ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Chronic bilateral apical scarring and mediastinal fibrosis leading to upward retraction of bilateral hilar structures. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions. Right port-a-cath ends in the right atrium. No pneumothorax.

<unk> year old woman with hx of aml with +doe // ? infection

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Feeding tube tip is in the proximal stomach. Mildly increased heart size. Pulmonary vascularity at the upper limits are normal. Mild bibasilar opacities, new since prior, likely atelectasis, consider pneumonitis in the appropriate clinical setting. Possible tiny right pleural effusion.

<unk> year old man s/p l cea now npo due to dysphagia // dobhoff placement

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A portable ap radiograph of the chest once again demonstrates extensive subcutaneous emphysema throughout the thorax. A left chest tube is unchanged in position and the previously seen pleural edge is no longer visualized, indicating resolution of the pneumothorax. Minimally displaced fractures of the posterior left second and fifth ribs are once again seen. There is no pleural effusion, and the hilar and cardiomediastinal contours are normal. Right middle lobe atelectasis persists, but the lungs are otherwise clear.

evaluate for interval change in left pneumothorax after placing chest tube on waterseal.

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Left-sided chest tube is unchanged position. Left apical pneumothorax is unchanged. Bibasilar atelectasis is unchanged. Moderate left pleural effusion and small right pleural effusion are state. Cardiomediastinal silhouette is unchanged.

<unk> year old woman with new tpc // effusion size, ptx

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A single portable ap upright view of the chest was obtained. Lung volumes are low. There is dense retrocardiac opacification with obscuration of the medial margin of the left hemidiaphragm, consistent with left lower lobe consolidation. Streaky opacities at the right base probably reflect atelectasis. Cardiomediastinal silhouette is otherwise stable. Prominence of the right paratracheal soft tissues is unchanged. There is no large effusion or pneumothorax.

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

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As compared to the previous radiograph, the bilateral pleural effusions are distributed in a slightly different manner. Their overall extent appears to be similar and rather extensive. As a consequence, there are bilateral basal areas of atelectasis. The size of the cardiac silhouette appears to have slightly decreased, the heart is now at the upper range of normal. No new parenchymal opacities suggesting pneumonia. Unchanged position and course of the left pectoral pacemaker.

increased leukocytosis, questionable infection.

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal with costochondral calcifications noted.

evaluation of patient with atrial fibrillation.

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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with s/p fall unclear ams // r/o intracranial hemorrhager/o c spine fxr/o pna

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Single portable view of the chest compared to previous exam from earlier the same day. New left ij central venous line is seen with catheter tip in the proximal superior vena cava. There is no visualized pneumothorax. No other change.

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

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The heart appears globally enlarged, unchanged in appearance when compared to the prior study. Prominence of the bilateral hila is consistent with mild congestive heart failure. No frank pulmonary edema seen. No consolidation, pneumothorax or pleural effusion seen. No free air seen under the diaphragm. The visualized bony structures are unremarkable in appearance.

history: <unk>f with bilat leg sweling // r/o chf

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As compared to the previous radiograph, the chest tube is in unchanged position. With the tube now clamped, there is no evidence of a left pneumothorax. The appearance of the right lung is unchanged. The soft tissue air collection is also unchanged in extent.

tb, left pneumothorax, chest tube clamped.

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The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. There is a subtle rounded density projecting over the anterior right fifth rib which may relate to the edge of the anterior rib, although underlying pulmonary nodule is not excluded. No prior is available for comparison. Biapical pleural thickening is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema.

history: <unk>f with history of afib went to afib now resolved // r/o pna

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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

asthma with copd exacerbation, worsening shortness of breath.

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No significant change. The right chest tube and right ng tube in place. Widened mediastinum from previous the esophagectomy. Increased left effusion and left lower lobe atelectasis. Probable increased right effusion.

<unk> year old woman s/p esophagectomy (abdominal and thoracic approach) // tube placement; appearance of gastric conduit

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The lungs are grossly clear without evidence of focal consolidation. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette and hilar contours are normal.

history: <unk>f with fever and uri symptoms // c/f infectious process

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Pa and lateral views of the chest were obtained. Dual-lead pacer projects over the left chest wall with pacer leads extending into the expected location of the right atrium and right ventricle. The lungs appear clear bilaterally without focal consolidation, effusion, pneumothorax. The heart and mediastinal silhouette is normal. Bony structures are intact. Clips in the right upper quadrant noted. Degenerative changes and dish- related changes of the t-spine noted.

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Comparison is made to prior study from <unk>. There is a linear density seen at the left base, which may represent atelectasis or early infiltrate. This is unchanged. There is again seen low lung volumes. There are no signs for overt pulmonary edema. Bony structures are intact. Heart size is within normal limits.

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Underinflation of the lungs makes it difficult to say whether interstitial abnormality is present. There is no mediastinal venous engorgement, cardiomegaly, or pleural effusion so i doubt that pulmonary edema is present. The mediastinal, and hilar contours are normal.

history: <unk>f with chest pain // eval ptx/pna, aortic contour

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Slight increased opacification in the left lower lung. Subsegmental atelectasis in the right lower lung, unchanged from prior. No pulmonary edema, pleural effusion, or pneumothorax. No cardiomegaly. Stable mediastinum and hila. Pleura is unremarkable. No subdiaphragmatic intra-abdominal free air.

<unk>-year-old man complaining of cough and dyspnea. evaluate for pneumonia.

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

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A ventriculoperitoneal shunt courses across the right side of the chest. The cardiac, mediastinal and hilar contours appear stable including borderline cardiomegaly. There is a small unchanged focus of lingular scarring. Otherwise the lungs appear clear.

shortness of breath.

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Ng tube tip is just above the gastroesophageal junction. This would have to be advanced at least <num> cm to be in the appropriate position. The left-sided picc line tip is in the distal svc. Dr. <unk> was notified by telephone at <time> pm.regarding the ngt position at the time of interpreting this study by dr. <unk>

new ng tube.

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Ap and lateral radiographs of the chest were acquired. There is minimal bibasilar atelectasis and scarring. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. Aortic knob calcifications are re-demonstrated. There are no definite pleural effusions. No pneumothorax is seen. Unfolding of the descending thoracic aorta is re-demonstrated. Irregularity of the right hemidiaphragmatic contour is not significantly changed. The chest is hyperinflated. Dextroscoliosis of the thoracolumbar spine is again noted. There are also multilevel degenerative changes of the visualized portion of the spine, as before. A previously seen lumbar compression fracture on radiographs from <unk> is not well visualized on the present study.

lower extremity edema and generalized weakness. evaluate for fluid overload.

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Redemonstrated is a left central port, unchanged in location. As compared to chest radiographs dated <unk>, there has been partial improvement in the airspace opacities affecting the right lung base and right perihilar region. A stable, small right pleural effusion is noted. There is no new focus of consolidation identified. The left lung is grossly clear, and there is no evidence of pneumothorax. Stable, mild to moderate cardiomegaly is appreciated.

history of right chylothorax, status post thoracentesis.

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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Minimal streaky opacities are noted in the lung bases, potentially atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>f with chest and back pain, postop day <num> from umbilical hernia repair

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Mild pulmonary vascular congestion bilaterally. Probable trace pleural effusions. The right picc line has advanced distally and is now malpositioned, crossing beyond the expected location of the tricuspid valve plane. Stable cardiomegaly. No pneumothorax or focal consolidations.

<unk> year old female with reported h/o mvp presenting from osh icu with respiratory failure and shock, likely <unk> pe, s/p <unk> cardiac arrests with rosc at osh, now extubated but with ams and hemoperitoneum // eval for interval change

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Lung volumes are low with mild widening of the cardiomediastinal silhouette. There is mild pulmonary vascular congestion. There is a left retrocardiac opacity extending into the left perihilar region concerning for an infectious process.

<unk>-year-old man with fever.

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As compared to the previous radiograph, there is increasing atelectasis at the left and right lung base. No other parenchymal abnormalities. Overall, the lung volumes have decreased. The lung parenchyma is otherwise unchanged. Minimal increase of the cardiac silhouette. No pneumothorax.

hypoxia, rule out effusion or pneumothorax.

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<num> views were obtained of the chest. The lungs are low in volume but clear. The heart is top normal in size. Fullness and rounded contour of the mediastinal contour on the right suggests ascending aortic enlargement.

csf leak with new leukocytosis.

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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.

persistent cough

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Allowing for the overlying trauma board, there is no traumatic injury is identified. There are low lung volumes. The lungs are clear without focal consolidation, pneumothorax or large effusion. The left lung base is obscured by overlying metallic objects. The heart size is top-normal. The right <unk> and <unk> anterior rib fractures identified on the ct scan are not visualized in this study.

trauma, fall <unk>+ feet onto ladder with significant pain over right ribs and right upper quadrant.

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Portable ap chest radiograph. The mediastinal drains and chest tubes have been removed. There is no pneumothorax. Cordis sheath is still present in the right ij. Dobbhoff tube remains in the stomach. Mild pulmonary vascular congestion and right pleural effusion are stable.

post-cabg radiographs. evaluation for pneumothorax after removal of chest tubes.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Aortic calcification is noted. An air-fluid level is seen in the stomach; on lateral view, a <unk> air-fluid level is seen inferiorly within the abdomen, of indeterminate significance.

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

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The lungs are clear without consolidation or edema. Persistent small right pleural effusion is noted. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with confusion, dyspnea // eval for pna

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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.

<unk>m with cough.

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The lungs are well-expanded and clear. There is no pleural effusion or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal. No displaced rib fractures detected.

history: <unk>m with s/p fall <num> days prior now with r sided cough associated chest pain // r/o fractures r sided, pna, atelectesis

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Severe right upper and lower lobe consolidation has worsened in the lower lobe and at least moderate right pleural effusion is larger. Vascular congesion and perihilar edema in the left lung have worsened. There is no pneumothorax. Moderate cardiomegaly is stable since at least <unk>.

<unk>-year-old male with history of non-small cell lung cancer who presents for followup evaluation of a post-obstructive pneumonia.

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Small focal consolidation in the right upper lobe, new since <unk>. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette, hila, and pleura. Normal pulmonary vasculature. No acute osseous abnormality.

<unk> year old woman with hx of cough and fever. evaluate pneumonia.

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Pa and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis noted. No convincing evidence for pneumonia though lung bases are poorly assessed due to presence of atelectasis. No large effusion or pneumothorax. No convincing signs of edema or congestion. Heart size is difficult to assess. Mediastinal contour is normal. Bony structures are intact. Prominent spurs are noted anteriorly in the lower t-spine.

prior exam dated <unk> <unk>m with pleuritic r posterior thoracic back pain, dyspnea, decreased breath sounds rl base

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

history: <unk>f with chest pain

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Lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.

shortness of breath, cough and fevers. evaluate for pneumonia.

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In comparison with the earlier study of this date, the orogastric tube extends to the distal stomach. Little change in the bilateral pulmonary opacifications.

ogt placement.

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As seen on prior, there is a focal opacity projecting over the spine inferiorly on the lateral view. On the current exam, it is difficult to localize to the left or the right on the frontal view. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits.

<unk>f with several days fever fatigue malaise, outdoor exposure <num> wks prior, transient rash // eval ? interval changes in previously dx pna

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The lungs are clear without consolidation, effusion, or edema. Moderate cardiomegaly is again noted. Left chest wall dual lead pacing device is unchanged. No acute osseous abnormalities.

<unk>m with dyspnea and lethrrgy // r/o acute process

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Single frontal view of the chest. Heart size and cardiomediastinal contours are normal. Slightly increased right lung base opacity could represent summation of overlapping vascular structures. No focal consolidation, pleural effusion, or pneumothorax. Remote right <num>th rib fracture is unchanged.

<unk>-year-old female with cough, fever, and wheezing.

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Heart size is normal. The mediastinal and hilar contours are remarkable for a left cardiophrenic angle opacity, most likely due to a prominent pericardial fat pad and less likely a cyst or lipoma. . The pulmonary vasculature is normal. Lungs are hyperexpanded, consistent with history of asthma. Lungs are clear except for focal linear scar or atelectasis in the lingula. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with erythrodermic rash but recent asthma exacerbation and fever // evaluate for pneumonia

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A dialysis catheter terminates in the upper right atrium. The cardiac, mediastinal and hilar contours appear unchanged. There is a small to moderate effusion on the left with volume loss including elevation of the left hemidiaphragm and opacity probably due to atelectasis. A diffuse mild interstitial abnormality suggests mild congestion that is new since the prior examination. There is no evidence for free air or pneumomediastinum. Mild degenerative changes are similar along the mid thoracic spine. The lateral view depicts a tips shunt.

end-stage renal disease, on hemodialysis with alcoholic cirrhosis and ascites. patient presents with anemia and chest pain.

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Portable single frontal chest radiograph was obtained. The dobbhoff tube is looped in the mid esophagus and courses superiorly with the tip terminating in the pharynx. Tlung volumes remain low. There is persistent moderate enlargement of the cardiac silhouette with pulmonary vascular congestion.

patient with new dobbhoff tube, eval placement.

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There are low lung volumes, which accentuate the bronchovascular markings. Given this, there is slight prominence of the hila which most likely relates to low lung volumes although underlying subtle consolidation or mild lymphadenopathy is not excluded. No focal consolidation is seen elsewhere. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

fever and shortness of breath.

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The cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. Lung volumes are slightly low, but there is no focal consolidation concerning for pneumonia. Degenerative changes are seen throughout the thoracic spine.

<unk>m with cough, fever.

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Cardiomediastinal and hilar contours are unremarkable. Apparent concavity of the inferior aspect of the left mainstem bronchus may represent superimposed structures, but cannot exclude an endobronchial lesion. Lungs are clear. No pleural effusion or pneumothorax identified. Incidental note is made of bifid right eighth rib fused with the seventh rib.

cough, assess for pneumonia.

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A right pigtail pleural drain is unchanged in position and terminates in the posterior right chest. A small right apical pneumothorax is slightly larger or new from yesterday evening. The lungs are clear. There is no pleural effusion or focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unremarkable. A vp shunt courses in the anterior subcutaneous tissues.

recurrent pneumothorax status post right pigtail placement now on a clamp trial.

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There is a new introductory sheath in the right jugular vein that ends in the lower portion of the jugular vein. There is a small band of atelectasis in the left lateral costodiaphragmatic angle. There is no pleural effusion and no pneumothorax. The cardiac contour is unchanged. The contour of the ascending aorta seems bigger than the previous exam. Conclusion : the new right jugular vein introductory sheath is in adequate position. There is no complication.

patient with line placement, evaluation.

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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Right chest wall dual lead pacing device is again noted.

<unk>m with cp/sob/cough // acute process

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As compared to the previous radiograph, the patient has developed mild-to-moderate pulmonary edema. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. Size of the cardiac silhouette remains increased. The patient is status post cabg. Presence of a left pleural effusion of mild-to-moderate extent cannot be excluded. Right pectoral port-a-cath in unchanged position.

urosepsis, dyspnea. evaluation for pneumonia.

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Right-sided picc line tubing is in unchanged position. A new pigtail drain is projected over the lower border of the heart at the midline of the body. No pneumothorax is seen, however the left hemidiaphragm is now completely obscured and there is haziness in the costophrenic angle. The findings suggest some combination of lung collapse and fluid at the left base.

<unk> year old man with recurrent pericardial effusion who is s/p balloon pericardiotomy who had concerns for post-procedure pneumonthorax // r/u pneumothorax

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Frontal radiograph of the chest demonstrates interval placement of a right pleural tube and reexpansion of the right lung with resolution of pneumothorax, only a very small apical pneumothorax remains. There is no right pleural effusion. The et tube terminates approximately <num> cm above the level of the carina. Right subclavian line is in standard position, terminating in the upper svc. Remaining monitoring and support devices are unchanged in position compared to prior study. Small-to-moderate left pleural effusion is unchanged from prior study.

<unk>-year-old female status post corevalve. assess right pneumothorax.

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Two views of the chest demonstrate a normal cardiomediastinal silhouette. The lungs are well aerated and clear without focal consolidation, pleural effusion, or pneumothorax. Degenerative changes of the thoracic spine are again seen. The visualized upper abdomen is unremarkable.

chest pain.

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

history: <unk>f with mvc, rear passenger, c/o neck, facial, wrist pain // <unk>f

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Assessment is somewhat limited by patient rotation. An endotracheal tube tip terminates approximately <num> cm from the carina. Orogastric tube tip is seen coursing inferiorly below the diaphragm though the tip is not well seen. Patient is status post median sternotomy and cabg. Left-sided aicd/ pacemaker device is noted with single lead terminating in the region of the right ventricle. Heart is moderately enlarged with a left ventricular predominance. The aorta remains tortuous. There is mild pulmonary edema, which has progressed since <unk>:<num> today. More focal ill-defined opacities within the upper lobes bilaterally, greater on the left, may reflect areas of aspiration or infection. No pneumothorax is identified, and no pleural effusion is seen.

history: <unk>m with intubation.

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Ap view of the chest provided. Compared to prior study, there is a little change. Again seen is right lung opacity, more confluent in the bases, consistent with known loculated pleural effusion. There is new obscuration of left hemidiaphragm, concerning for worsening left basilar consolidation. Right-sided chest tube is in unchanged position. There is no pneumothorax.

<unk> year old woman with advanced breast cancer and malignant pleural effusion and chest tubes, also with empyema, evaluate for interval change

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Bibasilar atelectasis, similar the prior exam. No focal consolidation, edema, effusion, or pneumothorax. Heart size is normal. Mediastinum is not widened. No acute osseous abnormality. Multi-level degenerative changes in the thoracic spine are mild.

history: <unk>m with fever on autoimmune therapy // eval pneumonia

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Ap upright and lateral views of the chest were provided. Calcified pleural plaque is noted, which may account for the scattered opacities within both lungs. The lung volumes are low, which limits the assessment. Given the rounded appearance of a lesion projecting over the right mid-to-upper lung, a ct is needed to ensure the aforementioned lesions represent pleural calcified plaque. There is mild bibasilar atelectasis and bronchovascular crowding without discrete evidence for pneumonia or overt chf. No large effusions or pneumothorax seen. Midline sternotomy wires are noted. There is a prosthetic cardiac valve. The heart size and mediastinal contour appear within normal limits. No acute bony injuries.

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Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.

<unk>f status post fall with tenderness to palpation of the sternum.

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Lung volumes are moderate. There is minimal streaky density bilaterally consistent with subsegmental atelectasis. The lungs are otherwise clear. There is no focal consolidation. The heart and mediastinal structures are unremarkable for technique. An endotracheal tube and nasogastric tube remain in place. There are no concerning bone findings.

eval for pneumonia

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Pa and lateral views of the chest provided. There is no dominant lobar consolidation. However, there is wispy opacity in the right lower lung which in the correct clinical setting may represent a very early pneumonia likely in the right middle or lower lobes. No large effusion or pneumothorax. Left lung is clear. Heart and mediastinal contours are stable. Bony structures are intact.

<unk>f with cough sputum // pna

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Frontal and lateral views of the chest were obtained. Since the prior exam, there has been improved aeration in the right lung base. Note is made of a subtle nodule in the peripheral right mid-lower lung measuring <num>-mm and a possible second nodule lower in the right base measuring <num>-mm. No new consolidation is seen. Cardiomediastinal silhouette and hilar contours are unremarkable. The bones are intact.

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The dobbhoff tube terminates in the right lung. The other monitoring and support devices are in unchanged position. The right perihilar opacities are unchanged. The left lung opacities are unchanged. Left lower lobe atelectasis is unchanged. No new consolidation. Left pleural effusion is unchanged and mild. No pneumothorax. Cardiomediastinal silhouette is unchanged.

<unk> year old woman with dobhoff placement // evaluation of dobhoff placement - please extend to abdomen

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. There is minimal scarring within the lung apices. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

trauma <num> month ago with history of pneumothorax.

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The patient has a <num>-cm left pneumothorax. No evidence of tension, no air-fluid level. Normal size of the cardiac silhouette. Normal appearance of the right lung. At the time of dictation and observation, <time> p.m., <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were subsequently discussed.

painful cough, night sweats, rule out pneumonia.

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Portable ap chest radiograph. The left-sided chest tube has been removed. Small left apical pneumothorax is new. Extensive subcutaneous emphysema is unchanged. Small amount of pneumomediastinum also is stable. The cardiomediastinal silhouette is normal. Left lower lobe opacity remains concerning for pneumonia.

pneumomediastinum and diffuse subcutaneous emphysema. evaluation for interval change after removal of left chest tube.

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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 present. No acute osseous abnormality is visualized.

history: <unk>m with breakthrough seizure today

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Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable. No displaced rib fractures noted.

rib pain. rule out acute process.

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with productive cough

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Initial radiograph at <time> hrs demonstrates the a ng tube with its tip in the esophagus beyond the tracheal bifurcation. On the second image obtained at <time>, the tip projecting over the stomach. The tip of the left picc line projects over the superior cavoatrial junction. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is unchanged.

<unk> year old man with new ngt placement // please confirm <num> of <num> step process

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The cardiac, mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.

chest pain.

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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>f with cough x<num> weeks and sob with exertion. // r/o pneumonia, pneumothorax, pneumomediastinum, mass

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is a stable mild wedge compression deformity in the mid thoracic spine with a stable prominent osteophyte.

history of diabetes with dka. evaluate for pneumonia.

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In comparison with the study of <unk>, there are continued opacities in the lower lobes at the site of previous radiation therapy treatment. This could reflect radiation pneumonitis. There appears to be some increased coalescence of the area of opacification. The overall appearance is relatively similar compared to recent ct scan. The right apical nodule was better seen on the prior ct scan. There are continued atelectatic changes bilaterally.

lung cancer with ill-defined opacities in the right mid zone, to assess for change.

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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well expanded. Increased density projecting over the right mid lung persists and may be slightly worse, but the left mid lung field appears improved. However, there is dense retrocardiac opacity which may reflect atelectasis or an infiltrate. Additionally, increased interstitial markings is concerning for interstitial edema.

<unk>-year-old male with recent pneumonia and syncope today.

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Frontal and lateral views of the chest were obtained. There are low lung volumes with overlying minimal basilar atelectasis. There is mild elevation of the right hemidiaphragm. Subtle left base retrocardiac opacity most likely relates to atelectasis rather than consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable given differences in inspiration.

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Heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Patchy opacities are noted in the lung bases. No pleural effusion or pneumothorax is present though assessment is mildly limited as the left costophrenic angle was not included in the field of view. No acute osseous abnormalities demonstrated.

history: <unk>m with fever

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The lungs are hyperinflated with slight flattening of the bilateral diaphragms suggesting underlying mild copd/emphysema. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is mild calcification of the aortic knob. Levoconvex lumbar scoliosis is partially imaged.

<unk>-year-old woman with ruq pain, here to evaluate for cardiomegaly or pneumonia.

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Pa frontal and lateral chest radiographs demonstrate several bilateral nodules better evaluated on chest ct dated <unk>. Prior chest radiographs unavailable for review and comparison is hard between chest radiograph and chest ct. In the descending aorta is tortuous. Sternotomy wires appear intact. Hilar contour is within normal limits. Slight deviation of the trachea to the right secondary to known left thyroid nodule identified on ct <unk>. There is no pneumothorax. No large pleural effusion is identified appear

<unk>-year-old male with known metastatic prostate cancer to the lungs.

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Frontal and lateral views of the chest were obtained. Inferior sternotomy wire is seen. Mediastinal surgical clips are seen. No definite central dialysis line is seen on these images. There is mild left base atelectasis/scarring. The aorta is calcified. The cardiac silhouette is top normal to mildly enlarged. No definite focal consolidation, effusion, or pneumothorax is seen. No overt pulmonary edema.

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Single right chest tube. Stable moderate right pleural effusion. Right basilar opacity has mildly improved. More prominent retrocardiac opacity, likely atelectasis. There is no left pleural effusion. There is no pneumothorax. Stable right perihilar fullness, indeterminate.

<unk> year old man with chest tube for complicated parapneumonic effusion // chest tube monitoring requested by ct surgery

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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Nipple shadows should not be mistaken for lung nodules.

history: <unk>f with brady and htn, dizziness? // ? mass, cxr- ? mass ? mass, cxr- ? mass

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Inspiratory volumes are slightly low. Compared to the prior film cannot allowing for slight technical differences, no definite change is identified. The right hilum appears slightly prominent, but unchanged. However, on the lateral view, there is some crowding of vessels in the infrahilar region and the possibility of an early infiltrate in this area cannot be entirely excluded. No other focal infiltrate is identified. No chf or effusion.

<unk> year old woman with sarcoidosis, productive cough, wheezing // r/o pna

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips are noted over the left upper outer hemi thorax.

history: <unk>f with hx of breast cancer, now with pleuritic chest pain moving to left shoulder. normal ekg. // evaluate for fracture, acute process

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Pa and lateral chest radiograph demonstrate patchy peripheral lower lobe predominant ground-glass opacities. Relative to prior ct dated <unk>, these may reflect resolving opacities. Lungs appear hyperinflated. Cardiomediastinal and hilar contours are within normal limits. No overt pulmonary edema. There is no pleural effusion or pneumothorax. Osseous structures demonstrates no acute abnormality.

<unk>-year-old male with question of spontaneous bleeding.

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Compared with prior radiographs on <unk>, there is a new small right apical pneumothorax. There is no evidence of tension. Pneumomediastinum is decreased from prior. There is continued subcutaneous emphysema in the neck and lateral chest walls. Bilateral chest tubes are stable in position. Mild bibasilar atelectasis is stable. There is no new focal consolidation. No pleural effusion. The cardiac and mediastinal silhouettes are unchanged. An ng tube passes below the level of the diaphragm and out of view.

<unk> year old woman with boerhaave's, s/p repair. // interval changes concerning for leak or abscess.

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The lungs are well-expanded and clear. Previous borderline pulmonary edema has resolved. No pleural effusion or pneumothorax. The heart is mildly enlarged, unchanged since prior examination. No pleural effusion or pneumothorax. Tips is again seen in the right upper quadrant of the abdomen.

<unk>m with abdominal pain. assess for pneumonia

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Ap and lateral views of the chest provided. Right pigtail catheter remains in place. Moderate subcutaneous emphysema along the right lateral chest wall is new. Small right pleural effusion is unchanged. Small left pleural effusion is increased. Moderate bibasilar atelectasis is unchanged. No pneumothorax is seen on the right. A small, left pneumothorax on the left is unchanged. Hilar contours are normal. Moderate cardiomegaly is stable. Right upper extremity vascular catheter ends in the right axilla.

<unk>f tx from <unk> c/f large perforated icarcerated hiatal hernia found to have perforated duo now s/p l thoracotomy, hiatal hernia reduction/<num>' repair, exlap, <unk> patch, <unk> g-tube // eval effusion

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Right-sided port-a-cath tip terminates in the mid svc. Heart size remains top normal. Mediastinal contour is unchanged with prominence of the pulmonary arteries suggestive of underlying pulmonary arterial hypertension, better assessed on the recent ct. Left basilar opacification likely reflecting combination of the patient's known necrotic left lower lobe mass and small left pleural effusion is relatively similar compared to the previous radiograph. No new focal consolidation is present. There is no pneumothorax. Multiple clips are demonstrated within the medial aspect of the imaged left upper extremity.

history: <unk>m with lung cancer, feeling weak, rule out infectious cardiopulmonary process

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Mild enlargement of the cardiac silhouette is unchanged. The hilar and mediastinal contours are stable with mild stable prominence of the main pulmonary artery, likely secondary to pulmonary arterial hypertension. No evidence of pneumonia. There has been interval improvement of the previously noted pulmonary edema with mild residual edema. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of chest pain, congestive heart failure. please evaluate.

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In comparison with study of <unk>, there is some increase in the right pleural effusion. Continued rightward shift of the mediastinum with stent in place. The left lung is essentially clear.

bronchoscopy with stent placement.

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The cardiac silhouette size is top normal, unchanged. Mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.

chest pain.

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In comparison with study of <unk>, there has been some decrease in the degree of pulmonary edema and extent of the layering pleural effusions, both of which are still substantially prominent. Central catheter remains in place.

pulmonary edema.

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As compared to the previous radiograph, the pre-existing right apical pneumothorax has completely resolved. An area of lateral pleural thickening is unchanged. The displaced right clavicular fracture is constant in appearance. The rib fractures are not well visualized on today's image, with exception of the ninth right rib, and are better evaluated on the ct examination of <unk>.

multiple rib fractures, evaluation.

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Pulmonary vessel engorgement is increased compared to <unk>, consistent with volume overload. Mild bibasilar atelectasis is also increased. Mild cardiomegaly is similar to prior. Right subclavian line terminates in the upper svc.

<unk> year old man with aml, neutropenic fever, with new dyspnea in setting of lots ivf // eval acute cardiopulmonary process, ?infiltrate, ?volume overload