ChayanM/MIMIC-MultiView-Findings-Query_Optional

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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.

new diagnosis of hyperthyroidism presenting with shortness of breath laying flat and chest pain on exertion, new right lower extremity swelling for <num> day.

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Frontal and lateral views of the chest were obtained. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable. There is moderate pulmonary vascular congestion with interstitial edema. No large pleural effusion is seen, although trace effusions be difficult to exclude. No definite focal consolidation.

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Single portable chest radiograph was provided. A tracheostomy tube is appropriately positioned. The dobbhoff feeding tube tip terminates within the oropharynx. The right picc is within the upper svc. Again seen is mild-to-moderate pulmonary edema, similar to the prior exam. Areas of consolidation at the bases, right greater than left, may represent pneumonia and are unchanged since the previous exam allowing for patient rotation. Cardiomediastinal silhouette is unchanged.

history of dobbhoff placement.

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As compared to the previous radiograph, the patient is still intubated. The course of the nasogastric tube is unchanged. Moderate cardiomegaly, mild fluid overload. For technical reasons, the lung apices appear denser on today's examination than previously. No larger pleural effusions. Interposition of colon between the liver and the chest wall.

acute respiratory failure, endotracheal tube placement.

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The cardiac size is normal, and a left-sided cardiac device with a single lead is in stable position. There are bilateral trace pleural effusions. No overt edema or focal consolidation is noted.

<unk>f with crackles on r lung exam, known l rib fx, chf w/ subjective dyspnea // evaluate for interval changes in x-ray, ? pl effusion, congestion

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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax.

history: <unk>f with cp // evidence of pneumothorax

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There is a focal right basilar opacity which on the frontal view is more linear than on the lateral where it is more patchy in appearance. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits.

<unk>f with cough // r/o pna

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

syncope.

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Single portable view of the chest. The lungs are grossly clear. The left costophrenic is not well seen, likely technical or due to overlying soft tissues. Cardiomediastinal silhouette is within normal limits for technique and positioning. Bones appear osteopenic and degenerative changes at the right shoulder.

<unk>-year-old female with dementia status post fall and femur fracture. question infiltrate.

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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

chest pain.

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Lung volumes are low. There is no evidence of pulmonary edema or pneumonia. Heart size is top-normal. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

history: <unk>f with sob, cp // chf?

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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are noted compatible with prior cabg. The heart remained slightly enlarged. There is mild pulmonary interstitial edema and engorged hila. There is no effusion or pneumothorax. No definite sign of pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.

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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.

fever and cough. evaluate for pneumonia.

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The patient is status post median sternotomy and thymectomy, with multiple tiny surgical clips seen in the anterior mediastinum and sternotomy wires seen well aligned. There is evidence of pulmonary vascular congestion with interstitial edema and vascular redistribution to the upper zones. Associated small, bilateral pleural effusions are noted. No pneumothorax or focal consolidation is identified. There is a mild, stable cardiomegaly. The mediastinal contours are normal. A hiatal hernia is noted.

increasing shortness of breath, evaluate for infiltrate or edema.

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Ap view of the chest was obtained. Bibasilar atelectasis or scarring. Otherwise, the lungs are clear bilaterally with no evidence of focal consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air below the diaphragm.

abdominal pain, chills, and dehydration.

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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear of consolidation or effusion. There is no pulmonary vascular congestion. Biapical scarring is again noted. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are again noted in the thoracic aorta. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with altered mental status. question pneumonia.

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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.

history: <unk>m with cp // eval for cp

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Streaky basilar densities, greater on the left than right, are most consistent with minor atelectasis. There is no evidence for free air.

question perforation.

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Frontal and lateral views of the chest were obtained. There has been interval development in small-to-moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation cannot be excluded. Additionally, there is area of opacity in the right upper lung which could be due to infection, aspiration, or even an underlying pulmonary lesion. Slight prominence of the hila may be due to underlying minimal pulmonary vascular engorgement. The cardiac silhouette appears mildly enlarged.

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Ap portable upright view of the chest. Overlying ekg leads are present. Persistent lower lung opacities concerning for aspiration. Upper lungs remain well aerated. No large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged bony structures are intact. Given lack of resolution over many months,

<unk>m with hypotension // eval for infection

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The patient is status post median sternotomy. There has been interval removal of the endotracheal tube, mediastinal drains and right swan-ganz catheter, and a right central venous sheath is still in place. There continues to be left retrocardiac opacity likely reflecting atelectasis though infection cannot be excluded. There are no new focal consolidations or pneumothoraces.

<unk> year old man with the status post ascending aortic replacement. evaluate following chest tube removal.

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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. The heart is enlarged, with apparent mild increased from prior exam, please correlate for pericardial effusion. The hila appear slightly congested though there is no frank edema. No large effusion or pneumothorax is seen. Bony structures are intact.

<unk>f w/bradycardia, please eval for pulm edema

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Again low lung volumes contribute to bibasilar opacities which could be atelectasis, but certainly pneumonia should be considered. Right ij line terminates in the low svc. No pneumothorax. Median sternotomy wires, mediastinal clips, and cardiac silhouette are all stable. Possible small bilateral pleural effusions may be present. Crowding of the bronchovascular structures persists, and mild pulmonary vascular engorgement may be present. Patient is status post cabg and median sternotomy.

<unk>-year-old man with right ij placement.

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Compared to chest radiographs from <unk>, small right pleural effusion has increased, now with fissural fluid, and right middle and lower lobe atelectasis have worsened. Right chest tube is in unchanged position. Trace left pleural effusion effusion persists with associated mild left basilar atelectasis. There is no focal consolidation. No pneumothorax. No central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are stable. Mild cardiomegaly is unchanged.

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

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There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is mild prominence of the hila which may be due to low lung volumes and mild pulmonary vascular engorgement without overt pulmonary edema. The cardiac silhouette is not enlarged. The mediastinal contours are unremarkable.

chest pain.

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Frontal and lateral radiographs of the chest. Right upper lobe parenchymal abnormality is again noted, identified as scarring on a ct from <unk>. Otherwise, there is no other focal area of opacity concerning for pneumonia. The lungs are hyperexpanded with a flattened diaphragm. The cardiac and mediastinal contours are within normal limits. No pleural abnormality is detected.

relapsing polychondritis and recurrent bronchitis with persistent cough for several weeks. evaluate for pneumonia.

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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.

cough.

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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. The right-sided picc line has been removed. Lungs are clear without confluent consolidation. Pleural surfaces are clear without effusion or pneumothorax.

history of pancreatic cancer, presenting with fever.

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Since the prior study, there has been interval removal of a left chest tube, with development of a moderate upper left pneumothorax. There is no mediastinal shift. No pleural effusions are identified. The lungs are clear, with mild right apical thickening, likely from blebs, unchanged. The heart size is normal. Chain sutures are again noted along the upper left hilus.

<unk> year old man s/p l vats pleurodesis // r/o ptx post ct removal

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As with most recent radiograph, the patient is significantly rotated, limiting evaluation. Increase in bibasilar opacities, although probably partially explained by low lung volumes and atelectasis, are suspicious for superimposed infection. As previously noted, the aorta is tortuous and the pulmonary artery is enlarged, suggesting pulmonary arterial hypertension. There is no apical pneumothorax and no pleural effusions are seen on this single frontal radiograph.

delirium. evaluate for pneumonia.

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As compared to the previous radiograph, there is no relevant change. Mild interstitial edema. Moderate cardiomegaly. No pleural effusions. No evidence of pneumonia.

worsening dyspnea, evidence of fluid overload.

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The heart is enlarged, even given the ap view. Cephalization of the vessels and engorgement without frank pulmonary edema. Bibasilar atelectasis versus aspiration. No large pleural effusion.

history: <unk>f with gi bleed // fluid overload

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Lung volumes are low, resulting in bronchovascular crowding. Cardiac silhouette appears enlarged. The aorta is tortuous. Fluid is seen within the bilateral fissures. The hila appear indistinct. There is right upper lobe atelectasis. Previously seen opacity in the left mid lung appears improved. No acute displaced rib fractures.

history: <unk>f with l hip fx, hx of dementia, chf, afib, dmii, mi // r/o trauma, lesions

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The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.no focal consolidation is seen. There is slight blunting of the posterior costophrenic angle on the lateral view which can be seen with trace pleural effusions versus pleural thickening. Cervical hardware is noted, partially imaged over the cervical spine.

history: <unk>m with chf and mood disorder w/ new onset agitation // evaluate for pulm edema, pna

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Bilateral pulmonary opacities persist. The heart and mediastinal structures are unchanged. An endotracheal tube and orogastric tube remain in place.

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Four total views, including two ap and two lateral views of the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear. Pulmonary vasculature is within normal limits.

chest pain.

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Ap and lateral radiographs of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is normal appearing. Compared to the prior radiographs, there is unchanged apical thickening bilaterally. The osseous structures and soft tissues are grossly normal.

history of copd, now with progressive cough and subjective fevers. evaluate for bronchitis versus pneumonia.

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The cardiac and mediastinal contours are somewhat difficult to assess owing to persistent opacification of the right lower hemithorax. The patient is status post aortic valve replacement using an endoluminal approach. A moderate hiatal hernia is noted, similar to prior findings. Opacification of the right lower hemithorax which probably relates to elevation of the right hemidiaphragm, atelectasis, and possibly a pleural effusion, appears very similar to both prior studies without clear change. The right acromioclavicular joint is again widened and irregular. Moderate incompletely characterized degenerative changes affect each shoulder. The bones appear demineralized.

lightheadedness and weakness.

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Comparison is made to previous study from <unk>. Endotracheal tube, feeding tube, bilateral central venous lines appear stable. There is persistent worsening of the areas of consolidation throughout both lung fields which are worse within the left upper lobe and the right base.

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Frontal and lateral chest radiographs show the lungs to be well expanded and clear. The pleural surfaces are normal. A trace amount of intraperitoneal free air is seen below the right hemidiaphragm in this post-operative patient. The mediastinal contours and cardiac silhouettes are normal.

<unk>-year-old male with medically refractory ulcerative colitis status post colectomy and fever, question pneumonia.

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The patient is status post median sternotomy and cabg. The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal atelectasis within the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. Mild pleural parenchymal scarring is noted at the apices. There are no acute osseous abnormalities. Partially imaged is cervical spinal fusion hardware.

chest pain, history of cabg

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There is a similar large left-sided pleural effusion with associated atelectasis involving the left lower lobe and probably the lingula. The pleural effusion is similar in size, but there may be increased patchy opacity, probably atelectasis, associated with the lingula projecting over the left mid lung. In the right lower lung, a pleural effusion also persists, although smaller than the one seen on the left, although likely at least moderate in size. Although lung volumes are lower on this study, increased right lower lobe opacification, probably in the left lower lobe, appears new or increased. Otherwise, there has been no significant change.

hyponatremia.

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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is again a small pleural effusion on the right. The right lung appears clear. On the left, there is a small hydropneumothorax with increased fluid content ,and small residual pneumothorax component, the latter apparently not increased. Mild volume loss at the left base is also similar in extent.

dyspnea status post bronchoscopy.

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Pa and lateral chest radiographs. There is an ill-defined opacity in the left base without clear correlate on the lateral view. Otherwise there is no consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.

tachycardia, hypotension.

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In comparison with the study of <unk>, the area of increased opacification at the right base medially has cleared. No evidence of acute pneumonia or vascular congestion at this time. Monitoring and support devices remain in place.

seizures and fever, to assess for pneumonia.

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Comparison is made to prior study from <unk>. The lines and tubes are unchanged in position. There are again seen diffuse infiltrates bilaterally, most confluent within the right base and left upper lobe. These appear to have worsened slightly. There is slight improved aeration of the right upper lobe. There remains a left retrocardiac opacity. No pneumothoraces are present.

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Faint opacities in the lingula correspond to pneumonia. . No edema, effusion, or pneumothorax. The lungs are well-expanded. The heart is normal in size. The mediastinum is not widened. The hila and pleura are unremarkable. Visualized bowel gas pattern is unremarkable. No acute osseous abnormality.

<unk>-year-old woman with chest pain and cough ; evaluate for pneumonia.

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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. Old right-sided rib fractures are again noted.

chest pain.

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In comparison with study of <unk>, there is some increasing prominence of pulmonary vessels suggesting some elevated pulmonary venous pressure in a patient with a stable cardiomegaly. A more confluent, though still patchy, area of opacification on the right could reflect some consolidation in the appropriate clinical setting. The left hemidiaphragm is not well seen, consistent with volume loss in the left lower lobe.

hypoxia.

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The aorta is tortuous. The heart is enlarged. The hilar contours are within normal limits. Linear opacity at the left lung base, likely reflects scarring. There is mild atelectasis at the right lung base. Lungs are hyperinflated suggesting underlying emphysema but are otherwise clear. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with recent pna, with cough/sob // eval pna eval pna

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Lung volumes are low. There is elevation of the right hemidiaphragm with adjacent pleural thickening and surgical clips, unchanged since the prior examination. There is bibasilar atelectasis. No definite pneumothorax or pleural effusion is noted. The large consolidation is noted. The cardiomediastinal silhouette is unchanged in appearance. There is evidence of prior right shoulder arthroplasty.

history: <unk>f with cp // evidence of pneumonia

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The patient is status post median sternotomy and cabg. The heart size remains moderately enlarged. The aorta is tortuous, with the mediastinal contours appearing unchanged. There is no pulmonary vascular congestion. Small bilateral pleural effusions are visualized, possibly slightly increased on the left compared to the prior exam. Bibasilar atelectasis is also re- demonstrated. There is no pneumothorax. No acute osseous abnormalities are visualized though there are multilevel degenerative changes in the thoracic spine.

hypoxia after cardiac surgery.

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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 dated <unk>. An ng tube can be identified, seen to reach well into the fundus of the stomach including its side port. In preceding examination, an ng tube was already identified. It is unclear whether this has been an exchange of tubes or if the old tube remains. Comparing the chest findings, it can be said that the previously identified bilateral patchy densities suspicious for infectious process or local edema have cleared up or less prominent now. The pulmonary vascular pattern still shows criteria suggestive of fluid overload with distended vessel and perivascular haze. No pneumothorax can be identified. The right-sided internal jugular approach central venous line remains in unchanged appropriate position.

<unk>-year-old male patient with dka and questionable mesenteric ischemia with portal venous gas, status post exploratory laparotomy. evaluate ng tube placement.

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Heart size remains moderately enlarged but unchanged. The mediastinal contour is similar. There is mild pulmonary edema. Low lung volumes are present with minimal atelectasis at the lung bases. No pleural effusion or pneumothorax is present. Diffuse idiopathic skeletal hyperostosis is present within the thoracic spine.

history: <unk>f with cough, chest pain

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Compared to prior radiographs, lung volumes are low. Retrocardiac opacification is likely atelectasis. There is no focal consolidation or pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute skeletal abnormalities.

<unk>-year-old male, status post tka, postop day <num>, and fevers to <num>. question atelectasis versus infiltrate.

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In comparison with study of <unk>, there is decreasing opacification at the right base with improved inspiration. Continued enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure. Central catheter remains in place.

empyema status post chest tube placement.

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In comparison with the study of <unk>, allowing for obliquity of the patient, there is probably little overall change. Substantial dilatation and tortuosity of the aorta is again seen, with some mild enlargement of the cardiac silhouette. No evidence of vascular congestion or acute focal pneumonia.

fever of unknown origin with basilar crackles.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusions or pneumothorax. The thoracic score spine curves slightly to the right side.

chest pain. history of smoking and anxiety.

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The cardiomediastinal silhouette is probably within normal limits, mildly tortuous thoracic aorta. There are mild background emphysematous changes. There is a medial right upper lung radiodensity consistent with known mass at this location. There is suggestion of right hilar prominence. The left hilum is normal. There is no focal lung consolidation. There is no pulmonary edema. There is no pneumothorax or pleural effusion. There is diffuse subjective osseous demineralization.

<unk>-year-old woman with right upper lobe adenocarcinoma status post endobronchial ultrasound.

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As compared to the previous radiograph, there are unchanged bilateral airspace opacities and a small right pleural effusion. The opacities and the effusion have not changed in the interval. Moderate cardiomegaly, status post cabg with subsequent position of the surgical material. No other relevant findings.

persistent cough and respiratory distress, assessment for acute process.

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Ap upright portable view of the chest was obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.

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

chest pain.

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Lung volumes are low, which crowds pulmonary vessels in the lung bases. Small hiatal hernia is noted.

history: <unk>f with leg swelling, pls <unk> <unk> edema //

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The lungs are well expanded and grossly clear. There is a large hiatal hernia with stable appearance compared to prior. There is no pulmonary edema, pleural effusion or calcifications, or pneumothorax. The cardiac size cannot be assessed. The mediastinal and hilar contours are normal. There is marked scoliosis.

<unk>-year-old, rule out signs of tb.

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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Minor hypertrophic changes are seen in the spine.

<unk>-year-old male with chest heaviness and shortness of breath.

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Again seen is diffuse bilateral airspace disease, there assessed on the dedicated chest ct obtained less than an hour previous. The radiographic appearance is overall similar a subtle there is of increased opacity at the right base appear to be present. No gross effusion identified. The endotracheal tube terminates <num> cm above the level of the carina. A right internal jugular central venous line overlies the upper right atrium. No pneumothorax is detected.

<unk> year old woman with lymphoma and worsening respiratory status // new/worsening infiltrates

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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. No pulmonary edema is seen.

history: <unk>m with hypoxia // pna?

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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

chest pain.

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Low lung volumes are noted. Endotracheal tube tip is approximately <num> cm from the carina. There are bibasilar opacities, likely atelectasis. Superiorly the lungs are clear. Cardiac silhouette is likely accentuated by ap technique with low lung volumes. No acute osseous abnormalities.

<unk>f with ams, ?seizure. intubated // eval for tube placement, eval for bleed

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

shortness of breath. assess for pneumothorax.

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Nasogastric tube terminates with side hole above the gastroesophageal junction, tip in the stomach. Lung volumes are low and there are bibasilar, left greater than right, opacities consistent with atelectasis, though aspiration or infection can have a similar appearance. No pleural effusion or pneumothorax. Heart size and cardiomediastinal contours are unremarkable.

history: <unk>m with abdominal pain, vomiting, a transfer from outside hospital with small bowel obstruction diagnosed on ct // correct ng tube placement

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Pleural catheter projects over the left lung base. There is diffuse opacification of the left lung, a combination of tumor and consolidation. The hydro pneumothorax is minimal, at the left apex. Nodules in the right lung mild partially demonstrated, better evaluated on the recent chest ct. No right pleural effusion.

<unk> year old man with history of melanoma with new effusion. followup hydro pneumothorax.

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Lungs are clear without focal consolidation, effusion, or edema. Mild cardiac enlargement is as seen on prior. Vascular stent partially visualized in the upper abdomen.

<unk>m with weakness // ? pna

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As compared to the previous radiograph, there is increasing parenchymal opacity with air bronchograms at the level of the right upper lobe. In the appropriate clinical setting, this change could reflect right upper lobe pneumonia or aspiration in this region of the lung. Otherwise, the radiograph is unchanged, without larger pleural effusions, without pulmonary edema and with moderate cardiomegaly. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician <unk>. <unk>, covered by dr. <unk>, covered by dr. <unk> was paged for notification and the findings were finally discussed over the telephone.

stemi, onset of hypoxia, evaluation for aspiration or pulmonary edema.

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Left-sided pacer device is stable in position. Large-bore left-sided central venous catheter is seen, difficult to discern where the distal tip is due to overlying pacer wires. The cardiac silhouette remains mildly enlarged. The aortic knob is calcified. The aorta is likely tortuous. There is a moderate left pleural effusion, with overlying atelectasis. Minimal to no right pleural fluid is seen.minimal pulmonary vascular congestion is seen. No evidence of pneumothorax.

history: <unk>m with sob // eval for pna

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with dyspnea.

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As compared to the previous radiograph, no relevant change is seen. The picc line is in constant position, with the tip projecting over the mid to lower svc. Minimal unchanged opacities at both lung bases. Unchanged position of the tracheostomy tube, unchanged size of the cardiac silhouette.

recent picc line placement. evaluation.

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As compared to the previous radiograph, there is no relevant change. The known right pleural effusion distributes in a slightly different manner but is overall unchanged. Overall unchanged is also the mild to moderate left pleural effusion. Unchanged areas of retrocardiac and basal atelectasis. No vascular evidence of fluid overload. Unchanged course of the nasogastric tube.

cirrhosis, ascites, oxygen requirement.

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Cardiac and mediastinal silhouettes are stable. There are low lung volumes with bronchovascular crowding. No large pleural effusion is seen. There is no pneumothorax. No definite focal consolidation seen. There may be minimal vascular congestion. There is persistent elevation of the right hemidiaphragm.

history: <unk>f with seziure // eval for infiltrate

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusions, or pneumothorax. No focal consolidations are seen.

rlbase crackles with cough // ?r base pna

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Best seen on the lateral view is an increase in opacities overlying the anterior heart. This may correspond to areas of bronchial thickening seen in the right medial hemithorax on the frontal radiograph. No pleural effusion. Normal cardiac size and hilar contours. No pneumothorax. A calcified nodule in the right mid lung is noted.

history: <unk>f with dyspnea, fever // evaluate for acute process

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Cardiomediastinal silhouette and hilar contours are unremarkable. There are subtle right upper lobe opacities seen on frontal view only. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.

fever, cough and chills for two months.

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Pa and lateral views of the chest provided. Patient persistently rotated to the right. Subtle opacity at the right lung base is concerning for pneumonia. Left lung appears largely clear. No large effusion. No pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.

<unk> year old man with cough and fever. // ?pna

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In comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.

<unk> year old man with history of renal transplant <unk> with three weeks of cough, malaise, sweats, basilar crackles // rule out pneumonia or tb

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Pulmonary vascular congestion is similar to before. Lung volume is low. There is no consolidation, pneumothorax, or pleural effusion. Mildly enlarged cardiac silhouette is unchanged.

history: <unk>f with chest pain // ? acute cardipulm process

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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 lower cervical spine, possibly from prior thyroidectomy.

<unk> year old woman with cough // r/o pna

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There is a right pigtail chest tube in proper position projecting over the right lung. A small right pneumothorax is present. There is no left pneumothorax. There is no consolidation or pleural effusion. The cardiomediastinal silhouette is normal without evidence of shift. Surgical clips overlying the right mid lung and chain sutures in the left upper lung field are unchanged.

evaluate after chest tube was placed for pneumothorax.

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The cardiac silhouette is vascular congestion. No focal consolidation is identified. There is no pleural effusion or pneumothorax.

history: <unk>m with cp // r/o acute porocess

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There is an irregular nodular opacity in the right upper lobe measuring <num> x <num> cm, which may represent the previously biopsied right upper lobe lesion. There is increased opacification of the right paratracheal stripe, unchanged from the prior chest radiograph. There is no focal consolidation concerning for pneumonia. No significant pleural effusion or definitive pneumothorax is detected. There is hyperexpansion of the lungs and evidence of right upper lobe predominant emphysema as seen on the prior chest ct. The thoracic aorta remains tortuous with stable cardiomediastinal and hilar contours on the most recent prior chest radiograph. The pulmonary vasculature is within normal limits.

cough and shortness of breath, here to evaluate for pneumonia.

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Bilateral lung opacities with upper lobe predominance has slightly worsened and has fluctuated overtime since a few days. This is probably pulmonary edema considering its rapid evolution; however, it is unusual that the lower lungs are spared. Left lower lobe atelectasis has resolved. There is no pneumothorax or pleural effusion.

patient with aortobifemoral bypass, aortic occlusion fluid overload.

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

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Tracheostomy tube tip is in unchanged position. Right picc tip terminates in the mid svc. Cardiac silhouette size remains moderate to severely enlarged. Mediastinal contour remains widened, and this is due to underlying mediastinal lipomatosis as seen on the prior ct. Moderate pulmonary edema appears worse compared to the previous exam with layering bilateral pleural effusions again noted. More focal opacities in the lung bases likely reflect areas of atelectasis though infection is not excluded. No large pneumothorax is identified.

history: <unk>m with question of tracheostomy balloon deflation, difficulty breathing

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Frontal and lateral chest radiograph demonstrates well-expanded lungs. No focal consolidation no pleural effusion or pneumothorax. Mild cardiomegaly is noted. Mediastinal contour and hila are otherwise unremarkable. Limited assessment of the upper abdomen is unremarkable.

acute onset confusion and fevers. assess for pulmonary process.

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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

patient with seizure. assess for pneumonia.

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Right lung mass measuring <num> cm is unchanged. Right moderate pleural effusion is reaccumulating; the right chest tube still projects at the lung base. Mild left basilar opacification is unchanged since <unk> and could only reflect atelectasis. There is no pneumothorax. Mediastinal and cardiac mild enlargement is unchanged.

patient with newly diagnosed lung cancer and pneumonia versus aspiration. has pneumonia improved?

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Single frontal view of the chest was obtained. Lung volumes are low, exaggerating mild cardiomegaly. No focal consolidation, pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.

<unk>-year-old female with word finding difficulty. evaluate for infection.

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The lungs are hyperinflated, with flattening of the diaphragms and increased ap diameter, consistent with chronic obstructive pulmonary disease.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aortic knob is slightly prominent, which could be due to tortuosity, although underlying mild aortic dilatation is not excluded and could be further evaluated for on nonurgent chest ct.

history: <unk>f with <num> month hx of shortness of breath with exertion // evaluate for chf, possible malignancy, pneumonia

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As compared to the previous radiograph, there is no relevant change. The vertebral fixation devices and post-surgical clips are in unchanged position. Unchanged appearance of the tracheostomy tube. Minimally increased lung volumes, unchanged bilateral pleural effusions with bilateral areas of basal atelectasis. Unchanged course of the left picc line. No new parenchymal opacities.

status post tracheostomy and respiratory failure, assessment for interval change.

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Heart size is mildly enlarged with a left ventricular predominance. The aorta is tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Chronic fracture deformity of the left proximal humerus is re- demonstrated. There are mild degenerative changes seen in the thoracic spine.

history: <unk>f with cough with sputum

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As compared to the previous radiograph, the patient has been extubated and the devices have been removed, except for the venous introduction sheath in the right internal jugular vein. The lung volumes have decreased. There are mild pleural effusions bilaterally, right more than left. No evidence for the presence of a pneumothorax. No pulmonary edema. Atelectasis at both lung bases.

cabg, evaluation.