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

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.

<unk>-year-old female with shortness of breath. evaluation for pneumonia.

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A left chest wall port-a-cath is present with the tip extending to the right atrium. Unchanged elevation of the left hemidiaphragm. Slightly increased conspicuity of a left suprahilar opacity. No new focal consolidation, pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.

<unk> year old man with colon cancer w/ fever and leukocytosis // r/o pneumonia, atelectasis, metastasis of disease, effusions, other cause/concerns for infection

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The heart is within upper limits of normal and the mediastinal and hilar contours are unremarkable. Again seen is a subtle area of opacification previously reported in the periphery of the right upper lobe. No other focal opacities are seen. The lungs are hyperexpanded and otherwise clear. There is no evidence of pneumothorax or pleural effusions. The heart size is normal.

<unk>-year-old female who presents for followup of a chronic right upper lobe opacity.

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Frontal and lateral views of the chest. Prior right pic is no longer visualized. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Of note, the right posterior costophrenic angle is excluded from the field of view. Cardiomediastinal silhouette is within normal limits. Old right lateral rib fractures are noted. No acute osseous abnormality is seen.

<unk>-year-old male with fever and diabetes.

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Symmetric nodular densities over the lower lungs are similar to prior and consistent with nipple shadows. Saber sheath configuration of trachea and hyperinflated lungs suggest copd. There is small atelectasis or fluid in the right major fissure. There is mild bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax.

cough.

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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. Bony structures are unremarkable. There has been no significant change.

dyspnea on exertion. history of deep vein thrombosis.

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The cardiomediastinal and hilar contours are normal. The lungs are clear, without consolidation or pulmonary edema. No pleural effusion or pneumothorax is seen.

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

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

<unk> year old woman with asthma, cough, wheeze for <num> weeks // any infiltrate

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Cardiac silhouette size is top normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unchanged. No pneumomediastinum is present. Lungs are hyperinflated with flattening of the diaphragms compatible with underlying copd. No focal consolidation, pleural effusion or pneumothorax is present. No subdiaphragmatic free air is present. Bridging anterior osteophytes are re- demonstrated in the thoracic spine compatible with dish.

<unk> year old m with history of cad, atrial fibrillation on coumadin, lymphoma, bladder cancer, and esophageal cancer with chief complaint of dysphagia, inability to tolerate po or secretions since <unk>. concern for food impaction.

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Pa and lateral views of the chest were reviewed. Minimally increased interstitial markings can be seen in patients with chronic asthma. Small irregular opacities and an irregular pleural margin in the right apex are probably the sequela of prior infection. There is no focal consolidation, pulmonary edema, pleural effusion or lobar collapse. Normal heart and mediastinal surfaces. A focal nodular opacity over the right lower lung is a nipple shadow.

productive cough and dyspnea in a patient with severe asthma.

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Frontal and lateral radiographs of the chest demonstrate low lung volumes. Stalbe top normal heart size. The mediastinal and hilar contours are normal. Clear lungs. No pleural effusion or pneumothorax. No displaced rib fracture identified.

epigastric pain. evaluate for 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.

<unk> year old man with <num>d cough, rigors favor viral though legionella possible given diarrhea // ?pna.

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No focal consolidation, edema, effusion, or pneumothorax. The heart remains top-normal in size. The mediastinum is not widened. The stomach is distended with ingested contents. No evidence of fracture on this nondedicated exam. A right all subclavian approach central venous catheter has been removed in the interim.

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

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Compared to chest radiograph from <unk>, there is little overall change. Small bilateral pleural effusions are unchanged. Moderate cardiomegaly is stable. There is central vascular congestion with mild interstitial pulmonary edema. No pneumothorax. No focal parenchymal opacity. Chronic right posterior deformity is noted. No new rib fractures identified on this non-rib-dedicated radiograph. Compression deformity of the upper thoracic spine, better assessed on prior ct from <unk>, correlates with a chronic t<num> compression fracture. Extensive calcification along the costochondral junction.

<unk>f with multiple falls from her wheelchair and history of pathological fractures. // we are looking for pathological fractures and hemothorax.

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Pa and lateral views of the chest. Sternotomy wires and mediastinal clips are seen. Aortic knob calcifications are stable. There is mild left lower lobe atelectasis and minimal scarring adjacent to the left hilum. No evidence of pneumonia or mass. No pleural effusions or pneumothorax. Mild cardiomegaly is unchanged. Mediastinal and hilar contours are normal.

hemoptysis, evaluate for pneumonia or mass.

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There has been interval development of a small right apical pneumothorax. Interstitial opacities, small left and small to moderate right pleural effusions. Opacity in the left lung base has increased in the interim. The cardiac silhouette remains normal in size, calcified mediastinal and bilateral hilar lymph nodes are unchanged. Chain suture material within the right lung is unchanged.

<unk>-year-old male with history of sarcoid, who presents with weight loss and malaise.

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<num> views of the chest were obtained. The lungs are well expanded and clear without pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

chest pain.

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Again noted is mild-to-moderate pulmonary edema, slightly worse compared to the prior exam. Heart remains mildly enlarged. Tortuosity of the thoracic aorta, which is diffusely calcified, is again noted. Small bilateral pleural effusions, right greater than left are again present, with bibasilar opacities likely reflecting atelectasis. No pneumothorax is identified. Diffuse demineralization of the osseous structures is present with loss of height of several lower thoracic vertebral bodies, which are age indeterminate.

cough and hypoxia.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. A small linear opacity lateral to the left heart border is most consistent with atelectasis. The cardiomediastinal silhouette is normal.

generalized weakness.

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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. No pneumothorax, pleural effusion, or consolidation. No free air beneath the right hemidiaphragm.

history: <unk>f with epigastric pain // eval infiltrate

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The patient is status post median sternotomy and cabg. The cardiac silhouette size is top normal. Mediastinal and hilar contours are within normal limits. There is calcification of the aortic knob. The pulmonary vasculature is normal. Linear opacities in the left lung base likely reflect subsegmental atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities.

dyspnea.

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Median sternotomy wires are present. Heart is mildly enlarged. Lung volumes are low, but there is no focal consolidation. No overt pulmonary edema is present. Views of the upper abdomen are normal.

<unk>m with paroxysmal a-fibrillation, evaluate for cardiomegaly, pulmonary edema, or 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>f with cp/sob // r/o acute process

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Ap upright and lateral views of the chest provided. Cardiomegaly is unchanged. Cervical spine hardware and right shoulder arthroplasty are again noted. The right ij central venous catheter has been removed. 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.

history: <unk>f with malaise // ? acute intrathoracic process

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Heart size remains mild to moderately enlarged. Mediastinal and hilar contours are normal. Subsegmental atelectasis is seen within the left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

chest pain.

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Lung volumes are slightly low. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. The heart is top-normal in size. A wedge compression deformity of the t<num> vertebral body is unchanged. Metallic biliary stents are again seen in the right upper quadrant.

<unk>m with fever of unknown origin // ?infiltrate/pna

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

cough. rule out infiltrate.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding ap single view portable chest examination of <unk>. The heart size remains within normal limits. No typical configurational abnormalities are seen. Appearance of thoracic aorta unchanged. Comparison of the frontal views indicates an increased widening of the superior mediastinum with a now bulging mass to the left above the level of the aortic knob. Similarly, there appears an increased thickening of the pleural space in the apical area on the left side. Previously described and on chest ct identified nodular lesions in the left lung are again seen and appear rather unchanged. The left lower lobe plate atelectasis which existed on the last examination has resolved. The pleural density persists, although it appears to be slightly less than it was before. No evidence of pleural effusion is identified on the right side. As we now have a lateral view of the chest, we can identify mild blunting of the posterior pleural sinuses on both sides. Demineralization of several vertebral bodies in the thoracic spine are identified and match the described metastatic lesions seen on ct of <unk>. As per report of the chest ct examination, the patient has metastatic ovarian carcinoma, but also a left-sided breast mass.

<unk>-year-old female patient with pleural effusion, evaluate.

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Cardiac silhouette is enlarged. The aorta is tortuous. Bibasilar opacities may be due to atelectasis although underlying infection is not excluded. No pleural effusion or pneumothorax is seen. .

<unk>f w/hx of copd, chronic hep c, schizoaffective disorder referred to ed by pcp for evaluation of hyponatremia and sob // eval for infection, copd exacerbation

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There is platelike atelectasis at the left lung base. No consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. There is no subdiaphragmatic free air. No acute osseous abnormalities identified.

history: <unk>m with fever and cough // infiltrate

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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is unchanged. No acute osseous abnormality is identified. Surgical clips seen in the right upper quadrant. There is leftward deviation of the trachea at the thoracic inlet compatible with right-sided thyroid nodule seen on prior ct scan.

<unk>- year-old female with fall one week ago.

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Cardiomediastinal contours are unchanged with mild cardiomegaly, pacer lead in standard position and tortuous aorta. . There are few nodular opacities in the right perihilar region and right upper lung otherwise the lungs are clear. Air filled. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine

<unk> year old woman with chf, now with worsened <unk> edema, weight gain // ?signs of worsened chf

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Right picc terminates at the cavoatrial junction. Previously noted surgical <unk> in the left upper chest are no longer seen. Lung volumes remain low with persistent bibasilar atelectasis. A small right pleural effusion is possible. No pneumothorax.

<unk> year old man with h/o esophageal cancer s/p neoadjuvant chemoradiation, now pod<num> from lap esophgogastrectomy with cervical jp drain and chest tube placed. // s/p ct removal

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The cardiac silhouette size is normal. The aorta is mildly tortuous, but unchanged. The mediastinal and hilar contours otherwise are unremarkable. The lungs are clear and the pulmonary vascularity is normal. Again seen is a healed left posterior <num>rd rib fracture. Cervical fusion hardware is partially imaged. Clips in the right upper quadrant the abdomen indicate prior cholecystectomy.

shortness of breath.

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Pa and lateral views the chest provided. Bibasilar consolidations with associated volume loss may represent atelectasis though difficult to exclude a superimposed pneumonia. No large effusion or pneumothorax. Heart size cannot be assessed. Mediastinal contours unremarkable. Bony structures intact.

<unk>f with cough x <num> days, diminished lung sounds in all lobes. assess for pneumonia versus congestive heart failure.

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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 radiographically.

history: <unk>f with l chest wall and back pain s/p fall // eval for fx

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No osseous abnormality is identified.

<unk>-year-old female with shortness of breath, anemia. question mass.

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Cardiomediastinal contours are normal. Right perihilar pneumonia has almost completely resolved, there are no new lung abnormalities. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old man with recent pneumonia and cxr, rads recommending f/u imaging // f/u to ensure resolution of pneumonia

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Right moderate pleural effusion has slightly increased since previous exam with compressive atelectasis. In the aerated portion of the lung, there is no evidence of pneumonia. The lung volumes are low. Mediastinal and cardiac contours are unremarkable. There is no pneumothorax.

patient with edema, pneumonia; to rule out pna

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

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

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The cardiac, mediastinal and hilar contours appear unchanged, including a left ventricular configuration to the heart. Mild unfolding and calcification are similar along the aorta. A streaky left basilar opacity is consistent with unchanged minor atelectasis or scarring. There is no definite pleural effusion or pneumothorax. The chest is hyperinflated. The bones appear demineralized. Mild degenerative changes are similar along the mid to lower thoracic spine.

lethargy.

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Mild cardiomegaly is stable compared to multiple prior exams dating back at least to <unk>. The previously noted subtle opacity in the right lung base is not seen on this exam. There are no new focal consolidations, pleural effusions or pneumothorax. The hilar and mediastinal contours are unremarkable.

<unk>-year-old man with recent right lower lobe pneumonia, who presents for evaluation.

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There is increased opacification of the lingula and right lower lung. There is likely a background of interstitial lung disease p the hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old man with productive cough and decreased breath sounds. evaluate for pneumonia.

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Frontal and lateral views of the chest. The lungs are clear. There is no consolidation, pneumothorax, or effusion. The cardiomediastinal silhouette is normal. No displaced fracture is identified. Cervicothoracic anterior spinal hardware is identified.

<unk>-year-old female with history of falls.

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Pa and lateral chest views were obtained with patient upright position. Available for comparison are previous chest examination from <unk>. There exists a very large hiatal hernia occupying the entire left lung base, but also reaching in to the mid portion of the lower right hemithorax. This very large hiatal hernia existed already on the previous examination in <unk>. Gas-distended large and small bowel loops are seen in this area. The heart is slightly obscured by these structures but significant cardiac enlargement is unlikely and there is no pulmonary congestive pattern. Markedly elevated left-sided diaphragm reaches the level of the hiatus and a plate atelectasis is noted, but no acute parenchymal infiltrate is seen. On the right lung base only minor peripheral thin plate atelectasis are identified and no evidence of pleural effusion is seen in the lateral or the posterior pleural sinuses. Review is also performed of the most recent abdominal ct examination of <unk>, which covers the lower thoracic area and confirms the findings here described. Plus there exists a plate atelectasis in the left lung base but no acute new parenchymal infiltrates are seen and the pulmonary vasculature is not congested.

<unk>-year-old male patient with known hiatal hernia, presently with diverticulitis and hypoxia. evaluate for pneumonia, effusion versus compression.

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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.

history of uri-induced asthma, now with subjective fever and coughing.

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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.

history: <unk>f with cough // ? pneumonia

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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures appear without an acute abnormality. Compression deformities of upper thoracic vertebral body levels are unchanged. No air under the right hemidiaphragm is noted. Tortuosity of the aorta is stable.

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

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The lungs appear clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. There is no evidence of displaced rib fracture. No free intraperitoneal air.

<unk>m w/right chest wall pain, please eval for right rib fx // <unk>m w/right chest wall pain, please eval for right rib fx

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Frontal and lateral radiographs of the chest were acquired. Moderate cardiomegaly is not significantly changed compared to the most recent study from <unk>, allowing for differences in technique. There has been interval removal of the previously seen left picc. There is chronic vascular congestion and minimal right lower lung atelectasis. Changes compatible with emphysema are seen within the upper aspects of both lungs, right greater than left. The descending thoracic aorta is slightly tortuous, not significantly changed. The mediastinal contours are otherwise unremarkable. There are no pleural effusions. No pneumothorax is seen.

confusion. assess for pneumonia.

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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.

cough, fevers, shortness of breath, rule out pneumonia.

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

<unk>-year-old female with new low back pain and cough. right chest tightness.

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Pulmonary vascular engorgement suggest mild cardiac decompensation. Heart is top normal size. Lungs are clear. No pleural effusion.

syncope and atrial fibrillation.

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Lungs are clear. No pulmonary edema or pneumonia. Heart size is normal. Dual lead pacer with the tips in the right atrium and right ventricle. No pleural effusion or pneumothorax. No visualized displaced rib fractures. Please refer to dedicated rib but view radiographs from the same day.

<unk> year old woman with cough and rib pain bilaterally // please do cxr and bilateral lower rib views to assess for pneumonia and rib injuries

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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Anterior spinal fixation hardware is partially visualized. No acute osseous abnormalities.

<unk>f with chest pain // pna, cardiac, effusion

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Lung volumes are decreased. There is redemonstration of a right lung base opacity invading the posterior mediastinum and pleura. Multiple rounded opacities are scattered throughout both lungs, and correspond to known pulmonary nodules. There is bronchiectasis at the right upper lobe and note is made of a small right pleural effusion. There is no pneumothorax. The heart is normal in size.

dyspnea, right chest pain, decreased breath sounds. evaluate for pneumothorax.

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Pa and lateral chest radiographs were obtained. Lung volumes are mildly low. A small left pleural effusion is new since <unk>. There is no new consolidation or pneumothorax. The cardiac and mediastinal contours are normal. The tip of a left chest port-a-cath terminates at the low svc. Surgical clips project in stable positions over the mid abdomen. Ascites is confirmed on recent ultrasound.

shortness of breath.

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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. Bony structures appear within normal limits. There has been no significant change.

chest pain.

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Pa and lateral views of the chest provided. Dextroscoliosis of the t-spine is noted with associated deformity of the thorax. Allowing for this, lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality.

<unk>f with dyspnea associated with episodes of abdominal pain

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The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged including moderate tortuosity along the descending thoracic aorta. The streaky opacity in the left lower lung is most consistent with minor unchanged scarring. Otherwise, the lungs appear clear. There no pleural effusions or pneumothorax. The patient is status post left shoulder replacement.

new visual deficit status post ablation.

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Frontal and lateral radiographs of the chest demonstrate a left chest tube in unchanged position since the prior study. The previously noted left apical pneumothorax is slightly improved since the prior examination. Again seen is a small right-sided pleural effusion and a stable moderate left-sided pleural effusion. The heart size, hilar and mediastinal contours are normal. Scoliotic deformity of the spine is unchanged.

pneumothorax with chest tube to water-seal.

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Lungs are hyperexpanded. There is central vascular congestion without frank pulmonary edema. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is mildly enlarged, which accounting for technique, is unchanged. Mediastinal and hilar contours are unremarkable.

cough with recent pneumonia. evaluate for pneumonia.

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The cardiomediastinal silhouette is normal. There is no evidence of pleural effusion or pneumothorax. Lung volumes are lower than prior. There is subtle increased opacification of the right lung base. Bronchial wall thickening may be due to history of asthma. No acute osseous abnormality. Degenerative changes of the acromioclavicular joint bilaterally. Surgical clips again noted in the left upper quadrant.

<unk>f with asthma p/w productive cough and dysnpnea, evaluate for pneumonia.

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The lungs are well expanded. Bibasilar patchy and linear opacities are present. Mild leftward deviation of the trachea likely reflects enlarged right thyroid lobe. There is small right pleural effusion. There is no left pleural or pneumothorax. The cardiomediastinal silhouette is unremarkable. The bones are very demineralized.

<unk>f with shortness of breath and weakness. // <unk>f with shortness of breath and weakness.

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is unchanged pleural thickening along the left costophrenic angle. There is no focal lung consolidation.

<unk> year old man with + ppd, no symptoms, evaluate for tb.

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There is probable left-sided pleural effusion with superimposed left basilar parenchymal opacity. Chain sutures seen in the left mid lung. The right lung is grossly clear. The cardiomediastinal silhouette is within normal limits. There is no pneumothorax. No acute osseous abnormalities identified. Surgical clips project over the abdomen.

<unk>f with cp, sob, recent pulm surgery // acute pathology, recent lllobe surgery

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The heart size is moderately enlarged, increased compared to prior examination. There is mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. There is consolidation of the right lung base with posterior correlate on lateral view compatible with right lower lobe pneumonia. There is associated small right-sided effusion. The left lung is essentially clear. There is no pneumothorax. A metallic stent projects over the abdomen on lateral view.

fevers, chills and chest pain and shortness of breath.

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Right-sided port-a-cath tip terminates in the svc. 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.

febrile neutropenia.

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Compared to <unk>, there is no large interval change in the appearance of the chest. A dialysis catheter ends in the right atrium. Mild cardiomegaly is unchanged. There are increased interstitial markings diffusely. There is are small bilateral pleural effusions. There is no focal lung consolidation.

<unk>-year-old man with recent pna, now with stroke symptoms.

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The moderate right pneumothorax has completely resolved. The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion is present.

right seventh rib fracture, small pneumothorax, now with persistent shortness of breath, decreased exercise tolerance. please do expiratory film as well. evaluate for progression of pneumothorax.

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Cardiomediastinal contours are stable with moderate cardiomegaly and tortuous aorta. Left lower lobe opacities are stable could be atelectasis or pneumonia in the appropriate clinical setting. Small bilateral pleural effusions are larger on the left side. . There is no pneumothorax. There are moderate degenerative changes in the thoracic spine

mr. <unk> is a <unk> year old man with a history of tbi who presents with worsening cough, fever, and shortness of breath concerning for pneumonia with elevated lactate and svt that improved with ivf. // ? lll pneumonia

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No consolidation, pneumothorax, or pleural effusion is identified. Cardiomediastinal silhouette is normal size. Linear opacities at the left lung base is unchanged and may reflect atelectasis or scarring.

<unk>f w/shortness of breath, please eval for ptx //

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

history: <unk>f with ams, confusion // eval pna

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

<unk>m with dyspnea // infiltrate?

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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.

acute onset of dyspnea. history of congestive heart failure.

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Ap and lateral views of the chest. There is a moderate to large right-sided pleural effusion. There is also moderate left pleural effusion as well. There is no pneumothorax. Cardiomediastinal silhouette is difficult to assess. Superiorly the lungs are clear.

<unk>-year-old male with history of liver transplant <num> weeks ago having a pleural effusion and drain.

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

<unk>m with hemoptysis // mass?

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A left-sided pacer/icd is seen with its leads terminating in the right atrium and right ventricle, unchanged locations. The heart is enlarged. The hilar and mediastinal contours are within normal limits. Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema. Mild bibasilar scarring is noted, as seen on prior chest ct. There are mild degenerative changes of the thoracic spine.

history of mi, status post cabg with two days of shortness of breath. rule out pulmonary edema or infection.

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The lung volumes are low. Streaky posterior left basilar opacities suggest minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Although not optimally assessed, the cardiac, mediastinal, and hilar contours are probably within normal limits for technique.

chest pain.

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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 cancer, fever chemothearpy // eval for pna

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Frontal and lateral chest radiograph demonstrates moderately well inflated lungs with bilateral lower lobe atelectasis. Scarring of the left cardiophrenic angle is noted. No pleural effusion or pneumothorax. Stable mild cardiomegaly. The mediastinal contour and hila are unremarkable. Sternotomy wires are notable for new disruption of third sternotomy wire.

chest pain. assess for cardiopulmonary process.

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The lung volumes are normal. No pneumothorax. Normal structure and transparency of the lung parenchyma. No evidence of pneumonia, pulmonary edema or other lung pathology. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No pneumothorax.

history of tobacco, rales, evaluation.

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Pa and lateral views of the chest provided. Patient is known to have emphysema. 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>f with productive cough x<num> days, fever <unk>f

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The cardiomediastinal and hilar contours are stable. There is a very small left apical pneumothorax. The right lung is grossly clear with no focal consolidation or effusion identified on the right. A small pleural effusion persists at the left base and is minimally decreased in size from the prior examination on <unk>. A chest tube projects over the left costophrenic angle.

<unk> year old man with recurrent left pleural effusion s/p pleurodesis and pleurex placement. // ? left pleural effusion.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Changes of the right shoulder are identified and not significantly changed from <unk>, better characterized on dedicated films.

<unk>-year-old female with right shoulder pain and altered mental status.

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The lungs are moderately well inflated with mild prominence of interstitial markings without lobar consolidation or pulmonary edema. No pleural effusions. Cardiomediastinal silhouette appears normal. There is diffuse demineralization with multilevel degenerative changes of the thoracic spine and a right humeral prosthesis.

<unk> year old woman with flu like symptoms // please eval for pna

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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A catheter is partially visualized projecting over the left flank. No acute osseous abnormality is identified.

elevated white count, evaluate for pneumonia.

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Heart size is normal. The aorta is mildly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear. Small bilateral pleural effusions are new in the interval. No focal consolidation is present. There is no pneumothorax. No acute osseous abnormality is visualized.

history: <unk>f with heme-onc patient with fever // ? infectious process

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As compared to the previous radiograph, there is no relevant change. With the right chest tube now clamped, there is no evidence of recurrent pneumothorax. The subtle linear changes caused by the right apical bulla, however, are difficult to differentiate against a small pleural line. Unchanged right lung changes along the major fissure. Unchanged appearance of the cardiac silhouette.

recurrent pneumothoraces, right chest tube, now clamped, evaluation for pneumothorax.

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The cardiac, mediastinal and hilar contours appear stable. The right cardiac border is slightly obscured suggesting minimal atelectasis in the lingula. However, the lungs appear otherwise clear. There are no pleural effusions or pneumothorax.

chest discomfort.

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<num> views were obtained of the chest. Of note the lateral view is limited significantly with the arms being down over the chest. The lungs are low in volume with bibasilar opacities, which given lung volumes are likely atelectasis. The appearance of bronchovascular crowding is most likely due to lung volumes as well, though trace edema is impossible to exclude. No pleural effusion or pneumothorax is seen. The heart and mediastinal contours are otherwise unremarkable.

suggest hcc with fatigue decrease in uptake.

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There are increased interstitial markings bilaterally diffusely consistent with chronic interstitial lung disease as also seen previously, however, there is increase in opacity bilaterally which may be due to acute on chronic component such as acute inflammatory or infectious process or pulmonary edema. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are stable. The aorta is calcified.

shortness of breath, cough.

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The cardiac silhouette size is normal. Coronary artery stent is again noted. The mediastinal and hilar contours are unremarkable, with mild tortuosity of the thoracic aorta. Lungs are clear. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular congestion. The osseous structures demonstrate no acute abnormality. No free air is noted under the diaphragms.

right lower quadrant pain, history of congestive heart failure.

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Ap and lateral views of the chest. The lungs are grossly clear. Increased interstitial markings throughout the lungs are more suggestive of a chronic interstitial process. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Proximal right humeral orthopedic hardware is partially visualized.

<unk>-year-old female with fever.

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Patient has a known right hilar mass with resultant obstruction of the right upper lobe. Right paramediastinal opacity related to obstruction is again seen. The small right pleural effusion with overlying atelectasis. Punctate calcifications are re- demonstrated at the left lung apex. No new consolidation is seen on the left. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with adenocarcinoma, malignant effusion, increasing sob/doe // please evale for effusion, edema, infiltrte

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Pa and lateral views of the chest provided. Overlying ekg leads are present. The heart appears mildly enlarged. Mild hilar congestion is suspected. No large effusion or pneumothorax. No consolidation concerning for pneumonia. The mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with b/l <unk> edema x weeks // eval edema

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There has been slight interval improvement in degree of lung inflation compared to the prior study. Heart size remains mild to moderately enlarged. Atherosclerotic calcifications are demonstrated in the aorta is mildly tortuous. As seen previously, rightward deviation of the trachea at the thoracic inlet is due to left-sided thyroid enlargement. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Patchy opacities the lung bases may reflect atelectasis, but infection or aspiration is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is detected. No acute osseous abnormality is present.

history: <unk>m with weakness

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No previous images. The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion.

dizziness and weakness.

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The lungs are hyperinflated, consistent with underlying emphysema. Compared to the prior cxr in <unk>, there are new bilateral diffuse linear opacities, which are particularly prominent in the right apex. Differential includes pulmonary vascular congestion vs. Interstitial lung disease. Additionally, cannot exclude underlying malignancy in the right apex. The cardiomediastinal silhouette is normal. There is flattening of the right hemidiaphragm. No acute osseous abnormalities.

<unk> year old man s/p fall with intracranial hemorrhages w/hx of desat and now coughing // r/o pulm edema vs. pna

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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. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. Partially visualized is a gastrojejunostomy tube within the abdomen.

history of fever. please evaluate for pneumonia.