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

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Frontal and lateral chest radiograph demonstrates hypoinflated lungs with vascular congestion and bilateral lower lobe atelectasis. Retrocardiac opacity is stable. No right pleural effusion. Small left pleural effusion is stable. No pneumothorax. Limited evaluation of the heart size due to low lung volumes. Limited assessment of the upper abdomen is within normal limits.

weakness, cough, prior pneumonia. assess for acute cardiopulmonary process.

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The heart is at the upper limits of normal size with a left ventricular configuration. The aorta is unfolded and calcified. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes along the lower thoracic spine appear stable.

dyspnea.

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Compared with the prior studies, the known left sided loculated pleural effusion is similar in appearance. However a retrocardiac opacity is again seen, for which infection is not excluded. Cardiomediastinal and hilar silhouettes are unchanged. The tracheostomy tube is also unchanged. Median sternotomy wires are intact. Hardware overlying the sternum is also unchanged. The pigtail catheter overlying the left upper abdominal quadrant is again noted.

<unk>m with tracheostomy and increased mucus production. evaluate for focal consolidation.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. No displaced rib fractures are noted.

<unk>-year-old male with trauma. evaluate for trauma.

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Once again visualized is the patient's known right multi loculated hydropneumothorax as well as right upper lobe mass. Overall, there appears to be an increasing amount of fluid within the loculus compared to the prior radiograph. Aorta remains tortuous. The left lung remains relatively clear.

<unk>m w/ hx of recurrent spontaneous r ptx, recently admittedfor recurrence of large r hydropneumothorax s/p ct placement and removal on <unk>. // interval cxr, pneumothorax, pulmonary process

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Lungs essentially clear noting linear right basilar opacity suggestive of atelectasis. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with chest pain // chest pain

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Heart size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable. 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 chest pain // eval for widened mediastinum

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The lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar structures are unremarkable. There is no free air under the diaphragm.

chest pain and abdominal pain with concern for a gastric ulcer with perforation.

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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, fever // pneumonia

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Surgical clips at the thoracic inlet at the level of thyroid are again noted. The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax.

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

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In comparison with the earlier study of this date, the patient has taken a better inspiration. Continued enlargement of the cardiac silhouette with some fullness of pulmonary vessels, consistent with elevated pulmonary venous pressure. Opacification at the left base most likely represents a combination of atelectasis and small effusion. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.

shortness of breath and chest pain.

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Right ij line with tip just below the cavoatrial junction is again visualized. There are bilateral lower lobe alveolar infiltrates and volume loss. There are small bilateral effusions. There is mild pulmonary vascular redistribution.

with increased oxygen requirement.

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Pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of focal opacity, pleural effusion, pneumothorax or pulmonary edema. The cardiomediastinal silhouette is unremarkable. There has been interval removal of a right-sided central venous catheter.

low blood pressure and with generalized weakness. evaluation for pneumonia.

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The heart is mildly enlarged, but decreased in size compared to the prior study. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.

left chest pain.

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There is a left basal opacity, minimal but new, potentially representing atelectasis but pneumonia cannot be excluded. No other focal consolidation is seen, and the lungs are clear of pneumothorax or pleural effusions. The heart size is normal. The mediastinal contours are normal.

<unk>-year-old female with seizure, weakness

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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>m with fall and sah. eval for chf/pneumonia.

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Pa and lateral views of the chest provided. Airspace consolidation is noted within the right upper and right lower lungs concerning for multifocal pneumonia. Left lung is relatively clear. Cardiomediastinal silhouette is normal. Bony structures are intact. No large effusion or pneumothorax.

<unk>f with cough // acute process

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There is a rounded left lower lobe retrocardiac opacity which is not significantly changed in size from the most recent ct of the chest in <unk>. The lungs are otherwise clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

history of pulmonary sequestration, presenting with cough and shortness of breath. evaluate for pneumonia.

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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 and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits.

dka and unclear precipitant, here to evaluate for pneumonia.

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Assessment is limited by underpenetration secondary to patient's body habitus. The heart is markedly enlarged, but unchanged compared to the prior studies, which may reflect cardiomegaly or a pericardial effusion. Clinical correlation is advised. The lung volumes are somewhat low, with bibasilar atelectasis, and pulmonary vascular congestion with peribronchial cuffing, suggesting mild pulmonary edema. Aorta is unfolded. There is no pneumothorax or large pleural effusion. Multi level degenerative changes are again seen in the thoracic spine.

history: <unk>f with worsening sob, known chf // eval heart and lungs

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Right base opacity with subtle mediastinal shift to the left likely relates a consolidation seen on prior ct abdomen pelvis from <unk>, which was heterogeneous in appearance on ct, concerning for underlying hemorrhage. . The left lung is clear. There is no left pleural effusion. The left side of the cardiac and mediastinal silhouettes is unremarkable.

history: <unk>m with recent urologic stent w/ r sided chest pain // assess for acute process

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Single lead left-sided pacer device is stable in position. The cardiac and mediastinal silhouettes are stable. There is central pulmonary vascular engorgement and mild pulmonary vascular congestion. Minimally basilar atelectasis is re- demonstrated. No definite focal consolidation. There is no pleural effusion or pneumothorax.

history: <unk>m with chf and dyspnea // eval for worsening effusion, congestion

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Ccardiomediastinal silhouette and hilar contours are normal. Lungs are clear. A right port is unchanged in position with the tip projecting over the upper svc. There is no pleural effusion or pneumothorax.

asthma with worsening shortness of breath.

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Frontal and lateral chest radiographs demonstrate mildly hyperinflated lungs which are clear. No new consolidation or other findings concerning for infection. Symmetric biapical pleural thickening is noted. No pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. There are degenerative changes of the thoracic spine.

<unk>-year-old male with cough,congestion, and copd with new bibasilar crepitus. evaluate for pneumonia.

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Compared to prior ct there is likely worsening pleural effusion at the left base. The remaining lung fields are clear. Heart size is normal. There is no pneumothorax. Right port-a-cath is stable in configuration terminating in the mid to low svc.

<unk>f with pancreatic ca p/w n/v malaise // r/o infiltrate

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The heart is moderately enlarged, as before. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.

vomiting.

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Frontal and lateral chest radiographs were obtained. There is mild streaky atelectasis at the left lung base. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.

patient with rcc status post nephrectomy, now with ankle swelling and rash, rule out sarcoid.

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The visualized lung fields are clear of any focal consolidation, pleural effusion or pneumothorax. The chest is hyperinflated. The cardiac and mediastinal contours are within normal limits. The visualized osseous structures are unremarkable.

weight loss, evaluate for mass.

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There is interstitial thickening most prominent at the bases bilaterally. There is also patchy opacification of the right lower lobe. Cardiac enlargement stable. The aorta is calcified and tortuous. The hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.

<unk> year old woman with hemoptysis // chf? other cause?

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A weighted feeding tube is demonstrated with tip in the stomach. Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. Diffuse atherosclerotic calcifications are seen within the aorta. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There is evidence of prior vertebroplasty at the thoracolumbar junction.

history: <unk>f with ng tube

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Mild to moderate enlargement of the cardiac silhouette is unchanged since <unk>. Lung volumes are low. There is mild peribronchial cuffing and prominence of the pulmonary vasculature consistent mild fluid overload. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. The lungs are mildly hyperinflated.

history: <unk>f with n/v, lightheadedness, crackles on lung exam r >l w/ no prior hx lung disease // eval ? infiltrate, edema

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.

<unk>-year-old male with cough and back pain.

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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> y/o m with heroin overdose. evaluate for acute pulmonary edema.

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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 abdominal pain and distention, hx of cirrhosis

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Following transbronchial biopsy, there is no evidence of pneumothorax. No acute cardiopulmonary disease. Dual-channel pacer device remains in place.

transbronchial biopsy, to check for pneumothorax.

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

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

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Mild pulmonary edema is noted without pleural effusion. No focal consolidation is seen to suggest pneumonia. No pneumothorax. Heart size remains mildly enlarged. Thoracic aortic calcification is present. Bony structures appear demineralized though intact with a chronic deformity of the left humeral neck.

<unk>f with mechanical fall and signs of volume overload.

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

<unk>f with chest pain // r/o pneumothorax

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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion, pulmonary vascular engorgement, or pneumothorax. The cardiomediastinal silhouette is normal.

productive cough and fever for three days.

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Single portable view of the chest is compared to previous exams from <unk>. Despite improved inspiratory effort on the current exam, there is evidence of increased interstitial markings throughout, with more confluent opacity at the right lung base and on the left laterally. Dense mitral annular calcifications are seen. Cardiomediastinal silhouette is otherwise unremarkable. Right subclavian central line is seen with tip at the ra-svc junction. Degenerative changes are seen at the shoulders bilaterally.

<unk>-year-old female with upper abdominal pain, pneumonia?

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Cardiomediastinal silhouette and hilar contours are stable. Heart size is not well evaluated due to obscuring of the left heart border from adjacent atelectasis and left effusion although the heart size is probably normal. A moderate loculated left effusion is unchanged in size and appearance since <unk> with associated left basilar atelectasis. Right lung is clear. There is no pneumothorax.

pleural effusion.

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Pa and lateral views of the chest. The cervical portion of the trachea is tapered proximally consistent with tracheobronchitis. The heart, lungs, pleural and mediastinal surfaces appear normal.

wheezing and shortness of breath.

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Frontal and lateral views of the chest. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is widening of the right sternoclavicular joint.

pain. evaluate for fracture or dislocation.

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The lungs are clear without consolidation, effusion, or edema. There is no pneumothorax. Cardiac silhouette is top-normal. Atherosclerotic calcifications are seen at the aortic arch. There are hypertrophic changes in the spine.

<unk>f with chest pain // ptx

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The heart is mildly enlarged. The pulmonary vasculature is normal. There is no focal consolidation, pneumothorax, or effusion.

preoperative chest radiograph

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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 cough // eval for pnrumonia

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There is mild cardiomegaly. The previously seen pulmonary edema is slightly improved on the current study, now mild. There is persistent small right pleural effusion with adjacent atelectasis. There is no focal consolidation.

<unk> year old man with s/p liver transplant and h/o chf with cough // r/o pna or effusion

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The lungs are well expanded. There is an opacity occupying the right upper lung region and delineated by the minor fissure, with associated right hilar engorgement. The left lung is clear. Moderate cardiomegaly is present. There is no pleural effusion or pneumothorax.

patient with one week of cough. evaluate for infiltrate.

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Low lung volumes are noted on the frontal view with secondary crowding of the bronchovascular markings. There may be superimposed component of vascular congestion. There is no large confluent consolidation or effusion. Cardiac silhouette is enlarged but stable given differences in different in technique. Atherosclerotic calcifications noted at the aortic arch. Compression deformity of a lower thoracic vertebral body is similar compared to prior.

<unk>m with afib on coumadin p/w fall from standing height with r hip fracture // please eval for hematoma, hemorrhage.

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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Electronic device overlies the left chest wall. Old right lateral rib fractures are identified as well as possibly remote prior traumatic changes at the right acromioclavicular joint.

<unk>m with congested cough x <num> days // ? pneumonia

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

hiv with cough, to assess for pneumonia.

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There is no focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits.

<unk>-year-old female with 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. No displaced rib fractures are seen. The thoracic spine appears to align normally. Evaluation for sternal injury limited. No free air below the right hemidiaphragm is seen.

<unk>f with cp s/p mvc // evidence of pneumo

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The patient is status post median sternotomy and aortic valve replacement. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present. Mild elevation of the left hemidiaphragm appears to be chronic. No acute osseous abnormalities detected.

history: <unk>m with progressive dyspnea

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Moderate left pleural effusion with left lower lobe opacity is noted and is new. Right lower lobe heterogeneous opacity is most consistent with atelectasis. No pneumothorax. Mild cephalization of vasculature is noted. Aortic arch calcifications are present. Visualized cardiomediastinal silhouette is otherwise unremarkable. Visualized osseous structures are unremarkable. No displaced rib fracture.

<unk>f with sob. assess etiology.

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Heart size and cardiomediastinal contours are normal. Equivocal bronchial wall thickening is suggestive of bronchitis or chronic airway disease. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.

history: <unk>m with cough and fever // r/o pna

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding single chest view of <unk>. Presently, the heart size is normal. No configurational abnormality is present. Thoracic aorta unremarkable. No mediastinal abnormalities are seen. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumomediastinum or pneumothorax. The, on previous examination identified, mediastinal air collections and tissue emphysema in the right lower neck area have normalized.

<unk>-year-old male patient with esophageal perforation, evaluate for subcutaneous air.

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New opacity in the lingula is worrisome for pneumonia. The remaining lung fields are clear and normally expanded. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

history: <unk>m with lightheadedness, drowsiness, borderline leukocytosis // eval for pna

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Pa and lateral views of the chest provided. Stable elevation of the left hemidiaphragm noted. There is mild interstitial pulmonary edema. No large effusion or pneumothorax. No convincing signs of pneumonia. Heart size appears grossly stable. Mediastinal contour appears normal. No acute bony abnormality. Acute kyphotic angulation at the thoracolumbar junction with a chronic compression deformity at t<num> again noted. Right shoulder prosthesis again noted.

<unk>f with left lower lobe crackles // pna?

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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 man with <num> pack year smoking history and chronic cough // please evaluate for evidence of hyperinflation/masses

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Ap upright and lateral views of the chest provided. The aorta remains markedly unfolded. The main pulmonary artery outline appears prominent. There is prominence of pulmonary vascular markings without frank edema. No large effusion or pneumothorax. No signs of pneumonia. The heart is within normal limits of size. Bony structures are intact.

<unk>f with c/o weakness and cough with fever/chills // ? pna

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There has been interval removal of a right-sided chest tube. There is a small right apical pneumothorax. Extensive subcutaneous air involving the right chest wall is increased from the prior. Lung volumes are low. Opacity at the base of the right lung and in the inferior portion of the right upper lobe present atelectasis or infection. A retrocardiac opacity is stable. Cardiomediastinal and hilar contours are stable.

<unk> year old man s/p r sup seg lll // r/o ptx post ct removal

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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar and pleural structures are unremarkable. The imaged upper abdomen is normal. There are no acute osseous abnormalities appreciated.

chest tightness and shortness of breath. evaluate for acute process.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> yom with chest pain x <num> days.

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Lung volumes are low leading to crowding of the bronchovascular structures. Mild bibasilar atelectasis is noted. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Mild cardiomegaly is noted.

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

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Right basilar atelectasis is noted. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old male with right flank pain. evaluate for acute process or infection.

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Pa and lateral views of the chest demonstrate the lungs are well expanded, with interval resolution of previously seen right basilar atelectasis and right pleural effusion. Minimal residual right cardiophrenic atelectasis is noted. The heart is mildly enlarged, but stable, with an otherwise unremarkable mediastinal contour. Intact median sternotomy wires are again noted. Right hemidiaphgram eventration again noted.

<unk>-year-old man with fever.

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There has been interval decrease in the amount of subcutaneous emphysema in the right lateral chest wall. A moderate size right pleural effusion which appears partially loculated laterally and along the apex appears minimally decreased in size. Clips and chain sutures from prior right middle lobe lobectomy are present with evidence of right-sided volume loss with mild rightward shift of midline structures. Cardiac and mediastinal structures appear otherwise unchanged. No pulmonary edema is present. Right lower lobe atelectasis is again noted. Left lung is otherwise clear. Small left pleural effusion is noted, new in the interval. No pneumothorax is detected. No acute osseous abnormalities are visualized.

<unk> year old man status post right lung surgery, bleeding at surgery site

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Pa and lateral views of the chest provided. Lungs are clear. Cardiomediastinal and hilar contours are normal. Right sided central catheter terminates in the mid svc. Left central line has been removed.

<unk> year old man with lymphoma. // new cough. assess for infiltrate. compare to prior studies.

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As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, right more than left. The distribution of the opacities, its morphology as well as the shape of the cardiac silhouette and the shape of the mediastinum indicate an infectious rather than a cardiovascular reason for this change. On the basis of the current radiograph, the presence of pneumonia must be suspected. The referring physician <unk>. <unk> <unk> be reached by phone nor by page at the time of dictation, <time> a.m. On <unk>. Therefore, dr. <unk> was contacted by e-mail. The e-mail reply documented that dr. <unk> is currently replaced by dr. <unk>. Therefore, the mail was accordingly forwarded. The original observation of the disease in the patient was made at <time> a.m. On the same day.

copd, increased fatigue and sputum. rule out pathology.

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No focal consolidation is identified. There is no pleural effusion or pneumothorax. There is s-shaped scoliosis

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

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<num> views of the chest. Mild dextroscoliosis with apex in the t<num> level is unchanged from <unk>. The lungs are well expanded and clear without pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable. No displaced rib fracture identified.

posterior right chest pain, non pleuritic with associated fatigue and mild cough. recent diagnosis of mild hydronephrosis.

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Small left and moderate right pleural effusions have increased since <unk>. There is a right pleural cap suggesting loculated fluid. Persistent right upper lobe scarring is noted. The heart appears mildly enlarged (as seen on the lateral view). Right porta-cath tip remains in the right atrium.

<unk>-year-old man with sscp, question pneumonia.

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Lung volumes are mildly decreased compared to prior study. There is no focal consolidation, effusion or pneumothorax. There no overt pulmonary edema. Mediastinal and hilar contours are normal. Mild cardiomegaly is unchanged.

<unk>m with cp // pna?

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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with chest pain, weakness, palpitations // chest pain

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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. Degenerative changes of the right ac joint along with an osseous fragment fragment adjacent to the tip of the right clavicle are chronic. No radiopaque foreign body is demonstrated.

history: <unk>m with food impaction // eval for foreign body

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Duo lead permanent pacemaker has been placed via left subclavian approach, with leads terminating in the right atrium and right ventricle. There is no pneumothorax. Heart size is normal. . Lungs are clear. There are possible very small bilateral pleural effusions.

<unk> year old woman with new pacemaker placement please do <unk> am on <unk> // verify pacer placement

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As compared to the previous radiograph, there is no relevant change. No newly appeared focal parenchymal opacity. No opacities suggestive of pneumonia. No pleural effusions. Normal lung volumes. No hilar and/or mediastinal changes. Normal size of the cardiac silhouette.

lymphoma, fever, evaluation for pneumonia.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Vague ovoid <num> mm opacity projecting over the left upper lobe and left second anterior rib was not apparent on the previous radiograph. No acute osseous abnormality is detected. Multilevel degenerative changes with anterior osteophytes are seen in the imaged thoracolumbar spine. Mild loss of height of a low thoracic vertebral body is unchanged.

<unk>f with cough, wheezing, presyncope

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Pa and lateral views of the chest provided. Right ij access central venous catheter seen with its tip in the mid svc region. The 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 bm tx, cancer, pls eval pna and picc placement

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Pa and lateral chest views were obtained with patient in upright position. There is moderate cardiac enlargement. No typical configurational abnormality is seen, but there exists a relative prominence of the left ventricular contour. This finding coincides with a general widening and elongation of the thoracic aorta suggests systemic hypertension. There is, however, no conclusive evidence for any significant pulmonary vascular congestion. No evidence of acute infiltrates and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area on frontal view. Skeletal structures demonstrate moderate degree of degenerative changes in the thoracic spine but no clear vertebral body compression fracture. When comparison is made to the frontal view of a previous chest examination of <unk>, the heart size has increased slightly and the thoracic aorta is more prominent as it was then.

<unk>-year-old female patient with new dementing illness and odd movements, evaluate for any acute process.

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Pa and lateral views of the chest. The biapical fibrosis and bronchiectasis, right greater than left, representing scarring is unchanged. Mild cardiomegaly is stable. There is no evidence of pneumonia. No pleural effusion. No pneumothorax. Mediastinal and hilar contours are normal and stable.

shortness of breath and increased white count, question pneumonia.

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The lungs are symmetrically well expanded without focal consolidation or pneumothorax. Increased opacification projecting over the lower thoracic spine on the lateral view is compatible with a small left pleural effusion. The cardiac silhouette is mildly enlarged, but stable. The mediastinal and hilar contours are within normal limits and unchanged. Mild tortuosity of the thoracic aorta is noted with calcification at the aortic knob. The patient is status post aortic valve replacement with a prosthetic valve unchanged in appearance from the prior study. Median sternotomy wires appear intact.

status post aortic valve replacement with cough and dyspnea, here to evaluate for pleural effusions or pneumonia.

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Pa and lateral chest radiographs demonstrate resolution of mild pulmonary edema seen on <unk>. The lungs are now clear. There is no pleural effusion or pneumothorax. No pneumoperitoneum is seen. Aside from atherosclerotic calcifications of the aortic arch, the cardiomediastinal silhouette is normal.

dialysis patient. concern for perforation. evaluation for free air under the diaphragm.

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Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. An implanted chest device is noted. Visualized osseous structures are unremarkable.

<unk> year old woman with wpw, tachycardia, sharp pleuritic chest pain, evaluate for pneumonia

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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Mild cephalization of pulmonary vasculature is compatible with mild congestion. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.

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

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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

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

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Pa and lateral views of the chest provided. The lungs appear hyperinflated with coarsened reticular markings slightly more pronounced the lower lungs which could reflect chronic airways inflammation in the setting of asthma. No lobar consolidation, pleural effusion or pneumothorax. No signs of pulmonary edema or congestion. Cardiomediastinal silhouette appears normal. Bony structures are intact. There is a mid thoracic spine compression deformity which is unchanged from prior <unk> exam.

<unk>m with asthma exacerbation, cough x <num>wk // eval for pneumonia

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The lung volumes are relatively low. The hemidiaphragms are in correct position. No larger pleural effusion. Borderline size of the cardiac silhouette with mildly enlarged left ventricle, no pulmonary edema. The hilar and mediastinal contours are unremarkable. The lung parenchyma show normal radiodensity. No evidence of lung nodules or masses, no pneumonia.

recent fever, leukopenia, evaluation for pneumonia.

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The cardiac and mediastinal silhouettes are stable. Overall, there are relatively low lung volumes. Prominence of the central pulmonary vasculature suggests pulmonary vascular engorgement with mild vascular congestion. No pleural effusion or pneumothorax is seen.

history: <unk>f with syncope, back pain, esrd on dialysis // evaluate for pneumonia, fluid overload, acute process

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

<unk>m with chest pain // chest pain

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Left anterior chest wall biventricular pacer is in place. Heart size is enlarged with mild unfolding of the aortic arch. Hilar contours are unremarkable. There is diffusely increased reticulation stable when compared to the prior examination, . There is no acute opacity to suggest pneumonia. There is no effusion or pneumothorax. Stable sclerotic lesion involving the right rib, previously demonstrated on pet-ct dated <unk>.

<unk> year old woman with breast cncer on treatment // r/o pneumonia, right chest decreased bs, green sputum

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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 with seizure // eval for pna

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Pa and lateral views of the chest. There are confluent regions of consolidation in the posterior segment of the right upper lobe as well as the right lower lobe which are new since prior. There is persistent opacity in the lingula which is similar to prior. Cardiomediastinal silhouette is unchanged. No acute osseous abnormalities.

<unk>-year-old female with pneumonia now with worsening dyspnea.

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Opacities projecting over the left chest appear geographic and most suggestive of pleural plaques, unchanged since the earliest radiographs available. The patient is status post coronary artery bypass graft surgery. The lung volumes are low. The right major fissure appears thickened. It is also difficult to exclude a small pleural effusion on the right. The right hemidiaphragm shows similar mild elevation. There is no pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged.

hypotension and seizure.

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Ap upright and lateral views of the chest provided. Lung volumes are low. There is stable mild cardiomegaly. The mediastinal contour is unchanged. There is mild hilar congestion without frank edema. No convincing evidence for pneumonia, effusion or pneumothorax. Imaged bony structures appear intact.

<unk>m with dementia presenting with worsening confusion // consolidation

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Frontal and lateral views of the chest. Left basilar opacity seen laterally compatible scarring as seen on prior ct. Elsewhere the lungs are clear without effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Dual lead pacing device again seen. No acute osseous abnormality detected.

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

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In comparison with the study of <unk>, there is again large right pleural effusion, with a changed appearance that most likely reflects different position of the patient. There are extensive atelectatic changes involving the lower right lung. Little change in the bilateral hilar adenopathy. In the appropriate clinical setting, supervening pneumonia would have to be considered.

pleural effusion.

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There is no pneumothorax. The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion.

patient with smoking history and left chest pain sudden onset today, rule out pneumothorax.

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

shortness of breath.