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

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The heart size is normal. The cardiomediastinal silhouette and hilar contours are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. No rib fracture is identified. The osseous structures are otherwise grossly unremarkable.

status post fall with rib pain under the left axilla.

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

history: <unk>m with cocaine induced chest pain // eval for ptx

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Lung volumes are reduced compared to the previous exam, causing accentuation of the cardiac silhouette size. Heart size is still within normal limits. Aortic knob is calcified. Spiculated right hilar mass appears relatively unchanged compared to the previous exam. There is crowding of the bronchovascular structures as a result of low lung volumes but no overt pulmonary edema is demonstrated. Patchy bibasilar airspace opacities could reflect atelectasis due to low lung volumes, but infection or aspiration cannot be completely excluded. Calcified pleural plaque within the left lung base is unchanged as are bullous emphysematous changes in the lung apices. No acute osseous abnormalities present. There is no pleural effusion or pneumothorax.

hypotension, confusion, and fever.

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Frontal lateral views of the chest were performed (<num> exposures). Streaky opacification in the lung bases is thought to represent atelectasis as seen on the same day ct. There is no focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal in size. There is a hiatal hernia. The mediastinal contours and pleural surfaces are normal. Retained enteric contrast is seen within the imaged upper abdomen. There is a left nondisplaced rib fracture.

left-sided chest wall pain at the most inferior ribs. evaluate for a rib fracture or pneumothorax.

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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 ovarian mass. some lightheadedness, nausea

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In comparison with study of <unk>, there is little interval change. Residual areas of focal pleural thickening on the right are again seen, though there is no evidence of acute focal pneumonia. Mild elevation of the right hemidiaphragm persists.

pulmonary infiltrates consistent with cop, now with progressive rash.

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Frontal and lateral views of the chest demonstrate a stable right apical pneumothorax. The lateral hydropneumothorax while still present, has improved compared to cxr from earlier in the morning. Extensive subcutaneous emphysema also appears mildly improved. There is a small right pleural effusion. An opacity at the right lower lung is worse, and likely represents atelectasis. There is no change to the left lung parenchyma. Multiple rib fractures are again noted.

right flail chest status post chest tube removal, assess for interval change.

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

anasarca, to assess for congestive failure.

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

<unk>m with cp // eval for pna, ptx

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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.

<unk>f with pleuritic chest pain and dyspnea

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Frontal and lateral chest radiographs again demonstrate a small left apical pneumothorax which is decreased in size. The remainder of the exam is unchanged, demonstrating a normal cardiomediastinal silhouette and lungs which are well aerated and clear. There is no pleural effusion.

multiple rib fractures and a left pneumothorax, status post removal of a pigtail catheter. evaluate for interval change.

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Compared to prior, there is a new right lower lung opacity. Left lung is grossly clear. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with cough evaluate for pneumonia

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Pa and lateral views of the chest provided. Moderate left pleural effusion is increased in size from <unk>. There is no right pleural effusion. There is no focal consolidation or pneumothorax. Cardiomediastinal silhouette is unchanged from <unk>. Aortic valve prosthesis and median sternotomy wires are again noted.

history: <unk>m with fever, dyspnea, ? pneumonia, poor quliaty prior study from osh // ? pneumonia

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are mildly hyperinflated, otherwise unremarkable. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. Old left tenth rib fracture is identified.

<unk>f with c/o day of confusion. feeling disoriented, slow. // acute cause of ams in elderly?

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The heart is mildly enlarged. The main pulmonary artery contour is prominent. There is no pleural effusion or pneumothorax. The lungs appear clear.

tachycardia.

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There is hazy opacity at the right lower lung. Slightly lower lung volumes seen on the current exam which also likely accentuate the cardiac silhouette. Coronary artery stents are noted. Lungs are otherwise clear. There is no effusion or edema. No acute osseous abnormalities.

<unk>m with fever of <num> // pna?

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Normal cardiomediastinal and hilar contours. Stable, biapical pleural scarring. No pneumothorax or pleural effusion. Ill-defined opacity at the right base on the frontal view without a correlate on the lateral view could represent sequela of recent pneumonia.

<unk>-year-old woman with exertional dyspnea, recently treated for atypical pneumonia. evaluate for an acute cardiopulmonary process.

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Since <unk>, moderate pulmonary congestion is unchanged. No pulmonary edema, pneumothorax, or pneumonia. Moderate cardiomegaly is unchanged. The pleural surfaces are normal a left pacemaker is seen with leads appropriately placed in the right atrium and right ventricle.

<unk> year old man with concern for pna on portable cxr // please assess for pneumonia vs volume overload

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In comparison with study of <unk>, plain radiographs show no significant change. No pneumonia, vascular congestion, or pleural effusion. The multiple small nodular opacifications seen throughout the lungs on chest ct are below the resolution of plain radiograph.

multiple neuroendocrine lung lesions.

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. There is no air under the hemidiaphragms.

preoperative evaluation.

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Patient is status post median sternotomy with clips projecting over the right axillary region. Cardiac silhouette size remains moderately enlarged, unchanged. The aorta is tortuous. Mild pulmonary vascular congestion is demonstrated with worsening patchy and linear bibasilar airspace opacities compatible with increased atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Multiple chronic right-sided rib fractures are again demonstrated. Osseous structures are diffusely demineralized with loss of height of several lower thoracic vertebral bodies, unchanged.

history: <unk>f with recent fall onto hip

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The lungs are without a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. Mild degenerative changes are noted throughout the thoracolumbar spine. Cholecystectomy clips are noted in the right upper quadrant.

evaluation of patient with fever and cough.

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As compared to prior radiograph from <unk>, lung volumes are low which accentuate the cardiac silhouette and bronchovascular structures. There has been interval increase of a right-sided pleural effusion. There is no effusion on the left. Lungs are otherwise clear. Again seen is a tiny density in the left chest wall, projecting over the left mid lung, which corresponds to a metallic artifact seen on prior chest ct examination.

<unk>-year-old male patient with metastatic lung cancer, malignant effusion, and shortness of breath. study requested for evaluation of effusion status.

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

history: <unk>m with right shoulder and clavicle pain after snowboarding // eval fx

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. An opacity in the left lower lobe is consistent with pneumonia. Elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax.

cough and fever.

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Accessed right-sided port-a-cath is identified. The port-a-cath is stable in position terminating in the mid svc. There is no evidence of kinking or break in the port-a-cath. Cardiomediastinal and hilar contours are clear. The kidneys are unremarkable. Lungs are clear. No pleural effusion or pneumothorax present. No osseous abnormality identified. Left mastectomy noted.

breast cancer and port unable to flush today, check port placement.

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

tachycardia, dyspnea.

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In comparison with the earlier study of this date, the patient has taken a better inspiration. No evidence of pneumonia, vascular congestion, or pleural effusion.

fever and tachycardia, to assess for pneumonia.

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

<unk> year old man with pleuritic cp // eval for ptx

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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with dyspnea ? acute cardiopulm process

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

<unk>f w cough, congestion, fevers. evaluate for pneumonia.

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Lung volumes are low, and prominent central pulmonary vessels reflect mild pulmonary vascular congestion and edema. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. Vertebral body height loss in the mid-thoracic spine is compatible with given history of prior osteomyelitis of the thoracic spine.

<unk>-year-old female with history of thoracic vertebral osteomyelitis who presents with shortness of breath in setting of rib fracture. evaluate for bony abnormality, pneumothorax, infiltrate.

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There is subsegmental bilateral lower lung atelectasis, as seen on ct from <unk>. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

altered mental status.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is mildly enlarged. The configuration suggests a left ventricular prominence, a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests systemic hypertension. There is, however, no evidence of significant left atrial enlargement or pulmonary vascular congestion. Similar as the patient had on previous examinations, there are some linear densities on the lung bases, apparently representing scar formations after previous infectious processes. At the present time, there is no evidence of any new parenchymal infiltrate and the lateral and posterior pleural sinuses remain free from any fluid accumulation. No pneumothorax is present in the apical area on the frontal view. Thoracic spine demonstrates an accentuated kyphotic curvature with mild degree of degenerative changes, but no evidence of any significant vertebral body compression fracture. When comparison is made with the next previous examination of <unk>, the chest findings are stable in this <unk>-year-old female patient with cough. There is no evidence of any acute pulmonary pneumonia presently.

<unk>-year-old female patient with cough, history of asthma, evaluate for pneumonia.

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As compared to the previous radiograph, the lung volumes have minimally decreased, likely as a result of the known widespread fibrotic lung parenchymal process. No newly appeared parenchymal opacities. No pleural effusions. No pulmonary edema. Moderate cardiomegaly with enlargement of the left ventricle and tortuosity of the thoracic aorta.

history of whipple surgery. abdominal pain.

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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A left sixth posterior rib deformity appears chronic.

<unk>f with sob // pna?

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In comparison with study of <unk>, the right effusion appears somewhat more prominent than on the previous study, extending almost halfway up the thoracic spine. No evidence of mediastinal shift, indicating compensatory volume loss in the ipsilateral lung. The left lung and upper right lung are essentially clear.

right effusion.

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There is evidence of right apical scarring and possible calcified node at the right hilum. Opacity at the right cardiophrenic angle is felt most likely to be a fat pad as seen on the lateral view. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with r abd/chest pain // eval pna

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There are asymmetric nodular opacities at the right lung base. The left lung is clear. There is no pneumothorax. Cardiomegaly is mild. The mediastinal contours are normal. Metallic right upper quadrant surgical clips indicate prior cholecystectomy.

<unk> year old woman with hematuria/flank pain, ct concerning for renal cell carcinoma, also w/ shortness of breath due to anemia vs lung mets // ?renal mets to lung

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In comparison to the most recent prior radiograph, there is increasing right-sided pleural effusion along with right-sided platelike atelectasis. There is also increasing opacities near the right middle lobe concerning for a superimposed infectious process. On the left, there continues to be a pleural effusion and atelectasis, and again pneumonia cannot be ruled out in this area. Cardiomegaly remains. No vascular engorgement is also noted on today's film.

r/i infectious process

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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unremarkable. Surgical clips in the upper abdomen suggest prior cholecystectomy.

<unk>-year-old female with brief period of altered mentation.

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

history: <unk>m with chest pain

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with h/o renal and pancreatic transplant, on immunosuppressive medications. now with increasing white count // patient chronically immunosuppressed with increasing white count. please evaluate for infection.

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The heart is moderately enlarged, similar to prior. There is dense retrocardiac opacity that could be due to volume loss or infiltrate. There is mild pulmonary vascular redistribution. There are no definite effusions.

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

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There is moderate cardiomegaly overall unchanged compared to the prior exam. Calcifications are seen within the aortic arch. Prominence of the hilar and mediastinal contours are stable. There is no definite lobar consolidation, or pneumothorax. Low lung volumes result in mild bibasilar atelectasis. There is no large pleural effusion. No evidence of chf.

history: <unk>f with headache s/p ischemic stroke months ago. now with weakness as well. cough this am // eval for pna/bleed

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pulmonary edema, or pleural effusion. No focal consolidations are noted. Cholecystectomy clips are incidentally noted in the right upper quadrant.

history: <unk>f with fever and cough

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are unremarkable. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are noted.

history: <unk>m with fevers cough dyspnea // r/o infiltrate

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old man with nephrotic syndrome and cough // pna?

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

chest pain.

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Lung volumes are somewhat low, similar in appearance when compared to the prior study. Mild but basilar atelectasis. The cardiomediastinal contour is unchanged, the heart size is at the upper limit of normal. No consolidation, pneumothorax or pleural effusion seen.

<unk> year old woman continued o<num> requirement // eval inability to wean o<num>, requiring larger oxygen demand

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The patient is status post right lower lobe lobectomy with stable postsurgical changes. Combination of pleural thickening, atelectasis and small pleural effusion at the right lung base is not significantly changed. There is no new focal consolidation. No pulmonary edema or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk>f with cad, htn, presenting with elevated bp to <num>'s and chest pressure.

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

patient with fever and chills. assess for pneumonia.

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There is persistent scarring at the left upper lung in the periphery as well as the left perihilar region, related to post radiation effects. No focal consolidation is identified. The cardiomediastinal silhouette is within normal limits. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with history of lung cancer now with dyspnea. evaluate for cause of dyspnea

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Frontal and lateral chest radiographs again demonstrate a left chest wall pacer device with leads projecting over the right atrium and ventricle, as well as multiple sternal wires, all unchanged. There is again moderate cardiomegaly, improved compared to <unk>. There is vascular congestion, without frank pulmonary edema. Bibasilar atelectasis, left greater than right, is also likely present. No definite focal consolidation, pleural effusion, or pneumothorax.

evaluate for pneumonia in a patient with fatigue.

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As compared to the previous radiograph, there is a minimal increase in diameter of the cardiac silhouette. Because this could reflect recurring pericardial effusion, cardiac ultrasound should be obtained. In addition, there are new bilateral pleural effusions, left more than right, of overall mild-to-moderate extent. There is no evidence of pneumothorax. Minimal atelectasis at the left lung base, but no other relevant changes in the lung parenchyma. Because the primary care physician of the patient, dr. <unk>, <unk> not be reached by phone or page at the time of dictation and observation, <time> a.m., on <unk>, an e-mail message with high importance was sent. In addition, dr. <unk>, <unk> hematologists of the patient, was paged for notification at the same time.

lymphoma, status post drainage of pericardial effusion, evaluation.

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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 unexplained eosinophilia, please check for pathology // <unk> year old man with unexplained eosinophilia, please check for pathology

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

<unk>f with sob // eval for ptx

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Heart size is stably enlarged. Mediastinal contours normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Linear basilar opacity was seen previously and is most consistent with atelectasis. There is mild vascular congestion, as seen previously.

<unk>-year-old woman with chest pain

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The lungs are slightly hyperinflated, but clear. Cardiomediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion, or pneumothorax.

<unk>f with a fib. evaluate for pneumonia.

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A right picc terminates in the mid svc. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

history: <unk>f with worsening lymphedema // evidence of pulmonary edema

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Frontal and lateral views of the chest demonstrate stable prominent cardiac silhouette and moderate unfolding of the thoracic aorta. There is atherosclerotic calcification in the aortic arch. The lungs are well aerated. There is no pneumothorax, frank edema, or large effusion. Diffuse osteopenia is present. Bilateral shoulder degenerative changes are present. Vascular calcification is seen in the abdominal aorta.

<unk>-year-old female with history of pneumonia and now possible mental status change.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is a stable mild wedge compression deformity in the mid thoracic spine with a stable prominent osteophyte.

hypotension and diabetes, here to evaluate for pneumonia.

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

mri flair enhancement and new fever, to assess for pneumonia.

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

<unk>m with fever, seizure // eval for pna

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In comparison to the prior radiograph on <unk>, the right lung base consolidation has significantly improved. There is mild residual opacification in this region, which could represent resolving pneumonia. Previously noted left lung base atelectasis has also resolved. No other focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

history: <unk>m with epigastric abd pain, s/p recent admission and incisional hernia repair, admission c/b pna // evidence of infiltrate, acute cardiopulmonary process

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The lung volumes are low, accentuating the pulmonary vasculature. There is no overt pulmonary edema. There is no focal consolidation. There is no pleural effusion. The heart size is top-normal. There is mild s shaped curvature of the spine.

history: <unk>f with a recent mvc // ?pleural effusion, pneumothorax

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Chest, ap upright and lateral. There is mild pulmonary edema. There is heterogeneous opacity in the left lower lobe with possible air bronchograms. The upper lobes are clear. The heart is minimally enlarged, unchanged from the prior. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Median sternotomy cerclage wires are intact. Multiple surgical clips can be seen in the anterior mediastinum.

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

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free air below the diaphragm.

<unk>m with intractible paroxysmal hiccups x<num>d // diaphragmatic lower lobe related process? intractible paroxysmal hiccups x<num>d

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Frontal and lateral views of the chest. Right mid lung mass with fiducial markers appears similar in appearance compared to prior. There is associated right-sided volume loss with shifting of the airway and elevation of the right hemidiaphragm. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is stable. There is no effusion. No acute osseous abnormality is identified. Lower cervical upper thoracic anterior vertebral body fixation is again seen.

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

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Severe enlargement of the cardiac silhouette with a globular configuration is not substantially changed from the prior radiograph and likely reflects the presence of a moderate size pericardial effusion, as was previously demonstrated on the prior ct. Aortic knob calcifications are again noted. Pulmonary vascular congestion is again present. No pleural effusion or pneumothorax is seen. There is minimal streaky atelectasis at the lung bases. No acute osseous abnormality is identified.

history: <unk>f with dizziness

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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 left chest pain, pleuritic // ptx

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Assessment is mildly limited by patient rotation. Heart size is normal. The aorta is tortuous and diffusely calcified. Hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are hyperinflated. Minimal streaky and patchy opacities are noted at the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are noted within the thoracic spine. Remote right-sided rib fractures are present.

history: <unk>f with slurred speech

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Lungs: the lungs are well inflated. There is no consolidation. Pleura: her hemidiaphragm is elevated as it was in the past. This is likely due to hepatic enlargement or diaphragmatic paresis. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: none

history: <unk>f with upper back pain after lifting, pleuritic cp // r/o pneumothorax

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Pa and lateral views the chest provided. The heart appears mildly enlarged. Lungs are clear without focal consolidation, large effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with cough hand chest pain.

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Evidence of previous cabg. Sternal wires intact. Right-sided ijv cvp in situ with the tip in the distal svc. Mild pulmonary edema is improved. Atelectatic changes in the right lung mid zone is improved. Left lower lobe atelectasis and pleural effusion is slightly improved. Spondylotic changes of the thoracic spine.

<unk> year old woman s/p avr // eval for effusion

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are slightly low. No focal areas of consolidation are identified to suggest the presence of pneumonia. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with myalgias and fevers // ?infection

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There is soft tissue density projecting over the anterior mediastinal clear space that appears similar and correlates with known prior findings. The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique. There is no pleural effusion or pneumothorax. The lungs appear clear.

cough and chills.

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Frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable.

chest pressure. evaluate heart and lungs.

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The cardiomediastinal silhouette is within normal limits. Lungs are clear. Bony structures are intact. There shrapnel seen projecting over the left lateral clavicle. On the lateral view, shrapnel fragments are seen within the posterior chest wall soft tissues. Please note that this area is incompletely visualized and would recommend dedicated shoulder or clavicular views. No definite fracture of the clavicle is seen, however, again there is limited evaluation of that area.

<unk> yo m w/ hx of remote gsw to chest (<unk>). entry wound at lateral portion of left clavicle, near ac joint. shattered clavicle per hx, no pulmonary injury. now presenting with what appears to be a migrating bone fragment - <num>cm hard subcutaneous mass <num>cm superior to the clavicle in the mid clavicular line. of note, bullet is lodged same plane as the bone fragment but posteriorly (palpable on exam in the overlying the trapezius. // ?bone fragment in the mid clavicular line <num>cm superior to the left clavicle. ?injury to lung apices.

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As compared to the previous examination, the lung volumes have increased, likely reflecting improved ventilation. Moderate cardiomegaly persists. On today's radiograph, there is no evidence of pleural effusions. Moderate tortuosity of the thoracic aorta. Normal hilar and mediastinal structures.

interval development of left moderate pleural effusion. evaluation.

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The patient is status post coronary artery bypass graft surgery and aortic valve replacement. The lungs appear clear. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Widening and irregularity of the left acromioclavicular joint appears unchanged. The acromiohumeral interval is also narrowed on the left. Small osteophytes are present throughout the thoracic spine, and the bones are likely demineralized to some degree.

lower extremity swelling. history of congestive heart failure.

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The heart is at the upper limits of normal size. The left upper superior contour of the heart is mildly prominent which may suggest enlargement of the left atrial appendage. The possibility of left atrial enlargement is also suggested by the lateral view, where the heart closely approaches the spine posteriorly. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the thoracic spine.

chest pain and palpitations.

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Frontal and lateral views of the chest. Bibasilar opacities are more conspicuous on the current exam. Superiorly, the lungs are clear. Probable small bilateral effusions, noting that the posterior costophrenic angles are not clearly delineated. The cardiomediastinal silhouette is within normal limits. Degenerative changes seen at the shoulders bilaterally.

<unk>-year-old female with generalized weakness, cough.

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Since the chest radiograph obtained approximately <unk> years prior, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations, radiographically evident pulmonary nodules, or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.

<unk> year old man with renal cell carcinoma // <unk>-year-old man with renal cell carcinoma. rule out recurrence.

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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

<unk>-year-old man with a history of gerd day <num> status post egd with epigastric discomfort on swallowing.

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Frontal and lateral views of the chest. There is blunting of one of the posterior costophrenic angles compatible with effusion. The lungs are otherwise unremarkable without consolidation or overt pulmonary edema. Moderate cardiomegaly is again noted. No acute osseous abnormalities detected.

<unk>-year-old male with shortness of breath and anemia.

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In comparison with the study of <unk>, there is little interval change. No appreciable reaccumulation of fluid on the right or development of pneumothorax. Opacification at the left base is again consistent with pleural fluid and basilar atelectasis.

right thoracentesis.

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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without pulmonary edema. No parenchymal abnormalities. No pleural effusions. Normal hilar and mediastinal contours.

eosinophilic pneumonia, evaluation for parenchymal changes.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Mild prominence of the left hilum is stable. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

pain in right rib after heimlich maneuver.

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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. Slight rightward convex curvature centered along the lower thoracic spine appears similar. Bony structures are otherwise unremarkable.

chest pain.

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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiac silhouette is top-normal. No acute osseous abnormalities.

<unk>m with chest pain // chest pain

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Frontal and lateral chest radiographs demonstrate intact sternal wires and mild cardiomegaly. The lungs are hyperinflated. There is no focal consolidation, pleural effusion, or pneumothorax. Bibasilar atelectasis and biapical pleural thickening are noted. There is no appreciable pulmonary edema or vascular congestion. The visualized upper abdomen is unremarkable.retrocardiac opacity could represent a small hiatal hernia.

evaluate for pulmonary edema in a patient with hypertension and chest pain.

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Vague region of new opacification in the right mid lung could be pneumonia, though seen only on the frontal view; confirmation and localization might be possible with oblique views. The left lung is clear as is the right upper lobe. There is no pleural effusion or pneumothorax. Heart size is normal. The hila are unremarkable.

cough, question pneumonia.

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The patient is status post median sternotomy with intact appearing wires. Multiple mediastinal surgical clips are compatible with prior cabg surgery. The cardiac silhouette is enlarged but stable. The mediastinal contours are prominent related in part to unfolding of the thoracic aorta. Dense calcification of the aortic knob is re- demonstrated. The lung volumes are decreased from the most recent prior study. Small bilateral pleural effusions are present. Bibasilar opacification may represent atelectasis in the setting of low lung volumes but superimposed infection is not excluded in the appropriate clinical context. There is interval development of mild pulmonary vascular congestion and interstitial pulmonary edema.

cough, here to evaluate for pneumonia or pulmonary edema.

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There are low lung volumes with secondary crowding of the bronchovascular markings. Hazy bibasilar opacities, right greater than left, potentially due to atelectasis. There is a small right-sided pleural effusion. Lower thoracic dextroscoliosis is identified. No acute osseous abnormalities are seen.

<unk>f with chest pain // ?pna

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Ap upright and lateral views of the chest provided. Low lung volumes limits assessment. The heart is moderately enlarged. There is curvilinear dense calcification projecting over the heart likely representing mitral annular calcifications. There is a tiny left pleural effusion possibly tiny right pleural effusion also present. There is mild central hilar engorgement. No frank pulmonary edema. No pneumothorax. Mediastinal contour is normal. Bony structures are intact.

<unk>f with elevated wbc, weakness // ?pna

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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Streaky lucencies overlying the neck on the frontal view and abnormal lucency anterior to the trachea on the lateral view are concerning for pneumomediastinum. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.

asthma exacerbation, persistent chest pain.

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The cardiac, mediastinal and hilar contours appear stable. There is a mild interstitial abnormality consistent with pulmonary edema. There is no definite pleural effusion or pneumothorax. Sclerotic bones suggest renal osteodystrophy.

shortness of breath at dialysis.

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Endobronchial valve projects over the left hilum, similar compared to the prior study. There is persistent herniation of the right lung leftward. The appearance of the chest is without significant interval change. Cardiac and mediastinal silhouettes are stable. No pleural effusion or pneumothorax is seen. No pulmonary edema is seen.

history: <unk>f with sob // eval pneumonia vs chf

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There is a right basilar opacity which may reflect pneumonia. The heart size is normal. The mediastinal contours are normal. There is a small hiatal hernia, best seen on the lateral radiograph.

<unk>-year-old male with syncope.