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

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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. Calcifications are seen within the aortic arch. Clips are seen within the right upper quadrant.

lethargy and left-sided weakness. evaluate for infiltrate.

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As compared to the previous radiograph, the patient has undergone a left pleural drainage. There is a posterior pneumothorax on the left, with a small amount of remaining left pleural effusion. The pneumothorax is not visible on the frontal image, as it has no apical component. The right pleural effusion is unchanged. Unchanged appearance of the ventilated lung parenchyma.

followup after pleural drainage.

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Inspiratory volumes volumes are again slightly low. The cardiomediastinal silhouette is probably unchanged. No chf or gross effusion. Streaky opacities seen at both lung bases are probably slightly worse compared with <unk>. This could represent bibasilar atelectasis, but early pneumonic infiltrate cannot be entirely excluded. The mid and upper zones remain grossly clear.

<unk> year old woman with heart failure, htn, asthma, worsening cough and not improving o<num> requirement // evaluate for pneumonia

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Widespread bony metastases from prostate cancer limits evaluation. Diffuse interstitial pattern predominantly in the upper and mid lung fields, an worse in the bilateral lower lungs, may be due to atypical pneumonia or pulmonary hemorrhage, given no new heart enlargement suggesting failure. Cardiomediastinal and hilar contours are unchanged. No large pleural effusions.

<unk>m with hemoptysis. evidence of infection.

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. A <num> mm rounded density projecting over the right lower lung is similar to prior and either represents a vessel on-end or possibly a calcified granuloma. No displaced fracture is seen.

fever, cough, chest pain.

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The patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature appears normal. Minimal atelectasis or scarring is seen within the left lung base. There may be trace bilateral pleural effusions posteriorly on the lateral view. No focal consolidation or pneumothorax is present. There are mild degenerative changes in the thoracic spine.

coronary artery disease, acute bilateral lower extremity edema.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Unchanged appearance of sternotomy wire sutures in this patient with history of previous ventriculoseptal defect closure. The heart size remains normal. No configurational abnormality is present. Unremarkable appearance of thoracic aorta. The pulmonary vasculature is not congested nor indicates presence of increased flow. There are no signs of acute pulmonary parenchymal infiltrates. The ling bases are slightly hypertranslucent with relatively low positioned diaphragms that are somewhat flattened, but again no changes in interstitial or parenchymal appearance is present. When comparison is made with the next previous chest examination of <unk>, chest findings are stable and no new abnormalities can be seen.

<unk>-year-old male patient with chronic hepatitis c virus. baseline study for initiating ifn-based therapy.

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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 cp // eval chf vs pneumonia

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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal pulmonary consolidation concerning for pneumonia or contusion. There are no fractures.

right-sided thoracic pain status post mvc, query fracture.

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Lungs are well inflated and clear. Cardiomediastinal silhouette is unremarkable. Hilar and pleural surfaces are normal. There is no subdiaphragmatic free gas.

<unk>f with eating disorder (part of eating do protocol)

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There is a <num> mm round opacity projecting over the left lower lung, which likely represents a nipple shadow. Otherwise, the lungs are hyperinflated but clear. No focal consolidations. No pulmonary edema. Normal appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax. Degenerative changes are seen within the right shoulder. There is pectus excavatum.

history: <unk>m with chest pain // ?pneumonia

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Left-sided port-a-cath tip terminates in the svc. The cardiac silhouette size is normal. The patient is status post esophagectomy and gastric pull-through with unchanged mediastinal contour. The hilar contours are also stable. Small right pleural effusion which is partially loculated laterally is not significantly changed from the prior ct of the abdomen and pelvis, but may be slightly improved compared to the prior chest radiograph. Small left-sided pleural effusion also likely persists. Minimal streaky right basilar opacity likely reflects atelectasis, subjacent to the effusion. No pneumothorax is identified. There are no acute osseous abnormalities.

chest pain.

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Please take note of the low lung volumes. There has been interval progression of the bibasal airspace opacification over serial radiographs. No associated large effusion. The heart size is normal. Right-sided picc line in situ with the tip in the distal svc. The upper lung zones are clear.

<unk> year old woman with alcoholic hepatitis and now cough productive of green sputum // pna?

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The left mid to lower lung opacification now has a bulging contour. This likely represents a combination of dense atelectasis from collapse of superior segment of the lower lobe and small to moderate pleural effusion rather than loculated pleural effusion. The remaining left lung is clear without consolidation. The right lung is clear without consolidation. The hila and pulmonary vasculatures are grossly unchanged. No pneumothorax. The cardiomediastinal silhouette is unchanged. No fractures.

<unk> year old woman with pleural effusion, recent chest tube removal, and new diagnosis of lung adenocarcinoma. // is effusion loculated, any evidence of hematoma around l chest where chest tube was removed?

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Pa and lateral chest radiographs. There is no focal consolidation or pneumothorax. Obscurtion of the left costophrenic sulcus represents either a small effusion or progression of scarring in the left lung base shown on ct of <unk>. The heart size is top normal.

history of multiple myeloma, on chemotherapy with fevers. evaluation for infection.

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As compared to prior examination, lung volumes are decreased, accentuating the cardiac silhouette and bronchovascular structures. As seen on prior chest radiograph, the pulmonary artery is mildly enlarged, consistent with pulmonary arterial hypertension. There is persistent elevation of the right hemidiaphragm. There is no new focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with abd solid tumor, <num>d n/v and abd distention, warm to touch // eval ? free air, compressive atelectesis, edema

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Pa and lateral views of the chest. Slight blunting of the left costophrenic angle may represent either pleural scarring or tiny pleural effusion. There is no evidence of pneumonia. There is again seen prominence of the left pulmonary artery consistent with patient's known pulmonic valve disease. Cardiomegaly is stable. There is no pulmonary edema. There is no pneumothorax.

chronic cough, evaluate for infiltrate or effusion.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion, focal consolidation or pneumothorax is demonstrated. There are no acute osseous abnormalities.

syncope.

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Compared to most recent radiograph, there is suboptimal inspiration, which contributes to low lung volumes, increased vascular crowding in the bases, and increased silhouetting of the heart and mediastinum. Allowing for this, there is no substantial change in the increased interstitial markings which persist suggesting possible viral pneumonia or chronic interstitial lung disease. There is no pleural effusion or pneumothorax.

fever, sinus congestion, myalgias, and diarrhea, likely viral illness, but presented with dehydration. rule out bacterial process. please evaluate for infiltrate.

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The examination is partially limited by suboptimal patient positioning.no strong evidence for pneumonia. No pleural effusion or pneumothorax. No evidence of pulmonary edema. No definite rib fracture.

history: <unk>f with fall // rib injury, pneumonia

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No focal consolidation, pleural effusion or pneumothorax is seen. Enteric tube courses below the diaphragm, inferior aspect not fully seen, but appears to course into the duodenum. The cardiac and mediastinal silhouettes are unremarkable. There may be a very mild pulmonary vascular congestion.

history: <unk>f with sob, cirrhosis // overload?

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The heart size is normal. The hilar and mediastinal contours are normal. There is a subtle opacity in the retrocardiac region seen only on the lateral view, which may be secondary to atelectasis. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of chest pain. please evaluate for infiltrate.

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As compared to the previous radiograph, preexisting pleural effusions have completely resolved. The alignment of the sternal wires is constant and the heart continues to be large, but is still within normal limits. Mild tortuosity of the thoracic aorta. The hilar structures are unremarkable. In the retrocardiac lung area, better seen on the lateral than on the frontal radiograph, is an area of parenchymal scarring of mild-to-moderate extent. There is no evidence of acute pulmonary changes such as pneumonia or pulmonary edema. The colon is interposed between the liver and the chest wall.

low back pain, history of prostate cancer, chronic heart failure.

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Cardiomediastinal and hilar contours are normal. Minimal linear scar in the lingula with otherwise clear lungs. . No pulmonary vascular congestion. No pneumothorax or pleural effusion. Old, healed fractures of the third through sixth posterior left ribs are again seen. There is no evidence of acute fracture.

<unk>-year-old man with shortness of breath and dyspnea on exertion.

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Mild cardiomegaly is re-demonstrated. There is central pulmonary vascular congestion with mild interstitial pulmonary edema. Lungs are otherwise without focal consolidation. Pleural surfaces are clear without effusion or pneumothorax. Right shoulder arthroplasty is partially visualized. Right picc no longer seen.

dyspnea on exertion.

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Lungs are clear. Cardiac silhouette is normal in size. Mediastinal contours unremarkable. There is no pleural effusion, pneumothorax or pulmonary edema. There is no free air.

tenderness to palpation. question free air.

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The exam is limited due to patient rotation. Assessment of the cardiac silhouette is difficult to assess given the presence of moderate bilateral pleural effusions, right greater than left. Aortic knob calcifications are re- demonstrated. Hazy opacification in the lungs with indistinctness of the vasculature likely reflects mild pulmonary edema. Bibasilar airspace opacities may reflect atelectasis though infection or aspiration cannot be completely excluded. Previously seen tiny right apical pneumothorax is not clearly visualized on the current exam. Marked degenerative changes of both glenohumeral joints are noted. Right-sided chest tube terminates along the medial aspect of the mid right hemithorax.

shortness of breath.

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The heart size is normal. There is mild pulmonary vascular congestion with stable bilateral moderate pulmonary edema. Small bilateral pleural effusions are stable. Large left upper lobe peripheral mass-like consolidation seen on the prior cta persists. There is no evidence of a pneumothorax.

history of pleural effusions, please evaluate.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart remains mildly enlarged. Mediastinal contour is unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>f with h/o cad, mi p/w syncope

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In comparison with study of <unk>, the collection of loculated air with fluid or fibrosis in the left apical region is less prominent. No evidence of pneumothorax. Otherwise, there is little overall change with post-surgical appearance involving the left hemithorax. No definite acute focal pneumonia.

pleural effusion with pleuroscopy and pleurodesis.

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Spinal fusion hardware is partially visualized at the upper edge of the film. Prominence of the main pulmonary artery is unchanged from prior exams, and suggestive of pulmonary hypertension. Cardiomediastinal silhouettes stable in otherwise unremarkable. The bilateral hila are within normal limits. There is no pulmonary vascular congestion. There is no focal consolidation. There is no pleural effusion or pneumothorax.

<unk>m with weakness, evaluate for pneumonia.

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The lungs are clear.heart size is top normal. Mediastinal contours are normal.no pleural abnormality is seen.

<unk> year old woman with multiple sclerosis presenting with a <num> week history of progressive leg weakness , and chills. evaluate for infection.

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In comparison with the study of <unk>, there are lower lung volumes. The cardiac silhouette is within normal limits and there is some tortuosity of the aorta and the patient has undergone previous cabg procedure and has intact midline sternal wires. No vascular congestion or acute focal pneumonia. The hiatal hernia seen on the previous study is not appreciated at this time.

cabg, to assess for pneumonia.

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Patient is status post median sternotomy and cabg. The aorta is tortuous. The cardiac silhouette is top-normal. Left base atelectasis is seen. No pleural effusion or pneumothorax is seen.

history: <unk>m with ams // infiltrate?

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As compared to the previous radiograph, the area of the left hilus is now more transparent. No abnormal hilar contours are noted. No pathological increase in hilar density. No other abnormalities. Normal size of the cardiac silhouette. No pleural effusion or pneumothorax.

questionable left hilar abnormality, re-assessment.

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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size with cylindrical densities projecting over the lateral view compatible with coronary stents. The mediastinal and hilar contours are within normal limits and unchanged with mild tortuosity of the thoracic aorta and calcification of the aortic knob, as before. Surgical clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy. No displaced rib fractures are detected.

left lower rib cage tenderness, here to evaluate for rib fracture.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is clearly noted. There are no acute osseous abnormalities.

history: <unk>m with right upper quadrant pain and cough

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Pa and lateral views the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with sharp back/chest pain while eating.

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No significant change in small hiatal hernia. Clear lungs bilaterally without pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are normal. No bony abnormality.

female with history of breast cancer, adriamycin <unk> years prior. presents with shortness of breath with pfts to suggest restrictive disease. assess for chf or additional abnormality.

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Right-sided port-a-cath terminates in the proximal right atrium without evidence of pneumothorax. Patient is status post median sternotomy and cardiac valve replacement. Minimal left base atelectasis/scarring is seen.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

<unk>m with astrocytoma and known seizure disorder presenting with seizure. ?cardiopulmonary etiology // <unk>m with astrocytoma and known seizure disorder presenting with seizure. ?cardiopulmonary etiology

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Frontal and lateral chest radiographs demonstrate unchanged mild cardiomegaly. There is a retrocardiac opacity which is concerning for pneumonia. No appreciable pleural effusion or pneumothorax is seen. The visualized upper abdomen is unremarkable.

shortness of breath and cough.

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In comparison with study of <unk>, there is little change and no evidence of acute focal pneumonia. Cardiac silhouette is mildly enlarged with tortuosity of the aorta, but no definite vascular congestion or acute focal pneumonia.

stroke, to assess for pneumonia.

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Very shallow inspiration. Right basilar atelectasis, mildly more prominent. Normal heart size, pulmonary vascularity. No pleural effusion. Lateral radiograph is suboptimal secondary to shallow inspiration, arm positions.

<unk> year old man with non-healing right healing right heal ulcer who present for right aka. // pre-operative cxr surg: <unk> (right aka)

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. S shaped scoliosis.

history: <unk>m with fever, cough, recent incisional hernia repair, abd pain // intrabd abscess? pna?

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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 cough weakness

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There are low lung volumes. Bibasilar atelectasis is seen. Relatively increased density projecting over the upper abdomen beneath the diaphragms may relate to overlying soft tissue, however, underlying ascites is not excluded. No large pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are grossly unremarkable. No pulmonary edema is seen.

history: <unk>f with h/o etoh cirrhosis, recent admission for gi bleed p/w sob and b/l leg swelling. decreased breath sounds at bases with crackles // edema

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Heart size is normal. The aorta remains slightly unfolded. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is present.

history: <unk>m with chest pain

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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities.

<unk>m with cp and sob // r/o infiltrate

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Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. The osseous structures are unremarkable.

subjective fevers, cough, evaluate for pneumonia.

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There is a large right pleural effusion which appears to be partially loculated, with residual aeration of right upper lobe. There is a drain in place in the right lung base. The left lung is clear aside from mild atelectasis at the lung base. There is no pneumothorax. Cardiomediastinal silhouette is partially obscured by the right pleural effusion, but is unremarkable. Orthopedic fixation hardware seen in the right humeral head.

fever, concerning for pneumonia, reported h/o lung cancer.

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No chf, focal consolidation, effusion, or penumothorax detected. There is mild eventration of the right hemidiaphragm. A prominent pericardial fat pad is also incidentally noted. Aside from minimal thoracic spine degenerative change, osseous structures are grossly unremarkable.

chest pain.

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<num> views were obtained of the chest. The lungs are well expanded and clear with linear opacities in the right lower lung which is unchanged and may reflect an accessory fissure with surrounding atelectasis. No focal consolidation is seen to suggest infectious process. Linear right upper lung opacities and accompanying pleural thickening may relate to prior radiation therapy. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.

cough and fever, assess for pneumonia.

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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Thoracic s-shaped scoliosis is again noted. Anterior cervical fixation hardware is partially visualized.

<unk>m with inc. neck spasticity; neck pain //

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Bibasilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical hardware is noted in the cervical spine, partially imaged. No evidence of free air is seen beneath the diaphragms.

<unk> year old woman with hx pe, gerd, gastritis with severe rlq abdominal pain. // evidence of perforation? free air under diaphragm?

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

<unk> year old female with shortness of breath.

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Pa and lateral views of the chest. The lungs remain clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with left lateral chest pain and shortness of breath.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

chest pain.

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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 bicycle accident struck chest, r/o fracture

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Pa and lateral chest radiographs. There are new interstitial opacities particularly in the lingula but also the right lower lung, seen best on the frontal view. Mild bronchial wall thickening is also apparent in the left hilum. There is no pleural effusion or pneumothorax. The heart size is top normal and this is likely accentuated compared to prior radiographs due to differences in inspiration.

four weeks of cough and pleuritic chest pain. no symptoms of chf, though the patient does have a history of coronary artery disease.

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Heart size is normal. The aorta is tortuous. Atherosclerotic calcifications are demonstrated at the aortic knob. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are seen in the thoracic spine.

history: <unk>m with cough and bilateral subdural hematoma

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A severe new interstitial lung abnormality is found mostly in the left upper lobe. There is a growing opacification in the right upper paramediastinal lung where a fiducial marks the focused radiation treatment of a non-small cell lung cancer. Callus formation marks healed rib fractures. Small bilateral pleural effusions are new. Cardiomediastinal and hilar contours are unremarkable.

copd, smoker, vascular disease, diabetes, hypertension presents with three days of worsening shortness of breath and worsening productive cough. assess for pneumonia versus congestive heart failure.

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

history: <unk>f with trauma // fx?

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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 cp, palpitations, and sob x <num> days. // ? cardiomegaly

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Chest, ap and lateral. Low lung volume causes crowding of the pulmonary vasculature. There is bilateral lower lobe atelectasis but the lungs are otherwise clear. Moderate cardiomegaly is unchanged given technique. There is central pulmonary vascular engorgement but no edema. There is no pneumothorax or large pleural effusion. Rightward tracheal deviation is chronic and likely secondary to an enlarged thyroid gland.

<unk>-year-old woman with shortness of breath. evaluate for acute process.

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Frontal and lateral views of the chest demonstrate increased opacity at the right medial lung base, raising question of an early consolidation. The left lung and right upper lung are clear. The cardiomediastinal silhouette is within normal limits.

<unk>-year-old female with cough. question pneumonia.

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Post-surgical changes to the right lung including right pleural thickening and chain suture are stable. There is no pneumothorax status post ct-guided lung biopsy. The left lung is clear.

followup lung biopsy.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old male with shortness of breath for the last week. evaluate for evidence of pneumonia versus bronchitis.

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There is moderate cardiomegaly and mildly widened mediastinum which is likely exaggerated by low lung volumes and appears stable when compared to prior studies. There is opacification in the retrocardiac space that appears stable when compared to prior studies but in the appropriate clinical setting could represent pneumonia. There is a linear opacification left upper lobe which represents atelectasis. There is mild pulmonary vascular congestion without evidence of pulmonary edema. There are no pleural effusions.

<unk> year old man with fever and gnr bacteremia // assess for pna and pulmonary edema

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There are relatively low lung volumes. Mild bibasilar atelectasis is seen without definite focal consolidation. There is no pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable, likely accentuated by low lung volumes.

leukocytosis, chills.

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Pa and lateral chest radiographs were provided. A right picc terminates in the upper svc. Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen is unremarkable.

<unk>-year-old female with right upper extremity picc, concern about placement. evaluate for picc placement.

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Frontal and lateral radiographs of the chest demonstrate an area of consolidation in the lower lung region which is seen best on the lateral view, and likely corresponds to a right lower lobe pneumonia. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.

<unk> year old man with copd and cough // r/o infiltrate, mass

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No focal consolidation, pleural effusion or pneumothorax identified. Minimal left basilar atelectasis. The size of the cardiomediastinal silhouette is within normal limits.

<unk> year old man with fever, leukocytosis. // evaluate for consolidation

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Redemonstration of the left clavicular fracture seen on the prior radiograph. The lungs are clear and there is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.

history: <unk>m with fall, cp // ptx?

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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.

hemoptysis, to assess for pneumonia.

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Ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with right sided pain s/p fall // ?pna, rib fractures

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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 large right supraclav lad

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Asymmetry in the relative densities of the right and left sides of the chest is due to rotation and previous right chest wall trauma, including fractured anterior ribs. Lungs are clear. There is no pleural effusion or pneumothorax. The cardiac size is normal. .

history: <unk>m with chest pain // evidence of infection or pneumothorax

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Compared with earlier the same day, i doubt significant interval change. Again seen is cardiomegaly, upper zone redistribution, and increased interstitial markings, including focally more pronounced areas in the left mid and lower zones and in the right cardiophrenic region. As before, it is uncertain whether these represent acute or chronic findings and whether they represent a a single process alone or a process superimposed on some background interstitial changes. The potential differential includes background scarring, interstitial edema, inflammatory infectious processes. The presence of more confluent opacity at the left mid-zone makes it difficult to exclude an acute pneumonic infiltrate.

<unk> year old woman with cough, concern for pna // eval for pna

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Heart size is upper limits of normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear with resolution of previously reported right basilar consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with see above. // patient with focal consolidation on cxr in <unk>, please check f/u x-ray to document clearance.

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Left-sided cardiac pacing device with dual leads following their expected courses to the right atrium and ventricle. There is no pneumothorax or pneumomediastinum. Mediastinal and hilar contours are normal. Heart size is normal. Subcentimeter nodular opacity at the right base is unchanged since the prior chest radiograph and has been previously attributed to a nipple shadow in the absence of a lung abnormality in this region on interval ct abdomen of <unk>

<unk> year old woman with new dual chamber ppm // assess lead position

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The cardiomediastinal contours within normal limits. The heart size is normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is no osseous abnormality.

<unk>m with fever, hx of uc s/p colectomy, psc with episodes of infectious cholangitis, hsp

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is mildly enlarged. There is no overt pulmonary edema.

aortic stenosis with worsening dyspnea on exertion and presyncope.

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The lungs are clear. The cardiac silhouette is normal in size. The aorta is tortuous. There is no pleural effusion or pulmonary edema or pneumothorax. Surgical clips over the right chest wall are noted.

<unk>m with new onset seizure like activity today // eval for cardiopulmonary pathology

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Pa and lateral views of the chest provided. There is a large left pleural effusion which appears increased from recent prior ct exam. Patient is known to have multiple pulmonary metastatic lesions which are better assessed on the recent ct. Heart size cannot be assessed. Mild edema difficult to exclude. Bony structures appear intact.

<unk>m with dm, htn, recently diagnosed metastatic right kidney cancer to lung/liver, now with ams.

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The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear.

dizziness and shortness of breath.

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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. Apical scarring is noted, particularly on the left, which may be the sequela of prior infection. There is no pleural effusion or pneumothorax.

<unk> year old woman with mva <num> d ago; body went forward and back, now with persistent left pleuritic chest pain, good air movment; hx pe postsurgical // r/o pneumothorax

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A picc line terminates in the mid superior vena cava and appears unchanged. The heart appears mildly enlarged. The mitral anulus is calcified. The aortic arch is also calcified. The cardiac, mediastinal and hilar contours appear stable. There are again very small bilateral pleural effusions. The lungs appear clear.

difficulty drawing from picc line.

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No other relevant changes.

cough, hypoxia, evaluation for pneumonia.

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Pa and lateral views of the chest. The lungs are clear without focal consolidation or effusion. Right chest wall port is again seen with catheter tip at the ra/svc junction. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with tachycardia on chemotherapy.

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Heart size is normal. The lungs are grossly clear. Somewhat unchanged right apical pleural capping is seen. The lung parenchyma is clear. There are extensive proliferative changes identified within the visualized thoracic spine without evidence of renal osteodystrophy. There is a small focal density projected in the anterior aspect of the heart, unchanged

<unk> year old man with esrd // new kidney transplant eval. please assess for any cardiopulmonary abnormalities

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Since earlier <unk> chest radiograph, there is no interval change of known left pneumothorax. Left chest tube is in unchanged position. No evidence of tension. Right lung is clear. The cardiomediastinal silhouette is stable. No pleural effusion.

<unk> year old man with l ptx // check interval change with ct on waterseal, please do around <num>am

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Compared to <unk>, there has been interval improvement of pulmonary edema. No focal opacities are seen. Moderate cardiomegaly is unchanged. Mildly enlarged hilar contours are chronic. No pleural effusion is seen.

<unk> year old man with flu and ongoing cough; r/o superimposed pna // r/o pna

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The lungs are hyperinflated but remain clear. Posterior eventration of the left hemidiaphragm versus bochdalek's hernia is again noted. Calcification projecting over the anterior right fifth rib is likely costochondral cartilage, present on prior but currently more conspicuous. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. Right breast surgical clips are noted. Surgical clips also seen in the upper abdomen. No acute osseous abnormalities identified.

<unk>f with fall with abrasion and contusion to right leg // fall and trauma to head and leg

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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 chest appears hyperinflated. The lungs appear clear. Bony structures are unremarkable.

palpitations.

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The lungs are well expanded. An ill defined opacity in the left lower lung field might represent summation of structures but a pulmonary consolidation cannot be excluded. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with sudden onset of pain with inspiration. evaluate for pneumothorax.

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The cardiomediastinal silhouette is unremarkable. The lungs are clear without focal consolidations. The hila and pleural are normal.

<unk> year old woman with cough for <num> days and decreased breath sounds at bases // eval for infiltrate

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Enteric tube tip well below diaphragm, not included on the radiograph. Endotracheal tube has been removed. There is tiny left pleural effusion, improved. More prominent left basilar consolidation. Right lung is clear. Normal heart size, pulmonary vascularity

<unk> year old man with paraesophageal hernia s/p lap repair with anterior fundoplication <unk> p/w abd pain and distension. // ?interval change

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Pa and lateral radiographs of the chest demonstrate clear lungs. There is no evidence of mediastinal abnormality. Cardiac and hilar contours are normal. No pleural abnormality is detected.

status post right mediastinal lesion excision.

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Old healed left rib fractures are noted.

<unk>-year-old male with cough.

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Pa and lateral chest radiograph demonstrate top-normal heart size. New since prior examination, there is blunting of the right costophrenic angle consistent with a pleural effusion. No evidence of overt pulmonary edema. No focal opacity convincing for pneumonia is seen. Hilar contours are within normal limits. No acute osseous abnormality is identified.

<unk>-year-old male with hyperglycemia. evaluate for infection.