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

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The right hemidiaphragm remains elevated. There are small bilateral pleural effusions with overlying atelectasis. Right mid lung platelike atelectasis has increased. Right perihilar and infrahilar opacity could be due to pneumonia and/or worsened atelectasis or aspiration. No focal consolidation is seen on the left. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with <unk> edema, doe // eval for acute process, attn to pulmonary edema

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

chest pain.

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A dialysis catheter terminates at the cavoatrial junction. The heart is moderately enlarged as before. The mediastinal and hilar contours appear unchanged. Aside from a patchy left basilar opacity suggesting minor atelectasis, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

congestive heart failure, presenting with shortness of breath.

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Patient is status post median sternotomy with the superior most wire again appearing broken. Cardiac silhouette size appears normal, unchanged. Mediastinal contour is unchanged. Hilar prominence bilaterally reflects enlargement of the pulmonary arteries, as seen previously. There is no pulmonary edema. A moderate-sized left pleural effusion appears slightly increased compared to the previous radiograph with left basilar opacification likely reflective of compressive atelectasis. Small right pleural effusion appears similar with atelectasis/scarring noted in the right lung base. No pneumothorax is seen. Deformity of the right rib cage is unchanged. Marked degenerative changes are noted involving the left glenohumeral joint.

history: <unk>f with worsening altered mental status

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Pa and lateral views of the chest provided. Faint right basal atelectasis noted. 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 and sob

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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.

history: <unk>f with cough, shortness of breath and congestion

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Right-sided dual chamber pacemaker device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. There is no pulmonary edema. Linear opacities within the left lung base likely reflects subsegmental atelectasis. Remainder the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen.

history: <unk>f with weakness

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The cardiac silhouette is persistently enlarged. Mediastinum is stable in appearance. Prominence of the hila is stable. Prominence of the vasculature suggests mild to moderate pulmonary edema. More focal right base opacity is again seen, which could relate to fluid overload however, infection is not excluded in the appropriate clinical setting. There are bilateral pleural effusions.

history: <unk>m with non-hodgkin's lymphoma p/w lethargy and weakness x<num>d // c/f pna

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal. The trachea remains deviated by known goiter. Aortic tortuosity is unchanged.

cough and fever.

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Heart size is normal. Atherosclerotic calcifications are noted at the aortic knob. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are hyperinflated. Apart from subsegmental atelectasis in the right middle lobe, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities present.

history: <unk>m with shortness of breath, chest pressure

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

patient with vaginal bleeding and chest pain.

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A left picc ends at the cavoatrial junction. The cardiac and mediastinal contours are stable. Bilateral lower lobe opacities are new since <unk> and could represent atelectasis, aspiration or infection. There is no pleural effusion or pneumothorax. There are old right rib fractures.

<unk>-year-old man with fever.

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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette in a patient who has undergone a previous cabg procedure. The degree of pulmonary vascular congestion has decreased substantially. Large right pleural effusion persists with compressive atelectasis at the right base.

chf and effusions, to assess for change.

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

<unk>f with visual hallucinations, chest pain // eval for consolidation

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Increased opacity in the right lung is identified in the right lung. Cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax.

history: <unk>f with acute onset sob + b/l ankle swelling // pna vs pulm edema

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A left-sided picc line is seen with its tip terminating in the lower svc. The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.

persistent fevers. evaluation for pneumonia.

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As compared to the previous radiograph, there is no relevant change. Moderate scoliosis with subsequent asymmetry of the rib cage. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions, no pneumonia, no pulmonary edema. Normal hilar and mediastinal contours.

rule out pneumonia.

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Pa and lateral views of the chest. The lungs are clear without effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. No acute osseous abnormalities.

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

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Lung volumes are slightly low. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>f with chest pain // eval for structural process

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Pa and lateral radiographs of the chest demonstrate bilateral lower lobe atelectasis. The lungs are otherwise clear. The aorta is unfolded and the hilar and cardiomediastinal contours are otherwise normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

evaluate for mass or pneumonia in a patient with a breast lesion.

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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy opacity in the right middle lobe is concerning for pneumonia. Left lung is clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected.

history: <unk>f with <num> weeks of cough

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Right port-a-cath tip projects over the upper svc, unchanged. Lung volumes have improved in the interim. Mild left basilar atelectasis. Trace left pleural effusion. No focal consolidation, edema, or pneumothorax. The heart is normal in size.

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

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Right porta cath tip terminates in the lower svc. Again seen is plate like atelectasis at the left lung base, unchanged from multiple priors. The cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax. Healed posterior upper right rib fractures are noted. Posterior lumbar spinal fixation hardware is noted. Moderate hiatal hernia apears slightly smaller.

cough and shortness of breath. history of multiple myeloma.

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The lungs are well-expanded. The opacity in the region of the left upper hemithorax is increased in size from the prior exam. No focal consolidation to suggest pneumonia. No pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged. Stable tortuosity of thoracic aorta. The leftward deviation of the trachea with associated narrowing of the lumen appears stable and is consistent with a thyroid goiter. Stable appearance of the hila.

<unk>-year-old man with coronary artery disease and presenting with cough. evaluate for pneumonia or congestive heart failure.

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The patient is status post median sternotomy and cabg. Mild to moderate enlargement of the cardiac silhouette is unchanged. The aorta remains tortuous. Mild pulmonary vascular congestion is demonstrated with small bilateral pleural effusions. No focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities.

history: <unk>m with shortness of breath

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The heart size is normal. The mediastinal as well as the hilar contours are unremarkable. There are calcified left ap window lymph nodes compatible with prior granulomatous disease. Calcified granuloma in the left upper lung field is also noted. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There is hyperinflation of the lungs with flattening of the diaphragms suggestive of underlying copd. No pneumothorax or pleural effusion is seen. There are no acute osseous abnormalities.

dysphagia for <num> months.

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There are small bilateral pleural effusions. The lungs are otherwise clear without evidence of consolidation or edema. There is no pneumothorax. The cardiomediastinal silhouette is normal.

history of bladder cancer and metastatic pleural effusions seen on an outside hospital ct.

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Severe hyperinflation due to bullous emphysema is stable from multiple prior studies. There is no focal consolidation, pleural effusion, pulmonary, or pneumothorax. The cardiomediastinal contour is stable. Osseous structures and the upper abdomen are unremarkable.

<unk>f with chest pressure evaluate for acute process.

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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 muscle aches // r/o pna

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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valve again noted. Numerous calcified lymph nodes are seen projecting over the left pulmonary hilum. There are persistent bilateral pleural effusions left greater than right with left lower lung consolidation which could represent atelectasis or pneumonia though not significantly changed from the prior exam. Upper lungs are well aerated. Bony structures are intact. Clips project over the upper mid abdomen. Cervical spinal hardware is partially imaged.

<unk>f with decr breath sounds on left. hx pleural effusion

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As compared to the previous radiograph, there is no relevant change. Known small calcified left upper lobe granuloma. No acute change in the lung parenchyma. No lung nodules or masses suspicious for malignancy. Normal size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. Normal hilar and mediastinal contours. No pleural effusions. No pneumothorax.

copd, new hemoptysis, rule out pneumonia.

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There is no focal consolidation or pneumothorax. A small right pleural effusion is present. There is prominence of the central hilar vasculature, which may relate to mild pulmonary edema. The cardiomediastinal silhouette is mildly enlarged.

history of weakness, evaluate for infiltrate.

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Pa and lateral views of the chest. Patient is post-avr with aortic valve in the appropriate position. Sternotomy wires are appropriately positioned. Moderate to severe cardiomegaly with unchanged mild interstitial pulmonary edema. Right lower lobe opacity is minimally increased. There is trace fluid in the minor fissure. No pleural effusion. No pneumothorax.

diastolic chf exacerbation, suggestion of right lower lobe pneumonia on prior chest x-ray, question of worsening chf or pneumonia.

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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. The central pulmonary vessels are engorged, however, there is no edema.

chest pain.

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Heart size is normal. The mediastinal and hilar contours are remarkable for stable tortuosity of the thoracic aorta and a calcified right paratracheal lymph node. 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 cough since this weekend, o<num> sat <unk>% // evaluate for pneumonia

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Frontal and lateral views of the chest demonstrate pacemaker device projecting over left hemithorax, with leads terminating within the right atrium and right ventricle. There is no pleural effusion, focal consolidation or pneumothorax. The aorta appears prominent. Otherwise, hilar and mediastinal silhouettes are unremarkable. Heart is mildly enlarged. Perihilar pulmonary vascular congestion is noted. Partially imaged upper abdomen is unremarkable.

patient with lightheadedness and epigastric pain.

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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

<unk>f with hx of ischemic cardiac changes during exercise stress test presents with cp. evaluate for acute process.

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The lung volumes are low. The cardiac, mediastinal, and hilar contours appear unchanged including borderline cardiomegaly and moderate unfolding of the descending thoracic aorta. There are persistent moderate pleural effusions with basilar opacities that can probably be attributed to atelectasis, although these are not specific. Exaggerated kyphosis is associated with lower thoracic wedge compression deformities associated with partial collapse of vertebral bodies associated with a recent episode of spinal infection.

anasarca.

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Lung volumes are lower than in <unk>. Linear bilateral opacities are unchanged from <unk>, consistent with scarring. Mediastinal contours, hila and cardiac silhouette are stable from <unk>. No pneumothorax or pleural effusion. No osseous abnormality within the limits of plain radiography.

<unk>f with acute severe chest pain // rib fracture? dissection?

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Scattered opacities projecting over both lungs correspond to calcified pleural plaques, as seen on prior chest ct from <unk>. Previously seen pulmonary edema on <unk> has resolved. Mild cardiomegaly is not significantly changed. The descending thoracic aorta is tortuous, as before. Mediastinal contours are otherwise normal. Small bilateral pleural effusions are likely unchanged. There is no pneumothorax. No displaced rib fractures are identified. Known left-sided rib fractures were better identified on the prior ct from <unk>.

multiple rib fractures. please reassess.

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As compared to the previous radiograph, no relevant change is seen. No pulmonary edema. No pneumonia, no pleural effusions. Tortuosity of the thoracic aorta. Known coiled intravascular a part of a right pectoral port-a-cath.

<unk> year old man with right port-a-cath. ? central location // assess location of port tip. ? central

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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated as described on the prior report. There is no focal consolidation or pneumothorax. Tiny pleural effusions are noted. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

fever.

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Pa and lateral views of the chest provided. Mild prominence of central bronchovascular markings noted which could reflect mild pulmonary vascular congestion. No frank pulmonary edema. No convincing signs of pneumonia. No pleural effusion or pneumothorax. . Heart size is mildly enlarged. The cardiomediastinal silhouette is normal. Imaged bony structures are intact.

<unk>m with atrial fibrillation

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There has been interval placement of a left-sided single chamber icd with its tip projecting over the expected location of the right ventricle. Relationship to the anterior wall of the right ventricle is indeterminate. The lung volumes are low, accentuating the cardiomediastinal silhouette and interstitial markings. Moderate cardiomegaly and prominent pulmonary vasculature are unchanged. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. There is no evidence of mediastinal hematoma or hemothorax.

<unk> year old man s/p single chamber icd evaluate for lead placement.

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Frontal and lateral chest radiographs were obtained. The previous right apical pneumothorax is unchanged in size. There is no evidence of tension. There has been no short-term interval change in the remainder of the exam.

patient with chest tube removal, eval for pneumothorax.

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

chest pain.

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Pa and lateral views of the chest provided. Lungs are not well inflated. On the lateral view projecting in the right middle lobe or lingula there is increased density which could be atelectasis. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal. Punctate hilar opacities, likely represent calcified hilar lymph nodes.

<unk> year old man with hiv-<num> and quantiferon tb gold test positive for exposure to mtb // evaluate for infiltrate

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Compared with the prior chest radiograph, cardiomegaly is now moderate to severe, with indistinct pulmonary vasculature, thickening of the right major fissure, and small bilateral pleural effusions. The mediastinal veins are wider. The fiducial seed in the right hilus is unchanged in position. No pneumothorax detected.

<unk>f with cough and recent pneumonia. evaluate for pneumonia.

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Left-sided port-a-cath terminates in the low svc without evidence of pneumothorax. There are low lung volumes. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips overlie the right lower hemi thorax. Extensive heterogeneity of the osseous structures is consistent with history of osseous metastatic disease.

history: <unk>f with neutropenia // infiltrate?

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Lung volumes are low. Again seen is a large periesophageal hernia. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.

history: <unk>f with cough, fever. // pneumonia?

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In comparison with the study of <unk>, there has been substantial increase in the right lower lobe pneumonia. There is also some suggested patchy opacification in the left mid to upper zone, which could represent another focus of consolidation. This information was conveyed to dr. <unk>.

brown sputum and right lower lobe pneumonia.

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Cardiac silhouette size is top normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.

history: <unk>m with cognitive impairment, chest pain and dry cough // eval for pna

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

hemoptysis, to assess for pulmonary lesion.

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The patient had prior right mastectomy with axillary lymph node dissection. There is no new consolidation. Right apical post-radiation change is stable and multiple metastases to the rib and the spine are unchanged. Mediastinal and cardiac contours are normal. There is no pleural or pericardial effusion.

patient with persistent cough. history of metastatic breast cancer.

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Streaky opacities within the mid-to-lower lungs bilaterally are consistent with mild interstitial pulmonary edema. There is no focal consolidation, although subsegmental bibasilar atelectasis is not likely. There were no pleural effusions. No pneumothorax is seen. The heart size is normal. Tortuosity of the descending thoracic aorta is noted.

persistent exertional shortness of breath. assess for pneumonia or congestive heart failure.

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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 one week of cough and fever // please assess for pna

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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities detected.

history: <unk>f with fall, head strike, elbow pain,

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Frontal <unk> lateral views of the chest. Relatively low lung volumes are seen, they remain clear however. Again noted is an azygos lobe and fissure. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with fever and altered mental status.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. Specifically, no acute focal pneumonia. No evidence of appreciable bowel gas dilatation or enlargement of the stomach.

nausea and vomiting with fever in patient who is hiv positive.

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In comparison with the study of <unk>, the patient has taken a much better inspiration. There are several residual streaks of atelectasis, though the basilar opacification is substantially cleared. Upper zones are normal, and there is no evidence of vascular congestion.

pneumonia after antibiotics, to assess for resolution.

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The lungs are hyperinflated and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. No fracture is seen.

status post fall, hypoxia.

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There is no focal consolidation, pulmonary edema, or pneumothorax seen. There is minimal blunting of the posterior costophrenic angles, similar to <unk>. The heart and mediastinal contours are normal.

patient with hypoxia, evaluate for pneumonia.

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There are low lung volumes. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. The aorta is mildly tortuous. The mediastinal contours are unremarkable. There is prominence of the pulmonary vascular markings, but no pulmonary edema is present. Minimal streaky opacities in the lung bases are compatible with atelectatic changes. No focal consolidation, pleural effusion or pneumothorax is present. Minimal degenerative changes are seen within the imaged spine.

vertigo, emesis on waking this morning with transient chest pain and shortness of breath

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Heart size is top 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.

shortness of breath.

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Heart size is top normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities identified.

history: <unk>f with chest pain

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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. There is minimal patchy opacities in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.

history: <unk>f with cp and dyspnea // r/o cardiomegaly, pna, effusion, ptx

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Density is seen projecting over the bilateral upper chest, projecting over the region of the bilateral anterior first ribs, not seen on the prior study. Well these findings may relate to the bilateral anterior first ribs, recommend shallow oblique radiographs or chest ct to exclude underlying pulmonary lesions. There are low lung volumes, which accentuate the bronchovascular markings. Bibasilar atelectasis is seen. Patchy left base retrocardiac opacities most likely relate to atelectasis although consolidation is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are grossly stable.

history: <unk>f with dizziness, r/o infx // eval for consolidation

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The cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Percutaneous gastrostomy catheter is noted with tip terminating in the region of the distal stomach/proximal duodenum. Gaseous distention of bowel loops within the upper abdomen is noted. Spinal catheters are re- demonstrated. There is no acute osseous abnormality.

multiple medical complaints.

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The cardiac, mediastinal and hilar contours appear unchanged. There is greater opacification of the left lower lobe, although a pleural effusion in the left lung is probably similar in size. Increased opacification is suspected to primarily reflect increase in associated atelectasis extending posteriorly from the left hilum. There is no right-sided pleural effusion. There is no pneumothorax.

malignant pleural effusion.

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As compared to prior examination, lung volumes are decreased accentuating the cardiac silhouette and bronchovascular structures. There is prominence of the aortic knob. There are increased interstitial markings with probable mild pulmonary vascular congestion. No large pleural effusion or pneumothorax is identified.

chest pain. question infection.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Observed that bilateral basal anteriorly located fat pads in the cardiac apical area and in the right-sided cardiodiaphragmatic angle obscures the lower portions of the cardiac contour. This observation existed already on the previous study. The thoracic aorta is unremarkable for age and no local contour abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax exists in the apical area. Skeletal structures of the thorax are grossly unremarkable. When comparison is made with the next preceding examination of <unk>, the chest findings are stable and thus, there is no evidence of cardiac enlargement, pulmonary congestion or acute pulmonary infiltrates in this <unk>-year-old female patient with history of cough and fever. A previous chest ct of <unk>, was also reviewed. Findings are grossly unremarkable; however, a small vascular abnormality consistent of a left upper lobe pulmonary vein connecting with the systemic left-sided brachiocephalic vein was observed. This clinically seen minor abnormality cannot be identified on the plain chest examinations.

<unk>-year-old female patient with cough and fever, evaluate for focal lung lesion that may suggest pneumonia.

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Right picc is malpositioned and courses into the right internal jugular vein. Repositioning is required. Lung volumes remain low. There may be trace pleural effusions. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.

history: <unk>f with ? picc migration // r/o picc migration

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Pa and lateral views of the chest provided. Clips in the left axilla again noted. The left breast shadow is absent. Emphysema again noted with biapical pleural parenchymal scarring. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. No acute bony abnormalities. No free air below the right hemidiaphragm.

<unk>f with chest pain // infiltrate?

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Mild left basilar atelectasis is likely present. The cardiomediastinal silhouette is stable demonstrating top normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Patient is status post gastric band placement with catheter positioned over the left upper abdomen.

<unk>f with dyspnea // eval for infiltrate

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Pa and lateral views of the chest provided. Low lung volumes limits the evaluation. There is bibasilar atelectasis. No convincing signs of pneumonia. Heart size cannot be assessed. Mediastinal contour is normal. Bony structures are intact.

<unk>m present from clinic w/ incr wbc and persistent bibasilar densities

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A large right pleural effusion is present. There is associated right basilar opacification likely reflective of compressive atelectasis. Left lung is clear. No left-sided pleural effusion or pneumothorax is present. The pulmonary vascularity is not engorged. The mediastinal contours appear unremarkable where visualized. Heart size is difficult to assess, but is likely within normal limits. Probable cholecystectomy clips are seen in the upper abdomen on the lateral view. There are no acute osseous abnormalities.

fever.

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Peripheral opacity at the right mid lung laterally is identified. The margins of the adjacent right fourth rib laterally are not clearly delineated and could be focally eroded. There is eventration of the right hemidiaphragm. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta.

<unk>m with dizziness // eval for pna

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Frontal and lateral views of the chest demonstrate low lung volumes. There is blunting of costophrenic angle suggestive of trace pleural effusions. Persistent mild elevation of the left hemidiaphragm. Bilateral reticular opacities, likely mild pulmonary edema is not significantly changed since prior. Moderate cardiomegaly is stable. Intrathoracic aorta is tortuous with associated calcifications. No focal consolidation or pneumothorax. Esophagus appears air filled and likely patulous. Compression deformities of t<num> and t<num> vertebral bodies are unchanged. A small hiatus hernia is larger since <unk>.

patient with lower extremity edema and crackles on physical exam. assess for pulmonary edema.

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Frontal and lateral views of the chest were obtained. Leads of a left chest wall pacer terminate in the right atrium and right ventricle. Moderate cardiomegaly is similar to prior and mediastinal contours are stable. Rounded calcification at the base of the heart is consistent with a known left ventricular aneurysm. Bibasilar opacities are consistent with atelectasis. Increased pulmonary vascular markings are consistent with mild congestion. Small right subpulmonic effusion is unchanged. No pneumothorax.

productive cough and shortness of breath.

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The lungs are normally expanded. Faint, ill-defined opacities at the lung bases are improved since <unk>. The heart is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no confluent consolidation to suggest pneumonia.

history: <unk>m with wet cough, mild low sat, lll wheezing, sickle cell // evaluate for pneumonia, acute chest

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Frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding. Increased opacification in the bilateral bases, left worse than right, is concerning for pneumonia. There is no pneumothorax or pleural effusion. The cardiomediastinal and hilar contours are unremarkable.

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

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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.

chest pain.

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman with intermittent dyspnea // intermittent dyspnea

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Upright ap and lateral views of the chest provided. Midline sternotomy wires, prosthetic cardiac valve, and mediastinal clips are again noted. Patient is slightly leftward rotated. The heart remains mildly enlarged. There is mild pulmonary edema with vague opacity in the right lower lung which may represent a superimposed pneumonia. A small right pleural effusion is present. No pneumothorax is seen. Vascular calcifications seen. Bony structures appear grossly intact.

<unk>f with abdominal pain, hx of pnas // r/o pna

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is seen in the region of the lingula. There is mild biapical scarring. Mild degenerative changes are present in the thoracic spine.

<unk> year old woman with fatigue // ?pneumonia

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The lungs are clear. There is no consolidation, pneumothorax, or edema. Mild cardiomegaly and tortuosity of the thoracic aorta is again noted as on prior. Median sternotomy wires and mediastinal clips are again noted.

<unk>f with cp radiating to back, new onset headache // widened aorta?

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There are no previous studies available for direct comparison. The heart size is within normal limits. There is slight tortuosity of the thoracic aorta. There is some atelectasis at the lung bases without focal consolidation. There are no signs for overt pulmonary edema. No pneumothoraces are seen. Bony structures are intact. No soft tissue calcifications are seen to be suggestive of cysticercosis. There are degenerative changes of the lower lumbar spine.

<unk>-year-old woman with lesion in the brain concerning for tuberculosis or neurocysticercosis.

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Frontal and lateral chest radiographs were obtained. A left chest pacemaker has leads in the appropriate positions in the right atrium and right ventricle. There is no pneumothorax. No focal consolidation, pleural effusion or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are normal.

patient with new pacemaker placement, eval for lead position and ?pneumothorax.

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The lungs are symmetrically well expanded and well aerated. There is no 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. No acute osseous abnormality is detected.

chest pain radiating to the back, here to evaluate for acute cardiopulmonary process.

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

<unk>-year-old male with fever and cough, sore throat.

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The lungs are clear. The heart, mediastinum, hilar contours are normal. The pleural surfaces are normal. There is no pleural effusion or pneumothorax.

cough and dyspnea, presents with atypical pneumonia, assess for resolution of pneumonia.

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Ap upright and lateral views of the chest provided.e concerning for pneumonia with adjacent small left pleural effusion. The right lung appears clear. Heart size appears grossly unchanged. Mediastinal contour stable. Bony structures are intact.

<unk>f with confusion, recent tavr // eval for infiltrate

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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. Myelomatous involvement seen throughout the chest is unchanged. There are no pathologic fractures seen.

multiple myeloma status post transplant now with cough and wheezing. evaluate for pneumonia.

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Pa and lateral views of the chest provided. New right upper lobe opacity is concerning for pneumonia. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.

<unk> year old woman s/p lumbar fusion on <unk> now with persistent chest congestion and wheezing now with chills and elevated wbc // comparison xr to r/o pna

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Compared to prior chest radiograph, there has been increased opacification in the left lower lobe and left perihilar region. The appearance of the right lung is grossly stable noting apical opacity likely due to prior radiation. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Views of the upper abdomen are unremarkable.

<unk>f with shortness of breath evaluate for pneumonia patient also has a history of hiv and lung cancer.

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Lung volumes are low and the lungs are clear. Mediastinal contours, hila, cardiac silhouette are normal. There is no pneumothorax or pleural effusion. Elevation of the left hemidiaphragm is unchanged from <unk>. Osseous abnormality within the limits of plain radiography. The lower anterior ribs are not well-visualized.

<unk>f with left anterior lower rib pain (<unk>), atruamatic // eval for acute process, free air

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The cardiac, mediastinal and hilar contours appear unchanged. The heart is at the upper limits of normal size. Bilaterally, nipple shadows are visualized. The lungs appear clear. The interstitium was more prominent on the prior examination than now. There are no pleural effusions or pneumothorax. Mild hyperinflation is noted. Severe degenerative changes are partly visualized along the right shoulder.

hypertension.

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The lungs are fully expanded and clear. No pleural effusion, pulmonary edema or pneumothorax is seen. The heart, mediastinal and pleural surface contours are normal.

fatigue and weakness.

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In comparison with the study of <unk>, there is continued bilateral pleural effusions with compressive atelectasis, worse on the left, with associated pulmonary vascular congestion. In the appropriate clinical setting, supervening pneumonia would have to be considered.

congestive failure.

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

<unk> year old female with chest pain and cough.