ChayanM/MIMIC-MultiView-Findings-Query_Optional

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

history: <unk>f with shortness of breath.

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The endotracheal tube ends <num> cm above the carina. The orogastric tube ends off of the radiograph. The lung volumes are low and there is bibasilar atelectasis. There is no large pleural effusion or pneumothorax. Mild enlargement of the cardiac silhouette is likely positional. The aorta is unfolded.

<unk>f with ra s/p intubation. evaluate endotracheal tube placement.

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There has been interval placement of a left anterior chest wall pacer with dual-chamber leads leading to the expected location of the right atrium and right ventricle. The cardiomediastinal silhouette and hilar contours are stable. There is no pneumothorax. Lungs are clear. There is no pleural effusion.

sick sinus syndrome, status post dual-chamber pacer placement.

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Et tube is <num> cm above the carina, and the left subclavian central venous line is in the mid to upper svc. The gastric tube curls in the stomach appropriately. An increased heterogeneous opacity is in the right mid to lower lung. The heart, mediastinal and hilar contours are normal.

<unk>-year-old male with large subarachnoid hemorrhage and aneurysm of the acom, status post coiling. lots of secretions. evaluate.

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The lungs are clear noting that the left costophrenic angle is excluded from the field of view and slight limitation from overlying trauma board. Cardiomediastinal silhouette is within normal limits. No displaced fractures identified. There is no visualized pneumothorax.

<unk>f with trauma // ? ptx

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

cough, dyspnea, chest pain, and fever. evaluate for pneumonia.

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Since the prior exam, there has been development of new moderate pulmonary edema. A retrocardiac opacity likely represents atelectasis. There is no definite pleural effusion, though a small left one cannot be excluded due to obscuration of the left costophrenic angle by the heart. There is no pneumothorax. The mediastinal contours are normal. The heart is severely enlarged, and unchanged from the prior exam. A left-sided pacemaker is unchanged.

low oxygen saturations. evaluate for edema.

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A port-a-cath terminates in the mid superior vena cava. The cardiac, mediastinal and hilar contours appear stable. There is slight new blunting of the left lateral costophrenic sulcus, probably a trace pleural effusion, or perhaps atelectasis effacing the sulcus. There is no definite pleural effusion on the right. The lungs appear clear. A biliary stent is partly imaged in the right upper quadrant.

fever. history of cancer.

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There is no visualized enteric tube. Left chest wall triple lead pacing device is again noted. Hilar enlargement is again seen. Lungs are grossly clear. No visualized free intraperitoneal air.

<unk>m with new dobhoff // eval <unk> stage dobhoff placement

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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 trauma. please evaluate.

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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The course of the nasogastric tube is unremarkable. The patient is now in mild-to-moderate pulmonary edema. No pleural effusions. No pneumothorax. No evidence of pneumonia.

new intubation.

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Severe consolidation right lower lobe, and extensive central adenopathy are shown to better advantage on subsequent chest cta available the time of this review. Heart is normal size.

history: <unk>f with cough // evidence of pneumonia

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal in the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Moderate degenerative changes with osteophytes are seen in the thoracic spine. Deformity of the left superolateral rib cage appears chronic.

shortness of breath and new onset atrial fibrillation.

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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No displaced rib fractures identified on these nondedicated views.

<unk>-year-old female status post fall with left-sided pain.

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There is a large hiatal hernia with an air-fluid level. The heart is mildly enlarged with a left ventricular configuration. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear aside from streaky atelectasis associated with a hiatal hernia in the left lower lung. There is no pleural effusion or pneumothorax. Small anterior osteophytes are noted along the mid-to-lower thoracic spine. There has been no significant change.

high blood sugar.

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As compared to the previous examination, the patient has been extubated and the nasogastric tube has been removed. The lung volumes remain relatively low. At the right lung bases, there is unchanged evidence of a parenchymal opacity with air bronchograms, obliterating the right heart border, and suspicious for a status post aspiration or pneumonia. A pre-existing effusion and opacity on the left have almost completely resolved. The size of the cardiac silhouette remains large, but there is no evidence for pleural effusion. No pneumothorax.

questionable <unk>-<unk> disease, evaluation for interval change.

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Frontal and lateral radiographs demonstrate stable extensive post-surgical changes of the left hemithorax with associated loss of volume. Stable scarring noted in the right lung apex. On a background of chronic lung disease and chronic bibasilar opacifications there is new prominence of the interstitium as well as kerley b lines consistent with pulmonary edeam. Heart size is top normal and stable. No pleural effusion or pneumothorax identified.

afib with right ventricular regurgitation. evaluate for pneumonia or other infectious process.

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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The pulmonary vasculature is unremarkable. The hilar structures are normal. The trachea is midline and normal in caliber.

pain with inspiration and a course voice.

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Atelectasis is present at the left lung base, but there is no focal consolidation. Mild to moderate cardiomegaly and mild vascular congestion are noted. Tortuosity of the thoracic aorta is unchanged. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact.

<unk>m with afib on xarelto, recent urologic procedure with bloody urine, fall at home, now hypotensive, evaluate for volume overload, fracture

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Pa and lateral views of the chest were obtained. There is no focal consolidation, large effusion, or pneumothorax. There is interstitial prominence which could reflect interstitial edema or an atypical infection. Cardiomediastinal silhouette is stable. Bony structures are intact.

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Pa and lateral views of the chest demonstrate a nodular opacity in the right midlung and a hazy opacity in the left lung base posteriorly, both possibly reflecting an infectious etiology in the appropriate clinical setting. Otherwise, the lungs are well expanded and demonstrate no pleural effusion, pneumothorax or overt pulmonary edema. The cardiomediastinal silhouette is unremarkable. Multiple mild toracic vertebral body compression deformities are present and are of indeterminate age, correlation with prior imaging is recommended when available.

evaluation for pneumonia. transplant patient on tacrolimus.

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No focal consolidations. No pulmonary edema. Stable enlargement of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax.

history: <unk>f with cough x<num>w, shortness of breath // any cpd

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Frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There has been interval improvement in the right lower lung opacity, with residual linear opacity representing either residual pneumonia or atelectasis. The retrocardiac opacity again could represent a small hiatal hernia. No new focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable.

evaluate for interval change in a patient with recent pneumonia.

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The patient has multiple known rib fractures, more completely depicted on the recent chest ct. The known right clavicular fracture is not well appreciated on this examination. Again seen is the right chest tube. The overall appearance is similar. Slight differences in configuration could relate to differences in positioning and inspiratory volume. A tiny right apical pneumothorax is probably unchanged. The recent ct also showed a tiny basilar pneumothorax which is not appreciated radiographically. The cardiomediastinal silhouette is unchanged. The heart is not enlarged. Aorta is minimally unfolded. There is upper zone redistribution, but no overt chf. There bibasilar atelectasis, without frank consolidation. No gross effusion is identified.

<unk> year old man with rib fx and chest tube // eval interval change - please schedule for <unk>

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Mild-to-moderate cardiomegaly and tortuosity of the thoracic aorta appear similar. Patchy and linear opacities at the lung bases have worsened, particularly on the left. There are no pleural effusions or pneumothoraces. Bones are diffusely demineralized, consistent with the patient's advanced age.

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A left-sided picc is again seen terminating in the mid to lower svc. There is persistent mild elevation of the right hemidiaphragm. Medial right basilar atelectasis is seen without definite focal consolidation. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. A pigtail catheter is seen projecting over the right upper quadrant.

fevers.

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Endotracheal tube is seen terminating approximately <num> cm above the level of carina. The aorta is calcified and tortuous. The cardiac silhouette is mildly enlarged. There are bilateral opacities, particularly perihilar, which may be due to underlying fluid overload, although underlying infection is not excluded. No large pleural effusion or pneumothorax is seen. Amorphous calcification is seen projecting over the soft tissue in the left axilla.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Hilar contours are normal.

<unk>f w/chest pain // <unk>f w/chest pain

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Heart size remains mildly enlarged. Atherosclerotic calcifications are noted at the aortic knob. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Calcified nodule in the left upper lobe and calcified left hilar lymph nodes are compatible prior granulomas disease. Right lower lobe mass appears grossly unchanged compared to the most recent pet-ct from <unk>. No new focal consolidation, pleural effusion or pneumothorax is identified. Previously described ground-glass opacity in the right lower lobe and nodule in the left upper lobe seen on pet-ct are not well visualized on the current radiograph. Hypertrophic changes are again seen in the thoracic spine. Gastric lap band is in similar position.

history: <unk>f with headache, sle and rle weakness

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

<unk>-year-old female with increased seizure activity.

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Low lung volumes cause bronchovascular crowding and subsegmental atelectasis. Bibasilar predominantly linear opacities are similar to <unk> with questionable superimposed new patchy opacity at the right base. There is no pneumothorax, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is stable.

<unk> year old woman with w/ h/o sickle cell disease likely in crisis, s/p c-section currently getting transfused w/ productive cough, afebrile, evaluate for pna, pulmonary edema, acute chest.

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Widening of the superior mediastinum is consistent with the patient's known lymphadenopathy. Enlargement of the right hilum also consistent with the patient's known lymphadenopathy. Mild cardiomegaly noted. There is atelectasis of the bilateral lung bases. Small left pleural effusion. No pneumothorax seen. No free air under the diaphragm.

<unk> year old man with tachycarida // r/o pulm edema

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An endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. Recommend withdrawal by approximately <num> cm for more optimal positioning. An enteric tube is seen coursing below the level of the diaphragm; however, the side port appears to be in the level of the distal esophagus. Distal aspect of the feeding tube is in the expected location of the proximal stomach. Recommend advancement so that it is well within the stomach. Left base retrocardiac opacity is seen, which may be due to a combination of atelectasis, consolidation, possibly from aspiration or infection. Right basilar opacity is seen to a lesser extent, which may be due to atelectasis. Trace pleural effusions are difficult to exclude. Overall, there are low lung volumes, which accentuate the bronchovascular markings. There is prominence of the hila which may relate to pulmonary vascular engorgement and which are likely somewhat accentuated by low lung volumes. Above findings regarding the location of the endotracheal and nasogastric tubes were discussed with dr. <unk> on <unk> at <time> p.m. Via telephone.

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Sternotomy wires are intact. Heart size and mediastinal contours are stable. No evidence of pulmonary edema or pleural effusion. No evidence of pneumonia. No pneumothorax. Osseous structures are intact.

<unk>f with history of severe aortic insufficiency with worse paroxysmal nocturnal dyspnea and orthopnea, but without frank signs of volume overload on exam.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with <num> weeks of pregnancy, now presenting with shortness of breath. evaluate for evidence of pleural effusion or consolidation.

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Acdf hardware is intact without evidence of hardware malfunction. The lungs are clear without evidence of focal consolidations concerning for pneumonia. The cardiomediastinal contours are normal. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of c<num>-c<num> anterior cervical disc decompression/fusion. please evaluate.

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Redemonstrated is a dual lead pacemaker/ icd with leads terminating within the right ventricle and atrium, respectively. The cardiomediastinal silhouette is stable. Retrocardiac opacity has resolved. Patchy right lower lobe opacity is probably chronic and unchanged, likely due to minor scarring or atelectasis. There are no pleural effusions or pneumothorax.

history: <unk>m with chb s/p pacer, oral scc s/p xrt and resection ,presenting with fever, has crackles at l lung base. // ?pna

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Lungs are clear. No focal consolidation, effusion, pneumothorax, or edema. The heart is normal in size. The mediastinum is not widened. Aortic knob calcifications are unchanged.

history: <unk>f with dyspnea // ? chf vs. pna

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Bibasilar consolidation and probable small bilateral pleural effusions appears increased compared to <num> day prior, particularly in the right lung base. Cardiac silhouette is normal size.

interval worsening or change. evaluate for possible pleural <unk> year old woman with multifocal pneumonia // interval worsening or change. evaluate for possible pleural effusions

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Pa and lateral radiographs were acquired. The lungs are clear. Heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

tachycardia with concern for pneumonia or congestive heart failure per outside hospital records. evaluate for infiltrate or pulmonary edema.

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Interval removal of right pleural catheter, with slight increase in size of moderate to large, partially loculated right pleural effusion. Hydropneumothorax component along the upper lateral margin of the fluid collection has slightly decreased, however. Right juxtahilar mass-like opacity appears similar to the prior study, but there is now worsening opacity in the right lower lobe, which could be due to aspiration or developing infectious pneumonia in the appropriate clinical setting. Left lung is grossly clear, and there is no evidence of left pleural effusion or left pneumothorax.

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Frontal and lateral views of the chest. The lungs are clear and well expanded without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Cervical spine hardware is noted.

syncope.

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Two views were obtained of the chest. The lungs are well expanded with vague linear opacities projecting over the right lower lobe. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours.

dyspnea

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The patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Multilevel degenerative changes are present within the thoracic spine. Anterior compression deformity of a low thoracic vertebral body is unchanged. No displaced rib fractures are identified.

fall with left-sided rib pain and headache.

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There is mild enlargement of cardiac silhouette. The mediastinal contours are unchanged. There is mild pulmonary edema. Small left pleural effusion is noted, decreased in size compared to the previous exam. Retrocardiac opacity likely reflects compressive atelectasis. No pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine as well as involving the acromioclavicular joints.

dyspnea.

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

<unk>-year-old man with chest pressure // acute process

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Ap single view of the chest has been obtained with patient sitting in semi-upright position. Comparison is made with the next preceding pa and lateral chest examination of <unk>. An ng tube is again identified and seen to terminate in a location compatible with the body of the stomach. In comparison with the next preceding chest examinations of yesterday, the patient has developed a pulmonary vascular congestive pattern and it appears as if the heart shadow has increased moderately in size. Noted is the distention of the azygos vein shadow indicating venous congestion. No pneumothorax is seen and no new discrete parenchymal infiltrates have developed.

<unk>-year-old female patient with alkohol hepatitis, increasing lethargy, unable to take per-oral food, requiring ng tube for medication administration.

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In comparison with study of <unk>, the patient has taken a much better inspiration. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

shortness of breath, to assess for chf.

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

<unk>m with s/p fall, +etoh, subarachnoid hemorrhage. evaluate for acute cardiopulmonary process.

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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen.

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There is new opacity projecting over the spine inferiorly on the lateral view not present on prior. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Multiple old right-sided rib fractures are again noted.

<unk>m with confusion // ?pna

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There is no focal consolidation. At both lung bases there are mild streaky opacities likely representing atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of pulmonary edema. There is mild hyperinflation of the lungs.

syncope, question of edema.

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The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. The chest is hyperinflated. Minimal opacity at the right base is probably due to minor atelectasis. There is a new medial left posterior basilar opacity and possible a small pleural effusion. Mild loss in height of a mid thoracic vertebral body appears chronic and unchanged.

shortness of breath and hypoxia. question pneumonia.

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Ap and lateral views the chest were viewed. The cardiomediastinal and hilar contours are stable. There has been decrease in the right pleural effusion following thoracentesis. No pneumothorax is seen. A left picc line is present in the left brachiocephalic vein, but the tip is not well visualized.

status post thoracentesis.

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Compared to <unk>, minimal residual pulmonary edema is seen. Small residual left pleural effusion is likely. Compared to preop radiograph on <unk>, previously seen fibrosing interstitial lung disease account for bilateral opacities. The heart size is normal and unchanged. The mediastinal and hilar contours are unchanged. Right jugular catheter is in right atrium, unchanged from prior. No pneumothorax seen. Sternotomy wires are aligned and intact. Aortic calcification is unchanged.

<unk> year old man with chronic pul fibrosis s/p cardiac surgery. evaluate interstitial lung disease.

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There is new consolidation of the left retrocardiac space and streaky atelectasis at the right lung base. There is no pleural effusion or pneumothorax. Cardiac and mediastinal contours are normal. The imaged upper abdomen is unremarkable.

postoperative fever, rule out pneumonia.

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Pa and lateral views of the chest were obtained. An aicd is unchanged in position with lead tip extending into the right ventricle region. Midline sternotomy wires are again seen. There is interstitial pulmonary edema with bilateral small pleural effusions. Heart size is stable and within normal limits. Central hilar engorgement is noted. No pneumothorax. Bony structures are intact.

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No significant interval change. Bilateral low lung volumes are stable. Stable cardiomediastinal silhouette and mildly tortuous descending aorta. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax.

<unk> year old man with <unk> is a <unk> yo <unk> m with a pmhxsignificant for bpad, multiple past psychiatric hospitalizations,cad s/p des to the lad, chf, chronic back pain s/p spinal surgeryand dmii who presented to the <unk> ed biba acutely agitated andparanoid after a <num> week period of medication non-compliance. // previous pulmonary edema

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Dual lead left-sided aicd is stable in position. No new focal consolidation is seen. Subtle lateral left base opacity is stable since <unk> may be due to chronic atelectasis or scarring. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. Chronic deformity of the distal right clavicle is consistent with healed fracture.

history: <unk>f with left sided chest pain and cough // eval for chf, pneumonia

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Frontal and lateral chest radiographs. The previously noted right base pneumothorax is no longer visible. Right basilar opacities are unchanged and mild pleural effusion has reaccumulated. The left lung is clear. The cardiomediastinal silhouette is stable.

history of metastatic melanoma with large right pleural effusion. evaluation for interval change.

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Et tube terminates <num> cm above the carina. A transesophageal tube courses below the diaphragm and out of view. Multi focal peribronchial airspace opacities in bilateral lungs appears similar to <num> day ago. Lung volume remains low. Mildly enlarged cardiac silhouette is unchanged. There is no large pleural effusion. There is probable mild superimposed pulmonary edema.

<unk> year old woman with possible vap // vap

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Ap portable upright view of the chest. Tracheostomy tube projects over the superior mediastinum with an overlying oxygen mask in place. There is again noted to be mild elevation of the right hemidiaphragm. Mild pleural thickening along the lateral aspect of the right lung is again noted. There is mild basilar atelectasis noted bilaterally. No convincing signs of pneumonia or edema. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears stable. No acute bony injuries.

<unk>m with coarse breath sounds // pna?

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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 or pneumothorax. No acute osseous abnormality is detected.

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

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Pa and lateral images of the chest. Median sternotomy wires and surgical clips in the mediastinum and right axilla are noted. The lungs are well expanded. Pleural calcification is seen along the lateral left lung. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. The aorta is again noted to be markedly tortuous. The left posterior rib defect is seen, likely postsurgical.

s/p vomiting.

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Low lung volumes with increasing bibasilar opacities. Linear opacity radiating from the hilum appears to be atelectatic lung. Probable small left effusion. Mild cardiomegaly. No pulmonary edema.

<unk> year old man with leukocytosis and bacteremia. // interval change? evidence of infection?please do at full inspiration, if possible.

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Mild blunting of the left costophrenic angle could be due to pleural thickening or small effusion. In addition, on the lateral view there is increased opacity projecting over the posterior costophrenic angles, potentially localizing to the left lower lobe on the frontal view. The lungs are otherwise clear. Cardiac silhouette is top-normal. Proximal right humerus fracture is as seen on recent shoulder x-rays. Compression deformities of several lower thoracic/upper lumbar vertebral bodies are noted. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with chest pain // ? mass, consolidation

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

seizure and altered mental status

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Right chest tube that was fissural in chest ct is in unchanged position. Most of the right lower lung opacities are due to atelectasis and high diaphragm due to the liver process. There was no significant residual or pleural effusion on the chest ct except for a small loculation in the fissure. Left lung is unremarkable. Mediastinal and cardiac contours are normal.

patient with chest tube in place, evaluation for right effusion.

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Endotracheal tube ends approximately <num> cm above the carina and is appropariate, orogastric tube terminates into the distal stomach/duodenum, and right picc line ends at cavoatrial junction approximately. Since prior radiograph from <unk>, left pleural effusion and associated left lower lung atelectasis is unchanged. Minimal atelectasis in the medial right lower lung is improved. Cardiomediastinal silhouette is stable. There are no other interval changes.

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

history of fever status post chemotherapy. please evaluate for pneumonia.

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Ap portable chest radiograph obtained. Compared to the prior study, there is increased interstitial edema with small bilateral effusions and mild left lower lobe atelectasis. Cardiomediastinal silhouette appears grossly within normal limits. No pneumothorax. Bony structures intact.

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Pa and lateral views of the chest were provided. The lung volumes are low. In this patient with known interstitial lung disease as seen on prior chest ct, there are stable reticular interstitial markings compared with prior exams. No new consolidation, effusion or pneumothorax is seen. The heart size is mildly enlarged. The mediastinal contour is stable. Slight prominence of the right pulmonary hilus is unchanged from prior ct scan. Hardware is again noted in the right proximal humerus. No acute bony abnormalities are detected. The known left distal clavicular fracture is only partially imaged.

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New massive pleural effusion obscures most of the right lung. There is also partial right lung collapse without mediastinal shift. Radiation fibrosis seen on prior study most prominent at the hilum is mostly obscured by pleural effusion. The left lung is clear without pleural effusion. There is no pneumothorax. Visualization of the heart and mediastinum is limited.

<unk> year old woman with met lung ca w/ increased sob // assess for increasing pleural effusion or other change

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Ap single view of the chest has been obtained with patient in upright position. Permanent pacer is present in left anterior axillary position seen to be connected to two intracavitary electrodes. One electrode terminates in position compatible with the apical portion of the right ventricle. The atrial electrode terminates in the mid portion, the right atrium with its tip turned upwards. Positions are unremarkable. There is no evidence of pneumothorax or any other placement-related complication.

<unk>-year-old female patient status post dual-chamber pacemaker placement. confirm lead position and evaluate for pneumothorax.

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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

leukocytosis

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Lungs are well inflated and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.

history: <unk>f with syncope now w lightheadness // ich, c- spine fracture

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Left-sided subclavian vein terminates at the lower svc. Interval insertion of a feeding tube with the tip in the body of the stomach. No pneumothorax. The lung volumes remain low with crowding of the bronchovascular markings. No evidence of interstitial edema. Marked distension of the visualized small and large bowel can be ileus.

<unk>m h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right iph, unchanged bilateral sdh, unchanged sah, and acute fracture of the inferior left parietal bone with associated <num> mm epidural hematoma // interval cxr

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The heart is not enlarged. There is mild unfolding of the aorta. The cardiomediastinal silhouette is otherwise within normal limits. There is mild bilateral lower lobe atelectasis. No chf, focal infiltrate or effusion is detected. No pneumothorax identified. No free air seen beneath the diaphragm.

chest pain. assess for acute cardiopulmonary disease

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There is a small left pleural effusion with overlying atelectasis. Otherwise, the lungs are clear. No right pleural effusion is seen. There is no evidence of pneumothorax. . The cardiac and mediastinal silhouettes are unremarkable. Anchor screws project over the left humeral head.

history: <unk>f with c/o increased confusion and falls // ? pna

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

<unk>f with pleuritc cp // r/o acute process

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. Mild interstitial markings are likely due to chronic congestive heart failure. The heart continues to be mildly enlarged, and the mediastinal contours are stable.

<unk>-year-old man with hyperglycemia

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A single portable chest radiograph demonstrates complete resolution of the left pneumothorax. The left pigtail catheter is now coiled appropriately. Small volume pneumomediastinum is still apparent. There is no effusion or consolidation.

pneumothorax.

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.

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Lung volumes are low resulting in crowding of bronchovascular structures, particularly at the lung bases. The cardiac silhouette is stably enlarged. The lungs are clear. There is no pleural effusion or pneumothorax. Healed left rib fractures are again demonstrated.

<unk>m with cp // eval for ptx

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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Pleuro-parenchymal scarring is noted within the lung apices. No focal consolidation, pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine.

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

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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. Clustered calcific densities are again seen projecting near the right axilla.

<unk>f with fever cough cp.

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Images are under penetrated. Allowing for this, lungs appear clear. Lung volumes are low resulting in bibasilar atelectasis. Cardiomediastinal and hilar contours appear stable, heart which is enlarged. There is persistent prominent central pulmonary arteries consistent with pulmonary arterial hypertension. There is no evidence of pulmonary edema. There is no pneumothorax.

<unk>f with asthma presenting with persistent sob // pulmonary edema? changes from prior?

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The endotracheal tube tip projects <num> mm above the carina. An ng tube courses below the left hemidiaphragm and out of view. There is new mild cardiomegaly with diffuse pulmonary opacities. No pleural effusions or pneumothorax.

<unk>m with recent intubation, confirm tube placement.

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Since the prior exam, there is new moderate pulmonary edema. There is a moderate-sized left pleural effusion, and a probable small right pleural effusion. There is no definite consolidation. There is no pneumothorax. The patient is status post a median sternotomy. The wires are intact. The heart size is at the upper limits of normal, minimally increased in size from the prior exam on <unk>. The mediastinal contours are normal. Vascular stents are noted overlying the bilateral carotid arteries.

dyspnea for three days.

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Relatively lower lung volumes are seen with secondary right basilar atelectasis. The lungs are clear without consolidation worrisome for pneumonia. Moderate cardiac enlargement is likely accentuated by lower lung volumes. No acute osseous abnormalities.

<unk>m with hiv not taking meds w fever, cough, headache/neck pain //

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with seizures. evaluate for acute cardiopulmonary process.

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The right apical pneumothorax has improved since <unk>, but is worsening compared to the most recent cxr performed yesterday evening. No evidence of tension. Right chest tube and epigastric drain are unchanged in position. Left subclavian line terminates in the mid-svc. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities.

<unk> year old man with chest tube to waterseal, diaphragmatic injury at time of liver transplant, persistent pneumothorax // please assess status of pneumothorax

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In comparison with the study of <unk>, there is again huge enlargement of the cardiac silhouette without appreciable pulmonary vascular congestion, consistent with the clinical diagnosis of pericardial effusion. Retrocardiac opacification is consistent with volume loss in the left lower lobe and pleural effusion.

pericardial effusion.

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The support devices are unchanged and in good position. Given for differences in technique, small right apical pneumothorax is stable. The left moderate pneumothorax appears larger, however this is likely due to the patient's more erect positioning. Mild pneumomediastinum and subcutaneous emphysema are stable. There is improved aeration of the lungs with persistent multifocal opacities in the lower lobes bilaterally.

<unk> year old man with worsening hypoxia, vent requirements, bilat chest tubes // eval for interval change

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Frontal and lateral views of the chest were obtained. There has been interval removal of the right picc. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Mild degenerative changes seen at the right acromioclavicular joint. Linear metalic density projects over right neck as on prior.

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The previously visualized left pleural effusion has resolved. Low lung volumes. There is subtle opacification at the right lung base, which likely represents layering pleural fluid, as seen on the mr dated <unk>. No focal consolidations. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pneumothorax.

history: <unk>m with cough, tachycardia // eval for pna

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Pa and lateral views of the chest. No prior. Bilateral neurostimulator devices over the chest obscure significant portion of the lungs. That said, the lungs where seen are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. There is resorption of the distal right clavicle and orthopedic screws projecting over the glenoid suggesting that these changes may all be post-operative. Osseous and soft tissue structures are otherwise unremarkable.

<unk>-year-old male with chest burning. neurostimulator placement.

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The cardiac silhouette is mildly enlarged. There is no focal consolidation, pleural effusion or pneumothorax. No radiopaque foreign body is seen in the region of the esophagus.

history: <unk>f with c/o food bolus at upper chest. // eval food bolus

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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

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Mild interstitial pulmonary edema. No acute focal consolidation. No large pleural effusions or pneumothorax. The hila are enlarged, but unchanged when given for differences in technique. The cardiopericardial silhouette is not enlarged.

<unk> year old woman with r hip fracture with acute fever <num> and new hypoxia // acute infiltrate? volume overload?