ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Hyperinflation compatible with copd. There is mild right lower lobe bronchiectasis with very mild bronchial thickening. There is no consolidation. No pneumothorax or pleural effusion. Consolidated rib fracture of the anterior portion of the left second rib. Left apical <num>-mm granuloma is benign. Mediastinal and cardiac contour are within normal limits.

patient with cough since ten days, weight loss, rule out consolidation or other abnormalities.

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Port-a-cath is seen appropriately positioned terminating within the proximal right atrium. The heart is upper normal in size. Mediastinal and hilar silhouettes are within normal limits. The pleural surfaces are unremarkable. There is no pleural effusion or pneumothorax.

history of glioma status post port-a-cath insertion.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion pneumothorax. Cholecystectomy clips project over the right upper quadrant.

recent laparoscopic cholecystectomy with gi bleeding and chills.

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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 l sided chest pain // cause of chest pain?

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The lungs are clear. Rightward deviation of the trachea at the cervicothoracic junction is due to the enlarged left thyroid lobe. The heart is borderline enlarged. The hilar and cardiomediastinal contours are otherwise normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman, for preoperative evaluation prior to surgical repair of a c<num> fracture.

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Since <unk>, large hiatal hernia and small left pleural effusion are unchanged. Minor bibasilar atelectasis persists adjacent to the hiatal hernia. Heart size is normal. No pnemothorax.

<unk> year old woman with hydropneumothorax s/p chest tube // eval for worsening pneumothorax

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Ap single view of the chest has been obtained with patient in upright position. Comparison is made with the frontal view of the next preceding pa and lateral chest examination of <unk>. Multiple wires are overlying the frontal chest view. No pneumothorax can be identified in comparison with the frontal view of the previous examination. The patient is status post esophagectomy and gastric pull-up. No new pulmonary parenchymal abnormalities are seen, and the heart size remains within normal limits.

<unk>-year-old male patient with laparoscopic j-tube, bronchoscopy and egd, evaluate for pneumothorax. lung expansion.

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

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As compared to the previous radiograph, a small right and a moderate left pleural effusion persist. Areas of bilateral atelectasis are seen. In the infrahilar left lung, a subtle parenchymal opacity is present, this opacity may reflect infection. Further evaluation with frontal and lateral radiographic projections are recommended. Unchanged appearance of the left pectoral pacemaker and the course of the pacemaker leads.

shortness of breath, orthopnea, hemodialysis, evaluation for pneumonia.

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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.

potential kidney donor.

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Moderate cardiomegaly is unchanged from prior study. Cardiomediastinal silhouette and hilar contours are unremarkable. Persistent right hemidiaphragm elevation is unchanged. Median sternotomy wires remain in place.

chest pain. status post avr and cabg.

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In comparison with the study of <unk>, the kinking seen in the prior left-sided catheter is not appreciated at this time. Both it and the right-sided catheter extend to the mid portion of the svc. The cardiac silhouette appears somewhat more prominent, though there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

central line placement.

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Right-sided port-a-cath terminates in the upper svc without evidence of pneumothorax.there is slight blunting of the left costophrenic angle which may be due to a trace pleural effusion with overlying atelectasis. Subtle opacity at the left mid lung is nonspecific, underlying infection not excluded. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with pancreatic ca here w/ <unk> edema, doe, and <unk> // pulmonary edema

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A tracheostomy tube is present. An enteric tube extends into the stomach. The tip of the right internal jugular central venous catheter extends into the distal svc. Unchanged left lower lobe consolidation as well as layering bilateral pleural effusions. No pneumothorax identified.

<unk> year old woman s/p polytrauma s/p trach now with hypoxia // eval for interval change

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Streaky left basilar opacities likely due to atelectasis. The lungs are otherwise clear without pulmonary edema or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with ble edema // eval for cardiomegaly

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Lung volumes are low. There are patchy bibasilar opacities. There is no acute osseous abnormality.

<unk>-year-old with asthma exacerbation

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As compared to the previous radiograph, the signs of fluid overload have moderately decreased. The kerley b lines are no longer visible. Unchanged moderate cardiomegaly, no evidence of pleural effusions. Unchanged position of the left chest wall pacemaker.

chronic heart failure, status post diuresis.

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A left-sided picc is in-situ, this terminates in the distal svc. A nasogastric tube is in-situ, this terminates in the stomach. An ivor stent in the abdomen is incompletely visualized. The lung volumes are somewhat low with left basilar atelectasis. No consolidation or pneumothorax seen. There may be a small left pleural effusion. No free air seen under the diaphragm.

<unk> year old man with sbr w/ postop ileus // ngt placement

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A single portable frontal chest radiograph was obtained. Lung volumes have slightly increased since yesterday morning. Diffuse pulmonary opacities are again seen throughout both lungs. There is no effusion or pneumothorax. Mild cardiomegaly is unchanged. The tip of a right picc line terminates in the low svc.

hypoxic respiratory failure.

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Pa and lateral views of the chest provided. Lung volumes are low. Allowing for low lung volumes, the lungs appear clear without definite consolidation, effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with fever without a source, ha // evaluate for pneumonia

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Ccardiomediastinal silhouette and hilar contours are normal. Lungs are clear. A right port is unchanged in position with the tip projecting over the upper svc. There is no pleural effusion or pneumothorax.

asthma with worsening shortness of breath.

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Moderate overinflation, no pleural effusions. No other acute lung changes. Unchanged size of the cardiac silhouette.

copd, assessment for pneumonia.

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

<unk>-year-old male with new-onset dizziness, ataxia, and vomiting.

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As compared to serial exams dating between <unk> and <unk>, a large conglomerate area by opacification in the left upper hemi thorax has worsened in demonstrates relatively round borders inferiorly. This is most likely predominantly intraparenchymal with adjacent potential loculated fluid component. Remainder of the lungs are grossly clear. Cardiomediastinal contours are stable. Small pleural effusions are again demonstrated bilaterally.

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

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Rounded calcified bodies projecting over the left shoulder joint again may reflect synovial osteochondromatosis.

history: <unk>m with seizure

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Multifocal lymphadenopathy is again demonstrated, most marked in the right peritracheal, left supraclavicular, and aorticopulmonary window nodal stations. Apparent slight improvement compared to <unk>. Heart size is normal. The lungs and pleural surfaces are clear.

<unk> year old man with cll now with dyspnea on exertion // rule out pneumonia

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top-normal. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Clips are noted in the right breast.

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

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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.

intermittent chest pain.

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Pa and lateral views of the chest were obtained. Bilateral airspace opacities in the left upper and lower lobes and right middle and lower lobes are concerning for multifocal pneumonia. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the hemidiaphragm.

cough and fever.

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A right subclavian picc line is present, tip overlies the svc/ra junction. An enteric type tube is also present, tip extending beneath diaphragm off film. Heart size is at the upper limits of normal or slightly enlarged. There is upper zone redistribution, but no overt chf. No focal infiltrate or effusion is identified. Hazy density seen over both lower lobes is thought to represent artifact due to the patient's breast implants. Mild biapical pleural thickening is noted. Compared with <unk>, enteric tube has advanced. Otherwise, no significant interval change is detected.

<unk> year old woman with alcoholic cirrhosis and rising leukocytosis. // please evaluate for pneumonia.

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

<unk>-year-old male with central crushing chest pain and hypertension.

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Frontal and lateral views of the chest. When compared with most recent exam, there has been interval improvement of bilateral opacities with some persistent indistinct pulmonary vascular markings. There are small bilateral pleural effusions, new since prior. Mildly enlarged cardiac silhouette is unchanged. No acute osseous abnormality is identified.

<unk>-year-old female with recurrent chest pain. history of chronic kidney disease, on dialysis.

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In comparison with study of <unk>, the picc line tip is in the lower portion of the svc. Again, there is no evidence of acute cardiopulmonary disease. The fibrotic scar in the mid-to-upper portion of the right lung is unchanged.

possible migrating picc line.

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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Widening of the left ac joint with resorption of the distal clavicle is chronic.

<unk>m with fall // rib fracture

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

chest pain at rest which is now resolved.

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Mild enlargement of the cardiac silhouette is re- demonstrated. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lung volumes are low with mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

possible uremia, intermittent hypoxia.

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There is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. The trachea is again relatively large. The cardiac, mediastinal and hilar contours appear stable. No pleural effusion or pneumothorax. The lungs appear clear. Moderate degenerative changes are similar along the thoracic spine. The thoracic spine curves mildly to the right.

chest pain and shortness of breath.

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Patient is status post median sternotomy and cabg. The heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. The pulmonary vasculature is not engorged. Minimal atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Remote left-sided rib fractures are again noted.

history: <unk>m with concern for hyperglycemia, cough

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There is a three-lead pacemaker/icd device that appears unchanged. The heart is at the upper limits of normal size with a left ventricular configuration. The lung volumes are low. The mediastinal and hilar contours appear unchanged. Similar to prior findings, there is mild interstitial prominence suggesting vascular congestion. No focal consolidation is seen. There is no definite pleural effusion or pneumothorax. The bones appear probably demineralized with degenerative changes throughout the mid-to-lower thoracic and visualized upper lumbar spines. A lower thoracic compression deformity of a moderate loss in height appears unchanged.

malaise.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. An <num> x <num> mm rectangular opacity in the right hilus projects over the setting pulmonary artery and is of uncertain etiology. The imaged upper abdomen is unremarkable. The bones are intact.

history: <unk>f with chest pain // r/o infiltrate

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Ap upright and lateral views of the chest were obtained. Lung volumes are low, accentuating interstitial markings. There is no consolidation, effusion, or pneumothorax. A curvilinear retrocardiac opacity is unchanged since <unk>, likely represent scarring. Mild cardiomegaly is unchanged. Aortic arch calcifications are mild. Old left sided rib fractures are noted. Degenerative changes with with loss of height of multiple thoracic vertebral bodies are unchanged.

shortness of breath

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

<unk> year old woman with cough // cough, crackles l baseassess for infiltrate

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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.

<unk>f with right upper back pain radiate to chest // role out pneumothorax

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Patchy left infrahilar opacity is seen which may be due to overlap of vascular structures but small focal consolidation in this region is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with hx pancreatic dilation and weight loss with elevated wbc and epigastric pain. // pneumonia?

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The lungs are clear. There is no pleural effusion or pneumothorax. Lung volumes are slightly hyperinflated. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

weight loss, cad, tobacco use, ppd positive. rule out mass.

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Cardiac, mediastinal and hilar contours are unchanged. Pulmonary vascularity is normal. Minimal right basilar patchy opacity likely reflects atelectasis, and blunting of the right costophrenic angle appears chronic, likely due to either a small pleural effusion or pleural thickening/scarring. There is no pneumothorax. No acute osseous abnormality is identified.

shortness of breath.

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Lungs are well inflated and clear bilaterally with stable upper zone redistribution of vasculature. There is no pleural effusion or pneumothorax. No areas of focal consolidation, masses or lesions are identified. Aorta is mildly tortuous, and heart is top normal in size. Pleural surfaces are unremarkable. An ng tube is seen properly placed entering the stomach and then out of view. Stimulator is in place, unchanged in position, projecting over the lower thoracic spine.

<unk>-year-old female with history of copd, now with new cough.

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Pa and lateral views of the chest provided. Airspace consolidation within the left lower lobe is concerning for pneumonia. The previously noted right pleural effusion has resolved. A cavitary structure in the left lung apex measures <num> x <num> cm with peripheral/apical opacity could reflect prior infection or malignancy. A retrocardiac opacity better assessed on previous imaging is consistent with a known hiatal hernia. Please correlate clinically. Cardiomediastinal silhouette is stable. Bony structures appear intact.

<unk>f with dyspnea // eval for acute process

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As compared to <unk>, the small bilateral pleural effusions have not significantly changed. The basal and retrocardiac opacities have also not significantly changed. No pulmonary interstitial edema. No pneumothorax. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices with the ett <num> cm from the carina.

<unk> year old woman with lymphoma and pna requiring intubation // evaluate intubated ficu pt

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A frontal upright view of the chest was obtained portably. A tracheostomy is in standard position. There is no change from <time> a.m. In linear lucencies adjacent to the left trachea, compatible with pneumomediastinum. Subcutaneous air in the left neck is stable. Bilateral opacities are unchanged. No pneumothorax. Right port-a-cath ends in the lower svc.

<unk>-year-old man with scc status post surgical tracheostomy placement. evaluate for interval change in pneumomediastinum.

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Increased density at the right lung bases compatiblewith a previously noted bochdalek's hernia. The lungs are otherwise clear. There is no large effusion nor edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, s shaped thoracolumbar scoliosis is noted.

<unk>f with lightheadedness and intermittent sinus bradycardia // eval for chf

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Cardiac silhouette size is normal. Atherosclerotic calcifications are seen within the aortic knob. The mediastinal and hilar contours are within normal limits. There is no pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Eventration of the right hemidiaphragm is unchanged. There are no acute osseous abnormalities. Mild compression deformity of the l<num> vertebral body is unchanged.

history: <unk>m with multiple myeloma, aortic stenosis, flank pain, tenderness s<num> palpation right flank // eval ? rll infiltrate

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Frontal and lateral radiographs of the chest show small bilateral pleural effusions. An ill-defined opacity at the right lung base is consistent with atelectasis. Opacities in the left lung base may represent atelectasis, but pneumonia cannot be excluded. No pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The patient is status post median sternotomy and cabg with pneumopericardium noted on the lateral radiograph. An aortic valve prosthesis is in place. Surgical clips are noted in the thoracoabdominal region consistent with prior repair of a hiatal hernia.

<unk>-year-old male status post cabg, here to reevaluate for interval changes.

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Low lung volumes. Apparent transverse cardiomegaly. No pulmonary edema. Subsegmental atelectasis in the right lung base. No airspace consolidation. No suspicious pulmonary nodules masses. No pneumothorax.

<unk> year old woman with delirium leukocytosis // ? pneumonia

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The lungs are well expanded. There is mild prominence of the pulmonary vasculature. The lungs otherwise clear. There is possibly a small left pleural effusion. There is no right pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. The pacer is noted over the right chest with intact leads in appropriate position.

syncopal episode and tbi.

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The patient has been intubated in the interim, the tip of the endotracheal tube is no less than <num> cm from the level of the carina. An ng tube is in place with its tip and side hole not seen off the inferior portion of the film. Bilateral lower lobe opacities reflect pneumonia, though superimposed upon this are new fluffy perihilar opacities consistent with developing pulmonary edema.

<unk>-year-old male with respiratory failure.

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<num> x <num> cm partially calcified ovoid lesion along the anterior medial right middle lobe is unchanged since <unk> and previously characterized as a calcified internal mammary lymph node. The lungs are mildly hyperinflated with flattening of diaphragms and are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

<unk>m with vertigo on experimental drug for lymphoma. assess for pneumonia

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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 silhouette is top normal/borderline in size. Mediastinal contours are unremarkable. Hilar contours are also unremarkable. There may be minimal vascular congestion.

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The patient is status post median sternotomy and cabg. The heart size is mildly enlarged. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Remote fracture of the left seventh rib is noted.

history: <unk>m with chest pain

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with right neck and chest pain

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Et tube terminates <num> cm above the carina. Unchanged mild prominence of interstitial markings and vasculature with no lobar consolidation. No pleural effusion or pneumothorax. Unchanged biapical pleural thickening. Stable cardiomediastinal silhouette and bony thorax.

<unk> year old woman with gi bleed post intubation // ett

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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. The imaged upper abdomen is unremarkable.

history of recent hospitalization for alcoholic hepatitis, readmitted with fever, rule out pneumonia.

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Pa and lateral views of the chest demonstrate the bilateral lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal in appearance. There is no pleural effusion or pneumothorax. No focal opacity is identified within the lungs.

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

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Lung volumes are slightly lower than on the prior exam. There compressive changes at the bases versus early infiltrates. Otherwise the appearance of the lungs are unchanged

<unk> year old man with h/o copd now with increased sputum production, sob, and general malaise. afebrile // pneumonia v copd exacerbation

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As compared to the previous radiograph, the position of the right chest tube is slightly changed. In unchanged manner, there is a millimetric right apical pneumothorax. No evidence of tension, no parenchymal opacities. Unchanged appearance of the heart, unchanged left port-a-cath.

evaluation for post-operative interval change.

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Pa and lateral views of the chest provided. Lungs are clear. No convincing evidence for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. No congestion or edema. Bony structures are intact.

<unk>f with history of myotonic dystrophy, p/w weakness and intermittent cough.

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The lungs are clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. Biapical pleural thickening is mild and unchanged. No acute osseous abnormality.

history: <unk>m with fever and cough x<num> days // ?pna

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Frontal and lateral views of the chest were obtained. There has been interval placement of a single-lead left-sided pacemaker with lead extending to the expected position of the right ventricle without evidence of pneumothorax. Linear left base opacities likely represent atelectasis/scarring. The lungs are hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. The cardiac silhouette is top normal to mildly enlarged. The aorta remains calcified and tortuous. No focal consolidation, pleural effusion is seen. There is no overt pulmonary edema. Median sternotomy wires are again seen along with mediastinal surgical clips. Sclerosis of a lower thoracic vertebral body remains unchanged.

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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette, though the degree of pulmonary vascular congestion is decreasing. Substantial right pleural effusion persists with compressive atelectasis at the base. The relative discordance between cardiac size and degree of vascularity raises the possibility of underlying cardiomyopathy or even pericardial effusion.

cirrhosis.

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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.the previous right central venous catheter is longer present.

<unk>f with ruq epigastric abd pain. evaluate for pneumonia.

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There is near complete opacification of the right hemi thorax with only small amount of aeration seen. There is mild shift of the mediastinum to the left. The left lung is clear. There is no left pleural effusion. No pneumothorax is seen. The aorta is calcified. The bones are diffusely osteopenic. Degenerative changes at the left shoulder are seen, including high right imaged humeral head which can be seen rotator cuff disease.

history: <unk>f with cough and ams // infiltrate?

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is borderline in size. No overt pulmonary edema is seen.

history: <unk>f with code stroke, speech changes // eval for pneumonia

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Tip of endotracheal tube terminates about <num> cm above the carina, and a nasogastric tube terminates in the right upper quadrant of the abdomen in the region of the gastroduodenal junction. Markedly improved aeration of the left lung since the recent study, at which time there was near-complete opacification of the left hemithorax. Left upper lobe has re-expanded as well as part of the lingula, but there remains a substantial left lower lobe atelectasis as well as a moderate pleural effusion.

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The heart is at the upper limits of normal size with a left ventricular configuration. There is mild unfolding and calcification along the aortic arch. There is no pleural effusion or pneumothorax. Projecting in the right infrahilar region is a nodular opacity measuring about <num> mm in diameter. Although it may represent a confluence of vascular shadows or perhaps pneumonia in the appropriate setting, the possibility of a lung nodule should be considered. The opacity is not visualized on the lateral view. Otherwise the lungs appear clear. Surgical clips project along the right upper quadrant. Small osteophytes are noted along the thoracic spine.

dizziness.

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There are low lung volumes, and significant rightward rotation of the patient on the current radiograph. Allowing for changes due to this, the cardiomediastinal silhouettes are stable. There is evidence of mild pulmonary vascular congestion, stable or minimally improved in comparison to x-ray from <unk>. There has been interval resolution of right pleural effusion. The left pleural effusion is again seen, similar to the prior study. Increased opacification of the lower left lung and in the retrocardiac region likely relates to relaxation atelectasis, however superimposed infection cannot be excluded by radiograph, given the proper clinical setting. The remainder of the lungs are grossly clear without evidence of focal consolidation. There is no pneumothorax. Again seen is postoperative change or less likely resorption of the distal left clavicle.

<unk>f with h/o chf here with hypoxia and shortness of breath, assess for pulmonary edema.

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Moderate cardiomegaly appears similar to prior examination though complete comparison is difficult given the presence of a moderate-to-large right subpulmonic pleural effusion as well as increased density in the right lung base, which may represent pneumonia. Prominent right hilar contour suggests lymphadenopathy. There is central vascular congestion along with mild interstitial pulmonary edema. There is no pleural effusion. Surgical clips project over the right axilla. The patient is status post right mastectomy.

history of breast cancer and stage iv lung cancer, status post right lower lobectomy presenting with hypoxia and altered mental status.

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Pa and lateral views of the chest were provided. The heart is mildly enlarged and pulmonary hilar engorgement is present with mild pulmonary edema. No focal consolidation to suggest the presence of pneumonia. No effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.

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

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The patient is status post sternotomy and coronary artery bypass graft surgery. The heart is mild to moderately enlarged. The cardiac, mediastinal and hilar contours appear unchanged. Pleural effusions have resolved. There is mildly exaggerated kyphotic curvature centered along the mid thoracic spine and suspected bony demineralization. Moderate flowing anterior osteophytes are visualized along the lower thoracic, mid thoracic and upper lumbar spines.

atypical chest pain.

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Right infusion port catheter terminates in the low svc. Compared to <unk>, areas of heterogeneous opacification involving the right mid and lower lungs and left base have significantly improved. Minimal effusion, if any, on the right, likely with some accompanying atelectasis. No left pleural effusion. Heart size is normal. Mediastinal and hilar contours are normal.

<unk> year old woman with all // pre bmt eval post rsv, patient also with new pain over port with some erythema. please confirm placement.

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Upright portable view of the chest demonstrates moderate bilateral pleural effusions. Right pleural effusion with probable subpulmonic component. Left lung base consolidation is noted. Right lung base opacities are also seen. There is mild pulmonary edema. Heart size is difficult to assess due to the adjacent opacities, which is likely enlarged. Aortic arch calcifications are noted. Pacemaker leads are in place, projecting over right atrium and ventricle. There is no pneumothorax. Bones are diffusely demineralized.

shortness of breath.

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There appears to be interval improvement of the previously seen vascular congestion. There is no evidence of frank interstitial edema. No focal consolidations are identified. There is no pneumothorax. There is a small left-sided pleural effusion. No new focal consolidations are identified. The heart size is unremarkable. The hilar and mediastinal contours are otherwise unremarkable.

<unk>-year-old male with a history of sepsis and new hypoxia status post aggressive fluid resuscitation, who presents for evaluation.

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The heart size is normal. The mediastinal and hilar contours are unremarkable. There is elevation of the right hemidiaphragm with right basilar opacification likely reflecting atelectasis though infection cannot be excluded. Probable trace bilateral pleural effusions are noted. There is no pneumothorax. Percutaneous transhepatic biliary catheter is noted with pigtail projecting over the region of the liver. Several clips are noted in the right upper quadrant the abdomen.

low oxygen saturation and cough.

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

<unk>m with chest pain // r/o pna, esopahageal perforation

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.

respiratory wheezing for <num> weeks, mild shortness of breath.

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Since the prior radiograph, there has been interval worsening of right parenchymal opacities, which may be due to pulmonary edema, atelectasis and/or pneumonia. Left moderate and small right pleural effusions are unchanged. No pneumothorax. Stable cardiomediastinal silhouette. The right picc, et tube, and enteric tube are unchanged in position. Surgical clips are noted in the right upper quadrant.

<unk>f s/p bowel resection for mesenteric ischemia now w/ sepsis // ? interval change, please do on am icu rounds

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Frontal and lateral views of the chest. There is prominence of the hila bilaterally compatible with patient's known adenopathy. Comparing to scouts from most recent ct scan there is no definite change. On the lateral view there is more conspicuous focal opacity projecting over the anterior portion of a mid to lower thoracic vertebral body which likely is in the right lower lobe base on the lateral exam. Nodule at the left lung base may represent a nipple shadow. Known parenchymal nodules are better characterized by prior chest ct. Elsewhere, the lungs are unchanged. The cardiac silhouette is not changed. No discrete abnormality identified by plain film in the supraclavicular region. Azygos lobe again noted.

<unk>-year-old male with history of metastatic lymphadenopathy who presents the supraclavicular swelling.

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Mild cardiomegaly is stable compared to exams dating back to at least <unk>. The lungs demonstrate a chronic interstitial abnormality. There is a small right pleural effusion, with adjacent atelectasis. There is no evidence of a pneumothorax. Right-sided picc line terminates in the mid svc, in appropriate position. The patient is status post left mastectomy.

history: <unk>f with dyspnea. please evaluate for infiltrate.

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Elevation of the right hemidiaphragm status post right lower lobectomy again noted. Small right pleural effusion persists. Right hilar and right lung fiducial clips are again noted. The left-sided port-a-cath is similarly positioned. No acute change is detected. The left lung is clear. Heart size is normal. Aortic calcification is again noted.

<unk>-year-old male with metastatic colon cancer, status post right lower lobectomy.

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As compared to chest radiograph from <num> day prior, slight increase in layering moderate right-sided pleural effusion post fluid also tracking along the fissure. Moderate left-sided effusion is stable. Bibasilar opacities marginally increased. No pneumothorax. Moderate cardiomegaly. Right-sided pleural catheter in similar position.

<unk> year old woman with esrd on hd, lung cancer, has r pleurx, copd, on <num>l nc, having anxiety attacks // ?acute process

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Single portable supine frontal chest radiograph demonstrates moderately well-expanded lungs with mild right lower lobe atelectasis. Mild right lower lobe bronchial wall thickening with associated bronchiectasis is noted no pleural effusion, although slightly limited evaluation of the left costophrenic angle. No additional focal opacity. No pneumothorax. Heart size, mediastinal contour are, and hila are unremarkable.

<unk>m with cough. assess for pneumonia.

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Mild cardiomegaly is unchanged. There is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. No fracture is identified. Multilevel degenerative changes of the thoracic and upper lumbar spine are grossly similar from <unk>.

rib and back pain with no history of trauma. low suspicion for infectious etiology.

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Lungs are hyperinflated. The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are demonstrated.

history: <unk>m with asthma exacerbation

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Shallow inspiration accentuates heart size, pulmonary vascularity. Pulmonary vascularity has improved. Improved bilateral perihilar opacities, improving pneumonitis versus improving edema. Improved right basilar atelectasis. Increased retrocardiac opacity, atelectasis versus infiltrate. Small right pleural effusion is new. Probable small left pleural effusion, stable.

<unk> year old man with pna, chf // eval for pna vs pulmonary edema

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Ap and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.

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

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Frontal and lateral views of the chest are compared to previous exams from <unk> and <unk>. Superiorly, the lungs are clear, and there is no evidence of pulmonary vascular congestion. Best seen on the lateral view is increased density projecting over the spine inferiorly. There is adjacent linear opacity suggestive of associated atelectasis. Cardiac silhouette is enlarged, similar to prior. Median sternotomy wires again noted. Multiple right lateral rib fractures are again seen.

<unk>-year-old male with weakness.

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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. Nipple rings noted bilaterally.

<unk>f with chest discomfort

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Portable ap upright chest radiograph was obtained. Lungs are somewhat low in volume with resultant bronchovascular crowding. Within this limitation, there may be mild pulmonary edema. Cardiac size remains stably enlarged. No pneumothorax or pleural effusion is identified.

pleuritic chest pain, assess for pericardial effusion or congestive heart failure.

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The lungs are clear. Incidentally noted is an azygos fissure. Cardiac silhouette is top-normal as on prior. Atherosclerotic calcifications of the thoracic aorta is noted. There is a chronic left lateral seventh rib fracture.

<unk>m with cp, ekg changes since this am // eval ? edema, infiltrate

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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is top normal. No acute osseous abnormality detected.

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

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In comparison with the study of <unk>, the patient has taken a much lower inspiration. With the chest tube clamped, there is no evidence of pneumothorax. Otherwise, little change.

chest tube clamped, to assess for pneumothorax.