ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Shallow inspiration. Bilateral perihilar, basilar opacities, new since prior exam, consider edema, pneumonitis/aspiration, or component of atelectasis. New mild interstitial edema. Small pleural effusions.

<unk> year old woman with tachypnea and sepsis // interval change

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Due to differences in technique and rotation of the patient, assessment and comparison with the prior chest radiograph was limited. Within the limitation, the lower lung atelectasis appears unchanged. Mild vascular congestion persists. Both lung volumes are still low. There are no new lung opacities concerning for pneumonia. Assessment of hilar and mediastinal contour was difficult due to rotation of the patient. No pleural effusion or pneumothorax.

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Patient is status post median sternotomy with the inferior most sternotomy wire is again seen to be fractured. The patient is status post cabg. There is left basilar atelectasis/scarring. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with cough, rib pain // r/o pna

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Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases along with bronchial wall thickening are concerning for areas of multifocal pneumonia. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>m with cough, shortness of breath // evaluate for pneumonia

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Frontal and lateral views of the chest. Left dual-lead pacing device is seen with lead tips in stable position. The lungs are clear of focal consolidation or effusion. There is no frank pulmonary edema. Cardiac silhouette is enlarged, similar to prior. No acute osseous abnormality is detected.

<unk>-year-old female with dyspnea.

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In comparison with the earlier study of this date, there has been placement of a right ij catheter that extends to the mid portion of the svc. Otherwise, little change.

central line 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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.

<unk>f s/p seizure // rib fx? pna?

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Patient is status post median sternotomy and cabg. There is elevation of the left hemidiaphragm. Multiple pulmonary nodules are better assessed on recent prior ct. No new focal consolidation is seen. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.. No overt pulmonary edema is seen.

history: <unk>f with sob // ?edema

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Frontal upright and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contour is within normal limits. Focal opacities in the right mid and lower lung could represent infection. Blunting of posterior costophrenic angles suggest small effusions. No pneumothorax. Tube-like opacity projecting over the right costophrenic sulcus is thought to be external.

chest pain.

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The patient is status post right thoracoplasty procedure. Endotracheal tube has been removed in the interval. Lung volume on the left is improved compared to the previous study with associated improved aeration at left lung base. Multiple surgical chain sutures are present on the left, consistent with previous wedge resection procedures. Residual patchy opacity adjacent to left heart border may reflect patchy atelectasis and less likely focal infection. Small left pleural effusion is also demonstrated.

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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The lung volumes are low. There is a heterogeneous reticular abnormality which appears similar to perhaps minimally increased on the right side. Opacification is characterized by fine reticular opacities in a heterogeneous distribution, primarily suggestive of interstitial lung disease, although it is difficult to completely exclude a superimposed acute process. There are no definite effusions. No pneumothorax is seen.

shortness of breath.

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Lung volumes are low, resulting in bronchovascular crowding. Atelectasis is seen at the right base. The heart is not enlarged. No pneumothorax or pleural effusion.

history: <unk>f with hx etoh cirrhosis, gastric bypass, p/w <num> week worsening severe abdominal pain; // eval for gastric ulcer, intraabdominal abscess, portal vein thrombosis

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There is a stable opacity at the left lung base consistent with rounded atelectasis. This was better evaluated by ct. The lungs appear otherwise clear and unchanged. The heart is within normal limits in size. The aorta is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact. There is no significant interval change

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Previously seen left-sided chest wall pacing device is no longer visualized. Cardiomediastinal silhouette is within normal limits. Streaky right basilar opacity is noted. Elsewhere, lungs are clear. No acute osseous abnormalities.

<unk>m with infx workup // pna?

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An endotracheal tube is seen. The carina is difficult to delineate but the tip is likely approximately <num> cm from the carina. Left-sided subclavian line is seen coiled over the upper mediastinum. An enteric tube is seen coursing below the diaphragm with distal tip not well visualized. The patient is rotated and lung volumes are low. No pneumothorax or effusion is noted on this supine film. The mediastinum appears wide although this may be due to ap technique and low lung volumes, the possibility of underlying abnormality such as hematoma should be considered. There is increased density in the paramediastinal regions as well, potentially due to atelectasis.

<unk>m with s/p cardiac arrest, transfer // acute cardiopulmonary process, line placement, tube placement

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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.

prostate cancer, now with cough.

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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.

fevers.

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Ap and lateral views of the chest were provided. Ap technique limits evaluation. Clips in the right axilla are noted. The heart is enlarged. There is mild pulmonary edema without large effusions or pneumothorax. No definite signs of pneumonia. The mediastinal contour is stable. The bony structures are intact.

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The cardiac silhouette is enlarged. Sternal wires are grossly intact, aligned and unchanged since prior study. Retrocardiac opacity has improved. There is elevation of left hemidiaphragm, with mild atelectasis seen at the left lung base. No focal consolidation identified.

<unk> year old woman with lower pole of sternotomy inc.open // eval sternal wires eval sternal wires

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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation or pleural effusion. No fracture is detected, although this technique is not optimized for evaluation for osseous trauma.

shoulder pain. concern for pneumothorax.

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There are low lung volumes. There is opacity in the right lung base medially with obscuration of the right heart border, concerning for pneumonia or aspiration. No other focal opacities. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is moderately enlarged, similar to prior exam.

history: <unk>f with fevers and cough // ?pneumonia?

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Frontal and lateral views of the chest. The lungs are clear. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal and hilar contours are unremarkable.

nausea, vomiting.

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Ap portable upright view of the chest. An endotracheal tube is seen with its tip located approximately <num> cm above the carina. An ng tube extends into the left upper abdomen though the tip is positioned only <num> <num> cm beyond the ge junction. Advancement may result in more optimal positioning. A left hilar mass is noted with volume loss and increased ground-glass opacity within the right lung most notable on the left mid and upper lung. Findings are concerning for malignancy with postobstructive collapse and/or pneumonia and ct u is recommended to further assess. Left lung is clear. Chronic bilateral rib deformities are noted. No large effusion on this supine radiograph. No definite signs of pneumothorax. Extensive thoracic spinal fusion hardware noted.

<unk>m with s/p arrest // s./p arrest/intubation

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The lungs are clear without focal consolidation. Mild biapical scarring is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with dyspnea // acute cardiopulmonary disease

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

<unk>f with chest pain in the setting of acute life stressor..

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Improved aeration and decreased pleural densities on the right are seen compared to previous radiograph. Post surgical changes are noted in the right hemithorax. No focal consolidation or pulmonary edema is seen. Cardiac and mediastinal contours are unchanged.

<unk>-year-old male status post right thoracotomy, assess for interval change.

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Chronic increase in interstitial markings is seen diffusely bilaterally, similar as compared to the prior study. There are relatively low lung volumes. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with interstitial disease, copd // ?pna

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Portable semi upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Right basilar opacification has increased in density on this study, concerning for worsening pneumonia or aspiration. There are small bilateral pleural effusions. The cardiomediastinal contours are unchanged. No pneumothorax. A right-sided picc line ends in the distal svc.

<unk> year old man with multifocal pna and acute aspiration event // evaluate for interval change

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Focal opacity projecting over the right lung apex is compatible with osseous bridge between the anterior right first and second rib. No acute osseous abnormalities.

<unk>f with fevers, headache, neck pain and cough*** // ?consolidation

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Ap upright 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. Left humeral head replacement noted. No free air below the right hemidiaphragm is seen.

<unk>m with leukocytosis // evidence of infection

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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. Osseous structures are unremarkable.

<unk>f with chest pain. evaluate for pneumothorax.

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Cardiomediastinal contours are stable. Patient is status post heart transplant. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned. Multiple clips in the mediastinum are noted.

<unk> year old man s/p heart transplant <unk> with cough-coming from holding area-result to dr. <unk> // infiltrated,acute pulmonary process

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As compared to the previous radiograph, there is a minimal increase in interstitial markings, most notable at the level of the bronchial walls and the peripheral interstitium. This change could reflect mild interstitial pulmonary edema. Otherwise, the radiograph is unchanged. Mild cardiomegaly. Normal recently placed right picc line. No pleural effusions. No evidence of pneumonia.

aml, hypoxia, evaluation for interval change.

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Frontal and lateral views of the chest were obtained. The lungs are well expanded. Mild opacity at the right lung base is likely atelectasis but could represent early pneumonia in the appropriate clinical setting. No other opacity is seen. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality or displaced rib fracture is seen.

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Frontal and lateral views of the chest were obtained. There has been interval placement of a left-sided picc line, terminating in the region of the distal-to-mid left subclavian vein, not in appropriate position. Recommend repositioning. Elevation of the right hemidiaphragm persists. No definite pleural effusion is seen. There is no focal consolidation or pneumothorax. The cardiac and mediastinal silhouettes are stable.

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The lungs are clear without consolidation, effusion, or edema. Nipple shadows project over the lung bases bilaterally. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities, hypertrophic changes noted in the spine.

<unk>m with cough and chest pain // ?infectious process

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Single ap upright portable view of the chest was obtained. Single-lead left-sided pacemaker is seen with lead extending to the expected position of the right ventricle. There is left base opacity and obscuration of the left hemidiaphragm which may be due to atelectasis and underlying consolidation, trace left pleural effusion may be present. The right lung is clear and relatively hyperinflated. The cardiac silhouette is enlarged. The aortic knob is calcified. Surgical clips are seen in the right upper quadrant.

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Since <unk>, previous mild pulmonary edema has resolved. No new focal consolidation. There is blunting of the left and right costophrenic angles representing small bilateral pleural effusions. Allowing for differences in projection, mild to moderate cardiomegaly is unchanged. . There is no evidence of pneumothorax. Left-sided <num> lead pacer read demonstrated with leads terminating in the right atrium and right ventricle. Aortic valve prosthesis is unchanged.

<unk>f with fever, right upper quadrant pain, evaluate for pneumonia.

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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no definite pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are similar along the thoracic spine. There has been no significant change.

dizziness.

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Lungs are well expanded without any opacities concerning for pneumonia or pulmonary edema. There is no pleural effusion. Heart size, mediastinal and hilar contours are normal. Left picc line ends at svc/cavoatrial junction. There is no pneumothorax.

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The lungs are poorly inflated. There has been significant interval improvement of interstitial markings and hilar prominence compared with prior exam. A left-sided pleural effusion, better seen in the lateral view, appears significantly improved compared with prior exam. There is no pneumothorax. The cardiomediastinal and hilar contours are unremarkable with the exception of mild aortic tortuosity as well as stable moderate cardiomegaly. Sternotomy wires are intact. Post cabg ring markers and pacer leads are noted.

<unk>-year-old male with previous chest x-ray concerning for trali, now clinically stable. evaluate for interval progression.

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In comparison with study of <unk>, the tracheostomy again appears to be in good position. Scattered radiation related to the size of the patient greatly obscures detail. There is enlargement of the cardiac silhouette with some element of pulmonary vascular congestion. Right subclavian catheter extends to the right atrium.

tracheostomy revision.

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Pa and lateral views of the chest provided. Subtle opacity at the right heart border is unchanged and is compatible with a prominent epicardial fat pad. No evidence of pneumonia, edema, effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with episodic chest pain

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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

a <unk>-year-old man with weakness and lightheadedness, evaluate for etiology.

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Heart size is mildly enlarged. A small hiatal hernia is noted. The aorta is mildly tortuous. Hilar contours are unremarkable. Rounded opacity within the posterior right lower hemithorax may reflect a focal diaphragmatic hernia, and appears unchanged from the previous radiograph. Remainder of the lungs are clear without focal consolidation. There is minimal subsegmental atelectasis in the left lung base. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified no acute osseous abnormalities demonstrated. Dense material within the colon likely reflects oral contrast material.

history: <unk>f with cough, chills

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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. Hypertrophic degenerative changes are noted in the thoracic spine.

history: <unk>f with chest pain, please evaluate for acute cp process

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There has been interval extubation of the patient. Patient is status post cabg with intact midline sternotomy wires. Right ij catheter terminates in the mid svc. Left-sided chest tube is in similar position terminating in the lateral aspect of the left lung. There is mild bibasilar atelectasis. There may be a small right pleural effusion. The left costophrenic angle is not visualized on this exam. There is mild pulmonary vascular congestion with minimal pulmonary edema, similar to the prior exam. There is a small left apical pneumothorax. The visualized osseous structures are unremarkable.

history of cabg and chest tube clamped. please evaluate for pneumothorax.

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Mitral valve prosthesis is again noted. Postsurgical changes are noted involving the heart with intact median sternotomy wires. Moderate to severe cardiomegaly is present. Additionally, there are bilateral increased perihilar opacities suggestive of mild pulmonary edema. Left lateral pleural thickening is again noted with no evidence of pleural effusion or pneumothorax. No acute fractures are identified.

congestive heart failure with cough.

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with ab pain and tenderness, chest pain // acute process>?

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There is blunting of the left costophrenic angle which may be due to a trace pleural effusion. Right upper lobe chain sutures are again seen. Patchy opacity projecting over the lateral left mid lung is new since prior, and raises concern for infection/pneumonia. Additional opacity projecting over the medial right lung base is more prominent as compared to prior, and could represent additional site of infection with overlapping vascular structures. Cardiomegaly is unchanged from prior exam. There is no pneumothorax or pleural effusion.

productive cough, concerning for pneumonia.

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Cardiomediastinal and hilar contours are within normal limits. Comparison is made with prior study dated <unk>. Again identified within the right lung apex is a persistent streaky density most compatible with parenchymal scarring. Bi-apical pleural thickening as well as subtle streaky densities and subsegmental atelectasis is again identified. There is no pleural effusion. There is no pneumothorax. Osseous structures demonstrate no acute abnormality.

<unk>-year-old male status post mvc.

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Right-sided pacemaker seen with intact leads in appropriate positions. Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No evidence of acute fracture. Aorta is general large but not clearly aneurysmal.

history: <unk>m with fall and posterior head lac // eval for traumatic injury

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. There is obscuration of the right heart border, with patchy opacity seen on the lateral view, which is consistent with a focal right middle lobe pneumonia.

<unk>m with cough // evidence of pneumonia

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Frontal and lateral radiographs of the chest demonstrate stable top normal heart size and mild hyperinflation of the lungs. No focal consolidation, pleural effusion or pneumothorax.

chest pain, question pneumonia.

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

history: <unk>f with new stroke // ? pna

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Subtle bibasilar opacities could be resolving pneumonia, aspiration, or atelectasis. There is no pulmonary edema. There is no pleural effusion or pneumothorax. Aortic arch is dilated.

patient with recent pneumonia, rhonchi, fluid status, heart silhouette.

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No obvious displaced fracture in the sternum. Left chest port tip is extending <num> cm in the azygos vein. Mild bilateral pulmonary congestion. Small bilateral pleural effusions. No pneumothorax is seen. Mild cardiomegaly unchanged with unchanged cardiomediastinal contours. Hiatal hernia is seen.

<unk> year old woman s/p fall, sah and left femur fx w/ sternal pain. // sternal injury; lateral view requested for sternal assessment

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As compared to the previous radiograph, the patient has been extubated. Nasogastric tube has been changed. The current tube shows a normal course, the tip projects over the middle parts of the stomach. The sidehole is approximately <num> cm below the gastroesophageal junction. No evidence of complications, notably no pneumothorax. Unchanged appearance of the lung parenchyma and of the cardiac silhouette. Unchanged severe scoliosis with subsequent asymmetry of the rib cage.

spinal cord compression, nasogastric tube placement.

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As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. The right internal jugular vein catheter is still in place, on today's examination, it projects over the right atrium and could be pulled back by approximately <num>-<num> cm. Borderline size of the cardiac silhouette. Minimal atelectasis at the right lung bases and in the retrocardiac lung region. No overt pulmonary edema. No pneumonia, no pneumothorax. Status post cabg. Unremarkable and unchanged alignment of the sternal wires.

shortness of breath, evaluation for pulmonary edema.

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The heart is moderately enlarged, and there is moderate pulmonary edema with bilateral pleural effusions. No focal consolidation or pneumothorax is seen. There is a left cardiac device with its leads in stable position over the right atrium and ventricle.

<unk>-year-old female with one day of shortness of breath and history of congestive heart flare. evaluate for pneumonia.

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Nasogastric tube extends to the distal body or antrum of the stomach. Otherwise, the lungs are essentially clear. Central catheter extends to the mid portion of the svc.

postoperative nasogastric tube placement.

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The lungs are well-expanded. The heart is top-normal in size. There is no pneumothorax or large pleural effusion. Prominence of the pulmonary vascular markings, with mild peribronchial cuffing is noted. No focal consolidation worrisome for pneumonia is present.

<unk>f with dyspnea // eval for pulm edema, pna

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Small right pleural effusion is improved from <unk>. Parenchymal opacities are much improved from <unk>. Coronary artery bypass graft is seen. Right-sided picc ends in the mid svc. Right basilar atelectasis is resolved from <unk>. No pneumothorax.

<unk> year old man with hypoxia // please eval for evolution of r sided pleural effusion

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Lung volumes are low. There is no focal consolidation. No pleural effusion or pneumothorax. There is moderate central vascular congestion, interstitial edema, and a small amount of fluid in the fissures bilaterally. Heart size is moderately enlarged but likely accentuated by lower lung volumes. Mitral annular calcifications are seen. . Osseous structures are intact.

<unk>f with shortness of breath. evaluate for acute process.

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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Cholecystectomy clips are noted in the right upper quadrant.

palpitations.

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A right-sided cardiac pacemaker projecting leads into the right atrium and ventricle, right ij catheter terminating at the cavoatrial junction, and the kyphoplasty cement are unchanged in configuration and positioning since the <unk> examination. Mild cardiomegaly with central pulmonary vascular congestion and pulmonary edema is stable. A left retrocardiac opacity, likely reflecting atelectasis, is unchanged. Small bilateral pleural effusions are stable. There is no pneumothorax.

sudden dyspnea.

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Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Retrocardiac patchy opacity is most likely reflective of atelectasis. There are no acute osseous abnormalities.

history: <unk>m with shortness of breath

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Frontal lateral radiographs of the chest demonstrate top normal heart size. Low lung volumes accentuate bronchovascular markings. There is heterogeneity of the right lung and increased density of the left hilus. No focal consolidation, pleural effusion or pneumothorax.

altered mental status, rule out pneumonia.

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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality is identified on this nondedicated exam.

history: <unk>m with blunt abdominal injury, please eval for chest injury // ?ptx

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The lungs are mildly hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. The aorta is tortuous. The heart, mediastinal contour and hila are otherwise unremarkable. No acute fracture.

<unk>f w/chest pain, assess for occult pneumonia.

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Frontal and lateral views of the chest. There is a new right chest wall port with catheter tip seen in the mid-to-lower svc. Calcifications project over the left mid lung, unchanged. The lungs are clear of new consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

<unk>-year-old male with weakness.

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Pulmonary edema appears improved since <num> day prior. There is a slight increase in a small right pleural effusion. Small left effusion is unchanged. No pneumothorax. The cardiac and mediastinal contours are stable.

<unk> year old woman with codp, chf, cad severe <num>vd being evaluated for cabg. evaluate for interval change.

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Frontal and lateral views of the chest were compared to previous exam from <unk>. When compared to prior, there has been no significant interval change. Again seen is a right lung base opacity localizing to the lower lobe on the lateral exam. Elsewhere, the lungs remain clear. Pleural thickening versus prominent extrapleural fat seen laterally on the right as well as regions of calcified pleura. There is no pleural effusion. Cardiac silhouette is enlarged but stable. Dual-lead pacing device again noted as well as postoperative changes from median sternotomy. Osseous and soft tissue structures are unremarkable.

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

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The cardiac, mediastinal and hilar contours appear stable including mild-to-moderate cardiomegaly. There is unchanged double contour to the right hemidiaphragm. Although difficult to completely exclude, there are no definite pleural effusions. There is no pneumothorax. Retrocardiac opacity has improved. Right basilar opacity has also improved. There is mild coarsening of lung markings, but not necessarily an acute finding. Patchy left mid lung opacities suggest residual atelectasis. The patient is status post incompletely characterized cervical fusion. The patient is also status post right shoulder replacement.

hypoxia. question infiltrate.

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The lungs continue to appear hyperinflated with somewhat flattened hemidiaphragms consistent with patient's known history of chronic obstructive pulmonary disease. There are increased right upper lobe opacities. Otherwise, the lungs are without any other focal consolidations, effusions, or pneumothoraces. Cardiomediastinal silhouette remains normal. Osseous structures are grossly normal.

evaluation of patient with history of copd with one week of cough and fevers.

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Paramediastinal fibrosis, apical pleural thickening, and calcified hilar lymph nodes consistent with prior radiation treatment. Surgical clips are noted over the abdomen. There is no mass, focal consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits.

history of hodgkin's disease and chest radiation. concern for mass.

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

<unk> year old woman with history of asthma, ms with sob, cough. // r/o pna

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Heart is moderately enlarged, unchanged from <unk>. There is mild interstitial pulmonary edema. No pleural effusion or pneumothorax. No focal airspace consolidation or pneumothorax.

hypotension and cardiomyopathy. evaluate for edema or pneumonia.

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The inspiratory lung volumes are low, resulting in vascular crowding. No focal consolidation concerning for pneumonia is identified. There is no significant pleural effusion or pneumothorax. Mild vascular congestion is unchanged from the most recent prior study. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are unchanged with mild tortuosity of the aorta. Surgical clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy.

cough and shortness of breath and fever, here to evaluate for pneumonia.

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Since the study of <unk>. There is new moderate pulmonary edema. Heart size is top-normal. Lung volumes are low. Right port-a-cath remains in stable position. No pneumothorax.

<unk> year old woman with locally advanced cancer in pancreatic head s/p exlap, mesenteric/porta biopsy, gastroje, cholecystectomy, now desat to <unk>% on ra and tachycardia. // pneumonia, ateletasis, pe?

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Ap portable upright view of the chest. A right chest wall port-a-cath is seen with catheter tip in the low svc. A metallic esophageal stent spans the mid and distal esophagus in this patient with known esophageal cancer. The lungs are clear though volumes are low. Heart size is difficult to assess. Mediastinal contour is stable. Bony structures are intact.

<unk>m with s/p esophageal stent placement

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As compared to the previous radiograph, the pleural effusion on the right has mildly increased. There is unchanged evidence of bilateral areas of atelectasis and blunting of the left costophrenic sinus, likely caused by a small pleural effusion. Despite the presence of the effusions and the subsequent areas of atelectasis, the lungs do not display a typical image for ards. No overt pulmonary edema. Moderate cardiomegaly. The monitoring and support devices are constant.

status post aneurysm clipping. evaluation for ards.

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In comparison with the study of <unk>, there is little overall change. Cardiac silhouette is enlarged and there is mild elevation of pulmonary venous pressure. However, no evidence of acute focal pneumonia or significant atelectasis.

postoperative delirium, to assess for pneumonia.

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No previous images. There is hyperexpansion of the lungs, consistent with chronic pulmonary disease and some regions of fibrotic change at the right base. However, there is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Of incidental note is an azygous fissure, of no clinical significance.

chest pain worsened with inspiration.

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Stable, moderate widening of the mediastinum. Stable, moderate cardiomegaly. Stable, low lung volumes bilaterally. Stable, mild to moderate pulmonary edema. There is no pleural effusion or pneumothorax. Increased left perihilar opacity likely reflects worsening alveolar edema. Increased right perihilar consolidation is concerning for possible right lower lobe pneumonia.

<unk>-year-old man with a rising white blood cell count and concern for aspiration pneumonia.

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Ap upright view of the chest provided. Overlying ekg leads are present. Lung volumes are low. No lobar consolidation, effusion or pneumothorax is seen. No signs of edema. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact.

cough, question pneumonia.

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In comparison with the earlier study of this date, nasogastric tube tip has been pulled back slightly. The side hole is difficult to see, though it is probably in the region of the esophagogastric junction.

ng tube placement.

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A left chest wall and lead pacemaker is present. The tip of the right picc line overlies the mid svc. Trace bilateral pleural effusions with overlying atelectasis. There is new mild interstitial edema. No pneumothorax identified. The size of the cardiac silhouette is mildly enlarged but unchanged.

<unk> year old man with severe as, hfpef, essential thrombocytosis with sob and generalized fatigue. // r/o pneumonia, evaluate pulmonary edema

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Patient is status post median sternotomy and cabg. There is mild enlargement of the cardiac silhouette which is unchanged. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. A moderate left pleural effusion appears similar in size compared to the previous exam. There is continued opacification of the left lung base, which could reflect compressive atelectasis. Right lung is clear. No pneumothorax is identified. Multilevel degenerative changes are noted in the thoracolumbar spine with loss of height of a vertebral body at the thoracolumbar junction which is unchanged.

chest pain.

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Portable frontal radiograph of the chest demonstrates an ng tube ending within the stomach. A right picc is in the upper right atrium and could be withdrawn by <num> cm to be in the low svc. A small amount of air under the right hemidiaphragm is unchanged. Otherwise stable appearance of the chest with normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.

increased white blood cell count and right shoulder pain. evaluate for increasing free air in the abdomen.

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Lung volumes are low though lungs appear clear. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Imaged bony structures are intact.

<unk> year old man with chills, dry cough

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Portable semi-upright frontal view of the chest. There vascular congestion and moderate pulmonary edema have increased since <unk>. The mediastinal contour is widened. The heart is enlarged. Sternotomy wires and clips over the left mediastinum are related to the prior cabg procedure. There is contrast material in the left upper quadrant, likely from a prior imaging study.

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Compared with the immediate prior study of <unk>, the extensive left-sided consolidation has minimally increased in density. The multifocal right-sided consolidation is unchanged. There may be a small to moderate left pleural effusion. The endotracheal tube ends <num> cm from the carina. The right picc line ends in the low svc. There is no pneumothorax or pulmonary edema.

<unk> year old man with pneumonia // eval interval changes

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Heart size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. There are no acute osseous abnormalities identified.

history: <unk>f with vague symptoms after fall, poor historian

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One portable ap view of the chest. Right lung is clear. Left lower lobe opacity with blurring of the left hemidiaphragm and inferior positioning of the left hilum is consistent with left lower lobe collapse. No pleural effusion. No opacities concerning for pneumonia. Aortic arch calcifications are unchanged.

falls, nausea and vomiting, somnolent and new coarse breath sounds and borderline fevers, evaluate for pneumonia or aspiration.

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The lungs are well aerated and hyperinflated. Mild flattening of the diaphragmatic surfaces bilaterally. Heart size, mediastinal contours and hila are unremarkable. Pleural surfaces are normal without pneumothorax. No focal opacity suggestive of pneumonia. Visualized bones are unremarkable.

dyspnea on exertion. assess for pneumonia.

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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. Allowing for differences in technique, there is similar mediastinal lymphadenopathy. There is no pleural effusion or pneumothorax. The lungs appear clear.

lymphoma and new fever.

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As compared to the previous radiograph, there is a newly appeared plate-like atelectasis at the left lung bases. Otherwise, the radiograph is unchanged. The patient is intubated. The cervical fusion devices are in constant position. There is no pulmonary edema, pneumothorax or pneumonia. The tip of the right subclavian access line continues to project over the right atrium.

status post cord decompression.

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Pa and lateral views of the chest. The lungs are clear. No evidence of pneumothorax or pleural effusion. The cardiac, mediastinal and hilar contours are normal.

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

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with left-sided back pain, pleuritic