ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Pa and lateral views of the chest. Low lung volumes. There is chronic opacity in the right middle lobe, unchanged. The right hemidiaphragm apex is more lateral. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.

sudden onset dizziness and weakness.

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There is a right-sided perihilar opacity which is new since <unk> and demonstrates interval progression since yesterday's x-ray. There is also well-defined retrocardiac opacity which is likely due to a hiatal hernia. Elsewhere, lungs are clear. Cardiac silhouette is within normal limits for technique.

<unk>f with cough // infiltrate?

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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. Mild pectus deformity.

<unk> year old man with fevers and dry cough // ?pneumonia

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The patient has had prior median sternotomy with cabg. A nasogastric tube terminates at the level of the ge junction. An external pacer lead remains in place. Right apical chest tube in place with small right apical pneumothorax. There is a small amount of right upper chest wall subcutaneous emphysema. The patient has had recent esophagectomy with a small amount of expected postoperative pneumopericardium and pneumoperitoneum. Band-like airspace opacities at both lung bases and at the periphery of the right lung are most likely due to atelectasis.

<unk> year old man with esophageal cancer s/p esophagectomy // eval post op change

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The heart is moderately enlarged. The hilar and mediastinal contours are within normal limits. Moderate right and small left pleural effusions are stable since <unk>. A left-sided pleurx is unchanged in position. There is no pneumothorax or focal consolidation.

pain at the left pleurx catheter site.

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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. There is still mild indistinctness of pulmonary vessels consistent with some elevation of pulmonary venous pressure. Hemodialysis catheter is now in place with the tip at the cavoatrial junction or in the right atrium. There is again suggestion of some increased opacification in the left mid and lower zones. This could represent an area of consolidation, though a lateral view would be most helpful for further evaluation. The right lung base also shows some mild opacification. This is less prominent than on the previous study, but this could merely reflect the better degree of inspiration.

worsening leukocytosis, to assess for pneumonia or aspiration.

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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

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

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There is mild interstitial pulmonary edema in the setting of unchanged severe cardiomegaly. No pleural effusion is identified in the left. The right costophrenic angle is not clearly seen due to the enlarged heart. There is no pneumothorax. The left-sided by come out pacemaker is redemonstrated with leads in unchanged position.

shortness of breath and productive cough.

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As compared to the previous radiograph, the tip of the endotracheal tube is unchanged and projects <num> cm above the carina. The nasogastric tube ends in the proximal stomach with the sidehole. Known chest tube in the right hemithorax. Known bilateral apical pneumothoraces that are, however, better seen on the ct examination performed the same day. The width of the mediastinum has slightly increased (known sternal fracture). Slightly increasing bilateral pleural effusions. Unchanged mild pulmonary edema.

motor vehicle accident, evaluation of endotracheal tube placement.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size is unchanged. Unremarkable appearance of thoracic aorta. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present. A left-sided port-a-cath system is noted, seen to use the internal jugular approach and crossing the midline, so to terminate in the lower third of the svc some <num> cm below the level of the carina. The integrity of the line is unremarkable on the chest examination. When comparison is made with the examination of <unk> position and course of the line is unchanged. Thus, it can be concluded that non-existing flow in the line is related to thrombotic occlusion of the lumen. Referring physician <unk> was paged at <time> p.m.

<unk>-year-old female patient with breast cancer, port-a-cath system, no return, evaluate.

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Single portable view of the chest is compared to previous exam from <unk>. Exam is extremely limited secondary to portable technique and patient's body habitus. There is no definite large confluent consolidation. Lung bases are not well seen, likely due to overlying soft tissues although effusions cannot be excluded. Cardiac silhouette is enlarged, likely accentuated due to portable technique and lordotic positioning.

<unk>-year-old female with morbid obesity and weakness.

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Cardiac silhouette is mildly enlarged and is accompanied by pulmonary vascular congestion and increase in basilar interstitial opacities. Additionally, a confluent right infrahilar opacity is new. There are no pleural effusions or acute skeletal findings.

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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 fall // ? traumatic injury

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In comparison with the earlier study of this date, allowing for obliquity of the patient, there is probably little overall change. Continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion. Areas of opacification at the bases could reflect a developing consolidation, though they may merely be a manifestation of atelectasis and effusion in addition to the engorged pulmonary vessels. Once again, a lateral radiograph would be most helpful.

cardiac surgery with worsening shortness of breath.

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Patient is status post mvr/ avr repair. Compared to chest radiograph performed earlier on the same day at <time>, the right ij swan <unk> catheter has been pulled back and tip is in the proximal right main pulmonary artery. Other lines and tubes are in appropriate positions and are unchanged compared to previous. Apparent widening of the mediastinum likely due to oblique positioning of the patient and aortic knob margins remain sharp. Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.

<unk> year old man with s/p avr and mvr // bleeding

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As compared to the previous radiograph, there is no relevant change. The degree of advanced opacification in the left hemithorax is constant. The co-existing left pleural effusion cannot be excluded. Overall, the mediastinum appears slightly widened, as noted on the previous examination. No pneumothorax. No new parenchymal opacities. As previously noted, ct might be indicated to clarify the nature of the findings.

pneumonia, acute worsening, shortness of breath, evaluation.

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Portable frontal chest radiographs again demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs. Opacity in the inferior portion of the right upper lobe is increased compared to the most recent chest radiograph, consistent with infectious infiltrate. There is mild blunting of the costophrenic angle bilaterally, right greater than left, consistent with trace pleural effusion. There is no pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for evidence of ongoing aspiration, in a patient with right pneumonia and hypoxia.

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The right pneumothorax is much improved. There is a new moderate right layering pleural effusion despite the presence of a right-sided pleural tube. There is right middle lobe volume loss. Left subclavian line tip is in the svc.

status post thoracic surgery, question interval change.

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The et tube and ng tube, left-sided picc line are unchanged. There continues to be some volume loss in the left lower lung. Otherwise, the appearance of the lungs and prior right-sided rib fractures are unchanged.

wegener's granulomatosis, intubated, question interval change.

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The heart size is normal. The hilar and mediastinal contours are normal. There is mild interstitial thickening, overall stable compared to the exam from <unk>. No focal consolidations concerning for pneumonia is identified. Atherosclerotic calcifications are again noted at the aortic arch. The visualized osseous structures appear unremarkable.

history of hypoxia. please evaluate.

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There is asymmetric linear opacity localized to the right upper lung, concerning for pneumonia, given symptoms. No pleural abnormalities are seen. Heart size is mildly enlarged. The mediastinum and hilar contours are unremarkable. There is an area of increased opacity overlying the posterior left eighth rib, possibly from bony sclerosis.

<unk> year old woman with cough, right lower lung rales. evaluate for pneumonia.

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A dialysis catheter terminates in the right atrium. There is a new left internal jugular central venous catheter terminating in the mid superior vena cava. There is no evidence for pneumothorax. Findings suggesting mild vascular congestion persist. There is no pleural effusion. The cardiac, mediastinal, and hilar contours appear unchanged including mild cardiac enlargement.

status post central line placement.

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Midline surgical clips are seen inferior to the diaphragm. No pleural effusions or pneumothoraces are seen. The previously seen right perihilar opacity is mostly resolved, without consolidation in the other areas of the lungs. The heart is mildly enlarged.

<unk> year old woman with history of pneumonia follow up

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The cardiomediastinal and hilar contours are within normal limits. Scattered, multifocal opacities are significantly improved from the prior radiographs on <unk>. No effusion or pneumothorax is seen. No focal consolidation is identified.

<unk> year old man with recent hospitalization for endocarditis with productive cough, wheezing, and low grade fever for past <num> days. crackles heard on visiting nurse exam. // evaluate for acute pulmonary process.

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Portable semi-upright radiograph of the chest demonstrates severe interstitial pulmonary edema, worse over the interval. The lung volumes are low. Interval placement of a nasogastric tube in the neo esophagus. Endotracheal tube ends <num> cm from the carina. Chest tube projects over the right hemithorax.

<unk> year old man with s/p intubation/resp failure // eval ett placement/interval change

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Pa and lateral views of the chest provided. Lung volumes are low. Bibasilar linear opacities, right worse than left, likely represent atelectasis, though focal consolidation cannot be excluded. No significant pleural effusion is seen. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are unremarkable.

<unk>f with productive cough, weakness, malaise x several weeks. evaluate for pneumonia.

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Right chest tube remains in place, and again demonstrated is a large right basilar loculated hydropneumothorax. Allowing for positional differences between these studies, this is probably unchanged. Postoperative changes in the right lung apex appear similar as well as heterogeneous opacities in the right lung. Subcutaneous emphysema has slightly decreased in the interval.

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No focal opacity to suggest pneumonia is seen. The lungs are hyperinflated. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal. No displaced fracture is identified.

pain on the right side.

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In comparison with the study of <unk>, the diffuse bilateral pulmonary opacifications have worsened consistent with severe pulmonary edema, bilateral effusions, and compressive atelectasis at the bases.

severe pulmonary hypertension and right heart failure after aggressive diuresis.

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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. Pulmonary vasculature is normal. Heart size is top normal, allowing for low lung volumes. The mediastinal silhouette and hilar contours are normal.

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

<unk>m with dyspnea, chest pain, // eval cardiomegaly

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There are biapical pleural blebs, better evaluated on the ct scan from <unk>. The lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk> year old man with <num> weeks of productive cough; diffuse rhonchorous breathing on examination, without focality // please assess for pneumonia

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Cardiac pacemaker. Shallow inspiration accentuates heart size, pulmonary vascularity. Small left pleural effusion or thickening, similar. Previous tiny pleural effusion has resolved. Heart size has decreased. Left basilar opacities have nearly resolved. Small area of new right basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting.

<unk>-year-old female with a history of atrialfibrillation on xarelto, sick sinus syndrome status postpermanent pacemaker, chronic kidney disease, pmr on low doseprednisone, heart failure with preserved ejection fraction, osa,and copd not on home oxygen. // sob

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Lines and tubes: none lungs: persistent right basilar opacities with new left basilar opacities compatible with multifocal pneumonia less likely bibasilar atelectasis. Pleura: there is no pleural effusion or pneumothorax mediastinum: there is no cardiomegaly. Mediastinal silhoutte is within normal limits. Bony thorax: diffuse osteopenia with no significant interval change.

<unk> year old woman with pneumonia and still febrile // interval change

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.

shortness of breath on exertion.

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The lungs are mildly hyperinflated. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged. Again, there are extensive calcifications of the costochondral junctions. There is mild loss of height in several of the mid thoracic vertebral bodies, which is likely chronic. Comparison is difficult, as there is no lateral view in the prior exam. No acute fracture is identified.

status post fall, with a missing tooth. evaluate for traumatic injury or foreign body.

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Pa and lateral views of the chest demonstrates unchanged position of a dual lead pacemaker device and median sternotomy wires. There is increased prominence along with mild interstitial prominence. The cardiomediastinal silhouette is not significantly changed since the prior study, with mild cardiomegaly. No focal consolidation, pleural effusion or pneumothorax is identified.

shortness of breath and weight gain.

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Frontal and lateral views chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion cardiomediastinal silhouette is within normal limits. Vertebroplasty changes are noted in the upper lumbar spine as on prior. No acute osseous abnormality detected.

<unk>-year-old male with fever and dyspnea on exertion.

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Mild enlargement of the cardiac silhouette is present. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>m with chest pain

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Bilateral pigtail catheters are again seen projecting over the lower lobes. There continues to be moderate left-sided pneumothorax which is now visualized inferiorly superiorly and medially. This is larger compared to the prior day. There is a small right effusion which is minimally larger compared to the prior day. The port-a-cath is unchanged. There continues to be diffuse bilateral nodular opacities

<unk> year old man with pancreatic cancer now with dyspnea/hypoxia s/p bilateral chest tubes // please eval placement of chest tubes

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In comparison to study of <unk>, there is elevation of the left hemidiaphragmatic contour and a tiny apical pneumothorax. Mass effect in the hilar region is again seen and chest tube remains in place. There is some increased prominence of ill-defined pulmonary vessels, suggesting some increasing pulmonary venous pressure.

previous pneumothorax after bronchoscopy with chest tube placement.

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Ap and lateral views the chest provided. Patient is slightly rotated to her left. Lung volumes are low though allowing for this, aside from mild basilar atelectasis the lungs appear clear. No large effusion or pneumothorax is seen. No edema or signs of congestion. The heart size cannot be assessed. The mediastinal contour appears unremarkable aside from atherosclerotic calcification along the aortic knob. Bony structures are intact.

<unk>f p/w general weakness, aox<num>, unable to sit up, chronic foley.

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In comparison with the study of <unk>, there is little change and no evidence of acute focal abnormality. No pneumonia, vascular congestion, or pleural effusion.

progressive weight loss and tobacco use.

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The lungs are clear of focal consolidation. There is blunting of the left posterior costophrenic angle which may be due to small effusion or atelectasis. There is moderate cardiomegaly. Surgical clips project over the right axilla as well as air within the right breast which may be due to recent partial mastectomy. No acute osseous abnormalities identified.

<unk>f with cp // r/o pna, ptx, cardiomeg

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In comparison with study of <unk>, the lungs remain clear and there is no vascular congestion or pleural effusion. A dialysis catheter extends to the upper part of the right atrium. Left ij catheter extends to the mid portion of the svc.

hemoptysis.

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No subdiaphragmatic air. No pulmonary edema.

tylenol overdose, rule out pneumonia.

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Interval extubation and removal of nasogastric tube. Cardiomediastinal contours are stable considering differences in lung volumes between the studies. Diffuse hazy opacification throughout the right hemithorax compared to the left likely represents a layering pleural effusion on this semi-upright radiograph. Additionally, there is an apparent area of airspace opacification in the right lower lobe, which could represent focal aspiration or a developing pneumonia. Followup radiographs may be helpful in this regard.

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Single portable view of the chest. Endotracheal tube is seen with tip approximately <num> cm from the carina, in appropriate position. Faint opacity in the right hemithorax when compared to the left is thought to be technical though layering effusion is also possible. There is no confluent consolidation. Cardiac silhouette is enlarged likely in part accentuated by technique with probable there is mild cardiomegaly. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormality is identified.

<unk>-year-old male with status post arrest, intubated.

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Compared with the prior radiograph, lung volumes are lower, causing crowding of bronchovascular structures. However, increased interstitial pulmonary lung markings bilaterally suggests mild central pulmonary vascular congestion. No focal consolidation or pleural effusions. No evidence of pneumothorax. Heart size is unchanged. Compression wedge deformities of <num> thoracic spinal vertebral bodies are unchanged since <unk>.

<unk>f with cough, dyspnea, right hip pain s/p fall. pneumonia?

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Lung volumes are low. The aorta is tortuous. The mediastinal contours otherwise are unremarkable. The hilar contours are normal. The pulmonary vasculature is normal. There are streaky bibasilar airspace opacities. Mild lateral pleural thickening is noted at the bases bilaterally. No pleural effusion or pneumothorax is clearly identified otherwise. The osseous structures are diffusely demineralized.

history: <unk>m with altered mental status, slurred speech and dysmetria

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No pneumothorax or pleural effusions. Increased radiodensity over the left lung that obscures the left heart border likely represents known chest mass involving the lungs, pleura, and chest wall.

<unk>-year-old man with a chest mass status post biopsy. evaluate for pneumothorax.

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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The osseous structures are grossly intact.

upper gastric pain. evaluate for free air.

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Pa and lateral views of the chest. The lungs are clear of confluent consolidation, effusion or pulmonary vascular congestion. There is moderate cardiomegaly. No acute osseous abnormalities detected. Surgical clips seen in the upper abdomen.

<unk>-year-old female with hypertension.

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Frontal and lateral views of the chest were obtained. There has been no significant interval change. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac, mediastinal, and hilar contours are stable.

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Frontal and lateral views of the chest were obtained. Slight blunting of the left costophrenic angle likely relates to overlying soft tissues. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Rounded calcification projecting over the right breast is stable. Bibasilar atelectasis/scarring again seen. The cardiac silhouette remains top normal with left ventricular configuration. Mild degenerative changes are seen along the spine.

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Frontal and lateral radiographs of the chest were acquired. A right picc ends in the high right atrium, not significantly changed compared to the prior study. The previously seen left lower lobe pulmonary nodule is vaguely appreciated on the frontal projection, not significantly changed in appearance compared to the prior radiograph from <unk>. The lungs are otherwise clear. There are no pleural effusions. The heart size is normal. The mediastinal contours are normal. There is no pneumothorax. Mild multilevel degenerative changes of the thoracolumbar spine are seen.

severe nausea and vomiting for the past day. assess for pneumonia.

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The lungs are hyperexpanded and there is flattening of the diaphragms consistent with emphysema. There is chronic bibasilar atelectasis. There are no focal consolidations. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.

<unk> year old man with cough and expectoration // does this pt have 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. There are no acute osseous abnormalities.

history: <unk>m with cold symptoms and coughing for <num> days. // ? pneumonia

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Heart size remains mildly enlarged. Mediastinal contour is similar with diffuse atherosclerotic calcifications noted. Low lung volumes are demonstrated with crowding of the bronchovascular structures and possible mild pulmonary vascular congestion. Focal opacity in the retrocardiac region is concerning for pneumonia with blunting of the left costophrenic angle suggestive of a trace left pleural effusion. No pneumothorax is identified. There are no acute osseous abnormalities.

history: <unk>f with hypotension, fever

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The lungs are clear. Mediastinal and cardiac contours are unremarkable. There is no pleural effusion or pneumothorax.

patient with ischemic stroke, aspiration pneumonia to rule out.

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Frontal and lateral views of the chest were obtained. The lung bases are somewhat underpenetrated due to patient body habitus. The patient is rotated somewhat to the left. The cardiomediastinal silhouette is difficult to accurately assess. There are perihilar opacities bilaterally which may be due to edema. If there is concern for underlying acute mediastinal process, chest ct is more sensitive. There may be trace pleural effusions. Underlying basilar consolidation is difficult to exclude. The cardiac silhouette is enlarged.

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Frontal and lateral radiographs of the chest demonstrate mildly hyperexpanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with cll with suspected csf metastases here with fever and weakness // rule out infection

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Pa and lateral views of the chest are provided. Lung volumes are low. No definite sign of pneumonia or chf. No pleural effusion or new pneumothorax. No free air below the right hemidiaphragm. Cardiomediastinal silhouette is stable.

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Since a recent chest radiograph of earlier the same date, there has been improvement in the extent of pulmonary edema with residual moderate asymmetrical edema remaining. Left lower lobe and lingular opacities have slightly improved, and could be due to a combination of atelectasis and dependent edema, and less likely an infectious process. No other substantial interval change.

<unk> year old woman with fever, leukocytosis, and ? obscured heart border at left lung // eval for pna

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Cardiomegaly is mild. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.

<unk> year old woman from <unk> with first positive ppd, no symptoms. // assess for active vs latent tb

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Moderate severe cardiomegaly is stable. Widened mediastinum has minimally increased. Mild pulmonary edema has minimal increased. Retrocardiac atelectasis are new. If any there is a small left effusion. Et tube is in standard position. Swan-ganz catheter tip is in the takeoff of the main pulmonary artery. Ng tube tip is out of view below the diaphragm.

<unk> year old man with cabg // r/o ptx, s/p ct d/c

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Right-sided pleural thickening with associated right-sided volume loss appears similar, suggesting chronic fibrothorax. Cardiomediastinal contours are stable in appearance. Increased opacity with associated dilated airways in the right lower lobe appears similar to the prior radiograph, and areas of parenchymal scarring at the right apex also appear similar with associated bronchiectasis. No new areas of lung consolidation are evident, and there is no evidence of left pleural effusion.

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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

history: <unk>f with cough, shortness of breath // r/o pna

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As compared to the previous radiograph, the left pleural effusion has decreased in extent. The left basal lung is better expanded than previously. Extensive opacities on the right are unchanged. Unchanged size of the cardiac silhouette. No newly appeared parenchymal opacities.

metastatic breast cancer, status post thoracocentesis, evaluation.

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The cardiomediastinal silhouette is unremarkable. The lungs are mildly hyperinflated. Lung fields are clear. There is no pneumothorax.

history: <unk>f with fever // evaluate for pneumonia

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In comparison with study of <unk>, the basilar opacifications have essentially cleared and there is no evidence of acute pneumonia or vascular congestion at this time.

amiodarone for fibrillation.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal and there is no evidence of pulmonary edema. There is a subtle right lower lobe opacity is decreased in conspicuity from the prior exam. No pneumothorax.

history: <unk>m with hx of chf // ?pulm edema

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with increased seizure activity x<num> days.

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Portable upright view of the chest demonstrates bibasilar opacities, which are new since prior exam, concerning for infection. No pleural effusion or pneumothorax. Perihilar vascular congestion. Hilar and mediastinal silhouettes are otherwise unchanged. Heart size is normal. Low lung volumes.

the patient with respiratory distress and fever. assess for pneumonia.

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

history: <unk>m with shortness of breath // eval for chest pain

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

<unk>-year-old female with dyspnea, fever and cough. evaluate for consolidation

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The tip of the nasogastric tube extends into the stomach. The sternotomy wires are unchanged and intact. A right internal jugular vein stent is again present. There is a new the consolidation in the right upper lobe, suspicious for pneumonia. No pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.

<unk> year old woman with sbo and ngt in place // assess ngt placement, and for pneumonia

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Compared with the prior radiograph, there has been little change in the overall appearance. A large right and smaller left pleural effusion are identified, both of underlying atelectasis or consolidation. The right picc line tip projects over the mid svc. No pneumothorax detected. A catheter or other tubing overlying the upper abdomen is partially imaged; it is unclear if this is internal or external to the patient.

history: <unk>f with recent cholangiocardinoma, b/l pleural effusions, here with elevated wbc <unk> and hypoxia. eval pleural effusions, pna.

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The heart size is normal. Mediastinal and hilar contours are unremarkable. There is no evidence of pleural effusion or pneumothorax. There is no focal lung consolidation. Chronic compression deformity of the lower thoracic spine, unchanged from prior.

<unk>f with rheumatoid arthritis on prednisone with fever/cough/pleuritic chest pain, evaluate for pneumonia .

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<num> chest tubes are positioned on the left lung, one with tip ending superiorly and anteriorly to the apex, the second with tip ending posteriorly and inferiorly to the base of the left lung. There are no signs of pneumothorax. Left pigtail was removed. There pleural fluid on the left base is mildly improved, with evidence of improved lung ventilation. There is an increased opacity of the contralateral lung base that can be due to mild pleural effusion or dependant atelectasis.

<unk>-year-old male with left lung empyema status post l vats decortication post-op, chest tube x<num>, pneumothorax?

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Et tube ends <num> cm above carina. Distal portion of ng tube is not well assessed. Right-sided picc line ends in mid svc. The lung volumes are low with left lower lobe atelectasis. There is mild pulmonary vascular congestion. There is no pneumothorax.

patient with cva, acute withdrawal, intubation, please evaluate for et tube placement.

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In comparison to chest radiographs obtained <unk> year prior, no significant changes are appreciated. Left mid lung nodule projecting over the posterior sixth rib is unchanged. The lungs are otherwise fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

<unk> year old man on amiodarone // looking for pulmonary toxicity

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Ap upright and lateral views of the chest were obtained. The heart is moderately enlarged with a left ventricular configuration. There is no focal consolidation to suggest the presence of pneumonia. No pleural effusion or pneumothorax. No signs of pulmonary edema. The mediastinal contour is unremarkable aside from faint atherosclerotic calcifications along the aortic knob. The bony structures appear intact.

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Support and monitoring devices are in standard position. Interval slight increase in cardiac silhouette accompanied by widening of mediastinal vascular pedicle and azygos vein as well as development of mild pulmonary vascular congestion. Lower lung predominant airspace opacities have slightly worsened.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. No focal opacity convincing for pneumonia is identified. There is no pleural effusion or pneumothorax identified. Osseous structures are without an acute abnormality.

<unk>-year-old male with motorcycle collision.

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Lung volumes are low which leads to bronchovascular crowding. There is bibasilar atelectasis without focal consolidation. The cardiac silhouette mildly enlarged. There is no pleural effusion or pneumothorax.

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

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

<unk>f with <num> days of cough and uri like symptoms with history of ra evaluate for pneumonia.

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The heart size is within normal limits. The mediastinal and hilar contours are normal. Again, there is marked improvement of a right-sided pleural effusion with residual fluid in the posterior costophrenic recess with minimal associated atelectasis. There is no pneumothorax.

<unk>-year-old male with alcoholic cirrhosis and a history of a right-sided large pleural effusion, now status post large-volume thoracentesis.

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The lungs are clear without consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Since the prior radiograph in <unk>, there has been no significant change.

cough, pleuritic chest pain, and asthma.

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A right chest port terminates in the mid svc. The cardiomediastinal silhouette is unchanged. Intrathoracic lymphadenopathy involving the aortic o pulmonary window and left hilum is seen to better detail on recent pet-ct of <unk>. The lung fields are clear. There is no pneumothorax. No pleural effusion.

history: <unk>m with fevers, hx of cll // evaluate for infiltrate

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Heart size and cardiomediastinal contours are normal. Faint right lower lobe opacity persists, though slightly improved since <unk>. No pneumothorax or substantial pleural effusion.

fevers with recent admission for pneumonia.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal and hilar contours are normal. Cervical spinal fusion hardware is again noted, and there has been interval removal of a tracheostomy tube.

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

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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is top-normal in size. The thoracic aorta is unchanged from the prior study when consideration is given to slight patient rotation. No acute osseous abnormality.

<unk>-year-old woman with acute onset chest pain. evaluate for aortic dissection, pneumothorax, pulmonary edema, or pneumonia.

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Compared to <unk>, there is no appreciable change. Bibasilar atelectasis is again seen, unchanged from prior. Small bilateral pleural effusion is are likely. The heart size and mediastinum are unchanged. Prominent hilar contour is unchanged. Monitoring and support lines are unchanged.

<unk> year old man with s/p avr and mvr trach // no aeration left

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There is interval decrease in size of the posterior left pleural effusion. The study is otherwise unchanged from prior, with hazy opacity on frontal view in the lingular region.

<unk> year old man with cad s/p cabg c/b persistent left-sided pleural effusion now s/p thoracentesis today // ptx

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Frontal and lateral views of the chest were obtained. The right hemidiaphragm is mildly elevated. On the lateral view, there is opacity projecting over the lower spine, which raises concern for a possible underlying consolidation. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

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There is persistent eventration/ elevation of the anterior right hemidiaphragm.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with doe // eval for cardiomegaly

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Frontal and lateral views chest. The lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There is no free air beneath the hemidiaphragms.

<unk> year old male with chest pain.

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As compared to the previous radiograph, the patient has undergone colonoscopy. Air is seen in the bowel loops under the left hemidiaphragm that is slightly elevated. As a consequence, small basal left atelectasis is seen. Otherwise, the lung parenchyma is normal. Mild tortuosity of the thoracic aorta. Normal size of the cardiac silhouette. No pulmonary edema or pneumonia.

cecal mass, status post colonoscopy, evaluation for pneumonia.

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Frontal and lateral chest demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality present.

fever, tachycardia, cough, sputum, evaluate for pneumonia.