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

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. There is dextroscoliosis of the upper thoracic spine, and levoconvex scoliosis of the lower thoracic spine. Mild loss of height involving several midthoracic vertebral bodies, age indeterminate.

<unk>-year-old male presenting with altered mental status and fever

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Pa and lateral views of the chest. There is asymmetric density projecting over the right <unk> costochondral cartilage compared to the left. Elsewhere the lungs are clear. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.

<unk>-year-old male with history of alcoholism with cough for <num> days.

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

<unk>m with extensive wheezing, smoker, // eval for 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. A slightly prominent fat pad abuts the left lower heart border. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with pleuritic chest pain // eval for chest pain

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Frontal and lateral views of the chest were obtained. The heart is mildly enlarged, exaggerated by low lung volumes. A fluid level is seen within the dilated appearing distal esophagus, which may be due to distal stricture or dysmotility. There is increased opacity at the bilateral lung bases. No pneumothorax or pleural effusion is seen. There is a compression deformity of mid thoracic vertebral body, of unknown chronicity. No radiopaque foreign bodies are seen.

<unk>-year-old female with shortness of breath and cough. evaluate for pneumonia.

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The lungs are clear mild bilaterally. Cardiomediastinal silhouette is unremarkable. There is no evidence for pleural effusion or pneumothorax.

<unk> year old woman with fever to <num>, melanoma and recent tace procedure // r/o infectious process r/o infectious process

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There is now complete opacification of the right hemi thorax and leftward shift of the mediastinal structures. On the prior chest radiograph, there was a small amount of aeration in the right upper lung, this is no longer seen. Known left pulmonary nodules are better seen on ct. No pneumothorax is seen.

history: <unk>f with large r pleural effusion // eval pleural effusion

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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with cough.

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Patient rotation slightly limits the exam. Heart size remains mild to moderately enlarged. Mild pulmonary edema is present. Retrocardiac opacification and small to moderate size left pleural effusion are new compared with the previous exam. Small right pleural effusion is also seen. Rounded opacity in the right cardiophrenic angle is unchanged and likely reflective of a pericardial cyst. No pneumothorax is present. Degenerative changes of both acromioclavicular joints are noted.

weakness.

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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are similar along the thoracic spine. A suture anchor is present in the right humeral head, as before.

weakness and fatigue.

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The lungs are now clear besides relatively streaky right basilar opacity. There is no edema or effusion. Right basilar opacity is moderate cardiac enlargement is slightly improved from prior. No acute osseous abnormalities. Old healed mid left clavicular fracture is again noted.

<unk>m with cough, diffuse rhonchi // eval for pna vs chf

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There are relatively low lung volumes. Slight prominence of the perihilar vasculature may relate to low lung volumes however component of pulmonary vascular congestion is not excluded. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable given differences in inspiration.

chest congestion shortness of breath.

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In comparison with study of <unk>, the patient has taken a better inspiration and there is no evidence of pneumothorax, acute pneumonia, or vascular congestion. Chain sutures are seen in the right mid zone laterally.

recent pneumothorax, to assess for resolution.

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Pa and lateral views the chest were reviewed. Cardiomediastinal and hilar contours are normal. Specifically, there is no pneumomediastinum. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature within normal limits.

right axillary pain, prior pneumomediastinum.

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Pa and lateral views of the chest. No prior. Lungs are clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal as are the osseous and soft tissue structures.

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

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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion.

wheezing in former smoker.

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The lungs are hyperexpanded consistent with advanced emphysema. There is slight assymetry of the hemithoraces, smaller on the right, unchanged compared with <unk>. The heart is not enlarged. The hilar and mediastinal contours are probably unchanged. There is a subtle increase in patchy opacification along the upper right lung compared to the prior exam. Opacity at the right base and midzone is improved. There is no frank consolidation and there is no pleural effusion or pneumothorax. No chf. The visualized osseous structures are grossly unremarkable. Tubing noted in the left upper quadrant, ? G-tube.

history of dyspnea and productive cough. please evaluate for 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>m with chest pain // r/o pna

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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are hyperinflated suggestive of copd. Scarring within the lung apices is unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. Mild degenerative changes are noted in the thoracic spine.

history: <unk>f with chest pain

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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with fevers and night sweats for six days and dry cough.

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The heart appears normal in size, although somewhat prominent in size for age. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures appear within normal limits.

asthma and shortness of breath.

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A right internal jugular central venous catheter ends in the mid svc. A small left pleural effusion, seen only on the frontal view, is new. There is no right pleural effusion, consolidation, edema, or pneumothorax. The cardiomediastinal silhouette is normal.

profound neutropenia, fevers, and rigors. new shortness of breath.

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The heart size is top normal with a left ventricular predominance. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of fevers on chemotherapy.

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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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Frontal and lateral views of the chest. The lungs are clear. Cardiac silhouette is mildly enlarged. Osseous structures are unremarkable.

<unk>-year-old female with fever.

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Pulmonary vascular congestion, small right pleural effusion and ill-defined opacity in the right lung base are new since <unk> and suggest new mildly severe pulmonary edema. The opacity in the right lung base could be either a component of existing pulmonary edema or could be a sequela of aspiration. Heart size is normal. Aorta is mildly tortuous. Hilar contours are unremarkable.

wheezing, to look for effusion, consolidation, edema.

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When compared to prior, the degree of pulmonary edema has slightly improved although persists. There is more dense consolidation projecting over the lower lobes best seen on the lateral view overlying the spine, potentially localizing to the left. Cardiac enlargement and hilar engorgement is again noted. Median sternotomy wires, mediastinal clips, and left chest wall dual lead pacing device are again noted. No acute osseous abnormalities.

<unk>f with sob // eval for pna

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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 seen. There are no acute osseous abnormalities.

cough, shortness of breath.

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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. No free air below the right hemidiaphragm is seen. There is dislocation of the left glenohumeral joint for which dedicated left shoulder radiographs are recommended to further assess. Small bony fragments project over the left glenoid fossa.

<unk>f with advanced cerebellar ataxia p/w multiple falls and right ankle pain, rle swelling

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The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

<unk>f with s/p mvc; p/w l tib/fib injury; r posterior back pain // eval for fx

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Slight hyperexpansion of the lungs. No focal consolidation to suggest pneumonia. No pneumothorax or pleural effusion. Mild pulmonary edema. No cardiomegaly. Slight tortuosity of the descending aorta. The mediastinal contours are unchanged. Two asymmetric sub-centimeter nodules in the bilateral lower chest which may represent nipple projections or pulmonary lesions. The cardiac device is unchanged in position with one lead in the right atrium and one lead in the right ventricle. No acute osseous abnormality.

<unk>-year-old man with copd, bronchiectasis with new, persistent cough, phglem, and sob; assess for evidence of pneumonia.

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Heart size remains moderately enlarged. The aorta demonstrates diffuse atherosclerotic calcifications. Mediastinal and hilar contours are relatively unchanged. There is mild pulmonary vascular congestion. Streaky opacities in the lung bases may reflect areas of atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.

history: <unk>f with generalized pain, poor historian

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Patient is status post median sternotomy and cabg. Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures due to low lung volumes without overt pulmonary edema. Patchy opacities in lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Electronic device is again noted within the left upper chest wall.

<unk> year old man with altered mental status, leukocytosis

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Pa and lateral chest views were obtained with patient in upright position. Available for comparison is the next preceding portable chest examination of <unk>. The heart size remains within normal limits. No configurational abnormality is identified. Thoracic aorta of ordinary <unk>. The descending aorta follows in a slight curvature the moderate degree of right-sided scoliosis observed in the thoracic spine. There are some degenerative changes in the form of osteophytic reactions at the vertebral body edges, but no vertebral body compression fracture is identified. Pulmonary vasculature is not congested and there are no signs of new acute parenchymal infiltrates. Lateral and posterior pleural sinuses are free. No pneumothorax exists in the apical area. In comparison with the next preceding study, the, at that time existing, left-sided port-a-cath system has been removed.

<unk>-year-old female patient status post allogenic stem cell transplant with three days of coughing, chills, and sputum production. evaluate for any new signs of infection or abnormality.

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is unremarkable. There is stable mild anterior wedging of a mid-thoracic vertebral body.

<unk>-year-old man with hypotension and dizziness with elevated lactate.

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The right chest tube is in similar position to this morning at <time>. Right lateral chest wall subcutaneous emphysema and subcutaneous emphysema in the neck are not significantly changed from this morning. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.pneumomediastinum in the neck is stable.

<unk> year old man s/p fall with b/l rib fractures, r anterior ptx, s/p r pigtail // pigtail placed to suction; eval for re-development of ptx

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

pleuritic chest wall pain.

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The heart is again mildly enlarged. There is similar mild unfolding of the thoracic aorta as well as calcification visualized along the arch. There is a new small-to-moderate right-sided pleural effusion that prominently layers along the right lateral chest wall as well as new patchy right basilar opacity obscuring the left hemidiaphragm. The lateral view suggests a developing posterior consolidation in the right lower lobe. There are also new small patchy left basilar opacities obscuring the lateral side of the left hemidiaphragm. Fissures are also thickened reflecting pleural fluid on the right. Mild degenerative changes are similar along the lower thoracic spine.

chest pain.

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Single lead right-sided pacemaker is again seen with lead extending to the expected position of the right ventricle. The cardiac silhouette is top-normal to mildly enlarged. The patient is status post median sternotomy and cabg. There is mild central pulmonary vascular congestion with minimal interstitial edema. No large pleural effusion is seen. There is no focal consolidation or evidence of pneumothorax.

recent admission to <unk> with chf

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Compared with the prior study the left mid lung has cleared. There is persistent elevation of the right hemidiaphragm and retrocardiac opacity which appears chronic. Small right pleural effusion. No pneumothorax stable cardiomediastinal silhouette

history: <unk>m with cold symptoms recent // eval for pna

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Ap upright and lateral views of the chest provided. Since the prior exam, there is increasing bilateral perihilar opacities which, given the short interval development and in light of clinical history, is most concerning for edema. No large effusion is seen. No pneumothorax. Bony structures are intact. Evaluation is limited due to low lung volumes.

<unk>m with chf, afib on warfarin, chronic renal failure who presents with right upper quadrant abdominal pain

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There is a dialysis catheter terminating in the right atrium. A pacemaker/icd device appears unchanged. The cardiac, mediastinal and hilar contours appear stable including cardiomegaly. Mild perihilar congestive changes are stable. Minor atelectasis is suspected at the left lung base. There is no pleural effusion or pneumothorax.

fever and cough.

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Lung volumes are low, which accentuates pulmonary vascular markings. No consolidation, effusion or pneumothorax is identified. Heart and mediastinal contour are normal. Posterior lower thoracic upper lumbar fusion rods and vertebral body screws are intact.

<unk>-year-old woman with hypoglycemia/hyperglycemia, question pneumonia.

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As compared to prior chest examination, lung volumes are decreased. The cardiomediastinal and hilar contours however are within normal limits. There is no pleural effusion, focal consolidation or pneumothorax.

history of dvt presenting with worsening leg pain non-compliant with coumadin. rule out extension of dvt.

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Left picc line tip in the low svc. Heart size, pulmonary vascularity at the upper limits of normal. Improved bibasilar opacities since prior exam. There is new tiny right pleural effusion. There are no consolidations.

<unk> year old woman with hip fracture s/p repair on iv antibiotics now with persistent fever. // does this patient have pna?

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Bilateral pleural effusions, small to moderate on the right and small on the left, are unchanged since <unk>. Moderate compressive atelectasis is again identified. The heart size is stable. No pneumothorax or pulmonary edema. No focal consolidations are noted. Bilateral pleural thickening is unchanged.

<unk> year old man with pleural effusion // eval

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Lung volumes are low. There is a band of atelectasis in the right lower lung. No consolidation concerning for pneumonia. No large effusion or pneumothorax. The heart is top-normal in size. Mediastinal contour is normal. Bony structures are intact.

<unk>-year-old female with crackles in the left lower lobe. evaluate for pneumonia.

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Ap and lateral views of the chest are compared to previous exam from <unk>. Improved inspiratory effort is seen on the current exam. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is unchanged, noting a tortuous descending thoracic aorta with atherosclerotic calcifications. Dual-lead pacing device is seen with lead tips in the right atrium and right ventricle. The osseous and soft tissue structures are unchanged.

<unk>-year-old female with 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 prod cough, hx tb <unk>, pls eval for pna vs cavitary lesion.

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Cardiomediastinal contours are stable with mild cardiomegaly. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman with subacute infarct and cough, r/o trigger for cva (pna) // cva

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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 left scapula pain, status post fall

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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 chest pain // acute cardiopulmonary process

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There are numerous round opacities scattered throughout bilateral lungs, consistent with pulmonary metastasis, larger or new compared to <unk>. The largest lesion measures <num> cm in the right perihilar region. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

<unk> year old man with known metastatic rcc // evaluation prior to starting new therapy ;<unk> <unk>; v<num>

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Pa and lateral chest radiographs were obtained. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no displaced fractures.

<unk>-year-old man with mid back pain, question widened mediastinum.

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Frontal and lateral views of the chest. No prior. There is focal opacity at the lateral left costophrenic angle, potentially due to overlying soft tissues and prominent pericardial fat pad. The lungs are otherwise clear of focal consolidation. Posterior costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with third-degree heart block.

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The cardiac silhouette continues to be enlarged, and there is a left cardiac device with its leads projecting over the right atrium and right ventricle. Right basilar streaky opacities likely reflect atelectasis. There is no pleural effusion, pulmonary edema or pneumothorax.

<unk>-year-old male with chest pain. evaluate for infection.

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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. Faint opacity projecting over the lower thoracic spine on the lateral radiograph has been present since at least <unk>. There is no pleural effusion or pneumothorax.

<unk> year old man with esrd // please assess for any cardiopulmonary abnormalities. pre kidney transplant.

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Pa and lateral views of the chest are obtained. The previously identified cardiomegaly and elongated and tortuous aorta are again demonstrated and are unchanged since the prior study. There is no evidence of focal consolidation, pleural effusion or significant pulmonary edema.

<unk>-year-old female with left anterior chest wall discomfort. evaluation for pulmonary pathology.

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Pa and lateral views of the chest were obtained. Cardiomediastinal silhouette is normal. There is no focal consolidation, pleural effusion or pneumothorax. A port-a-cath is unchanged in position, likely terminating in the right atrium.

<unk>-year-old female with fever. rule out infectious process.

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There is mild interstitial edema. Small bilateral pleural effusions are noted. The cardiac silhouette remains moderately enlarged. There is no pneumothorax.

<unk>m with wheezing, evaluate for edema.

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation. There is no acute osseous abnormality.

<unk>m with <num> days of dyspnea, productive cough, evaluate for pneumonia..

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There is subtle increase in prominence of the hila since <unk> which may be due to pulmonary vascular engorgement. Subtle increase in suprahilar opacity, bilaterally, particularly on the left, may relate to vascular congestion, however, underlying infectious process is not excluded. No large pleural effusion is seen. There is no pneumothorax. The patient is status post median sternotomy and cabg with the cardiac silhouette stable to possibly slightly increased in size. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with afib // acute process?

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There is chronic atelectasis in the right middle lobe. No focal consolidation is identified. Lung volumes remain low. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.

history: <unk>m with hyperglycemia, chest pain // evaluate for acute process

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Pa and lateral views of the chest show stable heart size. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Increased interstitial lung markings are stable and may relate to pulmonary vascular congestion. There is no focal consolidation concerning for pneumonia. Again seen is chronic anterior dislocation of left shoulder and degenerative changes at the right glenohumeral joint. No displaced rib fractures are seen.

fall.

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New from prior exams is consolidation at the lateral aspect of the left long. Subpleural reticular opacities were better seen on prior chest ct. Known pleural-based density in the left lower lobe is seen on the lateral view is a spiculated density projecting over the lower thoracic pedicles. There is no pleural effusion. The right lung is clear. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are again noted.

<unk>m with chills and cough // eval for pneumonia, chf

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Median sternotomy new wires are intact. There is a prosthetic aortic valve. Mild pulmonary vascular congestion has slightly improved since <unk>. Trace bilateral pleural effusions are new. There is no pneumothorax. No new focal opacity concerning for pneumonia.

<unk>m with fever, cough, upper abd pain.

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The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Minimal blunting of the costophrenic angles posteriorly may suggest trace effusions. Lingular linear opacity likely reflects chronic scarring. No focal consolidation or pneumothorax is present. No acute osseous abnormalities are detected.

bilateral lower extremity swelling.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.

chest pain, rule out pneumonia.

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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

<unk>m with left thoracic back pain // ? pneumonia

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The heart is again moderate to severely enlarged. Opacification in the retrocardiac area of the left lower lobe persists. Although it is nonspecific as to etiology, it could probably be explained by atelectasis associated with marked cardiomegaly. There is mild upper zone re-distribution of pulmonary vascularity but findings suggesting pulmonary congestion are not as striking as on the prior examination. There is no pleural effusion or pneumothorax. Mild degenerative changes are present along the thoracic spine.

vomiting and tachypnea.

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Ap and lateral chest radiographs were obtained. Lung volumes are mildly decreased. Blunting of the right costophrenic angle is stable. There is a <num> x <num> cm lobulated opacity projecting over the lower thoracic spine on the lateral view. This appears to correlate with a left paraspinal contour on the frontal view. This was definitely not present in <unk>, the last time that a true lateral radiograph was obtained. Further imaging evaluation with ct should be considered. No pulmonary edema or pneumothorax.

chest 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. Moderate anterior osteophytes are present along several mid through lower thoracic spinal levels. The thoracic spine demonstrates mild rightward convex curvature centered along the lower thoracic spine.

vision loss.

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In comparison with the study of <unk>, there is increasing right effusion with extension into the minor fissure. Compressive atelectasis at the right base. Substantial enlargement of the cardiac silhouette with some degree of elevated pulmonary venous pressure.

right effusion.

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The heart is normal in size. There is mild unfolding of the thoracic aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

tibial plateau fracture. pre-operative examination.

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Pa and lateral views of the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

cough and hemoptysis

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The lungs are normally expanded and clear. The heart is mildly enlarged. The hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

history: <unk>m with weakness, syncope // eval for pna

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Compared to prior radiographs on <unk>, there are consolidations at the bilateral lung bases, could represent active or resolving pneumonia.there is mild-to-moderate cardiomegaly. There is no pleural effusion, vascular congestion or edema. No pneumothorax.

<unk> year old woman with chest pain, shortness of breath on exertion // r/o abnormalities

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Frontal and lateral chest radiographs demonstrate persistently low lung volumes with chronic atelectasis, which limited evaluation of the cardiac silhouette. There is mild scarring at the right base. Obscuration of the medial left hemidiaphragm is likely due to atelectasis. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable.

evaluate for pulmonary edema or other acute pathology in a patient presenting with shortness of breath, worse while laying flat.

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Compared with the prior chest radiograph, lung volumes are slightly lower, causing crowding of bronchovascular structures. Heart size, mediastinum, and hilar contours are unchanged. Except for mild bibasilar atelectatic changes, lungs are clear without pleural effusions, focal consolidation, or pneumothorax. Small linear hyperdensity projecting over the left upper abdominal quadrant has no correlate on the lateral view, and may be a surgical clip or outside the patient. No acute fracture identified. Severe degenerative change of the left glenohumeral joint appears slightly worse. Moderate right glenohumeral joint degenerative disease is unchanged. No fracture identified.

<unk>m with chest wall pain after fall. eval for acute process.

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There is persistent mild bibasilar atelectasis and heart size is top normal. No pleural abnormality. The hilar and mediastinal silhouettes are unchanged. Patient status post cabg with mediastinal clips and sternotomy wires aligned and intact. Left-sided dual-chamber pacer projects over the heart.

<unk> year old man with syncope. evaluate for pna.

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Enlargement of the cardiac silhouette is is stable. Patient has known pericardial effusion. Small left effusion with large adjacent atelectasis is stable. There are minimal atelectasis in the right base. There is no pneumothorax

<unk> year old man with history of osa and recent diagnosis of sclerosing mesenteritis with left sided pleural effusion s/p thoracentesis presenting with cough, neck and chest pain found to have moderate sized pericardial effusion. // eval interval change of l pleural effusion

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Ap and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. There is mild left basilar atelectasis. Cardiomediastinal and hilar contours are normal. Right internal jugular central venous catheter ends in the upper right atrium.

all, status post transplant, gvhd, new cough.

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In comparison with the study of <unk>, there is increased opacification at the right base medially with clearing of the apical pneumothorax. This most likely reflects volume loss, though supervening pneumonia would be difficult to exclude in the appropriate clinical setting. The left lung is clear.

right middle lobectomy, to assess for change.

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The cardiac silhouette is enlarged. Patchy right lower lung field opacities are unchanged since the prior examination. The central pulmonary vasculature is engorged, similar to prior, likely consistent with pulmonary edema. Possible, small bilateral pleural effusions are present. Upper lung lucencies reflect emphysema. No definite focal consolidation is identified, though is not entirely excluded.

history: <unk>m with hypoxia // infiltrate

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The lungs are clear without consolidation or edema. The previously noted pleural effusions have resolved. There is no pneumothorax. Mild enlargement of the cardiac silhouette is stable. Severe kyphosis with multiple compression fractures in the mid thoracic spine is unchanged. Old healed rib fractures on the right are also unchanged.

uri in late <unk>, now with purulent secretions.

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The heart is normal in size. The aorta is mildly tortuous. There is no pleural effusion or pneumothorax. The lungs appear clear.

cough.

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The heart appears mild to moderately enlarged. Diffuse opacification is mildly asymmetric, somewhat more prominent in the left mid lung than right, but most likely due overall to pulmonary edema. Opacity also obscures the posterior left hemidiaphragm, which shows upward tenting. This type of appearance could be seen with atelectasis, although infection is not entirely excluded by this examination. Fissures are thickened. There are no definite pleural effusions.

chest pain, edema and tachypnea. recent postpartum day #<num>.

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Mediastinal widening and perihilar opacification on the left have largely resolved. There is suspected minor atelectasis at the left lung base and probably small subpulmonic pleural effusions as well as thickening of fissures. However, parenchymal edema has resolved. The patient is status post coronary artery bypass graft surgery, aortic valve replacement, and placement of a three-lead pacemaker/icd device. In addition, transcutaneous pacer leads remain still visible. Suture anchors are present in each humeral head.

status post cabg and avr.

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A right internal jugular central venous catheter is in place with the tip terminating in the low right atrium, which should be retracted approximately <num> cm to place in the low svc. The patient is status post median sternotomy with multiple intact-appearing sternal wires. Multiple mediastinal surgical clips are compatible with recent cabg. There is improved but persistent opacification of the left lung base and blunting of the left costophrenic angle, compatible with a small left pleural effusion and underlying atelectasis. The right lung is clear. No pneumothorax is detected. The cardiac silhouette remains moderately enlarged but stable. The mediastinal and hilar contours are within normal limits and stable.

status post cabg, here to evaluate for pleural effusion.

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Pa and lateral views of the chest were obtained. The heart is normal size and cardiomediastinal silhouette is unremarkable. Lungs are well expanded and clear. No pleural effusion or pneumothorax.

<unk>-year-old man, iv drug abuse, fevers and shortness of breath.

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities are identified.

evaluation of patient with chest pain.

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In comparison with the study of <unk>, there are small bilateral pleural effusions with bibasilar atelectatic changes in a patient who has undergone previous cabg procedure and has intact midline sternal wires. No definite vascular congestion or acute focal pneumonia. There is opacification superimposed over the lower cervical spine. This is of uncertain etiology and clinical significance.

chf, to assess for effusion.

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The cardiomediastinal silhouette is stable, consistent with a tortuous thoracic aorta. The hila are within normal limits. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. Wedging of several mid thoracic vertebral bodies with resultant kyphosis is unchanged in comparison to prior examinations.

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

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and similar to the prior examination. Again seen is right-sided chest port, with the tip terminating at the cavoatrial junction. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.

history: <unk>f with epigastric abd pan // eval for effusion

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Cardiomediastinal silhouette is within normal limits. There is mild atelectasis at the left base. There may be a trace pleural effusion in the posterior sulcus. There is no focal consolidation. No pneumothorax. Multiple at acute rib fractures are better seen on the ct scan from earlier today.

history: <unk>f with fall and cp // pre op

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The cardiomediastinal and hilar contours are unchanged. Dense calcifications of the aortic knob are again noted. There is no pleural effusion or pneumothorax. The lungs are hyperexpanded with a new focal opacity at the right lung base. Increased interstitial markings diffusely are noted with increased peribronchial thickening.

<unk>-year-old female with headache and weakness.

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The heart size is normal. The hilar and mediastinal contours are unremarkable. No acute focal consolidations concerning for pneumonia are identified. There is no evidence of a pneumothorax or pleural effusion.

history of asthma, who presents for evaluation of shortness of breath.

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The heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Patchy bibasilar airspace opacities posteriorly are similar when compared to the previous exam, and could reflect areas of atelectasis or aspiration. Small bilateral pleural effusions appear similar. No acute osseous abnormalities demonstrated, and there is no pneumothorax. Metallic biliary stent is noted in the right upper quadrant of the abdomen.

fever, chills, emesis, weakness. history of liver cancer with biliary stent placement.

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There has been interval placement of a nasogastric tube which is seen coursing below the diaphragm and curving to the right of the spine, likely within the stomach. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal contours are within normal limits. Thickening of the right paratracheal stripe is not progressed from <unk>. There is no free air beneath the right hemidiaphragm.

obstructing right colon mass.

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Pa and lateral views of the chest. Again seen are extensive fibrotic changes particularly at the lung apices with superior retraction of the hila and bilateral pleural plaques. There is a superimposed new region of consolidation at the right lower lobe laterally worrisome for superimposed acute process. No other new consolidation is identified. Cardiomediastinal silhouette is unchanged in no acute osseous abnormality identified.

<unk>-year-old male worsening dyspnea and chest pain.