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

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Pa and lateral views of the chest are compared to previous exams dating back to <unk> with most recent from <unk>. When compared to most recent exam, there has been apparent interval increase in size and conspicuity of multiple bilateral pulmonary nodules, more numerous at the right mid lung and right lung base compared to prior. Increased density projecting over the right hilum, compatible with adenopathy as on prior. There is no large confluent consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with chest tightness yesterday, now with left-sided numbness. per medical history, the patient has history of sarcoidosis.

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The patient is status post right lower lobectomy with surgical sutures in the right hilar region. Heart size remains mild to moderately enlarged. The aorta is tortuous. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Apart from minimal atelectasis in the right lung base, the lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. No mass lesion is clearly identified. There are no acute osseous abnormalities.

report of a lung mass on outside hospital exam, rhonchi on exam.

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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal contours. The lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality.

positive tb quantiferon gold assay test. please evaluate for signs of active disease. patient is currently asymptomatic.

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Lung volumes are normal. There is no focal consolidation, pneumothorax or pleural effusion. Opacity at the left cardiophrenic angle represents pericardial fat. A left juxtahilar bronchial cuff is of no clinical significance. There is a small amount of calcification in the innominate vein. No definite rib fracture is identified. Mediastinal and hilar contours are stable. Top-normal heart size is stable.

history: <unk>f with right sided cp s/p fall with point tenderness over right lateral lower ribs and pain with inspiration. // ?pneumothorax, rib fracture

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The lungs are noted to be mildly hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. A retrocardiac air-fluid level of suggestive of a moderate sized hiatal hernia. There is no evidence of pneumoperitoneum.

diffuse abdominal pain.

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The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is persistent posterior density in the left lower lobe, although decreased, suggesting improvement in atelectasis and pleural effusions although very small pleural effusions may persist. Upper zone redistribution of pulmonary vascularity suggests pulmonary venous hypertension, but without frank congestive heart failure on this study, which has improved.

chest pain and cough.

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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. Nipple rings are identified bilaterally.

<unk>f with low wbc and fevers of unknown origin // pna

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Cardiac silhouette size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Degenerative changes are seen in the thoracic spine.

history: <unk>f with shortness of breath, fever of <num> degrees

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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 sob // eval for cp

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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

patient with renal cell carcinoma. please evaluate for abnormalities.

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The lungs are mildly hyperinflated. The previously seen subtle density projecting over the right upper lung is unchanged. A small opacity that projects over the right lower lung is new. There is no pleural effusion, pneumothorax, or pulmonary edema. A left pectoral dual-chamber pacemaker and its leads project in unchanged location.

<unk>f with fever, evaluate for infiltrate.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bones are intact. The imaged upper abdomen is unremarkable.

evaluate fever, evaluate for cardiopulmonary process or infiltrate.

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The thoracic aorta is tortuous, otherwise the cardiomediastinal and hilar contours are within normal limits. The lung fields are clear, though hyperinflated. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Moderate levoscoliosis and mild disc space narrowing of the thoracic spine are unchanged.

history: <unk>f with chest pain // acute process?

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Cervical spinal fusion hardware is re- demonstrated, but not completely assessed. No subdiaphragmatic free air is demonstrated.

history: <unk>f with chest pain and recent coloscopy

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Lungs are slightly hyperinflated. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormalities are identified. There is no subdiaphragmatic free air.

history: <unk>m with etoh withdrawal, n/v, abdominal pain // eval ? acute process, aspiration

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Other than lower lung volumes, no significant interval change in the radiographic appearance of the chest. Linear opacities in the left lung base, are consistent with atelectasis, unchanged. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. Surgical clips projecting over the left abdomen abdomen and tube over the right upper abdomen are unchanged.

<unk> year old man with fever, cough \; evaluate for pneumonia.

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Pa and a lateral chest radiograph demonstrates well expanded and clear lungs bilaterally. No focal opacities identified. Mediastinal and hilar contours are within normal limits. Osseous structures are without acute abnormality. No evidence of pneumothorax or pleural effusion.

<unk>-year-old male with chest pain for <num> days.

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Again seen are multiple median sternotomy wires and mediastinal surgical clips. The cardiomediastinal silhouettes are stable. The bilateral hila are unremarkable. A right cardiophrenic angle triangular opacity and volume loss involving the right lower lung is likely due to a combination of a prominent epicardial fat pad and prior lung resection. There is no focal lung consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

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

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The lungs are mildly hyperinflated and clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.

<num> week history of cough and left-sided wheezing; assess for pneumonia.

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Mild enlargement of cardiac silhouette is present. The aorta is diffusely calcified and tortuous. The pulmonary vasculature is not engorged. Patchy opacities in lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine. Bilateral remote posterior rib fractures are noted.

history: <unk>m with lethargy

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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Rightward curvature of the lower thoracic spine is unchanged. There is no pulmonary edema.

<unk> year old woman with fever and cough,wheezing // r/o infiltrate

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In comparison with study of <unk>, the patient has taken a somewhat better inspiration. Increasing opacification at the right base medially with silhouetting of the hemidiaphragm is worrisome for a right middle lobe consolidation. The left lung is relatively clear and there is no pulmonary vascular congestion.

cough with possible pneumonia.

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. Mild interstitial markings are likely due to chronic congestive heart failure. The heart continues to be mildly enlarged, and the mediastinal contours are stable.

<unk>-year-old man with hyperglycemia

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Bilateral chest tubes have been removed. There is no pneumothorax. Since the prior radiograph, there has been improvement in left basilar atelectasis and the left pleural effusion is slightly smaller. There is no focal consolidation. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact.

<unk>-year-old man with sternotomy, thymectomy. rule out pneumothorax post chest tube removal.

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The cardiac, mediastinal and hilar contours are unchanged. The heart size is normal. Aorta is mildly unfolded. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

right upper quadrant pain.

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Pa lateral images of the chest. Lungs are moderately well-expanded. Bibasilar opacities have increased in the interval, consistent with worsening multifocal pneumonia. The upper lungs are clear. Small bilateral pleural effusions are seen. No pneumothorax is seen. Hilar adenopathy is more pronounced than in <unk> but similar to more recent exams. The cardiomediastinal silhouette is unremarkable.

history of renal cell carcinoma currently on drug trial, now with sepsis related to pneumonia.

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Mild cardiomegaly is overall stable compared to the prior exam. The lungs are mildly hyperinflated. There may be small bilateral pleural effusions. No focal consolidation concerning for pneumonia is identified. A left-sided aicd is unchanged in position compared to the prior exam. The visualized osseous structures are unremarkable.

<unk>m with cad, chf, afib, now with <num> days of melena and progressive doe. // any pulmonary edema, infection?

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Previously described right upper lobe opacity has resolved. Lungs are clear except for a small calcified granuloma in the right upper lobe. Cardiomediastinal contours are unchanged. Persistent prominence of main pulmonary artery contour. Lung volumes are increased with flattening of hemidiaphragms suggestive of copd. There are no pleural effusions or acute skeletal findings.

<unk> year old man with sputum and left sided crackles, hx ? opacity, pneumonia <unk> // evaluate lungs

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Patient is status post median sternotomy and cardiac valve replacement. Dual lead right-sided pacer device is stable in position. The cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette mildly enlarged. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen.

history: <unk>f with hyperglycemia // pna?

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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, there is no definite evidence of pneumonia or chf. No large effusion or pneumothorax is seen. The heart appears mildly enlarged. Extensive atherosclerosis of the aorta noted with a curvilinear calcification projecting over the right heart raising potential concern for an aortic aneurysm. Degenerative changes noted at the right shoulder. Fused spine noted.

<unk> year old woman with weakness, crackles in l lung base, concern for pna. // please assess for acute processes

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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 pneumothorax or pleural effusion. Bony structures are unremarkable.

syncope.

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Right-sided port-a-cath tip terminates in the low svc. Cardiac and mediastinal contours are unchanged with post radiation changes and scarring seen in the right upper paramediastinal region. Patient is status post right upper lobectomy with unchanged elevation of the right hemidiaphragm indicative of volume loss. Blunting of the right costophrenic angle is similar, compatible with known pleural thickening. No focal consolidation, pleural effusion or pneumothorax is identified. The pulmonary vasculature is not engorged. Moderate multilevel degenerative changes are seen in the thoracic spine. Known metastases involving the right fourth and fifth anterior ribs are poorly assessed on this exam.

history: <unk>m with lung cancer and dyspnea on exertion

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Ap upright frontal and lateral views the chest provided. The lungs appear unchanged from prior. There is speckled calcific density projecting over the right lung base, indeterminate, possibly reflecting chronic aspiration or granulomatous disease. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable with an unfolded thoracic aorta. Bony structures appear intact.

<unk>m with h/o glioblastoma and <unk>'s disease here with confusion after pulling out g-tube.

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

<unk> year old man with hx of stage iiib melanoma for surveillance // rule out metastatic disease

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The heart is mildly enlarged. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Minor atelectasis in the right middle lobe is associated with a prominent epicardial fat pad. Elsewhere, the lungs appear clear. A nondisplaced fracture involves the right posterior lateral fifth rib which is unchanged. There has been no significant change.

chest pain.

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The lungs are well inflated and clear. Blunting of the bilateral costophrenic angles is likely secondary to basilar atelectasis. The heart and mediastinal contours are normal. No focal consolidation, nodule, fusion, or pneumothorax is present. There is no pneumoperitoneum.

<unk>-year-old woman with chest pain, fever, recent ercp, question pneumonia.

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There is interval placement of a right sided hemodialysis catheter with its tip at the caval atrial junction. The lungs are clear. Remainder of the exam is not significantly changed compared to <unk>.

<unk> year old woman with acute renal failure and nephropathy now on hemodialysis // tb screen for dialysis placement

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Pa and lateral views of the chest show volume loss in the right hemithorax and some residual subcutaneous emphysema as well as what appears to be a sliver of pneumothorax or pneumomediastinum on the lateral view. This is decreased compared to yesterday's study. Right upper lobe peripheral opacification is not increasing. Blunted pleural angle at the operative site appears to be related to some residual fluid. Moderately prominent ascending thoracic aorta is unchanged.

status post right vats, right lower lobe lobectomy, question interval change.

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As compared to the previous radiograph, there is no relevant change. Large bilateral symmetrical hilar structures are likely caused by a slight pectus. They are unchanged as compared to previous image. There currently is no evidence of parenchymal opacities, in particular no evidence of pneumonia. No pneumothorax. No pleural effusions. No lung nodules or masses. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta.

multiple myeloma and cough, shortness of breath, rule out pneumonia.

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Markedly worsened left mid, lower lung consolidation. New right upper lung infiltrate. Findings suggest progressive pneumonia. Trace pleural effusion. Normal heart size. Remainder normal. .

<unk> year old man with rib fx, cough, increasing oxygen requirement, fever // please eval for pna vs other source fever, oxygen requirement

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There is a large hiatal hernia occupying majority of the retrocardiac region. Where seen, the lungs are clear. There is no pulmonary vascular congestion. Cardiomediastinal silhouette is grossly within normal limits, noting that it is not well evaluated. Mid thoracic dextroscoliosis is noted. No acute osseous abnormality is identified.

<unk>-year-old female with dyspnea on exertion for three days with dry cough.

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Pa and lateral views of the chest. Left chest wall vagal nerve stimulator is again seen. Where seen, the lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures are identified.

<unk>-year-old female with possible seizure and fall.

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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. Partially imaged upper abdomen is unremarkable.

patient with history of inflammatory pericarditis, now with chest pain.

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Cardiac silhouette size is top normal. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. There is minimal atelectasis in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.

history: <unk>f with chest pain, shortness of breath

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A left nipple piercing is visualized. 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 cough // please eval for infectious process

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Increased interstitial markings are seen throughout the lungs with particular subpleural distribution. There may have been interval progression of disease at the right lung base although superimposed infection would be difficult to exclude. Elsewhere, there has been no significant interval change since prior chest x-ray. Similar appearance of the hila with possible underlying adenopathy as seen on prior chest ct. Surgical clips project over the left axilla.

<unk>f with hypoxia // eval for pneumonia, pulm edema

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Persistent moderate right pleural effusion is noted. There is pulmonary vascular congestion without overt edema. Streaky right midlung and left lung base opacities suggestive of atelectasis. There is no consolidation worrisome for infection. Moderate cardiac enlargement is noted as well as atherosclerotic calcifications at the aortic arch. No acute osseous abnormalities.

<unk>f with hx chf w/ weight gain, tachy // ? effusion, consolidation

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There is no consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is mildly enlarged, similar to before. Left pectoral pacemaker has <num> leads terminating right atrium and right ventricle. Sternal hardware is intact.

history: <unk>f with l posterior crackles, malaise // eval ? infiltrate

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Interval removal of an endotracheal tube is noted. Lungs appear hyperinflated with flattening of bilateral hemidiaphragms. Cardiomediastinal and hilar contours appear stable when compared to recent radiograph dated <unk>. There is no pleural effusion or pneumothorax. Subtle anterior edge compression deformity is noted on lateral radiograph within the distal thoracic vertebral bodies. No acute osseous abnormality is identified.

<unk>-year-old male with headache and facial pain.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. There is some pectus excavatum. Of incidental note is the interval placement of a spinal fusion in the cervical region.

shortness of breath and left chest pain.

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Pa and lateral views of the chest compared to previous exam from <unk>. Since prior, there has been development of bilateral upper lung opacities, right greater than left. Inferiorly, the lungs are clear and there is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with opacity in the chest on humerus x-rays.

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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Azygos lobe is noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>m with gait abnormality // eval for infiltrate

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal, and unchanged from the prior exam.

chest pain.

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The heart is normal in size. The main pulmonary artery contour is slightly prominent, but stable. Central pulmonary arteries are also mildly enlarged. The pulmonary interstitium has a mildly coarsened appearance bilaterally, but without significant change. There is no pleural effusion or pneumothorax. Mild rightward convex curvatures centered along the mid thoracic spine appear similar.

chest pain and left chest wall tenderness.

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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 sob, cough, right sided pain // ?pna, chf

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Interval development of mild to moderate bilateral pulmonary edema is with a small to moderate bilateral pleural effusions and adjacent atelectasis. There is no evidence of focal consolidation suspicious for pneumonia. No pneumothorax is identified. The heart size is top normal. Redemonstrated is a left pectoral pacemaker with two continuous leads seen extending to the right atrium and right ventricle, respectively.

congestive heart failure, now with <num> days of chest pain and shortness of breath.

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Ap and lateral views of the chest. Left-sided subclavian line is no longer visualized. There is blunting of the posterior costophrenic angles suggestive of small effusion. Mildly indistinct pulmonary vascular markings are seen. There is no confluent consolidation. Cardiac silhouette is enlarged but stable in configuration. Tortuous descending thoracic aorta is noted. Degenerative change is seen at the shoulders bilaterally.

<unk> year old with hyperlipidemia with chf, presents with gait instability and cough.

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Cardiac and mediastinal silhouettes are stable. Again seen are numerous bilateral nodular opacities consistent with metastatic disease. Projecting over the medial left mid to lower lung, there is a more rounded area of opacity measuring approximately <num> x <num> cm, not clearly delineated on the most recent prior chest radiograph, although more similar appearance to <unk>. No large pleural effusion is seen. There is no pneumothorax. No overt pulmonary edema is seen.

history: <unk>m with shortness of breath // eval heart and lungs

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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.

history: <unk>m with weakness, sob, hx lung ca // infiltrate?

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As compared to prior examination, a left pleural effusion is minimally decreased, now small-moderate in size. There is adjacent linear opacities suggestive of atelectasis within left lower lobe. The left upper lung field and right lung are grossly clear. The silhouette is stable. Multiple, left rib fractures are again seen .

<unk> year old woman s/p fall with chest pain and dyspnea, afebrile and previous cxr concerning for empyema // effusion vs empyema vs pna; lat decub view if indicated

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Ap and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pleural effusion, pulmonary edema or focal airspace opacity. The visualized bony structures appear intact.

<unk>-year-old female with left-sided chest pain after a fall.

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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 cp // r/o cardiopulm abnormality

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with intermittent chest pain, question pneumonia.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is mild perihilar bronchial wall thickening. No focal consolidation. No pleural effusion or pneumothorax is seen.

<unk>f with cough // acute process?

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Again noted is minimal scoliosis of the thoracic spine.

history: <unk>m with fall, intoxicated // eval for ich, c-spine fracture, rib fx/ptx

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Since the most recent exam yesterday evening, the left lower lobe atelectasis has increased, returning to its previous appearance on the exam yesterday morning. The right lower lobe atelectasis and new right upper lobe linear atelectasis are essentially unchanged from the most recent exam. Otherwise, no significant change in the mediastinal contour, elevation of left hemidiaphragm, and right chest wall subcutaneous emphysema. No pneumothorax. Small bilateral pleural effusions.

<unk>-year-old man with interstitial lung disease, status-post right vats with wedge resections; evaluate for interval change.

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

dyspnea.

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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is normal in size and cardiomediastinal contour is notable for a tortuous thoracic aorta. There is no pleural effusion or pneumothorax.

<unk>-year-old man with chest pain, evaluate for infection.

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Chest pa and lateral radiograph demonstrate an unremarkable mediastinal and hilar contours. Heart size is top normal. Lungs are clear. No pleural effusion or pneumothorax identified. Atherosclerotic calcifications identified within the aortic arch. The patient has a pacemaker with leads positioned in the right atrium and right ventricle. Degenerative changes are noted in thoracic spine.

fatigue, hyponatremia, evaluate for pneumonia.

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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Again seen is rightward deviation of the trachea, likely reflective of known enlarged thyroid gland.

history: <unk>f with cough and congestion // evaluate for pneumonia evaluate for pneumonia

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The heart size is normal. Again seen are hilar and mediastinal lymphadenopathies which appear unchanged when compared to prior examination. 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 lymphoma, shortness of breath and fatigue. study requested for evaluation of any abnormality.

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The heart size is normal. Mediastinal contours are unchanged. There is crowding of the bronchovascular structures due to low lung volumes. Left hilum appears somewhat enlarged compared to prior study, but again this may be due to low lung volumes. There is no pulmonary vascular engorgement. Pleural thickening and scarring within the right lung base is unchanged as is a linear opacity within the superior segment of the right lower lobe compatible scarring. Minimal left retrocardiac opacity likely reflects atelectasis. No left-sided pleural effusion is seen, and there is no pneumothorax. Multilevel severe degenerative changes of the thoracic spine are present. Clip is seen within the right anterior chest wall.

chest pain, cough.

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

<unk> year old woman with chronic upper back pain x <num> months, smoking history // eval for abnormality

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The cardiac silhouette size is normal. The aorta is tortuous. The hila are unremarkable. There is no pleural effusion or pneumothorax. The lungs are hypoinflated with bibasilar atelectasis. There is no focal consolidation concerning for pneumonia. Compression deformity of at least <num> lower thoracic vertebral body is noted.

history: <unk>f with pain r lat chest s.p fall onto banister // r/o rib fx

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no pneumothorax, effusion or consolidation. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unchanged.

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

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Fracture of the inferior most median sternotomy wires again seen. The cardiomediastinal silhouette is unchanged. There is a stable small left pleural effusion. There is no pneumothorax. There is no focal lung consolidation.

<unk> year old man with cirrhosis and sob, evaluate for acute process

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.

history: <unk>m with chest pain and dyspnea

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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. Hyperinflation of the lungs and flattening of the hemidiaphragms is consistent with history of copd. Old right seventh rib fracture and c-spine hardware appear similar to <unk>.

<unk> year old man with history of copd, with cough, dyspnea // acute process, consolidation

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The lung volumes are low with probable right basilar atelectasis. The lungs are otherwise clear without a consolidation or edema. There is no pleural effusion or pneumothorax. Atherosclerotic calcifications are noted along an unchanged tortuous aorta. The mediastinal contours are otherwise normal. The heart is mildly enlarged, particularly the left atrium, and unchanged. Moderate degenerative changes are noted in the thoracic spine.

cough and fever. evaluate for pneumonia.

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Compared to the prior chest radiograph performed <num> hours prior, the single lead of a left chest wall generator demonstrates mild retraction of the tip with a redundant loop, remaining within the right ventricle, new since <unk>. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>m with ? icd wire migration seen on portable cxr // eval icd wire

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As compared to the previous radiograph, the right internal jugular vein catheter has been removed. The left pectoral pacemaker is in unchanged position. Lung volumes have increased, potentially reflecting improved ventilation. A band-like area of parenchymal opacity at the right lung base persists. Unchanged minimal bilateral pleural effusions.

history of cabg, increased shortness of breath. chronic heart failure.

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Pa and lateral views of the chest provided. Lungs are hyperinflated which is reflective of underlying copd. No focal consolidation, large effusion or pneumothorax is seen. Seen only on the lateral projection is a calcified granuloma projecting over the lower t-spine, stable from prior ct. Cardiomediastinal silhouette appears normal. Cervical spinal hardware is partially imaged. Bony structures appear grossly intact. Mild compression deformity involving a mid and lower thoracic vertebral body appear chronic.

<unk>m with diffuse weakness, fever // pna?

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There has been interval placement of a left-sided picc line, which is curled in the lower left brachiocephalic vein with its tip terminating at the mid left subclavian vein. The right subclavian line terminates in the mid svc. The ng tube terminates at least in the upper stomach. There is unchanged enlargement of the cardiac silhouette with poorly defined vascular markings, particularly on the right, suggesting elevation of pulmonary venous pressure. In the appropriate clinical setting, a basilar pneumonia should be considered. There are probable small bilateral pleural effusions.

<unk> year old man with picc. pt had a left picc, <num>cm <unk> <unk>.

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Patient's condition required examination in sitting position using ap frontal and left lateral views. Comparison is made with the next preceding portable ap single view chest examination of <unk>. Heart size and mediastinal structures grossly unaltered. Same holds for the previously identified bilateral diaphragmatic linear calcifications compatible with the old asbestos exposure. Left-sided pleural thickenings both in apical area as well as lateral wall and left base remain unchanged and the presence of a small caliber pigtail ending catheter on the left base presumably draining the pleural space appears unchanged. No pneumothorax can be identified. No new pulmonary parenchymal abnormalities.

<unk>-year-old male patient with history of left-sided pleural effusion, assess for interval change.

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Ap upright and lateral views of the chest provided. Port-a-cath again seen residing over the right chest wall with catheter tip looping in the right neck with right ij access, terminating in the upper svc. The heart appears enlarged of this may be technique related. Lung volumes are low. Scattered areas of atelectasis noted without convincing evidence for pneumonia or chf. No pleural effusion or pneumothorax. Mediastinal contour is stable. Bony structures intact.

<unk>f with copd hx, recent vertebral injury, hx ivdu and lymphoma, recent trauma with t<num>/t<num> compression fxs on osh ct, bilat <unk> weakness

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Pa and lateral views of the chest provided. Overlying ekg leads are present. 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> year old man with etoh cirrhosis, portal htn, seen by hepatology who felt that he seemed warm so want infectious w/u

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The lung volumes remain decreased. The pulmonary vasculature is engorged, and there is minimal interstitial pulmonary edema. Small pleural effusions are suspected. No pneumothorax is seen. Bibasilar opacification may be due to bronchovascular crowding in the setting of low lung volumes; however, a superimposed infection cannot be excluded in the appropriate clinical context. The cardiac silhouette is moderately enlarged but stable. The thoracic aorta is unfolded with minimal calcification of the aortic knob. The mediastinal contours are unchanged. Surgical clips in the right upper quadrant compatible with prior cholecystectomy.

altered mental status, here to evaluate for pneumonia.

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Projecting over left abdomen is an ingested paper binder. There is no evidence of free intraperitoneal air. 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 s/p supposed foreign body ingestion.

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The lungs are clear without consolidation, effusion, or pneumothorax. Linear left basilar opacity may be due to atelectasis or scar. The cardiomediastinal silhouette is within normal limits. Compression deformity of l<num> is unchanged from prior. There is no acute osseous abnormality.

<unk>m with seizure in setting of known gbm // eval ? occult infection, acute process

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There bilateral parenchymal opacities in the right upper lobe and at the left mid lung and base. There is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with cough, fever, sob // eval for infiltrate

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The lungs are clear. Mild cardiomegaly and vascular congestion, unchanged. The hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old with chest pain.

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Patient is status post median sternotomy. There are moderate bilateral pleural effusion with overlying atelectasis. Mild central pulmonary vascular congestion is seen. Right mid lung linear atelectasis is seen. The cardiac and mediastinal silhouettes are grossly stable. No pneumothorax is seen.

history: <unk>m with sob // eval acute process

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Relative symmetric prominence of the hila is most likely secondary to pulmonary artery enlargement and vascular congestion. There is no focal consolidation. The heart is mildly enlarged. The mediastinal contours normal. There is no pleural effusion or pneumothorax.

<unk> year old man with significant cough, sob for <num> days, evaluate for pneumonia..

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The left-sided picc has been removed. The perihilar opacities have slightly increased. The right lower lobe peribronchial opacity have also slightly progressed. A new small right-sided effusion is seen. No pneumothorax. The cardiopericardial silhouette is unchanged.

<unk> year old man with hiv, on treatment, ks, here with fever, sob // pneumonia

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There are relatively low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

lumbosacral radiculopathy and nausea and vomiting for <num> days.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities identified.

<unk>m with cough // ?pna

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Lung volumes are low. Cardiac silhouette size is not enlarged. The aorta is mildly tortuous. Crowding of the bronchovascular structures is present without overt pulmonary edema. Linear opacities in the lung bases, more so on the left, are compatible with areas of subsegmental atelectasis. No large pleural effusion or pneumothorax is seen. No areas of focal consolidation or demonstrated. No acute osseous abnormality is detected. Extensive degenerative changes are seen involving the left glenohumeral joint.

history: <unk>m with weakness, active cancer

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There are patchy opacities involving bilateral lung bases, increased compared to <unk>. The finding is concerning for worsening pneumonia. There is no pleural effusion or pneumothorax. Cardiac silhouette is borderline enlarged.

<unk> year old man with neutropenia and pna

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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 chest pain

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Lungs are clear and pleural surfaces are normal. Heart is mildly enlarged with normal mediastinal and hilar contours. Aorta is mildly tortuous.

<unk>-year-old male with lymphoma. radiograph prior to vq scan.