ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Pa and lateral views of the chest were provided. Lungs remain clear. Tiny nodular hyperdense foci scattered in the lungs may represent calcified granuloma. No effusion or pneumothorax. Cardiomediastinal silhouette is normal.

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The endotracheal tube projects <num> cm above the carina. The heart is top-normal in size. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

<unk> year old woman with suspected nec fasc, intubated/sedated. evaluate tube placement.

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The endotracheal tube is in good position. The right-sided picc remains in the internal jugular vein. Interval worsening of the bilateral, diffuse airspace disease. The heart remains enlarged. No significant effusions. No pneumothorax.

<unk> year old man with aspiration pneumonia // eval for worsening consolidation or edema

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There has been interval placement of a lower right chest pigtail catheter with evidence of some decrease in the right pleural effusion. Small right and moderate left bilateral pleural effusions persist. There is bibasilar atelectasis. Nodular opacity projects over the lateral left mid lung could relate to a pleural effusion and atelectasis although is not well characterized on this study. Cardiac and mediastinal silhouettes are stable. No definite pneumothorax is demonstrated.

<unk> year old woman with large right effusion s/p chest tube placement with <num>.<unk>ml out // ? ptx

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Single ap view of the chest provided. Multiple rounded, calcified nodules projecting over the right upper lung are stable. Interstitial and alveolar opacities in predominantly the left lower lobe are worsened from <unk>. No pneumothorax. Small, bilateral pleural effusions and associated atelectasis which are worsened in comparison <unk>. Patient is severely rotated and evaluation of the hilar in cardiomediastinal contours is limited.

<unk> year old woman with leukocytosis, hx aspiration // ?pna

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As compared to the previous radiograph, there is no relevant change. Moderate pulmonary edema with areas of atelectasis at the right lung base and in the right perihilar areas. Identical changes, but less severe, are also seen in the left perihilar regions. Borderline size of the cardiac silhouette with left pectoral pacemaker. No pleural effusions.

severe aortic stenosis, chest pain new crackles.

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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Again noted is a postoperative esophagus. Opacity adjacent to the right mediastinal border is unchanged, likely platelike atelectasis, improved since prior. Assessment of the retrosternal region is limited due to technical limitations of the lateral radiograph. No definite pneumothorax is seen on ap view. The cardiomediastinal silhouettes are stable and within normal limits. The right hilum is obscured; the left hilum is within normal limits. There is no focal lung consolidation. There is no pleural effusion.

<unk>f with multiple nausea s/p esphogeal cancer.

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There is moderate pulmonary vascular congestion. No large pleural effusion or pneumothorax is seen. The cardiac silhouette remains enlarged. Mediastinal contours are stable. Prominence of the right hilum is stable. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with hypotension // eval for pneumonia

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Left-sided aicd/pacemaker device is re- demonstrated with leads in unchanged positions. There has been interval placement of <num> clips in the region of the mitral valve. Cardiac silhouette size remains markedly enlarged, slightly increased in the interval. The mediastinal contour is unchanged. There is perihilar haziness with mild to moderate pulmonary edema, new in the interval, along with small bilateral pleural effusions, also new. No pneumothorax or focal consolidation is present. Bilateral cervical ribs are incidentally noted. Surgical screws project over the left shoulder.

history: <unk>m with severe mitral regurgitation presents with progressive dyspnea on exertion

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. This a left perihilar opacity seen on prior chest x-ray is not visualized on the current exam. A right picc is with tip terminating in the proximal right atrium, near the cavoatrial junction. The visualized upper abdomen is unremarkable.

<unk> year old man with diffuse b cell lymphoma s/p methotrexate therapy now w/ persistent mtx levels. eval effusion. // eval pleural effusions.

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There relatively low lung volumes. Elevation the right hemidiaphragm is seen, with overlying atelectasis. There is minor left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. Surgical screw is seen projecting over the right humeral head.

history: <unk>m with rotator cuff surgery <num> weeks ago p/w <unk> days of sob, orthopnea, cough. cta on <unk> showing ?pna. dec breathsounds right base // ?pna or effusion

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Ap portable upright chest radiograph was provided. Opacity projecting over the right lower lung likely represents a breast implant as seen on prior. There is no evidence of pneumonia or chf. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unremarkable, though the patient's rotation limits evaluation of the mediastinum. Bony structures are intact.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

<unk>.o. g<num>p<num> woman with history of menorrhagia on lupron (leuprolide) thought to be secondary to uterine fibroids vs adenomyosis presenting with pleuritic chest pain, abdominal pain, and vaginal bleeding. // eval for acute process

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There has been no appreciable change in the known moderate right pleural effusion. The right heart border is obscured. The aorta is tortuous. The right upper lung and left lung remain clear. The heart size is unchanged and is within normal limits. No large left pleural effusion is seen. There is no pneumothorax. There is an old healed rib fracture of the posterior right <num>th rib.

history of pleural effusion, please evaluate for interval change.

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As compared to radiograph from earlier today, the patient is now intubated with endotracheal tube <num> cm from the carina. Nasogastric tube with the first side port in the lower esophagus and needs to be advanced. Right-sided chest tubes and left internal jugular catheter in similar position. Essentially complete opacification of the right lung. The left lung remains relatively clear. Moderate cardiomegaly persists.

<unk> year old man s/p repair transvalvular leak // eval for ett position s/p repair of mv leak

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As compared to the previous radiograph, there is stable blunting of the left costophrenic sinus with atelectasis of the retrocardiac lung areas, likely caused by a small left pleural effusion. There also is increasing loss of lung transparency on the right, with blunting of the right costophrenic sinus, likely caused by a right pleural effusion. The vascular diameters have minimally increased, likely indicating mild fluid overload. Stable low lung volumes. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. The findings were subsequently discussed over the telephone.

increasing respiratory distress, unclear underlying pneumonia, evaluation for interval change.

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The lungs are well expanded. No chf, focal infiltrate, effusion or pnemothorax is detected.cardiomediastinal and hilar contours are within normal limits. No rib fracture is detected on these lung-technique films.

chest pain. evaluate for acute process.

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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Incidental note is made of an azygos lobe.

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There is cardiomegaly accompanied by vascular engorgement and pulmonary edema. There is a right-sided pleural effusion which may have some loculated components. Alternatively, this may represent soft tissue shadows or pleural thickening. Left pleural effusion is small if any, and there is retrocardiac atelectasis. There is no pneumothorax or pneumonia. Severe scoliosis of the lumbar spine is partially imaged with surgical hardware.

fever and abdominal pain. question pneumonia or free air.

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As before the lungs are mildly hyperexpanded. Interstitial abnormalities at the right base are not appreciably changed. There is a new nodular opacity in the right mid lung measuring approximately <num> mm. Mild cardiomegaly is stable. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

history: <unk>f with unsteady gait // acute process?

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Compared to the prior exam there is increased alveolar infiltrate left greater than right. There is moderate pulmonary edema. There bilateral pleural effusions left greater than right. It is unclear if this is asymmetric pulmonary edema which would be unusual given that this is left greater than right in appearance or if there is an infectious etiology.

<unk> year old man with chf exacerbation // volume overload?

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Ap and lateral views of the chest are compared to previous exam from <unk>. There is increased opacity in the left lower lobe compatible with infiltrate. Elsewhere, the lungs are clear and there is no effusion. Cardiac silhouette is enlarged but stable. Coronary artery stent is again seen. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with cll and fevers and abdominal pain. question pneumonia.

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Ap upright chest radiograph was obtained. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal and hilar contours are normal. No bony abnormality is seen.

hypotension of unclear source. evaluate for pneumonia.

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

<unk>m with fevers of unknown etiology

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The lungs are well expanded clear. Postoperative mediastinum and cardiomegaly are stable from <unk>. No pleural effusion pneumothorax.

<unk>f with sob, doe // eval for cardiomegaly, ptx

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There is a new left cardiac device with its lead terminating in the region of the right ventricle. The lungs are clear without focal consolidation, pleural effusions or overt pulmonary edema. Previous left lower lobe consolidation has resolved. There is a <num> mm well-circumscribed nodular density in the left midlung which may be a nipple shadow. The heart is top-normal in size.

<unk> year old man s/p icd placement. evaluate leads and for pneumothorax.

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Pa and lateral views of the chest provided. The lungs are clear. No signs of pneumonia or chf. The cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax is seen. The imaged bony structures are intact. No free air below the right hemidiaphragm.

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Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal and hilar contours are normal. There is no pulmonary edema. Crowding of the bronchovascular structure is noted as result of the low lung volumes. There is minimal atelectasis at the lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.

history: <unk>m with chest pain and st depressions in lateral leads.

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There is no focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is enlarged but unchanged.

<unk> year old woman with cad, chf, has doe // r/o chf, ptx, pna

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The chin and overlying soft tissues partially obscure the bilateral lung apices. Small bilateral pleural effusions have decreased since the study of <num> days prior. Bilateral airspace opacities have substantially improved in the right lung, but persist at the left base. A tubular opacity projecting over the heart may be due to coronary calcifications or stents. Moderate cardiomegaly despite the projection is stable. Extensive vascular calcifications are incidentally noted.

<unk> year old woman with esrd on hd, recent l mca stroke, treated for hcap on this admission. now with rising wbc count, ams, unclear etiology. // eval for interval change, new consolidation/pna

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Endotracheal tube terminates <num> cm above the carina, in appropriate position. Lung volumes are low with mild platelike atelectasis in the right lung base. No pleural effusion or pneumothorax.

<unk> year old man s/p gsw intubated // ett position

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Comparison is made to previous study from <unk> at <time> p.m. The right apical pneumothorax is not visualized anymore. There are chest tubes on the right with tips in the apex and base, stable. There is improvement of the subcutaneous emphysema in the right chest wall. There is a small left-sided pleural effusion and left retrocardiac opacity, which appear stable. There is tortuosity of the thoracic aorta.

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Lung volumes are markedly low which limits evaluation. The cardiomediastinal and hilar contours are within normal limits. There are streaky opacities throughout the right lung which likely represent atelectasis or infection in the appropriate setting. Scattered left basal opacities also likely reflect atelectasis or infection. There is no evidence of pneumothorax. Of note, a tubular, radiopaque density projects over the left hemi thorax which may be related to the patient's left scapula.

history: <unk>m with transfer, chest injuries // eval for pulm contusion, rib fxs

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As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. Borderline size of the cardiac silhouette, moderate elevation of the left hemidiaphragm with small retrocardiac atelectasis. No pulmonary edema. No newly appeared focal parenchymal opacities suggesting pneumonia.

myasthenia <unk>, evaluation for pulmonary edema and consolidation.

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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Transpedicular screws and fusion rods in the lower lumbar spine are partially visualized.

cough and fever.

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Ap portable upright view of the chest. Percutaneous nephrostomy catheter projects over the left upper abdomen. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. The heart size is top-normal. Mediastinal contours unremarkable. No signs of pulmonary edema. Mediastinal contour and hilar configuration is normal. Imaged osseous structures are intact.

<unk>f with ams // infiltrate?

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The heart size is normal. The cardiomediastinal silhouette and hilar contour is unremarkable. The lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony change is identified.

cough.

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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region of the right atrium, right ventricle and coronaries sinus. Midline sternotomy wires and prosthetic cardiac valve are again noted. The heart is top-normal in size. The mediastinal contour is normal. The lungs are clear without focal consolidation, large effusion or pneumothorax. No convincing signs of edema or congestion. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with hfref p/w dyspnea

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As compared to the previous radiograph, there is no relevant change. Constant position of the right picc line. Low lung volumes. Moderate cardiomegaly and tortuosity of the thoracic aorta. No pleural effusions. No pneumonia. No pulmonary edema.

evaluation for pneumonia.

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Pa and lateral views of the chest. There are few relatively nodular opacities in the right mid lung laterally which are relatively dense, potentially calcified and may represent calcified granulomas. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits.

<unk>-year-old male, suicidal and leukocytosis.

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The heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No displaced fractures are identified.

thoracic, lumbar spine pain and sternal pain after motor vehicle accident.

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Again noted is dense opacification projecting over the right lower chest consistent with a combination of volume loss/infiltrate/effusion the most superior right upper lobe is well aerated as is the left lung

<unk> year old man s/p liver transplant with new oxygen requirement // ?infiltrate vs pneumonitis, ?better characterize right pleural effusion

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Lungs are well-aerated. Minimal scarring in the right middle lobe and lingula are stable. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with paroxysmal a fib presenting with left chest and back pain // ?acute cardiopulmonary process

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The patient is rotated somewhat to the right. Left lower lobe opacity may be due to aspiration and/or infection. No large pleural effusion is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly unremarkable. No pneumothorax is seen. Evidence of dish is seen along the spine.

history: <unk>m s/p fall // r/o intracranial bleed and/or c-spine injury

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Expected postoperative appearance of the neoesophagus which appears less distended compared to the prior radiograph. Interval development of multifocal right pulmonary abnormalities with ring shadow and small irregular opacities in the second and fifth anterior interspaces. Small right pleural effusion. No left pleural effusion. No pulmonary edema. The cardiomediastinal silhouette is normal.

<unk>-year-old man with crackles at right base a/w weakness, doe and h/o esophageal cancer rx's in past year with esophagectomy and chemoradiation; also episodes of dysphagia requiring dilatation. evaluate for pneumonia.

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Tip of endotracheal tube terminates in right main bronchus and tip of the nasogastric tube terminates above the diaphragm in a moderate hiatal hernia. Cardiac silhouette is mildly enlarged. Thoracic aorta is calcified and aneurysmally dilated distally, the latter more fully assessed by recent cta. Small to moderate left pleural effusion is noted with adjacent atelectasis.

<unk> year old woman s/p intubation, ruptured aaa // confirm lines, ett, ogt

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

persistent cough, to assess for pneumonia.

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Interval improvement in extent of congestive heart failure with decreased size of cardiac silhouette, decreased vascular distention, and resolving interstitial edema. Very small residual pleural effusions.

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In comparison with the study of <unk>, the endotracheal tube and nasogastric tube have been removed. Swan-ganz catheter and chest tube remain in place and there is no evidence of pneumothorax. The pulmonary vascular congestion has reduced. The right effusion is less prominent, as are the atelectatic changes at the right base. Opacification at the left base has increased, suggesting pleural fluid and atelectasis in this region.

dropping sats after descending aorta replacement.

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Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. No acute skeletal findings.

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Pa and lateral views of the chest provided. Hyperinflated lungs. 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 chest pain

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The cardiac, mediastinal and hilar contours are normal. Predominantly linear opacities within the left lower lobe likely reflect scarring and bronchiectasis with adjacent pleural thickening. More focal opacity within the periphery of the left lung base may also reflect an area of scarring, though infection cannot be completely excluded. No pleural effusion or pneumothorax is seen. There is no pulmonary vascular engorgement. There are no acute osseous abnormalities.

hiv, presenting with seizure activity.

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Frontal and lateral chest radiographs demonstrate mild pulmonary edema. Linear atelectasis is seen within the left lower lung. There is no new effusion or pneumothorax. An inferiorly placed central venous catheter tip is noted at the cavoatrial junction. The mediastinal contours are notable for slight prominence of the right paratracheal stripe consistent with patient's known mediastinal lymphadenopathy. The right main pulmonary artery appears enlarged, consistent with pulmonary hypertension.

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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. There is no radiopaque foreign body.

<unk>-year-old male with hypoxia after choking, evaluate for foreign body or consolidation.

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There has been interval extubation and removal of enteric tube as well as swan-ganz catheter. Sheath of a right ij line terminates in the svc. Persistent bilateral lower zone haziness with increase in cardiac silhouette. Visualized bones are unremarkable.

<unk> year old woman with decraesed hct // eval for widened mediastinum

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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is unremarkable.

chest pain.

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Cardiac silhouette size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar, with unchanged prominence of the right hilum. Pulmonary vasculature is normal. Linear opacities in both lung bases are compatible with areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Remote right-sided rib fractures are re- demonstrated. There are mild degenerative changes in the thoracic spine.

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

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Small-to-moderate left pneumothorax whose apical border has risen from the level of the fourth posterior rib to the third posterior interspace, is minimally smaller. The anterior component of the pneumothorax is unchanged. Mild-to-moderate right lower lung atelectasis has changed in distribution, more pronounced at the base, but not in overall severity. Substantial left basilar atelectasis persists. Subcutaneous emphysema is unchanged. There are no areas of focal consolidation concerning for infection.

<unk>-year-old male status post apparent left-sided vats [correction of information in request]; recent removal of chest tube.

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In comparison with the study of <unk>, there is little overall change. Pacer leads remain in good position. Bilateral pleural effusions and bibasilar atelectasis are unchanged. Continued low lung volumes without evidence of appreciable vascular congestion.

dyspnea and hypoxia.

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In comparison with the study of earlier in this date, the monitoring and support devices appear to be in unchanged position. Continued low lung volumes may account for some of the prominence of the transverse diameter of the heart. There is evidence of increased pulmonary venous pressure and hazy opacification involving the lower portion of the right hemithorax, consistent with pleural effusion and underlying compressive atelectasis.

cirrhosis.

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Patient is status post median sternotomy and cabg with electronic device noted projecting over the mid sternum. Heart size is top-normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No displaced fractures are evident.

history: <unk>f with fall complaining of neck pain. immunocompromised and will like to evaluate for rib fractures.

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The cardiac, mediastinal and hilar contours are unchanged with the heart size appearing top normal. Focal contour abnormality at the level of the aortic arch corresponds to the known pseudoaneurysm which was better depicted on the previous ct. Calcified hilar lymph nodes are re- demonstrated. Architectural distortion with traction bronchiectasis and fibrotic changes are noted in both upper lobes, right greater than left, likely related to prior granulomatous infection. Patchy opacity in the right lower lobe peripherally was present on the prior ct, and again may reflect an area of infection. Patchy retrocardiac opacity may reflect atelectasis, but infection is not excluded, and there are small bilateral pleural effusions. No pulmonary edema or pneumothorax is detected.

decreased responsiveness.

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Portable ap upright view of the chest was provided. Bilateral pleural effusions are noted with lower lobe opacity within the right lung which is concerning for pneumonia. There additionally is increased opacity in the left lower lobe which may also indicate consolidation. Heart size is difficult to assess. Mediastinal contour is stable with atherosclerotic calcification along the aortic knob. There is no pneumothorax. The bony structures appear intact.

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Frontal and lateral views of the chest were obtained. Mild left mid-to-lower lung atelectasis/scarring is seen. On lateral view, there is upper lobe consolidation seen anteriorly, not well substantiated on the frontal view but may be in the left upper lobe. The right lung is clear. There is no right pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Degenerative changes are seen along the spine.

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The tracheostomy is in place. The heart and mediastinum are unchanged. There has been interval worsening of bibasilar atelectasis, left greater than right. There appears to be interval increase of the moderate left and mild right pleural effusions. There also has been interval development of a left sided fissural loculation. No pneumothorax is seen. There is again a redemonstration of the fractured displaced right shoulder. The left heart border is obscured by the pleural effusion and the fissural loculation.

<unk>-year-old female with trach, history of recent aspiration, who presents for evaluation of new chest pain. question of pneumonia.

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The cardiac, mediastinal and hilar contours are stable. Et tube and picc line are noted in good position. There is partial right upper lobe collapse with displacement of the minor fissure. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.

<unk>-year-old with hypoxia

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Pa and lateral views of the chest provided. Patient is status post median sternotomy wires are intact and properly aligned. Lungs are well inflated and grossly clear. No pneumothorax. A moderate left pleural effusion is worsened. Hilar contours are normal. Moderate cardiomegaly is unchanged.

<unk> year old man with pleural effusion // eval

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous. Subtle prominence noted at the ap window which may just be vascular however, underlying lymph node not excluded. No displaced fracture is seen.

mechanical fall <num> days ago complaining of pain, rule out fracture.

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A left pectoral placed icd/pacemaker is unchanged with leads terminating in the right atrium, right ventricle and past the coronary sinus. There is no evidence of lead fracture. Orthopedic hardware is seen in the right humerus. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is mildly enlarged. The pulmonary vasculature is normal. The hilar and mediastinal structures are unchanged.

adventitial lung sounds with a plan for surgery. rule out infiltrate.

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

sudden onset chest pain.

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The heart is mildly enlarged. Moderate unfolding is noted along the thoracic aorta, as before. The cardiac, mediastinal and hilar contours appear unchanged. Similar to the prior examination, there are patchy opacities in each lower lung, more extensive on the right than left, probably due to patchy atelectasis or scarring. Aeration is somewhat improved on each side. Subpleural scarring is unchanged at each lung apex. A bochdalek hernia on the left is unchanged in contour. Mild degenerative changes are similar along the thoracic spine.

emesis.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.

history: <unk>f with chest pain

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Et tube ends at <num> cm from carina. It can be withdrawn at least <num> cm. Right ij catheter ends in lower svc. Left lung base pigtail is unchanged since prior chest x-ray. As compared to yesterday, the bilateral pulmonary edema is unchanged in the right lung, but minimally improved in the left lung. There is no pleural effusion on the left, but small on the right. Cardiomediastinal silhouette is unchanged and normal.

assessment for worsening of pulmonary effusion versus edema.

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Bilateral pigtail catheters are unchanged in appearance. A right port-a-cath ends in the low svc. A large right pleural effusion is unchanged. Pleural fluid tracks upward along the pleural surface towards the apex. There is no pneumothorax. A small left pleural effusion is presumed. There is no new consolidation or edema. The cardiomediastinal silhouette is stable.

history of esophageal cancer. air leak on chest tube. evaluate for pneumothorax.

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The lungs are clear. There is mild cardiomegaly but the mediastinal and hilar contours are unremarkable otherwise. There is no pleural effusion or pneumothorax. Vascular calcifications are noted in the aortic arch.

<unk>-year-old man with atrial fibrillation. evaluate for pulmonary infiltrates.

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The ng tube tip is in the stomach. The. Left tube is been removed. There is volume loss at both bases. There is no focal infiltrate.

<unk> year old woman with sah on vasospasm watch. new ng tube placed after dobhoff d/c'd. // confirm placement of ng tube.

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Pa and lateral views of the chest. There is subtle increased opacity in the left mid lung seen posteriorly on the lateral view. Elsewhere, there is no confluent consolidation nor effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old male with cough and fever.

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Frontal and lateral views of the chest. The lungs remain clear. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

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

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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. There is unchanged borderline size of the cardiac silhouette but the diameter of the vasculature in the lungs has decreased, reflecting decrease in pulmonary edema. Moderate atelectasis at the left lung bases. No newly occurred parenchymal opacities.

afib, fever and hypertension, evaluation for interval change.

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A left internal jugular approach central venous catheter terminates in the right subclavian vein and must be repositioned before use. Lung volumes are low which accentuates bronchovascular markings. There is mild bibasilar atelectasis. No significant change from <time> on <unk>. No pneumothorax.

history: <unk>f with left ij cvl // assess for line placement

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The lungs are slightly hyperinflated, but otherwise clear. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is stable.

<unk>f with hx of stroke with concern for ? tia. needs infectious workup // eval for pneumonia

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Pa and lateral views of the chest were obtained. Lung volumes are low with bibasilar plate-like atelectasis, left greater than right. No definite signs of pneumonia or chf. No large pleural effusion or pneumothorax is seen. Heart size is difficult to assess though appears grossly stable. Mediastinal contour is normal. Bony structures appear intact.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Atherosclerotic calcifications are demonstrated at the aortic knob. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.

history: <unk>f with hypoglycemia, assess for infection

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Heterogeneous right infrahilar opacity likely represents a conglomeration of vessels. No focal consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Heart size is normal. Osseous structures are intact.

history: <unk>m with tobacco use and chest pain. evaluate for pneumonia.

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Normal lung volumes. Potential minimal dorsal pleural effusions, seen on the lateral radiograph only. Normal appearance of the lung parenchyma. Normal hilar and mediastinal structures. No pneumothorax. No opacities. Nasogastric tube in correct position. The tip projects over the proximal to middle parts of the stomach.

history of swallowing foreign bodies, evaluation of retropharyngeal abscess. nasogastric tube placement.

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.

evaluation of patient with stroke.

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The heart size is upper limits of normal in size. Mediastinal and hilar contours are within normal limits. The aorta is tortuous. The lungs are hyperinflated, consistent with underlying emphysema. Slightly prominent interstitial markings are felt to be reflective of age-related change or small airways disease. Right apical radiation fibrosis is stable. There is a partially calcified right breast prosthesis. No pleural effusion or pneumothorax is identified. The patient is status post bilateral shoulder arthroplasty. Degenerative changes are seen in the thoracic spine.

history: <unk>f with shortness of breath // eval for infiltrate

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The lungs are clear of focal consolidation. There is suggestion of prominent extrapleural fat bilaterally. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with sob, numbness r lower face and r arm. // mediastinal mass?

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Sternotomy wires are intact. Prosthetic aortic valve appears in unchanged position. No consolidation, pleural effusion, or pneumothorax is identified. Previously seen pleural effusions have resolved. Cardiomediastinal silhouette is normal size.

history: <unk>f with recent open heart surgery <num> weeks ago for as presenting with "pulling" chest pain. // ?acute cardiopulmonary process

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In comparison with the study of <unk>, allowing for some obliquity of the patient, there is probably little change in the appearance of the swan-ganz catheter with the tip well into the right pulmonary artery. It could be pulled back several cm to be certain to be within the mediastinal confines. Otherwise, little change in the huge enlargement of the cardiac silhouette and relatively mild vascular congestion, a discordancy that raises the possibility of cardiomyopathy or pericardial effusion.

pa catheterization.

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As compared to the previous radiograph, the pre-existing right pneumothorax is visible in unchanged manner. The extent of the pneumothorax approximates <num> cm at the right lung apex. There is no evidence of tension. Otherwise, unchanged radiograph.

evaluation for pneumothorax.

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As compared to the previous radiograph, the signs indicative of pulmonary edema have slightly decreased in severity. Mild fluid overload, however, is still present. The lung volumes remain low and the cardiac silhouette, particular the left ventricle, continued to be enlarged. There is no larger pleural effusion and no evidence of pneumonia. Minimal retrocardiac atelectasis is unchanged in extent.

cml, renal failure, evaluation for volume overload.

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Lung volumes are slightly low. Heart size is top-normal. Mediastinal contours are within limits. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous is detected.

history: <unk>m with chest pain and shortness breath

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Ap upright portable chest radiograph was obtained. A dual-lead pacer is in unchanged position with lead tips extending to the right atrium and right ventricle. Retrocardiac opacity may indicate a left pleural effusion and left basilar consolidation. The lungs are hyperlucent, which could indicate underlying emphysema. The right lung is clear. Patient is rotated to the left. Atherosclerotic calcification along the thoracic aorta noted. Bony structures appear intact.

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The inspiratory lung volumes are appropriate. There is no large pleural effusion or pneumothorax. Streaky opacities in the retrocardiac left lung base most likely reflect atelectasis. No focal consolidations concerning for aspiration or pneumonia are seen. The cardiomediastinal contours are within normal limits.

nstemi, requiring intubation at the time of catheterization for agitation and vomiting, here to evaluate for evidence of aspiration.

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Hyperinflated lungs with vascular deficiency in the upper lobes suggest left upper lung opacity corresponds to known left juxta hilar mass, better characterized on same-day and prior chest ct. Moderate right pleural effusion, with possible loculation. No appreciable effusion on the left. No pneumothorax. No focal consolidation. Bibasilar opacities suggest, though infection cannot be excluded in the proper clinical context. Mild tortuosity of the thoracic aorta. Otherwise, mediastinal and hilar contours are unremarkable. Heart size is normal.

<unk> year old woman with history of adenocarcinoma p/w recurrent effusion. // ptx? please <unk> <unk> <unk> <unk> once completed

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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with mild indistinctness of pulmonary vessels, raising the possibility of some elevated pulmonary venous pressure. Relative <unk> raises the possibility of cardiomyopathy or pericardial effusion. Dual-channel pacer device is now in place with the leads extending to the right atrium and an apex of the right ventricle. No evidence of pneumothorax.

pacemaker placement.

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The heart size is top normal. The mediastinal and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.mild aortic arch calcifications are present.

history: <unk>m with pmhx mi p/w substernal chest pain. eval for cardiomegaly.

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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion. Bibasilar opacification, especially on the left, is consistent with pleural effusion and volume loss in the lower lobe.

possible volume overload.