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

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There is moderate cardiomegaly, unchanged. Left pleural effusion is decreased in size, and linear opacities in the left lower lung are indicative of atelectasis, likely chronic. The right lung demonstrates mild atelectasis at the base. Sternal wires are intact.

history: <unk>m with with a cough. evaluate for infectious process.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left lower lobe pneumonia is less dense, improving over time. No pleural effusion or pneumothorax.severe bilateral apical thickening and likely calcified granulomas are unchanged from prior. Chronic changes in the right base are again seen.

<unk> year old man with recurrent pneumonia // have infiltrates continued to resolve?

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

<unk> year old woman s/p l vats wedge // ? interval change

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Pa and lateral views of the chest demonstrate moderate cardiomegaly, unchanged. Patient is status post median sternotomy and aortic valve replacement. Minimal right basal atelectasis is again noted. No pleural effusion, focal consolidation or pneumothorax is demonstrated. No evidence of pulmonary edema.

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

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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are normal. No bony abnormality is detected.

patient with history of smoking and productive cough, evaluate chronic cough.

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Chest, pa and lateral. There is little interval change from the prior study. The lungs are hyperinflated but clear. Cardiac size is top-normal. The thoracic aorta is unfolded in configuration. There is no pneumothorax. There is minimal pleural scarring at the left base. Pulmonary vascularity is normal.

<unk>-year-old woman with gallstone pancreatitis. for preoperative evaluation.

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

fever, cough.

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Lung volumes are low. The heart size is exaggerated as a result, and appears mildly enlarged. The aorta is unfolded. There is crowding of the bronchovascular structures without overt pulmonary edema. Streaky opacities in the lung bases are most likely reflective of atelectasis. Infection is not completely excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

cough, shortness of breath.

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The cardiomediastinal and hilar contours are within normal limits. There is bibasilar atelectasis, most prominent at the left lung base. Increased opacity in the left lower lobe could reflect early pneumonia. There are probable small bilateral pleural effusions. No pneumothorax is identified.

cough. question pneumonia.

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Pa and lateral views of the chest provided. Dual lead left chest wall pacer is unchanged with intact appearing leads extending the region the right atrium and right ventricle. Lung volumes are low limiting assessment. Allowing for this, the lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable and normal. Lap band projects over the upper abdomen. No free air below the right hemidiaphragm. Bony structures are intact.

<unk>f with pacer. ?bradycardia // eval for lead placement

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Aside from a small region of plate like atelectasis in the middle lobe 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 and hilar contours are within normal limits. The trachea is midline. Mild degenerative changes of the bilateral acromioclavicular joints is noted.

history of liver transplant, now with abnormal breath sounds at the bilateral lung bases, here to evaluate for pleural effusion.

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Lungs are hyperinflated with emphysematous changes again noted, most pronounced in the upper lobes. Infrahilar clips on the right are re- demonstrated. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Linear atelectasis is seen within the left lower lobe. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified. Remote fracture of the right fifth posterior rib is again noted.

history: <unk>f with subjective increase in work of breathing

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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated, but clear of focal consolidation. Biapical scarring is again noted. Cardiomediastinal silhouette is stable in configuration. Mid thoracic dextroscoliosis is again noted. No displaced rib fractures are seen.

<unk>-year-old female with presyncope.

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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. The position of the pacemaker is unremarkable, the leads are in normal position, one projecting over the right atrium and one projecting over the right ventricle. There is no evidence of pneumothorax. Borderline size of the cardiac silhouette, no pulmonary edema. Known and constant elevation of the left hemidiaphragm.

new pacemaker, evaluation for pneumothorax.

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As compared to the previous radiograph, there is no substantial change. The extent of the known right pleural effusion is constant in appearance and extent. The lateral radiograph shows the presence of a small left pleural effusion, located dorsally, that is not apparent on the frontal view. The areas of atelectasis at both lung bases are constant. No pulmonary edema. No pneumothorax. Unchanged normal size of the cardiac silhouette.

shortness of breath, status post right thoracocentesis, evaluation.

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Again seen is a right hilar mass, grossly unchanged prior exam on <unk>. There is mild increased atelectasis seen adjacent to this mass. There is no new focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable.

history: <unk>f with sob. lung mass // pneumonia? bronchial plugging?

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Pa and lateral views of the chest provided. Clips are noted projecting over the upper abdomen. The lungs are clear. No signs of pneumonia, edema, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. Gas-filled dilated loop of small bowel projects over the left upper quadrant.

<unk>m with upper abd pain, h/o sbo

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Cardiac silhouette size is normal. Leftward deviation and narrowing of the trachea at the level of the thoracic inlet due to a right upper paratracheal mass is re- demonstrated, better assessed on the recent ct. Multiple clips are again noted within the right neck. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Known metastases within the lungs, the largest within the left lower lobe and left upper lobe, are also better assessed on the recent ct. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Hypertrophic changes are seen throughout the thoracic spine.

<unk> yom with pmhx ptc and now with anaplastic thyroid cancer presenting with weakness/shakiness and disorientation x <num> day.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable and the heart size appears top-normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with sob

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Of incidental note is deformity of the left clavicle relating to previous trauma.

cough, to assess for pneumonia.

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Frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Multiple metastatic pulmonary nodules and are better evaluated on recent ct chest. Nodules visualized on chest radiograph include <num> left lower lobe nodules measuring <num> x <num> cm and <num> x <num> cm, seen on frontal view, and a posterior nodule measuring <num> x <num> cm on lateral view which likely corresponds with a nodule posterior to the right hilus on ct chest. There is no focal consolidation, pleural effusion, or pneumothorax.

metastatic renal cell cancer. baseline assessment prior to start of therapy.

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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.

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

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Pa and lateral views of the chest. There are no definite focal consolidations. No pneumothorax. There is a chronic retrocardiac opacity, present on <unk> consistent with scarring. Cardiac and mediastinal contours are normal. No pleural effusions.

<unk>-year-old male with cough.

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Mild right base atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is mild anterior wedging of a lower thoracic vertebral body of indeterminate age. No priors for comparison.

history: <unk>f with l sided cp s/p mvc *** warning *** multiple patients with same last name! // eval for ptx

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There is a large right-sided pleural effusion. The right lung apex and left lung are clear. There is no pneumothorax. Cardiac silhouette is difficult to assess given silhouetting on the right but is likely enlarged. No acute osseous abnormalities identified.

<unk>m with fall, headstrike, shoulder pain, hip pain // eval fracture, head bleed

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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 chest pain // ? acute intrathoracic process

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Focal consolidation in the left lower lobe concerning for pneumonia. No pleural effusion no pneumothorax. Size cardiac contours is normal. Cardiomediastinal border is a hilar structures are normal.

<unk> year old man with cough, fever // any pneumonia evident?

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Frontal and lateral views of the chest. The lungs are hyperinflated but clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old male with left arm weakness.

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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are intact.

<unk>-year-old male with shortness of breath and cough, evaluate for infectious process.

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The cardiomediastinal and hilar contours are stable. There is no wall pneumothorax. Slight blunting of the right costophrenic angle is consistent with a small right pleural effusion. There may be a tiny left pleural effusion as well. Lungs are hyperexpanded with flattened hemidiaphragms, consistent with copd. There is no focal consolidation concerning for pneumonia. There is no free air in the upper abdomen.

<unk>m with cough and fever

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The heart is mildly enlarged. The cardiomediastinal and hilar contours are within normal limits. Lung volumes are low which accentuates bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>m with hart n/v dizziness // eval for pna

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In comparison with the study of <unk>, there is increased opacification at the left base with lower lung volumes. Although this could merely reflect post-operative atelectasis, in the appropriate clinical setting, the possibility of supervening pneumonia would have to be considered. No definite vascular congestion. Cardiac silhouette is more prominent, though this may merely be a manifestation of the low lung volumes.

post-operative oxygen requirement.

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The lungs are clear of consolidation some effusion and pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk> year old man with clubbing // r/o acute process

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The heart is normal in size. There is prominence of the bilateral hila region, corresponding to enlarged lymph nodes, as seen on subsequent ct examination. There are diffuse nodular opacities in the bilateral lungs with a dominant lesion seen at the left apex and increased intersitial marking on the right as well. These findings correspond to metastatic lesions seen in the subsequent chest cta performed on the same day. There is no large pleural effusion or pneumothorax.

cough, chills. rule out pneumonia.

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Pa and lateral views of the chest provided. Loops a right upper extremity access picc line is seen with its tip in the low svc. Pulmonary vascular congestion is noted with mild interstitial pulmonary edema. Small to moderate bilateral pleural effusions are present, left greater than right. There is airspace consolidation in the left lower lobe which may represent atelectasis and/or pneumonia. No pneumothorax. Heart size is difficult to assess. Mediastinal contour appears grossly unremarkable. Bony structures are intact.

<unk>f with known pna with pleural effusion with worsening sob

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Cardiac silhouette size is normal. The aorta appears mildly tortuous. Mediastinal and hilar contours are unchanged. Punctate calcification in the left lung base likely reflects a granuloma, unchanged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.

chest pain, shortness of breath

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The lung volumes are lower than prior, resulting in crowding of the bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiomediastinal contours are unchanged. Hilar structures are unremarkable.

productive cough and chest pain. evaluate for infiltrate.

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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. Bony structures are unremarkable.

fatigue, malaise and weakness.

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The lung volumes remain low with small left-sided pleural effusion and retrocardiac opacity. There is also mild right lower lobe opacity. Mild cardiomegaly. No overt interstitial edema. No pneumothorax. Multiple rib fractures on the left.

<unk> year old man s/p bike accident w/ small l pneumothorax on osh ct // interval change

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Frontal and lateral views of the chest. The lungs are clear of consolidation. There is a nodular opacity projecting just lateral to the left hilum, this could be due to superimposed shadows from perihilar vasculature however shallow obliques suggested to exclude underlying pulmonary nodule. The cardiac silhouette is slightly enlarged. No acute osseous abnormalities detected.

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

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. The aorta is calcified. The lungs are hyperinflated. Hiatal hernia is noted.

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

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Left-sided port-a-cath tip terminates within the deep right atrium. Large right pleural effusion appears increased in size compared to the previous exam. Bilateral hilar and mediastinal masses compatible with known metastatic lymphadenopathy are re-demonstrated. Right basilar opacification likely reflects atelectasis. Left lung demonstrates no focal consolidation. Small left pleural effusion is noted. There is no pneumothorax. No pulmonary vascular congestion is evident. There are multilevel degenerative changes of the imaged thoracolumbar spine.

renal cell carcinoma with metastases to the lung and prior pleural effusion on the right, now with shortness of breath.

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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

pleuritic chest pain.

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The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

history of epigastric pain, question pneumonia.

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The lungs are hyperinflated with increased lucency at the apices, particularly on the right. This is most consistent with emphysema. There is no focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

cough, low-grade fever and right basilar crackles. evaluate for pneumonia.

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No previous images. Hyperexpansion of the lungs with flattening of the hemidiaphragms suggests some chronic pulmonary disease. There is some asymmetric opacification at the left base with poor definition of the outer aspect of the hemidiaphragm. Although this could merely reflect atelectasis, in the appropriate clinical setting supervening pneumonia would have to be considered.

cough and dyspnea, to assess for right pneumonia.

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The patient is status post median sternotomy and mitral valve replacement. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.

history: <unk>m with hypotension

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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures identified.

history: <unk>f with fall, seizure, weakness, cxr requested by neurology cs // ?cpd

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There is ill-defined opacity which partially obscures the left hemidiaphragm as compared to the right and there is some opacification of the lower thorax on the lateral view. No pleural effusion, pulmonary edema or pneumothorax is present. There is mild cardiomegaly. The patient is status post median sternotomy and cabg. Incidental note is made of congenital bridging of the left anterior fourth and fifth ribs.

dizziness.

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The cardiac, mediastinal and hilar contours are unchanged. Multiple clips are again demonstrated within the left hemithorax as well as within the upper abdomen, unchanged. The pulmonary vascularity is normal without evidence of pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities present.

altered mental status.

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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal allowing for low lung volumes. No displaced rib fracture is seen. No clavicular abnormality is identified on this frontal radiograph.

status post assault with pain over left clavicle and left upper ribs.

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Pa and lateral views of the chest. There is a new right chest wall port with catheter tip in the mid svc. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is normal. There is no acute osseous abnormality detected.

<unk>-year-old female with fever on chemotherapy.

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Ap upright and lateral views the chest provided. Midline sternotomy wires and prosthetic aortic valve again noted. Mild basilar atelectasis without convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>-year-old male with weakness.

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The lungs are hyperinflated but well aerated without focal consolidation concerning for pneumonia. Trace pleural effusions are seen along the posterior sulcus on the lateral view. No pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is mildly enlarged but stable. Tortuosity of the thoracic aorta is unchanged with mild calcification at the aortic knob. The visualized upper abdomen is unremarkable.

back pain and weakness, here to evaluate for pneumonia.

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Lungs are well inflated bilaterally with subtle opacity adjacent the right heart border on frontal view and projecting over the lower thoracic vertebra on the lateral view. These findings may represent a possible developing pneumonia. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. The aorta is stably tortuous. The cardiomediastinal silhouette is unchanged and within normal limits. There are stable multilevel degenerative changes seen along the thoracic spine.

<unk>-year-old female with cough x<num> weeks.

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Heart size is normal. The aorta demonstrates diffuse atherosclerotic calcifications. Mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Except for minimal atelectasis in the retrocardiac region, the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>f with shortness of breath

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Frontal and lateral views of the chest demonstrate low lung volumes. There are ill-defined heterogeneous opacities in the right lung base and right mid to upper lung zone. Similar opacities are present in the left lung base. There is a small-to-moderate right pleural effusion. No left pleural effusion is seen. Hilar and mediastinal silhouettes are prominent. Heart size is normal. There is no pulmonary edema.

patient with recent diagnosis of the right lung 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 with cp // pna?

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding available portable ap single view chest examination of <unk>. Previously described moderate cardiomegaly and evidence of pulmonary congestion has regressed. Heart size is presently within normal limits. There is moderate widening and elongation of the thoracic aorta, but no evidence for any local contour abnormality. The pulmonary vasculature is not congested. With the exception of a thin plate atelectasis in the mid field of the right lung, there is no evidence of any remaining acute pulmonary infiltrate. Thus the on previous ct identified pulmonary densities suggestive of contusion are not seen anymore. Again noted are local rib fractures beginning with the posterior aspect of the right second rib and reaching to the posterior aspect of the eighth rib on the right side. There are additional rib deformities in the lateral chest wall involving the lateral portions of the fifth, sixth, seventh, and eighth rib where there is some increased soft tissue density surrounding the non-displaced fractures indicating beginning callus formation. There is no evidence of any pneumothorax or pleural effusion in lateral or posterior pleural sinuses.

<unk>-year-old male patient with rib fractures, evaluate rib fractures.

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The lungs are clear. On the lateral projection one can see the right anterior diaphragmatic pleural contour is elevated and flattened, obliterating the anterior sulcus. This could be due to a small, residual loculation of previously large pleural effusion, or pleural thickening. The left basal pleural surface is normal. Small areas of right costal pleural thickening reflect prior pleural insult. Cardiomediastinum is within normal limits and stable.

<unk>-year-old male with a history of renal cell carcinoma and status post partial right nephrectomy. study is to evaluate for a possible lung metastasis.

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Frontal and lateral radiographs of the chest demonstrate low lung volumes which result in bronchovascular crowding. The known right hilar mass and peripheral opacities are better characterized on recent ct of the chest, but do not appear grossly changed. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation.

chest pain.

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

<unk>-year-old female with neck pain occasionally for weeks. nonfocal chest pain and shortness of breath.

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Tip of the right port-a-cath terminates in the upper svc. Left lung volume is slightly lower than the right. No focal consolidation to suggest lobar pneumonia. Streaky right lung base opacity likely represents atelectasis. Note is made of a lobulated hyperdense structure projecting over the lower thoracic spine on the lateral view, and over the left heart border on the frontal view, which corresponds to a calcified pleural plaque. Cardiomediastinal contours are normal. No subdiaphragmatic free air. No acute osseous abnormalities identified.

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

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As compared to the previous radiograph, the pre-existing right lower lobe pneumonia has almost completely resolved. Resolution is more impressive on the lateral than on the frontal radiograph. However, at the right anterior lung bases, areas of scarring and pleural thickening persist. The left lung is better inflated than on the previous examination. The right picc line has been removed. Status after right adenocarcinoma and subsequent surgery. Unchanged size of the cardiac silhouette.

copd, bronchomalacia, status post right main stem bronchus stent. evaluation for resolution of right lower lobe pneumonia.

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Pa and lateral views of the chest. No prior. Left-sided central line is seen with catheter tip in the mid svc. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with fever, on steroids. question pneumonia.

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A right port-a-cath is unchanged with the tip terminating in the proximal right atrium. The inspiratory lung volumes are appropriate. Bibasilar opacities are improved from the prior study of <unk>. A trace right pleural effusion is likely present. The lungs are clear without focal consolidation concerning for pneumonia. No pneumothorax or left pleural effusion is seen. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

history: <unk>f with cough, fever // eval for pneumonia

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The lung volumes are low. The lungs are clear without pleural effusion or pneumothorax. The aorta is unfolded. The heart size is normal.

<unk>-year-old man with advanced dementia and <num> falls in the last <num> hours. evaluate for acute pathology.

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The lungs are clear without focal consolidation pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. Hardware in the bilateral humeral heads and spine with associated degenerative changes are noted. Ivc filter is partially visualized. No fracture is identified.

<unk>-year-old woman status post mechanical fall with tenderness over the left anterior chest.

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The lungs are clear without focal opacity, overt pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. Old bilateral healed rib fractures are identified.

<unk>m with chest pain, doe x<num> month, esrd not on dialysis.

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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

<unk>f with lower extremity pain/ swelling. evaluate for pulmonary edema.

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There is chronic elevation of the right hemidiaphragm, unchanged from <unk> years prior. There are mildly increased vague opacities in the left upper lobe. The heart size remains normal. There is no pleural effusion. There is no pneumothorax.

<unk>f with immunosuppresion, cough // pna?

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There are two fiducial markers at the left hilum, where there is again a lobular mass with opacification of the left mid to lower lung, signifying a pleural effusion that is probably moderate to large in size. The right lung remains clear. Findings appear unchanged allowing for differences in technique since a scout view from the prior chest ct.

weakness.

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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.

<unk> year old woman with latent tuberculosis, reports possible hemoptysis. r/o active tb // assess for active vs latent tb vs other pathology.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Minimal subsegmental atelectasis is noted within the left lung base. There are no acute osseous abnormalities identified. Mild degenerative changes are noted in the thoracic spine.

possible syncope post motor vehicle collision with anterior chest pain.

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The patient is status post median sternotomy, ascending aortic replacement and aortic valve replacement. The cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine.

chest pressure, near-syncope.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pulmonary edema, or pneumothorax. Imaged osseous structures and upper abdomen are without an acute abnormality.

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

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.

<unk> year old man with chronic cough, worsened over the past <num> days and recent subjective fever. // is there evidence of cardio-pulmonary disease?

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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.

<unk>-year-old with cirrhosis.

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As compared to <unk> chest radiograph, cardiomegaly and tortuosity of the thoracic aorta appear unchanged. Right-sided partially loculated pleural effusion appears slightly increased in size with adjacent increased opacity at the right lung base. Small left pleural effusion is new.

<unk> year old man with dyspnea and cough // r/o chf, r/o pneumonia

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Bibasilar fibrotic changes are noted, better seen on patient's prior ct chest examination. The lungs are well expanded without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

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

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When compared to prior, there has been interval enlargement of the bilateral pleural effusions, small on the right, moderate on the left. There is no visualized pneumothorax. Superiorly the lungs are clear. Right basilar opacity may be due to atelectasis. Cardiac silhouette is difficult to assess. Coronary artery stents are noted. No acute osseous abnormalities.

<unk>m with dyspnea // eval infiltrate, effusion, chf

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Right-sided picc terminates in the mid svc without evidence of pneumothorax. There are trace bilateral pleural effusions with overlying atelectasis. Large retrocardiac opacity most likely represents a hiatal hernia with adjacent atelectasis. The aorta is calcified and tortuous. The cardiac silhouette is top-normal to mildly enlarged.

history: <unk>m with r picc // eval picc line

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The lungs are clear. There is no pneumothorax. The previously described opacity in the infrahilar region on the lateral view is artifactual, and likely due to confluence of vascular structures. Regional bones and soft tissues are unremarkable.

<unk> year old woman with concern for pna. follow pa/lat film needed to re-assess infrahilar region on lateral to r/o nodule(s).

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Right-sided aortic arch again noted. Cardiomediastinal contour is unchanged. There is no focal lung consolidation. Right apical thickening is unchanged. There is no pleural effusion or pneumothorax. A right chest wall port-a-cath ends in the right atrium.

<unk>-year-old woman with cough x <unk> weeks with shortness of breath, cardiopulmonary process

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

<unk>f with congestion and cough // <unk>f with congestion and cough

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There is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. There is mild unfolding of the thoracic aorta. The cardiac, mediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. Fissures appear slightly thickened, but there is no evidence for parenchymal edema. Bilaterally, nipple shadows are visualized. Otherwise, the lung fields appear clear. Small-to-moderate osteophytes are noted along mid through lower thoracic spinal levels. The bones appear demineralized.

generalized weakness.

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There are somewhat low lung volumes with bronchovascular crowding. There is mild pulmonary edema. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stably enlarged. Median sternotomy wires are noted

history: <unk>f with cough // eval for 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. Mildly displaced acute rib fractures of the right eighth and nineth lateral ribs are noted. Remote fractures of the left third through fifth ribs are also seen. Compression deformity of a vertebral body at the thoracolumbar junction appears unchanged.

right rib pain after fall last night.

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Ap and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes seen on the current exam. There are increased interstitial markings without frank evidence of consolidation or effusion. Cardiac silhouette is enlarged but not changed given differences in positioning and technique. Calcification projecting over the right lung apex could be due to calcification/scarring versus due to overlying vascular calcifications. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with left leg pain and swelling, erythema.

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Size is normal. Cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. The bones are grossly unremarkable.

history: <unk>m with s/p falling off scooter // eval ? rib fx, ptx

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Small right pleural effusion persists, stable to possibly minimally larger compared to the prior study. The left lung is clear. There is no focal consolidation or pneumothorax. Cardiac and mediastinal silhouettes are stable.

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

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Bilateral pleural effusions with lung base atelectasis is not significantly changed. There is no pneumothorax. A retrocardiac opacity in the appropriate clinical setting could represent pneumonia.

history: <unk>m with incompletely treated infective endocarditis, chest pain, dyspnea // eval for pulmonary edema, infiltrate

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Heart size is borderline enlarged. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lung volumes are slightly low. Streaky opacities are demonstrated the lung bases. There appears to be slight blunting of the costophrenic angles bilaterally, suggestive of tiny pleural effusions. No pneumothorax is identified. There are moderate degenerative changes seen in the thoracic spine. No displaced fracture is identified.

history: <unk>m with right sided rib pain status post fall

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Patient is status post median sternotomy and aortic valve replacement. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Elevation of the right hemidiaphragm is unchanged. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine.

history: <unk>m with ataxia, altered mental status

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Moderate cardiomegaly is similar compared to prior. There is mild pulmonary edema although improved since previous exam. There is no pleural effusion. Left chest wall dual lead pacing device is again seen. No acute osseous abnormalities.

<unk>m with weakness // acute cardiopulm disease

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Pa and lateral chest radiograph demonstrates no focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are stable in appearance when compared to prior study dated <unk>. The heart is moderately enlarged. Stable linear scarring or atelectasis in the right base. The trachea is deviated to the right secondary to a tortuous aorta. Eventration of the right hemidiaphragm is noted. Additional note is made of multilevel degenerative changes throughout the thoracic spine. Right posterior sixth rib markedly diminutive as on prior exam.

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

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The lung volumes are normal. Borderline size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions. No evidence of lung nodules or masses.

increasing hcg, rule out pulmonary lesions.

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There is no focal consolidation, pleural effusion, or pneumothorax. The heart is again top-normal in size. A left pectoral pacemaker is seen with transvenous leads in the right atrium and right ventricle.

history: <unk>m with chest pain // ? cardiopulm pathology

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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 cough and fever // r/o pneumonia

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Pa and lateral views of the chest provided. Feeding tube descends through the thoracic midline into the left upper abdomen. 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 psc presenting with elevated tbili. concern for cholangitis. // pvt? changes?