ChayanM/MIMIC-MultiView-Findings-Query_Optional

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There is increased opacification of the left hemithorax. As seen previously, the left mid-to-lower hemithorax shows complete opacification with a large pleural effusion and net volume loss including leftward shift of mediastinal structures and elevation of the left hemidiaphragm. What is new on this examination is predominantly increased vague opacification of the residual aerated portion of the left upper lung. Since pulmonary markings can still be discerned through the veil-like opacity, the appearance is suspected predominantly reflect increasing pleural effusion along the major fissure, although it is difficult to completely exclude increasing atelectasis or consolidation. The right lung remains clear with compensatory hyperinflation. Bony metastases are not well visualized on this study for the most part, although a mid thoracic vertebral body appears largely sclerotic and potentially the degree of sclerosis has increased since the prior ct.

cough and fever in the setting of non-small cell lung cancer.

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As compared to the previous radiograph, the position of the endotracheal tube is unchanged. The tip of the tube projects <num> cm above the carina. The opacities at both lung bases are decreasing in extent and severity. Unchanged appearance of the cardiac silhouette. No pleural effusions. No pneumothorax. Unchanged course of the nasogastric tube.

multifocal pneumonia, evaluation for endotracheal tube placement.

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Frontal and lateral views of the chest demonstrate clear lungs bilaterally. Cardiomediastinal silhouette appears, unchanged when compared to prior examination dated <unk>. There is no pleural effusion or pneumothorax. Osseous structures demonstrate degenerative changes within the right glenohumeral joint.

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

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As compared to the previous radiograph, there is an unchanged zone of minimally increased lung density at the medial aspect of the right lung base. The change does not obliterate the right heart border. In an appropriate clinical context, subtle pneumonia must be suspected. Normal lung volumes. Normal size of the cardiac silhouette. No pleural effusions. Normal hilar and mediastinal contours.

fever, questionable pneumonia.

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The lungs are well expanded and clear. Dextrocardia is compatible with known sinus versus. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal. The liver is left-sided.

uncontrolled blood sugar.

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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are stable. Bibasilar linear opacities are similar to prior and compatible with atelectasis or scarring. No focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old female with acute onset of palpitations.

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There is a small right apical pneumothorax. Extensive consolidation in the left upper lobe and left lower lobes are unchanged and consistent with patient's known cancer. There has been an interval increase in the opacity in the right middle lobe which could be secondary to worsening malignancy or atelectasis. There has been an interval increase in the left lower lobe focal opacity likely secondary to atelectasis.

<unk>-year-old man status post right lung biopsy, who presents for evaluation.

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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

persistent chest pain.

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An endotracheal tube is noted terminating approximately <num> cm above the level of the carina. A nasogastric tube terminates at the gastroesophageal junction and should be advanced. Bibasilar streaky airspace opacities may represent atelectasis versus aspiration. There is no lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The heart size is within normal limits.

history: <unk>m with s/p arrest // ? ett

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As compared to the previous radiograph, no relevant change is seen. Moderate pulmonary edema. Bilateral pleural effusions and areas of parenchymal opacities, likely atelectatic, at the lung bases. The lung volumes remain low. The course and position of the right picc line is constant.

status post extubation, evaluation for aspiration.

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Ap portable upright view of the chest. Increased opacities in the lower lungs raise concern for early pneumonia. There is a small left pleural effusion. No overt evidence for an edema. No pneumothorax. Patient is rotated to the left. Prominent cardiomediastinal silhouette is stable. No acute bony abnormalities.

<unk>f with cough and altered mental status // r/o pna

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As compared to the previous radiograph, a second picc line has been inserted into the left pleural space. The previously seen lateral line suggesting pneumothorax is now no longer clearly visible. The bases of the left lung appears better expanded than on the previous image. Also improved distal ventilation of the right lung. However, cardiomegaly and moderate right pleural effusion persists. There are very extensive bilateral air collections in the soft tissues, with the creation of multiple hyperlucent lines, so that the assessment for potential pneumothorax is clearly limited.

second pigtail placement. assessment for lung reexpansion.

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In comparison with the study of <unk>, there is little overall change. Continued severe enlargement of the cardiac silhouette with right and probably left effusions, areas of bibasilar consolidation, and pulmonary vascular congestion. Nasogastric tube again extends well into the stomach.

heart failure and stroke, to assess for pneumonia.

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The left chest tube has been removed since the earlier study of <unk>. No definite pneumothorax. Opacification in the left hemithorax is again consistent with some combination of atelectasis and pleural effusion.

metastatic lung cancer with left effusion and tube placement.

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There has been placement of a feeding tube seen coiled in the stomach and tip residing in the likely position of the gastric antrum. There is a persistent small to moderate pleural effusion which is overall stable in size from <unk> ct scan. Associated compressive atelectasis in the left lower lung is likely present and the possibility of pneumonia is impossible to exclude. The right lung is clear. There is no pneumothorax. Overall, cardiomediastinal silhouette appears stable. Bony structures are intact. Dish-related changes of the t-spine noted. No free air below the right hemidiaphragm.

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>f with cough // r/o infiltrate

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Insertion of right-sided pleurx catheter with mild decrease in right-sided effusion which is now moderate to large. Slight improvement of aeration of the right midlung zone. No apical pneumothorax. The left lung is clear.

<unk> year old woman with new right pleurex // evaluate for ptx

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Cardiomediastinal contours are normal. Lung volumes are low. Lungs are grossly clear except for a focal area of linear atelectasis at the periphery of the left lung base. Within the imaged upper abdomen, mild gastric distention is noted.

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As compared to the previous radiograph, there is almost unchanged hyperlucency in the region of the left lung apex. However, no pleural line can be securely identified. The pre-existing opacities on the right appear slightly progressive, predominantly given an increase in diameter of the pulmonary vasculature. On the left, the pre-existing parenchymal changes are constant, with exception of a small decrease in extent of a pre-existing pleural effusion. Unchanged size of the cardiac silhouette, unchanged right picc line and feeding tube.

recent hypoxia, pneumothorax.

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No significant change since at least <unk>. Lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Stable and unremarkable cardiomediastinal silhouette, hila, and pleura.

<unk> year old man with cough and congestion; evaluate for pneumonia.

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

history: <unk>m with hiv, p/w cough, general malaise // eval for pna

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In comparison with the study of <unk>, there is little change in the size of the small-to-moderate right pneumothorax with chest tube in place. Otherwise, no change.

spontaneous pneumothorax with chest tube.

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Compared with the most recent prior radiograph, there are new bibasilar opacities which could represent atelectasis, aspiration or consolidation. There are low lung volumes, which accentuates the cardiomediastinal silhouette. There is blunting of the left costophrenic angle which may be related to small pleural effusion. No pneumothorax is present. A dense round opacity in the left upper abdomen could be barium if the patient had a previous barium swallow; however, none is documented our system. A drain is seen in the left upper abdomen.

status post sleeve gastrectomy with productive cough and transient hypoxia. evaluate for pneumonia.

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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. The extensive consolidation involving the right lung persists. However, engorgement of the pulmonary vessels suggests that some of the opacification bilaterally reflects elevated pulmonary venous pressure. Bilateral pleural effusions with bibasilar atelectasis is seen.

right-sided pneumonia, to assess for change.

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There are small bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette is moderately enlarged. The pulmonary vasculature is normal. The mediastinal contours are unremarkable.

aortic stenosis. preoperative evaluation prior to aortic valve replacement.

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Two portable views of the chest. Previous left picc is no longer visualized. The lungs are clear of consolidation or effusion. There is no pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Some atherosclerotic calcifications noted at the aortic arch.

<unk>-year-old male with complex medical history of fever.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is slightly tortuous. The cardiac silhouette is not enlarged.

history: <unk>f with fever and cough // eval for pneumonia

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Single portable view of the chest. The lungs remain clear of consolidation or large effusion. Calcifications in the region of the hila are compatible with calcified hilar lymph nodes which are enlarged on the right, similar compared to prior. .the cardiomediastinal silhouette is unremarkable. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities detected.

<unk>-year-old female with confusion. history of sarcoidosis.

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No focal lung parenchymal consolidation suggestive of pneumonia is seen. There is convexity to the main pulmonary artery contour compared to its concave appearance on the prior exam. Right-sided port-a-cath and tubing are intact and in unchanged position.

<unk> year old woman with metastatic breast cancer with new fever, lle cellulitis and gnr bacteremia. would like to assess for any pna. // ?pna

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is somewhat prominent peribronchial vascular opacification in each infrahilar region, particularly the right, which raises some concern for bronchopneumonia. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.

cough and congestion.

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Pa and lateral views of chest. The lungs, mediastinum, heart, pleural surfaces are all normal. A right-sided picc line terminates in the low svc.

leukocytosis, eval fpr pna.

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The focal opacity at the left lower lobe likely representative of atelectasis. Scarring/band-like atelectasis in the right lower lobe appears stable. There is a large hiatal hernia. The heart remains moderately enlarged but stable. The aorta appears tortuous and may be enlarged in the lower thorax. No acute fractures are identified.

dementia with syncopal events.

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Lungs are relatively hyperinflated. Biapical pleural based calcifications are unchanged. There is no focal consolidation, effusion, or edema. Accentuation of the cardiac silhouette is likely due to portable technique. Atherosclerotic calcifications seen at the aortic arch and descending thoracic aorta. No acute osseous abnormalities.

<unk>m with weakness and abdominal pain. // pneumonia?

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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.

<unk> year old woman with hx of aml, neutropenic with cough. please further evaluate. // <unk> year old woman with hx of aml, neutropenic with cough. please further evaluate.

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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.

<unk> year old man with back pain

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Subtle left base opacity is felt to more likely represent atelectasis and consolidation. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The aorta is calcified. Coronary artery calcification/stenting is noted.

history: <unk>f with productive cough, renal tx on immunosuppressive agents // evidence of pneumonia, bronchitis

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Pa and lateral views the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.

shortness of breath.

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Cardiac, mediastinal, and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No displaced rib fractures are identified.

right upper quadrant abdominal pain, prior contusion to the right lower chest.

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

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

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Extensive bilateral parenchymal opacities with air bronchograms are unchanged. Enlargement of the cardiac silhouette is unchanged. There is no large pleural effusion or pneumothorax. Spinal stimulator leads are noted.

<unk> year old woman with increasing back pain, pe. // evaluate for interval changes.

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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>m with bandemia and rigors // eval for pneumonia

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Left-sided pacemaker device is noted with single lead terminating in the right ventricle. The heart size is mildly enlarged. The aorta remains tortuous. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are mild to moderate multilevel degenerative changes noted in the thoracic spine. Partially imaged is a surgical anchor projecting over the left humeral head.

congestive heart failure with shortness of breath.

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As compared to the previous radiograph, there is no relevant change. Extensive right pleural effusion with subsequent areas of atelectasis. Mild-to-moderate fluid overload and moderate cardiomegaly. The monitoring and support devices are in unchanged position.

pleural effusion.

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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman presenting with <num> days of constant chest pressure radiating to the back and neck, associated with dyspnea and nausea.

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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

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

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Compared to the prior study there has been some interval partial clearing on the right but there continues to be bilateral infiltrates left greater than right. Otherwise no change.

<unk> year old man with pna // eval for interval change

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There is continued improvement of diffuse interstitial opacities consistent with the diagnosis of pulmonary edema. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Hiatal hernia is again seen.

<unk>-year-old with hypoxemia and cough.

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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. Unchanged mild blunting of right lateral costophrenic sulcus is attributed to focal pleural thickening. There are no acute osseous abnormalities.

<unk> year old woman with cough for <num> months, no purulent sputum or fever. non-smoker. has asthma. // r/o lung abnormality

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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.

<unk>-year-old, cough, three days of chest pain.

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Low lung volumes are present. The heart size is top normal. The aorta is tortuous. Rounded opacity overlying the first costochondral junction on the left is noted, possibly representing bony hypertrophy. There is no focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is identified. Mild degenerative changes are noted in the thoracic spine.

fall off bicycle with head strike and loss of consciousness.

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The course of the nasogastric tube is unremarkable, with the exception of a slight deviation of the tube at the level of the lower esophageal third, suggesting the potential presence of a hiatal hernia. The site of the tube is located at the gastroesophageal junction, the tip of the tube projects over the proximal parts of the stomach. The tube should be advanced by approximately <num> cm. There is no evidence of complication, notably no pneumothorax. Mild retrocardiac areas of atelectasis.

concern for shortness of breath. evaluation for nasogastric tube placement.

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Interval extubation and removal of nasogastric tube. Decreased extent of pulmonary edema with residual right perihilar opacity which could reflect resolving asymmetrical edema, or a secondary process such as aspiration or developing infectious pneumonia. Left retrocardiac opacity is slightly improved, and a left pleural effusion is no longer evident. Moderate right pleural effusion has a likely subpulmonic component.

<unk> year old woman with cholangitis (now improving), c/o breathing difficulty s/p <num>l fluid resuscitation // extent of fluid overload in thorax

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Cardiac size is top normal. The aorta is tortuous. There is minimal atelectasis in right base, otherwise the lungs are clear. There is no pneumothorax or pleural effusion.

<unk> year old man for or tomorrow // pre-op cxr surg: <unk> (rle angiogram)

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The upright and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. The bony structures are intact. No free air below the right hemidiaphragm. Asymmetric size of the breast tissue with implant in the left noted.

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Frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. Note is made of erosion of the distal right clavicle, unchanged from <unk>. Surgical clips are noted in the right upper quadrant.

<unk>-year-old male with chest pain, rule out acute cardiopulmonary process.

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As compared to the previous radiograph, the extent of the left pleural effusion is unchanged. Unchanged is the extent of retrocardiac and left basal atelectasis. If present, the extent of a potential right pleural effusion is minimal. Unchanged size of the cardiac silhouette, unchanged right picc line.

status post avr, endocarditis, evaluation for pleural effusions.

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As compared to the previous examination, there is mild progression with regard to extent and severity of the pre-existing multifocal parenchymal opacities. In addition, increasing blunting of the right costophrenic sinus is noted, potentially indicative of a small right pleural effusion. Unchanged retrocardiac atelectasis and borderline size of the cardiac silhouette. No pneumothorax. Unchanged position of the left internal jugular vein catheter.

no pneumonia and chronic heart failure, evaluation for interval change.

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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. Heterogeneous but focal opacification in the anterior left upper lobe suggests pneumonia. Elsewhere, the lungs appear clear. Bony structures are within normal limits.

cougha and fever.

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Lungs are well inflated bilaterally with subtle opacity adjacent the right heart border on frontal view and projecting over the lower thoracic vertebra on the lateral view. These findings may represent a possible developing pneumonia. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. The aorta is stably tortuous. The cardiomediastinal silhouette is unchanged and within normal limits. There are stable multilevel degenerative changes seen along the thoracic spine.

<unk>-year-old female with cough x<num> weeks.

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>f with diabetic ketoacidosis, evaluate pneumonia.

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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. The lungs are clear and hyperinflated, the latter suggestive of underlying copd. No focal consolidation, pleural effusion or pneumothorax is identified. No acutely displaced rib fractures are noted. There are mild degenerative changes seen in the thoracic spine.

left rib pain after fall <num> days ago.

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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.

left-sided substernal chest pain.

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The lungs are clear without focal consolidation. No focal consolidation is seen. There is minor mid lung atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Loss of height of the superior aspect of a lower thoracic vertebral body is grossly stable compared to ct from <unk>.

<unk> year old woman s/p kidney transplant in <unk> with cough/sore throat // pna

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The endotracheal tube and a left-sided ij line have been removed. There remains a right ij central venous line with distal lead tip at the cavoatrial junction. The orogastric tube is unchanged. There is unchanged cardiomegaly. There are again seen airspace opacities bilaterally, more confluent at the bases. There is likely an element of fluid overload. No pneumothoraces are identified.

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The ett is too low, <num> cm above the carina. Is pointed towards the right mainstem bronchus. There is increased volume loss in the left lower lobe. There is increased atelectasis versus infiltrate leftmid lobe laterally. Right ij line tip is at the cavoatrial junction. Ng tube tip is in the stomach.

head injury check interval change.

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen. Old left lateral sixth rib and old right posterior seventh rib deformity may be from prior fractures.

history: <unk>m with pre-op request // eval pre-op

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Frontal and lateral upright radiographs of the chest were obtained. The vascular stent in the superior vena cava is unchanged in appearance. Top normal heart size and mediastinal contours are unchanged. Mild tortuosity of the thoracic aorta is stable. No focal consolidation, pleural effusion or pneumothorax. An oval <unk> x <num> mm opacity projects over the <unk> right posterior rib unchanged dating back to at least <unk> corresponding to a sclerotic lesion in the <num>th rib on ct, likely a bone island.

cough and chest pain for <num> days. rule out pneumonia.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A vagal nerve stimulator overlying the left hemithorax is unchanged.

<unk>-year-old female with chills. evaluate for pneumonia.

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Low lung volumes with minimal subsegmental atelectasis in the lung bases. No interstitial edema. No pneumothorax. The cardiomediastinal silhouette is unremarkable. No significant pleural effusions.

<unk> year old man with new onset hypotension // ptx? pna?

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Lungs are well expanded and clear bilaterally with no pleural effusion, masses, lesions, or pneumothorax. Cardiomediastinal silhouette is stable and within normal limits. Pleural surfaces and osseous structures are unremarkable.

<unk>-year-old female with productive cough and scant hemoptysis.

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Frontal and lateral views of the chest were obtained. There is an opacity projecting along the right heart border which may be due to a right middle lobe and infection however, there appears to be mild pectus deformity at this location on the lateral view, it is unclear whether it relate to this. Comparison with prior chest radiographs would be helpful for further evaluation. The cardiac silhouette is top normal. Mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax.

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There is minimal bibasilar atelectasis. The lungs are otherwise clear. There is no evidence of pneumonia, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. In a mid thoracic vertebral body, there is a compression deformity. Since the prior exam, in <unk>, the loss of height appears to have worsened. In an upper lumbar vertebral body, there is mild compression deformity, which is stable from <unk>.

cough. evaluate for pneumonia.

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Ap upright and lateral views of the chest were obtained. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable, given ap technique.

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Frontal radiograph of the chest demonstrates interval improvement of the right pleural effusion with no evidence of pneumothorax. The cardiomediastinal silhouette is unchanged. The left hemidiaphragm is elevated, unchanged from prior study.

<unk>-year-old man with recurrent right effusion status post thoracentesis with <num> cc removed. evaluation for pneumothorax.

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No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Mild prominence of the hila is stable. There appears to be bronchial wall thickening, centrally.

history: <unk>f with sob and cough // r/o pna

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Pa and lateral views of the chest. Lingular atelectasis versus scarring is again noted. The lungs are otherwise clear without consolidation or effusions. Moderate hiatal hernia is again noted. The cardiac silhouette is slightly enlarged but stable in configuration. No acute osseous abnormalities detected.

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

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Frontal and lateral views of chest were obtained. The heart size and cardiomediastinal contours are normal. Right base linear opacities are chronic and compatible with atelectasis or scarring. Slight elevation of the lateral aspect of the apparent right hemidiaphragm is compatible with a tiny pleural effusion. No focal consolidation or pneumothorax. Chronic right <unk> rib fracture is unchanged.

<unk>-year-old male with chest pain. rule out pneumonia.

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There has been interval placement of a left internal jugular central venous catheter with tip terminating at the confluence of the brachiocephalic veins. No pneumothorax is identified. Lung volumes remain low. Heart size remains moderately enlarged. Mediastinal and hilar contours are similar. Crowding of the bronchovascular structures remains. Patchy opacities in the lung bases are slightly worse in the interval and may reflect worsening atelectasis. No pleural effusion is present.

history: <unk>m status post right subclavian attempt (aborted), status post left internal jugular central line placement

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The lungs are clear and hyperinflated.heart size is top normal. Hilar and mediastinal contours are normal.no pleural abnormality is seen.

+ ppd. no pulmonary or systemic symptoms.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Surgical clips are again seen in the region of the cardioesophageal junction.

persistent cough, to assess for pneumonia.

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There are small bilateral pleural effusions with overlying atelectasis, greater on the left. No pneumothorax identified. The size of the cardiomediastinal silhouette is enlarged but unchanged. Partially evaluated gaseous distention of multiple upper abdominal bowel loops.

<unk> year old man s/p cabg // interval change in atelectasis and effusions

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Suture material projecting vertically over the right lung on the frontal view is compatible with the patient's esophageal conduit. An air-fluid level in the right lung apex is also related to the conduit. There is no definitive evidence of pneumothorax. Complete opacification of the right lung base suggests right lower lobe collapse. Mild left basilar atelectasis is new from the prior exam. A small-to-moderate right pleural effusion is probably not changed from <unk>. A left pleural effusion is small, if any. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal contours are within normal limits. The right hilus is obscured by opacification in the right chest. The left hilar contours are within normal limits.

history of esophageal conduit, now with dyspnea, here to evaluate for acute cardiopulmonary process.

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Increased opacification projecting over the right base on the frontal view are not well localized on the lateral view but are suspicious for pneumonia. The remainder of the lung is well aerated. There is no pleural effusion or pneumothorax. The heart is top normal in size and normal cardiomediastinal silhouette. Dual-lead pectoral pacer is seen with leads projecting over the right atrium and ventricle.

shortness of breath. assess for pneumonia.

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Tracheostomy tube remains in standard position, and cardiomediastinal contours are stable. Interval improvement in left lower lobe atelectasis, but slight worsening in right basilar atelectasis. Small-to-moderate pleural effusions are partially layering on this semi-upright study.

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The heart size is normal. The mediastinal and hilar contours are normal. The lungs are clear. There is no pulmonary vascular congestion. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

shortness of breath.

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The lungs are normally expanded and clear. Minimal right infrahilar opacity is not correlated on the lateral radiograph and likely reflects summation of shadows. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Mild deformity of the left chest wall is unchanged.

history: <unk>f with ams // eval for pna

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Moderate cardiomegaly is stable. Patient is status post cabg and avr. Moderate right and small left effusions have minimally increased. Left retrocardiac atelectasis has improved. There is no pneumothorax. Sternal wires are aligned. Left mid lung opacity has continuously improving. There is no pulmonary edema

<unk> year old man pod<num> cabg // effusion/atelelectasis

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.

chest pain.

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There is mild dextroscoliosis of the midthoracic spine. There is mild cardiomegaly. There is no lymphadenopathy or interstitial abnormalities to suggest sarcoidosis. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk> year old woman with newly diagnosed medium vs vasculitis vs panniculitis. // ?infiltrates/nodules to sugggest sarcoidosis/vasculitis

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Right upper lobe opacity is improved since most recent radiograph and stable since ct chest from <unk>. There is residual volume loss and streaky opacities likely due to post radiation changes. A persistent loculated right pleural effusion is likely also stable. No new consolidation is identified. Known mediastinal and right hilar lymphadenopathy are better evaluated on prior chest ct. The cardiac silhouette is stable. There is no pneumothorax. A right mainstem endobronchial stent is again noted. Visualized upper abdomen is unremarkable.

chemotherapy and radiation with weakness, evaluate for acute process within the chest

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Lung volumes are low. Heart appears top normal in size. Cardiomediastinal contours are unremarkable. Lungs are clear with no areas of focal consolidation. No pleural effusions and no pneumothorax.

<unk>-year-old man with laparoscopic paraesophageal hernia repair, check for interval changes.

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Endotracheal tube remains low in position, terminating <num> cm above the level of the carina. Enteric tube courses below the diaphragm, inferior aspect not included on the image. There has been interval placement of right internal jugular central venous catheter, terminating in the mid svc without evidence of pneumothorax. Left greater than right basilar opacities are again seen, possibly due to pleural effusions and atelectasis ; underlying consolidation not excluded.

history: <unk>f with cvl // eval cvl placement

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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality suspected.

<unk>-year-old female with cough.

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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated, flattening of the diaphragms and increased ap diameter, consistent with copd. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There has been interval removal of a left-sided picc.

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In comparison with the study of <unk>, there has been placement of a pigtail catheter on the right with re-expansion of the right lung. Atelectatic streaks are seen in the mid-to-lower zone. Remainder of the study is essentially unchanged.

chest tube insertion for pneumothorax.

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The lungs are normally expanded and clear. Heart size is top normal but likely exaggerated by ap technique. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema.

history: <unk>f with hypotension, fever // pna?

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

<unk>-year-old male with presyncope, diaphoresis. evaluate for acute cardiopulmonary process.

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Low lung volumes exaggerate the vasculature. There is no evidence of pneumonia. There is no pleural effusion or pneumothorax. The cardiac size is normal.

seizure.

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The right lung is well expanded and there is an elevated left hemidiaphragm, similar prior exam. There is a <num> cm mass in the left upper lung, slightly increased in size from prior and consistent with known history of lung cancer. Diffuse interstitial markings which could represent chronic interstitial disease, lymphatic spread of tumor, or mild pulmonary edema. An opacity is seen at the left lung base, likely representing atelectasis although cannot exclude pneumonia or aspiration in the right clinical setting. Elevation of left hemidiaphragm makes evaluation of the cardiac silhouette difficult, but the heart is likely somewhat enlarged.

history: <unk>m with lethargy with wheezes and crackles on lung exam, patient has a history of non-small cell lung cancer please evaluate for possible pneumonia or effusion. // history: <unk>m with lethargy with wheezes and crackles on lung exam, patient has a history of non-small cell lung cancer please evaluate for possible pneumonia or effusion.

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Endotracheal tube terminates approximately <num> cm from the carina. An orogastric tube tip and side-port are within the stomach. Heart size is top normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy opacity in the left lung base may reflect atelectasis though infection is not excluded. Right lung is clear. No pleural effusion or pneumothorax is identified. No displaced fractures are visualized.

history: <unk>m with intubation at outside hospital