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

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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. There is an age indeterminate fractures of the right second and eleventh ribs. The cardiomediastinal silhouette is normal.

rib pain. evaluation for fracture.

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Right port tip is in low svc. No interval change in rounded right upper lobe nodule that is further characterized on prior chest ct. The lungs are otherwise clear and pleural surfaces are normal. Heart size, mediastinal and hilar contours are normal.

<unk>-year-old male with tuberculosis. assess for interval change.

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Ap and lateral views of chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia.

change in mental status.

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The heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vascularity is not engorged. There is no focal consolidation. Chronic interstitial abnormality is noted predominantly in both lung bases and along the periphery. No pleural effusion or pneumothorax is identified. Old displaced fracture involving the left proximal clavicle is again noted. <unk> fiducial markers are seen within the liver dome.

chest pain for a few seconds with shortness of breath.

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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. No fracture identified.

<unk>-year-old female with pain in upper back, status post mvc eight days ago.

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Ap and lateral views of the chest were reviewed. Right breast mass, rather than lower lobe pneumonia, is probably responsible for added radiodensity to the right chest laterally, since no corresponding pulmonary abnormality is seen on the lateral view. Apparent enlargement of the cardiomediastinal and hilar contours is due at least in part to positioning. A <num>mm wide oval opacity projecting over the right tracheobronchial angle is probably a dilated azygos vein. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation. Gaseous distension of colonic loops in the left upper quadrant and mid abdomen are noted.

fever and chills on chemotherapy and with large right-sided breast mass.

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Pa and lateral chest radiograph demonstrates a left subclavian approach hemodialysis catheter, its tip which projects over the anticipated location of the right atrium. Heart size is upper limits of normal in size, likely exaggerated by slightly low lung volumes. Blunting of the right costophrenic angle is consistent with a small to moderate pleural effusion. There is mild central pulmonary vascular congestion without overt pulmonary edema. There is no pneumothorax. Imaged upper abdomen is unremarkable. Vascular stent projects over left upper extremity.

<unk>f with hd line placement, not working, placed today // hd line placement

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

<unk> year old man with back pain

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Asymmetric density of the lung bases is related to right-sided mastectomy. Apparent nodular density in the right lower lung is likely caused by a benign calcification in lung or rib, or vessel, either on end or crossing. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable.

<unk>f with left sided weakness, evaluate for pneumonia.

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The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. The osseous structures are stable. Right chest port tip terminates in the cavoatrial junction. The left mid lung opacities reflect previously healed left rib fractures better seen on recent ct.

<unk> year old man with hx of myeloma. fever. please r/o pna. // <unk> year old man with hx of myeloma. fever. please r/o pna.

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Lungs are clear of focal consolidation, effusion, or overt pulmonary edema. The cardiac silhouette is enlarged but likely accentuated by ap projection. Accentuated thoracic kyphosis is again noted. Surgical clips seen in the right upper quadrant.

<unk>f with cough, chest pain // any pneumonia

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. No displaced fracture is seen.

syncope and chest pain x.

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Lungs are hyperinflated. There is new right basilar opacity. Linear left basilar opacity is likely atelectasis. Superiorly, the lungs are clear and there is no overt edema. Moderate cardiomegaly is again noted. No acute osseous abnormalities.

<unk>f with hx copd, now with sob and leg swelling. // pulmonary edema?

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In comparison with the study of <unk>, there is no blunting of the costophrenic angle on the right and no evidence of acute pneumonia. The remainder of the study is essentially unchanged with no pneumonia, vascular congestion, or pleural effusion.

right pleural effusion on prior study.

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Patient is rotated somewhat to the left. Prominence of the interstitial markings is again seen, likely related patient's known underlying nonspecific interstitial pneumonia, chronic. The possibility of minimal superimposed interstitial edema is raised, although the findings are likely predominantly due to chronic process. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with sob, ? infiltrate // ? infiltrate

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. Scarring within the lung apices is symmetric and unchanged. No focal consolidation, pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities identified.

history: <unk>f with rash and fever. // please evaluate for consolidation, acute process.

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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

addison's disease, now with nausea and vomiting, similar to prior presentations of addison's crisis. evaluate for infiltrate.

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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation, effusion or pneumothorax. Cardiac silhouette is mildly enlarged. The thoracic aorta is tortuous. Moderate-sized hiatal hernia is identified. No definite displaced fracture is identified.

<unk>-year-old female with left shoulder pain status post fall.

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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. The left ventricle is enlarged. Right hemidiaphragmatic elevation is unchanged since <unk>. Mediastinal silhouette and hilar contours are normal allowing for patient position. Median sternotomy wires are intact. The patient is status post mitral valve replacement. No mass or nodule is seen.

<unk>-year-old man with new hypoxia. past smoker.

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Lung fields are clear. There is no evidence focal consolidation, pleural effusion or pneumothorax. The heart is top normal in size. The aorta is tortuous with an undulating contour on the lateral view consistent with a history of thoracic aortic dissection status post aortic repair. The hilar and cardiomediastinal contours are unchanged from prior study.

<unk>m with increased sob // assess for pulmonary abnormalities

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is a moderately large hiatal hernia.

<unk>f with l shoulder pain, evaluate for infiltrates

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Lungs are clear, although volumes are low. The cardiac size is at the upper limits of normal. Hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with constipation and tachycardia, rule out acute process.

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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No free intraperitoneal air is seen below the diaphragm. Partially visualized stent is identified in the right upper quadrant.

<unk>-year-old female with recent cholecystectomy and epigastric pain.

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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

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

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Lung volumes are low, and the lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size continues to be enlarged, and the mediastinal contours are normal.

<unk>-year-old male unable to get dialysis with shortness of breath

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Pa and lateral views of the chest provided. Right upper extremity access picc line is again noted with its tip projecting over the upper svc. Lung volumes are low with mild basal atelectasis. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.

<unk>f with picc placed last week

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable.

<unk>f with exertional chest pain, nonspecific ischemic changes on ekg, evaluate for pulmonary edema or infiltrate.

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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.

low-grade fever. history of lymphoma.

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The heart size is within normal limits given ap technique. The mediastinal and hilar contours are normal. The lung volumes are low but show no evidence of lobar consolidation. There is no large pleural effusion or pneumothorax. Along the left lateral ribcage are multiple healing/old rib fractures.

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

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Lung volumes are low. This accentuates the cardiac silhouette size which is likely mildly enlarged. The mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures, with likely mild pulmonary vascular congestion but no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Mild bibasilar atelectasis is noted. There are multilevel degenerative changes in the thoracic spine. Partially imaged is a left humeral head prosthesis.

lower extremity swelling and shortness of breath.

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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.

intermittent persistent cough.

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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 lungs appear clear. Bony structures are unremarkable.

right-sided chest pain.

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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 normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with <num>-foot fall // eval for fx/ptx

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Pa and lateral views of the chest provided. Left chest wall port-a-cath is noted with catheter tip extending into the region of the cavoatrial junction. Lung volumes are low though lungs are clear. No focal consolidation, large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal. Imaged bony structures appear intact.

<unk>m with dyspnea, mild hypoxia // eval for acute process

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

patient with quantiferon gold positive, rule out for tb.

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The patient is status post previous median sternotomy and coronary bypass surgery with stable appearance of the cardiomediastinal contours. New since the prior study are small bilateral pleural effusions with adjacent bibasilar opacities, right greater than left. Appearance of the sternotomy site is unchanged in the interval.

<unk> year old man with cough and sob // r/o acute process

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Bibasilar, left worse than right atelectasis. No large pleural effusion. No focal consolidation to suggest a focal pneumonia. No edema. The heart is mildly enlarged. The descending aorta is tortuous. No acute osseous abnormality.

history: <unk>m with shortness of breath // ?edema

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Portable ap upright and lateral views of the chest were reviewed and compared to the prior study. Mild vascular congestion has improved. The previously described rounded opacity in the left lower lung is not visualized on this study; however, as mentioned on the prior study, opacities in the lingula and left lower lobe seen on abdominal ct performed two year prior need chest ct to document stability. The previously described left lower lobe linear opacity is relatively unchanged and most likely represents atelectasis. A right sided dialysis catheter is unchanged in position. Median sternotomy wires and surgical clips overlying the mediastinum and heart are consistent with prior cabg. Cardiac and mediastinal silhouettes are stable. There is no pneumothorax or pleural effusion. Linear opacities overlying the left hemithorax correspond to skin folds.

evaluation for pneumonia in a patient with worsening respiratory status.

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Moderate cardiomegaly is present. Pacemaker with electrodes in expected positions in the right atrium and right ventricle. Atherosclerotic calcifications are noted in the aortic knob. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Low lung volumes. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities with mild to moderate degenerative changes of the visualized thoracic spine noted.

history: <unk>f with chest pressure and left arm heaviness

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There is opacification at the right base, which is mostly accounted for by the diaphragm, but superior to the diaphragm, there is a small parenchymal opacity which is concerning for a possible pneumonia. Stable hazy opacification at the left base is consistent with calcified pleural plaques. There is mild prominence of the pulmonary vasculature, but no overt pulmonary edema. There is no pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged and stable. There is atherosclerosis of the aorta. A right-sided dual-chamber pacemaker is present and in unchanged position.

cough.

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There is moderate pulmonary vascular congestion which is somewhat asymmetric in the right mid and lower lung zones. Moderate cardiomegaly is unchanged. There may be small bilateral pleural effusions. There are degenerative changes of the shoulder joints bilaterally. There is no pneumothorax.

<unk>-year-old male with cough, epigastric pain, evaluate for cardiopulmonary disease.

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Frontal and lateral views of the chest are compared to previous exam from <unk>. There has been interval decrease in size of the right pleural effusion which has essentially resolved. Mild pulmonary vascular congestion is seen but there is no frank edema nor consolidation. Cardiac silhouette is stable in configuration and notable for prosthetic mitral valve and aortic valve. Osseous structures are unchanged.

<unk>-year-old female with cough and lightheadedness, recent fall.

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The lungs are well inflated and clear. The heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are mildly demineralized. No evidence of compression deformity in the thoracic spine.

history: <unk>f with fall and head strike with post scalp lac // eval for traumatic injury

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The vascular structures are engorged, although there is no overt pulmonary edema. There is no consolidation, pleural effusion or pneumothorax. The mediastinal contours are normal. The cardiac silhouette is mildly enlarged.

hypotension and fevers.

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Lower lung volumes seen on the current exam. The lungs however remain clear. Prominent fat pad noted at the left cardiophrenic angle with some adjacent atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with shortness of breath x <num> days // eval for pneumonia, chf

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As compared to the previous radiograph, at slightly lower lung volumes, the lungs are still unremarkable and without evidence of infectious changes. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. The right picc line is constant in appearance.

fevers, decreased appetite, evaluation for pneumonia.

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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 lungs appear clear. Bony structures are unremarkable.

chest pain.

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Only on the lateral film there is an area of focal consolidation was not present on prior study from <unk>. No pleural effusion or pneumothorax identified. Unchanged atelectasis/ scarring in the right peripheral lower lung zone. The size of the cardiomediastinal silhouette is within normal limits.

<unk> year old man with mds febrile neutropenia // pna

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

history: <unk>m with chest pain // eval for infiltrates

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An accessed double-lumen chest port is present with its tip in the superior right atrium. The heart size is within normal limits, as are the mediastinal contours. The lung volumes are low and patchy reticular opacities are present throughout. Compared to the prior radiograph, the extent and distribution of the interstitial markings has decreased; however, there is still a small pleural effusion on the right, tracking up into the major fissure. There is no pneumothorax. Below the diaphragm, a prominent gastric bubble is present.

<unk>-year-old female with hodgkin's lymphoma as well as obstructive interstitial lung disease, now with productive cough.

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The lungs are hyperinflated, flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. Increased interstitial markings bilaterally <unk> relate to underlying pulmonary emphysema versus mild interstitial edema. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Biapical pleural thickening is seen, right greater than left. Best seen on the lateral view <num> by <num> cm rounded calcification projects at over the posterior costophrenic <unk>, <unk> represent calcified granuloma. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. There are compression deformities of several vertebral bodies of the lower thoracic spine and upper lumbar spine, not well assessed on this study and of overall indeterminate age given lack of priors for comparison, although likely old.

history: <unk>f with acute onset cp, sob, leukocytosis eval for pna // eval for pna

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Ap upright and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the low svc. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Anchors are noted in the right humeral head which appears medially subluxed. Otherwise, the imaged bony structures appear intact. No free air below the right hemidiaphragm is seen. A metallic stent projecting over the right upper quadrant resides within the cbd.

<unk>f with hx of pancreatic cancer, iddm, sent in for glucose ><num> // r/o pna

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema, pleural effusion, or pneumothorax. Imaged upper abdomen is unremarkable. No air under the right hemidiaphragm is present to suggest pneumoperitoneum. Osseous structures are without acute abnormality.

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

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

<unk>m with chest pain. eval for pneumothorax.

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There is platelike atelectasis at the right lung base. Lung volumes are low. There is mild reticulation at the lung bases bilaterally. The heart size is normal. No pneumothorax. There is mild apical capping at the left lung apex.

history: <unk>f with hypotension n/v abdominal pain jaundice // eval for pna cxr eval for abdominal pathology

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The lungs are underinflated. There is no focal consolidation or pneumothorax. Blunting of the right costophrenic angle suggests a small pleural effusion. There also appears to be a trace left pleural effusion. Patchy, ill-defined opacities in the lung bases may reflect atelectasis or infection. There is possible mild pulmonary vasculature congestion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with shortness of breath

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Continued improvement in bilateral pulmonary opacities. No new focal consolidation seen. No focal consolidation seen on the current study. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with epigastric abdominal pain and sob x<num> day // evaluate for cardiopulmonary process

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Ap upright and lateral views of the chest provided. Mitral annular calcification again noted. Prominent costochondral calcification is again noted. There is abnormal prominence of the right pulmonary hilum which requires further evaluation with ct. No signs of pneumonia or edema. No large effusion or pneumothorax. Heart size is normal. Bony structures are intact. Mediastinal contour is unremarkable.

<unk>f with generalized fatigue

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There is stable appearance of right lung volume loss with elevation of the right hemidiaphragm status post right upper lobe lobectomy. New increased opacity is seen in the left mid lung. No pleural effusion or pneumothorax. No change in heart size or mediastinal contours.

postoperative fever.

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Pacer unit projects over the left upper chest with a lead in the right ventricle. Subtle scarring is seen projecting just inferior to the pacer unit. A prosthetic mitral valve is in place. Sternotomy wires are unchanged. The patient exhibits stable cardiomegaly. There is a large right pleural effusion with associated atelectasis. Trace left pleural fluid is probably also present. Thickening pulmonary vasculature is compatible with edema. There is no pneumothorax.

<unk>-year-old male with heart failure.

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The heart is normal in size. The aortic arch is partly calcified. The mediastinal and hilar contours appear otherwise unremarkable. There is a small pleural effusion suspected on the right, but no definite one on the left. There is no pneumothorax. The bones are probably demineralized. There is mildly exaggerated kyphotic curvature and small osteophytes are noted along the mid thoracic spine.

chest pain into the left arm.

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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. Surgical clips project over the right axilla. Bony structures appear normal.

right-sided numbness and tingling.

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Ap upright and lateral views of the chest provided. Patient is slightly rotated to her left. The heart appears mildly enlarged but unchanged. The lungs are clear without focal consolidation, effusion or pneumothorax. No convincing evidence for congestion or edema. Unfolded thoracic aorta again noted. Bony structures appear intact. There is stable kyphotic angulation centered at the thoracolumbar junction. An ivc filter is visualized in the upper abdomen.

<unk>f with weakness // ? consolidation, effusions

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Pa and lateral views of the chest provided. Left chest wall port-a-cath again seen with catheter tip extending to the region of the low svc near the cavoatrial junction. Significant opacification of the right hemi thorax is again noted which likely represent a combination of airspace consolidation with a small to moderate pleural effusion. There is a small new left pleural effusion. Crowding of bronchovascular tear in the left lower lung with mild atelectasis noted. Heart size is difficult to assess. No large pneumothorax. Bony structures are intact.

<unk>f with mets breast ca and h/o pleuralcentesis // cough and sob

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Lung volumes are low. The cardiac, mediastinal and hilar contours are unchanged, with mild enlargement of cardiac silhouette noted. Crowding of the bronchovascular structures is present as a result of the low lung volumes, with possible mild pulmonary vascular congestion, but no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

weakness.

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Lung volumes are low but there is no focal atelectasis. No pneumonia. Normal cardiomediastinal silhouette. No pulmonary edema. No pleural effusion. No pneumothorax.

history: <unk>f with chest pain // assess for fx ptx

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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. Minimal streaky opacity in the lingula is suggestive of minor atelectasis or scarring. The lungs appear otherwise clear. Bony structures are unremarkable.

right upper quadrant pain and upper respiratory infection. question pneumonia.

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No consolidation, pleural effusion, or pneumothorax is identified. Cardiomediastinal and hilar contours are normal size.

history: <unk>m with cough and fevers // infiltrate

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

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

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Cardiomediastinal contour is unchanged. There is no pneumothorax or pleural effusion. Left lower lobe linear atelectasis and elevation of the left hemidiaphragm is noted. There is a right lower lobe opacity present dating back to <unk> but more apparent on the current study.

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

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Low lung volumes accentuate top-normal heart size. There is no focal consolidation, pleural effusion or pneumothorax.

<unk>m with ams // pna?

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Support devices: none. The lungs are clear. The sternotomy wires and mediastinal surgical clips are unchanged. Heart size normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is a high riding right humeral head consistent with rotator cuff rupture.

history: <unk>f with chest pain and fever. evaluate for pneumonia.

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The heart is mildly enlarged. Mild atelectasis at the left base. Otherwise, the lungs are clear and there is no evidence of pulmonary edema. The mediastinal and hilar contours are normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk>m on dialysis missed today <unk> scrotal pain // ?cpd

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Cardiomediastinal silhouette is stable. The lungs are symmetrically expanded and clear. There is no pleural effusion or pneumothorax. No pulmonary edema.

history: <unk>m with sob/cough // ?pna

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There is a subtle, left lower lobe airspace opacity concerning for infection. No pleural effusion, pneumothorax, or overt pulmonary edema is seen. The heart size is top normal. Mediastinal contours are normal.

fever.

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Lung volumes are normal. There is a left-sided aicd device with a single lead following the expected course to the right ventricle. Right port-a-cath is in place with tip terminating in the lower svc. No focal consolidation, pleural effusion or pneumothorax is seen. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal.

history: <unk>m with chest pain // ? effusions, consolidation

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In comparison with the study of <unk>, the area of increased opacification in the right mid lung zone has essentially cleared with some residual scarring. Hyperexpansion of the lungs persists consistent with chronic pulmonary disease. Multiple old healed rib fractures are seen on the left. There is an area of increased opacification at the right base with poor definition of the heart border. Patchy area of opacification is seen overlying the heart border and in the retrocardiac region on the lateral view. This combination suggests the possibility of a right basilar pneumonia.

cough in patient with cll, to assess for pneumonia.

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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.

history of chest pain. please evaluate.

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Patient is status post median sternotomy and cabg. The heart size remains mildly enlarged. Mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. Coronary artery stent is also re- demonstrated. Pulmonary vasculature is not engorged. Lung volumes are low with minimal bibasilar atelectasis, but no focal consolidation. No pleural effusion or pneumothorax is identified. There are mild multilevel degenerative changes in the thoracic spine.

history: <unk>m with chest pain and dizziness

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Allowing for differences in technique, the cardiac, mediastinal and hilar contours appear stable. There is no evidence for pneumomediastinum, or pneumothorax. There is possibly a trace pleural effusion on the left only. The lungs appear clear. There is no free air.

hematemesis.

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As compared to the previous radiograph, a right pleural drain was placed. There is no evidence of pneumothorax. The pre-existing moderate right pleural effusion has substantially decreased in extent. As a consequence, the pre-existing right basilar atelectasis have also decreased. Unchanged normal appearance of the cardiac silhouette. Unchanged appearance of the mediastinum and of the left lung.

<unk> year old woman with h/o mpe s/p pleurx placement // minimal output. ? effusion

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As compared to the prior radiographic examination, there has been no significant interval change. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.

end stage renal disease with cough, evaluate for chf.

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The lungs are free of focal consolidations, pleural effusions or pneumothorax. There are no suspicious masses in the lungs. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities.

<unk> year old man with cough x <num> months // eval for lesions

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Left-sided icd with the tip in the right ventricle. No pneumothorax. The lungs are clear. Mild cardiomegaly with lad stent. No significant pleural effusions.

<unk> year old man with recent icd // eval for lead placement and pneumothorax

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Frontal and lateral views chest were performed. The lungs are clear, although, lung volumes are low. There is no pleural effusion, pneumothorax or focal airspace consolidation. The trachea is slightly deviated to the left compared to prior. The cardiac silhouette is normal in size. Calcifications are noted within the aortic arch, otherwise, the mediastinal contours are normal. The imaged upper abdomen is unremarkable.

hypoglycemia, evaluate for pneumonia.

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The lungs well expanded. There is a moderate left pleural effusion, which obscures evaluation of the left lung base. Opacity seen in the right lung base medially, consistent with pneumonia. There is no right pleural effusion. The cardiomediastinal silhouette is enlarged but somewhat obscured by the left pleural effusion, similar to prior exam.

history: <unk>m with altered mental status, rle weakness // eval for pna, ich

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Sternotomy wires are unchanged. The heart size is within normal limits. The mediastinal and hilar contours are also unchanged and within normal limits. The lungs are clear of consolidation with mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax.

<unk>-year-old male with shortness breath and a history of copd.

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The heart is normal size. There is no pleural effusion, pneumothorax or focal consolidation. There is mild rightward convex curvature of the thoracolumbar spine.

<unk>f with dementia s/p unwittnessed fall with right wrist swelling and right hip tenderness // assess for bleeding, fracture

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There is a dual lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild to moderate rightward convex curvature to the thoracic spine appears unchanged.

diarrhea.

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

history: <unk>m with left sided chest pain // eval for pneumothorax, pneumonia

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Heart size is mildly enlarged, similar to that seen on the prior ct. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. No acute osseous abnormality is visualized.

history: <unk>m with dyspnea

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Cardiomediastinal contours are normal. Patient has multiple valve replacements. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned.

<unk> year old woman s/p valve replacement.recent onset of cough and ankle swelling // r/o chf

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Pa and lateral views of the chest were correlated to chest ct from <unk> and pet-ct from <unk> and mri thoracic spine from <unk>. The lungs are clear of focal consolidation. Nodular opacity projecting over the left upper lung is compatible with sclerotic lesion located in the anterior left third rib. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Mild compression deformity is seen in the mid thoracic vertebral body which is stable compared to prior thoracic mri from <unk>.

<unk>-year-old male with metastatic lung cancer to the head with new confusion.

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The cardiac, mediastinal and hilar contours are is probably unchanged allowing for decrease in lung volumes. There is no pleural effusion or pneumothorax. The lungs appear clear.

chest pain.

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Vagus nerve stimulator is noted projecting over the left lower chest wall with leads extending into in the left neck region and no evidence of fracture of these leads. Lung volumes are slightly low, but no focal opacities concerning for an infectious process. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Seven cervical vertebral bodies are seen with no evidence of fracture or alignment abnormality.

<unk>-year-old man with refractory generalized seizures and left-sided vagus nerve stimulator in place. assess for fracture of the generator or leads.

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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is mildly enlarged. Pulmonary vasculature is mildly prominent.

<unk>-year-old female with diabetes mellitus and fever.

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Very low lung volumes with crowding of the bronchovascular markings. No acute focal consolidation. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is stable.

<unk> year old woman with fever and cough. // please evaluate for any lung infiltration.

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Left-sided port-a-cath tip terminates in the svc, unchanged. The cardiac, mediastinal and hilar contours are stable, with the heart size within normal limits. Aortic knob calcifications are again demonstrated. There is no pulmonary vascular congestion. Linear bibasilar opacities likely reflect atelectasis. Linear scarring within the medial right lung apex is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. Vertebra plana of the t<num> vertebral body and compression deformity of the t<num> vertebral body are unchanged. Expansile lesions within several right-sided ribs are compatible with the patient's diagnosis of myeloma.

abdominal pain, coarse breath sounds.

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The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk>f with cough // acute process?

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In comparison with study of <unk>, the patient has taken a much better inspiration. Again there is an area of increased opacification in the retrocardiac region with poor definition of the descending aorta. Although this could merely reflect atelectasis, the possibility of supervening pneumonia would have to be considered in the appropriate clinical setting.

brain tumor with spiking fevers.