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

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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

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

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Lung volumes are normal. Streaky bibasilar opacities most likely represent atelectasis. No focal consolidation to suggest pneumonia. There is no pneumothorax or pleural effusion. Heart size is normal.

history: <unk>m with cough // evaluate for pneumonia, acute process

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Right-sided port-a-cath tip terminates within the junction of the svc and right atrium. Lung volumes are low. The heart size is accentuated as a result, but appears to be border line enlarged. The aorta is mildly tortuous. Mediastinal contours are unchanged, and there is no evidence of pulmonary vascular congestion. Patchy opacities seen within the right perihilar region, which appear relatively unchanged compared to the previous exam. Known pulmonary nodules are better assessed on the preceding ct. Atelectatic changes within the lung bases are slightly more pronounced, likely due to low lung volumes. No large pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine. Partially imaged is a percutaneous catheter within the right upper quadrant of the abdomen. Surgical anchors are redemonstrated within both shoulders.

fever in immunosuppressed patient, history of cholangiocarcinoma.

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Right-sided port-a-cath is seen terminating in the low svc/ cavoatrial junction without evidence of pneumothorax. Minimal left base atelectasis is seen. No focal consolidation or pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.

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

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Tracheostomy tube is in stable position. Left chest wall port seen with catheter tip in the lower svc. The lungs remain clear, without focal consolidation or effusion despite low lung volumes. The cardiomediastinal silhouette is within normal limits. Chronic changes of the right third rib are identified. No acute osseous abnormalities. Distention of the bowel in left upper quadrant, presumably colon is similar compared to prior.

<unk>-year-old female with tracheostomy and increased shortness of breath with hemoptysis.

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Ap upright and lateral views of the chest provided. Mildly elevated left hemidiaphragm again noted with underlying mesh coils. Numerous left rib cage deformities are again noted. Severe emphysema and hyperinflation again noted. Subtle micronodular opacities in the right mid lung raise potential concern for atypical infection versus aspiration. A similar cluster of micronodular opacity is noted in the left lower lung. Heart size cannot be assessed. Mediastinal contour is unchanged. Bony structures are intact. Suture is seen projecting over the right apex likely reflecting an old resection site. No acute fracture.

<unk>m with malaise, elevated wbc // ? pneumonia

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Pa and lateral views of the chest show no change in the slightly blunted appearance of the left costophrenic angle laterally which appears to be related to scarring when viewed in conjunction with the lateral view. There is stable minimal biapical pleural thickening and slight uncoiling of the thoracic aorta. The lungs are clear, and the heart and mediastinal contours show no suspicious change compared to the most recent prior study of <unk>. Well-corticated calcification projecting inferiorly to the distal left clavicle may be post-traumatic.

<unk> year old woman with productive cough, fever and tachycardia.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardimediastinal silouhette is normal. Cerivcal spinal fusion hardware is present, but not well evaluated on this exam. There is no significant change from prior the radiographs.

chest pressure.

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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion, or vascular congestion. Cardiac silhouette is enlarged, particularly the left atrium. Atherosclerotic calcifications noted at the aortic arch. The no acute osseous abnormality detected.

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

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

history: <unk>f with chest pain // pna? ptx?

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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 dyspnea // eval for pna

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Frontal ap and lateral views of the chest were obtained. Right basilar opacity is likely due to a combination of pleural effusion and atelectasis as seen on the concurrent ct abdomen. A rounded opacity in the right mid lung is likely loculated fluid in the right major fissure, given the partially loculated pleural effusion. The right upper lung zone and the left lung are clear aside from mild left basilar atelectasis. Heart size is top normal. The aorta is tortuous. Hilar contours are normal.

weakness.

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Ap and lateral chest radiograph. No overt edema but mild interstitial edema is difficult to exclude. Severe cardiomegaly is unchanged. There are no pleural effusions or pneumothorax. Left chest wall pacemaker with lead in the right ventricle is unchanged. Bony structures are intact.

<unk>-year-old man with shortness of breath and bilateral lower extremity edema, question pulmonary edema.

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The heart size is at the upper limits of normal, likely the exaggerating effects of low lung volumes. The mediastinal contours demonstrate subtle calcified atherosclerotic disease of the aortic knob. The hilar contours are normal. The lungs are clear but with slightly decreased volumes. There is no pleural effusion or pneumothorax. Prominence of the chest wall about the sternomanubrial/sternoclavicular joints on the lateral view is of unclear etiology, possibly calcified costochondral cartilage, degenerative change, or a pleural/osseous lesion.

<unk> year-old male with a history of asthma, now with cough.

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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 similar study of <unk>. Heart size, mediastinal structures are unchanged. Likewise, the previously described densities in the right apical area as well as the subtle changes in the left-sided mid lung field appear rather unchanged on the frontal view. Also noted are local pleural apical thickenings in conjunction with the right upper lobe apical densities as well as previously not described similar pleural densities in the left apical area. Thus, all the described changes are unaltered. The findings thus indicate that they are not active. As a conclusive diagnosis is not obtained, one may recommend a chest ct to evaluate the present abnormalities in greater detail.

<unk>-year-old female patient status post treatment for questionable respiratory infection on <unk> with z-pak. assess appearance of two indeterminate regions of opacity.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

<unk>f with chest pain // eval for pna

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The cardiac silhouette is mildly enlarged not significantly changed from prior examination. There is calcification of the aortic knob. There is mild pulmonary vascular congestion. A possible trace pleural effusion is seen on the right. No focal consolidation or pneumothorax. Severe kyphosis due to compression deformities is again noted in the thoracic spine.

dyspnea. evaluate for pneumonia or volume overload.

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The cardiomediastinal silhouette is stable, consistent with at least moderate cardiomegaly. The thoracic aorta is tortuous, unchanged. 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 sizable pleural effusion. Anterior cervical spine fusion hardware is partially imaged.

<unk>-year-old man with dyspnea, abdominal pain, distention, evaluate for pneumonia.

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As compared to the previous radiograph, the patient has made a bigger inspiratory effort. Size of the cardiac silhouette is at the upper range of normal, there is no evidence of pulmonary edema. No lung parenchymal abnormalities, except for minimal bilateral, right more than left pleural thickening. No evidence of pneumonia. Left pectoral icd in situ. No pneumothorax.

history of cardiac sarcoid, myopathy, crackles, evaluation.

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Ap and lateral chest radiograph demonstrates surgical clips which project over the left mediastinal border and centrally over the heart. Heart size is normal. There is no pleural effusion or pneumothorax. Density in the retrocardiac region seen only on the lateral view in the appropriate clinical setting could reflect developing pneumonia. There is no evidence of pulmonary edema. Imaged upper abdomen demonstrates no air under the right hemidiaphragm.

<unk>-year-old female with cough and crackles at the bases.

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As compared to the previous radiograph, the lung volumes have slightly decreased. Borderline size of the cardiac silhouette with minimal tortuosity of the thoracic aorta. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. However, a zone of minimally increased radiodensity is seen adjacent to the right chest wall, with one nodular component in the opacity projecting over the scapula. This area should be worked up with ct to exclude a potential neoplastic process. No pneumothorax. At the time of dictation and observation, <time> a.m., on <unk>, this finding was added to the radiology dashboard.

cough for three weeks, rule out pneumonia.

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Heart size is normal. Prominent central pulmonary vascular engorgement with interstitial pulmonary edema. Cardiomediastinal silhouette and hilar contours are otherwise normal. Lungs are otherwise clear. Probable small bilateral effusions. No pneumothorax.

known aortic regurgitation with new hypoxia.

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Multilevel mild loss of vertebral body height is unchanged from <unk>. No evidence of fracture. Lungs are clear. Cardiomediastinal silhouette is within normal limits.

<unk>f with s/p fall pain to right hips, left ischial tuberosity and right posterior lower ribs // eval for fractures, dislocations

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There are low lung volumes. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal, likely accentuated by low lung volumes. Mediastinal contours are unremarkable.

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

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

<unk>m with malaise, cough // eval for pneumonia

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The lungs remain hyperinflated, with flattening of the diaphragms. Biapical pleural thickening/scarring is grossly stable. No focal consolidation is seen. Stable left base scarring is noted. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.

history: <unk>f s/p <unk> cycles chemotherapy, p/w nausea since <unk>, peripheral neuropathy, edema // evaluate for intrathoracic processes, infectious process

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The cardiomediastinal silhouette is normal. The lungs are hyperinflated. There is no focal consolidation. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary edema. A mildly tortuous aorta is again noted with some peripheral calcification. Views of the upper abdomen are unremarkable.

<unk>f with generalized exertional weakness. history of dilated ascending and descending aorta, evaluate for chf, pneumonia .

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In comparison with study of <unk>, the cardiac silhouette remains at the upper limits of normal or slightly enlarged. No vascular congestion or pleural effusion. Specifically, no evidence of acute consolidation.

dysphagia, to assess for aspiration.

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Thoracic spine is severely kyphotic with several anterior wedging compression deformities of multiple thoracic vertebrae similar to before. Multiple old healed rib fractures are noted bilaterally.

history: <unk>f with chest pain, fall // eval for structural process

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Pa and lateral views of the chest provided. Lungs appear hyperinflated and 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>m with hcv, cirrhosis, increased volume status // ?cpd, volume overload

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Pa and lateral views of the chest. Lungs are hyperinflated but clear of consolidation or effusion. Cardiomediastinal cardiac silhouette is top-normal in size. No acute osseous abnormalities detected.

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

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Fractures of the right fifth through eighth lateral ribs are re-demonstrated, but better assessed on the previous rib series radiographs. There is minimal right lateral pleural thickening adjacent to the site of the rib fractures. Vague opacity within the right lateral lung base may reflect an area of contusion. No pneumothorax, focal consolidation or pleural effusion is clearly evident.

history: <unk>m with four right lower rib fractures

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No focal consolidation to suggest pneumonia is seen. There may be trace pleural effusions. No pneumothorax is identified. The heart size is normal. A right-sided central venous line is unchanged with tip in mid-to-low svc. The patient is status post median sternotomy.

febrile neutropenia.

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Lung volumes are low. No focal consolidation present. The thoracic aorta is tortuous in generally large. Focal dilatation, particular in the ascending portion is not excluded by this examination. There is no pleural effusion or pneumothorax.

<unk>f with fever, tachycardia, cancer on ct abdomen, evaluate for pneumonia..

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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Compression deformity in the lower thoracic spine is unchanged. No acute osseous abnormality is identified.

<unk>-year-old male with liver disease and infection. question pneumonia.

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Ap upright and lateral views of the chest provided. Patient's chin obscures the left lung apex. Scattered areas of atelectasis without convincing evidence of pneumonia. Hilar congestion is suspected without frank edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged allowing for slight differences in technique. No acute osseous abnormality.

<unk>f with chest pain, diffuse twi.

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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected.

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

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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.

vomiting and abdominal pain in the right upper quadrant. question intrathoracic process.

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Compared to the prior study, there is no significant interval change. There is no focal infiltrate or effusion. The cardiac and mediastinal silhouettes are unchanged with a slightly enlarged heart. No rib fractures are identified. There is no pneumothorax.

asthma and cough, question rib fracture.

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Study is slightly limited by lordotic positioning. Heart size is mild to moderately enlarged. Widening of the mediastinum superiorly may be due to the presence of mediastinal lipomatosis. Hilar contours are unremarkable, and pulmonary vasculature is not engorged. Lungs are mildly hyperinflated without focal consolidation, pleural effusion or pneumothorax. Mild multilevel degenerative changes are noted in the thoracic spine.

history: <unk>m with history of chf, acute on chronic dyspnea on exertion.

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Lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are unremarkable. No displaced rib fracture.

<unk>m with right lower rib pain and headache after fall. assess for rib fracture.

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In comparison with the prior exam, the lung volumes are lower. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.

left upper chest pain with movement.

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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Mild multilevel thoracic spine degenerative change is stable in appearance. Mild height loss of the anterior aspect of a mid thoracic spine vertebral body is unchanged.

<unk>-year-old woman with a history of hypertension, asthma, and bppv who presents with weakness and dizziness, evaluate for acute cardiopulmonary process.

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Persistent small bilateral effusions are seen, left greater than right not dramatically changed since last week's exam. Opacity in the retrocardiac region is likely due to atelectasis, similar to prior. The lungs are otherwise grossly clear noting that the right lung apex is not assessed due to patient's overlying hair. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with nephrotic syndrome, chest pressure, fluid overload // eval heart and lungs

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Chest, ap and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is a right picc terminating in the low svc. Spinal hardware is incompletely imaged on the lower lateral film.

altered mental status. rule out pneumonia.

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Lung volumes are low. Mild cardiomegaly and central vascular pulmonary congestion is unchanged. New small pleural effusion on the left is identified, with possible mild left basilar atelectasis. No pneumothorax or lobar consolidation. Multiple subtle left lateral rib deformities were better assessed on the recent cta chest.

<unk>m with multiple left sided rib fx, now c/o acute sob. r/o acute process.

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Lungs are fully expanded and clear. The appearance of a cavity in the lateral lower left lung is likely simulated by the superior border of an anterior read and a possible loculated adjacent effusion. Small dependent left pleural effusion is likely unchanged. Moderate cardiomegaly is unchanged. Cardiomediastinal hilar silhouettes are unremarkable. A fiducial seed near the right hilus is noted.

<unk> year old woman with h/o pleural effusions. now has fatigue crackles l>r // ? effusions

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There are low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

chest pain.

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There is a moderate size left pleural effusion with underlying atelectasis. No pneumothorax is detected. Heart and mediastinal contours are within normal limits.

<unk>-year-old male with increasing fatigue for several weeks and fever.

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Lung volumes are slightly low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal patchy opacities are seen in the lung bases, likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is clearly seen. Mild degenerative changes are noted in the lower thoracic spine.

history: <unk>m with fever, cough

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Frontal and lateral chest radiographs. Single-lead pacer terminates in the right ventricle. The right hemidiaphragm is persistently elevated with blunting of the costophrenic sulcus consistent with scarring. The cardiomegaly is stable. Mild pulmonary vascular congestion is chronic. There is no large pleural effusion or pneumothorax.

substernal chest pressure. prior cabg.

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Compared with prior radiographs on <unk>, overall lung volumes are decreased.the lungs are clear without focal consolidation. The mediastinal contour is slightly increased compared with prior, although remains within normal limits, likely representing increased intravascular volume. There is no pulmonary edema or effusion. No pneumothorax.

<unk> year old woman with increased seizure frequency // pneumonia?

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The inspiratory lung volumes are slightly decreased from the most recent prior study. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Minimal bi-apical pleural thickening is noted. The pulmonary vasculature is not engorged and there is no pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Multilevel degenerative changes are noted throughout the thoracic spine with mildly exaggerated kyphotic curvature.

chest pain, here to evaluate for acute cardiopulmonary process.

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A few subcentimeter calcified appearing nodular opacities in the right hemi thorax either represent vessels on and or calcified granulomas. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. The aorta is slightly tortuous.

history: <unk>m with cp // eval for pna, ptx

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Right-sided picc again extends well into the right atrium. If the desired position of the tip is at or just above the cavoatrial junction, the catheter could be pulled back by approximately <num>-<num> cm. Patchy right middle lobe opacity is seen, new since the prior study, worrisome for pneumonia. Left lung is clear. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.

history: <unk>f with pmh chronic pancreatitis presenting with subjective fever and productive cough and abdominal pain // pna

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

<unk> year old man with sob, eval pna.

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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.

<unk>-year-old with fever, myalgia, and chest pain with coughing. evaluate for pneumonia.

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Cardiac silhouette size is top normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Degenerative changes are noted involving both acromioclavicular joints with asymmetric widening of the left ac joint measuring up to the <num>-<num> mm. .

history: <unk>f with fall down <unk> steps

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Compared to prior there has been near complete resolution of the hazy opacity in the left lung base. There is no new consolidation. The cardiomediastinal silhouette is within normal limits. Old healed left rib fractures are again noted.

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

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The lungs are clear without focal consolidation. The lungs are relatively hyperinflated, suggesting underlying chronic obstructive pulmonary disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with failure to thrive and weight loss, history of smoking // evaluate for mass

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There may be subtle posterior basilar consolidation seen on the lateral view which may be due to atelectasis versus subtle pneumonia. No focal consolidation is seen elsewhere. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with fever and cough // r/o acute process

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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

pain. assess for acute process.

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Pa and lateral radiographs of the chest demonstrate pacemaker with leads in appropriate position. Aorta is tortuous. The patient has had a median sternotomy. While there are no focal areas of opacities that are concerning for consolidation or infectious process. Bilateral <unk> opacities, potentially scarring are unchanged. There are several areas of linear atelectasis, particularly in the left mid lobe. No pleural effusion or pneumothorax is present.

<unk>-year-old man with recent admission for bronchitis in the with wheezing and cough. question pneumonia.

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Since <unk> basilar consolidation has progessed, best appreciated on the lateral view, obscuring both diaphragmatic pleural interfaces . Small left pleural effusion is unchanged. Mild to moderate cardiomegaly, conceivable phsysiologic in the early postpartum period, is unchanged. There is no pulmonary edema.

<unk> year old woman with dyspnea, fever // r/o pneumonia

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There is hazy right basilar opacity which is likely secondary to atelectasis as is the l correlate of opacity seen on the lateral view. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with multiple syncopal episodes, rlq pain, hx of colitis, hx of sdh, s/p fall w head strike //

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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 congested wheezy cough // ? pneumonia

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A pacemaker/aicd generator overlies the left chest with the leads intact and unchanged in standard position. Interstitial opacities throughout both lungs have increased in comparison to recent examination. Furthermore, there is increased perihilar indistinctness as well as increased cardiomegaly. These findings are suggestive of interval development of mild-to-moderate pulmonary edema. Previously visualized right lower lobe opacity has minimally improved. There is no pneumothorax. Curvilinear calcifications along the left heart border appears stable and corresponds with a calcified aneurysm of the left ventricle.

evaluation of patient with history of congestive heart failure with orthopnea.

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Pa and lateral views of the chest provided. A tracheobronchial stents are in place, not significantly changed in overall position as compared with recent chest radiograph. A linear metallic density again noted <num> project over the lower mediastinum. Lungs are clear. Cardiomediastinal silhouette stable. Bony structures intact.

<unk> year old woman with hx/asthma, tracheobroncho malacia and pulmonary stent placement x <num> by ip <num> days ago presenting with sob // eval for recent stent complication, infection, asthma exacerbation

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The lungs are relatively hyperinflated. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous.

chest pain, 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. Imaged osseous structures are intact. Significant levoscoliosis involving the lower thoracic and lumbar spine is again noted. No free air below the right hemidiaphragm is seen.

<unk>f with chest pain last night // eval pna, effusion

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Scattered areas of mid to lower lung atelectasis/ scarring is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged. No pulmonary edema is seen. .

history: <unk>f with hx of dchf p/w sob, cp and weight gain // assess for edema, effusion, infiltrate

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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lung volumes are low. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Multiple clips are seen within the right upper quadrant of the abdomen.

<unk> year old woman with metastatic intrahepaticcholangiocarcinoma in the setting of primary sclerosingcholangitis and ulcerative colitis currently on modified folfox (c<num>d<num> on <unk>) presenting with fever.

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Ap and lateral views of the chest. No prior. Increased interstitial markings are seen in the lungs bilaterally. More focal opacities seen at the right lung base. Cardiac silhouette is enlarged. Degenerative, potentially post-traumatic changes seen at the proximal right humerus which are incompletely visualized.

<unk>-year-old female with fall.

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Re-identified are multiple median sternotomy wires consistent with prior cabg. The cardiomediastinal silhouette is stable, reflective of moderate cardiomegaly. The hila are within normal limits. Lung volumes are low. There is no pulmonary vascular congestion or pulmonary edema. Linear opacity at the right and left lung bases likely reflect atelectasis. There is no pneumothorax or pleural effusion. The right internal jugular vein catheter has been removed. At lower lung volumes, a platelike atelectasis is seen at the right lung basis.

<unk>-year-old man status post cabg presenting with left chest tightness.

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A linear right upper lung opacity is re- demonstrated, overall similar in appearance to <unk>. The lungs are hyperinflated but clear. The cardiomediastinal and hilar contours are within normal limits.

<unk>f w/weakness, please eval for occult pna // <unk>f w/weakness, please eval for occult pna

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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly. Minimal atelectasis at the right lung base. Vascular stent. No pleural effusions. No acute parenchymal pathologies. Moderate cardiomegaly. No pneumothorax.

history of renal transplant, evaluation for cardiopulmonary process.

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

asthma exacerbation last night with chest pain.

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Low lung volumes are present. The cardiac silhouette size appears moderately enlarged but unchanged. Mediastinal contour appears similar with unfolding of the thoracic aorta again seen. Mild pulmonary edema is new in the interval with a small right pleural effusion appearing similar. Small amount of fluid is also seen within the minor fissure. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax is present. There arm mild degenerative changes noted in the thoracic spine.

history: <unk>f with dyspnea

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The lungs are hyperinflated. Coarsened lung markings, similar compared to prior are likely due to a chronic underlying interstitial changes. There is no consolidation, effusion, or pneumothorax. Calcified paraesophageal node partially visualized. No displaced fractures identified.

<unk>m with syncope, + head strike, ams // eval for cardiomegaly

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Heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. Pulmonary vasculature is not engorged. Streaky atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Moderate degenerative changes are noted in the thoracic spine. Clips are seen within the right upper quadrant of the abdomen. No displaced rib fractures identified.

history: <unk>m with right sided chest pain // ? rib fracture vs. infectious process

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The patient is status post sternotomy and probably cabg. The cardiac, mediastinal and hilar contours appear stable. Fissures are thickened. Small pleural effusions are present. The lungs demonstrate a predominantly central interstitial abnormality suggesting mild pulmonary edema. Although probably not acute, non-displaced right anterior lateral third through fifth rib fractures are newly apparent.

question congestive heart failure.

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As compared to the previous radiograph, the lung volumes have increased, likely following an improved inspiratory maneuver. No pleural effusions. No evidence of pneumothorax or other acute lung pathology. The frontal and lateral radiographs show normal diaphragmatic contours. Normal size of the cardiac structures.

pancreatic cancer, shortness of breath.

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Patient had a prior history of right upper lobe lobectomy and radiation therapy. There is no new lung consolidation. Mediastinal and cardiac contours are unchanged.

history of copd, asthma, to rule out pneumonia.

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Left-sided port-a-cath tip terminates in the mid svc. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the lower thoracic spine.

history: <unk>m with fevers for the past two weeks, likely due to ascending cholangitis, but need to rule out pneumonia // please assess for pneumonia as part of fever workup

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There has been interval removal of the previous right central venous line.

patient with shortness of breath.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart is normal in size. Widened mediastinum is stable from <unk>.. No acute osseous abnormalities are seen. There is no free air under the right hemidiaphragm.

<unk>f with widened mediastinum and abd pain

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Increased interstitial markings are seen in the lungs bilaterally, more conspicuous on the right than the left as seen on prior. There are small bilateral pleural effusions. The cardiomediastinal silhouette is stable, top-normal in size. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.

<unk>m with transient hypotension/ams // acute process

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Since the prior study, new perihilar and basilar opacities are worrisome for mild to moderate pulmonary edema. Underlying infection and exclude in the appropriate clinical setting, particularly at the left lower lobe. There may also be small pleural effusions posteriorly. Cardiac and mediastinal silhouettes are stable.

history: <unk>m with weight gain, sob, and dialysis pt // ?pulmonary edema

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Cardiac silhouette size is normal. The aorta is tortuous. Mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

chest pain, shortness of breath and cough

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The cardiac silhouette size is top normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

pleuritic chest pain after parotid surgery.

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The referenced prior radiograph is not available for comparison when the pneumonia was diagnosed, and no comment on interval change can be made. There is no evidence of pneumonia. Heart size and mediastinal contours are normal. No pleural effusion or pneumothorax.

<unk> year old woman with lll pneumonia on <unk> admitted to outside icu. smoker. sx resolved. // f/u on 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. There is no free air below the diaphragm.

<unk> year old woman with h/o possible pneumonia in <unk> // follow up of pneumonia

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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is diffuse bronchial wall thickening, likely reflective of small airways disease.

<unk>f with <num> weeks of cough, eval for pna.

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New nodular opacities in the right upper and left upper lobes when compared to the prior. The lingular opacity is slightly less conspicuous. The heart is not enlarged. No adenopathy. No pleural effusions or pneumothorax.

<unk> year old diabetic man with recent sinus infection and pneumonia, treated with antibiotic for a week // follow up infiltrate on left

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Lung volumes are low. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is persistent asymmetric elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. Surgical clips project over the right upper quadrant.

history of liver cancer, now with worsening fatigue and cough, evaluate for acute process.

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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 weakness, abd pain. evaluate for focal consolidation.

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Pa and lateral views of the chest provided. Areas of basal scarring are unchanged from recent prior ct. Otherwise lungs are clear. The heart is top-normal in size. Mediastinal contours unremarkable. Bony structures are intact.

<unk>m with dyspnea // evaluate for acute process

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Frontal and lateral views of the chest are provided. A severe kyphosis of the thoracolumbar spine is noted, which slightly limits evaluation. Lung volumes are low, which accentuates bronchovascular markings. Possible very mild perihilar vascular congestion is present. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is top normal. Partially preserved imaged upper abdomen is unremarkable.

cough.

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Lung volumes are relatively low but the lungs are grossly clear without obvious consolidation. Cardiac silhouette is slightly enlarged but this is likely in part due to ap technique and low lung volumes. Severe degenerative changes noted at the shoulders bilaterally, worse on the left. No acute osseous abnormalities.

<unk>m with hx repeated falls // ?ich, ? fx ? pna

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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 woman with left-sided chest pain.