ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Lung fields are more inflated. The right base is improved with reduction of the atelectasis. The small pleural effusion persists on the right base. The left lung is clear. The heart is still mildly enlarged. The vascular congestion is reduced

<unk> year old man with copd, chronic r sided pleural effusion drained on <unk>, p/w respiratory distress

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Frontal and lateral radiographs of the chest demonstrate a right chest wall port with the catheter terminating at the approximate cavoatrial junction. No pneumothorax is seen. There is a asymmetric opacity in the left middle lung field which may be due to post-radiation changes. However, if symptoms are present, concurrent pneumonia is possible. There is no pleural effusion. The cardiac contour is top normal. The mediastinal contour is normal.

breast cancer with non-flushing port-a-cath. check position.

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The endotracheal tube is <num> cm above the carina. An enteric tube courses into the stomach. A left subclavian catheter and is near the cavoatrial junction. A right-sided chest tube is satisfactory positioned and directed superiorly, terminating near the right lung apex. There has been re-expansion of the right middle and lower lobes. The right apical lung contusion is unchanged from yesterday morning. There is no pleural effusion, pneumothorax or new focus of airspace consolidation. Heart is normal size. Mediastinal and hilar structures are unremarkable.

status post head injury, evaluate for interval change.

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Frontal and lateral views of the chest. Somewhat linear left basilar opacities seen, most suggestive of atelectasis. Lungs are otherwise clear without focal consolidation. There is trace blunting of the posterior right costophrenic angle as on prior which could be due to trace effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old male with fever, with presyncope.

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Single ap view of the chest demonstrates clear lungs. Mild left basilar atelectasis with no pleural effusion or pneumothorax. The cardiac, hilar, and mediastinal contours are normal. Tracheal air column is uninterrupted.

airway obstruction. shortness of breath.

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Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy and cabg. The heart size is top normal. The aorta is tortuous. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are seen within the thoracic spine. An aortic graft is partially imaged on the lateral view.

syncope. pacer in place.

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One ap portable view of the chest. Median sternotomy wires are stable. There is elevation of the left hemidiaphragm with adjacent compressive atelectasis. The lungs are overall clear. The mediastinal and hilar contours are normal. There is no pneumothorax.

<unk>-year-old man with chest pain, evaluate for pneumonia or aortic process.

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Pa and lateral views of the chest were obtained. Lungs are clear bilaterally with no focal consolidation, effusion or pneumothorax. No evidence of chf is present. Cardiomediastinal silhouette is normal.

chest pressure, chest pain.

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Cardiomediastinal contours are within normal limits. Multifocal predominantly linear areas of atelectasis are present in the mid and lower lungs bilaterally. No focal areas of consolidation to suggest the presence of pneumonia. Possible very small bilateral pleural effusions. Note made of small effusions on prior ct of one week earlier. Interval advancement of feeding tube, now extending at least within the duodenum, but not completely imaged on this radiograph.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. No obvious displaced osseous injury.

<unk>-year-old male status post fall with back pain. question injury.

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The lungs are clear with no focal opacities. There is some minimal bibasilar atelectasis. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax. The left chest wall pacing device and pacer leads are unchanged in appearance.

new non-st elevation mi and bibasilar crackles on exam. evaluation for pulmonary edema.

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Left pigtail pleural catheter remains in place, with a persistent moderate-sized left apicolateral pneumothorax. Support and monitoring devices are unchanged in position. Widespread bilateral parenchymal opacification is consistent with history of ards, and may be complicated by pulmonary interstitial emphysema. Bilateral pleural effusions are unchanged.

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The lungs are well-expanded and clear. The cardiomediastinal hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Note is made of a small hiatal hernia.

<unk>f with hx of asthma and sarcoidosis p/w persistent cough.

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Comparison with the study dated <unk> at <time> p.m., there has been minimal interval change. The patient is status post left pleurx catheter removal. Redemonstrated are bilateral pleural effusions, slightly more prominent on the left. The left pacemaker and right port-a-cath are essentially unchanged. There is no evidence of acute pneumonia or vascular congestion.

right pleural effusion status post thoracentesis, and left pleurx catheter removal.

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Single portable upright chest radiograph was obtained. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. Left-sided subclavian line projects over the left brachiocephalic/svc junction.

<unk>-year-old man with multiple myeloma, fevers, day <num> status post autologous stem cell transplant.

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

<unk>f with chest pain // eval for structural process

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Pa and lateral radiographs are provided for review. Again seen is elevation of the right hemidiaphragm with a new right pleural effusion and associated atelectasis. The heart size is top normal. The mediastinal and hilar contours are unremarkable. There is no focal consolidation concerning for pneumonia. There is no pneumothorax.

decreased breath sounds on the right.

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New metallic mesh is projected in the region of the aortic valve and is aortic valve prosthesis. Lung is well inflated and clear. There is no pleural effusion or pneumothorax. No sign of pulmonary edema. Heart size is still mildly enlarged. The aorta is elongated. Left pectoral pacemaker has leads following the expected course and ending in right atrium and right ventricle.

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Pa and lateral chest radiographs were obtained. There are no prior exams for comparison. The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. No displaced rib fracture is apparent.

<unk>-year-old woman with assault four days ago, question fracture. no further localizing information is provided.

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Pa and lateral views of the chest are compared to previous exam from <unk>. As on prior, there are indistinct pulmonary vascular markings seen bilaterally. A persistent vague focal opacity in the left upper lung persists and is of uncertain etiology. There is no confluent consolidation. Trace bilateral pleural effusions are seen with blunting of the posterior costophrenic angles. Cardiomediastinal silhouette is stable, noting mild cardiomegaly. Atherosclerotic calcification is again seen at the aortic arch. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with history of coronary artery disease, chf, presents with chest pain. decreased breath sounds on the left. question pneumonia or effusion.

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Mild cardiomegaly is unchanged. The aorta is calcified, indicating atherosclerosis. Again seen is pulmonary vascular congestion and likely mild pulmonary edema. There is consolidation in the left lower lobe obscuring the medial aspect of the left hemidiaphragm. No pleural effusion. No pneumothorax. There are no acute osseous abnormalities.

<unk>m with tachycardia to <num>s // eval ? edema, effusion

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Compared with the prior study, left basilar consolidation may be due to volume loss, however superimposed pneumonia is not excluded, especially given the absence of a lateral view. The left picc line tip is at the cavoatrial junction. Cardiomediastinal and hilar silhouettes are similar in appearance. Tracheostomy appears in place. Incidental note is made of spinal hardware and a right clavicular fracture, as seen on the initial trauma torso from <unk>.

<unk> year old man s/p mcc w/ c<num> fracture and quadriplegia s/p peg on <unk> with right sided free air noted on prior scans and partial left lower lung collapse. assess for interval change of right sided free air, assess for interval change of left lower lung.

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Pa and lateral chest radiographs were provided. On the frontal view there is subtle obscuration of the right heart border with faint opacity projecting over the heart on the lateral view. Additionally a linear opacity in the right upper lung zone between the second and third anterior ribs is noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is rightward scoliosis of the thoracic spine.

recent seizure. assess for signs of infection.

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Frontal and lateral views of the chest were obtained. There is minor left basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

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Two frontal images of the abdomen demonstrate diffuse interstitial pulmonary edema consistent with chf. A left base opacity is seen which may represent edema or possibly infection. Tracheal deviation to the left is suggestive of a goiter. This could be verified with a followup thyroid ultrasound. Visualized osseous structures are unremarkable.

<unk>-year-old female with chf, now with hypotension and bradycardia.

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Sutures overlie the left lung apex in keeping with prior surgical resection. There is hyperinflation of the lungs with irregularity of the peripheral vasculature compatible with copd. There are no focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is not increased. There has been interval callus formation involving a right mid thoracic rib fracture since <unk>. There are findings compatible with diffuse idiopathic skeletal hyperostosis.

<unk>-year-old female with history of lung cancer, now presenting with cough and rhonchi.

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Lung volumes are low without pleural effusion, focal consolidation, or pneumothorax. Heart and mediastinal contours are unchanged.

<unk>-year-old female with post-operative fever.

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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A dense opacity in the medial right lower lobe is most consistent with pneumonia. Elsewhere the lungs appear clear.

cough, fever, and pleuritic chest pain.

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Et tube is seen terminating within the right main stem bronchus or close to its origin. There has been interval increase in right lung volume and right pulmonary edema. There is stable low lung volume in the left lung. Small bilateral pleural effusions are noted. Multiple nodular opacities within the right lung which can represent early atelectasis or infiltrate. There is stable cardiomegaly. No pneumothorax is observed. Ij catheter is seen terminating within the mid svc.

<unk>-year-old female with shock and hypoxemia.

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Pa and lateral views of the chest provided. Clips in the right axilla noted. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Calcified lymph node projects over the mediastinum. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with chest pain // ? cp

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Left pleural catheter is noted. There is no pneumothorax. Persistent left basilar pleural effusion has not significantly changed since most recent examination. Underlying parenchymal opacities with some distortion of the underlying parenchyma laterally is compatible with patient's known neoplasm and associated possible lymphangitic spread or edema. The right lung is grossly clear. Cardiac silhouette is difficult to accurately assess. No acute osseous abnormalities.

<unk>f with l shoulder pain, chest pain // eval for consolidation, effusion

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Single portable view of the chest is compared to previous exam from <unk>. Hazy bibasilar opacities are seen, left greater than right. There is no large effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged.

<unk>-year-old male with severe chest pain radiating to the back.

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Moderate-to-severe cardiomegaly is similar to prior. Alveolar infiltrates at the lung bases are stable across multiple prior exams. Bilateral small to moderate pleural effusions are similar to prior. No pneumothorax. Ng tube terminates below the diaphragm.

<unk>-year-old man with stroke and worsening respiratory status.

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Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar. Mild pulmonary vascular congestion is present. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild multilevel degenerative changes in the thoracic spine with mild loss of height of a couple vertebral bodies at the thoracolumbar junction, unchanged.

history: <unk>f with hypoxia

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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable with the cardiac silhouette top normal. No overt pulmonary edema is seen.

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There is persistent elevation of the right hemidiaphragm. The cardiac and mediastinal silhouettes are stable. Again seen are streaky opacities in the upper lungs bilaterally, likely representing atelectasis and/ or scarring. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. There is a known hiatal hernia. Wedge deformity at the thoracolumbar junction is grossly stable.

history: <unk>f with malaise // infiltrate?

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Compared with earlier the same day, i doubt significant interval change. The cardiomediastinal silhouette is unchanged. Slight displacement of the cardiac silhouette by large right base bulla is again noted. Again seen are lobulated, partially calcified masses in both lung apices suggesting prior granulomatous disease and/or silicosis/ pneumoconiosis. There is minimal atelectasis at the left lung base, without significant change. No focal infiltrate or effusion is otherwise identified on this ap view. Old healed right-sided rib fractures again noted. A small nodular opacity in the right mid zone laterally overlying the right seventh rib posteriorly measures approximately <num> mm in corresponds to a noncalcified nodular density on the <unk> ct scan (<num>b:<num>). Thin caliber appearance of the trachea within the chest raises question of saber sheath trachea/tracheomalacia.

<unk> year old man with desat // ? aspiration

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The patient is post median sternotomy and aortic valve repair, right ij sheath is unchanged in position or orientation. The cardiomediastinal silhouette is unchanged. Persistent vascular congestion. Mid-sternal lucency at proximal portion of sternotomy site is unchanged. Bibasilar atelectasis is worse on the right and improved on the left. Tiny right apical pneumothorax is unchanged, but the previously mentioned tiny left pneumothorax is no longer visualized. Small pleural effusions are unchanged.

<unk> year old woman with s/p avr pod <num> // eval for effusion and ptx

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Pa and lateral chest radiographs were obtained. Exam is limited by soft tissue attenuation. Low lung volumes result in crowding of bronchovascular structures, especially at the lung bases. Cardiac and mediastinal contours are normal.

chest pain radiating to left arm and jaw.

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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia.

shortness of breath.

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Endotracheal tube remains in standard position with tip terminating <num> cm above the carina. However, the cuff may be slightly overdistended. Heart size remains normal, and lungs are clear, with biapical bulla again demonstrated.

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Normal heart size, mediastinal and hilar contours. Previously seen left lower lobe opacity largely resolved. No pleural effusion or pneumothorax.

history: <unk>f with dyspnea // eval for infection

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Status post chest tube removal. There is an unchanged millimetric right apical pneumothorax without evidence of tension. Unchanged lateral parenchymal opacities, suggesting atelectasis. Unchanged moderate pulmonary edema and borderline size of the cardiac silhouette. Presence of a minimal left pleural effusion cannot be excluded.

hemothorax, status post chest tube pulled, evaluation for pneumothorax.

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Supine portable ap view of the chest provided. <num> images provided during serial retraction of the endotracheal tube. On the final image of the series, endotracheal tube tip is well positioned <num> cm above the carina. An orogastric tube extends into the left upper abdomen in the expected location of the stomach. There is a <num> x <num> cm rounded opacity in the right upper lung, new from prior exam, concerning for mass lesion though given that this finding is new from prior exam, the possibility of infection or aspiration cannot be excluded. Followup to resolution advised. Left basilar atelectasis noted. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. Bony structures are intact.

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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 intermittent retrosternal chest discomfort radiating to her left arm

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Lung volumes are low. Heart is upper limits normal in size. There is no focal infiltrate or effusion.

<unk> year old woman with new desat // please eval

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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality.

cough and fever. rule out pneumonia.

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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with chest pain and heroin use.

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Comparison is made to previous study from <unk>. There has been worsening of the airspace opacities. There is more confluent density in the right upper lobe, new since the previous study. There remains opacity at the right and left lung bases. There are no pneumothoraces. The heart size appears within normal limits.

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The lungs remain clear. The heart and mediastinal structures are unremarkable and unchanged. A mediport catheter remains in place. The bony thorax is grossly intact. Rods and pedicle screws are projected in the lumbar spine as on the earlier study. There is a lumbar scoliosis convex to the right.

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In comparison with chest radiograph obtained <num> day prior, bilateral lung opacities are improved. Persistent right perihilar opacities may be due to asymmetric pulmonary edema, possibly mitral regurgitation. Moderate cardiomegaly is unchanged. No pleural effusions or pneumothorax. The intra-aortic balloon pump has been withdrawn approximately <num> cm and is appropriately positioned. The patient has been intubated and the et tube terminates approximately <num> cm above the carina. Other support devices and lines are unchanged and appropriately positioned.

<unk> year old man with stemi and cardiogenic shock // placement of endotracheal tube, any effusion?

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Frontal and lateral views of the chest are normal. The cardiomediastinal, pleural, and pulmonary structures are unremarkable. There is no pneumothorax or pleural effusion.

cough with history of tb exposure.

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The lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is top-normal in size. The mediastinum is not widened. No acute osseous abnormality.

history: <unk>m with hiv here after fall; evaluate for pneumonia.

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The cardiac, mediastinal and hilar contours appear unchanged. There is a persistent diffuse mild interstitial abnormality. This appearance suggests mild vascular pulmonary edema but is less striking than on the prior radiographs. In addition a lingular opacity is seen in two views but better depicted on the frontal view. There is no definite pleural effusion or pneumothorax.

hypotension.

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The moderate left pleural effusion has increased compared to <unk>. There is no right-sided pleural effusion.there is no focal consolidation pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Patient is status post median sternotomy and partial right <num> rib resection.

<unk> year old man with recurrent b/l pleural effusions, r > l, s/p r vats/decortication for f/u

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The tip of the left subclavian port-a-cath extends to the area of the confluence of the left brachiocephalic vein with the superior vena cava. No evidence of pneumothorax, acute pneumonia, or vascular congestion.

port placement.

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The lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with fever and fatigue // infiltrate

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In comparison with the study of <unk>, there is again substantial right pleural effusion with volume loss involving the right lower and probably middle lobe. No definite vascular congestion or abnormality involving the left chest. In the appropriate clinical setting, supervening pneumonia would have to be considered.

cirrhosis.

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Tip of right internal jugular central venous catheter terminates in the expected location of the body of the right atrium and could be withdrawn several centimeters for standard positioning. There is no visible pneumothorax. Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. Even allowing for this factor, there is likely mild pulmonary vascular congestion present. Patchy areas of atelectasis have developed at both bases. Questionable small left pleural effusion.

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The lung volumes are low. There is an area of patchy opacity in the region of the right hila, more prominent than on prior exam, which may represent atelectasis, but aspiration or infection in the right lower lobe cannot be excluded. There is an area of loculated pleural effusion vs. Pleural thickening along the lateral left lung. Cardiomediastinal silhouette is unremarkable. A pacer is seen in the left anterior chest with intact leads in appropriate position. There is no pneumothorax or pleural effusion. Right <unk> and <unk> lateral rib fractures, age indeterminate.

history of chf now with intermittent hypoxia after an episode of shortness breath.

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Et tube tip lies at the lower edge of the clavicular heads, approximately <num> cm above the carina. Right ij swan-ganz catheter tip over proximal right pulmonary artery. Left ij central line tip over distal svc. Ng tube tip over gastric fundus. Left paratracheal surgical clips again noted. Allowing for overlying lines and tubes, no supine film evidence of pneumothorax is detected. Again seen is diffuse increased alveolar opacity, allowing for technical differences, the appearance is not significantly changed compared with <unk> at <time>. No right effusion identified. Possible minimal blunting of left costophrenic angle is unchanged.

<unk> year old man with new multifocal pna, s/p intubation for increased work of breathing. // evaluate for interval change

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Pa and lateral views of the chest were provided. The port-a-cath resides over the right mid chest with catheter extending to the level of the right ij and tip of the catheter in the region of the mid svc. The lungs are clear. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

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Ng tube is well positioned with tip several centimeters beyond the ge junction. Endotracheal tube is in standard position. Right subclavian line position is stable in the mid-to-upper svc. Stable bibasilar opacifications consistent with pneumonia are identified on a background of stable mild pulmonary edema. The left small pleural effusion is unchanged. No pneumothorax.

anoxic brain injury, please confirm ng tube placement.

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Pa and lateral views of the chest provided. Lungs are hyperinflated. 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> year old man with chest pain.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. The aorta is noted to be mildly tortuous. Mediastinal contours are normal.

angioedema status post ace-inhibitor.

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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the preceding preoperative chest examination of <unk>. The heart size is grossly unchanged. Striking finding as the plethoric appearance of the entire pulmonary vasculature compatible with rapid increase of the circulating blood volume. There is no evidence of significant perivascular haze, interstitial or central alveolar edema. No new acute pulmonary infiltrates are seen and the lateral pleural sinuses are free. No pneumothorax in the apical area. Ng tube has been placed seen to reach well below the diaphragm including its side port. Referring physician, <unk>. <unk> was paged to communicate the acute findings. To confirm that the patient had received large amount of intravenous fluid and that she now <num> minutes after the radiograph, is doing much better.

<unk>-year-old female patient with hypoxia, evaluate acute process.

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The heart is enlarged, increased from the prior. The aorta is tortuous, but unchanged. There is calcification of the aortic knob. The pulmonary vasculature is normal. No definite consolidation identified. Lung are hyperexpanded. There is no evidence of pleural effusion or pneumothorax.

<unk> year old man with cough, fatigue, shortness of breath on exertion. // hx of cough, fatigue, shortness of breath on exertion; r/o infiltrate, chf

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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 pleuritic chest pain. please evaluate for pneumonia.

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Right midlung partially linear opacity seen in on the frontal and lateral views is compatible with fluid in the fissure. This opacity abuts the right hilum. There is a probable small layering left-sided pleural effusion. Calcification along the left hemidiaphragm is noted. Hazy opacity seen at the right lung base. Elsewhere, lungs are clear. There is pulmonary vascular congestion without overt edema. Cardiomediastinal silhouette is stable. New left chest wall pacing device is seen with lead tip at the right ventricular apex.

<unk>m with trouble breathing // ? pneumonia

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

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

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Persistent atelectatic changes at the right lung base. The lungs are hyperinflated. There is no focal consolidation.

<unk>f with copd with sob x <num> days, evaluate for pneumonia..

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Comparison is made to the prior study from <unk>. There is unchanged cardiomegaly. There are bilateral pleural effusions, right slightly greater than the left. There are no signs for overt pulmonary edema. There are numerous surgical clips within the left axilla.

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Pa and lateral chest radiographs were obtained. There is a focal patchy opacity in the right upper lobe. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is slight blunting of the left lateral costophrenic angle but the posterior costophrenic angles are clear. There is no pneumothorax. Note is made of tortuosity of the desending thoracic aorta. No rib fracture is identified.

chest pain after motor vehicle crash, evaluate for rib fractures.

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There are low lung volumes and bibasilar atelectasis. There is persistent elevation of the right hemidiaphragm. There is blunting of the left costophrenic angle, which could be due to a small effusion. There are questionable subtle rib deformities along the lateral fifth and sixth ribs of indeterminate age, correlate with history of trauma. The cardiac silhouette is not assessed but is likely top normal to mildly enlarged. Mediastinal contours are unremarkable. No overt pulmonary edema. Mild prominence of the pulmonary vasculature is likely at least in part due to low lung volumes.

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Pa and lateral views of the chest are obtained demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. A density projecting in the subcarinal region corresponds with a calcified lymph node on subsequent ct. Bones are intact.

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Pa and lateral radiographs of the chest were acquired. Heterogeneous opacities in the right middle lobe silhouette a portion of the right heart border, highly suspicious for pneumonia. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

change in mental status. evaluate for pneumonia.

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Low lung volumes are seen. There is secondary crowding of the bronchovascular markings and bibasilar opacities which are most likely atelectasis. There is no effusion or overt pulmonary edema. Cardiac silhouette appears enlarged but also likely accentuated by low lung volumes and not likely change. No acute osseous abnormalities identified.

<unk>f with occ shortness of breath at rest, fuo // eval for sob ?pna

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In comparison with the study of <unk>, the endotracheal tube and nasogastric tubes have been removed. Continued hyperexpansion of the lungs consistent with chronic pulmonary disease, but no evidence of acute focal pneumonia or vascular congestion. Opacification at the left base in the retrocardiac region is unchanged.

copd with extubation.

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Single ap radiograph of the chest demonstrates interval esolution of previously seen right lung opacities. There is retrocardiac opacity sihouetting the descending thoracic aorta. Heart size is mildly enlarged. Unfolding of the aorta is noted. Cardiomediastinal contours are otherwise normal. No pleural effusion or pneumothorax. Chronic deformity of the left glenohumeral joint and proximal left humerus.

hypoxia and shortness of breath. evaluate for pneumonia.

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There is improved aeration of the left upper lobe from <unk>. Increased retrocardiac opacification and hazy opacification at the left costophrenic angle likely reflects a pleural effusion with worsening left lower lobe atelectasis. A small right pleural effusion is also seen. There is no definitive evidence of pneumothorax on this semi-erect radiograph. The tip of the endotracheal tube abuts the tracheal wall. An enteric tube and right internal jugular catheter are unchanged. The cardiomediastinal silhouette is prominent in part related to low lung volumes and ap technique.

polytrauma, status post mvc requiring intubation.

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The heart size is top normal. Cardiomediastinal sillhouette and hilar contour are unremarkable. Mild bibasilar atelectasis is unchanged from prior study. Increased reticular nodular markings bilaterally appear similar to prior examination and better evaluated on prior ct examination. There is no large pleural effusion or pneumothorax. The bony structures are grossly unremarkable. There is mild hyperinflation and diaphragm flattening, suggestive of emphysema.

left sided weakness.

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Frontal and lateral views of the chest are obtained. Single-lead left-sided pacer is again seen with lead extending to the expected position of the right ventricle. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. The aorta is calcified and tortuous. There is a fracture deformity of the proximal right humerus, not fully imaged but also seen on the prior study.

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Pa and lateral views of the chest. The left-sided pacemaker is in appropriate position. There is no focal consolidation to suggest pneumonia, pleural effusion or pneumothorax. There is mild linear left basilar atelectasis. The cardiomediastinal and hilar contours are normal. Mild left apical scarring is unchanged.

headache, neck pain and cachexia. evaluate for abnormality.

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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

history of hepatitis c and hepatocellular carcinoma, here for pretransplant evaluation of the chest.

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Ap chest radiograph. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

fever.

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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.

<unk>-year-old male with increased seizure frequency.

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The previously described right apical pneumothorax is not seen on today's exam. Compared to <unk>, the right pleural effusion and right basilar atelectasis is worse. Left basilar opacity is more pronounced. Unchanged moderate cardiomegaly. Support devices are unchanged in position. Mediastinal borders and hilar structures are normal.

<unk> year old man with new vent setting, increased peep, eval pneumothorax // eval progression of pneumothorax

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Frontal and lateral views of the chest demonstrate a stably elevated right hemidiaphragm. Linear atelectasis in the right midlung zone is unchanged. Lung volumes are low, but there are focal consolidations to suggest pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is unchanged.

evaluate subacute cough.

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Frontal upright and lateral chest radiographs demonstrate low lung volumes. Streaky left lower lobe opacities is lkiely atelectasis. Heart is normal in size, and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax. Limited view of the upper abdomen is unremarkable.

epigastric pain and abdominal bloating, status post ercp, rule out acute process.

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As before, tip of right ij central line lies at svc/ra junction. The cardiomediastinal silhouette is unchanged, allowing for differences in positioning. Minimal upper zone redistribution, without overt chf. Patchy opacity in the retrocardiac region is improved compared with <unk> not clearly changed from <unk>. Minimal atelectasis at the right lung base is slightly improved. As before, there is interruption of the right fifth rib posteriorly, which appears old and mild undulation of the lower right chest rib.

<unk> year old woman with nstemi s/p cath with b/l upper lobectomies. // evalaute for consolidation, edema, effusions, tube/line placement.

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Lung volumes remain low. Heart size is mildly enlarged. Mediastinal and hilar contours appear unchanged. Crowding of the bronchovascular structures is re- demonstrated without overt pulmonary edema. Patchy opacities are re- demonstrated in the lung bases, not substantially changed in the interval. No large pleural effusion or pneumothorax is detected.

history: <unk>m with weakness

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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. Right distal clavicle appears resorbed. Otherwise bony structures appear grossly unremarkable.

<unk>m with cough, dyspnea // evidence of pneumonia or effusion

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Mild bibasilar atelectasis is seen. No focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

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

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Frontal and lateral radiographs of the chest demonstrate persistent retrocardiac opacification consistent with pneumonia, which is best seen on the lateral view. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax or pleural effusion. Left-sided picc line ends in the distal svc.

<unk>-year-old female with history of copd and recent aspiration pneumonia. evaluate for interval change.

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Ap upright and lateral views of the chest provided. Bilateral small layering pleural effusions are noted. No definite evidence for pneumonia. Mild congestion is likely present. No large pneumothorax. Heart size appears grossly stable. Mediastinal contour is normal. Bony structures are intact.

<unk>m with fatigue // eval for pna

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The right lung and left upper lung are clear. The heart is not enlarged. Left pigtail projects in the posterior costophrenic sulcus. There has been substantial improvement in left basilar empyema since the ct of <unk>. Residual opacity blunting the left posterior costophrenic sulcus likely reflects small residual effusion and atelectasis. There is persistent elevation of the left hemidiaphragm. The mediastinal and hilar contours are normal. Progression of dilation of colon in the left mid and upper abdomen possibly reflects ileus.

<unk> year old man with empyema // interval change in size of empyema?

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Cardiac silhouette size is normal. The aorta is tortuous. Fullness of the mediastinal contour is unchanged, compatible with underlying lymphadenopathy. Superior retraction of the hila with diffuse parenchymal opacities, architectural distortion and scarring most pronounced in the lung apices are all unchanged compared to the previous exams and compatible with sarcoidosis. No new focal consolidation, pleural effusion or pneumothorax is present. No pulmonary edema is identified. There are no acute osseous abnormalities.

history: <unk>f with hypoxia, right-sided pain.

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In comparison with study of <unk>, there is little change. Moderate cardiomegaly is stable without vascular congestion. Dual-channel pacer device remains in place. Specifically, no evidence of interstitial changes to suggest amiodarone toxicity.

amiodarone, to assess for toxicity.

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Frontal and lateral views of the chest were obtained. There are low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.

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

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