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

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

<unk>f with chest pain

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The lung volumes are low, particularly on the lateral view. There are new bilateral basilar opacities, left greater than right. No pleural effusion or pneumothorax. Heart is normal size. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema.

chest pain, shortness of breath and cough. evaluate for pneumothorax or infiltrate.

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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

history: <unk>m with chest pain // ? pna

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Frontal and lateral views of the chest demonstrate hyperexpanded lungs without focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Chronic sternal fracture and compression deformities of multiple thoracic vertebral bodies appear longstanding. The hilar and mediastinal silhouettes are unchanged. Mild tortuosity of the descending aorta is noted. Heart size is normal.

dyspnea and palpitations.

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Right apical scarring is again seen. The lungs are otherwise grossly clear. There is no effusion or pneumothorax. Cardiac silhouette is enlarged but given differences in positioning, technique and inspiratory effort, not significantly changed. No definite rib fracture is identified.

<unk>-year-old female with fall and left-sided chest pain. question fracture or pneumothorax.

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A left-sided single lead pacemaker with a right ventricular lead is in unchanged position. There is mild pulmonary edema. There are small bilateral pleural effusions, right worse than left. The heart is mildly enlarged. There is no pneumothorax. There is no focal consolidation concerning for pneumonia. Vague opacity adjacent to the pacemaker mentioned on the prior chest radiograph is likely still present and somewhat obscured secondary to increased vascular congestion.

history: <unk>m with ? fluid overload // evidence of fluid overload evidence of fluid overload

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

history: <unk>f with chills, n/v/d // pna

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The cardiac silhouette size is mildly enlarged, unchanged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Remote healed right-sided rib fractures are re- demonstrated.

altered mental status, incontinence, wobbly gait.

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The heart size is top normal. The aorta is mildly tortuous and calcified. The hilar contours are normal, and the pulmonary vascularity is not engorged. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. Diffuse demineralization of the osseous structures is noted along with s-shaped scoliosis of the thoracic spine. No acute osseous abnormalities are detected.

mental status changes.

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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. Blunting of the left posterior costophrenic sulcus is unchanged and likely pleural thickening. Mild atelectasis is seen in the lateral costophrenic sulci bilaterally. The heart is moderately enlarged. Aortic tortuosity is unchanged. Pulmonary vasculature is within normal limits. Thoracic spine degenerative change.

<unk>-year-old woman with dyspnea. inferior lung crepitus.

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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. Linear atelectasis seen in the left mid lung. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.

<unk>-year-old female with chest pain in setting of vomiting.

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Cardiac silhouette size is normal. The aorta is mildly tortuous but unchanged. The mediastinal and hilar contours are similar, and no pulmonary vascular congestion is present. Lungs remain hyperinflated with flattening of the diaphragms. Blunting of the costophrenic angles posteriorly on the lateral view appears chronic, and could reflect pleural thickening. No large pleural effusion or pneumothorax is present. Linear opacities in the lung bases likely reflect areas of scarring or subsegmental atelectasis. No focal consolidation is identified. There are mild degenerative changes in the thoracic spine. Osseous structures are diffusely demineralized.

history: <unk>m with temperature of <num> degrees, hypoxia

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Findings compatible with known right-sided non-small cell lung cancer are grossly stable since ct from <unk> including a large right apical mass, collapse, and diffusely increased opacification of the right hemithorax including a layering right pleural effusion. The left hemithorax remains well aerated with no focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. There is volume loss on the right with associated rightward mediastinal shift. The cardiomediastinal and hilar contours are normal. The pulmonary vascularity is normal.

<unk>-year-old male with non-small cell lung cancer presenting with dyspnea on exertion and productive cough. evaluate for pneumonia.

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A right-sided port-a-cath ends at the cavoatrial junction and is in appropriate position. The patient is status post right mastectomy. Heart size is normal. The mediastinal contour is normal. The pulmonary vasculature is normal. A large nodule in the lingula characterized on recent ct on <unk> is seen on both the pa and lateral views. Multiple other nodules seen on recent ct are not well visualized on the chest radiograph. No pleural effusion or pneumothorax is seen.

<unk> year old woman with metastatic breast cancer // evaluate retrocardiac opacity seen on portable film

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The lungs are fully expanded and clear. Previously seen retrocardiac opacity on lateral view has resolved. There is no pleural abnormality. The cardiomediastinal silhouette is unremarkable. Severe right convex scoliosis is stable.

<unk> year old man with recent multifocal pna, reassess // reassessment of multifocal 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.

<unk> year old woman with <num> days of fever and cough // ?infiltrate

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Heart size is normal. Mediastinal contour is unremarkable. Hilar contours are unchanged and the pulmonary vasculature is not engorged. Patchy airspace opacities are noted in both lung bases concerning for multifocal pneumonia. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.

history: <unk>f with recent cap treatment, ongoing dyspnea

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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no focal consolidation, pleural effusion, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is a tubular opacity in the left mid lung at the <unk> posterior rib level. Partially imaged upper abdomen is unremarkable.

intoxicated patient, status post trauma.

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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are again seen within the thoracic spine. There are no acute osseous abnormalities.

chest pain.

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

<unk>f with syncope, elevated wbc count // infiltrate?

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Frontal and lateral radiographs of the chest demonstrate persistent moderate-sized loculated right basilar pleural effusion with adjacent atelectasis. The left lung is clear. The cardiomediastinal and hilar contours are unchanged. There is tortuosity of the descending thoracic aorta. Chest tube projects over the right hemithorax. There is no pneumothorax, or consolidation.

<unk>-year-old female with pleural effusion. evaluate for interval change.

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There is stable mild cardiomegaly. There is mild the towards thoracic aorta, unchanged. The hila are within normal limits. Bibasilar opacities are similar appearance to prior exam and suggestive of linear atelectasis. There is no pulmonary vascular congestion or pulmonary edema. There may be a small right pleural effusion. No left pleural effusion. There is no pneumothorax.

<unk>m with copd with new dyspnea, evaluate for pneumonia.

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Linear opacities at bilateral bases are similar to prior studies and likely resent represent chronic fibrosis or scarring. Opacities overlying the spine and heart on the lateral view are suspicious for a lower lobe and potentially lingular or right middle lobe pneumonia without definite correlate on the frontal radiograph. These were not present on remote prior plain film. There is no pulmonary edema, pneumothorax, or pleural effusion. Large bilateral bullae are unchanged.

<unk>m with report of pna, evaluate for pneumonia.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Bilateral nipple shadows are identified. Deformities of the right lateral ribs suggestive healed fractures are also noted. The cardiomediastinal silhouette is within normal limits.

<unk>f with subjective dyspnea, failure to thrive // r/o pneumonia

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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 wegeners, no prev pulm involvement, and fever // ? pneumonia

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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Again there is hyperexpansion of the lungs with flattening of the hemidiaphragms consistent with substantial chronic pulmonary disease in a patient with previous sternal wires, cabg, and aortic valve replacement. Dense calcification is again seen in the mitral annulus. No evidence of acute focal pneumonia or vascular congestion. Blunting of the costophrenic angles probably reflects pleural thickening.

copd, pre-operative.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild scoliosis of the thoracic spine, convex to the right is present.

two episodes of left leg weakness and left hand weakness.

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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified.

patient with aids, dizziness, cough and intracranial mass. please assess for pulmonary opacification.

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There are new slightly confluent airspace opacities in the left mid and lower lung zones concerning for early developing pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.

cough, fever and right-sided rhonchi on physical exam, here to evaluate for pneumonia.

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The patient is status post aortic valve replacement. Mitral annular calcifications are unchanged. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is mild interstitial abnormality, suggesting vascular congestion. Streaky left basilar opacification with new mild relative elevation of the left hemidiaphragm is most suggestive of atelectasis. The lateral view depicts an increased small-to-moderate pleural effusion on the right since the prior examination, but quite similar to before on the left. Surgical clips project over the right axilla and epigastric region.

worsening shortness of breath and leg swelling.

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The cardiac silhouette is mildly enlarged, and there is central pulmonary vascular congestion. There is no pleural effusion, pneumothorax or focal consolidation. Cervical fusion hardware is partially visualized.

<unk>-year-old male with chest pain and history of congestive heart failure. evaluate for infiltrate.

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Lung volumes are low. Elevation of the right hemidiaphragm is unchanged since the prior study in <unk>. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Mild cardiac silhouette enlargement is accentuated by low lung volumes.

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

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Frontal and lateral views of the chest were obtained. Elevation of the right hemidiaphragm is chronic. Small linear opacity in the right lung bases is consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are stable.

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

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Pa and lateral views of the chest provided. Surgical clips are again noted projecting over the right axilla. The lungs are hyperinflated with partially calcified pleural parenchymal scarring at the right lung apex. A vascular stent projects in the left subclavicular region. Small pleural effusions are noted similar to recent ct exam. No signs of congestion edema or pneumonia. Cardiomediastinal silhouette is stable. Bony structures appear intact.

<unk>f with fever // r/o infiltrate

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable, there is no free intraperitoneal air.

<unk>f with ruq abd pain // eval for 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>f with chest pain // ?pneumonia

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Interval improvement in the right pleural effusion with improved visualization of the right hemidiaphragm and previously seen right mid lung opacity likely represents fluid in the minor fissure as it is now resolved. There remains to be some fluid in the right major fissure. Mild atelectasis noted in the right lung base again noted. Interval mild improvement in small left pleural effusion is also seen with improved visualization of the left hemidiaphragm. Stable postoperative appearance of the trachea. No pneumothorax. The cardiac and mediastinal silhouettes are unchanged. Left picc in lower svc. Vertebral hardware unchanged.

<unk> year old woman s/p tracheobronchoplasty // please evaluate for interval change

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette top-normal to mildly enlarged.

history: <unk>f with htn with shortness of breath and <unk> edema // pulmonary edema vs pleural effusions

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When compared to previous exam, there has been no significant interval change. Elevation the right hemidiaphragm is again noted. Blunting of the right lateral costophrenic angle could be due to pleural based scarring. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with fever, hx of mrsa septic emboli <unk> endocarditis // pna?

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Ap upright and lateral views of the chest provided. Lung volumes are low. There is mild bibasilar atelectasis. Otherwise lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No congestion or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with med clarance // med clearance

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The lungs are hyperexpanded, but clear. No focal consolidations to suggest pneumonia. The heart is top-normal in size. No pulmonary edema. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with chest pain // chest pain

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The lungs are fully expanded and clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Subtle opacity in the right mid lung is not as well appreciated on the current study, as compared to prior.

<unk>-year-old male with productive cough .

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Frontal and lateral radiographs of the chest demonstrate increased opacification of the right lower lobe, consistent with pneumonia. The left lung is clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

productive cough and hyperglycemia. evaluate for pneumonia.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The aortic arch is again calcified. The lungs appear clear aside from linear right mid lung opacity suggesting minor atelectasis. There is no definite pleural effusion. Mild hyperinflation is noted. There is exaggerated kyphotic curvature with slight loss in several mid vertebral body heights. Bones are likely demineralized.

new atrial fibrillation.

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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.

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

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

<unk>m with syncope // eval for pna

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Right-sided port-a-cath tip terminates in the low svc. Moderate to severe cardiomegaly is unchanged. Mediastinal and hilar contours are similar. No pulmonary edema, focal consolidation, pleural effusion or pneumothorax is present. Multiple chronic left-sided rib fractures are again noted. There are no acute osseous abnormalities identified.

history: <unk>m with multiple myeloma, confusion.

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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A <unk>-mm opacity projecting over the right lower lung is unchanged from <unk> and likely represents a nipple shadow. Compression deformity in the mid thoracic spine is unchanged.

fever.

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The lungs are hypoinflated, accounting for bronchovascular crowding. No focal opacities are identified. An apparent spine sign on the lateral view is likely related to left hemidiaphragm eventration. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. No radiopaque foreign object is seen in the airways to suggest aspiration. Deformity of the left clavicle is related to old fracture.

<unk>-year-old male with trauma while intoxicated and lip laceration and missing teeth. evaluate for tooth aspiration

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Overall exam is unchanged with expected postoperative appearance of the mediastinum given neoesophagus. Stable right lower lung atelectasis and possible small right pleural effusion are unchanged. Improved left lower lung opacification; however, new nodular opacification is identified in the periphery of the left lower lung. Unchanged cardiomediastinal and hilar contours. No pneumothorax.

status post esophagectomy for esophageal cancer, please assess for interval change.

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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with right upper extremity weakness and altered mental status, question pneumonia.

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

shortness of breath. history of copd and pneumothorax.

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The patient is had median sternotomy and cabg. The cardiac silhouette is normal. The hila are within normal limits. There is left mid-lung plate-like atelectasis seen which is nonspecific but in the right clinical setting could be associated pulmonary embolus. No focal opacities, pleural effusions, or pneumothorax are seen. Chronic, healed left anterior rib fractures are seen.

<unk> year old man with left-sided pleuritic chest pain x <num> days. pt has a long smoking history. // any pathology to explain the left-sided chest pain?

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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>f with epigastric pain and ruq pain // r/o rll pna

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>-year-old man with chest pain

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Frontal and lateral views of the chest were obtained. Prominence of the right mediastinal contour is again seen, previously attributed to a tortuous ascending aorta, and again accentuated by rightward patient rotation. The heart size is normal, exaggerated by low lung volumes. No focal consolidation is seen. Rectangular opacity over the anterior right second rib is similar to multiple prior exams. No pleural effusion or pneumothorax is seen. The osseous structures are unremarkable.

<unk>-year-old female with fall and head strike.

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Lung volumes are low, causing bronchovascular crowding and accentuation of the heart size. No focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouettes are normal.

<unk>m with left sided chest pain. evaluate for acute cardiopulmonary process.

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Bibasilar atelectasis, particularly on the left, is new compared to <unk>. This is due to low lung volumes. Given low lung volumes, no evidence of focal pneumonia is present. No pneumothorax. Cardiac size is normal.

cough

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Moderate cardiomegaly is unchanged from prior study. Mediastinal silhouette and hilar contours are stable. A small left-sided effusion with adjacent atelectasis is unchanged from prior examination. There is subtly increased heterogeneous density in the right lung base with corresponding with increased retrocardiac opacity on lateral view suspicious for pneumonia. Subpleural scarring in the mid left lung field is unchanged. There is no frank interstitial pulmonary edema. There is no pneumothorax.

shortness of breath.

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A right picc ends in the low superior vena cava. The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal

cough. positive ppd.

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There are bilateral diffuse interstitial thickening and upper vascular re-distribution compatible with interstitial edema. There are no focal opacities suggestive of pneumonia. Heart size is mildly enlarged, although assessment is limited in this ap projection. There is no pleural effusion or pneumothorax.

<unk>-year-old female with dyspnea. evaluate for pneumonia.

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Examination is limited secondary to patient's body habitus and positioning. Increased interstitial markings throughout the lungs could be in part due to the reasons stated above although superimposed pulmonary edema is suspected. Cardiac silhouette is at least mildly enlarged. No acute osseous abnormalities.

<unk>f with dyspnea, weight gain // eval for acute process

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

<unk> year old female with chest pain status post mvc.

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Pa and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Increased lung markings in the left upper lobe are concerning for pneumonia in the correct clinical setting.

shaking and cough.

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Pa and lateral views of the chest. There is patchy right basilar opacity seen overlying the spine on the lateral view. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with dyspnea and probable aspiration.

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Enteric tube is noted with distal aspect looped within the stomach. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. No subdiaphragmatic free air is visualized.

history: <unk>m with epigastric pain

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Of note, this exam is limited by low lung volumes and the patient's body habitus. Metallic hardware from posterior fixation of the thoracic spine is present and unchanged. Again, lung volumes are low. The cardiac size is not well evaluated due to ap projection. There is no focal consolidation identified in the lungs. There is no large pleural effusion. There is no pneumothorax.

<unk>f with fever and sob // eval pna

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The heart and mediastinal contours are within normal limits. The lungs show no lobar consolidation but do show a diffuse nodular pattern that is new from prior exam. There is no large pleural effusion or pneumothorax.

<unk>-year-old male with lower back pain and elevated sed rate.

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Frontal and lateral chest radiographs demonstrate a mildly enlarged cardiomediastinal silhouette and slightly hypoinflated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with a presyncopal episode and altered mental status.

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There is no pleural effusion, pneumothorax or focal airspace consolidation. Streaky atelectasis is seen at the lung bases. The left costophrenic angle is not fully imaged on the frontal view. Pleural thickening is seen in the right posterior sinus. The lungs are hyperinflated, consistent with chronic pulmonary disease. The mediastinal and hilar contours are unremarkable. The cardiac silhouette is mildly enlarged but unchanged. Pulmonary vascularity is normal. A <num> cm hyperdensity projecting over the right lung is redemonstration of the known scapular bone island as seen on the prior ct.

cough and shortness of breath. evaluate for pneumonia.

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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with cough // ?pna

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The heart is not enlarged. Within limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf , focal infiltrate or consolidation, pleural effusion or pneumothorax detected.

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

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Again identified are bilateral mid and lower zone patchy opacity, unchanged compared to the prior radiograph. There is a new small right pleural effusion. No pneumothorax present. Unchanged cardiomegaly. Bony thorax is unchanged.

<unk> year old man with recetn aspiration pna, chf // interval improvement? new consolidation?

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No definite focal consolidation is seen. Subtle opacity projecting over the anterior right fifth rib is felt to most likely represent costochondral calcification. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly unremarkable. No overt pulmonary edema is seen. Degenerative changes are seen at the acromioclavicular joints and right glenohumeral joint.

history: <unk>f with fever malaise // eval for pna

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Pa and lateral views of the chest. The lungs are clear of an focal consolidation, effusion, or pulmonary vascular congestion. There is hazy opacity projecting over the left lower lung similar to prior. On the lateral view there is a pleural-based density seen anteriorly which may account for this finding on the frontal view. This is not significantly changed from prior. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.

<unk>-year-old male with cough and dyspnea.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits as is pulmonary vasculature. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. There is no air under the right hemidiaphragm.

<unk>f with sob // pna?

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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.

shortness of breath and fever.

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A large right pleural effusion is present with compressive atelectasis of the right lung accounting for near complete opacification of the right hemithorax. Mediastinal and left hilar contours appear unremarkable. Heart size cannot be assessed given the presence of the large right pleural effusion. Left lung is clear. No pulmonary vascular congestion is present. There are no acute osseous abnormalities. Clips are seen in the right upper quadrant of the abdomen likely reflective of prior cholecystectomy.

history: <unk>m with chest pain

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Clips are seen within the left breast and left axillary region. There are moderate multilevel degenerative changes seen in the thoracic spine. Surgical anchors project over the right humeral head.

history: <unk>f with shortness of breath

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There is no pleural effusion, pneumothorax or focal airspace consolidation. A sub-cm faint nodular opacity in the right mid lung field is unchanged from <unk>. The patient's chin is rotated to the right. The cardiac and mediastinal contours are unremarkable. The hilar structures are normal.

fever and body aches. evaluate for acute process.

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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

cough, chest pain, and shortness of breath, evaluate for pneumonia.

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Ap and lateral radiographs of the chest demonstrate a left chest wall aicd generator with right ventricular and coronary sinus leads, unchanged since the prior study. Stable cardiomegaly. Degree of pulmonary vascular congestion may be slightly worse than the prior study, although there is decrease in lung volumes which may accentuate this. No pleural effusions. No significant increase in interstitial markings. No pneumothorax is seen.

shortness of breath and weight gain. evaluate for congestive heart failure.

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Low lung volumes cause bronchovascular crowding. Platelike atelectasis in bilateral lung bases are likely also related to low lung volumes is stable. There is moderate gaseous distention of the splenic flexure. The osseous structures are unremarkable.

<unk>f with history of cva, non-verbal with gagging event in ed, evaluate for pneumonia or aspiration.

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Pa and lateral radiographs of the chest demonstrate interval improvement in the right lower lobe atelectasis seen on the prior study. The lungs are hyperinflated and there is increased anterior-posterior diameter of the chest, consistent with copd. There is no pneumothorax or pleural effusion. The lungs are clear. The hila and cardiomediastinal contours are normal. Pulmonary vascularity is normal.

persistent cough and wheeze in a patient with recently treated copd exacerbation.

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There is a likely right basilar atelectasis. Mild elevation of the right hemidiaphragm is seen. There is minimal left base atelectasis. No definite focal consolidation is seen. There is mild blunting of the right costophrenic angle and trace pleural effusion is not excluded. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.

shortness of breath.

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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.the patient is status post posterior spinal fusion.

history: <unk>m s/p assault with chest. // rib fractures?

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Cardiac and mediastinal contours are unchanged with the heart size is within normal limits. Rightward shift of mediastinal structures due to right-sided volume loss is again noted, with similar appearance of opacity in the right upper lobe and superior segment of the right lower lobe right upper lobe opacity compatible with known malignancy and associated collapse. Hilar contours are unchanged, and no overt pulmonary edema is demonstrated. Streaky opacities are seen in the left lung base, potentially areas of atelectasis. There is no pleural effusion or pneumothorax. Multilevel degenerative changes are again noted in the thoracic spine.

history: <unk>f with history of lung adenocarcinoma, now with new dysphagia and cough.

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A left-sided pacemaker with <num> leads is seen in appropriate position. Heart size is top normal. The aorta is tortuous. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. A subtle, equivocal retrocardiac opacity projected over the thoracic vertebral bodies is seen and may represent an area of infection. No pleural effusion or pneumothorax is seen. Of note, there appears to be some vertebral body sclerosis, not appreciated on the prior examination.

<unk>f with cough and fever // r/o pna

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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

history of hepatitis c and hepatocellular carcinoma, here for pretransplant evaluation of the chest.

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

weakness.

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The heart size is within normal limits. The mediastinal and hilar contours are normal. The previously described opacity projecting over the right middle lobe best seen on lateral view is not as apparent on the current exam. There is worsening opacity projecting over the spine on the lateral view along with a small pleural effusion that has slightly increased compared to prior exam on the left. There is no pneumothorax.

<unk>-year-old male with nephrotic syndrome and worsening cough.

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The right picc has been removed. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine.

fever, neutropenia.

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Heart size is normal and unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is new consolidation in the right lower lobe, concerning for pneumonia. No pleural effusion. No pneumothorax. There are cholecystectomy clips in the right upper quadrant. No acute osseous abnormalities.

<unk>-year-old woman with fever. evaluate for pneumonia

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The lungs are clear. New there is no pleural or pericardial effusion. Moderate cardiomegaly appears stable since <unk>. There are median sternotomy wires and a prosthetic valve are present.

history: <unk>m with chest pain // eval for widened mediastinum

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, focal consolidation, or pleural effusions. The right-sided port-a-cath terminates in the right atrium, as seen on the prior radiographs.

<unk>m with gastric ca, dyspnea, cough with yellow sputum. eval for pna.

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Linear bibasilar opacities, right greater than left are most likely atelectasis. Superiorly, lungs are clear. There is no pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with sob, pancreatitis // pulm edema

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Diffuse increased interstitial thickening is consistent with mild pulmonary edema. Heart size is normal. No pleural effusions. Mediastinal contour is stable.

<unk> year old man with cardiomyopathy presents with cough/dyspnea, equivocal right basilar crackles. // ? edema

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Left-sided port-a-cath tip terminates in the mid svc. The 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 abnormality is identified.

history: <unk>f with fever, history of cancer with upper respiratory tract infection symptoms

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No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable.

dizziness.

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There is no evidence for lobar consolidation, pleural effusion, or pneumothorax. Diffuse coarsened interstitial markings are noted, and likely reflect underlying chronic lung disease. The heart is mildly enlarged and there is minimal pulmonary edema. Blunting of the bilateral costophrenic angles likely reflects atelectasis versus scarring. There is no displaced rib fracture identified.

history: <unk>f s/p fall from standing. // ptx?