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

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinal and hilar contours are stable. There is no overt pulmonary edema.

recent craniotomy with fevers.

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with confusion, fatigue, recent hospitalization // eval for pna

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The heart size is at the upper limits of normal, similar to prior exam. The mediastinal and hilar contours are within normal limits. The lungs show no lobar consolidation. Again a hiatal hernia is present. There is no pleural effusion or pneumothorax. There is no subdiaphragmatic free air. Air-fluid levels noted below the diaphragm may indicate obstruction or delayed gastrointestinal transit.

<unk>-year-old female with abdominal pain, coughing phlegm and vomiting for a week.

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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal is size. There is no free air in the mediastinum or under the diaphragm.

hematemesis.

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Ap and lateral views of the chest. Low lung volumes again noted. The lungs are clear of focal consolidation or pulmonary vascular congestion. There is no visualized pleural effusion seen noting that the posterior costophrenic angles are excluded from the field of view. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. Hardware identified in the right humeral head.

<unk>-year-old male with fever, postop.

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As compared to the previous radiograph, there is no relevant change. Extensive bilateral fibrotic parenchymal changes, most severe in the region of the left ap hilar lung zones, associated with substantial apical thickening. No evidence of underlying pulmonary edema. Normal size of the cardiac silhouette. No pleural effusions. No evidence of recent pneumonia.

evaluation for chronic 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.

history: one week of atypical chest pain // r/i pneumonia

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There has been interval removal of the left-sided chest tube. No pneumothorax seen. A left perihilar opacity likely reflects a small amount loculated pleural fluid, a tiny adjacent metallic density is likely a surgical clip. This is unchanged in appearance compared to the prior study. The right lung appears grossly clear. Volume loss in the left lung consistent with recent surgery. Small amount surgical emphysema. Degenerative changes throughout the thoracic spine.

<unk> year old woman with lingular segment pulmonary nodule, s/p vats lingulectomy // post-pull film

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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No displaced rib fracture is seen. There is no free air under the diaphragm.

pleuritic chest pain.

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Pa and lateral views of the chest were obtained. The lungs are clear bilaterally. The heart is normal in size. Mediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion.

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

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Right porta cath terminates in the low svc. Opacity of the right upper lobe is similar to slightly worsened. There is increased elevation of the middle fissure suggesting worsening volume loss. Right perihilar opacities unchanged. Heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

history: <unk>m with neutropenic fever // ?pna

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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. Right-sided port-a-cath tip terminates at the cavoatrial junction, unchanged. No acute osseous abnormalities are seen.

fever and neutropenia.

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As compared to the previous radiograph, the lung volumes remain low. Moderate cardiomegaly. Mild increase in extent and diameter of the pulmonary vasculature, potentially suggesting mild fluid overload. No pleural effusions. No pneumonia or pneumothorax. The nasogastric tube has been removed in the interval.

cirrhosis, septic shock, evaluation.

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Heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Streaky bibasilar airspace opacities are compatible with areas of atelectasis. There are trace bilateral pleural effusions noted posteriorly on the lateral view. No pneumothorax is identified. The patient is status post t<num> through l<num> posterior fusion with intervertebral fusion devices at t<num>/<unk> and t<num>/l<num>. Radiopaque embolization material is also demonstrated about the t<num> vertebral body.

history: <unk>f with cough, dyspnea

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As compared to prior chest radiograph from <unk>, there has been some increase of a small right apical pneumothorax. A right pleural pigtail catheter remains in unchanged position. Left lung is clear. There are no new focal consolidations. The cardiomediastinal and hilar contours are within normal limits.

<unk>-year-old male patient with right pneumothorax post fiducial seed placement. study requested to rule out pneumothorax, now with chest tube on waterseal.

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The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. Mild biapical pleural thickening is seen.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The bones are relatively osteopenic.

history: <unk>f with dizziness and dysphagia // dizziness and dysphagia

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The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. No pulmonary vascular congestion is noted. Multiple clips are re- demonstrated in the right upper quadrant of the abdomen.

chest pain.

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

history: <unk>m with fever, cough // eval for pna

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Right picc terminates in the the mid svc. No pneumothorax. Increased opacification in the right lower lobe is slightly improved from <unk>. Small bilateral pleural effusions are increased from <unk>. Postoperative mediastinum, hila, and cardiac silhouette are normal. The left pacemaker appears unchanged.

<unk>m with pmh of ivdu c/b mitral and tricuspid valve endocarditis (polymicrobial, including mssa and <unk>), s/p bioprosthetic tvr and mv debridement, endocarditis c/b right frontal cva and pulmonary septic emboli, intermittent complete heart block s/p epicardial ppm, hepatitis c, glomerulonephritis due to chronic bacteremia with ckd (baseline cr <num>), and bipolar disorder who presented as a transfer from<unk> after being found acting confused, found to have mssa endocarditis and encephalopathy, transferred from the micu for further medical management, found to have

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Normal cardiomediastinal shadow. No airspace consolidation. No suspicious pulmonary nodules or masses. No pulmonary edema. No pleural effusions. Spondylotic changes of the thoracic spine. No hyperinflation.

<unk> year old woman with shortness of breath, hypertension // ? etiology of sob

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In the interval from prior study the left-sided central line has been removed and the right-sided line is in place. Tip is in the right atrium. There are bilateral moderate effusions with associated atelectasis. The patient however does appear euvolemic. . . There is no evidence of renal osteodystrophy. There is heavy vascular calcification.

<unk> year old woman with cough and bone marrow transplant // reason for cough pleural effusion and heart size measurement.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old male with left sided chest and arm pain. patient has a history of unprovoked pulmonary embolism. evaluate for congestive heart failure or pneumonia.

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Previously noted picc line has been removed. Focal eventration of the left hemidiaphragm again noted. Lungs are clear. No focal consolidation, large effusion, pneumothorax or signs of congestion/edema. Cardiomediastinal silhouette stable. Aortic arch calcifications are again noted. Degenerative changes in the spine are noted.

<unk>m with orthostasis. infectious r/o.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There are heterogeneous opacities in bilateral lung bases left greater than right with posterobasal correlate on lateral view with peribronchial cuffing suspicious for infection or possibly aspiration. The upper lung fields are clear. The right costophrenic sulcus is not imaged. There is no pleural effusion or pneumothorax. A rounded density projecting over the ge junction is likely a small hiatal hernia.

cough.

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Mild enlargement of the cardiac silhouette is unchanged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Mild degenerative changes are noted in the thoracic spine.

history: <unk>m with fever and wheezing.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

confusion.

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Patient is status post median sternotomy and cabg. Moderate cardiomegaly has increased compared to the previous examination. The aortic knob is densely calcified. Moderate pulmonary edema is worse in the interval. More focal opacification in the right lung base could reflect an area of infection. Small right pleural effusion appears new. No pneumothorax is present. Punctate calcifications in the right apex appear unchanged. Mild degenerative changes are noted in the thoracic spine.

history: <unk>f with shortness of breath, congestive heart failure

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified.

chest pain with associated shortness of breath. pain is worse over the left lower chest.

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Frontal and lateral views of the chest. There are streaky left basilar/retrocardiac opacities, potentially due to atelectasis. Elsewhere, the lungs are clear. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again seen. Enteric tube seen passing below the inferior field of view.

preop for small bowel obstruction.

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As compared to the previous radiograph, there is no relevant change. Normal lung volumes, no pneumonia, no pleural effusions, no pulmonary edema. Relatively severe degenerative spine disease. Azygos lobe lobe as normal variant.

evaluation for 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. question pneumothorax.

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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 similar study of <unk>. The heart size remains normal. No configurational abnormality is seen. Thoracic aorta of normal <unk> but mildly elongated. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. The diaphragms are somewhat low positioned and flattened, suggestive but not conclusive for copd. Acute parenchymal infiltrates, however, are not present. In comparison with the previous study of <unk>,the at that time suggested right lower lobe infiltrate and pleural effusion has disappeared.

<unk>-year-old female patient with chills and low-grade fever, evaluate for infectious process.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. No pacer device is identified. The visualized upper abdomen is unremarkable.

check for pacer.

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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. A mild-to-moderate mid thoracic anterior wedge compression deformity appears unchanged. Mild degenerative changes throughout the thoracic spine are also similar. A partly visualized posterior fusion is noted along the lower thoracic spine. Healed left posterolateral sixth and seventh rib fractures appear unchanged.

shortness of breath.

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There is been interval increase in size of a small to moderate left pleural effusion compared to the previous radiograph. Small right pleural effusion persists. Bibasilar airspace opacities likely reflect areas of atelectasis though infection cannot be excluded. Known nodular opacities throughout both lungs, more pronounced at the lung bases, compatible with metastatic disease are re- demonstrated. No pneumothorax is present. Heart size is difficult to assess given the presence of the left pleural effusion. Mediastinal and hilar contours are unchanged. There are mild degenerative changes in the thoracic spine. Left axillary clips are noted.

history: <unk>f with dyspnea

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There is opacity in the right lower lobe consistent with pneumonia. No pleural effusion or pneumothorax. Heart is mildly enlarged and there is evidence of vascular engorgement. Mediastinal and hilar contours are unchanged.

chest pain. evaluate for acute process.

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. Bullae may be seen in the right midlung. There is a left cardiac pacemaker with stable position of two leads terminating over the right atrium and right ventricle. The heart size is mildly enlarged. The mediastinal contours are normal. A right <unk> anterior fracture is of unknown chronicity.

<unk>-year-old male with multiple falls

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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. There is mild central vascular engorgement without overt pulmonary edema. Mediastinal and hilar contours are normal. Heart is mildly enlarged.

history: <unk>m with r sided weakness and facial droop since waking this morning // ?ich, cardiomegaly

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Pa and lateral views of the chest provided. Left chest wall port-a-cath is again noted with catheter tip in the region of the mid svc. The ng tube is been removed. Lungs are clear. No free air below the right hemidiaphragm. Cardiomediastinal silhouette is normal. Bony structures are intact.

<unk>f with recent <unk> <unk>'s for perforated rectal cancer presenting with vomiting and abdominal pain. // obstruction, free air?

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Pa and lateral views of the chest. Mild biapical scarring is seen, unchanged. The lungs are otherwise clear. There is no consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

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

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Right chest wall port is again noted. Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Median sternotomy wires are intact and mediastinal clips are again noted. No acute osseous abnormalities.

<unk>f with chest pain // eval for acute process

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, pneumothorax.

<unk>m with <num> weeks of fever and cough // pneumonia?

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

history: <unk>m with right upper quadrant pain

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The cardiac, mediastinal and hilar contours appear stable. There is a patchy a new opacity in the left lower lobe with a small pleural effusion concerning for pneumonia. Very mild new interstitial process suggests coinciding fluid overload or airway inflammation. There is no evidence for pleural effusion on the right.

cough and fever.

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Cardiac size is top-normal. Small left pneumothorax has decreased. Small left pleural effusion has increased. Left chest tube remains in place. Patient has severe emphysema. Bilateral post radiation changes are again noted. Right upper lobe opacity better evaluated on prior ct from <unk>. Wedge shaped deformities in mid thoracic vertebral bodies are again noted. Left chest wall subcutaneous emphysema is grossly unchanged

<unk> year old woman s/p vats lll wedge resection // ?pneumo

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The cardiomediastinal silhouettes are within normal limits, with a mildly tortuous thoracic aorta. The hila are unremarkable. The lungs are clear without focal consolidation. The lungs are hyperexpanded. There is no pulmonary vascular congestion or pulmonary edema. There is no pleural effusion or pneumothorax.

<unk>f with weakness, evaluate for infiltrate.

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Right chest wall port is again seen. There is linear scarring at the right lung base medially. Lungs are clear without consolidation, effusion, or pneumothorax. Postoperative changes of prior esophagectomy are better seen on prior ct scan. No acute osseous abnormalities.

<unk>m with fatigue/weakness // evaluate for pneumonia

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As compared to the previous radiograph, the feeding tube has been removed. The lung volumes are normal. There are no pleural effusions. Normal size of the cardiac silhouette, normal hilar and mediastinal contours. No morphological findings on the image can explain the clinical presentation of the patient.

dyspnea on exertion, evaluation.

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Ap and lateral views of the chest. Right picc again seen with tip in the lower svc. The lungs remain clear without focal consolidation. There is slight thickening along the major fissure, potentially on the right which could be due to fluid within the fissure. Cardiac silhouette is enlarged, similar to prior. Atherosclerotic calcifications again noted at the arch. No acute osseous abnormalities.

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

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As compared to <unk> interval increase in the right lower lobe opacities with further silhouetting of the right hemidiaphragm. Slight increase in retrocardiac opacity as well. There is no pulmonary edema or substantial pleural effusions. No pneumothorax. Right-sided port-a-cath terminates in the low svc. Bilateral breast implants are again seen.

<unk> year old woman with rsv pna // progression

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Ap and lateral chest radiograph demonstrate hyperinflated lungs. Linear opacity projecting over the left mid and lower lung fields likely reflects scarring, present on prior examination. No focal opacity convincing for pneumonia is present. Cardiomediastinal and hilar contours are stable. No evidence of pulmonary edema. There is no pleural effusion or pneumothorax. There is no air under the right hemidiaphragm.

<unk>m with chest pain, dyspnea/wheezing // eval for acute process

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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The cardiomediastinal silhouette is normal.

chest pain.

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There is mild cardiomegaly. Severe calcification of the aortic valve is better seen on prior ct. The lungs are hyperinflated. Multiple lung nodules are better seen on prior ct. There is no evidence of pneumonia or pulmonary edema. There are minimal atelectasis in the left base. Surgical chain projects in the right upper lung. There is no pneumothorax or pleural effusion. Wedge shaped compression fractures of mid thoracic vertebral bodies are again noted.

<unk> year old woman with cabg, breast and lung cancers, who presents with leukocytosis, n/v // ?pneumonia

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Pa and lateral views of the chest were obtained. These demonstrate clear lungs bilaterally with no focal consolidation identified. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormalities.

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

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The heart is normal in size. The aorta is again mildly tortuous. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. Small-to-moderate anterior osteophytes are present along several lower thoracic levels. There is a healed right posterolateral eighth rib.

near syncope.

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As compared to the previous radiograph, the lung volumes have slightly decreased, likely reflecting a reduced inspiratory effort. There is moderate cardiomegaly without evidence of pulmonary edema. Tortuosity of the thoracic aorta. Minimal atelectasis at both the left and the right lung bases, but no evidence of pneumonia. The pre-existing opacities in the right upper lung have completely resolved.

fever and cough, evaluation.

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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.there has been no change in radiographic appearance since the prior study in <unk>.

<unk>m with chest pain x<num> day, no sob. evaluate for pneumonia. evaluate aorta.

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

history: <unk>m with motorcycle accident // eval for traumatic process

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A left pectoral pacemaker is unchanged in position or appearance from the most recent prior study, with a single lead terminating in the right ventricle, unchanged. The lungs are symmetrically well expanded and well aerated without focal airspace opacity, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size, but stable. The mediastinal and hilar contours are within normal limits. The trachea is midline. There are healed right posterior lower rib fractures but no acute displaced rib fractures. There is no free air beneath the right hemidiaphragm.

trauma to chest, now with syncope and chest pain in region of pacemaker, here to evaluate for rib fracture or pneumothorax.

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Pa and lateral views of the chest provided. Lungs are hyperinflated and lucent consistent with known emphysema. There is no focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette is normal. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m w/weakness, please eval for occult pna

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As before the lungs are mildly hyperexpanded. Interstitial abnormalities at the right base are not appreciably changed. There is a new nodular opacity in the right mid lung measuring approximately <num> mm. Mild cardiomegaly is stable. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

history: <unk>f with unsteady gait // acute process?

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Frontal and lateral radiographs of the chest demonstrate a right-sided chest wall pacemaker with two leads terminating in the right atrium and right ventricle. These are unchanged in position, accounting for differences in technique, to the prior radiograph. No other relevant change is noted within the lung parenchyma. No pneumothorax is seen.

confirm lead placement for dual-chamber pacemaker.

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The lungs are mildly hyperinflated, consistent with copd. There is a linear opacity in the right upper lung zone, which has increased in size since the prior exam. There is no new consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

history of pulmonary embolism, asthma, and one day of chest tightness with shortness of breath.

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The lungs are well expanded. There is retrocardiac opacity which may reflect atelectasis or pneumonia in the right clinical setting. Interstitial lung markings likely reflect mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is moderate to severely enlarged.

history: <unk>f with ams // please eval for pna

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The lungs are clear. There is relative elevation of the right hemidiaphragm. Cardiac silhouette is top-normal. No acute osseous abnormalities.

<unk>m with weakness // pna?

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The heart is mildly enlarged, not significantly changed from the prior study, allowing for ap technique. Intact median sternotomy wires, mediastinal clips, left chest wall pacemaker device with leads terminating in the right atrium and right ventricle, and right axillary vascular clips are unchanged compared to the prior. The lungs are relatively well expanded and clear. No large pleural effusion, overt pulmonary edema, or focal airspace opacity is identified. There is no pneumothorax.

history: <unk>f with dyspnea fever // pna

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Ap and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, the right-sided chest tube is in similar position based on the frontal exam located within posteriorly in the left chest cavity on the lateral adjacnet to loculated pleural air. Otherwise, there has been no change. Right-sided picc is again seen; however, tip is not clearly identified. There is no visualized pneumothorax. Chronic deformity of the proximal right humerus is identified.

<unk>-year-old male with tube for empyema. flushes are leaking out of skin margin. evaluate chest tube.

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The cardiomediastinal silhouette is unremarkable. Mild hyperexpansion without flattening of the hemidiaphragms or increase in the diameter of the chest. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax.

<unk> year old man with new presentation for complete heart block on stress test <unk>. // evaluating for infiltrative disease or acute pulmonary processes

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Chest, pa and lateral, upright. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is no evidence of pneumoperitoneum.

<unk>-year-old woman presenting with abdominal pain, three weeks status post laparoscopic salpingo-oophorectomy. evaluate for free air in the peritoneum, or pulmonary process.

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Multiple dense nodules in both lungs are consistent with previous granulomatous infection as shown on concurrent ct. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal. The patient was treated with tace for hepatocarcinoma of the liver and there is tips projecting in right upper abdominal quadrant.

patient with liver malignancy, please assess for pleural lesions in the chest.

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A right ij central line terminates in the lower svc. Lung volumes are low. Aside from subsegmental left mid and lower lung atelectasis, the rest of the lung parenchyma is clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The elevation of the right hemidiaphragm predates surgery.

patient with pancreatic head mass status post whipple, now with fever, rule out pneumonia versus atelectasis.

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Cardiac, mediastinal and hilar contours are normal. Ill-defined patchy opacities are noted in the upper lobes bilaterally. Streaky atelectasis seen in the left lung base. No pleural effusion or pneumothorax is identified. Pulmonary vasculature is normal. No acute osseous abnormality is visualized.

history: <unk>m with chest pain

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Pa and lateral views of the chest. The lungs are clear of consolidation. There are trace bilateral effusions. The cardiomediastinal silhouette is within normal limits. Anterior vertebral body hardware is seen at the cervicothoracic junction. No acute osseous abnormality detected.

<unk>-year-old male with fevers status post discectomy and bone graft. cough.

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Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is in unchanged position. Large hiatal hernia again projects to the right of midline. Cardiac silhouette appears mildly enlarged but unchanged. The aorta is tortuous and demonstrates mild atherosclerotic calcification. Hilar contours are normal. Pulmonary vasculature is normal. Small left pleural effusion appears relatively unchanged compared to the prior exam. No pneumothorax is seen. Remote right-sided rib fractures are again noted.

history: <unk>f with chf, worsening dyspnea

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Frontal and lateral radiographs of the chest demonstrate hyperinflated, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with mm, s/p cytotan, new fever // r/o pna

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

<unk>f with intermittent chest pain for past <num> days

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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.

history of chest pain, please evaluate for pneumothorax.

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Pa and lateral views the chest provided. Suture material again noted along the right mid lung reflect prior resection. Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. S shaped scoliosis is again noted. Surgical clips are noted projecting over the right mid lung laterally.

<unk>f with cough, sob, fever // presence of infiltrate

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Frontal and lateral views of the chest are compared to previous exam from <unk>. There has been no significant interval change. Moderate left-sided pleural effusion is again seen. Besides the left lung base, the lungs are clear of consolidation or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable in configuration. Dual-lead pacing device again seen with right-sided catheter with a right-sided lead via left svc and the right atrium and the right ventricular lead via a right svc. Osseous and soft tissue structures are unchanged.

<unk>-year-old male with weakness and weight gain.

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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Mitral valve replacement is again seen with postoperative changes of median sternotomy. Degree of cardiomegaly has not significantly changed. No acute osseous abnormalities detected.

<unk>-year-old female with increase cough and shortness-of-breath. recently taken off rate control.

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Compared to the prior study there is a new right middle lobe opacity and small right pleural effusion. There is increased volume loss in the right lower lobe. The known right infrahilar mass was better appreciated on the recent chest ct. Severe emphysema with apical bullous is again visualized. Stable heart size.

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

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Pa and lateral radiographs of the chest demonstrate mild pulmonary vascular congestion as well as a more dense opacities in the lung bases which may represent infection or aspiration. There is no pneumothorax or substantial pleural effusion. Heart size is normal.

cough and shortness of breath in a patient with advanced rheumatic heart disease and congestive heart failure.

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Frontal and lateral views of the chest. Since prior, there has been slight interval increase of the large right-sided pleural effusion. Underlying consolidation would be difficult to assess. Pleural-based calcifications projecting over the left hemithorax are unchanged. Superiorly the lungs are grossly clear. Cardiomediastinal silhouette is grossly unchanged and difficult to assess. No acute osseous abnormalities detected, old left lateral rib fractures again noted.

<unk>-year-old male with known pneumonia. re-evaluate.

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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Multiple small rounded metallic densities project over the anterior chest wall as on prior.

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

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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Hyperexpansion of the lungs suggests some chronic pulmonary disease, but no acute focal pneumonia. No vascular congestion or pleural effusion. There is some prominence of the region of the pulmonary outflow tract. This could be a normal finding, though if there are appropriate clinical murmurs, the possibility of pulmonic stenosis would have to be considered.

cough and wheezing.

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Mild central pulmonary vascular congestion. No focal consolidation to pneumonia. No pleural effusion. The heart is moderately enlarged. The descending thoracic aorta is tortuous. Patient has had prior median sternotomy valve replacement which appear intact. No pneumothorax. Mediastinum is not widened. No acute osseous abnormality. Extensive degenerative changes are seen in the visualized thoracic spine.

<unk>-year-old man with stroke.

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Ap upright 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. Chronic right clavicular midshaft deformity noted. No free air below the right hemidiaphragm is seen.

<unk>m with chest pain // acute process

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Lungs are hypoinflated. Moderate cardiomegaly persists. There is severe elongation of the calcified descending aorta, as before. No new focal consolidation is identified. There is no pleural effusion or pulmonary edema. A pleural plaque is seen projecting over the right lower lung, unchanged compared to multiple prior studies. S-shaped scoliosis is again noted.

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

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Normal heart size, mediastinal and hilar contours. Flattening of the right hemidiaphragm is unchanged. No focal consolidation, pleural effusion or pneumothorax.

<unk> year old woman with s/p kidney transplant with sob

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A left aicd is contiguous with the lead terminating in the region of the right ventricle. The cardiomediastinal and hilar contours are within normal limits. Lung volumes are low. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

history: <unk>m with cad, recent negative cath, w/ epig discfomfort and l chest pain // eval ? effusion

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Left chest wall pacing device is again seen with leads in stable position. Calcific density projecting over the posterior right fourth rib compatible with bone island is unchanged. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.

<unk>m hx of heart block s/p pacer, with fever, productive cough // presence of infiltrates, volume status

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The lungs are without focal consolidation. Hyperlucency of the apices with attenuation of vessels suggest emphysema. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.

cough, assess for pneumonia or chf.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old male with altered mental status and possible seizure. evaluate for the evidence of pneumonia.

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Pa and lateral views of the chest are obtained. There is a relative paucity of pulmonary vessels in the right upper lung and increased aeration at the retrosternal space, consistent with substantial pulmonary emphysema. There is no evidence of focal consolidation, significant pulmonary edema or pleural effusion. There is some right mid lung atelectasis as well as some left basilar atelectasis which is improved since the prior study. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old male with tia and history of stroke. evaluation of the heart and lungs.

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The cardiac, mediastinal and hilar contours appear unchanged. There are no pleural effusions or pneumothorax. The lungs appear clear.

dizziness.

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Lungs are without focal consolidation, pleural effusion or pneumothorax. A small nodule is again noted in the left lower lobe, unchanged from <unk>. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

history: <unk>f with cough // acute process?

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A left-sided pectoral pacemaker is noted with <num> intact leads terminating within the right atrium and right ventral, respectively. The heart remains severely enlarged, unchanged from the prior examination. Lung volumes are low and there is mild prominence to the central pulmonary vasculature. There is no pleural effusion, pneumothorax, or focal consolidation. A severe vertebral body compression deformity is noted within the mid thoracic spine, unchanged from prior examination.

history: <unk>f with weakness, palpitations // eval pacer placement

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Compared with the prior radiograph, there has been resolution of the pulmonary edema. A residual small area of right lower lobe rounded atelectasis is more prominent with a resolution of the edema. Mild cardiomegaly and a tortuous aorta are unchanged. Bilateral costophrenic blunting is likely due to thickening from chronic pleural effusions. No focal consolidation concerning for pneumonia.

<unk> year old man with sob and cough. rales on exam/overloaded. rule out pneumonia.

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Ap and lateral chest radiographs were obtained. The exam is limited by significant soft tissue attenuation and ap lordotic positioning. Despite these limitations, the lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Mild cardiomegaly and aortic tortuosity are unchanged since <unk>. However, the upper mediastinum appears wider than on prior exams, possibly due to ap technique.

dyspnea.

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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. There is no evidence of aspiration or focal consolidation. There is no pleural effusion or pneumothorax. Pulmonary vasculature is unremarkable. The osseous structures are unremarkable. No radiopaque foreign bodies are present.

<unk>-year-old male with recent seizure. rule out pneumonia or aspiration.