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

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Pa and lateral views of the chest provided. There is contour loss of the aortic notch, loss of aortopulmonary window, and abnormal bulging contour of the left perihilum. On lateral view, there is fullness of the retrosternal space. These findings are suggestive of a large perihilar process, for example lymphoma. There is otherwise no focal consolidation. Pulmonary vasculature is normal. Heart size is normal. Bony structures are normal.

<unk> year old woman with b/l supraclavicular lymphadenopathy, evaluate for malignancy

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Left apical pneumothorax is small. The degree of pleural fluid at the left lung base is similar, small. Right lung is clear. Left lower lobe atelectasis, sternal wires, and aortic valve replacement are similar to the prior radiograph. Mildly displaced left mid-clavicular fracture is unchanged in alignment and displacement from the prior radiographs. Known <num>st rib fracture is not well seen.

<unk> year old man w/ l hemoptx, l clavicle fx, <num>st rib fx // is hemopneumothorax resolving with chest tube to water seal?

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The patient is status post median sternotomy and cabg. Heart size is mildly enlarged. The mediastinal and hilar contours are unchanged. Lungs remain hyperinflated with apical predominant emphysema re- demonstrated. While linear opacities in the upper lobes are compatible with scarring, there is increased hazy opacification in both upper lobes. No pulmonary edema is present. Small to moderate size left pleural effusion is noted with bibasilar atelectasis. No pneumothorax is present. No acute osseous abnormality is visualized.

<unk>m with ascites, assess for pleural effusion

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk> year old man with recent liver transplant on immunosuppression with pancytopenia. evaluate for signs of infection.

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As compared to the previous radiograph, the extent, distribution, and severity of the pre-existing interstitial changes have increased. As a consequence, the lung volumes have decreased. Increase is particularly obvious at both lung bases and at the level of the left hemithorax. Borderline size of the cardiac silhouette. No other relevant changes.

dyspnea, interstitial lung disease.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. No typical configurational abnormalities identified. Thoracic aorta moderately widened and elongated as before with extensive calcium deposits in the wall at the level of the arch. The pulmonary vasculature is not congested. No signs of acute or chronic pulmonary parenchymal abnormalities are seen, and the lateral and posterior pleural sinuses are free.

<unk>-year-old male patient with worsening shortness of breath. evaluate for pneumonia.

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There are low lung volumes and associated bronchovascular crowding. There is bibasilar atelectasis, similar to prior exam. The lungs are otherwise clear. There is a small left pleural effusion, unchanged from prior. The cardiomediastinal silhouette enlarged, stable from prior exam. Median sternotomy wires and mediastinal clips are again noted. An old right rib resection is noted.

left thoracic pain, wheezing.

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Pa and lateral views of the chest provided. Lung volumes are low. Allowing for low lung volumes, the lungs appear clear without definite consolidation, effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with fever without a source, ha // evaluate for pneumonia

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Ap upright and lateral views of the chest provided. Spinal fusion hardware is again seen extending from the mid chest inferiorly. Tiny surgical clips again seen projecting over the right apex with adjacent suture material. Patient is known to have severe emphysema. Chronic left effusion and adjacent rounded atelectasis persists. There is minimal increased reticular opacity in the left mid lung which appears increase in overall conspicuity from the prior exam though appears most suggestive of scarring. No pneumothorax is seen. Overall cardiomediastinal silhouette is stable. Bony structures appear intact.

<unk>m with chest pain // ? ptx

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The lateral view is suboptimal as the patient's arms obscure assessment of the parenchyma. Heart size is normal. The mediastinal and hilar contours are unremarkable and unchanged. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes are seen in the imaged thoraco- lumbar spine. Severe degenerative changes of the right glenohumeral joint are also noted.

weakness.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Slight height loss of a lower thoracic/upper lumbar thoracic vertebral body is unchanged from prior abdominal ct.

<unk>f with near syncopal, weakness // r/o acute process

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Known numerous small pulmonary nodules measuring up to <num> mm are better delineated on dedicated chest ct from <unk>. The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.

fever and abdominal pain.

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The cardiac silhouette size is normal. Moderate size hiatal hernia is re- demonstrated. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Linear opacities in the lung bases are compatible with atelectasis. Calcified granuloma in the right middle lobe is unchanged. There is no pleural effusion or pneumothorax. No acute osseous abnormalities detected.

supraventricular tachycardia, hypertension.

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No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

history: fever and cough

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No consolidation or edema is noted. There is no pulmonary nodule or mass seen. There is mild aortic tortuosity. The cardiac silhouette is borderline enlarged. No effusion or pneumothorax is noted. Degenerative changes are seen throughout the thoracic spine.

tumors in the brain and eye.

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There is a right port-a-cath, which terminates in the right atrium. T left chest tube appears unchanged in orientation. The poorly defined opacity in the superior segment of the left lower lobe is unchanged. The left pleural effusion is also unchanged. The right lung is clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with pleural effusion // eval

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Frontal and lateral radiographs of the chest were acquired. A right picc is seen terminating within the mid-to-low svc, not significantly changed. A left-sided pacemaker with associated right atrial, right ventricular, and left ventricular leads is unchanged in appearance. A moderate left pleural effusion is increased while a small right pleural effusion is unchanged. There is left lower lung compressive atelectasis, although concomitant infection at the left base cannot be excluded. There is no overt pulmonary edema, although the hila appear engorged. Moderate cardiomegaly is not significantly changed. There is no pneumothorax. Multilevel degenerative changes of the thoracolumbar spine are seen.

displaced picc line. evaluate line placement.

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Pa and lateral views of the chest provided. Airspace consolidation is noted in the left lower lobe concerning for pneumonia. Small left pleural effusion is also likely present. The right lung is clear. Cardiomediastinal silhouette appears grossly within normal limits. Bony structures appear intact.

<unk>f with fever // pna?

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<num> views were obtained of the chest. The lungs are somewhat low in volume but clear aside from minimal left lingular linear atelectasis. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

cough assess for pneumonia.

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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. Coronary stenting/ calcification again noted. No displaced rib fracture is seen.

history: <unk>m with r sided cp after kicked by horse // r/o r ribfx after horse kick

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation. No subdiaphragmatic free air is identified.

history: <unk>f with recent ercp, now likely ugib, melena // eval ? free air

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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>m with status post motor vehicle collision with airbag deployment

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Frontal and lateral chest radiographs demonstrate a heart which is top-normal in size. There is mild vascular congestion without frank edema. No focal consolidation or pneumothorax is seen. There may be trace bilateral pleural effusions. The visualized upper abdomen is unremarkable.

evaluate for acute process in a patient with fever of unknown origin x<num> days.

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There is a large left pleural effusion as well as subtly increased opacity throughout the right lung consistent with mild pulmonary edema. The cardiac silhouette is mildly displaced to the right however this finding may also reflect mild cardiac enlargement, possibly from a pericardial effusion. No pneumothorax. No right pleural effusion.

history: <unk>m with recurrent pleural effusion, cholangio ca, <unk> days of exertional doe and non-productive cough // evaluate for pneumonia, evaluate size of pleural effusion

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There is blunting of the right costophrenic angle compatible with persistent small-to-moderate effusion. Increased opacity at the left costophrenic angle is thought to represent fluid within the fissure, and there is some fluid seen posteriorly on the left as well. Superiorly, the lungs are grossly clear noting low inspiratory effort. The mediastinal silhouette is unchanged. No acute osseous abnormalities.

<unk>-year-old male with shortness of breath and fever. history of thoracentesis.

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Although a left anterior third rib fracture can be visualized, for the most part, known left-sided fractures are not well assessed. There is no pneumothorax or pleural effusion. Streaky opacities in the lower lungs suggest atelectasis in association with low lung volumes. The cardiac, mediastinal and hilar contours appear unchanged. A mild-to-moderate superior endplate compression fracture along an upper thoracic vertebral body appears unchanged. An l<num> vertebral body compression fracture is not well assessed, but also appears unchanged.

pleuritic chest pain and shortness of breath after recent trauma. known rib fractures.

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An accessed port-a-cath ends in the upper superior vena cava. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. There are mediastinal clips and sternotomy wires. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Compression deformity of a lower thoracic vertebral body was better seen on previous exam.

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

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine.

<unk>m with recent unwitnessed fall and amnesia // ? pneumonia

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Pa and lateral chest radiographs were obtained. Left lower lobe opacity with air bronchograms has slightly increased in conspicuity but has been present on prior studies dating back to <unk>. Cardiomegaly is accompanied by cephalization of the pulmonary vasculature and mild interstitial edema. There is no effusion or pneumothorax. Biventricular pacing leads are in unchanged positions.

shortness of breath.

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Frontal and lateral views of the chest demonstrate mild pectus excavatum deformity of the chest, which silhouettes the right heart border. The lungs are clear and well expanded. The pleural surfaces and mediastinal contours are normal. The cardiac silhouette is normal in size.

<unk>-year-old female with shortness of breath, cough, and fever.

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Patient is rotated to the left and somewhat oblique in position. On the lateral view the patient's arm overlies the upper chest. The above limits evaluation. Given this, rounded retrocardiac opacity may be due to hiatal hernia. Diffuse increased interstitial markings re- demonstrated bilaterally, likely due to chronic lung disease. Left base opacity is worrisome for infection or/and aspiration.

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

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is within normal limits. No configurational abnormality is seen. Thoracic aorta mildly widened and elongated but without local contour abnormalities. 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 pneumothorax in apical area. Moderate degree of degenerative changes in the thoracic spine were already shown on previous chest examination as well as calcified abnormalities at anterior end of first right-sided rib not to be confused with pulmonary abnormalities. Comparison with the next previous study of <unk> demonstrates no significant interval change. Thus, no evidence of cardiac enlargement, pulmonary congestion or acute infiltrates. Degenerative changes in the thoracic spine have increased moderately since the preceding examination <unk> years ago.

<unk>-year-old female patient with atypical right-sided chest discomfort, evaluate for lung lesion.

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Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus. Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Minimal degenerate spurring is seen within the imaged thoracic spurring.

history: <unk>m with increased leg swelling, bibasilar wheezing

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There is mild elevation of the right hemidiaphragm. The lungs are clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with cp // r/o acute process

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Bilateral low lung volumes. Pulmonary sutures and surgical clips are noted in the right upper hemithorax with associated elevation of the right hilum. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. No cardiomegaly. Slightly tortuous descending aorta. The mediastinal contours are within normal limits.

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

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Lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old with fever.

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Lung volumes are low. Cardiomegaly is mild. Aortic arch calcifications are noted. The thoracic aorta is mildly tortuous. The lung fields are clear. There is no pneumothorax or pleural effusion. A compression deformity of a lower thoracic vertebral body is mild to moderate and unchanged from <unk>.

history: <unk>f with cough, malaise, l knee pain/swelling // acute process

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. S-shaped scoliosis is again noted.

<unk> yo woman with chronic crohn's disease s/p multiple intra-abdominal surgeries, recurrent hospitalizations for obstructions and ostomy revisions, dvt (on coumadin), and cdiff. she is now p/w <num> week of nausea, vomiting, luq pain, and po intolerance. we are investigating potential infectious etiologies with cdiff assay (now returned negative), stool cultures, norovirus, rotavirus, and cxr. // is there radiologic evidence of acute intrathoraic processs suggestion of infection?

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There are low lung volumes, and a suboptimal inspiratory effort. Cholecystectomy clips are noted in the right upper quadrant. The cardiomediastinal silhouettes are stable and within normal limits. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

history: <unk>f with chest pain // please eval for 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 chest pain // ?pna

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The heart is normal in size. The mediastinal and hilar contours appear within normal range. There is no pleural effusion or pneumothorax. The lungs appear clear. The bony structures are unremarkable.

obtundation.

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Frontal and lateral views of the chest were performed. The lung volumes are low. There is no definite pleural effusion. There is no pneumothorax. Retrocardiac opacities are likely from atelectasis. The cardiac silhouette is mildly enlarged, but unchanged. The hilar and mediastinal structures are stable.

altered mental status, seizures, and rhonchi. evaluate for pneumonia.

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Increased interstitial markings seen at the periphery of the lung, right greater than left compatible with previously noted subpleural fibrotic changes. There is no new focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>m with sob and lightheadedness // acute cardiopulmonary process

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No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced rib fracture seen.

history: <unk>m with sternal chest pain, reports rib fractures diagnosed <num> weeks ago // eval for pneumonia, fracture

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The lungs are clear however mildly underinflated. There is no consolidation or pleural effusion. No pneumothorax. There is mild cardiomegaly. Mediastinal contours are normal. There is no osseous abnormality.

history: <unk>m with asthma, cough, body aches. // pneumonia?

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The lungs are symmetrically well expanded and well aerated, although lung volumes are slightly decreased from the most recent prior study. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size, and the mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

tachycardia and chest congestion, here to evaluate for acute cardiopulmonary process.

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Compared to <unk>, there is a mild area of focal opacity near the right heart border consistent with resolving right middle lobe pneumonia. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pulmonary edema. No pleural effusions.

<unk> year old man with recent pneumonia // recent pneumonia

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Pa and lateral views of the chest provided. A large retrocardiac opacity containing foci of gas may represent a large hiatal hernia though this would be new from the prior imaging studies. Left lower lobe opacity may represent pneumonia. Small pleural effusions are seen, left greater than right. A hazy opacity in the right lower lung is indeterminate. Small nodules project over the upper lungs which are new from the prior study. Heart size cannot be assessed. No large pneumothorax. Bony structures are intact.

<unk>f with shortness of breath increase o<num> requirement

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Pa and lateral views of the chest provided. Hyperinflated lungs are noted with a linear left lower lung density likely representing a focus of scarring. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No free air below the right hemidiaphragm peer

<unk>m with severe copd, chf presents with hypoxia.

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The heart is at the upper limits of normal size. There is mild unfolding and calcification along the aorta. The mediastinal and hilar contours are otherwise unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

left ankle and leg pain with productive cough after a fall.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. No fracture is identified.

restrained motor vehicle collision presenting with left-sided chest wall tenderness.

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Per technician report, patient could not be properly positioned due to underlying altered mental status. Therefore, the pa view of the chest is rotated. There is no focal consolidation, pleural effusion or pneumothorax. Surgical sutures are seen projecting over the right lung apex. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen in the aortic arch. Surgical clips are present in the right upper quadrant. There is a healed right upper rib fracture. No acute osseous abnormalities

history: <unk>f with confusion // r/o pna

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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. No pneumothorax or pleural effusion is noted.

<unk>m with cough

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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 cough x <num> week, non productive // rule out pneumonia

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The heart is mildly prominent. Mediastinal and hilar contours are within normal limits. There is no evidence for pulmonary edema, pulmonary consolidation, or pleural effusion. Visualized bones are grossly unremarkable.

cough and congestion. evaluate for pneumonia.

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Pa and lateral chest radiographs were obtained. Moderate left greater than right pleural effusions are new since <unk>. There is some overlying atelectasis at the left base. The presence of additional pneumonia cannot be excluded. Severe cardiomegaly has progressed since <unk>. Aortic arch calcifications are noted. There is no pneumothorax.

bilateral pneumonia diagnosed at another institution.

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Patient is status post right upper lobectomy with evidence of volume loss in the right lung and mild rightward shift of mediastinal structures. Heart size is normal with a coronary artery stent again noted. Dense atherosclerotic calcifications of the thoracic aorta are re- demonstrated. Lungs are hyperinflated with severe emphysema again noted. Small right pleural effusion is new in the interval with associated right basilar opacity, potentially atelectasis. No definite left pleural effusion or pneumothorax is seen. There are mild degenerative changes noted in the thoracic spine.

history: <unk>f with lung cancer, right upper lobectomy, recent pleural effusion

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The lungs are clear noting slightly low lung volumes. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Anterior cervical fixation hardware is visualized.

<unk> year old man with chf, htn, hld, presenting with cellulitis but with abnormal lung exam (diffuse wheezing, right lower crackles). // pulmonary edema? acute process to explain wheezing?

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

cough and chest pain. question pneumonia.

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Ap semi upright and lateral views of the chest provided. Overlying ekg leads are present. Previously noted ng tube is been removed. Lung volumes are low. Allowing for this, the lungs are clear aside from mild right basal platelike atelectasis. No large effusion or pneumothorax. The cardiomediastinal silhouette is stable with atherosclerotic calcifications along the aortic knob again noted. The imaged osseous structures appear intact.

<unk>m with fever // eval infiltrate

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

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

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Frontal and lateral views of the chest were obtained. The heart is of normal size. An ill-defined opacity is present in the right upper lobe laterally. Bilateral hila appear slightly enlarged. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.

dizziness and gait imbalance.

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No focal opacity to suggest pneumonia is seen. Right infrahilar opacities are linear and felt to represent overlapping structures. No pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. There are calcifications of the aortic arch.

chest pain and shortness of breath.

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Pa and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia.

chest pain radiating down left arm.

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The cardiac, mediastinal and hilar contours appear stable. Opacity along the left cardiac apex is consistent with waxing and waning minor atelectasis associated with a small epicardial fat pad. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.

chest pain.

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Again noted are biapical linear opacities, similar in comparison to prior study from <unk> and most likely representative of fibrosis. There are no new areas of consolidation. Cardiomediastinal silhouette appears normal. No acute fractures are identified.

evaluation of patient with history of cryptogenic organizing pneumonia in remission, chest pain and fever.

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Multifocal bilateral opacities, some improved, some persistent, which were better demonstrated on recent chest ct. Focal nodular opacity in the right lower lung was not identified on prior chest ct and may represent a nipple shadow. The mediastinal contours, cardiac borders, hila are normal. No pleural effusion.

<unk> year old man with mds <unk>/p allo transplant, with worsening diffused rhonchi. please eval for change/ infection

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Pa and lateral chest radiograph demonstrates two focal ill-defined opacities within the right upper lobe. These correspond to previously identified area of pneumonia seen on prior ct more superiorly and a subpleural fluid collection on ct chest dated <unk>. No new focal opacity concerning for pneumonia is identified. There is no pleural effusion. Visualized heart and pericardium are within normal limits. No acute osseous abnormality is identified.

history: <unk>f with neutropenic fever // eval for infiltrate

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Frontal and lateral views of the chest. When compared to prior, there has been no significant interval change. There is no evidence of consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable in configuration. Expansile left lower anterior rib lesion is seen in addition to old right rib fractures. Additional sclerotic metastatic lesions are better seen on prior ct.

<unk>-year-old male with weakness and fatigue. history of metastatic prostate cancer.

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Frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. Patient is status post left upper lobectomy. The cardiomediastinal and hilar contours are unchanged. There is no pleural effusion, pneumothorax, or consolidation concerning for pneumonia.

<unk>-year-old man with lymphoma and increasing cough. evaluate for pneumonia.

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The patient is status post median sternotomy with fractures of the <num> most superior wires. The heart size is normal. The mediastinal contours are unchanged. Persistent bibasilar patchy opacities are noted, suggestive of a chronic process, with a new area of patchy opacification seen in the right upper and mid lung field. No pleural effusion or pneumothorax is seen. No overt pulmonary edema is demonstrated. Partially imaged is a percutaneous gastrojejunostomy tube.

history of aspiration pneumonia with fever and cough.

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Previously described right lower lobe consolidation has resolved. Heart size is unchanged. Lungs are clear without pleural effusions or pneumothorax. A left lower lung calcified granuloma is unchanged. The dual-lumen catheter tip terminates at the cavoatrial junction.

<unk>m with dyspnea, recent tx for pna. evaluate for consolidation.

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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 pleuritic chest pain and fever.

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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, in unchanged positions. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. There is no pulmonary vascular congestion. Minimal streaky opacities in the lung bases most likely reflect atelectasis. No pleural effusion or pneumothorax is seen, and no focal consolidation is demonstrated. Multilevel degenerative changes are seen in the thoracic spine with anterior bridging osteophytes.

steady decline in mental status over the last month.

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>-year-old woman with headache, lle weakness, evaluate for pneumonia

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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There has been interval removal of the left-sided hemodialysis catheter.

<unk>-year-old female with hyperglycemia and clinical concern for pneumonia.

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Frontal and lateral views of the chest. As on prior, the left hemidiaphragm is relatively elevated. The lungs are clear of consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is stable. Old healed right rib fractures are identified. No acute osseous abnormalities.

<unk>-year-old male with history of left pontine infarction, new right-sided weakness and dysarthria.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with fever and cough // ?pneumonia

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The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar structures are unremarkable.

fever, cough and left-sided chest pain. evaluate for pneumonia.

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The examination is compared to <unk>. Both the frontal and the lateral radiographs show unchanged appearance of bony constituents of the chest, no recent traumatic changes. A small right clavicular irregularity is unchanged and could be a healed right clavicular fracture. The lateral radiograph demonstrates no evidence of vertebral compression or fracture. No pleural effusions. No pneumothorax. No acute lung parenchymal changes. Normal size of the cardiac silhouette.

back pain, evaluation for pneumothorax after mvc.

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There is interval increase in bilateral airspace opacity and interstitial markings. There is no effusion or pneumothorax. The cardiac silhouette and mediastinal contours are unchanged.

<unk>-year-old male with history of hiv, admitted for treatment of pneumonia.

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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 pulmonary edema is seen.

history: <unk>m with substernal chest pain. // any acute 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. Imaged osseous structures are intact with a scoliosis unchanged. . No free air below the right hemidiaphragm is seen.

<unk> yo woman with cva x <unk> years ago, now has difficulty swallowing. pmh smoking // ? mass

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The patient is status post bilateral upper lobe wedge resections. There is bilateral apical pleural thickening, worse on the right, which reflects a combination of postoperative change and pleural fluid. The right pleural effusion appears unchanged in size in comparison to the prior chest radiograph. There is a focus of linear opacity in the right upper lung, likely representing scarring. The lungs are otherwise clear. Heart size is stable. 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 s/p r vats rul wedge. post op bronchitis vs pna. // check interval change

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

history: <unk>f with ss and l sided cp // assess for pnthx, infiltrate, edema

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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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Pa and lateral views of the chest are compared to previous exam from <unk>. Since prior, there has been interval removal of the left picc and right internal jugular central line. There is minimal linear opacity at the left lung base most suggestive of atelectasis. Lungs are otherwise clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Posterior right eighth rib fracture appears old.

<unk>-year-old female with malaise.

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There is similar appearance of the right lung with right-sided volume loss, interstitial fibrotic changes and pleural thickening. The left lung is relatively clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary edema is seen. The heart is stable in size. The mediastinum is first tract into the right

<unk> year old man with crackles at right base and recent upper respiratory infection. evaluate for pneumonia.

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The heart is severely enlarged and is larger than on the prior study. There is pulmonary vascular redistribution with bilateral hazy alveolar infiltrate. There small bilateral effusions appear it is unclear if the pulmonary findings are all due to pulmonary edema or if there is an underlying infectious infiltrate.

<unk> yo m with pmhx of ddrt on <unk> on immunosuppression, dm, dchf, cva with recent admission for urosepsis returns from rehab. has cough. // please evaluate for pneumonia, etiology of cough.

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Heart size is top 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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In comparison with the earlier study of this date, there is again hyperexpansion of the lungs with small bilateral pleural effusions and compressive atelectasis at the bases. Enlargement of the cardiac silhouette persists and there is some engorgement of pulmonary vessels consistent with elevated pulmonary venous pressure. There is poor visualization of the left heart border, though some of this may merely be an overlying external tube. On the lateral view, there is not convincing evidence of a lingular pneumonia.

fatigue, possible pneumonia in left base.

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The right lung is clear. The left lung demonstrates basilar atelectasis versus scarring. No pleural effusion or pneumothorax is present. No evidence of pneumonia. The aorta is unfolded. Hilar contours and mediastinal silhouette is unremarkable. There is no cardiomegaly. There is loss of several vertebral bodies in the thoracic spine, particularly in the upper-to-mid thoracic spine. The patient has already been ordered for a ct of the t-spine and better evaluation will be provided on this exam. Right shoulder

<unk>-year-old female with fall and pain. question rib fracture or t-spine fracture.

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There are bilateral pleural effusions, left greater than right with slight interval enlargement on the left compared to prior. There is adjacent atelectasis particularly at the left lung base. Superiorly, lungs are clear. Cardiomediastinal silhouette is stable. Left chest wall dual lead pacing device is again noted. No acute osseous abnormalities.

<unk>f with pna earlier now w/ worsening sob // eval for worsening pna

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The lungs are clear. A rounded opacity in the left upper thorax likely represents costochondral calcification at the tip of the left first rib. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old man status post high-speed trauma presenting with shoulder pain.

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Lung volumes are low. Heart size is accentuated as a result and appears mildly enlarged. Mediastinal and hilar contours are normal. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. Pulmonary vasculature is normal. No acute osseous abnormality is demonstrated. Remote left-sided rib fractures are again noted.

history: <unk>m with syncope

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The previously questioned air-fluid level adjacent to the trachea is not present on this view, and may have been artifactual. Posterior indentation of the tracheal air column could be due to thyroid enlargement. Moderate cardiomegaly is stable. A right-sided picc line ends in the upper svc is noted. The lungs are clear, and there is no pleural effusion or pneumothorax. The vascular pattern suggests emphysema. Dystrophic calcifications in the left axilla are chronic, probably nodal.

new-onset afib, cirrhosis, thyrotoxicosis and question tracheal deviation and air-fluid level seen on previous chest x-ray. investigate air-fluid level seen on prior chest x-ray.

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Patient is status post median sternotomy, cabg, with dense mitral annular calcifications again noted. Mild to moderate cardiomegaly is unchanged. The thoracic aorta is diffusely calcified. Small hiatal hernia is noted. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized. Partially imaged is a vascular stent within the left upper extremity.

history: <unk>f with dyspnea, lightheadedness, coronary artery disease

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. An accessed right chest wall port-a-cath terminates in the mid to distal svc. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation.

history: <unk>f with confusion s/p chemo, pls eval pna // history: <unk>f with confusion s/p chemo, pls eval pna

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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

chest discomfort.

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The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette appears mildly enlarged but likely accentuated by ap technique. Atherosclerotic calcifications noted at the aortic arch. Hypertrophic changes are noted in the spine.

<unk>m w/hypercalcemia, weightloss, weakness, please eval for lung ca // <unk>m w/hypercalcemia, weightloss, weakness, please eval for lung ca