ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Asymmetric opacification of the right lung base with respect to the left could be due to basilar pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is moderately engorged, but there is no overt pulmonary edema. The cardiac silhouette is moderately to severely enlarged with left atrial and ventricular enlargement particularly striking on the lateral view. The thoracic aorta is tortuous. The mediastinal and hilar contours are otherwise within normal limits.

altered mental status, here to evaluate for pneumonia.

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In comparison with the study of <unk>, the tracheostomy and right subclavian catheters are unchanged in position. The dobbhoff tube appears to have shifted, with it extending into the lower body of the stomach, then coiling back on itself so that the tip lies several centimeters below the esophagogastric junction and pointing upward. Diffuse bilateral pulmonary opacifications persist. The left hemidiaphragm is now not seen, consistent with worsening volume loss in the left lower lobe and possible pleural effusion.

multiple aspiration events.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.

<unk>-year-old male with cough, fevers, dyspnea, coarse breath sounds and chest pain, question pneumonia.

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There is elevation of the right hemidiaphragm, unchanged. There are no focal consolidations concerning for pneumonia. No pleural effusion. No pneumothorax. Normal heart size. Abdominal surgical clips are noted. Calcification of the abdominal aorta is seen.

<unk>f with altered mental status

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There is a focus of opacity obscuring the right heart border, which localizes to the right middle lobe on lateral projection, and may represent an early pneumonia. A second vague opacity is seen in the left lower lobe, it may represent either atelectasis or a second focus of pneumonia. Biapical scarring is noted. There is no pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are essentially normal. Findings were entered into the radiology dashboard by dr. <unk> at <time>pm on <unk>, <unk> min after discovery.

history of ms and fever, evaluate for pneumonia.

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As compared to the previous radiograph, there is no relevant change. Moderate asymmetry of the rib cage, due to healed rib fractures and marked scoliosis. Normal size of the cardiac silhouette. Marked tortuosity of the thoracic aorta. No evidence of hilar or mediastinal lymphadenopathy. Lung parenchyma appears normal, without signs of nodular or fibrotic changes. No pleural effusions.

rule out sarcoid.

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There is severe dextroscoliosis of thoracic spine. Compared to prior studies, there is improved aeration of the left lung. There are persistent emphysematous changes. Soft tissue densities are seen in the left hemithorax, compatible with pleural and lung nodules seen on chest ct of <unk>. There is a right chest wall port that ends at the cavoatrial junction. There is no pneumothorax. There is no focal consolidation to suggest pneumonia.

<unk> year old man with mets lung cancer with cough and fever // r/o pneumonia

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Lung volumes are low compared to the previous study. This accentuates the size of the cardiac silhouette which appears moderately enlarged. The aorta remains tortuous. Crowding of bronchovascular structures is demonstrated without overt pulmonary edema. Patchy opacities within the lung bases likely reflect areas of atelectasis. Minimal blunting of the left costophrenic angle suggests a small left pleural effusion. No pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with altered mental status, hypoglycemia // eval for infection

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Moderate cardiomegaly is redemonstrated with mild pulmonary vascular congestion without overt edema. Small-to-moderate bilateral pleural effusions are seen. No focal consolidation is seen to suggest pneumonia.

dyspnea, shortness of breath. assess for infiltrate or pneumonia.

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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

<unk>f with cp and dyspnea // r/o pna, effusions, ptx

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Endotracheal tube tip is <num> cm from the carina. Lung volumes are relatively low with secondary crowding of the bronchovascular markings. There is superimposed pulmonary vascular congestion. Moderate cardiomegaly is noted. Bibasilar opacities, left greater than right may be due to layering effusions. Vascular stent projects over left upper extremity. Prominent gastric bubble is identified.

<unk>m with intubated // confirm ett placement

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The lungs and pleural spaces are clear without evidence of pneumothorax or pleural effusions. Cardiomediastinal silhouette is within normal limits. There is no evidence of pneumoperitoneum and osseous structures are unchanged.

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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>m with some mild shortness of breath and chest pain

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There is an opacity at the right lung base abutting the right heart border, which could represent pneumonia in the appropriate clinical setting. This is best appreciated on the frontal view, with no definite correlate on the lateral view. There is no pleural effusion or pneumothorax. Heart size is top-normal. No acute osseous abnormalities identified.

<unk>f with flu-like symptoms including productive cough x<num> days. // eval for pna

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Lungs are normal. No pleural effusions seen on the frontal and the lateral chest radiograph. Moderate cardiomegaly with tortuosity of the thoracic aorta. Asymmetry of the rib cage caused by moderate scoliosis. No evidence of parenchymal changes, no active or non-active tb.

history of positive ppd, evaluation.

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Pa and lateral views of the chest provided. There is an ill-defined left perihilar mass as seen on prior ct exam. Interstitial prominence concerning for lymphangitic carcinomatosis. There is a small left pleural effusion. No pneumothorax. Cardiomediastinal silhouette grossly unchanged. Bony structures appear intact.

<unk>f with ams, ?stroke // code stroke

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Lung volumes are low. A right-sided hemodialysis catheter terminates deep in the right atrium. Ng tube courses into the stomach. Cardiac size is stable. Previously waxing and waning edema is mild today in comparison to prior exams. There is no pleural effusion. There are no focal consolidations concerning for pneumonia.

fever and hypotension.

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The patient is status post median sternotomy and mitral valve replacement. Stable cardiomegaly and tortuosity of the thoracic aorta. Pacing leads are unchanged in position. Lungs are hyperinflated but grossly clear except for an unchanged calcified granuloma in the right mid lung. Multiple bilateral healed rib fractures with adjacent pleural thickening appears similar to the prior radiograph.

<unk> year old man with h/o copd, chf // recent copd flare and now with feeling that breathing is difficult

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There are subtle ground-glass opacities seen in the mid to lower lung fields, which may be artifactual due to the patient's kyphotic position. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.

chest pain and cough.

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As compared to the previous radiograph, there is no relevant change. Minimally improved ventilation of the right lung. Unchanged position of the two chest tubes. Normal size of the cardiac silhouette.

history of right hemopneumothorax, chest tubes on waterseal.

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

history: <unk>f with shortness of breath and chills

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The heart is mildly enlarged. The cardiomediastinal and hilar contours are within normal limits. There is mild emphysema, better appreciated on the ct done on <unk> at <time>. Opacity at the right base may represent atelectasis or infection in the appropriate clinical setting. There is a small right pleural effusion. No pneumothorax.

<unk>m with concern for mesenteric ischemia // pre-op screening, eval cardiomegaly

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Deformity of the lower left posterior lateral ribs suggest old healed fractures.

evaluate for pneumonia in a patient with dizziness.

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Pa and lateral views of the chest. The lungs are clear of consolidation. Linear left basilar opacity is suggestive of atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. No free air seen below the diaphragm.

<unk>-year-old male with right upper quadrant pain.

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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Given this, there is no focal consolidation, pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Surgical clips are seen in the upper abdomen, presumably from prior cholecystectomy.

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The lungs are clear without focal consolidation, large effusion or edema. There is mild enlargement of the cardiac silhouette accentuated by portable technique. No visualized acute osseous abnormalities.

ap view of the chest.

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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormalities detected. Several clips are again noted projecting over the epigastric and right upper quadrant regions of the abdomen.

history: <unk>f with hcc, on chemotherapy new clinical trial with fever, rash.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with several rim calcified lesion is again noted in the region the left thyroid gland, as noted previously. Pulmonary vasculature is not engorged. Calcified granuloma in the left mid lung field is unchanged. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. Moderate to severe multilevel degenerative changes are noted in the thoracic spine.

history: <unk>f with cough

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>-year-old female with chest pain and pressure radiating to left arm, now resolved.

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Portable frontal radiograph of the chest demonstrates the et tube is <num> cm above the carina. Otherwise there is little overall change in the appearance of the chest other than lower lung volumes and bibasilar atelectasis. Pulmonary vascular congestion persists. The cardiac and mediastinal silhouettes are grossly stable.

sepsis with new et tube.

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As compared to the previous radiograph, the dobbhoff catheter has been advanced. The tip now projects over the distal parts of the stomach. There is no evidence of complication, notably no pneumothorax. Otherwise, the radiograph is unchanged.

feeding tube, evaluation for placement.

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Bilateral lower lobe peribronchial linear opacities have not significantly changed stent <unk>. In comparison to abdominal ct from <unk>, there is a most in keeping with lower lobe bronchiectasis. No acute focal consolidation, or interstitial edema. The cardiomediastinal contours are stable. No pneumothorax.

<unk> year old woman with esrd s/p transplant on prednisone, <unk> presenting with <num> days of nasal congestion and doe // please evaluate for evidence of pneumonia

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Moderate enlargement of cardiac silhouette is re- demonstrated. There is mild tortuosity of the thoracic aorta with calcification of the aortic knob. A right brachiocephalic venous stent is again demonstrated with distal aspect of the stent terminating in the upper svc. There is no pulmonary vascular congestion. Interstitial opacities within the upper lobes persist but are slightly less apparent, and on the prior chest ct were thought to reflect an infectious process. Additionally streaky bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.

weakness.

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Single portable frontal chest radiograph. Endotracheal tube is <num> cm above the carina with the chin down; a subsequent cxr at <time>pm with the chin in neutral or elevated position shows the tip the standard <num>cm from the carina. The enteric catheter extends below the diaphragm, out of the field of view. The right hilus remains prominent.

post intubation.

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Iabp terminates <num> cm below superior margin of aortic arch, has been repositioned. Less apparent right pleural effusion with adjacent atelectasis. Left lung is clear. Otherwise no change

<unk> year old man with stemi awaiting cabg, now with new productive cough // eval for pneumonia vs pulmonary edema

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Pa and lateral chest radiographs demonstrate little change from <unk>. The consolidation seen on prior cta-chest has not progressed. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Stimulator device is again noted over the mid thoracic vertebra.

known pneumonia. pulmonary embolism diagnosed on ct of <unk>.

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Lungs are clear. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.

<unk>m with chest pain // r/o pna,

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As compared to the most recent prior examination dated <unk>, there is a very small suspected right pleural effusion. There is no evidence of lobar consolidation or parenchymal edema. Cardiomegaly is noted, similar as compared to the prior exam. No acute osseous abnormalities are detected.

history: <unk>f with chf? // eval for fluid

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Pa and lateral views of the chest demonstrate moderately enlarged heart size, unchanged since the prior study. There has been interval resolution of bilateral pleural effusions with atelectasis. The lungs are clear, with no evidence of pulmonary edema, pneumothorax or focal consolidation.

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

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No significant interval change in right basilar hydropneumothorax and adjacent consolidation. Left lower lobe atelectasis is similar and small left pleural effusion is unchanged.heart size and mediastinal contours are stable.

<unk> year old man with empyema and large chest tube output // is there loculation, pneumothorax, underlying pneumonia?

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Right ij central venous catheter is seen extending superiorly into the neck. Otherwise, there has been no change. There is no visualized pneumothorax.

<unk>f with replaced r ij // please eval r ij cvl replacement

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There are moderate bilateral pleural effusions, enlarged since priors. There is no evidence for pulmonary edema. The cardiac silhouette is normal and unchanged. The mediastinal contours are unremarkable. Clips are noted within the upper abdomen.

shortness of breath.

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The cardiomediastinal silhouette is normal. The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary vascular congestion. The t<num> vertebral body is incompletely fused.

history of latent tb and prior possibly slightly abnormal chest x-ray in <unk>, prior imaging not available, also now with <num>-week history of cough and uri symptoms. evaluate for any evidence of tb as well as for current pneumonia.

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Right picc tip terminates in the lower svc. Lung volumes are low. Heart size is accentuated as a result of low lung volumes, and is likely borderline enlarged. The aorta is unfolded. There is no pulmonary edema. Streaky bibasilar airspace opacities could reflect atelectasis though infection, particularly in the right lung base, is difficult to exclude. Blunting of left costophrenic sulcus is similar compared to the prior exam, and likely attributable to mild pleural thickening. No focal consolidation is identified. There is no pneumothorax. No large pleural effusion is identified. No acute osseous abnormality is seen.

fever, shortness of breath, relapsed apml.

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Left lower lobe lobectomy was recently done for a subsolid nodule. A left chest tube projects in the lower third of the left hemithorax with minimal pneumothorax at the location. There is also adjacent subcutaneous air. Mild volume overload is accompanied with a slightly widened upper mediastinum and right upper lobe atelectasis. There is no pleural effusion.

left lower lobe lobectomy, evaluate.

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Lung volumes remain low. Mild enlargement of the cardiac silhouette with a left ventricular predominance is re- demonstrated. Widening of the superior mediastinum is attributable to mediastinal lipomatosis, and is unchanged. A moderate left pleural effusion is partially loculated laterally, and there is a continued rounded opacity within the left upper-mid lung field measuring up to <num> cm, likely reflective of rounded atelectasis as a similar appearance was noted on the previous chest ct. No pulmonary edema is present, and there is no pneumothorax. There is no right-sided pleural effusion. Left basilar opacity likely reflects compressive atelectasis though infection cannot be excluded in the correct clinical setting. Marked degenerative change of the imaged thoracic spine is present with loss of height of multiple vertebral bodies as seen previously.

history: <unk>m with cough and 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. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

cough and shortness of breath.

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A biventricular icd pacing device has been placed with leads in the right atrium, right ventricle, and a third lead for biventricular pacing. There is no pneumothorax. Cardiomediastinal contours are stable in appearance, and lungs are grossly clear except for minimal atelectasis or scar at the periphery of the left lung base.

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As compared to the previous radiograph, the pre-existing opacity at the right lung base is slightly improved but still clearly visible, showing multiple air bronchograms. An atelectasis at the level of the left lower lobe has newly occurred. The monitoring and support devices are constant. Constant size of the cardiac silhouette. No larger pleural effusions.

status post craniotomy, intubation, rule out pneumonia.

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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the mid svc level. Midline sternotomy wires and mediastinal clips are again noted. There is slight interval increase in overall extent of diffuse pulmonary ground-glass opacities, which is concerning for worsening pulmonary edema. There is a small right pleural effusion. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear intact.

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Pa and lateral views of the chest were provided. There is a small right pleural effusion with subtle nodular opacity in the right lower lung which is concerning for pneumonia. There is no pneumothorax. The heart is within normal limits of size with calcification of the mitral annulus, subtly visualized. The left lung appears clear. Bony structures appear intact though demineralized.

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Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Allowing for this factor, heart is upper limits of normal in size. Lungs are grossly clear, and there are no pleural effusions or acute skeletal findings.

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Pa and lateral views of the chest were provided. The overall appearance of the chest is stable with stable volume loss in the right lung with right apical pleural thickening and similar areas of pleural calcification. A right apical cap is similar to prior exam without definite signs of layering right pleural effusion. The left lung is clear. The cardiomediastinal silhouette is normal. Bony structures are stable with evidence of prior right fifth rib resection.

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Pa and lateral views of the chest are compared to previous exam from <unk>. Previously identified small left basilar pleural effusion has resolved. There is no pneumothorax. Biapical scarring is identified. Increased interstitial markings are most suggestive of chronic lung disease. There is no consolidation. Postoperative changes of left lower lobectomy again seen. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with cough and copd exacerbation. status post left lower lobectomy. question pneumonia.

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Portable ap semi-upright view of the chest was reviewed. Compared to the prior study, there is a right-sided subclavian picc line with tip ending in the cavoatrial junction. There has been interval resolution of both mild pulmonary edema and possible tiny pleural effusions. The lungs are clear and there is no pneumothorax. The cardiac and mediastinal silhouette is unchanged.

right picc line placement.

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No focal consolidation is seen. There is minor linear left base atelectasis/ scarring. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with fever, sob // eval for pneumonia

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The heart is mildly enlarged. There is no definite pleural effusion or pneumothorax. The lungs appear clear. There is moderate rightward convex curvature centered along the lower thoracic spine. The bones are probably demineralized.

altered mental status.

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Pa and lateral views of the chest provided. Multifocal consolidations in the right lung and left lower lobe are essentially unchanged. Small bilateral pleural effusions have mildly increased. No pneumothorax. Cardiomediastinal contours are stable.

<unk> year old man with rll pna // perform at <time>am on <unk>. r/o interval change.

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Right-sided central line terminates in the mid right atrium as before. Patient has been extubated with removal of enteric tube. Low lung volumes with bibasilar atelectasis, left more than right. No pleural effusion or pneumothorax. Stable cardiomegaly. Persistent dilatation of stomach with gas.

<unk> year old man s/p cabg // eval for pneumo

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Compared to the prior exam, there has been no significant interval change. Cardiomegaly persists. Aortic calcification is noted. Pacing hardware appears appropriately positioned. No focal consolidation, pleural effusion, or pneumothorax is detected on this single frontal view.

<unk>-year-old female with hypoxia and presyncope.

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The heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. There is no pulmonary edema. Lungs are clear without focal consolidation. No pneumothorax or pleural effusion is demonstrated. There is hyperinflation the lungs with flattening of the diaphragms, suggestive of underlying copd. Dextroscoliosis of the thoracic spine is again noted.

cough.

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In comparison with study of <unk>, the monitoring and support devices are essentially unchanged. Diffuse bilateral pulmonary opacifications persist. The left hemidiaphragm is not as well seen, suggesting some interval volume loss in the left lower lobe. Probable bilateral pleural effusions.

ards.

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Accounting for differences in technique, the cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Again seen are cystic changes in the left upper lung. Bibasilar streaky atelectasis is again present.

chronic immunosuppression with new fevers.

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Since the prior chest radiograph, there has been interval placement of an ng tube that terminates in the body of the stomach. There is also a new right-sided picc line that terminates in the distal svc. Right-sided port and the chest tube at the right lung base are unchanged in position. Bilateral pleural effusions, left greater than right are not significantly changed compared to prior. There is also worsening bilateral patchy opacities likely due to pulmonary edema. There is no pneumothorax.

<unk> year old man with ngt placement // ngt placement

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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 obese with cp s/p mva // assess ptx, fracture

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Single ap image of the chest was reviewed. Et tube and enteric tubes are in standard position. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Linear opacities at both lung bases, left greater than right, may represent atelectasis. As the pulmonary vasculature is mildly prominent, these linear opacities may also represent a small amount of edema.

et tube placement.

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There has been interval decrease in the amount of subcutaneous emphysema in the right lateral chest wall. A moderate size right pleural effusion which appears partially loculated laterally and along the apex appears minimally decreased in size. Clips and chain sutures from prior right middle lobe lobectomy are present with evidence of right-sided volume loss with mild rightward shift of midline structures. Cardiac and mediastinal structures appear otherwise unchanged. No pulmonary edema is present. Right lower lobe atelectasis is again noted. Left lung is otherwise clear. Small left pleural effusion is noted, new in the interval. No pneumothorax is detected. No acute osseous abnormalities are visualized.

<unk> year old man status post right lung surgery, bleeding at surgery site

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Supine frontal radiograph of the chest was reviewed. The heart size is normal. Mediastinal and hilar contours are unremarkable. Leftward shift of the heart with elevation of the left hemidiaphragm is indicative of left lower lobe atelectasis. Interstitial prominence may be chronic or indicative of mild pulmonary edema. There is no pneumothorax. Median sternotomy wires and cabg clips are noted. Prominence of the left first rib costosternal junction is noted.

fall in a patient with dementia.

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The cardiac silhouette size is normal. Worsening areas of opacification are demonstrated within both mid lung fields as well as within the right lung base, findings concerning for multifocal pneumonia. Multiple bilateral pulmonary nodules are obscured due to this new parenchymal process. Mediastinal contours are unchanged with widening of the left superior mediastinal contour compatible with known lymphadenopathy. There is mild pulmonary edema and small bilateral pleural effusions. No pneumothorax is identified. Emphysematous changes and hyperinflation of lungs are again noted.

dyspnea and cough.

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Increased interstitial markings in both lower lung fields are consistent with known bibasilar bronchiectasis. However, a new ill-defined focal opacity is noted in the right lower lung region, which is seen projecting over the heart shadow in the lateral view. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Old right rib fractures are noted.

<unk>-year-old female with shortness of breath and productive cough. evaluate for evidence of acute cardiopulmonary process.

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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. There is no frank pulmonary edema. Cardiac silhouette is slightly enlarged. Prosthetic aortic valve is noted. Descending aorta is tortuous. Median sternotomy wires and mediastinal clips are noted. Degenerative changes seen at the shoulders bilaterally. No acute osseous abnormality seen. Hypertrophic changes seen throughout the spine.

<unk>-year-old male with chf presents with cough and scattered wheezes.

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Heart size is top-normal. Bilateral hila are mildly enlarged likely due to lymphadenopathy. Right subclavian port is unchanged in position with tip projecting over the mid svc. Llungs are clear. There is no pleural effusion or pneumothorax.

lymphoma presenting with chills and fever.

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The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change.

fever.

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The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air under the hemidiaphragms. No pancreatic calcificaitons visualized. Osseous structures are intact.

<unk>-year-old man with history of chronic pancreatitis and hirschsprung disease. evaluate for free air and evidence of pancreatic calcification and chronic pancreatitis.

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Ap upright and lateral views of the chest provided. Deep brain stimulator device is projects over the chest wall bilaterally with leads extending craniad. Lung volumes are low limiting evaluation. Mild bibasilar atelectasis is noted. There is no convincing evidence for pneumonia. No large effusion or pneumothorax. The heart size is mildly enlarged as on prior. The mediastinal contour is stable. There is no overt evidence for edema though mild congestion is likely present. Bony structures are intact.

<unk>m with ams

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Portable supine chest radiograph demonstrates an endotracheal tube is in place, the tip is situated <num> cm from the level of the carina. There is diffuse increased opacity of the left lung with air bronchograms likely reflecting sequela of trauma. A small pneumothorax is not well seen. The cardiac silhouette is normal in size, the mediastinal contours are normal. Rib fractures and left scapular fracture are unchanged.

<unk>-year-old female, intubated. question tube placement.

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The lungs are clear. Right chest wall port-a-cath is unchanged in position. Tortuosity of the thoracic aorta is noted. No acute osseous abnormalities, old left posterior ninth rib fracture is noted as well as anterior compression deformities of multiple mid thoracic vertebral bodies.

<unk>m with history of multiple myeloma, new diarrhea, borderline fever // any evidence of consolidation or ptx

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Pa and lateral views of the chest were provided. The lungs appear hyperinflated, which could reflect underlying copd. No focal consolidation, effusion, or pneumothorax is seen. Cardiomediastinal silhouette appears normal. The imaged bony structures appear intact. Mild spurring anteriorly in the thoracic spine noted. No free air below the right hemidiaphragm.

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There has been placement of an endotracheal tube with the tip <num> cm from the carina. Compared to the most recent prior radiograph, there is lugn volumes are increased. Again seen is moderate pulmonary edema. There is no focal consolidation or pneumothorax.

<unk>-year-old woman with chf, status post intubation and et tube placement.

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Frontal and lateral radiographs of the chest demonstrate stable moderate right and small left pleural effusions with increased adjacent atelectasis. There is no overt pulmonary edema. The cardiac silhouette is mildly enlarged, stable. No pneumothorax. .

<unk> year old man who presents with sob and peripheral edema and low oxygen saturation than baseline // evaluate for pneumonia or worsening chf

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As compared to <unk>, the lung volumes remain low. Known displaced right rib fractures. Unchanged position of the right pigtail catheter. Unchanged extent of a small right hemopneumothorax. The cardiac silhouette and the left lung, including the small retrocardiac atelectasis and small pleural effusion, remain unchanged.

<unk> y/o m s/p fall, r hemopneumothorax, s/p ct placement. currently to suction // interval change- please obtain film at <time> am on <unk>

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal.

history: <unk>m with <num> day hx of intermittent r sided cp, no sob // eval for cardiomegaly

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Frontal and lateral chest radiographs demonstrate slightly low lung volumes resulting in exaggeration of the cardiac silhouette and bronchovascular crowding. Allowing for this, heart size is top-normal to mildly enlarged in size. There is mild vascular congestion and pulmonary edema. There is no appreciable pleural effusion or pneumothorax. No focal consolidation is identified. A mildly elevated left hemidiaphragm is similar appearance compared to multiple chest radiographs dating back to <unk>.

evaluate for pneumonia in a patient with weakness.

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Comparison is made to prior study from <unk>. There is cardiomegaly which is stable. There is mild prominence of the central pulmonary vasculature without overt pulmonary edema. No focal consolidation is seen. There is a small pleural effusion on the left side.

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New central line placed from the right jugular with its tip projecting over the distal svc. There is plate opacity in the right lower lobe and increased retrocardiac opacity with no interval change. No pleural effusion or pneumothorax.

<unk> year old man with increasing sob, fever, history of pneumonia // evaluate for pulmonary edema vs worsening pneumonia

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Extensive nodular opacities are again demonstrated. Superimposed ground-glass opacities and dense consolidation in the lung bases are stable. No pneumothorax. Heart size is stable. Right-sided port terminates in the right atrium. Endotracheal tube and nasogastric tube in good position.

<unk> year old man s/p bronchoscopy and biopsy // ?interval change

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In comparison with study of <unk>, there is no convincing evidence of pneumothorax with placement of a right chest tube. Continued enlargement of the cardiac silhouette with vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases.

chest tube, to assess for 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 doe

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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>f with cough // ?pneumonia

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

history: <unk>f with abdominal pain and nausea, to have <num>sets, no stress for low risk chest pain. // 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>m with fever, decreased breath sounds

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The endotracheal tube terminates <num> cm above the carina. A left ij central venous catheter terminates at the mid svc. The heart is mildly enlarged, unchanged from prior examinations. There is a persistent left retrocardiac opacity which remains stable, either reflecting atelectasis or underlying consolidation. Small left pleural effusion is unchanged. There is continued elevation of the right hemidiaphragm with adjacent compressive atelectasis.

intubated, concern for pneumonia.

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Ap upright and lateral views of the chest are obtained. A dialysis catheter is seen projecting over the right chest wall with catheter tip in the expected location of the superior vena cava. Cardiomegaly is mild. No signs of chf. Tiny left pleural effusion is likely present. No pneumothorax. Mediastinal contour is unremarkable. Bony structures appear intact. No free air below the right hemidiaphragm.

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The lung volumes are very low. The cardiac, mediastinal and hilar contours appear within normal limits. The posterior right hemidiaphragm is obscured on the lateral view, suggesting patchy but minor opacity, possibly with a trace pleural effusion.

weakness.

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Known opacity in the right upper lobe with a new metallic density overlying <num>. No pleural effusion or pneumothorax identified. Unchanged atelectasis/ scarring in the left mid lung zone. The size of the cardiomediastinal silhouette is unchanged.

<unk> year old woman with cavitary lung lesion s/p nav-bronch with tbna // ? pneumothorax

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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is top normal. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality identified.

<unk>-year-old female status post <unk>.

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There is no focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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As compared to the previous radiograph, there is no relevant change. The previously described left lung nodule at the lung bases is no longer visible. The lateral radiograph shows no evidence of pleural effusions. Borderline size of the cardiac silhouette, no pulmonary edema. No evidence of pneumonia. Unchanged linear atelectasis at the right lung bases.

seizure, right basilar coarse crackles, assessment for left lung nodule.

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The lungs are clear. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old man with seizure. please assess for pneumonia.

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Linear opacities in the right infrahilar likely represent atelectasis. No consolidation is seen. No pleural effusion or pneumothorax is identified. Findings consistent with copd include increased ap diameter and flattening of the diaphragm. There is mild cardiomegaly. There is tortuosity of the aorta.

history of copd, now with dyspnea.