ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Compared to prior, there is increased bilateral interstitial opacities as well as focal increase in retrocardiac opacity, likely due to worsening pulmonary edema as well as aspiration or atelectasis. Severe cardiomegaly is unchanged. Wide mediastinal and hilar contour are unchanged. Left-sided infusion port terminates in the right atrium. No pneumothorax.

<unk> year old woman with altered mental status and o<num> req // ? consolidation or aspiration

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Single portable view of the chest. New right ij central venous catheter is seen with tip in the lower svc. There is no pneumothorax or other change since prior exam.

<unk>-year-old male with new central line.

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Compared with prior radiographs on <unk>, there has been interval worsening of now moderate interstitial edema, and moderate pleural effusions, seen best on the lateral view. No pneumothorax. There is cardiomegaly, further accentuated by low lung volumes. Median sternotomy wires and replaced aortic valve are stable in appearance.

<unk> year old woman with new crackles on exam // evaluate for infiltrate, effusion or congestion

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In comparison with the chest radiograph obtained <num> days prior, there has been interval placement of an et tube, which terminates <num> cm above the carina. A new enteric tube passes below the diaphragm, but terminates outside the field of view. Mild pulmonary vascular enlargement has resolved and the cardiomediastinal silhouette has decreased in size, now top-normal. No pulmonary edema. Pleural effusions small, if any. Mild left basilar atelectasis.

<unk> year old man with seizure, intubated // evaluate ett

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Left-sided picc line terminates at the cavoatrial junction. There has been no other significant change.

status post picc line revision.

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The lungs are hyperexpanded with flattening of both diaphragms compatible with copd/emphysema. Bronchiectasis is visible in the right lung base. A right middle lobe opacity is unchanged from prior chest radiographs and ct. Biapical pleural parenchymal scarring is noted. There is no significant pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits and unchanged. Right-sided aortic arch is again noted. Diffuse calcification of the tracheal tree is noted. The bones are diffusely demineralized. No displaced rib fractures are detected.

<unk>-year-old woman with s/p fall with decreased breath sounds, here to evaluate for rib fracture or acute pulmonary process.

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There are low lung volumes with bilateral perihilar opacities likely reflecting atelectasis. There is no focal consolidation or pleural effusion. Heart size and mediastinal contours are normal. Osseous structures are intact.

<unk>m with ams // eval for pneumonia

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The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. The aorta is tortuous. Neck soft tissue overlies the lung apex. Loss of height of one of the mid thoracic vertebral body is unchanged from a prior study in <unk>.

<unk>-year-old with shortness of breath.

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There is no focal consolidation, pleural effusion or pneumothorax. Heart size is top normal, otherwise, the cardiomediastinal and hilar contours are normal.

history: <unk>f with h/o ms, optic neuriis, ? flare / precipitant // ? acute cardiopulmonary process

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Frontal and lateral views of the chest were obtained. There is moderate pulmonary vascular congestion. Left greater than right bibasilar atelectasis is seen. The cardiac silhouette is top normal to mildly enlarged. Mediastinal contours are stable.

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There is no significant change from the study obtained approximately <num> hr prior. Again there is a catheter projecting over the left lung base now better visualized on the lateral projection. Overall size of loculated left pleural effusion and pleural based disease appears unchanged better evaluated on prior ct. There is no pneumothorax. Size and configuration of the heart and mediastinum is unchanged with known bulky lymphadenopathy.

<unk> year old man with pleural effusion s/p tunneled pleural catheter placement // ? chest tube placement

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In comparison with study of earlier in this date, there is increased bilateral pulmonary opacifications. This could well reflect overhydration in a patient with multifocal pneumonia.

pneumonia and worsening desaturation, to assess for pulmonary edema after fluids.

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The lungs are clear, the cardiomediastinal silhouette is normal, and there is no pleural effusion or pneumothorax. Fullness of the left hilar region likely reflect lymphadenopathy. Osseous structures are intact.

history: <unk>m with productive cough, fever // eval for pna

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Left mid lung opacities have totally resolved. Retrocardiac atelectasis have improved. Cardiomegaly and widened mediastinum are unchanged. Minimal right lower lobe atelectasis are stable. There is no pneumothorax. Et tube is in standard position. Ng tube tip is out of view, below the diaphragm

<unk> year old man with respiratory failure/pneumonia s/p bronch // eval for interval change

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Since the prior chest radiograph performed on <unk> at <time>, the pulmonary edema has improved. There is persistent pulmonary vascular congestion. Dense bibasilar opacities may represent a combination of atelectasis and confluent edema. However, superimposed infection would be difficult to exclude in the appropriate clinical setting. There is an oval-shaped opacity projecting over the left lung that spans an area <num> x <num> cm, corresponding to the calcified pleural plaque seen on the cta torso dated <unk>. Bilateral pleural effusions. No pneumothorax. Marked cardiomegaly is again noted.

history: <unk>m with chf // evaluate for chf, acute process

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In comparison with the earlier study of this date, there are continued low lung volumes. This accentuates the transverse diameter of the heart. The mediastinum no longer appears widened and there is no evidence of pulmonary vascular congestion. Swan-ganz catheter is in the right pulmonary artery, and the endotracheal tube and nasogastric tubes are in good position. There is some increased opacification in the retrocardiac region. This most likely represents atelectasis, though in the appropriate clinical setting, the possibility of developing pneumonia would have to be considered.

postoperative liver transplant.

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Pa and lateral views of the chest are compared to previous exam from <unk>. Given slightly low lung volumes, there has been no change. The lungs are clear of confluent consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

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

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Low lung volumes. Heart size is at the upper limits of normal and unchanged. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Mild bibasilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with altered mental status, diplopia, status post meningioma resection. evaluate for acute process

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In comparison to the previous examination, cardiomediastinal silhouette is unchanged. There is re- demonstrated moderate cardiomegaly. There is mild prominence of the pulmonary vasculature which is improved from <unk>. No focal consolidation is seen. No pneumothorax. The visualized abdomen is unremarkable.

history: <unk>m with sob, hx chf // infiltrate?

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Diffuse subcutaneous air has improved, and bilateral effusions have not changed. No pneumothorax is visualized on this radiograph. No focal consolidation is seen, and the reticular nodular pattern is unchanged and better assessed on recent ct scan. The tracheostomy tube ends in the distal trachea, and the cardiac and mediastinal contours are normal.

<unk>-year-old which may indicate the patient. evaluate resolution of pneumothorax.

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. A coronary arterial stent is noted. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.

history: <unk>m with dizziness, prior stroke // eval for ich and infiltrate

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Pa and lateral views of the chest were reviewed and compared to the prior studies. A large right pleural effusion has significantly increased since <unk> and there is presumed right middle and right lower lobe atelectasis. The left lung is clear without evidence of focal consolidation, pulmonary edema or left-sided pleural effusion. There is no pneumothorax. Evaluation of cardiac size is limited due to the large right pleural effusion however, it is relatively unchanged. The mediastinal contours are stable and calcification within the aortic arch is again noted.

evaluation of a malignant right pleural effusion.

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Cardiomediastinal silhouette and hilar contours are normal. Two subcentimeter elliptical nodular opacities overlying the posterolateral aspect of the left fourth rib are most likely rib based. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. A mild anterior wedge compression of one of the lower thoracic vertebral bodies is noted.

multiple myeloma, evaluation pre-bone marrow transplant.

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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. Eventration of the bilateral hemidiaphragms is incidentally noted.

history: <unk>m with chst pain // chest pain

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The cardiac, mediastinal and hilar contours are unchanged, with the heart size being top normal. Pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen. Cholecystectomy clips are detected in the right upper quadrant the abdomen.

cough.

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The heart size is top normal. The <num> lead pacer device, with leads terminating in the right atrium, right ventricle, and coronary sinus, is unchanged. No focal consolidation, pleural effusion, or pneumothorax identified.

<unk>f with chest pain. evaluate for acute process.

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Ap and lateral views of the chest. The lungs are clear without focal consolidation, large effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormality is identified.

<unk>-year-old female with bilateral lower extremity edema.

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In comparison with the earlier study of this date, the right chest tube has been removed and there is a small pneumothorax that may be slightly greater than on the previous study. The degree of subcutaneous emphysema along the right lateral chest wall is decreasing. Otherwise, little change in the appearance of the heart and lungs.

rml lobectomy with chest tube removal, to assess for pneumothorax.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is basilar atelectasis. The heart is normal in size, and the mediastinal contours are normal. Surgical clips project over the left upper abdomen near the gastroesophageal junction. No pneumoperitoneum is noted in the upper abdomen.

<unk>-year-old female with shortness or breath. evaluate for pneumonia, acute process.

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Since the prior exam, the extensive bilateral predominantly perihilar opacities have slightly improved, particularly on the right. There is no new opacity, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal.

worsening pneumonia. evaluate for interval change.

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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Anterior wedging of either a lower thoracic or upper lumbar vertebral body is slightly increased compared to the prior radiographs from <unk>.

history of alcoholic cirrhosis. assess for pleural effusion as part of evaluation for liver transplantation.

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There is mild interstitial pulmonary edema. The heart size is difficult to assess given low lung volumes. A small right pleural effusion persists. There is no pneumothorax. The mediastinal contours are unchanged. There has been interval removal of a right internal jugular central venous catheter.

hypoxia.

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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.

cough and fever

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. The right hemidiaphragm remains elevated. There is normal pacing leads project over the left chest. Vertebra plana of t<num> is stable since at least <unk>.

atrial fibrillation

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The lungs are somewhat hyperinflated, but clear. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. A catheter with balloon, presumably a gastrostomy to, is partially seen projecting over the left upper quadrant.

history: <unk>m with sob // pneumo

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The heart size is mildly enlarged. There is mild pulmonary vascular redistribution. There is volume loss at both bases.

status post mi with pulmonary.

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As compared to the previous radiograph, the known right pneumothorax has minimally increased. There is no evidence of tension. The bilateral areas of atelectasis persist. Moderate cardiomegaly, no pulmonary edema.

chest tube removal, evaluation for right pneumothorax.

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There is again evidence of mild pulmonary venous hypertension. Small pleural effusions have resolved, however. Mediastinal structures are stable.

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A right picc line has been placed, with tip projecting over the right brachiocephalic vein. There is stable cardiomegaly and intact sternal wires. No focal consolidation, pleural effusion, or pneumothorax identified.

<unk> year old man with osteomyelitis on home antibiotics, picc line displacement.

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There is marked cardiomegaly and mild pulmonary vascular congestion with interstitial edema. As compared to the prior examination dated <unk>, the degree of pulmonary edema appears to progressed. No definitive pleural effusion is identified. Bibasilar airspace opacities likely reflect atelectasis.

<unk>f with congestive heart failure presenting with weakness.

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Right apical pneumothorax is still present measuring <num> cm. Vp shunt is seen. Cardiomediastinal silhouette is unremarkable. There is no parenchymal consolidation.

<unk> year old man with right ptx // check interval change check interval change

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Single portable view of the chest. Previously identified left sided effusion has resolved. The lungs are clear consolidation or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

<unk>-year-old female with hypoension.

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There is mild cardiomegaly. The heart and mediastinal contours are otherwise unremarkable. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. There is mild bibasilar atelectasis. The visualized osseous structures are unremarkable.

history right-sided chest pain. please evaluate for acute process.

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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are hyperinflated. No focal consolidation or pneumothorax is present. Blunting of the left costophrenic angle posteriorly may be due to chronic pleural thickening versus a trace pleural effusion. Multiple clips are again demonstrated within the left breast. No acute osseous abnormalities are seen. There are mild degenerative changes in the thoracic spine.

weakness.

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable since <unk>.

hiv presenting with lightheadedness, vomiting.

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The heart size is borderline enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

shortness of breath.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is demonstrated. Clips are noted within the right breast about a <num> mm nodular opacity, which appears to correlate with post treatment changes on the prior mammogram. Mild degenerative changes are seen within the thoracic spine.

history: <unk>f with cough x <num> weeks

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A dialysis catheter terminates in the right atrium, as before. The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged. There is no definite pleural effusion or pneumothorax. There is mild persistent relative elevation of the left hemidiaphragm. Opacification in the left lower lobe along the hemidiaphragm has increased although similar to the earlier of two comparison studies. The pulmonary interstitium is minimally prominent, probably due to slight fluid overload.

cough.

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There has been interval placement of an endotracheal tube which is low lying, with tip terminating approximately <num> cm from the carina. An enteric tube has been placed, coursing below the left hemidiaphragm, into the stomach, and tip off the inferior borders of the film. There is continued re- demonstration of moderate cardiomegaly and pulmonary edema, moderate in degree and slightly worse in the interval. Retrocardiac opacity persists, and again may reflect atelectasis. A trace left pleural effusion may be present. No pneumothorax.

history: <unk>m with intubated, assess for ett and ogt placement

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This study is presented on <unk> for dictation. A right internal central jugular venous catheter again terminates in the superior vena cava. There is overall slightly better aeration of the chest but similar heterogeneous multifocal opacities with suspected pleural effusions. Some improvement may be due to decrease in edema.

diffuse alveolar hemorrhage.

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Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. Enteric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. Left-sided subclavian central venous catheter terminates in the low svc. Bibasilar opacities are again seen, grossly stable to possibly minimally improved. Small bilateral pleural effusions are stable. Cardiac and mediastinal silhouettes are stable.

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Pa and lateral views of the chest provided demonstrate hyperinflated lungs without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. No pleural effusion or pneumothorax is seen. No free air below the right hemidiaphragm. Bony structures are intact. Clips in the right upper quadrant noted.

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Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.

<unk> year old woman with intermittent chest pain // chest pain

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As compared to the previous radiograph, the chest tube and the right internal jugular vein catheter has been removed. Minimal left pleural effusion. Moderate retrocardiac atelectasis. Otherwise, the radiograph is unchanged, no evidence of acute changes.

evaluation for pneumothorax, chest tube removal.

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Pa and lateral views of the chest. Again seen is a small right apical pneumothorax, unchanged. There is no evidence of pneumothorax on the left. No focal consolidation or pleural effusion. Cardiomediastinal and hilar contours are normal.

status post mvc, known right pneumothorax, question of new left pneumothorax.

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Endotracheal tube tip is approximately <num> cm above the carina and orogastric tube courses below the diaphragm; however, its distal end is off the radiographic view. Apart from preexisting two chest tubes on the right side and a chest tube on the left side, there are two new mediastinal drain tubes, one ending in the lower mediastinum, while another is in the upper medistinum. Since yesterday, there has been a substantial improvement in the widened mediastinum concerning for hematoma, which is mostly from post-surgical evacuation, as reflected by an open sternum with skin <unk>. There has been significant improvement in the moderately severe pulmonary edema and residual opacity in the right upper-mid lung is a combination of hemorrhage/atelectasis. Left apical pneumothorax is small. Pleural effusions, if any, are minimal bilaterally.

to evaluate for reaccumulation of hemothorax, pneumothorax, or consolidation. status post chest trauma, sternotomy, repair of subclavian artery.

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Pa and lateral radiographs demonstrate mild pulmonary edema. The lungs are otherwise clear. The hila and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Sternotomy wires are present. The <unk> wire from the top is fractured. The implantable aicd is unchanged in position and the leads are intact.

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

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There has been interval resolution of the previously demonstrated left lower lobe collapse. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.

history of left lower lobe collapse in <unk>, evaluate for re-expansion.

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. Mild enlargement of the cardiomediastinal silhouette is stable. No pulmonary edema is seen.

history: <unk>f with chest pain, palpitations // evaluate for acs

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There is no pneumomediastinum and no pneumothorax. Mediastinal and cardiac contours are unchanged. There is no significant pleural effusion. Patient with known calcified granuloma in the spleen.

patient with esophageal dilatation. assess for pneumomediastinum.

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The lungs are fully expanded and clear. There is no focal consolidation, effusion or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.

history: <unk>f s/p corneal surgery yesterday presenting with chest pain without ekg changes. // evaluate for cardiac and pulmonary changes

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Since prior, there has been no significant interval change. The lungs are grossly clear. Severe cardiomegaly, mediastinal, and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or pulmonary edema.

<unk> year old woman with aspiration event, evaluate for aspiration pneumonia.

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Frontal and lateral radiographs of the chest, when compared to the prior radiograph, demonstrate bilateral pleural effusions, left greater than right. The left subclavian catheter terminates in the mid portion of the svc. The lungs are otherwise clear. Cardiac and mediastinal contours are normal. No pneumothorax is seen.

metastatic breast cancer with new shortness of breath and decreased breath sounds at the left mid and lower lung zones. evaluate for pleural effusion.

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There are low lung volumes which accentuates the heart size, which is likely mildly enlarged. The aorta is unfolded. Crowding of the bronchovascular structures is noted. Calcified bilateral pleural plaques limit assessment of the underlying pulmonary parenchyma. There is a focal opacity noted within the left lung base, which could reflect an area of atelectasis or infection, but is nonspecific. Eventration of the right hemidiaphragm anteriorly is chronic. There is no pleural effusion or pneumothorax.

altered mental status.

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Since the prior exam, there is new elevation of the right hemidiaphragm with associated volume loss in the right lower and mid lung zone. A component of a subpulmonic effusion with associated consolidation cannot be completely excluded. The right apex is clear. The left lung is clear. There is no left pleural effusion. There is no pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged, and stable from the prior exam.

cough.

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Tunneled hemodialysis catheter is seen with distal lumen projecting over the distal svc and proximal lumen projecting over the mid svc. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. Cardiomediastinal contours and heart size are unremarkable.

<unk>-year-old male with bleeding, evaluate placement of tunneled hd catheter.

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The cardiomediastinal and hilar contours are within normal limits. Lungs are hyperexpanded and there is flattening of the diaphragms consistent with chronic lung disease. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is identified. Visualized osseous structures are grossly intact.

<unk>-year-old man with cough, shortness of breath, crackles at right base. rule out pneumonia.

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Comparison is made to radiographs from <unk>. The tip of the feeding tube is near the ge junction. This could be advanced several centimeters for more optimal placement. There is unchanged cardiomegaly. There is unchanged mild pulmonary edema, bilateral pleural effusions and a left retrocardiac opacity. No pneumothoraces are seen.

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The lungs are clear. The cardiac size is normal. Mild rightward deviation of the trachea may be due combination of kyphosis and mild dextroscoliosis. Moderate kyphosis and degenerative changes are noted. A hiatal hernia is again visualized, but appears much smaller than in prior exams. No pulmonary edema, pleural effusion, pneumothorax, or pneumonia.

<unk> year old woman with hx of hiatal hernia and worsening gas pain // hiatal hernia?

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The lungs are well expanded and clear. No consolidation. The hila are normal. There is mild pulmonary vascular congestion slightly better compared to prior. There is mild left lower lobe atelectasis. The left pleural effusion has increased. The cardiomegaly is unchanged. The mediastinum is normal. No fractures.

<unk> year old woman with afib and increased edema and dyspnea // pulmonary vascular congestion

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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. Status post sternotomy and apparently previous bypass surgery appears unchanged. The heart is not significantly enlarged. The pulmonary vasculature is not congested. An ng tube is again identified and appears in unchanged position. The distal tip of the ng tube exceeds the lower border of the image field. The ng tube appears to be in completely unchanged position.

<unk>-year-old male patient with new shortness of breath, evaluate for ng tube, evaluate for pneumonia and tube placement.

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The lungs are hyperinflated. Increased interstitial markings and prominence of bilateral hila is suggestive of central pulmonary vascular congestion and pulmonary edema. There is a probable trace left pleural effusion. No right pleural effusion or bilateral pneumothorax. Mild-moderate cardiomegaly is noted.

history: <unk>m with fall // fx? ich? edema?

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As compared to the previous radiograph, no relevant change is seen. The lung volumes remain low. Moderate cardiomegaly and mild pulmonary edema. Areas of atelectasis at both lung bases. The monitoring and support devices are constant.

cardiogenic shock, evaluation for interval change.

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Pa and lateral chest radiograph demonstrate clear lungs with no focal opacity. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Imaged osseous structures demonstrate no acute abnormality. Imaged upper abdomen is unremarkable.

<unk> year old woman with cough, decreased breath sounds, rhonchi. patient is status post liver transplant. evaluate for pneumonia.

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Pa and lateral views of the chest provided.patient is status post median sternotomy. Lungs are grossly clear. No pneumothorax. Minimal right pleural effusion is unchanged from <unk>. Hilar contours are normal. The aorta is mildly tortuous and there is mild cardiomegaly.

<unk> year old man with cl on tki therapy. had pleural effusion. follow up xray. // follow up pleural effusions. on tki therapy for cml dx.

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In comparison with study of <unk>, there has been some improvement in the pulmonary edema. Cardiac silhouette is essentially within normal limits given the low lung volumes. No evidence of acute focal pneumonia or pleural effusion.

chf and flu.

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Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Lungs are hyperinflated. Previously noted area of ill-defined opacification in the lingula appears somewhat improved since the prior exam. No new focal consolidation, pleural effusion or pneumothorax is seen. Moderate degenerative changes are seen in the thoracic spine. No acute osseous abnormalities detected.

history: <unk>m with pneumonia on levofloxacin, paroxysmal svt that is likely aflutter

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Suboptimal comparison as no lateral view is obtained, however there is a retrocardiac opacity which may correlate with the opacity seen on the prior lateral view. No pleural effusion or pneumothorax identified. In the size the cardiomediastinal silhouette is within normal limits.

<unk> year old woman with cva // interval changes

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Subsequent views of the chest demonstrates endotracheal tube repositioning. Final views demonstrate an endotracheal tube ending approximately <num> cm above the carina. Orogastric tube tip seems to end in the upper abdomen. Again noted, is a left lower lung base opacity. New opacification of the right lower lobe, is likely secondary to a layering pleural effusion. The costophrenic angles are blunted bilaterally. Cardiomediastinal hilar contours are unchanged. There is no pneumothorax.

evaluate endotracheal tube position..

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As compared to the previous radiograph, the lung volumes have increased, reflecting either improved ventilation or increased ventilatory pressure. No new focal parenchymal opacity is noted, but the preexisting bilateral and relatively diffuse opacities are constant in appearance. Normal size of the cardiac silhouette. No pulmonary edema. No pleural effusions. No pneumothorax.

bacterial meningitis, evaluation for interval change.

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As compared to the previous radiograph, the lung volumes remain low. Moderate cardiomegaly and bilateral pleural effusions remain unchanged. No pulmonary edema. No pneumonia. No pneumothorax.

severe gallstone pancreatitis, evaluation.

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Single right chest tube. Right basilar pneumothorax, stable. Moderate right pleural effusion, stable. Right basilar consolidation, stable. Mild interstitial prominence left lungs, more prominent.

<unk> year old man with chest tube, increasing agitation // tube placement, ptx?

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Subtle left base opacity may be due to minor atelectasis and overlap of vascular structures early, developing consolidation is not excluded in the appropriate clinical setting, although felt less likely. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Chronic resorption of the distal left clavicle is noted.

history: <unk>f with dysphagia x<num> days, vomiting, choking. // rule out infiltrate

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There is moderate partially loculated right pleural effusion, increased since prior. Right basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting. Improved left perihilar, basilar opacity. Tiny left pleural effusion or thickening, similar. Thoracic curve. Patient chin position obscures dilatation of the upper chest. Heart is enlarged. Catheter is projected over right lower chest. Healing right lower lateral rib fracture.

<unk> year old woman with malignant effusion, s/p tpc // ? re-accumulation of effusion

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Pa and lateral views of the chest are provided. Stabilization hardware is noted in the mid thoracic spine. A mild wedge deformity of a mid thoracic vertebra. Lungs are clear. No signs of pneumonia or chf. Cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm.

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Ap and lateral views of the chest provided. There is a large left-sided pleural effusion, which is likely decreased since comparison study within the limitations of different patient position. Right lung is clear. No pneumothorax. Incomplete evaluation of the left cardiomediastinal silhouette due to this effusion

history: <unk>f with c/o gen weakness // ? pna

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Moderate to large right pleural effusion appears relatively unchanged compared to the most recent radiograph. Right basilar opacity likely reflective of atelectasis appears slightly worse in the interval. Heart size is difficult to assess, but appears grossly unchanged as are the mediastinal and hilar contours. Left lung is clear. There is no left-sided pleural effusion. No pneumothorax or pulmonary vascular congestion is identified. There are no acute osseous abnormalities.

history: <unk>f with dyspnea, cough, and <num> days of left calf pain and swelling

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with bilateral rib pain worse with inspiration and movement. // r/o acute process

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

intermittent chest pain and palpitations.

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The lung volumes are normal. There is mild overinflation and non-characteristic scarring, predominantly in both lower lobes and the bases of the right upper lobe. However, no acute changes are seen, in particular there is no evidence of pneumonia or larger pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.

questionable infection.

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Left pectoral pacemaker has a lead terminating in the right ventricle. There are small bilateral pleural effusions and right lung base atelectasis. Cardiomediastinal silhouette is normal size. No evidence of pulmonary edema is identified.

<unk> year old man with chf now with hypoxia and crackles on pex // pulmonary edema given h/o of chf and new oxygen requirement

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A port-a-cath terminates in the mid superior vena cava. The cardiac, mediastinal and hilar contours appear stable. Slight blunting of lateral and posterior costophrenic sulci on the left suggests the possibility of a trace effusion. The right costophrenic sulci appear sharp. There is no pneumothorax. Predominantly sporadic widespread but bony metastases are present, noting lysis and a soft tissue mass along the course of the anterolateral course of the left fourth rib, as before.

left-sided chest pain on chemotherapy. question pneumonia.

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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted. The heart is mildly enlarged. There is a similar pattern of linear density abutting the left heart border which likely reflects the presence of a fat pad and minimal adjacent atelectasis. No signs of pneumonia or edema. No large effusion or pneumothorax. Bony structures are intact. Mediastinal contour is normal. No free air below the right hemidiaphragm.

<unk>f with chest pain and sob with diaphoresis.

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Mild pulmonary edema is new since previous exam with azygos vein and mild cardiac silhouette enlargement. Et tube ends <num> cm above carina. Ng tube goes below the diaphragm, but the distal end is hard to assess. There is no pneumothorax or pleural effusion.

patient with copd flare, nasogastric tube.

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Endotracheal and nasogastric tubes have been removed. Lung volumes are low but improved. Heart size is enlarged. Left mid and lower lung aeration is improved. There are small bilateral pleural effusions. There is no pneumothorax or new area of consolidation. Pulmonary vasculature has improved and is within normal limits. Mediastinal silhouette is not widened. Atherosclerotic calcifications of the aortic arch are unchanged.

<unk> year old man s/p transverse colectomy and ileostomy. was extubated <unk>, still on nasal cannula // eval for interval change, pulm edema eval for interval change, pulm edema

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

recent fall, with nausea, vomiting and headache.

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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 and unremarkable..

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

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable and unchanged. The lungs are clear. There is no pleural effusion or pneumothorax.

chest pain and shortness of breath.

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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Borderline size of the cardiac silhouette without evidence of pulmonary edema. No pleural effusions. No pneumonia. Normal hilar and mediastinal contours. Minimal tortuosity of the thoracic aorta.

acute renal failure, dyspnea on exertion, rule out cardiopulmonary process.

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Heart is upper limits of normal in size. Left lower lobe is collapsed, presumably due to mucus plugging, but attention to this region on short-term followup radiograph is suggested, particularly in the absence of older films for comparison. There is likely a small adjacent pleural effusion. Right lung is slightly overexpanded and grossly clear except for minor atelectasis in the right infrahilar and perihilar regions.