ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Multiple surgical clips are seen in the abdominal midline, unchanged from prior exam from <unk>. The cardiomediastinal silhouettes are within normal limits. The bilateral hila are normal. Minimal right base linear atelectasis/scarring is seen. No focal consolidation is seen. There is no pneumothorax or pleural effusion. There is no evidence of pulmonary vascular congestion.

<unk>m with found down, ams, hypoxic, evaluate for injury.

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Mild hyperexpansion of the lungs raises the possibility of some chronic pulmonary disease. However, there is no acute pneumonia, vascular congestion, or pleural effusion.

hoarseness and chest fullness.

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Compared with the prior radiograph, there is a new consolidation, affecting the right lung diffusely, with relative sparing at the right lung apex and base. Localization is difficult without a lateral view. Moderate cardiomegaly is unchanged. No pneumothorax or large pleural effusions. Severe degenerative changes of the left glenohumeral joint, intact median sternotomy wires, and mediastinal clips are unchanged.

<unk>m with hemoptysis. sob/doe.

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No significant interval change in lines and tubes compared to the most recent prior radiographs. Persistent bilateral pleural effusions right greater than left, cardiomegaly and bibasilar atelectasis.

<unk> year old woman s/p mvr/tvr // eval for pneumo s/p ct removal

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As compared to the previous radiograph, the patient has developed a small right pleural effusion. Effusion is limited to the lung bases and causes minimal atelectasis in the right lower lung. Also new is a minimal blunting of the left costophrenic sinus, potentially reflecting the presence of a small left pleural effusion. Borderline size of the cardiac silhouette without pulmonary edema or pneumonia. Minimal tortuosity of the thoracic aorta.

cholangitis, gallstone pancreatitis, evaluation for right pleural effusion.

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Ap upright and lateral views of the chest provided demonstrate hyperinflated lungs without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are stable. Bony structures intact.

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Heart size is normal. Mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again demonstrated. Pulmonary vasculature is normal. Minimal atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is identified.

history: <unk>m with confusion

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There is increased opacity projecting over the lung bases particularly on the lateral view in the retrocardiac region. Based on the frontal there is more retrocardiac opacity than right basilar opacity. Superiorly, the lungs are clear. The cardiac silhouette is within normal limits. Chronic left lateral fourth and fifth rib fractures are noted, in part creating opacity projecting over left upper lung laterally. No acute osseous abnormalities.

<unk>m with cough // eval for pna

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The right central venous line is in the lower svc and stable in position. The cardiac silhouette and mediastinal contours are normal, and no consolidation, pleural effusion or pulmonary edema is seen.

<unk>-year-old with all and febrile neutropenia, assess for cardiopulmonary process.

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Cardiac silhouette is upper limits of normal in size. Pulmonary vascular engorgement persists, but previously demonstrated pulmonary edema has substantially improved with residual asymmetrical hazy perihilar opacities, worse on the right than the left as well as a few scattered bilateral septal lines. Small pleural effusions are not appreciably changed.

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The lungs are moderately well inflated. No lobar consolidation. Diffuse prominence of interstitial markings and pulmonary vasculature compatible with mild pulmonary edema. No pleural effusions. Mild cardiomegaly and aortic knuckle calcification. Diffuse demineralization. Ekg leads overlie the chest wall.

<unk> year old man with <unk>m w/ h/o t<num>dm, htn, ckd who presented to <unk> from his cardiology office after being evaluated for doe and chest pain found to have positive trop to <num> and hypoxia // please assess for pulm edema vs acute infectious process

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The cardiac, mediastinal and hilar contours are unremarkable. Heart size is normal. Mild atherosclerotic calcifications are seen within the aortic knob. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are mild degenerative changes within the imaged lumbar spine.

hypoglycemia.

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Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is in unchanged position. Heart remains mildly enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.

<unk> year old man with cough x <num> months // ? etiology of cough x <num> mo.

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Cardiomediastinal contours are stable. Pulmonary vascular congestion is present, though previously noted pulmonary edema has resolved. No focal areas of consolidation are present. Focal linear atelectasis is demonstrated adjacent to the left heart border.

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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormalities identified. Thoracic aorta of ordinary <unk>. No wall calcification or local contour abnormalities are seen. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax are grossly within normal limits. No pneumothorax identified in the apical area on the frontal views. Our records do not include a previous chest examination available for comparison.

<unk>-year-old male patient with alcoholic hepatitis, rising bilirubin and <unk>'s df of <num>, may need to start steroids. evaluate for infection prior to initiating steroids for alcoholic hepatitis.

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There is an endotracheal tube which terminates approximately <num> cm from the carina. An ng tube is seen curling into the fundus of the stomach. The lungs are clear. Cardiac silhouette is normal. No pleural effusion or pneumothorax.

subarachnoid hemorrhage. now intubated.

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Endotracheal tube and nasogastric tube are in standard position. Cardiomediastinal contours are within normal limits. Volume loss is present in the right hemithorax consistent with previous right upper lobe resection. Pulmonary edema has improved with only minimal residual interstitial edema remaining. Persistent layering left pleural effusion, but apparent decrease in small right pleural effusion.

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

<unk>m with chest pressure, worse on inspiration // ?pleural effusion, pna, cardiomegaly

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.no pneumonia, no pulmonary edema. No pleural effusions.

<unk> year old woman with multiple myeloma. new onset of sob // new onset sob

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Pa and lateral chest radiographs. Median sternotomy wires are intact. Mild pulmonary vascular congestion is similar to <unk>, but bibasilar atelectasis is slightly worse. Small left pleural effusion is stable. Mild basilar bronchiectasis corresponds to prior ct. There is no pneumothorax. Mild cardiomegaly is unchanged.

altered mental status.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart is not enlarged. A right upper paratracheal mass is better evaluated on most recent chest ct from <unk>.

<unk> year old man with bladder cancer in the mediastinum // question of drug induced pneumonitis

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Pa and lateral views of the chest provided. Median sternotomy wires and surgical clips overlying the upper mediastinum are noted. Lung volumes are normal. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen.

history: <unk>f with chest pain // evaluate for acs

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As compared to prior chest examinations, there is persistent heterogeneous right base opacity with interval increase in pleural fluid. There is trace left pleural fluid. The cardiomediastinal and hilar contours are stable. There is no definite pneumothorax.

crackles. evaluate for pneumonia.

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Frontal radiograph of the chest demonstrates tracheostomy tube in standard position. The left internal jugular central venous catheter tip is in the low svc. As compared to the prior study, the large right pleural effusion is relatively unchanged and the moderate left pleural effusion is slightly improved, although this may be due to patient positioning. Left lower lobe collapse persists. Stable cardiomegaly. No pneumothorax or strong evidence for pneumonia.

status epilepticus, on pentobarbital. evaluate for infection.

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There are relatively low lung volumes.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture seen.

history: <unk>f with left chest pain // eval for pneumothorax, pneumonia, cause of chest pain

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Heart size is normal. Tortuous aorta with calcifications are unchanged. There is mild central pulmonary vascular congestion without frank interstitial edema. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Thyroidectomy and probable cholecystectomy clips are again noted. Old healed posterior right rib fractures are noted.

increased fatigue and weakness over the past <num> hours.

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Semi-erect portable ap view of the chest. There is a slightly deeper inspiratory effort compared to prior study. Bibasilar atelectasis has slightly improved. No infiltrate. No pleural effusion. A semicircular density overlying the cardiac shadow is consistent with mitral valve calcifications. There is no pulmonary edema. An ng tube is seen with its tip in the stomach and last side port adjacent to but below the ge junction.

left mca, aspiration pneumonia. eval for plug, pna et al. cause of subacute respiratory (?ventilatory) decompensation this evening. sao<num> stable, but pt tachypneic with minimal bs on the left --> wheezes --> resolving with nebs (had been stable / improving x <num>d on abx for pna)

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Pa and lateral views of the chest provided. Compared to prior study, the left pigtail pleural cathter position is slightly lower and more lateral in position. A small left apical pneumothorax has increased in size. There is no shift of mediastinal structures. There are persistent bibasilar linear opacities, likely reflective of atelectasis, which are similar in appearance compared to prior study.

<unk> year old man with left spontaneous pneumothorax

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Portable ap upright chest radiograph was obtained. The lungs are low in volume with mild bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

respiratory distress. assess for pneumonia or chf.

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Ap and lateral chest radiographs were provided. The lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. The heart size appears mildly enlarged but this is likely due to the ap technique. The cardiomediastinal silhouette is otherwise unremarkable. The imaged upper abdomen is unremarkable. The bones are intact.

lower extremity swelling. evaluate for cardiomegaly.

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In comparison with the study of <unk>, there is again some patchy opacification at the left base. Although this could merely reflect atelectasis, in view of the clinical history, the possibility of aspiration would have to be considered. Remainder of the study is unchanged.

confusion, to assess for aspiration.

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Limited examination due to patient's inability to lift head, causing the upper portions of the lungs to not be fully visualized. However, as compared to prior chest radiograph from <unk>, there has been interval improvement of pulmonary congestion. Lung volumes are decreased with probable bibasilar atelectasis. No focal consolidation, definite pleural effusion or pneumothorax is seen. The heart appears enlarged.

fever, sweats. evaluate for pneumonia.

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In comparison with the study of <unk>, the monitoring and support devices remain in place. The pulmonary vascularity is essentially within normal limits. Increased opacification at the left base is consistent with aspiration or possibly infectious pneumonia. The right lung is essentially clear.

cervical epidural abscess.

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No interval change in small left apical pneumothorax without increase in size. Again seen is moderate left lower lobe atelectasis, small left pleural effusion, and left hilar mass. Right lung is clear without pleural effusion or pneumothorax. Vertical rod and screws are seen in the lumbar spine.

female status post corpectomy with recent pe and pneumothorax presents with recurrent pneumothorax detected on radiograph. please obtain radiograph for interval development from postop film.

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Pa and lateral views of the chest were provided. A dialysis catheter is seen with left ij access with its tip in the cavoatrial junction. There is no pneumothorax. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.

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In comparison with study of <unk>, the aberrant dobbhoff tube has been removed. Atelectatic changes are again seen at the bases. Specifically, no definite evidence of pulmonary vascular congestion. An area of increased opacification is seen at the right base medially. This could well represent vascular crowding or mild atelectasis. In the appropriate clinical setting, supervening pneumonia could be considered. Nasogastric tube is now in place and extends to at least the distal esophagus, where it crosses the lower margin of the image.

postoperative, to assess for fluid status.

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

<unk>m with r isded rib pain s/p fall, near syncope today

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Pa and lateral views of the chest were provided. There has been interval increase in right pleural effusion, now large, with increasing right lower lung collapse. Left lung remains well aerated. Cardiomediastinal silhouette is grossly stable though the right heart border is not visualized due to adjacent effusion. Bony structures appear intact.

<unk>-year-old man with shortness of breath, right-sided chest pain.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with atherosclerotic calcifications again seen throughout the aorta. Pulmonary vasculature is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.

history: <unk>f with dyspnea

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The et tube, ng tube, left subclavian lines are unchanged. There is dense retrocardiac opacity that is increased compared to the study from the prior day and is a combination of volume loss and infiltrate. There continues to be right lower lobe volume loss/ infiltrate as well.

<unk> year old woman with sah, on vent // assess for pneumonia

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Subtle area of increased opacity in the left lower lobe has increased compared to the recent radiograph and could potentially be due to an evolving pulmonary infection in the appropriate clinical setting. Exam is, otherwise, unchanged in appearance since the recent study of the same date.

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Status post left chest tube removal. The radiograph shows no evidence of an apical pneumothorax, but a small air-fluid level projecting over the aortopulmonary window could reflect a small ventral pneumothorax. The staple line projecting over the left lower chest wall is unchanged. Unchanged gas collection in the soft tissues, unchanged post-operative opacities in the left lung. The right lung shows slightly improved ventilation at the lung bases. Unchanged borderline size of the cardiac silhouette.

left hilar mass, evaluation for interval change.

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The right-sided picc line is within the right atrium approximately <num> cm from the expected cavoatrial junction. The endotracheal tube is in good position. There is improved aeration with decreasing bibasal atelectatic changes. No interstitial edema. No significant pleural effusions. The cardiomediastinal silhouette is nonenlarged.

<unk> year old man with intubated // new pathology

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Compared with the prior radiograph, the heart is enlarged with bilateral pleural effusions, and likely bibasilar atelectasis, with indistinctness of the pulmonary vessels, cephalization, and a widened vascular pedicle, suggesting pulmonary edema from congestive heart failure. There is no focal consolidation concerning for pneumonia or pneumothorax.

<unk> year old woman with shortness of breath x <num> month. r/o consolidation, inflitrate.

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As compared to the previous radiograph, there is no relevant change. Moderate-to-severe cardiomegaly with enlargement of both the left and the right parts of the heart. No evidence of pneumonia, pleural effusion or pulmonary edema. Normal appearance of the hilar and mediastinal contours.

baseline chest x-ray.

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Frontal ap and lateral views of the chest were obtained. Since <unk>, there is increased opacity in the right upper lobe with bilateral perihilar opacities. The right lower lobe and retrocardiac opacities are similar, due large pleural effusions and atelectasis seen on subsequent ct abdomen. The pleural effusions are larger than on the prior study. Cardiac and mediastinal silhouettes with cardiac enlargement are stable. No pneumothorax.

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Frontal and lateral chest radiographs demonstrate unchanged slight prominence of the upper right mediastinum and mild tortuosity of the descending aorta. The heart size is normal and the lungs are well-aerated and clear. There is no pleural effusion or pneumothorax.

cough, congestion, rhonchi. evaluate for pneumonia.

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Patient is status post median sternotomy and tricuspid valve replacement. No focal consolidation is seen there is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with chest pain // acute process

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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. A pre-existing opacity at both the left and the right lung base has decreased in extent, several small areas of plate-like atelectasis are seen on the current image. No evidence of pneumonia. Normal size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta.

cough and fevers, evaluation for infection.

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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.

productive cough. question pneumonia.

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Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No displaced rib fracture identified.

<unk>-year-old male with brief loss of consciousness secondary to assaulted with right-sided rib pain.

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The tip of the right internal jugular central venous catheter projects over the superior cavoatrial junction. The tip of the endotracheal tube projects <num> cm above the carina. A gastric tube projects below the level of the hemidiaphragm but beyond the field of view of this radiograph. Unchanged opacification of the left hemithorax reflecting combination of a pleural effusion and atelectasis/ consolidation. No focal consolidation, pleural effusion or pneumothorax in the right lung. Unchanged appearance of the right mediastinal border.

<unk> year old woman with legionella pna // interval improvement

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

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

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The known small right apical pneumothorax is not substantially changed. The position of the known endobronchial valve and the right chest tube are constant. No evidence of tension. Unchanged large soft tissue air collections in the right chest wall. Unchanged appearance of the monitoring and support devices, the heart and the left lung.

tension pneumothorax with tube placement, evaluation for interval change.

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Heart size is normal. A moderate size hiatal hernia is present. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There is diffuse demineralization of the osseous structures.

altered mental status.

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Frontal and lateral views of the chest demonstrate low lung volume loss. Confluent right lung base opacity is more conspicuous since prior exam. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The aortic arch calcifications are again noted. Mild tortuosity of the descending aorta is present. Moderate cardiomegaly is stable. Perihilar vascular congestion is present. Partially imaged upper abdomen is unremarkable.

patient with shortness of breath and back pain. assess for acute process.

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Prior right-sided central venous catheter is no longer visualized. Left chest wall dual lead pacing device is noted with lead tips in the right ventricular apex and right atrium. Aortic core valve device is again seen. There is a moderate left pleural effusion, increased from prior. Small right pleural effusion is noted, not dramatically changed. Superiorly, the lungs are clear besides biapical scarring. The cardiomediastinal silhouette is stable. Surgical clips project over the left upper quadrant.

<unk>f with sob // eval chf

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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation. Small pleural effusions are present. There is mild interstitial pulmonary edema. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. No pneumothorax. Biapical thickening is again noted.

patient with altered mental status.

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Extensive bilateral lung opacities have not changed significantly from yesterday's exam. The cardiomediastinal silhouette remains obscured by lung abnormalities. Right port-a-cath is in unchanged position ending in the mid svc. No pneumothorax is present. There is stable appearance of right pleural effusion.

status post mie with postop aspiration pneumonia/ards. check for interval change.

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Right picc line tip in the mid svc, <num> cm from cavoatrial junction. Partially loculated right pleural effusion has improved. Small left pleural effusion has improved. Nodular pulmonary opacities bilaterally have mildly improved. Bibasilar opacities are improved. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. No pneumothorax. Linear metallic radiopaque density projected over right axilla, represent surgical clip or radiopaque foreign body, stable.

<unk> year old woman with endocarditis with ongoing shortness of breath despite diuresis // pulmonary edema, pleural effusion

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There is little change compared to a prior examination with re-demonstration of mildly enlarged cardiac silhouette. Hilar contours are unchanged. There is no large pleural effusion or pneumothorax. Increased prominence of the left heart border is likely due to <unk> effect rather than pneumomediastinum and central mediastinum and superior mediastinum are unremarkable without evidence of free air or subcutaneous gas. The large cavitating left lower lobe mass previously described on ct is difficult to evaluate on this portable examination.

left lower lobe mass status post mediastinoscopy.

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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette with mild retrocardiac atelectasis. Minimal left pleural effusion. Borderline diameter of the pulmonary vasculature, potentially indicating mild fluid overload. No parenchymal opacities. No pneumothorax.

status post hiatal hernia repair, assessment for pneumothorax.

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The cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine. Partially imaged is a right shoulder arthroplasty.

history: <unk>f with fall on <unk>, now with toe pain, head and neck pain, dizziness

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There is an et tube which terminates <num> cm above the carina. The right ij central venous catheter is in stable position with tip projecting over the low svc. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.

<unk> year old man s/p strangulated ventral hernia repair with aggressive fluid resuscitation // assess lungs

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Tortuous aortic contour is noted. There is eventration of right hemidiaphragm.

<unk>f w/pre-syncope // <unk>f w/pre-syncope

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Pa and lateral views of the chest. Right-sided central venous catheter which is accessed is seen with tip in the upper/mid svc. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.

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

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The heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.

lower extremity swelling and shortness of breath.

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There are diffuse airspace opacities bilaterally. There may be trace pleural effusions. No pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. Spinal catheter is noted.

history: <unk>f with hypoxia, cough // eavl for pna

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumothorax. No left apical mass-like consolidation with evidence of fibrotic traction. Clips projecting over the left axilla and left breast. Normal size of the cardiac silhouette. No pleural effusions.

history of breast cancer, back pain before bronchoscopy, questionable pneumothorax.

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Single portable radiograph of the chest was provided. Lung volumes are low. The heart is significantly enlarged, although unchanged from the prior exam. There is mild prominence of the interstitial markings and of the mediastinal veins consistent with biventricular hear failure. There is no pneumothorax or rocal consolidation.

shortness of breath and chest pain, rule out acute process.

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The lungs are clear without consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with chest pain, cough // acute cardiopulmonary disease

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The aorta is mildly tortuous and calcified along the arch. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

lightheadedness and sinus bradycardia.

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A pigtail catheter is in-situ, coiled in the right upper lung. There is persistent visualization of a an apical right-sided pneumothorax. Probable small amount of fluid in the right pleural space. This is similar to slightly increased when compared to the prior study. Linear atelectasis is noted in the right mid lung. Subcutaneous emphysema is unchanged compared to the prior study. Left lung remains clear with a small left pleural effusion. The cardiomediastinal contour is unchanged.

<unk> year old man with sp vats // please obtain <unk>am

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Frontal and lateral chest radiographs demonstrate bilateral pleural effusions, which make evaluation of the cardiomediastinal silhouette difficulty. These effusions are large on the right and small on the left. There is no definite focal consolidation, although evaluation is limited secondary to these effusions. No pneumothorax is appreciated. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with progressive decline.

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There is a new moderate sized left pleural effusion with obscuration of the left hemidiaphragm and left heart border, likely representing underlying atelectasis or consolidation. The right lung is relatively clear without focal consolidation concerning for pneumonia or pleural effusion. No pneumothorax is present. The pulmonary vasculature is indistinct suggesting mild vascular congestion, increased in comparison to the most recent prior chest radiograph. Hazy opacification of the right lung suggests mild edema. The trachea is deviated to the left and narrowed, corresponding to the patient's known multinodular thyroid goiter. The cardiac silhouette is incompletely evaluated but likely remains mildly enlarged. The mediastinal contours are prominent with a widened and tortuous thoracic aorta, unchanged from the prior chest radiograph with calcification of the aortic arch.

dyspnea and respiratory distress, here to evaluate for pneumonia or pleural effusion.

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The lungs are relatively well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation worrisome for pneumonia. Multilevel degenerative changes are noted throughout the thoracic spine. Healing right humeral surgical neck fracture is again noted.

history: <unk>f with abdominal pain // evaluate for pulmonary effusion

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Heart size is top normal. Mediastinal contours are stable. Lungs are clear without focal consolidation, pleural, or pneumothorax.

history: <unk>f with imtermittent chest pressure x <num> month // any acute pulm process/signs of pe

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Ap and lateral chest radiographs. Increased interstitial markings are more pronounced on the current exam, suggestive of mild interstitial edema. There is a small effusion on the right. Moderate cardiomegaly is chronic. There is no pneumothorax. Right basilar opacity likely reflects atelectasis.

shortness of breath. evaluation for fluid overload.

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In comparison with the study of earlier in this date, there has been placement of an endotracheal tube with its tip somewhat obscured by the spinal fixation device. Nasogastric tube extends to the stomach, though the side port is above the ge junction. Left chest tube remains in place without evidence of pneumothorax. Little overall change in the appearance of the heart and lungs.

blood loss, to assess for pulmonary edema.

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In comparison with study of <unk>, the monitoring and support devices remain in place. Unchanged appearance of the cardiac silhouette with right basilar opacification consistent with pleural effusion and volume loss in the right lower lung. In the appropriate clinical setting, supervening pneumonia would have to be considered. Less prominent opacification in the retrocardiac region is consistent with volume loss in the left lower lobe and small pleural effusion.

pneumonia.

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Right port-a-cath terminates in the proximal to mid svc. Interval increase in well left hemi thorax opacity worrisome for progression of known metastatic disease and increase in left hydrothorax, with more fluid at the left apex, and with small pneumothorax remaining. There are innumerable nodular opacities bilaterally consistent with extensive metastatic disease and lymphangitic carcinomatosis. Spiculated opacity in the left juxta hilar region likely corresponds to patient's mass, concern for increase size since the prior study.

history: <unk>f with weakness, known lung ca

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N comparison with the study of <unk>, there has been no change in the tracheostomy performed. With no evidence of pneumomediastinum or pneumothorax. Cardiac silhouette remains enlarged and there is some elevation of pulmonary venous pressure. Bibasilar opacification most likely reflects atelectatic changes and pleural effusion are unchanged.

<unk> year old woman with stroke, s/p bronchoscopy with bal today <unk>. // eval infiltrate or changes s/p bronchoscopy.

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Sternotomy wires are demonstrated and unchanged. A left-sided pacer and dual leads are stable. The heart is top-normal in size. Lung volumes are low and there is crowding of the bronchovascular structures. There is mild pulmonary edema, minimally increased from the prior examination. There is an increasing confluent opacity at the base of the right lung which could represent atelectasis or focal consolidation. A trace left pleural effusion is demonstrated. There is fluid seen along the horizontal fissure on the right. No large pneumothorax is identified.

<unk> year old man s/p dual chamber icd // <unk> year old man s/p dual chamber icd

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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Excreted contrast is noted within the renal pelves, likely from recent ct scan.

<unk>f with q pancreatitis // assess for pleural effusion

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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

history: <unk>m with c/o cough // ? pna

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Pa and lateral views of the chest were obtained. Lungs are clear, well expanded. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures appear intact.

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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 portable chest examination of <unk>. There is marked improvement of lung ventilation with now much improved aeration of the basal segments of the lung. The heart size can now be seen to be well within normal limits and no configurational abnormality is identified. The degree of mild elongation and widening of the thoracic aorta in this elderly male patient is not excessive and no local abnormal aortic bulges can be identified. The pulmonary vasculature is not congested. The left lung base is free with well-delineated diaphragmatic contours and absence of any acute infiltrates. On the right base, there is still a pleural density obscuring partially the diaphragmatic contour and blunting the lateral and posterior pleural sinus. A linear atelectasis is present on the right base, but again the findings are much improved. The previously existing pigtail and pleural drainage tube has been removed, a biliary drainage tube remains unchanged. On the frontal view, there is no evidence of any pneumothorax in the apical area.

an <unk>-year-old male patient with history of hypertension and prostate carcinoma who presented with cholangitis and right-sided empyema - biliothorax. status post chest tube drainage and percutaneous biliary drain, reevaluation after recent right empyema. evaluate for improvement.

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Frontal and lateral views of the chest. The lungs are clear of confluent consolidation, effusion, pulmonary vascular congestion. Degree of cardiomegaly is unchanged. No acute osseous abnormality is detected.

<unk>-year-old female with dyspnea.

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As compared to the previous radiograph, no relevant change is seen. Bilateral pectoral pacemakers. The course of the leads is unremarkable, there is no evidence of lead damage. The lung parenchyma is of normal appearance. No pneumonia, no pulmonary edema. No pleural effusion. Neither the frontal or the lateral radiographs show bony abnormalities. Normal size of the cardiac silhouette.

worsening pain, evaluation for lead fracture.

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New endotracheal tube terminates <num> cm above the carina. Ng tube is coiled within the stomach. Otherwise, no relevant change since the prior radiograph with persistent opacification of the left hemithorax with leftward mediastinal shift indicating left lung near total collapse. A small to moderate sized left pleural effusion persists.

history: <unk>f with dyspnea s/p ogt and ett // eval for ogt and ett placement

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Frontal and lateral views of the chest are obtained. Single lead right-sided pacemaker is again seen with lead unchanged in position. There has been placement of a right-sided picc, terminating in the mid svc. There are bilateral pleural effusions with overlying atelectasis, similar to prior, possibly very minimally increased on the left.

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Frontal and lateral chest radiographs demonstrate low lung volumes, with prominence of the cardiac silhouette and bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for cardiomegaly or infiltrate in a patient with chest pain.

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Right internal jugular catheter terminates in the body of the right atrium with no visible pneumothorax. Cardiac silhouette is upper limits of normal in size and is accompanied by slight upper zone vascular re-distribution and minimal peribronchial cuffing. Patchy right lower and left lower lobe opacities are new, and may reflect patchy atelectasis, aspiration, infectious pneumonia, or pulmonary hemorrhage in the appropriate clinical settings. Small pleural effusions are also new, left greater than right.

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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>-year-old female with chest pain.

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Left lung consolidation and left retrocardiac density likely from consolidation and associated left lower lung volume loss is unchanged since <unk>. Mild right lower lung consolidation has worsened. No pleural effusion on the right side. Mediastinal shift to the left side is attributed to left lower lung volume loss. Mediastinal silhouette is otherwise stable. Tip of the left pic line still lies in the left axillary region, unchanged since <unk>.

<unk>-year-old woman with uti, aspiration pneumonia, congestive heart failure.

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Pa and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. No signs of chf or pulmonary vascular congestion. Bony structures are intact. No free air below the right hemidiaphragm.

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The inspiratory lung volumes are decreased from the most recent prior study, resulting in mild bibasilar bronchovascular crowding. Increased opacity in the right anterior upper lobe may represent developing pneumonia. No significant pleural effusion or pneumothorax is detected. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.

shortness of breath, productive cough and fever, here to evaluate for pneumonia.

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Ap upright and lateral views of the chest were obtained. Lungs are clear, though hyperinflated, which could reflect underlying copd. No focal consolidation is seen. No pleural effusion or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm.

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In comparison with study of <unk>, there is improved aeration in the right lung. However, much of the differences in appearance may simply be the upright technique, with substantial right pleural effusion extending along the right lateral chest wall to the apical region. Displacement of midline structures to the right again seen. Increasing opacification at the left base is consistent with pleural fluid and underlying atelectasis. Most of the left lung is essentially clear.

pleural effusion.