ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Indwelling support and monitoring devices are in standard position. Stable appearance of cardiomediastinal contours. Mild pulmonary vascular congestion is present as well as persistent left retrocardiac opacity, likely representing a combination of a left pleural effusion and adjacent lower lobe atelectasis.

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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. Indentation along the left trachea above the level of the clavicles likely is due to left thyroid nodule.

new onset fatigue and shortness of breath.

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Frontal and lateral views of the chest were obtained. Again, there is elevation of the left hemidiaphragm with overlying mild basilar atelectasis. Bibasilar atelectasis is seen. The previously seen left lower lobe opacity is less apparent and has essentially resolved. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.

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Partial atelectasis of the right upper lobe with associated bronchiectasis has slightly progressed in the interval. Lower lobe bronchial wall thickening, best visualized on the lateral radiograph has slightly progressed in the interval. Peripheral right lower lobe and left upper lobe scarring are unchanged. Cardiomediastinal contours are unchanged. There are no pleural effusions or acute skeletal findings.

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Cardiomediastinal contours are normal. Lungs are grossly clear. No definite pleural effusion on this single portable projection. Note is made of previous left axillary lymph node dissection and prior left breast surgery.

<unk> year old woman with sinusitis seen on head ct with rising wbc, on ctx for presumed uti // evidence of pna?

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Moderate enlargement of cardiac silhouette is re- demonstrated. The aorta remains tortuous. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal blunting of the costophrenic sulci posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions. No focal consolidation or pneumothorax is present. There are moderate multilevel degenerative changes noted in the thoracic spine with unchanged mild compression deformities within <num> adjacent vertebral bodies in the mid thoracic spine resulting in kyphosis.

history: <unk>f with syncope

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As compared to the previous radiograph, there is unchanged evidence of low lung volumes and bilateral, left more than right, areas of atelectasis. The cardiac silhouette is mildly enlarged, there is evidence of mild fluid overload. The tracheostomy tube is in unchanged position. A right tubular structure could correspond to a ventriculoperitoneal shunt.

evaluation.

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Frontal and lateral views of the chest were obtained. There is no focal consolidation or pneumothorax. Small bilateral pleural effusions have increased from <unk>. Pulmonary edema has resolved. Heart size is top normal. Cardiac pacemaker leads are unchanged in position. Mediastinal silhouette and hilar contours are normal aside from unchanged mild aortic tortuosity. Degenerative change in the thoracic spine is similar to the prior study.

chest pain and dyspnea.

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The cardiac contour is enlarged, likely at least partly exaggerated by positioning. The mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. There are slightly low lung volumes with mild right basilar atelectasis, but no focal consolidation concerning for pneumonia. Spinal stimulator devices are again seen.

new fever postop.

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In comparison with the earlier study of this date, the right ij catheter has been pulled back to the mid portion of the svc. Otherwise, little change. The large calcified left ventricular aneurysm is again seen.

ij line re-positioned.

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

history: <unk>f with pleuritic cp x <num> wk // eval ? pna, effusion

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Frontal ap and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. No nodule or mass is seen. Cardiac and mediastinal silhouettes and hilar contours with aortic knob calcifications are unchanged. No acute osseous abnormality is identified.

<unk>-year-old woman, status post fall with lesions concerning for metastases on head ct. evaluate for infection or malignancy.

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Pa and lateral views of chest. The lungs are clear aside from very minimal dependent atelectasis. There is no pneumonia, pleural effusion, pneumothorax or pulmonary edema. Heart size is normal. Aorta is slightly tortuous. Degenerative changes of the thoracic spine are noted.

left upper lobe wheezing

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Patchy left base retrocardiac opacity is seen which may be due to atelectasis and/or consolidation. No large pleural effusion is seen although small left pleural effusion be difficult to exclude. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. There is no evidence of pneumothorax. There is mild to moderate compression of vertebral bodies at the thoracolumbar junction of indeterminate age. Chronic deformity of the right shoulder is again noted.

biliary.

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Endotracheal tube terminates approximately <num> cm above the carina and is adequately placed. Orogastric tube courses below the diaphragm into the stomach and is appropriate. Right subclavian line ends at upper svc/cavoatrial junction. Lung volumes remain low which decreases the sensitivity for assessment of mild pulmonary edema. There are no interval changes in the chest. Mild bibasal atelectasis is unchanged. Small left pleural effusion is stable. Cardiomediastinal contour has a similar appearance. Heart size is unchanged.

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A left pectoral port-a-cath tip terminates in the low svc. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable. Surgical clips project over the central upper abdomen.

<unk>m with <unk> pancreatic cancer left sided headache, neck pain, arm pain, ?weakness, evaluate for acute process.

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

atypical chest pain.

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A tracheostomy is in place. There is a left-sided picc line, with tip at svc/ra junction. No pneumothorax is detected. There is probable background hyperinflation, consistent with copd. There is hazy of opacity at the right lung base, essentially unchanged. Deformity of the left upper lateral chest wall and posterior right rib fractures again noted. There is mild vascular plethora, more pronounced than on the prior film. Minimal atelectasis at the left base is slightly more pronounced.

<unk> year old man with psedumonal pna on trach with desats. // eval for interval changes.

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Diffusely increased interstitial markings are seen when compared to prior. There is no confluent consolidation or effusion. Left chest wall triple lead pacing device is again noted. Mild cardiomegaly is stable. No acute osseous abnormalities.

<unk>f with dyspnea. hx cad, chf, heart block with pacemaker. // chf v infiltrate

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. There is a mildly enlarged cardiac silhouette, which can be compatible with mild cardiomegaly and/or pericardial effusion. The mediastinal silhouette is within normal limits.

history: <unk>f with fever and chest pain // r/o infiltrate

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The cardiomediastinal and hilar contours are normal. Blunting of one of the costophrenic angles on the lateral view indicates a small pleural effusion. There is no pneumothorax. Low lung volumes are seen. Bibasilar atelectasis is present.

fever, sweats, abdominal pain, crackles at lung bases.

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No focal consolidation, pleural effusion, pneumothorax or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Clip projecting over the right upper quadrant is seen.

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

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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>f with <num> days of left arm/shoulder pain, worse with movement. // any evidence of fracture or dislocation?

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Pa and lateral chest views were obtained with patient in upright position. An analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Unremarkable appearance of the thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No evidence of acute or chronic parenchymal infiltrates are present and the pleural spaces are free. No pneumothorax in the apical area on frontal view. In comparison with the previous study, the at that time identified infiltrate in the left lower lobe lateral segment area has resolved completely. The present chest findings are normal.

<unk>-year-old female patient with history of left lower lobe pneumonia, followup examination.

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Underlying trauma board and other external artifact partially obscure the view. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

injury.

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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. Minimal atelectatic changes are seen at the bases, but no evidence of acute pneumonia or vascular congestion.

post-operative delirium with possible aspiration.

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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. New patchy opacity is seen within the left lung base as well as a more focal opacity overlying the right mid lung field. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.

history: <unk>f with cough and fever

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Left-sided port-a-cath tip terminates in the lower svc. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy right upper lobe opacities are re- demonstrated, as seen on the prior ct, and thought to reflect infection. Small bilateral pleural effusions, larger on the left are re- demonstrated with associated lower lobe atelectasis. No new focal consolidation or pneumothorax is present. Multilevel degenerative changes are seen in the thoracic spine.

history: <unk>m with fall and headstrike

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The patient is status post sternotomy. Sutures are midline and intact. Additional postoperative changes evident in the right upper lung with chain sutures and relative lucency at the apex consistent with reported resection. Three additional surgical clips project over the right upper mediastinum. An additional <num> mm metallic density is in close proximity to this region and likely represents a surgical clip viewed on end; however, without a lateral view to confirm, shrapnel related to known gunshot wound is not excluded. No focal opacification concerning for pneumonia. Cardiac silhouette is enlarged. Mediastinal and hilar contours are otherwise unremarkable. Faint asymmetry of lung base opacifications is likely related to scoliosis.

gunshot wound, needs mri to assess for evidence of metal from gunshot wound to right chest.

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

<unk>-year-old woman with fever. evaluate for pneumonia.

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Pa and lateral views of the chest provided. Left chest wall dual lead pacer is unchanged in position. There is persistent blunting of the right cp angle suggesting a small effusion. The previously noted left effusion has resolved in the interval. The lungs appear clear without evidence of pneumonia or chf. Cardiomediastinal silhouette is normal. No pneumothorax. Bony structures are intact.

<unk> year old man with mds c<num>d<num> decitabine, anc <num> presenting with syncopal episode.

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Tracheostomy tube is again identified. Calcified granuloma seen in the right upper lung. There is at least moderate-sized layering effusion on the right and possible layering effusion on the left as well given hazy opacity overling the lung. Superimposed consolidation in the mid lungs, left greater than right again seen. The cardiomediastinal silhouette is unchanged. No acute osseous abnormality is identified. Left-sided picc is seen with tip at the ra/svc junction.

<unk>-year-old male with fever.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. When compared to prior radiograph dated <unk>, there has been little interval change. Cardiomediastinal and hilar contours are stable and within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema.

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

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Left-sided pacer device is again noted with leads terminating in the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Lungs are hyperinflated with emphysematous changes again noted. Patchy opacities within the lung bases without substantial interval change, likely atelectasis, without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Mild to moderate degenerative changes are seen in the thoracic spine.

history: <unk>f with shortness of breath

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Frontal and lateral radiographs of chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, pneumothorax or consolidation.

<unk>-year-old female with hiv and cough. evaluate for pneumonia.

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The heart size, mediastinal, and hilar contours are normal. There is suggestion of a small apical right pneumothorax, with a pleural line seen below the inferior border of the posterior second rib. The lungs are otherwise clear without pleural effusion or focal consolidation.

<unk> year old woman s/p lap bx of esoph mass, dl tube placed for procedure. r/o ptx.

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Aortic balloon pump terminates in the descending aorta within one cm of the aortic arch, several cm above standard position. A radiopaque device projects over the course of the ivc and tricuspid valve. If it is in the right ventricle, it is very close to the tricuspid valve. Lung volumes are low and the lungs are clear. There is mild pulmonary vascular engorgement. No pneumothorax or pleural effusion.

<unk> year old man with stemi s/p balloon pump // balloon pump placement

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The heart size is normal. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures are unremarkable.

<unk>-year-old with possible sarcoidosis.

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Opacities in the right mid and lower lung consistent with pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Unusual contour of the left hila, close attention on follow-up.

<unk> year old woman with persistent <num> month sever cough with increased dyspnea on exertion. no h/o asthma. evaluate for infiltrate or other // evaluate for infiltrate or otherwet read <unk>

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The et tube terminates at the level of the upper clavicles, but could be advanced by <num>-<num> cm for more optimal ventilation. A right ij central venous catheter terminates in the upper svc. A nasogastric tube coils in the stomach. There has been marked improved aeration of the lung long, however substantial airspace opacification of the entire right lung and left perihilar location are unchanged. There is no pneumothorax. New moderate right pleural effusion is unchanged. The heart and mediastinum are within normal limits despite the projection.

<unk>m post arrest, bilateral infiltrates c/f ards vs alveolar hemorrhage // evaluate for interval change

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Streaky bibasilar opacities represent atelectasis, as seen on the concurrent ct abdomen/pelvis performed earlier on the same date. No other consolidation. A pleural effusion or pneumothorax. Pulmonary vascular congestion is mild. Heart size is mildly enlarged. Mediastinal and hilar contours are normal.

history: <unk>f with fever, abd pain // eval for lower lobe pna

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As compared to the previous image, the right chest tube has been advanced. There is no visible pneumothorax on the right. Progressing right lower lobe atelectasis. The left lung, however, is better ventilated than on the previous image. The monitoring and support devices are in constant position. Constant appearance of the cardiac silhouette.

pneumothorax, chest tube placement. evaluation.

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The lung volumes are low, resulting in crowding of the bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. A calcified granuloma is seen in the right upper lung and unchanged from <unk>. The heart is top-normal in size. There is no overt pulmonary edema.

dyspnea. evaluate for pneumonia, pneumothorax or pulmonary embolus.

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

productive cough, fever and chills.

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Heart is upper limits of normal in size. Pulmonary vascular congestion is accompanied by bilateral perihilar and basilar hazy opacities as well as more confluent opacification at the right base. Small to moderate bilateral pleural effusions are also demonstrated.

history: <unk>m with sob // infiltrate?

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Lower low volumes results in crowding of the bronchovascular structures. Bibasilar airspace opacities, worse on the right, are suspicious for pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with respiratory distress // eval for pneumonia, ptx

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Nasogastric tube extends well into the stomach, crossing the lower margin of the image in the lower body of organ. The cardiac silhouette is mildly enlarged, but there is no definite vascular congestion, pleural effusion, or acute focal pneumonia.

ng placement.

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In comparison with study of <unk>, the small patchy area of opacification in the left lower zone has cleared. Continued low lung volumes with minimal atelectatic changes, and no evidence of acute focal pneumonia or vascular congestion.

pulmonary emboli with left-sided pleuritic chest pain.

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Ap portable semi upright view of the chest. Port-a-cath resides over the right chest wall with catheter tip in the upper svc as on prior exam. Hilar congestion with perihilar ground-glass opacity suggesting edema. No large effusion or pneumothorax. Heart size is normal. Mediastinum appears prominent concerning for underlying adenopathy. No acute fracture is seen.

<unk>m with verify port placement from osh

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The patient is status post median sternotomy. Coronary artery stents are visualized. The heart is top-normal in size. The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

<unk>f with hx renal transplant with fever // ?acute process

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The et tube ends <num> cm above the level of the carina. The ng tube passes below the level of the diaphragm and likely out of the field of view inferiorly. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is marked retrocardiac atelectasis. The heart is moderately enlarged allowing for ap technique. There is a left apical cap and moderate left pleural effusion. There is no definite right pleural effusion. No pneumothorax is seen.

on ventilator with decreased o<num> sats. evaluate tube placement.

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The lungs are clear. No pleural effusion, edema, or pneumothorax. The cardiomediastinal silhouette is normal. Levoconvex scoliosis of the upper thoracic spine is mild, similar to the prior exam. No evidence of an acute osseous abnormality.

history: <unk>m with right sided chest pain, malaise // r/o pna

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As compared to the previous radiograph, there is no relevant change. Low lung volumes. No pleural effusions. No pulmonary edema or pneumonia. Normal size of the cardiac silhouette with normal mediastinal and hilar contours.

cirrhosis, worsening fluid overload, evaluation for pneumonia or other pathological change.

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Heart size is mildly enlarged but similar. The aorta is tortuous. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Streaky opacities within the lung bases likely reflect areas of atelectasis. Minimal blunting of the costophrenic angle posteriorly on the right may suggest the presence of a small right pleural effusion. Multiple clips are again noted within the right aspect of the anterior mediastinum with prior mitral valve repair. No pneumothorax is identified. No acute osseous abnormality is detected.

history: <unk>m with chest pain

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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.

chest pain. evaluate for acute process.

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Left-sided pacer device is noted with leads terminating in the regions of the right atrium, right ventricle, and coronary sinus, unchanged. Moderate enlargement of the cardiac silhouette persists. The aorta remains mildly tortuous. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>m with shortness of breath, chf

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Heterogeneous area of opacification in the posterior aspect of the left lower lobe, seen only on the lateral view, suggests pneumonia. No pleural effusion. No pneumothorax. Mild cardiomegaly is stable. Mild elevation of right hemidiaphragm is chronic.

<unk> year old woman with cough, fever, chills, <unk> <unk> // <unk> pna

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The lungs are clear, there is no focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with confusion x <num> weeks // pna?

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Enteric tube tip in the distal stomach. Lungs clear. Normal heart size, pulmonary vascularity. Metallic density projected over right abdomen.

<unk> year old man gsw, s/p ex lap, ngt advanced <num> cm // ngt position

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Pacemaker leads terminate in the right atrium and right ventricle. No pneumothorax is identified. Cardiomediastinal and hilar contours are unchanged. Stable mild pulmonary vascular congestion and trace fluid in the minor fissure.

subclavian access for pacemaker. assess pneumothorax.

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A kinked right ij catheter sheath is unchanged. Et tube terminates at the carina at level of the orifice of the left mainstem bronchus. A nasogastric tube courses below the hemidiaphragm, tip not visualized. New right basilar airspace opacity is worrisome for aspiration or infection. Increased retrocardiac airspace opacification may also be due to aspiration or atelectasis. There is a new small layering left pleural effusion. The heart and mediastinum are within normal limits despite the projection. There is no pneumothorax. Acute right rib fractures are re demonstrated.

<unk> year old woman with intubation, sedation, respiratory failure // evaluate for interval change

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Minimal basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. It is difficult to evaluate the right glenohumeral joint ; correlate clinically for possible subluxation.

history: <unk>m with opioid use, evidence of chest/l clavicle abrasions, l ankle swelling // eval for trauma

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Pa and lateral views of the chest were obtained. Lungs are clear and well inflated. A linear density in the left lower lung is likely atelectasis. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. No displaced rib fractures are seen. Bony structures appear intact. No free air below the right hemidiaphragm.

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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Healed fractures of the posterior right fourth, fifth and sixth ribs are unchanged.

partial seizure.? pneumonia.

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Ap view of the chest. Et tube ends <num> cm from the carina. Swan-ganz catheter appears coiled in the right pulmonary artery. Enteric tube ends in the stomach. Two abdominal drains are seen and are unchanged. Cardiomediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax.

hcc and hcv, admitted for orthotopic liver transplant.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

atrial fibrillation.

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The patient is status post median sternotomy and cabg. Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size is normal. Mediastinal and hilar contours are unremarkable. Previous pattern of pulmonary edema has resolved. Small bilateral pleural effusions are noted, left greater than right. Streaky opacities in the left lung base likely reflect atelectasis. No pneumothorax is identified. Old bilateral rib fractures are noted.

abnormal ekg.

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Pa and lateral views of the chest were obtained. On the lateral view, there is cortical irregularity along the mid body of the sternum located approximately <num> cm inferior to the sternomanubrial angle. Mild overlying soft tissue swelling is present. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures aside from aforementioned sternal fracture appear intact.

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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Again seen is old right-sided rib deformity. Cholecystectomy clips are noted in the right upper quadrant.

cough. concern for pneumonia.

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There has been interval increase in the right pleural effusion previously seen. There is air seen beneath a structure which appears to be the right hemidiaphragm concerning for right pneumoperitoneum. There is persistent mildly worse left lower lung atelectasis. The cardiomediastinal silhouette is stable and demonstrates an enlarged heart. Mild vascular congestion is seen bilaterally consistent with volume overload. Ng tube is seen again passing through the stomach into the pylorus and out of the field of view. The double-lumen catheter is seen unchanged in position terminating within the right atrium.

<unk>-year-old male status post liver transplant, now presents with symptoms suspicious for pneumonia.

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As compared to the previous radiograph, there is no relevant change. Overinflation, assumingly due to copd. Multiple overall subtle parenchymal scars, but no evidence of recent infection or aspiration. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.

shortness of breath, evaluation for aspiration.

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Pa and lateral views of the chest provided. A retrocardiac opacity contains a small air bubble likely a small hiatal hernia. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with multiple myeloma, neutropenic, cough/dyspnea/fevers

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The heart is normal in size. The mediastinal and hilar contours appear within normal range. There is no pleural effusion or pneumothorax. The lungs appear clear. There is a mild superior endplate compression deformity along a mid thoracic vertebral body, probably t<num>.

ischemic stroke. question aspiration.

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Trach is in appropriate position. A left-sided pic line terminates in the low svc. There has been significant interval improvement of the diffuse mild bilateral pulmonary edema. There appears to be persistent consolidation at the right lung apex which could be secondary to lung contusion, however an infectious process cannot be excluded. There is a stable small right apical pneumothorax. Again seen are multiple rib fractures on the left. No large pleural effusion is identified. There is stable pulmonary vascular congestion.

pedestrian struck by mvc on <unk>. multiple rib fractures from right chest tube removed on <unk>, now with new vent requirement. please evaluate for pna vs. fluid overload.

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As compared to the previous examination, there has been minimal interval change. Biapical scarring is noted. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal. S-shaped scoliosis of the thoracic spine is redemonstrated.

chest x-ray required prior to application for assisted living. no history of cough, fever, weight loss, or positive ppd.

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Cardiomediastinal contours are stable in appearance. Persistent patchy and linear atelectasis at left lung base with otherwise clear lungs.

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There is interval development of heterogeneous airspace opacities in the right lower lung. Previously noted pulmonary vascular congestion has improved. Heart is top-normal size and mediastinal contour is within normal limits. Calcifications are present in the aortic arch. There is no large effusion or pneumothorax.

<unk>f with cough, fever // eval pna

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Endotracheal tube tip is <num> cm from the carina. Enteric tube tip in the stomach with side port at the ge junction. There are bibasilar opacities which could be due to atelectasis although aspiration or infection are not excluded. Elsewhere, lungs are clear. Cardiomediastinal silhouette is within normal limits. No displaced fractures identified.

<unk>m with endotracheal intubation // evaluate intubation

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Lung volumes are slightly low. There is no confluent consolidation, large effusion or overt edema. Cardiac silhouette is top-normal. Atherosclerotic calcifications noted at the aortic arch. Posterior cervicothoracic fixation hardware is noted.

<unk> year old man with recent pneumonia // r/o pneumonia

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Endotracheal tube is again seen with tip approximately <num> cm from the carina. Enteric tube passes below the inferior field of view. Interval placement of right ij central venous catheter is seen with tip in the mid svc. There is no visualized pneumothorax based on this portable film. There is, however, new right basilar opacity, which silhouettes the hemidiaphragm. Cardiomediastinal silhouette is within normal limits. No displaced fracture is identified. Contour abnormality of the proximal left humerus is again noted and not fully assessed.

<unk>-year-old male with seizures status post central line placement.

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Frontal radiograph of the chest demonstrates no evidence of pneumothorax. Since the prior radiographic study, there is new presumed right and left basilar atelectasis with small left pleural effusion. There are also bilateral small areas of opacification in the mid and lower lungs, which could represent areas of pneumonia or hemorrhage. The heart is top normal in size. Since the prior study, there is evidence of new cervical spine surgical hardware.

<unk>-year-old woman with mediastinal adenopathy status post right transbronchial biopsy. evaluation for pneumothorax.

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In comparison with the study of <unk>, there is little change in the residual pleural fluid and atelectatic or fibrotic changes at the left base. The right lung is clear and there is no evidence of appreciable pulmonary vascular congestion.

pleural effusion.

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Since prior, the right chest tube has been removed. There is a small medial right pneumothorax present on <unk>, but slightly increased in size. There is no left pneumothorax. The right internal jugular line remains in the right atrium. Bibasilar atelectasis and cardiomediastinal contours are unchanged.

chest tube removal, evaluate pneumothorax or pleural effusion.

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Known left upper lobe mass is seen with a centrally placed fiducial marker per endoscopy. Bilateral atelectatic changes are again seen. Cardiomediastinal silhouette and hila are normal. Mild edema and small effusion remains. There is no pneumothorax and no large pleural effusion.

<unk>-year-old man after bronchoscopy with fiducial marker placed in the left upper lobe. please assess for pneumothorax.

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Left chest wall single lead pacing device is noted as well as multiple epicardial pacing wires, similar to prior. The lungs are clear without consolidation or edema. Blunting of the lateral costophrenic angles may be due to small effusions. The cardiomediastinal silhouette is stable.

<unk>m with sob, chf // eval for fluid overload

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Frontal and lateral views of the chest. Relatively low lung volumes are seen. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with weakness.

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A portable ap radiograph of the chest demonstrates persistent mild pulmonary edema with a superimposed right upper lobe consolidation, which is stable from <unk>, but has gradually increased since <unk>. There is no pneumothorax or pleural effusion. Widening of the upper mediastinum is consistent with central vascular engorgement. The heart size is minimally enlarged and stable.

evaluate for ards or pneumonia in a patient with hypoxia and lower extremity cellulitis.

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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal allowing for low lung volumes. No displaced rib fracture is seen. No t-spine fracture is seen, although ct is more sensitive for detection of these.

mvc with back pain.

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The lungs are well expanded, with no evidence of pleural effusion, pulmonary edema, or focal consolidation. The cardiomediastinal silhouette is unremarkable. Old bilateral rib fractures are again seen.

<unk>-year-old male with shortness of breath. evaluation for pneumonia.

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In comparison with the study of <unk>, there are continued low lung volumes with substantial enlargement of the cardiac silhouette. The apparent pulmonary edema has effectively cleared. The retrocardiac area is poorly seen, suggesting some atelectatic changes at the left base. No definite acute focal pneumonia.

pneumonia with delirium.

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Heart size is top 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 shortness of breath

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Cardiac silhouette size is normal. The aorta is mildly unfolded. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.

history: <unk>m with chest pain

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Ap portable upright view of the chest. The patient's chin obscures the lung apices in the superior mediastinum. A left chest wall aicd is seen with leads extending to the region of the right atrium and right ventricle. The heart appears markedly enlarged. Lung volumes are low and significant limitations due to obscuration limit assessment of the lungs. Allowing for this, there is no overt evidence for pneumonia or edema.

<unk>f with dyspnea // eval for edema

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There is a persistent multi cavitary consolidation in the right upper lobe with associated mild volume loss. There has been interval development of bilateral heterogeneous consolidations concerning for multi focal pneumonia. Moderate bilateral pleural effusions are better seen on concurrent ct. The cardiac silhouette is normal. There is no pneumothorax. A right chest port-a-cath terminates at the distal svc.

<unk>m with possible tb // eval for pulmonary infiltrate

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In comparison with the study of <unk>, the right ij catheter position is unchanged. Nasogastric tube extends well into the stomach. Endotracheal tube tip is approximately <num> cm above the carina. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion. The possibility of supervening pneumonia cannot be excluded.

line placement.

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Pa and lateral views of the chest are compared to prior exam from <unk>. A subtle hazy opacity at the left lung base on the frontal not well seen on the lateral view. Elsewhere, the lungs are grossly clear noting stable right apical scarring. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged.

<unk>-year-old female who complains of palpitations and dizziness. question pneumonia.

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New opacity is identified in the right lung base, mildly obscuring the right heart border. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal size.

<unk> year old woman with ? flu // eval for influenza or complications

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Endotracheal tube tip is <num> cm from the carina. Enteric tube is seen to the level of the lower mediastinum although is not clearly seen to pass below the diaphragm and should be advanced. Bibasilar streaky opacities, left greater than right are noted, potentially atelectasis although infection is not excluded. Right humeral head hardware is identified as well as degenerative changes at the shoulders bilaterally.

<unk>m with intubation, s/p transfer// ? tube placement

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

history: <unk>f with htn, hld who presents with subacute chest pain

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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Once again there is absence of the left clavicle.

right base crackles, to assess for pneumonia.