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

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Bibasilar platelike subsegmental atelectasis is seen. There is slight blunting of the left costophrenic angle which may be due to atelectasis but trace pleural effusion is not excluded. No definite focal consolidation is seen. The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with fever, immunosuppressed // eval for pna

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The heart not enlarged. There is slight unfolding of the aorta. Within limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf, focal infiltrate, effusion, or pneumothorax is detected. There is minimal atelectasis at the right lung base.

history: <unk>f with cough, fever, chest pain // rule-out pneumonia

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Pa and lateral views of the chest provided. There is extensive bilateral pulmonary opacity with ground-glass and reticular opacity consistent with severe pulmonary edema. No large effusion is seen. No pneumothorax. The heart is not enlarged. Mediastinal contour is normal. The hila are prominent and congested. Bony structures are intact.

<unk>m with dyspnea, history of lymphoma and cardiac disease // pulm edema?

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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. Metallic nipple rings are present bilaterally.

cough and fever.

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Frontal and lateral views of the chest demonstrate low lung volumes which accentuate bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal.

postop fever, assess for pneumonia.

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Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Moderate cardiomegaly with unfolding of the thoracic aorta is stable. Mediastinal contour and left hilar contour are unremarkable. Subtly increased opacity at the inferior right hilus is seen on frontal view only, without lateral correlate. Lungs are otherwise clear. Pleural servers are clear without effusion or pneumothorax.

chest pain.

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The lungs are clear without focal consolidation, effusion, or overt pulmonary edema. The cardiomediastinal silhouette is stable, within normal limits for technique. No acute osseous abnormalities.

<unk>m with morbid obesity and sle presenting with chest tightness/sob. // cardiopulmonary abnormality?

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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. Pectus excavatum deformity of the sternum is noted. No free air below the right hemidiaphragm is seen.

<unk>f with fever andd leukopenia // role out pneumonia

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

back pain. question pneumothorax.

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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly without evidence of pulmonary edema. No pleural effusions. No evidence of pneumonia. Moderate tortuosity of the thoracic aorta. No evidence of hilar or mediastinal lymphadenopathy.

history of mild chronic heart failure, persistent cough.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified. Query subtle lucency projecting over the posterior superior aspect of the sternal body on the lateral view, measuring approximately <num> x <num> cm, not fully assessed on this study. Consider dedicated imaging of the sternum for further evaluation.

history: <unk>f with spontaneous atraumatic anterior chest pain // physical for fractures or other causes of anterior chest pain

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There is little interval change in comparison to a prior study. The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

fever.

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The orientation of the ap film is lordotic. A nasogastric tube courses into the stomach, its distal course not visualized. The heart is at the upper limits of normal size with a left ventricular configuration. The mediastinal and hilar contours appear unchanged. There is new patchy opacification in the superior segment of the right lower lobe and also patchy new lingular opacification. On the lateral view only are vague posterior opacities that are hard to assess on the frontal view, but are probably within the left lower lobe in the retrocardiac region. On the prior ct there was substantial opacification in both posterior lower lobes, particularly the left; the posterior left lower lobe finding may be due to residual atelectasis or scarring, probably unchanged since the most recent of the prior radiographs from <unk>.

recent embolic stroke with intermittent chest pain.

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

chest pain.

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Pa and lateral views of the chest provided. Right lung volume loss reflects recent right lower lobectomy. There is persistent right pleural effusion not significantly changed from prior. Left lung remains clear. The cardiomediastinal silhouette is unchanged from prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with gbs and recent dx of lung ca presenting with numbness and tingling. h/o right lower lobectomy.

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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No pleural effusion or pneumothorax. Clear lungs.

cough, question pneumonia.

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Pa and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal contours are normal.

right-sided chest pain.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with tachycardia, history of congestive heart failure

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Frontal and lateral chest radiographs demonstrate clear lungs. There is mild interstitial abnormality, which is not significantly changed compared with prior. The pulmonary vasculature appears normal. The cardiac silhouette is normal in size, the mediastinal contours are normal. A small calcified probable granuloma is again noted in the left upper lobe. <unk>% vertebral body height loss of a thoracic vertebral body is again noted, and unchanged. There is prior fracture deformity of posterior left seventh rib, unchanged.

<unk>-year-old female with right-sided weakness, history of cva, please rule out infectious process.

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

history: <unk>f with chest pain radiating to back

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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 altered mental status, recurrent uti, question infectious source.

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Pa and lateral views of the chest left chest. Left chest wall dual lead pacing device is again seen. The lungs are clear of focal consolidation. There is no large effusion or pulmonary vascular congestion. Severe compression deformity in the lower thoracic spine is seen and when compared to ct of the thoracic spine from <unk> appears to have progressed.

<unk>-year-old female left arm pain and shortness of breath.

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Moderate to severe cardiomegaly has increased, pulmonary vascular congestion is new and there may be mild pulmonary edema. The costophrenic sulci are mildly blunted, but there is no large pleural effusion. There is no pneumothorax.

back pain beginning approximately a week ago.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.

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

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Heart size is normal. Mediastinal and hilar contours are unchanged with the aorta appearing mildly tortuous. Pulmonary vasculature is not engorged. Streaky opacity in the right middle lobe is slightly more pronounced in the interval, compatible with subsegmental atelectasis. Left lung is clear. No focal consolidation, pleural effusion or pneumothorax is seen. Scattered calcified granulomas are again noted in the lung bases. There is no pleural effusion or pneumothorax. Cholecystectomy clips are noted in the right upper quadrant of the abdomen. Loss of height of an upper/mid thoracic vertebral body appears unchanged.

history: <unk>f with exertional chest pain

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is borderline in size. No pulmonary edema is seen. Chronic appearing deformity at the posterior medial right fourth rib is seen. No evidence of free air is seen beneath the diaphragms.

history: <unk>f with epigastric pain, n/v, ruq ttp, ekg changes //

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Mild elevation of the left hemidiaphragm is noted.

<unk>f with <num> weeks of sinus congestion with cough productive of green sputum, intermittent shortness of breath. evaluate for consolidation.

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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. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

patient with dyspnea and fatigue.

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There is persistent elevation of the right hemidiaphragm, unchanged from prior. Otherwise, the lungs are well inflated and clear. The cardiomediastinal silhouette is stable. The hila do not appear prominent to suggest adenopathy. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with inactive sarcoid now with doe. // assess for change in diaphragm and lad.

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On the frontal view, the lungs are clear; however, on the lateral view, there are subtle linear opacities overlying the heart which were not present on the previous exam. This could only represent a rib, but beginning of pneumonia cannot be excluded. There is no pneumothorax or pleural effusion. Cardiac contour is normal.

patient with asthma, new respiratory infection, subjective fever. evaluate for pneumonia.

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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs without evidence of pleural effusion, focal consolidation, or pneumothorax. The patient is status post cabg with intact sternotomy wires. There is no pulmonary edema.

<unk>-year-old male with expiratory bronchi. evaluate for pneumonia.

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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 n/v, leukocytosis // eval for lower lobar pneumonia

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

<unk>-year-old man with fall and altered mental status evaluate for pneumonia.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacity is demonstrated in the left lower lobe concerning for pneumonia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

history: <unk>f with fever and cough

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The heart size is normal. The mediastinal and hilar contours are unremarkable. Chain sutures are demonstrated within the left upper lobe with architectural distortion and linear opacities reflective of scarring from prior surgery. Linear opacity within the left lung base likely reflects atelectasis, and overall there is volume loss within the left hemithorax. Blunting of the left costophrenic angle is compatible with a small left pleural effusion. There is no pulmonary vascular engorgement. The right lung is clear. No pneumothorax or focal consolidation concerning for pneumonia is demonstrated. Left rib cage deformity is compatible with prior surgery.

weakness and cough.

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

<unk>m with crystal meth use x <num> months, intermittent doe and cp // eval ? effusion, infiltrate

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Cardiac silhouette size remains mild to moderately enlarged. The aorta is diffusely calcified and tortuous, as seen previously. Mediastinal and hilar contours are otherwise grossly unchanged. Apart from streaky atelectasis in the lung bases, no focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.

history: <unk>f with fatigue, lightheadedness

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The lungs are clear. Nipple shadows project over the lung bases. There is no consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. There is no visualized right rib fracture.

<unk>f with fall down one flight of stairs. // r/o rib fx ; <unk> year old woman with right flank pain after a fall on the stairs // eval for rib fracture

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The right lower lobe pneumonia has resolved. There is no new focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.

followup for resolution of pneumonia.

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There is no evidence of pneumonia. Small new triangular band of atelectasis at the right lung base. There is no pneumothorax. There is no pleural effusion. The mediastinal and cardiac contour are unchanged.

vertigo, dizziness, rule out infectious process.

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Left-sided dual lumen catheter in situ with its tip at the cavoatrial junction. No pneumothorax. Low lung volumes. Increase in atelectasis seen in the right mid lung zone as well as in the posterior basal aspects of the lower lungs with small associated effusions. The cardiomediastinal shadow is unchanged. Atherosclerotic changes of the aortic arch. Interrib ossification seen projecting over the left upper lobe. Small density seen in the right upper lobe unchanged. Contrast material seen subdiaphragmatic.

<unk> year old man with +sputum culture for stenotrophomonas, new o<num> requirement // rule out pneumonia

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

<unk>m with pancreatitis // pleural effusion?

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Compared to the most recent prior study, multifocal pneumonia of the right lung is clearing with residual opacities present in the right upper lobe and right middle lobe. Again seen are calcified pleural plaques and peripheral interstitial opacities compatible with history of asbestosis. Pulmonary edema has improved. The cardiomediastinal silhouette is mildly enlarged as seen previously. There is no pneumothorax or pleural effusions. Median sternotomy wires are intact.

<unk>-year-old man status post avr. evaluate for interval change.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation convincing for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures are without an acute abnormality.

this year old female with fevers and <unk>.

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There is blunting of the right costophrenic angle, consistent with a small right pleural effusion, which is new over the interval. No overt pulmonary edema. The cardiomediastinal silhouette is unchanged. No pneumothorax or consolidation. Note is made of severe s-shaped scoliosis. Spinal fusion hardware is partially imaged. No acute displaced rib fractures identified.

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

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Trace linear opacities in the lingula as well as left lung base opacities are re- demonstrated. Right lung is clear. Pleural surfaces are clear without effusion or pneumothorax.

<unk>m <num> wks s/p cabg x <num> no other medical hx now w/ <unk> days sob, atypical chest pain, myalgias // evaluate pna, effusion, pulmonary edema

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The lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.

history: <unk>m with lightheadedness // eval for chf, pneumonia

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

<unk>-year-old male with decreasing hematocrit and leukocytosis.

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Ap and lateral chest radiographs were obtained. Evaluation is limited by oblique patient positioning. Within these limitations, the lungs are clear. There is no consolidation, effusion, or pneumothorax. There is no displaced rib fracture.

seizure.

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Frontal and lateral radiographs of the chest were acquired. Widespread bilateral interstitial opacities, radiating from the hila, are consistent with mild interstitial pulmonary edema, not significantly changed in severity compared to the prior radiograph from <unk>, allowing for redistribution. Lung volumes are low. The heart is top normal in size. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. There is no focal consolidation.

chest pain, radiating to the back. evaluate for pneumonia or other acute process.

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Pa and lateral views of the chest provided. Subtle streaky retrocardiac opacity may represent pneumonia in the correct clinical setting. Otherwise the lungs are clear. No 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 fever,cough, chest pressure x <num> weeks // eval for pna

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Low lung volumes. Hilar vascular engorgement and interstitial edema has increased since <unk>. Trace if any bilateral pleural effusions are present. A subtle confluent opacity in the left midlung may represent pneumonia vs. Fissural fluid. Cardiomegaly is unchanged. Heart and mediastinal contours are normal.

productive cough, dyspnea, evaluate for pneumonia.

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There is a vague right infrahilar opacity adjacent to the right heart border; otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Calcifications are noted at the aortic arch. Surgical clips are noted in the right upper quadrant. No acute fractures are identified.

shortness of breath.

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Patient is status post median sternotomy and cabg. There are low lung volumes and elevation of the right hemidiaphragm. There is patchy right mid lung opacity may represent atelectasis, but pneumonia is not excluded in the appropriate clinical setting. Left base opacity may be due to combination of the large hiatal hernia with adjacent atelectasis. Overall, there appears to be mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are stable.

history: <unk>m with new onset afib, dyspnea on exertion // assess for infiltrates, effusion, or evidence of pulmonary congestion

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The left upper lobe consolidation that was seen on the prior radiograph has completely resolved. Today, the lungs are free of consolidations, pleural effusions or pneumothorax. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities.

<unk> year old man with prior lul legionella pneumonia in mid <unk> and now cough and purulent sputum x <num> wks // assess for total clearing of lul prior process and assess for any new infiltrates

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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. A metallic density projecting over the upper abdomen on the lateral view is likely external to the patient compatible with a cardiac monitor lead.

asthma exacerbation, here to evaluate for pneumonia.

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Lungs are relatively hyperinflated with biapical scarring. Increased opacity projecting over the posterior costophrenic angle on the lateral view is suggestive of a small effusion, likely on the left. There is no consolidation worrisome for pneumonia nor edema. There is mild cardiac enlargement and dense mitral annular calcifications. Compression deformity of a lower thoracic vertebral body is age indeterminate without prior. Deformity of the proximal left humerus suggests prior fracture.

<unk>f with right back pain s/p fall // ? ptx, effusion, fracture

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Lung volumes are normal. There is no evidence of rib fractures or other bony lesions. The trachea is displaced to the left, without substantial narrowing. However, presence of thyroid enlargement must be suspected. Moderate cardiomegaly with signs of mild fluid overload. No pleural effusions. No pneumonia. Double-lumen right-sided catheter in correct position.

chest pain, questionable presence of pneumothorax.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen.

history: <unk>m with cough, wheezing, sputum production // presence of infiltrate

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The cardiomediastinal silhouette is unremarkable. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

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

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The cardiac silhouette size remains top normal. The mediastinal and hilar contours are stable, and within normal limits. Lungs are clear. No pleural effusion or pneumothorax is present. There is no evidence for pulmonary edema. No acute osseous abnormalities are seen. Clips are noted within the neck compatible with prior thyroidectomy.

status post thyroidectomy with chest pain for <num> week.

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Pa and lateral views of the chest provided. Retrocardiac opacity is again noted which is compatible with hiatal hernia. There is bibasilar atelectasis also noted. Subtle ground-glass opacity in the left lower lung could also represent aspiration versus pneumonia in the correct clinical setting. Upper lungs appear well aerated. The heart size is difficult to assess. Mediastinal contour is unchanged. Bony structures are intact.

<unk>m with palpitations // eval for consolidation

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Mild cardiomegaly with unfolding of the thoracic aorta is unchanged. Mild. Scattered calcifications of the aortic knob. Mild central pulmonary vascular prominence without interstitial edema. Subtle bibasilar opacities, greater on the right, appear less prominent than on prior examination, likely representing atelectasis.

shortness of breath.

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In comparison with study of <unk>, the cardiac silhouette is less prominent, as is the vascular pedicle. This could reflect improvement in vascular status or the pa upright technique. However, the pulmonary vessels are substantially less engorged, consistent with improving congestive failure.

shortness of breath.

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Again noted is mild peribronchial thickening, which can be seen with bronchitis, not significantly changed from <unk>. There are ill-defined opacities in the right mid and lower lung, concerning for developing pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.

history: <unk>m with <num> days uri symptoms, with nausea, vomiting and hypoxia. evaluate for infection.

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Compared to previous exam, there has been no significant interval change. Right middle lobe opacity with fiducial marker is again seen overall grossly unchanged. Elsewhere, the lungs are clear. There is no effusion. Median sternotomy wires and mediastinal clips are again noted. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>m with cp and right lung cancer // eval for right lung mass, cardiomegaly, 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 top normal in size, and the mediastinal contours are normal.

<unk>-year-old female with cough and chest pain. evaluate for consolidation.

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Evidence of a hiatal hernia is again seen. The cardiac and mediastinal silhouettes are stable.

falls

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Frontal and lateral radiographs of the chest show no focal consolidation, unchanged from the preceding radiograph. The lungs are clear without pleural effusion or pneumothorax. 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 <unk>.

<unk>-year-old female with persistent cough and dyspnea with clinical concern for right lower lobe pneumonia, but negative chest radiograph, here to evaluate for pneumonia.

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Pa and lateral views of the chest demonstrate low lung volumes. The right lung base appears elevated, which may represent subpulmonic pleural effusion or alternatively ascites. Right lung base opacity likely represents atelectasis. Left lung is clear. Hilar and mediastinal silhouettes are unremarkable. No pneumothorax or pulmonary edema. Heart is moderately enlarged, increased from prior. Partially imaged upper abdomen demonstrates paucity of gas. Surgical clips project over right upper abdomen.

upper abdominal pain.

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Frontal and lateral views of the chest. There are bibasilar opacities, slightly asymmetric and more conspicuous on the right than on the left. This may be due to chronic underlying lung disease as seen on prior chest ct and has not significantly changed. Superiorly the comment the lungs are clear. Cardiomediastinal silhouette is unchanged and within normal limits. Median sternotomy wires again seen. No acute osseous abnormality detected.

<unk>-year-old male with renal failure not yet on dialysis, weakness.

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The heart is normal size with normal cardiomediastinal contours. The lungs are clear. No pleural effusion, pneumothorax, or focal consolidation. Pulmonary congestion has resolved since the prior exam. Leads of a left chest wall generator, likely a vagal nerve stimulator, terminate in stable position.

breakthrough seizures. evaluate for infectious process.

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There relatively low lung volumes and mild right base atelectasis.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

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

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Pa and lateral images of the chest were obtained with the patient in the upright position. There are bilateral pleural effusions, worse on the left. The heart is at the upper limits of normal size. There is retrocardiac opacity that in view of the clinical history is concerning for aspiration pneumonia. There is no pneumothorax. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.

<unk>-year-old female with epiglottitis, now with pleuritic chest pain.

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Lungs are well-expanded and clear. The heart is mildly enlarged. Calcifications are seen at the aortic knob. No pneumothorax, pleural effusion, or consolidation.

history: <unk>f with new onset auditory hallucinations // eval for nph, ich, pneumonia

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The left-sided picc line is seen in unchanged position, with distal tip again projecting over the lower svc. There are no kinks in the course of the catheter. The cardiomediastinal silhouettes are unchanged and normal in appearance. The bilateral hila are normal. There are no focal lung consolidations. There has been interval resolution of left lower lobe platelike atelectasis. There is no pulmonary vascular congestion. There is no pneumothorax or effusion.

<unk> year old woman with hx of nhl. picc not working. please confirm placement. // <unk> year old woman with hx of nhl. picc not working. please confirm placement.

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The lungs are slightly hyperexpanded and the hemidiaphragms are flattened. Heart size is decreased since the prior study, now normal. The vasculature is also less engorged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema.

confusion. evaluate for pneumonia.

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Lungs are hyperinflated. A new line projecting over the left hilum on the pa view corresponds to a bulla of emphysema in the retrosternal clear space. There is no lung consolidation. There is no pneumothorax or pleural effusion. Mediastinal and cardiac contours are normal.

patient with right upper quadrant pain, worse with inspiration. rule out infiltrate or acute pathology.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged.

history: <unk>m with syncope // eval for cardiopulmonary process

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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 chest pain since this morning

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperexpanded lungs which are clear. There is no focal consolidation or radiograph evidence of pulmonary fibrosis. No pleural effusion or pneumothorax is identified. The visualized upper abdomen is unremarkable.

evaluate for fibrosis in a patient on amiodarone.

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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.

history: <unk>f with dyspnea // acute process

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There has been interval increase in right lung base opacity. In addition, diffuse increase in interstitial markings bilaterally suggests mild interstitial edema. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. Sternotomy wires are intact. An icd monitor is seen overlying the left hemithorax, with a single lead ending in unchanged position in the inferior wall of the heart.

<unk>-year-old male with dyspnea. evaluate for pneumonia or chf.

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Ap upright and lateral views of the chest provided. Mild cardiomegaly again noted. There is hilar congestion and probable mild interstitial edema. No large effusion. No signs of pneumonia. No pneumothorax. Bony structures are intact. Mediastinal contour is stable.

<unk>m with chest pain

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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 since <unk>. left side radiates to back.

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Cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette remaining enlarged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The mediastinal contours are stable. Calcifications are seen the aortic knob. Surgical clips are noted overlying the left lower hemi thorax.

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

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The triangular opacity at the left base is unchanged compared to <unk>, and likely represents scarring or atelectasis. No focal consolidations to suggest pneumonia. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax.

history: <unk>f with chest pain x <num> hour*** warning *** multiple patients with same last name! // eval pneumothorax, pneumonia, other acute process

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Pa and lateral radiographs of the chest are provided. There is volume loss in the right lung as evidenced by elevation of the right hemidiaphragm along with substantial platelike atelectasis of the right lower lobe. Underlying this is a small right pleural effusion. The left lung and the and the right upper lung are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. Pulmonary vascularity is normal.

<unk>-year-old man with sharp right-sided pleuritic chest and back pain for <num> days. the patient has no history of fever or cough. evaluate for pneumothorax.

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Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are similar. There is no pulmonary edema. Mild atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with hypoxia at night // ? pneumonia

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Subtle increased opacity in the right infrahilar region is likely atelectasis, seen only on the frontal view. No definite new focal consolidation to indicate focal pneumonia. No pleural effusion, edema, or pneumothorax. The cardiac silhouette remains enlarged, similar the prior exam. Multilevel degenerative changes in the thoracic spine are again overall unchanged.

<unk>-year-old woman with a gi bleed and cough. evaluate for pneumonia.

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Pa and lateral views of the chest were obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old male with chest pain. evaluate for acute cardiopulmonary disease.

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Pa and lateral views of the chest were provided. There is no focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable. There are no suspicious osseous lesions.

<unk>-year-old woman with chest pressure, evaluate for infiltrate.

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Frontal and lateral views of the chest. There is persistent blunting of the right lateral costophrenic angle and trace blunting seen posteriorly. This may be due to small pleural effusion with possible underlying pleural thickening or scar laterally. Faint right basilar opacities have not significantly changed since prior and may be due to scar. There is no pulmonary vascular congestion. Cardiac silhouette is enlarged likely in part due to pericardial effusion. No acute osseous abnormalities detected.

<unk>-year-old male with pericardial effusion and dyspnea.

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There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

<unk> year old man with fever and cough for <num> days // pneumonia?

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A dual-lead pacemaker/icd device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. A calcified nodule in the right upper lobe suggesting a granuloma appears unchanged. Otherwise, the lungs remain clear. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the mid-to-lower thoracic spine.

cough.

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Heart size is normal. The mediastinal and hilar contours are normal. No definite pneumomediastinum is present. 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 food bolus for <num> hours

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Compared with the prior film, there has been progressive opacification in the retrocardiac region, with new near-complete obscuration of the left hemidiaphragm. There likely reflects a moderate size left pleural effusion, with underlying collapse and/or consolidation. Mild atelectasis at the right lung base medially is noted. Mediastinum remains midline. No chf. Minimal blunting of the right costophrenic angle is compatible with a small right pleural effusion, improved compared with the prior film.

<unk> year old man with s/p cabg // f/u effusions, atx

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Frontal and lateral views of the chest demonstrate stable mild cardiomegaly. The mediastinal and hilar contours are within normal limits. The lungs are hyperexpanded with diaphragmatic flattening, consistent with emphysema. Moderate atherosclerotic calcifications are seen along the entire extent of thoracic aorta, involving the arch. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. There is no appreciable compression deformity in the thoracic spine.

<unk>-year-old female with right flank/back pain. question pneumonia.

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In comparison with the study of <unk>, there is hazy opacification posteriorly consistent with pleural fluid. Mild elevation of the right hemidiaphragmatic contour persists. There is patchy opacification at the bases, more prominent on the left, concerning for pneumonia. No evidence of pulmonary edema.

widely metastatic malignancy with unknown primary, concern for pneumonia.

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The lungs are normally expanded and clear. Heart size is normal. The mediastinal hilar contours are normal. There is no pleural effusion or pneumothorax. Compression deformity of t<num> is unchanged since <unk>.

history: <unk>f with <num> week of productive cough // evaluate for pneumonia