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

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

history: <unk>f with leukocytosis

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There is mild left retrocardiac atelectasis. The lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. Heart size is within upper limits of normal. No acute osseous abnormalities are identified.

<unk> year old woman with asthma, non-smoker. <num> week cough, low grade fever. lungs clear but deep inspiration limited due to cough. // r/o pneumonia

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The cardiac, mediastinal and hilar contours appear stable. Streaky right basilar and left basilar opacities are most consistent with minor atelectasis. There is similar mild relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. The lungs appear otherwise clear. Mild anterior wedging of a mid-to-upper thoracic vertebral body appears unchanged.

chest pain.

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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. Mild degenerative changes are noted along the lower thoracic spine. Along the right lower lateral chest wall, there is convex pleural thickening measuring up to <num> mm as measured on the frontal radiograph. This appearance raises concern for a pleural-based mass, although it may reflect loculated effusion or area of scarring. Comparison to prior radiographs would be helpful and particularly if long-term documentation of stability of this appearance is not possible, chest ct, preferably with intravenous contrast is suggested to assess further.

syncope.

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Again seen is a large right-sided pleural effusion, unchanged in appearance from the prior study. There is atelectasis of the right lower lobe. The cardiomediastinal silhouette and hilar contours are unchanged. There is no evidence of pneumothorax. Again seen is calcification of the pericardium.

pleural effusion.

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Lungs are well-expanded and clear. The heart is not enlarged. The aorta is minimally tortuous. There is no pneumothorax, pleural effusion, or consolidation.

<unk>f with chest pain, dyspnea // ptx?

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Ap upright and lateral views of the chest provided. Minimal platelike lower lung atelectasis noted. The heart appears mildly enlarged. The hila appear slightly engorged though there is no frank edema. No large effusion or pneumothorax. No convincing signs of pneumonia. Mediastinal contour is unchanged. Bony structures are intact. Implanted cardiac monitor is seen in the left anterior chest wall as on prior.

<unk>m s/p falls x<num>. on coumadin. eval for intracranial bleed, spinal injury, cardiopulm change / rib fx

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Bilateral low lung volumes. Mild bilateral vascular congestion.no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left chest port catheter tip in the right atrium.

<unk> year old woman with cough and possible pneumonia one month ago in <unk> // r/o infiltrate

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The heart continues to be top normal in size, and the patient is status post median sternotomy and mitral valve replacement. Healed right-sided rib fractures are noted. A left-sided cardiac pacer has its leads terminating over the right atrium and right ventricle. The lungs are clear of focal consolidation or pneumothorax. There continues to be left pleural thickening, and there is no overt pulmonary edema.

<unk> year old man with cad and mitral stenosis s/p cabg and mitral valve replacement in <unk>, av block, cm, chf, htn, also recent icd placement at complicated admission involving hemothorax and <unk>, p/w tachypnea and dyspnea.

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In comparison with study of <unk>, there is little change in the postoperative appearance of the right hemithorax. Median sternotomy wires are intact except for unchanged break in the lower most portion of the most inferior wire. No evidence of acute pneumonia or vascular congestion.

shortness of breath.

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As compared to the previous radiograph, there is no relevant change. The lung volumes remain low, moderate cardiomegaly and relatively large left atrium. No pleural effusions, no evidence of pneumonia on the frontal and lateral radiograph. This is consistent with ct examination performed on <unk>. In the same manner than on <unk>, the retrosternal lung areas remain relatively dense, likely caused by patient constitution. No evidence of pleural effusions. The cardiac contours are unremarkable.

multiple myeloma, on chronic steroids, evaluation for pneumonia.

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Pa and lateral images of the chest were obtained. The lungs are clear bilaterally without focal consolidation or congestive heart failure. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Stable post-traumatic changes at the right shoulder from chronic shoulder joint sepation. No free air below the right hemidiaphragm.

cough.

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The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No displaced rib fractures identified.

<unk>f with several wks intermittent l chest wall pain // eval ? effusion, infiltrate

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Ap upright and lateral views of the chest provided. Cervical spinal hardware is partially visualized in the lower neck. There is a right shoulder prosthesis. Overlying ekg leads are present. Lung volumes are low. Lungs are clear. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette appears relatively unchanged. Bony structures are intact.

<unk>f w/hypotension, please eval for occult pna, pulm edema

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The patient is rotated significantly to the left, limiting evaluation. There is blunting of the posterior costophrenic angles and obscuration of the left hemidiaphragm, suggesting small to moderate pleural effusion(s).left base opacity may be due to combination of pleural effusion and atelectasis as well as overlying external structure, however, underlying consolidation is not excluded. There is mild increase of the interstitial markings bilaterally raising concern for mild interstitial edema. The mediastinum is difficult to assess. Cardiac silhouette is also difficult to assess but is likely top-normal to mildly enlarged. Chronic deformity of the proximal right humerus is seen.

history: <unk>m with cough x <num> weeks // r/o acute infectious process

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The heart size is normal. The aorta is mildly tortuous with diffuse atherosclerotic calcifications. The pulmonary vascularity is not engorged. Worsening ill-defined patchy opacities are noted within both lung apices, right worse than left, as well as within the right lung base. Findings are concerning for multifocal pneumonia. Aeration within the left lung base is improved, with residual patchy opacity suggestive of atelectasis. Small left pleural effusion persists. No pneumothorax is identified. Multiple clips are again seen at the gastroesophageal junction. Diffuse demineralization of the osseous structures is noted.

abdominal pain, nausea and vomiting.

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Heart size is normal. Small hiatal hernia is demonstrated. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There is mild degenerative changes noted in the thoracic spine.

history: <unk>m with question of fracture

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As compared to the previous radiograph, there is unchanged evidence of basal areas of atelectasis. No evidence of pneumonia. Moderate cardiomegaly without pulmonary edema or pleural effusions. Normal hilar and mediastinal contours.

low saturation, evaluation for pneumonia.

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There is no large pulmonary mass or nodule. Streaky opacification at the right base is likely atelectasis. There is no pulmonary edema, pleural effusion or pneumothorax. The thoracic aorta is tortuous or minimally dilated. The cardiac size is normal.

history of recent intracranial hemorrhage. evaluate for neoplasm.

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

<unk> year old man s/o renal pelvis ca // please evaluate for any abnormalities

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Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous, and there is calcification of the aortic knob. The descending thoracic aorta appears enlarged as compared to prior radiographs, measuring <num> cm. There is no pneumothorax. There is a small left-sided pleural effusion. Increased opacification of the right base likely represents atelectasis, but superimposed infection cannot be excluded.

weakness and cough. evaluate for pneumonia

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The lung volumes have decreased with slight increase in peripheral interstitial opacities. No acute focal consolidation or new nodules within the limitations of chest radiograph. The cardiomediastinal contour is stable. Blunting of the left costophrenic angle is also stable. No acute osseous abnormalities.

<unk> year old man with history of melanoma // please evaulate disease status

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Left chest tube in place. There is a small left apical pneumothorax. Left base opacity is likely due to combination of small pleural effusion and atelectasis. The right lung is clear. No right pleural effusion or focal consolidation is seen. Cardiac and mediastinal silhouettes are stable.

history: <unk>m with s/p chest tube placement. // repeat after chest tube placement.

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Frontal and lateral views of the chest demonstrate hyperextended lungs. There is no pleural effusion, focal consolidation or pneumothorax. Moderate cardiomegaly is unchanged. Prominent pulmonary outflow tract is stable. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

confusion.

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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. There is a subtle right lower lobe opacity new since prior exam concerning for developing pneumonia. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

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

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There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

fall onto the left shoulder while skiing injury.

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The lungs are symmetrically well expanded and well aerated, without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Bibasilar prominence of interstitial markings is unchanged from <unk>. There is no overt pulmonary edema. Mild biapical scarring is symmetrical and unchanged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

epigastric and chest pain after eating a large meal, here to evaluate for acute cardiopulmonary process.

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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. No acute osseous abnormalities are identified.

left-sided chest pain for <num> days, worse with inspiration.

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Prior right central venous catheter and left picc are no longer visualized. There is mild vascular congestion without overt pulmonary edema. There is no effusion. Degree of cardiomegaly is stable. Atherosclerotic calcifications again noted at the aortic arch. Vertebroplasty changes are noted in the lumbar spine.

<unk>f with weakness // eval for infiltrate

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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 seizure, looking for infectious cause // pna?

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Incidentally noted are bilateral cervical ribs. No acute osseous abnormality identified.

<unk> year old man with hx of myeloma. confusion with new neutropenia. please further evaluation // <unk> year old man with hx of myeloma. confusion with new neutropenia. please further evaluation

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Cardiac, mediastinal and hilar contours are normal. There are mild calcifications of the aortic knob. Linear opacities within the left lung base are compatible with scarring or linear atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Mild degenerative changes are noted in the thoracic spine.

dyspnea.

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Ap upright and lateral views of the chest provided. Left chest wall pacer device is seen with leads extending to the right atrium and right ventricle unchanged. Small bilateral pleural effusions are noted with scarring in the left lower lobe which appears chronic. Central hilar congestion with mild interstitial edema is noted. No pneumothorax. Cardiomediastinal silhouette is stable. Scoliotic curvature of the thoracic spine again noted.

<unk>f with shortness of breath // eval for ptx or pna

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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. Surgical clips project over the right upper quadrant. There is no free air.

left upper quadrant and chest pain.

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There is persistent elevation of the right hemidiaphragm. No focal consolidation is seen. There is mild left base atelectasis. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema.

history: <unk>m with dyspnea on exertion, hx of hfpef // please eval for chf

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Frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The known ground-glass opacities are too small to be appreciated on this study.

right upper quadrant pain.

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Large left hiatal hernia is similar to prior. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>f with h/o hcv, alcohol abuse presenting with alcohol intoxication and confusion // eval for infiltrate

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Slight increase in opacity projecting over the lung bases is likely due to overlying soft tissue. There is subtle increased opacity at the right lung base which could be due to early consolidation versus atelectasis. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable.

cough.

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The lungs are clear of consolidation. Increased interstitial markings are seen in the lungs, particularly at the bases. This could be due to chronic underlying interstitial process. There is no focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Mitral annular calcifications are seen. No acute osseous abnormalities identified. Degenerative changes noted at the right shoulder.

<unk>f with bibasilar crackles, concern for pna from <unk> staff*** warning *** multiple patients with same last name! // pna?

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Pa and lateral views of the chest provided. Compared to yesterday's exam, there is increased opacity in the left lower lung which could represent atelectasis versus pneumonia. The right lung is clear. Cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with influenza like symptoms, ongoing cough

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Minimal left basilar linear atelectasis is noted. 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 n/v esophageal pain // evidence of cardiomegaly or effusion

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The lungs are well-expanded. No focal consolidation, effusion, edema, or pneumothorax. Two (sub-<num> mm), round opacities projecting over the medial upper left hemithorax could represent pulmonary nodules versus normal superimposed structures. Heart is normal in size. The mediastinum is not widened. Mild aortic calcifications in the knob are unchanged. No acute osseous abnormality. Post right shoulder rotator cuff repair is again noted.

<unk> year old woman with <num> days of fever, congestion, shortness of breath. evaluate for focal pneumonia.

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Two views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. No displaced fractures are identified.

shortness of breath and pain.

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The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pneumothorax. There is a small right pleural effusion. Heart size is normal. The hilar and mediastinal contours are normal. The visualized osseous structures are unremarkable.

history of chronic kidney disease and cryptogenic cirrhosis with increased lfts. please evaluate for an infectious process.

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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. No foreign body is visualized. There is no evidence for pneumothorax, pneumomediastinum or pleural effusion. There is similar mild-to-moderate relative elevation of the right hemidiaphragm. The lungs appear clear.

nausea and foreign body sensation in the throat. prior history of food impaction.

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No previous images. Hyperexpansion of the lungs is consistent with the clinical diagnosis of chronic pulmonary disease. However, no acute focal pneumonia or vascular congestion or pleural effusion.

asthma and chronic productive cough.

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Right internal jugular central venous catheter has been removed. Median sternotomy wires appear intact. The lungs are well expanded. Aside from left lower lobe atelectasis there is no new focal opacity to suggest pneumonia. The heart is mildly enlarged. There is no pulmonary edema. There is likely small left pleural effusion. No pneumothorax.

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

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Right-sided port-a-cath tip terminates at the low svc. Heart size is mildly enlarged. The aorta is unfolded. The mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. Multiple clips in the right upper quadrant of the abdomen are present. There are no acute osseous abnormalities.

history: <unk>f with severe dyspnea, wheezing and diminished breath sounds bilaterally. // ?pneumonia

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Ap and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal. There is no fracture identified.

motor vehicle collision, right chest pain.

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Lung volumes are low but no definite focal consolidation is seen. On the lateral view, there is slight blunting of the bilateral posterior costophrenic angles which could be due to trace pleural effusions. No pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable given differences in inspiration and technique. No pulmonary edema is seen.

history: <unk>m with fever and abd pain // pna?

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The heart size is mildly enlarged compared to the prior study. The mediastinal and hilar contours are unchanged. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Streaky opacity at the right lung base likely reflects atelectasis. There are no acute osseous findings.

shortness of breath, chest pain, palpitations, lower extremity edema <num> week after cesarean section.

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Frontal lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits given rotation to the left. No acute osseous abnormality is identified.

<unk>f with dementia p/w agitation, section <unk> // ?pulm edema, effusion, pna

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The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

history: <unk>m with near syncope, recent illness, sob // eval for consolidation

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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.

<unk> year old man with cough x <num> days // any pneumnonia

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The lung volumes are normal. The size of the cardiac silhouette is unremarkable. On the right, the hilar structures are normal. On the left, the hilus is minimally enlarged and the contours are unsharp. The left hilus is also surrounded by a minimal increase in interstitial structures. If clinically relevant, this finding, potentially suggesting a chronic infectious change, should be further clarified by ct. No evidence of acute pulmonary disease. No pleural effusions. No pulmonary edema.

bronchospasm, wheezes and rhonchi, evaluation.

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Left chest wall port is again noted. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips project over the mid upper abdomen

<unk>m with vomiting, hx pancratitic ca // eval for acute process

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When compared to prior, there has been no significant interval change. Elevation of the right hemidiaphragm with eventration is again noted. The lungs are clear without consolidation, effusion, or edema. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.

<unk>f with cp and new b/l <unk> edema // volume overload

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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. There is blunting of the right costophrenic angle with no definitive evidence of pleural effusion on the lateral view.

history: <unk>m with fever // ? infectious process

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Lung volumes are low, accentuating the cardiac silhouette and pulmonary vasculature. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Minimal elevation of the left hemidiaphragm is unchanged.

hcc, presenting with fatigue and chills.

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Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Low lung volumes are present with patchy opacities in the lung bases most likely reflective of atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities identified. No displaced rib fractures are present.

history: <unk>m with altered mental status after fall

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There is mild blunting of the right lateral and posterior costophrenic angles which may be due to trace right-sided effusion. The lungs are clear, there is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with right lower rib pain/tenderness // eval for fracture or pneumothorax

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In comparison with the earlier study of this date, the tip of the left subclavian picc line is again difficult to see, though it appears to extend to the left brachiocephalic vein. Otherwise, little change in the appearance of the heart and lungs.

picc placement.

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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

chest pain.

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Ap and lateral views of the chest. When compared to prior, given differences in technique and positioning there has been no significant interval change. The lungs are clear focal consolidation or large effusion. Cardiomediastinal silhouette is within normal limits given positioning. No acute osseous abnormality detected.

<unk>-year-old male with metastatic non-small cell lung cancer with dementia presents with fever and shortness of breath and cough.

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Pa and lateral chest views were obtained with patient in upright position. The heart size is at the upper limit of normal variation. There is a relative prominence of the left ventricular contour to the left and posteriorly but no evidence of left atrial enlargement. Thoracic aorta unremarkable for age. The pulmonary vasculature is not congested. No signs of acute pulmonary infiltrates are present. There is a mild blunting of the left lateral pleural sinus extending into the posterior area on the lateral view, but no other pulmonary abnormalities or pleural findings can be identified. No gross skeletal abnormalities are seen. The patient's radiographic records are reviewed. Trauma series followed by torso ct of <unk> demonstrated mildly displaced fractures in the ninth through twelfth ribs on the left side close to the articulation with the vertebral joints. It is impossible to demonstrate the subtle changes on plain pa and lateral chest examination. Most likely the residuals of a mild pleural effusion or scar formation as seen now can be related to this trauma. Assessment of the previously identified rib fractures would require dedicated radiographs and preferentially a ct examination.

<unk>-year-old male patient with left-sided rib fractures at level <unk> <num> through <unk>. reevaluate rib fractures.

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Increased interstitial markings are seen throughout the lungs, increased since <unk>. There is mild cardiomegaly new since prior. There is no confluent consolidation or large effusion. No acute osseous abnormalities identified.

<unk>f with wheezing, dyspnea, <unk># weight gain, hx of chf and rad // evaluate for pulmonary edema, pneumonia, acute findings

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Linear opacity in the right lung laterally is likely due to scarring versus atelectasis. The lungs are otherwise clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is mild compression deformity of a mid thoracic vertebral body, age indeterminate.

<unk>f with ?psych decompensation, ?ams // eval for acute process

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The cardiac silhouette is enlarged. The pulmonary vasculature is mildly indistinct. No definite consolidation is identified. No large pleural effusion is present.

*** fall precautions *** history: <unk>m with stroke. elevated wbc // eval for infection

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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal.

dyspnea x<num> months.

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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

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Clear lungs bilaterally without pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are normal. No bony abnormality.

<unk>-year-old man with shortness of breath and dyspnea on exertion. assess for worrisome lesion.

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Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted within the lower thoracic spine. No radiopaque foreign bodies are visualized.

history: <unk>m with neck pain after foreign body ingestion // eval for foreign body

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No acute pulmonary pathology including pneumothorax, pulmonary edema or focal consolidation is identified. Extensive apical bullous emphysematous changes are again noted. The cardiac and mediastinal contours are normal. No bony abnormalities are identified.

<unk>-year-old male with acute right side chest pain and shortness of breath, evaluate for infiltrate or mass.

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Cardiac defibrillator. Sternotomy. Heart is enlarged, stable. Normal pulmonary vascularity. No pleural effusion. No pulmonary edema. No infiltrates

<unk> year old woman with chf admitted with worsening shortness of breath // pulmonary edema, pleural effusion, consolidation

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The lungs are clear. The cardiac silhouette is within normal limits. There is tortuosity of the descending thoracic aorta. No acute osseous abnormality is identified.

<unk>m with cough tightness in chest wheezes and ? syncope // r/o pneumonia

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The study is somewhat limited due to underpenetration. Cardiac silhouette size remains moderately enlarged, primarily due to the presence of prominent epicardial fat. Widening of the superior mediastinum is also unchanged and attributable to mediastinal lipomatosis. Crowding of the bronchovascular structures is noted, with mild vascular congestion, similar to the prior chest radiograph. Lung volumes are low with mild patchy bibasilar airspace opacities, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.

leukocytosis, nausea.

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The lungs are well expanded. Heart appears normal in size and configuration. Cardiomediastinal contours are unremarkable. Lungs appear to be clear with no focal infiltrates. No pleural effusions and no pneumothorax. Bony structures are intact.

<unk>-year-old gentleman with cough, left lower lobe expiratory wheezes, smoker. ? pneumonia.

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Lateral view is nondiagnostic due to the patient's inability to raise his arms. The lung volumes are low. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.

severe lumbar spine stenosis.

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

<unk>f with hypoglycemia // ?pna

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected. Curvilinear lucency within the left subdiaphragmatic region could potentially reflect a tiny amount of pneumoperitoneum.

chest pain after vomiting.

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Lungs are well inflated. Interval decrease in size of <num> x <num> cm (previously <num> x <num> cm) right lower lobe peripherally located opacity. No pleural effusion. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Coarse calcifications of the aortic arch are unchanged. Surgical chain sutures project over the left mid lung and right lung apex. No free intraperitoneal air. Visualized osseous structures are notable for multilevel degenerative changes of thoracic spine with anterior osteophytes, subchondral sclerosis and disc space narrowing. An anterior compression fracture of a mid thoracic vertebral body is unchanged from <unk>.

<unk>f with epigastric pain, worse with eating, leukocytosis <unk>, multiple cancers recent ir guided biopsy of r lung. assess for consolidation. assess for perforated ulcer, gallbladder pathology, colitis

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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Multiple calcific densities project over the soft tissues of the lateral chest wall bilaterally.

<unk>f with cp // eval for ptx, eeffusion, pna, ardiomeg

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Cardiac silhouette size remains moderately enlarged with a left ventricular predominance. Rightward shift of mediastinal structures due to volume loss in the right lung is similar compared to the prior study. The hila bilaterally remain prominent, but unchanged. Mild pulmonary vascular congestion is new. Bronchiectasis is again demonstrated within the right perihilar region. Patchy opacity is also noted in the left lower lobe, possibly atelectasis. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.

history: <unk>f with seizures

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Heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Moderate degenerative changes of the thoracic spine with bridging anterior osteophytes are re- demonstrated.

history: <unk>m with weakness

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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 weakness // acute process

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Frontal and lateral radiographs of the chest demonstrate mild right basilar and lingular atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with sudden onset r sided chest pain // ptx?

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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No displaced fracture is seen.

upper respiratory infection, left midback pain. evaluate for fracture, pneumonia, effusion.

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The heart is borderline in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Vague opacification of the left mid to lower lung spares the left cardiac border, which appear sharp; although the opacities are not well seen on the lateral view, it is probably in the left lower lobe. Although the density is not very elevated, the extent of the abnormality may be significant.

fever. question pneumonia.

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Frontal and lateral views of the chest demonstrate a rotated patient to the left. Apparent discrepancy in lung attenuation may be related to amount of overlying breast tissue. Allowing for such, the lungs appear clear. There is no pneumothorax, vascular congestion, or pleural effusion, particularly on the lateral view. Assessment of cardiomediastinal silhouette is somewhat limited but likely within normal limits.

<unk>-year-old female with fever and hyperglycemia. question pneumonia.

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The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. The lungs appear clear. There are no pleural effusions or pneumothorax.

chest pain.

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

fatigue, weakness.

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Frontal and lateral views of the chest demonstrate low lung volumes. Heart is mildly enlarged. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Perihilar vascular congestion is noted. Partially imaged upper abdomen is unremarkable.

patient with renal failure. assess for chf.

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Left-sided port-a-cath has a similar course with the tip in the low svc. Bilateral coarse reticular markings with basilar predominance have not substantially changed. Moderate cardiomegaly. No pleural effusion or pneumothorax.

<unk> year old man with poc for chemotherapy with slow blood return. // evaluate port placement

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The inspiratory lung volumes are appropriate. Retrocardiac opacification with corresponding streaky opacities on the lateral view most likely represents overlapping thoracic aorta, pulmonary vascular structures and degenerative changes at the thoracic spine, although superimposed infection is not entirely excluded. Trace fluid is seen in the major fissure on the lateral view. There is no significant pleural effusion or pneumothorax. The pulmonary vasculature is essentially within normal limits. The cardiac silhouette is top normal in size, as before. Mild calcification of the aortic arch is redemonstrated with tortuosity of the descending thoracic aorta. The mediastinal and hilar contours are within normal limits.

confusion and fever, here to evaluate for pneumonia.

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The pulmonary vasculature is more engorged than on prior exams and there is cephalization of the vessels. The right mediastinum demonstrates increased prominence, the cardiomediastinal silhouette is enlarged compared to prior, and there is a right pleural effusion. Bibasilar opacities are seen, right greater than left. The right pleural effusion accounts for at least some of the right base opacity, however cannot exclude underlying atelectasis, pneumonia, or aspiration in the right clinical setting. The left base opacity could also represent atelectasis, pneumonia, or aspiration in the right clinical setting. There is no left pleural effusion or pneumothorax.

history: <unk>f with weakness // eval infiltrate

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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is present. The cardiomediastinal and hilar contours are within normal limits. Note is made of moderate dextroconvex scoliosis of the mid to lower thoracic spine. No acute osseous abnormality is detected.

generalized weakness, here to evaluate for pneumonia.

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Right-sided central venous catheter tip is seen in the upper right atrium. The lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged, even given differences in technique compared to prior, enlarged since <unk>. No acute osseous abnormalities identified. Degenerative changes are noted at the shoulders bilaterally.

<unk>f with ?pneumonia, likely copd exacerbation // evaluate for acute process

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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are unremarkable and similar to the prior study. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Subsegmental atelectasis is noted in the left lung base. There are no acute osseous abnormalities.

history: <unk>f with syncope, fall

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A right mediport is unchanged from <unk>, terminating at the confluence of the right brachiocephalic vein. There is no catheter fracture or kinking. There is a consolidation within the lingula. There is no pleural effusion or pneumothorax. The mediastinal contours are unchanged.

breast cancer receiving chemotherapy with and inability to get blood return from the mediport. evaluate mediport.

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Frontal and lateral views of the chest. Compared to prior, there has been interval enlargement of the right-sided pleural effusion. There is a persistent left-sided effusion which is grossly unchanged. Superiorly, the lungs demonstrate mildly indistinct pulmonary vascular markings suggesting vascular congestion. Cardiomediastinal silhouette is unchanged, at least moderately enlarged. Chronic changes seen at the shoulders bilaterally. Mid thoracic vertebral body severe compression deformity is again noted.

<unk>-year-old female with dyspnea and history of chf.