ChayanM/MIMIC-MultiView-Findings-Query_Optional

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There is a moderate right-sided pleural effusion. The pneumothorax is not visualized. The appearance of the mediastinum is unchanged. Compared to the study from the prior day the pleural effusion is slightly larger

<unk> year old man with ant hydropneumothorax // following anterior hydropneumothorax

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Pa and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. No free air. Hilar and cardiomediastinal contours are normal. Significant gaseous distention of the large bowel is partially imaged.

history: <unk>f with cough // pna

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Note is made of stable asymmetric right pleural capping.

<unk> year old woman with persistant cough, wheeze // r/o pneumonia

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Pa and lateral views of the chest. The lungs are essentially clear. Nodular opacities projecting over the lower lungs bilaterally on the frontal view are most suggestive of nipple shadows. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Minor atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormality detected.

<unk>-year-old female with copd with worsening shortness of breath.

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Ap and lateral views of the chest demonstrate pulmonary vascular congestion and upper zone distribution with mild interstitial edema. No pleural effusion or pneumothorax is seen. No consolidation concerning for pneumonia is seen. The heart size is top normal. As compared to the prior radiograph from <unk>, there is interval increase in interstitial edema. Surgical material in the left upper quadrant is again seen. Old left rib fractures are seen.

shortness of breath and hypotension.

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The lung volumes are low. The heart is normal in size. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Small osteophytes are noted along the lower thoracic spine.

asthma, fever, chills, and cough. question pneumonia.

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There is a right-sided pic line which terminates in the low svc. Moderate cardiomegaly is persistent compared to multiple prior exams dated back to <unk>. Mild bibasilar atelectasis is persistent. There may be mild perihilar vascular congestion. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of resolved septic shock with dyspnea. please evaluate for pulmonary edema.

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In comparison with the study of <unk>, there again are low lung volumes which accentuate the transverse diameter of the cardiac silhouette in this patient with intact midline sternal wires from previous cabg procedure. Single-lead pacer extends to the region of the apex of the right ventricle. Mild retrocardiac atelectatic changes.

malignancy, to assess for metastases.

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Ap view of the chest. The lungs are clear of consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

<unk>-year-old male with diabetic ketoacidosis. question infiltrate.

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Status post left upper lobe rfa. Tiny loculated left-sided pneumothorax has not substantially changed since post biopsy ct. Increasing ground-glass opacity surrounding the fiducial marker and site of rfa. There is a moderate amount of subcutaneous emphysema along the left lateral chest wall extending to the neck. The lungs remain hyperinflated with bibasilar atelectasis. Heart size is normal.

<unk> year old man s/p lul lung rfa // evidence of ptx? patient is in the pacu. please do at <time>

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The ett terminates <num> cm above the carina. There is a right ij in the cavoatrial junction. There is an ng tube which is seen coursing below the diaphragm, however the tip is not visualized on this image. Low lung volumes. Heart size is stable. The mediastinal and hilar contours are stable. Mild vascular congestion. There is mild atelectasis at the left base. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk>f w/ acute right mca stroke s/p tpa at osh, intubated for angioedema worsening secretions // assess for consolidations

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Large area of consolidation is seen involving the left mid to lower lung and possibly portion of the inferior left upper lobe. Given patient history, findings are concerning for mass of aspiration. Alternatively, patient could have underlying infection. The right lung is clear. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. The aorta is calcified. Mediastinal contours are unremarkable. Multiple old left-sided rib fractures are seen. Anchor screws are noted over the right humeral head.

history: <unk>m with concerns for aspirating this am during endoscopy // aspiration pna?

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

<unk>f with cp // pna?

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen on these frontal views. Heart size is mildly enlarged. Aortic tortuosity is noted.

<unk>-year-old male with severe abdominal distention and vomiting in the setting of known locally advanced pancreatic cancer.

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Comparison is made to prior study from <unk>. Heart size is within normal limits. There is no focal consolidation, pleural effusions, or signs for overt pulmonary edema. There is trace atelectasis at the left base. Vascular calcifications are present. There are no pneumothoraces.

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The patient status post median sternotomy with wires intact. A cardiac conduction device is contiguous with leads which appear to terminate in the right atrium and right ventricle. The ventricular lead has a horizontal orientation. Right lower lobe atelectasis is unchanged. The cardiomediastinal silhouette is unremarkable, not widened. No pleural effusion. No evidence of pneumothorax.

<unk> year old man s/p dual chamber ppm. // assess leads placement and r/o ptx.

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Lung volumes are low. Portable semi-upright radiograph of the chest demonstrates an unchanged cardiomediastinal silhouette and pulmonary vasculature. Again noted are linear streaky opacities in the right lower lung and left base, most consistent with atelectasis. No definite focal consolidation is identified.

history: <unk>f with hypotension, shortness of breath // eval for pneumonia

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Linear opacity is again seen in the right mid lung, suggestive of atelectasis versus scar. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are again notable for degenerative changes at the right acromioclavicular joint.

<unk>-year-old female with shortness of breath and chest pain.

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Tip of endotracheal tube now terminates about <num> cm above the carina, and advancement by several centimeters is suggested for standard positioning, as communicated by phone to dr. <unk> on <unk> at <time> a.m. At the time of discovery. Cardiomediastinal contours are stable in appearance. Rapid improvement in juxtahilar opacities, but residual collapse of left lower lobe and adjacent small left pleural effusion.

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Ap upright and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears stable. A compression fracture is again noted at l<num> with vertebroplasty changes. T<num> and t<num> are mildly compressed. Otherwise, the imaged osseous structures are intact.

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Pa lateral and ap chest radiographs demonstrate an enlarged heart, seen previously on prior examination, unchanged. There is no pleural effusion. When compared to prior radiograph, there has been interval improvement in pulmonary edema. Cardiomediastinal contours are stable when compared to prior radiograph. No opacity is seen in concerning for pneumonia.

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

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In comparison with the study of <unk>, there is little overall change. Monitoring and support devices remain in place. There is again evidence of bilateral pleural effusions with compressive atelectasis at the bases as well as pulmonary vascular congestion.

acute brain injury with possible hospital-acquired pneumonia.

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Lingular opacity demonstrated on the prior study is not as well seen on the current study and may have been due to atelectasis. No definite focal consolidation is seen. Mid lung linear atelectasis/scarring is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with left sided chest pain, leukocytosis // pls eval for pna, pt was asked to give better inspiratory effort

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Pa and lateral views of the chest provided. Lung volumes are somewhat low. Previously noted pleural effusions have resolved in the interval. Lungs are clear. 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 cp // eval for ptx

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A right chest wall port-a-cath ends in the proximal right atrium. A right sided pneumothorax has not significantly changed in size but there is a new fluid component. The cardiomediastinal silhouette is unchanged. Subcutaneous gas is less conspicuous on the current study. There is no focal consolidation. Linear areas of atelectasis are noted at the left lung base.

<unk> year old woman with pneumothorax, evaluate for interval change..

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

history: <unk>f with wheezing, sob // eval for pna

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Mild s-shaped scoliosis is again noted. The cardio mediastinal contours are normal. The bilateral hila are normal. There is no apparent hilar or mediastinal lymphadenopathy. There are no focal lung consolidations or masses. There is no evidence of pulmonary vascular congestion. There are no pneumothoraces or effusions.

<unk> year old woman with crohn's on remicade now with night sweats. // eval for cause of night sweats

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The lungs are hyperexpanded. Patchy retrocardiac opacity is worse compared to prior. There is no pneumothorax. There may be a trace left effusion. The cardiomediastinal silhouette is enlarged, similar to prior. There is mild pulmonary vascular congestion, worse than before. No free air below the right hemidiaphragm is seen.

history: <unk>f with sob and cough // chf v. pneumonia v. pleural effusion

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As compared to the previous radiograph, there are extensive newly occurred bilateral basal and right apical alveolar opacities. The patchy distribution, the presence of air bronchograms, and the absence of interstitial markings make pneumonia the most likely differential diagnosis. There is no evidence of accompanying pleural effusions. Borderline size of the cardiac silhouette. No pulmonary edema. The referring physician, <unk>. <unk> was paged for notification at the time of dictation, <time> a.m., on <unk>.

fevers, questionable pneumonia.

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There is consolidation of the right lung base, likely due to collapse of the right lower lobe and partial collapse of the right middle lobe with an associated large pleural effusion. The minor fissure is still visible, denoting that there is at least some portion of the right middle lobe still aerated. This consolidation is essentially unchanged compared with prior exam. The remaining right lung and the left lung field demonstrate prominent vascular markings, likely secondary to pulmonary vascular congestion. There is mild-to-moderate cardiomegaly, unchanged compared with prior exam. A small pleural effusion is present on the left. There is no pneumothorax. A tunneled dialysis catheter is noted ending in the right atrium. The right humeral head shows two anchors.

<unk>-year-old male with cough and change in mental status. evaluate for pulmonary process.

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Relatively low lung volumes are noted. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with cough x <num> weeks // ? pneumonia

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The patient is rotated to the right. There is continued evidence for pulmonary vascular congestion and a left pleural effusion. Left pleural fluid has redistributed. Underlying parenchymal consolidation would be difficult to exclude. A pigtail catheter has been withdrawn on the right. Allowing for differences in patient positioning, mediastinal structures are probably stable. A picc remains in place.

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Frontal radiograph of the chest demonstrate slight rotation of the patient. The will lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with acute chest pain, concern for mi // chf?

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Patient is status post median sternotomy and cabg. Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.

history: <unk>m with hypertension and shortness of breath

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Pa and lateral chest radiograph demonstrates no focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are stable in appearance when compared to prior study dated <unk>. The heart is moderately enlarged. Stable linear scarring or atelectasis in the right base. The trachea is deviated to the right secondary to a tortuous aorta. Eventration of the right hemidiaphragm is noted. Additional note is made of multilevel degenerative changes throughout the thoracic spine. Right posterior sixth rib markedly diminutive as on prior exam.

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

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Single frontal view of the chest was obtained. Right-sided port-a-cath is again seen, terminating in the very upper svc. Right lung volume remains low and there is a similar configuration to the entrapped/loculated fluid in the right lung. The left lung is clear. The cardiac and mediastinal silhouettes are stable. There is subtle possible increased opacity at the left lung base, which may relate to overlying soft tissue, although an early/developing consolidation is not excluded.

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The lung volumes are quite low, accentuating the heart and mediastinal size, and causing crowding of the pulmonary vasculature. The lungs are grossly clear, with no pneumothorax, pleural effusion, overt pulmonary edema, or focal consolidation. No acute osseous abnormalities are detected.

history: <unk>f with copd // acute process

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Heart size is at the upper limits of normal or slightly enlarged. Mediastinal and hilar silhouettes are otherwise within normal limits. No chf, focal infiltrate, effusion, or pneumothorax is detected. No free air seen beneath the diaphragms. No displaced rib fractures detected on these lung technique films. Assessment of bony detail in the thoracic spine is quite limited due to lung technique and overlying soft tissues.

history: <unk>f with r back pain // r/o pna

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The lungs are well expanded. There is interval development of asymmetric mild pulmonary edema, right greater than left. Alternatively, this could be a symmetric pulmonary edema with a right lower lobe pneumonia, but this is less likely. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable.

<unk>-year-old male with worsening dyspnea.

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal.

patient with leukocytosis.

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Shallow inspiration. T avr. Mildly prominent right hilum, maybe accentuated secondary to shallow inspiration. No pleural effusion. No consolidations. Normal pulmonary vascularity. Heart size is accentuated by shallow inspiration.

<unk> year old woman with severe as s/p <num> mm s<num> // post tavr

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A right ij catheter terminates within the mid right atrium. There is a new a moderate right pneumothorax with leftward shift of the mediastinum. A nasogastric tube terminates within the stomach. A small left pleural effusion is unchanged.

left pleural effusion.

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The patient is status post sternotomy with surgical clips in the mediastinum. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax. Calcification aree seen at the aortic arch. There are moderate to severe degenerative changes at the glenohumeral joints. There is a large hiatal hernia.

<unk>-year-old with dizziness.

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Heart size is normal. Mediastinal and hilar contours are unchanged. Patient is status post left upper lobe superior segmentectomy with chain sutures and expected postoperative changes noted in the left hilum. Lungs are hyperinflated with marked upper lobe a dominant emphysema. Pulmonary vasculature is not engorged. Chronic left lateral and costophrenic angle pleural thickening is re- demonstrated. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Multiple clips are noted within the left upper quadrant of the abdomen. Deformity of the left rib cage is likely from prior thoracotomy.

<unk>m with productive cough and shortness of breath

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As compared to the previous radiograph, the lung volumes have increased. No evidence of pneumonia on the current image. Minimal bronchiectatic changes at the level of the right lower lobe might be present. No new focal parenchymal opacities. No pulmonary edema. No pleural effusions. Normal size of the cardiac silhouette.

shortness of breath.

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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. A vp shunt catheter is seen coursing along the right lateral neck, right anterior chest wall, and into the right upper quadrant of the abdomen.

headache.

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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Port-a-cath again extends to the mid to lower portion of the svc. This information was telephoned to dr. <unk>.

lymphoma with cough, to assess for pneumonia.

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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk>m with substernal chest pain evaluate for acute process.

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Increased interstitial markings are seen bilaterally, more prominent on the prior study, suggesting moderate interstitial edema. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are grossly stable given differences in patient position. A stent is again seen projecting adjacent to the level of the aortic knob. The bones are diffusely osteopenic.

history: <unk>f with fall, r shoulder/elbow/hip/thigh/knee/ankle pain // eval for acute injury

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Tip of left picc terminates in the proximal superior vena cava near the junction of the brachiocephalic veins. Cardiomediastinal contours are within normal limits for technique. Prominence of the central pulmonary arteries suggest possible pulmonary arterial hypertension. Improving atelectasis in the right middle and right lower lobes with residual atelectasis most marked in the right middle lobe. Near resolution of left lower lobe atelectasis.

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The tracheostomy, the dobbhoff tube and left subclavian line are in adequate position and unchanged. Stability of the mild cardiomegaly. There is no visible pneumothorax. Stability of the mild bilateral pleural effusions. The bilateral moderate ground-glass opacities are unchanged.

patient with ap tracheobronchoplasty, tracheostomy.

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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. Note is made of eventration of the right hemidiaphragm. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen in the spine without acute osseous abnormality.

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

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Interval placement of a left subclavian central line, the tip projecting over the mid to distal svc. Subclavian catheter tip extends over the distal svc. The tip of the endotracheal tube projects over the mid thoracic trachea. The gastric tube extends into the stomach. Grossly unchanged layering bilateral pleural effusions with subjacent atelectasis. No pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.

<unk> year old man with tbi // l subclavian line insertion

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As compared to the previous radiograph, the right apical postoperative pneumothorax is unchanged in dimension. However, a part of the pleural space is now also filled with air, causing a relatively large air-fluid level at the right lung apex. The staple lines are in constant position. Constant appearance of the remaining right postoperative lung and constant appearance of the left lung. Normal size of the cardiac silhouette. No evidence of left pleural effusion.

non-small cell lung cancer, status post right thoracotomy and right upper lobectomy, evaluation.

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

<unk>f with cough, on methotrexate

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

myalgias.

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There is a nasogastric tube which terminates in the gastric fundus. The cardiac, mediastinal and hilar contours appear unchanged. The heart is probably at the upper limits of normal size. The aortic arch is partly calcified. Lung volumes are somewhat low. The lungs appear clear. There is no pleural effusion or pneumothorax. No free air is seen.

vomiting.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

midsternal chest pain.

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There is marked increase in the opacity in the right mid and lower lung. Part of this is due to volume loss; part may be due to an infiltrate in the region of the known lung mass. There is also increased opacity in the left lower lung, consistent with volume loss/infiltrate. The pulmonary nodules are again seen bilaterally. Left-sided densely calcified pleural plaque is again seen.

respiratory distress, question aspiration.

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In comparison with the study of <unk>, there is some engorgement of ill-defined pulmonary vessels, consistent with increasing pulmonary vascular congestion. In addition, there is some increased opacification at the bases that could well represent atelectatic change from the supine radiograph. In the appropriate clinical setting, superimposed pneumonia could be considered.

chf and dvt with coughing, to assess for aspiration.

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Slight blunting of the left costophrenic angle may reflect trace left pleural effusion and/or pleural thickening, similar to the prior exam but new since <unk>. Otherwise, the lungs are clear. No focal consolidation, edema, or pneumothorax. The heart top-normal in size, unchanged. Left-sided pacemaker defibrillator device is unchanged in position. The mediastinum is not widened. No evidence of acute osseous abnormality.

<unk> year old man with nonischemic cardiomyopathy, s/p swan removal <num> days ago with acute right sided stabbing chest pain, no dyspnea // acute process, eval for ptx or fracture

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Lung volumes are unchanged compared to the prior study. The heart size is borderline enlarged. There are streaky retrocardiac opacities localizing to the left lower lobe on the lateral view, these are new when compared to the prior study and suspicious for pneumonia. No pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable except to note posterior thoracic spine stabilization hardware.

history: <unk>m with fever // eval for acute process, attn to pna

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Frontal and lateral views of the chest were obtained. There are low lung volumes. There is moderate elevation of the right hemidiaphragm with overlying atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Slight prominence of the right hilum may relate to patient's elevated right hemidiaphragm and subsequent lower volume of the right lung. The cardiac and mediastinal silhouettes is not enlarged. The aorta is calcified. Retrocardiac density with lucency within seen both on the frontal and lateral views likely represents a large hiatal hernia.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax. Note is made of a rib deformity on the left, likely chronic.

chest pain. evaluate for acute process.

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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study dated <unk>. Previously described cardiac enlargement appears unchanged. The same holds for the previously described right internal jugular approach central venous line terminating in the lower svc. Successful right-sided thoracocentesis has resulted in elimination of right-sided basal effusion, now with clear visibility of diaphragmatic contours. The pulmonary vasculature in the right hemithorax does not appear congested, and there is no evidence of a post-procedure pneumothorax in the apical area. On the left side, the previously described pleural effusion obscuring the diaphragmatic structures remains rather unchanged. No new pulmonary parenchymal infiltrates are seen.

<unk>-year-old female patient with pleural effusions, status post thoracocentesis, evaluate for pneumothorax and interval change in pleural effusion.

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In comparison with the study of <unk>, the endotracheal and nasogastric tubes have been removed. The left subclavian catheter is unchanged. Continued large right pleural effusion, with smaller left effusion and bibasilar atelectatic changes. Cardiac silhouette remains at the upper limits of normal in size.

aortic stenosis and chf.

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As compared to the previous radiograph, the extent of the left pleural effusion is constant. Also constant is the subsequent left retrocardiac atelectasis. Constant lung volumes and constant position of the monitoring and support devices. Unchanged normal appearance of the cardiac silhouette and of the right lung.

intubation, meningitis, evaluation for potential worsening of a left pleural effusion.

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present.

history: <unk>m with chest pain

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There is stable mild cardiomegaly. There is no pleural effusion or pneumothorax bilaterally. The mediastinal and hilar contours are stable. The lungs are clear without focal consolidation.

history: <unk>m with h/o asthma who presents with acute worsening of wheezing // evaluate for consolidation vs atelectasis

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The lungs are relatively well inflated and grossly clear. Chronic bilateral hilar fullness is again noted, with a similar degree of mild pulmonary vascular congestion as seen on the prior study. There is no overt pulmonary edema, pleural effusion, pneumothorax, or focal consolidation. Severe cardiomegaly is unchanged.

history: <unk>f with dyspnea // eval for pna vs pulmonary edema

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The lung volume is small. Bilateral lower lobe atelectasis, right more than left, is mild. The lungs otherwise clear. No pleural effusions or pneumothorax. The visualized cardiomediastinal silhouette is stable. Distended colon is consistent with postoperative adynamic ileus.

<unk> year old woman with new shortness of breath pod<num> exlap // ?atelectasis vs pneumo vs pna vs pulmonary edema. compare to prior

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Linear areas of fibrosis or scarring in the upper lung zones is unchanged dating back to <unk> with relative elevation of the bilateral hila, consistent with a history of sarcoid. There is no pleural effusion, pulmonary edema or focal opacity concerning for pneumonia. The heart is normal in size.

<unk>-year-old female with history of asthma and sarcoid, not currently taking any therapy, with cough and significant wheezing on exam. evaluation for pneumonia.

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

<unk>f with epigastric/ruq pain worsening in severity //

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Single ap upright portable view of the chest was obtained. There is persistent elevation of the right hemidiaphragm with overlying right base atelectasis. An enteric tube is seen, distal aspect terminating in the region of the gastroesophageal junction. Recommend advancement by several centimeters so that it is well within the stomach. There is no large pleural effusion or pneumothorax. The aortic knob is calcified. The cardiac silhouette is unremarkable.

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Mild cardiomegaly is present. The mediastinal and hilar contours are stable. Small bilateral pleural effusions are improved compared to the most recent prior study. There is no overwhelming evidence for pulmonary edema. There is no focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.

<unk> year old man with nicmp (ef <unk>%) here with hematuria, given iv fluids, now with b/l crackles // pulmonary volume overload?

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There is a right upper extremity access picc line with its tip not clearly visualized. Left chest wall aicd is noted with leads extending into the region the right ventricle. Cardiomegaly is again noted with hilar congestion. No large effusion or pneumothorax. Bony structures are intact

<unk>m with picc s/p repositioning

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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Bilateral low lung volumes evident with minimally increased retrocardiac opacification, likely atelectasis. No pneumothorax or pleural effusion evident.

fever, please evaluate for cardiopulmonary process.

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The lungs are hyperinflated. Right greater than left fibrotic changes particularly at the lung apex are again noted with superior retraction of the right hilum. Spiculated right apical nodule is grossly unchanged based on this view. On the lateral, there is increased opacity projecting over the spine inferiorly compatible with consolidation noting that this has significantly improved since most recent chest x-ray of <unk>. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>f with recent pneumonia, fatigued, mildly confused, // r/o new infiltrates, chf

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Pa and lateral views of the chest provided. Compared to prior study from <num> day ago, there is little change in the extent of the neoesophagus dilatation. The lungs are clear, without evidence of pneumonia. Pulmonary vasculature is normal.

<unk> year old man s/p <unk> esophagectomy, evaluate dilation of neo esophagus

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.

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

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

chills and night sweats.

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The heart appears mildly enlarged. The aorta is calcified along the arch. There is patchy left basilar opacity involving the lingula and left lower lobe, probably compatible with atelectasis. There is no pleural effusion or pneumothorax.

increasing dyspnea on exertion.

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

history: <unk>f with cough, congestion sat<num>% // ? infiltrate

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No focal consolidation is seen. Previously seen moderate interstitial edema has improved in the interval. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic calcifications are seen.

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

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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

<unk>-year-old woman with cough and congestion, here to evaluate for pneumonia.

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The et tube terminates approximately <num> cm above the carina. The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of hypoxia. please evaluate for pneumonia.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart is top-normal in size.

<unk> year old man with nonischemic cardiomyopathy, episodes of hemoptysis in recent months // eval for opacity

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The cardiac silhouette is mildly enlarged. Again seen are mediastinal clips. The pulmonary vasculature is indistinct. Small bilateral pleural effusions are present. There is no pneumothorax. Bibasilar atelectasis is present. A new opacity is seen in the left mid lung. Again noted is a partial left-sided rib resection.

history: <unk>f with dyspnea // eval acute process

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Pa and lateral views of the chest provided. Midline sternotomy wires and a prosthetic cardiac valve noted. Bilateral pleural effusions are noted, left greater than right. The right pleural effusion appears partially loculated. Lower lung opacities may represent pneumonia or atelectasis. No pneumothorax. No convincing evidence for pulmonary edema. Heart size cannot be assessed. Mediastinal contour appears normal. Bony structures appear intact.

<unk>m with sob // please evaluate for effusion v. pna.

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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

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The right pleural effusion has reaccumulated. There is likely also small left pleural effusion. A presumed pericardial drain has now been removed. The cardiomediastinal contour is unchanged compared to the prior study. Persistent bilateral lower lobe atelectasis. No pneumothorax seen. Unchanged nodular opacity in the left mid lung. Small bowel loops in the left upper quadrant are less distended than on prior studies.

<unk> year old woman s/p pericardial window // follow up mediastinum s/p pericardial drain removal

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Cardiomegaly and widened mediastinum are is stable. Ng tube tip is in the stomach. Swan-ganz catheter tip is in the main right pulmonary artery. Vascular congestion is stable. There is no pneumothorax.

<unk> year old woman w hiatal hernia s/p ng tube plcaement // evaluate position

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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. There is visualization of the left inferior pulmonary ligament. The upper abdomen is unremarkable. Mild dextroscoliosis is noted centered in the mid thoracic spine.

<unk>f with l chest pain and dyspnea.

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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

lupus. shortness of breath.

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Pa and lateral views of the chest were provided. A left apical lung nodule is again seen measuring approximately <num> x <num> cm. There is focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. No free air below the right hemidiaphragm. Bony structures are intact. Partially visualized hardware stabilizing the lumbar spine is noted.

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A single frontal view of the chest is somewhat limited by overlying trauma board. An endotracheal tube is in satisfactory position <num> cm above the carina. Enteric tube terminates within the stomach. Bilateral chest tubes are noted, both terminating in the mid low lungs. The lucency at the right lung base is worrisome for residual pneumothorax. Extensive right chest wall subcutaneous air is also noted. There is no shift of the mediastinum. The heart size is normal. Bilateral parenchymal opacities could reflect either hemorrhage, aspiration or contusion. The patient had expired at the time of this dictation.

post-traumatic arrest. evaluate for injury.

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Portable ap chest radiograph demonstrates no focal consolidation, pleural effusion, pulmonary vascular engorgement, or pneumothorax. Multiple vascular stents are noted in the right upper extremity, superior mediastinum, and mid left upper extremity. The aorta is tortuous. The cardiomediastinal silhouette is otherwise normal.

hypertension and history of endstage renal disease.

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A right-sided picc terminates in the mid to lower svc. There is minimal linear atelectasis at the lateral left lung base. The lungs are otherwise clear with no focal consolidation. No pulmonary edema. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.

<unk>m with worsening lethargy, hx of liver failure // eval for infiltrates

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No definite focal consolidation is seen. No large pleural effusion. The cardiac silhouette is at least mildly enlarged. No pneumothorax. No overt pulmonary edema. Subtle early appearance of eight-shaped vertebra involving the thoracic spine, correlate with history of sickle cell disease. Right upper quadrant surgical clips are from presumed cholecystectomy.

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As compared to chest radiograph from the same day, the endotracheal tube, nasogastric tube, iabp and left drain are in similar position. The iabp remains <num> mm from upper most portion of the aortic arch. Mild pulmonary edema has increased. Left upper lobe asymmetric opacity can be atelectasis, pneumonia or asymmetric edema. Moderate left-sided pleural effusion has not significantly changed. Retrocardiac opacity is also stable. No pneumothorax.

<unk> year old man with s/p stemi, just attempted r ij // any pneumothorax? just attempted r ij