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

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Intervalremoval of feeding tube. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. No fractures.

<unk> year old woman with fall oob // eval for fx

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Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Heart size is mildly enlarged. Aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature normal. Streaky opacities in the lung bases are compatible with atelectatic changes. No focal consolidation, pleural effusion or pneumothorax is identified. Multilevel degenerative changes are noted in the thoracic spine.

altered mental status.

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Frontal and lateral views of the chest demonstrate low lung volumes which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart is mildly enlarged. There is no pulmonary edema. Spinal stimulator device is stable in position. Partially imaged upper abdomen is unremarkable.

confusion.

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Please note, low lung volumes limit evaluation. There is subtle opacity at the left lung base which could represent atelectasis or bronchovascular crowding. Please note however in the correct clinical setting and early pneumonia cannot be excluded. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.

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

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Compared to previous radiograph, there is a new subtle parenchymal opacity at the right lung base, showing mild air bronchogram and peribronchial thickening. In the appropriate clinical setting, the change could be related to pneumonia or aspiration. Otherwise, there are no relevant changes. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.

copd, two weeks of cough.

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The cardiac, mediastinal, and hilar contours appear unchanged. There are patchy new opacities in the left mid-to-lower lung, predominantly in the lingula, but streaky in morphology. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Moderate anterior osteophytes are present along the mid-to-lower thoracic spine.

right-sided chest pain.

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There is slight prominence of central vascularity and perihilar fullness suggesting slight to very mild congestion or fluid overload. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the mid-to-lower thoracic spine where small anterior osteophytes can be seen.

chest pain, status post recent stent placement.

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Streaky bibasilar opacities represent atelectasis, as seen on the concurrent ct abdomen/pelvis performed earlier on the same date. No other consolidation. A pleural effusion or pneumothorax. Pulmonary vascular congestion is mild. Heart size is mildly enlarged. Mediastinal and hilar contours are normal.

history: <unk>f with fever, abd pain // eval for lower lobe pna

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Heterogeneous opacification at the left lung base may represent a developing infection. Otherwise, the lungs are clear. Left upper extremity picc line terminates in the lower svc. Cardiomediastinal silhouette is normal. Again seen is a mild rightward curvature of thoracic spine. No pleural effusion or pneumothorax.

history: <unk>f with cough, fever. evaluate for pneumonia

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Compared with prior radiographs on <unk>, there is no break or change in alignment of median sternotomy wires. There has been interval removal of right ij catheter. A moderate left pleural effusion is similar to prior. There is no focal consolidation or pneumothorax. Normal postoperative appearance of the cardiomediastinal silhouette.

<unk> year old man with s/p cabg <unk>. patient has sternal click // r/o broken wire

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Ap and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No displaced fracture identified.

<unk>-year-old male with numbness post mvc.

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Pa and lateral views of the chest provided. There is no new focal opacity. Again seen are left hemidiaphragm elevation and atelectasis/scarring, unchanged since prior study from <unk>. There is a small left pleural effusion. Pulmonary vasculature is normal.

<unk> year old man with persistent unremitting cough, recently worse

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. Osseous structures are unchanged with widening of the right ac joint which could reflect prior trauma.

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

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Ap and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes seen on the current exam. Linear opacities at the lung bases, more so on the left are suggestive of atelectasis. There is no large confluent consolidation nor effusion. There is no evidence of pulmonary vascular congestion. Cardiac silhouette is within normal limits for technique and positioning and is unchanged. Atherosclerotic calcification is noted at the arch. Osseous and soft tissue structures are unchanged.

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

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Mild bibasilar atelectasis is noted. There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.

history: <unk>f with sob, h/o copd // eval for infection, pulmonary edema

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In comparison to the prior radiograph performed on <unk>, there has been interval development of a moderately-sized right pleural effusion. Left lung is essentially clear. No pneumothorax. Heart size is within normal limits. No acute osseous abnormalities identified.

history: <unk>f with dypsnea // r/o pna, effusion

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The lung volumes are low. A small opacity in the left retrocardiac region could be due to atelectasis given the poor inspiratory effort, although in the proper clinical setting, could be due to pneumonia. The lungs are otherwise clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

shortness of breath, chest pain, and cough. evaluate for pneumonia.

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Lung volumes are low leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

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

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An opacity seen on the lateral view overlying the heart is most consistent with basilar atelectasis. Cardiomediastinal and hilar contours are normal. No pneumothorax, pleural effusion, or consolidation.

history: <unk>m with sob // eval for pna

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

<unk>f with cough for the last <num> days, now with abdominal pain and fever

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Pa and lateral views of the chest were viewed. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Subtle reticulonodular opacity of the lingula is noted and stable compared to the prior study.

tachycardia.

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Heart size is normal. Mediastinal and hilar contours are unchanged and within normal limits. Pulmonary vasculature is normal. Linear opacities in the lingula are compatible with subsegmental atelectasis or scarring. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine.

history: <unk>m with fever and cough

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Severe cardiomegaly is unchanged. There is mild pulmonary edema which is relatively asymmetric and worse at the right lung base, unchanged. Small bilateral pleural effusions.hyperinflation of the lungs is noted.

history: <unk>f with sob // eval for infiltrate, chf

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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 female with chest pain. evaluate for acute process.

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Lung volumes are low. Cardiomegaly is likely mild-to-moderate. There is mild pulmonary edema. There is a small left pleural effusion. More focal opacity in the retrocardiac region may be related to low volumes and atelectasis, however pneumonia cannot be excluded.

<unk>m with sob // pna?

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There is no focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.

<unk> year old woman with l<num>/l<num> discitis, unknown source, no pulmonary symptoms // r/o pneumonia

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion, pulmonary edema, pneumothorax, or pneumonia.

<unk> year old woman with chest/back pain and ?decreased breath sounds in the right base. history of asthma. recently returned from trip to <unk>. // r/o pna, effusion

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

<unk>f with chest pain

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

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

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Mild cardiomegaly is unchanged. There is mild atelectasis at the lung bases. Otherwise, there is no focal consolidation. No pneumothorax.

history: <unk>f with <unk> weeks of fatigue, increased sputum // eval ? occult infection

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Patchy opacity overlying the right lower lung appears stable and likely representative of mild scarring. Right hemidiaphragm remains chronically elevated. Large left hiatal hernia is again noted. Cardiomediastinal silhouette is stable. Post-cholecystectomy changes are noted with surgical clips in the right upper quadrant.

evaluation of patient status post fall.

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The lungs are hyperinflated. No focal opacities are identified. Mild cardiomegaly is unchanged from prior with significant left atrial contribution. An unfolded aorta with prominent atherosclerotic calcifications at the aortic knob is also unchanged. There is no pleural effusion or pneumothorax. Hilar contours are stable.

<unk>-year-old female with chest pain. evaluate for pneumonia or pneumothorax.

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Compared to the prior exam there has been dramatic decrease in the right pleural effusion which is now small. The port-a-cath is again visualized in similar position. There is a small left effusion. There is volume loss at both bases and however the aeration is improved compared to the prior exam. Pleurx catheter is seen projecting over the right lower chest. Calcified lymph nodes and intraparenchymal calcifications are again visualized.

pleurx catheter in place for malignant effusion.

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A dual-lead pacemaker/icd device appears unchanged. The heart is mildly enlarged. The aorta is calcified. The mediastinal and hilar contours appear unchanged. Slight scarring is similar to each lung apex. There is perhaps a trace pleural effusion or scarring at the left lung base noting pleural thickening. A new small right-sided pleural effusion is noted. The lungs are hyperinflated. There is background coarsening of lung markings that is similar to improved without definite focal consolidation. The coarse appearance of the lung architecture probably reflects emphysema. Mid thoracic compression deformities appear unchanged.

productive cough and malaise.

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The patient is rotated to the right. The patient's chin overlies the right lung apex, making its evaluation suboptimal. There are low lung volumes, which accentuate the bronchovascular markings. Evidence of mild interstitial edema is seen. On the lateral view, there is patchy opacity projecting over posterior lung base, possibly on the right, consolidation at that location due to infection or aspiration not excluded. The cardiac silhouette is not enlarged. Prominence of the hila may relate to pulmonary vascular engorgement.

altered mental status with new osseous requirement.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. There is a retrocardiac opacity adjacent to the left hemidiaphragm, better seen on lateral view. This could represent an early developing pneumonia. No appreciable pleural effusion or pneumothorax is seen. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with fever.

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The lungs are hyperinflated and clear. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. There are moderate to severe degenerative changes in the thoracic spine

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

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Pa and lateral views of the chest provided. Minimal atelectasis abuts the minor fissure as on prior, possibly reflecting a component of scarring. Lung volumes are low with mild basal atelectasis. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear intact.

<unk>m with lethargy. h/o asthma, wheezy on exam // ?pna

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The lungs are relatively well expanded and grossly clear. Previously noted pulmonary edema and right middle lobe opacity have resolved. There is no pleural effusion or pneumothorax. A small hiatal hernia is again noted. Cardiac, mediastinal and hilar contours are otherwise unchanged.

history: <unk>f with shortness of breath

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The lungs are well expanded and clear. No pulmonary edema is present. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The patient is status post cabg and aortic valve replacement. Sternotomy wires are intact. A right-sided picc line is noted ending in the mid to lower svc. Degenerative changes of both shoulder joints and mild diastasis of the left ac joint are unchanged compared with prior exam.

<unk>-year-old female with elevated white blood cell count, status post fall. evaluate for acute cardiopulmonary process.

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There is no lung consolidation. The lungs are chronically hyperinflated. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

patient with persistent cough, fever, lesion?

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Frontal and lateral views of the chest. The bilateral perihilar opacities with indistinct pulmonary vascular markings seen throughout. Blunting of posterior costophrenic angles suggestive of effusions. Linear opacity in the region of the minor fissure suggests fluid within the fissure versus potential adjacent atelectasis or other cause of consolidation. The cardiac silhouette appears enlarged likely exaggerated by poor inspiratory effort. Dense mitral annular calcifications are noted as well as atherosclerotic calcifications of the aorta which is tortuous. Multiple compression deformities are noted throughout the thoracic and likely lumbar spine which are age indeterminate.

<unk>-year-old female with shortness of breath, cough and sputum production. new onset of dyspnea and chest pain.

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The heart is normal in size. There is mild unfolding of the thoracic aorta. Patchy atherosclerotic calcifications are noted along the ascending aorta and the arch. There is no pleural effusion or pneumothorax. Aside from streaky left basilar opacification suggesting minor atelectasis, the lungs appear clear. A moderate to large hiatal hernia is noted with an air-fluid level. The bones are probably demineralized to some degree. Lower thoracic interspaces show slight biconcave endplate depressions typical for sequelae of bony demineralization.

increased lethargy.

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A single-lead pacemaker/icd device terminates in the right ventricle. The cardiac, mediastinal and hilar contours appear stable including a left ventricular configuration to the heart. The lung volumes are low. Minor streaky opacities at the lung bases suggest minor associated atelectasis, but otherwise the lungs appear clear. There are no pleural effusions or pneumothorax. Surgical clips project over the left upper quadrant.

altered mental status. question pneumonia.

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Low inspiratory volumes. Allowing for this, the heart is not enlarged. Mild prominence of the mediastinum could reflect low inspiratory volumes. There is some patchy opacity at both lung bases. While this could reflect atelectasis, the appearance is more suggestive of pneumonic infiltrates or areas of aspiration. No chf, effusion, or pneumothorax is detected. No free air identified beneath the diaphragms.

<unk> year old woman w/ complicated diverticulitis s/p ir drainage of abscess, with persistent abdominal pain and high narcotic usage // please perform upright cxr to r/o free air

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No focal consolidation is identified. There is mild prominence of interstitial markings, unchanged since prior studies. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. There is scarring at the right lung apex. A percutaneous catheter projects over the right upper quadrant. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.

altered mental status, evaluate for pneumonia.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia.

<unk>m with syncope.

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Pa and lateral radiographs of the chest demonstrate clear lungs. There is no pneumothorax or pleural effusion. Minimal cardiomegaly is chronic. Pulmonary vascularity is normal. On the lateral view only, an anterior wedge compression fracture of a mid-to-lower thoracic vertebral body becomes apparent. No prior lateral radiographs or cts are available to determine the age of this compression fracture.

confusion and agitation and patient requiring medical clearance for psychiatric admission.

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Frontal and lateral views of the chest were obtained. Lung volumes are slightly low resulting in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal allowing for lung volumes. The ventriculoperitoneal shunt projects over the right hemithorax. A catheter fragment in the left upper quadrant is unchanged from <unk>.

<unk>-year-old woman with cough and sputum.

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal.

evaluation of the patient with hyperglycemia.

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Cardiomediastinal silhouette is within normal limits. Lungs are symmetrically expanded and clear. There is blunting of both cp angles compatible with small pleural effusions there is no pneumothorax.

<unk> year old woman with fever // evaluate for acute process

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Pa frontal and lateral chest radiograph demonstrates interval removal of endotracheal and nasogastric tube. Lungs are well expanded and clear bilaterally. Previously seen streaky linear opacities at the left base most consistent with atelectasis. There is no focal consolidation. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is remarkable for a tortuous aorta. Heart size is normal. No pulmonary edema. The mediastinal and hilar contours remain stable.

<unk>-year-old female with cough recently extubated. evaluate for pneumonia.

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In comparison with the study of <unk>, the cardiac silhouette is stable at the upper limits of normal in size. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

cough and shortness of breath.

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The lungs are clear and the heart mediastinal contours are within normal limits in size and shape. No pneumothorax or pleural effusion is seen. No fracture is visible, however if there is concern for nondisplaced vertebral body or rib fracture, specific bone films should be obtained.

history: <unk>f with six days ago // ? fracture,? pneumothorax

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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.

productive cough, to assess for pneumonia.

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Right sided central venous catheter tip terminates in the low svc. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lung volumes are low without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with altered mental status

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In comparison with the study of <unk>, there again are coarse interstitial markings at the bases consistent with the diagnosis of bronchiectasis. Blunting of the costophrenic angles persists. In the appropriate clinical setting, it would be extremely difficult to exclude superimposed pneumonia, especially posteriorly at the left base. Upper lungs are within normal limits and there is no evidence of vascular congestion.

bronchiectasis, to assess for pneumonia.

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The cardiac silhouette is persistently enlarged, similar compared to <unk>. Right greater than left hilar prominence is re- demonstrated. Right greater than left perihilar opacities are again seen in this patient with suspicion of sarcoidosis. The right perihilar opacities appear increased as compared to the prior study, and superimposed infectious process is not excluded. No pleural effusion or pneumothorax is seen. There is persistent elevation of the right hemidiaphragm.

history: <unk>f with sob, hypoxia // acute process

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There is no evidence of focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal.

<unk>-year-old female with left-sided chest pain, question pneumonia.

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There is a <num> mm dense ovoid opacity projecting in the posterior left lower lobe. The nodular opacity is dense and may be calcified however, this is not confirmed on chest radiograph and nonurgent chest ct is recommended for further evaluation. The remainder of the lungs are clear. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal mildly enlarged. Mediastinal and hilar contours are unremarkable. Degenerative changes seen along the spine.

history: <unk>f with presyncope // eval heart and lungs

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Interval removal of a right-sided picc line. Cervical hardware is again noted. Persistent streaky a left lower lobe and retrocardiac opacities likely reflect atelectasis. Remainder the lungs are grossly clear. There is no evidence of pneumothorax or pulmonary edema. The cardiomediastinal silhouette is unchanged appearance.

history: <unk>f with fevers // r/o pneumonia

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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. Slight loss of anterior vertebral body height of a lower thoracic vertebral body is age indeterminate. Multilevel degenerative changes of thoracic spine are mild-to-moderate.

<unk>-year-old man with chest pain. evaluate for pneumonia.

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The heart size is at the upper limits of normal. The hilar and mediastinal contours are within normal limits. The lungs are grossly clear without evidence of focal consolidations concerning for pneumonia. There is no chf, pleural effusion or pneumothorax. The visualized osseous structures are unremarkable, except for mild thoracic degenerative changes. Note is made of a gastric band device and right upper quadrant surgical clips.

history of cough and fever. please evaluate for pneumonia.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema. The cardiomediastinal contours are within normal limits allowing for low lung volumes. No acute displaced rib fractures are detected. There is no free air beneath the right hemidiaphragm.

chest pain, here to evaluate for rib fracture.

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The lungs are well expanded and clear. Previously seen left lung nodule is not seen on this exam. No pleural effusion is seen. Heart size is normal. The mediastinal and hilar contours are unremarkable.

<unk> year old woman with possible lung nodule vs ekg lead // please remove all external leads

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Pa and lateral views of the chest provided. When compared with the prior cardiac mri, there is a similar pattern of hilar and perihilar opacity consistent with known sarcoidosis. Difficult to exclude a subtle superimposed pneumonia. No large effusion or pneumothorax. No convincing signs of edema. Heart size appears unchanged. Bony structures are intact.

history: <unk>m with doe <num>wk s/p cardiac ablation, history of sarcoid

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The right-sided chest tube has been removed. Emphysematous changes in the lungs are again visualized. There is improved aeration in the left lower lung with decreased effusion; however, there continues to be some retrocardiac volume loss. Old rib fractures on the right are again seen.

status post chest tube and jp removal for pneumothorax.

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

<unk>f with smoke inhalation // eval for pneumonitits

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The lung volumes are low, with bibasilar atelectasis. The heart size is mildly enlarged, stable compared to the prior examination. Allowing for ap technique. Calcified pleural plaques projecting over the left mid lung are unchanged in appearance. No pleural effusion, pneumothorax, overt pulmonary edema, or focal consolidation is identified. A left chest wall pulse generator device is unchanged in position, with leads terminating in the right atrium and right ventricle. No acute osseous abnormality is detected.

<unk>m with crackles at right base, subjective fevers, cough

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Left-sided pacemaker device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus, unchanged. Right-sided port-a-cath tip terminates at the svc/right atrial junction. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. Cervical spinal fusion hardware is incompletely imaged. Catheter tip terminating within the mid thoracic spine is unchanged.

history: <unk>m with chest pain and shortness of breath

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In comparison with study of <unk>, there is little change and no evidence of acute pneumonia, vascular congestion, or pleural effusion. Little change in the appearance of the fracture of the distal clavicle on the right.

hiv with lightheadedness.

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Lung volumes are low. There is mild bibasilar atelectasis. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. Compression deformity in the midthoracic spine is unchanged.

<unk> year old woman with doe // r/o infiltates

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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk>m with dyspnea and hypoxia // ?pneumo

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar chest examinations of <unk> and <unk>. Size and appearance of thoracic aorta unchanged. The previously described right-sided apical pleural density remains unaltered. The on next previous examination suspected remaining parenchymal densities and pleural thickening in the axillary area has regressed in size, appears to blend the apical pleural scar formations. Post-operative appearance of progressive right-sided hilar stump has not increased in prominence. No new parenchymal infiltrates in the remaining right-sided lung tissue which demonstrates a basal pleural scar formation at the diaphragmatic surface and no new parenchymal infiltrates or masses. Left hemithorax remains unchanged and within normal limits.

<unk>-year-old female patient status post right upper lobectomy, check interval change.

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Lung volumes are low but the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. There is mild stable cardiomegaly. No acute fractures are identified.

fall with pain.

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As compared to the previous radiograph, the extent of the known right pneumothorax at both the lung bases and the lung apex, is constant. There is currently no evidence of tension. Unchanged appearance of the left lung and of the cardiac silhouette.

pneumothorax, the chest tube is pulled. evaluation.

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There is blurring of detail due to respiratory motion. Moderately severe cardiomegaly is chronic. Mediastinum is persistently widened by a tortuous aorta and probably also vascular ectasia. There is mild perihilar vascular engorgement; however, no significant pulmonary edema is identified. Increase in opacity in the retrocardiac region may be secondary to atelectasis and overlao of vascular shadows; however, an acute infectious process cannot be excluded. There is no large pleural effusion or pneumothorax. Again seen is hyperinflatipm and flattered diaphragms suggesting bacground copd.

history of fever. please evaluate for pneumonia.

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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are hyperexpanded, and extensive fibrotic changes are again seen in the upper lobes, consistent with known history of sarcoidosis. No acute osseous abnormalities are detected.

<unk>m with cough, dyspnea // eval for infiltrate

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Pa and lateral views of the chest were provided. Mild cardiomegaly is noted without focal consolidation, effusion, or pneumothorax. On the lateral view there is a rounded density projecting over the chest which likely represents a skin fold the. The mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>-year-old woman with cough and fever.

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Left chest wall dual lead pacing device is again seen the left atrial and left ventricular leads. There is a vague right mid lung opacity projecting over the anterior right fifth rib. Elsewhere the lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is within normal limits. Increased opacity projecting over the lower thoracic spine on the lateral view is due to significant lower thoracic/ upper lumbar levoscoliosis and associated hypertrophic changes.

<unk>f with fall, strike on head // eval fall

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation. There is no acute osseous abnormality.

<unk>-year-old male with chest pain and shortness of breath, evaluate for acute process.

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Pa and lateral views of the chest provided. A right ij central venous catheter is seen with its tip in the expected location of the low svc. Mild interstitial pulmonary edema with hilar congestion is noted. No large effusion. Heart size is top-normal. No pneumothorax. Mediastinal contour normal. Bony structures appear intact. No free air below the right hemidiaphragm.

<unk>m with fever // eval infiltrate

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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Apart from minimal atelectasis in the left lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.

history: <unk>m with exertional angina for <num> days, positive troponin at outside hospital

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Streaky bibasilar opacities are likely due to atelectasis. The lungs are otherwise clear without consolidation, effusion, or edema. Cardiac silhouette is enlarged but similar compared to prior. No acute osseous abnormalities.

<unk>f with palpitations, sob // eval for pna

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Pa and lateral views of the chest provided. The heart appears mildly enlarged. There are small bilateral pleural effusions partially tracking along the fissure oral planes. No convincing signs of pneumonia or edema. Mediastinal contour appears stable. The imaged osseous structures appear intact.

<unk>m with nausea, vomiting // eval for chf/pneumonia

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The lungs are clear. The cardiomediastinal silhouette is normal. Right clavicular orthopedic hardware is again noted. No acute osseous abnormalities identified, old healed right posterior rib fractures are noted.

<unk>m with shortness of breath // eval for 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>. Comparison confirms that the right-sided chest tube which terminated in the apical area has been pulled back by about <num> cm. Previously described remaining small apical pneumothorax remains practically unchanged. Also, the previously described pleural thickenings and elevation of the right-sided diaphragm remains practically unchanged. Heart size remains normal, and there is no pulmonary vascular congestive pattern in the left-sided hemithorax with grossly normal appearance.

<unk>-year-old female patient with right empyema status post right decortication, check interval change after chest tubes pulled back <num> inch.

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Redemonstrated are postsurgical changes within the left lower lobe, with adjacent atelectasis and suture material identified. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.

history of melanoma. now with fever and tachycardia.

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As compared to the previous radiograph, the alignment of the sternal wires is unchanged. The size of the cardiac silhouette continues to be slightly increased with areas of atelectasis seen at the level of both hila. The lateral projection shows small dorsal pleural effusion. Areas of atelectasis are present at both lung bases. No overt pulmonary edema. No pneumonia.

readmission for shortness of breath. evaluation.

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<num> cm rounded opacity projecting over the lateral left lung base may represent nipple shadow. Recommend repeat with nipple markers for confirmation. The remainder of the lung fields are clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. A left-sided picc terminates in the mid to low svc.

history: <unk>f with fever, lethargy, picc // acute process, picc positon

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There is improved aeration in the regions of previously described early infiltrate. No focal infiltrate is visualized on today's study. Cardiac and mediastinal silhouettes are unchanged.

asthma, pneumonia.

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Low lung volumes. Cardiomediastinal silhouette is stable. The aorta is calcified, indicating atherosclerosis. 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. There are surgical clips in the left quadrant.

<unk>f with chest pain. evaluate for cardiomegaly

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There are relatively low lung volumes. Mild bibasilar atelectasis is seen as well as minimal lingular atelectasis. There is no definite focal consolidation. There is no pleural effusion or pneumothorax. The aortic knob is calcified. The cardiac silhouette is not enlarged. No displaced fracture is seen.

syncope.

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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal subsegmental atelectasis in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

history: <unk>m with chest pain

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The heart is at the upper limits of normal size. The aorta is mildly tortuous with calcification noted along the arch. Hilar contours are unremarkable. A small pleural effusion is suspected on the right, no definite one on the left. Streaky opacity along the left costophrenic angle suggests minor atelectasis or scarring. No parenchymal edema is convincingly detected. The bones appear demineralized.

congestive heart failure.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

diffuse malaise. evaluate for pneumonia.

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Heart size is normal. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Apart from a <num> mm calcified granuloma in the left lower lobe, lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. Hypertrophic changes are noted within the imaged thoracic spine.

history: <unk>f with chest pain radiating down left arm

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There is mild diffuse increased interstitial lung markings of unknown etiology. This could be related to pulmonary edema with small bilateral pleural effusions. Because the heart contour and azygous vein are not dilated, it would be a non cardiogenic edema. There is no pneumothorax.

patient with infiltrate.

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Heart size is slightly enlarged. Mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded with increasing ground glass hazy density in the left mid lung zone, sequela of treated breast cancer, as characterized on the prior chest ct from <unk>. There is no new focal consolidation concerning for pneumonia.

<unk>-year-old female with nausea, rule out pneumonia.

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips are noted over the left upper outer hemi thorax.

history: <unk>f with hx of breast cancer, now with pleuritic chest pain moving to left shoulder. normal ekg. // evaluate for fracture, acute process