a stable severe levoconcave scoliosis of the thoracic spine. Overall the lung markings are relatively stable compared to numerous exams, likely indicating baseline. There may be hazy atelectasis at the right lung base. Numerous clips again project in the left perihilar region. The cardiac silhouette remains enlarged but stable. There is no pneumothorax seen. Air is noted within the esophagus which has been seen on multiple prior exams as well. Deformities of posterior left ribs indicate healed trauma.
hypotension. right upper quadrant pain and fever.
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As compared to the previous radiograph, the size of the left pneumothorax is unchanged. No evidence of tension. Bilateral pleural effusions are better visualized on the lateral than on the frontal radiograph. Unchanged size of the cardiac silhouette.
pneumothorax, evaluation.
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Paramediastinal fibrosis, apical pleural thickening, and calcified hilar lymph nodes consistent with prior radiation treatment. Surgical clips are noted over the abdomen. There is no mass, focal consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits.
history of hodgkin's disease and chest radiation. concern for mass.
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Severe dextroscoliosis of the thoracic spine distorts the mediastinum which is otherwise unremarkable. There is stable if not decreased size of the cardiac silhouette. Lungs are clear. The right pulmonary artery is enlarged. No pleural effusion or pneumothorax present.
weakness, evaluate for pneumonia.
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Cardiomediastinal silhouette and hilar contours are normal. Diffuse reticular opacities with a basal and peripheral predominance are unchanged compared to <unk>, compatible with known history of interstitial lung disease. There are no focal consolidations worrisome for infection. There is no pleural effusion or pneumothorax.
left basilar crackles. history of interstitial lung disease.
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Mild left base atelectasis is seen there is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette top-normal to mildly enlarged..
history: <unk>m with confusion, falls. // eval for acute process
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal atelectasis is noted at the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with chest pain
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is a moderate-to-large hiatal hernia with an air-fluid level, as before. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Streaky left basilar opacity is unchanged and suggests atelectasis in associated with the hiatal hernia.
chest discomfort and recent cough.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Remote right upper rib and clavicular fractures are noted. Hardware of the right humerus is unchanged. Moderate dextroscoliosis of the lumbar spine is stable. Multiple compression deformities of the upper thoracic vertebral bodies are again noted. Diffuse osteopenia.
malaise. assess for pneumonia.
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In comparison with the chest radiographs obtained <unk>, no significant changes are appreciated. Extensive, bilateral, nodular opacities are grossly unchanged and compatible with extensive, known metastatic disease. Small, right pleural effusion is unchanged. Extensive sclerosis of the vertebral bodies compatible with bony metastasis is also grossly unchanged without evidence of fracture. No obvious consolidations compatible with pneumonia. Heart size is normal without pulmonary edema. Elevation of the left hemidiaphragm and gaseous distention of the adjacent colon are unchanged. Port-a-cath tip projects over the right atrium.
<unk> year old woman with met breast ca // numerous pulm mets. compare to prior serial cxrs
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hcv cirrhosis, weakness // eval for effusion, infiltrate
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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.
intermittent chest pain and shortness of breath.
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Upright ap and lateral radiographs of the chest. Compared to the prior examination, there is some increased opacity in the right lower lobe. The lungs are otherwise grossly clear. Heart size is normal and the hila appear unremarkable. There are aortic calcifications with unfolding of the aorta. There is no pneumothorax or pleural effusion. No chf. Probable background hyperinflation.
weakness.