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

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There is linear atelectasis in the left mid lung as well as an adjacent poorly defined opacity partially obscuring the left heart border. The lungs are otherwise well expanded and clear. No pleural abnormality is seen. Cardiomegaly is stable. The mediastinal and hilar contours are unremarkable.. Anterior cervical fusion hardware is seen.

<unk> year old woman with cough, asthma // r/o infiltrate

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A port-a-cath terminates in the upper superior vena cava, as before. Lung volumes have decreased. There are new opacities at the medial lung bases, more extensive on the left than right. There are also small but increased bilateral pleural effusions, again larger on the left than right. More superiorly, bilateral opacities are suggestive of atelectasis. Mid to upper lungs remain clear.

pleural effusion.

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There are no focal opacities. The patient has prominent epicardial fat pads with blunting of the left pleural sulcus and the right cardiophrenic angle, but this is unchanged compared with <unk>. Mild-to-moderate cardiomegaly is present, but the cardiomediastinal contour is unremarkable otherwise. There is no pleural effusion or pneumothorax.

<unk>-year-old female with hypertension, nausea, vomiting, shortness of breath. evaluate for evidence of chf or pneumonia.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with cough, family member with pna // ?pna

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No focal consolidation is seen. Subcentimeter calcified right upper lobe nodule is re- demonstrated, most consistent with a granuloma. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable. Vagal nerve stimulator is partially imaged on the right.

history: <unk>m with <unk>, several days sob, chest tigthness // sob, chest tigthness

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Query subtle focal opacity projecting over the right upper lobe medial to the ekg lead, may be artifactual from external artifact although an underlying focus of infection is not excluded. Elsewhere, no focal consolidation is seen. There is mild left base atelectasis. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pleural effusion or pneumothorax.

dizziness.

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The cardiomediastinal and hilar contours are unchanged. There has been resolution of the right basilar pleural effusion with no new left pleural effusion. Previous right apical hydropneumothorax has been replaced entirely by fluid. Emphysematous changes in the apices is noted. Opacity within the medial right upper lung field is mostly resolved. Left apical pleural scarring is again seen. Left basilar atelectasis persists, and there is new right basilar atelectasis. Calcified pleural plaques are seen in the right lung, consistent with prior asbestos exposure.

status post right upper lobe wedge resection.

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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

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The patient is status post median sternotomy and cabg. There are low lung volumes. There is small left and trace right bilateral pleural effusions. The cardiac and mediastinal silhouettes are stable. There is mild pulmonary edema. No pneumothorax is seen.

history: <unk>m with worsening renal function, with volume overload and sob // eval edema

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Port-a-cath via right subclavian terminates superior to mid svc as seen in the previous study. The density visualized just below the accessed port in the left upper hemithorax on the prior study is still present. There is an interval opacity in the left lower base that is new compared to the prior study. The heart size and mediastinal contours are not significantly changed. No pleural effusions. No pneumothorax.

<unk>-year-old lady with new lesion seen on the left lobe on ap view previously.

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Frontal and lateral chest radiographs demonstrate a right chest port-a-cath, with the tip terminating at the cavoatrial junction. The cardiomediastinal silhouette is normal and the lungs well-aerated and clear. There is no focal consolidation, pleural effusion, or pneumothorax. Surgical material at the right lung apex after which resection is again seen. The visualized upper abdomen is unremarkable.

evaluate for lesion in a patient with a history of lymphoma and bladder cancer, now presenting with cough.

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Pa and lateral views of the chest. The median sternotomy wires and mediastinal clips are stable. Low lung volumes crowd the pulmonary vasculature. There is no focal consolidation, pleural effusion or pneumothorax identified. There is mild cardiomegaly. There are aortic knob calcifications. The mediastinal and hilar contours are normal.

recent admission for sepsis, low-grade fever.

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In comparison with study of <unk>, there appears to be some small decrease in the right pleural effusion, though some of this may merely reflect the position of the patient. However, there has been an increase in pleural effusion on the left. Otherwise, little change.

to assess change in pleural effusions.

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Pa and lateral views of the chest provided. Right-sided chest port is seen terminating around the cavoatrial junction. Again seen is a linear opacity around the right fifth and sixth rib, likely corresponding with the previously described consolidation and better evaluated on subsequent ct from the same day, though less conspicuous compared to the prior chest radiograph. There is bilateral costophrenic angle blunting. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.

<unk>m with nhl s/pc<num>daepoch presenting with fever, back pain. evaluate for pneumonia.

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The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. There is persistent biapical pleural thickening. No pleural effusion or pneumothorax is seen. Somewhat rounded and moderate left base retrocardiac opacity is seen eating back to at least <unk> and may relate to a hiatal hernia or prominence of the descending aorta, less likely. The cardiac silhouette is top-normal. The aorta is calcified. The bones are diffusely osteopenic.

fall with temperature.

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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.

<unk> year old woman with ms, cough // ? pneumonia

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pneumonia or chf in a patient with chest pain.

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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

right upper quadrant pain. evaluate for cholecystitis.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is an opacity in the posterior left lower lobe that obscures the hemidiaphragm suggesting pneumonia. Elsewhere, the lungs remain clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the mid to lower thoracic spine.

cough.

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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusions or pneumothorax. Multiple calcified granulomas are seen in the upper lung zones. Pleuroparenchymal scarring is present in the upper lobes. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact.

<unk>-year-old woman with fall. evaluate for pneumonia.

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present. Mild degenerative changes are noted within the imaged spine.

chest pain.

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There has been interval removal of a right-sided pacemaker generator and single lead. There is no change in orientation of the previously seen corevalve. Blunting of the right costophrenic angle likely from as pleural thickening is unchanged from the prior examination. There is no evidence of new opacity in the lungs. The cardiomediastinal silhouette and hilar contours are unchanged. There is no evidence of new effusion or pneumothorax.

chest pain

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Left axillary dual lead pacemaker is present with tip terminating in the right atrium and right ventricle as expected. Moderate cardiomegaly is again noted. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded without focal consolidation concerning for pneumonia. Mild vascular congestion is present. Multiple healed rib fractures in the right posterior ribcage are noted.

<unk>m with shortness of breath // eval for acute process

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Moderate right pleural effusion with overlying atelectasis, mildly decreased since the prior examination. A trace left pleural effusion is also noted. No pneumothorax. The appearance of the left cardiac contour is unchanged.

mr. <unk> is a <unk>m with hx of esrd <unk> hypertensive nephrosclerosis, currently on renal transplant list, cad s/p mi, who presents for initiation of dialysis course c/b hypertension (now with sbps <num>s), also s/p multiple dialysis sessions. // indication for outpatient hd given h/o positive ppd

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There is persistent tenting of the left hemidiaphragm, chronic. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are stable.

seizure.

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Pa and lateral views of the chest were obtained. Again noted is stable position of a pacemaker overlying the left chest with leads in the right atrium and ventricle. Cardiomediastinal silhouette including cardiomegaly and tortuosity of the thoracic aorta is unchanged. There is no focal consolidation. There is no pleural effusion or pneumothorax.

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

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Heart size is normal. There is leftward deviation of the trachea at the thoracic inlet. The mediastinal and hilar contours are otherwise normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with fever/chills, tachycardia, uc on remicade // eval for infectious process

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

<unk>-year-old female with supraventricular tachycardia. evaluate for evidence of acute cardiopulmonary process.

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A left subclavian dual lumen port-a-cath remains in place with the tip projecting over the cavoatrial junction. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unchanged and unremarkable. Lungs are clear. The pleural surfaces are clear without effusion or pneumothorax.

chest pain.

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Pa and lateral views of the chest provided. A right picc line terminates at the cavoatrial junction. A right central venous line ends in the right atrium. A right lung base opacity is improved. Bibasilar opacities likely represent atelectatic change, however in the appropriate clinical setting could also represent pneumonia. No pneumothorax. Bilateral, pleural effusions are unchanged. Hilar and cardiomediastinal contours are normal. No rib fractures are definitively visualized.

<unk> year old man with hx cracked ribs, mssa pneumonia s/p abx, with elevated wbc // is there evidence of consolidation concerning for asp vs. pna?

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Right-sided port-a-cath terminates in the mid svc. The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.

<unk> year old man with hl // pre bmt eval

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There are low lung volumes with bibasilar atelectasis. The right hemidiaphragm is elevated with gaseous distension of bowel beneath. No large pleural effusion is seen. Subtle posterior basilar opacity seen on the lateral view may represent atelectasis but consolidation is not excluded the appropriate clinical setting. Cardiac silhouette is enlarged. Superior mediastinum appears somewhat prominent, which may relate to low lung volumes. If clinical concern for acute mediastinal process, consider chest cta.

history: <unk>m with weakness, abnormal ekg // evaluate for cardiomegaly, acs, pneumonia

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There is an infrahilar opacity partly obscuring the left cardiac border suggesting opacities in the lingula and left lower lobe probably due to atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. No free air is demonstrated. There are a few air-fluid levels projecting over the left upper quadrant, probably in the colon although not optimally assessed, with dense dependent portions suggesting recent contrast administration or ingestion of other hyperdense substance.

abdominal pain.

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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. The heart is mildly enlarged. No effusion or pneumothorax. Mediastinal and hilar configuration is unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with c/f acs // acute process

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Pa and lateral views of the chest provided. The appearance of the chest is unchanged with mild reticular opacities which could reflect mild edema or underlying fibrosis. No large effusion or pneumothorax. No convincing signs of pneumonia. Cardiomediastinal silhouette appears normal. External artifact projects over the right shoulder. Bony structures appear intact.

<unk>m with new ascites, some difficulty breathing // eval for pna, hydrothorax

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

<unk>-year-old male with chest pain and shortness breath.

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Low lung volumes are present, which accentuates the size of the cardiac silhouette which appears moderately enlarged, not substantially changed from the prior study. The aorta is mildly unfolded with atherosclerotic calcifications noted diffusely. Hilar contours are similar with no evidence for pulmonary vascular congestion. Patchy opacities in the lung bases may reflect atelectasis. No pleural effusion, focal consolidation or pneumothorax is detected. There are no acute osseous abnormalities.

history: <unk>m with dyspnea

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Lung volumes are low, accentuating the cardiomediastinal contours and result in bronchovascular crowding. Within this context, prominence of the right mediastinal contour is likely technical in nature. Lungs are clear and there is no pleural effusion or pneumothorax.

<unk>f with chest pain // evaluate for pneumothorax, acs

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A ventriculoperitoneal shunt is seen projected over the right hemithorax with its distal tip not clearly seen. A left-sided pacemaker is seen with two leads following an expected course to the right atrium and proximal right ventricle, respectively. The left hemidiaphragm is elevated by gas seen in the stomach or bowel. The heart is mildly enlarged. The hilar contours appear normal. The left costophrenic angle is not well visualized but there is no right pleural effusion. There is a small bochdalek hernia seen on the lateral view. There is no evidence of pneumothorax.

prostate cancer.

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The patient is rotated distorting the appearance of the right thoracic cage. Tracheostomy tube is in standard position. Right lower hemithorax opacity with silhouetting of the right heart border is consistent with a combination of a small pleural effusion, atelectasis, and residual but improved consolidation from infection. No pneumothorax. Asymmetric edema and pulmonary vascular engorgement on the prior exam in the right lung has markedly improved. No frank pulmonary edema. Pulmonary vascular engorgement is now more symmetric and minimal.

history: <unk>m with pna diagnosis who has missed some doses of abx. // ? worsening pneumonia

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Frontal and lateral radiographs of the chest demonstrate an indistinct opacification of the right lower lobe, concerning for aspiration versus atypical infection. A new nodule is seen in the left mid lung field on the frontal view only. Cardiomediastinal and hilar contours are unchanged. No pneumothorax or pleural effusion. Nasogastric tube is seen coursing into the stomach and out of the field of view.

<unk>-year-old male with cirrhosis, status post transplant, now with abdominal pain and fevers. evaluate for pneumonia.

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Mild cardiomegaly is present with left ventricular configuration of the heart. Aorta is tortuous, and pulmonary vascularity is normal. Focal linear scar in the lingula is present as well as localized appear pleural and parenchymal scarring at the right base, with latter unchanged since the prior study. There is no pleural effusion

<unk> year old man with doe, hx of cardiac disease with lv dysfunction // r/o infiltrate or effusion

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Pa and lateral views of the chest. Normal heart size, mediastinal and hilar contours no pleural effusion or pneumothorax. Clear lungs.

patient with ms, atypical symptoms, rule out pneumonia.

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As compared to the previous radiograph, there is improvement of the left basal lung ventilation, with resolution of the preexisting pleural effusion on the left and marked improvement of the retrocardiac atelectasis. Moderate cardiomegaly and tortuosity of the thoracic aorta persists. The sternal wires show unchanged alignment, the right internal jugular vein catheter is constant in appearance.

status post cabg, evaluation.

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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable, with resolution of the mediastinal widening. A small pleural effusion is now seen. No acute or aggressive osseus changes. The rib fractures are not visualized on this examination.

evaluate pulmonary contusion

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Pa and lateral chest radiographs were provided. The lungs are hyperexpanded and emphysematous changes are persent. There is no focal consolidation, pleural effusion or pneumothorax. A lucency projecting over the left mid-lung with an apparent or simulated meniscus needs further evaluation. The cardiomediastinal silhouette is normal. The bones are intact.

<unk>-year-old female with left-sided chest pain, rule out pneumonia.

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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. There is an apparent retrocardiac opacity on the lateral projection which obscures the posterior heart border raising potential concern for an early pneumonia in the right or left lower lobe though not clearly visualized on the frontal view. No large effusion or pneumothorax. No convincing signs of edema. The cardiomediastinal silhouette appears within normal limits. Bony structures are intact.

<unk>m with c/o cp with palpitations // ? pna

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Lungs are remain somewhat hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. Mitral annulus calcification is again seen. The aorta is calcified and tortuous. While there may be mild central pulmonary vascular engorgement, there is no overt pulmonary edema.

history: <unk>f with chest back pain, history of diastolic heart failure and effusions. // assess for effusion

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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valve are new from prior. Hardware partially visualized in the cervical spine is again noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. In particular, the partially visualized right shoulder is unremarkable. No free air below the right hemidiaphragm is seen.

<unk>m with r shoulder pain // acute process

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Frontal and lateral radiographs of the chest demonstrate streaky opacities at the bilateral bases, consistent with atelectasis. There is no pneumothorax. There is a small left-sided pleural effusion. The cardiomediastinal hilar contours are unchanged. The heart is top normal in size.

history of bronchiectasis and dyspnea. evaluate for infection or edema.

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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

concern for a multiple sclerosis flare.

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The lung volumes are low, which results in vascular crowding and apparent enlargement of the normal-sized heart. Streaky opacities in the left lower lobe. The mediastinal and hilar structures are unremarkable. Cholecystectomy clips are appreciated.

renal transplant with pyelonephritis now with persistent fevers and dyspnea. evaluate for pulmonary edema or pneumonia.

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The heart is mildly enlarged. The aortic arch is calcified. An extensive suggests pneumonia in the left lower lobe. For the most part, the lungs appear otherwise clear although there may be mild opacification in the lingula. There is no pleural effusion or pneumothorax. The bones appear demineralized.

cough, fever, and hypoxia.

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There is unchanged moderate cardiomegaly. The extensive interstitial prominence is decreased when compared to the prior study however there is a new small right pleural effusion with associated atelectasis. Streaky retrocardiac opacities also likely reflect left lower lobe atelectasis. A right sided picc terminates in the mid svc. No pneumothorax seen.

<unk> year old woman with rising wbc and cough // eval for interval change

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There is no evidence for lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Linear atelectasis is noted at the left lung base. Mild blunting of the right costophrenic angle is likely also secondary to atelectasis. The cardiomediastinal silhouette is unchanged in appearance.

history: <unk>f with hiv positive, cough, sob // eval for pna, pcp?

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Compared to chest radiographs from <unk>, small left apical pneumothorax has resolved. Left chest tube remains in place. Tiny left effusion is stable. Multifocal parenchymal opacities have minimally improved in the right lung and left lung base. A small amount of subcutaneous emphysema in the left lateral chest wall continues to decrease. Cardiomediastinal silhouette is stable.

<unk>f w/ chest tube to water seal for left hydroptx, ground glass in rl base // eval for interval change, assess for pneumothorax, hydrothorax, effusion

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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits. There is no pneumomediastinum or pneumoperitoneum. Gaseous distention of small bowel loops is noted.

recent hospitalization for gastroenteritis and probable <unk> tear from vomiting, now with continued epigastric pain.

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Frontal and lateral views of the chest. No displaced rib fractures seen. Deformity of the a left <num>th rib is unchanged. No pleural effusion or pneumothorax. No focal airspace consolidation worrisome for pneumonia. Bibasilar atelectasis is present. Cardiac size is top normal. The mediastinal and hilar structures are unchanged with a tortuous aorta.

fall with left-sided chest pain. evaluate for rib fracture.

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Pa and lateral views of the chest were obtained. Heart and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old man with stuffy nose and palpitations, evaluate for pneumonia.

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Again noted is a large right-sided pleural effusion with concurrent severe atelectasis of the right middle and lower lobes. Fluid is seen tracking into the right apex. The left lung and the right upper lung show no significan opacities. There is a trace pleural effusion on the left side that is mildly increased compared with <unk>. Although the right heart border is obscured by above-mentioned abnormalities, the heart does not appear to be enlarged. The left hilar contours are unremarkable. There is no pneumothorax.

<unk>-year-old man with history of cirrhosis and displayed ng tube. please assess for pneumonia or pleural effusion.

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There is no displaced rib fracture.

mvc.

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Mild enlargement of the cardiac silhouette is unchanged. The aorta remains tortuous. The mediastinal hilar contours are normal. The pulmonary vasculature is not engorged. There is minimal blunting of the costophrenic angles bilaterally suggestive of trace pleural effusions, unchanged. No pneumothorax is present. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen.

history: <unk>f with shortness of breath // ?pulmonary edema or pneumonia

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There are relatively low lung volumes. There is mild diffuse increase in interstitial markings bilaterally which could relate to mild fluid overload versus atypical infection. No lobar consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.

cough, dyspnea, hypoxia.

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The heart is mildly enlarged. Moderate unfolding is noted along the thoracic aorta, as before. The cardiac, mediastinal and hilar contours appear unchanged. Similar to the prior examination, there are patchy opacities in each lower lung, more extensive on the right than left, probably due to patchy atelectasis or scarring. Aeration is somewhat improved on each side. Subpleural scarring is unchanged at each lung apex. A bochdalek hernia on the left is unchanged in contour. Mild degenerative changes are similar along the thoracic spine.

emesis.

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The cardiomediastinal silhouettes are stable, and within normal limits. The bilateral hila are unremarkable. Left lower lung pleural thickening and scarring has a similar appearance in comparison to prior radiographs. Left apical pleuro-parenchymal scarring is additionally noted, unchanged. There is no focal lung consolidation. The right lung is clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

<unk>-year-old man with shortness breath, evaluate for pneumonia or chf.

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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

stroke. concern for pneumonia.

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The lungs are clear. There is no pneumothorax, effusion, or consolidation. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the mediastinum, as on prior. No acute osseous abnormalities.

<unk>f with <num> days of chest pain, normal ekg. // any evidence of pneumothorax?

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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 new diffuse wheezing, desaturations on ambulation. // pneumonia?

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The lungs are moderately well inflated. Stable <num> cm left upper lobe pulmonary nodule. Additional left upper lobe pulmonary mass seen on prior ct is not well evaluated on chest radiograph. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited evaluation of the osseous structures are notable for multilevel anterior thoracic vertebral body wedging, unchanged since prior ct chest.

<unk>m with worsening ams s/p radiation for brain mets. assess for pneumonia.

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The lungs are clear aside from minimal streaky right lower lobe opacities compatible with mild atelectasis. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. Calcifications of the aortic knob are noted.

history: <unk>f with ams // r/o pna

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Previously visualized right basilar opacity has increased and is most likely representative of an infectious process. Left basal atelectatic changes are again noted. Otherwise, bilateral interstitial markings are again noted, suggesting mild pulmonary edema. There is no pneumothorax. The mediastinal contours appear stable when the patient is post cabg. No acute fractures are identified.

increased shortness of breath.

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Right-sided port-a-cath tip terminates within the svc. The heart size remains mildly enlarged. The aorta is mildly tortuous but unchanged. The mediastinal contours are stable. There is no pulmonary vascular congestion. Re- demonstrated are multiple masses within the right lung, the largest within the right upper lobe measuring <unk>.<num> x <num> cm on the frontal view. <num> smaller lesions are also seen, <num> within the superior segment of the right lower lobe measuring <num> x <num> cm, and <num> within the right middle lobe measuring <num> x <num> cm. Left lateral pleural thickening compatible with extrapleural fat deposition is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is visualized. Mild degenerative changes are noted in the thoracic spine.

altered mental status. history of metastatic renal cell carcinoma.

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Lung volumes remain low. Heart size is mildly enlarged but similar compared to the previous study. The mediastinal and hilar contours are unchanged, and the pulmonary vasculature is not engorged. Patchy atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Extensive osseous metastatic disease is re- demonstrated, better visualized on the previous ct chest.

history: <unk>m with dyspnea

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The lung volumes are normal. No evidence of nodular opacities or other lung parenchymal changes. Normal hilar and mediastinal contours. No evidence of mediastinal or hilar lymphadenopathy. Normal size and shape of the cardiac silhouette. No pleural effusions.

facial palsy, rule out sarcoidosis.

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There are low lung volumes, which accentuate the bronchovascular markings. Given this, there is mild bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. No overt pulmonary edema is seen. There is anterior wedging of a lower thoracic vertebral body of indeterminate age.

history: <unk>m with doe, lightheaded and chest pain // r/o acute process

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Pa and lateral views of the chest. Comparison made to previous exam from one day prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with fever and back pain and cough. question pneumonia.

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Moderate cardiomegaly is increased compared to the previous chest radiograph, partially accentuated by slightly low lung volumes. The aorta remains tortuous. There is minimal pulmonary vascular congestion without overt pulmonary edema. Subsegmental atelectasis is seen within the right middle and lower lobes. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with dyspnea, orthopnea worse in the past months. crackles bibasilar

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Pa and lateral views of the chest. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal.

syncopal episode with shaking, evaluate for intrathoracic abnormalities.

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Status post gastric pull-up with widening of the mediastinal contours unchanged since scout <unk>. Peripheral right lower lobe opacity has improved since the prior examination. There is persistent ill-defined opacity in the costophrenic angle although much improved. No acute airspace or interstitial opacity. Pneumothorax or pleural effusions.

<unk> year old man with malaise, sob; h/o esophageal cancer s/p surgery, xrt and chemo and h/o aspiration pneumonia // rule out pneumonia

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation. There is no acute osseous abnormality.

<unk>m with cough, evaluate for pneumonia..

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There has been an interval increase in the right pulmonary vascular congestion and pulmonary edema. There has been a slight increase in opacity over the right lower lobe compared to the prior exam. The left lung is clear. There is a background of chronic interstitial abnormality. There are no significant pleural effusions. There is no pneumothorax. There is moderate enlargement of the cardiac silhouette, unchanged compared to multiple prior exams dating back to <unk>. The hilar and mediastinal contours are otherwise unremarkable. Median sternotomy wires are stable, and patient is s/p avr. Widening of the left acromioclavicular joint is chronic. There is a right-sided port-a-cath with the tip terminating in the mid svc.

<unk>-year-old male with history of lymphoma who developed pneumonitis s/p chemotherapy, who presents for evaluation of interval change.

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Ap and lateral chest radiograph demonstrates increased opacity within the left lower lung zone with obscuration of the left heart border. Patient is rotated to his left. There appears to be probable central vascular congestion with probable mild pulmonary edema. The right costophrenic angle is clear. No definite pleural effusion is seen on the lateral view. A left chest heart device is in similar configuration relative to prior studies. There is no pneumothorax.

<unk>m with fall, pain / eval for bleed, fx, hemathrosis, pna

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There is volume loss in both lower lungs <num>. It is difficult to exclude subtle infiltrates in either lower lobe. Compared to the study from the prior day the right lung has better aeration the heart is slightly enlarged. There is mild pulmonary vascular redistribution.

hypoxemia question edema.

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Pa and lateral radiographs of the chest demonstrate a previously <num> x <num> cm left upper lobe lung mass, now measuring <num> x <num> cm with interval cavitation and a new air-fluid level, which presumably represents a cavitated bronchogenic carcinoma with necrotic contents. Superimposed infection cannot be excluded. This lesion abuts the anterior left hilus. No pleural effusion or pneumothorax is detected. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The aortic knob is partially calcified without dilatation.

<unk>-year-old male with history of fall and possible lung malignancy, here to evaluate for acute cardiopulmonary process.

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

fever. evaluate for pneumonia.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with worst headache of life x<num> days // r/o acute intracranial process

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Compared to <unk>, the lung volumes have improved. The vascular pedicle and the heart appear smaller. There is no evidence for pulmonary edema. There is persistent basal atelectasis and small to moderate bilateral pleural effusions. Right-sided central line terminates in mid to low svc, unchanged from prior. No pneumothorax is seen. Sternotomy wires are aligned and intact.

<unk> year old man s/p cabg. evaluate for pleural effusion.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Lungs are clear. No acute osseous abnormalities are demonstrated. Mild degenerative changes are noted in the thoracic spine.

shortness of breath.

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Frontal and lateral views of the chest. Improved lung volumes are seen on the current exam. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Left chest wall dual lead pacing device is again seen with leads in expected locations. Multiple old right lateral rib fractures are again noted.

<unk>-year-old female status post syncope.

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<num> views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.

chest pain. cough.

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No previous images. There is substantial enlargement of the cardiac silhouette with normal pulmonary vessels, suggestive of cardiomyopathy or possible pericardial effusion. Mild hyperexpansion of the lungs is consistent with chronic pulmonary disease. No evidence of acute focal pneumonia. There is a saber-sheath trachea as well as some loss of height of a lower thoracic vertebral body. No acute focal pneumonia.

shortness of breath, to assess for pulmonary edema.

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

patient with cough since a month, immunosuppressive organ transplant. assess for infiltrate.

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There relatively low lung volumes. No focal consolidation is seen. Slight blunting of the posterior costophrenic angles is seen which may be due to trace pleural effusion. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Slight central pulmonary vascular engorgement is noted. There is suggestion of a hiatal hernia.

history: <unk>m with left hemiweakness, hx of tia // r/o ich

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A right picc ens in the low svc. The moderate left pleural effusion is likely unchanged allowing for differences in technique with associated atelectasis. Pulmonary vascular congestion has improved. A small right pleural effusion is unchanged. Heart size and mediastinal contours are normal. No pneumothorax.

<unk> year old woman with venting g tube, peritonitis, vomiting, and <num>cc bloody emesis. // to eval pna?

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As compared to the previous radiograph, the pleural effusion on the right is unchanged in extent and severity. Also unchanged are the subsequent areas of atelectasis at the right lung bases. Unchanged moderate cardiomegaly. Unchanged appearance of the left and right inflated lung parenchyma. The right hemodialysis catheter is in constant position.

pleural effusion, evaluation.

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Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. The heart is mildly enlarged. There is a tortuous aorta. The patient is status post cabg with median sternotomy wires in place. There is no pleural effusion or pneumothorax or consolidation concerning for pneumonia.

<unk>-year-old man with cough and hemoptysis, former smoker.

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Heart size remains moderately enlarged but unchanged. The aortic knob is diffusely calcified. Pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes within the thoracic spine. Surgical clip is seen within the upper abdomen on the lateral view.

dyspnea, history of congestive heart failure.

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Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal and hilar contours are normal.

<unk> year old woman with fever, cough // ? infiltrate

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Pa and lateral views of the chest provided. There has been interval removal of the left upper extremity access picc line. No radiopaque foreign body is seen. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk> year old man with accidental picc line removal

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The heart appears mildly enlarged, which is possibly significant noting the young age of the patient. The lungs appear clear. There is no pleural effusions or pneumothorax. Bony structures are unremarkable.

left posterior back pain, worse with inspiration.