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

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Lungs are hyperinflated. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Mild dextroscoliosis of the lower thoracic spine is again noted.

<unk>f with shortness of breath. // evaluate for pneumonia

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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.

history: <unk>f with fever // acute cardiopulm disease

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Cardiomediastinal silhouette is within normal limits. Biapical scarring and upper lobe volume loss is unchanged. There is no pleural effusion or pneumothorax.

history: <unk>m with <unk> chills // ? pna

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

history: <unk>f with abdominal pain and nausea, to have <num>sets, no stress for low risk chest pain. // pna?

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The lungs remain relatively hyperinflated. Lateral left base opacity may be due to atelectasis although an early pneumonia is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mild to moderately enlarged. Mediastinal contours are stable and unremarkable. No pulmonary edema is seen.

history: <unk>m with new palpitations. // r/o pna

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Frontal and lateral views of the chest. The lungs are hyperinflated. Nodular opacities projecting over the left lower lung again seen, unchanged. Nodule projecting over the right lung base most likely a nipple shadow. There is slightly increased opacity projecting over the right lung base on the frontal view. Mild atelectasis/scarring with fat pad seen at the right costophrenic angle. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with left leg weakness and difficulty walking since this morning.

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Pa and lateral views of the chest provided. Midline sternotomy wires, prosthetic cardiac valve and mediastinal clips are again noted. A retrocardiac opacity is compatible with known hiatal hernia. Faint linear density in the left lower lung is likely atelectasis. No focal consolidation, large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal. Bony structures are intact.

<unk>f with left chest pain //? pneumothorax

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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. In the setting of low lung volumes, there is no overt evidence for pneumonia edema, effusion or pneumothorax. Cardiomediastinal silhouette appears prominent though this is likely due to technique. Bony structures are intact.

<unk>m with intermittent cp x <num> months referred from pcp for recurrent episode

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The lungs are clear. Heart and mediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with cough, shortness of breath, chest tightness // eval pneumonia, or other acute process

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

<unk>m with <num> week intermittent l sided cp, recently had l sided picc removed // eval for consolidation, cardiomegaly

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Since the prior cxr, there is no significant change in appearance of the right-sided layering empyema and loculated gas collection at the right lung base. These findings are characterized on recent ct performed <unk>. No new areas of consolidation. Left lung is essentially clear. No pneumothorax. Stable cardiomegaly. Single lead pacemaker is unchanged in position and terminates in the right ventricle.

<unk> year old man with right sided empyema // assess for interval change

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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. There is no pulmonary edema. Degenerative changes in the spine and old rib fractures are noted.

<unk>-year-old man with a history of cad with chest pain x <num> week, evaluate for pneumonia or edema.

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Moderate cardiomegaly is persistent compared to exams dated back to <unk>. There is a right-sided pic line which terminates in the mid svc. Sternal wires appear to be intact without evidence of fracture. Small bilateral effusions are persistent. There is mild bibasilar atelectasis. There is no evidence of a pneumothorax.

history of mitral valve replacement. please evaluate.

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Status post removal of the right chest tube. Unchanged small right pneumothorax. There is persistent elevation of the right hemithorax. No focal consolidation. Trace right pleural effusion. The size of the cardiac silhouette is enlarged but unchanged.

<unk> year old woman s/p rll // r/o ptx post ct removal

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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.

history: <unk>f with new seizure // eval for infiltrate

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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is an area of linear atelectasis at the left lung base. There is otherwise no focal consolidation, pleural effusion or pneumothorax. Surgical chain sutures are seen in the right upper lung field. Cholecystectomy clips are seen in the right upper quadrant. Sutures are seen over the left abdomen. There is no evidence of free air.

weakness, not feeling well. rule out pneumonia.

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Frontal and lateral views of the chest. When compared to most recent exam from <unk>, there has been improvement in bibasilar opacities which was more prominent on the right than on the left. These, however, were not present in <unk>. Superiorly, the lungs are clear. Cardiac silhouette is mildly enlarged. Dense atherosclerotic calcifications seen in the aorta. No acute osseous abnormality is identified.

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

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Overall, there has been little change from the radiograph of earlier the same day. Bibasilar opacities appear similar, likely representing atelectasis, although short interval stability does not exclude an infectious process. No frank consolidation is seen. There is probably a trace right pleural effusion. There is no pneumothorax or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Density projecting over the left upper lobe is consistent with a granuloma.

<unk>m with fever pod<num> from spine surgery, evaluate for infectious process.

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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

cough, fevers, chest pain x.

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There are relatively low lung volumes, which accentuate the bronchovascular markings. Patchy medial right base opacity may represent atelectasis and overlapping structures, but consolidation is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk> year old woman with fever /cough // fever cough

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Lung volumes are low. The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

<unk>f with persistent cough fevers and chills despite antibiodics // r/o infectious process

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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax is present. Eventration of the right hemidiaphragm is present. There are no acute osseous abnormalities.

shortness of breath and chest pain.

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Ap upright and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. Tiny surgical clips are seen projecting over the right chest wall. Cardiomediastinal silhouette is normal. No acute osseous injury is seen. A coarse calcific density projecting over the left scapular neck is unchanged from prior exam and may reflect synovial osteochondromatosis.

<unk>f with patella fx, preop chest radiograph.

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Pa and lateral views of the chest. The lungs remain clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected. Linear opacities seen in the neck on the left, potentially surgical clips, unchanged.

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

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Right chest wall port catheter tip is unchanged in position. Lungs are well-expanded. There is no focal consolidation, pleural effusion or pneumothorax. Retrocardiac atlectasis is stable. Again seen is eventration of the right hemidiaphragm. Cardiomediastinal silhouette is stable. Healed left rib fractures noted. Imaged upper abdomen is unremarkable.

<unk> year old woman with hx of multiple myeloma presenting for fever and headaches after it depocyt therapy.

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Left-sided port-a-cath tip terminates in the mid svc. Heart size remains moderately enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. A small right pleural effusion is similar in size with adjacent atelectasis in the right lung base. Lungs remain hyperinflated. A small apical left pneumothorax appears to be present not clearly noted on the prior exam. Mild multilevel degenerative changes are seen in the thoracic spine. No subdiaphragmatic free air is seen.

epigastric pain.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Linear opacities are noted within the medial aspect of the right upper lobe and right mid lung field likely related to the patient's history of prior pleural mass excision. Linear opacity in the left lung base with tenting of the diaphragm is compatible with atelectasis. No focal consolidation, pleural effusion, mass lesion, or pneumothorax is present. No pulmonary vascular congestion is seen. There are no acute osseous abnormalities.

ill-defined history of benign pleural mass excision now with cough and scant hemoptysis.

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The lungs are hypoinflated, accounting for bronchovascular crowding. Compared with prior exam there is interval improvement of mild-to-moderate cardiomegaly. Otherwise cardiomegaly as on hilar contours unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with dizziness and dyspnea on exertion.

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Pa and lateral chest views were obtained with patient upright position. Comparison is made with the next preceding similar study of <unk>. The heart size remains within normal limits. No configurational abnormality is seen. Unremarkable presentation of thoracic aorta. The pulmonary vasculature is not congested. There is evidence of multiple surgical biopsy interventions performed in this patient with a metastatic testicular teratoma. One can identify multiple local pleural densities in the right hemithorax and evidence of surgical clips in the right mid portion and lower area consistent with previous wedge biopsies and removal of metastases. Similar changes exist also on the left side with local pleural thickenings and evidence of surgical clips in the left upper lobe area with linear pulmonary scar formations and local thickening in the apical area. There is no evidence of pulmonary congestion, local pneumothorax or massive pleural effusions in this patient with now acute left-sided shoulder pain. Our records include multiple chest examinations dating from <unk>. The next preceding available chest examination is dated <unk>. This finding of postoperative scar formations have actually regressed and on the present examination no acute findings are imminent. A further evaluation with chest ct is recommended after discussion with referring physician, <unk>. <unk>.

<unk>-year-old male patient with history of metastatic testicular carcinoma and teratoma, status post resection in lung who has intermittent left upper scapular pain near surgical site. locating for course of intermittent left upper scapular pain.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. No obvious displaced osseous injury.

<unk>-year-old male status post fall with back pain. question injury.

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There is a large right lung opacity measuring approximately <unk> x <num> cm, occupying nearly the totality of the paramediastinal region of the right lung. There is also an associated right-sided pleural effusion. Assessment of neoplastic process versus pulmonary inflammation within this consolidation is limited due to the lack of comparison studies. The left lung is unremarkable, without pleural effusion or focal opacity. The heart is not enlarged. There is no evidence of pneumothorax. Biapical pleuroparenchymal scarring is present, right greater than left.

patient with newly diagnosed right upper lobe mass, presenting for further evaluation with shortness of breath. evaluate.

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Moderate scoliosis and kyphosis. Mild pulmonary edema with small to moderate left and small right pleural effusion. The retrocardiac opacity is probably a combination of atelectasis and pleural effusion, but could hide pneumonia. Right lower lobe opacity also likely atelectasis. Mild cardiomegaly. Moderate hiatal hernia.

<unk> year old woman with new o<num> requirement // ?atlectasis vs fluid overload vs pna

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Left pectoral aicd with intact leads seen projecting over the right atrium and right ventricle. Minimal left basilar atelectasis. A linear, <unk>-<unk> opacity is seen in the retrocardiac region, corresponding to an area of pneumonia in <unk>, and likely representing a residual scar. No pleural effusion, pneumothorax, or pulmonary edema is identified. Stable, mild cardiomegaly. Mediastinal hilar contours are normal.

vt on amiodarone, evaluate for toxicity.

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Elevation of the right hemidiaphragm is noted. The heart size is moderately enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. There is subsegmental atelectasis within the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

history: <unk>m with palpitations, dyspnea

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Frontal and lateral views of the chest. There is mild indistinctness of the pulmonary vascular markings, new since prior. Blunting of the right posterior costophrenic angle raises possibility of small effusion, decreased since prior. Cardiomediastinal silhouette is difficult to assess given overlying the right chest wall pacing device which partially obscures the silhouette. Prosthetic aortic valve is seen as well as median sternotomy wires. Bones are diffusely osteopenic. No definite acute osseous abnormality detected. Degenerative changes noted at the shoulders bilaterally. Severe lower thoracic upper lumbar levoscoliosis is seen.

<unk>-year-old female status post fall.

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Prominence of the central pulmonary vasculature suggests central vascular engorgement. Left base opacity is seen which may be due to atelectasis and overlap of structures, however consolidation due to pneumonia is difficult to exclude. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Degenerative changes seen at the acromioclavicular joint.

history: <unk>f with shaking chills and low grade temp // ? pna

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouette appear unremarkable. Heart size is normal. There is no pulmonary edema. Biapical pleural thickening/scarring is noted.

dyspnea.

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Cardiomediastinal contours are stable with cardiac size normal and tortuous aorta. . The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine

<unk> year old woman with abdominal mass // ? lung mets

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Pa and lateral views of the chest. The lungs are well expanded and clear of focal consolidation. Subtle asymmetric left basilar opacity is compatible with scarring, unchanged. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with wegener's and renal disease. question pneumonia before steroids.

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As compared to the previous radiograph, there is no relevant change. The known malignancy in the right lung, combined to hilar and right apical opacities as well as to elevation of the right hemidiaphragm is unchanged. The appearance of the left lung is also constant, there is no evidence of pneumonia or other acute lung parenchymal change. Unchanged size of the cardiac silhouette.

small cell lung cancer, cough, evaluation for interval change.

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. The heart is top normal in size. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with chest pain // ? chf

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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. Left humeral head replacement is noted, new from prior. No free air below the right hemidiaphragm is seen.

<unk> year old man with cp and sob, pls eval for pna vs edema.

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The lungs are well-expanded and clear. No focal consolidations. No pulmonary edema. Normal cardiomediastinal silhouette. No pleural effusion. No pneumothorax.

history: <unk>f with r anterior chest wall / breast pain x <num> hours, tender to palpation // eval ? subcutaneous lesion, r sided infiltrate

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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous aortic contour. Right shoulder arthroplasty is incompletely imaged.

chest pain and shortness of breath, assess for pneumonia.

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Patient is status post median sternotomy and cabg. Cardiac silhouette size is mild to moderately enlarged. The aorta is mildly tortuous. Lung volumes are slightly low which results in crowding of bronchovascular structures, but no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. There are moderate degenerative changes seen in the thoracic spine.

history: <unk>m with syncope, shortness of breath

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There is slight increase in interstitial markings bilaterally which could be due to chronic lung disease versus minimal interstitial edema. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly stable.

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

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Mild cardiomegaly is stable compared to exams dated back to <unk>. Right perihilar mass appears slightly larger compared to the prior study from <unk>. Heterogeneous opacities at the right lung base likely secondary to mild pulmonary edema, and small right pleural effusion have increased compared to the most recent prior exam. Mild left basilar atelectasis is persistent. Small left pleural effusion is stable. There is no evidence of a pneumothorax.

history of hypoglycemia, weakness. please evaluate for infiltrate.

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Pa and lateral views of the chest provided. Left atrioventricular pacemaker is unchanged. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. The aorta is mildly tortuous, otherwise the hilar and cardiomediastinal contours are normal.

<unk> year old woman with cough for <num> weeks with wheezing. // pna?

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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>f with cough, fever // r/o infiltrate

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In comparison with the study of <unk>, the patient has taken a much better inspiration. There is continued enlargement of the cardiac silhouette without definite vascular congestion. Substantial dilatation of the gas-filled colon is seen.

colonic obstruction, dementia and new cough.

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Pa and lateral chest radiographs were provided. Again seen is a large paramediastinal opacity, similar to the previous exam. A right pleural effusion is again noted. Increased right basilar opacity may represent increasing effusion or pneumonia. The left lung is relatively clear with pleural plaques, unchanged since the previous exam. Cardiomediastinal silhouette is unchanged.

history of lung cancer presenting with shortness of breath, tachycardia and hypoxia. question pneumonia.

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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. Multiple anterior osteophytes are demonstrated within the thoracic spine. Surgical clips are noted in the right upper quadrant of the abdomen.

shortness of breath

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Frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature and right lower lobe atelectasis or contusion. No pleural effusion or left pneumothorax. Stable moderate right apical and basilar pneumothorax. A right chest tube courses inferioromedially, with apparent) abdominal course on lateral radiograph heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Minimally displaced rib fracture through posterior sixth right rib.

status post chest tube placement for pneumothorax. assess chest tube.

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In comparison with study of <unk>, there has been some decrease in the degree of still prominent right effusion. This raises the possibility of an interval thoracentesis. The left lung is clear. No evidence of pneumothorax.

pleural effusion evaluation.

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The heart is mild-to-moderately enlarged. There is hazy perihilar opacification with indistinct pulmonary vascularity and increased interstitial markings, consistent with mild-to-moderate pulmonary edema. Very small bilateral pleural effusions are suspected. Fissures appear thickened. Minimal linear atelectasis is noted in the posterior right lower lobe, but there is no definite evidence for pneumonia.

shortness of breath. noncompliance with lasix.

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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural abnormalities.

evaluate for signs of pulmonary embolism or other acute process in a patient with chest pain.

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Compared with earlier the same day, i doubt significant interval change. Again seen is a small right apical pneumothorax as well as a probable small loculated pneumothorax at the right lung base. Allowing for technical differences, the pneumothoraces do not appear significantly changed.

<unk> year old man with right apical ptx and pleural effusion s/p chest tube clamping. please schedule cxr for <num>pm on <unk> // eval for interval change in pleural effusion and ptx

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As previously noted, there is left hemithorax volume loss due to prior left lower lobectomy. A consolidative and fibrotic process with associated fiducial markers remains in place laterally in the left upper lung zone. This is stable compared to multiple prior exams. While there is a mild accentuation of the interstitial markings, no focal consolidation or superimposed edema is noted. Mild aortic tortuosity with calcified plaque at the arch is again noted. The cardiac silhouette remains enlarged but stable. No definite effusion or pneumothorax is noted. Degenerative changes are noted throughout the thoracic spine and in bilateral shoulders. No displaced rib fractures are evident. There are no suspicious lucent lesions.

trauma from fall with confusion.

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When compared to prior, there has been no significant interval change. There is mild pulmonary vascular congestion. Possible trace effusions are identified. Degree of cardiomegaly is unchanged. Median sternotomy wires and mediastinal clips again noted.

<unk>f with leg swelling // ?pulm edema

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

<unk> year old man with cough, sob and r lung crackles // r/o pneumonia

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The cardiomediastinal and hilar contours are within normal limits. Opacities in the lingula and right middle lobe are demonstrated and concerning for multifocal pneumonia. No large pleural effusion or pneumothorax is seen.

<unk> year old woman with hx of all, s/p allo with low grade fevers and recurrent cough. please r/o pna. // <unk> year old woman with hx of all, s/p allo with low grade fevers and recurrent cough. please r/o pna.

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Pa and lateral views of the chest provided. A right-sided chest tube is in place with catheter projecting over the medial right lower lung. Sternotomy wires and mediastinal clips are noted. The patient is slightly leftward rotated. There is mild elevation of the right hemidiaphragm. Subtle opacity in the right lower lung may represent pneumonia. Difficult to exclude a small right pleural effusion. The left lung appears grossly clear. The heart within normal limits of size. Aortic calcification is significant. No large pneumothorax. Bony structures appear intact.

<unk>f with recurrent pleural effusions, pleural cath in place. crackles on auscultation.

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The left subclavian central venous line has been removed. Left chest wall surgical skin <unk> are again noted. There has been no appreciable interval change in the moderate partially loculated left pleural effusion with a trace left apical pneumothorax and associated retrocardiac airspace opacity. The right lung remains clear.

<unk> year old man s/p left decortication // check interval change

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There are moderate bilateral pleural effusions, slightly larger than on the study of <num> days prior. There continues to be moderate cardiomegaly with pulmonary vascular redistribution and alveolar infiltrates most marked in the lower lobes, right greater than left.

evaluate effusions.

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal. The osseous structures are intact.

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

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Right-sided dual lead pacemaker is seen is a lead using the expected positions of the right atrium and right ventricle. The patient is status post median sternotomy and cabg. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Evidence of dish is seen along the spine.

history: <unk>m with pain s/p fall // rib fracture

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The heart size is normal. The mediastinal and hilar contours are unchanged. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.

<num> days of dyspnea with minimal exertion and new diagnosis of myasthenia <unk>.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mild cardiomegaly again noted. . Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with chest pain // pna? h/o cardiomyopathy

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The heart is moderate to severely enlarged. Cardiac, mediastinal and hilar contours appear unchanged. In addition to mild background congestion there is a new diffuse mild to moderate interstitial abnormality most consistent with pulmonary edema. There is no definite pleural effusion or pneumothorax. Inferior vena cava filter projects over the right upper abdomen.

shortness of breath.

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Lung volumes are low, and the lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

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

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As compared to the previous radiograph, pre-existing minimal basal opacities bilaterally have completely resolved. Currently, there is no evidence of pneumonia or other acute lung change. No pulmonary edema. No pleural effusion, no pneumothorax. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Unchanged left pectoral pacemaker.

history of aml, worsening dyspnea, rule out acute process.

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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 overt pulmonary edema is seen. No displaced fracture is seen.

chest pain.

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In comparison with the study of <unk>, there again are low lung volumes which accentuate the transverse diameter of the cardiac silhouette in this patient with intact midline sternal wires from previous cabg procedure. Single-lead pacer extends to the region of the apex of the right ventricle. Mild retrocardiac atelectatic changes.

malignancy, to assess for metastases.

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The cardiomediastinal silhouette is within normal limits. The bilateral hila are unremarkable. Linear opacities near the left lung base are probably platelike atelectasis. More diffuse airspace in the right lower lung medially obscuring the right heart border may represent atelectasis, developing infection or sequelae of aspiration, or possibly small pulmonary contusions in the setting of recent trauma. Otherwise, the lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

<unk>m with trauma, evaluate for injuries, pneumothorax.

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The visualized lung fields are clear of any focal opacities, pleural effusion or pneumothorax. Scoliosis is again noted. The cardiomediastinal silhouette is unremarkable.

discharged for cellulitis with no new symptoms, now with fever of unclear etiology. evaluate for occult infection.

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There is stable moderate cardiomegaly with predominantly left ventricular enlargement. No change in aortic contour. Lungs are clear. No pleural effusion or pneumothorax present. Sternotomy sutures are midline and intact.

sharp chest pain radiating to shoulder. please assess for acute process.

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In comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is top normal. Cardiomediastinal and hilar silhouettes are normal. Cervical fusion hardware is incompletely evaluated on this study.

<unk> year diabetic old man with cough, fever, sweats. rales right base // r/o infiltrate

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The heart size remains top normal. The aorta is moderately tortuous but unchanged. The pulmonary arteries remain enlarged, suggestive of pulmonary arterial hypertension. There is minimal atelectasis in the lung bases. Blunting of the costophrenic angles posteriorly on the lateral view may be due to chronic pleural thickening. The lungs are hyperinflated compatible with copd. No pneumothorax or large pleural effusion is otherwise demonstrated. There are mild multilevel degenerative changes in the thoracic spine with slight loss of height of several mid and lower vertebral bodies.

copd and history of pneumothorax.

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A right chest tube is in unchanged position. A small right apical pneumothorax persists, similar in appearance to prior. Stable moderate cardiomegaly with improvement in pulmonary edema, now mild. A small right pleural effusion is present.

<unk> year old woman s/p vats. now sob // acute change?

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There is mild bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable compared to <unk>.

history: <unk>m s/p fall from standing // eval for structural injury

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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion. Cardiac silhouette is stable. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy. No free air is seen below the diaphragm.

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

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Frontal and lateral views of the chest. Low lung volumes are noted on all views. There is a right chest wall dual-lumen central venous catheter whose distal tip is in the proximal right atrium. There is no visualized pneumothorax. The cardiomediastinal silhouette is within normal limits. The lungs are clear. No acute osseous abnormalities.

<unk>-year-old male with right ij port pain.

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Mild to moderate pulmonary vascular congestion with associated pulmonary edema is new from the prior study. Retrocardiac opacity seen best on the lateral view may be due to edema, although superimposed infectious process is difficult to exclude. There is no pneumothorax. Allowing for technique cardiomediastinal silhouette is within normal limits. There is no displaced fracture.

<unk>m with chills, feeling unwell, evaluate for pneumonia.

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Pa and lateral views of the chest. There are better lung volumes. There is mild right basilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

cll, or shortness of breath and cough.

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Right basilar atelectasis is seen. Patchy right base opacity most likely relates atelectasis although infectious process is difficult to exclude in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with substernal chest pain, + cough // eval for consolidation

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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with transient left arm heaviness and numbness.

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There is retrocardiac opacification, localized to the lower lobe on the lateral, which may represent atelectasis, but is concerning for an early/developing pneumonia. The heart is mildly enlarged, which may be projectional. There is pulmonary vascular congestion, but no frank pulmonary edema. Probable small left pleural effusion. No pneumothorax.

history: <unk>f with sob, progressive ascites // please evaluate for acute process

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Pa and lateral views of the chest provided. Lung volumes are low, accentuating the heart silhouette. Pulmonary vasculature is prominent but there is no overt edema. Increased vascular pedicle width may also reflect slight volume overload. There are no focal consolidations concerning for pneumonia. There are no pleural effusions.

<unk>m with fever, evaluate for pna

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Slight tortuosity of the descending aorta is noted. Heart is normal in size. There is no pulmonary edema. Partial image of upper abdomen is unremarkable.

intractable hiccups for one week.

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Lungs are hyperinflated but clear without consolidation, effusion, or edema. Opacity projecting over the lingula is compatible with fat pad and adjacent scarring seen on prior exam. Cardiomediastinal silhouette is within normal limits. Calcifications in the region of the hilum on the left may be due to calcified lymph node. No acute osseous abnormalities.

<unk>m with chest pain // eval for pna, pneumothorax

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The cardiomediastinal and hilar contours are within normal limits. A retrocardiac opacity correlates with a subtle haziness projecting over the posterior lung bases on the lateral view. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

history: <unk>f with high fevers and cough // ? infiltrates

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The right-sided pleural effusion is still present but much smaller on today's study. There is unchanged right lower lobe opacity, consistent with persistent pneumonia. Aside from the interstitial markings consistent with the chronic fibrotic disease, the lungs are otherwise clear. There is no pneumothorax. The hilar and cardiomediastinal contours are normal.

evaluate for resolution of pneumonia and effusion.

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The patient is status post left thoracentesis with interval decrease in small left pleural effusion. There is no pneumothorax. A small right pleural effusion appears stable. Cardiac at the upper limits of normal. The upper lung fields remain clear.

status post left thoracentesis.

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

chest pain

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

<unk>m with bicycle accident w/ blunt strike to anterior chest wall // eval for rib fractures, pneumothorax

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Pa and lateral chest views could not be obtained as patient was examined in sitting semi-upright position. Ap frontal and left lateral views were obtained. Comparison is made with the frontal view of the trauma examination dated <unk>. Multiple fractures in right apical area involving first, second and at least third ribs are again identified and appear grossly unchanged in their position. Extensive soft tissue emphysema in right shoulder area and lower right neck as before. There is no conclusive evidence for any pneumothorax. Bilateral atelectatic linear densities are seen that appear similar as they were before. A chest ct examination performed during the examination interval demonstrated additional skeletal injury in scapula and clavicle. The on ct identified tiny apical pneumothorax cannot be seen on this portable single view chest examination.

<unk>-year-old male patient with right-sided pneumothorax, status post motorcycle collision, evaluate for changes in right-sided pneumothorax.

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Severe consolidation right lower lobe, and extensive central adenopathy are shown to better advantage on subsequent chest cta available the time of this review. Heart is normal size.

history: <unk>f with cough // evidence of pneumonia

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Evaluation of the lateral views is limited due to patient's arm positioning. The lung volumes are low which causes apparent enlargement of the cardiac silhouette. The aorta is slightly unfolded. The lungs are clear without focal opacity, pleural effusion or pneumothorax. There are degenerative changes in the right acromioclavicular and coracoclavicular joints.

<unk>-year-old woman with hypertension and altered mental status. evaluate for pneumonia.

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In comparison with the study of <unk>, the patient has taken a slightly better inspiration. There is still bilateral pleural effusions, more prominent on the right with pulmonary vascular congestion and substantial enlargement of the cardiac silhouette. Bibasilar compressive atelectasis. Single channel pacer defibrillator again exchanged the region of the apex of the right ventricle. There appears to be bullous changes in the apical region on the right. Slight impression on the right side of the lower cervical trachea could reflect a thyroid mass.

severe chf with diffuse pulmonary edema.

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

<unk>f with chest pain // chest pain, acute process