ChayanM/MIMIC-MultiView-Findings-Query_Optional

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The heart size is mildly enlarged. The aorta is mildly is tortuous, unchanged. Mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema. Small bilateral pleural effusions, right greater than left, are demonstrated. Patchy right basilar opacity likely reflects compressive atelectasis. No pneumothorax is demonstrated. There are no acute osseous abnormalities.

cough.

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The lungs are well expanded and clear. The previously seen pulmonary edema has improved since prior. There is no pleural effusion or pneumothorax. Degree of cardiomegaly is unchanged pain.

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

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Left subclavian and axillary stent remains in place. Again there are surgical clips in the right axilla. Extensive coarse breast calcifications project over the right upper and mid hemi thorax. Pulmonary edema is resolved. There is a residual opacity in the periphery of the left base. There is no pleural effusion or pneumothorax. There is chronic apical pleural thickening and scarring.

<unk> year old woman with ? pna and fluid overload // assess for consolidation

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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No displaced rib fractures are present. The sternum appears intact on the lateral view. No subdiaphragmatic free air is appreciated.

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

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

cough and fever.

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Ap and lateral views of the chest. No prior. Lateral view is limited due to overlying soft tissues. There is a focal opacity in the left mid lung, not clearly delineated on the lateral view, but potentially in the lower lobe. Focal opacity also identified at the right lung base laterally, potentially due to pleural thickening or scarring. There is no effusion. Cardiomediastinal silhouette is within normal limits for technique. Atherosclerotic calcification is noted at the arch. No acute osseous abnormalities detected, although bones are diffusely osteopenic, limiting evaluation.

<unk>-year-old female with knee fracture, preop.

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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Again, there is bilateral apical pleural scarring with scattered calcified granulomata. However, no evidence of acute pneumonia or vascular congestion.

productive cough with crackles.

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Combination of right-sided pleural effusion and thickening are unchanged. Adjacent atelectasis in the right lower lobe also unchanged. The left lung remains clear. The cardiomediastinal contours are unchanged, without adenopathy. Multilevel degenerative changes of the spine. No pathologic fracture.

<unk> year old woman with met breast cancer // recent onset of increased doe

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Left picc in the lower svc, position unchanged from prior. Normal cardiomediastinal and hilar silhouettes. Normal pleural surfaces. Clear lungs.

<unk>-year-old man with a history of stage iv b-cell lymphoma and hiv on haa rt admitted for a possible focal motor seizure. patient is scheduled for ommaya reservoir placement on <unk>.

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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 appear within normal limits.

cough and failure to thrive.

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Cardiac and mediastinal silhouettes are stable. Minimal left base atelectasis/scarring is seen. There is no focal consolidation, pleural effusion, or evidence of pneumothorax.

history: <unk>m with chest pressure // r/o pna

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Frontal and lateral chest radiographs demonstrate low lung volumes, though clear lungs without focal consolidation, effusion, or pneumothorax. The heart size is normal, the mediastinal contours are normal. Note is made of mild degenerative change of the visualized thoracic spine. There is an azygous fissure.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The right picc has been removed.

<unk> year old man with aplastic anemia, with new cold symptoms, please evaluate for acute process.

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As compared to the previous radiograph, the monitoring and support devices are constant. There is unchanged evidence of extensive bilateral pulmonary disease, with potential cavitary component on the right. The overall extent of the changes, however, is not substantially changed. The size of the cardiac silhouette remains constant and normal. There is no evidence of larger pleural effusions. No pneumothorax is visualized.

respiratory failure, no pneumonia. evaluation.

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A single-lead pacemaker device appears unchanged with a single lead terminating in the right ventricle. The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear.

myotonic dystrophy, status post icd placement, presenting with chest pain.

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No previous images. Cardiac silhouette is within normal limits. There is no evidence of pulmonary vascular congestion, acute pneumonia, or pleural effusion. Of incidental note is a fracture of the mid shaft of the right clavicle.

possible congestive failure on shoulder x-ray.

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The heart is mildly enlarged. There is mild unfolding and calcification along the thoracic aorta. The mediastinal and hilar contours appear unchanged. The chest is mildly hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear.

status post fall. question fracture.

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There is a left basal opacity, minimal but new, potentially representing atelectasis but pneumonia cannot be excluded. No other focal consolidation is seen, and the lungs are clear of pneumothorax or pleural effusions. The heart size is normal. The mediastinal contours are normal.

<unk>-year-old female with seizure, weakness

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Pa and lateral radiographs were acquired. The lungs are hyperinflated, and there is flattening of the hemidiaphragms as well as enlargement of the retrosternal airspace and attenuation of the upper lobe vascular markings, findings consistent with severe emphysema. The lungs are clear. Surgical clips at the left lung base are again noted. Heart size is normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen. Aortic arch calcifications are noted.

shortness of breath. evaluate for infectious process.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Posterior thoracic spine fixation hardware is again noted.

<unk>f with s/p fall // eval for injuries, infiltrates

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with abdominal pain s/p lap appy last <unk> // eval free air under diaphragm

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy opacities seen within the left lower lobe concerning for pneumonia. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with cough, fever, tachycardia.

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Ap portable upright view of the chest. Overlying ekg leads are present. Cardiomegaly is mild and unchanged. Hila are congested and there is mild pulmonary edema evidenced by diffuse mild ground-glass opacities. No large effusion is seen. Subtle left basal opacity may represent atelectasis, difficult to exclude a component of pneumonia. No pneumothorax. Mediastinal contour is stable. Bony structures are intact.

<unk>m with resp distress

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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Minimal left lung base opacity only seen on the frontal view likely represents atelectasis. Hilar and mediastinal silhouettes are unchanged. The intrathoracic aorta appears tortuous. Heart size is top normal. Partially imaged upper abdomen is unremarkable. Compression deformity of l<num> vertebral body is unchanged since <unk> ct exam.

the patient with abdominal pain, nausea and vomiting. assess for pneumonia.

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In comparison with the study of <unk>, there is again increased opacification at the left base silhouetting the hemidiaphragm, consistent with volume loss in the left lower lobe and left pleural effusion. Right lung remains essentially clear. No evidence of pneumothorax.

effusion versus pneumonia.

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There is persistent linear opacity at the left lung base laterally which is likely atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with cough // acute process?

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Portable supine frontal view of the chest. The patient is rotated. There is no focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

<unk>m with overdose and vomiting.

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Cardiac silhouette remains prominent may enlarged. Left implanted dual lead pacer is unchanged in position. Vascular congestion with mild interstitial pulmonary edema is slightly increased from prior study. There is no large pleural effusion or pneumothorax. No focal consolidation worrisome for pneumonia.

chf and copd presenting with diarrhea and tachypnea.

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Since the prior exam, there hilar vasculature has increased in size. There is also slightly worsening of the interstitial edema. There is no pleural effusion or pneumothorax. The mediastinal contours are unchanged. The heart size remains moderately enlarged. Sternal wires are intact.

aortic stenosis and possible pneumonia with hypoxia and shortness of breath. evaluate for change.

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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. There are no acute osseous abnormalities.

<unk> year old woman with chest pain // please evaluate for infection

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Ap single view of the chest has been obtained with the patient and supine position. The appearance of the longitudinal rods is unchanged after spine fusion surgery the patient is still intubated with tube ending <num> cm from the carina bifurcation. Left-sided chest tube is still in place and is unchanged in position. The moderate-to large bibasal pleural effusion is increased, especially on the right side. The heart seems enlarged with increased perihilar opacity as for mild pulmonary edema.

.<unk> y/o woman s/p l<num> fracture after fall now s/p staged lateral t<num>-l<num>, posterior t<num>-l<num> fusion admitted to sicu for further management.

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The heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Heterogeneous opacity at the left lung base is worrisome for pneumonia. There are scattered increased reticular lung markings and fibrotic changes particularly at the right lung base and right lung apex. There is no pleural effusion or pneumothorax.

type <num> diabetes, three weeks' cough and post-tussive emesis. assess for pneumonia.

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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 cough, fever // ? pna

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are stable. Increased distention of the neoesophagus is apparent with an air-fluid level in the mid neoesophagus and contrast in the distal neoesophagus. Thin curvilinear lucency along the contour of the neoesophagus persists. Small right pleural effusion is stable. Chain sutures in the medial aspect of the right mid lung are stable. The left lung is clear other than small stable left base atelectasis.

status post minimally invasive esophagectomy.

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

pleuritic chest pain in the posterior upper thoracic area beneath the right shoulder blade.

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Lung volumes and cardiomediastinal contour are unchanged compared to the prior study. Persistent bibasilar atelectasis, similar in degree when compared to the prior study. A right-sided picc terminates in the mid to distal svc. A tracheostomy tube is unchanged in appearance. Surgical hardware in the lower cervical and upper thoracic spine. No new areas of consolidation seen. No pleural effusion seen.

<unk> year old man with polytrauma and chronic hypoxic respiratory failure // pulmonary edema? interval change?

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Single lead left-sided pacemaker is stable in position.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with weakness // eval for infiltrate

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The et tube ends at <num> cm from carina. The ng tube ends the in proximal gastric cavity, and can be advanced at least <num> cm. As compared to yesterday, the lung volume is largely increased with improvement of upper and mid lung opacification, likely for reduced pulmonary edema. The reduction of heart size is a sign of improved cardica function. Persist linear opacity at the lung bases, especially on the right, likely for atelectasis. Small pleural effusion on the right base. There is no pneumothorax.

evaluation for interval changes.

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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. The osseous structures are unremarkable. No radiopaque foreign body.

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

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The medial right hemidiaphragm is obscured by a moderate sized right pleural effusion. There is homogeneous opacification of the lung parenchyma below the right minor fissure due to right middle and right lower lobe collapse. There is decreased vascularity of the right upper lung when compared to the left side. The right perihilar region also appears more full and this could represent a central mass compressing the right pulmonary vasculature and bronchi resulting in hypoperfusion of the right upper lung and collapse of the right middle and lower lobes. The left lung is well-expanded and there is increased vascularity of the left lower lung likely secondary to physiologic increase in left lung perfusion. The heart is normal sized. A left port-a-cath tip terminates in the upper right atrium. There is no pneumothorax seen.

<unk> year old woman with pleural effusion // evaluate for pneumonia/infiltrate s/p thoracentesis.can do cxr at <unk> am on <unk> thanks

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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 midsternal chest pain // please evaluate for cardiopulmonary process

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Pa and lateral views of the chest demonstrate the lungs are well expanded, with a hazy opacity in the right lung base with mild peribronchial cuffing. The heart is top normal in size. No focal consolidation is identified. There is no effusion and no pneumothorax.

<unk>-year-old male with dyspnea and fever. review of omr indicates a history of hiv.

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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases may reflect atelectasis, but infection is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is detected. Mild degenerative changes are noted in the thoracic spine.

<unk> year old man with sudden onset dysarthria // eval for consolidation

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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, nodule, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.

<unk>-year-old with cough, chest pain, rule out infiltrate.

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Heart size is borderline enlarged with a left ventricular predominance. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. The lungs are clear without focal consolidation. Lungs are hyperinflated. Minimal blunting of the right costophrenic angle may reflect a tiny amount of pleural fluid or pleural thickening. No pneumothorax is demonstrated. There are no acute osseous abnormalities.

history: <unk>f after syncopal episode

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Ap upright and lateral views of the chest provided. Right chest wall aicd is again seen with single lead extending into the region of the right ventricle. Midline sternotomy wires are again noted with mediastinal clips. Cervical fusion hardware is noted in the lower neck. There is mild elevation of the right hemidiaphragm. Bibasilar streaky opacity best seen on the lateral view could represent atelectasis or scarring. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contour is normal. Imaged bony structures are intact with bilateral ac joint arthropathy noted. No free air seen below the right hemidiaphragm.

<unk>m with new abdominal pain, fever, and hypoxia

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The previously noted small left pneumothorax is almost completely resolved with only a tiny residual pneumothorax evident. Stable bilateral large pleural effusions identified with unchanged bibasilar atelectasis. Minimally improved aeration noted in the right upper lung. Given effusions unable to assess heart size. Mediastinal and hilar contours are unremarkable. Dense calcifications are noted within the thoracic aorta.

chest tube. please evaluate left pneumothorax.

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Ng tube is difficult to visualize; however, appears to be coursing below the diaphragm likely within the stomach. The patient is status post median sternotomy. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac size appears enlarged, but unchanged from the prior exam. Osseous structures are intact.

<unk>-year-old man with upper gi bleed. evaluate for ng tube position.

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Ap portable upright view of the chest. Port-a-cath resides over the left chest wall as on prior with catheter tip in the mid svc. Lungs are clear bilaterally. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mild dextroscoliosis noted.

<unk>f with ams // pna?

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There is a patchy infiltrate in the right mid lung zone, which is not definitely identified on the lateral view. This is most consistent with pneumonia. There is minimal atelectasis intending at the right lung base, best appreciated on the lateral view. There is no pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

cough and fever. evaluate for pneumonia.

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

<unk>f with shortness of breath, multiple myeloma // please eval for pleural effusion

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Frontal and lateral views of the chest. There is no pleural effusion, pneumothorax or focal airspace consolidation. The hilar and mediastinal contours are normal. The heart size is normal.

desaturations and chest pain.

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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures appear intact. No free air is seen below the right hemidiaphragm.

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

<unk>f with cough, chills. evaluate for consolidation.

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Large right upper lobe mass is again noted. There are bilateral lower lobe metastatic lesions as better seen on the ct from <unk>, stable to mildly increased. Right pleural effusion also noted, slightly increased. Mild cardiomegaly and signs of failure are present. Fullness in the hilar region is compatible with the underlying adenopathy.

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The lungs are clear besides minimal left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>m with palpitations, chest pain // evaluate for acs

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Left picc line ends at the junction of brachiocephalic veins. Right internal jugular line terminates at lower svc/cavoatrial junction. Since <unk>, mild pulmonary edema has resolved, small pleural effusions have improved. Heart size, medistinal and hilar contours are normal. There is no pneumothorax. A feeding tube is seen to course below the diaphragm into the stomach; however, the distal end is beyond the view of radiograph.

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Multiple contiguous left-sided rib fractures are present, and a been more fully evaluated by outside chest ct of <num> day earlier. Small left pleural effusion is present, but there is no visible pneumothorax. Cardiomediastinal contours are normal. Lungs are remarkable for bibasilar linear atelectasis appear

<unk> year old man with left rib fractures // ? consolidation or effusion

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No previous images. In comparison with the scout radiograph from the ct of <unk>, there is little change. Area of increased opacification in the left mid zone is consistent with the largest of the multiple pulmonary nodules. No definite acute focal pneumonia.

breast cancer with new onset delirium.

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No significant interval change in the previous exam. Again a moderate to large right pleural effusion is noted with persistent a chest and opacities in the right middle and right lower lobes and elevation of the right hemidiaphragm. The left lung is well expanded. The heart is enlarged. Tracheostomy in place with tip above the carina.

<unk> year old man with pneumonia, h n cancer s/p trach now with hypotension and trigger // any interval change?

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Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Elevation of the right hemidiaphragm is noted with clips seen along the medial aspect of the right base. Atelectasis is seen in the right lung base, but no focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. There are no acute osseous abnormalities.

history: <unk>m with chest pain

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In comparison with the study of <unk>, the dobbhoff tube has been removed. Cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or acute focal pneumonia.

fever and tachypnea.

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

patient with chronic cough, former smoker. assess for pneumonia.

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The right costophrenic angle is not fully included on the image. Given this, no focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.

chest pain x.

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Pa and lateral views of the chest were reviewed. Compared to the prior studies, a recurring moderate right possibly loculated pleural effusion, an unchanged small left-sided pleural effusion, prominent intralobular lines, preservation or reticulation and thickened fissure lines indicate mild-to-moderate pulmonary edema that has increased compared to the prior study. Mild cardiomegaly is unchanged. Bibasilar opacities likley represented atelectasis. No pneumothorax is visualized. Left pectoral pacemaker with leads ending in the right atrium and right ventricle is unchanged in position.

evaluation of a pleural effusion.

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Lung volumes are within normal limits. The trachea is central. Even allowing for the projection there is moderate cardiomegaly. Mild pulmonary vascular congestion but no overt pulmonary edema seen. No lobar consolidation, pleural effusion or pneumothorax seen.

<unk> year old woman with cad, dilated cardiomyopathy presenting with chest pain and dyspnea on exertion. // r/o pulmonary edema

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The exam is slightly limited due to patient rotation. The heart size is normal. The aorta is mildly tortuous with aortic arch calcifications noted. The pulmonary vascularity and hila are normal. The lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is detected. No displaced fractures are seen.

fever and fall.

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Pa and lateral chest radiographs again demonstrate cardiomegaly. Hyperexpansion is likely due to emphysema. There is no focal consolidation, pleural effusion, or pneumothorax. Again seen is s-shaped scoliosis of the thoracic spine.

syncopal episode. evaluation for infectious process.

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Shallow inspiration. There are mild bibasilar opacities, likely atelectasis, mildly more prominent compared to prior. Normal heart size, pulmonary vascularity, accentuated by shallow inspiration. Suggestion of tiny pleural effusions or thickening. No pneumothorax.

<unk> year old woman with hepatic encephalopathy and some sob // r/o consolidation

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There is mild right basal atelectasis. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

asthma with shortness of breath.

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No previous images. Right subclavian picc line extends to the mid portion of the svc. The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion. Of incidental note is contrast material within the colon.

picc placement at outside facility, to confirm.

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The cardiac, mediastinal and hilar contours appear unchanged since the prior study. Aside from right suprahilar scarring, which is also unchanged, the lungs appear clear. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are noted along the thoracic spine.

prior gastric ulcers and <unk>'s esophagus, presenting with chest and epigastric pain. question free air or pneumomediastinum.

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Portable ap upright chest radiograph was provided. The lungs are clear bilaterally. There is no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures appear intact. There is no free air below the right hemidiaphragm.

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Stable radiographic appearance of the chest, with no new foci of consolidation to suggest the presence of pneumonia.

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Ap and lateral views of the chest. Extremely low lung volumes are again seen. There is secondary bibasilar atelectasis. Superiorly, the lungs are clear of consolidation. Cardiac silhouette is difficult to assess. Surgical clips are seen in the right upper quadrant. Compression deformity in the lower thoracic spine is not well assessed, but was in part visualized on remote prior.

<unk>-year-old female with altered mental status at rehab.

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Pa and lateral views of the chest. When compared to recent exam from earlier the same day, there has been no significant interval change given differences in projection. Small to moderate right-sided pleural effusion is seen with air-fluid level at the right lung base compatible with presumably seen hematopneumothorax. Pneumothorax is seen along the chest wall laterally was summoned loculation superolaterally and relatively larger component at the base posteriorly. The left lung is notable for apical scarring. Cardiomediastinal silhouette is within normal limits without shift to suggest tension. No displaced fracture is identified.

<unk>-year-old male with mechanical fall on <unk> with shortness of breath and chest pain admitted at outside hospital with known pneumothorax.

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The lungs are well inflated and free of consolidation. The heart is not enlarged. The osseous structures are normal for age.

<unk> year old man with abnl cxr <unk> // persistent interstitial markings?

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

diabetes, hypertension, hyperlipidemia presenting with chest pain that occurred at rest.

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Enteric tube traverses to a dilated stomach. Otherwise, little change with clear lungs, normal cardiac and mediastinal contours, and levoscoliosis of the thoracic spine.

nasogastric tube placement.

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The lungs are well inflated and clear bilaterally with no masses or lesions. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.

<unk>-year-old male with positive ppd here for pre-employment exam.

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Heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Minimal atelectasis is seen in the left lung base. Multilevel mild degenerative changes are noted in the thoracic spine.

history: <unk>m with recent fall

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There are low lung volumes and bibasilar atelectasis. Bibasilar opacities most likely represent atelectasis although subtle consolidation is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is gaseous distention of the stomach.

history: <unk>m with fever, crackles rll // eval for infiltrate

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The cardiomediastinal silhouette and pulmonary vasculature are normal. There is no pleural effusion or pneumothorax. The lungs are clear.

<unk> year old woman with atypical chest pain. // please evaluate for cardiopulmonary process.

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

history: <unk>f w/ l sided chest wall pain x several wks // eval ? infiltrate, effusion

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No evidence of free air is seen beneath the diaphragms. There is possible subtle opacity projecting over the left mid lung which may be due to overlap of structures although an area of atelectasis, scarring, or small consolidation is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with sob, severe abd pain // ? free air

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Minimal patchy opacity in the right middle lobe likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine. No free air is noted under the diaphragms.

epigastric abdominal pain, tenderness to palpation over the epigastrium and right upper quadrant.

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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.

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Pa and lateral chest radiographs were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.

<unk>-year-old female with sudden onset substernal chest pain, question pneumothorax.

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As on prior, for a low lung volumes are seen with streaky bibasilar opacities. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with persistent cough, dyspnea // eval for consolidation

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

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There is bibasilar atelectasis. There is a moderate hiatal hernia with air-fluid levels seen on the lateral view, which is unchanged in size in comparison to the prior chest radiograph. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with smoking history, amio exposure, chronic cough. // masses

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Following removal of a right-sided chest tube, a small right apicolateral hydropneumothorax is present, as communicated by dr. <unk> with dr. <unk> by telephone at <time> p.m. On <unk> at the time of discovery. Exam is otherwise similar in appearance to the recent exam performed several hours earlier.

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Pa and lateral views of the chest. There is no focal consolidation. Heart size is top normal. The other mediastinal contours are normal. There is no pleural or pneumothorax.

left-sided chest pain, evaluate for pneumonia.

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Pa and lateral views of the chest were obtained. Cardiomediastinal contour is stable. Again seen is a dialysis catheter with tip terminating at the cavoatrial junction. Lungs are notable for mild plate-like atelectasis at the left base. There is no focal consolidation. Small left pleural effusion. No pneumothorax.

<unk>-year-old man with atrial fibrillation, severe mr , and aml complicated by pericardial effusion status post pericardiocentesis. now with worsening orthopnea and dyspnea.

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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.

history: <unk>f with hemoptysis // r/o acute process

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There is no consolidation, pneumothorax or large pleural effusion. Cardiomediastinal and hilar silhouettes are normal size.

history: <unk>m with sob, vomiting // ? chf

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A left-sided pacemaker generator with a single lead overlying the right atrium and <num> leads overlying the right ventricle is in appropriate position. The cardiomediastinal and hilar contours are normal. There is no evidence of pneumothorax or pleural effusion. There is no evidence of focal consolidation. There is stable calcification of the aortic arch.

<unk> year old woman with new rv lead // evaluate for lead placement and pneumothorax

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Interval extubation. Decrease in extent of pulmonary edema as well as slight improvement in extent of bibasilar atelectasis. Small pleural effusions are present, but there is no visible pneumothorax.

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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. There is slight flattening of the diaphragms which is suggestive of underlying copd. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Cortical thickening in the right clavicle likely represents old fracture.

<unk>-year-old female with chest pressure. evaluate for cardiopulmonary process.