ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.

chest pain.

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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Linear opacities in the lung bases most likely represent plate-like atelectasis. There is slight blunting of the costophrenic angles, suggestive of small pleural effusion. Bibasilar consolidations have significantly improved since <unk> exam. There is no pulmonary edema. No pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. Partially visualized upper abdomen is unremarkable.

patient with chills and productive cough. assess for pneumonia.

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

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

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is left basilar atelectasis, as demonstrated on prior ct. There is no focal lung consolidation concerning for pneumonia.

<unk>-year-old woman with asthma presenting with worsening shortness of breath, evaluate for pneumonia

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study dated <unk>. Heart size is unchanged. Thoracic aorta as before. There is now a rather well-demarcated local mass occupying the right tracheo=bronchial angle and bulging in round shape, well demarcated to the right, thus occupying and widening the superior right-sided mediastinum. Patient is status post vats wedge resection in the right upper lobe area. The latest followup examination of <unk> demonstrated satisfactory findings with absence of pneumothorax and chest tube removal. A certain degree of prominence of the right upper mediastinum existed already at that time. This finding, however, has changed in as much as the apparent mass shows increased prominence. There are no new pulmonary parenchymal abnormalities present, and the lateral and posterior pleural sinuses remain free.

<unk>-year-old male patient with robotic-assisted vats right upper lobectomy, check interval change.

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The heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. There are mild degenerative changes in the thoracic spine.

chest pain.

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with l lateral chest wall and upper breast pain // ?ptx vs pna

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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

history of asthma. new rigors and hypoxia.

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Ap upright 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 fall // preop

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In comparison with the prior exam, there is a new large opacity involving the left middle and lower lung zones, most consistent with pneumonia. A component of pleural fluid is difficult to exclude. There is mild streaky opacification at the right base with obscuration of the right hemidiaphragm. This could be due to atelectasis, or a second focus of pneumonia. The mediastinal contours are difficult to evaluate given the adjacent opacity, though they appear increased in diameter since the prior exam. This is may be due to technique and obscuration from the left hemithorax opacity. The heart size is difficult to determine because of the adjacent opacity.

chest pain and shortness of breath for three days. reports a fever at home.

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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.

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

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A chest tube overlies the lower right lung. A relatively large pneumothorax is seen at the right lung base. There is increased opacity in the retracted right lung base and perihilar region. The right upper lung appears relatively clear. Probable mild rightward shift of the mediastinum. There is mild cardiomegaly without unfolded aorta. The left hilum is prominent, with a tapered appearance, which could reflect the presence of pulmonary hypertension. There is minimal atelectasis or scarring at the left lung base. There is mi prominence of the interstitial markings in the left lung. Abnormalities in the left lung, which include increased interstitial markings and multiple small nodular opacities, are more completely demonstrated on the outside ct scan.

<unk>m without known pmh presents after fall with l pathologic hip fracture, found to have r hilar mass with post-obstructive lobar collapse and multiple foci of likely metastasis in the lungs and vertebral bodies, now s/p chest tube placement and orif of l subtrochanteric fracture. // interval assessment after chest tube placement

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Frontal and lateral views of the chest demonstrate normal mediastinal and hilar contours and likely top normal heart size. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Patient is status post cervical spine posterior fusion with hardware in place.

<unk>-year-old female with shortness of breath and history of congestive heart failure. question pulmonary edema or effusion.

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The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

worsening fatigue. rule out early consolidation or infiltrate

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There has been interval placement of an enteric feeding tube which courses to the level of the diaphragm and appears coiled at this level with the tip pointing cranially in the lower esophagus. Recommend repositioning. The appearance of the chest is otherwise unchanged from the study performed earlier the same day without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The cardiac silhouette remains moderately enlarged. The patient is status post median sternotomy with mediastinal surgical clips compatible with prior cabg surgery. Calcification at the aortic knob is redemonstrated. There is no pulmonary edema.

ng tube placement for small-bowel obstruction, here to evaluate ng tube position.

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There are new dense areas of volume loss most marked in the right mid to upper lung and left lower lung. There is also right lower lobe alveolar infiltrate. Et tube and right-sided picc line and cervical spine fixation devices are unchanged. Og tube tip is off the film.

hypoxia.

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Heart size is normal. Mediastinal and bilateral hilar enlargement are consistent with lymph node enlargement related to known cll. They appear unchanged since the prior radiograph. Patchy and linear opacities have developed at both lung bases, as well as an apparent nodular opacity in the left mid-to-lower lung region at the level of the fifth anterior rib at the intersection with the ninth posterior rib. Small bilateral pleural effusions are new, left greater than right. No acute skeletal abnormalities.

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Interval insertion of right dialysis catheter terminating in right atrium. The pacemaker and right picc line are in unchanged position. The sternotomy wires are unchanged with no evidence of dehiscence. The patient is rotated. The lung volume is low. Diffuse right lung opacification and right pleural effusion are unchanged. The pulmonary venous congestion, left pleural effusion, and left lower lobe atelectasis are unchanged. No pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is unchanged.

<unk> year old woman on hemodialysis, right heart failure, known l pleural effusion and r lung scarring s/p radiation and pleuradesis, now with o<num> sat <unk>% on <num>l face mask. // ? cause of acute worsening of hypoxemia, ? worsening pleural effusion

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Pa and lateral views of the chest provided. Again noted is pulmonary congestion and mild pulmonary edema. No large effusion is seen. No pneumothorax. Difficult to exclude a subtle superimposed pneumonia. A prominent right epicardial fat pad again noted. Cardiomediastinal silhouette stable. Bony structures are intact.

<unk>m with chf here with sob // ? pneumonia, effusions

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Low lung volumes are seen with secondary crowding of the bronchovascular markings. Bibasilar opacities are most likely atelectasis, they are not seen on the lateral view which is somewhat limited by respiratory motion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with lightheaded // ? pna

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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with shortness of breath, wheezing // shortness of breath, wheezing

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Lung volumes remain low. The right <unk> shunt has been removed. There is no pneumothorax. Increased right basilar and retrocardiac opacities containing air bronchograms may be due to pneumonia or aspiration.

<unk> year old man with hep c cirrhosis and hcc, now s/p <unk> shunt removal, had episode of hypoxemia // assess for interval changes

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Ap portable upright view of the chest. Lung volumes are low which limits the evaluation. Overlying ekg leads are present. Allowing for these limitations, there is no convincing sign of pneumonia or overt chf. No large effusion or pneumothorax is seen. Please note, evaluation for small lung nodules is limited due to stated technical limitations. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with cirrhosis who p/w worsening ascites and cough, evaluate for pneumonia.

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Pa and lateral views of the radiographs of the chest demonstrate improvement of focal opacification of the right middle lobe compared to <unk>. There is a new area of haziness in the left lower lobe with an a linear opacity superior to the left lung base. This may represent atelectasis or a new area of infection. The cardiomediastinal silhouette is normal. The pulmonary vascularity is normal. No pneumothorax or pleural effusion.

three weeks of cough with pneumonia seen on chest x-ray on <unk>.

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The heart is mildly to moderately enlarged. There is no discrete focal consolidation, pleural effusion, or pneumothorax. Mediastinal silhouette is within normal limits.

<unk>m pre-op xray for or tomorrow am. preoperative x-ray.

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Cardiac size is enlarged as before. Patient is status post tavr. . The lungs are clear. There is no pneumothorax or pleural effusion.

<unk> with pmh of htn, hld, dm, pvd, possible tia, osteoporosis, severe as s/p tavr. // eval changes

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Portable ap chest radiograph demonstrates low lung volumes and worsening basilar atelectasis. The left picc has been removed. There is no focal consolidation, large pleural effusion, or pneumothorax. The cardiomediastinal silhouette is partially obscured.

uti, new onset seizures. concern for aspiration.

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Cardiomediastinal contours are within normal limits and without change since the baseline radiograph of <unk>, as well as older radiographs dating back to <unk>. Nonspecific pleural and parenchymal scarring are present at the left lung base adjacent to the lateral costophrenic sulcus. Additionally, there is apparent diffuse bronchial wall thickening present.

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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Small rounded opacities projecting over the lower lungs are likely nipple shadows. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Old left rib fractures are unchanged from <unk>.

exertional chest pain.

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There is a large hiatal hernia with air-fluid level seen.mild left base atelectasis is seen. No focal consolidation is identified. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen. Some degenerative changes are partially imaged at the right shoulder.

history: <unk>f with <unk> swelling // acute process

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Tiny apical right pneumothorax is not visible anymore. Right-sided pigtail is in unchanged position in right upper third peripheral hemithorax. The lungs are otherwise unremarkable. Right subclavian line ends in lower svc. Tracheostomy is in adequate position. There is no pleural effusion.

patient with right chest tube to waterseal, small pneumothorax on prior chest x-ray. rule out interval change.

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.

history: <unk>f with weakness // weakness

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There are small bilateral pleural effusions. There is moderate streaky bilateral as well as moderate retrocardiac atelectasis. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal. Sternal wires are intact. No free air below the right hemidiaphragm is seen. Right picc tip is in the right axillary vein. The left jugular venous line has been removed.

<unk> year old man s/p mvr/tvrepair/cabg // eval for pleural effusions

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are notable for hypertrophic changes of the spine.

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

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Frontal and lateral views of the chest. Multifocal regions of consolidation are compatible with known metastatic lesions throughout the lungs. Overall the size and distribution has not significantly changed. Cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.

<unk>-year-old female with shortness of breath. additional history from prior radiology report reveals breast cancer with pulmonary metastases.

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A pigtail catheter is seen at the right lung base. The small right apical pneumothorax is no longer identified. The lungs are similar in appearance with parenchymal opacity at the right lung base a small effusion as well as mild vascular congestion.

empyema and breast cancer.

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Since prior, there has been placement of a dobbhoff tube which ends in the stomach. Multifocal airspace opacities are essentially unchanged from prior. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable.

<unk> year old man with ams, dobhoff tube placement.

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A left chest cardiac device with associated dual leads are seen projecting over the right atrium and right ventricle in grossly appropriate and unchanged location. In comparison to radiograph from <unk>, there has been interval reduction in the size of the cardiac silhouette, now within normal limits. There is no evidence of mediastinal contour abnormality. The bilateral hila are grossly unremarkable. Subtle opacification overlying the lower third of the left lung on ap projection may relate to overlying soft tissue. A <num> mm rounded density adjacent to the right hilum may represent a calcified granuloma or more likely a vessel seen en face. Otherwise, the lungs are grossly clear, without chf, focal consolidation, pleural effusion, or pneumothorax. Minimal atelectasis in the right cardiophrenic region. Is noted. The right hemidiaphragm is elevated, similar to the prior film.

<unk>m with hx of acute pericarditis, cardiac tamponade s/p pericardial drain presenting with a <num> week history of intermittent lightheadedness and chest pain over, evaluate for cardiomegaly, or pulmonary edema.

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The lung volumes are noted to be low. Bibasilar scarring is essentially unchanged as compared to the prior examination. There is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Redemonstrated is evidence of multiple myeloma affecting multiple bilateral ribs, as well as the thoracic spine. Multiple resultatn pathologic compression fractures are again seen within the thoracic spine but were better characterized by the recent chest ct examination. The cardiomediastinal silhouette is stable.

history of multiple myeloma. presenting with cough.

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The lungs are clear without focal consolidation. Mild elevation of the right hemidiaphragm is again seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with nash, ascites, cough*** warning *** multiple patients with same last name! // ? pneumonia, effusion

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Mild cardiomegaly. Calcifications of the descending aorta are noted. 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 fever, chills, weakness // eval for pna

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Frontal and lateral views of the chest were obtained. A nasogastric tube follows the expected course although the tip is not visualized. A right picc ends in the mid svc. The lungs are well expanded and clear without focal consolidation. A left pleural effusion is tiny, if any. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

postoperative fever.

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A dual-lead pacemaker/icd device with leads terminating in the right atrium and right ventricle, respectively, appears unchanged. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a very similar pattern of mild interstitial pulmonary vascular congestion without significant change. Fissures appear mildly thickened. Very small persistent pleural effusions are suspected, similar to perhaps slightly decreased.

cough and shortness of breath.

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Endotracheal tube is in standard position terminating <num> cm above the carina. Left internal jugular vascular catheter continues to terminate in the left brachiocephalic vein, and a nasogastric tube terminates below the diaphragm. Cardiomediastinal contours are stable in appearance. Bibasilar atelectasis has slightly improved, particularly in the left retrocardiac region. Persistent small-to-moderate bilateral pleural effusions.

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Ap upright and lateral views of the chest were obtained. In comparison to the prior studies, lung volumes are lower. New moderate right pleural effusion with possible loculation. New increased heterogeneously dense opacification in the right lower lobe may represent compressive atelectasis or consolidation. Increased bilateral prominent interstitial markening probably represent mild superimposed edema. There left lung is clear. There is no left effusion. There is no pneumothorax. The cardiomediastinal contour is otherwise unremarkable.

<unk>-year-old man with new atrial fibrillation, evaluate for pneumonia.

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In comparison with study of <unk>, there are again low lung volumes which may account for some of the prominence of the transverse diameter of the heart. No evidence of vascular congestion or pleural effusion. Specifically, no acute focal pneumonia.

cirrhosis with shortness of breath, to assess for pneumonia.

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The known dominant metastatic lesion in the right upper lobe is increased, now measuring <num> cm compared to <num> cm on prior ct. Other known subcentimeter metastatic pulmonary lesions are not well seen on this radiograph. No evidence of pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

history: <unk>m with fevers on steroids with metatstatic melanoma

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Nasogastric tube courses below the level of the diaphragm and terminates in the region of the stomach. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. There is gaseous distention of a loop of small bowel in the left upper quadrant of the abdomen.

history: <unk>f with ? sbo now w/ ngt placement // eval ? ngt placement

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Pa and lateral views of the chest provided. Left chest wall port-a-cath is seen with catheter tip extending to the mid svc. A metallic cbd stent projects over the upper abdomen. Lungs appear relatively clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

<unk>m w/productive cough

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There are small bilateral pleural effusions and dependent atelectasis. Aortic tortuosity is again noted. The heart size is top normal. There is no pneumothorax.

desating on room air. evaluate for infectious process.

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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>f with seizure

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In comparison with the study of <unk>, the monitoring and support devices remain in place. There is continued enlargement of the cardiac silhouette with tortuosity of the aorta. Mild elevation of pulmonary venous pressure persists. The area of increased opacification at the right base suggested on the previous study is somewhat difficult to appreciate due to obliquity of the patient. The hemidiaphragm is not sharply seen, suggesting some pleural effusion and atelectasis. A lateral view would be most helpful to determine whether there is a superimposed pneumonia.

aspiration pneumonia versus vap.

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Pa and lateral views of the chest were provided. Port-a-cath is again seen, residing over the right chest wall with catheter tip extending into the low svc or cavoatrial junction. Lung volumes are low which limits the evaluation. Scattered opacities in the lungs are similar to the prior ct and likely represent metastasis seen on prior ct. It is impossible to exclude a subtle superimposed pneumonia. No large effusion or pneumothorax is seen. Bony structures appear grossly intact. Cardiomediastinal silhouette is difficult to assess.

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The lungs are clear bilaterally, without focal consolidations, pleural effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk> year old man with asthma, several recent lobar collapses, now with new symptoms of sob, some low-pitched expiratory sounds concerning for new bronchial pathology // evaluate for new collapse or other pulmonary pathology

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Pa and lateral views of the chest. Compared to most recent study, there is decreased pulmonary edema. No new areas of consolidation. Small bilateral pleural effusions are unchanged. The cardiac, mediastinal, and hilar contours are normal. There is no pneumothorax.

copd, emphysema, status post left carotid endarterectomy postop day four, recent pulmonary edema, resolving. assess for interval change.

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As compared to the previous radiograph, the patient has developed a left pleural effusion with subsequent atelectasis at the left lung bases. In addition, there is an atelectasis at the right lung base. Given the symmetry of the changes, the simultaneous evidence of moderate cardiomegaly and the presence of pleural effusion, the diagnosis of pulmonary edema must be favored over pneumonia. (the ct from <unk> showed no acute changes). At the time of observation and dictation, <time> a.m. On <unk>, the referring physician, <unk>. <unk> was paged for notification.

increased oxygen requirements, evaluation for acute changes.

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Pa and lateral views of the chest provided. Cardiomegaly is again noted. There is no focal consolidation, large effusion or pneumothorax. There may be mild hilar congestion though there is no frank pulmonary edema. A prominent right and left nipple shadow noted. Streaky left lower lobe atelectasis is better assessed on the same day ct chest. Diffusely sclerotic appearance of the bones may reflect chronic renal disease.

<unk>f with cp

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Heart size is top normal. Mediastinal and hilar silhouettes are unchanged. No larger pleural effusions. No focal consolidation or pneumothorax. No free air under the diaphragm.

<unk>f with severe ruq pain s/p ercp //

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Pa and lateral views of the chest. There are low lung volumes. There is streaky bibasilar atelectasis. The right central venous line has been removed. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable.

fever, evaluate for pneumonia.

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There is no consolidation, pleural effusion, or pneumothorax. Bronchiectatic changes are again seen and at the right lung base. Cardiac silhouette is moderately enlarged similar to <unk>. Pacemaker leads terminate at right ventricle and right atrium.

<unk> year old woman with sarcoidosis, severe chf // eval for ?pulmonary sarcoid involvement

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Pa and lateral views of the chest provided. Midline sternotomy wires, mediastinal clips and dual lead pacer appear unchanged in position. 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 cough and fever // eval for pneumonia

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Multiple right-sided rib fractures are again seen; a fracture through the right lateral <num>th rib appears new compared to most recent prior exam. The lungs are again noted to be hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The aorta is tortuous and calcified. Heart and mediastinal contours are stable.

<unk>-year-old female with question of fall <num> days ago, now with right thoracic pain. technique: frontal and lateral chest radiographs were obtained.

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Moderate to large bilateral pleural effusions with bilateral lower lobe collapse are stable. Previous moderate pulmonary edema has improved since <unk>. There is heavy calcification in the mitral valve annulus and aortic valve. Moderate cardiomegaly is unchanged.

pt with critical as/ ? pulmonary edema ?pneumonia

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Pa and lateral views of the chest were obtained. The heart is normal size, and cardiomediastinal contour is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old man with chest pain, evaluate for pneumothorax.

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As compared to the previous radiograph, the signs of pulmonary edema are present in unchanged manner and the pleural effusion on the right has mildly increased in extent. The effusion on the left has not substantially changed. Also unchanged are bilateral areas of atelectasis at the lung bases. Mild cardiomegaly remains present. Unchanged course and position of the left pectoral pacemaker.

decompensated heart failure, evaluation for pulmonary edema.

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Previously seen left upper lobe pneumonia has cleared. There are relatively low lung volumes. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with pleuritic cp. // pna?

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As compared to the previous radiograph, the lung volumes have returned to normal. There is minimal atelectasis of the left lung bases, but otherwise the lung parenchyma appears unremarkable. No pneumonia or pulmonary edema. No pleural effusions. Double-lumen dialysis catheter, correct course, the tip projects over the right atrium.

renal failure, indwelling dialysis catheter, evaluation.

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There is focal opacity at the right cardiophrenic angle obscuring the right heart border without definite correlate on the lateral. This correlates with prominent fat pad seen on prior mri. Mild bibasilar atelectasis is noted. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with chest pain radiating to back // eval mediastinum

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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 stable and unremarkable.

history: <unk>f with cough // pna?

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As compared to the previous radiograph, there is no relevant change. Minimal retrocardiac and left basal atelectasis. No evidence of pneumonia. No other lung parenchymal changes. In the interval, one additional drain has been inserted into the right upper quadrant. No pneumothorax.

persistent fevers, status post hepatic lobectomy. evaluation for pneumonia.

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As compared to the previous radiograph, the patient has received a swan-ganz catheter. The tip of the catheter is located in the right pulmonary artery. The catheter shows a normal course. Unchanged cardiomegaly without evidence of pulmonary edema. No pleural effusions. Unchanged increase in diameter of the pulmonary artery. Unchanged pacemaker leads. No evidence of pneumothorax.

advanced chronic heart failure, evaluation of swan-ganz catheter.

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As compared to the previous radiograph, there is no relevant change. Extensive right and minimal left pleural effusion. Borderline size of the cardiac silhouette. Retrocardiac atelectasis. The monitoring and support devices are in unchanged position.

esophageal hernia, status post repair, evaluation for interval change.

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Single frontal view of the chest was obtained. Bilateral perihilar pulmonary opacities, involving the right lung greater than the left, are consistent with asymmetric pulmonary edema given engorged and indistinct appearance of the pulmonary vessels. Aspiration is less likely. No pneumothorax or pneumomediastinum is visualized. No pleural effusion. The heart size is stable. Gastric distension is mild to moderate. Sternotomy wires are intact.

<unk>-year-old male with tracheal, left mainstem, and bronchus intermedius stenosis status post left main airway dilation. rule out pneumothorax.

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Portable upright chest radiograph excludes the right costophrenic angle. An ng tube is in place, the tip of which is superimposed upon the expected region of the body of the stomach. Note is made of an intrathoracic stomach fundus, better appreciated on ct performed same day, new since <unk>. The lungs are clear. The cardiac silhouette is normal in size, the mediastinal contours are normal.

<unk>-year-old male status post ng tube placement.

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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. There is minimally improved ventilation at the left lung base. Otherwise, the pre-existing parenchymal opacities are constant in extent and distribution. No larger pleural effusions. Unchanged borderline size of the cardiac silhouette.

ards, evaluation for pneumonia.

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Mild pulmonary edema is stable with mild-to-moderate right pleural effusion. Left lower lobe atelectasis is improved, but there is new obscuration on right hemidiaphragm: it could be due to atelectasis, aspiration or pneumonia. Mild cardiac enlargement is stable. There is no pneumothorax. Right apical calcification is stable since <unk>.

patient with right thalamic hemorrhage, new fever, evaluation for evidence of infiltration.

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Frontal and lateral chest radiographs demonstrate normal lung volume although many prior studies have shown hyperinflation, presumably due to transient bronchospasm. Mild right hilar enlargement is chronic, due to either stable adenopathy or unilateral pulmonary artery enlargement. There is no pleural abnormality. Cardiomediastinal silhouette is normal. Surgical clips are noted in the left upper quadrant.

<unk>-year-old male with question asthma flare or pneumonia.

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In comparison with study of earlier in this date, there is little change. No evidence of vascular congestion or acute focal pneumonia. No pneumothorax.

trauma.

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Right chest wall port catheter terminates in the superior cavoatrial junction.compared to the prior study, there has been interval decrease in size of the left upper lobe mass. Marked hyperinflation again noted. No new consolidation or signs of pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. Please note that smaller pulmonary nodules seen on prior ct are not well appreciated by chest radiograph.

<unk>m with recently diagnosed lung cancer and shortness of breath. evaluate for pneumonia.

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Single supine ap portable view of the chest was obtained. No focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. Mediastinal contours are normal. The cardiac silhouette is accentuated by ap, supine technique. No displaced fracture is identified.

history: <unk>f with s/p mvc // please assess for traumatic injury

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Permanent pacemaker remains in place, with leads terminating in the right atrium and right ventricle with similar orientation and position compared to the prior radiograph when allowances are made for positional differences. Heart size is normal. Lungs and pleural surfaces are clear.

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The endotracheal tube in the low trachea approximately <num> cm from the carina. A nasogastric tube can be traced to the mid chest, but cannot be traced further. The lung volumes are low. There is vascular engorgement and diffuse bilateral interstitial opacities, most consistent with moderate pulmonary edema. There is no definite pleural effusion. There is no pneumothorax. The mediastinal contour is widened, which may be due to technique, although acute aortic dissection is a consideration. The heart size is mildly enlarged.

evaluate after intubation.

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The heart is at the upper limits of normal size. The aortic arch is partly calcified. The mediastinal, hilar contours appear unchanged. The chest is mildly hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear. Suspected bony demineralization and mild thoracic spinal degenerative changes are similar.

pain in the left chest wall after a recent fall.

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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. Hypertrophic changes identified at the right acromioclavicular joint.

<unk>-year-old male with new neurologic symptoms and prior stroke. question infection.

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The lung volumes are low. 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. Small osteophytes are noted along the lower thoracic spine.

point tenderness over the left anterior chest wall. question pneumothorax.

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Portable ap supine view of the chest provided. An aicd is again seen with lead tip extending into the region of the right ventricle. The heart is top normal in size. There are no convincing signs of pneumonia or edema. No pneumothorax or effusion. Mediastinal contour is normal. Midline sternotomy wires again noted. Bony structures are intact.

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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 ams, infiltrate.

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Since the most recent prior study, there is interval retraction of the right picc line, whose tip now terminates in the proximal right atrium. Cardiomediastinal and hilar contours remain stable with top normal heart size. Persistent obscuration of the right cardiac border is compatible with pneumonia. There is no new focal consolidation. There is no pleural effusion or pneumothorax.

picc for tpn, now pulled back <num>cm <unk> to picc in ra // r picc in ra ? picc tip s/p <num> cm pullback

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A right chest wall port-a-cath is present with its tip projecting over the cavoatrial junction. The port itself appears unchanged in location. There is no focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.

<unk> yo male with colon cancer has been having pain near his port site and shoulder and feels his port has moved. // evaluate position of port.

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There is no evidence of pneumothorax. There is a <num>-cm mass seen within the right lower lobe. There is mild bilateral interstitial edema with moderate-to-severe cardiomegaly. There is no pleural effusion on the right. A pleural effusion on the left cannot be excluded due to the cardiomegaly.

right lung mass status post transbronchial biopsies. evaluate for pneumothorax.

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Right picc terminates at the cavoatrial junction. Cardiomediastinal silhouette is stable. Extensive heterogeneous bilateral airspace opacities appear more confluent in the left mid to lower lung. The right lung is also extensive involvement, but unchanged. There is no large pleural effusion or pneumothorax.

<unk> year old man with cop // interval change

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In comparison with the study of <unk>, there has been resection of the first rib on the left. No convincing evidence of pneumothorax. Surgical clip is in place. Remainder of the study is unchanged, though an external device somewhat obscures the visualization of the left mid lung.

left first rib resection, to assess for pneumothorax.

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Single ap view of the chest provided. An et tube ends above the clavicles and <num> cm above the carina. A left central venous line ends at the low svc. An orogastric tube terminates in the body of the stomach. Significant collapse of the right lower lung is worsened with moderate rightward shift of mediastinal structures. There is a probable small right pleural effusion. No pneumothorax. Hilar and cardiomediastinal contours are normal.

<unk> year old man with traumatic intracranial hemorrhage // absent right-sided breath sounds

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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is a rounded opacity projecting over the right low lung seen only on the frontal view suggesting localization to the chest wall or ribs, possibly an old rib fracture.

palpitations, evaluate for acute process.

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Indwelling support and monitoring devices are unchanged in position. Stable cardiomegaly and persistent left retrocardiac atelectasis with adjacent effusion. Small right pleural effusion and minor adjacent right basilar atelectasis are also similar.

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The tracheal tube is noted in the mid trachea. Enteric tube traverses towards the stomach. There are increased opacities overlying the left lung with the most confluent opacities at the left lung base. Additionally, there is left lower lobe atelectasis with mild leftward shift of mediastinal structures. Otherwise, cardiac and mediastinal contours are within normal limits. No acute fracture identified.

altered mental status status post intubation.

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There has been interval removal of the right chest tube without evidence of pneumothorax. There is persistent small right pleural effusion with associated basilar atelectasis. Left lung is clear. Cardiomediastinal silhouette and hilar contours are normal.

kick to the ribs with pneumoperitoneum secondary to liver injury and right pleural effusion with pigtail chest tube.

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Lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal silhouette.

left shoulder pain, assess for infiltrate.

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

fever and headache.

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There is an unchanged left-sided aicd with leads in the right atrium and right ventricle. The cardiac silhouette is unchanged and mildly enlarged with a mildly tortuous aorta. There is a silhouette sign of the descending aorta, consistent with either volume loss or consolidation, both of which have been described in dress. No pneumothorax is identified.

<unk> year old man with afib on warfarin, cad, chf, s/p ppm, and recent hospitalization for pneumonia and chf exacerbation, who presented with left sided weakness, fevers, and rash, and found to have likely dress and potential stroke resulting in left sided weakness. pna, edema?