ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding pa and lateral chest examination of <unk>. The frontal view ap chest image does not disclose any pneumothorax in this patient who recently has undergone revision of failing permanent pacer. Comparison is made with a previous study. One can also identify that a new different type pacemaker capsule has been inserted. A new third electrode reaches in a position compatible with apical portion of the right ventricle. Noteworthy is that the previously present remains in unchanged position with its tip, a finding which also holds for the right atrial electrode. Unfortunately, there are multiple probably external wires overlying the area making interpretation uncertain.

<unk>-year-old male patient with sick sinus syndrome, status post dual-chamber permanent pacemaker redo with right ventricular lead failure. now with new right ventricular lead placement via axillary vein, evaluate for pneumothorax.

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As compared to the previous radiograph, minimal bilateral pleural effusions have newly appeared. No evidence of pulmonary edema. No pneumonia. Minimal atelectasis at the left and right lung bases. Moderate cardiomegaly is unchanged.

dyspnea, rule out pneumonia.

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Again visualized is a similar appearance of right upper lobe, middle, and lower lobe opacities consistent with patient's history of known cavitary focus at the right upper lobe with loculated fluid as well as post-radiation changes at the right hilum. A right mainstem bronchus stent is now visualized, with the proximal end of the stent within the trachea at the level of the carina and the more distal portion within the right mainstem bronchus. Bibasilar opacities are noted and likely representative of bilateral pleural effusions with adjacent atelectasis. There is no evidence of pneumothorax. Cardiomediastinal silhouette is unremarkable. Multiple mediastinal and brachial tumor deposits are better delineated on dedicated ct chest from <unk>.

evaluation of patient with history of lung cancer status post right bronchial stent on <unk>, with new shortness of breath.

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of a hiatal hernia is seen with a retrocardiac air-fluid level.

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

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Ap upright and lateral views of the chest were provided. Evaluation is limited by low lung volumes and underpenetrated technique. The heart appears mildly enlarged with an lv configuration. The apparent ground-glass opacity within the lungs could in part reflect inspiratory effort, though the possibility of mild edema is not excluded. No effusion or pneumothorax is seen. Bony structures are intact.

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There are substantial bilateral pleural effusions, at least moderate in size with associated parenchymal opacification, probably compatible with associated atelectasis in the lower lobes. Slight fullness of each hilum and indistinct contours suggest very mild congestion, but without frank congestive heart failure. There is no pneumothorax. Bony structures are unremarkable.

diffuse edema; question congestive heart failure.

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There is continued opacification of the left lung base with obscuration of the left hemidiaphragm, again consistent with pleural effusion and consolidation. Increased haziness at the right lung base may also indicate a small pleural effusion. There is no pulmonary edema. The cardiac silhouette appears smaller than on the most recent prior study. Mediastinal and hilar contours are unchanged. There has been interval placement of a tube overlying the lower left hemithorax.

pericardial tamponade now with hypoxia. please evaluate for pulmonary edema.

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When compared to the prior study from a few hours earlier, there has been re-adjustment of the nasogastric tube. The tip and side port are now within the fundus of the stomach, appropriately sited. There are low lung volumes and atelectasis at the lung bases. No pneumothoraces are seen.

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A <num> mm round opacity projecting over the right lower lobe may be the patient's nipple, although a pulmonary nodule is not entirely excluded. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

fevers for the past week.

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There is new left lower lobe opacity, concerning for pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal size. Right subclavian venous line terminates at mid svc.

<unk> year old man with advanced amyloid, new cough // infiltrate

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Cardiac silhouette size is normal. The aorta is slightly unfolded. Mediastinal and hilar contours are unremarkable. The lungs are hyperinflated. Patchy opacities in the lung apices, more pronounced on the right, likely reflect areas of scarring. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities detected.

history: <unk>f with microcytic anemia // eval for infection

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. No pleural effusions. No pulmonary edema. Borderline size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. Left versus right discrepancy in density of the thoracic soft tissues, potentially suggestive of previous left breast surgery.

recent chemotherapy, cough, fever, evaluation for pneumonia.

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Exam is somewhat under penetrated, presumed due to patient body habitus. Right chest tube is no longer seen. Per reported patient's history, the chest tube has been dislodged. No large right-sided pneumothorax is seen although a tiny residual may remain. Right perihilar opacity persists. There is persistent extensive right chest wall subcutaneous emphysema. There is mild left base atelectasis. No large pleural effusion is seen. The cardiac mediastinal silhouettes are stable. Stable surgical hardware in the cervical spine.

<unk>m hx lung ca, s/p rad/chemo, hx pe on lovenox, last dose this am p/w acute onset sob and r sided cp yesterday, found to have large pneumothorax s/p chest tube placement. chest tube dislodged after placement // please assess for interval change in pneumothorax

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

<unk>f with hypoxia // int change?

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Compared to the prior film, the et tube is been retracted and now lies approximately <num> cm above the carina. Again seen is an ng tube, with tip extending beneath diaphragm, off the film. Also again seen is a right ij central line, with tip over distal svc near svc/ra junction. No pneumothorax is detected. There is patchy opacity at the left lung base, consistent with atelectasis and/or consolidation. This may be very slightly improved compared <num> day earlier. Minimal atelectasis at the right base medially is also seen. There is probable minimal upper zone redistribution, without overt chf.

<unk> year old woman s/p arrest now intubated with concern for seizures. // eval for interval change and placement of ett

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Improved left basilar infiltrate since prior exam. Improved right basilar opacity. Small right pleural effusion, similar. Shallow inspiration. . Postoperative changes lumbar spine, partially seen.

<unk> year old woman with severe as and recent h/o falls, now delirious and agitated. // r/o worsening pna, infiltrates

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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the left chest tube, are in unchanged position. There is minimally increasing density at the right lung bases, potentially suggesting minimal pleural effusion on the right. Unchanged elevation of the left hemidiaphragm. Unchanged post-operative appearance of the cardiac silhouette. No overt pulmonary edema.

status post cabg, evaluation of interval change.

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The left port-a-cath terminates in mid svc. The lung volume is small. Diffuse interstitial opacities are grossly unchanged compared to prior likely representing scarring. No obvious new consolidation. No pleural effusion or pneumothorax. Moderate cardiomegaly is unchanged. The mediastinal silhouette is grossly unchanged.

<unk>-year-old female presenting for evaluation prior to v/q scan.

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected. No free air is seen below the diaphragm.

<unk>-year-old female with right upper quadrant abdominal pain and hemoptysis.

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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 fever // pna?

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The lungs are clear without focal consolidation, effusion, or edema. There is a <num> mm nodule projecting over the right mid to lower lung. Cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted.

<unk>f with dizziness, sob. // pneumonia, pulm edema?

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Mild enlargement of the cardiac silhouette is re-demonstrated. The mediastinal and hilar contours are stable, with diffuse calcification of the thoracic aorta again noted. No pulmonary vascular congestion is seen. Cluster of calcified nodules in the right upper lung field are similar compared to the previous exam. No pleural effusion, focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.

orthopnea and end-stage renal disease.

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There is slight worsening of the right pleural effusion and increase in the right sided pulmonary edema. There remains left basilar atelectasis. The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. One of the chest tubes has been removed.

<unk>-year-old with pleurx insertion, interval change.

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Pa and lateral radiographs of the chest depict stable postoperative appearance of the heart and mediastinum. Small bilateral pleural effusions persist, with possible minimal improvement in the left-sided effusion and left lower lobe atelectasis, although some of this change may be different positioning of the patient. The lungs are otherwise clear and there is no pneumothorax. Pulmonary vascularity is normal, without evidence of interstitial edema. The sternotomy cerclage wires are intact.

evaluate for changes in pleural effusions in patient status post aortic valve replacement.

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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. There is no pneumothorax. The cardiomediastinal silhouette is normal. Surgical clips in the neck are identified raising possibility of prior thyroidectomy. No acute osseous abnormality is detected.

<unk>-year-old female with syncope and lumbar pain.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is identified.

<unk>-year-old female with right upper quadrant pain and air under the diaphragm, right upper quadrant pain. evaluate for air under the diaphragm.

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Frontal and lateral views of the chest demonstrate low lung volumes without focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema.

chest pain and palpitations.

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Compared to the prior study the right chest tube has been removed. The right apical pneumothorax is stable. No pleural effusion or left pneumothorax. Normal heart size, mediastinal and hilar contours.

<unk> m fall from standing, right rib fx, ptx now s/p ct removal // ?interval changes ?ptx

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Frontal and lateral views of the chest. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

<unk>-year-old male with left arm pain and intermittent left chest pain.

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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. Surgical clips project over the right upper quadrant of the abdomen.

recent abdominal surgery.

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Pa and lateral views of the chest were provided. Multiple overlying ekg leads are noted. There are tiny surgical clips projecting over the left hemithorax. The lungs are clear and well inflated. The signs of pneumonia or chf. The cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.

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Dobbhoff tube terminates in the mid abdomen, likely in the proximal ileum. Within the chest, cardiomediastinal contours are stable compared to <unk> radiograph, and lungs and pleural surfaces are clear.

<unk> year old man with dobhoff for malnutrition, eval placement in stomach and eval for kinks in neck // eval ngt placement

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia or aspiration. Minimal left lower lobe atelectasis and moderate cardiomegaly, as on the previous image. The lucent line projecting over the right mediastinum and visible on the prior exam is no longer present. No evidence of pneumothorax. The tracheostomy tube and the nasogastric tube are in unchanged position.

possible aspiration, evaluation for interval change.

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The lungs are clear. There is no consolidation. The heart contour is top normal. There is no pleural effusion or pneumothorax.

patient with abdominal pain, fever to <num>, some cough. please evaluate for pneumonia.

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The right basilar chest tube is in unchanged position. A second right chest tube has been removed. A locule of air at the right base likely reflects a loculated basal pneumothorax. There is otherwise stable appearance of the moderate bilateral pleural effusions. The perihilar consolidation on the right is unchanged. Moderate cardiomegaly and retrocardiac atelectasis is also stable.

<unk> year old woman with pleural effusion // eval

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

history: <unk>f with vomiting, dm, dka // pna?

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A right picc line has been repositioned now ending in the mid svc. An ng tube has been removed since the <unk>. Mild cardiomegaly and bilateral pleural effusions with bibasilar atelectasis, left worse than right are unchanged. Moderate pulmonary edema is worse compared to <unk>. No pneumothorax.

chest tightness status post multiple iv fluid boluses question fluid overload.

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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vasculature is normal. New right middle lobe consolidative opacity is concerning for pneumonia. Left lung is clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Clips are seen in the right upper quadrant of the abdomen.

history: <unk>f with left-sided chest pain, cough, sputum, subjective fevers

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Ap and lateral views of the chest. Mild cardiomegaly is unchanged. The aorta is tortuous and with diffuse calcifications. The contour of the aneurysmal dilation of the descending thoracic aorta is unchanged. The hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax. The expansile lesion in the left lower rib is unchanged, but a sclerotic focus on the <unk> left posterior rib is more prominent; healed right rib fractures are present. Known diffuse bone metastases are better evaluated on prior ct imaging.

hypoxia, evaluate for pneumonia.

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Right-sided port-a-cath is stable in position. Since the prior study, there has been significant interval increase in bilateral perihilar opacities worrisome for moderate pulmonary edema. Underlying infectious process is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

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

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A few subcentimeter calcified appearing nodular opacities in the right hemi thorax either represent vessels on and or calcified granulomas. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. The aorta is slightly tortuous.

history: <unk>m with cp // eval for pna, ptx

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<num> views of the chest. The lungs are low in volume with eventration of the right hemidiaphragm. Right midlung opacity on the frontal view projects to the right middle lobe on the lateral view, concerning for pneumonia. Linear left basal atelectasis is noted. There is no pleural effusion or pneumothorax. Heart and mediastinal contours are unchanged with top normal heart size. Notice made of unchanged right posterolateral right <num>th rib deformity, likely posttraumatic.

sore throat, dyspnea and abdominal pain, assess for pneumonia.

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Ap view of the chest is compared to previous exam from <unk>. The lungs remain grossly clear where not obscured by overlying cardiac leads. Costophrenic angles are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are grossly unremarkable.

<unk>-year-old female with dizziness. question infiltrate.

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. No pleural effusion. No other acute process. Moderate cardiomegaly with mild fluid overload. No lung nodules or masses.

copd, evaluation for acute process.

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In comparison with study of <unk>, there is little overall change. Continued low lung volumes with the cardiac silhouette mildly enlarged. No evidence of acute pneumonia, vascular congestion, or pleural effusion.

cough and fever.

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Pa and lateral chest radiographs were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal. The thoracic aorta is mildly tortuous. No acute osseous abnormalities are seen.

chest tightness.

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

chest pain, aches. history myocarditis.

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Tip of endotracheal tube terminates approximately <num> cm above the carina and could be withdrawn a few centimeters for standard positioning. Nasogastric tube terminates within the stomach. Heart size is normal. Aorta is tortuous. Multifocal linear areas of atelectasis are present in the right suprahilar region and both lower lobes. No visible pneumothorax.

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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion, focal consolidation or pneumothorax is demonstrated. No acute osseous abnormality seen.

fever.

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Biapical scarring is again noted. Lungs are otherwise clear without focal consolidation, effusion or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with hx of renal transplant p/w elevated creatinine and fatigue // renal indices, interval changes, ? pna

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Left lower lobe consolidation is consistent with pneumonia. Medial right base opacity may be due to overlap of structures although additional site of consolidation is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with fever, infectious work-up // eval pna

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Pa and lateral chest radiographs. Median sternotomy wires are intact. Mediastinal clips are again noted. Lung volumes remain low with bibasilar and retrocardiac atelectasis. Small left pleural effusion appears larger than on prior radiograph. There is no focal consolidation or pneumothorax. The heart size is stable.

near syncope. cabg performed approximately one week ago.

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The patient has been intubated. The endotracheal tube terminates shortly below the thoracic inlet, approximately <num> cm above the carina. An orogastric tube has been placed, but it terminates only slightly below the left hemidiaphragm, and its sidehole projects along the distal esophagus. The cardiac, mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.

altered mental status, status post intubation.

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Linear opacities in bilateral lung bases are similar to before and likely chronic atelectasis. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

history: <unk>f with abd pain, chills // pna?

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The lungs are clear. Heart size is top normal. There is no pneumothorax. Stable appearance of the regional soft tissues and bones.

<unk> year old man with fevers, cough, rll rhonchi // pneumonia?

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Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.

<unk> year old woman with history of multiple myeloma and smoking history who presents with shortness of breath // eval for copd, pneumonia

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As compared to the previous radiograph, the bilateral parenchymal opacities, predominating on the right, have decreased. The symetry is in favor of pre-existing pulmonary edema. Mild fluid overload is still present, but no overt pulmonary edema is currently seen. Minimal atelectasis at the left lung bases. Borderline size of the cardiac silhouette. Unchanged right internal jugular vein catheter.

recurrent hypotension, evaluation.

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As compared to the previous radiograph, the patient is after endobronchial ultrasound. There is no evidence of pneumothorax. Unchanged moderate cardiomegaly, unchanged small right pleural effusion and atelectasis at the right lung bases. The unclear area of increased rounded opacity at the right lung base also persists. No change in appearance of the left lung. Moderate tortuosity of the thoracic aorta.

bronchoscopy, assessment for interval change.

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The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.

<unk>-year-old female with infectious workup.

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

<unk>f with addison's disease, exydative pharyngitis, dyspnea, mild hypoxia // evaluate for acute process

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As compared to the previous radiograph, there is slightly improved ventilation at both the left and the right lung bases. The patient shows no evidence of pulmonary edema. The pre-existing right internal jugular line is no longer visible. Sternotomy wires and clips are in unchanged position. Unchanged mild cardiomegaly. No pneumothorax.

recent aortic valve replacement. questionable 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.

history: <unk>m with cough, sob // r/o pna

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Port-a-cath terminates in the lower svc, unchanged. A single chamber pacemaker is appropriately positioned. In comparison to the prior study, there is increased diffuse bilateral hazy opacification with perihilar and lower lung predominance, consistent with moderate asymmetric pulmonary edema. Cardiomediastinal silhouette is stable. No large effusion or pneumothorax.

<unk> year old man s/p whipple gj tube <unk> now w/ failure to thrive // ? pulmonary edema

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Heart size is normal. The mediastinal and hilar contours are unchanged. A moderate to large hiatal hernia is re- demonstrated. The lungs are hyperinflated with emphysematous changes again noted. Ill-defined opacity within the right upper lobe is unchanged, and previously described lesion concerning for neoplasm within the left upper lobe appears relatively unchanged, but better demonstrated on recent ct. Bronchial wall thickening with mild interstitial abnormality within the lung bases likely reflects bronchiolitis, perhaps minimally improved compared to the previous ct. No new focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

non-small cell lung cancer and hypotension.

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The right ij central venous catheter ends in the svc. There is no pneumothorax. Right basilar subsegmental atelectasis has slightly increased. There is no new consolidation to suggest pneumonia. A small layering right pleural effusion is unchanged. The heart and mediastinum are within normal limits despite the projection. Metallic anchors at the left humoral head denote prior rotator cuff repair. Contrast from a recently performed small bowel series opacifies the stomach.

<unk> year old man with trauma // ?pna acute hypoxia

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Lung volumes are low. Moderate bilateral pleural effusions with bibasilar subsegmental atelectasis are unchanged. There is bronchovascular crowding with worsening superimposed pulmonary edema.

<unk> year old man with no past medical history presenting with anasarca in acute heart failure // pulmonary edema improvment

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The lungs are hyperinflated, consistent with chronic obstructive pulmonary disease. Mild biapical pleural thickening is seen. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with syncope // please evaluate for acute cp process

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Lung apices are not included on the radiograph, upper abdomen is included. Enteric tube tip is in the mid stomach. Surgical clips upper abdomen. Left picc line is partially seen. Improved interstitial prominence since prior exam. Stable left basilar opacity, probable tiny left pleural effusion.

<unk>f ngt placed please confirm position // <unk>f ngt placed please confirm position

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with elevated lactate.

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The lungs are clear. There is no effusion, consolidation, or edema. The cardiomediastinal silhouette is within normal limits. Previously seen right-sided central venous catheter is no longer visualized. No acute osseous abnormalities.

<unk>m with esrd on hd, chf, history of mi, who presents with difficulty accessing his left upper extremity av fistula and also complained of pleuritic chest pain // eval for volume overload vs infectious process

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Single ap portable view of the chest was obtained. Left costophrenic angle is not fully included on the image. Given this, no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged.

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Right-sided port-a-cath tip terminates in the upper svc, unchanged. Heart size is within normal limits. The mediastinal contours are similar. There is mild pulmonary vascular congestion, new in the interval. Patchy atelectasis is seen in the lung bases. Small bilateral pleural effusions are present. No pneumothorax is identified. There are no acute osseous abnormalities.

history: <unk>m with recent surgery for small bowel obstruction presents with abdominal pain, fever and vomiting

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Postoperative changes thoracic spine fusion with instrumentation in place. Port-a-cath with tip in the upper svc. Pulmonary vascularity is now normal. Shallow inspiration accentuates heart size. There is a small right pleural effusion, new or more prominent since prior exam, with right basilar opacity, atelectasis versus infiltrate in the appropriate clinical setting. Left lung is clear. There is moderate gastric distention.

<unk> year old woman with rigors, fever <num> // assess for infiltrate

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In comparison with the earlier study of this date, there is an endotracheal tube with its tip at the clavicular level, approximately <num> cm above the carina. The degree of engorgement of pulmonary vessels is less than on the earlier study. Atelectatic changes with a small effusion again seen on the left.

et tube placement.

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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes along the mid thoracic spine are unchanged.

dysarthria. question syncope.

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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 r sided cp, cough // pna?

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Right picc has been replaced or repositioned, now terminating in the lower superior vena cava. Otherwise, no relevant short interval change since the recent study.

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The lungs are well expanded. A small opacity is seen in the right lung base, possibly representing atelectasis, but cannot exclude early pneumonia or aspiration in the right clinical setting. Mild cephalization is noted, but no overt pulmonary edema is seen. There is no pleural effusion or pneumothorax. The mediastinum is widened, primarily due to an enlarged aorta, which could be aneurysmally dilated. The cardiac silhouette is enlarged.

history: <unk>m with hyperk // ? mass

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Frontal and lateral views of the chest were obtained. There is bibasilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Degenerative change at the right acromioclavicular joint is again seen.

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Frontal and lateral radiographs of the chest demonstrate minimal change since <unk>. Lungs are clear and the cardiac and mediastinal contours are normal. No pleural abnormality is detected.

persistent cough. evaluate for cause of cough.

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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax is evident.

history of sarcoidosis, surveillance radiograph.

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The inspiratory lung volumes are slightly decreased. Mild streaky opacification of the bilateral lung bases is most compatible with atelectasis. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged.

chest pain and tachycardia, here to evaluate for pneumonia.

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Bilateral pleural calcifications/plaques are re- demonstrated suggesting prior asbestos exposure. Persistent inferolateral right pleural thickening is seen. Left base opacities which are new since the prior study from <unk> could in part relate to new pleural thickening however, underlying infection or aspiration may be present. There is blunting of the left costophrenic angle, new since the prior study which may be due to a trace pleural effusion versus pleural thickening. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Evidence of dish is seen along the thoracic spine.

history: <unk>m with dyspnea on exertion, bibasilar crackles. // eval for pulmonary edema vs other process

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As compared to the previous radiograph, the monitoring and support devices, including the right chest tube, the nasogastric tube and the left picc line are unchanged. There is a minimal decrease in extent of the pre-existing left pleural effusion. The right lung shows an unchanged appearance with status post multiple partly displaced rib fractures, a mild pleural effusion and absence of pneumothorax.

extubation, evaluation.

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There has been interval placement of a right pigtail chest tube along the right lateral lung apex. There is a residual trace right apical pneumothorax. The lungs are clear without focal consolidation, pleural effusion or pulmonary edema. The heart is normal in size. A spinal stimulator device is again noted.

<unk> year old woman with pneumothorax following right pigtail placement. evaluate for pneumothorax.

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Patient is status post median sternotomy and cabg. Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Retrocardiac streaky opacity likely reflects atelectasis. There are no acute osseous abnormalities. Clips in the right upper quadrant of the abdomen indicate prior cholecystectomy.

history: <unk>f with cough, dyspnea

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In comparison with the study of <unk>, there has been some improvement in the bilateral pulmonary opacifications, most likely reflecting decreased pulmonary vascular congestion. Bilateral layering effusions persist with opacification in the retrocardiac region consistent with volume loss in the left lower lobe. The right jugular catheter has been removed. The left subclavian line extends to about the level of the cavoatrial junction.

arrest with fever.

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Pa and lateral chest radiographs. Lung volumes are low with bibasilar atelectasis and a small pleural effusion on the left. Mild interstitial edema is also apparent. There is no definite focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal. Sagittal elongation of the trachea is noted.

history of cll, presenting with cough.

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Compared with the radiograph from the prior day, there is very subtle, increased radiodensity at the bilateral lung bases. No new large pleural effusions or pneumothorax. The cardiomediastinal and hilar silhouettes are stable.

<unk>m with aml s/p allogenic transplant (day <unk>), who presented with fevers and found to be flu a positive. please eval for secondary bacterial pneumonia.

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The endotracheal tube is low lying, entering the right mainstem bronchus. The right ij central venous catheter terminates in the low svc. A <unk> tube enters the stomach. A metallic stent traverses the medial aspect of the liver. The lungs are clear. There is no pneumothorax. There is likely a new small layering left pleural effusion. New retrocardiac opacification at the left lung base is may be due to atelectasis or aspiration.

<unk> year old man with massive upper gi bleed, intubated. // assess interval change

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The lungs are clear without focal consolidation for effusion. There is no pneumothorax. Cardiac silhouette is mildly enlarged. Atherosclerotic calcifications seen at the aortic arch and there is tortuosity of the descending thoracic aorta. No acute osseous abnormalities identified.

<unk>f with spasms // eval infiltrate

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In comparison with study of <unk>, there has been chest tube inserted with substantial reduction in the amount of free pleural fluid on the right. No convincing evidence of pneumothorax. There is increased opacification at the left base with silhouetting of the hemidiaphragm. This is consistent with some combination of volume loss in the left lower lobe and left effusion. There is evidence of elevated pulmonary venous pressure.

thoracoscopy with chest tube placement.

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The patient is status post median sternotomy, cabg, and aortic valvular replacement. Moderate-to-severe cardiomegaly is relatively unchanged compared to the prior study. The mediastinal contours are unchanged, with tortuosity of the thoracic aorta again noted. Previous pattern of pulmonary vascular congestion has resolved. The hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.

asthma, shortness of breath.

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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.

<unk>-year-old female with wheezing and cough.

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Lung volumes remain low, with results crowding of the pulmonary bronchovascular structures. The heart is not grossly enlarged. The cardiomediastinal contour is unchanged. No consolidation or pneumothorax seen. There is minimal bibasilar atelectasis with probable small pleural effusions. A left-sided picc terminates in the mid to distal svc.

<unk> year old man with hypoxic respiratory failure // interval change

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A left chest wall pacemaker is present with leads in the right atrium and ventricle. There is prominence of interstitial markings throughout the lungs which may represent pulmonary edema or alternatively chronic interstitial lung disease. No prior studies are available for comparison. There is a linear patchy opacity in the left lower lung zone which likely represents focal atelectasis. Blunting of right costophrenic angle may be due to a small pleural effusion or scarring. No pneumothorax. Median sternotomy wires are intact.

history of chf and increasing dyspnea orthopnea. evaluate for pneumonia or pulmonary edema.

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A small left apical pneumothorax is more clearly visualize compared with the prior study. A left pigtail chest tube is in unchanged position. A large left layering pleural effusion is similar. Both lung bases are excluded from the field of view. Moderate hyperexpansion is unchanged. The cardiomediastinal silhouette is stable. The tracheostomy tube and a left approach picc terminating in the mid svc are unchanged.

<unk> year old man with chest tube to water seal, l side, evaluate for pneumothorax posterior

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Heart size is normal. The aorta is tortuous and diffusely calcified. Prominence of the right hilum may suggest right pulmonary arterial enlargement. There is no pulmonary vascular congestion. Linear opacities in the lung bases likely reflect subsegmental atelectasis. Eventration of the right hemidiaphragm is present. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

dyspnea, lower extremity edema.

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Single portable ap view of the chest provided demonstrates interval placement of an ng tube with its tip residing in the left upper quadrant. Otherwise, no significant change.

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Linearly oriented opacity within the right upper lobe is probably an area of localized scar or atelectasis. The lungs are otherwise clear except for pleural and parenchymal scarring in the periphery of the left apex. The cardiomediastinal contours are stable in appearance. There are no pleural effusions or pneumothoraces. A right internal jugular central venous catheter continues to terminate in the lower superior vena cava.