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

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Exam is limited secondary to relatively low lung volumes and patient body habitus. On the frontal view, there is apparent pleural-based thickening on the left laterally. The lungs are clear of consolidation. The second lateral view with less motion demonstrates no obvious effusion or definite consolidation. Cardiac silhouette is likely within normal limits. No acute osseous abnormalities.

<unk>m with cough, knee pain // eval for pna, fx

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Pa and lateral chest radiographs. Right-sided port-a-cath is in stable position. The lungs are clear. There is no pleural effusion or pneumothorax. Sabersheath trachea is compatible with a history of copd. The cardiomediastinal silhouette is normal. Severe degenerative changes in the glenohumeral joints are noted.

fever.

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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.

history: <unk>f with chest tightness // ? acute cardiopulm process

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The heart size is normal. The mediastinal and hilar contours are unremarkable. Previously noted ill-defined opacity within the left lung base has resolved. Streaky linear opacities within the right lung apex are unchanged and may reflect areas of scarring. No new focal consolidation, pleural effusion or pneumothorax is present. A percutaneous transhepatic biliary drain is partially imaged. There are no acute osseous abnormalities.

fever, vomiting after ercp with elevated white count.

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A picc line has been removed. The cardiac, mediastinal and hilar contours appear stable. Subpleural scarring at each lung apex appears unchanged. The chest is hyperinflated. There is no pleural effusion or pneumothorax. An opacity in the right middle lobe persists and appears chronic.

cough and hemoptysis.

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Previously visualized right apical pneumothorax is not appreciated on today's radiograph. Multiple right-sided rib fractures are noted, but better visualized on prior ct. Slightly more prominent opacification of the right lung base, likely related to atelectasis. Small right pleural effusion unchanged. Cardiomediastinal silhouette within normal limits.

<unk> year old man with mcc, with right rib fractures and a right apical ptx // please assess for interval change ( please do x-ray <unk>)

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Heart size is mildly enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again demonstrated. Atherosclerotic calcifications are noted at the aortic knob. The pulmonary vascularity is normal. Apart from subsegmental linear atelectasis in the left mid lung field, the lungs are clear without focal consolidation. Scattered calcified granulomas are noted in the left lung base. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.

copd, diabetes, increased dyspnea on exertion.

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Frontal and lateral views of the chest were obtained. Since the prior study, there is increased interstitial markings and bilateral opacities, predominantly in the perihilar region. The findings suggest pulmonary edema although concurrent infection cannot be excluded. The heart is at least moderately enlarged. There is no pleural effusion or pneumothorax. There is diffuse osteopenia with vertebral body loss of height in the thoracic spine.

altered mental status, found down.

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The frontal radiograph shows a relatively subtle opacity at the medial bases of the right lung. The change is visible on the frontal radiograph only and has no correlate on the lateral radiograph. Nevertheless, given the clinical presentation, aspiration must be suspected. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification. Otherwise, normal chest radiograph. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No focal pneumothorax.

right hemifacial numbness, questionable aspiration.

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The lungs are symmetrically well expanded and well aerated, without focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema or pulmonary vascular congestion. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

back pain, here to evaluate for widened mediastinum.

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Ap upright and lateral views of the chest. The lung volumes are low. There is no overt edema or clear signs of pneumonia. The cardiac silhouette is mldly enlarged. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

history chest pain, sickle cell disease, and heart attack (<unk>) with <num> stents.

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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 first time seizure

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The heart size is normal. The hilar and mediastinal contours are normal. There is streaky right lower lobe opacity seen on both the frontal and lateral views, raising concern for pneumonia. There is no pleural effusion or pneumothorax.

history of acute onset of shortness of breath. please evaluate for pneumonia.

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A new opacity is seen in the right lower lobe posteriorly that is likely a new focal pneumonia new metal clips are projected against the right breast tissue and right lower border of the mediastinum after mastectomy. The position of the right port-a-cath and spinal stimulator are unchanged there is no pleural fluid the cardiac size and mediastinum profile are unchanged.

<unk> year old woman with prior lymphoma and recent bilat mastx for dcis story: cough, bronchospasm and low grade fever. clinically asthmatic bronchitis, r/o pneumonia. has pulm nodules to be further clarified once acute respiratory sndrome has resolved.

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Lung volumes are relatively low. The lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Old healed left posterior rib fractures are again noted. No acute osseous abnormalities.

<unk>m with chest pain // pneumonia?

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No focal consolidation is present. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

<unk>-year-old man with chest pain and abdominal pain, evaluate for pneumothorax or other acute 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.

cough.

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Pa and lateral chest views were obtained with patient in upright position. Analysis performed in direct comparison with the next preceding similar study of <unk>. On previous examination identified residual densities on the right base have now cleared up completely and the right hemithorax does not show any pulmonary abnormalities with the exception of a mild thickening of the minor fissure. On the left side on the other hand the lower lobe area demonstrates now a diffuse haze with crowded vascular structures and perivascular densities consistent with an inflammatory process. Comparison with the previous study shows clearly that this process has developed during the last two months. No other significant new abnormalities are seen. There is no pulmonary vascular congestion and no pneumothorax in the apical area.

<unk>-year-old female patient with sarcoidosis, tracheobronchomalacia with four days of productive cough, low-grade fever, anorexia and malaise. abnormal lung sounds on the left. evaluate for infiltrate.

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Areas of linear left base atelectasis are seen. There is no definite focal consolidation. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. There are relatively low lung volumes. No displaced fracture is seen.

chest pain.

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Frontal and lateral radiographs of the chest demonstrate mild asymmetry at the right lung base compared to the left. This may represent overlying breast shadow although in the right clinical situation, pneumonia cannot be ruled out. There is no evidence of vascular congestion or interstitial edema. No pleural effusions are identified. No pneumothorax is seen. The heart, mediastinum, and hilar contours are normal.

pancreatic cancer on gemcitabine. evaluate for infiltrate or evidence of pulmonary edema.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.

shortness of breath and palpitations.

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There is a metallic density projecting over the right mid lung. Dense left base consolidation is noted. There is a probable left pleural effusion vs pleural-based thickening. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits.

<unk>m with pleuritic chest pain, reproducible // pna?

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Heart size is top-normal with mild unfolding of the thoracic aorta. Hilar contours are unremarkable. Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. There is mild left base atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion pneumothorax.

acute chest pain.

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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.

history: <unk>m with <num> day hx fever + cough // eval for consolidation

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.

chest pain.

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Since the prior radiograph, the right upper extremity picc line has slightly migrated proximally, terminating just below the expected location of the cavoatrial junction. Bilateral perihilar atelectasis is slightly improved since the prior study. No pleural effusion or pneumothorax. Heart size is normal and lungs are essentially clear.

concern for picc migration.

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Cardiomediastinal silhouette is enlarged. Hilar contours are unremarkable. No focal opacities concerning for infectious process at this time.

a <unk>-year-old man with fever, rule out pneumonia.

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The lungs are clear. Cardiac silhouette is normal in size. There is a hiatal hernia. The hila appear relatively normal today and have decreased in size since the prior study, particularly on the left.

<unk>-year-old woman with stage i sarcoid with chest pressure. question lymphadenopathy.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap portable chest examination of <unk>. Patient is known to have a right upper lobe mass which appears unchanged in size in comparison with the next previous study. The lesion involves also the apical pleural space. Right-sided elevated hemidiaphragm as before and blunting of the lateral pleural sinus is observed. Lateral view discloses some loculated pleural densities occupying the posterior pleural space. There is moderate cardiac enlargement as before with predominant left ventricular contour and some general widening of the thoracic aorta but the pulmonary vasculature is not congested.

<unk>-year-old female patient with pleural effusion, evaluate.

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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.

history: <unk>f with cough and fever. hx asthma // eval for pneumonia

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Ap and lateral views of the chest. Best seen on the lateral view is increased retrocardiac opacity compatible with wedge-shaped left lower lobe opacity on prior chest ct. Faint right basilar opacities are also seen suggesting atelectasis. There is no effusion. Superiorly, the lungs are clear. Known pulmonary nodules are not clearly delineated on this exam. Cardiac silhouette is mildly enlarged, likely accentuated by low lung volumes. No acute osseous abnormality is identified.

<unk>-year-old male with metastatic brain cancer. question pneumonia.

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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Mild apical pleural thickening is again seen on the right.

asthma flareup with coughing, to assess for pneumonia.

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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable noting a right nipple ring.

<unk>-year-old male with dyspnea and cough.

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Frontal and lateral chest radiograph demonstrates moderately well inflated lungs with mild right lower lobe atelectasis. No pleural effusion or pneumothorax. Mild elevation of the right hemidiaphragm is stable. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

recent fever, cough, decreased breath sounds at right base. assess for pneumonia or effusion.

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There is subtle increased opacity at the left lung base with subtle opacity in the retrocardiac region and overlying the spine on the lateral view as well. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Deformity of the left posterior ninth ribs suggest prior healed fracture.

<unk>m with cough and fever // eval pneumonia

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In comparison with the study of <unk>, there is little change. Again there are bilateral breast implants with surgical clips. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Small areas of opacification are seen adjacent to the fifth and sixth anterior ribs on the right, presumably related to healing fractures. Whether these could reflect pathologic fractures could not be determined on this study.

bilateral mastectomy with chest pain.

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Again seen are pleural based calcifications projecting over the left mid to upper lung, thought to represent calcified pleural plaques. Rounded opacity projecting over the right lung apex is slightly more conspicuous on the frontal view but appears larger when compared to prior lateral. The lungs are otherwise clear without consolidation, effusion, or edema. Moderate cardiac enlargement is again noted as well as tortuosity of descending thoracic aorta. Lower thoracic compression deformity is unchanged.

<unk>f with sob, jvd, and lower extremity edema // ?pulmonary edema

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The right-sided pic line appears to terminate in the right atrium, overall unchanged compared to the prior exam. The patient is status post aortic valve replacement. There is a left-sided pectoral pacemaker with the leads in appropriate position in the right atrium and right ventricle. There are stable small bilateral pleural effusions. There is no evidence of a pneumothorax. Moderate cardiomegaly is stable. No definite focal consolidations concerning for infection are identified.

history of large left rectus sheath hematoma. progressive leukocytosis. please evaluate for infiltrate.

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New small left pleural effusion since <unk>. Focal pulmonary abnormality with increased opacification left lung base, which could be secondary to infection or infarct post operatively. Right lung atelectasis. No pulmonary edema or pneumothorax. Cardiomediastinal contours and hila are stable. The right picc line appears intact and unchanged in position. Bilateral tiny crescentic lucencies under the diaphragm, consistent with pneumoperitoneum postoperatively. Surgical coils in the right upper quadrant appear intact and unchanged in position a portion of the drain in the right upper quadrant also appears intact and unchanged.

<unk>-year-old woman with locally advanced cholangiocarcinoma, status-post exploratory laparotomy, gastric antral biopsy, bile duct excision and gastrojejunostomy for unresectable disease who now presents with a post-operative fever. evaluate 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 unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with chest pain. evaluate for infectious process, effusion.

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Ap and lateral chest radiographs. Lung volumes remain low with right basilar atelectasis, similar to recent radiographs. The main pulmonary artery remains markedly enlarged. Small bilateral pleural effusions are similar to cta chest of <unk>. There is no pneumothorax. Moderate cardiomegaly is stable. Surgical clips are noted in the upper abdomen.

weakness. history of congestive heart failure.

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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Lower thoracic dextroscoliosis is again noted. No displaced fractures identified.

<unk>f with r hand clumsiness concern for stroke // eval ? acute process, infection

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Frontal and lateral views of the chest. Since prior there has been interval median sternotomy. The <unk> and <unk> sternotomy wires from the top are fractured. There has been interval cardiac enlargement. Dilation of the azygous vein and indistinct pulmonary vascular markings suggest vascular congestion. There is no large pleural effusion. No acute osseous abnormalities detected.

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

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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

left-sided chest pain. assess for pneumothorax.

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Blunting of left costophrenic angle reflects a moderate left pleural effusion with associated atelectasis. Patient is status post median sternotomy, cabg and aortic valve replacement. Remaining visualized lung is clear though the right costophrenic angle is not fully seen. The cardiac mediastinal silhouette is unchanged.

<unk> year old man with dyspnea worse with exertion // r/o infiltrate

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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 dyspnea, lle swelling

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Pa and lateral images of the chest. The lungs are hyperinflated and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Pacer is seen in the left anterior chest wall with intact leads in appropriate position.

presyncope.

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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>m with ruq pain radiating to the back, and subjective fevers. rule out lung pathology

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There is a left lingular consolidation. The right lung is clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.

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

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Heart size is top normal. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. There is mild elevation of the left hemidiaphragm which is unchanged. Minimal atelectasis is seen in the left lung base. Mild degenerative changes are noted in the thoracic spine

history: <unk>m with cardiac history, parkinsonism, with new onset lethargy

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.

<unk>-year-old male with confusion and hyperglycemia.

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There is a large right pleural effusion, new since <unk>. A svc stent is seen. Mild cardiomegaly and mild vascular congestion. No pneumothorax.

<unk>-year-old with tachycardia.

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<num> mm calcified nodule and additional smaller calcified appearing nodules projecting over the right mid to lower lung likely represent granulomas. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen.

history: <unk>f with ?tia // pna?

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

<unk>-year-old with chest pain.

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Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

history: <unk>m with hemoptysis

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No focal consolidation, pleural effusion, or pneumothorax is seen. There is pulmonary vascular congestion without overt edema. Heart size is mildly enlarged. Aorta is tortuous.

<unk>-year-old female 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 cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk> year old man hiv, p/w with post-tussive syncope and rbbb (?new) // ? acute cardiopulmonary process

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Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are still stable. Pulmonary vasculature is normal. Minimal atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.

history: <unk>m with fevers

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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 under the hemidiaphragms. The osseous structures are unremarkable.

malaise and weakness. evaluate for pneumonia.

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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is enlarged with a lobular contour of the right heart border which can be accounted for by prominent mediastinal fat seen on prior chest ct. Osseous structures demonstrate no acute osseous abnormality. Accentuated lower thoracic kyphosis is seen due to mild anterior vertebral body height loss.

<unk>-year-old male with shortness of breath and weight gain. question pulmonary edema.

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Left-sided dual-chamber pacemaker device is noted with leads terminating in unchanged positions in the right atrium and right heart. Moderate enlargement of the cardiac silhouette with dense mitral annular calcifications is re- demonstrated. The aorta is mildly tortuous and diffusely calcified. The mediastinal and hilar contours are otherwise similar. Known pulmonary nodules seen on ct are not well assessed on the current exam. There is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. Patient is status post vertebroplasty of the t<num> vertebral body with fusion hardware within the lumbar spine incompletely imaged. Multiple chronic bilateral rib fractures are better assessed on the previous ct. Right shoulder arthroplasty hardware is also incompletely assessed.

<unk>f with fall, please evaluate for fracture, pneumothorax, occult pneumonia

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

history: <unk>m with chest pain // ? acute cardiopulm process

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Ap upright and lateral chest radiographs demonstrate low lung volumes. Cardiomediastinal and hilar contours are stable relative to prior examination dated <unk>. No evidence of pulmonary edema, pleural effusion, or pneumothorax. Imaged osseous structures demonstrates bilateral acromioclavicular joint degenerative changes, left greater than right. Imaged upper abdomen is without an acute abnormality.

<unk>-year-old male with hypotension.

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Remote <unk>, <unk> and <unk> lateral rib fractures are again noted. No acutely displaced fractures are definitively noted.

recent assault.

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Lung volumes are low resulting crowding of the pulmonary bronchovascular structures. The heart is not enlarged. The cardiomediastinal contour is unchanged compared to prior studies. There is persistent subtle airspace opacity in the right mid to lower lung, this may reflect the residua of the patient's known pneumonia. The left lung is clear. No pleural effusion seen. Radiopaque material in the left upper quadrant consistent with prior splenic embolization.

<unk> year old man with pancreatic adenca, pna // interval change of pna

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The lungs are clear.the heart size is top-normal, however the, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk> year old woman undergoing right femoral-to-popliteal bypass graft. preoperative radiograph.

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Dual lead left-sided pacer device is seen, stable in position. There is persistent moderate to severe enlargement of the cardiac silhouette. Mediastinal contours are stable. Neo esophagus is again seen, with large air-fluid level distally. There is slight blunting of the costophrenic angles could be due to pleural thickening or trace of pleural effusions. No evidence of pneumothorax is seen. No definite new focal consolidation is seen. Several old right-sided rib deformities are re- demonstrated. Gaseous distention of multiple loops of bowel is incompletely evaluated on this study. .

history: <unk>m with malaise, doe // pneumonia vs. chf exacerbation

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Since the prior radiograph, there has been interval development of a new right upper lobe and right middle lobe consolidation, which is compatible with pneumonia. The left lung is clear. No pleural effusions or pneumothorax. The mediastinum and hila within normal limits. The opacity adjacent to the right cardiophrenic angle is likely due to prominent pericardial fat, which was seen on the <unk> ct abdomen. No acute osseous abnormalities.

<unk> year old woman with fever and cough // r/o infiltrate

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Compared to the exam performed <num> hours prior, there is no significant change. There is likely increase in moderate left pleural effusion. Persistent left lower lobe collapse is seen. Right lower lobe atelectasis is also likely. Enlarged cardiomediastinal and hilar contours are unchanged from prior. There is no evidence for pneumothorax. Again seen are pericardial drainage catheter, <num> orphaned pacer leads, both unchanged in position.

<unk> year old woman with persistent pressor and o<num> requirements. evaluate for pneumonia.

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Persistent opacity in the right upper paramediastinal area. The extrapulmonary lesion along the costal surface of the right mid lung appears smaller, but this may be secondary to projection. The left lung is clear. Elevated left hemidiaphragm unchanged. No pulmonary edema or pleural effusion.

history: <unk>m with ams, rigors // assess for pna

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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Bibasilar opacities likely represent atelectasis. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. No pleural effusion, focal consolidation or pneumothorax.

chest pain.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Marked cardiomegaly persists. The aorta is tortuous and calcified.

<unk>-year-old female with episode of blood in her mouth.

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In comparison with the study of <unk>, there is again hyperexpansion of the lungs, consistent with chronic pulmonary disease. Nodular opacification is seen at the right base medially. This may be slightly more prominent than the study of more than <unk> years previously, but appears to be quite dense and sharply round and most likely represents a granulomatous process. No acute focal pneumonia or vascular congestion.

amiodarone, to assess for toxicity.

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Frontal and lateral chest radiographs demonstrate an increasing retrocardiac opacity which is concerning for pneumonia. There has been progressive increase in an ap window opacity between <unk> and <unk>, potentially representing pulmonary hypertension. There is no pleural effusion or pneumothorax.

recent bronchitis, now with productive cough and shortness of breath. evaluate for pneumonia.

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Cardiac silhouette size is within normal limits. The aorta remains tortuous with similar aneurysmal dilatation. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. There has been interval improvement in aeration of the lung bases with decreased atelectasis demonstrated. No new focal consolidation, pleural effusion or pneumothorax is present. Multiple remote bilateral rib fractures and compression deformities are again seen within the imaged thoracolumbar spine. Partially imaged is a stent graft within the abdominal aorta.

history: <unk>m with shortness of breath, cough

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Compared to <unk>, there is stable right-sided volume loss and pleural thickening. There has been interval improvement previously seen scattered right-sided reticular opacities. Blunting of the right cardiophrenic angle is likely due to pleural thickening over pleural effusion given lack of presence of fluid seen in the lung bases compared to ct examination from <unk>. The left lung is clear. The patient is status post median sternotomy and avr with stable cardiomediastinal and hilar contours. A right infusion port is unchanged in position with the tip terminating in the mid svc.

recent lung biopsy now with increased shortness of breath.

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In comparison with study of <unk>, there is little change and no evidence of acute pneumonia or vascular congestion. Continued low lung volumes with enlargement of the cardiac silhouette in a patient with replacement and an intact midline sternal wire. Surgical clips in the lower neck again seen.

laryngeal spasm with cough.

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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.multiple clips are noted in the left upper quadrant of the abdomen.

history: <unk>f status post motor vehicle collision on <unk> rear-ended by truck gradual onset midline c-spine pain/tenderness, abdominal pain/tenderness, right hip pain tenderness, ambulates without difficulty // evaluate for traumatic injuries

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There is a small residual area of opacification obscuring the right heart border. However generalized opacities have markedly improved since the more recent prior chest radiographs. There are no pleural effusions or pneumothorax.

chills. question pneumonia.

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Cardiac size cannot be evaluated. Upper mediastinum is normal. There is no pneumothorax. Moderate to large bilateral effusions with adjacent atelectasis are grossly unchanged allowing the difference in positioning of the patient. Left pigtail catheter has been removed. The upper lungs are clear

<unk> year old woman with s/p cabg, mvr- returned with chylothorax- bilateral cts have been d/c'd // f/u chylothorax s/p removal of right ct

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Ap and lateral views of the chest. Opacity at the left cardiophrenic angle there is compatible prominent fat pad and lingular scarring as seen on prior ct. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Old posterior right rib fracture is noted.

<unk>m with ms and dysphagia p/w vertigo // r/o pneumonia

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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no radiopaque density to suggest a missing tooth fragment.

<unk>m with chain saw trauma to face, missing tooth // ?tooth in lungs

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Again seen is a ventriculoperitoneal shunt catheter overlying the right chest.

right chest wall pain.

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The lung volumes are low. There are areas of atelectasis at both lung bases. In addition, very subtle reticular opacities are seen, better appreciated on the lateral than on the frontal radiograph. Although the costophrenic sinuses are free, the low lung volumes could be suggestive of a subtle fibrotic lung process. Ct would be the method of choice to confirm or exclude this possibility. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. Normal hilar and mediastinal contours. At the time of dictation and observation, findings were posted on the radiology dashboard.

history of cad, chest tightness on inspiration.

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There is right basilar opacity which is likely in part due to an effusion potentially with some loculation and with atelectasis. There is also small left pleural effusion. Rounded opacity projects over the right mid to upper lung suspicious for underlying pulmonary nodule although not clearly localized on lateral view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips project over the neck on the left.

<unk>f with sob // pleural effusion?

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Compared <unk>, there is slight increase in size in the right pneumothorax surrounding the entire pleura. Bibasilar atelectasis greater on the right than the left is unchanged. Top-normal heart size with tortuosity of the thoracic aorta stable.

<unk> year old man with h/o spontaneous ptx // ? recurrence

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The lungs are hyperinflated with reduced lung markings and flattening of the hemidiaphragms consistent with severe copd. Focal pleural thickening at the periphery of the right upper lung was not seen on prior chest ct or chest radiograph and is concerning for infection versus malignancy. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.

<unk> year old woman with severe copd, new cough for the past month // eval for infiltrate

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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. Hilar contours are stable.

history: <unk>m with fever, r foot pain // pna?osteo?

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The lungs are clear. There is no effusion or pneumothorax. There is no pneumomediastinum. Cardiomediastinal silhouette is normal. On the lateral view, there is a radiopaque foreign body projecting over the upper abdomen better seen on dedicated abdominal films.

<unk>f with states swalloed button batery // battery?

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Ap upright and lateral views of the chest provided. Hyperinflated lungs are clear. 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 vertigo and vomiting. // ? pneumonia

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Pa and lateral views of the chest provided. Right chest wall port-a-cath is new from prior with catheter tip extending into the region of the low svc. The lungs are clear. The heart size is normal. There is a extremely tortuous thoracic aorta again noted. Bony structures are intact. No free air below the right hemidiaphragm.

history: <unk>f with syncopal episode, on chemotherapy w/ cath. // eval ? infection, confirm cath placement

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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.

<unk> year old woman with hx mitochondrial myopathy, presenting with chest pain of unclear etiology. ischemic w/u negative // evaluate widened mediastinum, heart size

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There is prominence of the pulmonary vasculature, suggestive of mild pulmonary edema. Small amount of fluid is noted in the right minor fissure. Bibasilar opacities are noted and likely representative of atelectasis.

syncope.

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

<unk>-year-old female with dyspnea.

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Ap upright and lateral chest radiographs were obtained. The lungs are slightly low in volume but in total clear aside from linear left basilar and hazy right basilar opacities, in total, unchanged from multiple previous examinations. Opacity on the lateral is likely due to large hiatal hernia. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous aortic contour. Dual lead pacemaker, median sternotomy wires and valvular prosthesis are demonstrated.

cough and congestion.

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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 fever // eval for pna

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The lungs are clear without focal consolidation, effusion, or edema. Enlargement of cardiac silhouette is likely accentuated by technique. No acute osseous abnormalities.

<unk>m with presyncope and brbpr, also with several days pulmonary sxs, thick sputum // eval ? infiltrate, edema

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There is mild bibasilar atelectasis/scarring. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at the upper limits of normal. No acute fractures are identified.

evaluation of patient with confusion.

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The heart size is normal. The hilar and mediastinal contours are normal. There is a <num> mm nodular opacity overlying the right posterior <unk> rib. No other focal consolidations are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of shoulder pain please evaluate chest.

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

the patient with vomiting blood and coughing for two weeks. assess for pneumonia.