Datasets:
ChayanM
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MIMIC-MultiView-Findings-Query

Dataset card Data Studio Files Community
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Ap portable upright and lateral views the chest provided. Diffuse pulmonary opacities with a predominantly reticulonodular configuration is suggestive of mild-to-moderate pulmonary edema. Hilar congestion is also present. There are small layering bilateral pleural effusions. Heart size is within normal limits. Mediastinal contour is unremarkable. Bony structures are intact.
<unk>m with cough // pna
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The lungs are clear without pleural effusion, focal consolidation or pneumothorax. Minimal prominence of the right hilus is projectional. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac and mediastinal silhouettes are within normal limits. No acute, displaced rib fractures are detected.
cough and rib pain, here to evaluate for pneumonia or rib fracture.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
left-sided chest pain.
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The patient is status post coronary artery bypass graft surgery. Allowing for differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. A mild interstitial abnormality appears similar to the prior examination and suggests slight background congestion, but otherwise the lungs appear clear. There are no pleural effusions or pneumothorax. Severe degenerative changes again involve the left shoulder.
fatigue.
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There are reduced lung volumes which accentuates the size of the cardiac silhouette which is moderately enlarged. Apparent mediastinal widening is also likely secondary to low lung volumes, and otherwise appears relatively unchanged compared to the prior exam. There is mild pulmonary edema. Additionally, more focal consolidative opacity in the retrocardiac region is concerning for pneumonia. Small bilateral pleural effusions are noted. There is no pneumothorax. No acute osseous abnormalities are present.
recent pneumonia on oxygen.
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Since prior, there has been interval progression of bilateral parenchymal opacities, greater at the bases there are small bilateral effusions. . The and prior right picc is no longer visualized. The cardiomediastinal silhouette is stable noting median sternotomy wires and mediastinal clips. Atherosclerotic calcifications seen at the arch.
<unk>m with s/p cabg, chf, paroxismal a-fib, presenting with leg swelling. // eval for acute process
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Frontal and lateral views of the chest were compared to previous exam from <unk> and ct scan performed just before this exam. The lungs are clear with focal consolidation or effusion. Moderate sized hiatal hernia is noted. Cardiomediastinal silhouette is unremarkable. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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Pa and lateral views of the chest provided. Midline sternotomy wires and stent again noted traversing the descending thoracic aorta into the upper abdominal aorta. There is a known type <num> endoleak with a similar pattern of opacity abutting the descending thoracic aorta. Overall appearance of the chest is not significantly changed from prior radiograph. Right lung is clear. No large effusion or pneumothorax.
<unk>f with chest pain // eval for structural process
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar are normal size. Mild dextroscoliosis of the thoracic spine is unchanged.
?infiltrate <unk> year old woman hx copd with cough and wheezing // ?infiltrate
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Frontal and lateral chest radiographs demonstrate a right internal jugular central catheter with the tip in the mid to upper svc, as well as multiple sternotomy wires and surgical clips. There is moderate cardiomegaly. Again seen are bilateral small to moderate pleural effusions, with decrease in size of the left pleural effusion. There is no focal consolidation. On lateral view, anterior air-fluid levels are likely within the pleural space, representing a small pneumothorax and effusion.
status post cabg. evaluate for effusion.
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The lungs are well expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable.
<unk>m with x<num> wk ? msk chest pain. assess chest pain.
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There are low lung volumes but no definite focal consolidation. No pleural effusion is seen. There is no pneumothorax. Cardiac silhouette is top-normal.
<unk>f with sharp persistent strongly pleuritic and positional r flank and epigastric pain for the past two days. // <unk>f with sharp persistent strongly pleuritic and positional r flank and epigastric pain for the past two days.
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The cardiomediastinal and hilar contours are within normal limits. There is mild bibasilar atelectasis. Very subtle area of increased opacity overlying the lower thoracic spine posteriorly, seen only on the lateral view is concerning for an early developing consolidation. No large pleural effusion identified. No pneumothorax.
history: <unk>m with post-op abdominal pain and vomiting // eval for ileus vs. osbtruction eval for ileus vs. osbtruction
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The heart size is top-normal. The lungs are well expanded clear. No pleural abnormality is seen. The mediastinal and hilar contours are unremarkable.
<unk>f s/p assault // ?fx, ?ich
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The lungs are clear and well inflated. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>m with elevated white count. evaluate for pneumonia.
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The lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. The cardiac and mediastinal contours are normal.
chest pain. evaluate for cardiac process.
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Two views were obtained of the chest. While no discrete abnormality is seen on the frontal view, there is a vague retrocardiac opacity. On the lateral mild increase in opacification of the posterior lower lungs suggests left lower lobe pneumonia. There is no pleural effusion or pneumothorax. The heart is top-normal in size with normal mediastinal and hilar contours.
tachycardia and cough, assess for cardiopulmonary process.
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Pa and lateral views of the chest provided. Minimal wispy opacity in the left lower lobe could represent a small focus of pneumonia in the correct clinical setting. Otherwise lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with h/o cold // eval for infection
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Compared with the prior radiograph, there are continued low lung volumes with bibasilar atelectasis. The heart size, mediastinal, and hilar contours are unchanged and unremarkable. No new focal consolidation, pleural effusion, or pneumothorax.
<unk>m with falls, chest pain, upper and lower back pain, abd pain with vomiting. eval for acute injury, gross aortic pathology.
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Pa and lateral views of the chest. Relatively low lung volumes are noted. The lungs remain clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with productive cough and subjective fevers.
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Lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. No subdiaphragmatic free air is identified. Multiple air-fluid levels within small bowel loops in the mid abdomen are partially seen.
<unk> year old woman with pancreas / kidney transplant, severe abd pain, n/v // perforated viscous?
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Since the prior examinations, there is increased opacification in the right lower lobe compatible with pneumonia. There are no other areas of focal consolidation. There are no large pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly. A large bore hemodialysis catheter has been removed. There is stable engorgement of pulmonary vasculature without frank interstitial edema. There are degenerative changes of thoracolumbar spine and the left glenohumeral joint, partially imaged.
<unk>-year-old male with lightheadedness and chest pain. evaluate for pneumonia. pa and lateral chest radiographs
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There are bilateral interstitial opacities, greater at the lung bases, consistent with moderate pulmonary edema. The previously reported right upper lobe spiculated opacity is again noted and better evaluated on prior fdg tumor imaging study. Diffuse emphysematous changes are again noted throughout the lungs. The heart remains moderately enlarged. Mediastinal contours are stable.
copd and congestive heart failure with shortness of breath.
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No previous images. Dual-channel pacer device inserted through the left subclavian vein has leads extending to the right atrium and apex of the right ventricle. No evidence of pneumothorax. No acute focal pneumonia, vascular congestion, or pleural effusion.
pacemaker placement.
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There is near complete opacification of the right hemithorax, due to increasing loculated pleural effusion with resulting severe compressive atelectasis. There are linear opacities at the left lung base, which likely represent scarring. The left lung is clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with progressive hypoxia, no sob. // evaluate for pleural effusion
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Left chest tube has been removed. There is a small pneumothorax at the left lung apex. Subcutaneous gas at the left chest wall is noted. There is a round soft tissue density located posteriorly at the level of left hilum, concerning for a lobe loculated effusion. This was suggested but not well seen in yesterday's study. Mild blunting of right costophrenic angle could be small pleural effusion or pleural scarring. Again seen are right clavicle and second rib fracture.
<unk> year old woman with ling nodule s/p resection // eval interval change
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Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Minimal linear opacities in both lung bases likely reflect subsegmental atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Please note that the extreme right costophrenic angle is excluded from the field of view. There are no acute osseous abnormalities.
dyspnea and cough.
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A right-sided port-a-cath is present with the tip in the low svc. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Again noted are healing left rib fractures.
hypertension. evaluate for acute pathology.
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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 chest pain // r/o acute process
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Heart size is normal. The mediastinal contours are remarkable for a tortuous thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with temp to <num> // eval for pneumonia vs atelectasis
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A left pectoral pacemaker is seen with a transvenous lead in the right ventricle. The lungs are clear. Heart size is top normal. Median sternotomy wires are intact and aligned. Right rib deformities are compatible with old rib fractures. No pneumothorax.
<unk> year old man with icd // evaluate for lead position
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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 available chest examination <unk> <unk>. High-positioned diaphragms indicate poor inspirational effort probably related to patient's post-operative status. Heart size has not changed significantly and there is no evidence of pulmonary vascular congestion. There exist bilateral linear appearing densities on the lung bases mostly occupying the posterior depending lung segments indicative of poor inspirational mechanics and bilateral atelectasis. There is no significant amount of pleural effusion as the posterior pleural sinuses are free on the lateral view. In the lung mid fields and the upper portions, there is no evidence of any acute pulmonary parenchymal infiltrate and no pneumothorax is identified in the apical area on the frontal view. When comparison is made with the previous examination of <unk>, the patient had already at that time minor basal atelectasis. These changes have increased dramatically and are most likely the result of poor post-operative breathing dynamics. Parenchymal densities typical for post-operative aspiration pneumonias or inflammatory processes cannot be identified on this pa and lateral chest examination.
<unk>-year-old female patient with fever and leukocytosis. post-operative day <num> from laparotomy converted to open cholecystectomy, evaluate for consolidation.
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Mild elevation of the right hemidiaphragm is unchanged. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>m with chest pain // eval for structural process
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The left chest port-a-cath terminates in the upper svc, unchanged from <unk>. Lung volumes are slightly lower than in <unk>, accentuating pulmonary vasculature. The lungs are otherwise clear. There is no pneumothorax or pleural effusion.
<unk>m with weakness, hiv // eval for pna
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The size of the left pleural effusion has decreased, but remains moderate in size. The lungs are otherwise clear. The pulmonary vasculature is normal. The cardiomediastinal silhouette is stable. There is no pneumothorax.
<unk> year old woman with left pleural effusion (?hepatic hydrothorax) // evaluate to see if there has been a decrease in effusion
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Median sternotomy wires are intact. The heart is mildly enlarged. The aorta is tortuous. There is mild pulmonary vascular congestion. There is no focal consolidation to suggest pneumonia. Linear opacity at the right lung base is most consistent with atelectasis. There is no pleural effusion or pneumothorax.
<unk>m with asthma, cabg, presents with <num> day of shortness of breath, cough, cold like symptoms, evaluate for pneumonia
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Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiac silhouette is at upper limits of normal. No acute osseous abnormalities identified.
<unk>-year-old female with chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Mild cardiomegaly is stable. Cardiomediastinal silhouette stable. There is no pulmonary vascular congestion or edema.
history: <unk>f with cough // r/o acute process
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Pa and lateral chest views were obtained with the patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination of <unk>. The heart size is within normal limits. No typical configuration abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. 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. No evidence of pneumothorax in the apical area on frontal view. Comparison with the next preceding chest examination of <unk> does not show any significant interval change. As before, there is some evidence of moderate degree of degenerative changes in the thoracic spine but no evidence of vertebral body compression or gross skeletal abnormalities in the thoracic area are seen. There is no evidence of reoccurrence of a pneumonic infiltrate that was shown on a chest examination of <unk>.
<unk>-year-old female patient with "chest congestion" for two weeks, evaluate for consolidation.
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The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aortic arch. Median sternotomy wires and mediastinal clips are again noted.
<unk> year old woman with cad p/w chest pain and doe // r/o acute process
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Pa and lateral views of the chest provided. Midline sternotomy wires, mediastinal clips and dual lead pacer appear unchanged in position. 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>f with cough and fever // eval for pneumonia
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The lungs are clear without focal consolidation. Mild bilateral vascular congestion decreased when compared to that seen in <unk>. No pulmonary edema. No pleural effusion or pneumothorax is seen. Cardiac silhouette is enlarged but unchanged.
<unk> year old woman with history of esrd on dialysis with one week history of productive cough with right basilar crackles. // please evaluate for cardiopulmonary process.
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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. No acute fracture. Deformity of the right distal clavicle again noted. No free air below the right hemidiaphragm is seen.
<unk>f with seizure d/o p/w seizure
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Ap upright and lateral views of the chest provided. Lung volumes are low and patient is slightly rotated to the right limiting assessment. Allowing for this, there is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. The aorta is calcified and slightly unfolded. Heart size appears grossly stable. Bony structures appear grossly intact.
<unk>f with weakness // eval for pna
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
female status post renal transplant with cough. assess for pneumonia.
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Pa and lateral chest views have been obtained with patient upright position. There is moderate cardiac enlargement. The configuration suggests a left ventricular prominence to the left and posteriorly. In addition, the thoracic aorta is moderately widened and elongated. No local aortic abnormal contours are identified. The pulmonary vasculature is not congested. No signs of acute infiltrates and the pleural spaces are free. No pneumothorax in the apical area. Skeletal structures grossly within normal limits. When comparison is made with the preceding portable chest examination of <unk>, the that time existing local chest wall emphysema in the lower neck area has resolved. The previously present ng tube has been withdrawn. The retrocardiac area appears now unremarkable.
<unk>-year-old female patient status post laparoscopic nissen, hiatal hernia repair on <unk>, evaluate for interval change.
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The previously identified left lower lobe pneumonia has resolved. The lungs are now clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of crohn's disease with a recent pneumonia. evaluate for resolution.
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Pa and lateral views the chest were provided. Lungs are clear. No pleural effusion or pneumothorax. The heart mediastinal contours are normal. Bony structures are intact.
<unk>-year-old man with back and chest pain.
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Ap upright and lateral views of the chest provided. Overlying ekg leads are present. Lungs are clear and well inflated. Biapical pleural calcification noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcification again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with syncopal episode in bathroom this am
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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 uc/psc being evaluated for liver tx. // pre-transplant assesssment
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As compared to the previous radiograph, the pleural effusion on the right and on the left has minimally increased. Otherwise, there is unchanged appearance of the lung with known atelectasis at both lung bases and known right hilar and right apical changes. In the interval, the previously placed picc line on the right has been removed. Unchanged appearance of the cardiac silhouette.
lung adenocarcinoma, lobar resection, fever.
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Lung volumes are relatively low.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
*** code cord *** history: <unk>m with preop // preop
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The lung volumes are low. No focal consolidation is seen. The cardiac silhouette is stably enlarged. Mild pulmonary vascular congestion is minimally worse mediastinal contours unchanged. There is no pleural effusion or pneumothorax. There are median sternotomy wires and transvenous pacing leads ending in the right atrium and right ventricle
<unk>m with seizures, evaluate for pneumonia.
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Frontal and lateral views of the chest. Linear right mid lung opacity laterally is unchanged and may be due to scarring. Elsewhere, the lungs are clear without consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette is within normal limits. Tortuous descending thoracic aorta is noted. There is no evidence of a large hiatal hernia. Mild anterior wedging of mid thoracic vertebral bodies with accentuated kyphosis is unchanged. No acute osseous abnormalities.
<unk>-year-old female with inflation of esophageal stricture.
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A right-sided port-a-cath is in appropriate position and terminates at the cavoatrial junction. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. A moderate, possibly partially loculated right pleural effusion is slightly decreased. Right middle lobe and right lower lobe atelectasis is again seen with mild improvement of the right middle lobe atelectasis. The left lung is clear. No pneumothorax is seen.
<unk>-year-old woman with ovarian cancer. // patient with pain at site of port. please assess placement of port.
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The patient is status post median sternotomy. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality seen.
mitral valve repair with dyspnea on exertion and fatigue.
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Redemonstrated is a left central port, unchanged in location. As compared to chest radiographs dated <unk>, there has been partial improvement in the airspace opacities affecting the right lung base and right perihilar region. A stable, small right pleural effusion is noted. There is no new focus of consolidation identified. The left lung is grossly clear, and there is no evidence of pneumothorax. Stable, mild to moderate cardiomegaly is appreciated.
history of right chylothorax, status post thoracentesis.
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The lungs are normally expanded and clear. There is a large hiatal hernia containing an air-fluid level in the left hemithorax. There is no evidence of pneumonia. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
vomiting, belching and inability to tolerate p.o. with history of hiatal hernia. evaluate hiatal hernia.
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Frontal and lateral radiographs of the chest show decreased size of small left pleural effusion from <unk> with persistent atelectasis of the left lung base, improved from the preceding radiograph. There is persistent blunting of the right costophrenic angle with improved aeration in the right lung base consistent with decreased size of small right pleural effusion. The lungs are otherwise well aerated without focal consolidation or pneumothorax. A large air-fluid level is seen in the neoesophagus along its course in the right paramediastinal region in the posterior right hemithorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged from the preceding radiograph. A left pectoral port-a-cath is unchanged in position with the tip terminating in the cavoatrial junction. A wedge compression fracture deformity of the mid thoracic spine is unchanged.
<unk>-year-old male status post esophagectomy, now with cough and fatigue, here to evaluate for interval change or pneumonia.
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The heart is at the upper limits of normal. The lungs are clear except for minimal linear bibasilar atelectasis or scar. Tubing projecting over the left upper quadrant is unchanged from <unk>. There is no pneumothorax, fracture or dislocation.
history: <unk>f with sob cough // r/o 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. A biliary stent projects over the right upper quadrant.
fever and recent diagnosis of hepatic mass.
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Low lung volumes are present. This causes accentuation of the cardiac silhouette size which is likely moderately enlarged. The aorta is unfolded. Apparent widening of the superior mediastinum is likely exaggerated by ap technique and low lung volumes. There is crowding of the bronchovascular structures. Patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is identified. Marked degenerative changes of the right glenohumeral joint are incompletely imaged. Thoracolumbar scoliosis is again noted.
chronic pain, acute worsening with numbness and tingling in extremities, preoperative evaluation.
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Moderate enlargement of the cardiac silhouette is on change from the prior study. Mediastinal contour appears similar. There is mild central pulmonary vascular congestion, likely accentuated by lower lung volumes than on the prior study. Small bilateral pleural effusions, larger on the left, are not substantially changed in size from the previous radiograph. Patchy opacities in the lung bases may reflect areas of atelectasis but infection or aspiration cannot be excluded. There is no pneumothorax. Moderate degenerative changes in the thoracic spine are re- demonstrated.
history: <unk>m with chf // evaluate for pulmonary edema
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There are somewhat low lung volumes, but the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with chest pain // r/o acute process
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The lungs are clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The heart is normal in size. The descending aorta is slightly tortuous or ectatic. The hila and mediastinum are within normal limits.
<unk> year old woman with peristent cough for <num> months // chronic cough
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Lungs remain hyperinflated suggestive of underlying copd. Heart size is normal. The aorta remains tortuous with scattered calcifications. Calcified left upper lobe granuloma and calcified right mediastinal lymph node suggests prior granulomatous disease. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Persistent blunting of the right costophrenic sulcus likely reflects chronic pleural thickening or scarring. There are no acute osseous abnormalities.
cough.
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The lungs are hyperinflated and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures are identified.
history: <unk>m with chest pain // eval for structural process
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Stable bilateral low lung volumes. The lungs are clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Top normal heart size, overall unchanged. Overall stable appearance and mediastinal contours. Stable slightly dilated or descending aorta. Degenerative changes are noted in the bilateral costochondral junction. Anterior osteophytes are noted in the upper thoracic spine.
<unk>-year-old man with tia; evaluate for pneumonia and edema.
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Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation, or pneumothorax is seen. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. A round density projecting just inferior to distal left clavicle may be artifactual or represent soft tissue calcification.
patient status post fall.
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When compared to prior, there has been no significant interval change. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Degenerative changes noted at the shoulders bilaterally, no acute osseous abnormalities identified.
<unk>f with weakness // eval for pna
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Heart size is top normal with redemonstration of post-surgical mediastinal contour. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
chf with palpitations.
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Frontal and lateral views of the chest were obtained. The heart is of normal size. Minimal leftward shift of the cardiac silhouette, similar to prior, is likely related to the patient's pectus excavatum. Hazy opacity adjacent to the right heart border is similar to prior and also likely related to pectus excavatum. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with cough for two weeks. evaluate for pneumonia.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Patchy left basilar opacity is most consistent with atelectasis.
<unk>-year-old man with llq abd pain and fevers, hx diverticulitis in the past as well as pancreatitis/etoh cirrhosis,
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The swan-ganz catheter is been removed. Sternal wires are again visualized. There is mild cardiomegaly. There bilateral pleural effusions right greater than left with volume loss in both lower lobes, right more so than left. There is mild pulmonary vascular redistribution. Compared to the prior exam the amount of volume loss in the lower lobes has increased but the vascular plethora has decreased
<unk> year old man s/p cabg // post-op baseline
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There are low lung volumes, which accentuate the bronchovascular markings. There is mild elevation of the right hemidiaphragm and overlying atelectasis. There is fluid in the minor fissure versus thickening of the fissure, likely fluid. Mild central pulmonary vascular congestion is seen. There is no focal consolidation or pleural effusion. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable given low lung volumes.
shortness of breath status post fall question pneumothorax.
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The right infrahilar patchy opacity is unchanged from <unk> and likely represents normal vascularity. Mild linear atelectasis is seen at the left lung base, which is new. Heart size is normal. No pleural effusion or pneumothorax. Osseous structures are grossly normal.
history: <unk>f with shortness of breath. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are slightly hyperinflated but clear. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with shortness of breath.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear on the frontal view. There is increased opacity projecting over the lower lungs anteriorly and posteriorly on the lateral, which is likely due to extremely low lung volumes on this projection. Costophrenic angles are sharp. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain radiating to left shoulder. also with lower back pain. question infiltrate.
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The lungs are hypoinflated, accounting for bronchovascular crowding. No focal opacities are seen concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with dyspnea.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Bilateral total shoulder arthroplasties are incompletely imaged.
chest pain.
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Pa and lateral views of the chest demonstrate the lungs are well-expanded and clear. There is no evidence of pleural effusion, pneumothorax or pulmonary edema. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with chest pain for <num> week. evaluation for pneumonia.
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The extreme lung apices are excluded from the field of view. Otherwise, the lungs are clear without focal consolidation. The heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
fever and neck pain.
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In comparison with the study of <unk>, there is little change in the degree of opacification at the left costophrenic angle, consistent with recurrent effusion. Otherwise, no vascular congestion or acute focal pneumonia. Again noted is chronic interposition between the liver and hemidiaphragm.
left effusion, to assess for increased fluid.
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The right lung is essentially clear. A moderate loculated left pleural effusion is again noted with left retrocardiac opacity, likely representing atelectasis, similar to the prior study. There is no right pleural effusion. There is no pneumothorax. Hilar prominence is consistent with pulmonary vascular congestion. Cardiomediastinal contours are stable. Pacemaker device is present with leads terminating in unchanged positions. Median sternotomy wires are noted.
<unk>m with syncope // r/o acute process
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Pa and lateral radiographs were acquired. Lung volumes are slightly low. There is a nodular density in the right suprahilar region that may represent a confluence of shadows and possibly converging vascular structures, but the possibility of a lung nodule should be considered. Suture material is also present in the vicinity. The lungs are otherwise clear. Suture material is seen within the right lower lung. Heart size is top normal. The mediastinal contours are normal aside from slight unfolding of the descending thoracic aorta. There are no pleural effusions. No pneumothorax is seen. Surgical clips are seen in the right upper quadrant of the abdomen. A bullet fragment is noted in the region of the epigastrium.
increasing cough over the past week, productive. uncomfortable and tachypneic in the ed. evaluate for pneumonia.
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The patient has received a left pectoral pacemaker. The lead projects over the right ventricle and shows a normal course. Mild elevation of the left hemidiaphragm due to inflated small bowel loop. No pleural effusions. No pulmonary edema. No pneumonia. Normal size of the cardiac silhouette.
pacemaker implantation.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lung volumes are low, but there is no focal consolidation concerning for pneumonia.
<unk>m with cough, pain on side of chest // e/o pna
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Frontal and lateral chest radiographs demonstrate unchanged flattening of the hemidiaphragms consistent with copd. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The pulmonary vasculature is normal. There is unchanged degenerative appearance of the thoracic spine.
<unk>-year-old male with altered mental status, question pneumonia.
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A single ap portable chest radiograph was obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal.
fever shortness of breath.
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Pa and lateral views of the chest demonstrate the lungs are well expanded with no evidence of focal consolidation, pneumothorax or pleural effusion. Cardiomediastinal silhouette is stable. No rib fractures are identified on this study. An <num>mm right upper lobe nodule is redemonstrated, unchanged since prior ct from <unk>.
<unk>-year-old man with mechanical fall on to right side with lateral rib pain. evaluation for right-sided rib fractures status post fall.
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There are faint bibasilar atelectatic changes. There is no focal lung consolidation. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with muscle aches. please assess for pneumonia.
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Pa and lateral chest radiographs. Left retrocardiac opacity continues to improve, but has not resolved. Nodular density overlying the anterior right <num>nd rib is not seen on priors. Tracheomegaly is again noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
left retrocardiac opacity present since <unk>.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.
severe abdominal pain.
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As compared to the previous radiograph, there is no relevant change. The extent of the pleural effusions, both on the left and on the right, is constant. No new parenchymal abnormalities. Areas of atelectasis subsequent to the effusions. Unchanged size of the cardiac silhouette. Unchanged evidence of multiple pathologic fractures in virtually all sections of the chest wall and shoulders.
recurrent effusion.
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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 effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath.
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The lungs are clear. There is no consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified, mild height loss of lower thoracic vertebral body levels is unchanged.
<unk>m with sob // r/o pe
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Pa and lateral views of the chest provided. Marked cardiomegaly is again noted streaky retrocardiac opacity likely reflect scarring or atelectasis. No large effusion or pneumothorax. The thoracic aorta is mildly unfolded. No evidence of edema. Bony structures are intact with multilevel degenerative changes in the t-spine.
<unk>f with cough and fever. cxr yesterday at <unk> showed small left pleural effusion.
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There is a linear area of atelectasis in the left lung base. There is no focal consolidation, pleural effusion, or pneumothorax. There is mild cardiomegaly. The hilar contours are within normal limits.
leukocytosis is a likely rheumatologic process. evaluation for possible infiltrates.
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Pa and lateral views of the chest were reviewed. Compared to the most recent prior study, lung volumes have increased and the small right pneumothorax has increased. The pneumothorax extends from the right apex laterally into the right costophrenic angle and along the diaphragm. A pigtail catheter in the right lung is unchanged in position. Median sternotomy wires are intact and aligned. A left pectoral single lead pacer is unchanged. Increased opacity in the left lung below the pacer is unchanged. Increased opacity in the right upper lung is unchanged and expected post ablation. The heart size and shape as well as the tortuosity of the aorta are unchanged. There is no pulmonary edema pleural effusion.
evaluation of interval of a pneumothorax in a patient status post chest tube to water seal.
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Right picc tip projects over the mid superior vena cava. No pneumothorax is detected. Lung volumes are low with mild pulmonary edema. Cardiomegaly persists. No pleural effusion or focal consolidation is seen. Pacing hardware, surgical clips, and sternal wires are again seen.
<unk>-year-old male with picc.