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

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New airspace opacity is identified at the left lower lobe, concerning for pneumonia. Suture material at the right lung apex is unchanged. Cardiomediastinal and hilar silhouettes are normal size.

<unk> year old woman with fever, cough, history of spontaneous pneumothorax status post vats // ? pna

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Cardiac silhouette size is normal. The aorta remains tortuous and diffusely calcified. Mediastinal and hilar contours are unchanged. Lungs are hyperinflated with emphysematous changes re- demonstrated. Pulmonary vasculature is not engorged. There is interval improvement in aeration of the right lung base with decreased right lower lobe opacity compatible with improving pneumonia. Left lung is clear. No new areas of focal consolidation are demonstrated. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the imaged thoracic spine.

history: <unk>m with cough

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The left hilum remains prominent and is due to the patient's known tumor, and appears stable. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at the upper limits of normal and stable. No acute fractures are noted.

evaluation of patient with history of lung cancer with altered mental status and pancytopenia.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild biapical pleural scarring is unchanged from the prior examination. The cardiomediastinal silhouette is within normal limits.

history: <unk>f with heart racing sensation // eval for ptx

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There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is eventration of left hemidiaphragm posteriorly. The aorta is slightly tortuous. The cardiac silhouette is not enlarged.

persistent cough for <num> weeks productive end no sputum.

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The heart is normal in size. The aorta is calcified and tortuous. There is no pleural effusion or pneumothorax. A nodular opacity projecting over the left lower lung suggests a nipple shadow rather than a true pulmonary nodule. Vague opacity is noted in the basilar right lower lobe in both views. Bony structures are unremarkable.

weakness and syncope.

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A left-sided dual lead pacemaker is in stable, appropriate position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Right and left lower lobe opacities (left greater than right) are concerning for infection. There may be a small left pleural effusion. No pneumothorax is seen.

<unk>m with cough // pna?

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

<unk>f with rheumatoid arthritis and hypertension, now with lightheadedness and dyspnea

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The cardiac silhouette size is mild to moderately enlarged. Dense mitral annular calcifications are noted. The aorta is diffusely calcified. Prominence of the hila is compatible with known lymphadenopathy, and known mediastinal lymphadenopathy is not well depicted on this exam. Small bilateral pleural effusions, left greater than right, persist. Opacification of the left lung base may reflect atelectasis though infection is not excluded. Mild right basilar opacity also may reflect atelectasis. No moderate interstitial pulmonary edema is seen. Right lateral pleural thickening is unchanged. There is no pneumothorax. No acute osseous abnormalities are seen.

cough, lethargy.

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There are small pleural effusions with bibasilar atelectasis. Vascular congestion bilaterally has improved overall.no pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk> y/o s/p ct removal with fluid coming from ct site // eval for pleural effusion

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The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

chest pain

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Pa and lateral views of the chest were provided. Lung volumes are somewhat low, though, allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged bony structures appear intact. No free air below the right hemidiaphragm.

<unk>-year-old man with wheezing and dyspnea. evaluate for pneumonia.

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The cardiac, mediastinal and hilar contours appear unchanged including moderate cardiomegaly. Diffuse hazy opacification of each lung has worsened and is most suggestive of pulmonary edema. A focal component to opacification persists at the right lung base, but similar to the prior study; differential considerations include pneumonia, atelectasis or a focal region of edema. There is no suggestion of substantial pleural effusion, although a small one would be difficult to exclude on the right.

hypoxia.

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Patient is status post median sternotomy. Cardiac and mediastinal silhouettes are stable. Left mid lung with linear atelectasis/scarring is stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax.

history: <unk>f with ams // eval for infection

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The lungs are clear. The cardiac silhouette is normal size. The patient is status post median sternotomy and aortic valve repair. Pulmonary vascularity is normal. No pleural effusion, pneumothorax, or pneumonia.

<unk>-year-old man with chest and abdominal 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>m with gi pain

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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a retrocardiac opacity, seems to correlate with a small left-sided pleural effusion and associated parenchymal opacity that can probably be attributed to atelectasis. Pneumonia is also a differential consideration, however. There is probably a trace pleural effusion on the right. A nodule in the lingula on the prior ct torso is not well demonstrated on this examination. Sclerotic bony metastases are widespread.

new atrial fibrillation. question infiltrate.

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Cardiac silhouette size remains mildly enlarged. A large hiatal hernia is demonstrated, as seen previously. Hilar contours are normal. Pulmonary vasculature is unremarkable. Streaky atelectasis is seen in the lung bases associated with the hiatal hernia, but there is no focal consolidation, pleural effusion or pneumothorax. The osseous structures are diffusely demineralized. No acute osseous abnormality is detected.

history: <unk>f with intermittent chest pain

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

dyspnea after laparoscopic cholecystectomy.

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear, with no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal consolidation. Cardiomediastinal silhouette is unremarkable. No displaced rib fractures are identified. Chronic-appearing irregularity of the bilateral acromioclavicular joints is likely not related to acute trauma.

<unk>-year-old male with right-sided chest pain after fall. evaluation for rib fracture or pneumothorax.

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The lungs remain relatively hyperinflated. Midline tracheostomy is again seen. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with sob // acute process

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There is no consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is mildly enlarged, similar to before.

history: <unk>f with palpiations, new afib // eval for cardiomegaly

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Ap and lateral views of the chest. Again seen is a large hiatal hernia, unchanged. There is a right lower lobe opacity which may represent atelectasis. Lung volumes are low. There are tiny if any bilateral pleural effusions. A mid thoracic vertebral compression fracture is unchanged.

nausea and cough.

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Cardiomediastinal silhouette is within normal limits. A small wedge-shaped area of opacification along the left hemidiaphragm is new compared to the prior examination. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable.

history: <unk>m with cp // ? effusion, consolidation, ptx

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The left-sided pacemakerlead terminates in the right ventricle. There is no break in the wire. There is no pneumothorax. Moderate cardiomegaly is unchanged. There is no focal consolidation, pulmonary vascular congestion, or pleural effusion. Mild basilar atelectasis is unchanged.

history of tachybrady syndrome and a new single-chamber pacer placement.

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Heterogeneous right lower lobe opacities are concerning for an infectious process. A <unk>-mm nodular opacity projecting over the right mid lung on the frontal radiograph is new compared to the prior study from <unk>, possibly also infectious in nature, although a pulmonary nodule is not excluded. There is minimal left lower lung atelectasis. Mild cardiomegaly is not significantly changed. The mediastinal contours are normal. Blunting of the right costophrenic angle could be due to a small pleural effusion. There is no pneumothorax.

hypoxia and fever. assess for pneumonia.

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Cardiac silhouette size is mildly enlarged. The aorta is tortuous. Mediastinal hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Linear and patchy opacities the lung bases most likely reflect areas of atelectasis. No pleural effusion, focal consolidation or pneumothorax is present. There are no acute osseous abnormalities identified.

history: <unk>f with epigastric pain, worse with exertion

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. 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 uri/cough, chest pain. evaluate for pna

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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is similar mild rightward convex curvature along the lower thoracic spine.

leukocytosis and hyponatremia.

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The heart size is mildly enlarged. The aorta remains tortuous and calcified. The pulmonary vascularity is not engorged. Bilateral lower lobe airspace opacities are concerning for infection, though in the setting of hemoptysis, hemorrhage can cannot be excluded. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine as well as within the right shoulder.

cough, hemoptysis, fever and chills.

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Pneumoperitoneum reflects the previous day's cholecystectomy. Lung volumes are low. Linear opacities at the lung bases are likely atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Heart and mediastinal slight is likely exaggerated due to poor inspiration. Cholecystectomy clips are noted within the right upper quadrant.

history: <unk>f s/p recent abdominal surgery <unk> now w/abdominal pain, vomiting, tachypnea // evaluate for pneumonia, acute process

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There are low lung volumes. This causes the heart size to be accentuated, appearing mildly enlarged. Mild atherosclerotic calcifications of the aortic arch are present. There is crowding of bronchovascular structures, but no overt pulmonary edema is noted. Assessment of the lung bases is limited due to low lung volumes. Mild atelectasis is seen at the lung bases, but infection cannot be excluded. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

fevers.

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Pa and lateral chest radiograph demonstrates linear opacity at the right lower lobe suggestive of atelectasis. Lungs demonstrate no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are unremarkable. Lungs are hyperexpanded suggestive of emphysematous changes. Deformity of the eighth right rib posteriorly appears to be secondary to prior injury.

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

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. The pulmonary vasculature is within normal limits.

hypoxia in the setting of alcohol abuse.

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. The lungs appear to be mildly hyperinflated. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of fevers

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There is mild emphysema, moderate cardiomegaly, but no pulmonary edema and no pleural effusion. There is no focal consolidation. There is moderate osteopenia, but no vertebral compression fractures.

<unk> -year-old woman with chest pain, dyspnea. please assess for pneumonia.

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The lungs are well inflated and grossly clear. The cardiomediastinal silhouette is unremarkable. Known left upper lobe nodule has been persistently decreasing in size on sequential exams, and is not perceptible on the current study.

history: <unk>m with confusion // eval infiltrate, mass

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Pa and lateral views of the chest. Clips in the right hilus are compatible with prior right upper lobectomy. After chest tube removal, there is no new pneumothorax. There is either fluid at the apices. Some rightward mediastinal shift is expected after lobectomy. No pleural effusion. Decrease in subcutaneous emphysema. Left basilar atelectasis is stable. No focal parenchymal opacities concerning for pneumonia.

right upper lung nodule status post right upper lobectomy. status post removal of right chest tube, evaluate for interval change post chest tube pull.

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The lungs are well expanded and clear. There is hyperinflation of the lungs and inversion of the right hemidiaphragm, suggestive of small airway obstructive disease. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouettes are unremarkable. Visualized osseous structures are unremarkable.

<unk>-year-old female with malignancy of the liver, requiring assessment for pleural lesions.

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Small to moderate right pleural effusion is minimally decreased. Otherwise there is no appreciable change. Chronic atelectasis and scarring in the right upper lobe and perihilar opacities radiating from the hilum are unchanged. The left lung is relatively clear. Heart size is unchanged. There is no pneumothorax.

<unk> year old woman with right effusion s/p <unk> // ? ptx, full re-expansion

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. There is no evidence of pneumoperitoneum. A stent is seen projecting over the expected location of the left subclavian vein.

<unk>-year-old female with a past medical history of left subclavian thrombosis, now presenting with left upper chest pressure and shortness of breath x<num> hr. afebrile, normal wbc.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded. There is irregular opacity at the right apex, likely the sequela of prior infection and unchanged since prior examination. There is no focal consolidation, pleural effusion or pneumothorax. No large mass identified.

hypernatremia. rule out mass.

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Lung volumes are low. This accentuates the size of the cardiac silhouette which appears moderately enlarged. The mediastinal contours are unremarkable. Pulmonary vasculature is normal. Patchy opacities are demonstrated in the lung bases. Small bilateral pleural effusions are also noted. No pneumothorax is present. There are mild degenerative changes in the thoracic spine.

history: <unk>m with fever

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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There are no focal consolidations. There are no pleural effusions. There is no pneumothorax. Visualized osseous structures are grossly intact.

<unk>-year-old woman with new diagnosis of sle and dyspnea on exertion. study requested for evaluation of pleural effusion.

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As compared to the previous examination, the patient has been extubated and the nasogastric tube has been removed. The lung volumes remain relatively low. At the right lung bases, there is unchanged evidence of a parenchymal opacity with air bronchograms, obliterating the right heart border, and suspicious for a status post aspiration or pneumonia. A pre-existing effusion and opacity on the left have almost completely resolved. The size of the cardiac silhouette remains large, but there is no evidence for pleural effusion. No pneumothorax.

questionable <unk>-<unk> disease, evaluation for interval change.

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Heart size is moderately enlarged, unchanged. 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 right upper extermity 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>m with hypotension

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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 fever, cough, right upper quadrant pain

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Bronchovascular markings are accentuated by low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Stable elevation of the left hemidiaphragm. Heart size is normal. Median sternotomy wires are intact. No acute osseous abnormalities. An electronic device projects over the left chest wall.

history: <unk>m with chest pain // eval for structural process

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Cardiomediastinal contours are stable. Left lower lobe opacities have improved consistent with improving atelectasis and presumed small pleural effusion. There is a tiny right apical pneumothorax. Right lower lobe opacities likely atelectasis. Skin <unk> are present in the left supraclavicular region. Right port a cath tip is in the lower svc

<unk> y.o. m w/ esophagogastric carcinoma s/p neoadjuvant chemotherapy now s/p mie // assess for abnormalities s/p chest tube pull

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As compared to the previous radiograph, there is unchanged evidence of rib absence on the right. Pre-existing effusion on the right has minimally decreased. Normal appearance of the left lung and of the cardiac silhouette. Component of the biliary stent visible on the chest radiograph is unchanged.

concern for migration of biliary stent, evaluation.

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Cystic air-containing structures in the right lung base represent known loops of colon in the anterior diaphragmatic hernia. The cardiomediastinal silhouette is otherwise unremarkable. No focal consolidation concerning for pneumonia. Bibasilar atelectasis is present, and pleural effusions are trace, if any. Previous pulmonary vascular congestion has improved.

<unk>m with borderline fever, hypoxia, known morgnani hernia. evaluate for pneumonia.

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Pa and lateral chest views were obtained with patient in upright position. There is status post sternotomy and evidence of previous bypass surgery. Moderate cardiac enlargement is present. Thoracic aorta is of ordinary <unk> but shows rather extensive calcifications in the wall at the level of the arch. Pulmonary vasculature does not show any upper zone redistribution, interstitial alveolar edema, but bilateral moderate amounts of pleural effusions are still present and blunt the lateral and posterior pleural sinuses. There is no evidence of new discrete pulmonary parenchymal infiltrates of pneumonic nature. No pneumothorax is present in the apical area on the frontal view. When comparison is made with the next preceding portable chest examination of <unk>, the at that time observed perivascular haze has regressed.

shortness of breath, status post bypass surgery and stent placement, evaluate for chf.

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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. No free air or pneumomediastinum.

nausea and vomiting status post egd <num> days ago, evaluate for free air or pneumomediastinum.

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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. Tracheal tube is seen within the upper airway. Left chest wall port catheter tip is terminating at the cavoatrial junction, unchanged from prior.

<unk>f with long hx tracheitis with green discharge from trach and chills. evaluate for pneumonia.

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Lungs are free of consolidation or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with fever, fatigue and shortness of breath. elevated white blood cell count.

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The cardiac silhouette size is normal. The aorta remains tortuous, and the hilar contours are stable. The pulmonary vasculature is normal. Streaky opacities in the lung bases are re- demonstrated, similar compared to the prior exam, and most likely reflective of atelectasis. Infection is not completely excluded. No pleural effusion or pneumothorax is seen. Partially imaged is cervical spinal fusion hardware. Mild elevation of the right hemidiaphragm is re- demonstrated, along with multiple clips in the right upper quadrant of the abdomen.

cough.

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Frontal and lateral views of the chest. As on prior, extremely low lung volumes are seen. There is no definite consolidation nor effusion. Cardiomediastinal silhouette is within normal limits. A right-sided dual lumen central venous catheter is again seen. Dense mitral annular calcifications are also noted. Severe degenerative changes seen at the shoulders bilaterally. No acute osseous abnormality detected.

<unk>-year-old female with altered mental status.

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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.

transient change in mental status.

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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

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

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Heart size is normal. Aorta is mildly tortuous. Mediastinal and hilar contours are otherwise normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.

history: <unk>f with dyspnea and wheezing. // ?pneumonia

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Frontal and lateral chest radiograph demonstrates newly placed left pectoral dual-chamber pacemaker with leads terminating in standard position within the right atrium and right ventricle. There is re- demonstration of known right thyroid nodule with associated deviation of the trachea to the left. When compared to the chest radiograph dated <unk>, there is much decreased pulmonary edema with only mild congestive vascular changes. There is decreased but still moderate pleural effusion at the right lung base with associated opacity, likely atelectasis. The left lower lung opacity has decreased in size, also likely atelectasis. There is no pneumothorax.

<unk>-year-old female with new pacemaker placement.

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There is a large retrocardiac opacity with component of air compatible with a large hiatal hernia. Faint left basilar opacity seen laterally is likely atelectasis. Elsewhere, lungs are clear. Cardiac silhouette is top-normal. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk> year old woman with ataxia and slurred speech. // r/o infectious process

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

<unk>m with cough, fever // r/o pna

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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.

left anterior chest wall pain.

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

<unk>-year-old woman with chest pain, evaluate for pneumonia

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear without pneumothorax, vascular congestion, or pleural effusion.

<unk>-year-old male with cough for six weeks. question pneumonia.

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Ap and lateral views of the chest provided. Dual lead pacemaker is unchanged in position with leads extending to the region the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. There is mild pulmonary edema with small bilateral pleural effusions. Heart size is top-normal contours unremarkable. No pneumothorax. No acute osseous abnormalities.

<unk>m with hx of chf, cabg x <num>, multiple stents, with fall today, unclear etiology, not mechanical

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Pa and lateral views of the chest were obtained. There is mild left basilar atelectasis, otherwise the lungs are clear bilaterally with no evidence of chf. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no displaced rib fractures. No other bony abnormalities. There is no free air below the right hemidiaphragm.

evaluation for rib fractures in a <unk>-year-old man who is status post motor vehicle accident with pain in the right anterior chest.

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There are slightly low lung volumes, which results in bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. A right-sided port-a-cath ends in the right atrium. There is no pneumothorax, pleural effusion, or focal consolidation.

<unk> year old man with cholangiocarcinoma and new fever // eval acute process

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

cough, nasal congestion and body aches.

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As compared to <unk>, a moderate right pleural effusion with adjacent substantial right mid and lower lung opacification is new. Compared to more recent ct chest of <unk>, the pleural effusion has increased in size, and note is again made of a small loculated component anteriorly. . Right heart border is obscured by the effusion, but cardiomediastinal contours are otherwise stable from the

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

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The lungs are clear. Cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted no acute osseous abnormalities. No displaced fractures identified.

<unk>m with sob chest pain // sob, cough, rib pain

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The small left apical pneumothorax and left chest tube are unchanged. Postoperative mediastinal contours and cardiac borders are normal. Small right pleural effusion and atelectasis are stable. Possible mild pulmonary edema in the left lung is new since <unk>. A right-sided port-a-cath terminates in the low svc, unchanged. Multiple rib and left clavicular fractures were previously noted.

<unk> year old man with left pneumothorax s/p left ct // eval for pneumothorax, interval change

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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. Bilateral diaphragmatic eventration is similar to prior.

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

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Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle. The aorta is relatively unfolded and calcified. The cardiac silhouette is mildly enlarged. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Pulmonary vascular congestion is seen.

history: <unk>f with ams*** warning *** multiple patients with same last name! // eval for pna, aspiration

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Frontal and lateral views of the chest. Again seen is thickening and likely scarring along the right minor fissure. Best seen on the lateral view is patchy consolidation projecting over the cardiac silhouette anteriorly which likely localizes to the right on the frontal exam. Focal opacity at the right cardiophrenic angle is unchanged from prior. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old female with wegener's, atrial fibrillation and shortness of breath.

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Cardiomediastinal silhouette is unchanged. Lungs are hyperinflated. There is no pleural effusion or pneumothorax. Increased retrocardiac opacity corresponding to bandlike opacity overlying the cardiac border, most consistent with recurrent lingular collapse. No definite focal consolidation.

<unk>-year-old with hypoxia evaluate for pneumonia.

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Compared with the prior chest radiographs, there is new subtle opacification in the right lower lung, which correlates with increased opacification in the retrocardiac clear space on the lateral view. Given the clinical history, this is concerning for pneumonia. Cardiomediastinal and hilar silhouettes are normal. No evidence of pneumothorax.

<unk>f with fever and cough. evaluate for pneumonia.

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Lung volumes are low. Heart size remains at least mildly enlarged with a left ventricular predominance. The mediastinal contour is unremarkable. Crowding of bronchovascular structures is present without pulmonary edema. Elevation of the right hemidiaphragm is unchanged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. There are mild to moderate degenerative changes noted in the thoracic spine.

history: <unk>m with leg swelling // ?pulmonary edema

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Pa and lateral images of the chest were obtained with the patient in the upright position. The lungs are well expanded and clear. There are some atelectatic changes at both lung bases. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable. There is slight elevation of the right hemidiaphragm.

<unk>-year-old male with fever.

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In comparison with the study of <unk>, there is little change and no evidence of acute focal abnormality. No pneumonia, vascular congestion, or pleural effusion.

progressive weight loss and tobacco use.

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The cardiac, mediastinal and hilar contours are within normal limits. Numerous cavitary nodules and masses are seen within both lungs diffusely, which appear increased in size and number compared to the prior exam. For example, a right perihilar mass now measures approximately <num> cm, previously <num> cm. Streaky retrocardiac opacity may reflect atelectasis, but infection is not excluded. No overt pulmonary edema is seen, and no pleural effusion or pneumothorax is present. Scarring within the lung apices is present. There are no acute osseous abnormalities.

metastatic colon cancer, weakness.

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The lung volumes are improved the previously described basal linear opacities have resolved in keeping with prior atelectasis. No acute focal consolidation. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax.

<unk>/m with smoking history/ copd s/p right tha with rising wbc, chest xray done on <unk> equivocal for pneumonia or atelectasis // ?pneumonia vs atelectasis

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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valves are again noted. The heart remains moderately enlarged. The mediastinal contour is unchanged with aortic calcification again noted. Hilar congestion is present with mild interstitial edema. Lower lung in opacities as on prior likely reflect atelectasis. There is likely a tiny right pleural effusion. No pneumothorax. No acute bony abnormalities.

<unk>m with fever, cough // acute process?

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The cardiac silhouette is normal in size. The hila are unremarkable. Descending aorta is striking in size on the lateral view, which is stable in appearance since <unk>. This may be related to dilation or may be projectional. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The visualized upper abdomen is unremarkable in appearance. No displaced rib fractures are seen. Mild pectus deformity is noted.

<unk> year old woman with cough, left lateral rib pain, ? pneumonia // cough, left lateral rib pain, ? pneumonia

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

history: <unk>m with vomiting w small amt blood // please evaluate for pneumomediastinum

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There are moderate bilateral pleural effusions with overlying atelectasis. Moderate to severe pulmonary edema is seen. A right-sided picc terminates in the low svc. No pneumothorax is seen. Patient is status post median sternotomy and cardiac valve replacement. The cardiac silhouette is moderate to severely enlarged. Mediastinal contours are unremarkable.

history: <unk>m with sob // acute process

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

<unk>m with scapula pain and sob // r/o acute process

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Prior mild to moderate pulmonary edema and small pleural effusions have both nearly resolved. Multiple, bilateral discrete pulmonary focal opacities some with cavitation, are generally larger and/or new since <unk>. Normal cardiac silhouette without dilated mediastinal veins. Normal hilar and mediastinal contours. Near resolution of small left pleural effusion without evidence of empyema. No pneumothorax.

<unk> year old man, ivdu, presenting for mrsa bacteremia and endocarditis wco pleuritic chest pain // r/o empyema

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Left lower lobe consolidation is worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with cough and fever // c/f infectious process

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

<unk>m with headache low tcells // r/o acute process

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Frontal and lateral views of the chest demonstrate top normal cardiac silhouette. The thoracic aorta is mildly unfolded. Patient is status post median sternotomy and prior cabg. There is subsegmental volume loss in the right mid lung. The lungs are otherwise clear. There is no pneumothorax, vascular congestion, or pleural effusion.

<unk>-year-old male with chest pain. question pneumonia or cardiomegaly.

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Cardiomediastinal contours are stable. Chronic volume loss in the right hemi thorax with associated mild elevation of the right hemidiaphragm appears unchanged as well as posttraumatic deformities in left chest wall. No new areas of consolidation are identified to suggest the presence of pneumonia, there are no pleural effusions.

<unk> year old man with <unk> mos of nonproductive cough, distant h/o of industrial chemical exposure // r/o infiltrate, emphysema, other lung process

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Nodular opacity in the left mid lung is perhaps slightly smaller compared to the prior study although the opacities were substantially better compared to the <unk> chest radiograph which could reflect areas of prior hemorrhage into the nodules or superimposed infection which is now improving. Lung volumes are slightly improved with persistent elevation of the right hemidiaphragm. Right basilar atelectasis is more dense than prior. Left basilar atelectasis is improved. Mild cardiomegaly is stable. No pleural effusion or pneumothorax.

<unk> year old man with h/o advanced cholangiocarcinoma w/ squamous cell carcinoma of lung who p/w resp destress <unk>, found to have peritonitis, now w/ productive cough and low grade fever despite zosyn/vanc. // is there evidence of pna?

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

evaluation of patient with right lower lobe crackles.

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.

cough and fevers.

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Two frontal and <num> lateral chest radiographs were obtained. The lungs are hyperinflated. The right costophrenic angle is blunted by a small pleural effusion. There is no consolidation or pneumothorax. Cardiac and mediastinal contours are normal. Convex right thoracic scoliosis is mild.

fall.

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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 cough

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The patient is status post median sternotomy and cabg. Mild to moderate cardiomegaly is similar compared to the previous study. The mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

history: <unk>f with past medical history of coronary artery disease status post cabg in <unk>, nstemi in <unk>, diastolic chf, presenting for right calf cramping and right thigh swelling and dyspnea on exertion.