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

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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old female with weakness, sore throat and tongue pain for <num> week. question infection.

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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. Partially visualized lumbar posterior fixation hardware in intervertebral disc spacers are noted. There has been interval anterior cervical fixation hardware placement.

<unk>m with pleuritic r chest pain // eval for acute process, attn to r ptx

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Frontal and lateral views of the chest were obtained. Mild opacity in the right upper lobe is unchanged from <unk> ct allowing for differences in technique. There is no new opacity and no focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. Mediastinal silhouette is normal. Left hilar prominence is due to known left hilar lymphadenopathy.

<unk>-year-old woman with non-hodgkin's lymphoma, neutropenic with cough.

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Ap upright and lateral views of the chest provided. The lungs are clear. Heart size is stable and normal. Mediastinal and hilar configuration is unchanged. Bony structures appear intact.

<unk>f with sob // ? pna/aspiration

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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. Note is made of a healed left lateral sixth rib fracture.

history: <unk>f with right sided back and chest pain // eval for pneumonia

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.

history: <unk>m with fever, // pna

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Pacer defibrillator leads are unchanged, terminating in the right atrium and right ventricle. There is a left retrocardiac opacity, which most likely represents atelectasis. No other focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. Heart size is mildly enlarged.

history: <unk>m with b/l pulm edema // ? chf

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Frontal lateral radiographs of the chest demonstrates very low lung volumes. The cardiac sillouette is midly enlarged, which could be due to cardiomegaly or a pericardial effusion depending on the clinical setting. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. No displaced rib fracture.

syncope, evaluate for reason for syncope.

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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 ulcerative colitis now with upper respiratory tract infection symptoms for several days, fever to <num>, diarrhea

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The cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.

asthmatic bronchitis.

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Frontal and lateral chest radiographs demonstrate stable positioning of left-sided pacer and three leads. Prosthetic aortic valve is again noted. The cardiomediastinal silhouette is stable. There is no pneumothorax or large pleural effusion.

bruising over the pacer area. assessment of leads.

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There is increased prominence of reticulation, which suggests mild vascular congestion. A meniscoid appearance of the left lateral costophrenic angle is new and suggests a trace effusion on the left only. There is no pneumothorax or focal opacification. The cardiac, mediastinal and hilar contours appear stable. The bones are probably demineralized.

failure to thrive.

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Ap upright and lateral views of the chest provided. Cardiomegaly again noted. Mediastinal contour remains stably prominent. Lung volumes are low without convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal. No acute bony abnormalities.

<unk>m with ams // acute process

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The cardiac silhouette size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours otherwise are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.

weakness.

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Cardiomediastinal and hilar contours remain stable. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits.

shortness of breath.

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Frontal and lateral views of the chest were obtained. The heart size is top normal and cardiomediastinal contours are stable. Calcification of the aortic knob is unchanged. Pleural thickening at the right lung base causes mild blunting of the costophrenic angle. No focal consolidation, substantial pleural effusion, or pneumothorax.

<unk>-year-old female with right pleural effusion.

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There is no focal consolidation, pleural effusion or pneumothorax. Mild streaky retrocardiac opacity is likely atelectasis. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact.

<unk>-year-old man with right anterior chest wall and shoulder pain, rule out fracture or infiltrate.

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The lungs are well expanded and clear. Postoperative changes in the right lung are unchanged. Following right upper lobectomy there is unchanged mild rightward shift of the mediastinal structures. A surgical clip in the region of the right mediastinum is again noted and likely secondary to prior mediastinal lymph node dissection. The heart is normal in size and the mediastinal contour is unremarkable. There are no focal consolidations to suggest pneumonia. There is no pneumothorax or pulmonary effusion.

history of lung adenocarcinoma status post thoracotomy in <unk> presents with <num> days of cough. evaluate for pneumonia.

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Frontal and lateral views of the chest. The lungs are clear focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

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

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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural abnormalities. No fractures are identified.

status post assault with left chest pain. evaluate for fracture.

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>-year-old woman with lightheadedness with exertion

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As compared to the previous radiograph, there is no relevant change in extent and severity of the pre-existing right lower lobe opacity. A subtle new opacity has appeared at the bases of the right upper lobe. In turn, the pre-described left perihilar opacity is minimally decreased in severity and extent. Unchanged position of the pacemaker and its leads. Unchanged mild cardiomegaly. Unchanged bilateral symmetrical apical thickening.

right lower lobe opacity and hemoptysis, evaluation after diuresis.

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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormality is seen.

<unk>f with cp // eval for pneumothorax

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Again seen is a left chest cardiac device with associated dual leads in unchanged grossly appropriate location overlying the right ventricle and right atrium, respectively. The cardiomediastinal silhouettes are stable, reflecting mild cardiomegaly. The bilateral hila are unremarkable. There are low lung volumes. Opacities at the lung bases most likely reflects dependent atelectasis. There is no focal lung consolidation. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.

<unk>m with fever, shortness of breath, evaluate for pneumonia.

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The patient is mildly rotated. Cardiomegaly is mild. The study is somewhat limited by motion. The lung fields appear clear. There are several moderate to severe compression deformities of vertebral bodies, unchanged from <unk>. Degenerative changes are noted at the acromioclavicular joints, bilaterally.

history: <unk>m with copd and cough pls eval pna // history: <unk>m with copd and cough pls eval pna

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There is a mildly tortuous thoracic aorta. The cardiac silhouette is not enlarged. The hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.

<unk> yo man w/ atrial fibrillation diagnosed <unk> (on eliquis) s/p <num> unsuccessful cardioversions, dm, htn, gerd p/w h/a, sinus pressure, fevers and cough, evaluate for evidence of pneumonia.

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Frontal and lateral views of the chest demonstrate low lung volumes. Allowing for such, the cardiomediastinal silhouette is within normal limits. The thoracic aorta is mildly unfolded. There is no confluent consolidation or large effusion. Relative elevation of the right hemidiaphragm is unchanged since preceding exams. Mild multilevel lumbar spondylosis is present. A <num> x <num> cm ovoid radiodensity best seen on lateral view at costovertebral junction in the lower thoracic spine corresponds to a known expansile lytic rib lesion in left <unk> rib, better depicted on preceeding ct torso. Similarly, involvement of the right humerus and spine are better seen on prior ct.

<unk>-year-old male with fever. question pneumonia.

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Since <unk>, mild cardiomegaly and pulmonary vascular distension in the upper lungs have both increased, consistent with mild cardiac decompensation. Granuloma in the right lateral lower lobe is unchanged, as expected. There is no evidence of active infection. No pleural effusions. No pneumothorax. The cardiomediastinal silhouette and hilar structures are normal.

<unk> year old woman with esrd, being evaluated for kidney transplantation listing // lung status

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There is a dual-lumen left internal jugular central venous catheter terminating in the upper atrium, as before. The course of the catheter appears unchanged. The heart is normal in size. There is increased interstitial opacification, suggesting mild vascular congestion. In the left lower lobe, a prominent flat but prominent opacity is most suggestive of atelectasis, although an infectious process is difficult to entirely exclude. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.

pain at insertion site of left tunneled internal jugular catheter with left hand swelling.

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Unchanged mild cardiomegaly. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Diffuse prominent interstitial markings appear unchanged. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Again seen are mild-to-moderate degenerative changes in the thoracic spine and remote right rib fractures. No subdiaphragmatic free air is present

history: <unk>f with abdominal pain // ? infectious process

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Mild cardiomegaly is stable compared to exams dated back to <unk>. The hilar and mediastinal contours are normal. Note is made of mild left basilar atelectasis. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of sudden onset vertigo and lightheadedness. please evaluate for pneumonia versus pulmonary edema.

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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. On the pa view only, there is an electronic device projecting over the right mid abdomen, presumably lying outside of the patient.

left-sided chest pain.

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. No focal consolidation, effusion, or pneumothorax is present. Cardiac and mediastinal contours are normal. Prominence of the right hilus is unchanged since <unk>.

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

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Pa and lateral images of the chest were obtained with the patient in the upright position. The lungs are clear, and there is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.

<unk>-year-old female with productive cough.

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The lungs are underinflated but clear. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. No displaced rib fractures are identified. On the lateral view, there is suggestion of subtle cortical step-off at the posterior aspect of the sternum, which may represent a fracture.

history: <unk>f with question of rib fractures. evaluate for pneumothorax.

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Left-sided pacemaker device is noted with single lead terminating in right ventricle. The heart size is normal. Mediastinal and hilar contours are unremarkable. Focal consolidative opacities within the right upper lobe as well as within the right middle lobe are concerning for areas of pneumonia. Left lung is clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.

dementia, increasing confusion.

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The lungs are clear without focal consolidation, effusion, or edema. Mild cardiac enlargement is again noted. Additional contour in the retrocardiac region adjacent to the left heart borders compatible with a large hiatal hernia. No acute osseous abnormalities.

<unk>f with chest pain, hypotension, afib // eval for consolidation

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The patient is status post left upper lobectomy with clips noted in the left hilar region and evidence of volume loss in the left lung. Minimal scarring is seen within the left lung base, similar compared to the previous exams. Cardiac, mediastinal and hilar contours are otherwise normal, with the heart size within normal limits. There is no pulmonary vascular congestion. No focal opacity concerning for pneumonia is seen. Scarring within the right lung base is also unchanged. There is no pneumothorax or pleural effusion. No acute osseous abnormalities are seen.

shortness of breath.

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Lung volumes are low. Cardiac, mediastinal and hilar contours are unchanged and unremarkable. There is crowding of bronchovascular structures without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Atelectasis is seen in both lung bases. No acute osseous abnormality is detected.

history: <unk>m with cirrhosis and altered mental status.

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Lung volumes are low, but there is no focal consolidation. There is no acute osseous abnormality.

chest pain

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Patient is status post median sternotomy and cabg. Heart size is mildly enlarged, which accounting for differences in rotation is likely unchanged compared to the prior study. The aorta is diffusely calcified. Mediastinal and hilar contours are unremarkable. Mild pulmonary vascular congestion is present without frank pulmonary edema. Small bilateral pleural effusions are visualized along with minimal atelectasis in the lung bases. No focal consolidation or pneumothorax is seen. Left shoulder arthroplasty is incompletely imaged. There are multilevel mild to moderate degenerative changes noted in the thoracic spine.

history: <unk>m with dyspnea

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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. Bb marks the site of pain along the right lower lateral rib cage without underlying displaced fracture seen. No free air below the right hemidiaphragm is seen.

<unk>f with pain to r ribs // fall on r side, pain to ribs

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Both lungs are well expanded and clear. There is no evidence to suggest pulmonary edema or volume overload. Heart size is moderately enlarged. Hilar and mediastinal contours are unremarkable. There is no pleural effusion.

liver decompensation, cirrhosis, lower extremity edema; please evaluate for volume overload.

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There are slightly low lung volumes, which results in bronchovascular crowding. Note is made of mild bibasilar atelectasis. Cardiomediastinal and hilar contours are unremarkable. The aorta is tortuous. No pneumothorax, pleural effusion, or consolidation.

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

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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal. Right clavicular lytic foci are unchanged. Although suboptimal to assess for myeloma, subtle lucencies in the vertebral bodies and posterior ribs suggest the possibility of additional lesions.

<unk> year old man with shortness of breath. h/o multiple myeloma // assess lungs

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Pa and lateral views of the chest provided. Surgical clips projecting over the left breast and left axilla are unchanged. Mild bibasilar atelectasis is unchanged. Otherwise, the lungs are grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. Increase in right paratracheal radiodensity combined with blunting of the paratracheal stripe and the slightly outward bulging of the mediastinal contour.

<unk> year old woman with gnr bacteremia <unk> urinary source; still febrile, neutropenic, on cefepime for <num> days // ?infiltrate

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Low lung volumes are noted with crowding of the bronchovascular markings. There is no confluent consolidation or overt pulmonary edema. There is no pneumothorax or effusion. Right picc is seen with tip projecting over the upper svc. No displaced fractures identified.

<unk>m with ams in setting of thrombocytopenia, neutropenia, possible fall // eval spontaneous vs traumatic hemorrhage

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Pa and lateral views of the chest provided. Cardiomegaly is mild with hilar congestion. No frank pulmonary edema. Note pleural effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with persistent cough and chest pain // pneumonia?

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Cardiac silhouette size appears mildly enlarged but unchanged. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Interstitial opacities are noted within the lung bases, more so on the right, which could reflect atelectasis and scarring. No focal consolidation, pleural effusion or pneumothorax is present. Chronic left-sided rib deformities are re- demonstrated.

history: <unk>m with cough, fever

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The patient is status post median sternotomy with aortic valve replacement. Sternotomy wires are intact. The lungs are clear. Right apical pleural thickening and calcification is unchanged. A small right pleural effusion has increased since <unk>. The left lung is clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Generalized osteopenia and flowing ossification of the anterior longitudinal ligament is again noted.

status post avr ; evaluate for pneumonia versus chf.

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As compared to the prior radiograph, the patient's fluid overload has improved. Cardiac size remains moderately enlarged. Bibasilar atelectasis, particularly in the right middle lobe is still present, but also improving overall. A picc line terminates at the cavoatrial junction.

history: <unk>f with jp drain out // confirm picc placement

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Right-sided port-a-cath tip terminates at the junction of svc and right atrium. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. No acute osseous abnormalities are visualized.

left-sided chest pain.

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Ap and lateral chest radiographs demonstrate a left-sided dual-chamber pacer terminating in standard position. There is a small area of hazy nodularity at the left lung base thought most likely to represent atelectasis. Tortuous aorta and coronary artery stent are again visualized. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac, hilar, and mediastinal contours are normal.

frequent falls and weakness. evaluation for pneumonia.

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There are a few areas of peribronchial opacity in the right lower lung which could represent bronchitis or bronchiectasis in the middle lobe and early pneumonia or aspiration in the lower lobe. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. G-tube tip projects over the left upper quadrant.

history: <unk>m with productive cough // pneumonia?

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.

history: <unk>m with chest pain

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Moderate to severe enlargement of the heart is present. The aorta is unfolded and demonstrates mild diffuse calcifications. The hilar contours are unremarkable. There is mild upper zone vascular redistribution without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

altered mental status.

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The tip of the right port-a-cath terminates in the mid svc. Lungs are clear of consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities.

hx of all. s/p allo with worsening cough. please r/o pna. // hx of all. s/p allo with worsening cough. please r/o pna.

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As compared to the previous radiograph, there is a minimal increase in density at the right lung base. On the lateral radiograph, a minimal right lower lobe volume loss can be appreciated. Overall, these could be consistent with early pneumonia. The referring physician, <unk>. <unk>, was paged for notification at the time of dictation, <time> a.m., <unk>. Otherwise, there is no relevant change. Moderate cardiomegaly without pulmonary edema. No pleural effusions. Unchanged aspect of the mediastinum and the hila.

hiv, cellulitis, evaluation.

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No focal consolidation is identified. The cardiomediastinal silhouette is normal given low lung volumes and ap technique. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Old left rib fractures are identified.

weakness, history of subdural hematoma, evaluate for pneumonia.

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Left lower lobe opacity is worrisome for pneumonia. There may also be a trace left pleural effusion. The patient is rotated to the left. No pneumothorax is seen. The right lung is grossly clear. There is some central pulmonary vascular engorgement. No pleural effusion or pneumothorax is seen. The mediastinum and heart size appear stable.

history: <unk>m with esrd on dialysis who p/w anemia and sob // evaluate for pneumonia or pulmonary edema

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In comparison with study of <unk>, there is again hyperexpansion of the lungs suggesting some underlying chronic pulmonary disease. However, no acute pneumonia, vascular congestion, or pleural effusion.

bronchitis.

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Compared to the prior radiograph, stable appearance of multiple bilateral pulmonary metastases and left upper lobe collapse. No pleural effusion, pneumothorax, or evidence of pneumonia.

history: <unk>f with cough, syncope // evaluate for acute changes

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Tracheostomy tube appears unchanged in position. The lungs are clear. A few small granulomas are again seen in the chest as visualized on the prior ct from <unk>. Cardiomediastinal silhouette is normal. There is no pneumothorax or pleural effusion.

<unk>m with one day history of increased tenderness and swelling around t-tube, evidence of intrathoracic infection

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The heart size is mild to moderately enlarged but unchanged. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. No free air is seen under the diaphragms.

vomiting.

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Pa and lateral views of the chest. Slightly lower lung volumes seen on the frontal view on today's exam; however, the lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

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

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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are hyperexpanded and clear without focal consolidation concerning for pneumonia. A <num> lead pacemaking device is present with leads terminating in the right atrium, right ventricle, and coronary sinus as expected.

<unk> year old man s/<unk> crt-d s/p left axillary vein access // confirm lead placement

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Threaded screws are noted in the right humeral head. The cardiomediastinal silhouette is unremarkable. Lung volumes are low. There is platelike atelectasis at the lung bases, bilaterally. There is no focal consolidation.

<unk>f with altered mental status // eval for acute process

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As compared to <unk>, stable left moderate pleural fluid with interval decrease in the retrocardiac opacity. The right lung is clear. Moderate cardiomegaly. Displaced left-sided rib fractures are again demonstrated. No pneumothorax.

<unk> year old man with altered mental status // ? pna, pneumonia

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No significant change from the prior exam. Persistent large left pleural effusion and adjacent atelectasis. Stable probable cardiomegaly. Unchanged appearance of the cardiomediastinal silhouette and hila. No focal consolidation, pneumothorax, or pulmonary edema. Unchanged position of the right port-a-cath terminating in the right atrium.

<unk> year old woman with recurrent malignant l sided effusion, here with dyspnea; assess size of l effusion.

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Heart size remains mildly enlarged, unchanged. Mediastinal and hilar contours are similar. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Scarring within the lung apices is re- demonstrated and unchanged. No acute osseous abnormalities demonstrated. No free air is seen under the diaphragms.

history: <unk>f with rlq abdominal pain, guarding but no rebound or tap tenderness // free air

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Approximately <num> cm x <num> cm rounded homogeneous well defined nodule projecting over the left apex. No additional focal opacity, pleural effusion, pulmonary edema, or pneumothorax. Heart size, mediastinal contour and hilar normal. No bony abnormality.

male presents to ed for right-sided chest wall pain. assess for cardiopulmonary architecture.

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Overall the examination is unchanged. No focal opacity to suggest pneumonia is seen. There may be mild vascular congestion; however, no pulmonary edema. No pleural effusion or pneumothorax is seen. The heart size is top normal. There is mild tortuosity of the aorta. The pleural surface contours are normal.

history of asthma, presenting with dyspnea and cough.

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Calcifications of the aortic knob are noted. The heart is normal in size. The hila are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. The visualized osseous structures are within normal limits.

<unk>-year-old female with dizziness.

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

<unk>m with cough, fever, malaise x<num> weeks // ?infectious process

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A <num> x <num> cm relatively nodular opacity is seen projecting over the right upper lung, worrisome for pulmonary lesion. Right middle lobe opacity is seen which may be due to atelectasis or consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.

history: <unk>f with hemoptysis // r/o acute process

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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> year old woman with above // cough, chills, sweats ? infiltrate

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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 chest examination <unk> <unk>. The heart size has mildly increased in comparison with the previous examination. Again no typical configurational abnormality can be identified. The aorta is mildly widened and elongated but does not demonstrate any local contour abnormalities. The pulmonary vasculature has developed an upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema nor are there any pleural effusions in the pleural sinuses. No evidence of acute pulmonary parenchymal infiltrates seen. No pneumothorax can be identified in the apical area. Skeletal structures of the thorax are unchanged and show normal appearance with the exception of mild degenerative changes in the mid portion of the thoracic spine, but no evidence of vertebral body compression fracture.

<unk>-year-old female patient with increasing shortness of breath, assess for infection, cardiomegaly, or other abnormality.

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In comparison with the study of <unk>, there is little interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.

aspiration.

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The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. The heart is mildly enlarged. The lung volumes are low. Streaky right basilar opacity suggests minor atelectasis, decreased since the prior study. Otherwise, the lungs appear clear. Exaggerated kyphotic curvature and two mid thoracic compression deformities appear stable.

cough and shortness of breath.

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A double-lumen right internal jugular central venous line terminates within the right atrium. A nasogastric tube terminates within the stomach. There has been interval removal of the previous left-sided cvl. As compared to the prior examination, lung volumes are decreased and there are increasing bibasilar opacities which likely reflect atelectasis. Small right and moderate left pleural effusions have decreased in size from prior examination. The upper lung fields are grossly clear. The heart remains mildly enlarged and there is persistent, mild-moderate interstitial pulmonary edema.

<unk>m with recent icu admission for fungemia now presenting from gi suite with leukocytosis. endorses some mild abdominal pain ttp // intraabdominal process

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Heart size and cardiomediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax. The right lung is more lucent compared to the left, of uncertain etiology. Chronic right rib fractures.

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

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Small right pleural effusion. There is no focal consolidation or pneumothorax. No pulmonary edema. The cardiomediastinal and hilar contours are normal.

<unk>f with weakness // eval for pna

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Pa and lateral views of the chest provided. A wispy opacity in the left upper lung may represent an area of atelectasis. No discrete consolidation concerning for pneumonia. No effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact.

<unk>m with asthma flare, doe, chest pain // ? pna/ chest process

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Heart size is normal. Mediastinal and hilar contours are unchanged with enlargement of the pulmonary arteries again noted suggestive underlying pulmonary arterial hypertension. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Multiple right axillary clips are re- demonstrated. Diffuse sclerosis of the osseous structures is compatible with widespread metastatic disease.

history: <unk>f with altered mental status// eval for infiltrate

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Frontal and lateral views of the chest. Left chest wall single-lead pacing device is again seen. The lungs are clear of focal consolidation, effusion, or overt pulmonary edema. The cardiac silhouette is enlarged but stable in configuration. Median sternotomy wires and mediastinal clips are again seen. No acute osseous abnormalities.

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

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A stent projects over the left heart, consistent with known lad stent. The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Lung volumes remain low, but there is no focal consolidation concerning for pneumonia. The previously noted linear opacity at the left lung base is not as apparent on the current study. The upper abdomen is unremarkable.

<unk>m with chest pain and sob. recent cardiac cath.

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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. The patient is status post cervical spine surgery.

<unk>f with cough, subj fevers // eval for pna

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Again noted is prior median sternotomy and mitral valve repair. The median sternotomy wires are intact. Small dependent pleural effusions and mild left lower lobe atelectasis are stable. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no change in heart size. There is no pulmonary edema, pleural effusion, or pneumothorax.

<unk>-year-old woman status post cabg/mitral valve repair. evaluate for effusion.

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Patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax.

ischemia on mr. <unk>: chest, pa and lateral.

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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.

neck and chest pain after swallowing a hard object.

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A left-sided port-a-cath terminates in the low svc. Cardiomediastinal silhouette is unchanged. Known right hilar mass is re- demonstrated and unchanged compared to multiple prior studies. Linear opacities extending from the hilum to the right mid lung consistent with radiation fibrosis changes. Persistent elevation of the right hemidiaphragm is unchanged compared to prior study and likely represents volume loss. Small right pleural effusion is unchanged compared to prior study. There is persistent pleural thickening along the right lung apex. No focal consolidation or pulmonary edema is noted. No pneumothorax is seen.

<unk> year old woman with nsclc and recurrent pleural effusions. febrile neutropenia. // ? pleural fluid reaccumulation. ?pna. ?pulm edema

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The cardiac silhouette is mildly enlarged with mild tortuosity of the thoracic aorta. The hilar contours are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.

hypertension.

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

chest pain.

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Pa and lateral views of the chest provided. Vague scattered opacities in the lungs are concerning for multifocal pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Mild hilar prominence may reflect prominence of hilar nodes. Bony structures are intact.

<unk>m with cough, hiv, cd<num> of <num> // please eval for signs of cmv lung involvement

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There is a right lower lung consolidation and adjacent moderate pleural effusion with pleural effusion appearing increased. No pneumothorax is seen. The left lung field appears clear with minimal basilar atelectasis, likely related to low lung volumes. Heart and mediastinal contours are within normal limits; aortic calcifications are noted. Dextroconvex thoracic scoliosis appears unchanged compared to prior.

<unk>-year-old male with lethargy.

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

<unk>f with <num> months of dizziness // eval for pna

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The cardiomediastinal silhouette and pulmonary vasculature are unchanged. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous injury.

<unk>m with dyspnea, hx cmv, immunocompromised

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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with hiv, fever, cough // eval for pneumonia

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Opacification in the left lower lobe and lingula consistent with pleural effusion and consolidation as seen on the concurrent ct. Linear opacification in the right middle lobe may reflect atelectasis or consolidation. No pneumothorax. Stable heart size and mediastinal contours.

history: <unk>f with cough/pna // acute process