ChayanM/MIMIC-MultiView-Findings-Query_Optional

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

cellulitis.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, including mild to moderate cardiomegaly, is unchanged.

<unk>m with sob, evaluate for acute abnormality

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Pa and lateral views of the chest provided. Severe cardiomegaly is again noted. No focal consolidation, large effusion or pneumothorax is seen. The mediastinal contour appears stable and normal. Bony structures appear intact. No free air is seen below the right hemidiaphragm.

<unk>f with c/o thoracic/chest pain s/p mechanical fall

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Endotracheal tube and nasogastric tube remain in standard position, and cardiomediastinal contours are normal. Lungs are clear except for minimal patchy and linear opacities at the bases, most likely due to atelectasis, although aspiration could have a similar radiographic appearance.

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The ett is appropriately positioned approximately <num> cm above the carina. There is a right ij catheter, which likely terminates within the right atrium. There is an ng tube, which courses below the diaphragm, however the tip is not visualized on this image. There is complete silhouetting of the left hemidiaphragm, likely representing left lower lobe collapse, however superimposed pneumonia cannot be excluded. The cardiomediastinal silhouette is enlarged, which may be projectional. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.

<unk> year old woman with dm s/p cardiac arrest x <num> with rosc, now intubated // interval change

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Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air identified.

<unk>m with diffuse abd pain // evidence of distended cbd, colitis, appendicitis,

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Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with chest pain // pna?

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The heart is mildly enlarged. Cardiomediastinal contours are normal. Pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Metallic clips projecting over the left breast are compatible with history of prior left breast surgery. The catheter of the right chest wall port terminates in the lower svc. Osseous structures are unremarkable.

history of breast cancer presenting with seizure and syncope. evaluate for pneumonia.

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Since the prior chest radiograph on <unk>, there has been interval placement of a left-sided pigtail catheter. A small left apical pneumothorax has resulted. No pneumothorax on the right. Left pleural effusion has essentially resolved. No pleural effusion on the right. Patchy opacities in the right lung apex and right lung base appear slightly more dense and concerning for evolving infection. Cardiomediastinal contours are unchanged. Right pectoral pacer leads terminate in the right atrium and right ventricle, as expected.

<unk> year old woman with right chest tube // r/o ptx

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As compared to the previous radiograph, the size of the cardiac silhouette has minimally increased. In addition, there is mild enlargement of the azygos vein and a small right pleural effusion, better appreciated on the frontal than on the lateral radiograph. Moreover, there is fluid marking of the interlobar fissures, combines to borderline diameters of the pulmonary vasculature. Overall, the findings must be interpreted as mild pulmonary edema. At the time of observation and dictation, <time> p.m. On <unk>, the referring physician, <unk>. <unk>, was paged for notification.

dyspnea on exertion, weight gain, assessment for pulmonary edema.

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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. No displaced fracture is seen.

right breast pain.

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Ap upright and lateral views of the chest were provided. There are low lung volumes limiting evaluation. Mild interstitial edema is present without pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No focal opacity concerning for pneumonia. Bony structures appear intact.

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Pa and lateral views of the chest provided. The heart size is enlarged. Vascular markings are more prominent compared to prior exam but this is thought to be technical/ positional. There is no overt pulmonary edema. There is no focal consolidation or pneumothorax.

<unk>-year-old female with dyspnea on exertion. evaluate for pneumonia.

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As compared to the previous radiograph, the image shows unchanged overinflation and loss of lung structure in the upper lobes. There currently is no evidence of a focal low diffuse parenchymal opacity that could be suggestive of inflammatory disease. The hilar and mediastinal structures are unremarkable. The size of the cardiac silhouette is within normal borders. No pneumothorax.

severe copd, evaluation for interval change.

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The cardiomediastinal and hilar contours are stable and within normal limits. The aorta is tortuous as before. There are very small pleural effusions, left greater than right. There is no appreciable pneumothorax. Bilateral pulmonary opacities are improved from the prior examination. Opacity at the left base may represent atelectasis or scarring.

<unk> year old man s/p mechanical falls w/ hemoptx on l and ptx on r requiring chest tube/pig tail placement, respectively // eval for interval change, small ptx at discharge

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There is no significant change from radiograph earlier this morning. Small left apical pneumothorax is stable. Small left pleural effusion increased from <unk>. Left chest tube, multiple rib fractures, and subcutaneous emphysema are unchanged. Mediastinal contours and hila are normal. Retrocardiac opacity could represent atelectasis or pneumonia.

<unk> year old woman with new desat, sob with chest tube to water seal, placed back to suction // please assess for pneumothorax

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A left pigtail chest tube tip projects over the left upper lung field. Previously seen left apical pneumothorax is not clearly visualized on the current exam. There does appear to be a small air-fluid level posteriorly on the left which could reflect a small loculated hydropneumothorax. Re- demonstrated is subcutaneous emphysema within the left neck and chest wall. Left basilar patchy opacity likely reflects atelectasis. Minimal atelectasis is also noted in the right lung base. The cardiac, mediastinal and hilar contours are unchanged, and no pulmonary edema is demonstrated.

apical pneumothorax status post chest tube placement.

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As compared to the previous radiograph, the patient has received a right hemodialysis catheter and a left port-a-cath. No evidence of pneumothorax. No pneumonia. No pleural effusions. No pulmonary edema. Status post sternotomy with several fractured wires. The previously placed right picc line has been removed. No pleural effusions.

history of melanoma, chemotherapy, new cough, assessment for pneumonia.

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

<unk>f with dyspnea on exertion // evaluate for pneumonia

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The lungs are clear. There is no pneumothorax or pleural effusion. <unk> noted in the abdomen. Enteric tube extends beyond the diaphragm into the stomach with tip beyond the inferior margins of this film. Cardiomediastinal silhouette is unremarkable.

<unk> year old woman s/p whipple // please assess ngt position

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Ap portable upright view of the chest. Overlying ekg leads are present. The heart is markedly enlarged. Hila are congested and there is mild pulmonary edema. No large effusions. No pneumothorax. No convincing evidence for pneumonia. Bony structures are intact. Mediastinal contour is normal. No free air is seen below the right hemidiaphragm.

<unk>m with chest pain // eval for acute process

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Pa and lateral views of the chest are provided. Dialysis catheter is again noted with its tip extending to the low svc. Lungs are clear without focal consolidation, effusion, or pneumothorax. The heart is normal in size. Mediastinal contour is normal. Bony structures are intact.

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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. During the interval, the patient has been extubated. Other lines and tubes remain in unchanged position. An ng tube can again be identified. It reaches now down to the fundus of the stomach including the side port which has just past the hiatus area. On the preceding film, an ng tube was present reaching far down into the small bowel area.

ng tube placement.

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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. Again noted, is a tortuous atherosclerotic aorta. The cardiomediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax. There is a small amount of linear atelectasis at the left lung base.

<unk> year old woman with cough on chemotherapy, assess for pneumonia.

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<num>. Right mid and upper lung juxtahilar heterogeneous opacities, which appear slightly improved since <unk>, could represent infection in the appropriate clinical setting. <num>. Small left pleural effusion with adjacent atelectasis. <num>. No overt pulmonary edema as queried. <num>. Severe dysmorphic/degenerative changes of the shoulders.

<unk>-year-old female with aortic stenosis, copd, and diastolic chf, presenting with shortness of breath. evaluate for pulmonary edema.

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There is mild pulmonary edema. Small patchy opacity in the right base is probably atelectasis, however pneumonia as possible in correct clinical setting. Cardiomediastinal silhouette is mildly enlarged, increased from prior. There are probably small bilateral pleural effusions.

<unk> year old woman with nstemi c/b nsvt with worsening leukocytosis // please evaluate for evidence of pneumonia

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In comparison to the prior study there is mild improvement in severe diffuse pulmonary edema. Moderate cardiomegaly is unchanged. Focal consolidation would be difficult to exclude given the degree of pulmonary edema. There is no large pleural effusion or pneumothorax.

history: <unk>f with ams and cough // eval for pna, effusions

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There is at prominence of the interstitial markings although less extensive when compared to prior. There is no confluent consolidation or effusion. The heart size is normal. No focal consolidations concerning for pneumonia. No pneumothorax. A tips is identified in the right upper quadrant.

<unk>m with confusion // acute cardiopulm disease

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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. No displaced fracture is seen.

history: <unk>m with left sided rib pain s/p fall <num> weeks ago // r/o acute injury

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There is a new bilateral opacification, upper lobe predominant, due to new severe pulmonary edema. New ill-defined opacities at the right lung base are due to atelectasis. Heart size is top normal. There is no pleural effusion or pneumothorax. Stable cervical spinal fixation hardware. Et tube and ng tube have been removed.

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Moderate right-sided effusion has developed. Small right-sided pneumothorax. There is adjacent atelectasis. The left lung is clear. The heart is not enlarged. No pulmonary edema.

<unk> year old man with plural effusion // eval

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The heart is normal in size. There is minimal calcification along the aortic arch. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear. Several upper through mid thoracic interspaces are mild to moderately narrowed.

abdominal aortic thrombus.

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Endotracheal tube tip is <num> cm from the carina. Enteric tube seen with tip at the inferior field of view side port likely at the ge junction. Low lung volumes are noted with secondary crowding of the bronchovascular markings. There is probable superimposed atelectasis. Cardiomediastinal silhouette is slightly enlarged but likely accentuated by technique. No acute osseous abnormalities.

<unk>f with status epilepticus // eval tube placement s/p intubation

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Frontal and lateral views of the chest. The cardiomediastinal silhouette is within normal limits. There is no radiographic evidence of lymphadenopathy. There is no focal infiltrate, pneumothorax, vascular congestion or pleural effusion.

<unk>-year-old male with night sweats. question lymphadenopathy.

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

<unk>f with fever and cough // r/o infltrate

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There is increased consolidation of the left hemi thorax, with a known left upper lobe pulmonary mass and lymphangitic tumor extension throughout the left lung. Compared with the prior radiograph, there is a new moderate right pleural effusion and subtle right lower lung consolidation. The remainder of the right lung is clear.

history: <unk>m with hx stage <num> lung ca with hemoptysis and fever. pneumonia?

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Frontal and lateral views of the chest were obtained. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle, unchanged. There are significant perihilar and bibasilar opacities consistent with large bilateral pleural effusions as well as pulmonary edema. The cardiac silhouette is enlarged. The aorta is tortuous.

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The cardiomediastinal and hilar contours are within normal limits. There is tortuosity of the descending aorta lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

<unk>f with confusion, eval for infectious process

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Left internal jugular central venous catheter tip course may be intra-arterial given its position overlying the inferior aspect of the aortic knob and does not course in the expected region of the left brachiocephalic vein. No pneumothorax is demonstrated. The endotracheal tube remains low lying, terminating approximately <num> cm from the carina. An enteric tube is within the stomach. The cardiac and mediastinal contours are unchanged with the heart size remaining mild to moderately enlarged. Mild upper zone vascular redistribution is likely due to supine positioning. Atelectasis is demonstrated in both lung bases. No large pleural effusion or pneumothorax is identified on this supine exam. No displaced fractures are apparent.

history: <unk>f with line placement

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A marked dextroscoliosis of the thoracic spine is noted. There is linear left perihilar opacities which are stable from prior exam and likely represents scarring or atelectasis. There is no evidence of pneumonia or chf. No large effusion or pneumothorax. Overall cardiac mediastinal silhouette is stable.

<unk>-year-old female with persistent cough assess for pneumonia.

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Mild right lower lobe atelectasis. No focal consolidation, effusion, edema, or pneumothorax. The cardiomediastinal silhouette unchanged. The descending thoracic aorta slightly tortuous and/or ectatic. Right hemidiaphragm is slightly elevated.

<unk> year old woman with sah, s/p craniotomy, low o<num> sats; evaluate for pulmonary pathology.

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Portable upright view of the chest demonstrates small apical right pneumothorax, which is unchanged since prior. Right-sided chest tube is unchanged in position. Right pleural effusion is also stable in size. Right upper lung opacity is unchanged. Left lung is essentially clear without pleural effusion or pneumothorax.

patient is status post right vats, assess for pneumothorax.

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As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The tip of the catheter projects over the right atrium, the catheter should be pulled back by approximately <num> to <num> cm. Moderate cardiomegaly. Mild fluid overload. No effusions. No pneumonia.

right internal jugular vein catheter placement.

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The cardiomediastinal and hilar contours are within normal limits. The aorta is markedly tortuous. The lungs are clear. No pneumothorax.

<unk> year old man with well-controlled hiv, with prolonged productive cough, cbc with mild leukocytosis with left-shift. assess for infiltrate

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Pa and lateral views of the chest provided. Heart size is normal. Mediastinal and hilar contours are normal. The previously identified right infrahilar opacification is probably due to a pericardial fat pad, pericardial cyst or lipoma. There is no focal consolidation. Minimal, if any, pleural effusion. Bibasilar linear atelectasis and small pleural effusions. No pneumothorax. There are serpiginous radiodense structures in the left axilla and right upper chest, which could represent soft tissue calcifications or external structures.

<unk> year old woman with pvd, newly placed picc now with ? r hilar lung abnormality seen on post picc cxr // further evaluation of r hilar abnormality

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Patient is status post median sternotomy. There has been interval removal of left internal jugular central venous catheter. There are small-to-moderate bilateral pleural effusions with overlying atelectasis. The cardiac silhouette remains enlarged. Mediastinal contours are stable.

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There has been interval removal of an et tube and placement of an esophageal stent. Cardiomediastinal and hilar silhouettes remain stable. There are new opacities in the left mid lung zone and right lower lung zone and a new left pleural effusion. There is no pulmonary edema or pneumothorax.

<unk>-year-old man with shortness of breath, chest pain, and right-sided crackles.

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The lungs are clear and well expanded without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. A metallic density that projects over the manubrium is unchanged. Elevation of the right hemidiaphragm is unchanged compared to multiple prior radiographs.

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Cardiac silhouette size remains moderate to severely enlarged. The aorta is tortuous with atherosclerotic calcifications noted at the aortic knob. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Elevation of the left hemidiaphragm appears chronic. Calcified granulomas are again noted within the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>f with shortness of breath and leg swelling

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Two views of the chest were obtained. The lungs are clear without pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

<unk>-year-old woman with shortness of breath and asthma, assess for pneumonia.

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Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. There is no displaced rib fracture.

<unk>-year-old woman pain after a fall, please eval for fracture, please assess for other etiologies for chest pain

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The cardiomediastinal and hilar contours are within normal limits. Again is seen an area of pleural thickening along the left upper chest and in the left mid chest. There is a small left pleural effusion with associated atelectasis. There is no pneumothorax.

<unk>-year-old female with left pleural effusion status post thoracentesis.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Levoscoliosis of the thoracic spine is demonstrated.

history: <unk>f with syncopal episode and hypotension upon standing, t-wave inversions evolving laterally

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In comparison with study of <unk>, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Little overall change in the appearance of the heart and lungs.

intubation.

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The heart size is top normal. Mediastinal silhouettes are normal. Bilateral pleural effusions are small, if any, with possible mild pulmonary vascular congestion. No evidence of pneumothorax or focal consolidation. Levoscoliosis of the thoracic spine is noted.

<unk>m with dyspnea on exertion, <unk> edema for past <num> days, new symptoms. please evaluate for volume overload, effusion, infiltrate.

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Frontal and lateral chest radiographs demonstrate a mildly enlarged heart, increased compared to <unk>. Increased prominence of the hila bilaterally and interstitial markings, right slightly greater than left, are suggestive of mild pulmonary edema. No definite focal consolidation is identified. A small left pleural effusion is present. There is no pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in an <unk>-year-old man with abdominal pain and fever.

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Heart size is mildly enlarged with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

dyspnea on exertion.

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As compared to the previous radiograph, there is no relevant change, except that the nasogastric tube and the endotracheal tube have been removed. The swan-ganz catheter has been removed, but a right venous introduction sheath at the level of the internal jugular vein persist. Moderate cardiomegaly. No pleural effusions. No mediastinal widening. No evidence of pneumonia or pulmonary edema.

high volume chest output after cardiac surgery, evaluation for pleural effusions.

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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Orthopedic spinal fixation hardware is seen in the lower thoracic and upper lumbar spine.

dyspnea.

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Heart size is normal. The aorta is unfolded. Pulmonary vasculature is normal. Linear opacity in the left lung base again may reflect atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.

history: <unk>f with cough

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

<unk> year old man with hypotension and new aflutter // eval for pulm edema vs. pna

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac size is top normal. Right breast clips project over the right hemithorax.

hypoxemia.

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Pa and lateral views of the chest were obtained. The cardiomediastinal and hilar contours are stable. There is elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. Again seen is opacification at the right lower lobe which appears more consolidated than on the prior study. This may represent a combination of infection or atelectasis. There are overall low lung volumes.

influenza like illness.

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The right costophrenic angle not fully included on the image. Right-sided port-a-cath terminates in the mid to low svc. Nasogastric tube is seen coursing below the diaphragm, side port at the level of the ge junction. Recommend advancement so that it is well within the stomach. The visualized lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips noted in the upper abdomen.

<unk>f s/p ngt placement

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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

<unk> year old woman with chest pain and shortness of breath, evaluate for pneumonia.

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There is a left-sided pacemaker with associated right atrial and right ventricular leads. There is mild interstitial pulmonary edema, new compared to the prior radiograph from <unk>. Moderate cardiomegaly has slightly increased. Small bilateral pleural effusions are similar to the prior study. The descending thoracic aorta remains tortuous. There is no pneumothorax.

weakness and palpitations. evaluate for pneumonia.

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As compared to the previous radiograph, the lung volumes have increased, potentially reflecting improved ventilation. No pleural effusions. No parenchymal opacities. No pulmonary edema. No cardiomegaly. No pneumothorax.

bilateral wheeze, evaluation for pneumothorax.

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The heart size is mildly enlarged. The mediastinal and hilar contours are stable including markedly enlarged pulmonary arteries and have the calcification of the aortic knob. There is no pneumothorax. The lungs are well expanded with left basilar atelectasis and possible small left pleural effusion. There is no overt pulmonary edema.

<unk>f with esrd p/w nvd chest pain.

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Frontal and lateral views of the chest. Again seen is thickening and likely scarring along the right minor fissure. Best seen on the lateral view is patchy consolidation projecting over the cardiac silhouette anteriorly which likely localizes to the right on the frontal exam. Focal opacity at the right cardiophrenic angle is unchanged from prior. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old female with wegener's, atrial fibrillation and shortness of breath.

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Lines and tubes: none lungs: well inflated with persistent bibasilar opacities likely atelectasis. Pleura: there are bilateral pleural effusions that appears slightly improved compared to the prior radiograph. Mediastinum: cardiomegaly remains unchanged. Bony thorax: no interval change.

<unk> year old woman with recent effusion/consolidation and persistent o<num> requirement; also holding home lasix in setting of elevated creatinine // pls eval for interval change of r-side effusion/consolidation; also holding home lasix in setting of elevated creatinine. pls perform cxr in am of <unk> (preferably earlier than <num>am). thank you!

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The patient is intubated, the tip of the endotracheal tube lies no less than <num> cm from the level of the carina. An ng tube tip and side hole are seen within the stomach. There are low lung volumes, the lungs are otherwise clear without effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. There is unchanged s-shaped scoliosis of the thoracolumbar spine.

<unk>-year-old female with recent ingestion and altered mental status.

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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are new from prior exam. There is left basilar atelectasis and small left pleural effusion noted, also new from prior exam. The heart appears top normal in size. No convincing signs of pneumonia, though given the retrocardiac atelectasis, a subtle pneumonia is difficult to exclude. Mediastinal contour appears normal. Bony structures are intact.

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Lung volumes are low with secondary apparent widening of the cardiomediastinal silhouette. A pacemaker is seen with leads ending in the right atrium and right ventricle. There is no pneumothorax, no large pleural effusion. There is no free air.

<unk>-year-old with obstruction, please assess for pneumonia.

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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing accentuation of the pulmonary vasculature. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

chest pain.

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Pulmonary vascular congestion is not significantly changed. Marked cardiomegaly is unchanged. There is no pneumothorax. Mediastinal contours are stable.

<unk> year old woman with hemoptysis, new fever. history of mitral regurgitation. evaluate for infection

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The bilateral lung apices and left costophrenic angle have been excluded from the field of view. There has been interval placement of a feeding tube with its tip projecting over the stomach. Metallic right upper quadrant surgical clips from are in place. The tip of a right-sided picc line is not well seen, but appears to extend to at least the level of the mid svc. Small bilateral layering pleural effusions are unchanged. Mild pulmonary edema is unchanged.

<unk> year old man with new dobhoff. confirm placement.

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Right lower lobe consolidation is seen, consistent with pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with cough, fever, rll crackles // eval for pna

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In comparison with the study of earlier in this date, there is still substantial opacification of the right hemithorax with a small amount of aerated lung at the base. Obliquity of the patient makes it difficult to evaluate the left lung, where there probably are some atelectatic changes. Right ij catheter, endotracheal tube, and nasogastric tube remains in place.

septic shock and respiratory failure with complete whiteout of right lung.

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The cardiac silhouette is enlarged. There is a moderate left pleural effusion with associated compressive atelectasis. As compared to prior chest radiograph, there is new mild pulmonary vascular congestion. No new focal consolidation or pneumothorax.

<unk>-year-old woman with known diastolic heart failure, now re-admitted with shortness of breath and nocturnal oxygen requirement. please evaluate for chf.

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Consistent with provided history of cabg, there has been median sternotomy with intact sutures and surgical clips projecting over the mediastinum. Stable mild cardiac enlargement. Moderate pulmonary edema evident. Minimal retrocardiac atelectasis. No pleural effusion identified.

shortness of breath, history of congestive heart failure.

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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable given low lung volumes. There is bibasilar linear atelectasis. An unchanged calcified granuloma is seen at the right apex.

history: <unk>f with ? ineftion // r/o pneumonia

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

history: <unk>m with hx of bladder ca s/p chemo and cyberknife p/w malaise // assess for infiltrate

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An enteric tube courses below the diaphragm, its tip is proximal to the pylorus. As compared to prior chest radiograph performed two hours earlier, there is otherwise little change. Remaining monitoring and support devices are in unchanged position.

<unk>-year-old man with dobbhoff placement. check for placement.

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As compared to the previous radiograph, there is little relevant change. Mild fluid overload may be slightly worse. No evidence of focal consolidation, pleural effusion, or pneumothorax.the cardiomediastinal silhouette is within normal limits. The dobbhoff tube ends within the decompressed stomach, and the left-sided picc line ends in the cavoatrial junction.

<unk>-year-old female with a pmhx significant for htn, hld, schizoaffective disorder, moderate mental retardation who was transferred from osh (<unk>) after <num> week hospitalization for ams where she developed fevers, leukocytosis tranferred to <unk> now with recurrent fevers, uptrending wbc count, hypotension and cough. // assess for interval change

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

history: <unk>m with c/o cp // ? pna

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An accessed right pectoral mediport terminates in the mid svc. The lungs are clear. The heart and mediastinum are within normal limits. Bones and soft tissues are unremarkable.

cough; evaluate for pneumonia.

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Compared with the prior radiograph, lung volumes remain low with bronchovascular crowding. New bilateral lower lung interstitial abnormality is equivocal and of indeterminate chronicity. There is no focal consolidation or pneumothorax.

<unk>m with stroke. evaluate for acute cardiopulmonary process.

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In comparison with study of <unk>, the area of increased opacification in the right mid zone has decreased and has a more linear quality. This could reflect merely atelectatic changes that are less prominent, given the better inspiration. Nevertheless, in the appropriate clinical setting, a supervening pneumonia would have to be considered. Continued enlargement of the cardiac silhouette without vascular congestion or pleural effusion.

unsteady gait, to assess for pneumonia.

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The left hemidiaphragm is obscured, likely due to atelectasis, although a superimposed infection is also possible. There is atelectasis at the right lung base. The cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax.

<unk>-year-old man with possible pneumonia. evaluate for pneumonia.

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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. The patient is now intubated. The tip of the ett appears to have been advanced by <num> to <num> cm when comparison is made with the preceding study. Thus, it is now just about <num> cm below the lower edge of the clavicular contour and appears to be just above the carina. Observe that the diffuse haze in the lung parenchyma has progressed further and the central airways are poorly delineated. Comparison is extended to the portable chest examination obtained at midnight when the position of the carina is better identifiable. Thus it can be concluded that the tip of the ett is just about <num> to <num> cm above the carina. No pneumothorax is seen. Previously identified subclavian approach central venous line remains in unchanged position. Ng tube reaches well below diaphragm as before.

<unk>-year-old female patient with respiratory distress, pancreatitis, ogt, evaluate ett position.

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There is a large right-sided pleural effusion which is increased. A moderate to large left-sided pleural effusion is probably unchanged. Extensive atelectasis of each lung bases presumed to coincide. However, apical portions of each lung appear within normal limits without edema. Cardiac, mediastinal and hilar contours are obscured.

dyspnea.

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

<unk>f with recent discontinuation of thyroid medication w/ cough, wheezing, sob

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Pa and lateral views of the chest provided. Volume loss is again noted within the right lung with chronic scarring which appears partially calcified. Right apical opacities also unchanged. Overall pattern of lung opacities unchanged. No new consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear intact.

<unk>m with h/o cad, here w/ chest pain this morning, now resolved

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There is bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Dense mitral annular calcifications are noted. No acute osseous abnormalities identified. Median sternotomy wires are intact.

<unk>f with several days exertional cp, concern for unstable angina // acute cardiopulm process?

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As compared to the previous radiograph, the patient shows increased pulmonary fluid, as manifested by lower lung volumes, widened azygos vein, widened vascular diameters and a small left pleural effusion that has newly appeared. The monitoring and support devices are constant. No evidence of pneumothorax.

gangrene, evaluation for fluid overload.

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The cardiac, mediastinal, and hilar contours appear unchanged. The heart is at the upper limits of normal size. There is no pleural effusion or pneumothorax. There is an entirely unchanged patchy opacity in the right upper lobe since the prior radiographs with volume loss in the right upper lobe and streaky opacification radiating from the upper right hilum, the latter better appreciated on the lateral view. This appearance is stable and most suggestive of sequelae of prior tuberculosis. Streaky right mid lung opacity is compatible with minor unchanged scarring.

positive ppd. question active tuberculosis.

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In comparison with the study of <unk>, there is little change in the bilateral layering pleural effusions with basilar compressive atelectasis, more prominent on the right. Some element of increased pulmonary venous pressure persists. Right subclavian catheter tip again extends to the lower portion of the superior vena cava. Fixation devices are seen in the lower cervical and upper thoracic spine.

fluid overload.

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Patient is status post median sternotomy and cabg. There relatively low lung volumes and mild right basilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

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

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Ap upright and lateral views of the chest provided. Previously noted lines and tubes have been removed. The heart remains mildly enlarged. There is mild interstitial pulmonary edema. Hilar engorgement is also present. No large pleural effusions. No pneumothorax. No signs of pneumonia. Aortic atherosclerotic calcifications noted. Bony structures are intact. High riding right humeral head may reflect chronic rotator cuff disease. A calcified/bony structure projects inferior to the right coracoid, unchanged.

<unk>f with altered mental status // acute process?

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Cardiac, mediastinal and hilar contours are normal. Coronary artery stent is noted. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. No definite focal rib lesion is noted.

coronary artery disease status post recent pci for in-stent restenosis now presenting with chest pain and dyspnea.