ChayanM/MIMIC-MultiView-Findings-Query_Optional

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As compared to the previous image, a left chest tube has been removed. The extent of the left pneumothorax is unchanged. At the level of the left costophrenic sinus, there still is evidence of a small left fluid retention. The lung parenchyma is otherwise unremarkable. Postoperative changes surround the left hilus. Minimal atelectasis at the right lung bases.

status post chest tube removal. evaluation for interval change.

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The lungs are clear. The hilar and cardiomediastinal contours are normal. Minimal elevation of the left hemidiaphragm is chronic. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old man with a history of anxiety presents with chest pain.

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Again seen is prominence of the right hilum, similar to the prior exam consistent with patient's known pulmonary hypertension. Otherwise there is no new focal consolidation, pleural effusion or pneumothorax. The heart remains mildly enlarged. The imaged upper abdomen is unremarkable.

history of cough and dyspnea. evaluate for pneumonia.

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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Mild dextroscoliosis of the thoracic spine is stable.

<unk> year old woman with crohns on immunosuppresion. here with abdominal pain, fevers at home. // please eval for evidence of infection

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Compared to chest radiographs from <unk>, lung volumes have slightly improved. Retrocardiac opacification continues, which likely are represents atelectasis, though aspiration or infection cannot be excluded. Probable small left pleural effusion is stable. No appreciable effusion on the right. No new focal parenchymal consolidation. No central vascular congestion or overt pulmonary edema. Moderate cardiomegaly is stable. Right picc line tip terminates in the right atrium and should be withdrawn approximately <num> cm. Tracheostomy tube is in good placement.

<unk> year old woman with trach, thick/blood tinged secretions. // evaluate for infiltrate.

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The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

<unk>f with recent flu, cough, fevers, // r/o acute process

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Streaky opacities at the right base are unchanged, most consistent with chronic atelectasis. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. Again noted is an azygous lobe. The mediastinal contours are normal. The heart size is mildly enlarged, and grossly unchanged from the prior exam.

history of chf and atrial fibrillation, status post unwitnessed fall. evaluate for worsening chf.

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The examination is unchanged without evidence of overt pulmonary edema. Minimal right lower lung atelectasis identified. Stable mild peripheral subpleural lucencies throughout both lungs but with relative sparing of the left lung base. Unchanged cardiomediastinal silhouette. No pleural effusion or pneumothorax identified. Multilevel degenerative changes are noted in the mid thoracic spine.

assess for effusion or pneumonia.

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Compared to the prior study, there is a new right internal jugular central venous line, the tip of which terminates at the cavoatrial junction. There is no evidence of pneumothorax. The lungs are clear but underinflated, accentuating the cardiomediastinal contour. No pleural effusion.

history: <unk>m with central venous line

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

<unk>m trauma with, evaluate for injury.

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There is a low inspiratory lung volumes. Allowing for changes due to this, the cardiomediastinal silhouette appears unchanged, with a top normal cardiac silhouette size. The bilateral hila are grossly unremarkable. There is no evidence of pulmonary vascular congestion. Minimal streaky opacity at the right lung base likely reflects subsegmental atelectasis in the setting of low lung volumes. Additionally,diffuse, subtle mild interstitial prominence likely relates to a combination of age-related changes and crowding of bronchovascular structures in the setting of a limited inspiratory effort. No focal lung consolidation, pleural effusion, or pneumothorax detected. Roughly circular calcifications of varying sizes overlying the left upper abdomen and a left lower lung are of uncertain etiology, but may relate to calcified cartilaginous rib ends.

<unk>-year-old woman with fever and altered mental status, evaluate for pneumonia.

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Moderate enlargement of the cardiac silhouette is re- demonstrated. The aorta is tortuous and diffusely calcified. There is mild pulmonary vascular congestion without overt pulmonary edema. A moderate size right pleural effusion is noted along with a small left pleural effusion. Patchy opacities in lung bases likely reflect areas of atelectasis. No pneumothorax is identified. Mild to moderate degenerative changes are noted in the imaged thoracolumbar spine.

history: <unk>m with history of cad, <unk> presents with shortness of breath

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Pa and lateral views of the chest provided. Suture material is again seen projecting over the left lower lung with tiny clips in the left upper abdomen. Bilateral pleural effusions are increased from prior and small in overall volume. Also noted is pleural based opacity at the right apex and along the periphery of the right mid lung which is concerning for loculated effusion similar in appearance to prior exam. Ground-glass opacities in the lower lungs raise concern for pneumonia. In addition, ill-defined opacity in the right upper lung may reflect a component of pneumonia. Cardiomediastinal silhouette is unchanged. Imaged bony structures are intact.

<unk>m with fever, infectious work-up

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Enteric tube again courses into the stomach. Left picc line is in the mid svc. Lung volumes are significantly lower with vascular crowding but no frank pulmonary edema. Heart size is exaggerated by low lung volumes and likely top normal. Apparent widening of the mediastinum likely relates to lordotic positioning. Bilateral pleural effusions of present are small. There is no pneumothorax.

<unk> year old woman s/p ascending aorta repair // eval for pleural effusions

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Portable chest radiograph demonstrates unchanged mediastinal, hilar, and cardiac contours. There has been interval development of bibasilar opacities likely reflecting atelectasis, though cannot exclude developing infectious process. Additionally, there has been interval increase in small right-sided pleural effusion.

patient with metastatic pancreatic cancer with liver mets, status post rfa and resultant liver abscess, now status post abscess drainage with acute onset right-sided chest pain radiating to her shoulder. please assess potential cause of pain.

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Again seen is cardiomegaly, with upper zone redistribution and diffuse vascular blurring, small to moderate left effusion with underlying collapse and/or consolidation, and patchy opacity at the right base, with possible small right effusion. Patchy opacity at the right base has increased slightly compared with the prior film. No pneumothorax detected.

<unk> year old woman with increased sob // pneumothorax, pleural effusions?

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with hypoxia, cough // eval for infection

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Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal.

syncopal fall.

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The heart is normal in size. The aorta is mildly tortuous as well as calcified. There is no pleural effusion or pneumothorax. Mild interstitial abnormality suggests mild vascular congestion but there is no focal opacification. The bones are probably demineralized.

chest pain.

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Lung volumes are low. Allowing for this difference in volumes, there is no significant change compared to <unk>. No large pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. No displaced rib fracture is identified.

history: <unk>f with right rib/side pain // pls eval for fx

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Lungs are clear bilaterally. There is no focal consolidation. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. There is no air under the right hemidiaphragm.

<unk>f with syncope, cough // pna?

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Ap portable upright view of the chest. Dialysis catheter is unchanged in position terminating in the lower svc. Hilar congestion is progressed with mild interstitial pulmonary edema. No large effusions seen. No pneumothorax. Heart size remains mildly enlarged. Mediastinal contour is unchanged. Bony structures are intact.

<unk>m with worsening hypoxia

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The lungs are clear. Left-sided picc line ends at cavoatrial junction. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

patient with aml pre-bmt.

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Cardiomediastinal silhouette including mild cardiomegaly is unchanged. At reticular interstitial opacities along the periphery of the lower lobes bilaterally are more prominent compared to prior examination. Otherwise, there is no focal consolidation or pleural effusion. No pneumothorax. Bones are grossly unremarkable.

<unk> year old woman with history of pulmonary htn and ild, presents with fevers/malaise. very minimal cough, but has h/o pneumonia, and lung exam hard to interpret at baseline --> want to exclude infiltrate. // eval for pneumonia

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette enlarged.. No pulmonary edema is seen.

history: <unk>f with aflutter with rvr // eval for cardiomegaly

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Mild bibasilar atelectasis is noted. Chronic elevation of the right hemidiaphragm is unchanged. The cardiomediastinal silhouette and hilar contours are unremarkable. No pneumothorax, pulmonary edema, or pneumonia.

<unk> year old woman with chronic cough // r/o mass

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The aorta is tortuous and calcified. The heart size is at the upper limits of normal. The left hemidiaphragm remains elevated in comparison to the right. Multiple old rib fractures are unchanged. There is no new fracture.

history of multiple medical problems with new facial nerve palsy. evaluate for sarcoidosis.

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Right picc line tip near cavoatrial junction. Mildly improved bibasilar opacities since prior exam. Cardiac enlargement. Interval improvement of pulmonary vascularity. Prominent central pulmonary arteries, suggest pulmonary arterial hypertension. Coronary artery stent in place. Small pleural effusions.

<unk>m w/ cad (s/p many pcis, last <unk> on dapt), celiac artery dz s/p des <unk>, osa on cpap, t<num>dm, admitted w/ new diagnosis of mds/raeb-<num> (now s/p <num> <num>-day cycles decitabine w/ palliative intent w/ multiple interruptions). // had evidence of pna on last chest xray. please eval for interval changes.

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Pa and lateral views of the chest. Slightly improved inspiratory effort is seen on the current exam which is still somewhat low. There are hazy bibasilar opacities potentially due to atelectasis. Some vague opacity also seen in the left perihilar regionas well. There is no effusion. The cardiomediastinal silhouette is within normal limits. The no acute osseous abnormality detected.

<unk>-year-old female with cough.

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There are new focal opacities at the right apex and the right mid lung zone concerning for pneumonia. Again seen are chain sutures in the right lower lung field compatible with prior resection with volume loss in the right lung and rightward shift of mediastinal structures. There is mild cardiomegaly. Hazy opacity in the bilateral perihilar region are unusual and possibly related to prior radiation therapy. There is no large pleural effusion or pneumothorax.

<unk>-year-old woman with shortness of breath, evaluate for chf or pneumonia.

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In comparison with the study of <unk>, the orogastric tube has been removed. Other monitoring and support devices remain in place. Persistent opacification at the left base with progressive clearing of opacification at the right base. No vascular congestion.

respiratory failure.

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In comparison with the study of <unk>, there is little change in the appearance of the moderate left pleural effusion with compressive atelectasis at the base. The remainder of the study is unchanged, with the right lung clear and no evidence of pulmonary vascular congestion.

pleural effusion.

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Patchy retrocardiac opacity could represent early pneumonia. There is no 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 cough and fever // ?pneumonia

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Cardiac silhouette size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.

history: <unk>f with cough, fever x <num> weeks// ?pna

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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is upper limits of normal, unchanged from <unk>. Mediastinal silhouette and hilar contours are normal. Mild biapical extrapleural thickening is unchanged from <unk>. <unk> over the neck are from prior thyroid surgery.

<unk>-year-old woman with chronic cough and history of thyroid cancer.

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Ap and lateral chest radiographs. The right paratracheal stripe is enlarged, which may represent a dilated azygos vein from impeded venous return in the ivc shown on concurrent ct of the abdomen/pelvis. Alternatively, this could be lymphadenopathy in this patient with presumed lymphoma. The left hemidiaphragm is elevated from massive splenomegaly with adjacent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. Excreted contrast within hydronephrotic left kidney is partially imaged. There is no free intraperitoneal air.

abdominal pain. evaluation for free air.

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This series of radiographs demonstrates positioning of a nasogastric tube, which ultimately courses into the stomach and out of the field of view. There are low lung volumes, which results in bronchovascular crowding. There is an unchanged appearance of supra and infrahilar left-sided consolidative opacities. Left-sided pleural drainage catheter is in place. There has been interval removal of the right-sided pleural drainage catheter and the endotracheal tube. The cardiomediastinal and hilar contours are unchanged. A right upper extremity picc ends in the mid svc.

<unk> year old man with dysphagia s/p dobhoff tube placement // please evaluate position of dobhoff

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The patient is status post median sternotomy and aortic valve replacement. Interval removal of midline drain with no evidence of pneumothorax or pneumomediastinum. Stable post-operative appearance of the cardiomediastinal contours. Slight worsening of retrocardiac atelectasis and persistent small left pleural effusion. Probable small right pleural effusion as well.

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Patient is status post right upper lobe lobectomy, with stable postoperative changes in the right hemi-thorax. Compared to the prior radiograph on <unk>, there are no new focal consolidations or pneumothorax. The previously seen left pleural effusion has since resolved. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk> year old man with s/p lung surgery/resection @bi ; now withcough/congestion/ eval for infiltrate increase sob/sx // <unk> year old man with s/p lung surgery/resection @bi ; now withcough/congestion/ eval for infiltrate increase sob/sx

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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>m with chest pain, hx of pna <num> month ago // ? pna, consolidation

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

history: <unk>m with chest pain

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Right-sided prepectoral port-a-cath in situ with the tip at the cavoatrial junction. No airspace consolidation. Bilateral upper lobe emphysematous changes are stable no pulmonary edema. The cardiomediastinal shadow is unchanged.

<unk> year old man with occluded port. needs assessment. // please assess port

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Frontal and lateral views of the chest were obtained. There is subtle patchy left base opacity which is not well substantiated on the lateral view, and may represent atelectasis or residual parafissural nodule, however, underlying consolidation not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is minimal loss of height of the superior endplate of a lower thoracic vertebral body, of indeterminate age.

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The lungs are clear. There is no focal consolidation, effusion, or edema. There is chronic blunting of the right lateral costophrenic angle, likely scarring. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m w/sob, please eval for pna

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Single portable view of the chest. No prior. The right internal jugular central venous line with catheter tip at the ra-svc junction/proximal right atrium. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits.

<unk>-year-old male with central venous line from outside hospital. check placement.

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Supine portable view of the chest or semi-upright portable view of the chest demonstrates low lung volumes. No pleural effusion. There is mild perihilar vascular congestion. Tortuous descending aorta is noted. Heart is mildly enlarged. There is no pneumothorax. Left lung base opacities likely represent atelectasis.

abdominal pain and bilious vomiting.

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No displaced rib fractures seen. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman with right-sided rib pain, around ribs <unk> posterior in laterally.

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The tracheostomy is in place. Inspiratory volumes remain low. Compared to the prior study, there is new patchy interstitial and alveolar opacity at the left lung base. No definite change at the right base, with there is a small amount of pleural fluid and/or thickening, tenting of the hemidiaphragm, and infrahilar patchy opacity. No definite chf. The cardiomediastinal silhouette is grossly unchanged, including thickening of the right paratracheal soft tissues, which appears confluent with dense pleural thickening or fluid at the right lung apex, as before. The right picc line has been retracted. The tip now overlies the scapula, immediately outside the right lateral chest wall.

<unk> year old man with respiratory failure s/p l pigtail placement // interval change

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In comparison with the study of <unk>, there has been the development of substantial pulmonary edema with little change in cardiac size. Right ij catheter tip again extends to the mid portion of the svc.

shortness of breath, to assess for pulmonary edema.

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is of normal. There is no pulmonary edema.

shortness of breath.

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Cardiac silhouette is normal in size. Interval distention of the azygos vein, accompanied by mild pulmonary vascular congestion and minimal interstitial edema. Patchy bibasilar opacities are present, as well as small bilateral pleural effusions.

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The endotracheal tube ends <num> cm above the carina. The nasogastric tube enters the stomach. There are diffuse nodular parenchymal opacities. For example in the right upper lung there is a <num> cm nodule. The lung volumes and mild pulmonary vascular congestion have improved compared to the prior chest radiograph performed <num> hours prior. The cardiac contours are obscured by the dense parenchymal opacities but the heart size is likely normal. No pneumothorax. Cervical hardware is noted.

history: <unk>f with intubation sah // ?tube placement

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The lung volumes are normal. Normal size of the cardiac silhouette. Minimal atelectasis at the right lung bases. No pleural effusions. No pneumonia, no mediastinal or cardiac changes.

episode of unresponsiveness, evaluation for pneumonia.

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A new right internal jugular line ends in the mid superior vena cava. The the lung volumes are low. There is no focal opacity, pleural effusion or pneumothorax. The mediastinum is widened which may be positional. The heart size is normal. Apparent widening of the descending aortic contours represents a fat pad seen on the prior chest ct.

history: <unk>m with ams, central line placement, hypotension, hypothermia // central line placement, ams, hypotension, hypothermia

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

history: <unk>f with abdominal pain w/ episodic neck and back pain // r/o aortic dissection

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A single portable supine chest radiograph is obtained. Endotracheal tube ends in the mid airway. An enteric tube projects over the stomach. The lungs are well inflated. Blunting of the bilateral costophrenic angles suggests small bilateral effusions. Aeration of the lungs has mildly improved. Airspace opacities remain in the right lower lobe. Sclerotic changes of the left humerus is unchanged. A nondisplaced right first rib fracture noted on ct is not seen on radiography. Lower thoracic vertebral compression fractures are again seen.

<unk>-year-old woman status post fall with first rib fracture, now intubated.

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Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Bilateral pleural effusions have increased slightly over the interval. In the setting of even lower lung volumes and larger pleural effusions, mild pulmoary edema is difficult to exclude. The cardiomediastinal and hilar contours are unchanged. The endotracheal tube ends <num> cm from the carina. The right-sided internal jugular central venous line ends in the right atrium. No pneumothorax. A nasogastric tube courses into the stomach and of the field of view.

<unk> year old man with acute pancreatitis // interval progression

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

<unk>-year-old man with tachycardia and malaise. evaluate for consolidation.

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Frontal and lateral views of the chest were obtained. Large rounded area of opacity involving the lingula and likely left upper lobe consistent with patient's known underlying mass. Superimposed infection is difficult to entirely exclude. The right lung is clear. There is no pleural effusion. The thorax is seen. Mediastinal contours are unremarkable. The cardiac silhouette is not enlarged.

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Frontal and lateral views of the chest demonstrate top normal heart size. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pneumothorax, vascular congestion or pleural effusion.

<unk>-year-old female with chest pain and difficulty breathing. question pneumonia.

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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is notable for lv predominance. There are no displaced fractures. The imaged upper abdomen is unremarkable.

chills, myalgias, question acute cardiopulmonary process.

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Pa and lateral views of the chest provided. Lung volumes are low. The heart is moderately enlarged. There is a no focal consolidation, effusion or pneumothorax. No signs of pulmonary edema. Imaged osseous structures are intact. There is no free air below the right hemidiaphragm.

<unk> year old man s/p mcc with grade iii splenic lac and hematoma. // baseline cxr to evaluate focal hyperdensity in the right lower lobe could reflect a focal area of atelectasis from chest ct

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Heart size is normal. The mediastinal and hilar contours are remarkable for stable tortuosity of the thoracic aorta and a calcified right paratracheal lymph node. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with cough since this weekend, o<num> sat <unk>% // evaluate for pneumonia

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The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no radiopaque foreign body visualized within the chest.

swallowed a sewing needle. evaluate for foreign body.

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Comparison is made to prior study from <unk>. There is a right-sided picc line with distal lead tip in the mid svc. Heart size is within normal limits. Lungs are grossly clear. There is no focal consolidation, pleural effusions or overt pulmonary edema.

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In comparison with the study of <unk>, there has been a dramatic increase in opacification at the right base consistent with large pleural effusion. Minimal if any residual pneumothorax. Continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion. This information has been conveyed to dr. <unk>, <unk> for dr. <unk>.

pneumothorax after thoracentesis.

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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous structures demonstrate no acute abnormalities.

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

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Ap portable upright view of the chest. Lung volumes are low limiting assessment. Mild bibasilar opacity is likely related to atelectasis. No large effusion or pneumothorax. Heart size appears normal. Mediastinal contour difficult to assess given patient rotation to the right. Chronic deformity at bilateral shoulders.

<unk>f with hyperglycemia, cough.

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Redemonstrated are bilateral, multifocal patchy airspace opacities compatible with a diffuse infectious process. As compared to the prior examination, the right lung is slightly better aerated, whereas the left lung is essentially unchanged in appearance. There is no evidence of significant pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is stable. A right central venous line, ngt, and ett are again seen in their expect locations. Redemonstrated are several subacute left rib fractures, better evaluated on the prior rib series.

respiratory distress.

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Moderate to severe left lower lobe atelectasis is improving from prior collapse. Lung volumes are unchanged. The cardiomediastinal silhouette and hilar contours are stable. There is no large pleural effusion or pneumothorax. There is no concerning focal opacity.

prior left lower lobe collapse. interval change.

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Right internal jugular central venous catheter terminates in the lower superior vena cava with no visible pneumothorax. Heart size, mediastinal and hilar contours are normal. Linear scarring is again demonstrated in the left juxtahilar and mid lung region with associated mild volume loss. Right lung is grossly clear. Epicardial leads are unchanged in appearance.

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Heart size remains moderately enlarged. The mediastinal and hilar contours are unremarkable. The right internal jugular central venous catheter has been removed. There continues to be diffuse hazy bilateral parenchymal opacities likely reflective of pulmonary edema, similar compared to the previous exam. No new areas of focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.

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

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There is a moderate to large right pleural effusion which appears increased in size in comparison to a prior study. Adjacent air space atelectasis is present in the right lower lobe. Otherwise, the left lung appears clear. Mediastinal silhouette remains grossly stable where visualized. Visualized osseous structures are demineralized but stable.

evaluation of patient with history of cll and pleural effusion with progressive difficulty breathing.

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Ap and lateral views of the chest. The cardiomediastinal contours are normal. There is no focal consolidation. There is no pleural effusion or pneumothorax. Aortic calcifications are unchanged. There is a mid thoracic compression fracture, unchanged.

seizure, question of underlying infection.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion is identified. There is minimal atelectasis in the left lung base. No acute osseous abnormality is detected.

history: <unk>m with etoh intoxication and chest pain

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Pa and lateral views of the chest are obtained. Lungs are clear and well expanded without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are stable without signs of chf. Bony structures are intact. No free air below the right hemidiaphragm.

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A left picc line has been removed. Again seen is the extensive consolidation involving the left lung and right upper lobe, without significant change since <unk>, and consistent with disseminated adenocarcinoma. No pneumothoax. Heart not well evaluated.

fever, question pneumonia.

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In comparison with the earlier study of this date, there may be a small left apical pneumothorax. Otherwise, little change.

bronchoscopy, to assess for pneumothorax.

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Pa and lateral views of the chest provided. Patient's chin projects over the left lung apex limits assessment. Streaky lower lung opacities are concerning for aspiration. Upper lungs are well aerated. Cardiomediastinal silhouette stable. No acute osseous abnormality.

<unk>m with hypothermia, concern for aspiration // r/o pna

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As compared to chest radiograph from the same day, overall no substantial change in the left hydro pneumothorax, pneumomediastinum and substantial subcutaneous air. Left basilar opacities are constant likely atelectasis. Scarring in the right hilus and hyperinflation unchanged.

<unk> year old woman with subcutaneous emphysema post op day <num> post l vats wedge // check interval change

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As compared to the previous radiograph, there is no relevant change. Bilateral pleural effusions of moderate extent with bilateral areas of basal atelectasis. No overt pulmonary edema. No pneumothorax. No evidence of pneumonia. The monitoring and support devices are constant.

pancreatitis, evaluation of lung fields.

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Again is seen an endogastric tube coiling within the stomach. Clips are also present in the epigastrium/left upper quadrant as well as a staple line along the left upper quadrant of the abdomen. A left-sided chest tube is present without a detectable apical pneumothorax, although a small to moderate pleural effusion on the left has grown with underlying atelectasis. Additionally, an area of lucency along the left mediastinal contours is more prominent than on prior exam. No mediastinal shift or diaphragmatic flattening is present.

<unk>-year-old female with left chest tube.

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Portable semi-upright radiograph of the chest demonstrates decreased lung volumes. The cardiac silhouette is enlarged. Pulmonary vasculature congestion has resolved since prior. No definite focal consolidation is identified. No large pleural effusion or pneumothorax is noted.

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

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Frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The imaged upper abdomen is unremarkable.

palpitations evaluate for infiltrate.

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Ap portable upright view of the chest. An endotracheal tube is seen with its tip located <num> cm above the carina. The ng tube is partially coiled in the mid esophagus with its tip positioned just distal to the ge junction. Ill-defined opacity in the right upper lobe and lower lobes bilaterally left greater than right are concerning for pneumonia. Suture projects over the left lower lung. Heart size is normal. Hila appear congested. No large effusion or pneumothorax. Multiple surgical clips and rounded metallic densities project over the left upper abdomen.

<unk>m with ams, hypotension, hypoxia

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Incidental note is made of a mild pectus excavatum.

<unk>f w/ gait instability, r sided headache, vertigo. r/o acute cardiopulm process // <unk>f w/ gait instability, r sided headache, vertigo. r/o acute cardiopulm process

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Ap upright and lateral views of the chest provided. There is interval increase in size of a right pleural effusion, small to moderate. Chain sutures project over the upper lungs bilaterally as on prior. Small amount of loculated fluid and gas is seen at the right lung apex. Loculated fluid also noted along the periphery of the right lower lung as on prior. No definite signs of pulmonary edema. Difficult to exclude an pneumonia in the right lower lung. Overall heart size appears grossly stable below the right heart border is partially obscured. Mediastinum is unchanged. Bony structures are intact.

history: <unk>f with cough and sob, history of wedge resection in the bilateral upper lungs

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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 shortness of breath // acute process?

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Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable in appearance. Multifocal patchy opacities persist bilaterally, in keeping with provided history of multifocal pneumonia, likely co-existing with areas of linear atelectasis. As compared to most recent study, there has been improved aeration in the lung bases bilaterally, but a questionable focal area of worsening is present in the right upper lobe at the level of the intersection of the right first anterior and fourth posterior ribs, an area difficult to assess due to overlying external structures. Attention to this area on followup chest x-ray would be helpful following removal or re-positioning of such structures. Within the imaged portion of the upper abdomen, mild-to-moderate gastric distension has developed.

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Surgical clips are again present in the right axilla. The cardiac, mediastinal and hilar contours appear unchanged. Upward tenting of the medial right hemidiaphragm is very similar. There is a persistent small-to-moderate pleural effusion on the right witand a small one on the left. Fissures are mildly thickened. Subpleural thickening at the right lung apex appears stable. There is a new mild interstitial abnormality including kerley b lines and peribronchial cuffing suggesting mild-to-moderate interstitial pulmonary edema. However, there is no definite new focal opacity. Bony structures are unremarkable.

worsening shortness of breath. recent diagnosis of lymphoma.

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Right pigtail pleural catheter is in unchanged position. Small to moderate right pneumothorax is unchanged in size. There is persistent collapse of right lower lobe. Emphysematous changes are seen throughout bilateral lungs. Left mid to low lung linear atelectasis is noted. Borderline enlarged cardiac silhouette is stable.

<unk> year old man r ptx and pneumostat in place // check interval change

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Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion. Moderate right and small left pleural effusions are present, with adjacent basilar opacities, which may be due to atelectasis and less likely pneumonia. Various support and monitoring devices have been removed in the interval. Otherwise, no relevant short interval change.

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Right-sided pleural catheter is in place with a small loculated right apical hydropneumothorax, and a persistent moderate-sized, partially loculated right pleural effusion. Cardiac silhouette is enlarged, but similar in size to the previous study. Heterogeneous opacities in the right mid and lower lung regions have slightly improved, and left retrocardiac atelectasis has also slightly decreased. Small left pleural effusion is again demonstrated, and there is no evidence of left pneumothorax.

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural contours are normal.

history: <unk>f with chest pain // eval for ptx

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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Slightly prominent bulge superior to the right heart border is nonspecific and can be seen in the setting of a proximal ascending aortic aneurysm. A tortuous aorta is noted. Heart size and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

strong family history of gi cancer with dysphasia, gastritis and reflux symptoms x<unk> years with <num> pound weight loss in <num> months. assess for mediastinal mass.

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A large right-sided pleural effusion has substantially decreased in size. There is no pneumothorax. The left lung remains clear. The right hila remains prominent.

<unk>-year-old man status post thoracentesis.

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The endotracheal tube terminates <num> cm from the carina. An enteric tube courses below the diaphragm and outside of the field of view within the stomach. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal.

<unk>f with tube placement, evaluate intubation.

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Single portable supine view of the chest reveals endotracheal tube that terminates in the left mainstem bronchus and should be retracted for better positioning. The lung volumes are low which cause vascular crowding. The low lung volumes may also be contributing to the right lower lobe opacities, although aspiration is certainly a consideration as well. No pneumothorax or pleural effusion is present. Heart size is normal.

cardiac arrest.

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Et tube terminates <num> cm above the carina. Enteric tube terminates in the stomach. Left pacemaker with <num> intact pacer wires noted. Right-sided jugular venous catheter and a right picc terminate in the distal svc. Persistent diffuse lung opacities with interval worsening compared to the prior radiograph. Cardiomegaly and bilateral large pleural effusions persist. Bony thorax is unremarkable.

<unk> year old woman with myasthenia, unclear pulm pathology // progression

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In comparison with study of <unk>, there has been collapse of the left lower lobe. Endotracheal tube tip lies about <num> cm above the carina and the resident recommended it be withdrawn about <num> cm for better seating. Otherwise, little change.

tube placement.