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

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There is a in <num> mm rounded nodular opacity projecting over the left mid to upper lung overlying the left sixth rib, not clearly seen on the prior chest radiograph. A ct is needed to further assess. Lungs are otherwise clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with diabetes and left-sided chest pain. evaluate for pneumonia.

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There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart is mildly enlarged and unchanged. The mediastinal and hilar contours are normal.

shortness of breath and orthopnea.

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The cardiomediastinal and hilar contours are within normal limits. Streaky opacities at the left base likely reflect atelectasis. There is no pleural effusion or pneumothorax. Surgical clips are re- demonstrated in the right upper quadrant of the abdomen.

history: <unk>f with hypoxia and cough // infiltrate?

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There are mild degenerative changes in the thoracic spine.

<unk>-year-old man with knee pain. preoperative evaluation.

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No previous images. Low lung volumes accentuate the prominence of the transverse diameter of the heart. There are areas of increased opacification at the right base medially as well as in the mid and lower portions of the left lung. Although some of this could reflect elevated pulmonary venous pressure, in view of the clinical history, multifocal pneumonia would have to be seriously considered.

cough and fever.

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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 fever // pna?

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There is no new lung consolidation. New mild pulmonary congestion is seen without edema. Left lower lung atelectatic band is minimal. There is no pleural effusion or pneumothorax. Cardiac contour is top normal.

weakness.

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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Ill-defined opacities in the lung apices may reflect apical scarring. Hilar and mediastinal silhouettes are unremarkable. The ascending aorta appears tortuous. Heart size is top normal. Icd leads project over right atrium and right ventricle. Imaged upper abdomen is unremarkable aside from surgical clips projecting over right upper and mid abdomen.

weakness.

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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no visualized rib fracture on this nondedicated exam.

<unk>f with recent fall // evaluate for scapular fracture, pneumothorax

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The cardiac silhouette remains top normal in size, the lungs are clear without effusion or pneumothorax. Mediastinal and hilar contours are normal. The pulmonary vasculature is normal.

<unk>-year-old female with irregular heart rate. assess for acute intrathoracic process.

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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. Hyperdense rounded opacity in the apical portion of the left lung projecting over the left clavicle is of unclear etiology. No pleural effusion or pneumothorax identified.

palpitations and pre-syncope, evaluate for acute intrathoracic process.

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No focal consolidation is seen. Mild bilateral perihilar peribronchial wall thickening can be seen in small airways disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical hardware is seen at the thoracolumbar junction and into the upper the lumbar spine, although not well assessed on this study.

history: <unk>f with wheezing respiratory infection x <num> wk, sxs persisting, hx asthma // eval ? infiltrate

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Since <unk>, the right pleural effusion has increased in size. The moderate left effusion is worsening since <unk>. A loculated pleural effusion borders the posterior pleura. Bibasilar atelectasis is stable. The right chest tube is in place without evidence of pneumothorax. Mediastinum is normal and hilar structures are normal. Cardiac borders are partially obscured by pleural effusions.

<unk> year old woman with possible malignant pleural effusion s/p thoracentesis <unk> with chest tube still in place on water seal // evaluate pleural effusion, r/o pneumothoraxplease do at <num> am per ip request

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Ap and lateral views of the chest again demonstrate elevation of the left hemidiaphragm. Relatively low lung volumes are seen with crowding of the bronchovascular markings, noting that mild pulmonary vascular congestion is possible. Possible left effusion seen posteriorly on the lateral view. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with recent hospitalization and confusion.

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There is mild interstitial prominence with peribronchial cuffing, which could be seen with airway inflammation, among other etiologies. Although interstitial opacities are more confluent in the right lower lung and elsewhere, this appearance is unchanged since the earlier examination and is, accordingly, of uncertain significance. Small osteophytes are noted along the mid thoracic spine.

increasing shortness of breath. history of asthma.

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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is mild linear bibasilar atelectasis, without focal consolidation. There is no pneumothorax or pleural effusion.

mild hypoxia and tachycardia.

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There are low lung volumes, which accentuate the bronchovascular markings. Patchy basilar opacity is seen, particularly on the lateral view of which could be due to atelectasis but infection or aspiration not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Cervical spine hardware is noted.

history: <unk>m with seizures and hypoxia // eval for pneumonia

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Pa and lateral views of the chest. Findings: the patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unchanged with mild calcification noted at the aortic arch. Pulmonary vasculature is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.

shortness of breath.

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Lung volumes are low leading to crowding of the bronchovascular structures. Mild bibasilar and left retrocardiac airspace opacities likely reflect atelectasis. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiac silhouette is normal in size. No acute displaced rib fractures are identified.

history: <unk>m with confusion // r/o pna

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Lungs are clear. Cardiomegaly is mild. The aorta tortuous heavily calcified. There is no pneumothorax or pleural effusion.

<unk>f with weakness. // pneumonia?

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The heart size is at the upper limits of normal but stable compared to prior exam. The mediastinal and hilar contours appear unremarkable. The lung volumes are slightly low, accentuating equivocal opacity in the retrocardiac space; this may reflect crowding of normal structures vs. Atelectasis, and a superimposed pneumonia cannot be entirely excluded, although felt unlikely. There is no pleural effusion or pneumothorax.

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

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Frontal and lateral views of the chest demonstrate normal lung volumes. Unusual tubulated shape of the upper mediastinum and azygos enlargement are unchanged since <unk>. The diminutive inferior vena caval contour on the lateral view is an indication that the mediastinal appearance is due to venous anomalies such as hepatic interruption of the inferior vena cava, of no clinical significance. However there is also a lateral bulge in the margin of the descending thoracic aorta, that is larger today. That could also be unimportant, such as dilated accessory hemiazygos vein or even hiatus hernia. I discussed the lesser possibility of aortic pathology with dr <unk>, <unk> the appropriate use of cta in the workup of this patient's chest pain at <num>am. No pleural effusion, focal consolidation or pneumothorax. Heart size is normal. No pulmonary edema.

chest pain.

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In comparison with the study of <unk>, the nasogastric tube has been removed. Slightly improved lung volumes with atelectatic changes at the bases. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or focal consolidations.

cough and low-grade temperature.

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Pa and lateral views of the chest are obtained. A pulse generator seen overlying the left chest with two leads in standard position, one terminating in the right atrium and the other terminating in the right ventricle. Mild cardiomegaly is noted. There is no pneumothorax, pleural effusion or pulmonary edema.

<unk>-year-old male status post dual-chamber pacemaker. confirm lead position.

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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 identified.

<unk>f with cough, wheezing, fever // evaluate for pneumonia

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There are persistent bilateral pleural effusions, small on the right and small to moderate on the left, similar to prior. There is no visualized pneumothorax. Diffuse sclerotic metastases limits evaluation of the underlying parenchyma. The cardiomediastinal silhouette is within normal limits. Diffuse sclerotic metastases are seen throughout the bones.

<unk>m with prostate ca and recent pleural effusions presenting with sinus tachycardia and sob, decreased breath sounds on left // ?effusion

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The lungs remain clear focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Old healed right lateral rib fracture is again noted. No acute osseous abnormalities.

<unk>m with sob // r/o pna

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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality present.

chest pain with shortness of breath. please evaluate for pneumonia.

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

<unk>m with chest pain // r/o infiltrate

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Frontal and lateral views of the chest were obtained. The lungs are mildly hyperexpanded. Slightly increased density over the inferior spine on the lateral view without correlate on the frontal view may represent atelectasis, but early or developing infection cannot be excluded. No pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

<unk>-year-old woman with asthma and dyspnea. evaluate for pneumonia.

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Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Previous pattern of mild pulmonary vascular congestion has nearly resolved. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

chest pain.

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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouette is unremarkable. Heart size is normal. There is no pulmonary edema. Visualized osseous structures are intact.

patient with fever and epigastric pain.

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Frontal and lateral views of the chest are compared to previous exam from <unk> and <unk>. There is increased retrocardiac opacity, which is somewhat linear in configuration. Given low lung volumes, this could be due to atelectasis; however, component of infection cannot be excluded. Elsewhere, the lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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Heart size is mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Small bilateral pleural effusions are noted, not substantially increased from the previous exam. No focal consolidation or pneumothorax is seen. Minimal left basilar atelectasis is detected. Tips catheter in the right upper quadrant of the abdomen is partially imaged.

history: <unk>m with alcoholic cirrhosis status post tips, here recently for fluid overload and pleural effusions, back with altered mental status

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The cardiomediastinal silhouette is unremarkable. In comparison to the most recent examination, there is is mild central pulmonary vascular congestion without overt edema. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.

history: <unk>f with recent discharge with uti p/w worsening cough and sinus arrythmia // ?pna

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Frontal and lateral radiographs of the chest demonstrate small right basal and apical pleural effusions. There is a small amount of atelectasis at the right base. There is persistent collapse of the right upper lobe secondary to radiotherapy. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.

<unk>-year-old female with history of lung cancer.

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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no radiographic evidence of metastasis, though ct is more sensitive for this purpose.

endometrial cancer, to assess for recurrence.

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Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Apart from subsegmental atelectasis in the right mid lung field and left lung base, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>m with chest pain

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When compared to prior, there has been no significant interval change. Large hiatal hernia is again noted. Volume loss in the right hemithorax with rightward deviation of the upper thoracic trachea and elevation of the right hemidiaphragm. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Surgical clips project over the right lateral chest wall.

<unk>f with ams // pna? stroke?

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A tracheostomy is in place. The heart size is large. The mediastinal contours demonstrate a prominent pulmonary arterial contour. The hilar contours demonstrate engorged central vasculature. The lungs demonstrate pulmonary edema. There is no large pleural effusion or pneumothorax.

<unk>-year-old female with dyspnea.

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

history: <unk>m with nausea/vomiting // assess for pneumonia

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There is an equivocal retrocardiac opacity. This could represent pneumonia in the right clinical setting, or may be a prominent bronchovascular bundle or atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable.

<unk>-year-old male with diabetes and uncontrolled hyperglycemia, now with cough.

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The left chest port-a-cath tip ends in the low svc. Lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. There is mild left curvature of the thoracic spine. Degenerative changes of thoracic spine are mild.

<unk>-year-old woman with a left-sided port. evaluate port placement.

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Dual lead left-sided pacemaker, postoperative mediastinum, and cardiomegaly are stable from <unk>. Lung volumes are low and the lungs are clear. There is no evidence of pneumonia. No pleural effusion or pneumothorax. Multiple pleural plaques again noted.

<unk>m with worsening doe // eval chf exacerbation

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Pa and lateral views of the chest provided. Stable elevation of the right hemidiaphragm is noted. Lungs remain clear without focal consolidation, effusion or pneumothorax. A subtle nodular opacity projects over the left lower lung adjacent to the left heart border, likely representing confluence of shadows. Cardiomediastinal silhouette is stable. Bony structures are intact.

<unk>m with asthma and shortness of breath

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Pa and lateral views of the chest. The left pleural effusion has significantly decreased with a possible small residual left pleural effusion and adjacent atelectasis. Left lateral pleural nodularity is seen. Calcified plaque projects over the right upper hemithorax. No pneumothorax. The cardiomediastinal hilar contours are stable.

effusion status post thoracentesis was <num> cc of out. evaluate for pneumothorax.

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Pa and lateral views of the chest provided. Left chest wall port-a-cath is seen with catheter tip extending into the mid svc. Lungs are clear. 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 tachy, fever, chemo pls eval for pna

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Pa and lateral views of the chest provided. Extensive fibrosis is again noted consistent with known i ld, not significantly changed from the prior chest radiographs and ct dated <unk>. Difficult to evaluate for a superimposed pneumonia though no new dense consolidation is identified. No large effusion or pneumothorax. The cardiomediastinal silhouette appears grossly unchanged. The trachea is deviated to the right at the level of the superior mediastinum though this is unchanged. Bony structures appear intact.

<unk>f with history of interstitial lung disease, poor historian reports with <num> days of cough and epigastric pain lll crackles on exam // r/o pneumonia

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The cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.

hypoxemia. rule out edema, pneumonia, effusion.

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Pa and lateral views of the chest. No prior. Lungs are clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is normal. Note is made of hypoplastic first ribs.

<unk>-year-old female with chest pain radiating to the right shoulder and jaw.

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

<unk>f w/ history of ms exacerbation - please assess for pneumonia/infectious process. // infectious pulmonary process

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The large left upper lobe rounded opacity with a diameter of approximately <num> cm that was documented on the ct examination from <unk>, measures <num> cm in diameter on the current radiograph. The lesion, thus, has increased in size. The appearance of the lesion on ct is strongly suggestive of a fungal inflammatory process. Unchanged bilateral pleural effusions, right more than left. Unchanged moderate cardiomegaly. No other or newly occurred parenchymal opacities. No pulmonary edema.

cll, new left upper lobe evaluation.

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Lungs are well expanded. Slight increased in infrahilar airspace opacities with more indistinctness of the lateral border of the descending aorta and right heart border could indicate early bronchopneumonia in the appropriate clinical context. No edema, pleural effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The descending thoracic aorta is slightly tortuous, unchanged.

<unk>-year-old man presenting with shortness of breath and cough. evaluate for pneumonia.

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The cardiomediastinal silhouette is normal. Lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with retrosternal chest pain of <num> week's duration worse at night.

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Cardiomegaly persists. No focal consolidation, pleural effusion, or pneumothorax is seen. Fissural fluid is more conspicuous compared to prior exam. Mediastinal contours are within normal limits. Thoracic vertebral body compression is again noted.

<unk>-year-old female with dyspnea on exertion.

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The lungs are grossly clear without focal consolidation, effusion or vascular congestion. Cardiac silhouette is mildly enlarged similar to prior. No acute osseous abnormalities.

<unk>f with etoh cirrhosis, presenting s/p fall two days ago with significant ecchymoses, head strike, withdrawal symptoms. // rule out infiltrate, pna

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The heart size is normal. The aortic knob is calcified. The mediastinal contours are unremarkable. Patchy opacities are noted in the lung bases which is concerning for infection. No pleural effusion or pneumothorax is seen. There is likely mild pulmonary vascular congestion. No acute osseous abnormalities are visualized.

cough and fever.

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A hazy consolidation projects over the left heart border, compatible with lingular pneumonia. There is no pleural effusion, pulmonary edema, or pneumothorax. The right lung is clear. The heart is normal in size.

history: <unk>m with cough and fever // ?pneumonia

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.

chest pain.

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Moderate cardiomegaly is stable compared to exams dated back to <unk>. Left pleural loculation, partially fissural, has improved compared to the prior exam. Bibasilar atelectasis is relatively mild. There is a small left pleural effusion, similar to the prior exam. There is no pulmonary edema or pneumothorax. No new focal consolidations concerning for pneumonia are identified. Note is made of callus formation along the left posterior <num>th rib.

history of left-sided vats, left lower lobe wedge and evacuation of left axial hematoma. please evaluate for interval change.

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The radiograph is relatively underpenetrated. Extremely low lung volumes. There is a left jugular central venous catheter with tip in the lower svc. Mild cardiomegaly. The mediastinal and hilar contours are normal. Evaluation for edema is limited by low lung volumes. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk>m with end-stage renal disease with temporary central venous catheter. now with malaise, nausea vomiting and hypertension. evaluate for infiltrate or edema.

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The lungs are clear. There is no evidence of pneumonia. Mediastinal and cardiac contours are not enlarged. The aorta is tortuous. There is no pneumothorax.

patient with cough, left lower lung wheezing, rhonchi, no fever, nonsmoker, daughter recently had pneumonia. rule out pneumonia.

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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is detected. Diffuse atherosclerotic calcifications of the aorta are noted. Clips in the upper abdomen are likely due to prior cholecystectomy. No acute osseous abnormalities are demonstrated.

fever.

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Even allowing for technique, the heart appears mild to moderately enlarged. There is again mild unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The pulmonary vasculature is indistinct with a central hazy appearance to the lungs and perihilar regions suggesting mild vascular congestion. No fracture is identified.

neck pain. question fracture. status post motor vehicle collision.

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The lungs are mildly hyperinflated however are clear and similar in appearance to prior examination on <unk>. The cardiomediastinal and hilar contours are within normal limits. There is no evidence of pneumothorax, focal consolidation or pleural effusion.

<unk>f with wheezing, dyspnea // ? acute cardio pulm process

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The lungs are clear. There is no focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Bilateral cervical ribs are incidentally noted.

<unk>m with seizure and immunocompromised on chemotherapy. // ?pneumonia

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As compared to the previous radiograph, there is unchanged evidence of both the left and the right pleural effusion. Subsequent areas of atelectasis are unchanged. No new parenchymal opacity that would suggest pneumonia. Unchanged moderate cardiomegaly, unchanged course and position of the left pectoral port-a-cath.

status post antibiotic therapy, rule out pneumonia.

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As compared to the previous radiograph, the position of the left chest tube and the extent of the left pleural fluid collection is constant. The pleural drain is in unchanged position. The air collection in the left chest wall has resolved. No other change. Sternal wires are in constant position.

pleural effusions, evaluation.

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Frontal and lateral views of the chest. Lung volumes are low. The right heart border is obscured, but the heart is likely normal size. Mediastinal contours are normal. Right lower and middle lobe opacity with indistinctness of the right hemidiaphragm and blunting of the costophrenic angle likely represents a combination of effusion and consolidation. Left lung is clear. No pneumothorax.

fever and oxygen requirement.

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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 sob and fever // sob and fever

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The heart size is within normal limits. The mediastinal and hilar contours are normal. There is no pneumothorax. The lungs are clear of consolidation; right apical suture material is present. Small right-sided pleural effusion is present, similar in extent to prior study.

<unk>-year-old male with history of spontaneous pneumothorax two weeks ago, now experiencing a gurgling sound/sensation.

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Lung volumes are low. There is mild atelectasis at the bilateral lung bases. No focal consolidation, edema, effusion, or pneumothorax. Prominence of the mediastinum is overall unchanged, consistent with ectatic aorta. The heart is normal in size. No acute osseous abnormality. Degenerative changes at the ac joints bilaterally are again seen.

<unk>-year-old man presenting with productive cough and fever, new onset afib. evaluate for pneumonia.

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There is mild left apical pleural thickening. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Incidental note is made of nipple shadows. The cardiac silhouette is not enlarged. The mediastinal and hilar contours are unremarkable.

ms flare.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with fevers and malaise.

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Emphysema and coarse reticular interstitial markings are redemonstrated. Bandlike atelectasis in the left base is present. There is no new focal opacity. There has been interval resolution of the left-sided pleural effusion. A small right-sided pleural effusion persists. There is no pneumothorax. No cardiomegaly.

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

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Lung volumes are low. Bibasilar atelectatic changes are stable. Bilateral pleural effusions, right greater than left, are unchanged since <unk>. There is no pneumothorax. The mediastinum and heart are within normal limits. No acute osseous abnormalities.

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

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Lung volumes are relatively low. Left chest wall dual lead pacing device is again seen. There is no confluent consolidation, effusion or overt pulmonary edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications again noted at the aortic arch. No acute osseous abnormalities.

<unk>f with ?pacemaker malfunction // eval for pna and pacemaker

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Patient is status post median sternotomy and cabg. Multiple surgical clips are seen in the mediastinum.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable given differences in technique can't inspiration.. Cardiac silhouette remains top-normal. Hilar contours are stable.

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

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Mild to moderate cardiomegaly has been stable compared to exams dated back to at least <unk>. Sternotomy wires are again seen, and appear intact. Platelike atelectasis at the left lung base, with elevated left hemidiaphragm is noted. There is mild pulmonary edema. There may be small bilateral pleural effusions. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.

history: <unk>m with dyspnea // evaluate for acute process

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There is a large left pleural effusion with partial collapse of the left lower lobe. Moderate atelectasis is also noted on the right and overall lung volumes are low. Heart size is likely normal, although accentuated by the portable technique and low lung volumes. There is no definite consolidation in the aerated portion of the lungs; however, a left lower lobe consolidation could be obscured by the atelectasis and effusion. A vascular stent is seen extending across the anterior mediastinum. There is no pneumothorax.

history: <unk>m with chest pain // acute process pertinent history obtained from the<unk> medical record is that the patient is on dialysis for end-stage renal disease.

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There is opacity within the right lower lobe concerning for pneumonia. There is slight downward migration of the right hilus given the resulting volume loss. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

fevers and cough. evaluate for pneumonia.

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No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiomegaly is stable. Compared to most recent prior exam, there has been interval improvement in pulmonary edema. Sternal wires are again noted with fracture at the inferior most wire.

<unk>-year-old female with history of endocarditis, status post valve replacement, now with chest pain and right facial numbness.

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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. There are no acute skeletal abnormalities.

<unk>-year-old man with renal transplant, now with productive cough, rule out pneumonia.

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Frontal and lateral chest radiographs demonstrate marginally low lung volumes and a heart that is top normal in size. The lungs are clear without focal consolidation. There is no pleural effusion or pneumothorax.

status post splenectomy with cough and congestion. evaluate for pneumonia.

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This film is taken with improved technique. The picc line tip is in the svc. It still projects slightly more laterally than is typically seen, but this could be due to vascular engorgement. The heart is moderately enlarged. There is pulmonary vascular redistribution and bilateral pleural effusions. Findings are compatible with chf.

new line placement.

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Left-sided aicd device is again noted with single lead terminating in the region of the right ventricle. Severe cardiomegaly is unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

history: <unk>m with dyspnea. history of chf

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Heart size is top 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>m with chest pain

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In comparison with study of <unk>, the patient has taken a somewhat better inspiration. There is fluid in the right pleural space extending over the apex with evidence of post-surgical change and rib resection. Atelectatic changes are seen at the right base. The left lung is clear except for small pleural effusion and atelectatic changes at the base. No evidence of vascular congestion.

thoracotomy, to assess for change.

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As compared to the previous radiograph, there is unchanged evidence of a <num> mm left pneumothorax. No evidence of tension. Atelectasis and pleural effusion at the left lung base. The left chest tube has been removed. Unchanged appearance of the right lung.

status post left vats, rule out pneumothorax, status post chest tube removal.

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

<unk>f with rt sided chest pain // evaluate for ptx

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Pa and lateral views of the chest. The right chest tube has been removed. There is no pneumothorax. Small bilateral pleural effusions and left lower lobe atelectasis are unchanged. Overall unchanged from study done five hours prior.

chest tube removal, rule out pneumothorax.

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Frontal and lateral radiographs of the chest demonstrate clear lungs. The heart, mediastinal, and hilar contours are normal. No pleural abnormality is detected.

chest pain. evaluate for acute process.

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Pa and lateral views of the chest. No prior. There is elevation of the left hemidiaphragm. The lungs are clear of focal consolidation or effusion. There is no pulmonary vascular congestion. Extensive soft tissue calcifications are seen in the region of the right coracoclavicular ligament suggesting prior injury. Osseous structures are otherwise notable for hypertrophic changes in the spine.

<unk>-year-old male with afib.

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There is minimal left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable. There is mild anterior wedging of a lower thoracic vertebral body, grossly stable.

palpitations, dizziness.

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Linear opacity within the lingula is compatible with subsegmental atelectasis or scarring. Ill-defined focal opacity within the right mid lung field is not well localized on the lateral view, and could reflect an area of atelectasis, but a focus of infection or inflammation cannot be excluded. There is no pleural effusion or pneumothorax. No acute osseous abnormality seen.

chest pain.

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Pa and lateral views of the chest provided. Bibasilar atelectasis is noted. There is no consolidation concerning for pneumonia. No edema or congestion. No large effusion or pneumothorax. Heart size appears grossly within normal limits. There is a subtle retrocardiac opacity which could represent a hiatal hernia. Mediastinal contours unremarkable. Bony structures are intact.

<unk>m with dyspnea on exertion. // pna? pulmonary edema?

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The tip of the right port-a-cath is in the mid svc. Lung volumes are low with crowding of bronchovascular markings at the right infrahilar region. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

<unk>m with pancreatic ca, + fever, + diarrhea, llq pain

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Right port-a-cath terminates in the proximal to mid svc. Interval increase in well left hemi thorax opacity worrisome for progression of known metastatic disease and increase in left hydrothorax, with more fluid at the left apex, and with small pneumothorax remaining. There are innumerable nodular opacities bilaterally consistent with extensive metastatic disease and lymphangitic carcinomatosis. Spiculated opacity in the left juxta hilar region likely corresponds to patient's mass, concern for increase size since the prior study.

history: <unk>f with weakness, known lung ca

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

right-sided weakness with a history of a pfo. evaluate for pneumonia.

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The chest tube terminates in the apex of the right lung. A tiny residual right apical pneumothorax is re-demonstrated. No evidence of tension. Pneumomediastinum is stable in appearance. Subcutaneous emphysema is noted along the right lateral chest wall, which has improved since yesterday's radiograph. Small pleural effusions are noted bilaterally. Cardiomediastinal silhouette is within normal limits.

<unk> year old man with right ptx, s/p r vats pleurodesis // r/o ptx with cts on waterseal