ChayanM/MIMIC-MultiView-Findings-Query_Optional

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.

<unk>f with burning epigastric pain and chest pain radiating to left shoulder with vomiting and diarrhea // acute cardiopulmonary abnormality

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Two frontal chest radiograph were obtained. Right medial basilar opacity persists, likely reflecting a combination of known metastatic lesion with atelectasis. Previously noted metastatic nodules within the lungs on prior chest ct are not clearly seen on the current exam. There is no focal consolidation, effusion or pneumothorax. There is moderate convex right scoliosis. The mediastinum is shifted rightward by scoliosis and the aorta is unfolded. Cardiac silhouette size is unchanged. Low thoracic fusion hardware is intact. A right chest port-a-cath tip terminates at the cavoatrial junction. Syringothoracic shunt catheter remains coiled within the left hemithorax.

vomiting and hypotension.

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A large right pleural effusion is demonstrated, substantially increased in size compared to the <unk> exam, with near complete opacification of the right hemi thorax and atelectasis of the right lung. Minimal residual aerated lung is seen within the right upper lobe. There is leftward shift of the mediastinal structures, new in the interval. No pulmonary vascular congestion is demonstrated. The left lung is without focal consolidation, pleural effusion, or pneumothorax. Previously described right apical nodule is obscured on the current exam. Central venous catheter from an inferior approach is in unchanged position. The patient is status post mastectomy with numerous clips again noted in the right axilla.

history: <unk>f with shortness of breath, prior pleural effusion

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Comparison is made to the prior radiographs from <unk>. There is a moderate-sized left apical pneumothorax which has increased slightly since the prior study. There is again seen a dual-lead left-sided pacemaker with intact lead tips in the right atrium and right ventricle. The heart size is within normal limits. There is atelectasis and a small pleural effusion on the left base. There are no signs of overt pulmonary edema.

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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

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The heart is moderately enlarged. There is no pleural effusions or pneumothorax. The lungs appear clear within the limitations of technique.

right-sided weakness.

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Pa and lateral chest radiographs were obtained. Moderate left greater than right pleural effusions are new since <unk>. There is some overlying atelectasis at the left base. The presence of additional pneumonia cannot be excluded. Severe cardiomegaly has progressed since <unk>. Aortic arch calcifications are noted. There is no pneumothorax.

bilateral pneumonia diagnosed at another institution.

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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal is size. There is no free air in the mediastinum or under the diaphragm.

hematemesis.

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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Apart from minimal atelectasis in the left lower lobe, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Pleural thickening within the apices bilaterally is unchanged. Surgical clips within the neck indicate prior thyroidectomy. There are no acute osseous abnormalities.

palpitations.

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is stable in configuration. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with syncope.

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Portable ap chest radiograph. Mild pulmonary vascular congestion, cephalization, and interstitial edema are new. There is no large pleural effusion or pneumothorax. Left-sided dual-chamber pacer leads are in stable position.

shortness of breath and concern for pulmonary edema. recently under general anesthesia for atrial tachycardia ablation.

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Multiple mediastinal clips are again seen along with a manubrial cerclage wire. The heart size remains mildly enlarged. Aortic knob is calcified. The mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is noted in the lung bases. Degenerative changes of the right ac joint are noted. No acute osseous abnormality seen.

right hip fracture, requires preoperative x-ray.

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The lung volumes are slightly low but grossly clear without focal airspace opacity. The heart is somewhat globular in shape and may reflect pericardial effusion. Left chest wall pacemaker again has leads terminating in stable position. There is small left pleural effusion but no pneumothorax. There is no pulmonary edema.

fever. evaluate for pneumonia.

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In comparison with the study of <unk>, there has been placement of a picc line that extends to the mid-to-lower portion of the svc. Otherwise, no interval change or evidence of acute cardiopulmonary disease.

picc placement.

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Cardiomediastinal contours are stable with prominence of the central pulmonary arteries suggesting the possibility of pulmonary arterial hypertension. Lungs are remarkable for unchanged appearance of right upper lobe pleural and parenchymal scarring with associated mild volume loss. No new areas of consolidation are identified, and there are no pleural effusions.

<unk> year old woman with aml, cough // ? pneumonia

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Lung volumes are low. There is improved aeration of the right lower lobe with persistent partial collapse. Possible small left pleural effusion is seen. No pneumothorax is detected. Heart size is top normal. Mediastinal contours are stable. Endotracheal tube tip projects approximately <num> cm above the carina. Enteric catheter courses below the diaphragm with tip projecting over the medial right upper quadrant.

<unk> year old male with right lower lobe collapse status post intubation.

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In comparison with study of <unk>, there is little change. The bilateral chest tubes remain in place and there is no change in the left apical pneumothorax or the opacification at the right base. Slightly lower lung volumes.

bilateral effusions and left apical pneumothorax.

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Interval placement of left-sided chest tube with abrupt angulation at the side port. No substantial change in large partially loculated left pleural effusion and no visible pneumothorax on this semi-upright radiograph. With the exception of chest tube placement, there is otherwise no relevant short interval change in the appearance of the chest since the recent study of several hours earlier.

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

history: <unk>m with left-sided chest pain // eval for pna, pleural effusion

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Suture at the left lung apex is unchanged. Ascending aortic contour is tortuous.

history: <unk>m with sob, hx of recent pneumothorax, l-flank pain, hypoxia // evaluate for acute process

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The aorta remains tortuous. The cardiac silhouette is top normal. No definite focal consolidation is seen. There may be slight blunting of the posterior left costophrenic angle and a trace pleural effusion may be present. Left upper quadrant/subdiaphragmatic lucency may be within bowel/colon; however, free air is not excluded. This finding was discussed with <unk> <unk>, physician assistant, at <time> p.m. On <unk>, via telephone.

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New left chest wall pacemaker with single ventricular leads appropriately positioned. No pneumothorax. Heart size is enlarged but stable. Lungs are clear and there is no pleural abnormality.

<unk> year old woman s/p ppm // <unk> year old woman s/p ppm

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Compared to the prior radiograph from <unk>, there is a new left pleural effusion and a small right pleural effusion, increasing heart size, and increase in pulmonary vascular congestion and interstitial edema. More confluent opacity at the lung bases could reflect dependent distribution of edema but superimposed infection or aspiration cannot be excluded.

history: <unk>f with history of asthma and congestive heart failure now presenting with shortness of breath.

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There is an aicd device with tip terminating over the right ventricle. There are low lung volumes present. The lungs and pleural spaces are clear without evidence of pneumothorax or pleural effusions. Cardiomediastinal silhouette is stable and unchanged. There is no evidence of pneumoperitoneum. Old right <unk> and <num>th rib deformities are noted.

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Lung volumes are low with reticular interstitial opacities and indistinct left diaphragm. No evidence of pneumonia, pleural effusion, or pneumothorax. The heart is top normal is size.

<unk> year old woman with cough x <num> months // ?lung pathology

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Frontal and lateral views of the chest. Mild cardiomegaly is unchanged. Aortic knob calcifications are unchanged. Again seen is enlargement of the main pulmonary artery. The lungs are clear. There is no pleural effusion or pneumothorax.

substernal chest pain.

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The left subclavian central venous line has been removed. The remaining lines and tubes appear unchanged. No pneumothorax is appreciated. There is increased pulmonary edema compared to the prior study. The left-sided pleural effusion with associated atelectasis is stable. There is also a small right-sided pleural effusion.

<unk> yo m w. right <unk> rib fxs. left ptx s/p ct, small r ptx, t<num> fx, extensive subq emphysema // am cxr - interval change

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In comparison with the study of <unk>, the patient has taken a poor inspiration. Cardiac silhouette remains at the upper limits of normal in size. Opacification at both bases is consistent with layering effusions and compressive atelectasis. There is mild elevation of pulmonary venous pressure.

aortic stenosis with chf.

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Lung volumes are lower compared to the previous examination. Moderate to severe cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine.

history: <unk>m with shaking, confusion, infection and neuro workup

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The lung volumes are low. There is new interstitial thickening and bibasilar patchy opacities compatible with pulmonary edema with likely underlying subsegmental bibasilar atelectasis versus consolidation. Mild cardiomegaly and aortic knuckle calcification. Hilar vasculature prominence is present. Small bilateral pleural effusions. Diffuse demineralization hand or right acromioclavicular arthropathy.

<unk> year old woman s/p lap chole with hx dchf and postop pulm edema now being diuresis // interval change/pulm edema?

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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation, or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Visualized osseous structures are intact.

chest pain.

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The heart is severely enlarged, similar to prior. Right-sided picc line tip is at the cavoatrial junction. The right ij cordis is been removed. There continues to be right lower lobe opacity compatible with volume loss/infiltrate/effusion. This is similar compared to prior. There is pulmonary vascular redistribution with ill-defined vascularity in the right upper lobe

<unk> year old man s/p cabg/ mvr // eval for effusion

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Supine portable ap view of the chest was provided. A right ij tv pacer is seen with the tip projecting in the region of the right ventricle. The lungs remain clear. No pneumothorax.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable ap single view chest examination obtained four hours earlier during the same day. The patient was now brought in upright position and a pa and lateral chest image could be obtained. Again, high positioned diaphragm probably related to abdominal process, obscured partially the heart shadow. Significant cardiac enlargement is unlikely. Unremarkable appearance of thoracic aorta without evidence of local contour abnormalities. Unchanged position of previously described picc line terminating in lower third of svc. The lateral and posterior pleural sinuses are free from any significant fluid accumulation. Again, there are bilateral thin plate atelectasis related to the high positioned diaphragms, but acute infiltrates of pneumonic appearance cannot be identified. No pneumothorax is seen in the apical area.

<unk>-year-old male patient with persistent fevers, status post complicated hospital course for mesenteric ischemia, and <unk> fungemia, evaluate for pneumonia.

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Tortuous descending aorta. 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 recurrent pneumonias, concern for aspiration pneumonias, lll crackles // r/ o aspiration pneumonia

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Upright ap and lateral views of the chest provided. Lung volumes are somewhat low. Streaky perihilar opacities are noted, left greater than right. Overall findings are nonspecific and could reflect bronchovascular crowding. The possibility of a central airways inflammation is difficult to exclude. No lobar consolidation, effusion or pneumothorax. No convincing signs of edema. Heart size is grossly within normal limits. Mediastinal contour is normal. Bony structures are intact.

history: <unk>m with chest pain, syncope // eval for cardiopulmonary process

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The endotracheal tube is in the mid trachea, <num> cm above the carina and should not be withdrawn any further. The post-pneumonectomy changes with opacification of the right hemithorax with volume loss are unchanged with left basal opacity compatible with pneumonia. No pleural effusion or pneumothorax is identified.

<unk>-year-old man status post intubation, assess tube placement.

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The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. Streaky right middle lobe opacity may be due to pneumonia versus atelectasis. There is mild left base atelectasis. No focal consolidation or pleural effusion is seen. The heart is normal in size. Mediastinal contours are unremarkable.

history: <unk>f with hx renal cell cancer presenting with substernal chest pain, hematuria, jaundice // focal consolidation, cardiomegaly?

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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are unremarkable. There is no free air under the right hemidiaphragm.

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

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As compared to the previous radiograph, there is a minimal decrease of the pre-existing parenchymal opacities, mainly caused by pulmonary edema. No new opacities. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette.

pneumonia, evaluation for interval change.

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Vague opacity in the mid-to-upper lung zone, best appreciated on the frontal view was potentially present on the prior study. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are unremarkable.

chest pain, evaluate for pneumonia.

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Pa and lateral chest radiographs. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There are surgical clips in the left breast and axilla.

febrile neutropenia.

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<num> views of the chest show a left lower lobe opacity with a possible associated effusion. The left mediastinal silhouette appears prominent. The cardiac silhouette is normal. No pneumothorax is present.

upper chest wall pain.

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The cardiomediastinal silhouette is stable. There is right base opacity, decreased since the prior study, although some opacity persists. Left base opacity has also improved. Additional pulmonary opacities are better assessed on ct performed immediately subsequent.

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Since the chest radiograph from one day prior there has been apparent mild progression of reticular nodular opacities particularly in the right mid and lower lung zones. Fullness of the hila suggests lymphadenopathy as stated previously. A linear opacity near the fissure may represent atelectasis on the right. Cardiac silhouette is normal. There are no pleural effusions or pneumothorax. Osseous structures are intact.

cough, shortness of breath, evaluate for pneumonia.

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Compared to one hour prior, there has been interval repositioning of the endotracheal tube with the tip located <num> cm above the carina. There is persistent collapse of the right upper lobe, though slightly improved compared to prior study. The left lung is clear. There is no large pleural effusion or pneumothorax. There remains slight widening of the hilar and mediastinal silhouette with pneumomediastinum and subcutaneous gas tracking cranially in the neck.

pneumomediastinum, question esophageal perforation. repositioning of endotracheal tube. check for right upper lobe reexpansion.

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Shallow inspiration accentuates heart size. Mild increase of pulmonary vascularity, improved. Large esophageal hiatal hernia, similar. New small left pleural effusion. Left basilar atelectasis or infiltrate. Stable right basilar atelectasis. Mitral annular calcification. Degenerative changes spine. Thoracolumbar curve.

<unk> year old woman with chf, s/p femoral fixation. persistent hypoxia // pulm edema

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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Surgical clips are noted in the upper abdomen. No evidence of pneumomediastinum is seen.

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Since the prior exam, the lung volumes are lower. There is no opacity to suggest pneumonia. The azygos vein and pulmonary vessels appear more prominent, consistent with worsening vascular congestion. There is no frank pulmonary edema. No pleural effusion or pneumothorax is identified. Moderate cardiomegaly is unchanged.

worsening dyspnea and tachypnea. evaluate for pneumonia or other change.

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Lung volumes are normal. There is mild to moderate interstitial pulmonary edema, improved from <unk>. Small bilateral pleural effusions are best appreciated on the lateral view. The heart is mildly enlarged but unchanged. There is no pneumothorax or focal airspace consolidation worrisome for pneumonia. Sternotomy wires and cabg clips are noted.

heart failure presenting with dyspnea. evaluate for pulmonary edema.

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Frontal and lateral views of the chest were obtained. Again seen is large rounded opacity projecting over the right upper lobe consistent with patient's pulmonary mass. Right base opacity could be likely pleural effusion and overlying atelectasis has increased since the prior study. The elevated right hemidiaphragm is slightly increased as compared to the prior study. Left lung is clear. There is no left pleural effusion. The cardiac silhouette is not enlarged. Mediastinal contours are stable.

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Pa and lateral views of the chest are obtained. Low lung volumes somewhat limit evaluation. Likely mild atelectasis or bronchovascular crowding accounts for subtle opacities in the lower lungs. There is no definite sign of pneumonia, chf, pleural effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. There is no free air below the right hemidiaphragm.

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Frontal and lateral views of the chest were obtained. Anterior wedging of a lower thoracic vertebral body is likely grossly stable and also seen on prior mri of the thoracic spine from <unk>. Additional compression fractures are better evaluated on that study. There is mild left base atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present. Moderate degenerative changes are noted in the thoracic spine.

history: <unk>f with right shoulder pain, history of arthritis, pain worsening

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Interval advancement of the ng tube by a few cm. The side port is still located above the ge junction. Otherwise, no significant changes. Lung volumes remain low. Substantial left basilar atelectasis. No new focal airspace opacity. Probably normal heart size is accentuated by low lung volumes. No pulmonary vascular congestion or pulmonary edema. A right picc terminates in the mid svc. Extensive embolization material projects over the mid abdomen.

<unk> year old man with cirrhosis with ngt malpositioned // ngt repositioning

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Frontal and lateral radiographs of the chest were acquired. There are widespread bilateral interstitial opacities, slightly more prominent at the lung bases, most consistent with mild to moderate interstitial pulmonary edema, decreased in severity compared to the prior study from <unk>. There is a small right pleural effusion, not significantly changed. Severe eventration of the right hemidiaphragm is again noted. Moderate-to-severe enlargement of the cardiac silhouette is not significantly changed. There is no pneumothorax.

history of congestive heart failure, presenting with shortness of breath. evaluate for fluid overload.

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The right subclavian picc line has been pulled back into the mid portion of the subclavian vein. The degree of pulmonary vascular congestion has increased. More coalescent area of opacification at the right base could represent a developing pneumonia in the appropriate clinical setting.

picc placement.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. No bony abnormality is detected radiographically.

<unk>-year-old male with history of treated pulmonary tuberculosis.

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The examination is compared to <unk>. The pre-existing left pleural effusion is completely resolved. No evidence of atelectasis or other acute or chronic lung changes. Unchanged massive scoliosis with subsequent asymmetry of the rib cage. Normal size of the cardiac silhouette. No overinflation. Normal hilar and mediastinal structures.

asthma exacerbation, cough, decreased breath sounds on the left, questionable pneumonia.

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Interval resolution of the left upper lobe pneumonia. No new areas of airspace consolidation. The cardiomediastinal shadow is unchanged. No pleural effusions. Mild coarsening of the interstitial markings persist.

<unk> year old man with recent pneumonia, improved after antibiotic rx. // evaluate infiltrate.

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Pa and lateral views of the chest. The lungs are clear. There is no focal consolidation or effusion. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.

<unk>-year-old female with persistent cough.

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Comparison is made to previous study from <unk>. There is a right-sided picc line with distal lead tip at the mid svc. There are no pneumothoraces. There are no signs for overt pulmonary edema. Please note that the left lower chest has been excluded from the edge of the film. Heart size is grossly normal.

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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.

near-syncope.

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no focal pneumonia, pulmonary edema, pleural effusion or pneumothorax.

<unk>-year-old female with asthma exacerbation. evaluation for pneumonia.

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In comparison with the study of <unk>, there is increased haziness of the right hemithorax, suggesting worsening layering pleural effusion. Again there is evidence of congestive failure with bilateral effusions and basilar atelectatic changes. Mild enlargement of the cardiac silhouette persists.

shortness of breath.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old female with apparent increase in seizure activity. evaluate for infectious source such as pneumonia.

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history: <unk>f with l sided chest pain with cough // ? pneumonia, ptx

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As compared to the previous radiograph, there is no relevant change. The patient has a known left pleural effusion that is small and better appreciated on the lateral than on the frontal radiograph. There is no evidence of pneumonia, in particular no suggestion of aspiration. Borderline size of the cardiac silhouette. No pulmonary edema.

gastric carcinoma, vomiting, evaluation for aspiration pneumonia.

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Lung volumes are slightly low. Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

history: <unk>f with shortness of breath

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In comparison with the study of <unk>, the endotracheal tube and nasogastric tube have been removed. Continued hyperexpansion of the lungs with substantial decrease in opacification at the right base. Pulmonary vascularity is within normal limits, and there is no definite pneumonia. Mild atelectatic changes at the bases.

pneumonia with extubation.

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A right picc terminates in the distal svc. Dobbhoff tube is present, terminating in the proximal duodenum. An ivc filter is constant. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The previously seen opacity overlying the left hemidiaphragm have resolved. The cardiac and mediastinal contours are unchanged. The hilar structures are unremarkable.

cml with a cough.

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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.

<unk> year old man with hx of aml. on immunosuppression. presents today with chest pain and shortness of breath. please further evaluate. // <unk> year old man with hx of aml. on immunosuppression. presents today with chest pain and shortness of breath. please further evaluate.

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

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

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Vascular congestion and edema appears improved. No overt pulmonary edema. Bilateral pleural effusions are moderate. Suspected subtotal left lower lobe atelectasis is slightly increased. Marked degenerative changes of the left shoulder joint.

<unk> year old woman with nstemi, chf // pulm edema

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Lungs are hyperinflated. There is unchanged opacity at the right upper lobe, unchanged since at least <unk>. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.

<unk>f with feeling dizzy, weak, near syncope, evaluate for pulmonary edema or pneumonia.

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There has been interval partial withdrawal of the post-pyloric feeding tube and the distal portion of the tube appears to be folded upon itself with the tip pointing proximally contained within the third portion of the duodenum. There is otherwise no significant change compared to exam from <num> hours prior.

hcc status post rfa, now status post liver transplant with complicated medical history with post-pyloric tube placement not working.

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of palpitation/fluttering, please evaluate for pneumonia.

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Frontal and lateral views of the chest were obtained. Subtle nodular opacities at the right lung apex, projecting under the clavicle are grossly stable since <unk>. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear but low in volumes. Pleural surfaces are clear without effusion or pneumothorax.

chest pain and question of hemopneumothorax on outside hospital chest ct.

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As compared to the previous radiograph, the monitoring and support devices are unchanged. There is unchanged evidence of low lung volumes, moderate cardiomegaly, and mild fluid overload. In the interval, small bilateral pleural effusions have developed on the right. Small left pleural effusion is constant in appearance. Small areas of atelectasis are seen at both lung bases, but there is currently no evidence of pneumonia.

respiratory failure, evaluation for pneumonia.

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

history: <unk>f with malaise, cough // acute cardiopulm disease

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The et tube is unchanged. Compared to the prior study there has been a slight interval increase in the amount of vascular plethora and hazy alveolar infiltrate. There small bilateral effusions. There continues to be volume loss in the lower lung

<unk> year old woman with dental abscess and hypoxia // eval for interval change

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Moderate pulmonary edema is slightly worsened with more prominent small bilateral pleural effusions on today's study. The cardiomediastinal silhouette remains unchanged with moderate to severe cardiomegaly and a widened mediastinum. No pneumothorax is seen.

<unk> year old woman with stemi // eval for pulmonary edema

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Left chest wall pacing device is again noted. The lungs are clear of consolidation or pulmonary vascular congestion. Cardiac silhouette is slightly enlarged but unchanged. Postoperative changes of median sternotomy wires again noted with fracture of the top and third from the top sternal wires. Osseous structures are unchanged noting possible compression deformity at the lower thoracic level with an acute kyphosis which is unchanged from prior.

<unk>-year-old male with lower extremity swelling and shortness of breath.

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As compared to chest radiograph from <num> day earlier, endotracheal tube and nasogastric tube have been removed. Swan-ganz catheter remains curled in the main pulmonary artery, left chest tube in similar position. Mild worsening of the interstitial pulmonary edema and basilar opacities, right greater than left. The bilateral small to moderate pleural effusion are stable. No visible pneumothorax. The cardiomediastinal silhouette contour has not changed given for differences in technique.

<unk> year old man with tachycardia // hemothorax?

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old female with chest pain. please evaluate for infection process, pneumothorax.

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Patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. There is subtle increase in opacity of the left mid to lower lung which is decreased compared to <unk>, but slightly more apparent compared to <unk>, underlying infectious process not excluded. No pleural effusion or pneumothorax is seen. No overt pulmonary edema. Sutures again seen in the left mid lung region.

history: <unk>m with productive cough and neutropenic fever // ?pneumonia

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Again seen is a moderate-sized right pneumothorax, predominantly superior. There is a new right-sided chest tube. There is volume loss versus infiltrate in the right lower lobe that has worsened since the prior day. There is mild pulmonary vascular redistribution. Small amount of subcutaneous emphysema is again seen.

status post right vats, evaluate for pneumothorax.

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The right internal jugular cordis catheter projects over the upper svc. The tip of the endotracheal tube projects over the mid thoracic trachea. The tip of the gastric tube projects below the level the diaphragms but beyond the field of view of this radiograph. A left picc line is present, the tip projects somewhat well lateral to the expected location of the superior cavoatrial junction however this may be due to patient rotation. If there is ongoing concern for picc small placement, pa and lateral chest radiographs could be obtained. Low bilateral lung volumes. Bibasilar patchy opacities may reflect atelectasis and/or consolidation. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is at the upper limits of normal.

<unk> year old man with brbpr s/p intubation // evaluation of et tube and previous left picc

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As compared to the previous radiograph, the pre-existing left pleural effusion has substantially decreased in extent. There is no clear evidence for the presence of a left pneumothorax. Moderate remnant left lower lobe atelectasis. The right lung is unchanged, no cardiomegaly.

large left pleural effusion, duodenal adenocarcinoma, evaluation.

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Frontal and lateral views of the chest. Neoesophageal stent is seen in similar position compared to prior. Left picc and right chest tube are no longer seen. There is no visualized pneumothorax. There has been interval improvement of the right basilar parenchymal opacities when compared to prior. There is no significant effusion. The left lung remains clear. Cardiomediastinal silhouette is unchanged, notable for prominence of the upper mediastinum on the right likely related to post esophagectomy changes. Thoracotomy changes noted on the right. No acute osseous abnormality detected.

<unk>-year-old male pulled out chest tube today accidentally. question pneumothorax.

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The lungs are clear. Cardiac silhouette is normal size. There is no pleural effusion or pneumothorax.

chest pain.

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Comparison is made to the outside hospital chest ct from <unk>. The heart size is within normal limits. The lungs are clear. There is no focal consolidation, pneumothoraces or pleural effusions. The bony structures appear intact.

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The endotracheal tube is in good position at <num> cm of the carina. However, the right subclavian line has been repositioned since the last exam. It is crossing the midline and its distal end is pointing downward on the left, which is unusual in a patient who does not have a left persistent superior vena cava. The exact location of the line cannot be assessed with this exam. It could be in any structure, and it does not follow the course of the normal venous system. The distal end of the tng is not included in this exam, but probably in a good position. Amelioration of the bilateral opacities compatible with mild edema. Deterioration of retrocardiac opacity compatible with atelectasis. Slight deterioration of the mild pleural effusions. No pneumothorax.

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Endotracheal tube terminates <num> cm above the carina. Right internal jugular central venous catheter terminates in the proximal right atrium. Enteric tube descends below the field of view. Persistent bibasilar opacities suggest aspiration. No other significant change. No pneumothorax.

history: <unk>m with s/p rij // cvl placement

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.

depression and shortness of breath.

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Pa and lateral views of the chest provided. Dual lead pacemaker is unchanged in position with leads extending to the region of the right atrium and right ventricle. Mild pulmonary edema is noted without large effusion or pneumothorax. Heart size is top-normal. Mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with h/o cad reporting dyspnea on exertion, bibasilar crackles

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Et tube terminates <num> cm above the carina. A nasogastric tube courses below the diaphragm and out of view. A poorly defined opacity in the right lung base medially may represent aspiration and/or pneumonia. . Left pleural effusion is small. Cardiac silhouette is normal size.

history: <unk>f with left hem stroke, <num>x<num> cm pls eval interval change, also ett pls eval cxr //

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Frontal and lateral views of the chest demonstrate a new large right hydropneumothorax. The mediastinum is midline. Right pleural fluid is markedly increased from prior with associated basilar atelectasis. There is a small left pleural effusion. The left lung is otherwise clear. The right cardiac border is obscured by fluid and collapse.

<unk> year old man with cirrhosis and hx of hydrothorax, with cough, assess for pleural effusion

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The lungs are clear. There is no consolidation, effusion, edema or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified. Incidentally noted is colonic interposition above the liver.

<unk>f with chest pain