ChayanM/MIMIC-MultiView-Findings-Query_Optional

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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

history: <unk>f with coughm, recent pna // ? pna

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

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Ap upright and lateral views of the chest were obtained. Low lung volumes limit the evaluation. There are poorly defined opacities projecting over the bilateral upper lobes which on the lateral view appear to be pleural-based masses which are new from prior exam. Findings are atypical for pneumonia and are concerning for malignancy. A calcified granuloma is again noted in the right lower lung. No definite signs of overt chf though mild pulmonary vascular congestion and interstitial edema is present. Heart size is difficult to assess though appears top normal to mildly enlarged. Aortic calcifications are noted. Bony structures appear grossly intact.

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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.

<unk> year old woman with cough x<num> weeks // please evaluate for pneumonia, sarcoid/hilar lymphadenopathy

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Patient is status post median sternotomy and cabg. The cardiac silhouette is mild to moderately enlarged. Mediastinal contours are grossly unremarkable. There is a small to moderate right pleural effusion with fluid seen tracking in the minor fissure, and overlying atelectasis. Right base opacity may be due to combination of pleural effusion and atelectasis, however, consolidation is not excluded in the appropriate clinical setting. There is a trace left pleural effusion. No pneumothorax is seen. Minimal to no pulmonary edema is seen. Anchor screws are noted overlying the right humeral

history: <unk>m with increasing shortness of breath, abdonminal distention // evaluate for pleural effusion or pulmonary edema

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Cardiac silhouette size is normal. The aorta is unfolded. Minimal atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are unchanged and within normal limits. Streaky linear opacity in the left lower lobe likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is normal. Moderate multilevel degenerative changes are seen in the imaged thoracolumbar spine with partially imaged fusion hardware at the thoracolumbar junction.

history: <unk>m with dyspnea

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Postoperative widening of the upper mediastinum. Left chest tube is in situ. No pneumothorax. Minimal atelectasis at the right lung bases. No larger pleural effusions. Normal size of the cardiac silhouette.

resection of thymoma, evaluation for interval change.

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In comparison with the study of <unk>, the tip of the picc line now is in the lower portion of the svc. Otherwise, little change.

picc line withdrawn.

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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips again noted. Cardiomediastinal silhouette is prominent as on prior. There is hilar engorgement with mild interstitial pulmonary edema. No frank effusion or pneumothorax. No convincing evidence for pneumonia. Bony structures are intact.

<unk>f with sob // eval chf

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

intermittent chest pain.

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Pa and lateral views of the chest provided.ther has been interval placement of the right chest wall port-a-cath with its tip located in the expected region of the low svc. The vp shunt catheter projects over the right neck and chest, as on prior. Minimal left basal linear atelectasis is noted, slightly improved from prior. Otherwise, lings are clear. There is no 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 recent falls, headstrike, recent dysphagia.

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Single portable view of the chest is compared to previous exam from <unk>. Again seen is right apical scarring medially with deviation of the trachea. Retrocardiac linear opacity again suggestive of scarring. Elsewhere, lungs are clear. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are grossly unremarkable. Prior, healed right lateral rib fracture seen inferiorly.

<unk>-year-old female with altered mental status this morning, systolic ejection murmur on exam.

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As compared to the previous examination, there is no change in extent of the small left pleural effusion and no change in extent of the left lower lobe atelectasis. No newly appeared parenchymal opacities. No change in appearance of the cardiac and mediastinal contours.

history of left pleural effusion. evaluation.

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Ap and lateral views of the chest. Upper lobe predominant fibrotic changes are seen in the right greater than left similar when compared to prior. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities detected.

<unk>-year-old female with dizziness and severe hypertension.

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As compared to the previous radiograph, the lung volumes have decreased. Otherwise, no relevant change is noted. The monitoring and support devices are constant. No overt pulmonary edema. Moderate cardiomegaly and tortuosity of the thoracic aorta. No pleural effusions. No pneumonia.

aneurysm coiling, evaluation.

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As compared to the previous radiograph, the moderate cardiomegaly and the pre-existing left pleural effusion with subsequent left retrocardiac and basal atelectasis are constant in appearance. The right lung is better ventilated at the lung bases, pre-existing zone of minimal opacity has resolved. No new parenchymal abnormalities. The right central venous access line is in unchanged position.

evaluation for pulmonary process. pre-operative chest x-ray.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old male with chest pain. evaluate for infectious process.

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Endotracheal tube terminates approximately <num> cm above the carina. Nasogastric tube is in the stomach. Cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax.

history: <unk>m with s/p ogt // ogt and ett palcement

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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette with bilateral areas of atelectasis, potential mild fluid overload and absence of changes suggesting pneumonia. Tracheostomy tube and left pectoral pacemaker are in constant position.

pneumonia, worsening oxygen saturation, evaluation for fluid overload.

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Bilateral low lung volumes. Elevation of the right hemidiaphragm. Enlarged heart, likely accentuated by low lung volumes. Mild pulmonary vascular congestion without evidence of pulmonary edema. No pleural effusion. No focal consolidation to suggest pneumonia. No pneumothorax. Normal mediastinal contours and pleura. No acute osseous abnormality.

<unk>-year-old man with esrd on hd; evaluate for evidence of active tb.

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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax or effusion. Cardiomediastinal silhouette is within normal limits. There is no evidence of pneumomediastinum. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with chicken in esophagus. one-hour attempt to remove at outside hospital.

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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.

<unk>f with rigors, retrosternal nonradiating pain.

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Streaky linear opacities at the left lung base likely reflect atelectasis versus scar. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with lightheadedness, nausea and dry heaves. // r/o chf/pneumonia

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Frontal radiograph of the chest demonstrates clear lungs with a small right pleural effusion. The left ventricular contour is mildly prominent but otherwise, the cardiac and mediastinal contours are normal. The lung volumes are slightly low, accentuating the cardiac contour and pulmonary vasculature. No pneumothorax is seen. No evidence of pulmonary edema.

systolic chf with cirrhosis and rare bibasilar rales. evaluate for pulmonary edema.

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

<unk> year old woman with cough ili // chest congestion

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Pa and lateral views of the chest are provided. The lung volumes are somewhat low, though there is likely mild pulmonary interstitial edema. There is no large effusion or pneumothorax. The heart appears top normal in size. The mediastinal contour appears stable. No pneumothorax is seen. The bony structures are intact.

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The left lower lobe opacification has improved. No new consolidation. The pulmonary vasculature and hila are normal. No pleural effusion or pneumothorax. The cardiac silhouette is normal. The prominent aortic knob consistent with history of aortic aneurysm is unchanged.

<unk> year old man with left lower lobe infiltrate, treated for aspiration pneumonia // assess for interval change in left lower lobe infiltrate

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In comparison with the study of <unk>, there is little overall change. Continued vascular congestion with probable small effusions bilaterally with compressive atelectasis. Hemodialysis catheter remains in place.

tracheostomy.

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As compared to the previous radiograph, the dobbhoff catheter has been advanced but is looped in the esophagus, with its tip pointing back towards the upward direction. The tip itself is not visible on the image. There is no evidence of complication, notably no pneumothorax. However, the tube needs to be re-positioned. At the time of observation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification. Unchanged opacity at the right lung base, potentially associated with moderate pleural effusion. Opacity might be atelectatic or infectious in origin. Unchanged moderate cardiomegaly without overt pulmonary edema. No pneumothorax.

right lower lobe consolidation, evaluation for interval change.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Apart from minimal subsegmental atelectasis in the left lung base, the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with meningitic symptoms + chest tightness

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Heart size is unchanged and remains at the high end of normal. Again, calcifications are seen within the arch of the aorta. Cardiomediastinal contours are unremarkable. Lung volumes are low but not significantly changed from the prior study; however, bilateral pleural effusions are markedly improved on the left and somewhat better on the right. No pneumothorax. The position of the chest tube remains unchanged.

<unk>-year-old woman with pleural effusions, evaluate for changes.

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In comparison with study of <unk>, there is little overall change. Huge hiatal hernia is again seen. Cardiac silhouette is at the upper limits of normal in size. No evidence of vascular congestion or acute focal pneumonia. Prominent kyphoscoliosis of the thoracic spine is again noted.

chronic cough.

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There is an <num> x <num> cm extrapulmonary mass in the right lateral hemithorax, with non-visualization of a portion of the right lateral fourth rib. The cardiomediastinal and hilar contours are normal. No lung mass, pleural effusion or pneumothorax is detected.

<unk>-year-old man with lung mass seen on outside hospital chest radiograph.

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

history: <unk>f with right rib pain, anterior just below breast s/p fall // rib fx? ptx?

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There is a <num> well-circumscribed nodule projecting over the right mid lung, concerning for metastasis. The left lung appears clear. The heart size is unchanged. No pneumothorax, pulmonary edema, or pneumonia.

<unk> year old man with cerebellar findings, elevated crp // ?pna

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The patient is status post median sternotomy. Sternotomy wires appear grossly intact and unchanged in position from the prior exam. The heart is enlarged. The cardiomediastinal and hilar contours are stable. Lung volumes are low. Streaky opacities at the base of the left lung are most consistent with atelectasis. There is no evidence of pleural effusion or pneumothorax.

<unk>m with recent cabg, fall with chest strike // eval for wire malfunction

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There is no pneumothorax after right thoracocentesis. Moderate pleural effusion has improved and is now small to moderate. Right apical opacities are due to prior radiation. Left lung is unremarkable. Cardiac contour is normal.

rule out pneumothorax after thoracocentesis.

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Portable ap upright view of the chest was reviewed and compared to the prior study. Bowel gas extends from the right abdomen through the mediastinum and into the thoracic inlet and represents a colonic conduit from prior esophagectomy. Extensive bilateral parenchymal opacities located predominantly in the right upper lung and lingula are relatively unchanged. There is no pulmonary edema, abscess, pleural effusion or pneumothorax. Right and left calcified pleural plaques located over the hemidiaphragms are from prior asbestos or talc pleuradesis. A left pectoral bi-electrode pacer's leads end in the right atrium and right ventricular apex respectively.

interval evaluation in a patient transferred from an outside hospital with multilobar pneumonia.

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Single lead left-sided aicd is seen with lead extending the expected location of the right ventricle. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac silhouette is mildly enlarged. Aorta is calcified and tortuous. No pulmonary edema is seen.

history: <unk>f with bradycardia, hypotension // p

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Pa and lateral views of the chest. There is a left-sided pacemaker with leads ending in appropriate position. Mild cardiomegaly, slightly increased in size. No focal consolidation, pleural effusion or pneumothorax. The mediastinal and hilar contours are normal.

somnolence, evaluate for pneumonia.

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The chest radiograph is limited by suboptimal patient positioning and rotation. Lungs are hyperinflated with heterogeneous bibasilar opacities, right greater than left. There is no pleural effusion or pneumothorax. Mild cardiomegaly is noted with numerous mediastinal surgical clips and intact sternal wires. Linear opacities projecting over the left lung are likely due to underlying scarring with suspected deformities of the anterior ribs as well, potentially due to remote prior trauma or surgery.

<unk>m with fatigue. evaluate for pneumonia or chf.

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Endotracheal and enteric tubes are again noted. Interval placement of right-sided central venous catheter is noted with pacing wire identified. There is a loop in the wire projecting over the heart. The tip projects over the region of the right ventricle. Lungs are again notable for right greater than left pleural effusions and edema.

<unk>f with bradycardia, pacing wire placement

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There is an endotracheal tube in place with the tip located <num> cm from the level of the carina. An orogastric tube is not seen with the tip off the inferior aspect of the film. There are low lung volumes, with foci of atelectasis and bibasilar opacity. There is no effusion or pneumothorax. The cardiac silhouette is not well evaluated due to low lung volumes.

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An et tube is present. The carina is poorly delineated, but the tip probably lies approximately <num> cm above the carina. The et tube tip points toward the right tracheal wall. An ng tube is present and appears to extend beneath the diaphragm and curve, with the tip overlying the gastric fundus. Heart size is borderline versus slightly enlarged. The cardiac silhouette is somewhat globular and a small pericardial effusion would be difficult to exclude. The aortic knob is relatively well-defined. Upper zone redistribution, but no overt chf. There is a small left apical pneumothorax. No definite pneumomediastinum. Curvilinear density adjacent to the upper heart/left hilum may be related to some overlying material. There is increased retrocardiac density with air bronchograms consistent with left lower lobe collapse and/or consolidation. Hazy density more lateral on left base could represent atelectasis or, less likely, a small amount of layering pleural fluid. There is patchy opacity at the right cardiophrenic region, likely atelectasis. A focus of aspiration is considered less likely. No obvious rib fracture identified on these lung technique films.

<unk> year old man s/p arrest. intubated // eval for interval change

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Pa and lateral views of the chest provided. There has been interval drainage of the right pleural effusion with a small amount of residual fluid in the right pleural space which appears to localize laterally and posteriorly. There is no pneumothorax. The left lung appears clear. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk> year old woman with new right effusion s/p <unk> with <num>ml out // ? ptx

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The patient is status post median sternotomy and aortic valve replacement. In the interval since the prior study, there has been interval increase in bilateral pleural effusions, now moderate on the left and small to moderate on the right, underlying consolidation is not excluded. Mediastinal contours are stable. The cardiac silhouette is not accurately assessed due to the left base opacity, although is grossly stable compared to the prior study. No overt pulmonary edema is seen.

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Ap and lateral views of the chest. Biapical left greater than right scarring is identified. The lungs are clear of consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcification is seen at the aortic arch. No acute osseous abnormality is identified.

<unk>-year-old female with fall and weakness.

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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

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The cardiomediastinal silhouettes are stable, consistent with at least moderate cardiomegaly. Multiple median sternotomy wires and mediastinal surgical clips are re-identified. There is a new right ij central venous catheter which terminates in the low svc. Transcutaneous pacer leads are re-identified overlying the right chest. There is no pneumothorax or pleural effusion. The lungs are stable in appearance without new focal opacity.

<unk>m with new right ij cvl, evaluate new central venous line.

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Pa and lateral views of the chest provided demonstrate hyperinflated lungs with coarsened interstitial markings compatible with underlying emphysema, better assessed on prior ct trachea/chest from <unk>. There is no superimposed consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is stable. Bony structures are intact. No free air is seen below the right hemidiaphragm.

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The cardiac, mediastinal and hilar contours appear unchanged. There is a new mild interstitial abnormality suggesting vascular congestion in addition to existing pulmonary venous distension. Mild relative elevation of the right hemidiaphragm appears unchanged. There is no pleural effusion or pneumothorax.

seizure-like activity.

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As compared to the previous radiograph, there is no relevant change. No evidence of lung nodule or mass. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No pneumonia.

chest pain two weeks ago, evaluation for mass.

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Compared to examination from <num> minutes prior, there has been interval removal of a right apical chest tube without remnant pneumothorax. There is otherwise no significant change.

endocarditis and pneumothorax. evaluate post chest tube removal.

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

history: <unk>f with intermittent chest pain

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Interval increase in the left retrocardiac and right lower lobe opacity can be worsening aspiration or infection. There is associated small pleural effusion. The right lung also has slight increase in basal atelectasis. The heart size is mildly enlarged. No interstitial pulmonary edema. No pneumothorax.

<unk> year old female with a pmh of large r mca hemispheric hemorrhage in <unk> with resulting seizure disorder presented with abdominal distension and peg displacement. now with increased secretions concerning for pna or aspiration and new hemoptysis. // pna? aspiration? hemorrhage?

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Cardiomediastinal contours are normal. Bibasilar opacities are likely atelectasis, otherwise the lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old man with cough (recently had peritonitis) // pneumonia?

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In comparison chest radiograph obtained <num> day prior, pulmonary edema has increased. Cardiac silhouette has also increased in size. Right basilar atelectasis is improved. Small, left pleural effusion and left basilar atelectasis are unchanged. Tracheostomy tube and pleural drains are unchanged and appear appropriately positioned. Subcutaneous emphysema in the left chest has decreased.

<unk> year old man with pna in ticu // ? change in cardiopulm status

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<num> views were obtained of the chest. Diffuse left-greater-than-right interstitial prominence is keeping with known history of interstitial lung disease. The most confluent opacity remains in the left base and does not appear significantly changed from previous examination. There is no pleural effusion or pneumothorax. Heart and mediastinal contours are unchanged with calcified aortic arch.

cough with history of interstitial lung disease.

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Right internal jugular central venous catheter continues to terminate in the mid superior vena cava. Cardiomediastinal contours are stable. Asymmetrically distributed multifocal pulmonary opacities are substantially improved compared to <unk> and show overall further improvement since the more recent study of <unk>. Mild gastric distention is noted in the imaged upper abdomen.

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The tip of the dobhoff feeding tube extends into the stomach. The tip of the right picc line projects over the distal svc. There has been interval removal of the right chest tube. Interval increase in the in the extent of the with right lung airspace opacities. A right pleural effusion is also noted. No pneumothorax identified. A layering left pleural effusion is also present with subjacent atelectasis/consolidation.

<unk> year old woman with necrotizing pneumonia, pneumothorax s/p chest tube removal. // please eval for reaccumulation

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Patient is rotated to the right. The patient's chin overlies the medial lung apices. There are low lung volumes and bibasilar atelectasis. No focal consolidation. No large pleural effusion or pneumothorax. Prominence of the cardiomediastinal silhouette is likely exaggerated by low lung volumes and ap technique. Cardiac silhouette remains enlarged.

history: <unk>m with ams, tachypnea // pna

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The et tube, ng tube, right internal jugular swan-ganz catheter and chest tubes are in unchanged satisfactory position. Mild cardiomegaly and tortuous thoracic aorta are unchanged. A new band-like opacity in the right mid lung likely represents atelectasis. Small bilateral pleural effusions are unchanged. No pneumothorax is present.

thoracic aortic aneurysm repair, evaluate for fluid overload.

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There is a small to moderate right pleural effusion with associated basilar atelectasis and mild volume loss. The left lung base is clear. No significant pneumothorax is seen on this semi-erect view. There is mild prominence of the pulmonary vasculature. The cardiac silhouette is enlarged. Mediastinal contours are within normal limits. There are lucencies beneath both hemidiaphragms greater on the left than right with lucency in the midline most concerning for free air in the abdomen.

<unk>-year-old woman with altered mental status.

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The cardiac, mediastinal and hilar contours appear stable. Cardiomegaly is mild. There is a small pleural effusion on the right, similar to prior findings; no definite one on the left side. Fissures are again thickened and there is suspicion for very mild central hilar congestion.

weight gain in dyspnea on exertion. history of amyloidosis.

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Pa and lateral views of the chest demonstrate hyperexpansion of the lungs with relative flattening of the hemidiaphragms, consistent with copd. The hila are prominent. The cardiomediastinal silhouette is not enlarged. Patchy opacity at left lung base is consistent with atelectasis. No frank consolidation concerning for pneumonia is identified. There is no pleural effusion, pneumothorax, or overt pulmonary edema.

<unk>-year-old male with copd and shortness of breath with fevers. evaluation for pneumonia.

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Pa and lateral radiographs of the chest demonstrates clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced rib fracture is seen.

back and pleuritic chest pain after fall onto right flank.

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A left-sided port-a-cath terminates at the cavoatrial junction, unchanged from the prior study. The cardiomediastinal and hilar contours are within normal limits and stable from the prior exam. A left basal opacity is similar in character to the prior radiograph and likely represents a layering left pleural effusion and adjacent atelectasis. There is no pneumothorax identified. The osseous structures are grossly normal.

history: <unk>f with dyspnea // infiltrate?

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

<unk>m with colon ca, cough and rhonchi r/o pna

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The heart is mildly enlarged. Moderate unfolding of the thoracic aorta and calcification appear similar. This study shows a streaky opacity in the left lower lung suggesting minor atelectasis or scarring. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Small osteophytes are present along the mid thoracic spine. Surgical clips again project over the right upper quadrant.

altered mental status.

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Cardiomediastinal contours are stable cardiac size is normal. The aorta is very tortuous. Main pulmonary artery is top normal size. Left picc tip is in the mid svc. The lungs are hyperinflated. Right lower lobe consolidation has increased from <unk> grossly unchanged from <unk>. Small right effusion is probably present. There is no pneumothorax. The osseous structures are unremarkable. Lung nodule described on prior ct in the left lower lobe is difficult to visualize in this radiograph

<unk> year old man with aml, hcap now with worsening o<num> requirement // eval for effusions, pneumonia

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Median sternotomy wires are noted. Incidental note is also made of unfused posterior elements in the lower cervical and upper thoracic spine.

<unk> year old woman with asthma, long smoking hx, chronic cough x <num> weeks with sputum production, occasional streaks of hemoptysis // please eval for pneumonia or lung mass

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Left-sighted pic line terminates in the mid svc. There is an ng tube which extends below the diaphragm with the tip out of view of this film. Mild bibasilar atelectasis has increased compared to the prior exam. There is bilateral perihilar vascular congestion with overall increase in mild-to-moderate pulmonary edema. Increased opacity at the right lung base is also concerning for possible aspiration/pneumonia. There are small bilateral pleural effusions. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.

history of desaturation, increased oxygen requirement. please evaluate for interval change.

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Heart size is mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacities are demonstrated in both lung bases along with a small right pleural effusion. No pneumothorax is detected. There are no acute osseous abnormalities.

history: <unk>f with pleuritic back pain following c-section, history of left sided pneumonia complicated by pleural effusion

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Cardiomediastinal contours are normal. Improved aeration of the lung bases with residual patchy and linear atelectasis remaining. Feeding tube has been re-positioned or replaced, now terminating more proximally in the stomach.

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An endotracheal tube terminates <num> cm above the carina. An enteric tube descends below the field of view. As before, overlying soft tissues, somewhat limit examination. Allowing for this, the current film suggests clearly pronounced pulmonary vascular engorgement and interstitial edema. Based on the upper zones, this is probably increased compared with the most recent prior film. Probable left lower lobe collapse and/or consolidation. Atelectasis at right base. No gross right effusion.

history: <unk>f with chf exacerbation s/p intubation // evaluate intubation

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The lungs are relatively hyperinflated. Distortion of the parenchyma suggest chronic underlying fibrotic changes. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Chronic changes seen at the right humerus which are not fully assessed. Compression deformity of a lower thoracic vertebral body is not well seen due to osteopenia and is age indeterminate. Bilateral posterior rib fractures appear old.

<unk>f with r ankle fracture // pre op

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Lines and tubes: et tube, enteric tube are unchanged in position. Lungs: no interval change in right upper lobe opacities. Asymmetric density with the right hemi thorax appearing more lucent compared to the left side remains unchanged. Pleura: there is no pleural effusion or pneumothorax mediastinum: there is no cardiomegaly. Mediastinal silhouette is within normal limits. Bony thorax: no interval change.

<unk> year old woman with iph, intubated // interval change

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with confusion and tachycardia. evaluate for cardiopulmonary process.

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As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. The other monitoring and support devices, including the temporal pacemaker, are constant. The pre-existing opacity at the left lung bases likely multifactorial in origin, is unchanged. Unchanged size of the cardiac silhouette. Minimally improved ventilation at the right lung base.

mechanical ventilation, septic shock, new left internal jugular vein catheter and nasogastric tube placement.

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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette without evidence of pulmonary vascular congestion. No acute focal pneumonia or pleural effusion.

possible aspiration.

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A new nasogastric tube terminates in the stomach. Otherwise, there has been no significant change. No free air is identified.

status post nasogastric tube placement. gastrointestinal bleeding.

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There is blunting of the left lateral costophrenic angle which is new since prior. Lung volumes are low. Persistent elevation of left hemidiaphragm is again seen. Cardiomediastinal silhouette is unchanged. No acute osseous abnormalities identified. Vertebroplasty changes are again identified in the lumbar spine.

<unk> year old man with fever and hypotension // pulmonary infiltrate

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

<unk>-year-old female with acute onset of shortness of breath and cough and substernal chest pain. evaluate for consolidation.

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Pa lateral images of the chest. Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

intermittent right handed weakness.

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Pa and lateral views of the chest provided. An imbedded electronic device projects over the low back. There is no focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal contour is unremarkable aside from atherosclerotic calcifications at the aortic knob. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with chf reports increased weight and dyspnea on exertion.

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Right-sided pacemaker device is noted with lead terminating in the right ventricle. Heart size remains moderately enlarged. The mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Scarring within the right lung base is re- demonstrated with a right juxtaphrenic peak noted indicative of mild volume loss. Previously demonstrated ground-glass opacities within the left lung, most pronounced in the left upper lobe, as well as multiple pulmonary nodules are better assessed on the prior ct. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with fever/chills

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Frontal image of the chest demonstrates near-complete resolution of the previously seen right lung opacities. There are still some opacities remaining in the left lung. Overall, the lungs have increased in transparency. The size of the heart silhouette has decreased since last imaging. No pneumothorax is visualized on this exam.

<unk>-year-old male with stab wound and left pneumothorax.

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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.

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

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

persistent cough.

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Prior right central venous catheter is no longer visualized. There is a persistent retrocardiac opacity best seen on the lateral view. The lungs are hyperinflated. There is no new consolidation. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Mid thoracic compression deformity is as previously seen.

<unk> year old man with copd, hiv on haart, recently discharged for septic shock <unk> lll pna, presenting with l-sided cp. // ?new pna or pleural effusion

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Again seen is an electronic device projecting over the left lower anterior chest. A right internal jugular central line terminates in the right atrium. The heart is again moderately enlarged, stable in size compared to the prior exam. There is no pleural effusion or pneumothorax. Minimal fluid overload is suspected; however, this is similar to the prior radiograph. Degenerative changes are again seen along the lower thoracic spine.

history of syncope, likely volume overload. eval for copd/consolidations.

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Single frontal view of the chest demonstrates marked levoconvex thoracic scoliosis, distorting cardiomediastinal contours. Allowing for such the heart is normal in size. An air-fluid level projecting over the heart is consistent with a large hiatal hernia. The lungs are clear, without evidence of pneumothorax, consolidation, or pleural effusion.

<unk>-year-old male status post laparoscopic adrenalectomy with nausea, vomiting. question pulmonary edema or other acute process.

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Low lung volumes with bronchovascular crowding at the bases bilaterally. No focal consolidations. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. A percutaneous biliary catheter is seen projecting over the right upper abdomen.

<unk>m with fever // pna

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Pa and lateral views of the chest provided. Mildly elevated right hemidiaphragm noted. 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 leukocytosis, hypotension

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Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Skeletal structures are remarkable for an expansile lucent lesion involving the right seventh anterolateral rib with similar appearance to previous chest radiograph. No definite new fracture is evident, but subtle fractures may be difficult to detect on conventional chest radiographs.

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Pa and lateral views of the chest provided. Right chest wall port-a-cath is new from prior with catheter tip extending into the region of the low svc. The lungs are clear. The heart size is normal. There is a extremely tortuous thoracic aorta again noted. Bony structures are intact. No free air below the right hemidiaphragm.

history: <unk>f with syncopal episode, on chemotherapy w/ cath. // eval ? infection, confirm cath placement

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The lungs remain clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact.

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In comparison with study of <unk>, the endotracheal tube has been removed and replaced with a tracheostomy. There are substantially lower lung volumes. Basilar opacification, especially at the left, is consistent with volume loss and possible small pleural effusion. In the appropriate clinical setting, superimposed pneumonia would have to be considered. The nasogastric tube has been removed. The peg is not definitely appreciated.

tracheostomy and peg.

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Pa and lateral views of the chest provided. Tracheostomy tube again noted projecting over the superior mediastinum. There is a left ij access central venous catheter with its tip terminating in the low svc, unchanged. There is persistent elevation of the right hemidiaphragm with right basal atelectasis as on prior. Lungs are otherwise clear. No convincing signs of pneumonia. Cardiomediastinal silhouette is unchanged. Bony structures are intact.

<unk>m w/fever, trached, please eval for pna

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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. There is mild thickening along the azygos fissure. Lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. Streaky opacity in the left lung base likely reflects atelectasis. No acute osseous abnormality is detected. Partially imaged is cervical spinal fusion hardware.

<unk> year old woman with fatigue and cough // r/o pulm path