ChayanM/MIMIC-MultiView-Findings-Query · Datasets at Hugging Face

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Better seen on the current exam than on prior chest radiograph is a <num> cm right upper lobe nodule and an approximately <num> cm left lower lobe nodule. Several smaller nodules documented on the most recent ct chest are not visualized on the current exam. There is no pleural effusion or pneumothorax. No focal opacity concerning for pneumonia is visualized. Again seen is asymmetry of the breast tissue.

non-small cell lung cancer.

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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. Heart is normal in size and cardiomediastinal contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old man with cough, left-sided crackles and fever, evaluate for pneumonia.

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A left icd device has leads taking an expected course and terminating in the right atrium, right ventricle, and coronary sinus. Bibasilar linear atelectasis is somewhat worse than yesterday. Mild to moderate cardiomegaly is unchanged. The mediastinal silhouette and hilar contours are stable. Small bilateral pleural effusions are noted. There is no pneumothorax.

man with bnivicd implant. evaluate lead position.

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In comparison with study of <unk>, there is now a dual-channel pacemaker device in place with the leads in the appropriate position of right atrium and apex of the right ventricle. The various monitoring and support devices have been removed. There is some hyperexpansion of the lungs, but no acute pneumonia or vascular congestion.

pacemaker placement.

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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.

left-sided pleuritic chest pain for <num> hours.

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The heart size is normal. The hilar mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.

history of cough, new seizure. please evaluate for infiltrate.

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No focal consolidation, pleural effusion, or pneumothorax is seen. There is no evidence for pulmonary edema. Heart and mediastinal contours are within normal limits.

<unk>-year-old female with asthma, now with fever and chills.

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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac, mediastinal and hilar structures are normal and unchanged. The pulmonary vascularity is normal.

palpitations and chest pain. evaluate for an acute process.

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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

a <unk>-year-old woman with chest pain, evaluate for acute cardiopulmonary process.

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Chest frontal and lateral radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Faint density obscuring right heart border is likely due to mild pectus excavatum. No opacification concerning for pneumonia identified. No pleural effusion or pneumothorax evident. No osseous abnormality is present.

cough, please evaluate for infiltrate.

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Compared to the prior exam, nodular parenchymal opacities in the right lung are less conspicuous with minimal residual asymmetric increased opacity in the right compared to the left lung. No new parenchymal opacities. No pleural effusion or pneumothorax. No edema. The heart is normal in size. The mediastinum is not widened. Aortic knob calcifications are mild. Multilevel degenerative changes of thoracic spine are moderate to severe.

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

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Frontal and lateral radiographs of the chest demonstrate an enteric tube extending into the jejunum and out of view. Normal heart size and mediastinal contours. The hazy opacity in the left mid lung is not significantly changed from <unk> and again is not clearly identified on the lateral view, but could reflect infection in the correct clinical setting. Small left pleural effusion is unchanged. Multilevel wedge compression deformities in the mid thoracic spine are unchanged.

abdominal pain status post liver transplant. evaluate for infiltrate.

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities detected.

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

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A skin fold projects over the right lower hemi thorax. There is hyperinflation of the lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with cough, hx pna. assess for pneumonia.

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The lungs are clear. The right hemidiaphragm is elevated. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old man with fatigue and cough. evaluate for pneumonia.

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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.

nausea, vominting and hypotension. history of primary adrenal insufficiency and hypothryoidism.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with elevated lactate presenting with dizziness and lightheadedness // evidence of infiltrate

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There is ill-defined opacity at the lung bases bilaterally, which is likely a combination of consolidation and pleural fluid. The heart border is obscured. The hila are full bilaterally. There is mild interstitial edema. The descending thoracic aorta is considerably tortuous. Osseous structures are demineralized but appear intact.

<unk>f with fever, ams, hypoxia // pna

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. No evidence of free air is seen beneath the diaphragms. Hardware in the neck is unchanged.

<unk> year old man with severe abdominal pain s/p egd // evaluate lungs and free air under diaphragm

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

<unk>f with chest pain.

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Frontal and lateral views of the chest. When compared to prior, there has been significant interval improvement of the previously seen pulmonary edema which has resolved. Minimal blunting of the lateral and posterior costophrenic angles likely due to trace effusions. The cardiac silhouette is enlarged but not moreso than on prior. Enlarged hila are compatible with pulmonary arterial enlargement in a setting of pulmonary hypertension. Ascending aortic prosthesis is again seen. No acute osseous abnormalities detected.

<unk>-year-old female with atrial fibrillation with rapid ventricular rate. feeling unwell. question 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 unremarkable. No displaced rib fracture is identified.

history: <unk>m with right cw pain // eval pneumonia vs pneumothorax

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Moderate enlargement of the cardiac silhouette is present. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Patchy opacities are noted in both lung bases with mild peribronchial cuffing. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.

history: <unk>m with shortness of breath

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The lungs are clear without pulmonary edema, pleural lesion or pneumothorax. Heart size is top-normal. The mediastinal contours are normal.

<unk>-year-old man with dyspnea. evaluate for pneumonia.

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The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.

weakness.

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The lungs are poorly expanded, accounting for bronchovascular crowding. Some bibasilar atelectasis is present, but there is no definite focal consolidation. Cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. Severe degenerative changes of the right shoulder are re-demonstrated. This study is underpenetrated and suboptiaml for assessment of bony structures. Spinal fixation rods and screws are present, without evidence of hardware-related complication. A left-sided picc line has been removed in the interval. There are likely degenerative changes at the right shoulder, not well assessed.

<unk>-year-old male with left scapular pain and recent fall and altered mental status.

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Heart size is normal. Interstitial opacities worse at the lung bases are stable. No focal consolidation. There is no pneumothorax or pleural effusion. Osseous structures are unremarkable.

history: <unk>f with fever and cough // eval for pna

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Pa and lateral views of the chest are compared to previous exam from <unk>. As on prior, there are indistinct pulmonary vascular markings seen bilaterally. A persistent vague focal opacity in the left upper lung persists and is of uncertain etiology. There is no confluent consolidation. Trace bilateral pleural effusions are seen with blunting of the posterior costophrenic angles. Cardiomediastinal silhouette is stable, noting mild cardiomegaly. Atherosclerotic calcification is again seen at the aortic arch. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with history of coronary artery disease, chf, presents with chest pain. decreased breath sounds on the left. question pneumonia or effusion.

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

<unk> year old man with hemochromatosis + varices, current variceal bleed, evaluating for infectious trigger // evaluate for pneumonia

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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. A right-sided port-a-cath terminates in the right atrium. There are no kinks within the tube.

<unk> year old woman with portacath in the right upper chest port not flushing (either lumen). // please assess position

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There is new opacification of the right middle lobe suggesting pneumonia. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Mild-to-moderate relative elevation of the right hemidiaphragm appears unchanged. Mild degenerative changes are similar along the thoracic spine.

fever, cough, and shortness of breath.

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Pa and lateral views of the chest provided. Previously noted right upper extremity picc line is re- demonstrated with tip in the mid svc. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Gas distended loops of bowel are seen, further characterized on concurrently obtained abdominal radiograph.

<unk>f with hx of bowel obstructions, abd pain, distention, nausea // bowel obstruction, picc line in position

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The patient has had median sternotomy and cabg. Normal postoperative cardiomediastinal silhouette seen and improved from <unk> studies. A small left pleural effusion has decreased in size from previous studies. No focal consolidations, pulmonary edema, or pneumothorax is seen. The osseous structures are grossly unremarkable.

<unk> year old man s/p cabg with mva <num> days ago, increased pain // rule out fracture or acute process

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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old man with cough and shortness of breath.

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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with asthma and history of tb presents with fever.

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Patchy left lower lobe opacity adjacent to the left heart border, best seen on the frontal view, not well seen on the lateral view, could be due to underlying consolidation or atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

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

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Compression deformity of the lower thoracic spine is unchanged from prior.

<unk>f with cough sob fever // r/o infiltrate

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The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm. Bilateral nipple rings noted.

<unk>-year-old woman with cough and sputum.

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The inspiratory lung volumes are appropriate. 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. No acute osseous abnormality is detected.

<unk>f with asthma, cough, sob, fevers // infiltrate?

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There is elevation the right hemidiaphragm with adjacent right basilar atelectasis. Elsewhere, lungs are clear. Incidentally noted is an azygos fissure. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen at the arch. No acute osseous abnormalities.

<unk>m with shortness of breath // eval for pna

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No focal consolidation is seen. Incidental note is made of an azygos lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Air-fluid level in the retrocardiac region is most consistent with a hiatal hernia. No pulmonary edema is seen.

history: <unk>f with leg swelling // eval for pulm edema

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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 portable chest examination of <unk>. A previously existing left-sided subclavian central venous line has been removed. The described right-sided picc line remains in unchanged position and terminates in the lower svc. Heart size and appearance of thoracic aorta unchanged. No pulmonary vascular congestion is noted and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area. Previously existing patchy parenchymal infiltrate in the right lower lobe area has clearly decreased in size with only a locally persisting crowded pulmonary vasculature in the right lower lobe posterior segment can be identified. During this one-month examination interval, the patient has undergone four chest ct examinations on <unk>, <unk>, <unk> and <unk>. The final ct made note of slow progression of the right middle lobe central located infiltrate diagnosed as scattered nodular densities in the upper lobe areas. The present comparison of chest examination shows clear significant regression of the density corresponding to the right middle lobe infiltrate. The nodular densities seen on ct are not readily accessible on pa and lateral chest examination. One can, however, state that no significant new abnormalities are seen in this area.

<unk>-year-old female patient with acute myelocytic leukemia and neutropenia found to have questionable pulmonary edema versus early pcp pneumonia on imaging. radiology recommended chest x-ray in order to follow upper lobe pathology.

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Frontal and lateral views of the chest. Lung volumes are low, exaggerating heart size and bronchovascular markings. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous injury is appreciated.

mild chest pain after mvc.

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No focal consolidation is seen. There may be very trace pleural effusions. No pneumothorax is seen. The cardiac silhouette is moderately enlarged. There may be minimal pulmonary vascular congestion. Mediastinal contours are unremarkable.

history: <unk>f with cp and sob // ?pna

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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. There is widespread heterogeneous opacification in each lung, but predominantly involving the right upper and left lower lobes. Interstitial opacities are widespread, but some areas are relatively spared such as the right lower and left upper lobes. A relatively confluent area of developing airspace disease is noted in the anterior segment of the right upper lobe. Bony structures are unremarkable. Allowing for differences in technique, there has been little if any change since the recent prior radiographs.

fever and hypoxia.

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Ap lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. On the lateral view, the decending aorta is more prominent than on prior exams, which could represent a small aneursym at that level. No acute fracture is seen on this limited exam.

fall from standing.

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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 no free air below the hemidiaphragms.

history of crohn's disease with severe abdominal pain. evaluate for free air.

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In comparison with the study of <unk>, there is little interval change and no evidence of acute cardiopulmonary disease. Intact midline wires are in place. The heart is within normal limits, and there is no evidence of vascular congestion, pleural effusion, or appreciable atelectasis. There appears to be some calcification within coronary arteries, unchanged from previous studies.

renal transplant and cecal mass, to assess for metastases to the chest.

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In comparison to the prior study, there is little interval change in markedly enlarged cardiac silhouette. No definite vascular congestion. There is no focal consolidation. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with dyspnea on exertion, l leg swelling x<num> days, evaluate for acute process

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

history: <unk>m with sob and wheezing // eval for pneumonia

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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. Bony structures are unremarkable.

dyspnea and chest pain.

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Lung volumes are low which accentuates bronchovascular markings. A known large hiatal hernia, projecting is a rounded opacity behind the cardiac silhouette is re- demonstrated. Mild cardiomegaly is unchanged. No pleural effusions. No pneumonia or pulmonary edema.

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

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A new area of segmental consolidation has developed in the anterior medial segment of the left lower lobe, and is best visualized on the lateral view. As well as a linear area of atelectasis in the lingula. Lungs are otherwise clear, and cardiomediastinal contours are stable. No definite pleural effusion or pneumothorax.

<unk> year old woman with h/o copd w/ sob and productive cough // please evaluate for pna

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The cardiac silhouette and pulmonary vasculature are unremarkable. The mediastinal contours are similar to the most recent examination, and largely unremarkable. There is no pleural effusion or pneumothorax. The lungs are clear aside from basilar atelectasis.

history: <unk>m with fever // eval infiltrate

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There is small bilateral pleural effusions, left larger than right. The opacification at the left lung base is possibly pneumonia in correct clinical setting. Compared to the prior radiograph from <unk>, left lung base opacification and pleural effusion is increased. There is no pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Right-sided dialysis catheter terminates in the right atrium, unchanged in position.

<unk> year old man with lll pna // interval change

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The cardiac, mediastinal and hilar contours appear stable. Streaky left basilar opacity suggests minor atelectasis or scarring, not significantly changed aside from slight shifting morphology. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Mild rightward convex curvature is centered along the lower thoracic spine. Projecting over the left mid lung is a small irregular opacity measuring <num>-<num> mm, potentially a nipple shadow not well seen on the more recent prior examination, but possibly a parenchymal nodule and not necessarily corresponding to small opacities over the area before, which were probably due to costochondral cartilage calcification which this does not resemble.

generalized and left-sided weakness, worse than right.

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The lungs are well expanded. A right-sided picc terminates at the cavoatrial junction, unchanged from <unk>. Cardiomegaly is stable. Redistribution of the pulmonary vasculature, small bilateral pleural effusions, and mild interstitial pulmonary edema are new since <unk>.

<unk>f with chest pain, shortness of breath // evaluate for acs

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Right lower lobe opacity is new since <unk> and more prominent <unk>, which could represent pneumonia in the appropriate clinical situation. Persistent right small pleural effusion, overall unchanged. Right lower and middle lobe atelectasis with mild downward displacement of the minor fissure and hila. Increased left lower lobe and retrocardiac opacity since <unk>, with new indistinctness of the left hemidiaphragm, is probably secondary to atelectasis. Mild cardiomegaly, overall unchanged. There is probably also a small left pleural effusion. No pneumothorax. The mediastinum is not widened. No acute osseous abnormality.

<unk>-year-old man presenting with chest pain and shortness of breath.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart appears mildly enlarged with a left ventricular configuration. The mediastinal and hilar contours appear normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with chest pain, htn - eval for cardiopulmonary process.

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

chest pain and syncope.

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Mild overinflation of the thorax and normal size of the cardiac silhouette. No evidence of pulmonary edema. Normal hilar and mediastinal structures.

shortness of breath, hypoxia, cannot rule out pneumonia.

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

chest pain.

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Right chest wall port seen in stable position. Left chest wall triple lead pacing device is also noted. Lung volumes are relatively low. There is no consolidation, effusion, or overt edema. The cardiomediastinal silhouette is within normal limits. Spinal stimulator device lead projects over the thoracic spinal canal. No acute osseous abnormalities. Orthopedic hardware seen in the right humeral head.

<unk>m with <unk> edema, +trop // eval for pulm edema

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Lung volumes are somewhat low. There is some atelectasis at the base of the left lung. There is no evidence of pneumonia. There is moderate to severe cardiomegaly. The pleural surfaces are normal without effusion or pneumothorax.

cough. evaluation for pneumonia.

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There is significant bilateral hilar fullness and mediastinal enlargement, without mass effect on the trachea. The heart appears top normal in size. The lungs are otherwise clear without focal consolidation or pleural effusion.

<unk> year old man with morbid obesity and sensory loss. h/o cardiomegaly, would like initial imaging of cardiac size.

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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. There are three compression deformities in the thoracic spine, which are grossly unchanged since the prior chest x-ray from <unk>.

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

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Left-sided pic line appears to terminate in the mid svc. The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. There is no evidence of subdiaphragmatic free air.

history of gastric pain. please evaluate for free air.

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No significant interval change since chest radiograph performed earlier on the same day. No pneumothorax is seen. Again vertebra fixation hardware is noted. Cardio mediastinal silhouette is unchanged. Left picc in mid svc.

<unk> year old woman s/p tracheobronchoplasty // check interval change

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The lungs remain clear. Cardiomediastinal silhouette is within normal limits. Prior right picc is not visualized. High density material noted in the nondistended splenic flexure.

<unk>f with wheezing, <num> wk cough, st, hx asthma, rhonchi throughout // eval ? pneumonia

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There is a diffuse opacity occupying nearly the totality of the right lung with some sparing of the right apex which appears mildly increased compared with prior ct. In the left lung, there is a new ill-defined opacity in the left upper lung field. Prominence of the left hilum represents known hilar lymphadenopathy. There are small bilateral pleural effusions. The heart size is normal, and a superior vena cava stent is noted. There is no evidence of pneumothorax.

<unk>-year-old male with weakness and history of lung cancer. evaluate for evidence of pneumonia.

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The heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is clearly noted. There is no acute osseous abnormality.

chest pain.

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Pa and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air under the diaphragm. The bony structures are unremarkable.

hypoglycemia. evaluate for infectious process.

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Frontal and lateral chest radiographs were obtained. A right-sided hickman catheter terminates in the lower svc. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.

patient with fever, rule out pneumonia.

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There is a large right-sided pleural effusion which is difficult to directly compare to the prior pet-ct, but probably similar in size. A suspicious nodule projects over the right upper lobe, measuring <num> mm in diameter. There is only slight leftward shift of mediastinal structures so areas of atelectasis in the right lung coinciding with an effusion, particularly involving the right lower lobe, are suspected. The left lung remains clear. There is no pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged. The bones are probably demineralized.

shortness of breath and history of lung cancer.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

left posterior chest pain with deep inspiration and movement. prior history of pneumothorax after a stab wound.

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette top-normal to mildly enlarged. No overt pulmonary edema is seen.

cough and chest pain.

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The median sternotomy wires are intact and appear in appropriate alignment. 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.

<unk> year old man with h/o rcc s/p partial nephrectomy // pls evaluate for mets

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Ap and lateral chest radiographs demonstrate unchanged mild hyperexpansion of the lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, and mediastinal contours are normal, with mild tortuosity of the ascending aorta, unchanged.

<unk>-year-old female with cough and fever, rule out 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>f with cough and fever

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The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact. No free air below the right hemidiaphragm.

<unk>f with fever, abdominal pain and tenderness, egd with polypectomy <num> days ago

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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with chest pain // r/o acute process

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In comparison with study of <unk>, there again is hyperexpansion of the lungs with coarseness of interstitial markings consistent with chronic pulmonary disease. Extensive regions of fibrosis are seen bilaterally, as on previous study. However, no evidence of acute focal pneumonia or vascular congestion.

shortness of breath with history of tobacco use.

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Compared with <unk> at <time>, the degree of consolidation/ retrocardiac opacity at the left lung base has improved. There is some residual retrocardiac opacity as well as a residual small left effusion. Mild upper zone redistribution, but no overt chf. Aside from minimal basilar atelectasis, the right lung is grossly clear. No right effusion. Cardiomediastinal silhouette is grossly unchanged. Right ij the seen lead overlies the right ventricle, as before. On the current study, the tracheal air column is not well visualized between the clavicles and aortic knob. It is well seen on the most recent prior study.

<unk> year old man with bacteremia and lead extraction with leukocytosis and low grade fever // evaluation for pneumonia

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The lungs are hyperexpanded. There are bullous emphysematous changes in the lower lobes increased since <unk>. There is no focal consolidation, pleural effusion or pneumothorax. The ascending aorta is dilated and tortuous but unchanged since <unk>. The imaged upper abdomen is unremarkable.

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

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A new medial right lower lobe opacity may be due to atelectasis or pneumonia. No pneumomediastinum or subcutaneous air is detected. The heart size, mediastinum, and hila are stable. The left lung is clear. No pneumothorax. Unchanged midline tracheostomy tube, terminating <num> cm above the carina.

<unk> year old man with new trach w/ air outside pharynx and upper mediastinum, increased wbc. please include neck. rule out air tracking below or mediastinitis.

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There is a rounded opacity projecting over the posterior right lower lung field measuring up to <num> cm. No pleural effusion or pneumothorax is seen. There is no evidence for pulmonary edema. Heart size is top normal. The aorta is tortuous with calcifications.

<unk>-year-old male with hypertensive urgency.

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There is no focal consolidation, effusion, or pneumothorax. Minimal atelectasis in the right lower lobe is similar to prior. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f w/chest pain

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The patient is status post aortic valve replacement surgery as well as coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

chest pain.

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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal contours are within normal limits. No free subdiaphragmatic air is identified.

<unk>f with abdominal pain s/p egd and colonoscopy

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The lungs are normally expanded and clear. Heart size is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Cervical fusion hardware is partially imaged.

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

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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. Mild degenerative changes are noted in the lower thoracic spine.

history: <unk>f with pain to the right upper extremity after fall

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The heart is enlarged. Great vessels are unremarkable. No lung opacities. No significant change since <unk>

<unk> year old woman with acute renal failure, concern for volume overload // evidence of pulmonary edema?

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The lungs are clear without focal consolidation. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is within normal limits. The hilar contours are unremarkable.

<unk>f with atypical chest pain. evaluate for pneumonia.

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Cardiac, mediastinal and hilar contours are normal. The lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multiple clips compatible with prior cholecystectomy are again seen in the upper abdomen.

chest pain.

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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Again noted is mild to moderate rightward convex curvature centered along the mid thoracic spine. There has been no significant change.

chest pain.

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk>m with fever, headache. evaluate for pneumonia

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There is no longer an apical component to the previously described left pneumothorax. A small-to-moderate left pleural effusion persists on the left with few areas of streaky associated atelectasis. An air-fluid level best seen on the lateral view indicated some degree of hydropneumothorax. There is no evidence of diaphragmatic flattening or mediastinal shift. Right mid rib fractures are nondisplaced, not well appreciated on the current exam.

<unk>-year-old male with stable left pneumothorax, in need of interval change assessment.

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Heart size is normal. Lungs are clear. Central mediastinal vasculature is congested. No interstitial edema. No pleural effusions.

history: <unk>m with hypotension, r/o infection // eval for pna

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The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. A healed fracture at the left mid clavicle is noted. No acute osseous abnormality is detected.

history of polysubstance abuse, now with mild dyspnea, here to evaluate for acute cardiopulmonary process.

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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