ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Portable ap upright view of the chest provided. There has been no significant change from the prior exam with diffuse airspace opacities, most notable in the right mid-to-lower lung. No large effusion or pneumothorax is seen. The overall cardiomediastinal silhouette appears stable. The imaged bony structures appear intact.

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Portable ap semi-upright view of the chest was reviewed and compared to the prior study. The lungs are clear without pulmonary edema, pleural effusion or pneumothorax. Heart size is normal. A tortuous aorta is unchanged.

evaluation for pneumothorax after attempted left subclavian line placement.

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Single portable view of the chest is compared to previous exam earlier the same day at <time> p.m. Endotracheal tube is seen with tip now <num> cm from the carina, in appropriate position. Nasogastric tube again seen passing off the inferior field of view. There has been progression of the bilateral parenchymal opacities concerning for pulmonary edema. There is no visualized pneumothorax based on this supine exam. Cardiomediastinal silhouette is grossly unremarkable, noting overlying transcutaneous pacer, which obscures clear visualization. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with pea arrest.

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Cardiomegaly has not significantly changed. Lung volumes remain low with crowding of the bronchovascular markings particularly at the right lung base, not significantly changed from prior radiograph. There is thickening of the right pleural which may represent a small effusion. There is calcifications of the aortic knob. Left basilar opacity is present in was also seen on prior radiographs. There is no pneumothorax.

<unk>-year-old woman with shortness of breath.

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A pre-existing left picc has tip in the upper svc. There is interval placement of a new left subclavian approach central venous catheter with tip in the lower svc. An existing enteric tube traverses below the diaphragm and out of view. Cardiomegaly is unchanged. The mediastinal and hilar silhouette and stable. There is increased bilateral pleural effusions and persistent retrocardiac atelectasis and/or consolidation. There is no evidence of pneumothorax. Median sternotomy wires are intact.

<unk>-year-old female status post type a dissection with repair and a new subclavian line placement there question line position.

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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.

history: <unk>m with cp and sob. // ? process

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Pa and lateral views of the chest are provided. The lungs are clear. A retrocardiac density containing air-fluid levels, compatible with a hiatal hernia, unchanged. The cardiomediastinal silhouette is stable. There is mild atherosclerotic calcification noted along the thoracic aortic knob. Bony structures are intact. No free air below the right hemidiaphragm.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.

<unk>m with upper abd and chest pain // <unk>m with upper abd and chest pain

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The lungs are clear without any focal opacities, pleural effusions or pneumothorax. The mediastinal and cardiac silhouette is unremarkable. The visualized osseous structures are unremarkable.

cough, fevers, evaluate for pneumonia.

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Frontal and lateral chest radiographs demonstrate clear lungs. There is a trace left pleural effusion. There is no pneumothorax. The cardiac silhouette is moderately enlarged. The mediastinal contours are normal. There is calcification seen at the aortic arch. Pulmonary vasculature appears normal. There is mild pulmonary vascular congestion with upper zone redistribution.

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

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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. Moderate degenerative changes involve the right shoulder with apparent superior migration of the right humeral head and possible narrowing of the acromiohumeral interval. Small-to-moderate osteophytes are noted along the thoracic spine. Bony demineralization is likely.

suspected colonic primary malignancy. preoperative study.

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Lung volumes are slightly low however no with over atelectasis is seen. The trachea is central. The cardiomediastinal contour is within normal limits. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable.

<unk> year old woman with mixed connective tissue disorder here with fatigue, myalgias and cpk><unk>. now has new rt shoulder pain and pain with breathing. // r/o pericardial effusion, pneumothorax, other cardiopulmonary process

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Single portable view of the chest. Streaky left greater than right basilar opacities are most suggestive of atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

<unk>-year-old male with altered mental status and hypoxia.

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Frontal and lateral views of the chest were obtained. A right-sided picc is seen, terminating in the distal svc. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.

<unk>-year-old male with history of chronic fever, chronic pancreatitis.

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Cardiac and mediastinal silhouettes are stable. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax.

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

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Frontal and lateral views of the chest were obtained. Since the prior exam, there has been development of consolidation in the left lower lobe, which could represent pneumonia or atelectasis and probable adjacent effusion. The patient is known to have adjacent rib fractures and the possibility of a hemothorax is not excluded. The right lung remains clear. Heart size is difficult to assess. Mediastinal contour appears grossly stable. The known rib fractures are better seen on the prior ct scan. Vein in the left upper abdomen is partially imaged.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No free air seen below the diaphragm.

<unk>m with chest pain, abd pain // acute process

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Ap upright portable chest radiograph obtained. Lung volumes are somewhat low though the lungs appear clear without signs of pneumonia or chf. The heart is partially assessed only due to low lung volumes though appears grossly unremarkable. A tiny stent projecting over the left heart border may represent a coronary stent. Mediastinal contour is normal. Bony structures intact.

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In comparison with study of <unk>, the cardiac silhouette is within upper limits of normal in size with moderate tortuosity of the aorta. Streaks of atelectasis or interval fibrosis at the left base. No acute pneumonia, vascular congestion, or pleural effusion. Degenerative changes and mild alignment abnormality is again seen in the dorsal spine.

dyspnea on exertion with history of radiation pneumonitis remotely.

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There is mild cardiomegaly, with prominence of the right atrium. The hilar and mediastinal contours are normal. This study is limited due to extensive overlying soft tissue; however, no definite focal consolidations concerning for infection are identified. There is mild bibasilar atelectasis. There is no large pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.

history of palpitations, shortness of breath. please evaluate for acute process.

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Moderate enlargement of the cardiac silhouette is likely aches accentuated due to the presence of lower lung volumes compared to the prior chest radiograph. The aorta remains tortuous. Hilar contours are normal. Pulmonary vasculature is not engorged. Linear opacities in the lingula and left lower lobe likely reflect areas of scarring. Calcified granuloma within the right middle lobe appears unchanged. No pleural effusion, focal consolidation or pneumothorax is seen. There are mild degenerative changes noted in the thoracic spine. No subdiaphragmatic free air is identified.

history: <unk>m with epigastric and chest pain, vomiting

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A right-sided picc is in place terminating <num> cm caudal to the carina at the level of the lower svc. A dobbhoff tube is in place with the tip terminating at the mid portion of the <unk> part of the duodenum. Other findings are not significantly changed with redemonstration of left basal atelectasis and unchanged right lung base opacities. There is no pleural effusion or pneumothorax.

picc placement and possible worked up.

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In comparison with study of <unk>, the endotracheal tube and swan-ganz catheter have been removed. The left chest tube remains in place and there is no evidence of pneumothorax. Mild atelectatic changes are seen at the left base.

chest tube leak, to assess for pneumothorax.

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Pa and lateral views of the chest provided. As compared with recent ct chest from <unk>, bilateral pleural effusions persist, left greater than right. There is increasing collapse of the left lower lobe. A left perihilar opacity corresponds with a left upper lobe metastatic lesions seen on recent ct. Additional scattered nodular foci within the lungs are consistent with metastatic disease better assessed on prior ct. There is no pneumothorax. No edema. Heart size appears grossly unchanged. Mediastinal contour is stable. Bony structures are intact.

<unk>m with metastatic melanoma now with anasarca, known pulmonary metastasis // r/o infection

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The cardiomediastinal and hilar contours are unchanged from <unk>. The aorta is tortuous. The lungs are clear without focal consolidation, effusion or pneumothorax.

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

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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 chest pain // ?pna

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The heart size is top-normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.

history: <unk>f with tachycardia, history of graves // ? infectious process

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Frontal and lateral chest radiographs demonstrate chronic elevation of left hemidiaphragm with adjacent atelectasis, unchanged from <unk>. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal.

<unk>-year-old male with dizziness. evaluate for occult pneumonia.

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

history: <unk>m with substernal chest pain // eval for chf/pneumonia

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No previous images. Scattered radiation related to the size of the patient somewhat obscures detail. Cardiac silhouette is enlarged. Pulmonary vascularity is probably within normal limits or slightly elevated. No evidence of acute focal pneumonia or definite pleural effusion.

hypertension and stroke, to assess for aspiration pneumonia.

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In comparison with study of <unk>, the endotracheal tube has been removed. The ij and nasogastric tube remain in place. Continued opacification at the left base, consistent with volume loss in the lower lobe and pleural effusion. Less prominent changes are seen at the right base. Although not well seen, there is again suggestion of increased lucency beneath the right hemidiaphragm, consistent with residual free intraperitoneal gas related to a recent surgery.

post-operative with extubation.

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The lungs are well-expanded. Left basilar atelectasis. Slight flattening of the diaphragms, unchanged from the prior exam. Slightly increased interstitial markings, which is significantly improved compared to the prior exam. No focal pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. Enlarged cardiac silhouette. Normal mediastinal contours and hila, unchanged from prior exam. Slight tortuosity in the descending aorta, also unchanged. Diffuse bony sclerosis. Possible destructive process involving the right scapula. No discrete fracture line.

<unk>-year-old man with a history of breast cancer presenting with cough. evaluate for pneumonia.

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There is moderate-to-severe cardiomegaly, not significantly changed compared with the previous exam, as well as bilateral hilar engorgement and pulmonary artery prominence, also stable from the previous exam and better seen in recent ct which showed enlarged pulmonary arteries, consistent with pulmonary hypertension. There are no focal opacities concerning for pneumonia. There may be a small right-sided pleural effusion. There is no pneumothorax.

shortness of breath.

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There are at least <num> right-sided rib fracture seen. No pneumothorax. No left-sided rib fracture seen. There is mild pulmonary vascular congestion but no overt pulmonary edema. The cardiomediastinal contour is unchanged compared to the prior study. Small hiatus hernia. Left lower lobe atelectasis. Blunting of the left costophrenic angle likely reflects a small pleural effusion versus pleural scarring. Compression fracture in the mid thoracic spine. Moderately severe s-shaped scoliotic curve convex to the left centered at l<num>

<unk>f s/p mechanical fall w/ r rib fx, t<num> compression fx, c<num> spinous fx, r orbital wall fx, acute splenic infarct, scalp lac, hd<num> pod<num> cervical laminectomy c<num>-t<num>. // icu

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Right picc is re-identified with tip projecting over the mid svc, unchanged. Ekg leads over the chest. Sequential radiographs demonstrate repositioning of a newly inserted right ij swan-ganz/pa catheter. Final image demonstrates the tip projecting over the expected location of the right lower lobar pulmonary artery. The cardiomediastinal silhouette is stable and within normal limits. The hila are unremarkable. There is central prominence of the pulmonary vasculature suggesting elevated pulmonary vascular pressures, with unchanged pulmonary interstitial edema. There is no focal lung consolidation. There is no pneumothorax or pleural effusion.

<unk> year old man with pulmonary hypertension, evaluate new line placement.

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There is significant cardiomegaly and obscuration of the left costophrenic angle which may represent a small pleural effusion and adjacent atelectasis. The lungs are otherwise clear. No pneumothorax. Osseous structures are intact.

history: <unk>f with abnormal ekg at outside facility. evaluate for acute process.

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As compared to a previous radiograph, the patient has received a new pacemaker. The generator is implanted in left pectoral position. The wires are one in the right atrium, one in the right ventricle. There is no evidence of complications, such as lead rupture or pneumothorax. No pulmonary edema. Borderline size of the cardiac silhouette. Small left suprabasal atelectasis.

dual-chamber pacemaker, evaluation for lead position.

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There are persistent bibasilar opacities compatible with layering effusions with adjacent atelectasis and perhaps mild pulmonary edema. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities.

<unk>m with shortness of breath // eval for pulm edema, pneumonia

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Pa and lateral views of the chest provided. Lungs appear hyperinflated and clear. 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 fever // eval for consolidation

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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

confusion, weakness. evaluate for infection.

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

patient with history of myocardial infarction and coronary stents with intermittent chest pain.

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

<unk>f with <num> week cough, dyspnea // please evaluate for acute cp process

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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.

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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. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of smoking, pneumonia. please evaluate.

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Ap and lateral views of the chest. Since most recent exam, there has been marked interval improvement in the appearance of the lungs which are now essentially clear. There is subtle right basilar opacity similar to previous exam from <unk> which may represent atelectasis however early infiltrate is not excluded. Mild indistinctness of the pulmonary vasculature seen on the current exam without frank edema. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.

<unk>-year-old female with generalized weakness. question pneumonia.

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There is a known right upper lobe mass with subsequent extensive parenchymal opacity. Loss of the paratracheal stripe suggests a mediastinal adenopathy. On the current image, there is no convincing evidence of pneumothorax. Loss of structure in the left upper lobe suggests pulmonary emphysema. Borderline size of the cardiac silhouette, no pleural effusions. Moderate tortuosity of the thoracic aorta.

right upper lobe mass and mediastinal adenopathy, status post bronchoscopy, rule out pneumothorax.

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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 hx cad, hld, presenting w/ r sided weakness and decreased sensation

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Shallow inspiration accentuates heart size. New left basilar opacity, atelectasis versus developing pneumonitis. Minimal right basilar atelectasis is stable. Prominent left cardiophrenic angle fat pad. No pleural effusion. Normal heart size, pulmonary vascularity.

<unk> year old woman with ovarian cancer, leukocytosis and new hypoxia // r/o pna

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The cardiomediastinal contours are within normal limits. Lungs are well expanded. There is an area of increased opacity at the right lung base which is concerning for an infectious process. Streaky opacity at the left lung base is likely atelectasis. There is prominence of the hila in keeping with lymphadenopathy and known diagnosis of sarcoidosis. Worsening apical opacities in the apices could reflect worsening sarcoidosis. There is no pleural effusion or pneumothorax.

right-sided chest pain, sore throat, cough. rule out pneumonia.

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There has been interval removal of the endotracheal tube, enteric catheter and swan-ganz catheter with remaining right-sided central venous sheath terminating likely at the confluence of the right internal jugular and subclavian veins. Left-sided mediastinal and chest tube drains have been removed without development of pneumothorax. There is persistent but notably improved pulmonary edema with residual bibasilar opacifications likely representing atelectasis. No pleural effusions identified.

status post cabg, evaluate for pneumothorax.

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Known left proximal humerus fracture at the surgical is again seen. The lungs are clear. There is linear opacity in the right mid lung representing atelectasis. Costochondral calcifications project over the right lung. There is no evidence of pneumonia. There is no pleural effusion or pneumothorax. Cardiac, mediastinal, and hilar contours are normal.

gi bleeding, evaluate for acute process.

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The lungs are symmetrically well-expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette and mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

cough, here to evaluate for pneumonia.

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Lung opacity silhouettes the left heart border and is new since the prior ct of <unk>. Multiple nodular opacities were present on the prior chest ct of <unk> and represent known chronic lung disease. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>m with flu like sx, shoulder pain, cough // pneumonia

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal.

evaluation of patient with infectious symptoms, hiv.

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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is minimal left mid to lower lung atelectasis. There is no pleural effusion or pneumothorax. The cardiac silhouette demonstrates a left ventricular configuration although is not frankly enlarged. Mediastinal and hilar contours are stable and unremarkable. Degenerative changes are seen along the spine.

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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is notable for prominent air-filled loops of bowel.

syncope.

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Interval removal mechanical support devices including left chest tube, et tube, and ng tube. More distal projection of right ij catheter terminating in right atrium likely due to interval decrease lung volumes. There is expected postoperative leak, the cardiomediastinal silhouette is enlarged but stable with mild increase of right and left lower lung atelectasis. No pneumonia, pleural effusions or pneumothorax.

<unk> year old woman with cabg // s/p ct pull

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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

conus medularis syndrome. preop for laminectomy.

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Cardiomediastinal silhouette is unchanged. There is mild tortuosity of the thoracic aorta. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. Nodular left lower lobe opacity <unk>, is seen on the current study, most likely corresponding to lingular atelectasis seen on the ct abdomen from <unk>.

<unk>-year-old woman with chest pain, evaluate for acute process.

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Ap and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are acutely intact. Proximal portion of healing humerus fracture noted with plate and screw fixation. No free air below the right hemidiaphragm is seen.

<unk>f with seizure, evaluate for infection // ?pneumonia

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Patient status post sternotomy. Ap lordotic projection. There is likely some atelectasis in the left lung base. Allowing for projection, the lungs are grossly clear.

<unk> year old man s/p lumnar lami who presents with fevers. // rule out infection

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The heart is moderately enlarged. There is a small left effusion. There are bilateral upper lobe infiltrates left greater than right. There is deformity of the right humeral head likely due to old trauma.

bilateral pulmonary emboli.

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Persistent mediastinal and right hilar lymphadenopathy as well as an infiltrative mass with associated collapse of the right middle and right lower lobes and adjacent moderate right pleural effusion. Bilateral pulmonary nodules are present, and seen to greater detail on recent ct of <unk>.

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Endotracheal and enteric tubes are unchanged. Right-sided picc line terminates in the mid axillary line, as before. Heart size is normal and the ascending aorta is slightly tortuous. Lung volumes are similar with no new consolidation. Right infrahilar atelectasis is slightly increased. No pneumothorax.

<unk> year old man with ams and intubated. evaluate for interval change.

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The heart and mediastinum are not enlarged. Aorta is minimally unfolded. There is equivocal bilateral hilar retraction. A small faint ill-defined density seen in the right upper zone laterally measuring roughly <num> by <num> mm. This lies between the posterior fifth and sixth ribs. The lungs are hyperinflated, suggesting copd. No chf, focal consolidation, pleural effusion, or pneumothorax detected.

history: <unk>f with palpitations, a-fib rvr // eval for acute process

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Portable ap upright chest radiograph obtained. The heart is mildly enlarged with a left ventricular configuration. There is no overt sign of pneumonia or chf, though there may be mild interstitial prominence which could represent edema in the right clinical setting. No large effusion or pneumothorax is seen. Mediastinal contour appears grossly unremarkable. Bony structures are intact.

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Frontal and lateral radiographs of the chest demonstrate normal hilar and mediastinal contours, lungs and pleural surfaces. Mildly enlarged cardiac sillouette.

chest pain, question pneumonia.

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Pa and lateral views of the chest provided. Stable linear density abutting the left heart border may represent a fat pad or scar. There appear to be tiny bilateral pleural effusions. There is no overt edema or convincing signs of pneumonia. Heart and mediastinal contours are stable. No bony abnormalities are seen.

<unk>m with cough // r/o infiltrate

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There is mild asymmetrical elevation of the left hemidiaphragm, of uncertain chronicity. Mild left basilar atelectasis is present. The heart is not enlarged. The aorta is markedly tortuous. There is no pneumothorax, pleural effusion, or pneumonia.

history: <unk>f with cva symptoms, now resolved. // acute process?

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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. Radiopaque linear density is noted in the anterior chest wall.

history: <unk>m with decreased appetite and hypotension // evaluate for pna

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Pa and lateral view of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Lungs are hyperinflated. There is a nodular opacity projecting over the mid thoracic spine on the lateral view. Prominent fat pad adjacent to the right heart border likely accounts for partial silhouetting noted. Cardiomediastinal silhouette appears grossly unremarkable.

<unk>-year-old male with amnesia, evaluate for pneumonia.

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Pa and lateral views of the chest provided demonstrate persistent cardiomegaly. Persistent density at the right cardiophrenic recess which could represent crownded or compressed bronchovasculature adjacent to the enlarged right heart. Basilar atelectasis is likely present. No overt failure is noted. No pneumothorax. Mediastinal contour is stable. Compression deformity at t<num> is unchanged.

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Cardiac silhouette size is normal. The aorta is diffusely calcified. Right superior mediastinal widening with slight indentation upon the right aspect of the tracheal contour is due to the presence of a right thyroid goiter, unchanged. Hilar contours are within normal limits. Lungs are hyperinflated without focal consolidation. Focal right diaphragmatic eventration appears unchanged. There is no pleural effusion or pneumothorax. No displaced fractures are evident.

history: <unk>f with left hip pain status post fall. assess for buckle fractures.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

exertional chest pain.

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Since <num> day prior, there has been substantial improvement in pulmonary edema, moderate at the right apex and mild elsewhere. Severe cardiomegaly is unchanged. The left costophrenic angle is not visualized, but there is no right pleural effusion. No pneumothorax. Substantial retrocardiac atelectasis is unchanged. An et tube terminates <num> cm above the carina. A right-sided ij swan-ganz catheter terminates in the proximal right pulmonary artery. An enteric tube passes into the stomach.

<unk> year old woman with lvad // interval change

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In comparison with study of <unk>, post-surgical changes are again seen at the right base, though the subcutaneous emphysema has cleared. Patient has taken a better inspiration. Mild bibasilar atelectatic changes without acute focal pneumonia.

vats rll wedge resection.

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The endotracheal tube ends <num> cm above the carina. The gastric tube ends in the corpus of the stomach. Lung volumes are low, but the lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old with trauma.

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Two views were obtained of the chest. Increased interstitial abnormality with <unk> b-lines and trace pleural effusions is consistent with mild to moderate pulmonary edema. There is no pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Mediastinal surgical clips, valvular prosthesis and median sternotomy wires are noted.

worsening dyspnea on exertion. syncopal episode, assess for acute process.

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Pa and lateral views of the chest were obtained. The lungs are clear and well expanded. No focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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Frontal and lateral views of the chest were obtained. Minimal right base atelectasis is seen. Otherwise, no focal consolidation, pleural effusion, or pneumothorax is seen. Cardiomediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No displaced fracture is seen.

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The lung volumes are low. Normal size of the cardiac silhouette. Mild-to-moderate left pleural effusion with subsequent areas of left basal atelectasis. The presence of a small right pleural effusion, restricted to the dorsal lung areas and visible only on the lateral image, cannot be excluded. No pulmonary edema. No acute changes such as pneumonia or pneumothorax.

cirrhosis, leukocytosis, questionable pneumonia.

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Ap supine portable chest radiograph obtained. The lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact. The imaged portion of the right shoulder appears unremarkable.

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Compared to chest radiographs from <unk>, opacification at the left lung base has largely improved, with a small amount of plate-like atelectasis in the left lower lobe. Lung volumes remain low. Right lower lobe opacification has resolved. Small bilateral pleural effusions persist. There is no central vascular congestion or overt pulmonary edema. No pneumothorax. Heart is normal in size. Dobhoff tube descends below the diaphragm into the stomach and out of the field-of-view. Medial displacement of the stomach bubble is consistent with splenomegaly, better assessed on liver mr from <unk>.

<unk> year old man with cirrhosis and dyspnea // eval for edema, infection

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The lungs are clear and lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar contours are normal.

worsening asthma with coarse breath sounds. evaluate for an acute process.

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Comparison is made to prior study from <unk>. There is an endotracheal tube whose distal tip is <num> cm above the carina, appropriately sited. There is a nasogastric tube whose tip and side port are just below the ge junction. Heart size is upper limits of normal. There is some mild prominence of the pulmonary interstitial markings and some mild widening of the vascular pedicle, suggestive of minimal pulmonary edema. No focal consolidation or pleural effusions are seen. There is irregularity of the left proximal humerus suggestive of prior old trauma with secondary osteoarthritis of the glenohumeral joint.

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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 lungs are hyperinflated and relatively lucent suggesting underlying pulmonary emphysema. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen. Cardiac and mediastinal silhouettes are unremarkable. The mediastinum is not widened. Surgical clips are noted in the region of the right thyroid bed.

history: <unk>m with chest pain, hx of aortic ulcer // wide mediastinum

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There is similar widespread bilateral heterogeneous opacification, worse in the left upper lung, but elsewhere not significantly changed. Left infrahilar and retrocardiac opacification is prominent within the background of a widespread interstitial abnormality. Differential considerations include pneumonia, aspiration, or atelectasis perhaps coinciding with pulmonary congestion. There is a left-sided chest tube in place and a right-sided picc line terminating in the lower superior vena cava. A feeding tube terminates in the stomach. Surgical clips project over the left upper quadrant. Findings are similar to the prior study.

patient with stroke and chronic pleural effusion.

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Left-sided pacer device is unchanged in position. The patient is status post median sternotomy. There is mild interstitial pulmonary edema. There is a small right pleural effusion. No definite focal consolidation is seen. The cardiac and mediastinal silhouettes are stable.

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

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There is persistent scarring at the right lung base which has not significantly changed in association with a small effusion. Moderate sized left pleural effusion has increased since prior chest x-ray but is similar compared to prior chest ct from <unk>. Retrocardiac opacity may also be due to effusion and atelectasis. More superiorly, the lungs are clear, there is no edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>m with dyspnea // ? pulm edema

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.

shortness of breath.

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Endotracheal tube tip terminates approximately <num> cm from the carina. The heart is mildly enlarged. Calcification of the aortic knob is present. Lungs appear hyperinflated, suggestive of underlying copd. Increased interstitial markings with indistinctness of the pulmonary vasculature suggests mild pulmonary edema. Dense opacity within the retrocardiac region may reflect infection or aspiration, with atelectasis also in the differential. Scattered ill-defined nodular opacities within the right mid lung field are also noted. Bilateral pleural effusions are present, small to moderate in size on the left and trace on the right. No pneumothorax is identified. The hila are mildly prominent. Multilevel degenerative changes are seen in the imaged spine with osteophytic spurring. No pneumothorax is identified. Chain sutures are seen projecting over the left lung apex.

endotracheal tube placement.

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In comparison with the study of <unk>, the chest tube remains in good position and there is no evidence of pneumothorax. There is increasing left and right lower lobe atelectasis. There is a small left-sided effusion that is stable. No interstitial pulmonary edema. The heart is stable in size.

<unk> y/o m s/p l pigtail placement on <unk> // interval change- please obtain film at <time> am

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. A skin fold is noted overlying the right hemithorax. The cardiac and mediastinal silhouettes are stable. Central pulmonary vascular engorgement is re- demonstrated, slightly less prominent as compared to the prior study.

history: <unk>f with nash cirrhosis, stage <num> ckd p/w confusion // r/o pneumonia

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As compared to the previous radiograph, there is a minimal increase in extent of the bilateral pleural effusions. Otherwise, the radiograph is unchanged, with multiple widespread parenchymal opacities, strongly suggesting multifocal pneumonia, and underlying pulmonary edema, as documented by increased vascular diameter and massive cardiomegaly. The right internal jugular vein catheter is constant.

leukemia and prolonged neutropenia with multiple line infections. evaluation for shortness of breath.

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Pa and lateral chest radiographs provided. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. No radiopaque foreign body is identified.

<unk>-year-old female with cough after eating a piece of steak. evaluate for retained foreign body or other acute process.

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As compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Vertebral fixation devices. Unchanged small pleural opacity adjacent to an old right-sided rib fracture. Unchanged miniscule granuloma at the bases of the right upper lobe. No other intrapulmonary lesions. No pleural effusions.

shortness of breath, possible new pulmonary nodules, evaluation for pulmonary process.

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Portable ap upright chest radiograph obtained. The lungs appear essentially clear bilaterally without signs of pneumonia or chf. No effusion or pneumothorax. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact.

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Lungs are clear. Heart size is top-normal. No pulmonary edema. No pleural effusion or pneumothorax. Densely calcified breast implant.

<unk> year old woman with dyspnea // concern for acute process: pna vs pulm edema

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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 anterion lower rib pain after fall skiing