ChayanM/MIMIC-MultiView-Findings-Query_Optional

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As seen on recent ct, there is a <num> cm lingular nodule. Blunting of the right costophrenic angle suggests small effusion. The lungs are hyperinflated but otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with bradycardia, dyspnea // eval for pleural effusions

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The lungs are mildly hyperinflated. The cardiac silhouette is mildly enlarged. The pulmonary vasculature is unremarkable. There is no pleural effusion or pneumothorax. No focal consolidation is identified. Bilateral breast implants have been removed.

<unk>f with atrial fibrillation starting <num> days ago. // cardiopulmonary process aggravating afib

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There is a right pigtail chest tube in unchanged position. There is hazy opacification over the right base, consistent with a small amount of reaccumulated pleural effusion. Additionally, there is a new rounded opacity at the left base, which could represent infection or aspiration. There is no evidence of pneumothorax. There is no pulmonary edema. The cardiomediastinal silhouette is unchanged.

b-cell lymphoma with large right pleural effusion treated by chest tube. evaluate for reaccumulation of effusion or pneumothorax.

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Frontal and lateral radiographs of the chest were acquired. Moderate cardiomegaly is not significantly changed compared to the most recent study from <unk>, allowing for differences in technique. There has been interval removal of the previously seen left picc. There is chronic vascular congestion and minimal right lower lung atelectasis. Changes compatible with emphysema are seen within the upper aspects of both lungs, right greater than left. The descending thoracic aorta is slightly tortuous, not significantly changed. The mediastinal contours are otherwise unremarkable. There are no pleural effusions. No pneumothorax is seen.

confusion. assess for pneumonia.

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The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. There is similar mild elevation of the right hemidiaphragm, associated with a small anterior eventration. The lungs appear clear. There are no pleural effusions or pneumothorax.

cough and congestion.

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The large left pleural effusion has slightly decreased following pigtail catheter drainage. Associated left lower lobe collapse is unchanged. Left lung volumes remain low. The right lung is clear. There is no pneumothorax. The cardiomediastinal silhouette is stable.

<unk> year old man with chest tube placed // chest tube placement, pneumothorax?

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The lungs are slightly hyperexpanded but unchanged since <unk>. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Configuration of the aortic arch is typical for an aberrant right subclavian artery.

history: <unk>m with upper r chest pain // acute process?

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Pa and lateral chest radiographs were provided. There is no focal consolidation, pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. There is no evidence of chf.

<unk>-year-old woman with chest pain, question intrathoracic process.

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Cardiac silhouette is normal in size. Slight prominence of the mediastinum may reflect prominent mediastinal fat deposition. Lungs are clear except for minimal atelectasis or scar in the left mid and lower lung region. Small pleural effusions are present bilaterally. Bones are diffusely demineralized, and note is made of mild compression deformities in the lower thoracic spine.

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Frontal and lateral chest radiographs demonstrate unchanged volume loss in the left lung base, with remnant left greater than right moderate pleural effusion. Mediastinal adenopathy is unchanged. There is no pneumothorax; however, an air-fluid level is seen within the mid left lung is an anterior loculated hydropneumothorax.

<unk>-year-old male with anterior mediastinal mass, rule out pneumothorax following chest tube removal.

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There is no parenchymal consolidation. The cardiomediastinal silhouette is unchanged. An azygos fissure is re- demonstrated, a normal variant, as seen on chest ct dated <unk>. Bony structures are notable for mid thoracic dextroscoliosis.

<unk>m with palpitations and sob // eval for chf, pneumonia.

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In comparison with the study of <unk>, there is continued bilateral pleural effusions with compressive atelectasis, worse on the left, with associated pulmonary vascular congestion. In the appropriate clinical setting, supervening pneumonia would have to be considered.

congestive failure.

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Lines and tubes are unchanged. There has been improvement in both left and right lung bases. The right lung is now essentially clear. Disease in the retrocardiac area cannot be excluded. No definite effusion is seen.

<unk>-year-old woman with crest syndrome, question infiltrate.

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Endotracheal tube tip is low lying, terminating <num>-mm from the carina. An enteric tube is noted with tip and side port in the stomach. Re- demonstrated is a consolidative opacity in the right lung base which remains concerning for pneumonia. There is likely a small right pleural effusion. Patchy opacity in the left lung base is also noted, slightly more pronounced compared to the previous exam, and could reflect atelectasis or additional area of infection. The remainder of the exam is unchanged. No pneumothorax is seen.

intubation.

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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 cough, malaise // r/o pna, effusion, mass

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Lungs are well inflated and grossly clear. The heart is top-normal in size, unchanged. Aortic arch calcifications are again noted. No pleural effusion, overt pulmonary edema, pneumothorax, or evidence of pneumonia is seen.

history: <unk>f with cough and low grade fevers // r/o pneumonia

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Ap single view of the chest has been obtained with patient in semi-upright position. The patient is moderately rotated to the right in similar position as on the next preceding chest examination obtained <num> hours earlier during the same day. During the interval, the left-sided chest tube has been removed. There is a small less than <num> cm wide apical pneumothorax, but the lungs remain well aerated. No other interval change can be seen. Unchanged appearance of pleural effusion on the bases.

<unk>-year-old female patient status post chest tube removal, evaluate for interval change.

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Single portable view of the chest is compared to previous exam from <unk>. Right chest wall port again seen with catheter tip at the cavoatrial/distal svc. Large right base rounded mass is again seen, grossly unchanged. There is a new nodule in the left mid lung. There is possible small left basilar pleural effusion, although the left costophrenic angle is not well evaluated on this study. Superiorly, the lungs remain grossly clear. Cardiac silhouette is stable.

<unk>-year-old female with sepsis and left pleural effusion on ct. question pneumonia.

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As compared to the previous radiograph, the right known pneumothorax has mildly increased in extent. The right pigtail catheter is in unchanged position. Unchanged appearance of the left lung and of the cardiac silhouette. Unchanged alignment of the sternal wires.

status post cabg, evaluation for pneumothorax.

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There has been placement of a swan-ganz catheter and impella device. Both are in satisfactory position. Heart size is enlarged as before. Mild interstitial edema has improved. No large pleural effusions.

<unk> year old man with cardiogenic shock s/p mi now with impella placement and swan // placement of pa catheter

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The lungs are clear. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormalities detected.

chronic cough. evaluate for infiltrate or mass.

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Lungs are clear of confluent consolidation although there is pulmonary vascular congestion. There is no effusion or pneumothorax. Cardiomediastinal silhouette is stable. Left axillary clips are noted.

<unk>f with crackles, lightheadedness*** warning *** multiple patients with same last name! // ? acute process, signs of chf

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Again seen are <num> coronary artery stents as seen on multiple prior radiographs. Cardiomediastinal silhouette is unremarkable. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. Incidentally, a chronic left seventh posterior rib fracture is again noted.

<unk> year old woman with spinal stenosis going to or <unk> // pre-op chest xray

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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>. As before, no evidence of cardiac enlargement or pulmonary congestion. The, on previous examination identified local density at the site of the wedge resection has now changed into more linear density compatible with scar formations. No new parenchymal abnormalities seen. Previously described pleural fat pad obliterating cardiac apex remains as before. No new pleural abnormalities are seen and no pneumothorax is identified in the apical area. Previously remaining local chest wall emphysema has disappeared.

<unk>-year-old female patient status post vats, with localized left upper lobe wedge resection on <unk>. evaluate for interval change.

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There is chronic blunting of the right costophrenic angle. The lateral view is suboptimal due the patient's overlying arm. No focal consolidation is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with left shoulder pain, sob cough // r/o pnashoulder r/o xrays

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The film quality is sub-optimal due to patient motion. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. The lungs are grossly clear. There are no pleural effusions. No pneumothorax is seen. Heart size is within normal limits. The mediastinal contours are normal.

productive cough for the past month with pleuritic chest pain. evaluate for acute process.

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Both lungs are well expanded and clear. There are no lung opacities concerning for pneumonia. Heart size is normal, mediastinal and hilar contours are unremarkable. Both pleural spaces are normal.

cough, wheezing, and fever; to rule out infiltrate.

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Pa and lateral views of the chest provided. There is a small right pleural effusion. Lungs are otherwise clear. Aorta appears unfolded. The heart size is normal. No acute osseous abnormality.

<unk>m with hypotension // eval for pna

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Ap single view of the chest has been obtained with patient in supine position. Comparison is made with the next preceding semi-upright portable chest examination obtained nine hours earlier during the same day. The patient remains intubated. In comparison with the previous study, however, tip of the ett has changed its position slightly and is now only <num> cm above the level of the carina. It does not obstruct either the right or left-sided airways. The position of the previously described right internal jugular approach central venous line is unchanged, seen to terminate in the lower third of the svc. No pneumothorax has developed. Previously described moderate cardiomegaly remains unchanged and the same holds for the pulmonary congestive pattern with significant perivascular haze both sides. The finding is compatible with pulmonary venous congestion. Diffuse haze mostly over the basal portions may be related to some pleural effusion layering in the posterior pleural compartments. The patient is examined in supine position. So called clear view copy of the image demonstrates appropriate position of the ng tube reaching well below the diaphragm. No new parenchymal infiltrates can be identified on this portable supine chest examination. There are multiple external wires and electrodes overlying the chest.

<unk>-year-old female patient, intubated, now with bleeding from tube, evidence of bleed.

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Et tube has been advanced and now terminates <num> cm above the carina. A transesophageal tube courses below the diaphragm and out of view. Exam is otherwise unchanged since the recent study from approximately <num> hr earlier

<unk> year old man s/p pea arrest, intubated // position of et tube?

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The right picc tip extends up into the neck and outside of the field of view, unchanged from the prior study. No other significant change is observed compared with the immediate prior study. The cardiomediastinal contour, including multiple sternotomy wires and prosthetic valves is unchanged.

<unk> year old man with r picc malpositioned, evaluate positioning following power flush.

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In comparison with the study of <unk>, there is little overall change. Tiny apical pneumothorax is again seen with bibasilar atelectasis. Diffuse subcutaneous gas persists, and the et and nasogastric tubes remain in place.

tracheoplasty with chest tube removal.

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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 recent transatlantic travel who presents with chest pressure, intermittent chest fluttering and dypsnea

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

patient with coffee-ground emesis. assess for pneumomediastinum.

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Right-sided port-a-cath tip terminates at the junction the svc/right atrium. Lung volumes are low. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities detected.

history: <unk>m with malaise

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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, dyspnea

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The lungs are clear without effusion or pulmonary edema. The cardiomediastinal silhouette is within normal limits and unchanged given differences in technique. No acute osseous abnormalities identified.

<unk>m with severe mr <unk> endocarditis // ?pulm edema

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Ap and lateral chest radiograph demonstrate clear lungs. Overall appearance of the chest similar to prior study performed <unk>. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema, pleural effusion, or pneumothorax. Lungs are slightly hyperinflated.

history: <unk>m with chest pain // pna?

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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with sob, chest pain // ? pneumothorax

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One frontal view of the chest. Left pacemaker is seen with transvenous leads in the right atrium and right ventricle in appropriate position. Sternotomy wires and mediastinal clips are again seen. Aortic knob calcifications are stable. Cardiomegaly is stable. No pneumothorax, pleural effusion or mediastinal widening. Lungs are clear.

new pacemaker placement, evaluate for pneumothorax.

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As compared to prior chest radiograph from <unk>, there has been interval placement of a right ij central venous catheter with its tip terminating in the mid svc. There is no definite pneumothorax. As before, there is mild enlargement of the cardiac silhouette. Bilateral hilar enlargement is likely due to pulmonary hypertension. The mediastinal contours are otherwise unremarkable. There is mild pulmonary vascular congestion and probable small bilateral pleural effusion. Opacities at the lung bases likely reflect atelectasis, although underlying pneumonia cannot be excluded.

post right cvl ij placement. rule out pneumothorax.

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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. Heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.

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

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An et tube is present, tip approximately <num> cm above the carina. An enteric type tube is present, tip extends beneath the diaphragm, but cannot be traced beyond this. Bilateral left-sided chest tubes are present. A left ij central line tip overlies the proximal/mid svc. A right sided dual lead pacemaker is present, with lead tips overlying the right atrium an right ventricle. There is an apparent prosthetic aortic valve with? A coronary artery stent versus heavily calcified coronary artery. Thin tubing overlies the right axilla, but no picc line is seen within the chest. Inspiratory volumes are low, with bibasilar atelectasis. The cardiomediastinal silhouette is prominent, but probably unchanged allowing for technique. There is mild vascular plethora and vascular blurring, with thickening of the minor fissure, consistent with chf. Equivocal small bilateral effusions. At the edge of these films, note is made of a spinal fixation device and bilateral carotid artery calcifications.

<unk> year old man s/p cabg/avr/open chest // eval for pneumonia

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As compared to the previous radiograph, there is no relevant change. Normal appearance of the cardiac silhouette. Normal hilar and mediastinal structures. A pre-existing left-sided shadow projecting at the level of the hemidiaphragm is seen in unchanged manner. There is no evidence of nodules or masses. No pleural effusions. Normal hilar and mediastinal contours.

history of cll, progressive cold symptoms, rule out pneumonia.

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Pa and lateral views of the chest provided. Interval removal of an orogastric tube. On the lateral view there is poor definition of vessels. No pneumothorax. There is significantly more free air under the right and left hemidiaphragm. Small, bilateral pleural effusions and associated atelectasis are mildly worsened. Hilar and cardiomediastinal contours are normal.

<unk> year old man with recent umbilical hernia repair // evaluate for progression of free air

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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. Vague sclerosis along the anterior lateral course of the left second rib may indicate a prior non-displaced fracture. Bony structures are otherwise unremarkable.

chest pain.

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is s-shaped scoliosis

<unk> year old man with chronic cough // make sure lungs are clear

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In reference to prior hrct from <unk> nodular peribronchial opacities, with tree-in-<unk> appearance, involving right upper, middle and posterior portion of the right lower lobe, findings which are better assessed on ct. Subtle suggestion of tree-in-<unk> opacities are again seen in the lateral right upper lobe. Hilar contours are grossly stable as compared to scout image from chest ct from <unk>. Some tenting of the right hemidiaphragm is again seen. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. Basilar atelectasis/scarring is seen.

bronchitis and altered mental status.

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A single frontal radiograph of the chest shows a right central venous catheter unchanged in position with the tip terminating in the mid svc. No pneumothorax is present. The lungs are clear without focal consolidation or pleural effusion. The pulmonary vasculature is not engorged. The cardiac and mediastinal silhouettes are unchanged.

<unk>-year-old male with new right shoulder pain, here to evaluate for pneumothorax.

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As compared to the previous radiograph, the patient is in a completely changed position. The endotracheal tube is in unchanged location. The size of the cardiac silhouette could have minimally increased, the apparent blunting of the left costophrenic sinus is probably defect of patient's position. There are no acute changes in the lung parenchyma, in particular no evidence of pneumonia, pneumothorax, or pulmonary edema.

tracheomalacia, intubation, evaluation for interval change.

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There are low lung volumes with bibasilar atelectasis. As mentioned on the prior study, bibasilar linear template leg opacities favor atelectasis but differential diagnosis includes infectious pneumonia or aspiration. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. A catheter is partially imaged projecting over the upper abdomen.

history: <unk>m with fevers // ? pna

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There is a dual lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild to moderate rightward convex curvature to the thoracic spine appears unchanged.

diarrhea.

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Hyperinflation of the lungs ia unchanged. Fibrotic changes at both lung bases are stable. The descending aorta remains markedly tortuous and aneurysmal, particularly at the diaphragmatic hiatus. There are no new abnormal cardiac and mediastinal contours. There is no new consolidation, effusion, or pneumothorax.

<unk>-year-old woman with weakness, rule out acute process.

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Compared to the prior study, there are worsened areas of opacification in the bilateral lower lobes, which may represent infection, given the patient's clinical history. No pleural effusions or pneumothorax. Nodular opacities in the bilateral upper lungs are again noted, similar in appearance in the left upper lung since the chest ct of <unk>. The nodular opacity in the right upper lung may reflect scarring. Unchanged old healed right posterior rib fractures.

<unk>f with cough, dyspnea, hypoxia. history of abpa. evaluate for pneumonia.

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Pa and lateral views of the chest provided demonstrate interval removal of the right arm picc line. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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Portable frontal radiograph of the chest shows a right chest wall port. The catheter tip in the low portion of the svc. Notably, at the junction of the first rib and clavicle, there is a kink in the catheter. Mild pulmonary vascular congestion with no pulmonary edema. Heart size is top normal. No pleural abnormality is detected.

nonfunctioning port. evaluate for port migration.

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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. There is a nondisplaced fracture of the left seventh rib posterior laterally.

history: <unk>m with pain left chest wall/ribs // r/o rib fracture

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As compared to the previous radiograph, there is unchanged evidence of relatively extensive bilateral parenchymal opacities, mainly in the perihilar and lower lung zones. The extent and severity of the opacities have not substantially changed. Minimal blunting of the right costophrenic sinus, potentially indicative of a small pleural effusion. Mild cardiomegaly. No pneumothorax.

pneumonia, evaluation for interval change.

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As compared to the previous radiograph, there is no relevant change. Bilateral central venous access lines are in constant position. Mild elevation of the left hemidiaphragm. Borderline size of the cardiac silhouette. No pulmonary edema. No pneumonia, no pneumothorax. Clips in the right axillary region.

persistent febrile neutropenia, rule out infection.

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Right-sided port-a-cath tip terminates in the mid svc. There is evidence of volume loss in the right lung with a juxtaphrenic peak noted and chain sutures in the right suprahilar region, compatible with prior upper lobectomy. Moderate cardiomegaly is demonstrated. Aortic knob calcifications are present. The mediastinal and hilar contours are otherwise unremarkable. There is mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.

chest pain.

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Right-sided port-a-cath tip terminates at the cavoatrial junction, unchanged. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is identified. Clips in the right upper quadrant indicate prior cholecystectomy.

diabetes mellitus type <num> with diabetic ketoacidosis.

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The heart size is normal. The hilum and mediastinal contours are unremarkable. The lungs appear well expanded and clear. There is no evidence of pleural effusions on the frontal radiograph or pneumothorax. The visualized osseous structures are unremarkable.

<unk>-year-old female with a history of cns lymphoma, on high-dose methotrexate, who presents for evaluation.

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Heart size remains moderately enlarged but unchanged. Mediastinal contours are relatively stable. There is moderate pulmonary edema with perihilar alveolar opacities present, new from the prior. A moderate size right pleural effusion is increased in size compared to the prior exam. Small left pleural effusion is likely present. Bibasilar opacities, with more focal opacification in the right lung base, could reflect compressive atelectasis. No pneumothorax is identified. There are no acute bony findings.

chest pain.

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A right internal jugular catheter is in-situ, the tip is in the distal svc. No pneumothorax seen. The cardiomediastinal contour is unchanged compared to the prior study. No blunting of the costophrenic angles to suggest a pleural effusion. No consolidation. No free air under the diaphragm.

<unk> year old woman with leukocytosis. // evaluate for pna.

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Combination of mild pulmonary vascular congestion, septal interstitial lines at the right base, and bronchial cuffing, new since <unk> could be early acute cardiac decompensation or, alternatively, chronic. Heart size top-normal. No pleural effusion. Projecting over the anterior left fifth rib is a complex of small nodular opacities. Some of this could be the left nipple, but not all of it. Lung nodules are presumed and should be evaluated with chest ct scanning.

<unk>m with ugib, epigastric tenderness, evaluate for free subdiaphgramatic air.

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The patient is status post median sternotomy and cabg. Heart size remains within normal limits. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is seen. Osteophytic spurring is noted within the thoracic spine.

history: <unk>m with exertional shortness of breath

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Pa and lateral views of the chest are compared to previous exam from <unk>. Right picc is no longer visualized. There is elevation of the right hemidiaphragm as on prior. The lungs, however, are clear of consolidation or effusion. Cardiomediastinal silhouette is unchanged and within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with shortness of breath, past medical history of pes and mi and endocarditis, hypertrophic cardiomyopathy.

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Frontal and lateral views of the chest. The lungs are clear of consolidation, large effusion or pulmonary vascular congestion. The cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormality identified.

<unk>-year-old male with a flutter and lower extremity swelling.

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

history: <unk>m with cough and chills // r/o pna

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As compared to prior examination, the cardiac silhouette has increased in size. The azygos vein is distended. No pleural effusion or pulmonary edema noted. Homogeneous opacity abutting the minor fissure in the anterior segment of the right upper lobe could reflect a pneumonia. However, a pulmonary infarction cannot be entirely excluded. Discussed with dr. <unk> by <unk> via telephone on <unk> at <time> am, five minutes after discovery.

shortness of breath, fever, cough.

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The cardiac silhouette is largely unremarkable for technique. No significant abnormalities are seen of the pulmonary vasculature. There is no definite peribronchial cuffing. Mild right-sided basilar opacity. An opacity is seen at the left lung base, with indistinctness of the left costophrenic angle. This may represent basilar atelectasis, though difficult to exclude a developing pneumonia. Soft tissue calcifications are noted in the right supraclavicular region. There is mild dextroscoliosis of the thoracic spine.

<unk>f with smoke exposure // r/o infiltrate

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Frontal and lateral views of the chest provided demonstrate clear lungs, though lung volumes are low. The heart size is grossly stable, though lung volumes limit evaluation. Mediastinal contour is unremarkable. No pneumothorax or pleural effusion. Bony structures are intact.

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Extremely low lung volumes are noted with secondary crowding of the bronchovascular markings. There is no definite focal consolidation or effusion. Calcific density projects over the posterior right fourth rib which could be a calcified granuloma or bone island. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Calcific density in the right upper quadrant suggest cholelithiasis.

<unk>m with ruq abs // eval for effusion

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There appears to be slight interval increase in opacification overlying the right lower lobe. There is stable mild-to-moderate cardiomegaly with mild pulmonary vascular engorgement. There is no evidence of pulmonary edema. There are small bilateral pleural effusions. There is a stable hiatal hernia. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.

history of fever and cll. please evaluate for pneumonia.

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Frontal and lateral radiographs demonstrate low lung volumes. Increased heart size compared to one day prior. Normal mediastinal and hilar silhouette. Mild pumonary edema is new from one day prior. No pleural effusion or pneumothorax. Clear lungs.

chest pain question pneumonia.

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In comparison with the study of <unk>, the monitoring and support devices remain in place. Continued pulmonary vascular congestion with layering right effusion with compressive atelectasis at the base. There may be a small left effusion with minimal basilar atelectasis.

pulmonary edema.

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The et tube is in the right mainstem bronchus. At the time of dictating this report, the severity been repositioned. There is a right ij line with tip in the right atrium. Ng tube tip is off the film, at least in the stomach. There is dense retrocardiac opacity with air bronchograms. There is bilateral hazy alveolar infiltrate involving almost the entire left lung and the more central regions of the right lung. There is ill definition of the right hemidiaphragm with probable small right effusion.

et tube check.

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A port-a-cath terminates at the cavoatrial junction. Surgical clips project about the expected site of the gastroesophageal junction. The cardiac, mediastinal and hilar contours appear unchanged. The heart is normal in size. There is very similar mild relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. The lungs appear clear aside from a linear right middle lobe opacity suggesting minor scarring.

dysphasia and epigastric pain.

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As compared to the previous radiograph, there is unchanged evidence of mild pulmonary edema and moderate cardiomegaly. Minimal atelectasis has developed at the left lung bases. There is no evidence of pneumonia. No pneumothorax.

abdominal pain, evaluation for pneumonia.

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. Mildly hyperinflated lungs are likely secondary to underlying emphysema, and unchanged compared to the prior exam. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of chest pain. please evaluate for acute process.

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There is a new left lower lobe opacity consistent with pneumonia. There is unchanged appearance of elevation of the right hemidiaphragm with tenting compatible with chronic volume loss and increased opacity in the right mid lung likely representing scarring. The cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax is present. There is no evidence of pulmonary vascular congestion.

cough, shortness of breath, fever for <unk> days, rales halfway up on the right lower lobe and at the left base. rule out pneumonia.

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Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with complaints of dyspnea on exertion with bilateral lower extremity swelling

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The heart is moderately enlarged. There is mild mediastinal and pulmonary vascular congestion, unchanged compared to prior radiograph from <unk>. There is no focal consolidation or pulmonary edema. There is no pneumothorax or pleural effusion.

<unk> year old man with chf and acute sob // ?acute cardiopulmonary process

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On the right, there is right lower lobe collapse with mildly increased pleural effusion compared to prior exam on <unk>. On the left, there are linear opacities, likely due to pulmonary edema. Mediastinal and hilar contours are similar in appearance compared to prior. The heart size is top normal. Multiple bilateral rib fractures are again seen. Right-sided picc terminates in low svc, unchanged from prior.

<unk> year old man with rib fractures on pca for pain developed cough. please assess for pneumonia.

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The lungs are hyperexpanded consistent with chronic pulmonary disease. Compared to the prior chest radiograph of <unk>, there is a new left lower lobe opacity. Mild cardiomegaly and aortic calcifications persist. The right lung is clear. There is no pleural effusion or pneumothorax.

<unk> year old woman with cough and crackles and diminished bs b/l // eval for pna vs chf

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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.

fever and cough

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Pa frontal and lateral chest radiograph demonstrates relatively low lung volumes with no focal consolidation. Patient is status post thoracic surgery with median sternotomy wires intact. There is no pleural effusion or pneumothorax. Heart size is top-normal.

<unk>-year-old male with iga deficiency. now with cough. evaluate for infiltrate.

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Since the prior cxr, there has been interval resolution of large right pleural effusion. Small left effusion is stable. No pneumothorax or pulmonary edema. There is engorgement of the ap window, which is due to a large pulmonary artery and mediastinal lymphadenopathy; these findings are better demonstrated on ct chest <unk>.stable mild/moderate cardiomegaly. Left picc line terminates in the right atrium.

<unk> year old woman s/p r aka. admitted with l picc line, please confirm tip placement. // picc line placement

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Compared to the prior radiograph, there is slight enlargement of cardiac silhouette with pulmonary vascular congestion and interstitial opacities consistent with pulmonary edema. This is overall similar in appearance to the radiograph from <unk>. There is a larger patchy opacity in the right lower lobe which may represent a pneumonia. No pneumothorax is seen. No pleural effusion is seen.

hypoxia. evaluate for pulmonary edema.

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Lung volumes are slightly lower than on the prior study. There continues to be pulmonary vascular redistribution and obscuration of both hemidiaphragms. This can be due to volume loss/effusion/infiltrate. Tracheostomy tube and right ij line are unchanged. Compared to the prior study, the appearance of the lungs is slightly worse.

status post trauma with question fever and pneumonia.

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Bilateral breast implants with a calcified capsular with ram are noted. The lungs are fully explanted and clear. There is no focal consolidation to suggest pneumonia. There is no pneumothorax or large pleural effusion. Pleural surfaces are unremarkable.

<unk>f with weakness, on immunosuppression, evaluate for pneumonia.

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As compared to the previous radiograph, there is substantial improvement. The pleural effusions have completely resolved. There is mild elevation of the left hemidiaphragm with subsequent areas of atelectasis at the lung bases. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. No pneumonia, no pulmonary edema. Calcified granulomas in the right lung are unchanged.

fevers, questionable pneumonia.

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Frontal and lateral chest radiographs demonstrate an unremarkable cardiomediastinal and hilar contours. There are minimal atelectatic changes noted in the left lower lung without focal opacification concerning for pneumonia. No pleural effusion or pneumothorax evident. No osseous abnormality is identified.

mid thoracic back pain, please evaluate for pneumonia.

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Upright pa and lateral radiographs of the chest. The lungs are normally expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. The costophrenic sulci are clear. The osseous structures are grossly unremarkable.

hyperglycemia, cough. evaluate for presence of infiltrate.

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The lungs are clear.the cardiomediastinal contours are normal and a moderate-sized hiatal hernia is again appreciated.no pleural abnormality is seen.

<unk> year old woman with pneumonia. // f/u

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Subtle deformity projecting over the anterior right fourth rib rib may be artifactual however, correlate with site of pain for possible nondisplaced subacute rib fracture.

history: <unk>f with cad, type <num>dm presents s/p fall // ? pna

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There is minor left basilar atelectasis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of dish is seen along the spine.

history: <unk>f with cough, rhinorrhea, chest pain, and elevated wbc // ?pneumonia

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Mild deviation of the trachea and prominence of the upper mediastinum is most consistent with an enlarged thyroid. The cardiac silhouette is normal.

cough and sputum production for two weeks.

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The patient is status post median sternotomy and cabg with coronary artery stents noted. Biapical scarring and emphysematous changes are again noted. Otherwise the lungs are clear. There is no focal consolidation concerning for pneumonia nor effusion. There is no free air. The cardiac size is within normal limits.

<unk>m with nash-related cirrhosis + portal htn and recent hx of hepatic encephalopathy who presents with confusion x<num> day per wife, recent <unk> // ?acute intrapulmonary process ?acute intracranial process ?worsening abdominal acites ?evidence of liver vasculature thrombosis

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Frontal and lateral views of the chest are compared to prior chest x-ray from <unk> and ct torso from <unk>. There has been interval progression of middle and lower lobe parenchymal opacities since prior chest ct. This could be due to any combination of atelectasis or infection. Possibility of infarction is also raised given extensive clot burden in this vascular territory. Elsewhere, the lungs are clear. Left chest wall port with catheter tip seen in the mid svc. The osseous structures are unremarkable. Cbd stent is partially visualized in the upper abdomen. The soft tissues are otherwise unremarkable.

<unk>-year-old male with hemoptysis. additional history from prior ct scan reveals history of metastatic pancreatic cancer, on chemotherapy and prior, pulmonary emboli.