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

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

history: <unk>m with chest pain and sickle cell disease // eval infiltrate

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The lung volumes are normal. Moderate asymmetry of the rib cage caused by moderate thoracic scoliosis. Normal size of the cardiac silhouette. Normal hilar and cardiomediastinal contours. There is no evidence for hilar or mediastinal lymphadenopathy. The lung shows normal structure and transparency. There is no evidence of acute lung changes such as pulmonary edema, pneumonia or lung nodules or masses. No pleural effusions.

right-sided cervical and supraclavicular lymphadenopathy, rule out mass or pneumonia.

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Pa and lateral views of the chest. No prior. There is subtle increased opacity identified in the right mid lung and at the right base laterally, which could represent focal regions of consolidation. Elsewhere, the lungs appear grossly clear. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits. Mitral annular calcifications are seen. Atherosclerotic calcification is seen within the aorta, which is tortuous. Surgical clips identified in the upper abdomen. Soft tissues are otherwise unremarkable, as are the osseous structures.

<unk>-year-old male with cough for last week. pcp reported he had pneumonia on outside chest x-ray. question pneumonia.

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Cardiomediastinal silhouette is stable, with mild cardiomegaly. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>-year-old man with a history of pulmonary embolism and worsening dyspnea

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Upright pa and lateral radiograph of the chest. Lung volumes are slightly low, but there is no focal airspace consolidation. There is mild atelectasis at the left base and right infrahilar region. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Surgical clips again project over the right breast and axilla.

wheezing and cough for one week with chills. evaluate for pneumonia.

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When compared to prior, there has been no significant interval change. Bibasilar opacities could be atelectasis noting that infection is not excluded. Lungs are otherwise clear. Right hilar fullness is again noted. Cardiac silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with confusion, recent cardiac cath // ? pna

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Re- demonstrated is elevation of the right hemidiaphragm with overlying right base atelectasis. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with confusion // infiltrate?

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>m with history of alcoholism, new dyspnea on exertion

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Pa and lateral views of the chest. The lungs, heart, mediastinum, and pleural surfaces are normal. No evidence of pneumonia. No pneumothorax.

<unk>-year-old woman with hiv, productive cough and chest pain, no fever, evaluate for infectious source.

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In comparison with the study of <unk>, there is again increased opacification at the left base silhouetting the hemidiaphragm, consistent with volume loss in the left lower lobe and left pleural effusion. Right lung remains essentially clear. No evidence of pneumothorax.

effusion versus pneumonia.

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The cardiac, mediastinal and hilar contours appear unchanged. There is increased opacification of the left mid to lower lung suggesting pneumonia with the greatest suspected degree of involvement in the superior segment of the left lower lobe. There is a similar mild interstitial abnormality involving both lungs which alternatively suggests mild pulmonary edema. There is no definite pleural effusion or pneumothorax. Sclerotic bones suggest renal osteodystrophy.

fever. question pneumonia.

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As compared to the previous radiograph, there is no substantial change. The lung apices show areas of hyperlucencies, consistent with extensive emphysema. In addition, the hemidiaphragms are flat, suggesting coexisting overinflation. The lung parenchyma at the lung bases shows scars of mild-to-moderate extent, but no evidence of recent pneumonia. Unchanged hilar and mediastinal structures. No pleural effusions.

copd, increased dyspnea on exertion, evaluation for hyperinflation and pneumonia.

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The lungs are clear besides biapical scarring. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>m with ams s/p unwitnessed seizure. prolonged confusion not likely post-ictal // pneumonia? aspiration?

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

shortness of breath.

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Cardiomediastinal silhouette and hilar contours are normal. The previously noted subtle retrocardiac density has no clear lateral correlate and is likely vascular shadowing. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. A right central venous catheter is unchanged in position with the tip terminating in the low svc.

new diagnosis of aml with increased sputum production and cough.

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As compared to the previous radiograph, the distinct <num> cm right lower lung mass, adjacent to a metallic marker, is visually more apparent. The surrounding parenchymal opacity has completely cleared. There continues to be mild elevation of the left hemidiaphragm. Sternal wires after cabg. Left pectoral pacemaker. Normal size of the cardiac silhouette. The small pulmonary nodules described on the ct examination from <unk> are not seen on the current image.

pneumonia, lung masses, evaluation for interval change.

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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.

<unk>-year-old female with right upper quadrant abdominal pain.

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Compared to <num> days prior, no appreciable change in the size of the moderate bilateral pleural effusions. Lungs are otherwise clear. Heart size and cardiomediastinal hilar silhouettes are unchanged. Multiple compression deformities throughout the visualized spine are unchanged. Markedly abnormal sternum contour is similarly unchanged.

<unk> year old man with progressive mm // known b/l pleural effusions, please evaluate for reaccumulation

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Pa and lateral chest radiographs. The heart remains mildly enlarged. However there is no pulmonary vascular congestion or pleural effusion. There is no pneumothorax. Old fracture is noted on the left.

<unk> year old man with hx of myeloma, weakness, cough and shortness of breath.

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As compared to the previous radiograph, there is elevation of the left hemidiaphragm, caused by a gas inflated stomach. As a consequence, the left lung base shows minimal areas of atelectasis, with posterior predominance, better seen on the lateral than on the frontal image. No evidence of pneumonia or other acute lung disease. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.

rule out infection.

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On the current radiograph, the patient carries a new nasogastric tube. The tip of the tube terminates at the level of the gastroesophageal junction. The patient also carries an unchanged right internal jugular vein catheter. There is no evidence of pneumothorax, pleural effusion, atelectasis or pneumonia. No pulmonary edema is present. Normal size of the cardiac silhouette. On the frontal radiograph, there are no typical signs for free intra-abdominal air. On the lateral radiograph; however, there is an atypical anterior air collection in the upper parts of the abdomen. Given this air collection is adjacent to several surgical clips, it could represent a normal gas-filled intestinal component. However, attention should be paid to this area on subsequent radiographs (the abdominal radiograph, performed on <unk>, <time> p.m., was unremarkable in this respect).

gastric bypass, rule out free intra-abdominal air.

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Since the chest radiograph obtained approximately <unk> year prior, there has been interval removal of multiple support devices, including a tracheostomy tube, right-sided ij central venous catheter, and a right-sided picc. Mild cardiomegaly is unchanged, but pulmonary vascular engorgement has resolved. The lungs are fully expanded and clear without pulmonary edema, focal consolidations, or pleural effusions. The aorta is heavily calcified and tortuous.

<unk> year old woman with encephalopathy. +cough // r/o infx, edema

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Pa and lateral chest radiographs were obtained. The lungs are clear with no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. A prominent contour along the right paratracheal stripe is most attributable to vascular ectasia.

<unk>-year-old man with cough.

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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are normal. There is no pleural effusion, pulmonary edema, or pneumothorax. No air under the right hemidiaphragm is present.

<unk>m with dmi p/w hyperglycemia, polyuria, polydipsia, eval for infection as source // eval for pna

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Biapical scarring is again noted. Lungs are otherwise clear without focal consolidation, effusion or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with hx of renal transplant p/w elevated creatinine and fatigue // renal indices, interval changes, ? pna

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Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. Acute displaced distal left clavicular fracture is re- demonstrated, better assessed on the previous left shoulder radiographs. Moderate compression deformity of a mid thoracic vertebral body is unchanged compared to the scout images from the previous mri in <unk>. Mildly displaced left second posterolateral rib fracture is present.

history: <unk>f with clavicle fracture and increasing pain with breathing

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or left pleural effusion. The osseous structures are unremarkable. There is a small right effusion

<unk>/f s/p left thr now w/ temp <unk>// rule out pneumonia/ acute process

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions. No evidence of pulmonary tuberculosis.

<unk> year old man with h/o uc who is going to be started on tnf-alpha inhibitor, no known prior pulmonary pathology // evidence of pulmonary disease

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Heart size and cardiomediastinal contours are normal. The lungs are hyperinflated but there is no focal consolidation, pleural effusion, or pneumothorax.

history: <unk>f with resolved weakness // eval for pna

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

chest pain x.

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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. No subdiaphragmatic free air is demonstrated.

history: <unk>f with gastric ulcers, pain

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Frontal and lateral views of the chest demonstrate clear lungs without focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable. There is no evidence of pulmonary edema.

dizziness and shortness of breath.

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The lungs are clear without consolidation, effusion, or edema. Calcified granuloma noted in the left midlung. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine.

<unk>m with fatigue, hypertension, ekg changes // eval ? infiltrate, edema

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There are vascular calcifications of the aortic arch. The cardiomediastinal silhouette is normal. Imaged osseous structures are unremarkable. No free air below the right hemidiaphragm is seen.

<unk>f with retrosternal chest pressure, cough and uri sx // eval for acute process, pna

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear with interval resolution of the left mid lung pneumonia. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with recent l middle lobe pneumonia // eval for resolution

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Left-sided aicd is unchanged. Heart size is top-normal with mild unfolding of the thoracic aortic arch. Hilar contours are normal. Lungs are clear. Upper lobes are lucent, suggestive of emphysema. Pleural surfaces are clear without effusion or pneumothorax.

chest pain.

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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.

<unk> year old woman with history of ><unk> pack year smoking history (quit <unk>) now with progrsesive dyspnea on exertion, coughing fits and left arm tingling. // etiology for shortness of breath. consider pancoast tumor.

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The appearance of the lungs are unchanged. The cardiomediastinal contours with unfolding of the thoracic aorta are similar. No pleural effusions or pneumothorax.

<unk> year old man with hx of smoking, please do baseline cxr for cancer screening. // screening for cancer

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Following lul resection, there is persistent volume loss in the left hemithorax with expected leftward shift of the mediastinum and elevation of the left hemidiaphragm, similar to prior exam. Interval improvement in left retrocardiac opacity. There is a loculated anterior hydropneumothorax on the left. Significant subcutaneous emphysema along the left chest wall and left neck are similar to prior exam. Persistent small pleural effusions bilaterally. There are no acute osseous abnormalities.

<unk> year old man s/p open lul lobectomy // interval change

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated. No pulmonary edema is seen. Ill-defined patchy opacities are noted in the left lung base, concerning for pneumonia. Blunting of the costophrenic angles bilaterally suggests trace bilateral pleural effusions, more pronounced on the left. No pneumothorax is present. No acute osseous abnormalities detected. Multiple clips are again noted at the gastroesophageal junction and in the right upper quadrant of the abdomen.

history: <unk>m with cough, fever

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Heart size is top normal, unchanged. Lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. Left-sided aicd with leads in unchanged positions. Median sternotomy wires are intact.

<unk>m with chest pain. eval for acute process.

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute fractures are identified.

history of asthma with shortness of breath.

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As compared to the previous radiograph, the left chest tube has been removed. The dimension of the known and documented left pneumothorax is unchanged and in the range of several millimeters. There is no evidence of tension. Also unchanged are the air collections in the cervical and left thoracic soft tissues. The areas of pleural thickening after vats surgery, predominating at the left lung base and left lateral chest wall, are unchanged. Unchanged appearance of the right lung, with a known nodular density of approximately <num> cm in diameter at the level of the right hilus and calcifications in the upper lobe. The size of the cardiac silhouette is unchanged. The alignment of the sternal wires is constant.

history of hemothorax, status post vats surgery, evaluation for pneumothorax.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is mild cardiomegaly. A left chest wall pacemaker is present, with leads terminating in the right atrium and right ventricle. Lumbar spinal hardware is partially visualized.

<unk>f with s/p fall // eval for pneumothorax cxreval for ich nchct eval for fracture c spine

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Frontal and lateral views of the chest are compared to previous portable chest x-ray from <unk>. There is a moderate to large left and small right pleural effusion, decreased in size on the right compared to prior. More dense left basilar opacity suggestive of underlying atelectasis, with consolidation also possible. Superiorly, the lungs are clear. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures. Surgical clips in the upper abdomen again noted.

<unk>-year-old female with fever and cough.

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Frontal and lateral radiographs of the chest were acquired. As before, there is a left-sided pacemaker with an associated right ventricular lead. The patient is status post midline sternotomy and cabg. There is minimal right basilar atelectasis. The lungs are otherwise clear. Mild cardiomegaly is unchanged. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

dyspnea and chest pressure. evaluate for acute process.

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Pa and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is seen.

history of seizure and confusion. evaluate for pneumonia.

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Heart size is normal. The mediastinal and hilar contours are normal. Previously noted interstitial pulmonary edema has resolved. Pulmonary vasculature is normal. Lungs are clear. Trace right pleural effusion is unchanged. No left-sided pleural effusion is demonstrated. There is no pneumothorax. There are no acute osseous abnormalities.

history: <unk>f with shortness of breath and cough

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Ap upright and lateral chest radiographs demonstrate mildly low lung volumes. Lungs are clear without a focal opacity. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Streaky opacity at the left lung base likely reflects atelectasis. No air under the right hemidiaphragm is present.

<unk>m with hiv presenting from home with low blood pressure as per vna. asymptomatic // acute cardiopulmonary process

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding pa and lateral chest examination of <unk>. The patient is status post sternotomy and bypass surgery performed at our institution on <unk>. On post-operative followup chest examinations, he had bilateral basal plate atelectasis and moderate amount of pleural effusions. On the next preceding post-discharge pa and lateral chest examination of <unk>, there existed small amounts of pleural effusion remaining in the posterior pleural sinuses, a moderate enlargement of the heart size was noted post-operatively and thin plate atelectasis were noted on the bases. No acute pulmonary infiltrates or pulmonary congestion was seen. On the present examination, the bilateral plate atelectasis have further regressed. No new parenchymal infiltrates are present. The lateral and posterior pleural sinuses are free from any fluid accumulation and no pneumothorax exists in the apical area on the frontal view. Similar as on all previous chest examinations, the patient has orthopedic metallic stabilization devices in the lower cervical spine.

<unk>-year-old male patient status post bypass surgery. history of smoking with chronic cough. presented with increased cough, evaluate for effusions, pneumothorax and consolidation.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. An interstitial abnormality has resolved. There are no pleural effusions or pneumothorax. Bony structures are unremarkable aside from slight rightward convex curvature centered along the upper to mid thoracic spine and very small upper spinal osteophytes.

chest pain.

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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. Surgical clips are noted projecting over the left scapula on the frontal view. Blunting of the left costophenic sulcus is likely related to old injury. Clips are seen projecting over the left upper quadrant. No focal consolidation or pneumothorax. There is bronchial wall thickening on the lateral view. Old left posterior <num>th rib fracture. Possible left <num>rd rib fracture.

chest wall discomfort.

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Right chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricle. Streaky bibasilar opacities are potentially secondary to atelectasis or scarring. There is no consolidation or effusion. The cardiac silhouette is moderately enlarged. Atherosclerotic calcifications are noted at the aortic arch. Degenerative changes identified at the right shoulder. Mid to lower thoracic vertebral body height loss is age indeterminate.

<unk>f with ams pls <unk> <unk> pna // history: <unk>f with ams pls <unk> <unk> pna

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Interval removal of right picc line. The sternotomy wires are intact without evidence of dehiscence. No consolidation. The hila and pulmonary vasculature are unremarkable. No pleural effusions or pneumothorax. The severe cardiomegaly is grossly unchanged. The mediastinum is unremarkable. No rib fractures. A calcified liver cyst is unchanged.

<unk> year old man with hiv, polyneuropathy presented with focal chest pain after a trauma // pt with chest focal chest pain after a minor trauma and concern for rib fracture/crack

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Mild cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Sternotomy wires, replaced aortic valve, and right chest cardiac device are all grossly unchanged.

<unk>m w/ams, please r/o pna

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Improved inspiratory effort seen on the current exam. The lungs are clear. Previously seen small effusions have resolved. Cardiomediastinal silhouette is within normal limits. Prominence of the aortic knob is again noted as well as tortuosity of the descending thoracic aorta. No free air seen below the diaphragm. Left upper quadrant drain on prior is no longer seen. Left picc is no longer seen. Surgical clips are seen in the upper abdomen.

<unk>-year-old male with epigastric and right upper quadrant pain.

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The lungs are clear. Mild flattening of the diaphragms may suggest hyperinflation. There is no pleural abnormality. The mediastinal and hilar contours are normal.

history: <unk>m with cough, fever // eval for consolidation

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The patient is status post sternotomy, coronary artery bypass surgery, and aortic valve replacement. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear. The bones are probably demineralized. Kyphosis is mildly exaggerated, as before, with several mild unchanged mid thoracic compression deformities that appear chronic.

history of dementia presenting with confusion after a fall.

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The lungs are clear without focal consolidation, effusion, or edema. Small round calcific density projects over the left upper lobe compatible with a calcified granuloma. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with code stroke // code stroke

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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>f with cough, evaluate for pneumonia.

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Eventration of the right hemidiaphragm is noted anteriorly with adjacent right lung base atelectasis. The lungs are clear of focal consolidation, pleural effusions or overt pulmonary edema. The heart and mediastinal contours are within normal limits.

<unk> year old female with chest pain.

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The cardiac silhouette remains markedly enlarged, similar to prior. Again there is lingular atelectasis/scarring, linear. Persistent mild blunting of the right costophrenic angle. No new focal consolidation is seen. No large pleural effusion or pneumothorax. Mediastinal contours are stable with a calcified, tortuous aorta.

history: <unk>f with cp and throat pain, worse with swallowing // ? ptx or pna

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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

<unk>-year-old male with dyspnea.

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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>f with dyspnea on exertion

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Moderate right pleural effusion and associated rounded atelectasis in the right middle and lower lobes, with ipsilateral mediastinal shift, is grossly unchanged dating back to <unk> study. Mild cardiomegaly is unchanged. The left lung is clear. No pneumothorax or pulmonary edema are seen.

<unk> year old woman with rt effusion // change to pleural effusion

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Right sided chest tube has been removed. Patient is status post median sternotomy and cabg. Cardiac silhouette size remains mildly enlarged. The aorta is diffusely calcified. Mild pulmonary vascular congestion is demonstrated along with a moderate size right pleural effusion, slightly increased in size in the interval. There is associated right basilar patchy opacity, likely compressive atelectasis. A trace left pleural effusion is also likely present. Calcified granulomas are noted bilaterally, as seen previously. No pneumothorax is demonstrated. There are no acute osseous abnormalities detected.

history: <unk>f with fall, progressive weakness.

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The lungs are underinflated with increased interstitial opacities, likely representing chronic interstitial changes and atelectasis. Mild cardiomegaly is noted, and the descending thoracic aorta is slightly tortuous. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax.

<unk>f with dyspnea on exertion and leg swelling. evaluate for acute process.

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Increasing mild right lower lobe opacities. In the left lung has not substantially changed. Mild hyperinflation. Moderate cardiomegaly. Right-sided port-a-cath with the tip in the upper svc. No pneumothorax.

<unk> year old woman with small cell lung ca worsening cough // pna? mucous plugging?

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Frontal and lateral radiographs of the chest demonstrate appropriately positioned right chest tube with small residual right apical pneumothorax, unchanged from the prior radiograph. Otherwise, the lung parenchyma is clear with small bilateral pleural effusions. Increased lung volumes with improvement of bibasilar atelectasis. The cardiac and mediastinal contours are unchanged since the prior radiograph.

status post chest tube. evaluate for pneumothorax.

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Frontal and lateral views of the chest were obtained. Opacification of the right hemithorax has slightly worsened, compatible with volume loss and increased size of right pleural effusion. Left pleural effusion has also increased in size. Post-radiation interstitial changes of the right lung and mediastinal widening are similar to prior. Several lower thoracic vertebral bodies are diffusely sclerotic, similar to prior. No radiopaque foreign body.

<unk>-year-old male with chest pain and hemoptysis. evaluate for infection or acute process.

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Single portable view of the chest is compared to previous exam from <unk>. Lower lung volume seen on the current exam. The lungs are grossly clear. Large left-sided hiatal hernia is again noted. Surgical clips seen in the right upper quadrant.

<unk>-year-old female with coronary artery disease, hypertension, afib presents with syncope.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is slightly tortuous. Degenerative changes are seen along the spine.

cough and shortness of breath.

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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

shortness of breath and chest pain following chemical exposure at work. evaluate for pneumonitis.

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Mild hyperexpansion suggests emphysema. Faint airspace opacity in the posterior costophrenic sulcus may represent very early pneumonia or atelectasis depending on the clinical setting. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal. Right hemidiaphragm eventration is incidentally noted.

<unk>f with shortness breath, evaluate for pneumonia.

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There are slightly low lung volumes, which results in bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. The patient is status post cabg. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with chest pain // eval for acute process

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Pa and lateral views of chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. There is distension of the upper esophagus. Abnormal retrocardiac mediastianal tissue is noted.

dyspnea.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is at the upper limit of normal variation. No typical configurational abnormality is noted, however, the left ventricular contour is slightly prominent, a finding which in comparison with the mildly widened and elongated thoracic aorta suggests the possibility of systemic hypertension. No local aortic contour abnormalities are identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free from any fluid accumulation. No pneumothorax is seen in the apical area on the frontal view. Skeletal structures of the thorax grossly within normal limits. Comparison with the previous study of <unk> indicates stable chest findings. Previously raised impression of mild cardiomegaly and crowded vasculature in the pulmonary bases is probably related to poor inspirational effort at that time. Thus, there is no evidence of any acute chf, pulmonary infiltrates or pleural effusion in this <unk>-year-old patient with clinical evidence of cough and pneumonia.

<unk>-year-old male patient with cough and pneumonia.

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No displaced rib fractures are detected on the frontal view; however, if there is clinical concern, a dedicated rib series could be obtained. Coarse reticulation is noted at the lung bases and probably bronchiectasis. No significant pleural effusion, pneumothorax or focal consolidation is seen. The cardiac silhouette is normal size and the final hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemi diaphragm.

status post assault after being kicked in the right lower rib cage, here to evaluate for rib fracture.

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Mild-to-moderate cardiomegaly is unchanged. Linear right basilar opacity most likely represents atelectasis. There is mild vascular congestion. There is no pleural effusion or pneumothorax. There is no acute osseous abnormality.

<unk>-year-old male with chest pain and shortness of breath.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is extensive opacification of the right lower lung, mostly involving the right lower lobe, which is largely consolidated perhaps with a right middle lobe component of opacification. The left lung remains clear. There is no definite pleural effusion or pneumothorax.

weakness. question pneumonia.

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Pa and lateral views of the chest demonstrate low lung volumes, which demonstrate bronchovascular markings. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Left costophrenic angle is obscured, suggestive of possible small pleural effusion. There is no right pleural effusion. No pneumothorax. Interstitial markings are prominent. No focal consolidation is seen.

cough and crackles on exam. assess for pneumonia.

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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen is unremarkable.

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

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Ap upright and lateral views of the chest provided. Cardiomegaly is noted with a left ventricular configuration. The lung volumes are low limiting assessment. Allowing for suboptimal technique, there is no focal consolidation, large effusion or pneumothorax. Mediastinal contour is normal. Chronic right rib deformities noted.

<unk>m with altered mental status // r/o acute process

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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk>f with cough // cough

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In comparison with the prior study, there may be a mild worsening in the substantial left pleural effusion. There is an area of opacification at the right base which, in the appropriate clinical setting, could be consistent with a developing consolidation.

left effusion.

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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 cough, fever // eval for pna

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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.

palpitations.

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The cardiac silhouette is markedly enlarged, possibly slightly increased as compared to the prior study. No overt pulmonary edema is seen. No pleural effusion or focal consolidation, or evidence of pneumothorax is seen. Mediastinal contours are stable.

history: <unk>f s/p pedestrian struck with r neck and shoulder pain, difficulty with range of motion // ?impingement, clavicular or humeral fx, c-spine injury

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This evaluation is not tailored for the assessment of rib fractures. However, no large, displaced rib fracture is seen. Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Incidental note is made of probable cholecystectomy clips projecting over the right lower quadrant.

<unk>f with back pain after fall // please eval fracture

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Frontal and lateral views of the chest. Again seen are diffusely increased interstitial markings throughout the lungs bilaterally. There is no new confluent consolidation, effusion, or pneumothorax. Previously seen left basilar region of consolidation has essentially resolved. Lung volumes are appropriate. Cardiomediastinal silhouette is within normal limits. The anterior and posterior cervical spinal fixation hardware is partially visualized. No acute osseous abnormality identified.

<unk>-year-old male with shortness of breath.

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Right picc tip is difficult to see on multiple views due to the overlying pacemaker leads, which terminate in standard positions. It most likely lies in the mid-svc . Left basilar atelectasis is noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

evaluation of picc placement.

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The lung volumes are low resulting in vascular crowding. There is mild pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unchanged from prior exam. Visualized osseous structures are unremarkable. Picc has been removed since prior exam in <unk>.

syncope.

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A left picc tip persists in the lower svc. The cardiomediastinal and hilar contours are normal. The lungs are hyperexpanded but clear. There is no pleural effusion or pneumothorax.

<unk>-year-old male with lymphoma status post stem cell transplant, now with dry cough.

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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are stable, with a small hiatal hernia again seen. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Multiple clips are seen within the neck compatible with prior thyroidectomy. Partially imaged is lumbar spinal fusion hardware.

fevers and chills.

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There are low lung volumes, with improvement in bibasilar airspace opacity. Bilateral lower lung streaky opacities are slightly improved from prior study suggesting slight interval improvement in aeration. The cardiac silhouette is stable, and normal in size. The mediastinal contours are notable for calcification of the aortic arch. Vertebroplasty cement is noted at two vertebral body levels.

<unk>-year-old male with chest pain and shortness of breath. recently admitted for aspiration pneumonia.

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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is a small right pleural effusion. A left central venous catheter terminates in the proximal right atrium. A vascular stent is again seen projecting over the course of the left brachiocephalic cephalic vein.

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

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The heart is normal in size. There is redemonstration of calcified hilar and mediastinal lymph nodes, as seen previously on chest radiographs and noncontrast ct of the chest. There is elevation of the left hemidiaphragm. No focal areas of consolidation are seen within the lungs. There is no pleural effusion or pneumothorax.

<unk>-year-old female shortness of breath. evaluation for cardiopulmonary process.

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Pa and lateral views of the chest demonstrate a persistent but decreased left-sided pleural effusion. There is no evidence of acute pneumonia or vascular congestion. Cardiac size is normal. Right lung is essentially clear.

<unk>-year-old man with pleural effusion. question change.

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As compared to the previous radiograph, there is a minimal increase in extent of the pre-existing pleural effusions. Subsequently, there is increased atelectasis at the left and the right lung bases. The size of the cardiac silhouette is unchanged. No other new parenchymal opacities. No pulmonary edema. The right picc line is in constant position.

cardiomegaly, evaluation.

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Pa and lateral views of the chest. Right picc ends in the low svc. Better lung volumes. Previously seen bibasilar atelectasis is resolved. Right upper lobe opacities have decreased, likely representing some residual evidence of aspiration. Mediastinal and hilar contours are normal. No pleural effusion or pneumothorax. The splenic flexure of the colon is air-filled with an air-fluid level.

aspiration during intubation, cough, evaluate for pneumonia.