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

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There are relatively low lung volumes. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Gaseous distention of bowel in the upper abdomen is again noted.

history: <unk>m with ?aspiratin event, sob, cough // pna?

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The lung volumes remain low. There are bibasilar opacities with mild interval improvement compared to the most recent prior radiograph. Small left pleural effusion persists. No pneumothorax noted. There is stable cardiomegaly and postsurgical changes in the form of sternotomy wires and surgical clips projecting over the midline and left hemi thorax. Right-sided catheter, likely a ventriculoperitoneal shunt remains unchanged. Bony thorax is unchanged.

<unk> year old woman history of cad status post cabg in <unk> and recent medically managed nstemi, systolic heart failure/ischemic cardiomyopathy (lvef of <num>%), atrial fibrillation on warfarin, right <unk> cva with hemorrhagic transformation status post suboccipital craniotomy in <unk> and hydrocephalus status post vp shunt placement with multiple revisions in <unk>, insulin-dependent diabetes mellitus type <num>, hypertension, hyperlipidemia, chronic kidney injury, and seizure disorder who presents with shortness of breath, now w/ vomiting and concern for aspiration

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Ap and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion, or pneumothorax. Bibasilar opacities most likely represent atelectasis. The heart is top normal in size. The imaged upper abdomen is unremarkable.

history of recent pneumonia, presenting with low-grade fever and dyspnea. evaluate for cardiopulmonary process.

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Patchy right upper lung opacity, not clearly seen on the prior radiographs, or least significantly increased, is worrisome for pneumonia. Additional ground-glass opacities noted on chest ct from <unk> for better appreciated on ct. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Dual lead left-sided pacer is stable in position. Partially imaged left humeral prosthesis is again noted.

history: <unk>f with productive cough // r/o pna

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Nerve stimulator device pack projects over the left lower chest with single lead projecting cephalad into the left neck. Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with seizures

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Ill-defined densities seen on the frontal view without lateral correlates suggest calcified pleural and diaphragmatic plaques suggestive of prior asbestos exposure. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk>m with hypotension, evaluate for pneumonia.

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As compared to prior examination, the patient's previous left lower lobe pneumonia has completely resolved. There is no additional focal consolidation. The remainder of the lungs are clear without pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are normal. Findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time> on <unk>, <num> minutes after discovery.

cough, supine dyspnea, and history of left lower lobe pneumonia <unk>.

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Seen again noted is a displaced, <unk> posterior right rib fracture with a new adjacent soft tissue component, seen only on the frontal projection, which likely represents a developing hematoma. A minimally displaced <unk> right posterior rib fracture is seen. There is no evidence of pneumothorax, pleural effusion, or focal consolidation. The heart size is normal. Mediastinal and hilar contours are normal. Findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time> on <unk>, <unk> min after discovery.

status post <num>th rib fracture, now with severe pain, splinting, and production of brown sputum.

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The cardiac, mediastinal and hilar contours appear stable. Again noted is moderate hiatal hernia with streaky opacities suggesting minor associated atelectasis, which is unchanged, within the left lower lobe. In the right upper lobe there is a vague streaky opacity, correlating without previous site of more extensive opacification, perhaps residual scarring from prior infection. There is no pneumothorax or pleural effusion. A moderate l<num> compression fracture was already present before there is new mild to moderate biconcave loss in height of t<num>, age-indeterminant. The bones appear demineralized.

history of fall on the left side with left paraspinal lumbar pain.

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Pa and lateral views of the chest provided. Mild basilar atelectasis is noted. No focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Gaseous distention of the bowel in the upper abdomen noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with pre op // pre op

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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 esrd qnd liver transplant presenting with chest pain // does this patient have pna or rib fracture

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Pa and lateral views of the chest provided. There is extensive left pleural effusion, increased since prior ct chest from <unk>. There is no pleural effusion on the right. There is evidence of prior resection of the right upper lung.

<unk> year old woman with metastatic breast cancer with pleural effusion

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The heart is mildly enlarged. The lung volumes are low. There are small bilateral pleural effusions, which are best depicted on the lateral view. A band-like opacity in the right mid lung suggests minor atelectasis or scarring. Elsewhere, the lungs appear clear.

bilateral lower extremity edema and shortness of breath with chest pain.

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Pa and lateral views of the chest provided. The hila appear congested and there appears to be mild pulmonary edema. No convincing evidence for pneumonia. No large effusion or pneumothorax. Heart size and mediastinal contour remain normal. Bony structures are intact.

<unk>m with cough, immunosuppressed // any e/o pna?

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Pa and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Mild pectus excavatum is noted on the lateral view.

palpitations.

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In comparison with the study of <unk>, on these upright views, there is a gas filling the upper third of the right hemithorax. Chest tube is in place with a large amount of pleural fluid filling the lower two-thirds of the right hemithorax. The left lung remains essentially clear.

right lower lobectomy, to assess for change.

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The cardiac silhouette size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

right upper quadrant pain.

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Pa and lateral chest radiographs. Moderate cardiomegaly is stable, but there is no evidence of pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax.

chest pain.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.

history: <unk>f with chest pain // acute process

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are stable. Lungs are clear but hyperinflated with increased ap diameter of the chest and flattened hemidiaphragms. No focal consolidation, pleural effusion, or pneumothorax. Left lateral rib deformities are chronic and similar to prior.

cough and diffuse wheezing on exam.

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

history: <unk>f with slurred speech

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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. Increased amount of air in the left upper quadrant is likely secondary to a mildly distended stomach.

four episodes of hypoglycemia in the past <num> hours, rule out pneumonia.

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There are small bilateral pleural effusions, left greater than right. There is some volume loss in the left lower lobe. Compared to the prior exam, the appearance of the pleura on the left is similar. There is no new infiltrate. Patient is status post sternotomy. Mediastinal clips are again seen.

bilateral lower chest pain and low-grade fevers.

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

discitis, to assess for pneumonia.

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Aside from minimal left basilar atelectasis, the lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. Mild biapical pleural thickening is unchanged. Cervical fusion hardware is incompletely evaluated.

history of asthma, cough, shortness of breath. evaluate for pneumonia.

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In comparison to prior same-day chest x-ray from <unk> at <time>, there has been interval enlargement of the left-sided pneumothorax, status post water seal of pigtail catheter. Again visible are apical and superolateral components of the pneumothorax, similar, but slightly increased in size. There is has been re-appearance of a sizable anterior/retro-sternal component seen on lateral view -- this is similar in size and appearance to previous chest x-ray from <unk> at <time>, but increased compared with the film obtained earlier today. The hydro pneumo thorax component seen posteriorly on the lateral view is fairly similar to the most recent prior film. Bilateral pleural effusions are unchanged. No shift of mediastinal structures. No additional significant interval changes. Minimal atelectasis in the right cardiophrenic region again noted.

<unk> year old woman with ptx s/p port placement // please do exam at <unk> <unk>. question: status of ptx (put on water seal <unk> <unk>).

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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is top normal. There are normal mediastinal and hilar contours. No pleural effusion.

fever and productive cough.

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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.

shortness of breath and cough.

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In comparison with the study of <unk>, the post-procedure pneumothorax continues to decrease. There is now only a small apical component. Otherwise, little change.

post-procedure pneumothorax, on suction.

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Pa and lateral chest views were obtained with patient in upright position. Status post sternotomy and the position of the metallic structures of a bileaflet prosthesis indicates successful aortic valve replacement. Heart size remains within normal limits and there is no typical configurational abnormality. Unremarkable and unchanged appearance of the thoracic aorta. Pulmonary vasculature is not congested. No evidence of acute or chronic pulmonary parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area. When comparison is made with the next preceding chest examination of <unk>, findings are unchanged and evidence of aortic valve replacement existed already at that time.

<unk>-year-old male patient with history of lymphoma. persistent cough, evaluate for possible pneumonia.

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As compared to the previous radiograph, a pacemaker has been implanted in the anterior chest wall. Otherwise, there is no relevant change. Normal lung volumes. Normal appearance of the lung parenchyma. Normal size of the heart. Tortuosity of the thoracic aorta. No pleural effusions.

right ataxia and weakness, frontal stroke, evaluation for intrapulmonary process.

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Heart size and cardiomediastinal contours are stable. Bibasilar opacities may represent atelectasis or aspiration. No pleural effusion or pneumothorax.

history: <unk>f with wheezing after possible fb aspiration // ? aspiration pneumonitis

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Heart size appears mildly enlarged but similar. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal patchy opacities are noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is evident. There are mild degenerative changes in the upper lumbar spine. No acute osseous abnormality is visualized.

history: <unk>m with hiv, malaise

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Mild left mid to lower lung linear atelectasis/scarring is seen. No large pleural effusion is seen. There is no pneumothorax. Moderate pulmonary edema is re- demonstrated. No definite focal consolidation is seen. The cardiac and mediastinal silhouettes are stable. Evidence of dish is seen along the thoracic spine.

history: <unk>f with fever, cough x<num> week // r/o pneumonia

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Linear anterior mid lung opacity seen on the lateral view most likely represents atelectasis or scarring. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Mild biapical pleural thickening is seen. The cardiac and mediastinal silhouettes are unremarkable.

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

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Port-a-cath catheter tip is at the lower svc. Heart size and mediastinum are stable. Upper lung interstitial opacities are unchanged in the lower lobes are clear. No focal consolidations that a new seen. No pleural effusion or pneumothorax is noted.

<unk> year old woman with aml. to be assessed prior to initiation on clinical trial. // to be assessed prior to initiation on clinical trial.

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The heart is similarly enlarged. The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes are low. Allowing for technique, the lungs remain clear. There are no pleural effusion or pneumothorax.

cough and right-sided chest pain.

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Bibasilar heterogeneous opacities are increased compared to <unk>, most recently <unk>. Mild cardiomegaly and pulmonary vascular engorgement are indications of chronic chf. A large opacity at the base of the left lung, conforming to one of the large convexities in the posterior sulci of both hemithoraces on the lateral view, could be the left component of bilateral pleural effusions, but could also be a lung abscess. If this is clinically suspected, ct scanning should be performed.

recent pneumonia, evaluate for interval change.

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Right chest wall port catheter terminates in the upper right atrium. In comparison to <unk>, there has been significant improvement in the left pleural effusion. The mass like lingular opacity and reticulonodular opacity seen in the mid and lower left lung could reflect changes secondary to lymphangitic spread. Left-sided pleural catheter projects over the left lung base. Lungs are hyperinflated which may reflect underlying copd. Heart size is normal. Hilar and mediastinal contours are within normal limits. No pneumothorax.

<unk> year old man with pleural effusion. evaluate pleural effusion.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. There is no pneumothorax, focal infiltrate, vascular congestion, or pleural effusion.

<unk>-year-old female with palpitations and chest pain. question acute process.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. No prominence of interstitial markings that would radiographically suggest methotrexate toxicity.

productive cough, on methotrexate.

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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. No evidence of free air.

eval for free air pain.

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The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Moderate cardiomegaly is unchanged. The visualized bones are intact.

history: <unk>f with weakness and cirrhosis // r/o pna

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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, pleuritic

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Faint linear streaks overlying the thorax bilaterally is likely the patient's hair. The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

<unk>f with ongoing chest pain, tightness, normal ekg, elevated dimer. evaluate for infarction, edema, cardiomegaly.

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Mild right convex scoliosis is seen. The lungs are clear bilaterally. Cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax.

<unk> year old woman with pleuritic chest pain // pleuritic chest pain pleuritic chest pain

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Right lower lung mass better evaluated on recent ct is probably unchanged in size. No new focal opacity. Lungs are otherwise well expanded. No pleural abnormality. Heart size is normal. Aside from the known mass, remaining cardiomediastinal hilar silhouettes are normal.

<unk> year old woman with nsclc // please evaluate

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Pa and lateral views of the chest provided. Lungs are hyper-expanded but clear. Compared to prior study, there is new small amount of pleural effusion on the left. Heart size is normal. Work on <num> is normal.

<unk> year old woman with new o<num> requirement overnight, low <num>s on ra, evaluate for atelectasis vs pneumonia

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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. Perihilar fullness and azygos distension in the setting of cardiomegaly is probably due to mild heart failure. Mediastinal silhouette is stable.

fevers, chills, and weakness.

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As compared with the prior examination dated <unk>, there has been interval resolution of the previously described left, lingular opacity. No new, focal consolidations are identified. There is no pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.

recent pneumonia, evaluate for resolution.

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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 woman with fevers, decreased right breath sounds

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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 woman with recent pe. needs cxr prior to v/q scan // evaluation for intrathoracic abnormalities

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

palpitations. evaluate for pneumonia, evidence of cardiomegaly or other cardiothoracic process.

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Heart size is normal. Aortic knob is calcified. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Moderate anterior compression deformity of a mid thoracic vertebral body is of indeterminate age.

history: <unk>f with hyperglycemia, dizziness, fatigue

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Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well expanded without focal consolidation concerning for pneumonia. Slight linear opacities in the right mid lung field are again seen and likely represent fibrosis. There is no pulmonary edema. Post surgical changes are again seen in the left thyroid.

left-sided chest pain radiating to midline, relieved by nitroglycerin.

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Right atrial, right ventricular, and coronary sinus wires of a left chest wall pacer are in similar position to <unk>. No new radiopaque foreign body. Osseous structures are unremarkable.

<unk>-year-old female with biventricular pacer leads. evaluate for lead position.

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There appears to be an interval increase in opacification within the left lower lobe. No other focal opacities are seen. The lungs appear otherwise unremarkable. There is no evidence of pleural effusion or pneumothorax. The heart size is normal. The hilar and mediastinal contours are unremarkable. Again seen are degenerative changes in the mid thoracic spine.

<unk>-year-old male with a history of myeloma who presents for evaluation of cough.

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There is mild bibasilar atelectasis. Central pulmonary vasculature appears prominent, without evidence of frank pulmonary edema. The heart remains enlarged. The aorta is tortuous. No pneumothorax, pleural effusion, or consolidation. Small dense opacity overlying the right third posterior rib appears unchanged, and again may represent a bone island or less likely a calcified granuloma.

history: <unk>f with ruq and rlq tenderness back pain posterior rigth // cxr r/o pnact rule out diverticilits for appendicits

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen.

fever and cough

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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are again noted at the aortic arch. Degenerative changes are seen at the right shoulder.

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

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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.

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

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A dual-lead pacemaker/icd device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. The heart is mildly enlarged. Allowing for low lung volumes, there is no definite change, however, although it is difficult to exclude a small pericardial effusion. There is no definite pleural effusion. Streaky basilar opacities suggest minor atelectasis. There is no pneumothorax. Flowing anterior osteophytes along the thoracic spine suggest hyperostosis.

pleuritic chest pain and ekg findings concerning for pericarditis.

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There are no new focal opacities concerning for pneumonia. There is worsened bibasilar opacification, likely atelectasis and a moderate left layering and small right layering pleural effusion. The cardiomediastinal and hilar contours are stable with heart borders obscured by adjacent parenchymal change and effusion. Pulmonary vascularity is not increased. Retained contrast is demonstrated throughout the visualized colon. Sequelae of prior hernia repair is noted. Pacemaker leads are demonstrated within the right atrium and right ventricle in standard positions. There is exaggerated thoracic kyphosis with multiple mid thoracic wedge compression deformities, similar since <unk>.

<unk>-year-old female status post hiatal hernia repair with dor fundoplication. evaluate for interval change. pa and lateral chest radiographs

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The patient is status post right pneumonectomy with associated rightward mediastinal shift and diffuse calcification of the right pleura. Imaged aspect of the heart is unchanged. Mediastinal contours otherwise are stable. Chain sutures within the left upper and lower lung fields are compatible with prior wedge resections. Small left pleural effusion is unchanged. The remainder of the left lung is clear. No pneumothorax. No acute osseous abnormalities are seen.

worsening shortness of breath and history of lung cancer.

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Opacification in the right lower lung persists, although perhaps minimally improved, suggesting chronic aspiration. The left lung is clear. The heart is top-normal in size. No pleural effusion or pulmonary edema. The descending aorta is tortuous or slightly ectatic, similar to the prior exam.

<unk> year old man with parkinsons disease with recurrent aspiration, recent hcap, and leukocytosis. // please evaluate for infection or aspiration

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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 s/p assault with chest wall trauma.

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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.

<unk>f with palpitations, intermittent chest burning, evaluate for pneumonia.

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The lungs are clear without focal consolidation. The lungs are hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative change at the shoulder and acromioclavicular joints are noted.

history: <unk>m with delirium // evidence of pneumonia

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The cardiomediastinal and hilar contours are stable. Moderate to large bilateral pleural effusions are increased from <unk>. There is mild to moderate pulmonary edema, which may be minimally increased from the prior study. No pneumothorax.

<unk> s/p sigmoidectomy and end colostomy (<unk>) c/b brief pea arrest, now presenting with fevers and leukocytosis // evaluate for interval change: effusions, bibasilar opacities

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Ap upright and lateral radiographs of the chest demonstrate clear lungs, mildly underinflated. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.

fever and chills. evaluate for pneumonia.

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The lungs are well inflated and clear. Moderate cardiac enlargement is stable. Pulmonary edema has improved since the prior study. There is no large pleural effusion, pneumothorax, or focal consolidation.

history: <unk>f with hypoxemia, shortness of breath, elevated bnp, trop // pneumonia? fluid overload?

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As compared to the previous radiograph, the pre-existing left lung peripheral opacity as well as two very subtle apical right opacities have almost completely resolved. No opacities have newly occurred. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.

recurrent pneumonia, evaluation of interval change.

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Lung volumes are slightly low, which may be related to respiratory effort. There is associated bronchovascular crowding. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. Anterior spinal fusion hardware in the cervical spine is seen on the ap view. Diffuse idiopathic skeletal hyperostosis is noted.

<unk>-year-old man with recent acid who presents to the ed shortness of breath. evaluate for pneumonia.

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Pa and lateral chest views were obtained with patient in upright position. The heart is mildly enlarged. The configuration demonstrates a prominence of the left ventricular contour to the left and posteriorly but no evidence of marked left atrial enlargement. Thoracic aorta is mildly widened but does not show any local contour abnormalities. A right-sided internal jugular vein approach port-a-cath system is noted and the line terminates in mid-to-lower svc. No pneumothorax is present. The pulmonary vasculature is not congested. There is no evidence of new acute parenchymal infiltrates. There is mild blunting of the lateral and posterior pleural sinuses, but in the absence of acute pulmonary congestion, these findings are most likely related to patient's past medical history, which includes a liver transplant, probably represent pleural scar formations. There is no evidence of pneumothorax on either side. Skeletal structures of the thorax grossly unremarkable.

<unk>-year-old male patient with relapsed cholangiocarcinoma and liver transplant, on chemotherapy, admitted for bacteremia. transient hypoxia last night, evaluate for infiltrate or pulmonary edema.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

motor vehicle collision.

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Pa and lateral views of the chest provided. Slight blunting of the posterior costophrenic angles suggests small pleural effusions. Bilateral hilar prominence is likely secondary to central vascular engorgement. Top normal heart size. No focal consolidation or pneumothorax.

history: <unk>f with chest pain cough // eval for pna

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Pa and lateral views of the chest. No prior. Despite low lung volumes, the lungs are grossly clear. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits as are the osseous and soft tissue structures.

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

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Pa and lateral views of the chest provided. The lungs are hyperinflated with biapical pleural parenchymal scarring a again noted. No focal consolidation concerning for pneumonia. No edema. The heart is within normal limits of size. The mediastinal contour is normal. No pleural effusion or pneumothorax. Mild dextroscoliosis of the lower t-spine again noted. Peg tube projects over the left upper quadrant.

<unk>m with recent pneumonia

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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.

<unk> year old man with h/o renal cell carcinoma s/p nephrectomy // pls evaluate for mets other abnormalities

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Bilateral pleurx catheters are again identified. Left-sided effusion has decreased in size but is still present. Elevated right hemidiaphragm is similar compared to prior. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is again noted.

<unk>m with cp s/p drain // acute process

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Compared with prior chest radiographs, new bilateral hilar prominence and right paratracheal prominence suggests underlying lymphadenopathy, classic for sarcoidosis. Lungs are otherwise clear without pleural effusions or focal consolidation. Heart size is normal.

<unk> year old woman with a recent dx of sarcoidosis in the skin. evaluate for pulmonary sarcoid.

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Lung volumes are slightly low. The heart is mildly enlarged, unchanged. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. Median sternotomy wires appear intact.

history: <unk>f with pain, sob // infiltrate?

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There are small bilateral pleural effusions. No focal consolidation or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Aortic arch calcifications are seen. A linear coiled density projects over the anterior upper abdomen.

<unk>-year-old female with sickle cell disease and fever.

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The lungs are clear, the cardiomediastinal silhouette is normal. There is no pleural effusion and no pneumothorax. No fractures are visualized on this chest radiograph.

<unk>-year-old man with fall.

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In comparison with study of <unk>, there is little overall change. Increased opacification is seen at the left base, consistent with small pleural effusion and associated atelectasis. No evidence of acute pneumonia or vascular congestion.

fever and cough.

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There is continued right lung volume loss with right perihilar scarring and distortion, similar to <unk> and probably due to prior infection . The cardiac mediastinal silhouette is unchanged, and the lungs are clear of focal consolidation, pleural effusions or pneumothoraces.

<unk>f with prod cough // r/o acute process

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Subtle opacity at the right cardiophrenic angle is felt to most likely represent overlap of vascular structures, as seen on prior chest radiograph. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. There is no pulmonary edema. The cardiac silhouette is mildly enlarged, not significantly changed. Mediastinal and hilar contours are stable.

weight loss, lower extremity swelling.

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There is no focal consolidation, pleural effusion or pneumothorax. There is a small nodular opacity overlying the ninth posterior rib on the right, which may represent a nipple. The cardiomediastinal silhouette is normal. The bones are intact.

<unk>-year-old man with chest pain, rule out infectious process.

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There is a dual lead pacemaker/icd device in place. Cardiac, mediastinal and hilar contours appear unchanged. There are new small pleural effusions and a diffuse mild new interstitial abnormality suggesting mild interstitial pulmonary edema. Opacities at the left lung base appear increased but were present before and may be due to waxing and waning chronic atelectasis; active infectious process is not excluded, however.

new onset of 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. Patient is status post median sternotomy.

history: <unk>f with left arm weakness // eval for pneumonia

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

abdominal pain, worse in epigastrium. please evaluate for acute process.

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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomegaly with left atrial enlargement again noted. Dual lead pacing device is seen with leads in stable position. No acute osseous abnormality detected.

<unk>-year-old female with weakness, dizziness, presyncope.

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There is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.

cough for nine days with shortness of breath and crackles at the right base.

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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

altered mental status.

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Kyphotic positioning limits the evaluation. The lungs are normally expanded. There is surgical suture in the right upper lung likely from prior wedge resection. There is minimal retrocardiac opacity which appears new. There may be small right pleural effusion blunting the posterior costophrenic sulcus. There is no pneumothorax. Heart is mildly enlarged. There is no pulmonary edema. Core valve and vertebroplasties are re- demonstrated.

history: <unk>f with cough // cough

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No previous images. Relatively low lung volumes may account for the mild prominence of the transverse diameter of the heart. There is some increased opacification in the retrocardiac area suggested posteriorly on the lateral view. Although this could merely represent atelectasis, in the appropriate clinical setting, supervening pneumonia would have to be considered. Of incidental note is contrast material within the colon.

chest pain, to assess for pneumonia.

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Heart size is normal. The aorta is unfolded but unchanged. The mediastinal and hilar contours are similar. Known bilateral pulmonary nodules are better assessed on the prior ct, with the largest lesion currently noted within the right upper lobe measuring approximately <num> cm. No focal consolidation, pleural effusion or pneumothorax is identified. Minimal atelectasis is seen in the left lung base. No acute osseous abnormalities seen.

history: <unk>f with hypotension

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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 // ?pneumonia

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

arterial thrombosis on bypass graft. question acute disease.

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Lung volumes are low. Heart size is mildly enlarged. The mediastinal and hilar contours relatively unchanged. No pulmonary vascular congestion is noted. Small right pleural effusion appears new compared to the prior exam. There is also a small amount of fluid within the right minor fissure. Patchy bibasilar airspace opacities could reflect atelectasis but infection cannot be excluded. No pneumothorax is seen. Thoracic kyphosis is re- demonstrated with several compression deformities of the mid and lower thoracic spine appearing relatively unchanged. Diffuse demineralization of the osseous structures is again seen.

chest pain and left arm pain.