ChayanM/MIMIC-MultiView-Findings-Query_Optional

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The lungs are well expanded and clear. There are no focal airspace opacities to suggest pneumonia. The cardiomediastinal silhouette and hilar contours appear normal. Small bilateral pleural effusions cause blunting of the costophrenic sulci. There is no pneumothorax. The aorta is somewhat tortuous.

<unk>-year-old woman with shortness of breath and upper respiratory infection. please evaluate for pneumonia.

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There has been interval placement of a left chest wall single lead pacing device with tip projecting over the right ventricle. Degree of cardiomegaly has likely progressed especially as prior film demonstrated lower lung volumes. There is no consolidation. No acute osseous abnormalities.

<unk>m with chest pain sp pacer fire // presence of pacer wire fx, ptx, pneumomeduastinum

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There is no focal consolidation to suggest pneumonia. Bibasilar atelectasis is present. Moderate cardiomegaly is unchanged but there has been a slight in decrease in pulmonary vascularity which could be due to early cardiac decompensation. Nevertheless there is no pleural effusion. . Mediastinal contour is normal.

<unk>f with chest pain, evaluate for acute process..

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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 female with cough and pleuritic chest pain. evaluate for consolidation.

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Mild left base atelectasis/ scarring is seen. Right upper and mid to lower lung streaky linear opacities have improved in the interval. Left mid lung opacities have also improved. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

<unk> year old man with rising crp and history of cop, please assess for infiltrates // ? infiltrates on cxr, history of cop and now rising crp

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

<unk> year old woman with chest pain, s/p clean coronary cath // eval for new effusion or pneumo

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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 chest pain// cardiac workup

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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Anterior cervical fixation hardware is visualized. There is a chronic left posterior ninth rib fracture. Chronic posttraumatic changes also seen at the right shoulder.

<unk>m with syncope // pna

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The heart size is top normal. Increased size of pulmonary outflow tract is likely physiological. The hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with submersion in riverduring suice attempt // eval infiltrate

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Heart size is mildly enlarged with a left ventricular predominance. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.

brain tumor.

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Allowing for differences in technique and projection, there has not been a substantial change in the appearance of the chest since the recent radiograph except for removal of a feeding tube.

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Dual-lumen dialysis catheter is present with catheter tips located at the cavoatrial junction and in the body of the right atrium. There is no visible pneumothorax. Heart size is normal. New left retrocardiac atelectasis as well as bilateral partially layering small pleural effusions, left greater than right.

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Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. Nasogastric tube is seen, coursing below the level of the diaphragm, inferior aspect not included on the image. There are relatively low lung volumes. Prominence of the central pulmonary vasculature may relate to low lung volumes, although there may be a component of underlying edema and aspiration. The cardiac silhouette is top normal to mildly enlarged. The mediastinum appear widened, which may be due to supine, ap portable technique, although if there is clinical concern for acute aortic injury, chest cta would be recommended.

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Pa and lateral views of the chest were obtained. Heart is normal in size, and cardiomediastinal silhouette is stable. Lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old man with slurred speech, evaluate for consolidation.

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A right internal jugular approach central venous catheter has tip terminating in the mid svc. An enteric tube has tip in the stomach. The cardiac silhouette remains enlarged, increased since one day prior, but slightly improved since two days prior. Perihilar vascular congestion persists. Retrocardiac consolidation is similar in extent as compared to recent preceding exam. Ill-defined right upper lobe opacity is unchanged, reflecting underlying calcified lesion as seen on prior ct dated <unk>.

<unk>-year-old male with congestive heart failure, aortic regurgitation and mitral regurgitation, presents with respiratory failure. question acute heart failure and pneumonia.

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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. The bilateral pleural effusions, right more than left, are unchanged. Constant bilateral areas of atelectasis and signs of mild fluid overload. No newly appeared parenchymal changes in the well-ventilated areas of the lungs.

neurogenic respiratory failure, evaluation of et tube.

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In comparison with the study of <unk>, there is little interval change. Cardiac silhouette is within normal limits, and there is no vascular congestion or pleural effusion. There is hyperexpansion of the lungs with coarseness of interstitial markings suggesting some chronic pulmonary disease. Pectus excavatum is again seen on lateral view. No evidence of pulmonary or skeletal metastases.

endometrial cancer, to assess for metastases.

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New et tube ends <num> cm above the carina. Ng tube is in the stomach. Right jugular line and right-sided picc line are in adequate position in mid to lower svc. New left lower lobe consolidation is probably atelectasis with accompanying small pleural effusion; however, aspiration cannot be excluded. New cardiac congestion is mild. There is no pneumothorax. The mediastinal and cardiac contours are normal.

patient with neutropenic colitis, right colectomy, abdomen left open.

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Moderate cardiomegaly is stable. Transvenous pacer leads are in standard position with tip in the right atrium and right ventricle. There is no pneumothorax or pleural effusion. Bibasilar atelectasis are grossly unchanged. Sternal wires are aligned. Patient is status post cabg.

<unk> year old man with cad s/p cabg, mmvt s/p dual chamber icd // lead position, ptx

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, pleural effusion, or evidence of pulmonary or skeletal metastases.

nephrectomy for malignancy, to assess for metastases.

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The lung volumes are normal. No focal consolidations. The cardiac silhouette is top-normal in size. Mediastinal and hilar contours are normal. The pleural surfaces are normal. A tracheal stent is stable in projects over the thoracic inlet.

<unk> year old man with resp failure // eval for acute pulm process

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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. No focal consolidation is identified. Increased interstitial markings are noted at the lung bases, similar to that seen on the previous exam. No pleural effusion or pneumothorax is identified. Mild degenerative changes are seen in the thoracic spine as well as within the ac joints bilaterally.

frequent pneumonias, cough, vomiting

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and similar to the prior examination. Minimal peribronchial cuffing is noted. There is no pleural effusion or pneumothorax. No definite focal consolidation is identified

history: <unk>f with fevers, chills, cough // r/o infectious process

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

history: <unk>f with altered mental status, ? ingestion, tachycardia

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In comparison with study of <unk>, the previous opacification at the left base has cleared. The examination is now within normal limits with no pneumonia, vascular congestion, or pleural effusion. Sternal wires appear intact.

avr.

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Patient is status post median sternotomy, cabg, and mitral valve replacement. The left-sided port-a-cath tip terminates in the low svc, unchanged. Mild cardiac enlargement is re- demonstrated along with mild pulmonary vascular congestion. The mediastinal and hilar contours are unchanged. No pulmonary edema is present. Mild atelectasis is again noted within the lung bases, without focal consolidation. No pleural effusion or pneumothorax is present. Compression deformity involving a vertebral body at the thoracolumbar junction is unchanged.

history: <unk>m with fall with head injury on coumadin // concern for intracranial bleed and neck trauma

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Single ap view was reviewed. Overlying soft tissue obscures the lower chest. Apparent cardiomegaly is exacerbated by a right epicardial fat pad. Mediastinal and hilar contours are normal. There is subsegmental atelectasis, increased compared to the prior study. There is no pulmonary edema. No focal consolidation concerning for pneumonia is seen.

cough, evaluate for cardiopulmonary process.

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There is no focal consolidation, pleural effusion or pneumothorax. Atelectasis is noted at the lung bases bilaterally. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

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

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Clips are noted in the right upper quadrant of the abdomen. Several rounded radiopaque densities overlie the epigastric region, likely ingested pills.

history: <unk>f with cough and fever // eval for pneumonia

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Pa and lateral radiographs of the chest were reviewed, and compared to the prior study. The patient is status post cabg and aortic valve replacement. Median sternotomy wires, clips along the left mediastinum, abandomned epicardial pacer leads and a prosthetic aortic valve are new compared to the prior study. There is a moderate-sized left pleural effusion and left lower lung atelectasis. No vascular congestion or pneumothorax. Unchanged cardiomegaly.

decreased breath sounds over the left lung base.

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Pa and lateral views of the chest were provided. Low lung volumes somewhat limit the assessment. There is no focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with <unk> weeks of cough, dyspnea on exertion. assess for pna, bronchitis, or ptx

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Cardiomediastinal contours are within normal limits and without change when allowances are made for accentuation by lower lung volumes on today's study. Lungs are clear except for linear bibasilar atelectasis. There is no pleural effusion or pneumothorax. No acute, displaced rib fracture is evident on this chest radiograph examination.

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Tripolar left chest wall pacer device again noted with leads extending to the region the right atrium, right ventricle and coronaries sinus. The heart is mildly prominent with a small pericardial effusion seen on same-day ct exam. Hila appear mildly congested without frank pulmonary edema. No signs of pneumonia, effusion or pneumothorax. Mediastinal contour is unchanged. No acute bony abnormalities. Compression deformities of the thoracolumbar spine are unchanged.

<unk>-year-old woman with weakness. evaluate for pneumonia.

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There are diffuse bilateral parenchymal opacities, left worse than right. There are also small bilateral pleural effusions. Degree of cardiomegaly is unchanged. No acute osseous abnormalities.

<unk>m with chest pain and dyspnea // r/o acute process

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The lungs are clear of airspace or interstitial opacity. Mild cardiomegaly. The cardiomediastinal silhouette is otherwise unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.

<unk> year old woman with esrd , work up for kidney transplantation // lung status

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Left lower lobe opacity may represent pneumonia. Right basal atelectasis is mild. Bilateral effusions are unchanged. There is no pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Tracheostomy, left ij venous line, and right subclavian port-a-cath are not significantly changed in position.

history: <unk>f with trach/vent, inc secretions, hypoxia. kub for llq pain // eval for pna, evidence of high stool burden

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The heart size is mildly enlarged. The mediastinal and hilar contours are normal. Note is made of a small right pleural effusion. There is no pneumothorax. No focal consolidation. Pulmonary vasculature is within normal limits.

dizzy, lightheaded, fever.

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Compared with the prior radiograph, lung volumes are still low with increased interstitial perihilar markings, suggesting continued mild pulmonary edema. Left basilar atelectasis and effusion are unchanged. No right pleural effusion. No evidence of pneumothorax. Cardiomediastinal silhouette is stable. Intact median sternotomy wires and mediastinal clips. No focal consolidation concerning for pneumonia.

<unk> year old woman with chf, cad s/p cabg influenza and worsening respiratory status. chf, ?ards

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The patient has been intubated. The endotracheal tube terminates about <num> cm above the carina. An orogastric tube terminates in the stomach although its sidehole marker lies near the gastroesophageal junction. Lung volumes are low with suspected volume loss at the right lung base. Bullous changes are present at the lung apices. Allowing for crowding at the lung bases associated with low lung volumes, lungs otherwise show no definite parenchymal abnormality. However, short-term follow-up radiographs may be helpful to reassess.

endotracheal tube placement.

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Pa and lateral views of the chest provided. There is biapical pleural parenchymal scarring again 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 hx of tb, scrofula, ?cough

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As compared to chest radiograph from <num> day prior, mild pulmonary congestion and edema has improved. Right lower lobe opacities also improved, was likely engorged vessels. No pleural effusions. Moderate cardiomegaly improved. No pneumothorax.

<unk>f with chfpef, hypertension, paroxysmal atrial fibrillation on rate control and warfarin, s/p pacemaker placement for sss <unk>, who presents with dyspnea and chest pain // evolution from prior; ?pna versus chf exacerbation

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Ap upright and lateral views of the chest were obtained portably. There is a retrocardiac opacity containing an air-fluid level consistent with known hiatal hernia. There is a vague nodular opacity projecting over the right upper lung which is new from the prior <unk> exam. This nodule measures approximately <unk> mm and requires ct of the chest to further assess. No signs of pneumonia or edema. No large effusion or pneumothorax. Bony structures are intact.

<unk>f with shortness of breath, likely copd

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The heart size is normal. The hilar and mediastinal contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear. There is chronic eventration of the right hemidiaphragm.

<unk>-year-old female with pain in the left anterior chest on palpation, who presents for evaluation.

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In comparison with the study of <unk>, there are substantially lower lung volumes. There is pulmonary vascular congestion with bilateral pleural effusions, worse on the right, with underlying compressive atelectasis. Biapical scarring is again seen. Evidence of previous cabg with intact midline sternal wires and dual-channel spacer in place. Severe loss of height of a lower thoracic vertebra has been stable.

shortness of breath.

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Lung volumes are low. Prominent reticular markings noted bilaterally which could represent interstitial lung disease in the correct clinical setting. Mild edema difficult to exclude. There is no superimposed focal consolidation, pleural effusion or pneumothorax. The imaged upper abdomen is unremarkable.

<unk>f with sob on exertion // eval for pulmonary edema

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The left lung base is not included on this exam. Part of the right costophrenic angle is not included on this exam. There has been interval placement of right ij central line which terminates in the mid svc. The et tube terminates <num> cm from the carina still, slightly low in position. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax on this exam. The cardiomediastinal silhouette is unchanged from prior exam.

history: <unk>m with s/p cvl placement // right ij cvl placement

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Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild enlargement of the cardiac silhouette is demonstrated. The aorta is diffusely calcified and tortuous. Lungs are hyperinflated. Hilar contours are similar. No pulmonary vascular engorgement is seen. Tubular opacity within the right upper lobe is unchanged, characterized on the prior ct as an area of mucous plugging. Streaky atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present.

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

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The heart is moderately enlarged, slightly increased since <unk>, which may be related to inspiratory effort. There is calcification of the aortic knob. The pulmonary vascular markings are prominent, compatible with congestion. Linear opacity in the right lung base is compatible with atelectasis. No pleural effusion or pneumothorax. No radiopaque foreign body.

chest pain.

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There is bilateral lower lobe atelectasis. The lungs are otherwise clear. Note is made of an azygos fissure. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced rib fracture is seen.

evaluate for pneumothorax or fracture after fall.

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There is persistent mild elevation of the right hemidiaphragm. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.

<unk>m w/ cough, st, fever. h/o abd surgery mild abd pain. evla for pneumonia or sbo. // <unk>m w/ cough, st, fever. h/o abd surgery mild abd pain. evla for pneumonia or sbo.

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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette in a patient with valve replacement and intact midline sternal wires. Pacemaker device remains in place. No evidence of vascular congestion or pleural effusion or acute focal pneumonia. The electronic pacer device overlying the left chest has been removed, though the abandoned leads persist.

rheumatic fever history with valve replacements, now with acute blood loss, to assess for cardiomegaly.

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There are relatively low lung volumes. No focal consolidation is seen. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen. Partially imaged left humerus hardware/prosthesis is noted.

history: <unk>f with unclear pmhx here altered ms // pna

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Overall appearance of the chest is relatively similar to the recent study except for decrease in extent of free intraperitoneal air and slight improved aeration in the right mid and lower lung.

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Residual left perihilar edema is mild. Low lung volumes result in bronchovascular crowding. The postoperative cardiac silhouette is grossly unchanged. Note is made of atelectasis in the bilateral bases. No pneumothorax

history: <unk>f with hypoxia, hypotension // eval for structural process, pna

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size appears to have decreased mildly in comparison with the next previous study of <unk>. Appearance of thoracic aorta as well as findings indicative of old left-sided lobectomy with multiple surgical clips in the left hilar area, unchanged. No new pneumothorax is identified. Comparison also reveals that the previously present pulmonary vascular distension with perivascular haze has regressed markedly and appears quite normal presently. This indicates that the previously encountered pulmonary congestion of <unk> was temporary and the chest appearance has returned to a finding similar as encountered on an older examination of <unk>. Whether this improvement relates to successful dehydration or the successful cardio-conversion may be questioned. On the present examination, there is no evidence of new discrete pulmonary infiltrates that might be the cause of the new leukocytosis in this patient with lower extremity ulcers.

<unk>-year-old male patient with new leukocytosis. any opacity?

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In comparison with the study of earlier in this date, there is again a dobbhoff tube in place, which extends to the upper stomach, then coils upon itself. This coil is close to the junction of the opaque portion of the tube with the more lucent portion and conceivably could represent some kinking. Thought should be given to pulling the tube out somewhat with the hope that the opaque part will turn downward.

dobbhoff problem, is it kinked?

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In comparison with the study of <unk>, the wedge-shaped opacification in the left mid zone is again seen. Continued relatively low lung volumes with diffuse bilateral pulmonary opacifications and residual subcutaneous emphysema.

effusions and empyema.

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Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal, stable but mildly enlarged. The aorta is calcified and tortuous.

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The chest tube has been removed. There is no pneumothorax. There continues to be volume loss at the bases.

status post chest tube removal.

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

<unk>m with chest pain // ?pneumonia

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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>f with s/p lap on two days ago. woke up earlier in am acutely short of breath no hx of asthma no fevers

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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacities are noted in both lung bases in the setting of low lung volumes without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with question of altered mental status after fall from standing, hypoxic, elevated white count

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The thoracic aorta is mildly tortuous and contains calcifications. A moderate hiatal hernia is noted. The cardiomediastinal silhouette is otherwise within normal limits.

history: <unk>f with chest pain // r/o chf, pneumonia

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There is some hyperexpansion of the lungs, though no evidence of acute pneumonia, vascular congestion, or pleural effusion. Enteric tube extends well into the stomach.

decreased breath sounds.

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Single lead cardiac pacemaker with tip in the right ventricle. There is no pneumothorax. Lungs are clear. No pleural effusions. Normal heart size, pulmonary vascularity.

<unk> year old woman s/p temporary screw-in lead in the rv with external pm // check for pnx and lead location

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Compared to the prior radiograph, lung aeration has improved. Right middle lobe atelectasis is present, and the right hilus is indistinct. Further details were gleaned on the ct chest from <unk>. The left lung is clear without pleural effusions.

<unk> year old man with h/o recurrent pna, most likely post-obstructive in setting of large rml mass c/b pleural effusion, now in follow-up for endobronchial biospy. patient to obtain cxr on day of ip appointment. please evaluate rml mass, right-sided pleural effusion.

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As compared to the previous radiograph, there is no relevant change. Status post sternotomy with partly fractured sternal wires. Moderate cardiomegaly with mild fluid overload but no larger pleural effusions and no pneumonia. Moderate tortuosity of the thoracic aorta.

hypoxia, questionable pneumothorax.

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Lung volumes are low. Heart size is within normal limits. The mediastinal and hilar contours are unchanged, with unfolding of the thoracic aorta again noted. The pulmonary vasculature is normal. Patchy and linear opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are mild degenerative changes in the thoracic spine.

coughing, syncope.

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There is a small right apical pneumothorax similar in size compared to prior study from <unk>. No significant atelectasis. No signs of tension. Lungs are clear. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the diaphragm.

<unk>m with a history of ptx presenting with left-sided chest pain and dyspnea, concern for ptx on ultrasound.

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The endotracheal tube terminates <num> cm above the carina. An enteric tube courses below the diaphragm and out of view on this image. The inspiratory lung volumes are slightly decreased. No infiltrates, significant pleural effusion or pneumothorax is identified. The cardiomediastinal and hilar contours are within normal limits.

history: <unk>f with transfe,r intubated, ? aspiration // eval tube placement eval tube placement

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pleural effusions, pneumonia, or pulmonary edema. Right pectoral pacemaker is again seen with transvenous leads in the right atrium and right ventricle.

<unk> year old woman with myalgias, headaches, fever, cough with green sputum x <num> days // rule out pneumonia

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Ap and lateral views of the chest demonstrate a moderate-sized left pneumothorax, not significantly changed since the prior outside study. There is no significant mediastinal shift or signs of tension. A small left pleural effusion is noted. Severe background emphysema is again seen. The cardiomediastinal silhouette is unremarkable. No focal consolidation is present.

<unk>-year-old female with known pneumothorax on the left. evaluation for size of pneumothorax.

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In comparison with study of <unk>, there is no change or evidence of acute pneumonia, vascular congestion, or pleural effusion. No abnormality is seen involving the thoracic spine. Single-channel pacer device extends to the apex of the right ventricle.

uri and upper back pain.

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Bilateral lower lung opacities are more conspicuous than before and given the history, i would be concerning for an aspiration pneumonia. Lungs are relatively clear. Heart size, mediastinal and hilar contours are normal. There is no pleural effusion.

evaluate for evidence of pneumonia, complex partial seizures reported repeated aspiration.

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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 shortness of breath

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There is moderate interstitial edema and pulmonary vascular congestion. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion or pneumothorax. Surgical clips are noted projecting over the right chest wall, likely related to prior surgery.

<unk>f with chest pain, evaluate heart and lungs.

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The lung volumes are normal. Normal shape and position of the hemidiaphragms. No pleural effusions. No lung nodules or masses. Normal structure and transparency of the lung parenchyma.

weight loss, evaluation for mass.

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No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The patient is status post median sternotomy and cabg. Again, on the lateral view, there is a subtle rounded opacity projecting anterior to the cardiac silhouette which appears smaller in size and less conspicuous as compared to the prior study. However, as recommended on the prior study, this could be further assessed on a nonurgent chest ct.

history: <unk>m with stemi <unk> c/o chest pain // acute process in chest

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<num> right-sided chest tubes are in unchanged position. There is no pneumothorax. The right-sided pleural effusion has decreased, now small to moderate. The residual heterogeneous opacity in the right lung may be due to asymmetric edema or residual loculated effusion and continued short term radiographic followup is recommended. Multifocal linear atelectasis is also demonstrated in the left mid and lower lungs.

<unk> year old man s/p vats decortication, pls assess for any interval change // pls eval interval change. pls perform pa lateral (non-portable) films.

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Frontal and lateral chest radiographs were obtained. A right chest port-a-cath terminates in the lower svc. The lungs are fully expanded and clear. Moderate cardiomegaly is unchanged. Mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Rib cage asymmetry secondary to moderate to severe scoliosis is unchanged.

patient with history of cll and cough, rule out pneumonia.

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As compared to the previous radiograph, diaphragmatic elevation is slightly less severe than before. Areas of atelectasis are again noted over both lungs. Mild cardiomegaly. Moderate tortuosity of the thoracic aorta. No evidence of pneumonia. No pneumothorax, no pleural effusion. Again noted are slightly distended bowel loops.

burst fractures of l<num> and l<num>, chest pain, assessment for pneumonia.

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Coronary artery stenting/calcification is noted.

history: <unk>f with acute onset luq and flank pain, worse with inspiration // any cpd or pna

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Lung volumes are low, accentuating the cardiac silhouette and bronchovascular structures. Moderate right pleural effusion has increased in size and is accompanied by adjacent atelectasis or consolidation in the right lung base. Known right rib fractures are more fully characterized on recent ct <unk> <unk>. Tiny right apical pneumothorax is present, and is probably unchanged since the recent ct.

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities visualized.

anxiety, sore throat for <num> weeks, fever with weakness and decreased appetite.

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Cardiac valve and mediastinal wires are unchanged. Mild cardiomegaly is stable. There is a slight increase in hazy opacities bilaterally along with kerley b lines consistent with a mild interstitial pulmonary edema. No pleural effusions or pneumothorax. No focal consolidations.

history: <unk>f with dypsnea // acute cardiopulmonary disease

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No previous images. The heart is within normal limits. There is no evidence of vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia. Right ij catheter tip extends to lower portion of the svc.

neutropenic fever.

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Lung volumes are unchanged compared to the prior study. The cardiomediastinal contour is within normal limits. Visualization of the lung bases is suboptimal due to overlapping soft tissue structures, however there appears to be increased opacity with partial silhouetting of the left heart border suspicious for lingular consolidation. A right-sided picc terminates in the mid svc.

<unk> year old man with plasma cell leukemia // interval change

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A medial right basilar opacity has fully resolved. A left retrocardiac opacity has mostly resolved, leaving slight patchy residual opacity with volume loss at the left lung base. There is a possible residual pleural effusion on the left side, probably small. There may also be a trace right-sided pleural effusion. There is no pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged, allowing for increased leftward rotation on this study.

inability to walk.

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Since prior, endotracheal tube and right ij central venous catheter remain in standard position. Right lung opacification the likely representing a combination of layering pleural fluid, atelectasis, and aspiration has improved from <unk> and <unk> be minimally improved compared to yesterday. Cardiomediastinal silhouette is stable. There is no pneumothorax.

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

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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. Heart size is unchanged and unaltered appearance of the moderately widened and elongated thoracic aorta. No pulmonary vascular congestion. No acute infiltrates that can be identified on this single ap chest view. Relatively high positioned diaphragms but absence of pleural effusion in the pleural sinuses. No pneumothorax is seen.

<unk>-year-old male patient with cirrhosis and increased white blood count. evaluate for pneumonia.

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Pa and lateral views of the chest were obtained. Calcified granuloma is seen projecting over the right lower lung which was clearly seen on a prior ct chest from <unk>. Otherwise, the lungs are clear bilaterally without focal consolidation, effusion, pneumothorax. Mild pleural parenchymal scarring at the right lung apex is noted. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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As compared to the previous radiograph, there is no relevant change. External pacemaker in constant position. The lung volumes have increased, the heart continues to be mildly enlarged, but the pulmonary edema has slightly decreased in severity. No pleural effusions. No evidence of pneumonia.

history of chronic heart failure, evaluation for fluid status.

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Findings the ng tube tip is difficult to see with certainty but is probably just at the ge junction and therefore would need to be advanced at least <num> cm. The remainder of the chest appears unchanged

<unk> year old woman with acute appendicitis s/p laparoscopic appendectomy. // confirm ngt placement

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.

chest pain.

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Compared to prior examination, there are no interval changes. Persistent right base opacification and left base atelectasis. Heart is mildly enlarged.there is no pneumothorax. Bibasilar pleural effusion is stable. Et tube is unchanged, ending at <num> cm from carina. Ng tube ends in distal gastric cavity. Left picc line is in standard position, ending in upper svc.

<unk> years old woman with gastrointestinal bleeding, cirrhosis and volume overload. interval changes evaluation.

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is opacification in the left base. Though this may be atelectasis, pneumonia is not excluded. Possible mild bronchial wall thickening is noted, particularly in the right lower lung field. There is no pleural effusion or pneumothorax.

history: <unk>m with dizziness // pna

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As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid svc. There is no evidence of complications, notably no pneumothorax. Normal lung volumes. Healed old fracture of the fourth right rib. No cardiomegaly. No pulmonary edema. No pneumonia.

new line placement.

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Pa and lateral views of the chest. Relatively low lung volumes are noted. The lungs however are clear without consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.

<unk>-year-old smoker with cough.

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Curvilinear opacity in the right apex appears unchanged compared to the prior exams, compatible with an area of scarring as seen on the prior ct. No new focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes are demonstrated in the thoracic spine.

history: <unk>f with cough, hypoxic

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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. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.