ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal scarring is again noted in the right middle lobe. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. An inferior vena cava filter is seen within the upper abdomen. No acute osseous abnormalities are detected.

history: <unk>m with all and fever

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Left-sided port-a-cath terminates in the proximal to mid svc without evidence of pneumothorax. No priors available for comparison. There is volume loss of the left lung. Left base opacity is seen which may be due to infection, aspiration, chronic change, related to patient's known lung cancer. Left apical opacity could be due to pleural fluid, chronicity unknown. No focal consolidation, pleural effusion, or pneumothorax is seen on the right. Cardiac silhouette is top-normal. Left paratracheal opacity is seen, unclear whether this relates to patient's pulmonary malignancy. Comparison with prior studies would be helpful for further assessment.

history: <unk>f with lung ca, weakness // infiltrate

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Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without pleural effusion or pneumothorax. There is minimal linear atelectasis seen in the left lower lung. Cardiac silhouette remains normal in size, the mediastinal contours remain normal. The pulmonary vasculature is normal. Vp shunt tubing is noted.

<unk>-year-old female with vp shunt, question pneumonia.

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Pa and lateral views of the chest provided. Left chest wall aicd is again seen with single lead extending to the region the right ventricle. Lung volumes are low limiting assessment. The heart appears normal in size. The hila appear engorged. There is probable mild interstitial pulmonary edema. No large effusion or signs of pneumonia or pneumothorax. Mediastinal contour is within normal limits. Bony structures are intact.

<unk> year old man with pacemaker, check lead positioning.

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There are small bilateral apical pneumothoraces of similar size compared to the study from three days prior. There is volume loss in both lower lobes and small bilateral effusions. The amount of volume loss/infiltrate in both lower lobes is similar on today's film compared to the one from three days prior. The picc line is unchanged.

known pneumothoraces, effusions, chest tube pulled <unk>.

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There are small, bilateral pleural effusions. In the retrocardiac region, there is a streaky opacity. While this may represent atelectasis, aspiration or pneumonia is not entirely excluded.

history: <unk>f with right sided abdominal pain, s/p cholecystectomy // eval for pneumonia

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Since prior, taking into account positioning, there is no significant change in moderate cardiomegaly, pulmonary vascular congestion, mild pulmonary edema, and bibasilar atelectasis. Monitoring and support devices are unchanged in position. There is no pneumothorax.

<unk> year old woman with copd, esrd, pulm edema, pna, intubated, evaluate for interval change.

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Lung volumes are slightly decreased. Atelectasis is noted at the left lung base. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Moderate cardiomegaly is present.

*** code cord *** history: <unk>m with pre-op // pre-op

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A portable frontal chest radiograph again demonstrates a right picc terminating at the cavoatrial junction. There has been interval placement of a nasogastric tube, which courses below the diaphragm and off the inferior edge of the image. The cardiomediastinal silhouette is normal. Lung volumes are slightly lower compared to prior, with exaggeration of the cardiac silhouette and bronchovascular crowding. Allowing for this, there is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate ng tube placement.

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Pa and lateral views of the chest. Median sternotomy wires are seen in appropriate position. The left biventricular pacemaker and aicd leads are in appropriate position. The lungs are clear. There are no focal parenchymal opacities. No pleural effusion or pneumothorax. Cardiomegaly is stable.

left basilar crackles, no symptoms, status post mvr and biventricular icd. rule out infiltrate.

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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen although the extreme costophrenic angles are excluded from the field of view. There are no acute osseous abnormalities.

left shoulder pain after motor cycle collision

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Et tube ends <num> cm above the carina. Enteric tube extends below the diaphragm and out of view. The cardiac silhouette is enlarged. There are bilateral lower lung predominant opacities with air bronchograms on the left. No pneumothorax. No large right pleural effusion. Possible small left pleural effusion.

history: <unk>m with intubation // eval ett

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Pa and lateral images of the chest demonstrate well expanded lungs, which are generally clear. There are bilateral pleural effusions seen on the lateral but not on the frontal views. The retrocardiac opacity previously visualized has resolved. The chest radiograph is otherwise unchanged. There is no pneumothorax. Cardiomediastinal silhouette is unremarkable.

<unk>-year-old female with dka and hematemesis, now requiring follow-up imaging for opacity on prior chest radiograph.

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are stable. No bony abnormalities.

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Frontal and lateral radiographs of the chest demonstrating a left chest wall pacemaker generator with appropriately positioned right atrial and ventricular leads. No pneumothorax is seen. The course of the pacemaker leads is uncomplicated. The lungs are otherwise clear and the cardiac and mediastinal contours are within normal limits. No pleural abnormality is detected.

status post dual-chamber pacemaker. confirm lead placement.

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The cardiac silhouette is stably enlarged. A calcified granuloma is noted in the right upper lung field. The pulmonary vasculature is unremarkable. No definite consolidation is identified. There is no pleural effusion or pneumothorax.

<unk> year old man who p/w shortness of breath, loud upper airway wheeze, now w/ increased sputum production and sob. // please eval for evolving pna or other process

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New patchy airspace opacities overlie the right mid and lower lungs. No pleural effusion or pneumothorax. The heart is of normal size with normal cardiomediastinal contours. Osseous structures are unremarkable. No radiopaque foreign body.

shortness of breath and cough.

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Pa and lateral images of the chest. The left hemidiaphragm is elevated and there is a retrocardiac opacity, suspicious for pneumonia. Multiple small granulomas are noted in the left lung apex, which likley refelct old prior tb or other infectious process. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

epigastric pain.

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Further interval improvement in the right lower lobe and lingular opacity. No new acute focal consolidation. No interstitial edema. The heart is not enlarged. A small left pleural effusion is seen.

<unk> year old woman with cryptogenic organising pneumonia // interval improvement

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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. There is mild diffuse demineralization.

persistent cough, evaluate for pathology.

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The intra-aortic balloon pump tip is less than <num> cm from the apex of the aortic knob. The right <unk> catheter projects over the descending right pulmonary artery and should not be advanced further. Mild cardiomegaly is stable, with improvement in the right lower lobe edema. No new focal consolidation concerning for pneumonia or pneumothorax. Intact median sternotomy wires and mediastinal clips are unchanged. Left pacemaker continuous leads terminate in the right ventricle and right atrium, unchanged.

<unk> year old man with schf exacerbation, iabp in place. iabp position, interval change.

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Single portable supine frontal image of the chest. The right ij central line is seen terminating in the mid svc. The lungs are hyperinflated. There is vascular engorgement without pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

right ij placement.

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Endotracheal tube, central venous catheter, and nasogastric tube are in standard position. Cardiac silhouette is mildly enlarged accompanied by pulmonary vascular congestion and mild interstitial edema. Focal linear atelectasis is present in the periphery of the right upper lobe.

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Portable ap upright chest radiograph was obtained. The lungs are somewhat low in volume, with resultant mild basilar linear atelectasis. Blunting of the costophrenic angles bilaterally is likely due to overlying soft tissues rather than pleural effusion. Mild cardiomegaly persists without overt edema. The mediastinal and hilar contours are otherwise unremarkable.

respiratory distress.

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There is very mild worsening of the small left pleural effusion from <unk>. The left retrocardiac opacity which is most likely basilar atelectasis is unchanged from <unk>. There is no right pleural effusion. Right lung is clear. There is no pleural effusion. Cardiomediastinal and hilar structures are normal. Cardiac size is normal.

<unk> year old man with hx of lymphoma presenting as pleural effusion. worsening shortness of breath and lower extremity edema. please further evaluate. // <unk> year old man with hx of lymphoma presenting as pleural effusion. worsening shortness of breath and lower extremity edema. please further evaluate.

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

chest pain. rule out cardiopulmonary process.

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The lungs appear slightly hyperexpanded, as before. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

dyspnea, here to evaluate for acute cardiopulmonary process.

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Cardiac silhouette is severely enlarged. Areas of atelectasis at the right lung base are stable. No focal consolidation or pulmonary edema. The thoracic aorta is tortuous. There is no pleural effusion or pneumothorax. A left chest single lead aicd is unchanged in position. Patient is status post median sternotomy with aortic valve replacement.

<unk> year old man with schf with <unk>. evaluate for pulmonary edema.

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New moderate right pleural effusion with fluid in the minor fissure. There is worsening retrocardiac. New opacities in the right mid lung and left mid lung as well are all concerning for multifocal infection. Upper redistribution of pulmonary vessels suggest element of volume overload as well. No pneumothorax. Moderate cardiomegaly stable.

<unk> year old man with cirrhosis and mild hypoxia and orthopnea // evaluation for volume overload vs pneumonia

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Moderate right apical pneumothorax with lateral hydropneumothorax component appears similar to the prior study of earlier the same date. With the exception of slight improved aeration at the lung bases, there has been no appreciable change in the appearance of the chest since the recent study from earlier today.

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New left-sided pacemaker is in adequate position with the lead in the atrium and the other one in right ventricle. There is no pneumothorax. Left moderate pleural effusion and small right pleural effusion are new with left lower lobe atelectasis. Moderate cardiac enlargement is unchanged.

patient with long qt syndrome, dual-chamber icd lead confirmation.

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Midline sternotomy wires and cardiac valve noted. There is interval development of right lower lung consolidation which is compatible with pneumonia. Also noted is mild pulmonary edema. Possible additional area of consolidation in the right upper lobe noted. The heart appears mildly enlarged. A small right effusion is likely present. No pneumothorax is seen.

hypertension and chest pain.

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The patient is status post aortic valve replacement. The heart is mild-to-moderately enlarged. There is no pleural effusion or pneumothorax. There is mild coarsening of background interstitial markings, which may be a chronic finding (although not confirmed since no prior studies are available) but could be seen with mild background vascular congestion. Other possibilities include airway inflammation. No focal opacity is seen, however. The bones appear demineralized. An anterior flowing osteophyte is noted along mid thoracic vertebral bodies suggesting skeletal hyperostosis. Calcification of some of the thoracic interspaces may be associated with immobility.

altered mental status and headache.

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Heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and mild perihilar edema. More confluent opacities are present in both lower lobes, accompanied by small pleural effusions.

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

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There is a new right lower lobe infiltrate with associated area of volume loss is a small left effusion. There is left lower lobe volume loss/consolidation. Wire for delivery pain medication seen projecting over the right chest.

shortness of breath.

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Endotracheal tube is seen with tip approximately <num> cm from the carina. Enteric tube passes below the inferior field of view. Low lung volumes are noted. There is no confluent consolidation or large effusion. The cardiomediastinal silhouette is within normal limits.

<unk>f with sob // ? ett opalce

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As compared to the previous radiograph, the intra-aortic balloon pump was moved upwards. Currently, the tip of the pump projects <num> cm below the upper margin of the aortic arch. At the time of image acquisition, the pump was inflated. Moderate cardiomegaly, diffuse bilateral parenchymal opacities reflecting pulmonary edema. Minimal pleural effusions.

intra-aortic balloon pump.

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The inspiratory lung volumes are decreased. There is central peribronchovascular prominence which in the correct clinical setting could reflect central airways inflammation. The lungs are clear without lobar consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

<unk>f with productive cough x <num> weeks // eval for pna

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Lucency at the left lung apex is seen; however, no definite pneumothorax is present. There is no focal consolidation or pleural effusion. Cardiomediastinal silhouette is notable for a tortuous aorta. Bony structures are intact.

<unk>-year-old man post-bronchoscopy, endobronchial lesion removal, check for pneumothorax.

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The cardiac, mediastinal and hilar contours appear stable. There is a small left-sided pleural effusion, which appears increased, with patchy left basilar opacity which also appears increased. A small suspected right-sided pleural effusion appears unchanged. The pulmonary vasculature shows upper zone redistribution and appears indistinct but findings suggesting parenchymal edema have continued to improve.

dyspnea on exertion. history of stroke and congestive heart failure, presenting also with bibasilar crackles.

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Frontal radiograph of the chest demonstrates interval exchange of a left-sided pleural catheter with large apical pneumothorax extending to at least the level of the fifth rib. There is no appreciable mediastinal shift. The previously seen left-sided port-a-cath and esophageal stent remain in unchanged standard position. The previously seen right pleural effusion is similar in appearance to prior study. The cardiomediastinal silhouette is unchanged.

<unk>-year old male with recurrent effusion, status post replacement of pleurx catheter. question pneumothorax.

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Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Bilateral heterogeneous pulmonary opacities, predominately in the lower lobes, are slightly more prominent over the interval. New left-sided pleural effusion is small. The cardiomediastinal and hilar contours are unchanged. Endotracheal tube minutes <num> cm from the carina. Right-sided port-a-cath ends at the cavoatrial junction. Nasogastric tube ends in the neo-esophagus. There is no pneumothorax.

<unk> year old man s/p r chest tube pull. // r/o pnx

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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded. There is a small rounded opacity in the right mid lung zone that likely reflects a combination of shadows. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Healed left sided rib fractures are again visualized.

patient with new cough and chest pain, eval pneumonia or other abnormalities.

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Single portable view of the chest. The lungs are clear. The cardiomediastinal silhouette is stable, noting prominence of the upper mediastinum, which is due to tortuosity of the vessels as seen on cta neck recently performed. Cardiomediastinal silhouette is otherwise unremarkable with a tortuous descending thoracic aorta. Degenerative change is seen at the right shoulder.

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

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Lungs are clear. The patient is status post median sternotomy as well as pacemaker placement with a single lead terminating in the left ventricle. Cardiac size is within normal limits. Aortic calcifications are noted at the knob. No pleural effusions or pulmonary edema.

history: <unk>m with dyspnea, lightheadedness // eval for pulmonary edema

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Left-sided pigtail catheter tip projects over the left upper lung field, with a moderate amount of subcutaneous emphysema seen in the left chest wall extending into the left neck. A small apical left pneumothorax is present. Patchy opacity within the left lung base may reflect atelectasis. Cardiac silhouette size is mildly enlarged. The aorta is mildly tortuous. There is no pulmonary edema. Small left pleural effusion may be present. No right-sided pneumothorax is seen. There is minimal atelectasis in the right lung base.

pneumothorax.

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Pa and lateral views of the chest provided. Lung volumes are low. There is mild left basal opacity which is more compatible with atelectasis though difficult to exclude a subtle pneumonia. Otherwise lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures appear intact.

<unk>m with fatigue x <num>d // pna

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Bibasilar opacities are improved compared to <unk>. Pleural effusion is minimal, if any. There is no pulmonary edema. Cardiomediastinal silhouette is normal size. Right picc terminates at cavoatrial junction or enters right atrium.

<unk> year old woman with h/o cirrhosis, b/l infiltrates c/f pna, and volume overload, new fever. // interval change in infiltrates, volume?, pna?

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Tracheostomy terminates <num> cm above the carina. Sternotomy wires appear intact and appropriately aligned. Biapical pleural thickening. Rounded consolidation in the right upper lung, which is new in comparison to <unk>. The bilateral diffuse interstitial thickening has improved in comparison to <unk>. Elevation of the left hemi diaphragm unchanged since <unk>. Stable mild enlargement of the cardiomediastinal silhouette. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.

<unk> year old man with known bronchiectasis and myasthenia <unk>, s/p trach (vent at night only), now with lower oxygen levels (<unk>% vs <unk>%) and also feeling of more dyspnea on exertion. on immunosuppressants. // assess 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 pa and lateral chest examination of <unk>. On the present frontal view portable examination, an ng tube is identified, seen to reach below the diaphragm and terminating in the fundus of the stomach including the side port. Thus, the placement is correct as desired. No other interval changes are identified on the portable chest examination.

<unk>-year-old male patient with pancreatitis and upper gi bleed, status post placement of ng tube, confirm position.

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Single ap view of the chest. The lungs are clear. Density projecting over the left upper lung is compatible with sticker from cardiac lead. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with nausea vomiting and diarrhea. question infection.

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Two portable views of the chest. There is a moderate-to-large right-sided pneumothorax. Surgical chain sutures seen in the left paramediastinal location compatible with prior resection. Assessment for possible mediastinal shift is limited given lack of priors available and probable underlying volume loss on the left due to prior resection and rotation of the patient to the right. It would be difficult to exclude degree of mediastinal shift. Linear opacity at the lung bases, suggesting atelectasis. Cardiomediastinal silhouette is otherwise grossly unremarkable. No acute osseous abnormality is identified.

<unk>-year-old male with shortness of breath. additional history per medical records reveals history of lung cancer status post resection and copd.

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is top normal. The mediastinal contours are normal.

history: <unk>f with cough, chest pain // r/o pna

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine

history: <unk>m with feeling sob and dry cough x several weeks. // ? infiltrates?

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A portable frontal chest radiograph demonstrates interval placement of a right picc, which courses superiorly into the right internal jugular vein. Lung volumes are low, resulting in increased prominence of the cardiac silhouette and bronchovascular crowding. Allowing for this, heart size is likely normal. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate picc placement.

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Lung volumes are low. Heart size is mildly enlarged. The mediastinal and hilar contours relatively unchanged. No pulmonary vascular congestion is noted. Small right pleural effusion appears new compared to the prior exam. There is also a small amount of fluid within the right minor fissure. Patchy bibasilar airspace opacities could reflect atelectasis but infection cannot be excluded. No pneumothorax is seen. Thoracic kyphosis is re- demonstrated with several compression deformities of the mid and lower thoracic spine appearing relatively unchanged. Diffuse demineralization of the osseous structures is again seen.

chest pain and left arm pain.

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There is bilateral hilar prominence with increased vascular markings and upper redistribution. Kerley b lines and interstitial thickening is noted in both lung bases. Otherwise, there are no focal opacities. The heart appears mildly enlarged, although may in part be accentuated by ap technique. There is no evidence of pleural effusion or pneumothorax.

<unk>-year-old male with hypoxia. evaluate for pneumonia or any other acute cardiopulmonary process.

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Frontal and lateral radiographs of the chest demonstrates stable top-normal heart size. Unchanged bilateral small pleural effusions. No pneumothorax. Clear lungs.

diarrhea and altered mental status. question pneumonia.

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Pa and lateral views of the chest provided. There is mild left basal platelike atelectasis. Otherwise lungs are clear. No pleural 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 rnygb, known marginal ulcer with severe abdominal pain.

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Portable ap semi-upright views of the chest were obtained. Cardiomediastinal silhouette is unchanged. Chronic bibasilar opacities more severe on the right have slightly increased, likely representing worsening atelectasis; however, underlying consolidation is not excluded. Lungs are otherwise clear. Small bilateral pleural effusions are unchanged. No pneumothorax.

<unk>-year-old man with post-surgical wound infection and chills, evaluate for a pulmonary process.

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An esophageal stent is again demonstrated. There has been interval removal of an endotracheal tube and orogastric tube. A right thoracostomy tube has also been removed. There is no pneumothorax. Extensive reticular opacities throughout both lungs are again demonstrated, denoting chronic interstitial disease, unchanged over multiple prior examinations. The hilar and mediastinal contours remain stable.

removal of pigtail catheter.

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Lines and tubes: there is an new right-sided hemodialysis catheter with tip terminating in the distal right atrium. Lungs: haziness overlying the right hemi thorax likely reflect presence of a fairly large right pleural effusion. Diffuse vascular prominence and bibasilar atelectasis noted. Pleura: large right pleural effusion, likely smaller left pleural effusion. No pneumothorax. Mediastinum: there is cardiomegaly and curvilinear aortic knuckle calcification. Bony thorax: mild diffuse osteopenia and degenerative changes of the thoracic spine noted.

<unk>f w/ afib on coumadin, ckd w/ bilateral nephrostomy tubes p/w generalized malaise, found to have signs of uremia ( coag-neg staph in <unk> culture bottles; likely contaminant), s/p hd via tunneled line today now complianing for neck pain and acute desat to <num>s // evidence of infection/pulm edema/pneumonthorax

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The pacemaker is visualized on the left chest wall ; the pacer leads terminate in the right atrium and the apex of the right ventricle. The heart is mildly enlarged. As noted in the previous study, there is pulmonary vascular congestion without overt edema or pleural effusion. There is linear atelectasis of the left lung base. No consolidations nor pneumothorax seen. A stable compression deformity of the thoracolumbar junction vertebral body is also seen.

<unk> year old man with pacemaker with concern for lead placement // evaluate lead position

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Lung volumes are slightly low, accentuating the cardiomediastinal silhouette. Bibasilar atelectasis is noted, right greater than left, confirmed on the outside hospital ct. No focal consolidation or pneumothorax. Pleural effusions are trace, if any.

<unk>f with new oxygen requirement. evaluate for acute cardiopulmonary process.

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Compared with the prior study, lung volumes remain severely decreased causing bronchovascular crowding. Bibasilar atelectasis is mild. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged since the prior study. A calcified aortic arch is also stable in appearance.

<unk> man with history of cough. evaluate for acute process.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.

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

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The patient is status post previous wedge resection procedure in the right lung. Multifocal bilateral areas of consolidation reported on the <unk> chest radiograph have slightly improved, and continue to involve the left mid and both lower lung regions. No new areas of consolidation are identified. There may be small pleural effusions or slight pleural thickening. Bones are diffusely demineralized.

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Frontal view of the chest. The endotracheal tube is <num> cm above the carina. An enteric tube terminates within the stomach. The lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Normal heart size, mediastinum and hila.

intubation.

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The heart remains moderately enlarged. No focal consolidation concerning for pneumonia. There is mild hilar congestion and interstitial edema without pleural effusion. No pneumothorax. Mediastinal contour is stable. Bony structures are intact.

<unk>m with sob // eval for pna

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Overall lung volumes are low.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced rib fractures are visualized. No thoracic fracture is visualized.

history: <unk>m with r back pain s/p mvc // ?fracture

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Heart size is normal. The mediastinal and hilar contours are remarkable for stable asymmetry of the hilar contours, left greater than right, corresponding to asymmetrical pulmonary vasculature on prior ct of <unk>. . Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with history of melanoma // please evaluate disease status

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Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Right picc has been removed. Streaky atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is visualized. Pulmonary vasculature is not engorged. Spinal fusion hardware is noted spanning the thoracolumbar junction.

history: <unk>f with altered mental status

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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax

left-sided chest pain. evaluate for pneumonia.

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Since prior, there has been a mild interval increase of the moderate left pleural effusion with associated atelectasis. Small right pleural effusion is stable. Cardiomediastinal silhouette is unchanged. There is no pneumothorax. Right ij central venous catheter ends in the upper svc.

<unk> year old man s/p cabg, evaluate for interval change.

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Lung volumes are slightly low leading to crowding of the bronchovascular structures. Despite this, there is subtle increase in airspace opacity at the right lung base which may reflect patchy atelectasis although an early infiltrate cannot be excluded. No pleural effusion or pneumothorax. Mild cardiomegaly is noted and may be secondary to ap projection.

history: <unk>f with ams // eval for pna

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There is an et tube terminating approximately <num> cm above the carina. Pacemaker with pacer wires, lvad device, enteric tube remain unchanged compared to the prior radiograph. Right-sided picc terminates at the cavoatrial junction. Low lung volumes with bilateral pleural effusions and marked cardiomegaly with hilar vascular prominence is again noted. New linear opacities in the right upper and paracardiac region likely represent atelectasis. No interval change in bony thorax.

<unk> year old man with elevated wbc, thick secretions sp lvad // pna ; <unk> year old man with new r picc // evaluate new r double-lumen power picc <num>cm <unk> <unk> contact name: <unk>, <unk>: <unk> ; <unk> year old man with chf, dyspnea // ? intrathoracic process vs worsening fluid overload

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Heart size is top normal with mildly tortuous thoracic aortic arch, with atherosclerotic calcifications. Mediastinal and hilar contours are unchanged compared to prior examination. Lungs are clear. There is no pulmonary edema. There is no pleural effusion or pneumothorax.

dyspnea.

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Ap single view of the chest was obtained with patient in semi-upright position. The heart is not enlarged. Thoracic aorta mildly widened and elongated but without local contour abnormalities. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are seen and the lateral pleural sinuses are free. The diaphragms are relatively low positioned and somewhat flattened, a finding which suggests the possibility of copd. Acute pulmonary infiltrates however cannot be identified and there is no pneumothorax in the apical area. Comparison is made with the next preceding pa and lateral chest examination of <unk> apparently transferred from another hospital. There are no significant interval changes. The previous examination also suggests some element of copd.

<unk>-year-old female patient with intracranial bleed, evaluate for pneumonia.

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In comparison with the study of <unk>, the monitoring and support devices remain in place. The perihilar opacification seen previously is no longer apparent. There is some retrocardiac opacification consistent with volume loss within the left lower lobe. The right lung is essentially clear.

respiratory failure and gi bleed.

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Portable ap chest radiograph. New ett terminates is low, terminating <num> cm above the carina. Ng tube tip and sidehole are below the diaphragm. Bibasilar opacities and mild interstitial edema have developed from prior. The cardiomediastinal silhouette is normal.

hepatic failure. post-intubation radiograph.

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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is <num> cm density overlying the posterior aspect of a mid thoracic vertebral body, possibly related to the osseous structures.

productive cough for the past two to three days, now with new onset seizure. assess for pneumonia.

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Frontal and lateral views of the chest were obtained. There are low lung volumes accentuated by bronchovascular markings. However, given this, there is prominence and indistinctness of the hila bilaterally suggesting pulmonary vascular engorgement at least. No pleural effusion or pneumothorax is seen. No definite focal consolidation. The cardiac silhouette is not enlarged.

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

history: <unk>f with black sputum and cough. // r/o pneumonia

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Comparison is made to the prior study from <unk>. Also compared to the prior ct from <unk>. There is again seen hyperexpansion and pleural-based calcified densities bilaterally consistent with patient's known asbestos exposure. There is scarring within the lung apices, which appear more prominent within the left upper lobe. No definite consolidation is identified. Heart size is within normal limits.

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Pa and lateral views of the chest were obtained. Cardiomediastinal silhouette including mild cardiomegaly is unchanged. Redemonstrated is a pacer/icd device with appropriate placement of all three leads. Mild pulmonary edema and bilateral small effusions are stable. Lungs are clear. There is no pneumothorax.

<unk>-year-old man with syncope and shortness of breath, evaluate for pneumonia.

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There is a small right and a large left pleural effusion as well as partial left lower lobe atelectasis. No pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>f with chest pain, shortness of breath // eval for infiltrate

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There is overall stable appearance of the chest with normal heart size and stable tortuosity of the thoracic aorta. No focal consolidation, pleural effusion or pneumothorax.

<unk> year old man with h/o a fib, on amiodarone, no resp sx. never a smoker. // r/o pulmonoary disease

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There is no displaced rib fracture.

left lower chest pain

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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.

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

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

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Portable ap chest radiograph demonstrates stable cardiomediastinal silhouette. A right chest dual lead pacing device is noted, of leads which appear intact and in unchanged position. Relative to most recent examination, opacity within the right lung base appears more confluent. There has been progression of pulmonary vascular congestion. No new confluent consolidation identified on the left. There persists blunting of the right costophrenic angle consistent with a small pleural effusion. There is no pneumothorax.

<unk>f with sudden worsening sob // chf, pna?

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There has been some interval mild improvement in the pulmonary edema. There is still some pulmonary vascular redistribution however the cardiac size is slightly smaller. A large hiatal hernia is again visualized. Patient is status post cabg. There is volume loss at both bases.

evaluate pulmonary edema.

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Pa and lateral chest radiographs. Left-sided pleurx catheter is in stable position. Small bilateral pleural effusions are greater on the left with adjacent atelectasis. There is no pneumothorax. The cardiomediastinal silhouette is stable. Deformities of the right posterior ribs are from remote fractures.

bilateral pleural effusions in the setting of ovarian cancer. evaluation for interval change.

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As before, a right port-a-cath ends in the low svc. Linear lucency along the left heart border seen on the prior radiograph from earlier today is less conspicuous on the present study. There is minimal bibasilar atelectasis, not significantly changed. A small left pleural effusion is not excluded. There is no right pleural effusion. No pneumothorax is seen. Mild cardiomegaly is unchanged. The mediastinal contours are normal.

status post mediastinoscopy with possible pneumomediastinum on prior chest radiograph. the patient is clinically well, but repeating chest radiograph to assess for interval change.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bones are intact. The imaged upper abdomen is unremarkable.

evaluate fever, evaluate for cardiopulmonary process or infiltrate.

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Small nodular opacities in the right base is concerning for pneumonia. Small right pleural effusions is seen. The left lung is mostly clear. Heart and mediastinal vein are enlarged compared to prior. Right-sided pacemaker is unchanged in position with leads in standard position.

<unk> year old woman with history of metastatic breast cancer, recent bilateral pleural effusion. evaluate for reaccumulation of pleural effusions.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are clear without focal consolidation concerning for pneumonia. Line vascularity is within normal limits. The upper abdomen is unremarkable.

<unk>m with etoh cirrhosis, ams, jaundice stable // r/o infection

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Ng courses below the diaphragm and terminates outside field of view. The side hole is also below the diaphragm. There is gaseous distension of the stomach, similar to prior. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouettes is normal. Again noted is levoscoliosis of the thoracic spine.

history: <unk>f with ngt placement // placement

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Multiple pulmonary nodules are again seen largely unchanged in size compared to prior. The <num> most prominent nodules measure <unk> and <num> mm in the right upper and left upper lungs. Areas compatible pleural effusion, consolidation or pneumothroax. There is moderate cardiomegaly.

<unk> year old woman with colon cancer // increased sob. known bilateral pulmonary nodules. likely either met colon ca vs lung primary

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Pa and lateral views of the chest provided. Linear density in the right lower lung may represent atelectasis versus scarring. Otherwise, the lungs are clear with 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 who presents with cough, sore throat // r/o pneumonia