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

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Overall appearance is similar to the prior examination with pleural thickening in the left lower lung field along with increased density and reticulation in the left lung base as well as similar moderate size left pleural effusion. Heart size is difficult to evaluate due to obscuration from surrounding consolidation. The left hilar contour is again prominent. The right lung remains essentially clear except for linear scarring in the base. There is no pneumothorax.

right-sided weakness metastatic adenocarcinoma. evaluate for pneumonia.

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The lungs are hyperexpanded suggestive of copd. Otherwise the lungs are clear. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiomediastinal silhouette is otherwise unremarkable.

new onset of shortness of breath. evaluate for pneumonia.

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The cardiomediastinal silhouettes are stable, within normal limits. Mild prominence of the hila is not appreciably changed since prior study. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Surgical clips are noted overlying the left breast.

a <unk>-year-old woman with cough and asthma, evaluate for pneumonia.

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Frontal and lateral radiographs of the chest were acquired. A right picc ends in the high right atrium, not significantly changed compared to the prior study. The previously seen left lower lobe pulmonary nodule is vaguely appreciated on the frontal projection, not significantly changed in appearance compared to the prior radiograph from <unk>. The lungs are otherwise clear. There are no pleural effusions. The heart size is normal. The mediastinal contours are normal. There is no pneumothorax. Mild multilevel degenerative changes of the thoracolumbar spine are seen.

severe nausea and vomiting for the past day. assess for pneumonia.

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There is emphysema and the lungs are hyperinflated. A linear opacity contacting the pleural surfaces again seen in the right upper lobe. Available outside hospital reports (atrius), most recently performed in <unk>, described stability since <unk>. Nipple shadows should not be mistaken for nodules. No focal consolidation worrisome for pneumonia. No pleural effusion or pneumothorax. Heart is normal size and there is no pulmonary edema. Mediastinal and hilar contours are unremarkable.

palpitations. evaluate for pneumonia.

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Indistinct airspace opacity in the medial right lung base but does not silhouette the right heart border corresponds to the confluent right infrahilar mass seen on recent chest ct. Fluid-filled fluid to should follow-up a linear due to, or pneumothorax. The cardiomediastinal silhouette is otherwise within normal limits.

<unk> year old man with rll mass, characterize mass.

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The patient is status post median sternotomy and aortic valve replacement. There are low lung volumes. The cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing normal. The aorta remains tortuous and demonstrates atherosclerotic mural calcifications. Elevation of the right hemidiaphragm is chronic. Crowding of the bronchovascular structures is noted, but no overt pulmonary edema is present. Streaky linear opacities in both lung bases are demonstrated, and could reflect atelectasis or scarring. No new focal consolidation, pleural effusion or pneumothorax is demonstrated. Degenerative changes of both acromioclavicular joints and right glenohumeral joint are again seen.

aortic valve replacement, congestive heart failure with altered mental status.

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The pacing unit projects over the left chest with leads in the right atrium and right ventricle. The heart size is within normal limits. The mediastinal contours demonstrate a mildly tortuous aorta with calcified atherosclerotic disease at the aortic knob and descending aorta. Lungs are clear of consolidation. There is no pleural effusion or pneumothorax. Mild degenerative changes are present in the right glenohumeral joint.

<unk>-year-old female with cough and fever.

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk>f with stabbing left-sided chest pain with sudden onset.

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Ap upright and lateral views of the chest provided. Right lung is clear. There is volume loss in the left lung with perihilar opacity which could reflect patient's known malignancy. Difficult to exclude a superimposed pneumonia. No large effusion or pneumothorax is seen. The overall cardio mediastinal silhouette appears grossly stable from the prior ct allowing for differences in modality.

<unk>f with fever and cough, non-small-cell lung cancer // eval for pneumonia

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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

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

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Patient is status post median sternotomy and cabg. A left-sided dual-lumen pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size remains moderately enlarged but unchanged. Mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion without overt pulmonary edema. Small right pleural effusion appears new in the interval. Streaky bibasilar airspace opacities may reflect atelectasis though infection cannot be completely excluded. No pneumothorax is detected. Mild degenerative changes are noted in the thoracic spine.

history: <unk>m with exertional chest pain and shortness of breath

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Pa and lateral views of the chest provided. Lung volumes are low. There is elevation of the right hemidiaphragm. Mild hilar congestion without frank pulmonary edema noted. There is splaying of the carina which likely reflects left atrial enlargement. No large effusion or pneumothorax. No convincing evidence for pneumonia. Left humeral head replacement noted. No acute bony abnormalities.

<unk>f with crackles, chf

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

<unk> year old man with chest tightness,

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Frontal and lateral radiographs demonstrate a consolidation within the right middle lobe associated with small right pleural effusion. The left lung is clear without focal consolidation or pleural effusion. Sternotomy wires and post sternotomy <unk> are identified. Cardiomediastinal and hilar contours stable since prior examination.

<unk>-year-old male status post sternotomy and avr in <unk> with new desaturation. evaluate for acute process.

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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Possibly calcified hilar nodes are identified. Lung volumes are low; however, lungs are clear. No pleural effusion or pneumothorax is present. No osseous abnormalities are identified.

cough, tachycardic with right lung sounds abnormality. assess for pneumonia.

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Heart is normal size and cardiomediastinal contours are unremarkable. Lungs are well expanded and clear with no evidence of focal consolidation to suggest pneumonia. No pleural effusions and no pneumothorax.

<unk>-year-old woman with cough x<num> days, rule out pneumonia.

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Heart size is normal with tortuosity of the thoracic aorta. Mediastinal silhouette and hilar contours are unchanged. Lungs are clear. There is no pleural effusion or pneumothorax.

status post fall with mental status change.

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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal. Cervical fusion hardware is partially imaged.

cough.

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There is no subdiaphragmatic free air. Moderate cardiomegaly is unchanged. Eventration of the right hemidiaphragm is again noted. Bilateral pleural thickening, right greater than left is unchanged. There is no pneumothorax, overt pulmonary edema, or focal consolidation worrisome for pneumonia. Scarring in the right lower lobe may be from chronic aspiration.

history: <unk>m with headache, nausea, vomiting // r/o pneumonia, free air

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The cardiac silhouette size is normal. Aorta is tortuous and mildly calcified. The mediastinal and hilar contours are otherwise unremarkable. Streaky opacity in the right lung base likely reflects atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormality is seen.

right upper quadrant pain and vomiting.

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

fever and cough.

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Lungs are well inflated and clear. There is no pleural effusion. The heart size is normal. The mediastinal and hilar contours are normal.

<unk> year old woman with history of positive ppd // eval active tb

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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 chest pain.

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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.

<unk> year old woman with hx of melanoma // please evaluate disease status

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The cardiac, mediastinal and hilar contours appear unchanged. There is new mild volume loss at the left lung base, with streaky opacification and a suspected very small pleural effusion. More generally, there is a diffuse mild interstitial abnormality, which is most prominent in the mid and lower lungs and could be seen with pulmonary vascular congestion. In the setting of suspected infection, however, the possibility of atypical pneumonia could be considered and more focal developing pneumonia is also a differential consideration for retrocardiac opacification at the left lung base versus atelectasis.

autoimmune hepatitis with immunosuppressive therapy, now presenting with fever.

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Sternotomy wires intact. Interval improvement in pulmonary edema on a background of predominantly upper lobe pulmonary fibrosis. Residual bilateral upper lobe and peripheral heterogeneous opacities with minimal interval improvement. Emphysema, pleural calcifications, and diaphragmatic calcifications are better characterized on ct from <unk>. Mild decrease in heart size with normal mediastinal contour and unchanged hila. No bony abnormality.

male with dyspnea and abnormal chest ct. status post diuresis. assess for interval change.

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Patient is status post median sternotomy and cabg. Mild enlargement of the cardiac silhouette is unchanged. The aortic knob is calcified. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Moderate degenerative changes are seen within the thoracic spine peer

history: <unk>m with 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 stable. Degenerative change at the right acromioclavicular joint.

history: <unk>f with afib on coumadin, hx of visual hallucinations and sundowning which has acutely worsened over last <num> weeks // eval for source of possible encephalopathy

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. There is no acute osseous abnormality.

<unk>-year-old female with myalgias and cough.

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There are diffuse reticular interstitial opacities throughout both lungs. The lungs are hyperinflated. There is no consolidation. The bilateral cardiophrenic angles are blunted. No pneumothorax is present. The cardiac and mediastinal contours are normal.

<unk> year old woman with headache.

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Vp shunt is partially seen coursing along the right neck, right chest and upper mid abdomen. Lungs are normally expanded and clear. There is no pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. The aorta is unfolded. Incidentally, there are surgical clips in the right upper quadrant likely from cholecystectomy.

history: <unk>f s/p fall, hx of aneurysm rupture and vp shunt // rule out intracranial bleeding, fractures

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Pa and lateral views of the chest provided. Lung volumes are low. 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 w/ isolated episode of chest pain today eval for cardiopulm change

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The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. There is no pneumothorax. Slight blunting at the costophrenic sulcus is seen on the lateral view, likely indicating a small pleural effusion, likely on the left. The lungs are well expanded without focal consolidation concerning for pneumonia. Linear opacity at the left lung base is consistent with scarring. Right axillary dual lead pacemaker defibrillator is present with tips terminating in the right atrium and right ventricle as expected. The upper abdomen is unremarkable.

<unk>f with chest pain // acute cardiopulm disease

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No focal consolidation, pleural effusion or pneumothorax is seen. A <num> cm rounded structure projects over the left lower hemi thorax also projects over the intrathoracic cavity on the lateral view. . The cardiac and mediastinal silhouettes are stable.

history: <unk>f with progressive weakness and inability to ambulate // r/o pna

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Linear horizontal opacities in the bilateral lung bases are unchanged from ct of <unk> and consistent with atelectasis. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Tiny round metallic densities projecting over the midline of the chest likely represent clothing artifact.

<unk>-year-old female with hepatic encephalopathy, here to evaluate for pneumonia.

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There is moderate enlargement of the cardiac silhouette. The lungs are clear without edema, effusion, or consolidation. No acute osseous abnormalities.

<unk>m with hx pericardial effusion without tamponade physiology brought in for pericardiocentesis, also with gib. evaluate for pericardial effusion // evaluate for pericardial effusion

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Frontal and lateral views of the chest demonstrate moderate to severe cardiac enlargement, stable from priors. Mediastinal widening, secondary to mediastinal lipomatosis, is also unchanged. Lymphadenopathy is better appreciated on chest ct from <unk>. There is no pleural effusion. Homogeneous opacification of the lungs bilaterally is likely secondary to body habitus. There is no definite focal consolidation to suggest pneumonia. Pulmonary artery enlargement suggests pulmonary artery hypertension. There is no pneumothorax.

<unk> year old woman with cough and malaise, assess for pneumonia.

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As compared to the previous radiograph, the patient has made a lesser inspiratory effort. As a consequence, the lung parenchyma is slightly denser at the lung bases and the lung volumes have decreased. In unchanged manner, apical fibrosis is seen, but no parenchymal opacities have newly appeared. No evidence of pneumonia.

shortness of breath, cough.

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Median sternotomy and cabg clips are re- demonstrated. Lung volumes remain low. Heart size remains mild to moderately enlarged. Mediastinal and hilar contours are grossly unremarkable and unchanged. There is crowding of bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema. Patchy airspace opacities the lung bases likely reflect areas of atelectasis in the setting of low lung volumes, however infection cannot be completely excluded. No pleural effusion or iron pneumothorax. There are moderate multilevel degenerative changes in the thoracic spine.

history: <unk>f with cough

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There is a large right-sided pleural effusion with opacification of the right lower hemithorax. There is a small amount of aerated lung that can be seen through this region. The right upper lung and left lung have minimal increase in lung markings but no focal infiltrate. Cardiac and mediastinal silhouettes are normal.

alcoholic cirrhosis, pleural effusion.

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The heart size is mildly enlarged. The patient is status post median sternotomy and mitral valve replacement. Mediastinal and hilar contours are stable. There is no pulmonary vascular congestion. Left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium and right right ventricle. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are identified.

unexplained hypotension.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. Specifically, there is no <unk>'s <unk> <unk> sign as queried. There is no pneumothorax, vascular congestion, <unk> pleural effusion.

<unk>-year-old female with shortness breath and tachycardia. question acute process <unk> signs of pulmonary embolism.

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Heart size is mildly enlarged. The aorta remains unfolded. The mediastinal and hilar contours are otherwise within normal limits. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate degenerative changes are seen within the imaged thoracolumbar spine with posterior fusion hardware in the upper lumbar spine incompletely imaged. Minimal cortical irregularity of the left twelfth rib reflects the findings seen on recent ct and is suggestive of a possible acute fracture.

history: <unk>m with rib fracture on <unk>

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There relatively low lung volumes. Patchy right basilar opacity which may be exaggerated by low lung volumes would also raise concern for underlying pneumonia. Left basilar atelectasis is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with fever // pneumonia

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Small opacity in the lower left lung corresponds to opacity projecting over the lower thoracic spine on the lateral view. Blunting of the right costophrenic angle is consistent with pleural thickening or a small right pleural effusion. No pneumothorax.

right pleuritic chest pain with decreased breath sounds on the right.

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Pa and lateral views of the chest were reviewed and compared to the prior studies. Linear increased opacity projecting over the heart on the lateral view is most likely vascular crowding due to lower lung volumes. There is no corresponding area on the frontal view; otherwise, the lungs are clear. Normal heart, mediastinum, and pleural surfaces.

cough productive of green blood-tinged sputum.

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Pa and lateral views of the chest provided. There is a left upper lobe opacity which is concerning for pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with fevers, productive cough // ?pna

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Frontal and lateral views of the chest: the lung volumes have improved. There is no pneumothorax or focal airspace consolidation worrisome for pneumonia. The left pleural effusion has resolved. Bibasilar atelectasis is noted. Heart size is top normal. The mediastinal and hilar structures are unremarkable.

cough, evaluate for pneumonia.

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Frontal and lateral views of the chest. Right chest wall port is seen with the catheter tip in the mid svc. Linear left basilar opacity is most suggestive of atelectasis. The lungs are otherwise clear noting resolution of previously seen right basilar consolidation. There is no effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with allergic reaction to carboplatin. hypoxic with new oxygen requirement.

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Frontal and lateral views of the chest are provided. There is blunting of bilateral costophrenic angles, suggestive of small-to-moderate pleural effusion, increased since <unk> exam. Retrocardiac consolidation is noted. There is no pneumothorax. Hilar and mediastinal silhouettes are unremarkable. There is mild-to-moderate cardiomegaly. There are prominent interstitial markings, which likely represents interstitial edema. Multiple surgical clips project over mid abdomen. Otherwise, the partially imaged upper abdomen is unremarkable.

patient with cll, who now presents with chest pain.

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When compared to prior, there is new patchy consolidation at the right lung base. The left lung remains clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with cough // eval for pna

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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman presenting with palpitations and chest tightness.

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Lungs are hyperinflated but clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is seen with lead tips in the right ventricular apex and right atrium. There is tortuosity of the descending thoracic aorta. Multiple compression deformities in the mid thoracic spine are noted with accentuated kyphosis.

<unk>f with palpitations // acute cardiopulmonary process?

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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are normal. Known lung masses are better seen on prior cts.

<unk>-year-old man after lung biopsy. evaluate for pneumothorax.

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As compared to the previous radiograph, there is unchanged evidence of pneumopericardium and pneumomediastinum. However, no pneumothorax is seen. The extent of the changes appeared to slightly decrease in severity as compared to the previous image. No new parenchymal changes. Normal size of the cardiac silhouette.

chest pain and pneumothorax, evaluation.

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Blunting of the right costophrenic angle may represent a small effusion. The lungs are clear without consolidation or edema. The cardiomediastinal silhouette is within normal limits. Surgical clip is noted in the left upper quadrant. No acute osseous abnormality.

<unk>m with chest pain., hx of sickle cell disease // ?pneumonia

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Large elevated left hilus and chronic interstitial changes are consistent with sarcoid as seen on prior ct. Interstitial changes have been worse in the left lung chronically. There is no pleural effusion or pneumothorax. Cardiac silhouette is normal size.

history: <unk>m with h/o cryptogenic cirrhosis, mds, ?hepatopulmonary syndrome who presents with abd pain, now with new o<num> requirement, c/f fluid overload // pulmonary edema??

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Frontal and lateral chest radiographs were obtained, but evaluation is somewhat limited by patient rotation. Again seen is moderate cardiomegaly and extensive calcification of the thoracic aorta. Leftward shift of the mediastinum is similar in appearance to <unk> and <unk>, possibly related to left volume loss. There is persistent elevation of the left hemidiaphragm. Right base atelectasis is also persistent. A rounded retrocardiac opacity projecting posteriorly on lateral view is of unclear etiology. No definite focal consolidation is identified. Pleural fluid is seen within the fissure on the left. There is no pneumothorax. Chronic rib deformities are again noted.

copd and hypoxia. evaluate for pneumonia.

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Prior pleural effusions and bibasilar opacities have resolved. The lungs are now clear without focal consolidation or overt pulmonary edema. There is some opacity on the lateral view in the retrocardiac region which is likely atelectasis. Cardiac silhouette is enlarged but stable. No acute osseous abnormalities.

<unk>m with new onset ams and increased o<num> requirement. // pna?

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A large pleural effusion has been almost fully evacuated from the right side of the chest. The right lung demonstrates patchy opacities throughout the right mid to lower lung, which are nonspecific but could be explained by incompletely resolved atelectasis. A small right-sided pleural effusion persists. There is no definite pneumothorax. The left lung remains clear.

patient with pleural effusion status post thoracentesis.

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Pa and lateral views of the chest provided. The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen.

<unk>m with weakness/ dyspnea

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It is difficult to adequately compare with the the ct scout obtained <unk>, however there appears to be an area of increased opacity that could correspond with active infection in the mid right upper lung. The remainder of the lung fields demonstrate unchanged emphysema and diffuse reticular opacities. Right basilar scarring is unchanged. No pleural effusions. No pneumothorax. Heart size is normal. No pulmonary vascular congestion or pulmonary edema.

<unk> year old woman with monitor a rt upper lobe ? infectious lesion // monitor a rt upper lobe ? infectious lesion

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<num> views of the chest. Dual-lumen dialysis catheter terminates with tip in the right atrium. The lungs are low in volume with mild pulmonary vascular congestion. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. No overt edema is identified.

end-stage renal disease with fevers during dialysis. assess for pneumonia.

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Two views were obtained of the chest. Increased basal abnormalities on the lateral view are re- demonstrated, not particularly changed in appearance. These opacities on the lateral view are not well localized on the frontal. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. The heart and mediastinal contours, along with mediastinal surgical clips and sternotomy wires, are unchanged.

dyspnea on exertion and fatigue, being treated for pneumonia. assess for pneumonia.

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

history: <unk>f with chest pain

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There is a <num> cm nodular opacity in the right upper lobe, unchanged from <unk>. There is no evidence of pneumonia. Several scattered calcified granulomas are unchanged from <unk>. There is again traction bronchiectasis, parenchymal scarring and architectural distortion at the left lung apex.

history: <unk>m with asthma p/w fever x <num> days and dry cough. +sick contacts. ?crackles left base // consolidation

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The heart is normal in size. The cardiomediastinal and hilar contours are normal and unchanged. The patient is status post fixation procedure in the lower cervical and upper thoracic spine, which is unchanged. The pulmonary vasculature is normal. There is minimal atelectasis at the left base. The right lung is clear. There is minimal lateral left pleural thickening as also seen on the ct portion on the recent pet ct. There are no pleural effusions identified. No pneumothorax. Healed left sided rib fractures are more apparent on the current study.

<unk> year old man with myeloma // increased cough. assess for abnormalities.

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Moderate enlargement of the cardiac silhouette is unchanged. The aortic knob is calcified. Mediastinal contours are similar. There is mild pulmonary edema with small bilateral pleural effusions, left greater than right. The right pleural effusion appears relatively unchanged while the left pleural effusion appears minimally increased in size. Bibasilar opacities are worse in the interval, likely reflective of compressive atelectasis. No pneumothorax is present. No acute osseous abnormality is visualized. Deformity of the left mid clavicle is compatible with a remote fracture.

history: <unk>f with shortness of breath and cough

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As compared to the previous radiograph, there is no relevant change. Diffuse bilateral opacities with a similar distribution and appearance as compared to the prior image, moderate cardiomegaly persists. No evidence of pulmonary edema. No larger pleural effusions. No pneumothorax.

interstitial lung disease, compensated systolic heart failure.

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Frontal and lateral radiographs of the chest were acquired. The lungs are hyperexpanded, with slight flattening of the hemidiaphragms and expansion of the retrosternal airspace, suggestive of chronic obstructive pulmonary disease. Minimal atelectasis is seen within the left mid-to-lower lung. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted.

hand laceration requiring surgery. preoperative chest radiographs.

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There is no free air under the diaphragms. No acute osseous abnormalities seen.

severe abdominal pain.

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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. Osseous structures appear normal.

chest pain and cough.

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Ap and lateral views of the chest. When compared to prior, there is a new moderate left-sided pleural effusion. Diffusely increased interstitial markings are again noted. There is no new confluent consolidation. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcifications noted at the arch. Surgical clips project over the left axilla. No acute osseous abnormality detected. On the lateral view, there is evidence of a catheter in the abdomen, its exact location is uncertain based on this single view.

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

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The heart is normal size and cardiomediastinal silhouette is unremarkable. There is a faint streaky opacity overlying the spine on the lateral view, not as well seen on the frontal view, but probably in the left lower lobe. There is no pleural effusion or pneumothorax.

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

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

chest pain.

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Pa and lateral views of the chest are obtained. The previously seen right lower lobe pneumonia has resolved compared to prior study. A large pericardial effusion is still present but has decreased since the prior study. Bilateral pleural effusions are again seen with slight increase on the left. There is persistent slight vascular congestion, but the associated edema has resolved. The heart size is enlarged and is unchanged.

<unk>-year-old female with worsening dyspnea over two weeks.

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

chest pain.

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

<unk>m with atypical cp // ? pneumonia

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In comparison to the chest radiograph obtained <num> days prior, there has been interval removal of left-sided chest tube. A small left basilar pneumothorax persists. Small, bilateral pleural effusions and bibasilar atelectasis have increased. Mild cardiomegaly is unchanged. No pulmonary vascular congestion and pulmonary edema.

<unk> year old woman s/p l vats pericardial window. // r/o ptx post ct removal

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Left-sided port-a-cath tip terminates in the low svc. Heart size is normal. Mediastinal and hilar contours are unremarkable. Innumerable bilateral pulmonary nodules have progressed since the previous chest radiograph, and allowing for differences in technique, are not substantially changed from the previous ct where many were shown to be centrally cavitating. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

history: <unk>m with metastatic rectal cancer status post radiation therapy on <unk> now with fever to <num>

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Redemonstrated is a left port-a-cath seen extending into the right atrium, unchanged in location from the most recent pet-ct examination. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Mildly prominent bilateral hila likely reflects post-radiation changes. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.

lymphoma, evaluate prior to stem cell transplant.

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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 diaphragm is seen.

<unk>f with breast ca undergoing xrt presents with cp, n/v x <num> hrs // infectious process? pe

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There is mild cardiomegaly. The mediastinal and hilar contours are within normal limits. As compared to prior chest examination, there has been interval removal of right-sided central venous catheter. Residual patchy opacity at the right lung base likely relates to resolving consolidation, with the previously noted right upper lobe opacity completely resolved. No new focal consolidations are identified. The left lung is clear. There is no pneumothorax. Tiny bilateral pleural effusions are smaller than on the prior study.

weakness, dyspnea. rule out acute cardiopulmonary disease.

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Lung volumes are relatively low with bibasilar atelectasis, similar compared to prior. There is no effusion or consolidation worrisome for pneumonia. Probable calcified granulomas identified at the right lung base. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again notable for fracture of the superior most wire. No acute osseous abnormalities.

<unk>m with doe // r/o acute process

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

<unk>m with chest tightness with inspiration // eval for cardiac process

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Compared to <num> day prior, small right pleural effusion has increased in size. Small left pleural effusion is unchanged. Lungs are well-expanded without new focal opacity. Heart size is top-normal. Cardiomediastinal and hilar silhouettes are stable.

<unk> year old woman s/p tracheobronchoplsty // check interval change

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Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Again there is mild unfolding of the thoracic aorta with atherosclerotic calcifications noted in the aortic knob. Hilar contours are unremarkable. Surgical clip is again associated with unchanged left upper lobe opacity which is partially obscured by overlying cardiac lead on the current exam. There is trace bibasilar atelectasis. Lungs are otherwise clear. There is no fluid overload. Pleural surfaces are clear without effusion or pneumothorax.

weakness.

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Lung volumes are low. There is minimal vascular engorgement, but there is minimal vascular engorgement and some interstitial prominence, but no focal opacities. The heart is mildly enlarged, with significant contribution from the right atrium. There is no pleural effusion or pneumothorax.

<unk>-year-old female with history of cva, now presenting with aphagia for three days. evaluate for acute cardiopulmonary process.

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Severe emphysema is responsible for hyperinflation. Bibasilar consolidation is most likely pneumonia. There is no pneumothorax, pleural effusion, or pulmonary edema. The cardiac size is normal. The descending thoracic aorta is tortuous. There is dextroscoliosis centered in the mid thoracic spine.

history: <unk>m with wkness pls eval pna // history: <unk>m with wkness pls eval pna

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Ap upright and lateral views of the chest provided. A tiny clip projects over the right medial lung apex at the site of a spiculated lesion better assessed on prior pet-ct. Lungs are otherwise clear without focal consolidation, large effusion or pneumothorax. Minimal left basal platelike atelectasis noted. The lungs appear hyperinflated and hyperlucent which likely reflects underlying emphysema/ copd. Cardiomediastinal silhouette is unchanged with an unfolded mildly calcified thoracic aorta. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with chest pain shortness of breath // eval for pna

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Study is somewhat limited by patient's body habitus. Heart size is top normal. Cardiomediastinal silhouette and hilar contours are stable. Pulmonary vasculature is well defined and there is no evidence of interstitial edema. Lungs are clear. There is no pleural effusion or pneumothorax.

dyspnea.

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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. Mild prominence of the central airways could reflect a mild bronchitis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with fever, eval for 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>f with chest pain, intermittent, which has worsened over the last day. no cough, no shortness of breath.

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Lung volumes related low. Bibasilar opacities are likely due to atelectasis, but superimposed infection cannot be excluded. Heart size appears normal, and there is no pulmonary vascular congestion. Chronic left rib deformities, as seen on the prior ct and radiograph, are unchanged.

<unk>m with chf and renal failure. dyspnea, r/o chf.

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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. No displaced fracture is seen.

history of chest pain. please evaluate for acute process.

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Compared with the prior radiograph, lung volumes remain low, with unchanged moderate to severe cardiomegaly. Small bilateral effusions are persistent. The left base is slightly better aerated, but a right basilar consolidation persists. No pneumothorax. Multiple small metallic bbs are again seen in the soft tissues overlying the left chest.

<unk> year old man with s/p lap chole, now with rising wbc. evaluate for consolidation.

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Pa and lateral radiographs of the chest demonstrates clear lungs. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman with cough and chest pain.

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Bibasilar interstitial opacities are similar to multiple prior studies with decreased lung volumes causing bronchovascular crowding compared with the immediate prior study. There is no definite focal consolidation to suggest interval pneumonia. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable.

<unk>f with hypoxia, chronic interstitial lung disease, evaluate for pneumonia.

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Patient is rotated to the right. There is minimal basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with tachycardia // r/o pna