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

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The heart size is normal. The cardiomediastinal silhouette and hilar contour is unremarkable. The lungs are clear without consolidation, effusion or pneumothorax. No acute bony abnormality is identified.

intermittent chest pain with cocaine use

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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Visualized osseous structures are unremarkable.

history: <unk>f with one month of cold/cough, productive sputum. // 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. There are no acute osseous abnormalities.

history: <unk>m with intermittent chest pressure

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Dual lead left-sided pacer is stable in position. The patient is status post median sternotomy and cardiac valve replacements. Cardiac and mediastinal silhouettes are stable. Slight prominence of the hila is stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax.

history: <unk>m with chf, w/ mech av/mv, sss s/p pacemaker, presents w/ ? endocarditis, also c/o fever, cough over the weekend // eval for pna or other acute cardiopulmonary pathology

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Postoperative appearance of the cardiomediastinal silhouette and hilar contour is stable. The right small pleural effusion with is unchanged. The left pleural effusion increased now moderate to large in size. Bibasilar atelectasis is stable. Lungs are otherwise clear. There is no pneumothorax. Skin <unk> project over the left axilla. Cervical fixation hardware is incompletely imaged.

status post aortic valve replacement. evaluate effusions.

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Compared with the prior radiograph <unk>, no significant change. Lungs are clear without pleural effusion, pneumothorax, or focal consolidation. Mild hyperinflation of the lungs. The heart, mediastinum, and hilar contours are normal. Surgical clips in the lower neck are unchanged, consistent with thyroidectomy.

<unk> year old woman with cough // eval for infiltrate

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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 cough, fever, egd on <unk>. // eval for pneumonia

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Pa and lateral views of the chest show streaky density in the lateral segment of the right middle lobe more evident on lateral view. This is not significantly different than that seen <unk>, however as history suggest prolonged symptoms, ct the chest may be warranted (unless performed elsewhere) calcified granulomata in the right suprahilar region and mild pectus deformity are unchanged. Cardiac size is normal. Bones appear moderately and diffusely demineralized but no compression fractures are seen.

<unk> year old woman with hx ltbi treatment with prolonged cough x <unk> year, hx granulomas on prior cxr // eval for abnormality

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Ap and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal clips and coronary stents are unchanged. Mild cardiomegaly is unchanged.

end-stage renal disease, altered mental status

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Compared with the immediate prior radiograph there has been interval reaccumulation of a large left pleural effusion with associated compressive atelectasis of the entire left lower lobe. A small amount of aeration is still seen within the left upper lobe with persistent left upper lobe opacities similar to the prior study, which may represent pneumonia, metastatic disease, or pulmonary hemorrhage. A small amount of air laterally may represent persistent aeration in the left upper lobe or a small locule of air within the effusion. There is a trace right pleural effusion. The right lung is otherwise clear. The cardiomediastinal silhouette is obscured by the large left pleural effusion.

<unk>f with cough and fever, evaluate for pneumonia.

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Pa and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is seen. Again noted are spinal stimulator electrodes in unchanged position.

chest pain. evaluate for pneumonia.

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Patient is status post median sternotomy with wires in unchanged position. No focal consolidation, pleural effusion or pneumothorax is present. There is unchanged appearance of the cardiomediastinal silhouette. No evidence of pulmonary vascular congestion.

cough in the a.m. with streaks of blood. status post cabg, long history of asthma, possible rcc being followed. rule out pulmonary disease.

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Lung volumes are slightly low. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The hila are unremarkable. A <num>-mm well-circumscribed opacity projecting over the anterior first and fifth posterior rib may reflect a nodule.

<unk> year old man with cough, fatigue, dizziness // r/o infiltrate

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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 seizure // pna?

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Aortic valve prosthesis is in place. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>-year-old man with chest pain, history of ascending aortic aneurysm

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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Anterior cervicothoracic vertebral body hardware is visualized. Osseous and soft tissue structures are unremarkable.

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

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Right-sided port-a-cath tip terminates at the junction of the svc with the right atrium. Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable, and the lungs are clear. There is no pulmonary vascular congestion. Small left pleural effusion is demonstrated, similar compared to the prior exam. No pneumothorax is present. There are no acute osseous abnormalities. Multiple clips are noted within the upper abdomen along with a biliary stent.

hypotension, pancreatic cancer.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.

<unk> year old man from <unk> with +ppd, evaluate for tuberculosis

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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is present. Cholecystectomy clips are seen in the right upper quadrant of the abdomen. No acute osseous abnormality is detected.

left chest pain radiating to the back

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The lung volumes are low. There is minimal left basilar atelectasis. The lungs are otherwise clear, without a consolidation, pulmonary edema, pleural effusion, or pneumothorax. There is minimal left apical scarring. The cardiomediastinal silhouette is normal. Evaluation of the left ribs is somewhat limited by the overlying soft tissue. Within the limitations, no definite fracture is identified.

left-sided rib pain after a fall.

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Frontal and lateral radiographs of the chest. Again seen are bibasilar opacities, with interval development of small bilateral pleural effusions. Heart is top-normal in size. No pneumothorax.

history: <unk>f with fall, ? aspiration vs atelectasis on cxr at <unk>, episode of hypoxia in ed obs // eval for interval progression of ? aspiration

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Left port-a-cath terminates in the low svc, slightly lower than before. Normal cardiomediastinal and hilar contours. Normal pleural surfaces. Fully expanded, clear lungs.

<unk>-year-old woman with a history of breast cancer, now with nonfunctioning left port-a-cath.

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A left-sided pacemaker and its wires are unchanged. Mild cardiomegaly is persistent compared to exams dated <unk>. Overall, the pleural thickening bilaterally appears less extensive and less severe compared to the prior exam; however, this exam is limited for the evaluation of an empyema. There is no pneumothorax.

history of empyema. please follow up.

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

history: <unk>f with dry cough for one month // acute process/pna

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The lungs appear mildly hyperinflated consistent with patient's underlying history of chronic obstructive pulmonary disease. However, there is no evidence of a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. The osseous structures are normal.

evaluation of patient with chest pain.

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Pa and lateral views of the chest were obtained. Compared with <unk>, i doubt significant interval change. Mild hyperinflation of the lungs raises the question of background copd. The heart is at the upper limits of normal or slightly enlarged. The aorta is calcified and slightly tortuous. No chf, focal inifiltrate, or gross effusionis identified. Minimal blunting of both costophrenic angles is noted. Slight bowing of a distal lower lobe fissure on the lateral view could reflect imonor volume loss/atelectasis. Mild t-scpine degenerative change noted.

<unk>-year-old woman status post mvc, presenting with left shoulder pain.

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Frontal and lateral views of the chest. The lungs are clear of consolidation. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes in the spine without acute osseous abnormality.

<unk> year old male with fever and cough.

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

nausea, vomiting, epigastric discomfort.

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A cardiac conduction device is in unchanged position. Lung volumes are low. Cardiomegaly is moderate. No definite pneumothorax. A lung base opacity seen on the lateral view may represent atelectasis, however pneumonia cannot be excluded in the appropriate clinical setting. Mild vascular congestion appears to be more pronounced than on the previous study.

history: <unk>m with cad s/p cabg p/w chest pain*** warning *** multiple patients with same last name! // acute cardiopulmonary process

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.

history: <unk>f with 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.

<unk> year old woman with cough for <num> weeks and desaturations with ambulation // please evaluate for consolidation

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Frontal and lateral views of the chest demonstrates normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Cephalization of pumonary vasculature appears long standing. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

shortness of breath and palpitations.

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Mediastinal, hilar, and cardiac contours are unremarkable. Minimal right lower lung atelectasis evident. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax evident.

<unk>-year-old male smoker with right lower lobe opacity on portable chest radiograph. clinically does not have pneumonia. please characterize.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no evidence for pneumothorax or pneumomediastinum. Linear opacity in the right middle lobe suggests minor atelectasis or scarring that is unchanged. The lungs are otherwise clear. Mild degenerative changes are similar along the lower thoracic spine.

dysphagia and sensation of food being stuck in throat.

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.

shortness of breath on exertion.

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

history: <unk>m with cp, hx of pericarditis // r/o pna

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

chest pain.

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Again noted is elevation of the right hemidiaphragm. The cardiac silhouette is unremarkable. Minimal atelectasis and scarring is noted at the left lung base. Right infrahilar opacity, is more pronounced than on prior examinations, which in the appropriate clinical context, could represent pneumonia. No pneumothorax or pleural effusion.

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

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Ap and lateral views of the chest. Overall, there is increased opacity projecting over the right lung which is most likely technical in nature. There is no evidence of large confluent consolidation nor large effusion. There might be trace pleural effusion with blunting of one of the posterior costophrenic angles. Cardiac silhouette is enlarged but similar compared to prior given differences in technique.

<unk>-year-old female with heart failure and lower extremity edema.

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Pa and lateral chest radiographs are provided. There are linear opacities at the right base that are unchanged from the prior study and represent scarring. A subtle left retrocardiac opacity is new. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. There are degenerative changes in the thoracic spine.

<unk>-year-old man with recurrent prostate cancer, on chemotherapy. recent cough productive of clear sputum and fatigue. evaluate for acute process.

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The patient is status post sternotomy and coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours are unchanged. There are severe emphysematous changes with marked attenuation of lung markings in the upper lungs. Surgical staple material projects over the right mid lung. However, there has been no significant change.

history of hiv, presenting with chest pain and fatigue.

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.

<unk>-year-old male presenting for evaluation of substernal chest pain

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Again seen is a diffuse nodular pattern, worse on the right with peribronchial thickening , patient has known bronchiectasis. Compared to the most recent prior radiograph there has been no signficant change. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal

<unk>-year-old woman with bronchiectasis and recent symptom flare, assess for pneumonia.

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Compared to the most recent prior radiograph on <unk> there has been interval improvement in multifocal lung opacities. There remains increased opacification at the right lung base improved from the most recent prior, but more pronounced compared to the baseline radiograph from <unk>, possibly related to residual scarring in this region. There is no pleural effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contours normal.

<unk>f with cough and fever.

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Diffuse mild basilar atelectasis is seen. There is no focal consolidation. Below the supraclinoid the cardiac and mediastinal silhouettes are stable. Evidence of dish is seen along the thoracic spine.

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

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The lungs are well-expanded and clear. The heart is mildly enlarged. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with cp and sob // eval for cause of cp

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

chest pain.

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The heart appears mildly enlarged. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

cough and chills.

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

history: <unk>f with new cp after having cough for several weeks // eval for consolidation

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As compared to the previous radiograph, the lung volumes have increased and there is a decrease in extent and severity of the pre-existing parenchymal opacities, predominantly at the lung bases. These changes are likely to reflect improvement in pulmonary edema. Remnant changes, however, are still seen at the bases of the left and right lung. Moderate cardiomegaly persists. No evidence of larger pleural effusions.

pulmonary edema, hypertensive urgency, evaluation.

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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with dyspnea.

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Heart size is top normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. Asymmetric opacity within the medial aspect of the right lung is noted, and it is unclear if this reflects overlapping shadows versus a true pulmonary lesion. No acute osseous abnormalities detected.

fall, leg pain.

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Lungs are fully expanded. Faint linear densities at the left lung base likely reflect atelectasis or scarring adjacent to a moderate hiatal hernia. No focal consolidation. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.

<unk>m with ftt

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No picc line is seen within the field-of-view, which includes the left axilla. Otherwise, the lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. The aorta is tortuous. There is no pleural effusion or pneumothorax. Minimal left basilar and left mid lung subsegmental atelectasis/scarring is present, similar to prior.

<unk>-year-old female with picc line in the left arm. evaluate for placement.

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Pa and lateral views of the chest provided. Suture material again noted in the right midlung and left upper lung. Patchy opacities are noted in the lower lungs concerning for pneumonia. No large effusion or pneumothorax. Upper lobe emphysematous changes are again seen. Cardiomediastinal silhouette is stable. Bony structures appear grossly intact.

<unk>f with cough on chemo.

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

<unk>m with chest pain // eval for cardiopulmonary process

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Patient is status post esophagectomy with gastric pull-through. Decrease in the size of the neoesophagus and the amount of fluid since <unk>. Mediastinal shift to the left, due to left upper lobe lobectomy is stable since <unk>. The right lung is hyperinflated but clear. Heart size is normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.

<unk> year old man with reported rll infiltrate in <unk>, treated for pneumonia, pls evaluate for continued infiltrate vs resolution // please evaluate for pneumonia

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There are vague opacities in the bilateral lower lobes, which correspond to the ground-glass opacities and intralobular septal thickening seen in the imaged portion of the lower lung on the prior ct. The lungs are otherwise clear. Aside from mild cardiomegaly, the hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. There is no significant pulmonary vascular engorgement.

<unk>-year-old woman with abdominal pain, shortness of breath, and leukocytosis.

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Heart size is normal. Postsurgical cardiomediastinal silhouette is unremarkable. Sternal wires appear intact. Hilar contours are unremarkable. Lungs are clear. Replacement aortic valve is best seen on lateral view. Pleural surfaces are clear without effusion or pneumothorax.

chest pain

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

<unk>m with chest pain // evidence of pneumothorax or pneumonia

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Mild degenerative changes noted at the left ac joint. The heart size is within normal limits. There is no pleural effusion. No displaced rib fractures are seen. No focal opacity is seen.

history: <unk>f with syncope and head trauma // ptx, sdh, fx

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Pa and lateral views of the chest provided. Right lung volume loss is again noted. No focal consolidation, large effusion or pneumothorax is seen. Cardiomediastinal silhouette is unchanged. There is a mid thoracic compression deformity which is again noted. No new fracture.

<unk>m with cough // acute process

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Ap upright and lateral views of the chest provided. Subtle lower lung opacities are most compatible with atelectasis as seen on same-day ct abdomen pelvis. No large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. An old left mid shaft clavicle deformity is noted. No free air below the right hemidiaphragm is seen.

<unk>m with frequent o<num> desaturations // pneumonia

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Pa and lateral views of the chest. Comparison is made to previous exam from <unk> and abdominal ct from the same day. Linear opacities again seen in the mid lungs bilaterally, less significant compared to prior and suggestive of atelectasis. There is minimal retrocardiac patchy opacity as seen on ct scan from earlier the same day. There is no large confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old with nausea, vomiting, abdominal pain, question left lower lobe infiltrate on ct.

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Bilateral linear opacities are most consistent with atelectasis. There is no focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No acute osseous abnormality identified.

<unk>-year-old woman with shortness of breath. evaluate for pneumonia.

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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. Prominent mid to lower thoracic scoliosis is re- demonstrated.

history: <unk>f with lung cancer, hyponatremia // pna

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Ap and lateral views of the chest. There is massive cardiomegaly as seen on prior. There is no focal consolidation worrisome for infection. The trachea is deviated to the right at the thoracic inlet with increased soft tissue density in the midline and just to the left which is likely due to thyroid enlargement. This appearance is similar compared to prior. No acute osseous abnormalities.

<unk>-year-old female with <num> minutes of altered mental status with history of intraparenchymal hemorrhage and parietal infarct. afib with embolic stroke.

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There is volume loss in the right lung with predominantly right upper lobe reticular opacities, this displaces the right hilum superiorly. Appearances are consistent with post radiotherapy change as seen on the prior ct. The right hilum is enlarged, again similar in appearance to the prior ct streaky left lower lobe opacities may reflect acute airways inflammation. No additional pulmonary opacities are seen. No pleural effusion seen.

<unk> year old man with lung cancer, ckd // weight loss

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Cardiac, mediastinal and hilar contours are normal. Coronary artery stent is noted. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. No definite focal rib lesion is noted.

coronary artery disease status post recent pci for in-stent restenosis now presenting with chest pain and dyspnea.

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Ap upright and lateral views of the chest were obtained. There is no focal consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. Orthopedic hardware in the left glenoid is better characterized on recent dedicated films.

status post three seizures. rule out pneumonia.

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

history: <unk>m with cough fever and rlq pain and ttp. +chills and anorexia // appy, 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>m with chest pain, resolved // acuteprocess

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There are increased lung volumes with flattening of the diaphragms compatible with known history of emphysema. There is mild bibasilar atelectasis. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.

chest pain, evaluate for pneumothorax.

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Frontal and lateral chest radiographs demonstrate moderate cardiomegaly, unchanged compared to <unk>. The aorta is diffusely calcified. Coronary artery calcification is noted. The lungs are again hyperinflated, without focal consolidation or pneumothorax. Minimal blunting of the left costophrenic angle may represent pa trace pleural effusion, as before. The visualized upper abdomen is unremarkable other than clips in the right upper quadrant consistent with prior cholecystectomy.

history: <unk>f with confusion for several hours // assess for pneumonia

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Since <unk>, interval improvement in the right hilar focal opacity is noted. However, there is still a suggestion of hilar adenopathy. Lungs are clear. Heart size is top normal. No pneumothorax or pleural effusion.

<unk> year old woman with follow-up pneumonia // follow-up pneumonia

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

<unk>m right sided rib pain, sob after motorcycle accident <time>am today

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Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs. Increased opacification at the bilateral bases is consistent with bibasalar atelectasis. The cardiomediastinal and hilar contours are stable. There is no pleural effusion, consolidation, or pneumothorax.

dyspnea.

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The heart is mildly enlarged, as before. A right internal jugular central venous catheter terminates in the mid svc. Linear atelectasis is present in the left midlung. Indistinctness of pulmonary vasculature about the hilus, as well as mild peribronchial cuffing suggest mild pulmonary edema. There is no pleural effusion, pneumothorax, or focal consolidation.

history: <unk>m with history of dchf, htn, ckd presenting with <num> days of doe. has not been taking prescribed lasix // r/o chf

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The patient is status post median sternotomy and aortic valve replacement. Heart size remains mildly enlarged. Hilar and mediastinal contours are normal. Previously demonstrated tiny right apical pneumothorax is not appreciated on the current exam. Patchy opacity in the left lung base appears slightly worse in the interval, with continued small bilateral pleural effusions. No pulmonary vascular congestion is present. There are no acute osseous abnormalities.

history: <unk>m with recent cardiac surgery, cough

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The heart is enlarged but stable. A left-sided pacing device remains in unchanged position, with <num> leads terminating in the right ventricle, right atrium and coronary sinus. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>m with cad s/p stent placement presenting with chest pain and question of icd firing // acute cardiopulmonary process. icd component eval

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A left pleural effusion is unchanged in size. There has been interval decrease in a right small pleural effusion. There is no pneumothorax. Left basilar atelectasis is unchanged. The cardiomediastinal and hilar contours are unchanged. Multifocal heel-toe or fractures are similar in appearance to the prior study.

<unk> year old woman with new right effusion s/p <unk> // ? ptx, full lung expansion

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Normal cardiomediastinal and hilar contours. Clear lungs. Normal pleural surfaces. Serpentine opacity projecting over the left supraclavicular region and apex is an external structure.

<unk>-year-old woman with anxiety and dyspnea on exertion. evaluate for evidence of consolidation.

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As compared to the previous radiograph, there is no relevant change. The lung volumes are low, interstitial markings are increased, consistent with chronic fluid overload, is seen in mild chronic heart failure. Elevation of the right hemidiaphragm with area of plate-like atelectasis at the right lung base, better appreciated on the lateral than on the frontal image. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Borderline size of the cardiac silhouette, status post cabg with unchanged alignment of the sternal wires.

status post cabg, chest discomfort, questionable chronic heart failure.

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Frontal and lateral radiographs of the chest demonstrate normal heart size. Stable appearance of the mediastinum with a large hiatus hernia. No focal consolidation or pneumothorax. Unchanged small bilateral plerual effusions. New mild pulmonary edema on top of patient's baseline vascular congestion.

elevated lactate and leukocytosis, question pneumonia

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Pa and lateral views of the chest. There is subtle increased patchy opacity in the left mid to lower lung, which is seen posteriorly on the lateral view. Lungs are otherwise clear. Blunting of the left posterior costophrenic angle may represent small effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with thoracic pain and cough.

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart size is normal. No free air below the right hemidiaphragm is seen. Streaky opacities overlying the lower neck correspond to subcutaneous gas seen on ct c-spine.

<unk>m with hemoptysis s/p assault // evidence of effusion

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The aorta is tortuous. The patient is status post median sternotomy with wires intact. There is mild atelectasis or scarring adjacent to prominent pericardial fat pad at the left lung base. Otherwise, lungs are clear. The cardiomediastinal silhouette is unchanged.

history: <unk>m with shortness of breath // acute process?

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The cardiomediastinal and hilar contours are within normal limits and unchanged since prior examination. Again noted is a thick band of atelectasis at the left lung base with smaller atelectatic changes bilaterally. There is no new focal consolidation. No definite vascular congestion or pleural effusions. There is no pneumothorax. Multiple rib fractures are again noted along the left.

<unk>-year-old man status post whipple, now with bacteremia. study requested for evaluation of possible pulmonary process.

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As compared to the previous radiograph, the extent of the pre-existing left pleural effusion is constant. On the right, the overall extent of the effusion is constant but the distribution of the effusion has changed, with new occurrence of organized parts of the effusion localized in the fissures and visible both on the frontal and the lateral radiographs. The bilateral atelectatic changes, predominating at the lung bases, are constant. In the well-ventilated areas of the lung, there is no evidence of pathologic changes. The abdominal stent is in unchanged position.

evaluation for pleural effusion.

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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. The hilar contours are normal. No displaced fracture is seen.

anterior chest pain status post motorcycle crash.

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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal.

history: <unk>f with fever, nausea/vomiting // eval for pna, acute process

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Patient is status post median sternotomy and cabg. Heart size is normal. Volume loss of the right lung with fibrosis, bronchiectasis, architectural distortion and scarring in the right upper lobe is unchanged causing rightward shift of mediastinal structures. Lungs are hyperinflated with extensive emphysema again noted. New patchy opacities are seen within both lung bases, more so within the right lower lobe, concerning for aspiration or pneumonia. Pulmonary vasculature is not engorged and hilar contours are similar. No pneumothorax or large pleural effusion is present. There are no acute osseous abnormalities.

history: <unk>m with dyspnea, history of chf, copd

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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 cough and sputum

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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, the lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with confusion and history of copd

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The cardiac and mediastinal silhouettes appear unchanged, and within normal limits. Numerous right-sided rib fractures are seen which appear healed, and unchanged in morphology when compared to the examination from <unk>. No new/acute appearing displaced rib fractures are seen on the right. There is no pneumothorax seen. No evidence of pleural effusion or focal pulmonary opacity.

right-sided chest pain after mvc. evaluate for pneumothorax or fracture.

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There are now out <num> visualized esophageal stent, previously <num>. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is no visualized pneumomediastinum. Mid thoracic dextroscoliosis is noted. Calcific density projects over left upper quadrant, new since prior.

<unk>m with esophageal strictures s/p stent placement w/ po intol // stent migration?

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The hemidiaphragms are symmetric and normal in appearance.

history of lupus with the hiccups. evaluate the diaphragm.

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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with asthma // r/o acute process

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The lungs are clear without focal consolidation effusion, or overt edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>f with <num>w cp // any cpd

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. There is some atelectasis at the left base. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Anterior bridging osteophytes are again identified along the mid thoracic spine consistent with dish. Left shoulder degenerative changes are again noted.

chest pain.